Revised Final Script

	VIDEO	AUDIO
1.	12:30:00 SEGMENT 01	Pre-program Test 30:00
2.	13:00:00 SEGMENT 02	Opening Titles 1:00
3.	TAPE: Cut – 1 Titles/Open VT: A RT: __________	SOT OUTCUE: ….
4.	13:01:00 SEGMENT 03 Moderator Intro 1:30
5.	CU CYNTHIA GOOD CG: CYNTHIA GOOD Moderator	Good: Hello, I’m Cynthia Good. Welcome to today’s program, “Enhancing Environmental Health Practice in the 21^st Century.” Over the next 90 minutes we’re going to introduce you to a new strategy to revitalize the nation’s Environmental Health Services system. Environmental health services touch all of our lives every day. Implementing this strategy will prepare us to deal with the many challenges that lie ahead.
6.	SS: U.S. Technical Help: (800) 728-8232 SS: Technical Help, Outside US: (404) 639-1289	Now here are some important numbers. If you’re having problems receiving our program, you can get technical assistance by calling us at: 800-728-8232. That’s 800-728-8232. If you’re viewing from outside the United States, our technical assistance number is: 404-639-1289
7.		If you’re viewing today’s broadcast through a subscription network and are experiencing technical difficulties, the problem may be with your provider. Please contact your network’s technical assistance line about any problems you may be having. [PAUSE]
8.	CU CYNTHIA GOOD	Environmental health services protect the air we breathe and the water and food we consume. These services impact our working and living conditions. They impact our safety and the overall quality of our lives. In fact environmental health services have been the backbone of public health in the United States for well over a century. We usually take these services for granted and seldom give any thought to the system that keeps them in place. However, over the past ten years, some alarming signs have emerged that indicate our environmental health system is in crisis.
9.	13:02:30 SEGMENT 04 Warning Signs 3:00
10.	TAPE: Cut – 2 Warning Signs RT: 3:00 approx	OUTCUE: “in the Western Hemisphere.”
	child goes to the kitchen faucet, draws a glass of tap water and begins to drink it.	Narrator: Water is essential to sustain human life. In America we’ve grown accustomed to thinking the water that comes out of the taps in our homes is safe to drink.
	water treatment plant, newspaper headlines about the epidemic	However, in the spring of 1993, a massive waterborne disease outbreak hit the city of Milwaukee, Wisconsin. It was caused by cryptosporidium, a single-cell organism, which the water filtration system failed to remove. It sickened over 400,000 people, almost half the city’s population. Over 50 of them died due to complications from the infection. It was the largest waterborne disease outbreak ever recorded in this country. And most of us never even heard about it.
	family eating together at a generic fast-food restaurant.	The food we eat is also vital to our health and well-being. In a country with one of the highest standards of living in the world, we assume that the food we purchase for ourselves and our families is safe.
	Food Borne Illness · 76 million suffer yearly · 325,000 hospitalized · 5,000 die Newspaper headlines of the E-coli outbreak	However, approximately 76 million people suffer from foodborne illness each year. Nearly 325,000 get so sick they have to be hospitalized and about 5,000 die. In January of 1993, an outbreak of E-coli O157:H7 caused serious illness in over 500 people in the western United States. Four children died from hemolytic uremic syndrome, the result of eating contaminated hamburgers prepared in fast food restaurants. This dangerous pathogen can also be transmitted by other means besides food.
	Worker sweeping out a storage building	Who could imagine that something as innocuous as sweeping out a storage building could result in a life-threatening illness?
	hantavirus headline – People infected with Hanta Virus after sweeping barn deer mouse	Yet in 1993, 55 people, mostly in the desert southwest, developed a deadly condition known as Hantavirus Pulmonary Syndrome, after inhaling a previously unknown virus. Thirty-two of these people died. The pathogen that caused this illness, now known as the Sin Nombre Virus, was found to be endemic in certain species of rodent, especially the common deer mouse. A mild winter followed by a wet spring in northwestern New Mexico and northeastern Arizona produced an explosive increase in the population of deer mice and other carriers of the Sin Nombre Virus. The potential for human contact with carrier rodents and their infected body wastes greatly increased as animals moved away from their natural habitats due to added competition for food and shelter. The outbreak underscores the vital link between the air we breathe and our health.
	children playing at a water park Newspaper headlines of E-coli outbreak at water park	Every summer, millions of families head for the pool or one of America’s 400 water parks for fun and relaxation. Yet in the past decade, over 15,000 people have become ill from contact with recreational waters. In June of 1998, 26 children became seriously ill while playing at an Atlanta water park. Seven of these children were hospitalized and one child died.
	an outdoor event (e.g. picnic, softball game, etc.) or activity (e.g. a backyard barbeque scene or people sitting outside on the porch at night).	Nothing is more American than enjoying the great outdoors. We usually take the safety of our surroundings for granted. We see scourges like malaria and yellow fever as a thing of the past or as a problem confined to other countries.
	headlines of the West Nile virus epidemic	But in the summer of 1999, 62 people in the New York City area became seriously ill with West Nile encephalitis. Seven of these people died. This deadly disease is caused by the West Nile Virus and is transmitted from birds to people through the bites of infected mosquitoes. Until this epidemic occurred, West Nile Virus had never been documented in the Western Hemisphere.
11.	13:05:30 SEGMENT 05 Guests, Goals & Objectives 2:00
12.	CU CYNTHIA GOOD	Good: The sad reality is that in all these cases, the sickness and death which resulted, could have been prevented. These events give us a taste of what can happen when gaps develop in the environmental health services system. They alert us to the unknown dangers we may face.
13.		Joining me today to outline for you CDC’s new strategy to revitalize our environmental health services system are two key members of the team that developed the strategy.
14.	CU SHARUNDA BUCHANAN	Dr. Sharunda Buchanan is the Chief of the Environmental Health Services Branch in the Division of Emergency and Environmental Health Services at CDC’s National Center for Environmental Health.
15.	CU PATRICK BOHAN	Also with us is Captain Patrick Bohan, Senior Environmental Health Officer in the Environmental Health Services Branch.
16.	CU CYNTHIA GOOD	Welcome to you both.
17.	SS (Build) Program Goals · Explain need to improve and revitalize environmental health services system · SS · Outline CDC’s strategy to revitalize SS · Identify NCEH activities to improve services and practice	Today’s program has three key goals: First, we want to clearly explain why we need to improve and revitalize the nation’s environmental health services system; Second, we want to outline CDC’s strategy to revitalize the system; And third, we want to provide you with information about the ongoing activities that CDC’s National Center for Environmental Health is conducting to improve environmental health services and practice.
