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SUSTAINABLE DEVELOPMENT AND ENVIRONMENTAL HEALTH AREA (SDE/PAHO) AND THE NATIONAL INSTITUTE OF HEALTH (INSP/MEX)

Meeting of the Pan American Network of Collaborating and Reference Centers on

Sustainable Development and Environmental Health

Consultation Group

Cuernavaca, Morelos, Mexico19-20 January 2006

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I. Regional Meeting on Collaborating

Centers, Brasilia, Brazil – December 3-5, 2003

- Meeting Objective

- Attendees

- Priorities and Responsible Identification

II. Groups Progress and Status

Regional Meeting on Collaborating Centers, Brazil 2003 & Groups Progress and Status

Overview

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I. Regional Meeting – Brasilia, Brazil, December 3- 5, 2003

Meeting Objective

Identify priorities for collaborative work between SDE and Collaborating Centers, and to establish a Regional Plan of Action for the next years.

Attendees

43 Participants

27 Institutions

Nine Countries

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I. Regional Meeting – Brasilia, Brazil, December 3- 5, 2003

PARTICIPANTS

ABC Facultad de Medicina ABC BRA

ANVISA Agencia Nacional de Vigilancia Sanitaria BRA

CDC Centers for Disease Control and Prevention USA

CEHI Caribbean Environmental Health Institute SAL

CENMA Centro Nacional del Medio Ambiente CHI

CETESB Companhia de Tecnologia de Saneamento Ambiental BRA

CHUQ Centre Hospitalier Universitaire de Quebec CAN

EPA Environmental Protection Agency USA

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I. Regional Meeting – Brasilia, Brazil, December 3- 5, 2003

PARTICIPANTS

FIOCRUZ Fundação Oswaldo Cruz BRA

FISQ Foro Intergovernamental Segurança Química BRA

FUNDACENTRO Fundação Jorge Duprat Figueiredo Do Segurançae Medicina do Trabalho BRA

INHEM Instituto Nacional de Higiene y Epidemiología CUB

INSP Instituto Nacional de Salud Pública MEX

IRET Instituto Regional de Substancias Tóxicas COR

ISALUD Fundación ISALUD ARG

ISP Instituto de Salud Pública CHI

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I. Regional Meeting – Brasilia, Brazil, December 3- 5, 2003

PARTICIPANTS

MMA Ministerio de Medio Ambiente BRA

CGVAM Ministerio da Saúde, Secretaria de Vigilância em Saúde BRA

OPS/BRASIL BRA

OPS/CHILE CHI

OPS/PAHO WDC

SESMA Servicio de Salud Metropolitano del Ambiente CHI

SMSR Secrecretaria Municipal de Saúde de Recife BRA

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I. Regional Meeting – Brasilia, Brazil, December 3- 5, 2003

PARTICIPANTS

UASLP Universidad San Luis de Potosí MEX

UFMG Universidade Federal de Minas Gerais BRA

UFRJ Universidade Federal do Rio de Janeiro BRA

USP Universidade de São Paulo BRA

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Priorities Responsible

1. Communication among 1. PAHO Collaborating Centers and Identification of National Experts

2. Strengthen Technical Capacities of 2. INSP (*)/PAHO/ FIOCRUZ/

PAHO’s Personnel ISALUD/ INHEM/ CHUQ/ NESC

3. International Graduate Studies 3. INHEM (*)/ FIOCRUZ/ INSP/CHUQ/ UASLP / NESC

4. Establish a Laboratory Network 4. FIOCRUZ (*) / CEPIS / CHUQ /CENMA/ UFMG/ CETESB

5. Standardization of Air 5. SESMA(*)/ CENMA/ USP/ CGVAM Surveillance System /CETESB /INSP

6. Standardization of Water 6. CGVAM (*)/ INHEM/ CETESB /

Surveillance Systems EPA / (*) Group Leader

I. Regional Meeting – Brasilia, Brazil, December 3- 5, 2003

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Priorities Responsible

7. Environmental Pediatric Units 7. UASLP (*) / PAHO/ CDC / INSP / CHUQ / INHEM

8. Program for Indoor Pollutants 8. UASLP (*)/ ISALUD/ INHEM / CENMA / USP / CHUQ

9. Program of Occupational 9. FUNDACENTRO (*) / FIOCRUZ /CHUQ

Health Pollutants and Pesticides IRET / PAHO / NESC

10. Climate Change and Climatology 10. HOPKINS (*) / FIOCRUZ / HARVARD / CHUQ / USP/

11. Environmental Health 11. CDC (*) / CGVAM/ SESMA/ INSP/ Surveillance System. CHUQ / IRET / NESC/ INHEM Standardization of indicators

