viii border legislative conference santa fe, nm july 9, 2004
DESCRIPTION
VIII Border Legislative Conference Santa Fe, NM July 9, 2004. Welcome to the third coast. The U.S. - Mexico Border is Characterized by:. Different cultures and languages (historically agricultural) Different economic development & severe macro-economic issues High population growth - PowerPoint PPT PresentationTRANSCRIPT
U.S.-Mexico Border Health
Commission
VIII Border Legislative VIII Border Legislative ConferenceConference
Santa Fe, NM
July 9, 2004
U.S.-Mexico Border Health Commission
Welcome to the third coastWelcome to the third coast
U.S.-Mexico Border Health Commission
U.S.-Mexico Border Health Commission
Different cultures and languages (historically agricultural)
Different economic development & severe macro-economic issues
High population growth Different health systems Higher unemployment rates in the U.S. border Migrant and immigrant challenges and opportunities Beautiful region with a mystique, soul and spirit of its
own, share a common destiny All of the above blend on the border USMBHA, 1998
The U.S. - Mexico Border is The U.S. - Mexico Border is Characterized by:Characterized by:
U.S.-Mexico Border Health Commission
More than 13 million inhabitants400 million border north-bound crossings annually
(INS 1999)
If the U.S.-Mexico Border were a If the U.S.-Mexico Border were a separate state, it would rank...separate state, it would rank...
Last in access to health care;
Second in death rates due to hepatitis;
Third in deaths related to diabetes;
First in the number of cases of TB;
First in school children living in poverty; and
Last in per capita income.
Texas Controller Report 2000
U.S.-Mexico Border Health Commission
United States- Mexico Border United States- Mexico Border Population, 2000Population, 2000
59% of the population 59% of the population lives in the U.S. Border lives in the U.S. Border states states
79% of the U.S. Border 79% of the U.S. Border population is of population is of Hispanic originHispanic origin
40% of the population 40% of the population lives in the Mexico lives in the Mexico border statesborder states
48% of the border 48% of the border population is under 20 population is under 20 years of ageyears of age
0
1
2
3
4
5
6
Mexico
U.S.Border
PAHO, Mortality Profiles, 1999
U.S.-Mexico Border Health Commission
Populations affected includePopulations affected include Border crossers Border crossers
(documented & (documented & undocumented)undocumented)
Immigrant, migrant and Immigrant, migrant and seasonal workersseasonal workers
Refugees and displaced Refugees and displaced workersworkers
Border impact Border impact communitiescommunities
Tribal nations and Tribal nations and reservationsreservations
NCFH, 1999
Poverty ConditionsPoverty Conditions 38% fall below 200% of 38% fall below 200% of
U.S. Federal poverty levelsU.S. Federal poverty levels
Unemployment rate is 2.5 - Unemployment rate is 2.5 - 3 times higher than U.S. 3 times higher than U.S. averageaverage
3 of the 5 poorest cities 3 of the 5 poorest cities and 4 of the 10 poorest and 4 of the 10 poorest U.S. counties are in this U.S. counties are in this areaarea
37 of 44 counties in 37 of 44 counties in immediate border area are immediate border area are Health Professional Health Professional Shortage AreasShortage Areas
U.S.-Mexico Border Health Commission
“To provide international leadership to optimize health and quality of life along the United States-Mexico
border.”
Commission Commission MissionMission
U.S.-Mexico Border Health Commission
Commission HistoryCommission History
1988-1994: Intense border, States, and 1988-1994: Intense border, States, and American Medical Association advocacy and American Medical Association advocacy and legislative efforts;legislative efforts;
1994-Commission has its origins in Public Law 1994-Commission has its origins in Public Law 103-400. Authorized the President to enter 103-400. Authorized the President to enter into an agreement with Mexico;into an agreement with Mexico;
July 2000-Signing of the International July 2000-Signing of the International Agreement creates the Commission; andAgreement creates the Commission; and
November 2000-Commission held its 1November 2000-Commission held its 1stst Binational Meeting.Binational Meeting.
U.S.-Mexico Border Health Commission
PurposePurpose
To identify and evaluate current and To identify and evaluate current and future health problems affecting the future health problems affecting the population in the United States-Mexico population in the United States-Mexico border area.border area.
To encourage and facilitate actions to To encourage and facilitate actions to address these problems.address these problems.
