integrated pest management in health care facilities project new moms project student outreach...
TRANSCRIPT
INTEGRATED PEST MANAGEMENT
IN HEALTH CARE FACILITIES PROJECT
NEW MOMS PROJECT
STUDENT OUTREACH PROJECT
Matt Wallach, Project Director, Maryland Pesticide Network & Beyond Pesticides
Reducing harmful chemicals for pati ents, staff, and the environment through the adopti on of green practi ces.
INTEGRATED PEST MANAGEMENT (IPM)
IN HEALTH CARE FACILITIES PROJECT
To protect the health of vulnerable pati ents and staff from the dangers of toxic pesti cides through toxic-free pest management that promotes healthy indoor and outdoor environments.
Create a facility free of pests and hazardous pesti cides in order to protect people who are at the highest risk because of: immune and nervous system weakness those with breathing problems allergies and reactions to chemicals
WHY LOOK AT HOSPITAL PEST MANAGEMENT PRACTICES?
WHY LOOK AT HOSPITAL PEST MANAGEMENT PRACTICES?
A significant number of facilities (45%) recognize that their pest management program should
reduce reliance on pesticides by addressing the root causes of pest infestation, such as poor
sanitation and mechanical or structural sealing, an indication of their commitment to the care of
their patients and residents.
Vulnerable Groups
• infants and children • pregnant women/fetuses• the elderly • compromised immune and nervous
systems• those with asthma or respiratory
problems• cancer patients and survivors• those sensitive to chemicals
WHY REDUCE PESTICIDE USE?
PRECAUTION
IPM is a commitment to precaution.
IPM is a commitment to measures that prevent pests and the need for toxic chemicals.
REDUCING TOXINS IN THE FACILITY WITH IPM
IPM is a pest management strategy that provides long-term pest prevention and suppression through a combination of practices such as:
Regular pest population monitoring Site inspections Occupant education Structural, mechanical, cultural, and biological
controls
Least-toxic pesticides are only used as a last resort
Pesti cides treat but do not solve or prevent pest issues
IPM can eliminate fl y breeding areas and entryways into a facility
Proper IPM implementati on removes the cardboard, water, and dirty surfaces that rodents and roaches enjoy
IPM AND PEST HAZARDS
Eliminate Food - Restrict Entry Control Habitat
Inspect - Detect - Correct
• Sanitation • Vacuuming• Pest proofing waste disposal• Structural maintenance• Mechanical traps
IPM IMPLEMENTATION
LEAST-TOXIC PESTICIDES
• Boric acid (borates, disodium octoborate tetrahydrate)• Diatomaceous earth / silica gel• Microbe-based insecticides (B.t.)• Soap-based products• Non-volatile insect and rodent baits• Liquid nitrogen (cold treatments)• EPA Exempt natural pesticides (FIFRA 25(b))
IPM IN HEALTH CARE FACILITIES PROJECT - THE PROCESS
When we work with Health Care Facilities we offer:◦ Written Pesticide Use Survey◦ Facility and Grounds Walk-Throughs by IPM Team◦ Vendor Contract and IPM Plan Review ◦ Written Assessment Reports and Recommendations◦ Model IPM & Natural Land care policy, plan and vendor contracts◦ Development of IPM policy◦ Employee training in IPM◦ Implementation Assistance
Staff understand their role in maintaining a pest-free facility without the use of toxic chemicals.
They understand the difference between IPM and conventional pest management
IPM IN HEALTH CARE FACILITIES PROJECT - IPM COORDINATION
To effectively implement an IPM program it is essential for the health care facility to establish an IPM coordinator position.
The IPM coordinator is responsible for: Tracking actions of pest management technician Reviewing technician and complaint logs Coordinating addressing pest conducive conditions identified by
technician Periodically accompanying technician on walk-through of facility Approving use of least-toxic pesticides as a last resort Overseeing contract agreements with vendor
IPM IN HEALTH CARE FACILITIES PROJECT - THE WALK-THROUGH
ASSESSMENT
Focus on conducive conditi ons in pest vulnerable areas:Loading docks and receiving areasKitchen, food storerooms, cafeterias,
dishwashingStaff lounges and break roomsLavatories and locker roomsCustodial storage and uti lity rooms Mechanical and operati ons areasDumpsters and anywhere trash is handledExternal grounds (habitat and entryways)
IPM IN HEALTH CARE FACILITIES PROJECT - THE WALK-THROUGH
ASSESSMENT
Working with the Technician Hospital Staff must be
made aware of the conditions at the
hospitalThis example log
shows positive work by hospital staff.
