GEO Work Plan Symposium 2011 Days 2 & 3 Health DS-06 Presentation Template for Plenary Session

1. GEO Work Plan Symposium 2011 Days 2 & 3Health DS-06Presentation Template for Plenary Session

2. (Task Title) DS- 06 Tools & Information Systems for Environment & Human Health (formerly Disease Early Warning) Definition • Slight modification of v0 Definition • Addition of UIC paragraphs to Definition See the next two slides:

3. health relevant

4. Addition from UIC to Definition • To ensure the development of a user-driven system, engage health users and decision-makers to identify the problem; the link between the human health problems and relevant environment observations; and the needs for advancing tools and information for Health decision-making. Carry out training and capacity building and a plan for promotion and sustainable use of Earth observation information by the health user community. • Establish linkages with ecosystems and biodiversity and disasters and extreme events(floods, earth-quakes, cyclones, tsunami etc.) for vector-borne diseases; disaster (floods) for water-borne diseases; and ecosystems and biodiversity for air quality and aeroallergens.

5. Deliverables 1. Advancing Tools and Information for Health Decision-making: Vector-borne diseases Priority Actions: • Malaria, RVF, Dengue, Lyme disease, (Leptospirosis) • Link to: Ecosystems and BD, Extreme Events & Disasters (Floods, earthquakes cyclones, tsunami etc.) – malaria Leads (Members and/or Organizations, tentative): R. Dhiman (ICMR) and M. Lafaye (CNES)

6. Deliverables 2. Advancing Tools and Information for Health Decision-making: Water-borne diseases, Water Quality and risk Priority Actions: • Malaria, RVF, Dengue, Lyme disease, Leptospirosis • Real Time Data Dissemination for AQ and Coastal Beach WQ (Beach WQ part) (new GEO Community proposed activity) • Link to: Ecosystems and BD, Disaster (Floods, earthquakes cyclones, tsunami etc.) – malaria Leads (Members and/or Organizations, tentative): J. Trtanj (NOAA), K. Watson (EO2HEAVEN), Eric(WHO), Z. Willis (NOAA), G. Foley (EPA),

7. Deliverables 3. Advancing Tools and Information for Health Decision-making: Air-borne diseases & chronic illnesses Priority Actions: • meningitis, influenza, Leads (Members and/or Organizations, tentative): R. Kiang (NASA), M. Jancloes (HCF)

8. Deliverables 4. Advancing Tools and Information for Health Decision-making: Air quality and aeroallergens Priority Actions: • Sand and Dust Warning System, AirNOW, Cardiovascular diseases • Real Time Data Dissemination for AQ and Coastal Beach WQ (AQ part) (new GEO Community proposed activity) • Aeoroallergens, pollen and phenology linkages Leads (Members and/or Organizations, tentative): Kym (), H. Koren (consultant), G. Foley (EPA)

9. Deliverables 5. Advancing Tools and Information for Health Decision-making: Persistent Organic Pollutants, Global Emerging contaminants and Global Change Indicators Priority Actions: • POPs Monitoring • Global monitoring system for nanoparticles (newly proposed) • Monitoring of Disease-Vector Plants and Animals as Health Indicators of Climate Change Impacts (newly proposed) • Link to: Disaster (Floods etc), Climate Leads (Members and/or Organizations, tentative): K. Magulova, A. Priceputu (UNEP: Stockholm Convention Secretariat), M. Koechy (VTI, BUND)

10. Deliverables 6. Advancing Tools and Information for Health Decision-making: Outbreak Prevention using Disease Transmission Information Priority Actions: • Biodiversity & vector-borne disease (Lyme Disease, West Nile Virus, etc.); health consequences from intensive agricultural land use. • Link to Biodiversity Data, Land Use Change Data Sets, Agricultural Data Leads (Members and/or Organizations, tentative): G. Foley, M. Pongsiri (EPA), A. Skouloudis (ECJRC)

11. Deliverables 7. New Technologies for monitoring, surveillance and tracking Priority Actions: • In-situ sensor for health and environmental factors Leads (Members and/or Organizations, tentative): A. Skouloudis (ECJRC)

12. Deliverables 8. Identify needs for data, information, tools, and applications required by user groups, particularly from developing countries, to support a sustained GEOSS. Priority Actions: Identify Needs Information, then Filled vs Gaps Identify Gap Synergies across SBAs Improve Task-to-Task Cross-Fertilization Leads (Members and/or Organizations, tentative): Health CoP liaison to Institutions & Development Board

