>>WELCOME EVERYONE TODAY
TO THIS WORKSHOP.
AND DEPENDING ON WHERE YOU ARE
JOINING US FROM, GOOD MORNING,
GOOD AFTERNOON, OR GOOD EVENING.
AND FOR THOSE WHO ARE ABLE TO
JOIN US YESTERDAY, AND WOW
WASN'T IT JUST AN AWESOME DAY
YESTERDAY, WE THANK YOU FOR YOUR
TIME AND APPRECIATE YOU COMING
BACK.
MY NAME IS DREW BREMER AND IT IS
MY PRIVILEGE TO WELCOME YOU TO
THE SECOND DAY OF THIS 2 DAY
WORKSHOP TITLED: BRIDGING THE
THE BIOLOGICAL AND COMMUNICATION
SCIENCES ON NUTRIENTS AND
ENVIRONMENTAL CONTAMINANTS IN
FOODS TO SUPPORT CHILD
DEVELOPMENT.
AND AS I JUST ALLUDED TO
YESTERDAY'S SESSIONS WERE
FANTASTIC AND I'M SURE TODAY'S
TALKS AND DISCUSSIONS WILL BE
EQUALLY AS ENGAGING AND
INFORMATIVE.
BEFORE MOVING AHEAD, I WANT TO
AGAIN CALL OUT, AND SPECIFICALLY
RECOGNIZE, KIMBERLY GIBBS FROM
THE EUNICE KENNEDY SHRIVER.
I ALSO WOULD LIKE TO THANK THE
OTHER MEMBERS OF THE ORGANIZING
TEAM, INCLUDING ASHLEY VARGAS,
KELLIE CASABEL, JONATHAN LYNCH,
GENE HERRING, CASEY
Mc COTTERIS AND ROBIN
Mc KINON, AND IN ADDITION TO
ALL OF OUR SPEAKERS AND
PANELISTS.
FURTHER MORE I WOULD LIKE TO
THANK EVERYONE BEHIND THE SCENES
WHO ARE PROVIDING THE LOGISTICAL
AND I.T. SUPPORT.
AND THOSE JOINING US ON
VIDEOCAST, THANK YOU FOR TAKING
THE TIME TO WATCH THE WORKSHOP
AND PLEASE FEEL FREE TO SEND
COMMENTS AND QUESTIONS FOR THE
WORKSHOP.
IT WAS ON THE PREVIOUS SLIDE:
NICHDFDAFEBWORKS @MAIL.NIH.GOV.
YESTERDAY'S SESSIONS FOCUSED ON
KEY DIETARY NEW TRIENTS TO
SUPPORT CHILD TWEPMENT, THE
PROTECTED ROLE OF NUTRIENTS AND
THE ROLE THAT EXPERIMENTAL
MODELS PLAY IN HUMAN NUTRITION
AND TOXICOLOGY RESEARCH.
TODAY'S GOING TO BE EQUALLY AS
FUN BUT WE WILL PIVOT A BIT
TODAY AND FOCUS ON RISK
COMMUNICATION SCIENCE.
AND TO KICK THINGS OFFER, WE'RE
SO GRATEFUL TO HAVE DR. LAURA
LINDENERKS FELD, SHE IS THE DEAN
OF THE STONY BROOK SCHOOL OF
COMMUNICATION AND JOURNALISM AND
EXECUTIVE DIRECTOR OF THE ALAN
ALDA CENTER FOR COMMUNICATING
SCIENCE.
HE HAS A Ph.D. FROM YRT OF
CALIFORNIA DAVIS, AND AS SEEN
SHE OVERSEES FACULTY
COMMUNICATION AND MEDIA
PROFESSIONALS, SCIENCE
COMMUNICATORS AND JOURNALISTS TO
CREATE AND SHARE ACCURATE
ENGAGING AND INCLUSIVE MESSAGES
TO DIFFERENT AUDIENCES.
AND AS THE ALDA CENTER EXECUTIVE
DIRECTOR, DR. LINDENFELD
OVERSEES A DYNAMIC ORGANIZATION
THAT TRAINED OVER 20,000
SCIENTISTS WORLD WIDE.
IMPORTANTLY THE ALDA CENTER
PROVIDES RESEARCH AND PRACTICE
TO ADVANCE EFFECTIVE AND
EMPATHIC SCIENCE COMMUNICATION
AND DR. LINDENFELD'S WORK DRAWS
FROM THE IDEA THAT WE CAN MAKE
BETTER MORE INFORMED DECISIONS
ABOUT HOW WE MAY SHAPE OUR
COLLECTIVE FUTURE.
WITH THAT IT IS MY HONOR AND
PRIVILEGE TO WELCOME
DR. LINDENFELD TO KICK DAY 2 OF
THE WORKSHOP.
DOCTOR?
>>THANK YOU SO MUCH DREW.
GOOD MORNING EVERYONE.
THANK YOU FOR ATTENDING THE
SECOND DAY OF THE NIH FDA
WORKSHOP, BRIDGING THE
BIOLOGICAL AND COMMUNICATION
SCIENCES, NUTRIENTS AND
ENVIRONMENTAL CONTAMINANTS TO
SUPPORT CHILD DEVELOPMENT.
YESTERDAY'S PRESENTATIONS I
UNDERSTAND FOCUS MAINLY ON 3
TOPICS, FIRST CHILD DEVELOPMENT
OUTCOMES AND KEY CHALLENGES AND
ADEQUATE NUTRIENT INTAKE.
THE SECOND THE PROTECTIVE ROLE
OF NUTRIENTS AND LASTLY RESEARCH
OPPORTUNITIES IN FOOD, NUTRIENTS
AND THE EFFECTS OF ENVIRONMENTAL
EXPOSURES.
TODAY THE FOCUS WILL BE ON RISK
COMMUNICATION SCIENCE AND I WANT
TO SAY AS A MOTHER OF A NOW 20
YEAR-OLD SON, I'M REALLY
GRATEFUL FOR THE WORK THAT YOU
DO, I DRAW ON IT PERSONALLY IN
MY LIFE.
MY NAME IS LAURA LINDENFELD, AND
I AM DEAN OF STONY BROOK
UNIVERSITY, ALA ALDA SENDS HIS
WARMEST GREETINGS, I KNOW HE
WISHES HE COULD BE HERE AS WELL.
THE ALDA CENTER IS THE LEADING
SCIENCE COMMUNICATION RESEARCH
AND TRAINING ORGANIZATION IN THE
U.S. AND WE'VE WORKED WITH OVER
20,000 RESEARCHERS AND
HEALTHCARE PROFESSIONALS ACROSS
THE GROAB TO HELP THEM SHARE
THEIR SCIENCE AND INGAUGE RPGHTS
EFFECTIVELY.
REALLY DELIGHTED TO HAVE A FEW
MOMENTS WITH YOU TODAY.
WE HAVE A UNIQUE APPROACH THAT
ALAN ALDA INITIATED WHICH
COMBINES SOCIAL SCIENCE
RESEARCH, COMMUNICATION STRATEGY
BUILDING AND OF COURSE
IMPROVISATIONAL THEATER TO HELP
EXPERTS LIKE YOURSELVES, FROM A
WIDE RANGE OF FIELDS CONNECT AND
COMMUNICATE WITH OTHERS.
WE BELIEVE FIRMLY THAT EFFECTIVE
COMMUNICATION CAN HELP TO BUILD
A FAIR MORE JUST, MORE RATIONAL
WORLD.
REALLY THRILLED TO BE HERE WITH
YOU TODAY AND HELP YOU KICKOFF
THE SECOND DAY.
THE NIH AND FDA HAVE BROUGHT YOU
TOGETHER TO DISCUSS SUCH AN
IMPORTANT TOPIC IN OUR SOCIETY
THE ROLE OF NUTRIENTS AND
ENVIRONMENTAL CONTAMINANTS IN
FOOD IN CHILD DEVELOPMENT.
THIS IS THE TOPIC THAT IMPACTS
MILLIONS OF PEOPLE IN THEIR
EVERY DAY LIVES.
AND THOSE INDIVIDUALS ALL WANT
AND NEED INFORMATION THAT'S
ACCESSIBLE AND ACCURATE TO HELP
THEM MAKE DECISIONS FOR
THEMSELVES AND THEIR FAMILIES
LIVES.
I'M REALLY DELIGHTED THEREFORE
THAT THE NIH AND FDA
INTENTIONALLY ARE INCLUDING
SESSIONS DEDICATED TO RISK
COMMUNICATION IN THIS WORKSHOP.
PERSONALLY, I WILL SAY AS AN
ENVIRONMENTAL COMMUNICATIONS
RESEARCHER, THIS TOPIC IS NEAR
AND DEAR TO MY HEART AND I SPENT
A LOT OF TIME STUDYING FOOD AND
CULTURE.
SO YOUR WORK AND REALLY
PERSONALLY DISP PROFESSIONALLY
RELEVANT TO ME.
THE ALDA CENTER IS REALLY
HONORED TO START OFF THE SECOND
DAY OF YOUR MEETING AND I'M
CONFIDENT THAT THE SESSIONS WILL
CONTRIBUTE TO EFFORTS THAT
PROVIDE AN EVIDENCE-BASIS TO I
INFORM FUTURE POLICIES ON FOOD
AND NUTRITION AND TO INCREASE
TRANSPARENCY AND SCIENCE BASED
COMPLIEWNICATION AROUND
NUTRITION AND FOOD.
PLEASE DON'T HESITATE TO REACH
OUT TO ME OR US AT THE ALDA
CENTER IF THERE'S ANYWAY WE CAN
BE OF SERVICE TO YOU.
HAVE A WONDERFUL DAY AND THANK
YOU AGAIN FOR INVITING ME TO
JOIN.
>>THANK YOU DR. LINDENFELD FOR
THAT OPENING FOR TODAY'S
DISCUSSION ON RISK COMMUNICATION
IN SCIENCE.
AND DEPENDING WHERE YOU'RE
JOINING US FROMMED, GOOD
AFTERNOON, GOOD EVENING.
IT IS MY PLEASURE TO WELCOME YOU
TO DAY 2 OF THE WORKSHOP.
MY NAME IS TINA EAR AND I'M A
POST DOCTORAL FELLOW AND A SIPS
FAN AT FDA, IT IS MY PLEASURE TO
INTRODUCE THE MODERATOR FOR
TODAY'S SESSIONS MR. JONATHAN
LYNCH.
JONATHAN IS THE DEPUTY ASSOCIATE
DIRECTOR FOR COMMUNICATION FOR
DIVISION OF ENVIRONMENTAL HEALTH
SCIENCE AND PRACTICE AT CDC, HE
HELPS LEAD MULTIPETRESSABLE
ENVIRONMENTAL HEALTH OUTREACH
AND COMMUNICATION OUTREACH
ACTIVITY INCLUDING CDC'S HEALTH
NEXUS, AND NOW IT IS MY PLEASURE
TO HAND IT OVER TO JONATHAN TO
BEGIN OUR FOURTH SESSION OF THE
WORKSHOP, RISK COMMUNICATION
SCIENCE AND FEDERAL
COMMUNICATION ACTIVITIES.
>>THANK YOU TINA AND THANK YOU
SO MUCH EVERYONE FOR BEING HERE.
YESTERDAY, WAS MUCH MORE FOCUSED
ON THE SCIENCE, TODAY WE'RE
GOING TO TALK ABOUT HOW TO
COMMUNICATE THAT SCIENCE TO THE
PUBLIC WHICH COULD INCLUDE
EVERYONE FROM CONCERNED PARENTS
TO NUTRITION PLANNERS, FOR
HOSPITALS, AND SCHOOLS TO
CLINICIANS WHO NEED TO OFFER
NUTRITION ADVICE TO THEIR
PATIENTS.
OUR FIRST PRESENTER TODAY IS
KELLIE, CASAVALE, SENIOR SCIENCE
ADVISOR FOR NUTRITION UPON.
KELLIE?
>>THANK YOU, JONATHAN, ARE YOU
SEEING MY SLIDES ALL RIGHT?
>>LOOKS GOOD.
>>ALL RIGHT, WELL, THANK YOU SO
MUCH AS JONATHAN MENTIONED I'M
KELLIE CASAVALE, SENIOR
NUTRITION ADVISOR AT THE USFDA,
THANK YOU FOR ALLOWING ME TO BE
PART OF THIS DISCUSSION, SHARING
OUR EXPERIENCES, PUBLIC HEALTH
WINS BUT STILL THE CHALLENGES WE
FACE, SO TODAY I WILL BE TALKING
ABOUT OUR WORK AT THE FDA TO
ADDRESS REDUCING THE EFFECTS OF
ENVIRONMENTAL CONTAMINANT
EXPOSURES TO CHILDREN.
ENVIRONMENTAL CONTAMINANTS REFER
TO CHEMICALS THAT MAY BE IN
FOODS BECAUSE THEY'RE IN THE THE
ENVIRONMENT WHERE FOODS ARE
GROWN, RAISED OR PROCESSED.
CONTAMINANTS CAN BE TAKEN OUT BY
PLANTS, ANIMALS, SOIL, WATER AND
AIR AND CAN BE HARMFUL TO HUMAN
HEALTH, THEY MAY BE PRESENT
NATURALLY OR FROM PAST POLLUTION
BECAUSE CERTAIN CONTAMINANTS
COME FROM THE EARTH'S CRUST,
THERE'S ALWAYS BEEN SOME LEVEL
IN FOODS HOWEVER, IT'S WITH
SCIENTIFIC ADVANCES THAT WE CAN
MEASURE DIFFERENT ENVIRONMENTAL
CONTAMINANTS IN FOODS AT LOW
LEVELS AND ARE LEARNING MORE
ABOUT EXPOSURE FROM THE DIET.
IN 2021 FDA RELEASED OUR CLOSER
TO 0 ACTION PLAN.
NOW IT'S A SCIENCE BASED
ITERATIVE APPROACH FOR ACHIEVING
CONTINUE IMPROVEMENTS OVER TIME
TO DRIVE DOWN LEVELS OF ARSENIC
LEAD, CADMIUM AND MERCURY OFTEN
REFERRED TO AS HEAVY METALS IN
FOODS COMMONLY EATEN BY BABIES
AND YOUNG CHILDREN.
THESE 4 WERE IDENTIFIED AS
PRIORITY CONDITION TAPINANTS DUE
TO RELATIVE TOXICITY AND
PREVALENCE IN THE FOOD SUPPLY
AND THE RELATIVE CONTRIBUTION OF
FOOD AS A SOURCE OF EXPOSURE AND
OUR PRIORITY IS ON PROTECTING
VERY YOUNG, BECAUSE OF COURSE,
THEY ARE MORE VULNERABLE TO THE
EFFECTS OF THESE EXPOSURES.
REDUCING LEVELS OF CONTAMINANTS
IN FOODS IS COMPLICATED AND
MULTIFACETED.
SO IT'S CRUCIAL TO INSURE THAT
MEASURES TAKEN TO LIMIT ARSENIC,
LEAD, CADMIUM AND MERCURY IN
FOODS DID NOT HAVE UNINTENDED
CONESQUENCES LIKE MAKING FOODS
MORE EXPENSIVE OR LESS AVAILABLE
OR DECREASING CONTAN TISSUE AND
MACROPHAGESINANT WHILE
INCRETESSING ANOTHER.
WE HAVE HEIGHTENED OUR EFFORTS
FOR FURTHER REDUCTIONS BECAUSE
FOR THESE CONTAMINANTS WE HAVE
NO IDENTIFIED SAFE LEVEL OF
EXPOSURE PARTICULARLY WHIL
THINKING ABOUT CHILD
DEVELOPMENT.
ALTHOUGH IT WILL BE DIFFICULT IF
NOT IMPOSSIBLE TO THINK OF A
POINT OF 0 EXPOSURE, WE CAN GET
CLOSER TO 0 AND FOR THIS
DISKUTIONZ TODAY, THERE ARE MANY
THINGS PARENTS AND CAREGIVERS
CAN DO TO SUPPORT NUTRIENT
ADEQUATE DIETS BUT THE ART AND
SCIENCE OF NAVIGATING THIS
COMPLICATED AND EMOTIONALLY
CHARGED TOPIC TO LEAD TO HEALTHY
FOOD BEHAVIORS CREATES
CHALLENGES AND OPPORTUNITIES.
CONSUMERS CAN OVERESTIMATE RISKS
AND UNDERESTIMATE BENEFITS.
THE PROCESS OF UPTAKE OF
CONTISSUE
CONTAMINANTS FROM THE
ENVIRONMENT IS THE SAME FOR
NUTRIENTS, THIS IS TRUE FOR
GRAINS, FRUITS, VEGETABLES,
SEAFOOD.
SO WE NEED TO THINK
WHOLISTICALLY.
FOODS THAT PROVIDE NUTRIENT CANS
ALSO BE SOURCES OF CONTAMINANTS,
AND INSURING CHILDREN HAVE GOOD
NUTRITION NOT ONLY SUPPORTS
HEALTH AND DEVELOPMENT BUT CAN
ALSO HELP PROTECT CHILDREN FROM
THE EFFECTS OF CONTAMINANTS AND
THESE ARE KEY AREAS OF RISK
COMMUNICATION FOR THE PUBLIC.
THE SCIENCE UNDERLYING THE
DIETARY GUIDELINES SHOWS THAT
FOODS AND BEVERAGES ACT
SYNERGISTICALLY TO EFFECT
HEALTH.
AS A RESULT THE DIETARY PATTERN
MAY BETTER PREDICT OVERALL
HEALTH STATUS AND DISEASE RISK
THAN INDIVIDUAL FOODS OR
NUTRIENTS AND HEALTHY DIETARY
POWDER IS CONDENSED NUTRIENTS IN
ACROSS ALL SUBGROUPS IN THE
RECOMMENDED ACCOUNT AND CALORIE
LIMITS BUT WHAT DOES THAT LOOK
LOOK IMPEDIMENTS HERE YOU SEE
THE U.S. DIETARY POWDER FOR
CHILDREN 1 YEAR, AMOUNTS OF 5
FOOD GROUPS, VEGETABLES, GRAIN,
DAIRY PROTEINS ARE PROVIDED ON A
DAILY WEEKLY BASIC FOR SPECIFIC
CALORIE LEVELS.
NOW WHEN THESE FOODS ARE
CONSUMED IN THEIR NUCLEOTIDES
IENT DENSE FORM, THIS IS 1
EXAMPLE HOW SINNER GESTIC
EXPOSURES CAN HELP SUPPORT THAT
CHILDREN HAVE THE RIGHT AMOUNT
OF NUTRIENTS FOR HEALTHY BIRTH
AND DEVELOPMENT AND ESTABLISH
EATING PATTERNS FOR FOOD
EXPOSURES THAT ARE ASSOCIATED
WITH THE PREVENTION OF CHRONIC
DISEASE OVER THE LIFE COURSE.
HOWEVER, MOST AMERICANS HAVE
SUBSTANTIAL ROOM FOR
IMPROVEMENT.
ON AVERAGE 80% OR MORE OF THE
POPULATION 1 YEAR AND OLDER HAVE
INTAKES BELOW RECOMMENDATIONS
FOR VEGETABLES, FRUITS AND
DAIRY, MOST OF THE POPULATION
EXCEEDS FINE GRAIN LIMITS WHILE
FALLING BELOW RECOMMENDATIONS
FOR WHOLE GRAINS.
MORE THAN 50% OF THE POPULATION
MEETS OR EXCEEDS TOTAL PROTEIN
FOODS BUT MOST DO NOT MEET
RECOMMEND ANTICIPATIONS FOR THE
GROUPS OF SEAFOOD AND NUT AND
SEED AND SOY PRODUCTS.
SO 1 PURPOSE FDA NUTRITION
ADVICE IS TO SUPPORT THEM AND
MOVE THEIR CHILDREN TO BETTER
ALIGN WITH THE DIETARY
GUIDELINES RECOMMENDATIONS BUT
MANY EVER THESE FOODS ARE ALSO
SOURCES OF ENVIRONMENTAL
CONTAMINANTS, SO I'M GLAD TO BE
HERE TODAY TO TALK ABOUT OUR
CONSUMER STUDIES AND EDUCATION
ACTIVITIES AT FDA TO INCORPORATE
NUTRITION INTO OUR SCIENTIFIC
WORK ON CLOSER TO 0.
IT IS--FOR GRADUALLY DRIVING
DOWN EXPOSURES FROM FOODS OVER
TIME.
FOR EACH OF THE CONAT THAT
POINTINANTS, FIRST WE EVALUATE
THE CURRENT SCIENCE AND PROPOSE
A DRAFT ACTION LEVEL FOR
SPECIFIC FOODS OR CATEGORIES OF
FOODS.
NOW ACTION LEVELS ARE THE LEVELS
OF CONTEXAS A&M NATION IN A FOOD
THAT COULD LTD. FDA TO TAKE
ACTION.
FOR EXAMPLE, A RECALL OF FOOD.
THERE'S JUST 1 REGULATORY TOOL
THAT FDA USES TO HELP LOWER
LEVELS OF COMEMICAL CONTAMINANTS
IN FOODS, WHEN A CERTAIN LEVEL
OF CONTAMINANT IS UNAVOIDABLE.
NOW THROUGH A NUMBER OF STEPS WE
MOVE TO THEN FINALIZE THOSE
ACTION LEVELS AND ARTICULATE
EXPECTATIONS THAT INDUSTRY WILL
STRIVE TO DO BETTER.
BUT ACTION LEVELS ARE NOT
INTENDED TO BE INTERPRETED AS
DIETARY ADVICE FOR CONSUMERS.
SO LET'S TALK ABOUT INSTANT
CEREAL, A 30% REDUCTION IN
ARSENIC FOLLOWED AFTER FDA
ESTABLISHED A 100 PER MILLION
ACTION LEVEL INFANT RICE CEREAL.
THIS ACCOMPLISHED OVER A PERIOD
OF YEARS WORKING WITH
MANUFACTURES AND GROWERS TO
IMPLEMENT PRACTICES THAT WOULD
REDUCE THE LEVELS OF INORGANIC
ARSENIC IN THEIR PROD UCTDS.
NOW THIS PRODUCT IS IMPORTANT.
AS WE HEARD YESTERDAY, INFANT
CEREAL, FORTIFIED WITH IRON IS A
VERY SOLID FOOD TO SUPPORT
ADEQUATE IRON INTAKE FOR
INFANTS, HOWEVER INFANT RICE
CEREAL IS AN EXCEPTION, IT IS A
FOOD THAT IS OFTEN PROVIDED AS A
SINGLE SOURCE OF SOLID FOOD AT
AN EARLY AGE AND ALSO HAPPENS TO
BE THE BIGGEST CONTRIBUTOR TO
ARSENIC EXPOSURE.
IN ALL OTHER CASES WITH THE
EXCEPTION OF MAYBE SEAFOOD AND
MERCURY, THERE'S NOT 1 FOOD OR
FOOD CATEGORY THAT WE CAN POINT
TO AS THE BIGGEST CONTRIBUTOR TO
OUR EXPOSURE, SO WE KNOW THAT
FOOD SOURCES OF ESSENTIAL
NUTRIENTS AND FOODS THAT ARE
PILLARS OF A HEALTHY DIET ARE
SOURCES OF THESE ELEMENTS,
TALKING ABOUT FRUITS VEGETABLES,
GRAINS, SEAFOOD.
SO WHEN NUTRIENT SUPPORTS
GROWTH, CONTANLINANTS CAN WORK
IN THE OPPOSITE DIRECTION, SO
HAPPENING THE INNER PLAY, CAN
HELP US ADDRESS THE IMPACTS OF
EXPOSURE.
AND MEAN WHILE TO HIGHLIGHT THE
IMPORTANCE OF GOOD NUTRITION AND
CLOSER TO 0, TO HELP PROTECT
CHILDREN FROM THE POSSIBLE HARMS
AVOIDING CERTAIN NUTRITIOUS
FOODS OR LIMITING THE TYPES OF
FOODS YOU FEED CHILDREN WILL DO
MORE HARM THARN GOOD AND
EVIDENCE SUPPORTS SEVERAL
INTERACTIONS BETWEEN NUTRIENTS
AND ENVIRONMENTAL CONTAMINANTS
WE HEARD YESTERDAY.