12. Public Management and Civil 12. ISALUD (*) / ABC/CGVAM/FIOCRUZ Society Participation. SMS- RECIFE/ SESMA

(*) Group Leader

I. Regional Meeting – Brasilia, Brazil, December 3- 5, 2003

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I. Regional Meeting – Brasilia, Brazil, December 3- 5, 2003

Priorities Responsible

13. Research Project: 13. UASLP (*)/ All Indigenous Communities

14. Strengthening of Established 14. ABC (*) / All Framework

15. Polluted Areas 15. UFRJ (NESC) (*)/ CGVAM/ FIOCRUZ/ UASLP/

CETESB

16. 2nd Meeting of Collaborating Centers 16. INSP(*) / PAHO Cuernavaca, Morelos, México.

(*) Group Leader

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II. Groups Progress and Status

1. Communication Among Centers and Identification of National Experts Responsible: PAHO

Progress: Established infrastructure and uploaded into SharePoint site developed by SDE, proposals from institutions, memoirs from previous meeting, participants and institutions roster from 2003 meeting.http://shp.paho.org/sde/centers

Status : - Proposals: Out of the 16 priority groups, 12 have been working in the

development of the proposal.

- National Experts: CETESB provided list with National Experts.

- The responsible party is migrating roster to a relational database to track participating institutions areas of expertise, focal points, areas of common cooperation and

national experts.

(*) Group Leader, Pan American Health Organization, PAHO

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II. Group Progress and Status

2. Strengthen Technical Capacities of PAHO’S Personnel

Responsible: INSP (*) /PAHO/ FIOCRUZ/ ISALUD/ INHEM/ CHUQ/ NESC

Progress: A PAHO survey was sent to 105 professionals. 80% of respondents confirmed their desire to participate in the initiative. One experimental group and three other small groups were used to test the project. Visits were made to INCAP and to the UFRJ in Brazil with similar projects.

Status: The program for the network is under review. Three Sub-regional meetings are planned to re-launch the initiative for 2006 in Central America, South America – CEPIS, and the Caribbean. Working Document(*) Group Leader, National Institute of Public Health, INSP, Mexico

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II. Groups Progress and Status

3. International Graduate Studies Responsible: INHEM (*)/ FIOCRUZ/ INSP/CHUQ/UASLP / NESC

Progress:The group developed a working document with information relevant to available courses for Graduate Studies in International Environmental Health in the Americas.

Status: There is a commitment to submit a proposal for an International Program on Environmental Health. Working Documents

(*) Group Leader, National Institute of Health and Epidemiology, INHEM, Cuba

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II. Groups Progress and Status

4. Establish a Network of Laboratories

Responsible: FIOCRUZ (*) / CEPIS / CHUQ /CENMA/ UFMG/

CETESB

Progress:

PAHO provided resources to develop a proposal: “Achieving Improvement of the Capability of Analytical Laboratories Related to Environmental Health in the Americas Region Through Laboratorial Accreditation”

Status: Fiocruz is preparing a document, “Framework for the creation of a Network of Laboratories to Support Environmental Health Surveillance for Latin America and the Caribbean Countries”.

Working Document

(*) Group Leader, Fundação Osvaldo Cruz, FIOCRUZ, Brazil

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II. Groups Progress and Status

5. Standardization of Air Surveillance Systems Responsible: SESMA(*)/ CENMA/ USP/ CGVAM /CETESB / INSP

Progress: No documents received.

Status: Awaiting proposal.

(*) Group Leader, Servicio de Salud Metropolitano del Ambiente, SESMA, Chile

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II. Groups Progress and Status

6. Standardization of Water Surveillance Systems Responsible: CGVAM (*)/ INHEM/ CETESB / EPA

Progress:The group had several teleconferences and a formal meeting in Brazil on August 2004 and in Cuba on September 2005 to define a schedule of activities and develop the “Questionnaire on the Status of Drinking Water Quality Surveillance and Control Programs in the Region of the Americas”

Status: 21 countries replied to the Questionnaire. Working Documents

Working Document - Questionnaire

(*) Group Leader, Ministerio da Saúde, Secretaría da Vigilancia em Saúde, CGVAM, Brazil

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II. Groups Progress and Status

7. Environmental Pediatric Units Responsible: UASLP (*) / PAHO/ CDC / INSP / CHUQ / INHEM

Progress: - The UASLP has a proposal for a “Program to Develop and Establish a Network of

Pediatric Units in Latin America”.

