WASH sessions/presentations at American Public Health Association Conference November 9-11, 2009

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Nov 2, 2009, 2:36:14 PM11/2/09
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Water issues of global importance 1
Monday, November 9, 2009: 10:30 AM
 
Oral
Overview of water issues of international importance.
Session Objectives: List the major water issues of global importance Discuss the issues in an international context Compare different interventions targeting these issues
Moderator:
Merri Weinger, MPH
11:06 AM
Trickle Down: Diffusion of Chlorine for Drinking Water Treatment in Kenya
Michael Kremer, PhD, Edward Miguel, PhD, Sendhil Mullainathan, PhD, Clair Null, PhD and Alix Peterson Zwane, PhD
11:24 AM
Contribution of household and school water, sanitation, and hygiene (WASH) to primary school absenteeism in Kenya
Rick Rheingans, PhD, Robert Dreibelbis, MPH, Matthew Freeman, MPH, Shadi Saboori, BA, Leslie Greene, MPH and April Davies, MPH

Water, Public Health, & Health Promotion

Monday, November 9, 2009: 10:30 AM

Oral - Reducing environmental lead exposure is a crucial part of public health initiatives. The Lead and Copper Rule (LCR) is a corrosion control rule for drinking water that seeks to reduce the amount of lead in tap water. It is important for all schools to develop a well-rounded hydration policy. The determinants for SODIS-adoption are related to consciousness about health matters.
Session Objectives: 1.Identify strategies and opportunities to increase the number of people with access to fluoridated public water supplies 2. To develop a well-rounded hydration policy for schools. 3.Identify the public health collaborative elements of the Lead and Copper Rule for Safe Drinking Water Act.
Moderator:
Ritchie D. Taylor, PhD
10:30 AM
10:45 AM
Hydration Among Young Athletes: A Legal Landmine
Mohammed R. Forouzesh, MPH, PhD, CHES, Brian Baghai, JD, Prital Desai, MPH(c), MBBS and Lisa Grabhorn, MPH
11:00 AM
11:15 AM
Implementing Solar Water Disinfection (SODIS) technology: Factors influencing household adoption of SODIS in a community randomised trial in Bolivia
Andri Christen, MSc, Gonzalo Duran Pacheco, MSc, Jan Hattendorf, PhD, Myriam Cevallos, Carlos Morante, Ing, Benjamin Arnold, MPH, John Colford, MD PhD and Daniel Mäusezahl, PhD MPH

Environmental Health, Assessment, and Action: Bringing It All Together

Monday, November 9, 2009: 8:30 AM
 
Oral - Community health planning in this century requires attention to the essential need for accessible water. Water emerges as one of the most precious contemporary resources, being absolutely vital to sustain life and health. This session will examine important policy issues related to water access, including the transfer of water control in the United States from federal to local government, how families access water in underserved communities and countries, and the connections between water, infrastructure, and movements in favor of nutrition and physical activity.
Session Objectives: Explain the catalytic role of water in regulatory reform. Identify and Analyze elements needed for successful community action to protect watersheds. Name the strategies employed by community water advocates and childhood obesity prevention advocates to improve infrastructure policy and finances.
Moderator:
Susan Lee, MS-PTC
8:30 AM
Water, land use conflict and regulatory reform: A case study
Randolph Garney and Donald W. Rowe, PhD
9:30 AM
 
Household Water Treatment in Low-Income Settings: Evidence, Experience and Issues in Scaling up
Monday, November 9, 2009: 8:30 AM
 
