207509 Role of public health departments serving communities affected by Industrial Food Animal Production (IFAP): A framework using the ten essential services of public health

Wednesday, November 11, 2009

Jillian P. Fry, MPH , Predoctoral Fellow, Center for a Livable Future, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD
Roni A. Neff, PhD, SM , Center for a Livable Future, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD
Thomas A. Burke, PhD, MPH , Department of Health Policy and Management, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD
Background: As the nation rethinks the safety of the food supply, it is also critical to examine the role of public health agencies in protecting the public from the negative health effects associated with exposure to contaminants from Industrial Food Animal Production (IFAP) sites. This talk takes a preliminary look at what health departments are currently doing (and not doing) in these communities. A framework is presented that outlines appropriate roles for health departments and considers how such work could be funded.

Methods: We used key informant interviews, a small survey, and a review of relevant documents to gather information. The ten essential services of public health model was adapted to provide a framework outlining appropriate actions health departments could undertake including environmental public health tracking; educating; working with environmental and agricultural agencies at the federal, state, and local levels and other stakeholders; and conducting research.

Results: We describe case studies of health department efforts and present survey results describing current health department practices. The ten essential services framework is described. Survey results reflecting reactions to the draft framework are also presented.

Conclusion: Health departments have an essential role to play in protecting communities affected by IFAP. These roles include monitoring, communicating public health knowledge, informing decision-making, and collaborating on remediation activities. This framework can serve as a resource guide for health departments taking action to minimize the ill health effects of IFAP. It also has applicability for health departments serving communities facing other site-related environmental health threats.

Learning Objectives:
1. Discuss what health departments are doing to address health issues associated with IFAP. 2. Describe a framework for considering health department roles in communities affected by IFAP.

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I am a doctoral student focusing on food production issues and I performed a majority of the work for this project.
Any relevant financial relationships? No

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.