CHILDREN MAKE UP APPROXIMATELY ONE THIRD OF THE POPULATION IN THE BORDER. THEY NEED
      CLEAN AIR TO BREATHE, CLEAN WATER TO DRINK, SAFE FOOD TO EAT, AND A HEALTHY
  ENVIRONMENT IN WHICH TO LEARN, GROW AND THRIVE. YET EVERY DAY THEY ARE EXPOSED TO
ENVIRONMENTAL RISKS THAT MAY STAND IN THE WAY OF THOSE BASIC NECESSITIES. PROTECTING
    CHILDREN FROM ENVIRONMENTAL RISKS IS FUNDAMENTAL TO THE U.S. ENVIRONMENTAL
    PROTECTION AGENCY (EPA) AND MEXICO'S SECRETARIA DE MEDIO AMBIENTE Y RECURSOS
 NATURALES (SEMARNAT), EFFORTS TO MAKE THE WORLD A HEALTHIER PLACE, FOR PRESENT AND
                                 FUTURE GENERATIONS.
      Integrated Pesticide Illness
Surveillance and Education to benefit
   Workers and Children along the
                 Border

Agriculture  is  Imperial
Valley's  second largest
industry.  It  is successful
thanks to the thousands
of workers who labor in
the fields each year. Due
to the use of pesticides
and other chemicals  in
the agricultural industry,
many cases of  pesticide
illnesses  surface  each
year  prompting  the  State  of  California  to
establish  a  pesticide  illness  surveillance  and
tracking system in 1971. The success of this
system depends on both healthcare providers
reporting cases that they encounter and farm
workers seeking healthcare for their symptoms.
This reporting system becomes challenged along
the U.S.-Mexico Border when a large number of
farm  workers  visit  healthcare  providers in
Mexico. In addition to worker exposure, unless
precaution  is taken, workers can unknowingly
take contaminated  clothing  home and expose
other family members and children to pesticides
as well. According to the Census Bureau, 30.8%
of Imperial County's population is under age 18.

To address  many of  these  issues,  in 2008, a
Border 2012 grant was awarded jointly  to the
California   Department   of   Public  Health's
California  Office of  Bi-national  Border  Health
(COBBH) and the Baja California Health Services
Institute (ISESALUD  in Spanish) to increase the
reporting of pesticide illness and unsafe working
conditions  for agricultural workers and to inform
them about their rights and available resources
regarding pesticide exposure and unsafe working
conditions.  The project focused on developing a
bi-national pesticide illness surveillance protocol,
conducting  a series of trainings  for healthcare
providers  on both  sides of the border,  and

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       U.S.-MEXICO ENVIRONMENTAL PROGRAM: BORDER 2012
        IMPROVING CHILDREN'S HEALTH. WINTER-SPRING 2011
   pesticide outreach and education for workers in
   Imperial County.

   The successes of this project:
   • Developed  a   protocol  to   facilitate
    communication  between Mexicali and Imperial
    County on bi-national cases of pesticide illness
    (being finalized).
   • Held  trainings for healthcare providers in El
    Centre,   Heber,  and   Coachella   with
    videoconference  participation   from  three
    community clinics in  Imperial and Riverside
    Counties as well as three trainings in Mexicali
    and Tecate.
   • Created a radio  public  service  announcement
    for farm  workers  in  Spanish  and  in  two
    different Mexican indigenous languages, which
    aired  320 times in Mexicali in May and June
    2010.
   • Created and  distributed 3,300 award-winning
    wallet size  information  cards, hung 60 posters
    and 100 flyers and conducted face-to-face farm
    worker outreach to 2,200 people in 6 cities.
   • Collaborated  with numerous key  stakeholders
    which led to the success of this project.