U.S.-Mexico Border Health Commission
GoalsGoals
To institutionalize a domestic focus on border health which would transcend political changes
To create an effective venue for binational discussion to address public health issues and problems
U.S.-Mexico Border Health Commission
RolesRoles
Promote social and community participation;
Act as a catalyst for needed change;
Act as a policy advocate;
Increase resources for the border;
Encourage self-responsibility for health; and
Facilitate Border Early Warning Infectious Disease Surveillance Project.
U.S.-Mexico Border Health Commission
Composition and StructureComposition and Structure
Two sovereign nations and two cultures Ten border states 44 counties and 80 municipalities 14 pairs of sister cities International organization 26 Commission Members, two sections
and three standing committees U.S. Inter Agency Border Action Team
U.S.-Mexico Border Health Commission
Basic Elements of Basic Elements of Border CooperationBorder Cooperation
Identification of common problems and opportunities
Recognition that each country is independent
Trust and respect
Consensus in decision making
Equitable allocation of resources
U.S.-Mexico Border Health Commission
Commission State and Commission State and Regional Outreach OfficesRegional Outreach Offices
U.S.-Mexico Border Health Commission
Outreach Office RolesOutreach Office Roles
Assure that the Commission mission and outreach plans are carried out at the local and bilateral level;
Promote Healthy Border 2010 Program;
Complement the local State Border Health Office’s mission by coordinating work plan activities and bilateral efforts with Commission and local organizations.
U.S.-Mexico Border Health Commission
Healthy Border ProgramHealthy Border Program
Based on Healthy People and Healthy Gente 2010
Grounded in science; build through consensus; and
designed to measure progress
Focus attention on key health issues
Improve allocation of health resources
Coordinate public and private action
Inspire ownership of objectives through:
- coordinated program activities
- community projects
U.S.-Mexico Border Health Commission
Healthy Border 2010 AgendaHealthy Border 2010 Agenda
Access to Care
Cancer
Diabetes
Environmental Health
HIV/AIDS
Immunization
Infectious Diseases
Injury Prevention
Maternal, Infant and Child Health
Mental Health (Suicide)
Oral Health
Respiratory Disease (Asthma)
Terrorism Preparedness ** Developmental theme
U.S.-Mexico Border Health Commission
PublicationPublication
To download a copy, visit www.borderhealth.org
U.S.-Mexico Border Health Commission
Ten Great Public Health AchievementsTen Great Public Health AchievementsUnited States, 1900 - 2000United States, 1900 - 2000
Vaccination Motor – vehicle safety Safer workplaces Control of infectious diseases Decline in deaths from coronary heart diseases and
stroke Safer and healthier foods Healthier mothers and babies Family planning Fluoridation of drinking water Tobacco is a health hazard
U.S.-Mexico Border Health Commission
Existing ChallengesExisting Challenges
High health and medical cost
Higher uninsured rates
Disproportionate reimbursements
Significant uncompensated care
Significant health disparities
High poverty rates and lower educational attainment
U.S.-Mexico Border Health Commission
Our VisionOur VisionA border where diseases are prevented when A border where diseases are prevented when possible, controlled when necessary and treated possible, controlled when necessary and treated
when appropriate.when appropriate.
Reducing burden of disease:Reducing burden of disease:ObesityObesityDiabetesDiabetesAsthmaAsthma
Addressing risk factors:Addressing risk factors:Poor Diet/NutritionPoor Diet/Nutrition
Lack of Physical activity Lack of Physical activity Tobacco useTobacco use
Youth risk taskingYouth risk tasking
U.S.-Mexico Border Health Commission
Border HealthBorder HealthInformation NetworkInformation Network
Web based communication system
Developed jointly with Mexico
Designed to improve communications and collaboration among health professionals
Geographic Information System Tools
U.S.-Mexico Border Health Commission
U.S.-Mexico Border Health Commission
Mapping ServiceMapping Service
Online mapping designed to serve our partners needs;
Tool to map and query HB health indicators;
Assist decision makers in monitoring and assessing health needs;
Completed the 1st phase; and
Gathering health data
U.S.-Mexico Border Health Commission
For more information, please visit
www.borderhealth.org
U.S.-Mexico Border Health Commission
United States-Mexico Binational TB United States-Mexico Binational TB
Referral and Case Management ProjectReferral and Case Management Project
Binational TB Card- a portable health document
Insures continuity of care and completion of TB treatment
Coordinates the referral of patients between health systems of both countries
For information , please visit www.borderhealth.org
U.S.-Mexico Border Health Commission
2004 Work Plan2004 Work Plan1. Commission infrastructure:
Operation of U.S. and Mexico Sections
Information technology
Assessment, surveillance & evaluation• Behavioral Risk Factor Surveillance Survey (BRFSS)
2. Healthy Border outreach plans: performance focus
3. Health innovation and best practices• Border Binational Health Week
• Immunization Week in the Americas
4. Binational public emergency preparedness
U.S.-Mexico Border Health Commission
Planning and Response to Public Planning and Response to Public Health EmergenciesHealth Emergencies
ForumsForums
Sonora-Arizona
Chihuahua-New Mexico-Texas
Mexico-Texas Border States
Baja California-California
U.S.-Mexico Border Health Commission
Early Warning Infectious Early Warning Infectious Disease Surveillance (EWIDS)Disease Surveillance (EWIDS)
Enhance the infectious disease surveillance capabilities along the United States-Mexico Border by creating public health preparedness systems in the six Mexican Border States that are interoperable with one another and with those of the four United States Border States.
