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United States – México Border Health Commission

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Page 1: United States – México Border Health Commission. 2 Border Region – 100 km or 62 miles La Paz Agreement (1983) and P.L. 103-400 (1994)

United States – México Border Health Commission

Page 2: United States – México Border Health Commission. 2 Border Region – 100 km or 62 miles La Paz Agreement (1983) and P.L. 103-400 (1994)

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Border Region – 100 km or 62 miles La Paz Agreement (1983) and P.L. 103-400 (1994)

Page 3: United States – México Border Health Commission. 2 Border Region – 100 km or 62 miles La Paz Agreement (1983) and P.L. 103-400 (1994)

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History of the U.S.-México Border Health Commission (BHC)

Public Law 103-400 (October 22, 1994)

Agreement between the United States of America and the United Mexican States to establish the full Commission (July 24, 2000)

Executive Order by U.S. President George W. Bush (December 21, 2004) designating the BHC as an Public International Organization

Page 4: United States – México Border Health Commission. 2 Border Region – 100 km or 62 miles La Paz Agreement (1983) and P.L. 103-400 (1994)

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Mission

To provide international leadership to optimize health and quality of life along the United States – Mexico border.

Page 5: United States – México Border Health Commission. 2 Border Region – 100 km or 62 miles La Paz Agreement (1983) and P.L. 103-400 (1994)

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Goals

Institutionalize a domestic focus on border health that can transcend political changes

Create an effective venue for binational discussion to address key public health issues at the border

Page 6: United States – México Border Health Commission. 2 Border Region – 100 km or 62 miles La Paz Agreement (1983) and P.L. 103-400 (1994)

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Strategic Principles

Our Purpose –

Leadership Focus Venue

Page 7: United States – México Border Health Commission. 2 Border Region – 100 km or 62 miles La Paz Agreement (1983) and P.L. 103-400 (1994)

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BHC Composition and Structure

Two nations Ten border states (six Mexican States, four U.S.

States) Two Sections: United States and México Sections 12 Individual Members each (24 total members)

o Includes 10 State Health Officers Led by two Commissioners:

o U.S. Secretary of Health and Human Serviceso Secretary of Health of México

Page 8: United States – México Border Health Commission. 2 Border Region – 100 km or 62 miles La Paz Agreement (1983) and P.L. 103-400 (1994)

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BHC Roles

Facilitate identification, study and research

Be a catalyst to raise awareness

Promote sustainable partnerships for action

Serve as an information portal

Page 9: United States – México Border Health Commission. 2 Border Region – 100 km or 62 miles La Paz Agreement (1983) and P.L. 103-400 (1994)

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BHC Methods: Committees and Work Groups

Standing Committeeso Priority Setting – strategic planning o Program, Planning and Evaluationo Budget

Work Groupso Communication and Outreacho By-Lawso Border Health Research

Page 10: United States – México Border Health Commission. 2 Border Region – 100 km or 62 miles La Paz Agreement (1983) and P.L. 103-400 (1994)

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Strategic Directions

Our Focus –

Access to Care

Research and Data Collection

Health Promotion and Education

Page 11: United States – México Border Health Commission. 2 Border Region – 100 km or 62 miles La Paz Agreement (1983) and P.L. 103-400 (1994)

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Commission State Outreach Offices (OROs)

Our Linkages to the Community

Page 12: United States – México Border Health Commission. 2 Border Region – 100 km or 62 miles La Paz Agreement (1983) and P.L. 103-400 (1994)

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Strategic Actions

Our Actions -

Healthy Border 2010 Border Binational Health Week National Infant Immunization Week / Vaccination Week of the Americas Border Health Research Pandemic/Avian Influenza Planning Border Lead Issues Border Tele-health Border Health Information Platform

Page 13: United States – México Border Health Commission. 2 Border Region – 100 km or 62 miles La Paz Agreement (1983) and P.L. 103-400 (1994)

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Healthy Border 2010

Instrument for community assessment, planning and action similar to Healthy People 2010

22 General health indicators in 11 focus areas Access to Care, Environmental Health, Oral Health Maternal, Infant & Child Health, Mental Health Cancer, Diabetes, Respiratory Diseases Immunization & Infectious Disease, HIV/AIDS Injury Prevention

Healthy Border mid-course review completed in December, 2006

Page 14: United States – México Border Health Commission. 2 Border Region – 100 km or 62 miles La Paz Agreement (1983) and P.L. 103-400 (1994)

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Healthy Border 2010

Progress toward Year 2010 Goals: 10 of the 14 have made progress toward 2010 goals 7 have achieved 60% or more of the goal Of these seven, 2 have surpassed 2010 goal –