Oral - Providing safe, reliable, piped in water to every household is an essential goal, yielding optimal health gains while contributing to the Millennium Development Goal targets for poverty reduction, nutrition, childhood survival, school attendance, gender equity and environmental sustainability. While committed strongly to this goal, and to incremental improvements in water supplies wherever possible, the World Health Organization and others have called for interim approaches that will accelerate the heath gains associated with safe drinking water for those whose water supplies are unsafe. Interventions to treat and maintain the microbial quality of water at the household level are among the most promising of these approaches. In many settings, both rural and urban, people have access to sufficient quantities of water, but that water is unsafe. Effective point-of-use interventions—if used correctly and consistently—can significantly improve the microbiological integrity of the water at the point of ingestion, and thus deliver some of the health benefits of improved water supplies. This session will combine presentations on research concerning the effectiveness and cost effectiveness of the intervention with the practical experience of implementers following different strategies to achieve uptake at scale. Field trials have shown household based-interventions (boiling, chlorination, filtration, solar disinfection and flocculation/disinfection) to be highly effective in improving microbiological water quality and reducing disease. There is also evidence that the intervention is cost-effective and that beneficiaries will bear part or all of the cost. Despite this evidence, however, the promising results from efficacy studies have not yet been widely translated to the field. The experience to date of commercial, social marketing and public sector/donor strategies for scaling up will be presented and discussed. By offering vulnerable populations with the tools to treat their own drinking water, household water treatment has the potential for empowering the unserved to take charge of their own water security as they continue to take steps toward improved access. Nevertheless, the intervention has important limitations compared to household connections. The session will close with a discussion of the policy implications of promoting household water treatment.
Session Objectives: 1.Explain the evidence on the effectiveness and cost-effectiveness of household water treatment for preventing waterborne disease in low-income settings. 2. Describe and assess experiences in implementing household water treatment interventions using novel social-marketing and commercial delivery strategies. 3.Discuss the economic and policy implications of endeavoring to scale up the intervention as a key component of water supply, sanitation and hygiene initiatives.
Moderator:
Thomas Clasen, JD, PhD
8:50 AM
Evaluating the sustainability and impact of a three-year point-of-use water treatment and handwashing intervention in rural Guatemala
Benjamin Arnold, MPH, Byron Arana, MD, PhD, Daniel Maeusezahl, PhD, Alan Hubbard, PhD and John Colford, MD PhD
 
Water for All
Monday, November 9, 2009: 8:30 AM
 
Panel Discussion
The panel will discuss the ties between local development and the determinants of health associated with water and environmental sanitation and present PAHO/WHO’s initiative Faces, Voices and Places idealized to promote the relationship between communities and governments to achieve best practices related to water supply in sensitive areas and indigenous populations. Also will present drinking water data and present PAHO/WHO Guidelines on Water. The Panel will discuss the issue of neglected diseases enlighten regional data and mayor waterborne diseases associated and PAHO/WHO’s strategic plan for 2010-2012 to bring technical cooperation to the Countries of Region addressing to this challenges.
Session Objectives: 1) Discuss local development and the determinants of health associated with water, climate change, environmental sanitation and waterborne neglected diseases 2) Explain the “Faces, Voices and Places” initiative idealized to promote the governance end community empowerment to achieve the MDGs 3) Present PAHO/WHO’s Water Guidelines and Strategy for technical cooperation on environmental health
Organizer:
James Hill
8:30 AM
Presentation by Dr. Luiz Augusto Cassanha Galvao
Dr. Luiz Augusto Cassanha Galvao
8:50 AM
Presentation by Dr. Paulo Fernando Piza Teixeira
Dr. Paulo Fernando Piza Teixeira
9:10 AM
9:30 AM

3107.0 The Human Right to Water

Monday, November 9, 2009: 10:30 AM
Oral
In 2002, the United Nations Committee on Economic, Social and Cultural Rights recognized a distinct human right to water, finding that "the right to water clearly falls within the category of guarantees essential for securing an adequate standard of living, particularly since it is one of the most fundamental conditions for survival." Given a growing consensus on the importance of this human right to the public's health, this panel will analyze the ways in the human right to water can assist public health actors in realizing underlying conditions for safe and effective water systems.
Session Objectives: Explore the evolution of the human right to water as a means to achieve public health outcomes. Define the current state of the human right to water in global health policy. Propose future applications of the human right to water in public health system reform.
Organizer:
Benjamin Mason Meier, JD, LLM, PhD
Panelists:
10:30 AM
Climate change and the right to water
Lindsay F. Wiley, JD, MPH
11:10 AM
Right to water, co-morbidities, and social determinants of health
Dhrubajyoti Bhattacharya, JD,MPH,LLM and Nadia Ali, BA