- A website has been created to include documents of interest on the subject. http://canicas.uaslp.mx

- Two meetings related to Environmental Pediatric Units in Cancún and Buenos Aires.

Status: Awaiting proposal for the countries of the Region

WORKING DOCUMENTSWORKING DOCUMENTS

(*) Group Leader, Universidad Autónoma San Luis de Potosí, UASLP, Mexico

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II. Groups Progress and Status

8. Program for Indoor Pollutants

Responsible: UASLP (*)/ ISALUD/ INHEM / CENMA /USP/ CHUQ

Progress:

No document available .

Status:

Awaiting proposal.

(*) Group Leader, Universidad Autónoma San Luis de Potosí, UASLP, Mexico

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II. Groups Progress and Status

9. Program for Occupational Health Pollutants Responsible: FUNDACENTRO (*) / FIOCRUZ / CHUQ / IRET / PAHO /

NESC

Progress: The group developed an outline for the scope of work.

Status:

Awaiting proposal.WORKING DOCUMENT

(*) Group Leader, FUNDACENTRO, Brazil

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II. Groups Progress and Status

10 . Climate Change and Climatology Responsible: HOPKINS (*) / FIOCRUZ / HARVARD / CHUQ / USP/

Progress:

No documents available.

Status:

Awaiting proposal.

(*) Group Leader, Johns Hopkins University, USA

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II. Group Progress and Status

11. Environmental Health Surveillance System Standarization of Indicators

Responsible: CDC (*) / CGVAM/ SESMA/ INSP/CHUQ / IRET / NESC/ INHEM

Progress:

No documents available.

Status:

Awaiting proposal.

(*) Group Leader, Center for Disease Control, National Center for Environmental Health, CDC - NCEH, USA

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II. Groups Progress and Status

12 . Public Management and Civil Society Participation Responsible: ISALUD (*) / ABC / CGVAM / FIOCRUZ / SMS- RECIFE/

SESMA

Progress:The leading institution coordinated a workshop on Public Management and Civil Society Participation in Buenos Aires, Argentina, November 2004. Members of the group were invited to participate in the event as well as other professionals of the private and public sector of the Nation. The initial document was used as a starting point for the Environmental Primary Care Proposal.

Status: The institution will advise on the status of the final document and the proposed meetings in Chile and Brazil.

Working Documents

(*) Group Leader, Fundación Isalud, ISALUD, Argentina

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II. Groups Progress and Status

13 . Research Project: Indigenous Communities

Responsible: UASLP (*)/ All

Progress:

The UASLP has been working in the Latin America and the Caribbean countries in issues related to Indigenous Communities and Toxic Substances.

Status:

Awaiting proposal.

(*) Group Leader, Universidad Autónoma San Luis de Potosí, UASLP, Mexico

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II. Groups Progress and Status

14. Strengthening of established framework and development of a new Matrix.

Responsible: ABC (*) / All

Progress:

ABC submitted the new matrix

Status:

No information on the implementation of the new Matrix.

WORKING DOCUMENT

(*) Group Leader, Facultad Medicina do ABC, Brazil

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II. Groups Progress and Status

15. Polluted Areas Responsible: UFRJ (NESC) (*)/ CGVAM/ FIOCRUZ/ UASLP/

CETESB

Progress: The group was working on the implementation of a new methodology to evaluate areas polluted with solid waste as well as the design and development of a distance learning course in Portuguese using ATCDR methodology.

Status: Awaiting translation into Spanish and English of the distance learning course.

Awaiting approval and implementation of the methodology. WORKING DOCUMENT

(*) Group Leader, Universidad Federal do Rio de Janeiro, UFRJ, Brazil

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II. Groups Progress and Status

16. 2nd Meeting of Collaborating and Reference Centers

Responsible: INSP / PAHO

Progress: Consultation Group MeetingCuernavaca, Mexico, January 19-20, 2006

Status:

The consolation group will define future meeting of the Collaborating Centers.

(*) Group Leader, Instituto Nacional de Salud Pública, INSP, Mexico

Pan American Health Organization, PAHO