A collaboration between the Commission, Mexico A collaboration between the Commission, Mexico Secretariat of Health, U.S. Department of Health Secretariat of Health, U.S. Department of Health and Human Services, and CDC.and Human Services, and CDC.
U.S.-Mexico Border Health Commission
Core Recommendations Core Recommendations to Governmentsto Governments
1. Access to Health Care
2. Disease Prevention and Health Education
3. Health Workforce Needs
4. Public Health Infrastructure Improvements
U.S.-Mexico Border Health Commission
Dissemination ofDissemination of2004 - 20052004 - 2005
Healthy Healthy BorderBorder
CalendarCalendar
December 12, 2003December 12, 2003Healthy Healthy BorderBorder
Health CardsHealth Cards““Tarjetas de Salud”Tarjetas de Salud”
Summer of 2004Summer of 2004
World World Tuberculosis Tuberculosis
(TB) Day(TB) DayMarch 24, 2004March 24, 2004
Border Celebration in Border Celebration in Tijuana, Baja CaliforniaTijuana, Baja California
April 1April 1stst
World World Health DayHealth Day
““Road Safety”Road Safety”April 7, 2004April 7, 2004
Binational Conference on Binational Conference on Transportation and Road SafetyTransportation and Road Safety
April 14 –16, 2004April 14 –16, 2004South Padre Island, TXSouth Padre Island, TX
U.S.-Mexico BorderU.S.-Mexico BorderImmunization Week Immunization Week
in the Americasin the Americas
11stst Wk is April 24-30 Wk is April 24-30 (1(1stst Dose) Dose)
22ndnd Wk is July 31-August 6 Wk is July 31-August 6(2(2ndnd Dose) Dose)
33rdrd Wk is October 11-17 Wk is October 11-17(3(3rdrd Dose) Dose)
U.S.-Mexico U.S.-Mexico Border BinationalBorder Binational
Health WeekHealth Week““Families in Action Families in Action
for Health”for Health”USMBHCUSMBHC
Healthy BorderHealthy Border2010 Program2010 Program
Love them. Protect them.Love them. Protect them.Immunize them.Immunize them.
October 11 - 17, 2004 October 11 - 17, 2004
U.S.-Mexico Border Health Commission
Inauguration hosted by Inauguration hosted by
Arizona – Sonora, October 12Arizona – Sonora, October 12
Closing events hosted by Closing events hosted by
Texas – New Mexico, October 15Texas – New Mexico, October 15
Border Binational Health WeekBorder Binational Health WeekOctober 11- 17October 11- 17
U.S.-Mexico Border Health
Commission
Advance the implementation of the Advance the implementation of the Healthy Border 2010 Program, by:Healthy Border 2010 Program, by:
Encouraging and creating sustainable efforts, organizational relationships, and community networks to improve health status; and
Address health disparities in a border wide manner.
GoalGoal
U.S.-Mexico Border Health
Commission
U.S. Department of Health and Human Services;
Mexico Secretariat of Health;
Health Resources and Services Administration;
Office of Minority Health;
The ten U.S.-Mexico Border States;
USMBHC Outreach Offices/States Offices of Border Health;
Centers for Disease Control and Prevention;
California-Mexico Health Initiative; and
Pan American Health Organization.