Ecosystems and Human Health

Monday, November 9, 2009: 10:30 AM
Oral - This session will focus on describing an innovative environmental surveillance network that will empower public health practitioners to promote health. Linkages and integration of human health and different ecosystems will be examined and discussed.
Session Objectives: 1. Describe an environmental surveillance network that can be used by public health practitioners. 2. Discuss how human health and ecosystems are linked and integral to one another.
Organizer:
Lillian Mood, RN MPH FAAN
Moderator:
Lillian Mood, RN MPH FAAN
Discussants:
Laura Anderko, RN, PhD and Betty Bekemeier, PhD, MPH, RN


Water and Public Health from an Epidemiological Perspective

Monday, November 9, 2009: 10:30 AM
Oral
This interesting session will focus on water and public health issues from an epidemiological perspective. Presentations will include a discussion of point-of-use water filtration in reducing healthcare-associated infections in bone marrow transplant recipients, risk factors for Leptospira infection in Western Jamica, the role of water supply and the pneumococcal conjugate vaccine in invasive pneumococcal disease in Alaskan children, water distribution system deficiencies and the risk of gastrointestinal illness. One presentation will provide an overview of injuries associated with pool chemicals in the United States.
Session Objectives: 1. Identify preventive measures to protect immunocompromised individuals from healthcare-associated infections with waterborne pathogens. 2. Describe the key role of in-home running water in the prevention of serious bacterial infections. 3. Discuss the basic epidemiology of pool chemical-associated injuries.
Moderator:
John Vena, PhD
11:20 AM
Point-of-use water filtration reduces healthcare-associated infections in bone marrow transplant recipients
Joseph Steven Cervia, MD, MBA, Bruce Farber, MD, Donna Armellino, RN,MPA, CIC, Joan Klocke, RN, Ruthee-Lu Bayer, MD, Morven McAlister, PhD, Ilia Stanchfield, Francis P. Canonica, PhD and Girolamo A. Ortolano, PhD
11:35 AM
Injuries Associated with Pool Chemicals — United States, 2007
Michele C. Hlavsa, MPH, Douglas C. Sackett and Michael J. Beach, PhD
11:50 AM
 

Water Borne Diseases 1 (prevention, diagnosis, epidemiology or management)

Monday, November 9, 2009: 2:30 PM
Oral
Overview of water-borne diseases of international importance
Session Objectives: List 2 water-borne diseases Discuss ways to prevent water borne diseases Describe interventions or programs to address water borne diseases
Moderator:
Anwar Huq, PhD, FAAM
2:30 PM
Impact of Home-based Solar Water Disinfection (SODIS) on child diarrhoea in a community-randomized evaluation in Bolivia: Does Drinking up Result in Health up?
Daniel Mäusezahl, PhD MPH, Andri Christen, MSc, Gonzalo Duran Pacheco, MSc, Fidel Alvarez Tellez, Mercedes Iriarte, Ing, Maria Estrella Zapata Schultze, lic, Jan Hattendorf, PhD, Myriam Cevallos, MSc, Monica Daigl Cattaneo, MSc MPH, Benjamin Arnold, MPH, Thomas A. Smith, PhD and John Colford, MD PhD
2:48 PM
Can a school-based water, sanitation and hygiene intervention catalyze changes in household behaviors and environment? Evidence from a randomized trial in western Kenya
Rick Rheingans, PhD, Robert Dreibelbis, MPH, Matthew Freeman, MPH, Shadi Saboori, BA, Leslie Greene, MPH and April Davies, MPH
3:06 PM
Sustained utilization of safe drinking water and handwashing stations in Kenyan health facilities
Nandini Sreenivasan, Medical student, Simon Andreas Götestrand, Medical student, Sam Ombeki, Gordon Otieno Oluoch, Peter Skinhøj, Professor, MD, Thea K. Fischer, MD, DMSc and Rob Quick, MD, MPH
3:24 PM
Sustaining School-Based Point-of-Use Water Treatment in Western Kenya
Shadi Saboori, BA, Rick Rheingans, PhD, Matthew Freeman, MPH, Meshack Odhiambo, BA, Stephen Kimo, BA, Alex Mwaki and Ben Okech, MPH
3:42 PM