   For additional  information  about  this  project
   please call COBBH at (619) 688-6483.
         Increasing Awareness and
        Participation on Children's
       Environmental Health Issues.
  Young  people  have   special   concerns   and
  responsibilities that  relate  to our  environment
  and their  engagement  is  important  towards
  generating   effective  responses  towards
  environmental  challenges.  Laredo,  Texas  is
  located on the north  bank of  the  Rio  Grande
  River and  maintains  a population  of 236,941
  residents of which  36 percent are under the age
  of 18 and 11 percent are under the age of 5 years
  of age. Over the years Laredo has experience an
                      array of environmental
                      problems dealing  with
                      the  issues   of  water
                      quality,     watershed
                      management,
                      household    hazardous
                      waste  and  air quality.
                      Recogn izing    the
                      importance     of
                      education   and   that
outreach  serve   as  efforts  to  protect   the
environment the City of Laredo has begun efforts
to educate the community, specifically within
children, on environmental issues. The message
needed  to  be clearer as to "why children are
different"  when  it  comes  to  environmental
health and what type  of actions parents can take
to protect their families.  Through the leveraging
of funds from EPA's  Border 2012 Program, the
City of Laredo was able to develop  educational
materials such as  a "Guide to a Healthy  Home"
and  "Greening Cleaning, Recipes for a Clean
Environment" targeted to outreach to parents of
children who  were enrolled  in local schools and
childcare centers between the ages of 3-10 years.

In joint  effort to create an integrated  approach
towards addressing the  issues  of public health
and the environment, the City of Laredo Health
Department,  the   Environmental  Services
Department and EPA partnered  up collectively to
launch  a children's health outreach  effort. The
goal  of the effort was to  build  capacity and
increase knowledge of current  children's health
issues   and   combative  strategies  through
workshops. The  workshops  were designed  as
train the trainer workshops and youth workshops
centered on emerging children's environmental
health   issues  such  as   natural   resource
conservation,   household   hazardous  waste
(HHW),  recycling, air quality and asthma, indoor
air quality,  and water. The overall message was
to explain to the  community that children are
more vulnerable  to  environmental  exposures

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       U.S.-MEXICO ENVIRONMENTAL PROGRAM: BORDER 2012
        IMPROVING CHILDREN'S HEALTH. WINTER-SPRING 2011
   than adults because they are in a constant stage
   of development.  The audience for  the  training
   and  youth workshops  included  the  medical
   community with the Laredo Medical Center and
   Pediatric  clinics,  the nursing  staff within the
   Laredo  Independent School District (USD), and
   the Promotoras.

   A total  of  9 schools  within the LISD and United
   Independent School  District (UISD) received the
   training for youth workshops. It was attended by
   51 participants ranging  from outreach workers,
   the medical community, family counselors and
   school   district  custodians   and   by   5,170
   elementary students and 195 parents in the Even
   Start  Program.   As a  result  the  program has
   generated  an  enthusiasm for learning  about
   healthier lifestyles for themselves and for their
   families and serves as a model for success.
        Bi-national Cooperation for
    Safeguarding Bi-Coastal Waters for
    Healthy Beaches in San Diego and
                   Tijuana
   The   Tijuana   River
   Watershed  (TRW)  is
   one  of  the   fastest
   growing regions along
   the border  between
   the U.S.  and   Mexico
   stretching about 1750
   square  miles  and   consisting   of   industrial,
   agricultural, rural, and open space  land. The
   constant presence of  pollutants,  such are  heavy
   metals and oil, pollute  the  wastewater and
   create health hazards  for drinking water and the
   coastal environment,  particularly in  beaches.
   This type of pollution creates a high risk for local
   and U.S. visitors. With a  population of over 1.5
   million people, approximately  30% of  them
   children, the beaches in Tijuana  are  one  of the
   most important recreational, free open spaces
for children to visit.

