opER

Collaborative Agreement
Between
The U.S. Environmental Protection Agency, U.S.-Mexico Border 2020 Program
And
U.S. Section of the U.S.-Mexico Border Health Commission
U.S. Department of Health and Human Services
Purpose
This document identifies areas of collaboration between the U.S. Environmental Protection Agency
(EPA) and the U.S. Section of the U.S.-Mexico Border Health Commission (BHC), U.S. Department
of Health and Human Services, with particular focus on fulfilling and strengthening each
organization's strategic frameworks along the U.S.-Mexico border, including EPA's Border 2020
Program and multiple BHC initiatives, to promote activities addressing the important relationship
between the environment and public health.
Background
EPA has developed the Border 2020 Environmental Program, a binational partnership designed to
improve the environment and public health along the U.S.-Mexico border. It includes five goals and
fundamental strategies to improve children's health and promote environmental health through
outreach, capacity building, community-based programs, partnerships, and reducing exposures to
chemicals, heavy metals, pesticides and asthma triggers.
Similarly, the BHC addresses health challenges affecting border populations by providing the
necessary leadership to develop coordinated and binational actions through several initiatives,
including its upcoming Healthy Border 2020 Program. Key priorities for the BHC, relevant to this
collaborative relationship, include obesity and diabetes, research and data collection, and establishing
academic alliances.
Program Collaboration Opportunities
The following three Program Areas are specific collaboration opportunities that have been identified
by EPA and the BHC as a starting point for our collaboration:
Leaders across Borders
• EPA and the BHC will collaborate on the Leaders across Borders initiative to help build
binational leadership capacity in the health and community sectors. EPA and the BHC will
identify priority projects and efforts on environmental health for incoming leadership cohorts.
Examples include project engagement and the development of curriculum material on
environmental health topics such as integrated pest management, air quality and asthma
triggers, chemical, and pesticide exposure.

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Community-based Healthy Border Initiatives (includes Border Binational Health Week)
•	EPA regional offices will participate in Border Binational Health Week (BBHW) and other
binational and regional workshops, environmental health fairs and expositions, including
planning efforts, to enhance environmental health awareness focused on lead, pesticides,
asthma triggers, agricultural worker safety, integrated pest management, and other relevant
environmental health topics. Key collaboration opportunities may include:
-	Work with local NGOs engaged in efforts on agricultural worker "take home" exposure
and personal safety
-	Utilize schools to showcase Integrated Pest Management (IPM) programs
-	Hold joint regional stakeholder meetings, when appropriate
-	Utilize health care providers, staff, and promotores/community health workers to identify
asthma triggers and indoor air quality
Healthy Border 2020
•	EPA will assist with developing environmental health language for inclusion in the BHC's
Healthy Border (HB) 2020, and by participating in the binational technical work group.
-	Potential language may focus on the following topics: chemical and pesticide exposure,
asthma, and data gathering and sharing, which will complement and fulfill the intent of
the Border 2020 Fundamental Strategies on "Working to Improve Children's Health" and
"Promoting Environmental Health."
Areas of Collaboration
The following project priority areas have been identified by EPA and the BHC as a starting point for
cooperation:
Chemical and Pesticide Exposure Prevention
•	Partner with border communities to identify strategies to identify sources of chemical and
pesticide exposure and actions that reduce exposure to lead, mercury, pesticides, and other
heavy metals in the environment.
•	Work with border communities to identify and promote best practices for the storage,
handling, and disposal of excess pesticides and other chemicals used to control insect and
rodent pests.
•	Collaborate with state and local governments and communities to develop pilot projects that
foster the adoption of integrated pest management in the school environment to reduce
children's exposure to pesticides and asthma triggers while achieving effective pest control
on school property.
•	Engage healthcare providers (physicians, nurses, promotores/community health workers) on
the recognition and reporting of illnesses and poisonings caused by lead, pesticides, and other
chemicals.
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Air Quality and Asthma Education Awareness
•	Partner with state and local governments and border stakeholders to identify and reduce
exposure to hazardous chemicals and asthma triggers in and around the home and schools
through education, awareness, and the use of best practices for vector control.
•	Implement the guiding principles and recommendations of the President's Task Force on
Environmental Health Risks and Safety Risks to Children, to better leverage existing federal
resources towards actions that address environmental and public health challenges along the
U.S.-Mexico Border.
Pediatric Environmental Health Resource Units
•	Explore the establishment of pediatric environmental health resource units along the border,
to assist with medical information and advice on environmental conditions that influence
children's health along the U.S.-Mexico border.
Leverage Binational Expertise and Resources
• EPA and the BHC will leverage their existing resources to facilitate binational knowledge
exchange on environmental and public health issues, through existing binational
mechanisms and fora. Examples include:
Task Forces and COBINAS: EPA and the BHC will identify opportunities to share
information and identify and address regional concerns and priorities, taking into account
input from the Border 2020 task forces, local stakeholders, and the binational health
councils (COBINAS).
U.S.-Mexico Border Health Activities of Mutual Interest: EPA and the BHC will partner
during any activities of mutual interest, such as seminars, conferences, workshops, trainings,
etc., to share scientific information and findings and explore linkages between the
environment and health impacts, such as asthma, cancer, obesity, diabetes, and others.
Identify Project Funding and Leveraging Opportunities
•	EPA and the BHC will collaborate and leverage their respective and external resources and
partnerships to fulfill joint efforts that achieve EPA and BHC environmental health priorities
and goals, as outlined in this agreement. This collaboration will consider respective budget
constraints and will focus on maximum leveraging of external resources.
Data Sharing
•	Compile existing border environmental health information from credible sources (such as
local and state health statistics from public health authorities) to better document
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environmental health conditions along the U.S.-Mexico border in order to identify vulnerable
communities, and target collaborative interventions.
• Share epidemiological/surveillance and indicator data for agreed-upon priorities (i.e., water,
air quality, and public health).
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