HIV and Water

Monday, November 9, 2009: 4:30 PM
Oral
The purpose of this session is to highlight the importance of water sanitation in the prevention and treatment of HIV. It presents results from programs implemented in Sub-Saharan Africa and other poverty stricken countries.
Session Objectives: 1) Describe the relationship between water sanitation and HIV prevention and treatment. 2) Describe water sanitation methods used to prevent HIV complications.
Moderator:
David I. Rosenstein, DMD, MPH
4:30 PM
Water and Sanitation Management Considerations for HIV Programs
Miheretab Wolde, Chala Tolessa, Nelia Matinhure, Andreas Knapp, MS, Mesfin Tesfay, Julia Rosenbaum, ScM, Renuka Bery, MPH and Eleonore Fosso Seumo, Dr
4:50 PM
Integration of water, sanitation and hygiene into HIV programs: Lessons from Malawi
Shannon Senefeld, Antonia Powell, Alisha Myers and Robin Ngalande
5:30 PM
HIV and H2O: Tracing the connections between gender, water and HIV
Brooke S. West, MA and Jennifer S. Hirsch, PhD
 

 
Water and Women's Health
Oral
Organizer:
Padmini Murthy, MD, MPH, MS,CHES
8:50 AM
Water Women and the MDG 5
Padmini Murthy, MD, MPH, MS,CHES
9:10 AM
Water, development and human rights
Cathey Eisner Falvo, MD, MPH


Water Rights and Water Fights: Resolving Conflicts Before They Boil Over

Tuesday, November 10, 2009: 10:30 AM
Oral
Barry S. Levy and Victor W. Sidel, Presiders In this session, there will be several presentations concerning conflicts, both between countries and within countries, over water rights in several parts of the world, including South Asia, the Middle East, Africa, and the United States. The presentations will describe these conflicts and their underlying causes and address ways these and similar conflicts can be resolved before they become violent, including international and national legal approaches, use of diplomacy, and mediation and arbitration.
Session Objectives: 1. Describe the sources of conflict over water 2. Discuss the risk of armed conflict over water 3. Identify the message for managing water supply that will avoid conflict
Moderators:
10:48 AM
Water and conflict in South Asia
Gregory Pappas, MD PhD
11:24 AM


Water, Health and Communities

Tuesday, November 10, 2009: 2:30 PM
Oral - Federal agencies (CDC & EPA), State & local environmental and public health agencies and water providers have worked to build systems to identify risk resulting from drinking water and recreational water contamination and to support useful risk communication techniques. The work focuses on improving monitoring, tracking potential risk & illness and developing methods to communicate any risk to community and commercial sectors. For decades, sanitary engineering and water treatment processes have centered on preventative public health. However, community water treatment facilities, medical care and public health entities and their representatives have become disconnected. Public health and medical care professionals may not be trained to recognize illness due to water contamination exposures. Concurrently, heightened concern exists about water contaminated in disaster situations, natural (drought/flooding), environmental accidents (spills) or purposeful contamination (terrorism). Included in this session: 1. The US EPA Office of Ground Water and Drinking Water’s work with State Safe Drinking Water Act primacy agencies to promote interagency coordination and to identify and communicate potential risks. 2. The CDC National Center for Zoonotic, Vector-Borne and Enteric Diseases’ Healthy Water Program efforts to characterize waterborne disease and its sources and to improve national waterborne disease surveillance. 3. The CDC Environmental Health Services Network (EHS-Net) Water Project that supports the work of environmental health specialists in state & local health agencies with a focus on small water systems. 4. The NYC water bureau efforts to work with public health and medical health professionals toward communicating on health issues.
Session Objectives: This session will provide the larger view regarding water quality, health and communication issues from federal agency perspectives and how state & local community agencies put in place practical steps toward integrating water & health issues. It addresses emerging programs and applications at different levels of government and will: *Describe relationships that exist or should exist between water providers and public health agencies, at the federal, state and local levels. *Discuss emerging tracking systems that are being cooperatively developed by Federal agencies (CDC & EPA) and how water providers and public health officials will coordinate with these new tracking systems. *Explain communication strategies regarding water safety and how these strategies can be established at different levels of government.
Organizer:
Rebecca Head, PhD, DABT
Moderator:
Rebecca Head, PhD, DABT
2:30 PM
US EPA's Role in Water and Public Health Communication
Cynthia C. Dougherty and Nanci E. Gelb