18.	SS (BUILD) Program Objectives · Recognize environmental health services as critical to public health SS · Recognize need to improve services and practice SS · Describe six goals to build and enhance core capacity SS · Recognize need to address existing gaps	Also, we have put together a number objectives for you as participants. By the end of the program we hope that you will appreciate and understand that environmental health services are a critical component of public health; You will recognize the importance and need to improve environmental health services and practice; You will be able to describe CDC’s six goals to build and enhance the core capacity of the environmental health services workforce; And, you will recognize the need to develop strategies, plans, and program activities to address existing gaps in the environmental health services system.
19.	CU CYNTHIA GOOD	In the course of the program we’ll also be showing you the contact numbers you can use to reach us with your comments and questions. You can call or send us a fax. Now let’s get started. Environmental health has played a critical role in the public health system of this country from the very early days. Here’s Dr. Richard Jackson, Director of the National Center for Environmental Health at the Centers for Disease Control and Prevention to explain why.
20.	13:07:30 SEGMENT 06 Dick Jackson 5:00
21.	TAPE: Cut – 3 Jackson RT: 4:00	OUTCUE: “environmental health services system.”
	CU Dick Jackson	Jackson: Environmental health is in many ways the foundation for the remarkable record of good public health that we have enjoyed in this country for well over a century. Studies suggest that more than 80% of human diseases were eliminated as a result of three factors - safe drinking water, proper sewage treatment and disposal, and the establishment and enforcement of food service standards. These public health initiatives were part of our everyday life well before childhood immunization programs were launched.
	Mock up of report with key sentence typed out	In 1850, Lemeul Shattuck wrote the Report of the Sanitary Commission of Massachusetts. This report became the blueprint for our current public health system. Shattuck recommended that state and local health departments be organized to oversee sanitary inspections, communicable disease control, food sanitation, vital statistics, and primary health care for women and children.
		By 1900, 40 of the 45 States had established health departments. Since 1900, life expectancy in the United States has increased by thirty years and public health measures - sanitation, environmental health and immunizations - account for 25 of those 30 years.
	CU Dick Jackson	But in spite of these great achievements in public health, what we’ve witnessed over the past two decades has been a steady decline in the capacity of state, tribal and local health departments to deliver basic environmental health services. At the same time we now face new and growing challenges in the environmental health arena.
		Environmental health is one of the most vital and most rapidly expanding fields of public health. The duties of the environmental health practitioner have moved far beyond that of inspector or regulator. The environmental health specialist of the 21^st century needs to be on the front lines of disease prevention, using new effective tools and methods to investigate the environmental causes of disease and mortality.
	work being done after the 9/11 attacks. If no environmental health work is available, use scenes of rescue personnel, construction workers, etc. working in the smoldering ruins.	The September 11 attacks and the environmental health response provide a dramatic example of the vital role environmental health plays in protecting the health of America. Environmental health personnel in New York City were on the front line, assuring that workers and vehicles were properly decontaminated to prevent the spread of hazardous materials or disease causing agents. Later on, they took on the task of removing contaminated foods from 75 restaurants and food stores closed because of their proximity to ground zero. They also reestablished a rodent control system by setting out more than 1,000 rat bait stations in the impacted area.
		In addition to the acute public health problems that were addressed by health agencies, the events of 9/11 alerted us to the need to better understand the chronic or long-term effects for those like firefighters and police who responded to the disaster along with those who live and work in the surrounding areas.
		The events of 9/11 have also profoundly changed the role the environmental health practitioner must play in the American public health system. We need to increase our abilities to address the ever-expanding range of environmental health issues and concerns that affect all of us. Environmental health specialists need to be provided with the knowledge, skills and tools necessary to effectively manage myriad environmental issues that can negatively impact the health and well-being of our communities.
	CU Dick Jackson	However, the reality we now face is a disturbing one. The environmental health workforce is in decline. Its symptoms are high turnover; untrained staff; few continuing education programs; non-competitive pay scales; low morale and lack of leadership!
		Our mission today therefore as partners with state, local and tribal health departments is to discuss the problems we face and decide what needs to be done to revitalize and strengthen the nation’s environmental health services system.
22.	CU CYNTHIA GOOD	Good: It is indeed a system with roots extending back a long way. To underscore the vital role played by environmental health over time, let’s hear now from Nelson Fabian, Executive Director of the National Environmental Health Association.
23.	Cut – 4 Nelson Fabian RT: 0:47	OUTCUE: “…Human health and welfare.”
	13:06:50-07:37	It just doesn’t seem possible that one could seriously talk about public health without taking into account this vast field that we call environmental health. Probably health began with EH. We can go back to the Minoan civilization and talk about water closets. And certainly we can talk about what many consider to be the birth of public health in England with the water well story in London. Environmental health has, from the beginning of our ability to conceptualize, something that we today call public health, has been at the heart of the idea that we can intervene in environmental conditions to reduce the threat of those conditions to human health and welfare.
24.	13:12:30 SEGMENT 07 Patrick Meehan 3:30
25.	CU CYNTHIA GOOD	Good: One very dramatic example of how environmental health can successfully intervene to reduce a threat is seen in the case of lead in the United States. We’ve witnessed a steep decline in the percentage of children with elevated blood lead levels from about 88 percent in the 1970s down to about 4 percent in the 1990s. It’s truly a remarkable environmental health success story and one that should inspire us today. CDC has been instrumental in the effort to prevent childhood lead poisoning by helping to initiate federal activities to reduce lead in gasoline and providing grant support and technical assistance to states, cities, and counties for primary prevention, case management, and other program activities. Their efforts, coupled with the efforts of many other stakeholders, especially at the federal, state and local level, working in partnership, have been well recognized.
26.		This is one example of what the environmental health system can accomplish when given the proper focus, tools, and resources. Our challenge now is to repeat this success across the whole system. To introduce the plan to revitalize the environmental health services system in the United States, let’s hear now from Dr. Patrick Meehan, Director of the Division of Emergency and Environmental Health Services at CDC.
27.	TAPE: Cut – 5 Meehan RT: 2:15 approx	OUTCUE: “challenges of today and tomorrow.”
	CU Patrick Meehan	As Dr. Jackson explained, the capacity for state and local health departments to manage endemic and emerging environmental health threats has been declining for many years. This decline coupled with the magnitude and complexity of environmental health issues throughout this country should convince us of the urgent need to revitalize, strengthen, and restructure the nation’s environmental health services system.