FOR EXAMPLE, IRON INCREASING
ABSORPTION OF LEAD.
INDIVIDUALS WITHOUT ADEQUATE
STORAGE OF CERTAIN NUTRIENTS CAN
BE AT GREATER RISK FROM LEAD,
ARSENIC, CADMIUM AND MERCURY,
FORTUNATELY THE OPPOSITE IS ALSO
TRUE, THOSE WITH ADEQUATE STATUS
MAY BE PHYSIOLOGICALLY BETTER
PREPARED TO WARD OFF THESE
EFFECTS.
SO COMMUNICATING TO HELP
PROFESSIONALS AND CONSUMERS
ABOUT THIS TOPIC AND INSURING
THE FOCUS IS ADEQUATELY AND
RIGHTFULLY SUPPORTING A HEALTHY
AND NUTRITIONALLY ADEQUATE DIET
IS INCREDIBLY IMPORTANT BUT WORK
IS STILL NEEDED TO IDENTIFY
WHICH MESSAGES MOTIVATE PARENTS
WHO MAKE WELL PLACED FOOD
DECISIONS.
I SHARED THE WORK FDA CONDUCTED
FOR RICE CEREAL ALTHOUGH
IMLITTING INFANTS TO INORGANIC
RICE SEAL, IS IMPORTANT.
WE KNOW FROM THE DIETARY
GUIDELINES OUR NATIONAL POLICY
IN THE U.S. THAT INFANT CEREALS
FORTIFIED WITH IRON ARE A VERY
IMPORTANT FOOD ESPECIALLY FOR
INFANTS WHO ARE CONSUMING HUMAN
MILK TO HELP SUPPORT ADEQUATE
IRON STATUS, WITHOUT IT FOOD
PATTERN MODELING HAS SHOWN US
THAT IRON IN ADEQUACY IS LIKELY
FOR INFANTS.
SO HERE ON THIS SLIDE, YOU SEE
AN EXCERPT ON THE LEFT FROM OUR
WEBPAGE ON WHAT YOU CAN DO TO
LIMIT EXPOSE TOWER ARSENIC
REGARDING FOOD CHOICES OF INFANT
RICE CEREAL, AND ON THE RIGHT,
IS THE LANGUAGE THAT WAS
SUBSEQUENTLY INTEGRATED INTO THE
DIETARY GUIDELINES TO PROVIDE
THE GUIDANCE THAT IRON FORTIFIED
INFANT CEREALS PLAY AN IMPORTANT
ROLE.
RICE CEREAL, FORTIFIED WITH IRON
IS A GOOD SOURCE OF NUTRIENTS
FOR INSTANTS BUT RICE CEREAL
SHOULDN'T BE THE ONLY TYPE OF
CEREAL.
THE DIETARY GUIDELINES ARE THEN
REQUIRED BY LAW TO BE
IMPLEMENTED IN ANY FEDERAL FOOD,
NUTRITION OR HEALTH PROGRAM AND
ARE VOLUNTARILY IMPLEMENTED
OUTSIDE OF FEDERAL ACTIVITIES
QUITE BROADLY AS WELL.
SO FDA IS ALSO ISSUED DRAFT
GUIDANCE TO THE FOOD INDUSTRY ON
ACTION LEVELS FOR BOTH ARSENIC
AND LED INDUCES, SHOWN ON THE
LEFT HERE, WE KNOW THAT
CAREGIVERS MAY WONDER IF THEY'RE
GIVING THEIR CHILDREN JUICE,
JUICE HAS A ROLE IN A HEALTHY
DIET AS IT CAN PROVIDE RELEVANT
NUTRIENTS HOWEVER WHOLE FRUITS
ARE PREFERRED OVER JUICE BECAUSE
THEY PROVIDE FIBER AND BASED ON
DIETARY GUIDELINES FDA PROVIDES
THIS PAGE ON WHAT YOU CAN DO TO
LIMIT EXPOSURE OF ARSENIC IN
JUICES.
WE PROVIDE BEVERAGE RECOMMEND
ANTICIPATIONS NOTE THAGOREAN
INFANTS SHOULD NOT CONSUME ANY
JOYCE AND CHILDREN AGES 1 YEAR
AND OLD SHOULD FOCUS ON WHOLE
FRUIT OVER JUICE, WHEN JUICE IS
TRAINK IT AS WELL BE 100% JUICE,
AND IN A SMALL SERVING PER DAY.
NOW RECENTLY ON JANUARY 24th,
WE ISSUED FOR PUBLIC COMMENT
ACTION LEVELS ARE LEAD AND FOOD
INTENDED FOR BABIES AND YOUNG
CHILDREN THIS, PROVIDES DRAFT
ACTION LEVELS, A STAKEHOLDER
WEBINAR WILL HAPPEN ON
MARCH 2nd AND YOU CAN REGISTER
TO LEARN MORE.
FOODS COVERED BY THIS DRAFT
GUIDANCE ARE THOSE PROCESSED
FOODS SUCH AS FOOD PACKAGED IN
JARS, POUCHS, TUBS AND BOXES,
THAT ARE REPRESENTED OR
PURPORTED TO BE SPECIFICALLY FOR
BABIES AND YOUNG CHILDREN LESS
THAN 2 YEARS OF AGE.
NOW WHILE IT'S NOT POSSIBLE TO
COMPLETELY REMOVE LEAD FROM THE
ENVIRONMENT OR FROM THE FOOD
SUPPLY, IT IS POSSIBLE TO LOWER
LEVELS OF LEAD IN FOOD.
HOWEVER THIS DRAFT GUIDANCE IS
NOT INTENDED TO DIRECT CONSUMERS
IN MAKING FOOD CHOICES.
SO WHAT ADVICE ARE WE GIVING
PARENTS ON THIS ISSUE?
HERE YOU SEE OUR WEBPAGE, HELP
PROTECT CHILDREN FROM
ENVIRONMENTAL CONTAPINANTS,
HEALTHY FOOD CHOICES FOR YOUR
BABY.
IT INTRODUCES THE CONCEPT THAT
MANY NUTRITIOUS FOODS MAY
CONTAIN CONTAMINANTS FROM THE
ENVIRONMENT WHERE THEY ARE GROWN
OR RAISED AND DESCRIBES WHAT FDA
IS DOING ABOUT UPON IT AND WHAT
PARENT CANS DO TO HELP PROTECT
THEIR CHILDREN.
IT GOES ON TO PROVIDE THE KEY
MESSAGE TO FOCUS ON VOCABULARY
VARIETY SINCE FEEDING A VARIETY
OF AGE APPROPRIATE HEALTHY FOODS
NOT ONLY GETS NUTRIENTS FOR
DEVELOPMENT, THEY CAN MAKE IT
LESS LIKELY FOR THEM TO BE
EXPOSED TO THE SAME CONTAMINANT
FROM THE SAME FOOD MANY TIMES.
NOW WE KNOW THIS MESSAGE IS KEY.
BUT IT IS NOT WITHOUT IT'S
CHALLENGES, FOR EXAMPLE WHEN
INFANTS START CONSUMING FOODS TO
COMPLEMENT BREAST MILK OR INFANT
FORMULA, THEY HAVE NO DIETARY
VIERT FROM SOLID FOODS.
IT TAKES TIME.
EVEN AS CHILDREN GROW OLDER
REACHING A DIVERSE DIET CAN BE A
CHALLENGE DUE TO SO MANY FACTORS
INCLUDING JUST CHILD PREFERENCE,
SO IN ADDITION WE SHOULD
CONSIDER ASPECTS MUCH, QUITY
SUCH AS FOOD INSECURITY AND
REPEATED EXPOSURES TO FOODS THAT
MAY BE DEEPLY ROOTED ON IN
TRADITIONS AND CULTURE.
ANOTHER KEY MESSAGE IS TO
INCLUDE FOODS RICH IN IRON IS
ZINC, IT IS ESSENTIAL THAT
INTAKE OF IRON IS ZINC ARE
ADQUIT IN CHILD NUTRITION BUT
DID YOU KNOW IT COULD HELP
PREVENT THE HARMFUL EFFECTS OF
HEAVY METALS BY DECREASING
ABSORPTION.
MANY NUTRIENTS HELP.
WHOLE GRAIN VARIETIES THAT HELP
PROTECT AGAINST VITAMIN D TO
PROTECT AGAINST ARSENIC.
INCLUDE MEAT, POULTRY, AND
BEANS, AND CAT FISH SHRIMP AND
POLLOCK WHICH IS COMMON IN FISH
STICKS.
SO NOW I WANT TO PIVOT AND TALK
ABOUT SEAFOOD MORE BECAUSE THE
TOPIC OF FISH ADVICE HAS A LONG
HISTORY THAT PROVIDES MANY
EXAMPLES OF VARIOUS PERSPECTIVES
AND TRANSITIONS THAT WE HAVE
BEEN THROUGH THAT HAVE BROUGHT
UTION TO SOME OF THE WORK WE ARE
DOING TODAY.
FDA AND EPA CONTINUE TO ISSUE
JOINT ADVICE REGUARDING EATING
FISH TO HELP THOSE WHO MIGHT
BECOME OR ARE PREGNANT OR BREAST
FEEDING AS WELL AS PARENTS OR
CAREGIVERS WHO ARE FEEDING
CHILDREN TO MAKE INFORMED
CHOICES WHEN IT COMES TO THE
TYPE OF FISH THAT ARE NUTRITIOUS
IN LOWERING MERCURY.
IN OUR MOST RECENT UPDATE IN
2022, WE INCORPORATED THE
EXPANDED INFORMATION ABOUT FISH
FROM THE DIETARY GUIDELINES FOR
AMERICANS.
SPECIFICALLY, THE DIETARY
GUIDELINES RELEASED IN TWEBT 20
ADDRESS MECH MEBDATIONS FOR
INFANTS AND TODDLERS FOR THE
FIRST TIME SINCE THE 1980S.
IT CLEARLY HIGHLIGHTS THE
NUTRIENTS FOUND IN FISH AND THE
RELATIONSHIP OF THESE NUTRIENTS
TO CRUCIAL ASPECTS OF CHILD
GROWTH AND DEVELOPMENT.
FISH PROEDUCATIONAL VIDEOS CUE
KEY NUCLEOTIDES THRIENTS SUCH AS
OMEGA 3 AND 6 FATS, IRON,
ALCOHOLLINE, AND IODINE THAT
SUPPORT BRAIN DEVELOPMENT,
ALCOHOLLINE ALSO SUPPORTS
DEVELOPMENT OF THE BABY'S SPINAL
CORD AND ALSO SUPPORTS IRON AND
ZINC WHICH ALSO SUPPORT THE
IMMUNE SYSTEM, FISH ARE ALSO
SOURCES OF OTHER NUTRIENTS LIKE
PROTEIN, VITAMIN B12 AND 13 AND
SILLENIUM.
THESE HAVE BEEN INCREDIBLY
HELPFUL TO CLARIFY THE PORT OF
WHICH VIA FOOD IS PART OF
MATERNAL CHILD DIET AND THIS
SLIDE AND THE NEXT SLIDE ARE
FROM OUR INFO GRAPHICS THAT WE
PUBLISHED.
WE ALSO HAVE A SOCIAL MEDIA TOOL
KIT AND THOSE ARE AVAILABLE
ONLINE FOR LITTLER PROFESSIONALS
PROFESSIONALS
AND STAKEHOLDERS, WE IMPLEMENT
TARGETED OUTREACH TO OUR
HEALTHCARE PROFESSIONALS TO AMP
MRI PIE THE EACH OF THIS
INFORMATION.
THE PRIMARY RATIONAL FOR THE FDA
EPA ADVICE HAS BEEN TO PROVIDE
GUIDANCE REGARDING HOW TO EACH
FISH WHILE LIMITING EXPOSE TOWER
MERCURY IN THE DIETS OF THOSE
THAT ARE MOST VULNERABLE DURING
THESE RAPID STAGES OF CHILD
DEVELOPMENT WE COMMUNICATE
THOUGH THAT EATING FISH MAY HAVE
HEART HELT BENEFITS TOO.
THIS MAY HAVE ALSO HAVE BENEFITS
SUCH AS BONE HEALTH, THEY
ACTUALLY CAN DECREASE THE RISK
FOR HIP FRACTURES, DECREASE THE
RISK OF BECOMING OVERWEIGHT OR
OBESE AND EVEN CAN DECREASE THE
RISK FOR COLON AND RECTAL
CANCERS, SO PREGNANT AND BREAST
FEEDING INDIVIDUALS SHOULD EAT
BETWEEN 8 AND 12-OUNCES OF FISH
FROM THE BEST CHOICES LEFT.
NONAPOPTOTIC YOU ACCORDING TO
THE DIETARY GUIDELINES YOU CAN
INTRODUCE NUTRITIOUS FOODS LIKE
FISH TO COMPLEMENT BREAST MILK
OR INFANT FORMULA IN YOUR BABIES
DIET ONCE THEY ARE ABOUT 6
MONTHS OF AGE.
FDA RECOMMENDS THEY EAT 2
SERVINGS OF FISH A WEEK FROM THE
BEST CHOICES LIST OR THE LIST WE
HAVE THAT'S EVEN LOWER IN
MERCURY AND FOR CHILDREN THAT
AMOUNT IS BASED ON AVERAGE BODY
SYSTEM WHICH NATURALLY INCREASES
WITH AGE.
FOR COMRN ON AFRANKING A SERVING
IS 1 OUNCE AND INCREASES TO
4-OUNCES BY AGE 11.
FDA HAS BEEN CONDUCTING CONSUMER
STUDIES AND BEHAVIORIAL RESEARCH
TO SUPPORT OUR ADVICE FOR MORE
THAN 20 YEARS, OUR CONSUMER
STUDIES HAVE SHOWN SURVEYS,
FOCUS GROUPS AND INTERVIEWS, AND
THIS WE'RE WE'RE TODAYING THE
EFFECTIVENESS OF OUR CURRENT
ADVICE IN HELPING INDIVIDUALS
CHOOSE MORE FISH LOWER IN
MERCURY AND A SUBSEQUENT STUDY
TO IDENTIFY STRATEGIES AND TOOLS
THAT HELP FAMILIES INCORPORATE
SEAFOOD THAT COULD BE SCALED UP
FOR OPPORTUNITIES IN THE
POPULATION, WE ARE WORKING
TOWARDS A NUMBER OF AREAS,
INCLUDING IDENTIFYING
POPULATIONS FOR WHICH, TAILORAD
GUIDANCE MAY BENEFIT THE HELT
SUCH AS AMERICAN INDIAN OR
ALASKA NATIVE POPULATION.
SO IN OUR WORK ON HEALTH
EREQUESTIT EXPE ENVIRONMENTAL
JUSTICE, WE WILL EXPAND ON OUR
WORK LIKEIE NOVELS FOR CHINESE
AMERICANS AND THE GOAL IS TO USE
PLAIN LANGUAGE TO CONVEY
NUTRITIONAL BENEFITS OF EATING
FISH, HOW TO CHOOSE FISH FLOWER
IN MERCURY AND HOW UCH MUCH AND
HOW OFTEN TO EAT FISH AS WELL AS
HEALTHY WAYS TO COOK.
THEY TELL A STORY OF A COUPLE
WHO FOUND OUT THEY'RE HAVING A
BABY, THEY REACH OUT TO THEIR
FAMILY WITH JOY AND TO BEGIN TO
DECIDE WHAT TO DO NEXT.
THEY VISIT THEIR DOCTOR ARE
WHERE THEY LEARN ABOUT EATING
FISH, THAT THAT INFORMATION HOME
AND WITH THE SUPPORT OF THEIR
FAMILIES PREPARE HEALTHY AND
LOWER MERCURY FISH DISHES.
OUR ILLUSTRATIONS STYLE AND THE
STORIES WERE CULTURALLY TAILORED
TO CUSTOMS AND
TROUGH--TROJANOWSKI DITIONS
RELATED TO PREGNANCY, POST
PREGNANCY, FOODS AND FAMILY
LIFE.
WE INCORPORATED THESE ASPECTS
INTO THE KIRBS USED IN THE
STORIES AND THE SETTINGS AND
CHARACTERS.
WE CONDUCTED CONSUMER TESTING
PRIOR TO FINALIZING THESE
PIECES, WE DID INTERVIEWS WITH
18 BILINGUAL PARTICIPANTS WITH
MOST PARTICIPANTS EATING FISH 2
OR MORE TIMES A MONTH.
WE ASSESSED HOW MANY MESSAGES
WERE CLEAR AND THE INFORMATION
WAS PERCEIVED TO BE USEFUL AND
TO GAUGE INTENTION TO USE THE
FISH ADVICE CHART AND TO EAT
MORE FISH OR FEED MORE FISH TO
THEIR CHILDREN.
NOW THE FINDINGS WERE GENERALLY
POSITIVE RESPONSES WITH THE
PARTICIPANTS COMMENTS SHARED
HERE.
WE WERE VERY PLEASED WE WERE NOT
ONLY SHARING USEFUL INFORMATION
BUT THAT THE PARTICIPANTS COULD
IDENTIFY WITH THE CHARACTERS AND
STORIES RELATIVE TO THEIR
CULTURE.
MOST IMPORTANTLY PARTICIPANTS
INDICATED THAT THE PHOTO NOVEL
COULD HELP THEM EAT MORE FISH.
SO AS WE MOVE FORWARD WITH THE
CLOSER TO 0 AND OUR FISH ADVICE,
WE ARE COMMITTED TO BRINGING
TOGETHER MULTIPLE SCIENTIFIC
DISCIPLINES AND METHODOLOGIES TO
EVALUATE AND INTEGRATE THE
EVIDENT ON BOTH THE
TOXICOLOGICAL AND NUTRIENT
COMPONENTS OF FOODS TO INFORM
OUR MESSAGES, FDA PARTNER WIDE
NO AUSDA AND EPA ON AN
INDEPENDENT STUDY BY THE
NATIONAL ACADEMY OF SCIENCES ON
THE ROLE OF SEAFOOD COMSUMPTION
BY CHILDREN, THESE FINDINGS
ALONG WITH OTHER ANALYSIS ARE
INTENDED TO HELP REFINE OUR
UNDERSTANDING OF THE ROLE OF
SEAFOOD IN CHILD DEVELOPMENT
WHICH IN TURN WILL PROVIDE
EVIDENTIARY SUPPORT FOR CONSUMER
MESSAGES, THIS STUDY WILL
CONCLUDE IN THE SPRING OF 2024.
AS WE MOVE FORWARD WE HAVE MANY
NEW PROJECTS PLANNED IN THE
AREAS OF CONSUMER STUDIES AND
THE DEVELOPMENT OF EDUCATIONAL
MESSAGES AND TOOLS FOR CLOSER TO
0 AND OUR FISH ADVICE, WE AIM TO
BE SPECIFICALLY BASE INDEED OUR
CONSUMER MESSAGES AS WE KNOW
THAT CONSUMERS CAN NEVER
UNDERESTIMATE THE RISKS OR
OVERESTIMATE THE BENEFITS OF
WHOLE GRAINS, FOOD, SEAFOOD, AND
ARE ALSO ASSOCIATED WITH
POSITIVE HEALTH.
THIS PAST FALL WE CONDUCTED A
FOCUS GROUP STUDY TO BETTER
UNDERSTAND PARENTS AWARENESS
EXPW BEDDING CONCERNS ABOUT
HEAVY METALS AND FOODS.
WE AIM TO LEARN WHAT AND HOW, WE
SHOULD AND SHOULD NOT BE
COMMUNICATING TO FAMILIES ON
THESE ISSUES.
WE HAVE MULTIPLE GROUPS AND
STUDYING ON THESE GROUPS TO
SUPPORT THE MESSAGE THAT OUR
GROUP IS MEETING THE NEEDS OF
PARENTS AND FAMILIES WITH THE
ULTIMATE GOAL OF FOOD BEHAVIORS
THAT SUPPORT HEALTH.
THESE FINDINGS WILL INFORM
DEVELOP MESSAGES, CONTENT, TONE
AND FLOW AND THE LOOK AND FEEL
OF CONTEBT ON FDA .GOV.
SO I WANT TO CLOSE WITH THE
BOTTOM LINE TAKE AWAY FOR YOU.
DATA ARE VERY CLEAR THAT MOST
CHILDREN COULD BENEFIT FROM
EATING MORE FRUITS, VEGETABLES,
WHOLE GRAIN AND SEAFOOD TO MEET
RECOMMENDATIONS.
DOING SO IS NECESSARY TO SUPPORT
ADEQUATE NUTRIENT INTAKE AND
BODY STORAGE NUTRIENT WHICH IS
ARE ALSO NEEDED FOR ADEQUATE
GROWTH BUT TO MODULATE THE
EFFECTS OF HEAVY METALS.
OUR MESSAGES NEED TO SUPPORT
THESE GOALS AND BE BASED ON THE
SCIENCE OF THE PHYSIOLOGICAL
MECHANISMS OF NUTRITION AND
TOXICANTS IN THE HUMAN SYSTEM,
BUT ALSO THE SOCIAL SCIENCES
THAT SHOW THAT MESSAGES NOT JUST
CONVEY INFORMATION BUT CAN
RESULT IN FOOD CHOICE BEHAVIORS
THAT SUPPORT MEETING
RECOMMENDATIONS LIKE THE DIETARY
GUIDELINES, SO AS IS EVIDENT BY
THIS SESSION AND THIS WORKSHOP,
WE ARE WORK WITH OUR FEDERAL
SISTER AGENCIES SUCH AS USDA,
CDC, EPA AND OTHERS TO
COORDINATE OUR EFFORTS IN THIS
AREA ANDY WILL USE VARIOUS
TACKICTS FOR BROAD DISSEMINATION
AND RESOURCES ONCE AVAILABLE.
THANK YOU VERY MUCH FOR YOUR
TIME AND I LOOK TO BE PART OF
PANEL DISCUSSION LATER TODAY.
>>OKAY, WELL, THANK YOU KELLIE.
FOR THE AUDIENCE IF YOU HEARD
SOMETHING IN KELLIE'S
PRESENTATION YOU WANT TO ASK
ABOUT OR COMMENT ON, PLEASE USE
THE LINK USHEDNEATH YOUR
STREAMING WINDOW THAT WILL TAKE
YOU TO A WEB FORM WHERE YOU CAN
ENTER YOUR QUESTION OR COMMENT.
FOR QUESTIONS THAT WE MAY BE
ABLE TO USE FOR OUR PANEL
DISCUSSION LATER, PLEASE USE THE
WORD QUESTION IN THE FIRST LINE
OF YOUR QUESTION.
FOR COMMENTS THAT WE WILL REVIEW
AND CONSIDERAR TODAY, PLEASE PUT
THE WORD COMMENT IN THE FIRST
LINE.
NOW I'M GOING TO HAND THIS OVER
TO JASON BERRY, THE ACTING
DIRECTOR THE FOOD SAFETY
EDUCATION STAFF FOR THE OFFICE
OF PUBLIC AFFAIRS AND CONSUMER
EDUCATION AND USDA'S FOOD SAFETY
AND INSPECTION SERVICE.
JASON?
>>HELLO, MY NAME IS JASON BERRY
AND I AM THE ACTING DIRECT ONOR
OF FOOD SAFETY EDUCATION, AND
FSIS, AND I WANT TO SAY THANK
YOU FOR THE OPPORTUNITY TO
PRESENT TODAY, REGARDING
PROMOTING FOOD SAFETY THROUGH
CONSUMER RESEARCH, PARTNERSHIPS
AND SEASONAL CAMPAIGNS.
SO JUST TO DIVE RIGHT IN, I
WANTED TO HIGHLIGHT THE MISSION
OF FSIS WHICH IS TO PROTECT THE
PUBLIC A HEALTH BY INSURING THAT
MEAT, POULTRY AND EGG PRODUCTS
ARE SAFE, WHOLESOME AND PROPERLY
LABELED.
THIS MISSION TIES DIRECTLY INTO
DATA, FOOD BORNE ILLNESS BY THE
NUMBERS AND WHEN YOU LOOK AT THE
DATA THE CENTERS FOR DISEASE
CONTROL ESTIMATES THAT
48 MILLION PEOPLE GET SICK,
128,000 ARE HOSPITALIZED AND
3000 DIE FROM FOOD BORNE
DISEASES EACH YEAR IN THE UNITED
STATES, THIS DATA HIGHLIGHTS
THAT IT'S A HUGE PUBLIC HEALTH
PROBLEM THAT WE NEED TO CONTINUE
TO FOCUS ON.