There are no pests, no pesticide applications,
and no recommendationsIf there are pests, the technician will
identify the conditions conducive
to pests, list the chemical or non-chemical actions,
and list recommendations for
the hospital to eliminate the pest
conducive conditions.
IPM IN HEALTH CARE FACILITIES PROJECT
Before IPM Implementation
No understanding of what chemicals are applied by the technician
No cooperation of hospital staff and hospital departments to deal with
prevention of pest problems
Limited understanding of how cleaning clutter and cracks contribute to pest
problems
After IPM Implementation
Technician works and communicates with vendors, maintenance, housekeeping to
ensure a pest free environment
Greater understanding by all hospital staff of what is applied when a product is
needed
The hospital becomes a cleaner, healthier place, with less clutter, cracks, and cleaner
conditions
Protecting babies from pesticides
NEW MOMS PROJECT
WHY WE CREATED THE NEW MOMS PROJECT AT
UMMC
We are committed to protecting the health of
a new baby
WHY WE CREATED THE NEW MOMS PROJECT AT
UMMC
Infants and children are the most vulnerable to the health effects of pesticide exposure.
UMMC works to reduce pesticides throughout the facility to protect patients from unnecessary exposure to hazardous chemicals – so educating new parents is a next logical step.
PESTICIDES AND CHILDREN’S HEALTH
Our children are exposed to pesticides in: Air, Food, and Water Parks and Schools Day Care Centers and in their own homes
A 2005 study concludes that children up to 4 ½ years old put their hands to their mouth as much as 19.4 times per hour.
The third National CDC Body Burden report tested 3,000 people for various chemicals; the 6-to-11 year old children tested had very high levels of pesticides in their bodies – four times the amount thought to be acceptable by EPA.
PESTICIDES AND CHILDREN’S HEALTH
The developing brains and bodies of children are in a complex and fragile stage that regulates tissue growth and organ development.
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Long-term potential consequences of even one pesticide exposure at a critical state in fetal development include adverse health impacts on children’s neurological, respiratory, immune, and endocrine systems, even at low levels of exposure.
Studies show that pesti cide exposures are associated with: Birth/Developmental Defects
A study found that organophosphate (OP) pesti cides exposure by pregnant women may affect both length of pregnancy and birth weight. In some cases, household uses of OPs have been cancelled because of the extreme health risks to children, but agricultural, golf course, and mosquito control uses remain on the market.
Childhood Cancers A study in the Journal of the Nati onal Cancer Insti tute
found that household and garden pesti cide use can increase risk of childhood leukemia as much as sevenfold.
Neurodevelopmental delays Endocrine disrupti on
PESTICIDES AND CHILDREN’S HEALTH CONTINUED
Asthma A study found that children exposed to herbicides in their
fi rst 12 months were more than 4 ½ ti mes as likely to develop asthma. Children who were exposed to pesti cides in general were nearly 2 ½ ti mes as likely to develop asthma.
Auti sm Spectrum Disorders (ASD)A study linked the pesti cide bifenthrin with increased rates of auti sm. Bifenthrin is an endocrine disrupti ng pesti cide that was banned by the European Union in 2009.
Anxiety, depression and aggression
Att enti on-Defi cit/Hyperacti vity Disorder (ADHD) A study analyzing umbilical cord blood from 600 children found that boys who
were exposed to higher levels of organochlorines – polychlorinated biphenyls (PCBs) and DDE (a metabolite of DDT) – in the womb scored lower on focus and concentrati on tests.
