A Public Health Framework for Urban Pesticide Use Reduction. Daniel Kass Bureau of Environmental Surveillance and Policy
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1 A Public Health Framework for Urban Pesticide Use Reduction Daniel Kass Bureau of Environmental Surveillance and Policy
2 Public Health Rationale for Pesticide Use Reduction and Pest Control Cockroach and rodent infestation linked conclusively to asthma morbidity Health risks from residential pesticide use demonstrated in epidemiological studies Accidental exposures to pesticides in NYC result in 1,000 referrals to Poison Control Center and 60 hospitalizations annually Structural solutions to infestations overlap with solutions to lead paint, mold and other housing problems associated with negative health outcomes Poor pest control in housing shifts costs from housing maintenance to health care system
3 And if that s not enough Fort Sumner, NM (BBC, Jan. 2006) Brooklyn NY (NY Times, June 2006) Queens NY (CBS Radio, Aug 2006)
4 The Goals of Pesticide Use Reduction Should Include Reduction in exposure and poisonings Removal from market illegal pesticides Improvement of housing conditions with aim toward secondary benefit: Allergen Reduction Repair of underlying conditions conducive to mold, peeling paint Reducing risks of psychotic flaming mice and exploding homes Pesticide use reduction inexorably tied to reducing pests
5 Decision-Makers and Influences on Pesticide Use Demand-Side Individual (tenants, homeowners, landlords) Institutional (agencies, building and land owners, government) Supply-Side Professional Pesticide manufacturers, retail establishments Governmental
6 Demand-Side Goals Increase awareness of pesticide hazards among consumers of pest control services Reduce demand for pesticides by promoting integrated pest management (IPM) approach and increasing expectations for pest control efficacy
7 Supply Side Goals Increase availability of IPM pest control services in public and private sectors Incorporate IPM into building specifications and preventive maintenance Reduce availability of hazardous products via outreach, enforcement, regulation and legislation
8 DOHMH Constraints Local governments pre-empted from regulating pesticide use on private property Regulatory distance from decision-makers DOHMH does not directly regulate many aspects of housing maintenance that influence infestation
9 Roles for a Health Department 1. Exert scientific leverage 2. Provision of technical advice 3. Promote innovation, lead by example 4. Design and conduct evaluations, research 5. Secure health-sector funding for environmental goals 6. Assemble constituencies, allies 7. Deflect manufacturer and pest control industry opposition
10 Recent DOHMH Activities Surveillance CDC Environmental Public Health Tracking 3-Year Grant Demonstration, evaluation and support for safer and more effective pest control in public and private rental housing DOHMH programmatic initiatives around mosquito and exterior rodent control Regulation and policy formation
11 Rodents in NYC Residences Source: Housing & Vacancy Survey 2002
12 Cockroaches in NYC Residences Source: Community Health Survey 2003
13 Racial and Income Disparities in Infestation Source: Community Health Survey 2003
14 Infestation and Housing Disrepair are Associated with Asthma Sources: Community Health Survey 2003, Housing & Vacancy Survey 2002
15 And Infestation Leads People to Use Pesticides Unsafely Source: Community Health Survey 2003
16 IPM within DOHMH Programs West Nile Virus Mosquito Control Primacy of prevention Standing water, larviciding, outreach & education Mosquito, bird and human surveillance drive decisions on adulticiding Rodent Control Retraining all municipal pest control in 3-day IPM Rodent Academy Mining administrative data to evaluate community factors and risks for rodents Initiating active surveillance via rodent indexing
17 Active Rodent Surveillance in North-Central Bronx
18 Promoting IPM via Outreach and Policy Consumers and retailers Landlords and tenants Municipal government
19 Outreach and Education
20 Legislation & Regulation Local Law 37 of 2005 Phase-out of certain pesticides Prior notification for pesticide applications Recordkeeping & reporting requirements to City Council & DOHMH Inter-agency pest management committee and IPM planning
21 Product Prohibition Search:
22 Product Prohibition Results
23 Summary Successful pesticide use reduction depends on demand- and supply-side changes Initiatives successful in reducing cockroach and mouse infestation, but not yet widespread More outreach on the hazards of off-the-shelf and illegal pesticides needed DOHMH has set up a surveillance framework for evaluating future interventions and trends Despite local pre-emption, local government can lead the way on pesticide use reduction with spillover effects on private sector
24 Acknowledgements DOHMH Asthma Initiative Marta Hernandez Lorna Davis Division of Env. Health Edgar Butts Rick Simeone Wendy McKelvey Brian Jacobson Sarah Johnson Jessica Leighton Nancy Clark Communications Gretchen van Wye Courtney Lowe Caroline Carney Informatics & Information Technology Aristides Spathis Rahul Bhosle Yehezkel Yehoshua Michael Gonzalez NYC Housing Authority Brian Clarke Luis Ponce Jamal Rasheed Columbia University David Evans Elizabeth Carlton Sean Nagle Consultants Audrey Their Robert Corrigan
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