JUST TAKE A LOOK AT CONSUMER
EDUCATION, THE FOOD SAFETY
EDUCATION STAFF WITHIN THE
OFFICE OF PUBLIC AFFAIRS AND
CONSUMER EDUCATION IS FOCUSED ON
PROVIDING CONSUMER FOOD SAFETY
EDUCATION THROUGH MEDIA AND
MEDIA CAMPAIGNS, LIVE CUSTOMER
SERVICE OPTIONS VIA THE MEET AND
POULTRY HOT LINE, CONSUMER
RESEARCH FOCUSED ON
OBSERVATIONAL RESEARCH, FOCUS
GROUPS AND WEB SURVEYS AND
PARTNERSHIPS WITH PRIVATE
CORPORATIONS AND GOVERNMENT
AGENCIES.
WE ALSO HAVE VARIOUS PROMOTIONAL
MATERIALS, AND EDUCATIONAL ITEMS
TO SHARE OUR MESSAGE WITH
CONSUMERS.
SOME OF THOSE MATERIALS AND
ITEMS INCLUDE FOOD TERMOM TERS,
KITCHEN MAGNETS, PUBLICATIONS IN
ENGLISH AND SPANISH AND
PASMMENTS IN ENGLISH AND SPANISH
TO SPREAD OUR MESSAGE.
ANOTHER HUGE FOCUS OF CONSUMER
EDUCATION RESEARCH IN OUTREACH
INS NATIONAL CAMPAIGNS SO
FOCUSING ON BIG, BIG FOOD
HOLIDAYS SUCH AS SUPER BOWL,
SUMMER GRILLING PERIOD, THE
PERIOD OF TIME BETWEEN MEMORIAL
DAY AND THE FOURTH OF JULY, BACK
TO SCHOOL AS WELL AS
THANKSGIVING.
THOSE ARE OUR 4 MAJOR FOOD
HOLIDAYS THAT WE'RE REALLY FOCUS
ON TO GET OUR FOOD SAFETY
MESSAGING OUT.
ANOTHER AREA THAT WE FOCUS ON
INCLUDES MEDIA SO PRESS
RELEASES, SOCIAL MEDIA, BLOGS,
INTERVIEWS, INFORMATION, E-MAIL
RESPONSES.
AN ADDITIONAL FACTOR IS THE
CONSUMER FACTOR SO WE ALSO HAVE
OUR MEAT AND POULTRY HOT LINE
WHICH IS STAFFED ON A DAILY
BASIS TO ANSWER CONSUMER
INQUIRIES OVER PHONES, CHATS AND
E-MAILS REGARDING FOOD SAFETY,
HANDLING, THINGS OF THAT NATURE
AND LAST BUT NOT LEAST WE HAVE A
HUGE FOCUS ON RESEARCH, SO
OBSERVAL RESEARCH, FOCUS GROUPS
AND SURVEYS.
WHEN CONSIDERING OUR CONSUMER
RESEARCH, IT SHOULD BE NOTED
THAT UNDERSTANDING HUMAN
BEHAVIOR, THROUGH OBSERVATION TO
DEVELOP MESSAGING THAT MAKES
SENSE FOR CONSUMERS IS OUR
ULTIMATE GOAL.
THIS INCLUDES FOCUSING ON HAND
WASHING, CROSS CONTAMINATION,
CLEANING AND SANITIZING,
THERMOMETER USAGE AND FOOD
STORAGE.
FROM THESE OBSERVATIONAL
PROJECTS AND OBSERVATIONAL
PIECES, WE USE THOSE RESULTS TO
BUILD OUT OUR SEASONAL CAMPAIGNS
FOR TV AND RADIO, AND ALSO OUR
SOCIAL MEDIA POST, WHICH INTURN
COULD FUEL OUR COLLABORATIONS
AND PART INNERSHIPS WITH
EXTERNAL AGENCIES BUT THE MAJOR
GOAL HERE IS JUST TO FOCUS ON
DEVELOPING MESSAGING THAT MAKES
SENSE THAT IS ROOTED IN SCIENCE
AND BASED ON OUR OBSERVATIONAL
STUDIES WITHIN THE RESEARCH.
WHEN YOU TAKE A LOOK AT BIG
PICTURE OF OUR CONSUMER RESEARCH
OR THE PAST 5 YEARS, IT SHOULD
BE NOTE THAD THE 5 YEAR STUDY
INCLUDED A MIXED MEDIA
COLLECTION APPROACH ON CONSUMER
FOOD HANDLING AND RESPONSES TO
OUR EDUCATIONAL TEVERLS, SO THE
USE OF SURVEYS AND FOCUS GROUPS
ALLOW US TO LEARN ABOUT SPECIFIC
TOPICS IN MORE DETAIL.
OVERALL THIS 5 YEAR STUDY HAS
REALLY DONE THE JOB OF INFORMING
THE DEVELOPMENT OF FOOD SAFETY
COMMUNICATION PRODUCTS AND ALSO
ALLOWED US TO EVALUATE OUR
EDUCATIONAL AND COMMUNICATION
ACTIVITIES.
IT SHOULD BE NOTED THAT RTI
INTERNATIONAL IS THE PRIMARY
CONTRACTOR FOR THIS STUDY.
AND WE ARE WORKING VERY CLOSELY
WITH OUR PARTNERS AT NORTH
CAROLINA STATE UNIVERSITY AS
WELL.
WHEN YOU TAKE A LOOK AT THE
TABLE, IT SHOWS THE ACTIVITIES
THAT HAVE BEEN COMPLETED OVER
THE PAST 5 YEARS.
SO RTI IS IN THE PROCESS OF
FINALIZING THE FINAL REPORT FOR
YEAR 5 WHICH FOCUSED ON
BREAKFAST MEALS SUCH AS SAUSAGE,
FRUIT AND EGG AND FRUIT SALAD
AND WE WILL SHARE THOSE WITH
ANYONE WHO IS INTERESTED IN
VIEWING THAT.
SO I JUST WANTED TO TAKE A
MOMENT TO HIGHLIGHT OUR SUMMER
GRILLING CAMPAIGN, LAST SUMMER,
SO THE PERIOD BETWEEN MEMORIAL
DAY AND THE FOURTH OF JULY.
THE MAIN MESSAGE WE TRY TO GET
OUT TO CONSUMERS IS, YOU KNOW
THE SUMMER SEASON OFFERS GREAT
OPPORTUNITIES FOR FRIENDS AND
FAMILY TO GET TOGETHER AND ENJOY
OUTDOOR ACTIVITIES SUCH AS
GRILLING, PICNICS AND HIKING AND
CAMPING, AND ALSO SUMMER
VACATION BUT IT'S IMPORTANT TO
NOTE THAT FOOD SAFETY DOES NOT
TAKE A SUMMER HAVEICATION, SO
REMEMBERING THE 4 STEPS TO FOOD
SAFETY IS CRITICAL, YOU KNOW
CLEAN, SEPARATE, COOK AND CHILL,
SO THAT WAS THE MAIN MESSAGE AND
ALSO REINFORCING THAT CONSUMERS
SHOULD PAY ATTENTION TO SAFE
INTERNAL TEMPERATURES, COOK
FOODS TO THE APPROPRIATE
APPROPRIATE INTERNAL TEMPERATURE
FOR THE TYPE OF MEAT YOU'RE
PREPARING ON THE GRILL OR STOVE
OR IN THE OVEN, THAT IS A MAJOR
FOCUS OF BEING SURE THAT YOU
KEEP YOUR FAMILY AND FRIENDS
SAFE AND ALSO AVOIDING THE
DANGER ZONE, SO WHEN FOLKS ARE
OUTSIDE AT THOSE PICNICS OR
OUTSIDE, YOU KNOW BY THE POOL OR
BY THE GRILL, JUST INSURING THAT
FOOD IS NOT LEFT OUT FOR TOO
LONG WHERE DANGEROUS BACTERIA
CAN SET UP AND POTENTIALLY CAUSE
FOOD BORN BORNE ILLNESS.
SO JUST TO HIGHLIGHT A FEW OF
OUR SAMPLE ELEMENTS FROM OUR
SUMMER CAMPAIGN WHICH INCLUDED A
BLOG, SOCIAL MEDIA POST AND
PRESS RELEASE, JUST TAKING A
LOOK AT THE BLOG, BUT THE FOCUS
WAS REALLY TO HONE IN ON THE TOP
10 FOOD SAFETY TIPS FOR SUMMER
GRILLING, JUST TO HIT SOME OF
THOSE KEY MESSAGING POINTS, SO
FOCUSING ON CLEANING THE GRILL,
YOU KNOW USING A FOOD
THERMOMETER, THINGS OF THAT
NATURE AND WE WANT TO HIGHLIGHT
THE SOCIAL MEDIA POST WHICH ALSO
FOCUSED ON THE GRILLING ELEMENT
AND JUST REINFORCING THE FACT
THAT YOU CAN'T FOCUS ON THE
COLOR TO DETERMINE DONENESS AND
YOU CAN'T FOCUS ON THE PRESENCE
OF GRILL MARKS TO LET YOU KNOW
THAT FOOD IS DONE, YOU HAVE TO
USE A FOOD TERMOM TERTO
DETERMINE IF THAT MINIMAL
INTERPIAL TEMPERATURE HAS BEEN
MET FOR THE FOOD ITEM TO BE SAFE
TO CONSUME.
ALSO WANT TO HIGHLIGHT THE PRESS
RELEASE, JUST HIGHLIGHTING SOME
INFORMATION AROUND THINGS TO
CONSIDER WHEN ON SUMMER
VACATION, SO AGAIN, JUST
REINFORCING THE FACT THAT YOU
NEED TO FOCUS ON CLEAN,
SEPARATE, COOK AND CHYLE,
STAYING OUT OF THE DANGER ZONE
AND STORING PROPERLY AFTER THAT
2 HOUR PERIOD.
SO THE INFO GRAPHIC ON THE
SCREEN HIGHLIGHTS A KEY POINT
AROUND HAND WASHING AND SOME OF
OUR MOST STARTLING FINDINGS OF
OUR RESEARCH SO FAR PERTAIN TO
HAND WASHING AND THE MOST COMMON
REASON FOR UNSUSES CESSFUL HAND
WASHING WHEN ATTEMPTED WAS NOT
SCRUBBING YOURSELF HANDS FOR
SOAP AND WATER FOR AT LEAST
20-SECONDS, OTHERS INCLUDED NOT
WETTING HANDS PROPERLY BEFORE
APPLYING SOAP AND NOT DRYING
HANDS WITH A 1 TIME TOWEL, IT
SHOULD BE NOTE INDEED THE FOURTH
YEAR OF OUR STUDY, HAND WASHING
WAS NOT DONE PROPERLY AND FAILED
TO HAND WASHING.
WE ALSO UPDATED CONSUMER
MESSAGING TO EXPLAIN THE FACT
THAT CROSS CONTAMINATION CAN
OCCUR AFTER HANDLING CERTAIN
TYPES OF MEAT SUCH SUCH AS
POULTRY AND IT'S IMPORTANT TO
CLEAN AND SANITIZE SINKS AFTER
HANDLING POULTRY IN THE SINK IN
GENERAL AND THAT IS A KEY
COMPONENT IS CLEANING AND
SANITIZING WITHIN THE 4 STEPS
EVER FOOD SAFETY.
SO WE TRY TO PUSH THAT MESSAGING
OUT AS WELL.
OUR MESSAGING WILL CONTINUE TO
EMPHASIZE THE FACT THAT HAND
WASHING AND NEED TO CONSIDER
WASH--CROSS CONTAMINATION
METHODS, METHODS TO PREVENT
CROSS CONTAMINATION SUCH AS
CLEANING, COUNTER TOPS, CLEANING
SINKS AND SANITIZING AS WELL.
AS WE DEVELOP MESSAGING,
FOCUSING ON THESE AREAS WE WANT
TO SHIFT AWAY FROM JUST TELLING
PEOPLE WHAT TO DO.
AND INSTEAD COMMUNICATE THE
RISKS AROUND SOME OF THE
BEHAVIORS WHICH MAY BE A MORE
EFFECTIVE APPROACH TO FOOD
SAFETY EDUCATION.
SO INSTEAD OF JUST SAYING, HEY,
YOU KNOW, YOU SHOULDN'T WASH
YOUR CHILDREN, WE WANT TO SAY,
HEY, IT MAY BE BENEFICIAL FOR
YOU NOT TO WASH YOUR CHICK CHID
THIS IS WHY.
THESE ARE THE RISKS INVOLVED
WHETHER IT'S CONTAMINATION,
HANDS, SINK, THINGS LIKE THAT,
SO THAT'S WHAT WE'VE BEEN
FOCUSED ON THE PAST YEAR OR SO,
AND ALSO JUST FOCUSING ON RISK
COMMUNICATIONS TO EDUCATE
CONSUMERS ON THE CONQUENCES OF
IGNORING SAFE FOOD HANDLING
PRACTICES.
ALSO WANT TO ANOTHER MEMORY
CLONE TONIGHT HIGHLIGHT ANOTHER
INFO GRAPHIC THAT FOCUSES ON
DONENESS, SO 21% OF PARTICIPANTS
RELIED ON FIRMNESS TO DETERMINE
IF HAM BERGER MEET WAS FULLY
COOKED AND ANOTHER 1 WAS GRILL
MARKS.
SO REALLY TRY TO GET A MESSAGE
OUT THAT DONENESS CANNOT BE
DETERMINED BY PHYSICAL
APPEARANCE, YOU HAVE TO USE A
FOOD TERMOM TERTO DETERMINE IF
THE SAME MINIMUM INTERPIAL
TEMPERATURE HAS BEEN REACHED AND
THAT FOOD IS SAFE FOR YOU AND
YOUR FAMILY AND FRIENDS TO
CONSUME.
SO JUST WANT TO TAKE A MINUTE TO
HIGHLIGHT OUR MOST RECENT
CAMPAIGN COMPLOATED BACK IN
NOVEMBER, SO THE THANKSGIVING
CAMPAIGN AND THIS PAST HOLIDAY
SEASONS THE OFFICE OF FSIS,
COMPLETED A THANKSGIVING FOOD
SAFETY CAMPAIGN WHICH
HIGHLIGHTED FOOD SAFETY STEPS TO
CONSIDER WHEN HANDLING RAW MEAT
AND POULTRY DURING AMERICA'S
BIGGEST FOOD HOLIDAY AND THIS
MONTH-LONG CAMPAIGN ADDRESSED
SAFETY GUIDELINES WHEN HANDLING
FROZEN FOODS AND LEFT OVERS AND
OUR STAFF COMPLETED 59
INTERVIEWS IN ENGLISH AND
SPANISH WHICH INCLUDED 36 TV AND
23-RADIO INTERVIEWS.
OUR MEDIA CAMPAIGN EARNED ABOUT
5.6 BROADCAST SESSIONS WHICH
SURPASSED THRAOF THE YEAR OF
3 MILLION IMPRESSIONS AND THE
MEAT AND POULTRY HOT LINE WAS
ACTUALLY OPEN ON THANKSGIVING
DAY FROM 8 AMUNTIL 2:00 P.M.
EASTERN AND HANDLE 171 FOOD
SAFETY INQUIRIES ON THAT DAY.
SO CURRENTLY IN PROGRESS IS OUR
SUPER BOWL CAMPAIGN, SO WE ARE
IN THE PROCESS OF COMPLETING OUR
MEDIA TOUR WHICH KICKED OFF ON
FEBRUARY 8th AND I JUST REALLY
TOOK THE OPPORTUNITY TO ENGAGE
ON TV AND RADIO IN BOTH ENGLISH
AND SPANISH TO PROMOTE OUR
MESSAGING, FOCUSING ON THE
DANGERS OF LEAVING FOOD OUT TOO
LONG AFTER ITS SERVED AND NOT
CHILLING OR HEATING PURPOSELY
AND ALSO THE 4 STEPS TO FOOD
SAFETY, SO CLEANING, SEPARATING,
COOKING AND CHILLING AND WE ALSO
FOCUSED ON THE FOOD SAFETY OF
TAKE OUT FOODS AND FOODS THAT IS
DELIVERED TO THE HOME.
SO JUST A COUPLE OF MEDIA
RELATED ITEMS.
OUR PRESS RELEASE WAS RELEASED
ON JANUARY 31st AND OUR BLOG
WAS RELEASE OFFICE OF DIVERSITY
FEBRUARY 7.
WE ALSO DEVELOPED SOCIAL MEDIA
ELEMENTS SUCH AS AN INSTAGRAM
REAL AND OTHER POSTS FOR
INSTAGRAM AND TWITTER AS WELL TO
ENGAGE WITH CONSUMERS SO PLEASE
CHECK US OUT ON SOCIAL MEDIA IF
YOU SEE OUR POSTS ON INSTAGRAM
OR TWITTER, PLEASE REPOST AND
REPEAT AS MUCH AS POSSIBLE.
IT HELPS OUR ALGORITHM AND TO
REACH A LARGER AUDIENCE ACROSS
THE COUNTRY.
SO THANK YOU FOR THAT.
LAST BUT NOT LEAST, ALSO WANT TO
HEIGHT LIGHT JUST A FEW ITEMS
UNDER OUR GENERAL CONSUMER
EDUCATION, SO 1 OF THE MAJOR
THINGS WE HAVE BEEN ABLE TO
REVAMP OVER THE PAST YEAR IS
OUR--IS IT DONE YET?
WE CALL IT THE IIDY MAGNET?
BUT IT FOCUSES ON THE SAFE
INTERNAL TEMPERATURES FOR
SEVERAL DIFFERENT TYPES OF MEAT
THAT WAS REDESIGNED BACK IN
NOVEMBER OF LAST YEAR AND IT IS
AVAILABLE IN ENGLISH AND
SPANISH, SO I ENCOURAGE YOU IF
YOU ARE INTERESTED IN RECEIVING
A MAGNET, PLEASE VISIT OUR
WEBSITE AT WWW.FSIS.USDA.GOV.
AND YOU HAVE IT IN ENGLISH OR
SPANISH AND I WANT TO HIGHLIGHT
A PIECE OF RESEARCH, SO BACK IN
NOVEMBER OF LAST YEAR WE KICKED
OFF EFFORTS TO USE LISTENING
SESSIONS, GRAPHIC DESIGNS AND
CONSUMER RESEARCH TO EXPLORE
LABEL CONFIGURURATIONS FOR RAW
MEAT AND POULTRY THAT WILL EARN
CONSUMERS ATTENTION AND GET THEM
TO ADOPT SAFE FOOD HANDLING
PRACTICES SO THAT KICKED OFF IN
NOVEMBER, WE ARE MOVING FULL
STEAM AHEAD WITH ALL OF THE
DIFFERENT COMPONENTS OF THAT
PROJECT TO GET IT DONE AND
REALLY, REALLY EXCITED ABOUT
THIS PROCESS, AND HAPPY TO SHARE
ANY UPDATES, AS WE HAVE MORE
INFORMATION AS WE GET A LITTLE
BIT FURTHER ALONG IN THAT
PROJECT, SO PLEASE LET ME KNOW
IF YOU HAVE QUESTIONS AROUND
THAT.
AND WITH THAT, I AM AGAIN, VERY
APPRECIATIVE OF THE OPPORTUNITY
TO SHARE SOME OF OUR INFORMATION
AROUND RISK COMMUNICATION, AND
SOME OF OUR EFFORTS TO GET OUR
MESSAGING OUT THROUGHOUT THE
YEAR, USING OUR SEASONAL
CAMPAIGNS AND DIFFERENT MEDIA
TACTICS AND THINGS LIKE THAT,
SO, IF YOU HAVE ANY QUESTIONS,
PLEASE, PLEASE, FEEL FREE TO
REACH OUT TO ME, MY MAIM IS
JASON BERRY, ACTING DIRECTOR FOR
THE FOOD SAFETY EDUCATION STAFF
AND YOU CAN REACH ME VIA E-MAIL,
MY E-MAIL ADDRESS IS
JASON.BERRY@USDA.GOV.
THANK YOU SO MUCH AND HAVE A
GREAT DAY.
>>THANK YOU JASON.
I WANT TO SAY THE IMPRESSIVE
REACH OF YOUR CAMPAIGN, THAT'S
VERY ENCOURAGING.
SO IF YOU HAVE QUESTIONS OR
COMMENTS REGARDING TODAY'S
PRESENTATION, PLEASE USE THE
LINK UNDER YOUR STREAMING
WINDOW.
NOW WE ARE GOING TO GO TO SARAH
BRADBURY, A PHYSICAL SCIENTIST
IN THE OFFICE OF GROUND WATER
AND DRINKING WATER, SHE'S IN
EPA'S OFFICE OF WATER.
SARAH?
>>THANK YOU SO MUCH, IT'S A
PLEASURE TO BE HERE TODAY, LET
ME GET MY SCREEN SET UP.
CAN YOU SEE THAT?
>>YES.
>>GREAT.
ALL RIGHT.
GOT MORNING EVERYONE IT'S A
PLEASURE TO BE HERE TODAY TO
TALK TO YOU ABOUT NOTIFICATIONS
AS IT RELATES TO DRINKING WATER
AND IT'S AN INTERESTING
DIFFERENCE BETWEEN THE DRINKING
WATER NOTIFICATIONS AND WHAT
WE'VE HEARD SO FAR TODAY, SO
LET'S GET INTO THAT.
FIRST AN OVERVIEW OF WHAT I AM
PLANNING TO TALK ABOUT TODAY.
I HAVE A BRIEF BACKGROUND OF THE
SAFE DRINKING WATER ACT AND OUR
REGULATION STRUCTURE AND I WILL
BE FOCUSING ON THE CONSUMER
CONFIDENCE REPORTS PUBLIC
NOTIFICATION AND A SUBSET OF THE
LEAD AND COPPER RULE WHICH
INCLUDES PUBLIC EDUCATION AND
CONSUMER NOTICE AND I KNOW LED
IS AN IMPORTANT CONCERN FOR
TODAY, SO THERE'S A VOLUNTARY
PROGRAM THAT I SRO A FEW SLIDES
TO TALK ABOUT AS WELL, AND I
THINK IT'S IMPORTANT TO NOTE
THAT THE--WHAT I'M DESCRIBING
TODAY, THE REQUIREMENTS ARE
WHAT'S CURRENTLY REQUIRED AND
THERE'S A FEW REGULATIONS,
REGULATORY DEVELOPMENT THAT'S IN
THE PROCESS, SO, THOSE COULD
POTENTIALLY CHANGE IN THE FUTURE
AND THEN I WILL WRAP UP, THERE'S
A FEW SLIDES AND RESOURCES AT
THE END FOR FOLKS THAT MIGHT BE
INTERESTED IN SOME OF WHAT I
TALKED ABOUT TODAY.
SO FIRST, THE SAFE DRINKING
WATER ACT IS OUR STATUTE, IT WAS
PASS INDEED 1974, AND IT
REGULATES THE DRIRVEGGING WATER
SYSTEMS TO PROTECT PUBLIC HEALTH
AND EPA ESTABLISHES OUR
REQUIREMENTS KNOWN AS THE
NATIONAL PRIMARY DRINKING WATER
REGULATIONS AND THOSE SET
STANDARDS AND TREATMENT
TECHNIQUES TO PROTECT PUBLIC
HEALTH BY LIMITING LEVELS OF
CONTAMINANTS IN WATER AND WE
HAVE SEVERAL RULES WITHIN THAT
STRUCTURE FOCUSING ON DIFFERENT
CONTAMINANT TYPES INCLUDING THE
MICROORGANISMS, DISINFECT ANTS
AND BYPRODUCTS AND CHEMICAL
CONTAMINANTS INCLOODING
INORGANIC, ORGANIC AND RADIO
NUCLEIs AND 1 OF THOSE IS THE
LEAD AND COPPER ROLE WHICH HAS
ITS OWN ROLE TO CONTROL THAT.
