Battlement Mesa Health Impact Assessment and Exposure/Health Study Stakeholders Meeting Roxana...
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Transcript of Battlement Mesa Health Impact Assessment and Exposure/Health Study Stakeholders Meeting Roxana...
Battlement MesaHealth Impact Assessment and
Exposure/Health Study
Stakeholders Meeting
Roxana Witter, MD, MSPHJohn Adgate, PhD, MSPHLee Newman, MD, MA
Colorado School of Public Health
Feb 3, 2010
BM HIABM EHAMSDISCLAIMER!
Everything you hear is a work in progress
Study proposals and designs are being planned as we speak
You are part of the design process
We are here to hear you
Each step will inform the next
Battlement Mesa Concerned Citizens
Health Study Request
Baseline Health Study and Baseline Air and Water Quality before drilling
Air, Water, Soil Quality Monitoring which is comprehensive and continuous
Medical Monitoring System to detect changes from baseline
Full Disclosure of Drilling Materials to health officials and scientists
Test Buffer Zone of 1000’ feet
TWO Proposed StudiesRelated yet separate
(Not yet funded)
BM HIABattlement Mesa Health Impact
Assessment
BM EHAMSBattlement Mesa Environmental/
Health Analysis and Monitoring Study
TWO Proposed Studies-Related yet separate
BM HIA Use existing data Recommendations (before drilling) Tied to permitting decision Endpoints
– Inform decision-makers– Improve health
TWO Proposed Studies-Related yet separate
BM EHAMS Exposure assessment Health monitoring During drilling/production Not tied to decision Fill data gaps with new sampling/monitoring Endpoints:
Document Exposure levels Health impacts
Information Improve health
Health Impact Assessment (HIA)Grant
Pew Health Impact Project Funded by Robert Wood Johnson Foundation 15 Demonstration Projects
Primary investigators Colorado School of Public Health
Partnership with Garfield County Environmental Health
Stronger application demonstrates: Stakeholder outreach Stakeholder partnerships (Garfield County) Strategy for implementation (COGCC, BOCC buy-in) Institutionalization of HIA (HIA conference for state, local,
regional health officials)
HIA ProcessScreening
Scoping
Assessment
Analysis
Recommendations
Reporting
Implementation
Evaluation
Health Impact Assessment
HIA ProcessScreening Potential to affect health
Scoping Stakeholders/ Decision-makers/ Concerns
Assessment Baseline exposures and health
Analysis Anticipated health impacts
Recommendations Minimize negative, support positive
Reporting Draft, stakeholder input, Final
Implementation Recommendations into action
Evaluation Effective/ accepted
HIA ProcessScoping
Who are the Stakeholders?
What are your concerns?
Who are the Decision-makers?
Will decision makers consider the recommendations of the HIA?
What are the hazards?
Can people be exposed to the hazards?
What are the sicknesses that can happen?
What are the ways that the Antero project can help people be healthier?
We are here!
Battlement MesaExposure/Health Analysis and
Monitoring Study Separate yet related to HIA
Uses HIA information as beginning, builds on HIA
Study design dependent upon HIA findings We will develop study design this spring
Longer term (3-5 years)
Not tied to permitting decision
Tied to gas drilling and production
What is the fate and transport of hazardous substances? How and where can you be exposed? Is this sufficient to cause disease?
What Can an Exposure Study Tell Us ?
EnvironmentalMedia
Environment - Individual Interface
Internal - Disease
BM EHAMS Study
What are the HAZARDS that we are concerned about?
Are there routes of EXPOSURE?
Are there HEALTH OUTCOMES that may result from sufficient EXPOSURE to a HAZARD?
BM EHAMS Study
Exposure Assessment Fill data gaps Ambient and personal exposure Air, water, soil
Consider biomarker study Collect blood/urine samples to measure exposure
BM EHAMS Study
Health Monitoring and Analysis Which health effects?
Exposures Population size Current level of disease
Prospective (vs Retrospective)
Possible designs include Hospital/ ER/ clinic discharge and diagnosis data Clinic records review Resident survey
Each design had advantages and disadvantage
Conclusion
Two Studies Related- yet separateScientifically basedDesigned to answer as much of your
concerns as possibleOpen process
Thank you for your help!