Hepatitis A and Childhood Injury 4 objectives are moving away from 2010 Goals-

AIDS Hepatitis B Tuberculosis Motor Vehicle Deaths

Page 15: United States – México Border Health Commission. 2 Border Region – 100 km or 62 miles La Paz Agreement (1983) and P.L. 103-400 (1994)

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Border Binational Health Week (BBHW)

Is a week-long series of events on both sides of the border that brings awareness to health needs and issues, begun in 2004

The annual theme of BBHW is on “Families in Action for Health”

The overall goal is to promote sustainable partnerships

Major events in 2006 included the Border Health Research Forum, TB Forum, Health Policy Forum and Tobacco Forum

Page 16: United States – México Border Health Commission. 2 Border Region – 100 km or 62 miles La Paz Agreement (1983) and P.L. 103-400 (1994)

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National Infant Immunization Week / Vaccination Week in the Americas

A partnership of border agencies and community organizations with the Centers for Disease Control and Prevention and the Pan American Health Organization that works to coordinate activities along the border to promote immunizations

Border specific events began in 2004 with U.S. border states taking the lead each year

Texas took the lead state for 2007 – Hidalgo County, Texas was the lead county for the border

The event was celebrated April 21-28, 2007

Page 17: United States – México Border Health Commission. 2 Border Region – 100 km or 62 miles La Paz Agreement (1983) and P.L. 103-400 (1994)

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Border Health Research Initiative

Focused on the development of a long-term border health research agenda

The initial border Health Research Forum took place in Monterrey, Nuevo León, Mexico in October 2006

A Border Health Research Advisory Council will be established to assist the BHC in its work

Biennial research forums will be hosted by the BHC

Page 18: United States – México Border Health Commission. 2 Border Region – 100 km or 62 miles La Paz Agreement (1983) and P.L. 103-400 (1994)

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Joined with the Association of State and Territorial State Health Officers (ASTHO) to host a forum on Binational Public Health Preparedness in August, 2006

Hosted a federal-state Binational Pandemic Influenza Forum in Hermosillo, Sonora, Mexico in November, 2006

With support of the states of California and Baja California conducted a federal-state Binational Influenza Table Top Workshop in San Diego, California in February, 2007

Supported in May 2007, the California – Baja California Binational Avian Influenza Table Top Exercise – focused on the multi-sector approach that included the agricultural and wild life sectors in partnership with health

Pandemic Influenza Planning

Page 19: United States – México Border Health Commission. 2 Border Region – 100 km or 62 miles La Paz Agreement (1983) and P.L. 103-400 (1994)

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Lead (Pb) Issues Along the Border

A partnership with the Border States and U.S. and Mexico federal agencies on the issues surrounding lead (Pb) in candy and other non-paint sources

An initial binational discussion took place in January, 2006 led by New Mexico and a follow-up binational work shop was hosted by California in September, 2006

California is taking the lead in the development of a Binational Lead Work Group, Binational Lead Outreach Project and publication of a binational technical report

Page 20: United States – México Border Health Commission. 2 Border Region – 100 km or 62 miles La Paz Agreement (1983) and P.L. 103-400 (1994)

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Border Tele-health Initiative

Led by the State of Nuevo León and the Autonomous University of Nuevo León

Seeks to promote development of a binational network of Tele-health linkages

Initial planning has included a site visit to the University of Arizona, Tucson in December 2006

Plans are also underway for a tri-state collaborative among institutions in the states of Nuevo León, Sonora and Arizona

Other interested institutions include Texas Tech Health Science Center – El Paso

Page 21: United States – México Border Health Commission. 2 Border Region – 100 km or 62 miles La Paz Agreement (1983) and P.L. 103-400 (1994)

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Border Health Information Platform

A partnership with the National Center for Health Statistics, CDC and the México Secretariat of Health

Is focused on establishing an electronic web-based border health database

The goal is to improve the capacity for assessment and research of border health problems

Mexico has completed their portion of the electronic database available at www.saludfronteramexusa.org

Page 22: United States – México Border Health Commission. 2 Border Region – 100 km or 62 miles La Paz Agreement (1983) and P.L. 103-400 (1994)

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Contact:

Amb. Eleazar Benjamín Ruíz y AvilaExecutive Secretary

Mexico Section, BHCMexico City, Mexico

[email protected]

Dan ReynaGeneral Manager

United States SectionEl Paso, Texas

[email protected]

Web Page - Http://www.borderhealth.org