PESTICIDES AND CHILDREN’S HEALTH CONTINUED
REDUCING TOXINS IN THE FACILITY WITH IPM
UMMC is a community leader with capacity to educate pati ents on healthy lifestyles and safer alternati ves to toxic pesti cides found in baby care, cleaning, and pest management products
UMMC puts an emphasis on housekeeping, recognizes the importance of maintenance, strives to be a pesti cide-free facility and only uses least-toxic
pesti cides as a last resort
The nurses at UMMC educate the pati ents in the mother/baby unit on the dangers of toxic pesti cides and how they can protect the health of their baby and family.
THE NEW MOMS PROJECT - BACKGROUND
Throughout 2011, the IPM in Health Care Facilities Project in collaboration with the nurses in the mother/baby unit at UMMC created educational materials for the new parents.
Donated samples of safe products for pest management, cleaning and baby care were collected for distribution to the new parents.
The project launched in December 2011.
THE NEW MOMS KIT
INSIDE THE NEW MOMS KIT
INSIDE THE NEW MOMS KIT
THE SURVEY
1. Please write the date that you gave birth to your baby ____________________
2. Before reading the “Make Your Home Safe for Baby” booklet and watching the video on protecting your baby from pesticides,
a) How much did you know about safer ways to control pests? _ A lot _ A little _ Nothing at all
b) What was your main method of pest control? Check all that apply_ We used an Exterminator _ We sprayed pesticides _ We used ant and/or roach bait stations _ We did not use any pesticides _ We used only natural/non-toxic pest control products Please list products
3. If an exterminator services your house or apartment, do you know what pesticides are used? _ Yes _ No _ We do not use an exterminator
5. After reading the brochure and watching the video on protecting your baby from pesticides, what following changes have you made or do you plan to make to protect your baby and your family? Check all that apply _ Change how you store food and clean your kitchen _ Use caulk and door strips to keep out bugs _ Use natural products for pest control:
_ sometimes _ all the time _ Use natural/non-toxic cleaning products:
_ sometimes _ all the time _ Use safe/natural products on your new baby’s skin such as soaps, baby wipes, and diapers:
_sometimes _all the time _ Avoid sitting, lying, or playing on any grass with a “CAUTION PESTICIDE APPLICATION” sign
6. Do you believe that using the information in the brochure and the CD will improve the health of your baby and everyone in your household? _ Yes _ No
4. Before reading the booklet and watching the video on protecting your baby from pesticides, did you use cleaning and/or baby care products like the non-toxic samples in the kit the hospital gave you? _ A lot _ A little _ Not at all
SURVEY: EARLY RESULTS
100 percent of the respondents indicated that they believe that using the information in the brochure and the CD will improve the health of their baby and everyone in their household.
REPLICATION?
This project can easily be replicated in other Maryland health care facilities interested in practicing IPM and education on the dangers of toxic pesticides and safer alternatives to protect the health of staff and patients - especially newborns.
The IPM in Health Care Facility Project assists MD facilities at no cost on implementing a defined IPM program and New Moms project.
Educating students and making changes in the community
STUDENT OUTREACH PROJECT
THE IPM COMMUNITY OUTREACH PROJECT
Our goal is to fi rst educate students on the dangers of pesti cides, IPM, and safer alternati ves to pest control
Then have students educate community members, community leaders and community market and restaurant owners about alternati ves to the hazards of pesti cides.
LOCAL MARKET AND RESTAURANT PROJECT OVERVIEW
Teams of students approach community stores and restaurants and talk about:
Teach about the hazards of pesticides and protection through
IPM.
Talk about alternatives and less-toxic pest management products
Suggest separating food from chemicals
Follow up with store owners
Students earn credit toward their student service learning requirement!
Students learn:
About the dangers of pesti cides About the fl aws in the regulatory processWhere pesti cides are foundHow to identi fy pest conducive conditi onsHow to make recommendati ons to stores and
restaurants which will result in less pesti cides used in their businesses and communiti es
STUDENTS LEARN!
PRODUCTS COMMONLY FOUND IN STORES
GATHER BACKGROUND INFORMATION ON THE PEST PROBLEM(S)
Interview the store owner and
record information:
Type of problem/pest
Evidence of problem/pest
Location and numbers of
problem/pest
History of the problem
Actions taken by the client and the
results
Thoroughly inspect the
property and record:
Potential sources of pest
Conditions conducive to pest infestations
(structural, environmental,
behavioral)
Potential problems associated with the pests