AND KIND OF THE UMBRELLA THAT
OVERARCHES ALL OF THOSE IS THE
CONSUMER CONFIDENCE RULE AND THE
NETIFICATION RULE AND THAT SETS
REQUIREMENTS IF NOTIFYING THE
PUBLIC AND THESE COME FROM THE
1996 AMENDMENTS WHEN CONGRESS
PASSED THE AMENDMENT AND
PRESIDENT CLINTON SIGNED IT WITH
THE INTENT THAT AMERICANS HAD
THE RIGHT TO KNOW WHERE THEIR
WATER COMES FROM AND WHAT'S IN
IT AND FOR CONTEXT, THERE'S A
APPROXIMATELY 150,000 PUBLIC
WATER SYSTEMS THAT SERVE MOST OF
THE AMERICANS IN THE UNITED
STATES AND 50,000 OF THOSE ARE
WHAT WE CALL COMMUNITY WATER
SYSTEMS, WHICH ARE GENERALLY
SERVE THE SAME POPULATION YEAR
ROUND.
SO FIRST I WOULD LIKE TO START
WITH THE CONSUMER CONFIDENCE
REPORT RULE AND THE CONSUMER
CONFIDENCE REPORTS THEMSELVES
ARE THE ANNUAL WATER QUALITY
REPORTS.
IT PROVIDES AN ANNUAL SUMMARY OF
WHAT'S IN THE WATER, SOURCE
WATER INFORMATION, AND IT'S
PROVIDED TO THE CONSUMERS,
TYPICALLY BY JULY 1st EVERY
YEAR, THE RULE ITSELF, SETS
CONTENT AND DELIVERY
REQUIREMENTS.
SO AN OVERVIEW OF THE CONTENT,
WE REQUIRE THAT THE SYSTEMS
PROVIDE INFORMATION ABOUT THE
SYSTEM ITS, WHERE THE WATER
COMES FROM, WE SUPER SPECIFIC
DEFINITIONS FOR SOME OF THE
TECHNICAL TERMS SUCH AS MAXIMUM
CONTAMINANT LEVEL AND PROBABLY
THE MEAT OF THE REPORT IS THE
CONTAMINANT TABLE WHICH
SUMMARIZES THE MONITORING
RESULTS FROM THE WATER SYSTEM OF
ALL OF THEIR DETECTED
CONTAMINANTS, IF THERE IS WAS
ANY VIOLATION, IT HAS TO INCLUDE
INFORMATION RELATED TO THE
VIOLATIONS HAS TO INCLUDE IF
THERE'S MONITORING OR TREATMENT
TECHNIQUE THEY HAVE TO INCLUDE
INFORMATION ON THAT.
AND THE REQUIRED ADDITIONAL
INFORMATION, EVERY REPORT HAS TO
INCLUDE AN INFORMATIONAL
STATEMENT ON WATER.
IT'S IMPORTANT TO NOTE ON THESE
REQUIREMENTS IS THAT WE SET THE
MINIMUM STANDARDS AND SYSTEMS
AND STATES THEMSELVES MAY HAVE
THEIR OWN MORE STRINGENT
REQUIREMENTS AND THERE'S QUITE A
BIT OF FLEXIBILITY FOR SYSTEMS
TO TAILOR THEIR MESSAGE TO THEIR
COMMUNITY.
AS FAR AS DELIVERY REQUIREMENTS
GO, THE SYSTEM VS TO PROVIDE
THOSE REPORTS DIRECTLY TO
CONSUMERS AND WHAT WE CAN MAKE
WHAT WE CALL A GOOD FAITH EFFORT
TO THE NONBILL PAYING CUSTOMERS
AND THAT'S USUALLY DONE BY
POSTING ON THE INTERNET, SOME
NOWADAYS THEY HAVE A LOT OF
SYSTEMS HAVE THEIR OWN SOCIAL
MEDIA, THEY MIGHT POST A NOTICE
THAT THE ANNUAL WATER QUALITY
REPORT IS AVAILABLE, THEY COULD
DELIVER COPIES, MULTIPLE COPIES
TO ORGANIZATIONS OR POSTING IN
PUBLIC PLACE PRESIDENCY
ESPECIALLY THE SMALL RURAL
SYSTEMS, THE POST OFFICE TENDS
TO BE, THE PUBLIC GATHERING OR
THE GATHERING PLACE FOR MOST
PEOPLE SO THEY MIGHT POST A COPY
IN THEIR POST OFFICE AND FOR
SMALL SYSTEMS, STATES MAY DECIDE
TO,A LOW THEM TO NOT NECESSARILY
MAIL THEM BUT MAKE THEM
AVAILABLE IN THE WEBSITE AROUND
A NEWSPAPER AND THEN INFORM
THEIR CUSTOMERS OF THE
AVAILABILITY OF THE REPORT.
SO WHAT'S KEPT ME BUSY FOR THE
LAST COUPLE YEARS NOW IS THE
DIRECTION TO REVISE OUR CONSUMER
CONFIDENCE REPORT RULE FROM
CONGRESS.
THEY--WE WERE DIRECTED TO REVISE
THE RULE TO INCREASE
READABILITY, CLARITY AND
UNDERSTANDABLE AS WELL AS RISK
AND ACCURACY OF THE REPORTS AS
PART OF THOSE PROVISIONS WE'RE
REQUIRING THAT THE SYSTEMS
SERVING MORE THAN 10,000 DELIVER
THOSE TWICE A YEAR INSTEAD OF
ONCE A YEAR.
AND ALLOW PROVISIONS TO SEND
THEM TO THEIR CONSUMERS
ELECTRONICALLY.
AND ALSO INCLUDED IN THAT, THE
SYSTEMS WILL HAVE TO INCLUDE
INFORMATION ON THEIR CORROSION
CONTROL EFFORTS AND ALL LEVEL OF
EXCEEDANCES WHICH WE CAN TALK
MORE ABOUT WHEN WE GET INTO THE
WHITE NOTICES, AND WE ANTICIPATE
THE FINAL PROPOSED NOTICES WILL
COME OUT THIS SPRING AND NEXT
SPRING, OF FINAL 2024.
SO THE RPGHT RULE IS THE PUB
LIAISON NOTIFICATION RULE, IT
SPEZZIFYS SITUATION WHERE THEUAR
SYSTEM HAS TO NOTIFY THEIR
CUSTOMER IF THE WATER DOESN'T
MEET THE STANDARDS EAR IF IT
FAILS TO TEST FOR THE WATER OR
BEEN GRANTED A VARIANCE OR
EXEMPTION WHICH ARE
OPPORTUNITIES FOR THE SYSTEM TO
TAKE A LITTLE BIT LONG TORE MEET
THE STANDARDS OF A NEW RULE AND
THE RULE ITSELF ALSO ESTABLISHES
CONTENT, TIMING AND DELIVERY
METHODS.
WHEN WE TALK ABOUT PUBLIC NOTICE
CONTENT WE TALK ABOUT 10
REQUIRED ELEMENTS IN THEIR
NOTIFICATION, AND IN OUR OFFICE
WE PROVIDE GUIDANCE AND TOOLS
FOR STATES AND SYSTEMS TO USE IF
THEY WOULD LIKE TO, A LOT OF
STATES DEVELOP THEIR OWN
TEMPLATES OR RESOURCES TO HELP
SUPPORT THEIR SYSTEMS.
SOME STATES MAY DEVELOP THE
TEMPLATE FOR THE--OR HELP THE
SYSTEM BY DEVELOPING THE NOTICE
THEMSELVES AND SHARE THAT WITH
THE SYSTEM, BUT WE SET THE MIN
NUM REQUIREMENTS FOR THE CONTENT
OF THOSE NOTICES AND USUALLY
INCLUDES THE DESCRIPTIONS OF
VIOLATIONS, THE CONTACT
INFORMATION, IDENTIFY THE
POTENTIAL HEALTH RISKS WHICH OUR
RULES INCLUDE A PRE--MANDATORY
STATEMENT THAT THE SYSTEMS HAVE
TO USE IN THEIR NOTICE, AND
THEN, WHATTA ADDITIONAL, WHAT
STEPS CONSUMER CANS TAKE OR
IDENTIFY THE POPULATION THEA
RISK FOR EXAMPLE, IF IT'S NOTICE
RELATED TO NITRATES, THE NOTICE
WOULD INCLUDE THAT SPECIFICALLY
THE YOUNG KIDS LESS THAN 6
MONTHS ARE AT RISK AND THE
INITIAL ACTIONS MIGHT BE TO USE
OTHER SOURCES OF WATER
ESPECIALLY IF YOU ARE USING
BOTTLED OR USING WATER TO MAKE
THE FORMULA.
AND THEN ADDITIONAL WHEN THE
SYSTEM EXPECTS THAT IT MIGHT
COME BACK INTO COMPLIANCE AND
WHAT THEY'RE DOING TO ADDRESS
THE ISSUE OUR PUBLICATION IS
BROKEN INTO 3 TIERS BASED ON THE
POTENTIAL RISK OF PUBLIC HEALTH
OF THE SWIGZ.
SO THE FIRST TIER IS THE
POTENTIAL ACUTE RISKS, SO THAT'S
IF THERE'S E.COLI CEREBELLUMS
SEEDANCE OR NITRATE/NITRITE
VIOLATION AND THAT NOTIFICATION
HAS TO GO OUT WITHIN 24 HOURS
AND TIER 2, IS FOR OTHER
CONTAMINANTS, ARSENIC, ORGANIC
CONTAMINANTS AND DISINFECT ANTS
AND THAT NOTICE AND TIER 3 IS 1
YEAR FOR ALL VIOLATIONS THAT
WOULD BE BENEFICIAL FOR
CONSUMERS TO KNOW ABOUT BUT
DON'T HAVE THAT IMMEDIATE HEALTH
RISK AND THOSE ARE DUE WITHIN 1
YEAR OF THAT VIOLATION.
BROADCAST MEDIA YOU MIGHT HEAR
THE NEED FOR CONSUMERS TO BOIL
THEIR WATER, THOSE ARE TYPICALLY
YOUR TIER 1 VIOLATIONS, TIER 2
IS USUALLY THROUGH THE MAIL, IN
A BILL, AND THEN TIER 3 IS
TIMULAR TO TIER TBO BUT SOME
SYSTEMS TAKE ADVANTAGE OF
PUTTING THEM IN THEIR ANNUAL
WATER QUALITY REPORT, CCRs TO
MAKE THAT MORE EFFICIENT IN
THEIR DELIVERY AND REDUCE THAT
BURDEN.
NEXT I WILL TALK ABOUT THE LEAD
AND COPPER RULE.
THERE'S PUB LIBRARY FOUNDATION
EDUCATION AND THAT'S A SYSTEM
WIDE NOTICE WHEN A SYSTEM
EXCEEDS THE ACTION LEVEL AND
THEY HAVE--THE SYSTEM HAS TO
PROVIDE THAT NOTICE WITHIN 60
DAYINGS AFTER THE MONITORING
VIOLATION, AND REPEAT THAT
NOTICE AT LEAST QUARTERLY, UNTIL
THE ACTUAL EXCEEDANCES IS
RESOLVED AND THE CONSUMER NOTICE
HAPPENS WHETHER OR NOT THERE'S
AN ACTUAL EXCEEDANCE OR NOT AND
ANYTIME THEY'RE COLLECTING
SAMPLES FROM THE TAB THAT THE
HOUSEHOLD RESIDENCE WHEREVER
THEY'RE TAKING SAMPLES THEY HAVE
TO NOTIFY PERSONS AT THAT TAP OF
THE RESULTS INCLUDING HEALTH
FACTS INFORMATION, AND THEY MUST
DELIVER THAT WITHIN 30 DAYS OF
COLLECTING OR GETTING THOSE
RESULTS BACK.
THERE'S A FEW SPECIFIC LEAD
RELATED ITEM FSES YOU HAVE A
SLIDE WITH A TEMPLATE, YOU CAN
SEE WHAT THAT MIGHT LOOK LIKE
BUT THE REQUIRED CONTENT FOR THE
LEAD AND COPPER RULE HAS A FEW
MANDATORY STATEMENTS INCLUDING
HEALTH EFFECTS STATEMENT AND
WHERE TO FIND MORE INFORMATION
AND COMMUNITY WATER SYSTEMS ALSO
HAVE TO INCLUDE TELLING
CUSTOMERS HOW TO GET THE WATER
TESTED AND DISCUSSING THE
PLUMBING SOURCES.
AS I MENTIONED HERE IS THE
EXAMPLE TEMPLATE FOR THE PUB
LIAISON EDUCATION.
CAN YOU SEE ON THE LEFT-HAND
SIDE THE HEALTH EFFECTS OF LEAD,
WHICH IS THE MANDATORY
STATEMENT, THERE'S A DISCUSSION
OF THE SOURCES OF LEAD AND THE
STEPS CONSUMER CANS TAKE TO
REDUCE EXPOSURE AND WHAT
HAPPENED AND WHAT'S BEING DONE
YOU'LL NOTICE IN THIS TEMPLATE
THAT THERE'S BRACKETS AND THAT'S
INTEBDED TO ALLOW THE SWATTER
SYSTEM TO FILL IN MORE SPECIFIC
INFORMATION ABOUT THEIR UTILITY
THEMSELVES, WHAT'S SPECIFICALLY
THEY'RE DOING, INCLUDING CONTACT
INFORMATION, ET CETERA.
DELIVERING METHOD SYSTEM MORE
TARGETED THAN THE APPLICATION
COOL, THEY HAVE TO HAVE THAT
NOTICE THE PUBLIC HEALTH
AGENCIES AND OTHER COMMUNE
ORGANIZATIONS SUCH AS
PEDIATRICIANS, WELFARE AGENCIES
AND THEN CONTINUE THAT
DISTRIBUTION IN THE WATER BILLS,
PRESS RELEASES, POSTING ON THE
WEB ON A REGULAR FREQUENCY UNTIL
THAT ACTION LEVEL EXCEEDANCE IS
RESOLVED.
AND DEPENDING ON THE SIZE, THEY
MIGHT HAVE TO DO ADDITIONAL
OUTREACH METHODS SUCH AS HOSTING
PUBLIC MEETINGS, DOING TARGETED
INDIVIDUAL CUSTOMER CONTACT, AND
OTHER METHODS THAT THE STATE MAY
DETERMINE.
AND GOING BACK TO THE LED
CONSUMER NOTICE, THAT'S THE
NOTICE TO THE INDIVIDUAL
HOUSEHOLD THAT THE SAMPLES WERE
COLLECTED AT, THE REQUIRED
CONTENT THE EFFECTS CONSUMERS
CAN TAKE TO REDUCE EXPOSURE AND
DEFINITION FOR TECHNICAL TERMS
SUCH AS MAXIMUM LEVEL, MAXIMUM
CONTAMINANT LEVEL GOAL AND
ACTION LEVEL AND THE DELIVERY
METHODS ARE USUALLY DIRECTLY TO
THE HOUSEHOLD OR IF THE SAMPLE
WAS COLLECTED FROM A NON--FROM A
PLACE LIKE A FACTORY OR
HOSPITAL, SOMEWHERE, WHERE
THERE'S OTHER PEOPLE USING THE
TAP AND IT COULD BE ON A
BULLETIN BOARD OR INFORMATIONAL
PAMPHLET.
WITH THAT THE NEXT THING I WANT
TO TALK ABOUT IS THE 3 Ts FOR
REDUCING LEAD DRINK NOTHING
SCHOOLS AND THE 3 Ts STAND FOR
TRAINING, TESTING AND TAKING
ACTION, WE HAVE A LOT OF
RESOURCES FOR THIS ON OUR
WEBSITE.
THERE'S LINKS IN THE RESOURCE
PAGE AND A MANUEL ON IT AND A
MODULE AND IT WALKS INTERESTED
SCHOOLS THROUGH THE PROCESS OF
PLANNING FOR DOING TESTING AND
COMMUNE XAIGZ TO INTERESTED
STAKEHOLDERS AND IT INCLUDES
TEMPLATES AND RESOURCES AS WELL,
WHICH HAS THE SLIDE DISCUSSED
THERE'S A POST OR THE RIGHT HAND
SIDE OF THAT INFORMATION PROGRAM
ITSELF AND THE NEXT SLIDE HAS
THE COMMUNICATION TEMPLATE
LETTER FOR YOU TO SEE AND A
COPELE OTHER RESOURCES IN CASE
SCHOOLS ARE INTERESTED IN THOSE.
IT HAS SPECIFIC INFORMATION FOR
THE SCHOOL TALKING ABOUT IT IS
BOX I TALKED ABOUT AT THE BOTTOM
OF THE LETTER AND TALKS
SPECIFICALLY ABOUT GETTING A
CHILD'S BLOOD TESTED IF THERE'S
A CONCERN.
AND I INCLUDED THE LINK FOR THAT
TEMPLATE AT THE BOTTOM OF THE
SLIDE AS WELL.
AND MOST RECENTLY IN THE WATER
INFRASTRUCTURE IMPROVEMENT FOR
THE NATION ACT IT AUGUST RISED
FUNDING FOR GRANTS RELATED TO
LEAD TESTING IN SCHOOLS AND MOST
RECENTLY WITH THE BILL THE
BIPARTISAN INFRASTRUCTURE LAW IT
EXPANDED THAT A LITTLE BIT TO
INCLUDE REMEDIATION OF LEAD AS
WELL AT SCHOOLS AND THE WAY THIS
GRANT IS DISTRIBUTED IT'S
NONCOMITITION GRANT TO STATES,
TRIBES AND TERRITORIES.
THERE'S A LINK AT THE BOTTOM DPR
MORE INFORMATION AND 1 OF THE
CONDITIONS OF THE GRANT IS THAT
THE SCHOOLS USE THE 3 Ts
PROGRAM OR SOMETHING MORE
STRINGENT THAT THE STATE MY
HAVE.
AND ON THE RIGHT HAND SIDE OF
THIS SLIDE, I ALSO HAVE THE
FUNDING--FUNDS THAT HAVE BEEN
ALLOCATED THE LAST FEW YEARS
SINCE 2019.
AND WITH THAT I HAVE SOME
RESOURCES, SOME GENERAL
RESOURCES, SOME RESOURCES THAT
MIGHT BE MORE RELATED TO
CONSUMERS THEMSELVES, IF YOU'RE
INTERESTED IN THE REGULATIONS
THAT ARE BEING DEVELOPED RIGHT
NOW, I HAVE A COUPLE LINKS TO
THOSE, AS WELL AS THE CCR RULE
REVISION AND THE LEAD AND COPPER
RULE AND THE PFAS, AND IS IT
SHOULD BE COMING OUT SOON AS
WELL.
AND SPECIFICALLY RELATED TO
LEAD, THE 3 Ts AS I MENGSZED
AND ADDITIONAL RESOURCES FOR
CONSUMERS AND WITH THAT, THAT
ENDS MY PRESENTATION.
>>THANK YOU SARAH.
AND SO I'M GOING TO CALL UP MY
SLIDES REAL QUICK.
I'M GOING TO BE THE NEXT
PRESENTER SO GIVE ME 1-SECOND
HERE.
>>SO FIRST OF ALL, I'M JONATHAN
LYNCH, I'M THE DEPUTY ASSOCIATE
DIRECTOR FOR DIVISION OF
ENVIRONMENTAL HEALTH SCIENCE AND
PRACTICE IN CDC'S NATIONAL
CENTER FOR ENVIRONMENTAL HEALTH.
I'M GOING TO DESCRIBE CDC'S
INFORMATION SOURCES, RESOURCES
ON TOXINS AND NUTRITION CAN CAN
BE USEFUL FOR A WIDE RANGE OF
PEOPLE BOTH IN THE ENVIRONMENTAL
HEALTH WORKFORCE AND IN THE
GENERAL PUBLIC.
WE HOPE YOU WILL BE INSPIRED BY
THIS PRESENTATION TO CHECK OUT
OUR CONTENT AND USE IT FOR YOUR
OWN COMMUNICATION ACTIVITIES.
SO CDC SOURCES ON SPECIFIC
TOXINS ARE FOUND IN MULTIPLE
PLACES ON THE CDC WEBSITE.
THE EASIEST APPROACH IS TO
SEARCH THE WEBSITE FOR A
SPECIFIC TOXIN.
MANY TOXINS CAN EFFECT PEOPLE IN
MULTIPLE WAYS SUCH AS BI
INHALATION, THROUGH EATING FOOD
OR BY DRINKING CONTAMINATED
WATER AND WE ADDRESS MANY OF
THOSE WAYS ON OUR WEBSITE.
HERE ARE A FEW EXAMPLES, EVER
SOME OF THE MORE WIDELY
DISCUSSED TOXINS, ARSENIC,
CADMIUM, LEAD, MERCURY, THESE
ARE ONLY A SAMPLE AND MANY
TOXINS MIGHT HAVE MULTIPLE
PAGES.
BREAST FEED SUGGEST 1 OF THE
MOST IMPORTANT TOPICS WHEN
DISCUSSING TOXINS AND NUTRITION.
THE PAGE LISTED HERE IS A GREAT
RESOURCE AND LINKS TO MULTIPLE
PAGES RELATED TO BREAST FEEDING
AND DIFFERENT TOXINS.
IT CAN BE USEFUL FOR CLINICIANS
WORKING WITH NEW PARENTS, NEW
MOTHERS TCAN BE USEFUL FOR NEW
MOTHERS THEMSELVES, ANYONE WORK
IN THAT SPACE, I WOULD ENCOURAGE
EVERYONE TO CHECK THAT OUT.
BECAUSE NUTRITION IS SO
IMPORTANT TO THE HEALTH OF YOUNG
CHILDREN, CDC HAS A WEBPAGE ON
FOODS AND DRINKS FOR 6-24 MONTH
OLD CHILDREN.
PLEASE NOTE THE 2 LINKS
HIGHLIGHTED WITH THE RED BOX,
THEY ARE FOR FOOD AND DRINKS TO
ENCOURAGE AND ALSO FOR FOODS AND
DRINKS TO AVOID OR LIMIT.
TO UNDERSTAND COMMUNICATIONS, WE
HAVE TO BED THE COMPLETE CHAIN
OF HEALTH MARKET, THAT INCLUDES
GATHERING DATA, USING THE DATA
FOR RESEARCH AND ANALYSIS,
PUBLISHING FINDINGS FROM THAT
DATA AND USING FINDINGS TO
INFORM COMMUNICATIONS TO THE
PUBLIC.
OUR NATIONAL BIOMONITORRING
PROGRAM IS MONITORED BY THE
NATIONAL DIVISION OF
BIOMONITORRING PROGRAM, THEY
HAVE THE ABILITY TO TEST FOR
CHEMICALS.
THEY PUBLISH ON THEIR TESTING
METHODS AND THEY HELP ASSURE THE
QUALITY OF LABORATORY TESTED,
THEY SHARE THIS KNOWLEDGE AND
HELP TRAIN STATE LEVEL, PUBLIC
HEALTH LABORATORY AND BY O
MONITORING METHODS.
THE COMMUNICATION WORK FROM THE
BIOMONITORRING PROGRAM IS A
MAJOR PART OF CDC'S
COMMUNICATION EFFORTS REGUARDING
TOXINS AND NUTRITION.
THEY PUBLISH A NATIONAL REPORT
ON EXPOSURE TO OVER 400
ENVIRONMENTAL CHEMICALS AND
THESE ARE CUMULATIVE SINCE 1999.
THEY COLLABORATE WITH
FATTERRENERS ON 60-70 STUDIES
PER YEAR, ALL OF THEIR
NATIONALLY REPRESENTATIVE
BIOMONITORRING DATA ARE
AVAILABLE, PUBLICLY AVAILABLE AT
THE NHANES WEBSITE AND THAT CAN
BE A USEFUL RESOURCE FOR PEOPLE
WHO WORK IN THIS SPACE AND NEED
THAT KIND OF BACKGROUND
INFORMATION TO DRAW UPON IT.
NOW I'M GOING TO TALK ABOUT THE
AGENCY FOR TOXIC SUBSTANCES AND
DISEASE REGISTRY.
THIS IS A U.S. DEPARTMENT OF
HEALTH AND HUMAN SERVICES SISTER
AGENCY OF CDC ESTABLISHED BY THE
FUND FUND ACT IN 1980.
