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Pesticide Health Hazard Research Among Indian Tribes/Tribal Medicine Project (TMP)

Progress Reports
Year 2 Executive Summary and Final Report (PDF) (39 pp, 438 KB, about PDF)

Year 1 Executive Summary and Year 2 Considerations


This Executive Summary is written to describe the accomplishments of the EPA assistance Agreement (small grant) Number GX-828442-01-0 awarded to George Washington University (GWU) and compare what was done to the project goals we set for Year 1. The title of the grant was 'Pesticide Health Hazard Research Among Indian Tribes,' but it is referred to within EPA and at GWU as the 'Tribal Medicine Project' (TMP), and that is the name we will use throughout this report. When the project was funded, it was scheduled to run from August 1, 2000 to July 31, 2001, and GWU requested and was granted a no-cost extension until September 30, 2001 to complete work on this project. With the events of September 11, there has been a delay in completing all the laboratory reports and responses from the tribes, but the objectives and progress of the project are described in this Summary.

The Tribal Medicine Project (TMP) had one clear overriding objective: to collaborate with the nation's Indian Tribes to foster greater awareness of pesticide health hazards among Tribal members and among health care providers for Tribal communities. To attain that objective TMP had the two primary goals in Year 1: i) develop and deliver pesticide and health training to at least three tribes, and ii) conduct pesticide sampling surveys on tribal lands as a means to transfer relevant technology and demonstrate scientific procedures.

The initial goal was the responsibility of Dr. David Goldsmith (project PI), and he was assisted by Dr. Ana Maria Osorio, Public Health Service physician on detail to EPA in the Office of Pesticide Programs. The second goal of pesticide sampling was the joint responsibility of Mr. John Meagher, CIH (contractor from Intercet Ltd.) and Dr. Goldsmith. In all cases these activities required close cooperation with Tribal leaders, with OPP and Regional Offices and Staff of EPA, and with many other professionals. Among the other professionals were Tribal pesticide regulatory representatives, members of the Indian Health Service, Tribal Extension officials, pesticide contractors, growers who worked or leased Tribal lands, and other Tribal environmental health and safety professionals.

In this Executive Summary we will assess how well the goals were met, and areas needing additional effort in Year 2. We will also note the relevance of this work to the goals of national preparation for effective responses to threats imposed on American communities in the wake of September 11.

Goals of Tribal Medicine Project Aug, 2000 to Sept, 2001

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Work Accomplished

From prior interaction with Tribes in Region 9 during their tenure in California in 1980s and 1990s, Drs. Goldsmith and Osorio knew that critical to success between Indian Tribes and public health professionals was the necessity of personal trust and face-to-face interaction with Tribal leaders. Thus, initial and substantive efforts were made to develop cooperative and personal interactions between TMP team members, Tribal leaders, and EPA staff in OPP and in Regions 9 and 10. Regions 9 and 10 were logical areas to develop cooperative activities because size and influence of tribes in these regions, and because of the work by regional EPA staff to develop Tribal pesticide leadership. Furthermore, the Regional efforts meant there would be a ready audience for TMP health training and information. We also worked with and kept lines of communication open with members of TPPC and with organizations such as the InterTribal Council of Arizona (ITCA). Efforts were also made to consult on the phone with colleagues in the Indian Health Service-PHS and the State pesticide program offices in Arizona, California, and Washington. Appendix B contains a list of persons and Tribal affiliations, as well as other affiliations developed over the year of the project.

Deliverables--pesticide training workshops

In total, there were about 125 attendees, 5 classes, and 12 tribes represented from three Western States, Arizona, Washington, and Idaho. All classes provided CME credits, and there were representatives from States, from both EPA Regions 9 and 10, State Agricultural Extension, growers, and from organizations representing farmworkers having interactions with Tribal authorities.

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Deliverables--pesticide environmental sampling demonstrations on Tribal lands
Some Unexpected Values Added by Project

The TMP acted to synergize linkages that became unexpected benefits that arose during the course of the project. Some of these benefits are directly obvious and others less so, but they are relevant because they suggest steps that could be taken during future projects, that will return to both Indian Tribes and to EPA compounded values, consistent with the mission of OPP. These are listed below.

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Year 2 Plans--focus on Subsistence & pesticide sampling, and Tribal Preparedness in the Wake of 9/11 and Anthrax Terrorism

The TMP has already had Tribal requests for collaboration in Year 2. The requests came from interactions with individuals and Tribes during the year of the project and others reflect current concerns about Tribes' pesticide health and safety issues

Appendices A through E are attached.


David F. Goldsmith, MSPH, PhD
George Washington University School of Public Health and Health Services,
Department of Environmental and Occupational Health
2300 K Street NW, Suite 201
Washington DC 20037
Tel: 202-994-2392; fax 202-994-0011
Email: eohdfg@gwumc.edu
February 21, 2002

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Tribal Medicine Project Reports, Year One

Quarterly report of activities on the small grant, "Pesticide Health Hazards Research among Indian Tribes" Project # X-82844201-0   (November 15, 2000)

This quarterly report covers the period from August 1, 2000 to October 31, 2000.

Second Quarterly Report of Activities on the Small Grant, "Pesticide Health Hazards Research among Indian Tribes" Project # X-82844201-0   (February 15, 2001)

This Quarterly report covers the period from November 1, 2000 to January 31, 2001.

Third Quarterly Report of Activities on the Small Grant, "Pesticide Health Hazards Research among Indian Tribes" Project # X-82844201-0   (May 15, 2001)

This quarterly report covers the period from February 1, 2001 to April 30, 2001. Activities related to this project are listed below.

Fourth Quarterly Report of Activities on the Small Grant, "Pesticide Health Hazards Research among Indian Tribes" Project # X-82844201-0   (August 24, 2001)

This quarterly report covers the period from May 1, 2001 to July 31, 2001. Activities related to this project are listed below.

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