1. April 6 -8, 2004 First International Environmental Health Conference Shanghai, China California – China Environmental Health Training Program

2. April 6 -8, 2004 Greetings from San Francisco!

3. April 6 -8, 2004 Involving Stakeholders in Protecting Public Health in California Key Elements of Environmental Public Health Education in the U.S.: –Stakeholder Involvement –Coordination –Effective Communication –Evaluation Delta Watershed Fish Project

4. April 6 -8, 2004 Involving Stakeholders in Protecting Public Health in California Who is a Stakeholder? Someone who: –Has an interest –May be affected adversely or affect the project adversely –May want to know –May be able to help

5. April 6 -8, 2004 Involving Stakeholders in Protecting Public Health in California Why is it is important to involve Stakeholders? –They are critical to project success –They help identify problems and possible solutions –They are the owners of the project

6. April 6 -8, 2004 Involving Stakeholders in Protecting Public Health in California How do we involve Stakeholders? –Needs assessments –Advisory groups –Community activities

7. April 6 -8, 2004 Involving Stakeholders in Protecting Public Health in California Needs Assessment A systematic, planned collection of information from individuals or groups about their: –Perceptions –Behaviors –Concerns

8. April 6 -8, 2004 Involving Stakeholders in Protecting Public Health in California Effective Communication: –Raises awareness –Increases knowledge –Achieves desired behavior change

9. April 6 -8, 2004 Involving Stakeholders in Protecting Public Health in California Evaluation: –Involves Stakeholders –Determines project effectiveness –Identifies areas for improvement

10. April 6 -8, 2004 Involving Stakeholders to Protect Public Health in California SACRAMENTO-SAN JOAQUIN DELTA WATERSHED FISH PROJECT

11. April 6 -8, 2004 United States of America

12. April 6 -8, 2004 State of California

13. April 6 -8, 2004

14. Sacramento-San Joaquin Delta

15. April 6 -8, 2004 Sacramento-San Joaquin Delta

16. April 6 -8, 2004 Sacramento-San Joaquin Delta

17. April 6 -8, 2004 Sacramento-San Joaquin Delta

18. April 6 -8, 2004 Port of Stockton

19. April 6 -8, 2004 Port of Stockton

20. April 6 -8, 2004 Port of Stockton

21. April 6 -8, 2004 Fishing in the Delta

22. April 6 -8, 2004 Fishing in the Delta

23. April 6 -8, 2004 Fishng in the Delta

24. April 6 -8, 2004 Fishing in the Delta

25. April 6 -8, 2004 Involving Stakeholders in Protecting Public Health in California Diverse ethnic groups live in the Delta area: –Vietnamese-- Cambodian –Lao-- Hmong –Mien-- Khmu –Filipino-- Latino –African-American-- Russian

26. April 6 -8, 2004 Southeast Asian Fisherwomen

27. April 6 -8, 2004 African-American Fisherman

28. April 6 -8, 2004 African-American Anglers in the Delta

29. April 6 -8, 2004 Fishing from the Pier

30. April 6 -8, 2004 Involving Stakeholders in Protecting Public Health in California Delta Watershed Fish Project Goal: protect public health by reducing exposure to mercury in fish caught in the Sacramento-San Joaquin Rivers Delta.

31. April 6 -8, 2004 Involving Stakeholders in Protecting Public Health in California Project activities: –Conduct needs assessment –Form Stakeholder Advisory Group –Coordinate with local health and social services programs, and community groups –Conduct outreach, education, and training –Evaluate project effectiveness

32. April 6 -8, 2004 Involving Stakeholders in Protecting Public Health in California Stakeholders who participated in the needs assessment : –Staff in county health departments –Pomo Indians of Lake County –Community-based organizations and community members

33. April 6 -8, 2004 Involving Stakeholders in Protecting Public Health in California The project is focusing on two fish species in the Delta watershed that have high levels of mercury: –Striped bass –Sturgeon

34. April 6 -8, 2004 Involving Stakeholders in Protecting Public Health in California Information collected on: –Fish Contamination Awareness Concerns Fishing activities Fish consumption

35. April 6 -8, 2004 Involving Stakeholders in Protecting Public Health Information collected on: –Community Leaders and Stakeholders Who to inform Who to involve

36. April 6 -8, 2004 Involving Stakeholders in Protecting Public Health in California Information collected on: –Outreach and Education Existing program Lessons learned

37. April 6 -8, 2004 Involving Stakeholders in Protecting Public Health in California Information collected on: –Staff Training Needs –Opportunities for Future Collaboration

38. April 6 -8, 2004 Involving Stakeholders in Protecting Public Health in California Methods used to do needs assessment: –Key informant interview –Focus groups –Survey

39. April 6 -8, 2004 Focus Group Session

40. April 6 -8, 2004 Focus Group Members with Certificates

41. April 6 -8, 2004 Involving Stakeholders in Protecting Public Health in California Key Findings: County Health Departments –Believe local fish contamination issues are a threat to public health. –Receive few inquiries from the public regarding fish contamination. –They are not conducting outreach and education activities on fish contamination.

42. April 6 -8, 2004 Involving Stakeholders in Protecting Public Health in California Key Findings: Community-Based Organizations and Community Members –Southeast Asian, Latino, African-American, and Russian communities regularly eat fish caught in the Delta watershed. –Generally low awareness of fish contamination and health risks of exposure to mercury in fish.

43. April 6 -8, 2004 Involving Stakeholders in Protecting Public Health in California Key Findings: Pomo Indians –Decreased consumption of fish caught in local waterbodies. –Generally high awareness of fish contamination. –Should address fish contamination via comprehensive water quality strategy.

44. April 6 -8, 2004 Involving Stakeholders in Protecting Public Health in California After completing the needs assessment: –Formed local Delta Stakeholder Advisory Group. –Formed Technical Advisory Group. –Developed outreach, education, and training strategy. –Developed evaluation plan.

45. April 6 -8, 2004 Involving Stakeholders in Protecting Public Health in California Ongoing Activities: –Work with advisory groups and community groups to develop education materials. –Conduct outreach and education activities. –Identify other community groups to involve with the project. –Evaluate project activities.

46. April 6 -8, 2004 Fish Advisory in Port of Stockton

47. April 6 -8, 2004 Fish Advisory in Port of Stockton

48. April 6 -8, 2004 Fish Consumption Warning in Market

49. April 6 -8, 2004 Fish Advisory

50. April 6 -8, 2004 We Welcome You to California!