ATSDR WORKS DIRECTLY WITH
COMMUNITIES TO ASSESS AND
ADDRESS COMMUNITY HEALTH
CONCERNS RELATED TO
ENVIRONMENTAL EXPOSURES.
COMMUNITY, COMMUNICATION IS A
VERY IMPORTANT ASPECT OF THIS
COMMUNICATION SPACE.
ATSDR HELPS EXPOSURE TO
HAZARDOUS EXPOSURES BY
INVESTIGATING EMERGING VIERMAL
HEALTH THREATS, CONTUCTING
RESEARCH ON HEALTH IMPACTS OF
HAZARDOUS WASTE SITES AND
BUILDING CAPABILITIES OF AND
PROVIDING ACTIONABLE GUIDANCE TO
STATE AND LOCAL HEALTH PARTNERS.
INVOLVING THE COMMUNITY AND
COLLABORATING WITH THE MEMBERS
ARE CORNER STOANCHS TO IMPROVE
PUBLIC HEALTH, ATSDRHAS
DEVELOPED COMMUNITY ENGAGEMENT
RESOURCES THAT MAY BE USEFUL FOR
ACTIVITIES ON TOP OF NUTRITION,
INCLUDING PLAY BOOK AND
SUPPORTING COMMUNITY ENGAGEMENT
AND PLANNING TOOL TO GUIDE, SO
IF YOU ENLIST IN COMMUNE
ENGAGEMENT, THIS IS THE PLACE TO
GO.
--PROVIDES PUBLIC HEALTH
PROFESSIONALS, HEALTHCARE
PROVIDERS RESEARCHERS AND
COMMUNITY-BASED LEADERS AND
ORGANIZATIONS WITH
SCIENTIFICALLY-BASED PRACTICAL
GUIDANCE FOR ENGAGING
COMMUNITIES IN PROJECTS THAT MAY
AFFECT THEM.
THIS IS ATSDR'S COMMUNITY STRESS
RESOURCE CENTER.
USE THIS TOOL TO BETTER
UNDERSTAND AND ADDRESS EACH
COMMUNITY'S UNIQUE PRACTICAL,
INFORMATIONAL AND SOCIAL, AND
EMOTIONAL NEEDS.
AND, MRLs ARE AN ESTIMATE OF
THE DAILY HUMAN EXPOSURE TO
HAZARDOUS--TO A HAZARDOUS
SUBSTANCE LIKELY TO BE WITHOUT
APPRECIABLE RISK OF ADVERSE
NONCANCKER HEALTH EFFECTS OVER A
SPECIFIED DURATION OF EXPOSURE.
ATSDR, TOXICOLOGICAL PROFILES
COMMONLY KNOWN AS TOXIN PROVILES
ARE A UNIQUE COMPILATION OF
TOXICOLOGICAL INFORMATION ON A
GIVEN HAZARDOUS SUBSTANCE, EACH
PEER REVIEWED TOXIN PROFILE
REFLECTS A COMPREHENSIVE AND
EXTENSIVE EVALUATION, SUMMARY
AND INTERPRETATION OF AVAILABLE
TOXICOLOGICAL AND
EPIDEMIOLOGICAL INFORMATION ON
THE SUBSETS.
FINALLY ASTDR OFFERS TALKS FOR
EACH PROFILE.
WITH THE RISE IN COMMUNITY URBAN
GARDENING, IT IS IMPORTANT TO
PROTECT INDIVIDUALS AND THEIR
COMMUNITIES FROM CONTAMINANTS
THAT MAY BE FOUND IN SOIL LIKE
LEAD, LEAD EXPOSURE PARTICULARLY
IN CHILDREN CAN CAUSE
IRREVERSIBLE AND LIFE LONG
HEALTH EFFECTS.
NO SAFE BLOOD LEAD LEVEL HAS
BEEN IDENTIFIED.
EVEN THROW LEVELS OF LEAD IN
BLOOD HAVE BEEN SHOWN TO EFFECT
CHILDREN'S IQ, ABILITY TO PAY
ATTENTION AND ACADEMIC
ACHIEVEMENT.
ALTHOUGH CHILDREN ARE MORE
SUSCEPTIBLE TO LEAD EXPOSURE,
ADULTS ARE NOT IMMUNE.
HIGH LEVELS OF EXPOSURE TO LEAD
TO HIGH BLOOD PRESSURE OR KIDNEY
DAMAGE IN ADULTINGS.
SOIL SHOP EVENTS PROMOTE OUR
GOAL TO PROVIDE HEALTH EDUCATION
AND OUTREACH AND HELP PEOPLE
LEARN ABOUT EXPOSURES TO LED AND
SOIL.
HOW TO REDUCE EXPOSURE, THIS IS
AN IMPORTANT PIECE OF THE
OVERALL FEDERAL BLUEPRINT
REDUCING LEAD EXPOSURE IN THE
NATION.
AND THEN FOLLOWING UP ON THE
ATSDR SLIDES, I WILL MENTION
THEIR FLIPT WATER CRISIS AS A TO
DEMON MESSAGE TO COMMUNITIES.
IN 2014, AFTER CHANGING THEIR
WATER SUPPLY SOURCE FLINT
MICHIGAN PIPES CORRODED CAUSING
THEM TO LEAK LEAD AND OTHER
CONTAMINANTS INTO THE DRINKING
WATER, WE INCLUDED THIS RESPONSE
IN THE DIRECT COMMUNE ENGAGEMENT
THIS IS A FAMOUS EXAMPLE THAT
ILLUSTRATES THE COMMUNICATION
WORK AT THE COMMUNITY LEVEL.
MIGHT INVOLVE WORKING WITH
MULTIPLE GOVERNMENT AND
NONGOVERNMENT ORGANIZATIONS.
AND NOW, A BRIEF MENTION OF
CDC'S CHILDHOOD LEAD POISONING
PREVENTION PROGRAM BEFORE I TOSS
TO THE COMMUNICATIONS LEAD, THEY
WORK TO STRENGTHEN BLD LEAD
TESTING, SUPPORTING AND
SURVEILLANCE WHICH HELPS CONNECT
EXPOSED CHILDREN TO GUIDE
POPULATION BASED INTERVENTIONS.
SO NOW I WILL HAND IT OVER TO
PERRI, RUCKART, TEAM LEAD AND
HEALTH SCIENTIST IN THE LEAD
POISONING PREVENTION AND BRANCH
IN THE SAME DIVISION AS ME.
PERRI?
>>PERRI, CAN YOU UNMUTE PLEASE.
>>SORRY, YES, THANK YOU.
GOOD MORNING, I AM HAPPY TO BE
HERE AND THANK YOU JONATHAN, I
AM GOING TO SHARE MY SLIDES.
I WILL HAVE TO SHARE THEM IN
THIS VIEW, I HOPE THAT'S OKAY.
AND IVILLE TO TURN OFF MY CAMERA
BECAUSE I WANT TO KEEP MY
CONNECTION STABLE.
OKAY.
SO, TODAY I'M GOING TO TALK TO
YOU ABOUT CDC'S CHILDHOOD LEAD
POISONING PREVENTION EFFORTS
PARTICULARLY WHERE THEY OVERLAP
WITH THE FDA.
AND CDC HAS BEEN INVOLVED IN
LEAD POICHING PREVENTION EFFORTS
FOR OVER THE 30 YEARS.
AND AS JONATHAN MENTIONED OUR
PROGRAM, SEEKS TO ELIMINATE
CHILDHOOD LEAD POISONING AS A
PUBLIC HEALTH PROBLEM AND WE'RE
COMMITTED TO DECREASING BLD
LEVELS IN CHILDREN AND
ELIMINATING DISPARITIES IN BLOOD
LEAD LEVEL BY RACE AND
SOCIOECONOMIC STATUS.
NOW ALTHOUGH PAINT, SOIL AND
DRINKING WATER ARE THE PRIMARY
SOURCES OF LED IN THE U.S., LEAD
MAY BE FOUND IN FOOD, COOK WARE,
COSMETICS, TRADITIONAL MEDICINES
AND CEREMONIAL OR RELIGIOUS
POWDERS MADE OUTSIDE OF THE U.S.
AND THIS INCLUDING IN SOME
IMPORTED CANDY, PAPER CANDY
WRAPPERS, IMPORTED SPICES,
TRADITIONAL CERAMIC WARE, POTS,
HERBAL REMEDIES EYE LINERS AND
TRADITIONAL MEDICINE, LEAD MAY
BE ADDED OR AXALLY GET INTO
PRODUCTS DURING GRINDING,
COLORING OR PACKAGING.
AND PERSONS SELLING THESE
MEDICINE MAY BE UNAQUEAR AND THE
LIST OF INGREDIENTS MAY NOT
INCLUDE LEAD.
IN APRIL OF LAST YEAR, CDC
BECAME AWARE THAT SOME AFGHAN
FAMILIES WHO WERE RESETTLE
INDEED THE UNITED STATES WERE
USING KAJALL, ALSO KNOWN AS AN
[INDISCERNIBLE] ILINER AND IT
CAN CONTAIN LEAD AND A SAMPLE
TESTED IN THE U.S. HAD 3100
PARTS PERMILLION OF LEAD.
FDA IDENTIFIED CANNED WHAT AND
SIMILAR MATERIALS AS ILLEGAL
CALIFORNIAOR ADDITIVES IN THE
FEDERAL FOOD AND DRUG COSMETIC
ACT AND WHILE THERE WERE NO
REPORTSA THE THAT TIME OF ANY
CHILDREN WITH LED IN THEIR BLOOD
LINKED TO [INDISCERNIBLE], WE
PROACTIVELY SHARED THE
INFORMATION WITH STATE ASK LOCAL
HEALTH DEPARTMENTS WHO HAD
AFGHAN SETTLEMENT COMMUNITIES
AND WE COLLABORATE WIDE CDC'S
DIVISION OF GLOBAL MIGRATION AND
TO INSURE CONSIST ENSEL WEB
CONNECTED THEIR MESSAGING.
AND WE ALSO COMMUNICATE WITH OUR
FUNDED PARTNERS ABOUT RECALLS OF
CONSUMER PRODUCTS RELATED TO LED
AND RECENT EXAMPLES INCLUDE
DRIED PLUMB CANDIES WHICH ARE
POSSIBLY CONTAMINATED WITH LEAD
AND THIS WAS IN FEBRUARY 2022
AND FREEZE DRIED BLUEBERRIES
WHICH WERE CONTAMINATED WITH
LEAD AND THIS OCCURRED IN
JULY 2022.
WE PROVIDED INFORMATION ABOUT
THE SPECIFIC PRODUCT RECALLED, A
CALL TO ACTION, WHICH WAS TO
SHARE THE INFORMATION WITH THEIR
COLLEAGUES AND PARTNERS WE ALSO
PROVIDED RECK MENLDATIONS FOR
HEALTHCARE PROVIDERS AND WHERE
TO GET ADDITIONAL INFORMATION
AND WE'RE WORKING ON CREATING AN
RSSFEED ABOUT LEAD RECALLS TO
SHARE THEIR FUNDED PARTNERS, BUT
ISSUES INCLUDE WHERE THE FEED
IDENTIFIES LEAD, INSTEAD OF
LEAD.
SO THIS BEING SEEN AS CREDIBLE,
ACCURATE AND TIMELY SOURCE OF
INFORMATION.
TO PROTECT CHILDREN FROM LEAD
EXPOSURE, WE RECOMMEND BEING
CAREFUL WHEN EATING OR USING
ANYTHING MADE OUTSIDE OF THE
UNITED STATES.
ADDITIONALLY, THE FOLLOWING
STEPS SHOULD BE CONSIDERED TO
PROTECT CHILDREN AND PREGNANT
WOMEN FROM LEAD EXPOSURE,
AVOIDING PRODUCTS THAT CONTAIN
OR MAY BE CONTAMINATE WIDE LEAD,
IT'S BEST TO USE LEAD-FREE
PRODUCTS WITH CLEAR LABELING,
KEEPING ALL PRODUCTS THAT MIGHT
CONTAIN LEAD OR CHILDREN CANNOT
REACH THEM, SUCH AS IN LOCKED
CABINETS OR STORAGE CONTAINERS,
USING THEM TO PREPARE, COOK OR
STORE FOOD EAR DRINKS IT IS
SAFER TO USE LEADED ITEM FIST
ARE DISPLAY OR DECORATION.
TALKING TO A DOCTOR BEFORE
TAKING ANY MEDICINES, VITAMINS,
HOME REMEDIES OR SUPPLEMENTS, A
DOCTOR CAN HELP TO IDENTIFY
PRODUCTS THAT AREN'T SAFE IN
TALKING TO A DOCTOR ABOUT
GETTING A BLD TEST, A BLD LEAD
TEST IS THE BEST WAY TO
DETERMINE IF A CHILD HAS BEEN
EXPOSED TO LEAD.
AND BASED ON THESE RESULTS A
HEALTHCARE PROVIDER CAN
RECOMMEND FOLLOW UP ACTIONS AND
EATING A BALANCED DIET WITH FOO
FOODS THAT PROVIDE CALCIUM, IRON
AND VITAMIN C, THEY HELP KEEP
LEAD OUT OF THE BODY.
ANOTHER AREA WHERE WE
COLLABORATE WIDE FDA IS THE LEAD
CARE RECALLS, BEGINNING IN EARLY
21, [INDISCERNIBLE] RECALLED
LEAD CARE BLOOD LEAD TEST KITS
DUE TO FALSE LAW RESULTS AND AS
A RESULT FDA IDENTIFIED THIS AS
A CLASS 1 RECALL.
SO IN JULY 2021, CDC PUBLISHED
THE FIRST HEALTH NETWORK THAT
NOTIFIED PARTNERS THAT SOME
BLOOD LEAD TEST KITS DISTRIBUTED
BETWEEN OCTOBER 27th, 2020-AND
JUNE 15th 2021, WOULD
REPORTING LOW LEVELS.
WE ALSO MET WITH OUR FUNDED
COOPERATIVE AGREEMENT PARTNERS
TO ANSWER THEIR QUESTIONS AND
FOLLOW IT UP ON ANY QUESTIONS WE
COULD NOT ANSWER DURING THE
MEETING AND WHEN THE RECALL WAS
EXPANDED IN OCTOBER 2021, WE
UPDATED OUR MATERIALS AND
NOTIFIED OUR PARTNERS.
AND ADDITIONALLY, WE UPDATED
MATERIALS AND INFORMED PARTNERS
IN THE COMPANY RESUMED
DISTRIBUTION OF THE PRODUCT IN
MARCH OF 2022.
AND THIS EXAMPLE, ILLUSTRATES
THAT AND ADMITTING WHEN WE
DIDN'T KNOW SOMETHING AND
PROMOTING ACTION.
SO IN ADDITION TO PRIMARY
PREVENTION, SECONDARY PREVENTION
VIA A BLOOD LEAD TEST IS NEEDED
TO CONNECT LED EXPOSED CHILDREN
TO FOLLOW UP SERVICES.
AND A BLOOD LEAD TEST IS THE
BEST WAY TO DETERMINE A BLOOD
LEAD LEVEL AS THEY MAY NOT SHOW
OBVIOUS SIGNS OR SYMPTOMS AND
THERE ARE 2 TESTS, SAMPLE
COLLECTION MUST BE CAREFULLY
MANAGED AND PROPER SAMPLE
COLLECTION.
CDC'S BLOOD LEAD BLVV WAS
UPDATED TO 3.5 UG, IN 2021 BASED
ON DATA FROM NHANES FROM
2015-2018 AND THAT'S THE
NATIONAL HEALTH NUTRITION AND
EXAM NATION SURVEY.
SO WHAT THE BLRV MEAN SYSTEM
THAT 97.5% OF U.S. CHILDREN AGES
1-5 YEARS HAVE BLD LEAD LEVELS
THAT ARE BELOW 3.5 MICROGRAMS
PER DECIMAL LITER, BUT IT ALSO
MEANS THAT 2.5% OF CHILDREN,
WHICH IS ABOUT 500,000 CHILDREN
ACROSS THE U.S. HAVE BLOOD
LEVELS EQUAL TO OR GREATER THAN
3.5 DG.
AND THE BLRV IS NOT A HEALTH
BASED STAND OR A TOXICITY
THRESHOLD.
IT'S A TOOL IN UPDATING THE BLRV
ALLOWS CDC AND FEDERAL PARTNERS
TO FOABLGUS RESOURCES ON
CHILDREN, WITH HIGHER LEVELS OF
LEAD IN THEIR BLOOD COMPARED TO
MOST CHILDREN AND IT ALSO
SUPPORTS CDC'S AND THE
ADMINISTRATION'S COMMITMENT TO
HEALTH EREQUESTIT EXPE
ADDRESSING ENVIRONMENTAL
JUSTICE.
AS THERE ARE SIGNIFICANT
DISPARITIES AND EXPOSURE IN
HEALTH OUTCOMES ACROSS RACIAL,
ETHNIC AND SOCIOECONOMIC STATUS.
SO I WOULD LIKE TO EXTEND MY
GRATITUDE TO ALL OF OUR PARTNERS
TO END CHILDHOOD LEAD POINTING
AND THE SLIDE LISTS OUR WEBSITE
WHERE YOU CAN FIND OUT MORE
INFORMATION.
THANK YOU.
>>OKAY, WELL, THANK YOU PERRI,
AS A REMINDER TO THE AHIENCE
PLEASE USE THE LINK BELOW YOUR
STREAMING WINDOW TO SEND IN
QUESTIONS AND COMMENTS ABOUT THE
PRESENTATIONS WE'VE SEEN SO FAR.
PLEASE PUT COMMENT IN THE FIRST
LINE.
IF YOU HAVE A COMMENT TO
CONSIDER LATER PLEASE PUT
QUESTION IN THE FIRST LINE IF
YOU HAVE A QUESTION WITHIN THE
SCOPE OF THESE TOPICS THAT WE
MIGHT BE ABLE TO ADDRESS LATER
IN THE PANEL DISCUSSION.
SO I'M GOING TO TOSS THIS BACK
TO KIM NOW.
KIM?
>>HELLO, EVERYONE, THANK YOU
FOR JOINING US, WE WILL TAKE A
SHORT BREAK AND YOU CAN CHECK
THE TIMER TO RETURN BACK TO JOIN
US.
THANK YOU.
>>WELCOME BACK
EVERYONE.
THANK YOU SO MUCH FOR BEING
HERE, THANK YOU SO MUCH FOR
STILL BEING WITH US.
I'M GOING TO HAND THINGS OVER TO
COMMANDER ANN KHAN IN A MOMENT.
FIRST A NOTE FOR THE AUDIENCE,
IF YOU HEAR SOMETHING IN ANNA'S
PRESENTATION YOU WANT TO ASK
ABOUT PLEASE USE THE LINK
UNDERNEATH YOUR STREAMING
WINDOW.
THAT WILL TAKE YOU TO A WEB FORM
WHERE YOU CAN INPUT YOUR
QUESTION, PLEASE PUT THE WORDS
CERC QUESTION, IN THE FIRST LINE
OF YOUR QUESTION.
WE WILL HAVE A SHORT Q&A SESSION
IMMEDIATELY AFTER ANNA'S
PRESENTATION.
THAT SAID, COMMANDER ANN KHAN IS
THE ASSOCIATE DIRECTOR FOR
COMMUNICATION WITH THE DIVISION
OF ENVIRONMENTAL HEALTH SCIENCE
AND PRACTICE IN CDC'S NATIONAL
CENTER FOR ENVIRONMENTAL HEALTH.
ANNA, TOSSING IT OVER TO YOU
NOW.
>>THANK YOU JONATHAN, THANK YOU
FOR THE WARM WELCOME, LET ME SEE
ABOUT SHARING MY SLIDES WITH
YOU.
AND JONATHAN IN JUST A MOMENT IF
YOU CAN CONFIRM THAT YOU SEE
THEM.
>>SEE SEE THEM IN NOTE FORM NOT
PRESENTATION FORM.
>>ARE THEY IN PRESENTATION
MODE?
>>THEY ARE.
>>THANK YOU SO MUCH FOR THE
WARM WELCOME.
IT'S A PLEASURE TO BE HERE
TODAY.
TODAY I WOULD TALK ABOUT HOW TO
EFFECTIVELY COMMUNICATE AND
PROMOTE RESILIENCE TO
MISINFORMATION.
SO HOW CAN WE HELP OUR FRIENDS,
LOVED 1S AND COMMUNITIES FIND
THE TRUTH.
THE REASON I WILL TALK TO YOU
ABOUT THIS TODAY IS BECAUSE I
THINK IT'S 1 OF OUR LEADING
ISSUES IN PUBLIC HEALTH
ESPECIALLY RIGHT NOW WHEN PEOPLE
ARE RELYING MORE THAN EVER ON
THEIR PHONES AND SOCIAL MEDIA TO
CONNECT WITH THE WORLD.
SO LET'S START WITH SOME
QUESTIONS.
HOW MANY OF YOU HAVE SOCIAL
MEDIA ACCOUNTS.
AND HOW MANY OF YOU HAVE SEEN
PUBLIC HEALTH MISINFORMATION AND
SOCIAL MEDIA MESSAGES FROM YOUR
FRIENDS AND LOVED ONES?
SO LET'S TALK ABOUT HOW
COMMUNICATION HAS CHANGED.
PEOPLE USED TO RECEIVE THEIR
NEWS FROM NEWSPAPERS, AND RADIO
AND TELEVISION, BUT INFORMATION
DISSEMINATION HAS CHANGED.
NOW EVERYONE IS AN AUTHOR,
EDITOR AND A DISSEMINATOR AND WE
HAVE RAPID AMPLIFICATION AND
DISSEMINATION OF INFORMATION
ONLINE.
MORE CONCERNINGOT LONG-TERM
EFFECTS OF MISINFORMATION AND
DISINFORMATION THAT CAUSE
MISTRUST AND CONFUSION.
SO WHAT CAN WE DO TO OVERCOME IN
GROWING PROBLEM.
THE FIRST STEP IS THAT WE HAVE
TO WORK TOGETHER TO EFFECTIVELY
OVERCOME MISINFORMATION.
AND HERE'S THE BOTTOM LINE
UPFRONT.
THE KEY MESSAGE TO THIS
PRESENTATION, SO, IF YOU DON'T
REMEMBER, ANYTHING ELSE, I TELL
YOU TODAY, OR PRESENT TO YOU,
REMEMBER THIS, NONE OF US HAVE
THE ABILITY TO CONNECT WITH ALL
AUDIENCES.
THERE ARE PEOPLE IN ECHO
CHAMBERS THAT ONLY LISTEN TO
THEIR SO-CALLED LEADERS AND
INFLUENCERS.
SO IN ORDER TO OVERCOME
MISINFORMATION, WE HAVE TO WORK
TOGETHER.
AND THERE ARE TOOLS AND
TECHNIQUES WITHIN THIS
PRESENTATION THAT CAN YOU USE.
SO TODAY I WILL GO OVER AND
EXPLAIN THE RISK COMMUNICATION
ALSO KNOWN AS CIRC, I WILL LIST
THE 6 PRINCIPLES OF CERC AND HOW
TO APPLY THEM AND I WILL DEFINE
MISINFORMATION, DISINFORMATION
AND COGNITIVE SCHEMAS.
AND WE'RE ALSO GOING TO DISCUSS
HOW RUMORS AND MISINFORMATION
ARE PLAGUING OUR COMMUNITIES AND
I'M GOING TO PROVIDE TIPS AND
TOOLS ON HOW TO OVERCOME
MISINFORMATION.
SO WHAT IS CRISIS AND EMERGENCY
RISK COMMUNICATION, ALSO KNOWN
AS CERC?
IT'S AN EVIDENCE-BASED FRAMEWORK
AND BEST PRACTICES FOR
EFFECTIVELY COMMUNICATING IN
RESPONSE TO PUBLIC HEALTH
EMERGENCY.
MANY OF THE COMMUNICATION
PRINCIPLES OF CERC, APPLY TO
HIGH INTEREST OR CONTROVERSIAL
TOPICS.
CRISIS AND EMERGENCY RISK
COMMUNICATION IS THE TYPE OF
COMMUNICATION USED DURING TIMES
OF CRISIS OR EMERGENCY TO
PROVIDE ACCURATE AND TIMELY
INFORMATION TO THE PUBLIC.