		To address these challenges, CDC’s National Center for Environmental Health established the Division of Emergency and Environmental Health Services in 2000. One of its primary missions is to improve environmental health services and practice throughout the country. To prepare for this task, we have met with many stakeholders. These include representatives of federal, state, territorial and local health agencies, tribal governments, non-governmental organizations and academic groups. The results of these meetings were incorporated into a plan which we will present to you today.
	Plan cover	The plan is entitled “A Strategy to Revitalize Environmental Health Services in the United States”. Its overarching objective is to enhance and revitalize our system of environmental health services so that it can effectively address the broad range of issues facing states, tribes, and local communities. To achieve the desired outcomes of the strategy, six major goals have been established. In the course of this broadcast, we will examine each of these goals in detail.
	CU Patrick Meehan	At the Division of Emergency and Environmental Health Services and its Environmental Health Services Branch, we recognize that revitalization must begin where environmental health services are primarily delivered. That means at the more than 3000 local health departments that serve our communities throughout the country. At CDC, we’re now ready to share this strategy with you and we ask you to work with us as partners to implement this plan. Working together, we can ensure that America will have a strong environmental health services system capable of facing the challenges of today and tomorrow.
28.	13:16:00 SEGMENT 08 Goal 1: Build Capacity 10:00
29.	CU CYNTHIA GOOD	Good: We’re now going to take a detailed look at the strategy and the six goals that Dr. Meehan talked about. Sharunda, you and your colleagues have put much time and effort into developing this strategy. What’s the first goal we need to address to improve environmental health services?
30.	CU SHARUNDA BUCHANAN CG: Sharunda Buchanan, PhD SS: Goal 1: Build Capacity	Buchanan: Well Cynthia, goal number one in our effort is to build the capacity of the environmental health services system. That means strengthening and supporting environmental health services at the state, tribal, territorial, and local levels. For some thoughts about the major challenge facing us in this area, let’s hear again from Nelson Fabian, Executive Director of the National Environmental Health Association.
31.	TAPE: Cut – 6 Nelson Fabian/Build Capacity RT: 2:15 approx	OUTCUE: “…that we’re looking to achieve.”
	13:14:43-15:17	The way that our programs are supported, or not supported, by management; the way that our work gets compromised by local officials which results in a demoralizing impact on our people. We even have reason to believe that a culture of indifference exists in our profession today. And if we don’t tackle that and get our work force to feel the inspiration that they deserve to feel given the importance of their work, then I don’t care what you do on the resource side, you’re still not going to solve the problem and in the process, build the capacity that we’re looking to achieve.
32.	CU SHARUNDA BUCHANAN	Buchanan: So the first step we need to take, as environmental health practitioners, is to re-examine our role in the public health system. The primary purpose of environmental health programs is to keep people from becoming sick or injured due to environmentally related causes. So we need to do more than just enforcement. We need to transform ourselves into specialists in the prevention of environmentally-related disease and injury.
33.		The most effective way of changing the system is through an approach we now see being adopted by many health agencies. They’re organizing the practice of environmental health services around a framework of essential public health services.
34.	CU CYNTHIA GOOD	Good: Sharunda, what do you mean when you say “essential public health services?”
35.	CU SHARUNDA BUCHANAN SS: Essential Public Health Services · Monitor Health · Investigate Health Problems · Inform & Educate · Mobilize Partnerships · Develop Policies SS: Essential Public Health Services · Enforce Regulations · Link to Services · Competent Workforce · Evaluate Services · Research	Buchanan: Good question. This table will provide a better understanding of what we’re talking about. There are ten essential services. They range from monitoring health status and diagnosing and investigating problems to assuring a competent workforce and evaluating the effectiveness of the health services provided. In terms of building capacity, they are all vitally important. We need to apply these essential health services. This requires expanding the workforce and taking advantage of new training opportunities, policy changes and improved networking.
36.	SS: Objective Expand ability to anticipate, recognize, and respond to environmental health needs and improve access to technology.	We need to encourage and provide incentives to improve the practice of environmental health primarily through using this framework of essential public health services. We believe it’s the best way to achieve our primary objective, which is to expand the nation’s ability to anticipate, recognize, and respond to environmental health needs and threats. We also need to improve access to technology.
37.	CU SHARUNDA BUCHANAN	So building capacity by applying the ten essential public health services is the first goal in the strategy.
38.	CU CYNTHIA GOOD	Good: How did building capacity emerge as a priority for the revitalization strategy?
39.	CU SHARUNDA BUCHANAN	Buchanan: As Pat Meehan mentioned, we gathered together many stakeholders to get their input on our strategy. Here’s a sample of what some of them had to say.
40.	TAPE: Cut – 7 Capacity Needs RT: 2:04 approx	OUTCUE: “respond to it in some manner.”
	Susan West - PSR - Tape #3/5:25-6:25	When it comes to the issue of local public health capacity, I think we have to really address the challenges that they face. There are a number of challenges for local public health when they're addressing environmental health, and the biggest of these is resources, staff, and infrastructure to be able to implement their programs accordingly. That's really what I want to focus on because it is very important that if we're going to be able to address these pressing environmental health issues, that we have a staff that is well trained, that is capable, that can hit the ground running when they're called upon, and in most local public health departments, that currently doesn't necessarily exist. We need to continue to train our work force and have adequate staffing that's available.
	Beth Resnick - NACCHO/JHSPH - Tape #3 27:53 - 28:22	The local environmental health system is not prepared to address new threats in addition to routine activities. The local public health infrastructure has been ignored for so long that they're operating on a very thin capacity. So to have additional tasks added on to their ordinary workday is very tough and makes it difficult.
	Doug Farquar - NCSL - Tape #8/19:14-45	You don't know if the next threat is going to be West Nile, you don't know if your next threat is going to be mercury poisoning, you don't know if your next threat is going to be a terrorist attack. You simply can't prepare for an individual attack. 08:19:25 What you need to do though and what you can do is make sure your public health and your environmental health infrastructure is properly funded, that they have the proper resources, 08:19:34 that they have people on staff that are knowledgeable and understand, so when the crisis occurs, and it will occur, that they're able to respond to it in some manner.
41.	CU CYNTHIA GOOD	Good: What are some of the activities laid out in the strategy that are specifically designed to build capacity?