13. Deliverables 9. Deliver user-oriented feedback, particularly from developing countries, on observation products, product efficacy, data access methods, and other factors to support the further development of GEOSS. Priority Actions: Identify Feedback Information Identify Feedback Synergies across SBAs Improve Task-to-Task Cross-Fertilization Leads (Members and/or Organizations, tentative): Health CoP liaison to Institutions & Development Board

14. Deliverables 10. Produce specific examples of uses of Earth observations that enhance decision-making, supporting GEO efforts to document societal benefits attributable to Earth observations and GEOSS. Priority Actions: Identify Possible Examples Identify Examples from Links/Synergies across SBAs Improve Task-to-Task Cross-Fertilization Leads (Members and/or Organizations, tentative): Health CoP liaison to Institutions & Development Board

15. Related 2009-2011 Work Plan Progress (based on input/slides from participants)

16. Related 2009-2011 Work Plan ProgressHE-09-01: Adapted Products for Health Users AdapFVR 2010-2011 ZPOM validation by users Rift Valley Fever, ZPOM daily forecasting

17. Related 2009-2011 Work Plan ProgressHE-09-02a: SDS-WAS Research and Operational Forecasting

18. Related 2009-2011 Work Plan ProgressHE-09-02b: Air Quality Observations, Forecasting and Public Information • AIRNow • AIRNow-Tech (web site) • AIRNow-Gateway (distribution service) • AIRNow-International • New Software System • Shanghai Pilot at World Expo • GEO Air Quality CoP • Urban public-health advisory and warning services: “Fit City, Fit World” • Chronic diseases such as COPD, asthma, and other respiratory ailments • Provide high-res environmental information • Multi-hazard early warning system • Annual meeting in Shiang Hai, conference in London in 2011.

19. HE-09-02b: Global Monitoring Plan for Persistent Organic Pollutants • Stockholm Convention on Persistent Organic Pollutants adopted baseline levels of POPs in ambient air and human milk. Global monitoring plan needed to evaluate treaty’s effectiveness. • Implement global monitoring plan to track changes in POPs levels in humans and the environment. • Interlink existing and emerging systems for monitoring air, water, ice caps, and human health. • Five regional monitoring reports for 12 POPs in ambient air and human milk or blood, 1998-2008, available at www.pops.int

20. Related 2009-2011 Work Plan ProgressHE-09-03a: The MERIT Project Established in 2007 Collaborative initiative of WHO and members of the environmental, public health and epidemiological communities to help reduce the burden of epidemic meningitis in Africa About 30 members, regional and international organizations, research institutes, climate and health working groups Meningitis Environmental Risk Information Technologies

21. Meningitis Environmental Risk Information Technologies (MERIT) NASA GLDAS dataset (Noah land surface model) 2008 2009 Recapitulative maps of cumulative Meningitis attack rates at weeks 1 – 39 (Mapping based on weekly highest attack rates by district during the year)

22. Related 2009-2011 Work Plan ProgressHE-09-03b: Predicting and Reducing Incidence of Vector-Borne and Zoonotic Diseases • Integrate EO and pubic-health communities to build a requirement-based system • Foster the use of satellite and in-situ data for monitoring environmental conditions conductive to the spread of vector-borne and zoonotic diseases e.g. malaria, dengue and Rift Valley fever. • Identify and build upon best practices and ongoing projects. Engage user groups and providers as a priority.

23. Related 2009-2011 Work Plan ProgressHE-09-03c: Ecosystems, Biodiversity and Health Forest fragmentation and destruction in the U.S. have been shown to reduce mammalian species diversity and to increase populations of the white-footed mouse. Ixodes scapularis is a tick that spreads Lyme disease from animals to people. White-footed mouse. Very abundant in forests, a good host for ticks to feed on and become infected with the Lyme disease pathogen.

24. Related 2009-2011 Work Plan ProgressHE-09-03d:Reducing Health Risk from Water-borne Diseases • Determine the impact of climate variability and change, and extreme events on the vulnerability of water sanitation systems globally, and related burden of water-borne disease. • Focus on diseases of importance (e.g. vibrios inc. cholera, leptospirosis). • Foster the use of environmental data and products in health management at the local, national and international levels, and conduct capacity building, training and technology transfer as needed. The Use of Remote Sensing and Molecular Detection to Predict the Risk of Infection by VibrioParahaemolyticus: Prediction maps generated by RS SST Dr. Jay Grimes, USM (Phillips, et al., 2007. J. Food Prot. 70:879-884, Figures 2 and 3.)