With support from the Environmental Protection
Agency (EPA) Border 2012 Program federal, state
and  local  agencies  worked  with  the Proyecto
Fronterizo de Educacion Ambiental A.C. (PFEA) a
non-governmental  organization in  Mexico,  to
develop a  project raising public awareness about
environmental  health  issues related  to  coastal
water quality. This addresses Goal 1, Objective 3
(monitoring of coastal  water quality in beaches),
of the  Border 2012  Program.    The   project
consisted of bi-national environmental education
workshops, environmental education curriculum
for middle  and  high schools students, and
created  an electronic newsletter and  web page.
This  was the first time that multi-stakeholders
from both  the US and Mexico met to  address
issues on bi-coastal water quality.

PFEA also  organized 3 beach cleanup events in
which an  estimated 9,000 volunteers collected
approximately  28,000 Ibs  (13,000 kilos) of trash,
including over 30,000 cigarette  butts and 10,000
plastic bags, keeping this trash from eventually
entering the Pacific Ocean. Overall, the  project
strengthened bi-national  constituency  through
communication   with   the  "Clean   Beach
Committees",  including   federal,   state  and
municipal  agencies concerning  water  quality
issues. As  a  result of these efforts, the  beaches
are safer and the children who visit them have
acquired  an  understanding  and   are   better
informed about the  need to keep their  beaches
clean.
  Improving  Environmental Health
    Through Community Building.
Human exposure to pesticides can occur through
residues found in food and water and drift from
agricultural activities.  However  the  majority of
these  pesticides are  found  within  common
household  products. This presents  a  potential

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       U.S.-MEXICO ENVIRONMENTAL PROGRAM: BORDER 2012
        IMPROVING CHILDREN'S HEALTH. WINTER-SPRING 2011
   Hazard  to  young  children  because  children
   frequently come  into  contact  with pesticides
   through various forms  of  residue  unwittingly
   brought  into  the  home  by  various  actors:
   parents,  siblings   or  other  extended   family
   members. Generally, these substances can  be
   traced   to  both   clothing   and  skin/hair  of
   individuals who  have been in recent contact with
   ground, water or airborne pesticide residue. Such
   take-homes exposures put children at serious risk
   for  acute and  chronic  illnesses.   In  a  study
   conducted  in   2000 by the   Migrant  Health
   Program  under the Bureau of Primary Health
   Care, Texas had  the second most farm workers of
   any state within the U.S.  In addition, Hidalgo
   County, with a  population of 569,463 residents
   (2000 U.S. Census) led all the counties, within the
   state of Texas, by having the  most migrant and
   seasonal  farm   workers  with  approximately
   40,500 farm workers. Statewide  it was estimated
   that the number of children  and youth (under 20
   years  of age)  of  both   migrant and seasonal
   workers was approximately 129,591.

                              Through      a
                              coalition     of
                              partners such  as
                              the Association of
                              Farm     worker
                              Opportunities
                              Program,     the
   Basilica of Our  Lady of San Juan del Valle, the
   Edinburg Children's Hospital,  and  the UT-Pan
   American Youth Council, along with the support
   from  Border  2012, the  Pesticides Awareness
   Theatre was created in order to education and
   bring forth  the  issues concerning pesticide use
   and impacts on children's health.

   The play of "El Moscas y Los  Pesticidas" is an
   interactive  play designed  to  increase  safety
   awareness for family and individuals who live and
   work  in  areas  that have  been  treated with
   pesticides, while at the same time educate their
   understanding   of   take-home   and  in-home
pesticide exposure risks. The project  addresses
Goal 4  Improve  Environmental Health of the
Border 2012 Program.

On   October  23, 2010,   "El  Moscas y Los
Pesticidas" was performed before an  audience
over 700 community  members  of San  Juan,
Texas,  delivering  awareness  on the  following:
worker   safety  requirements,  basic   self-help
actions  on improving worker safety and family
exposure, health impacts to adults and children,
and tips on  identifying and minimizing pesticide
use.

For additional information about this play or for a
copy of the script and tools required to replicate
it in  your community,  please visit our website:
www.epa.gov/region6/water/beyondtranslation/2009/
elmoscas.html

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