42.	CU SHARUNDA BUCHANAN SS Goal 1 Activities · Increase opportunities for capacity-building demonstration projects SS: · Provide guidance, training, consultation, and technical assistance SS: · Promote efforts to implement, expand and evaluate interventions SS: · Conduct needs assessments and provide recommendations for improvement	Buchanan: We’ve identified four major activities. They are the following: First of all, increase the number of opportunities for capacity-building demonstration projects that emphasize the application of the essential public health services to environmental health. Second, provide guidance, training, consultation, and technical assistance to state, tribal, territorial, and local agencies. Third, in conjunction with our strategic partners – the Department of Housing and Urban Development, the Food and Drug Administration, state and local health departments and tribal governments as well as with other stakeholders – we should promote efforts to implement, expand and evaluate interventions to improve health and well-being for all Americans. And fourth, we need to conduct ongoing programmatic needs assessments and provide recommendations for improvement.
43.	CU SHARUNDA BUCHANAN	So those are the main activities we’re promoting to build capacity in the environmental health services system.
44.	CU CYNTHIA GOOD	Good: Can you tell us about some of the specific activities at the National Center for Environmental Health that promote capacity building?
45.	CU SHARUNDA BUCHANAN	Buchanan: Certainly, Cynthia. We’re currently funding nine projects to build the capability of environmental health programs around the framework of the essential public health services. These programs will serve as models for other programs. We hope to increase this number if additional funds become available.
46.	SS: Map showing location of states & schools	Five are state and local projects. These include the state departments of health in Iowa, New Mexico and Wisconsin; the Allegheny County Health Department in Pennsylvania, and the Island County Health Department in Washington State. We’re also funding projects in four Schools of Public Health – Emory University, Johns Hopkins, University of Alabama-Birmingham, and University of Illinois-Chicago. The four schools have been funded to help build communities of excellence in environmental health in partnership with their state and local environmental health programs.
47.		Each of these projects has a different focus and can serve as a model, so I think it would be helpful to look at two examples. The first is in Allegheny County, Pennsylvania, where the local health department has launched a comprehensive environmental health program. The department has been given primacy by the EPA for some environmental programs. We asked Jerry Barron, who has a strong background in environment health and is the deputy director for the department to tell us more about the program.
48.	TAPE: Cut – 8 Jerry Barron/Allegheny RT: 0:48	OUTCUE: “..environmental health in Allegheny County.
	12:03:05-53	Our environmental capacity building grant was developed out of meetings with community leaders and staff from the department. We all agreed that the biggest need for us was the development of environmental indicators that we could then evaluate our own programs as well as report to the community on the status of environmental health in Allegheny County. So the project is developing indicators then being able to track those indicators, developing a database, and training modules teaching staff how to use the indicators. And then evaluating programs based on those indicators will be something we’re going to use routinely to increase our capacity and improve environmental health in Allegheny County.
49.	CU SHARUNDA BUCHANAN SS: Iowa Environmental Health Program · Develop model program based on 10 essential services SS: Cover of EH Competency Project Publication (Super www.cdc.gov/nceh/ehs/default.htm)	Buchanan: The second project I’d like to focus on is a statewide effort being carried out in Iowa. The state is developing a model environmental health services program based on the ten essential public health services and core competencies for the effective practice of environmental health. The core competencies were developed by a group of national organizations with funding from CDC. More details about them can be found at our website.
50.	CU SHARUNDA BUCHANAN	Once these nine demonstration projects are complete, we will evaluate and disseminate the results to the entire environmental health community. We’ll be doing this through the CDC website and through conferences, meetings, publications, and mailings.
51.	13:26:00 SEGMENT 09 Goal 2: Support Research 6:30
52.	CU CYNTHIA GOOD	Good: Thanks, Sharunda. Now let’s move on to goal number two of the revitalization plan. Pat, what can you tell us about that?
53.	CU PAT BOHAN CG: CAPT. Patrick O. Bohan, RS, MS, MSEH SS: Goal 2: Support Research	Bohan: Well, Cynthia, our second goal is to support research….research to define effective approaches to enhance and improve environmental health services and practice.
54.	SS: 3-legged stool animation	As we’ve seen, our environment can play a dramatic role in disease outbreaks, whether they are related to air, water, sewage or food. When we conduct disease outbreak investigations, we often think in terms of a “three-legged stool”. One leg is epidemiology, ….. another is the laboratory, ………and the third is the environment. The findings of any two must be supported by the findings of the third. Two of the legs, laboratory and epidemiology, are more clearly understood and well developed. We believe it’s now time to strengthen the third leg – the environment. A thorough understanding of the role of the environment in outbreak investigations can go a long way in preventing further outbreaks.
55.		The field of environmental health and the breadth of problems it addresses requires an expanded research agenda to better understand the cause and effect relationship between the environment and health.
56.	SS: Research Priorities · Evaluate alternative methods for sewage disposal and wastewater management SS: · Establish parameters for well construction and maintenance SS: · Determine correlations between disease outbreaks and sources	Some important research needs proposed in the strategy include: Evaluating the effectiveness of alternative sewage disposal methods and identifying new and more effective approaches to wastewater management; Establishing acceptable parameters for well construction and maintenance and demonstrating the efficiency and safety of recommended approaches; Determining correlations between disease outbreaks and their sources, especially with respect to food-service establishments, water and sewage disposal systems, and mold and vector-borne diseases.
57.	SS: Goal 2 Activities · Identify environmental antecedents of disease outbreaks SS: · Interpret and disseminate research findings SS: · Promote use of Protocol for Assessing Community Excellence in Environmental Health (PACE-EH) SS: · Develop and distribute “best practices” guidelines SS: · Evaluate best practices and gaps in regulations that affect delivery and practice SS: · Implement and evaluate effective demonstration projects	Our research objectives need to focus on a number of areas: Identifying and defining the environmental antecedents of disease outbreaks. In other words, the conditions that give rise to disease. We need to interpret and disseminate our research findings to our strategic partners and other stakeholders. We need to promote the use of the Protocol for Assessing Community Excellence in Environmental Health among stakeholders which include, of course, our state, territorial, tribal and local partners. We’ll discuss this initiative in more detail later. We need to develop and distribute “best practices” guidelines and recommendations based on our latest research findings. We need to evaluate best practices and gaps related to laws, ordinances, and regulations that affect environmental health service delivery and practice. And we need to implement and evaluate the effectiveness of environmental health service demonstration projects in the natural and built environments.
58.	CU CYNTHIA GOOD	Good: Can you tell us about some of the thinking that went into determining these research priorities?
