# Presentation: 704467

## Overview:  

- Division of
- Environmental Health Services
- Alan J. Dellapenna, Jr. R.S. MPH, Deputy Director
- Division of Environmental Health Services

## Environmental Health Services

**Authorized under P.L. 86-121**
**Environmental Health Specialist Staff**
***Services***** based program**
**Public Health Advisor to Tribal Governments**
**Broad range of Environmental Health Services for governments, communities, & individuals**
**3 Programs in Division**
**General Environmental Health**
**Injury Prevention **
**Institutional Environmental Health**

## Environmental Health ServicesMission Statement

- Through shared decision making,

- enhance the health and quality of life of all American Indians and Alaska Natives to the highest possible level

-  by eliminating environmentally related disease and injury

- through sound public health measures.

## Environmental Health ServicesStaffing*

- * Sanitarians, Environmental Health Specialists, and Environmental Health Technicians; IHS Direct Hire, 638, & Tribal Direct Hire.  _Does not include_ M&M funded Safety Officers, Tribal Environmental Protection Officers, O&M.

-  97 Tribal
-  76 IHS SUS & Field
-  30 District
-  35 Area
-    5 Headquarters
**243** Total

- 84% Field-Based
- 16% Administrative

- 40% Tribal
- 60% IHS

## Environmental Health ServicesHQE Staff

| Name | Position | Phone |
| --- | --- | --- |
| Vacant | Director | 301-443-1538 |
| Alan Dellapenna | Deputy Director | 301-443-0097 |
| Kelly Taylor | Injury Prevention Program Manager | 301-4431593 |
| Merritt Lake | Institutional EH Program Manager | 301-443-0105 |
| Darren Buchanan | Staff EH Officer/Programmer  | 301-443-3061 |
| Brenda Dondero | Secretary | 301-443-1054 |

## Indian Health Data

## Ratio of American Indians/Alaskan Natives Mortality Compared to US All Races Rate

**Death Rates:****Ratio of AIAN to US All Races**

**US All Races Rate = 1**

**Cause of Death**

- Death Rates are up to 6 times higher than the US All Races Rates

**Notes:**
The POINT:  The Indian population continues to have serious health problems despite improvements over the past 30 years.
AI/ANs have disproportionately high death rates for certain diseases
An example of a regional difference is infant mortality		- All US--10.0 per 1000 live births;	-  All IHS areas is 11.0  	- ND, SD (Aberdeen Area)  is 18.1:  	- NM (Albuquerque Area) 9.3

## Leading Causes of DeathAges 1-4

- Death Rates Per 100,000 Population

## Leading Causes of DeathAges 5-14

- Death Rates Per 100,000 Population

## Leading Causes of Death Ages 15-24

- Death Rates Per 100,000 Population

## Leading Causes of DeathAges 25-44

- Death Rates Per 100,000 Population

## Leading Causes of DeathAges 45-54

- Death Rates Per 100,000 Population

## Leading Causes of DeathAges 55-64

- Death Rates Per 100,000 Population

## Leading Causes of DeathAges 65+

- Death Rates Per 100,000 Population

## Environmental Health ServicesWork & Priorities Set by

-  Community and Tribal Needs
-  Public Health Principles
-  Epidemiology
-  Legislation, Mandates, MOA’s
-  Program Tradition & Expectations
-  Staff Interest and Judgment
-  Chapters 11 & 9 of the *IHS Manual*

## Environmental Health Services Range of Services Provided Tribes

-  Technical Assistance and Consultation
-  Disease and Injury Surveillance
-  Assess & Monitor Conditions
-  Plan Review
-  Training
-  Investigations
-  Advocacy and Capacity Building

## Environmental Health ServicesPrograms

**General Environmental Health**
**	**_[www.dehs.ihs.gov](http://www.dehs.ihs.gov/)_
**Community Injury Prevention**** **
**	**_[www.ihs.gov/MedicalPrograms/InjuryPrevention](http://www.ihs.gov/MedicalPrograms/InjuryPrevention)_
**Institutional Environmental Health**
- 	_www2.ihs.gov/IEH_

## General Program Summary of Services

- Food Safety
- Head Starts
- Utility O&M
- Casinos
- Rabies Clinics
- Water Fluoridation
- Detention Centers
- SARA III/MSDS
- Hazardous Materials

- Injury Prevention
- JCAHO Accreditation
- Hazard Investigation
- Risk Assessment
- Disease & Injury Surveillance
- Communicable Disease Investigation
- Emergency Response
- Code Development

## Slide 20

## Slide 21

## Institutional EHSummary of Activitieshttp://www2.ihs.gov/IEH/

- Disaster Management
- Health Care Accreditation
- Industrial Hygiene
- Infection Control
- Occupational Safety
- Safety Management
- Security Management

- Patient Safety
- Radiation Protection
- Environmental Compliance
- Ergonomics
- IEH Residency
- Workers’ Compensation

## Institutional Environmental HealthWorkgroups

**Steering Committee**

## Injury PreventionSummary of Activitieshttp://www.ihs.gov/MedicalPrograms/InjuryPrevention/

- Epidemiology
- Coalition Development
- Training
- Project Development
- Advocacy
- Marketing
- Evaluation
- Tribal Capacity Building Grants
- IP Specialist Fellowship

- Road Hazard Reduction
- MV Occupant Protection
- DUI Prevention
- Assault & Violence
- PFD & Drowning
- Smoke Detectors
- Falls
- Suicide Prevention
- Housing Hazards

## Slide 25

## Environmental Health Services Partnerships

-  Head Start
-  National Highway Traffic Safety Admin.
-  CDC, National Center for Injury Prevention & Control
-  U.S. Fire Administration
-  Uniform Services University of the Health Sciences
-  CDC, Agency for Toxic Substances and Disease 	Registry
-  Environmental Protection Agency
-  Food and Drug Administration
-  Boost America
-  National Park Service

## Summary of DEHS ProgramAccomplishments

-  Injury Prevention
-  Plague and Hanta Virus
-  Health Care Accreditation
-  Head Start Code
-  Food Safety
-  Emergency Response