AND TO REDUCE THE RISK OF HARM
THE GOAL OF CERC IS TO
EFFECTIVELY COMMUNICATE WITH THE
PUBLIC AND PROVIDE GUIDANCE TO
THE PUBLIC IN ORDER TO REDUCE
THE IMPACT OF A CRISIS OR
EMERGENCY EVENT AND TO MANAGE
THE PUBLIC'S EXPECTATIONS, AND
BEHAVIORS DURING AN EVENT.
CERC TYPICALLY INVOLVES THE USE
OF VARIOUS COMMUNICATIONS
CHANNELS AND STRATEGIES.
AND THEY ALSO INVOLVE SOCIAL
MEDIA, WEBSITES, NEWS RELEASES
AND PUBLIC ANNOUNCEMENTS.
IN ADDITION WE ALSO RELY ON
COMMUNITY HEALTH LEADERS OR
STAKEHOLDERS TO HELP COORDINATE
THE RESPONSE TO A CRISIS OR AN
EMERGENCY EVENT.
THE CONTENT AND DELIVERY OF CERC
MESSAGES SHOULD BE CAREFULLY
PLANNED AND TAILORED TO A
SPECIFIC AUDIENCE AND THE NATURE
OF THE COMMUNICATION CHALLENGE.
IT IS IMPORTANT FOR CERC
MESSAGES TO BE CLEAR, CONVICE
AND EASY TO UNDERSTAND AND TO
PROVIDE ACCURATE AND TIMELY
INFORMATION ABOUT THE SITUATION.
AS WELL AS ANY POTENTIAL RISKS,
AND ACTIONS THAT THE PUBLIC
SHOULD TAKE TO PROTECT
THEMSELVES.
THE REASON THAT CERC IS
IMPORTANT IS BECAUSE
COMMUNICATION SCIENCE RESEARCH
SUPPORTS THE ASSERTION THAT THE
RIGHT MESSAGE AT THE RIGHT TIME
FROM THE RIGHT PERSON CAN SAVE
LIVES.
WE'RE USED TO SEEING AND
APPLYING CERC PRINCIPLES DURING
EMERGENCY RESPONSE BUT THERE'S
ALSO A NEED TO ADHERE TO THESE
TIME TESTED PRINCIPLES IN PEACE
TIME TO OVERCOME MISINFORMATION
AND DISINFORMATION.
SOME OF THE REASONS THAT
MISINFORMATION AND
DISINFORMATION ARE ABLE TO GET A
FOOT HOLD IN OUR AUDIENCE'S
PSYCHES ARE THE SAME REASONS
PEOPLE HAVE DIFFICULT EXPE
FINDING AND APPLYING QUALITY
GUIDANCE DURING AN EMERGENCY.
SO IN THIS PRESENTATION RKSZ
WE'RE GOING TO EXPLORE HOW TO
EFFECTIVELY MITIGATE BOTH
SCENARIOS, BY ADHERING TO AND
APPLYING CERC PRINCIPLES.
AS MOST OF US ALREADY KNOW,
COMMUNICATION IS VERY DIFFERENT
DURING AN EMERGENCY AND IN AN
EMERGENCY, THERE ARE OFTEN
IMMINENT AND EMERGENT THREATS
AND UNCERTAINTY, PEOPLE FEEL
THEY HAVE LOST CONTROL, THERE IS
FEAR AND WORRY AND THIS CAN BE
AT THE INDIVIDUAL FAMILY,
COMMUNITY AND GLOBAL LEVELS.
I REMEMBER DURING 2020, THE
BEGINNING OF 2020 THERE WAS A
FEAR OF GETTING INFECTED AND IT
WAS IMPACTING FAMILIES AND
COMMUNITIES.
AND THERE WERE CLEANERS AND
DISINFECT ANTS THAT WERE BEING
USED INCORRECTLY, RETAILERS WERE
CLEANING CARTS WITH HIGH
CONCENTRATIONS OF DISINFECT
ANTS, AND CHILDREN WERE BEING
PLACED IN THOSE CARTS AND THEY
RECEIVED BURNS ON THE BACKS OF
THEIR LEGS BECAUSE THE DIRECT
CONTACT WITH CLEANER RESIDUE.
SO CLEAR COMMUNICATION WAS
NEEDED ABOUT THE UNCERTAINTY BUT
THERE WAS ALSO A NEED FOR NEW
GUIDANCE.
SO HOW DO WE PREVENT THIS FROM
OCCURRING OR AT LEAST ADDRESS
SUCH A GAP, EFFECTIVELY AND
EFFICIENTLY.
WE WANT TO START WITH WHAT DO
PEOPLE WANT TO KNOW?
WE NEED TO PROVIDE INFORMATION
ABOUT THE EVENT WHICH INCLUDES
WHAT WE KNOW, WHAT WE DON'T KNOW
AND WHAT WE'RE DOING TO FIND
ANSWERS.
WE NEED TO SHARE INFORMATION
ABOUT HOW PEOPLE CAN PROTECT
THEMSELVES, THEIR FAMILIES AND
THEIR PETS.
WE NEED TO MAKE SURE THAT WE
SHARE THE MOST UP TO DATE
INFORMATION SO PEOPLE CAN MAKE
WELL INFORMED DECISIONS AND WE
NEED TO MAKE SURE THAT PEOPLE
HAVE AN ACTIVE ROLE IN THE
RESPONSE AND RECOVERY.
THIS ALLOWS THEM TO HAVE CONTROL
OVER THEIR OWN ACTIONS AND IT
GIVES PEOPLE A ROLE TO PLAY AND
IT GOES A LONG WAY TO GETTING
SOME SEMBLANCE OF CONTROL OR
PREDICTABILITY BACK INTO THEIR
LIVES.
WE ALSO NEED TO MAKE SURE THAT
WE'RE SHARING EVIDENCE BASED
PUBLIC HEALTH RECOMMEND
ANTICIPATIONS THAT KEEP THEM
INFORMED OF THE LATEST GUIDANCE
AND OF COURSE, IT HELPS IF THERE
IS CLARITY THAT THIS WILL EITHER
LEAD TO SOME SENSE OF RETURN TO
NORMAL OR WHAT THE NEW NORMAL
WILL LOOK LIKE.
SO IT'S EASIER FOR YOUR AUDIENCE
TO PREPARE FOR WHAT IS EXPECTED.
SO LET'S DISCUSS THE GUIDING
PRINCIPLES FOR RISK
COMMUNICATION.
YOU WANT TO BE FIRST, YOU WANT
TO GET INFORMATION OUT QUICKLY
BECAUSE CRISIS ARE TIME
SENSITIVE AND COMMUNICATING
INFORMATION QUICKLY IS CRUCIAL
AND OUR INFORMATION RICH
CLIMATE, THERE ARE MANY SOURCES
OF MISINFORMATION AND SOME CAN
BE MORE CREDIBLE THAN OTHERS.
AND SOME SOURCES OF
MISINFORMATION APPEAL MORE
STRONGLY TO VARIOUS AUDIENCES.
DUE TO HOW QUICKLY
MISINFORMATION CAN SPREAD NOW
DAYS, BECAUSE OF SOCIAL MEDIA,
IT IS ESPECIALLY IMPORTANT TO
SPEAK FIRST, COMMUNICATE FIRST,
AND ENGAGE FIRST.
THIS HELPS AVOID RUMORS AND
MISINFORMATION BEING THE FIRST
ITEMS THAT REACH YOUR AUDIENCE
AND FILL THE INFORMATION GAP
THEY MIGHT BE EXPERIENCING IN
ABSENCE OF MESSAGING FROM YOU.
WE ALL WANT TO BE RIGHT.
ACCURACY, ESTABLISHES
KREADIBILITY.
SO BE RIGHT IN YOUR MESSAGES.
THE INFORMATION CAN INCLUDE
WHAT'S KNOWN, WHAT ISN'T KNOWN
AND WHAT'S BEING DONE TO FILL
THE GAP.
IT'S IMPORTANT TO SHARE
INFORMATION THAT YOU KNOW TO BE
RELIABLE.
IT'S 1 THING TO ACKNOWLEDGE THAT
THERE ARE THINGS TO BE LEARNED
AND THAT MORE WILL BE SHARED,
BUT IT'S COMPLETELY DIFFERENT TO
CLAIM CERTAINTY AND THEN TERN
OUT TO BE MISLEADING.
AND WE ALSO WANT TO BE CREDIBLE.
HONESTY AND TRUTHFULNESS SHOULD
NOT BE ABSENT DURING CRISIS.
WE WANT TO EXPRESS EMPATHY.
CRISIS CREATE HARM AND THE
SUFFERING SHOULD BE ACKNOWLEDGED
IN WORDS.
IT'S IMPORTANT YOU MUST
UNDERSTAND WHAT A COMMUNITY'S
STRUGGLES ARE IN ORDER TO HELP
THEM.
YOU HAVE TO ACKNOWLEDGE THEIR
FEELINGS.
IF YOU DON'T TRY TO IMAGINE WHAT
THEIR FEELING, WHAT THEY'RE
GOING THROUGH, OR WHAT THEY
NEED, THEN YOUR MESSAGE AND YOUR
OUTREACH EFFORTS WILL FAIL TO BE
AUTHENTIC AND WILL NOT RESONATE.
EMPATHY IS NOT THE SAME AS
SYMPATHY.
YOUR EFFORTS MUST COME FROM A
PLACE OF COMPASSION AND
UNDERSTANDING.
ACKNOWLEDGING THE FEELINGS THAT
YOUR AUDIENCE IS GOING THROUGH
ADDS A SENSE OF HUMILITY.
WE ALSO WANT TO PROMOTE ACTION,
GIVE PEOPLE MEANINGFUL THINGS TO
DO, TO CALM ANXIETY AND TO HELP
RESTORE ORDER AND PROMOTE A
SENSE OF CONTROL.
WE ALSO WANT TO SHOW RESPECT,
RESPECTFUL COMMUNICATION IS
PARTICULARLY IMPORTANT WHEN
PEOPLE FEEL VULNERABLE.
RESPECTFUL COMMUNICATION
PROMOTES COOPERATION AND
RAPPORT.
CAN IT HELPS ALLEVIATE A CLASS
DIVIDE OR AN AUTHORITY-BASED
RELATIONSHIP.
SO WE JUST TALKED ABOUT HOW
COMMUNICATION IS DIFFERENT
DURING EMERGENCIES, NOW I'M
GOING TO ADD SOME MORE FACTORS
THAT MAY AFFECT HOW YOUR MESSAGE
IS RECEIVED, AND PERCEIVED.
IN OUR WORLD IT'S VERY LIKELY
THAT YOUR AUDIENCE WILL BE
DIVERSE WITH DIFFERENT FEATURES,
DEMOGRAPHICS AND QUALITIES,
THESE DIFFERENCES SHOULD SHOULD
SHAPE YOUR MESSAGING AND
OUTREACH EFFORTS.
FOR EXAMPLE, TAIL ORING
COMMUNICATION EXPOSURE TO
RADIATIONS TO ADDRESS FACTORS
SUCH AS LANGUAGE NEEDS, BELIEFS
AND VALUES.
SO A GOOD EXAMPLE OF THIS, ABOUT
THE IMPORTANCE OF UNDERSTANDING
YOUR AUDIENCE IS WHEN FREE
NETTING WAS PROVIDED TO
COMMUNITIES TO PROTECT FAMILIES
FROM MOSQUITO BORN DISEASES AND
VERY FEW PEOPLE WERE USING THE
NETTING.
WHEN THE PUBLIC HEALTH OFFICIALS
ASKED PEOPLE WHY THEY WEREN'T
USING IT, THEY EXPLAINED THAT
THE COLOR WHITE SIGNIFYS MORNING
AND W. H. O. CONSULTED COMMUNITY
LEADERS AND DISCOVERED GREEN
SIGNIFIES LIFE AND PROVIDING
GREEN COLORED NETTING WHICH WAS
QUICKLY USED BY THE COMMUNITIES.
SO UNDERSTANDING YOUR AUDIENCE
IS 1 OF THE KEY ELEMENTS.
TO YOUR SUCCESS.
THERE ARE MANY COMMON MISTAKES
THAT CAN OCCUR WHEN MESSAGING
AND I THINK THE KEY ISSUE HERE
IS TO REMEMBER WHO YOUR AUDIENCE
IS AND OF COURSE THAT YOU'RE NOT
MESSAGING YOURSELF.
SO NOW WE'RE GOING TO TRANSITION
TO THE OVERABUNDANCE OF
INFORMATION, MISINFORMATION AND
DISINFORMATION.
SO, IN 2020 WHEN THE PUBLIC WAS
GETTING USED TO THE WORD COVID
AND THE CORONA VIRUS, W. H. O.
COINED ANOTHER WORD AND THAT
WORD WAS INFO DEMIC, WHICH MEANS
THE OVERABUNDANCE OF
INFORMATION, THE CATCH HERE IS
THE HUGE AMOUNT OF INFORMATION
OUT THERE THEN IT'S ESPECIALLY
DIFFICULT TO FIGURE OUT WHAT'S
CREDIBLE AND WHAT'S NOT.
THIS FURTHER COMPLICATES THE
SITUATION BECAUSE THEN YOU ALSO
HAVE THE RAPID SPREAD OF
MISLEADING OR FABRICATED NEWS,
IMAGES AND VIDEOS AND LIKE A
VIRUS, BAD INFORMATION, WHETHER
IT'S MISINFORMATION OR
DISINFORMATION IS HIGHLY
CONTAGIOUS AND CAN GROW
EXPONENTIALLY.
SO 2020 ALSO PROVIDED THE FIRST
INFO DEMIC CERTIFICATION TO
DEBUNK PUBLIC HEALTH
MISINFORMATION, AND THERE WERE
600 OF US FROM ACROSS THE GLOBE
THAT WILL ACCEPTED INTO THE
TRAINING AND THIS INCLUDED
HEALTH COMMUNICATORS PUBLIC
HEALTH PROFESSIONALS,ITIONS,
EPIDEMIOLOGISTS AND WORKED ON
SEVERAL PROGECS.
WE SHARED THE STRUG ILLEGALSS
WITHIN OUR AGENCIES, EXAMPLES OF
MISINFORMATION AND
DISINFORMATION THAT WE WERE
ENCOUNTERING AND WE WORKED ON
STRATEGIES ON HOW TO DEBUNK
MISINFORMATION AND
DISINFORMATION.
SO WHAT IS MISINFORMATION AND
DISINFORMATION?
MISINFORMATION IS FALSE
INFORMATION THAT'S SHARED BUT NO
HARM IS INTENDED.
A GOOD EXAMPLE OF THIS IS WHEN
PEOPLE RUN ACROSS INFORMATION ON
SOCIAL MEDIA AND THEY SHARE THE
INFORMATION WITHOUT LOOKING
CLOSELY AT THE SOURCES.
OR BECAUSE IT'S BEEN SHARED BY
FRIENDS AND THERE'S ALSO ANOTHER
EXAMPLE AND THAT'S WHEN SOMEONE
COMES ACROSS MISINFORMATION ON
SOCIAL MEDIA AND KNOWS IT'S
NOTES FACTUAL BUT STILL DECIDES
TO SHARE IT WITH FRIENDS AND
LOVED 1S TO TALK ABOUT HOW
RIDICULOUS THE CONTENT IS, EVEN
THOUGH MOST OF THOSE WITHIN
THEIR CIRCLE, KNOW NOT TO
BELIEVE IT THERE ARE OTHERS THAT
SEE THAT MESSAGE, IS A MESSAGE
OF HOPE AND THEY SHARE IT WITHIN
THEIR EXTENDED CIRCLE AND THE
MISINFORMATION CONTINUES TO
SPREAD.
WE ALSO HAVE DISINFORMATION, AND
DISINFORMATION IS KNOWINGLY
SHARING FALSE INFORMATION TO
CAUSE HARM.
THIS IS USUALLY DONE WITH THE
MOTIVATION IN MIND OR FINANCIAL
GAIN.
HEALTH MISINFORMATION IS
INFORMATION THAT IS FALSE AT THE
TIME.
A GOOD EXAMPLE OF THIS IS
REMEDIES SUCH AS HERBAL TEA
CIRCLING ON SOCIAL MEDIA AS A
WAY TO PREVENT VIRUSES.
SO HERE ARE TYPES OF
MISINFORMATION, MISLEADING COP
TENT WHICH IS INFORMATION
MISLEAD TO FRAME AN ISSUE, WE
HAVE IMPOSTER CONTENT WHERE
GENUINE SOURCES ARE BEING
IMPERSONATED AND WE CERTAINLY
HAVE SEEN THAT OVER THE LAST FEW
YEARS.
FALSE CONNECTION WHERE HEAD
LINES, VISUALS OR CAPTIONS DON'T
SUPPORT THE CONTENT, THIS IS
ANOTHER 1 WE'VE SEEN QUITE A BIT
OF AND WE'VE SEEN MANIPULATED
CONTENT WHERE GENUINE
INFORMATION OR IMAGERY IS
MANIPULATED TO DECEIVE.
A GOOD EXAMPLE OF THIS WOULD BE
DEEP FAKES MANIPULATED VIDEO
WHERE THE IMAGES OR DIALOGUE OR
AUDIO OR SEQUENCE OF EVENTS HAVE
BEEN ALTERED NOW SOMETIMES THIS
IS DONE FOR HIEWMEROUS PURPOSES
BUT HARMFUL MISINFORMATION CAN
ALSO OCCUR.
SO LET'S TALK ABOUT COGNITIVE
SCHEMAS, SO JUDGING INFORMATION
ON SOCIAL PLATFORMS WILL REQUIRE
OUR BRAINS TO ADAPT TO A NEW
COGNITIVE STRATEGY FOR
PROCESSING INFORMATION.
KEEP IN MIND THAT SOCIAL
NETWORKS ARE DRIVEN BY SHARING
EMOTIONAL CONTENT.
THESE SITES ARE DESIGNATED SO
THAT EVERY TIME A USER POSTS
IT'S LIKED OR COMMENTED UPON OR
FURTHER SHARES AND AS SOCIAL
BEINGS WE COMMENT, WE LIKE AND
WE SHARE THE TYPES OF POST THAT
BEST CONFORM TO THE ATTITUDES OF
OUR SOCIAL CIRCLE.
SO LET'S TALK ABOUT
MISINFORMATION RECALL.
MISINFORMATION CAN AFFECT
INFORMATION RECALL
ESPECIALENTIALLY WHEN IT'S
COMBINED WITH OTHER COGNITIVE
BIASES, A GOOD EXAMPLE OF THIS
IS WHEN RESEARCHERS LOOKAD THE
EFFECTS OF MEDIA CORRECTIONS AND
RETRACTIONS DURING THE IRAQ WAR
ON INFORMATION RECALL.
PARTICIPANTS WERE QUESTIONED
ABOUT 1 TRUE EVENT, 2 EVENTS
THAT WERE INSHALLLY PRESENTED AS
FACT BUT THEN SUBSEQUENTLY
RETRACTED AND IN THEN 3
FICTIONAL EVENTS.
WHILE AUSTRAILIAN AND GERMON
PARTICIPANTS WERE ABLE TO
DISTINGUISH CORRECTED
INFORMATION FROM MISINFORMATION,
AMERICANS SHOWED A PERSISTENCE
IN THE BELIEVE AND
MISINFORMATION EVEN AFTER IT WAS
CORRECTED.
THE IRAQ WAR HELD A GREATER
EMOAGDZAL CHARGE --EMOTIONAL
CHARGE THAN IT DID FOR
AUSTRAILIANS.
--CAN SOMETIMES BACK FIRE AND BY
MAKING THE MISINFORMATION MORE
MEMORABLE.
THIS HAPPENS WHEN INFORMATION IS
MISPROCESSED AND IS MORE ACCEPT
AN THAN THAT WHICH IS TRUE.
SO A GOOD EXAMPLE OF THIS IS
THERE ARE 3 REASONS WHY CLIMATE
SCIENTISTS ARE LYING TO YOU
VERSUS THEIR 21 REASONS WHY YOU
SHOULD BELIEVE AND IN CLIMATE
CHANGE.
IF OUR EXPLANATIONS ARE TO TOO
CONFUSING OR COMPLICATED THEN
THE SIMPLER OR MORE STRAIGHT
FORWARD SOUNDING MISINFORMATION
MAY APPEAR PLAUSIBLE.
SO HERE'S A RECAP OF THE 4 WAYS
THAT PEOPLE PROCESS INFORMATION.
AND NOW LET'S GO INTO A
SCENARIO, AN EXAMPLE OF
MISINFORMATION THAT WE
ENCOUNTERED WITHIN OUR CENTER
AND THE STEPS WE TOOK TO ADDRESS
IT.
SO IN MARCH AND APRIL OF 2020,
YOU MAY RECALL THAT CLEANERS AND
DISINFECT ANTS WERE IN THE NEWS,
THERE WAS MISINFORMATION ABOUT
INJECTING OR INGESTING CLEANERS
AND DISINFECT ANTS, AND CLOROX
AND LYSOL RELEASED MESSAGES
ABOUT NOT TO INGEST OR INJECT
THEIR PRODUCTS.
THE SURGEON GENERAL DURING IT
TIME ADMIRAL JEROME ADAMS SAID
THROUGH HIS TWITTER FEED, PLEASE
AWLTZ TALK WITH YOUR HEALTH
PROVIDER BEFORE ADMINISTER
TREATMENT TO YOURSELF OR YOUR
LOVED 1S.
SO NOW WE WILL DISCUSS WHAT WE
DID TO EFFECTIVELY COMMUNICATE
ABOUT CLEANERS AND DISINFECT
ABTS.
CDC COLLABORATES WITH THE
AMERICAN ASSOCIATION OF POISON
CONTROL CENTERS.
AND THE AMERICAN ASSOCIATION OF
POISON CONTROL CENTERS PROVIDE
FREE 24 HOUR PROFESSIONAL ADVISE
AND MEDICAL MANAGEMENT
INFORMATION REGARDING EXPOSURES
TO CHEMICALS, DRUGS, MEDICATION.
CDC AND THE AMERICAN ASSOCIATION
OF POISON CONTROL CENTERS
SURVEILLANCE TEAM COMPARED THE
NUMBER OF CHEMICAL EXPOSEDDURES
DURING THE REPORTED TIME OF
JANUARY THROUGH MARCH OF 2020.
THE DATA WERE FROM 55 CENTERS IN
THE UNITED STATES AND DURING
THIS TIME, THE POISON CENTERS
RECEIVED 45,550 EXPOSURE CALLS
RELATED TO CLEANERS AND
DISINFECT ANTS.
THIS WAS A 20% INCREASE FROM THE
PREVIOUS YEAR.
WE KNEW IT WAS CRUCIAL THAT WE
GOT INFORMATION OUT QUICKLY TO
THE PUBLIC, SO WE DEVELOPED A
COMMUNICATION ROLE OUTPLAN FOR
SOCIAL MEDIA MESSAGING AND WE
PUBLISHED A MORBIDITY AND
MORTALITY WEEKLY REPORT, ALSO
KNOWN AS THE MMWR.
OUR SOCIAL MEDIA MESSAGES WERE
POSTED IN BOTH ENGLISH AND
SPANISH AND THEY FOCUSED ON
COMEMICALS CONTAINED IN CLEANERS
AND DISINFECT ANTS, CAN BE
DANGEROUS IF USED INCORRECTLY.
ALSO TO TAKE STEPS TO POISON
PROOF YOUR HOME.
AND THAT ALCOHOL BASED HAND
SANITIZERS CAN CAUSE ALCOHOL
POISONING IF SWALLOWED.
THE SOCIAL MEDIA METRICS
DEMONSTRATE THAD PEOPLE WERE
INTERESTED IN THIS TOPIC AND
THOUGHT THAT OTHERS SHOULD KNOW
ABOUT IT, FOR EXAMPLE, OUR FIRST
MESSAGE HAD OVER 300,000
IMPRESSIONS, OVER 6500
ENGAGEMENTS, WITH OVER 300
RETWEETS AND COMMENTS AND NEARLY
350 LIKES ON TWITTER ALONE.
WHILE FACEBOOK GENERATED NEARLY
900,000 IMPRESSIONS AND OVER
10,000 ENGAGEMENTS.