Partnerships in place
U.S.-Mexico Border Health Commission
Primary Topics:Access
ImmunizationHealthy Life Styles
Theme: Families in Action to Improve HealthTheme: Families in Action to Improve Health
Services:Immunizations (Across Life Span)
Screenings/ReferralsTrainings
Health Fairs/FiestasOther
Actions:Simple
PracticalTangible
Border FocusedBinational Activities
U.S.-Mexico Border Health
Commission
Share easy to understand health information, prevention and best practices;
Strengthen community based organizational networks and structures and foster partnership opportunities in support of HB 2010 program;
Exercise binational collaboration;
Leverage financial, technical, organizational support and partnerships; and
Establish benchmark indicators to document outcomes and progress.
Expected OutcomesExpected Outcomes
U.S.-Mexico Border Health Commission
Time LineTime LineOctober 11October 11
León, Guanajuato Inauguration by President Fox and both Secretaries of Health and
Policy Forum on Migrant Health
San Diego/Tijuana Launch event with Promotoras Conference
October 12October 12 Arizona-Sonora
– Inauguration of Binational Health Week by Sec. Tommy Thompson and Sec. Julio Frenk Mora
October 13October 13 Douglas/Agua Prieta
Children and Families, Immunizations, Heart Healthy
U.S.-Mexico Border Health Commission
Time LineTime LineOctober 14October 14
Tohono O’odham Nation/Puerto PeñascoTohono O’odham Nation/Puerto Peñasco Health fair, Physical Activity, Immunizations
October 15October 15 Yuma and San Luis CountiesYuma and San Luis Counties
Health fair, Immunizations, Teens, Substance AbuseHealth fair, Immunizations, Teens, Substance Abuse
San Diego/TijuanaSan Diego/Tijuana HIV/AIDS conferenceHIV/AIDS conference
Closing ceremony by Surgeon General Richard Closing ceremony by Surgeon General Richard Carmona, Dr. Elizabeth Duke and Mexico Carmona, Dr. Elizabeth Duke and Mexico Health officials in Paso del Norte regionHealth officials in Paso del Norte region
U.S.-Mexico Border Health Commission
Time LineTime Line
October 16October 16 San Diego/TijuanaSan Diego/Tijuana
Mobile units in northern San Diego CountyMobile units in northern San Diego County
October 17October 17 San Diego/TijuanaSan Diego/Tijuana
Mobile units in northern San Diego CountyMobile units in northern San Diego County
U.S.-Mexico Border Health
Commission
BORDER IMMUNIZATION WEEKS IN THE AMERICASBORDER IMMUNIZATION WEEKS IN THE AMERICAS
JULY 31 – AUGUST 6JULY 31 – AUGUST 6&&
OCTOBER 11 - 17OCTOBER 11 - 17
U.S.-Mexico Border Health Commission
U.S.-Mexico Border Health Commission
Substance AbuseSubstance Abuse
Illicit drug situation in the border is characterized by:Illicit drug situation in the border is characterized by:
Heroin has surpassed crack with the most serious Heroin has surpassed crack with the most serious consequences;consequences;
Number of female heroin users has increased, Number of female heroin users has increased, seeing gender equity among a number of chronic seeing gender equity among a number of chronic drug users;drug users;
Marijuana remains the most widely abused illicit Marijuana remains the most widely abused illicit drug;drug;
Pulse Check 2002
U.S.-Mexico Border Health Commission
Substance AbuseSubstance Abuse
Metamphetamine continues to be an Metamphetamine continues to be an emerging problem contributing to domestic emerging problem contributing to domestic violence;violence;
Tobacco continues to be the number one Tobacco continues to be the number one preventable killer in America; and preventable killer in America; and
Heightened security at U.S.-Mexico points Heightened security at U.S.-Mexico points of entry may have changed trafficking of entry may have changed trafficking modes or routes.modes or routes. Pulse Check 2002
U.S.-Mexico Border Health Commission
Challenges and OpportunitiesChallenges and Opportunities Promote, fund and disseminate substance Promote, fund and disseminate substance
abuse educationabuse education
Have accessible and affordable treatment Have accessible and affordable treatment servicesservices
Reduce demand and availabilityReduce demand and availability
Fund behavioral and mental health servicesFund behavioral and mental health services
Fund comprehensive and effective Fund comprehensive and effective prevention, education, and treatment prevention, education, and treatment programsprograms
U.S.-Mexico Border Health Commission
“Our challenge is to have a border, a world of order, characterized by peace and prosperity
in the midst of diversity.”
U.S.-Mexico Border Health Commission
Thank you for all that you do – Thank you for all that you do – GraciasGracias por todo lo que hacenpor todo lo que hacen
For more information:For more information:
www.borderhealth.orgwww.borderhealth.org
www.saludfronteriza.orgwww.saludfronteriza.org