25. Re-organization of 2009-2011 Sub-tasks (i.e. which sub-tasks support the new Task) • Done (see Deliverables slides above for listing of the 2009-11 Sub-tasks which would support each of the Deliverables)

26. Inclusion of New Proposals (if any) New Proposals from GEO Community • Real Time Dissemination of Coastal Air Quality and Beach Water Quality Information through a Global Geospatial System (USA, USGEO) • Global Nanoparticles Observing System (Germany, VTI, Bund) • Monitoring of Disease-Vector Plants and Animals as Health Indicators of Climate Change Impacts (Germany, VTI, Bund) New Proposals from Health & Environment CoP • See the next two slides

27. New Task and Project Proposals CEOS Health Tasks (Murielle Lafaye, CNES/CEOS) NASA Efforts in Public Health (John Haynes, NASA) JAXA's Update on Space Initiatives for Health (Tamotsu Igarashi, JAXA (WebEx)) The Use of Remote Sensing for Understanding Seasonality of Emerging Infections (Elena Naumova, Tufts University) Space Observations for Environment and Health Information Systems: Facilitating new regulatory Applications (Andreas Skouloudis, ECJRC)

28. New Task and Project Proposals New Initiatives in Environmental Health and Malaria in India (Ramesh Dhiman, ICMR) EO2HEAVEN (Kym Watson, IOSB) UN SPIDER – Disasters and Health (Jörg Szarzynski, UNOOSA (WebEx)) Global Funding (Ramesh Dhiman, ICMR) Proposal for A New Task: Aeroallergens and Allergic Diseases (Hillel Koren (WebEx)) Tele-Medicine (Jean-Marc Chuinard, CSA(WebEx)) Shanghai Health-Meteorology Forecasting Service program (David Rogers, HCF)

29. Resources Available for Implementation (current status and in planning) Vectoreborne diseases: The identified institutions will support the project in their respective domain Waterborne diseases: Each sub-task will have a resource needs and plan section as part of the work plan and each task has already identified an initial list of potentially interested financial, human and data resource providers. Existing funding sources include EU-FP7 funding for EO2HEAVEN project (www.eo2heaven.org), CSIR, Department of Science and Technology- South Africa, US NOAA, NASA. Airborne diseases: Influenza – identified by NASA; MERIT – voluntary

30. Resources Available for Implementation (continued) 4. Aerosols and aeroallergens: The Pollution Control and Risk Management agency within the Durban local government will provide ground level data from the in-situ monitors of the Air Quality Monitoring System. The School of Environmental Sciences at UKZN will ensure the internal provision of historical remotely sensed imagery. The Partners in the EO2HEAVEN Consortium will provide methods and realize prototypes of web based tools to access and analyze environmental data from remote sensing and monitoring. There may be a possibility to acquire additional health services utilization data from the community clinics or the Health Information Systems from the local government’s Department of Health. Derived information from the health studies conducted by the UKZN Project team will be accessed.

31. Resources Available for Implementation (continued) 5. POPs Resources from the Stockholm Convention Secretariat: Financial resources: 2011: US$ 530,000; 2012: US$ 640,000;2013: US$ 350,000Human resources: Secretariat staff time; Staff time of the regional organization group members 2011-2013 Contribution from strategic partners: GAPSRECETOXSouth-East Asia Monitoring Programme UNEP DTIE/Chemicals BranchWHO2011-2015GEF MSP on analytical procedures for new POPs: US$ 700,0002011-2012 Contributions of the participating countries: Resources necessary to operate the contributing POPs monitoring programmes2011-2015

32. Issues and Gaps (con’t) The CoP felt that the Task “definition” does not capture the public health driven approach and would like to suggest replacing “improved” with “health relevant environmental” Gaps were identified over the first 5 years that more focus is needed on 1-3 in the following, particularly engagement of public health requirements and users. • Understand what are the human health problems that relate to the environment • Identify the relevant information for decision making • Training, capacity building • Promote the use of information from Earth Observing Systems for health impact assessments.

33. Issues and Gaps • Risk factors; risk assessment; criteria for decisions need to be considered in developing Health tools • “Environment” in public health could include radiation, food… etc which is not natural environment • Disease burden should be considered (at present environmental factors are not needed to define burden) – burden could be used to identify observation priorities • Need for qualitative deliverables • Institutional point of view needed: also political advocacy to support needs of international organizations • Geographic domain is often specified as Global; reality may limit the global coverage to parts of the Globe. • Linkages with other Societal Benefit Areas: Disasters, Biodiversity, Ecosystem, and Water

34. Possible Measures to fill Gaps • The CoP is preparing a background paper, using a template, describing in detail all the proposed Deliverables and both • addressing each of the gaps identified, as appropriate, and • fleshing out the details on the measures to fill the gaps

35. Open for Plenary Discussion → Identify Synergies → Improve Cross-Fertilization → Identify Measures and Actions to Fill Gaps