One Health: The Environmental Health Perspective Clifford S. Mitchell, MS, MD, MPH Acting Assistant Director for Environmental Health and Food Protection Maryland Department of Health and Mental Hygiene ASTHO One Health Webinar – April 15, 2010

Infectious Disease & Environmental Health Administration [Date] 2 Environmental Health: The “Between” Profession What is environmental health? Who is environmental health? What is the role of environmental health and the environmental health professional in animal-human health interactions?

Infectious Disease & Environmental Health Administration April 15, The Classic Risk Model Source/ Hazard Generation Transport/ Transformation Exposure Target Organ Dose Metabolism/ Internal Distribution Clinical Outcome

Infectious Disease & Environmental Health Administration April 15, One Health: Environmental Health Perspective Source/ Hazard Generation Transport/ Transformation Exposure Target Organ Dose Metabolism/ Internal Distribution Clinical Outcome Target Organ Dose Clinical Outcome Exposure Metabolism/ Internal Distribution Veterinary MedicineHealth Care Environmental Health

Infectious Disease & Environmental Health Administration April 15, The Environmental Health Approach Collaboration with health care providers Understand the environment, opportunities for exposure Emphasis on prevention strategies

Infectious Disease & Environmental Health Administration April 15, Hierarchy of Controls Elimination Substitution Engineering Controls Administrative Controls Personal Protective Equipment

Infectious Disease & Environmental Health Administration April 15, Source: Erin Jones, MS CDC/CSTE Applied Epidemiology Fellow, MD Dept of Health and Mental Hygiene Environmental Health and Vector Control Historic and current activity of environmental health in vector control Responsibility often spread over many agencies

Infectious Disease & Environmental Health Administration April 15, Acknowledgment: Maryland Department of the Environment Harmful Algal Blooms: opportunity for animal exposures a leading indicator Maryland: 2 animal deaths in 2009

Infectious Disease & Environmental Health Administration April 15, What Are The One Health Challenges For Environmental Health? Challenges to environmental health overall Chronic exposures, disease, latency Integration of surveillance systems Understanding exposure – a challenge for humans and animals – what about biomonitoring? Occupational setting – different perspectives of agencies involved in animal health, food production, occupational health, public health

Infectious Disease & Environmental Health Administration April 15, Acknowledgments Nancy Servatius, HAB Program Specialist Katherine Feldman, State Public Health Veterinarian Erin Jones, CDC/CSTE Applied Epidemiology Fellow Charlie Poukish and Chris Luckett, MD Dept of the Environment Catherine Wazniak, HAB Manager, MD Dept of Natural Resources