AND DURING THIS TIME, CDC ALSO
COORDINATE WIDE EPA, WE
DISCUSSED HOW WE COULD ALIGN OUR
MESSAGES, AMPRIFY EACH OTHER'S
OUTREACH AND INSURE THAT OUR
COMMUNICATION WAS REACHING THE
PUBLIC.
EPA AUGMENTED OUR MESSAGES, THEY
ALSO HAD A PRESS RELEASE ON
ALWAYS FOLLOWING THE PRODUCTS
DIRECTIONS AND NOT TO INGEST
CLIENER OR DISINFECT ANT PROD
UBTS.
MR. PRESS RELEASE WAS ALSO
PROVIDED IN SEVERAL LANGUAGES
AND THEY RELEASED SOCIAL MEDIA
MESSAGES, THAT WE AMPLIFIED.
THIS ALLOWED OUR MESSAGES TO BE
IN SYNCH, INCREASE PUBLIC
AWARENESS AND REACH OR MORE
DIVERSE AUDIENCE.
NOW LET'S TALK ABOUT ADDRESSING
THE GAPS.
AT CDC WE'RE OFTEN INVOLVED IN
NOVEL AND RAPIDLY EVOLVING
EMERGENCY RESPONSES AND AS YOU
CAN IMAGINE WE ARE FREQUENTLY
MESSAGING ABOUT UNCERTAINTY.
NOT ONLY IS IT HONEST TO
ACKNOWLEDGE UNCERTAINTY, BUT
IT'S ALSO THE MAIN SOURCE OF THE
AGENCY'S CREDIBILITY TO ADMIT
THERE ARE GAPS THAT WE'RE
WORKING HARD TO FILL.
SO FOLLOWING THE SHARP INCREASE
IN CALLS TO THE POISON CENTERS.
WE LOOKED INTO THE GAPS.
SOME OF THE HIGH RISK BEHAVIORS
INCLUDED THE USE OF BLEACH ON
FOOD PRODUCTS, AND AFTER
LEARNING ABOUT THESE GAPS WE
QUICKLY WORKED WITH EPA AND FDA
AND OTHER PARTNERS AND RELEASED
MESSAGES THROUGH MULTIPLE
CHANNELS.
SO NOW THAT WE'VE DISCUSSED WHY
MESSAGING IS IMPORTANT, LET'S
DISCUSS OTHER ELEMENTS OF
COMMUNICATION, SO LET'S START
WITH WHO IS YOUR PRIMARY
AUDIENCE.
YOU WANT TO KNOW WHO YOUR
PRIMARY AUDIENCE IS AND WHO
YOU'RE TRYING TO REACH.
IT CAN BE PEOPLE DIRECTLY
AFFECTED CAN BE RESPONDERS,
COMMUNITY LEADERS PUBLIC HEALTH
DEPARTMENTS, THE MEDICAL
COMMUNITY, MEDIA, PROFESSIONAL
ORGANIZATIONS, NG Os, AND THE
BUSINESS SECTOR.
ONCE YOU KNOW WHO ARE TRYING TO
REACH, THEN YOU WANT TO PUT
TOGETHER A PLAN ON HOW TO BEST
REACH THEM AND THROUGH MULTIPLE
CHANNELS SO HOW DO YOU IDENTIFY
YOUR AUDIENCE.
THINK ABOUT WHO IS BEING
IMPACTED, WHO CAN HELP, WHO CAN
CHANGE THE SCENARIO AND WHO
NEEDS GUIDANCE AND INFORMATION
TO MAKE A DIFFERENCE.
AND WHEN IS THE RIGHT TIME IN
THE MESSAGE.
YOU NEED TO GET INFORMATION OUT
QUICKLY BUT THE INFORMATION HAS
TO BE ACCURATE, IT'S OKAY TO SAY
YOU DON'T HAVE ALL THE ANSWERS.
STATE WHAT YOU KNOW, WHAT YOU
DON'T KNOW AND WHAT YOU'RE DOING
FOCUSED ON FILL THE GAPS.
AND MY FAVORITE IS THERE'S JUST
1 AUDIENCE, I THINK WE'RE NEVER
JUST DEALING WITH JUST 1
AUDIENCE.
AND THIS NEEDS TO BE CONSIDERED
EVERY TIME WE MESSAGE, WE NEED
TO CONSIDER THE PEOPLE WE'RE
TRYING TO REACH AND DIFFERENT
COMMUNICATION FLAT FORMS THAT
ARE AVAILABLE AND THEN HOW CAN
WE COME TOGETHER TO PROTECT
PUBLIC HEGHT AS A WHOLE.
SOY WHEN I WAS WORKING WITH A
COMMUNITY AND THEY REMEMBER
DEALING WITH A CHOLERA OUTBREAK,
WE WERE DISCUSSING THE
IMPORTANCE OF HAND WASHING AND
THERE WERE MANY SENIOR LEADERS
ACROSS THE COMMUNITY THAT WERE
IN THIS MEETING THERE WAS 1
SENIOR LEADER FROM THE LOCAL
SCHOOL SYSTEM WHO SAID LET'S
CREATE A SONG ABOUT HAND WASHING
FOR KIDS.
AND TEACH IT TO THE CHILDREN.
AND THE KIDS STARTED SINGING IT
AT SCHOOL AND THEN THEY BEGAN
SINGING IT AT HOME AND BEFORE
LONG, THE PARENTS, THE GRAND
PARENTS AND OTHERS BEGAN SINGING
IT.
IT WENT SO WELL, THAT IT WAS OUR
MOST SUCCESSFUL MESSAGE ON HAND
WASHING.
SOME EVEN JOKED THAT IT WENT
VIRAL.
SO THINK ABOUT YOUR
COMMUNICATION PLATFORM AS WELL.
THIS LEADS ME OVER TO HOW
IMPORTANT IT IS TO INCORPORATE
BEST PRACTICES.
BUT IT'S ALSO IMPORTANT TO
UNDERSTAND YOUR LIMITATIONS NOW,
RIGHT?
STRONG PARTNERSHIPS AND
COLLABORATION AND ACCORD NATION
ARE KEY AND WITH CDC, OUR AGENCY
HAS A ROLE AND RESPONSIBILITIES
AND AT CDC UNIFORMITY OF MESSAGE
AND 1 VOICE IS KEY.
AND LOOK AT VARIOUS LEVELS OF
REVIEW THAT OUR MESSAGING IS IN
LINE WITH THE LATEST PUBLIC
HEALTH DATA AND HAS THE WEIGHT
OF THE ENTIRE AGENCY BEHIND IT.
BUT THERE ARE IMPORTANT PARTNERS
AND STAKEHOLDERS THAT AMPLIFY
MESSAGES AND BRING ABOUT CHANGE.
AS ROBUST AS THE AGENCY IS, IT
RELYS ON STRONG PARTNERSHIPS AND
COLLABORATION AND ACCORD NATION
WITH PARTNERS AND STAKEHOLDERSA
THE STATE, LEGAL'RE LOCAL,
TERRITORIAL AND TRIBAL AND
INTERNATIONAL LEVEL AS WELL AS
AND INSURE THOSE MESSAGES GET
OUT TO THE PUBLIC.
AND ON THAT NOTE, THAT IS THE
END OF MY PRESENTATION.
I WILL TURN IT BACK OVER TO YOU
JONATHAN.
OKAY, WE HAVE A FEW QUESTIONS
FOR YOU.
AND THERE WE GO.
SO ANNA, YOU MENTIONED THAT CERC
PRINCIPLES CAN APPLY TO OTHER
SCENIORS BEYOND EMERGENCIES AND
OF COURSE YOU AND I WE WORK IN
THE SAME OFFICE WE USE CERC
PRINCIPLES IN EVERYTHING WE DO
PRETTY MUCH, SO CAN YOU DESCRIBE
HOW THIS APPLIES TO THE SHOCK
AND CONCERN THAT PARENTS HAVE
SHOWN WHEN LEARNING ABOUT HEAVY
METALS OR OTHER CONTAMINANTS
THAT MAY AFFECT THEIR CHILDREN
IN THE FOODS THEY EAT, BABY
FORMULA, YOU NAME IT.
>>YEAH, THAT'S A REALLY GOOD
QUESTION.
YOU KNOW CERC IS EXTREMELY
IMPORTANT AND THERE'S MANY
THINGS CAN YOU DO BUT THE KEY
HERE IS THAT WHEN YOU THINK
ABOUT HOW YOU SHOULD MESSAGE,
YOU WANT TO THINK ABOUT
INCLUSION AND HEALTH EQUITY AS
WELL.
AND INCLUDE THAT INTO YOUR
MESSAGING TO MAKE SURE THAT THE
MESSAGE WHILE IT'S ACCURATE, IT
ALSO CAN BE ACTIONABLE, RIGHT?
SO WE WANT TO THINK ABOUT
COMMUNITIES WHO MAY LIVE IN FOOD
DESERTS AND OTHER THINGS THAT
MAY BE AN OBSTACLE AND THEN WE
WANT TO INCLUDE HEALTH
COMMUNICATORS AND HEALTH EQUITY
SPECIALISTS IN OUR DISCUSSIONS.
AND WE WANT TO MAKE SURE THAT IN
OUR MESSAGES WE INCLUDE, AREAS
WITHIN THOSE COMMUNITIES WHERE
THEY CAN FIND NUTRITIOUS FOOD
AND THE PLACES THAT CAN SUPPORT
THEM, SO I THINK THAT'S 1 OF THE
KEY ELEMENTS THERE.
>>RIGHT, SO I REMEMBER, WHEN
THERE WERE SOME EVENTS THAT
INVOLVED CONTAMINATION IN INFANT
FORMULA.
AND THIS WAS A CRISIS.
THIS WAS A MAJOR EVENT.
THERE WAS A RUN ON ALTERNATE
SOURCES OF BABY FOOD, IT WAS
HARD TO FIND, THAT WAS 1 OF THE
THINGS WE DID, IS WE DID
COMMUNICATION WORK AROUND TRYING
TO IDENTIFY ALL THE OPTIONS
PEOPLE WOULD HAVE TO GIVE THEM
TAKE HOME MESSAGE TO GIVE THEM
ACTIONABLE INFORMATION THEY
COULD USE RATHER THAN JUST
FEELING DESPERATE.
SO DOES THAT--
>>YEAH, AND THAT'S A REALLY
GOOD POINT, YOU WANT TO MAKE
SURE THAT YOU TAKE AWAY THE
ANXIETY, RIGHT?
SO IT KIND OF COMES BACK TO THE
QUESTION ARE THEY UPSET BECAUSE
THEY THINK IT'S DANGEROUS?
OR ARE THEY UPSET BECAUSE--OR DO
THEY THINK IT'S DANGEROUS SO
THEY'RE UPSET OR ARE THEY UPSET
BECAUSE IT'S DANGEROUS, SO YOU
HAVE TO FIGURE OUT WHICH
DIRECTION IT IS AND THEN YOU
MESSAGE IN THAT DIRECTION AND
INSURE THAT HAVE YOU ACTIONABLE
ITEMS WITHIN YOUR MESSAGING.
>>RIGHT, RIGHT.
THAT MAKES SENSE.
THAT APPLIES TO SO MUCH.
SO, THIS IS AN INTERESTING
QUESTION.
IT'S 1 THAT YOU AND I HAVE HAD
TO ADDRESS DIRECTLY SOMETIMES,
ON RISK COMMUNICATION WHAT
HAPPENS WHEN AN AGENCY IS NOT
FIRST OUT.
PERHAPS WE SHOULD BE FIRST OUT?
BUT SOMEHOW SOMEONE ELSE HAS
MANAGED TO TAKE SORT OF THE
PROMINENT POSITION AND
RESPONDING TO THAT.
HOW DO YOU REGAIN THE INITIATIVE
WHEN OTHERS HAVE BEEN FIRST.
>>YEAH.
THAT'S A REALLY GOOD POINT.
YOU KNOW I THINK THAT SOMETIMES,
RISK COMMUNICATION, WE WANT TO
TELL PEOPLE WHAT WE WANT THEM TO
DO AND I THINK JASON REALLY SAID
THIS REALLY WELL IN HIS COMMENTS
EARLIER, THAT YOU WANT TO TELL
PEOPLE THE THINGS THAT THEY NEED
TO DO BUT THEN IT DOESN'T
NECESSARILY COME ABOUT THE RIGHT
WAY, AND IT'S BETTER TO SHOW THE
INFORMATION, THE DATA BUT HOW DO
YOU DO THAT, TO TELL THEM ABOUT
THE RISK, SO, SO IT'S IMPORTANT
THAT FIRST WE APOLOGIZE FOR NOT
BEING THE FIRST 1S OUT, AND THEN
GIVE OTHERS CREDIT FOR THE
INFORMATION THAT THEY'VE SHARED
AND THEN WE HAVE HUMILITY AND
EMPATHY FOR THOSE THAT WE'RE
TRYING TO REACH AND IMET --GET
THAT CONNECTION BACK.
>>IT MAY BE IMPORTANT TO POINT
OUT THAT FIRST 1 OUT MIGHT NOT
BE THE FIRST 1 TO LISTEN TOO BY
YOUR AIDEIENCE BECAUSE IT
DEPENDS ON THE BREDTH OF THEIR
COMMUNICATION, WHERE IF WE'RE A
FEDERAL AGENCY, WE'RE HAVE A LOT
OF PARTNERS SO WE'RE
COMMUNICATING ACROSS A LOT OF
CHANNELS, WE MAY NOT BE THE
FIRST 1 OUT ACROSS THE BOARD BUT
WE'RE THE FIRST TO COMMUNICATE
WITH A LOT OF PEOPLE AND THAT
MAY HELP AS WELL.
>>YEAH AND ALSO THINKING ABOUT
THOSE PARTNERSHIPS THAT WE HAVE,
THAT WE'RE MAKING SURE THAT WE
SHARE THOSE MESSAGES SO THAT WE
CAN REACH SOME PEOPLE THAT ARE
IN ECHO CHAMBERS THAT MAY NOT
LISTEN TO US AS AN AGENCY AND
THAT'S OKAY, WE WANT TO STAY
AWAY TBR OUR EGO, BECAUSE EKING
O IS MEN ME AND IT DOESN'T
MATTER WHO THE MESSAGE COMES
FROM, IF THE MESSAGE MAKES IT TO
THE AUDIENCE WE'RE TRYING TO
CONNECT WITH.
>>SOMEBODIED LIKE TO KNOW--THIS
IS A GOOD FOLLOW UP QUESTION.
WHAT IS YOUR RECOMMENDATION TO
BREAK DOWN BARRIERS AND REACH
THOSE WHO ARE IN ECHO CHAMBERS
WHO DON'T BELIEVE THE SCIENCE
AND THEY'RE THE 1S SPREADING
THIS MISINFORMATION?
>>GREAT QUESTION.
THAT IS A GREATER ROLE QUESTION
AND 1 THAT WE WORK ON ALL THE
TIME.
SO WHAT I HAVE FOUND TO BE
USEFUL IS THINKING ABOUT THE
COMMUNITY LEADERS THAT ARE IN
THE COMMUNITIES TO HELP AMPLIFY
THE MESSAGES THAT WE WANT TO
REACH, OUR AUDIENCE, AND THEY
ALSO THINK ABOUT INFLUENCERS
THAT CAN REACH AUDIENCES THAT WE
MAY NOT HAVE BEEN ABLE TO.
A GOOD EXAMPLE OF THIS WAS FOR
VACCINES, W. H. O. WAS LOOKING
AT COUNTRIES AND HOW TO REACH
SOME PEOPLE THAT YOU MAY NOT BE
ABLE TO REACH THROUGH NORMAL
CHANNELS AND 1 OF THE SOLUTIONS
WAS THROUGH SOCCER, INFLUENCERS
IN SOCCER.
SO, YOU KNOW KIND OF THINKING
OUTSIDE THE BOX ON WHO CAN HELP
YOU, GOES A LONG WAYS, BUT ALSO
WHEN YOU'RE TRYING TO BREAK DOWN
THOSE BARRIERS AND REACH PEOPLE,
SOMETIMES IT MIGHT NOT BE YOU
THAT REACHES THEM, SOMETIMES IT
HAS TO BE SOMEONE ELSE AND I
KNOW--I GAVE THIS PRESENTATION
LAST YEAR AND I HAD A NURSE ASK
THE QUESTION THAT HE WAS TRYING
TOW HARD TO HELP SOMEONE
UNDERSTAND THE IMPORTANCE OF
VACCINATIONS AND HE SAID, I JUST
COULDN'T REACH HIM.
HE SAID I KNEW I COULDN'T REACH
HIM, AND I KEPT TRYING AND HE
GOES AND THEN I HAD TO WATCH MY
OWN EMOTIONS BECAUSE I KNEW I
WAS ABOUT TO BRING MY OWN
EMOTIONAL--YEAH, EMOTIONS INTO
THE CONVERSATION.
SO SOMETIMES IT'S JUST NOT
THROUGH US.
WHEN I THINK ABOUT THIS, I ALSO
THINK ABOUT RISK, RIGHT?
RISK EQUALS HAZARD PLUS OUTRAGE.
AND YOU KNOW, WE MAY SEE, WHAT
WE'RE TRYING TO PROVIDE AS THE
ANSWERS AND WE HAVE ALL THE
DAILY BASIS AT TO BACK IT BUT IS
THAT NECESSARILY THE BEST WAY TO
GO ABOUT CHANGE?
IT OFTEN ISN'T.
SO I'LL GIVE YOU AN EXAMPLE
BECAUSE RIGHT BEFORE VALENTINE'S
DAY, SO LET'S SAY, THAT YOU AND
YOUR SIGNIFICANT OTHER ARE GOING
TO GO SOMEWHERE AND OUT TO EAT
AND YOU SAY YOU WANT TO HAVE
CHINESE FOOD AND YOUR PARTNER
SAYS I WANT ITALIAN, DO YOU
THINK IT'S A GOOD IDEA TO SHOW
THEM THE DATA ON WHY IT'S MORE
IMPORTANT TO GO TO YOUR
RESTAURANT THAN THEIRs?
PROBABLY NOT.
YOU'RE NOT GOING TO GET SOMEONE
TO CHANGE IN NASITUATION.
SO, YOU HAVE TO START SOMEWHERE
WHERE YOU'RE BOTH ON THE SAME
LEVEL AND THEN YOU COME UP WITH
A WAY TO REACH THE OTHER PERSON.
BUT IF YOU DON'T LEARN THAT WAY,
YOU WILL CERTAINLY LEARN IT ON
YOUR NEXT RELATIONSHIP.
SO YOU JUST HAVE TO BE--YOU HAVE
TO THINK ABOUT HOW TO MAKE
CHANGE.
BUT BOY PROVIDING THE
INFORMATION BUT IN A WAY THAT IT
DOESN'T FEEL AS IF YOU'RE
LUCTURING SOMEONE OR TELLING
SOMEONE WHAT TO DO, JUST PRESENT
THE RISK.
>>OKAY.
>>THIS NEXT QUESTION, IS 1
THAT'S ACTUALLY AS SOMEBODY
WORKS ON DEVELOPMENT
PARTNERSHIPS, SO THEY'RE NEAR
AND DEER TO ME.
SO WHAT RESOURCES ARE AVAILABLE
TO HELP IF YOU'RE RESPONSIBLE
FOR GETTING SOMETHING OUT MORE
LOCALLY?
AND YET, YOU DON'T NECESSARILY
HAVE THE SKILL SETS, HOW DO YOU
MAKE THAT HAPPEN?
THAT'S REALLY GOOD, YEAH, THAT'S
WHEN CONNECTING WITH YOUR
COMMUNITY IS REALLY KEY, KNOWING
THE COMMUNITY THAT YOU'RE TRYING
TO REACH OUT TO, BECAUSE
COMMUNITY LEADERS KNOW THEIR
COMMUNITY MUCH BETTER THAN OTHER
PEOPLE WOULD, SO WHEN I THINK
BACK ABOUT DIFFERENT WAYS TO
REACH A COMMUNITY, IT IS SO
ESSENTIAL TO MAKE SURE THAT
THEY'RE INVOLVED IN THE DECISION
MAKING BECAUSE THE COMMUNICATION
CHANNEL, YOU MAY EVEN BE USING
MAY NOT REACH THE PEOPLE YOU'RE
TRYING TO REACH, SO, YOU MAY
NEED TO TALK TO A MINISTER OR A
RABBI, OR SOMEBODY THAT THEY
TRUST OR THEIR PHYSICIAN,
PHYSICIANS ARE WONDERFUL ABOUT
BEING ABLE TO CONNECT WITH THEIR
PATIENTS, SO, THINK ABOUT HOW
YOU'RE GOING TO REACH THAT
AUDIENCE AND USE THE COMMUNITY
TO HELP YOU DO THAT.
>>I JUST WANT TO SAY, ARE YOU
WORKING IN THIS SPACE,
EMERGENCY, SEMIEMERGENCY, NOT
EMERGENCY AT ALL BUT YOU WILL BE
COMMUNICATING THROUGH PARTNERS
AND GETTING THEM TO HELP YOU GET
THE WORD OUT, DEVELOP YOUR
PARTNERSHIPS NOW, DON'T WAIT
TILL YOU REALLY NEED THEM,
DEVELOP THEM NOW AND YOU WILL
HAVE AN ESTABLISHED TRUST
RELATIONSHIP AND THAT WILL MAKE
IT EASIER TO GET THE WORD OUT.
>>THAT IS REALLY IMPORTANT.
YES.
>>OKAY.
LET'S SEE IF WE HAVE ANYMORE
HERE.
ARE THERE GOOD SOURCES OF
INFORMATION THAT CAN PROVIDE YOU
WITH INFORMATION QUICKLY BEFORE
YOU REACH OUT TO THE COMMUNITY?
I JUST WANT TO SAY HOPEFULLY A
LOT OF THOSE GOOD SOURCES OF
INFORMATION ARE THINGS THAT
PEOPLE WATCHED EARLIER IN THE
PRESENTATION.
>>CERC IS 1 OF THOSE KEY
ELEMENTS AND REMEMBERING THAT
BUILDING THOSE PARTNERSHIPS AND
UNDERSTANDING THAT SOMETIMES YOU
CAN'T REACH PEOPLE THROUGH YOUR
COMMUNICATION CHANNEL BUT YOU
MAY BE ABLE TO THROUGH ANOTHER
CHIEWNICATION CHANNEL, I THINK
THAT'S AN IMPORTANT PIECE.
>>AND IF YOU WANT TO SHARE
INFORMATION LOCALLY ABOUT A
LOCAL SITUATION WHERE YOUR
AGENCY OR YOUR ORGANIZATION
DOESN'T NECESSARILY HAVE A LOT
OF EXPERTISE, IF YOU FORMED A
NUMBER OF LOCAL PARTNERSHIPS,
THEY WERE THE JUST GETTING THE
INFORMATION OUT, THEY'RE
RESOURCES, THEY CAN HELP YOU GET
THE DETAILS RIGHT.
>>YEAH, AN GOOD EXAMPLE WOULD
BE WHEN WE WERE DEALING WITH
ZIKA, RIGHT?
THERE ARE PLACES WHERE DENG UE
IS AN ENDEMIC, IT'S ENDEMIC IN
SOME PLACES SO DENG UE, WE KNEW
IT WAS ENDEMIC AND WE KNEW WE
NEEDED TO REACH PEOPLE ABOUT
SWR, IKA AND THE RISKS
ASSOCIATED WITH ZIKA, AND WE
WEREN'T SURE HOW TO DID THAT, IT
OF THE COMMUNITIES THAT HELPED
WITH THE PIECES BECAUSE THE KEY
THERE WAS THAT WE WANTED TO MAKE
SURE WE TALKED ABOUT THE RISKS
RELATED TO ZIKA AND WHY IT WAS
IMPORTANT TO TAKE THE MEASURES
THAT NEEDED TO BE TAKEN AND THEY
ALSO KNEW THE COMMUNICATION
CHANNEL SO 1 OF THE THINGS THAT
WE SAW WAS PUBLIC ANNOUNCEMENTS
BEING PLACED IN MOVIE THEATERS,
SO BEFORE YOU WATCHED YOUR
MOVIE, YOU WOULD SEE THAT
ANNOUNCEMENT OR INFO GRAPHICS
PLACED THROUGHOUT THE AIRPORTS,
SO DIFFERENT WAYS TO KIND OF
REACH AUDIENCES THROUGH
DIFFERENT MEANS.