59.	CU PAT BOHAN	Bohan: Well, as in the case of building capacity, we asked environmental health researchers to share with us the challenges they face. The ongoing dialogue with our colleagues, especially in state, tribal, territorial and local health departments has been instrumental in determining our research priorities. One such colleague is a medical entomologist in the New York City Health Department who is working on the West Nile virus. Here are some of her comments.
60.	TAPE: Cut – 9 Research Needs RT: 2:18 approx	OUTCUE: “help us in making control decisions.”
	Indian entomologist NYC Tape #7/ 22:48 – 23:59 B-roll – looking at mosquitoes under microscope.	07:22:46 Right now actually there's hardly any applied research for most of the newly emerging diseases such as West Nile. There's surveillance going on and there's control activities. There's other ones that are related to the environment at this point. But we need to understand the ecology of the mosquitoes, the ecology and biology of the mosquitoes that transmit this disease. So applied research programs need to be encompassing these aspects of the mosquitoes, the primary aspects of mosquito biology and ecology to know where the disease is occurring and the mosquito behavior, what they feed on, whether they're feeding on just birds, whether they're feeding on mammals, or birds and mammals, because those kinds of research information will tell us what we should do to bring down the disease incidence and also to control the mosquitos.07:23:58
	Indian entomologist NYC Tape #8/1:24 - 2:31 B-roll talking with colleague	We have collected 2 years of surveillance data both mosquito surveillance and dead bird surveillance, and we also have human surveillance data. So my next step is to do a GIS analysis bringing all the environmental components like weather, habitats, water bodies around the city. Bringing all the environmental components and the census tracts, so we know where the population is concentrated in the city and laid and do a special analysis with all the surveillance data we have. This would help us to predict what we can expect for the next season and right now I'm working on the GIS analysis and this information can be used to predict what the disease incidence is going to be like for the next season and also it would help us in making control decisions. 08:02:30
61.	CU CYNTHIA GOOD	Good: What research activities is the National Center for Environmental Health currently supporting?
62.	CU PAT BOHAN SS: US map highlighting with 8 EHS-Net locations. CT,CO,NY,TN,GA,CA,OR,MN SS: EHS-Net Purposes · Develop problem-solving methodology using system approach SS: · Develop database of environmental antecedents to foodborne outbreaks SS: · Provide training for practitioners	Bohan: One of our highest profile research priorities relates to the establishment of the Environmental Health Specialist Network, also known as EHS-Net. This network focuses on identifying the contributing factors to food borne disease. It’s now in its second year of operation and is based in eight locations around the country. EHS-Net has a three-fold purpose: First, we want to develop a problem-solving methodology for environmental health services using a systems approach to identify the underlying conditions that contribute to the risk factors of disease. Secondly, EHS-Net is developing a database of environmental antecedents to food-borne outbreaks and is translating the results of its findings to improve environmental health practice. And thirdly, EHS-Net is providing training opportunities for environmental health practitioners.
63.	CU PAT BOHAN	In the long term, we’re planning to expand EHS-Net activities beyond the eight states currently funded and to address other issues besides food safety.
64.	13:32:30 SEGMENT 10 Goal 3: Foster Leadership 5:00
65.	CU CYNTHIA GOOD SS: Goal 3: Foster Leadership	Good: Thank you, Pat. Sharunda, let’s move on to the third goal of the revitalization plan, which is fostering leadership. Let’s hear first from one of your colleagues in the environmental health field.
66.	TAPE: Cut – 10 Leadership Needs RT 0:15 approx	OUTCUE: “that’s sustainable as well.”
	Carl Osaki 01:04:00	One of the real challenges I think that is facing us has to do with the loss of leadership in environmental health in the next four, five, six years. We’re going to have to try to figure out how to ensure that the leadership that’s coming up is trained, is aware of the dynamic public health nature of things and make sure that we have a good leadership that’s sustainable as well.
67.	CU SHARUNDA BUCHANAN SS: Phone In #s	Buchanan: In the environmental health field, especially at the federal, state, tribal, territorial and local levels, the most critical message that leaders can deliver is to underscore the value and importance of environmental health as an integral part of public health practice. The purpose of environmental health is to improve health and prevent disease and this needs to be recognized both inside and outside public health circles. It’s absolutely critical therefore that we develop leaders who can accomplish this.
68.	SS: Fax #s for Questions	At present, the environmental health services system is severely undervalued. There’s a shortage of adequately prepared practitioners, pay is low, and there are no standards by which the performance of practitioners can be measured. There’s also a need to increase the number of minorities entering this field. To build the leadership necessary to accomplish these pressing tasks requires that we provide guidance, training, and assistance to state, territorial, and local health departments, tribal governments, and other stakeholders, and this we intend to do.
69.		Today there’s an acute need to train leaders in environmental health to prepare for the challenges we face tomorrow. Our leaders must clearly understand the role and importance of environmental health. They must understand the core functions of public health and how to apply the ten essential services of public health to environmental health. In addition, our leaders need to be proficient in the use of problem-solving methodologies so that the most effective prevention measures can be developed, applied, and evaluated.
70.		We also need our academic institutions to provide leadership training opportunities in the practice of environmental health to better prepare practitioners entering the environmental health workforce, especially in state, local and tribal programs.
71.	CU CYNTHIA GOOD	Good: What are some of the things we can do to promote leadership in the environmental health field?
72.	CU SHARUNDA BUCHANAN SS: Goal 3 Activities · Introduce CDC environmental health strategy SS: · EH List-Serv www.cdc.gov/nceh/ehs/default.htm SS: · Develop EHS guidance SS: · Increase number of highly trained professionals in EH field CU SHARUNDA BUCHANAN	Buchanan: First, we need to support conferences, including video-conferences like this one, and take advantage of opportunities to introduce CDC's environmental health strategy to as broad an audience as possible. Also we need to encourage the use of CDC's Internet-based Environmental Health List-Serv which provides a very useful interactive service to health professionals who have questions or contributions to make about environmental health services. We would like to see it more widely used by our colleagues. You can find the instructions for subscribing to the List-Serv at our website. We must develop environmental health services guidance documents and recommendations and ensure they are widely disseminated. We need to increase the number of highly trained professionals in the field of environmental health services. One way of doing this is to develop a National Environmental Health Services Corps and perhaps an Environmental Health Leadership Institute. We are exploring ways to do this right now.
73.	B-roll – CDC facilities SS: Phone #s (over B-roll)	Let me take a moment to explain this last idea in more detail. We envision the National Environmental Health Service Corps as a fellowship program composed of environmental health professionals who receive specialized training and gain practical experience in the application of the essential public health services to environmental health. We envision that this would be a two-year program. Students would receive short-term training at CDC’s National Center for Environmental Health and then be assigned to a state or local health department to apply what they have learned.