Water, Health and Human Rights

Wednesday, November 11, 2009: 10:30 AM
Oral
One paper will discuss the principle sources of microbial contamination, ways this contamination can be avoided, the choices for making contaminated water potable and the policy implications of the cost and efficacy of the various choices. Another presentation will also explain the use of the seven-step method for program planning, implementation and process and results monitoring and the public health implications of effective water programs to achieving all the other MDGs. Another presentation will discuss how the global public health workforce and various stakeholders can partner to safeguard the human rights of the population and ensure equal and fair access to water. Another paper highlights, through examples, how economic, cultural and political factors that impact the distribution and use of water have further worsened the disparities between and within nations.
Session Objectives: Learn some ways to avoid contamination, to make water potable. Evaluate various programs making use of a seven-step method Explain the relationship between water and human rights. Explain how commoditization and commercialization of water are adversely impacting vulnerable populations in the developing world.
Moderator:
Gopal Sankaran, MD, DrPH, CHES
10:30 AM
10:50 AM
Water and The Millennium Development Goals: The Next Five Years
Sara Swart, David C. Jones and Elvira Beracochea, MD, MPH
11:10 AM
Water and human rights
Padmini Murthy, MD, MPH, MS,CHES
11:30 AM

Water issues of global importance 2

Wednesday, November 11, 2009: 10:30 AM
Oral - In Columbia, Per family costs of water and sanitation services were affordable, especially by obtaining significant cost-sharing (in cash, in work and materials) from the participating families, community groups and local authorities. In Indonesia, by taking advantage of affordable, low-risk loan mechanisms to finance capital expenditure, an increased number of households are able to access clean water, improving overall health and sanitation. In Mpokolo, DRC, Acute poverty, lower school attainment and widespread lack of basic water hygiene contribute to higher incidence of diarrhea. In the context of health promotion and diarrhea reduction in Eastern Kasai, the enhancement of income, access to higher education and adoption of safer water hygiene practices should be pursued with higher priority and based on adequate understanding of the underlying causes of the current low performance in each of these dimensions. A study of global social marketing for water and sanitation improvement, concludes by identifying knowledge gaps in water and sanitation social marketing. We describe an intervention research agenda, which includes the use of new technologies (handheld devices) and social networking strategies based on the 4 Ps, to promote and evaluate behavior change.
Session Objectives: Demonstrate the success of an integrated approach to improve hygiene and sanitary conditions among internally displaced families living in slum areas of the Colombian cities. Explain how innovative financing mechanisms help extend the reach of clean water to low-income households in Indonesia. Describe the population of the health zone of Mpokolo, DRC according to water hygiene practices, income and education levels; Describe the current state of knowledge about the effectiveness of global social marketing for water and sanitation improvement.
Moderator:
Eckhard Kleinau
10:30 AM
10:50 AM
Innovative Financing Brings Clean Water to Low-income Households
Colleen Green, Allen Hollenbach and Gusril Bahar
11:30 AM
Systematic Review of Global Water & Sanitation Social Marketing
W. Douglas Evans, PhD, Subhrendu K. Pattanayak, PhD, Shannon Young and Ju
 

Water and Politics: Contemporary Struggles Over Water Across the Globe

Wednesday, November 11, 2009: 12:30 PM
Oral
Struggles over control of water, over access quality of water, and are political . This session brings together perspectives and case studies from around the globe. The session starts with the presentation of a conceptual frame to understand conflicts over water based on decades of work concerning the violence. Case studies from Afghanistan , Pakistan , and the United States will demonstrate the continuity and diversity of struggles over water.
Session Objectives: Describe case studies from around the world that illustrate the central role of water-based conflicts to public health.
Moderator:
Joy Marshall, MD

 

 

 

 

Dan Campbell, Web Manager
Environmental Health at USAID
1611 North Kent St., Suite 300
Arlington, VA 22209
Ph: 703-247-8722
Email: dcam...@usaid.gov  
Environmental Health at USAID: http://www.ehproject.org
Indoor Air Pollution Updates: http://iapnews.wordpress.com
Sanitation Updates: http://sanitationupdates.wordpress.com
Urban Health Updates: http://urbanhealthupdates.wordpress.com

Cholera Google Group:
http://groups.google.com/group/cholera-control
Household Water Treatment Google Group: http://groups.google.com/group/household-water-treatment

 

 
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