74.	SS: Fax #s for Questions	The Environmental Health Leadership Institute that we’re proposing would be available for environmental health practitioners currently in positions of management, leadership, or with the potential to move into leadership positions. These individuals would spend time learning about the role of environmental health in public health and about how the essential public health services apply to the management of their environmental health programs. We will keep you informed on our progress in developing these initiatives through the CDC website.
75.	13:37:30 SEGMENT 11 Goal 4: Communications 6:00
76.	CU CYNTHIA GOOD	Good: Thank you, Sharunda. Time to move on now to the environmental health revitalization plan’s fourth goal. Pat, what can you tell us about that?
77.	CU PAT BOHAN SS: Goal 4: Communicate & Market	Bohan: Well, Cynthia, the plan’s fourth goal focuses on communication and marketing. We need to improve communication and information sharing within our own field, and with policymakers, academia and the general public, so that we all have a clearer understanding of the need to improve environmental health services and practice.
78.		New and emerging environmental hazards and threats and the growing complexity of related diseases HAVE heightened public awareness of environmental issues. Unfortunately, many people are NOT aware of the various federal, state, tribal, territorial, and local programs that provide environmental health services or how to access these services. In addition, many people don’t understand the role that environmental health practitioners play in public health. And media coverage often fails to address environmental health priorities as well as the consequences facing us if we don’t act.
79.	CU CYNTHIA GOOD	Good: Pat, I understand that some of your colleagues had some important insights about the role communication can play in environmental health. Let’s take a look at them.
80.	TAPE: Cut – 11 Communication Needs RT : 1:40 approx	OUTCUE: “so that we invest the resources in its efforts.”
	Carl Osaki - Tape #01:11:37 –12:37	Local and state health departments need to prepare for working with communities in a different way. They need to be more proactive to share with the community, the assessment of environmental health issues and problems before they arise. They need to work more effectively with schools of higher education for example in developing partnerships. They need to be working more effectively with private and other non-profit organizations in addition with their governmental partners. They need to figure out how to work more effectively with the policy-makers that actually make the decisions regarding funding and programs. We need to try to figure out how to communicate more effectively and how to illustrate the benefits and the value of what we do in a way that can resonate and people can understand what we do in a way that is clear and concise.
	Susan West - Tape #3/7:11 - 7:30	The final thing I want to say is that local public health, when it works well, it's quiet. We don't see it when it's effective. We see it when there's a crisis. And I think that sometimes we don't value it as a nation as much because it's quiet, it's under the radar screen. We need to figure out ways to elevate its prominence in communities so that we invest the resources in its efforts.
81.	CU PAT BOHAN SS: Phone #s	Bohan: I think it’s clear that to effectively communicate and market the importance of environmental health, we first need to understand and apply the essential services.
82.	SS: Fax #s for Questions	We also need to recognize and be able to deal with the cultural differences among and within communities. Solutions to environmental health problems often fail if they don’t address the unique needs, beliefs, and practices of communities.
83.		And let’s not ignore the need to enhance and improve communication WITHIN the environmental health community itself and with other public health agencies. It’s vitally important to improving public health practice. We need to do a better job of sharing information if we are to prevent exposure and related diseases.
84.	CU CYNTHIA GOOD	Good: What are you planning to do to promote effective communication and marketing?
85.	CU PAT BOHAN SS: Goal 4 Objective 1 · Identify community-based strategies to elevate EHS image and importance SS: Supporting Activities · Sponsor and participate in EHS conferences and meetings SS: · Engage national agencies and organizations to develop educational strategies and materials SS: · Support development and distribution of effective EHS guidance, e.g. PACE-EH	Bohan: Cynthia, that’s an excellent question. Our first priority is to identify and promote community-based strategies that will elevate the image and importance of environmental health services and raise awareness of the need to improve them. And we can do that in various ways. As Sharunda mentioned earlier, we can sponsor, support, and participate in national, regional, state, and local conferences and meetings on environmental health services. We can engage national agencies and organizations to develop strategies and materials to educate our environmental health colleagues, the public and especially policy makers on environmental health issues. We can also support the development and distribution of guidance documents to promote effective environmental health services. A good example is the Protocol for Assessing Community Excellence in Environmental Health, also known as PACE-EH, that we briefly touched on earlier.
86.	SS: PACE-EH document cover	The PACE-EH document was developed by NACCHO – the National Association of County and City Health Officials – with support from CDC. This protocol is excellent for communicating and marketing the value of environmental health to community stakeholders. PACE-EH also fosters collaboration among public health agencies and the community so that they work together to assess environmental health needs.
87.	SS: Goal 4 Objective 2 · Gain community support and participation SS: · Recommend and disseminate best models SS: · Support effective methods for marketing	Another method of improving communications is through education and best practices, especially those which gain community support and participation in addressing environmental health service issues and concerns. We need to recommend and disseminate information on the best environmental health service models to engage and empower local communities. And we need to support activities that demonstrate effective methods for marketing the need to improve environmental health services.
88.	13:43:30 SEGMENT 12 Goal 5: Work Force 8:00
89.	CU CYNTHIA GOOD	Good: Thanks, Pat. Sharunda, tell us about goal number five of the environmental health revitalization plan.
90.	CU SHARUNDA BUCHANAN SS: Goal 5: Develop Workforce	Buchanan: Cynthia, the fifth goal is one that will surely generate a lot of interest. Goal five is to develop a competent and effective environmental health services work force.
91.	CU CYNTHIA GOOD	Good: Sharunda, some of your colleagues are quite vocal about the need to improve the environmental work force. Let’s hear what they have to say.
92.	TAPE: Cut – 12 Workforce Needs Michael Mills RT: 3:10 approx	OUTCUE: “to serve the public.”
	Michael ? Tape #7/9:33-10:19	I'm a graduate of Brooklyn College. I was a health science major. I joined the department of health three years ago as a pest control inspector. My greatest wish for the department is that they allow us an opportunity to go back to school to further our education in terms of areas that we want to specialize in, and I'd also like to see us be more involved with the community as far as educating people and not always enforcing health orders.
	Mohammed Ahkter - Tape #05:06:15-06:52 (5/6:15 - 6:34)	As we start to look at the public health work force and there are about half a million people who work in public health full time at the state, federal and local level. And when we look at in detail or in depth the public health work force, we see that there are major gaps. And the major gap is in the environmental health arena. We have done wonderful work in epidemiology, we've done wonderful work in health management, we've done wonderful work in program planning. But when it comes to environment, we really have not paid sufficient attention to preparing the right kind of work force to do the job that needs to be done.
	Carl Osaki - Tape #01:14:00-50	We need to ensure that people are trained adequately even before they come into the workforce. We know that there’s a difficulty, particularly in remote and rural departments in hiring adequate and competent people. We need to make sure that before they come in that they’ve had some type of understanding and training either through schools or within the organizations that are existing right now that can help with this effort - environmental health associations and so on. These are some of the things that I think we should do to start preparing people to understand that environment health is a constant, dynamic changing job and that it’s a constant lifelong learning process that has to be dealt with.
	Ted Pratt Tape #2/10:37-11:36	Only 20% of the students trained in graduate level in public health and environmental health it’s estimated actually go into the service of local health departments because the salary range isn’t as competitive as it is in private industry. So for local boards of health and health departments to hire and retain the kind of personnel they need to do the work it ensures protecting the public health, they need greater resources. It needs to be recognized that we have to pay a competitive wage to get the skilled men and women we need at the local level to serve the public.
93.	CU SHARUNDA BUCHANAN	Buchanan: These observations are all the more important when we consider that environmental health practitioners make up nearly 20 percent of the public health workforce in local programs. They have no special education or certification requirements. Although a college degree is the stated minimal requirement to enter the environmental health field, many local health departments hire workers with only a high school diploma. No formal set of competencies defines their performance. New employees often learn on the job by observing experienced environmental health professionals. Frequent turnover of staff is also a problem which is exacerbated, at least in the public sector, by low pay.
94.	SS: Phone In #s	Developing a more effective environmental work force will require action on many different fronts, two of the most important being education and training.
95.		There are a total of 24 accredited undergraduate programs of environmental health. These programs, accredited by the National Environmental Health Science and Protection Accreditation Council, are presently not graduating enough students to meet the demand in environmental health services.
96.		The potential consequences of an under-prepared and understaffed work force are a serious cause for concern. Few resources are committed to preparing future environmental health practitioners and providing training opportunities for those already in the environmental health work force. So we urgently need to increase the number of graduates from accredited programs in environmental health as well as increase the training opportunities available to current environmental health practitioners, particularly at the local level.
97.		To date, only 18 states require environmental health practitioners to pass a standardized examination. We need to increase this number to ensure that we have a competent work force in the field of environmental health.
98.	CU CYNTHIA GOOD	Good: What is CDC doing to help revitalize the environmental health workforce?
99.	CU SHARUNDA BUCHANAN SS: Goal 5 Activities · Define performance standards SS: · Define training and continuing education needs SS: · Expand efforts to improve recruitment and retention	Buchanan: Cynthia, the revitalization plan lays out a number of strategies that we want to pursue. We plan to define a set of environmental health services performance standards. We also will work to define the training and continuing education needs of the environmental health service work force. And we plan to expand efforts to improve the recruitment and retention of competent and effective practitioners in the field of environmental health services, with special emphasis on the recruitment and retention of minorities.
100.	CU CYNTHIA GOOD	Good: And what is CDC’s National Center for Environmental Health doing to promote these activities?
101.	CU SHARUNDA BUCHANAN SS: Fax #s for Questions	Buchanan: Currently, we’re working with both the Association of Environmental Health Academic Programs – AEHAP – and the Association of Schools of Public Health – ASPH – to address many of the issues of concern in the field of practice. With AEHAP, we’re working to increase the number of accredited environmental health undergraduate programs, as well as working to increase the number of graduates from the accredited programs. We’re also working to increase the number of minorities entering the field of practice.
102.		With the ASPH, we’re working to develop training modules for the application of the essential services of public health to environmental health. Work on this project is being done at the University of Washington School of Public Health. We are also supporting work at Tulane University to develop training modules for environmental health practitioners just entering the field. These modules will be made available to all programs to assist in orienting practitioners to the various technical aspects of environmental health practice.
103.	13:51:30 SEGMENT 13 Goal 6: Partnerships 5:00
104.	CU CYNTHIA GOOD	Good: Thanks Sharunda. In a little while we’ll be starting our discussion session. So be sure to call or fax your questions and comments. And now Pat, tell us about the sixth and final goal in CDC’s revitalization plan.
105.	CU PAT BOHAN SS: Goal 6: Create Strategic Partners	Bohan: Cynthia, our final goal is to create strategic partners…to foster interactions among agencies, organizations, and interests that are able to influence the improvement of environmental health services.
106.		If we are to effectively practice our profession, we need to build and expand strategic partnerships, especially with policymakers. These would include boards of health, governing bodies of local jurisdictions, land-use planning boards and organizations. We also need to work more effectively with the media. And let’s not forget the importance of working with the community and the private sector including industry. Several of our colleagues have interesting perspectives on how to go about fostering partnerships and interest. Let’s listen to what they have to say.
107.	TAPE: Cut – 13 Partnership Needs RT: 1:30	OUTCUE: “…..get the changes that you need.”
	Doug Farquar - Tape #8/14:43 – 16:10	08:14:41 Well, one thing I find interesting in working with state legislators is that they are very interested in hearing from the local departments of health, the local governments, and even the state governments about what's going on. It is very difficult being at the state level or the local level to communicate directly with state legislature. Obviously that would be considered somewhat lobbying. They really need to work through either the mayor's office or the county commissioners or their governor to work with the legislature and that does create a barrier there. You don't have that direct one-on-one access. And I don't know if many legislators like that system but it's a system that's in place.
	Jerry Barron 12:07:38-08:11	We found that the only way to institutionalize whatever we do as a health agency is to work with the community. We alone are not going to solve any problems, aren’t really going to get the most use out of the indicators that we develop unless you have partnerships and community buy-in to those things. So it’s critical I think to public health and anything that we do on the human health side or environmental side to involve the community because without them, you’re really not going to the get the changes that you need.
108.	CU PAT BOHAN	Bohan: Environmental health programs that practice and implement the essential public health services understand the value of these partnerships. Programs that function in a strictly regulatory capacity, without being able to easily quantify the benefits of their work, have a greater challenge.
109.	SS: PACE-EH document cover	I’ve already mentioned the PACE-EH document. Using this protocol is also a very effective way of developing partnerships, especially in communities. It provides a practical method to identify the environmental health issues of concern, determine how best to address them and then evaluate effectiveness of the interventions that are put in place.
110.	SS: Goal 6 Activities · Coordinate and promote activities SS: · Identify stakeholders SS: · Encourage stakeholders to work together SS: · Develop and promote regular communication and coordination	I’d like to outline three major activities aimed at creating partnerships: We need to coordinate and promote activities that identify stakeholders, and foster communications and interactions among those agencies, organizations, and interests that influence environmental health services. This includes identifying stakeholders who can have an impact on improving environmental health services in both the natural and built environments. I think it also bears repeating that we need to support activities, such as conferences, meetings, and seminars, that encourage stakeholders to work together to improve environmental health. And we need to develop and promote regular communication and coordination among all those with an interest in environmental health.
111.	CU PAT BOHAN	The CDC worked with many partners as we developed the strategy to enhance the practice of environmental health services and we are very grateful to all those who have assisted us in mapping out a way to revitalize the nation’s environmental health services system.
112.	13:56:30 SEGMENT 14 CE Information 2:00
113.	CU CYNTHIA GOOD SS: www.cdc.gov/nceh/ehs	Good: Thank you, Pat and Sharunda, for introducing us to the six goals outlined in CDC’s new strategy to revitalize environmental health services in the United States. Clearly, the plan provides an opportunity for everyone to become involved in the effort to improve our environmental health services system. I’d like to point out that the full text of the strategy is available on CDC’s website, [www dot c-d-c dot gov slash n-c-e-h slash e-h-s]
114.	SS: Phone #s	In a moment we’re going to take a short break. When we come back we’ll be ready to take your questions and comments, so please keep those lines ringing and the faxes coming in. Before we break, here’s some important information about continuing education credit.
115.	SS: National Environmental Health Association www.neha.org	Continuing education credit is available from the National Environmental Health Association for NEHA members at their website. Just click on the continuing education link and download the Continuing Education form. Along with your completed form you must send a printout of the program announcement from CDC’s website as an attachment.
116.	CU CYNTHIA GOOD SS: www.phppo.cdc.gov/phtnonline	Even if you’re not applying for continuing education credit, we want you to register using the PHTN online registration system. We would appreciate receiving your feedback about the program. Your comments on the strategy and activities to improve the nation’s environmental health services are extremely important to us.
117.	CU CYNTHIA GOOD SS: Enhancing Environment Health Practice in the 21^st Century continues in a moment. Countdown Clock???	So after the program, please register on-line and send us your comments. And now we’re going to take our break. See you in 5 minutes. [Music]
118.	13:58:30 SEGMENT 15 Q&A Session 26:30
119.	CU CYNTHIA GOOD	Good: Welcome back. We’re joined now by Dr. Richard Jackson, Director of CDC’s National Center of Environmental who you saw at the beginning of the broadcast. Dr. Jackson is here to help answer questions on the important topic we’re addressing today, Enhancing Environmental Health Practice in the Twenty First Century. Our first question is from [CALLER’S FIRST NAME and STATE].
120.	14:25:00 SEGMENT 16 Wrap Up 4:30
121.	CU CYNTHIA GOOD SS: E-mail Additional Questions to: EHS@cdc.gov	Good: I’m afraid that’s all the time we have for your calls. However, if you weren’t able to get through to our operators or think of a question later, you can still send them in. The e-mail address to use is: e-h-s at c-d-c dot gov. Answers to all questions will be posted on the environmental health services website in the coming weeks. We hope the information we presented today to revitalize our environmental health services system will prove useful to you whether you’re a practitioner, policymaker, or interested observer. Environmental health services touch everyone’s life every day. I’d now like to ask our panelists to say a few final words. Let’s start with you Sharunda.
122.	CU SHARUNDA BUCHANAN	Buchanan: Thanks, Cynthia. Let me start by quoting from an editorial that appeared in The Journal of the American Medical Association. “There has probably never been a time in the history of this country, when trained, competent, and efficient health officers were needed as much as they are now. It’s unfortunate that in the absence of epidemics too little attention is paid to those whose duties require them to guard the public health.” This passage was written in 1893, but it still applies today, especially within the context of our efforts to revitalize and improve environmental health services and practice in the United States.
123.		The plan we’ve unveiled is designed to make environmental health highly visible. It’s no longer simply about providing a service – whether it’s inspecting food or septic tanks. Environmental health is an integral part of public health. Implementing this strategy will enhance our ability to achieve our vision to enhance environmental health practice in the twenty-first century.
124.	CU CYNTHIA GOOD	Good: Thanks, Sharunda. Pat, any final thoughts?
125.	CU PAT BOHAN	Bohan: As someone who has been in this field for thirty years, I believe that this strategy provides us with a great opportunity to move the field of environmental health forward. I encourage your participation as a vital partner in this process. Thank you.
126.	CU CYNTHIA GOOD	Good: Thanks, Pat. Dick, you started us off today. What final message we you like to pass on to our viewers?
127.	CU DICK JACKSON	Jackson: In the aftermath of 9/11 we all have an added appreciation for the vital role played by the environmental health services work force. Implementing the strategy we’ve outlined to you today will allow us to create an environmental health services system that will help to ensure the health and well-being of all Americans. I strongly encourage your support in our effort to implement this landmark strategy.
128.	CU CYNTHIA GOOD SS: www.phppo.cdc.gov/phtnonline	Good: Thanks, Dick. Before we go, here are a few final housekeeping reminders. Please be sure to visit the program website and give us your comments about today’s program.
129.	SS: National Environmental Health Association www.neha.org	To obtain you continuing education credit visit the National Environmental Health Association website and download the form. Remember you must be a NEHA member. Be sure to submit your form and other support material as soon as possible.
130.	SS: www.phppo.cdc.gov/phtn/	If you’d like to review today’s program again, you can do so by logging on to CDC website and following the links. The broadcast will be archived there for the next 60 days.
131.	SS: www.cdc.gov/nceh/ehs	We’d also like to remind you that if you have questions or contributions to make about environmental health services to please join CDC’s Environmental Health List-Serv. Instructions on how to do this can be found at the environmental health services website.
132.	CU CYNTHIA GOOD	My thanks to our panel members for joining us today. [TO CAMERA] And thank you too for taking the time to be with us to discuss the important topic of Enhancing Environmental Health Practice in the Twenty-First Century. We wish you the best of luck. On behalf of everyone at CDC and the Public Health Training Network, I’m Cynthia Good wishing you a good day from Atlanta.
133.	14:29:30 SEGMENT 17 Closing Credits 0:30	SOT

Revised Final Script

AUDIO

Opening Titles 1:00

Moderator Intro 1:30

SS:

Closing Credits 0:30