>>ONE LAST QUESTION FOR YOU AND
THEN WE WILL GO TO ANOTHER
BREAK, AND--SO, FOR PEOPLE
WORKING IN THIS SPACE, WHO WANT
TO DEAL WITH THE VERY EMOTIONAL
AND SORT OF HIGHLY INTENSE
TOPICS THAT WE'RE TALKING ABOUT
HERE, WOULD IT BE ADVISABLE FOR
THEM TO READ OUT AND LEARN CERC,
THERE MIGHT BE SOME SHAMELESS
SELF-PROMOTION HERE, SORRY
EVERYONE, BUT WOULD YOU ADVISE
THEY LEARN THE CERC
METHODOLOGIES.
>>MOST CERTAINLY.
IT CAN BE VERY HELPFUL, NOT JUST
IN OUR DAY JOBS BUT IT CAN ALSO
BE HELPFULFUL IN OUR PERSONAL
LIVES, I CAN CERTAINLY SPEAK
FROM--I'M FROM A SMALL TOWN IN
TENNESSEE IF YOU DIDN'T KNOW
THAT BY HOW SLOW I TALK, YOU NOW
KNOW, BUT I HAD SOME DIFFICULTY
TRYING TO CONVINCE EVEN MY OWN
MOTHER ABOUT THE IMPORTANCE OF A
VACCINATION AND I DIDN'T WANT TO
TELL ME MOM WHAT TO DO BECAUSE
THAT CERTAINLY WAS NOT GOING TO
GO OVER VERY WELL.
SO I HAD TO START THE
CONVERSATION OF WHY ARE YOU
AFRAID?
WHY AREN'T YOU CONSIDERING THIS?
AND SHE SAID WELL, IF I DO THIS,
THEN I'M GOING TO HAVE A HIGHER
RISK OF A HEART ATTACK.
AND SO THEN I HAD TO GO THROUGH
WHY DO YOU FEEL THIS WAY AND SHE
SAID, THAT SHE HEARD THAT PEOPLE
HAD AND THEN WE SAT DOWN AND WE
LOOKEDDA AT DATA OUT OF THE
GENERAL POPULATION, WITHOUT
HAVING THIS OR HAVING--IT DID
NOT MATTER, HOW MANY PEOPLE HAVE
HEART ATTACKS, AND THEN OUT OF
THAT WHAT DO THOSE NUMBERS LOOK
LIKE SO THAT SHE COULD SEE THE
NUMBERS DID NOT CHANGE.
SO, IT'S REALLY IMPORTANT THAT
WE DON'T LECTURE PEOPLE OR TRY
TO TELL PEOPLE WHAT TO DO BUT TO
JUST SHOW THE RISKS SO THAT THEY
CAN MAKE THEIR OWN DECISIONS.
>>OKAY.
AND ALL RIGHT, SO THAT'S ALL THE
QUESTIONS WE RECEIVED.
SO WE'RE GOING TO ACHE 15 MINUTE
BREAK NOW.
SO THAT MEANS WE WILL START
AGAIN AT 2:00 OR SHORTLY AFTER
2.
SO PLEASE JOIN US AGAIN IN 15
MINUTES FOR THE PANEL
DISCUSSION, IT SHOULD BE REALLY
INTERESTING, THIS IS THE PART
WHERE WE BRING EVERYTHING
TOGETHER AND KIND OF THINK ABOUT
THE FUTURE.
DURING THE BREAK IF YOU HAVE ANY
ON-TOPIC QUESTIONS FOR THE
PANELISTS, PLEASE ENTER THEM
USING THE LINK UNDER YOUR
STREAMING WINDOW.
THANK YOU, EVERYONE.
>> HELLO AND WELCOME BACK TO
OUR FINAL SESSION OF THE
BRIDGING THE BIOLOGICAL AND
COMMUNICATION SCIENCES ON
NUTRIENTS AND VIRMTAL
CONTAMINANTS IN FOODS TO SUPPORT
CHILD DEVELOPMENT WORKSHOP AND
NOW, IT IS MY PLEASURE TO HAND
IT OVER TO JONATHAN TO
BEGENERATED OUR FINAL SESSION OF
THE WORKSHOP.
TAKE IT AWAY JONATHAN.
>>ALL RIGHT, THIS IS THE PART
I'M MOST LOOKING FORWARD TO.
SO REAL QUICK BEFORE WE GET
STARTED I WANT TO SAY WELCOME
BACK.
THANK YOU EVERYONE FOR STILL
BEING WITH US.
THIS WILL BE AN OPEN
CONVERSATION WITH SOAEVERL
PANELISTS WHERE WE TAKE THE
INFORMATION FROM THE PROCEEDING
PRESENTATIONS, BEARING IN MIND
THE PROFESSIONAL COMMUNICATION
STRATEGIES DESCRIBED IN ANNA'S
PRESENTATION AND WITH OUR
CURRENT ACTIVITIES AND HOW WE
MIGHT CONSIDER EXPANDING OR
CHANGING THE ACTIVITIES IN THE
FUTURE.
A QUICK NOTE FOR THE AUDIENCE,
THIS IS A DISCUSSION ABOUT
TACTICS AND STRATEGIES WE CAN
USE FOR FUTURE COMMUNICATIONS
AND COMMUNICATIONS PLANS RELATED
TO TOXINS AND NUTRITION.
OUR DISCUSSION TODAY DOES NOT
REPRESENT AND SHOULD NOT BE
CONSTRUED TO REPRESENT ANY
AGENCIES DETERMINE NATION OR
POLICY.
THIS CONVERSATION AND THE
FEEDBACK WE RECEIVE MAY BE USED
TO INFORM FUTURE PLANNING.
SO WE HAVE DISCUSSION QUESTIONS
PLANNED BUT AFTER THAT, WE
INTEND TO TAKE A FEW ON TOPIC
QUESTIONS FROM THE AUDIENCE FOR
DISCUSSION IF YOU HAVE ANY
QUESTIONS.
WE HAVE SEVERAL PANELISTS TODAY
FROM CDC WE HAVE ME JONATHAN
LYNCH COMMANDER ANAA KHAN,
PERRI RU CKART, AND ART CHANG
AND DANIEL MANDEL, THE ASSOCIATE
DIRECTOR FORPOLICY AND DIVISION
OF LABORATORY SCIENCES.
FROM FDA WE HAVE SARAH,ICLE EXPE
STEVE, AND FROM EPA WE HAVE
SARAH BRADLEY.
SO PANELISTS PLEASE SHOW
YOURSELF, GET ON CAMERA, LET'S
SEE EVERYONE.
ART, YOU'RE LOOKING GREAT TODAY.
LOOKS LIKE WE'RE WAITING FOR A
COUPLE PEOPLE, THERE WE GO, WE
HAVE PERRI, WE HAVE STEVE, HI,
STEVE.
WE WERE REALLY THRILLED TO SEE
HOW MUCH COMMUNICATION
CONVERSATION YOU HAD IN YOUR
PRESENTATION YESTERDAY, STEVE.
THAT WAS GOOD STOWF.
SO FIRST DISCUSSION TOPIC, FOR
SOURCES OF EXPOSE ARE WHERE WE
HAVE RESISTING POLICY OR
ADEQUATE DATA LAWEDDER DALE
CONSIDERATIONS SHOULD WE TAKE
INTO ACCOUNT WHEN DECIDING WHICH
SOURCES OF EXPOSURE, WE FOCUS ON
FOR THE PUBLIC.
WHEN WE SAY SOURCES OF EXPOSURE,
IT'S LIKE FOOD ITEMS, BEVERAGES.
THINGS WE WOULD CONSUME, WHICH
THINGS SHOULD WE TAKE INTO
CONSIDERATION WITH THESE
COMMUNICATION EFFORTS AND I WILL
START IF WE CAN WITH OUR FDA
COLLEAGUES AND KELLIE BECAUSE I
KNOW KELLIE HAS A LOT TO SAY
ABOUT THIS TOPIC.
>>YEAH, NO LACK OF REASON,
THAT'S WHY I'M SO EXCITED WE'RE
HAVING THIS WORKSHOP, SO, YOU
KNOW AS WE HEARD THROUGHOUT THIS
WORKSHOP, ENVIRONMENTAL
CONTAMINANTS ARE IN THE SOIL,
THEY'RE IN THE WATER, THEY'RE IN
THE AIR, THEY GET INTO FOODS
WHERE THEY'RE GROWN, RAISED
PROCESSED.
SO WE DO EVALUATE AND CONSIDER
EXPOSURES FROM FOODS ACROSS THE
INN TIRE FOOD SUPPLY.
BUT DECISIONS ALSO HAVE TO BE
MADE ON WHERE TO FOCUS TO
PROVIDE THE GREATEST BENEFITS TO
PUBLIC HEALTH AND MORE
MESSAGING.
SO FOR NUTRITION, WE FOCUS ON
FOOD SOURCES OF MICRONUTRIENTS
THAT DATA SHOW ARE UNDERCONSUMED
IN THE DIETS OF CHILDREN AND WE
HEARD A LOT ABOUT THAT
YESTERDAY, AND THEN IN MY
PRESENTATION TODAY, I TALKED
ABOUT FOOD SOURCES OF SPECIFIC
NUTRIENTS FOR HEALTH AND THEN
ENVIRONMENTAL CONTAMINANTS WE
CAN LOOK AT DIFFERENT CATEGORIES
OF FOODS THAT ARE MOST COMMONLY
CONSUMED AND THEN FOR THE
APPROXIMATE UBIQUITINNATION
ELECTRIC WHY TO FOCUS ON WHAT
PARENTS AND CAREGIVERS CAN
ACTUALLY DO SOMETHING ABOUT.
SO FOR EXAMPLE, IN THE ADVICE WE
HAVE ON THE WEBPAGE FOR THE FDA
ABOUT ENVIRONMENTAL CONTAMINANTS
AND HEALTHY EATING FOR OLDER
INFANTS, WE GIVE ADVICE ON HOW
PARENT CANS FEED THEIR BABIES
IRON RINCH AND ZINC RICH FOODS.
SO I THINK THE IDEA IS THAT
WE'RE TALKING ABOUT
ENVIRONMENTAL CONTAMINANTS THAT
REALLY CAN SPAN THE ENTIRE FOOD
SUPPLY, WE HAVE TO IDENTIFY THE
MESSAGES THAT PARENT CANS DO
SOMETHING ABOUT AND THE FOODS
THAT ACTUALLY, IF YOU MAKE A
DIFFERENT DECISION ABOUT THAT
FOOD, IT ACTUALLY CAN HAVE A
PUBLIC HEALTH IMPACT TO HAVE
SOME PLACE TO BE ABLE TO FOCUS
OUR EFFORTS.
>>RIGHT.
THAT MAKES SENSE.
SO, THINGS PARENTS CAN DO
SOMETHING ABOUT, THAT'S A REALLY
KEY POINT AND I KNOW THAT
THERE'S A LOT OF SITUATIONS
WHERE PARENTS MAY MOT BE AWARE
AND THAT WE'RE ALSO STRUGGLING
WITH THE FACT THAT IT'S SUCH AN
INTIMIDATING TOPIC FOR PARENTS.
IT'S REALLY KIND OF FRIGHTENING.
DO YOU HAVE ANY OTHER FDA
COMMENTS ON WHAT KELLIE WAS
SAYING?
NO?
OKAY.
WELL IN THAT CASE LTD.'S TALK
ABOUT ACCESS TO CONTAMINATED
FOODS BECAUSE OR TO
NONCONTAMINATED FOODS BECAUSE 1
OF THE THINGS THAT ANNA
MENTIONED WAS FOOD DESERTS AND
THE INABILITY TO ACCESS CERTAIN
KINDS OF HIGHER QUALITY FOODS.
TO WHAT EXTENT IS THAT A
CONCERN.
HOW DO WE COMMUNICATE ABOUT HOW
TO ACCESS THESE HIGHER QUALITY
FOODS?
ANY THOUGHTS IN THAT SPACE?
.
I WILL GO BACK TO KELLIE FIRST,
WHAT ARE YOUR THOUGHTS ON THAT
SPACE.
>>WELL OF COURSE WHEN I THINK
ABOUT THESE HIGHER QUALITY FOODS
I THINK ABOUT THE DIETARY
GUIDELINES FOR AMERICANS AND SO
I THINK THAT'S INCREDIBLY
IMPORTANT IS TO BE ABLE TO TAKE
THE DIETARY GUIDELINES WHICH IS
OUR NATIONAL NUTRITION POLICY IN
THE UNITED STATES AND IS
REQUIRED BY LAW TO BE
IMPLEMENTED AND ANY FEDERAL
NUTRITION OR HEALTH PROGRAM AND
IS BASED ON THE RELATIONSHIP
BETWEEN FOOD INTAKE AND CHILD
BIRTH AND DEVELOPMENT AND FOOD
INTAKE AND HEALTH AND PREVENTION
OF CHRONIC DISEASE ACROSS THE
LIFE SPAN AND BE ABLE TO
INCREASE ACCESS TO THOSE FOODS
WHICH I THINK ALL OF OUR
EXISTING FOOD PROGRAMS, TARGET
SPECIFICALLY, DOING THAT.
AND SO, I DO THINK THAT IS A
GREAT OPPORTUNITY HERE FOR
OUTREACH IS TO ENCOURAGE, THOSE
WHO MAY BE ELIGIBLE FOR FEDERAL
FEEDING PROGRAMS, WHO MAY NOT BE
PARTICIPATING TO ACTUALLY
PARTICIPATE AND I DO KNOW THAT
THE USDA HAS A LARGE UNDERTAKING
TO BE ABLE TO EXPAND THEIR REACH
INTO THOSE--THAT GROUP OF FOLK
WHO IS ARE ELIGIBLE FOR FOOD
ASSISTANCE BUT ARE NOT GETTING
FOOD ASSISTANCE, PARTICULARLY
THINGS LIKE THE WIC PROGRAM.
AND THEN WHEN WE THINK ABOUT
COMMUNICATING ABOUT HOW
NUTRITION CAN REALLY HELP
PROTECT PEOPLE, I THINK 1 OF THE
MOST IMPORTANT THINGS WE CAN DO
IS WHAT WE'RE DOING TBH THIS
WORKSHOP WHICH IS TALKING ABOUT
NUTRITION AND TOXICOLOGY
TOGETHER, YOU KNOW CONSIDERING
THE SCIENCE ON BOTH ASPECTS
TOGETHER AND NOT IN SILOS.
YOU KNOW AND I THINK OUR BEST
AD--FISH ADVICE IS A PRIME
EXAMPLE OF THE HISTORY OF ADVICE
OF MOVING IN THIS DIRECTION.
SO THE MAIN PURPOSE OF OUR FDA,
EPA FISH ADVICE IS TO GUIDE
THOSE VULNERABLE POPULATIONS OF
FISH THAT ARE LOWER IN MERCURY,
BUT WE DETERMINED WHICH FISH AND
HOW MUCH TO RECOMMEND BY USING
THE EPA'S ORAL DOSE LIMIT OR RFD
FOR ORAL METHYL MERCURY AND THIS
IS YOU KNOW VERY COMMON
APPROACH.
WE HAVE RFDs FOR MANY
CONTAMINANTS AND AN RFD IS THE
RATE OF EXPOSURE THAT A PERSON
COULD EXPERIENCE OVER A
LIFETIME, WITHOUT PRECIABLE RISK
OF HARM.
IT'S NOT CONSIDERING THE
BENEFITS AND THE RFD FOR MERCURY
IS SPECIFICALLY PROTECTIVE
AGAINST NEURAL DEVELOPMENTAL
EFFECTS DURING A CRITICAL WINDOW
OF DEVELOPMENT FOR A FETUS
DURING PREGNANCY AND IT INCLUDES
A 10 FOLD UNCERTAINTY FACTOR AND
THIS IS--
>>OH WOW.
>>THIS IS STABBED ARD PRACTICES
AND THAT ALLOWS FOR VARIABILITY
AMONG INDIVIDUALS, VARIABILITY
IN GROUPS, INCLUDING INDIVIDUALS
WHO AREN'T PREGNANT AND THE GOAL
OF PROTECTING HEALTH SOLELY FROM
THE EFFECTS OF MERCURY, THE RFD
IS CONSERVATIVE AND THEN WHEN WE
HAVE NUTRITION INFORMATION LIKE
WHAT I WAS DESCRIBING FROM THE
DIETARY GUIDELINES ABOUT THE
ROLE OF NUCLEOTIDES T-REGENTS,
CHILD TWEPMENT, BRAIN
DEVELOPMENT, IMMUNE SYSTEM
DEVELOPMENT, THE SCIENCE BASE
FOR THE DIETARY GUIDELINE IS
VERY DIFFERENT FROM THE SCIENCE
BASE OF THE RFD, IT'S VERY
DIFFERENT FROM THE PURPOSE OF
THE RFD.
>>IT IS BUT WE'RE GOING TO GET
INTO THAT IN A COUPLE QUESTIONS
FROM NOW.
>>SURE.
>>I DON'T WANT TO SKIP AHEAD
TOO MUCH.
>>OKAY, THAT'S FINE.
>>BUT LET'S TALK ABOUT FOOD
SUPPLY, THE WATER SUPPLY IS ALSO
A CONCERN.
I KNOW I WAS DEPLOYED TO FLINT
MICHIGAN FOR THE RESPONSE TO THE
SITUATION THERE AND I THINK OF
MY COLLEAGUES WERE AS WELL, AND
THAT WAS A VERY TOUGH
COMMUNICATION CHALLENGE I WOULD
LIKE TO CALL ON EPA NOW, SARAH,
HOW DO YOU THINK ABOUT
COMMUNICATING AROUND
CONTAMINANTS IN THE WATER
SUPPLY.
>>YEAH, THAT'S THE GREAT
QUESTION, THE CHALLENGE I HAD IN
TERMS OF MY PRESENTATION TODAY,
IS THAT A LOT OUR NOTIFICATION
IS BASED ON MINIMUM REQUIREMENTS
FOR CONTENT OF THE NOTICE AND
THAT'S BASED ON REQUIREMENTS
WITH OUR RULE AND CERTAINLY
THERE ARE SOME LARGE SYSTEMS
THAT HAVE A MUCH LARGER CAPACITY
OR RESOURCES THAT CAN HIGHER
GRAPHICS DESIGNERS, THEY CAN
HIRE THESE MESSAGING TO KIND OF
MAKE THESE FANCY OR MORE EASILY
UNDERSTOOD MESSAGES TO THEIR
COMMUNITY WHEREAS YOU KNOW FROM
EPA'S PERSPECTIVE, WE'RE
PROVIDING NATIONAL GUIDANCE AND
RESOURCES AND TOOLS, SO IT'S
HARD TO KIND OF TAILOR THOSE
MESSAGES.
AND I THINK 1 THING WE HEARD
FROM YOU KNOW THROUGH OUR RULE
PROCESS, ROLE REVISION PROCESS,
WE HEARD A LOT OF, FROM
DIFFERENT STAKEHOLDERS ABOUT
KIND OF TRYING TO MAKE THESE
REPORTS, THE CCRs MORE
READABLE AND UNDERSTANDABLE AND
TRYING TO REACH COMMUNITIES THAT
LIKE DIFFERENT CULTURES AND I
THINK IT'S REALLY A NICHE,
REQUIRES A 97 CONNECTION AND
BUILDING TRUST WITH THOSE
COMMUNITY PARTNERS SO I THINK
IT'S A REAL CHALLENGE.
>>BEFORE THE NEXT QUESTION, A
COUPLE THINGS I WANT TO BRING UP
HERE, WHEN WE'RE TALKING ABOUT
SOURCES 1 OF THE THINGS WE NEED
TO DO IS IDENTIFY SOURCES AND
THERE'S A LOT OF WORK, I WANT
THE AUDIENCE TO APPRECIATE HOW
MUCH EFFORT GOES INTO THE
TESTING, THE LABORATORY RESEARCH
TO BRING THAT INFORMATION IN TO
OUR AGENCY SO THAT WE CAN THEN
IDENTIFY THE SOURCES WE NEED TO
TALK ABOUT, SO DANIEL, I'M
CALLING ON YOU NOW.
CAN YOU TALK A BIT ABOUT HOW THE
TLS AND THE MONITORING PROGRAM
SERVES AS THE BASE LEVELS THAT
DRIVES OUR DOWN STREAM
INFORMATION EFFORTS?
>>THANKS, JONATHAN AND THANKS
FOR THE INVITATION, I THINK THIS
IS A GREAT OPPORTUNITY FOR THE
LAB TO STEP UP TO THE PLATE IF
YOU WILL, WHERE IT'S--WE'VE
SPENT, IT'S BEEN EASY FOR US TO
SEE OURSELVES AS A RESOURCE TO
OTHERS WHERE PEOPLE ON THE
OUTSIDE COLLECT BLOOD, URINE AND
DIFFERENT BIOLOGICAL MATERIALS.
THEY SEND THEM TO US, WE SPEND A
LOT OF TIME TRYING TO FIGURE OUT
THE BEST WAY TO TEST THE
MATERIAL, WE'VE SPENT A LOT OF
TIME THINKING ABOUT APPROPRIATE
STATISTICS AND MODELING, TO TRY
TO PUT OUT OUR DATA IN A WAY
THAT SHOWS WHAT OUR POPULATION
NORMS AND THEN, WE SEND OUT THE
RAW DATA, AND HOPE THAT ACADEMIC
RESEARCHERS, THE POLICY MAKERS,
THAT OTHER AGENCIES TAKE AHOLD
OF THAT DATA AND USE IT IN A
VARIETY OF DIFFERENT WAYS AND
THEN WE GET DISAPPOINTED WHEN
THE DATA ISN'T USE INDEED WAYS
THAT THE LABORATORY PEOPLE
ANTICIPATED AND WE REPEAT THE
CYCLE.
SO I WOULD SAY THAT THERE'S A
DESIRE AND AN INTEREST FOR THE
LABORATORY ITSELF, TO BE MORE
ENGAGED IN THIS PROCESS OF
HELPING TO TRANSLATE THE
LABORATORY DATA IN WAYS THAT ARE
MORE USEFUL TO THE GENERAL
PUBLIC DIRECTLY AND FOR POLICY
MAKERS AND FOR OTHER REGULATORY
BODIES AND WE--I DON'T WANT TO
SAY WE'RE IN THE INFANCY OF THAT
BECAUSE IT'S CERTAINLY BEEN, YOU
KNOW A KNOWN INTEREST AND A
KNOWN CHALLENGE FOR A LONG TIME
BUT WE'RE TRYING TO BE MORE
INTENTIONAL ABOUT IT THESE DAYS.
>>IT'S REALLY GOOD THOUGH,
NHANE SYSTEM A FANTASTIC
BIOMONITORRING SYSTEM.
IT'S AMAZING.
>>IT IS AND THE LABORATORY'S
ROLE IS TO TAKE THE SAMPLES AND
SEND THE RAW DATA OVER TO THE
NATIONAL CENTER FOR HEALTH
STATISTICS AND AT THE SAME TIME
WE WILL CREATE A FEW SUMMARY
TABLES AS WE'VE DONE IN THE
PAST, WE WILL CREATE YOU KNOW
400 PAGE PDFs AND PUT THEM ON
OUR WEBSITE AND HOPE THAT PEOPLE
USE THEM WHAT WE'VE DONE
RECENTLY IS WE'VE REDESIGNED OUR
NATIONAL EXPOSURE WEBSITE, WE'VE
TRIED TO MAKE TABLES MUCH MORE
ACCESSIBLE AND SEARCHABLE SO
THAT PEOPLE CAN COME TO OUR
WEBSITE AND IF THEY ARE
INTERESTED IN A PARTICULAR
CONTAMINANT OR PARTICULAR
CHEMICAL, THEY CAN FIND THE
CHEMICAL NAME, THEY CAN SEE
QUICKLY ALL OF THE DIFFERENT
YEARS OF DATA THAT WE HAVE
RELATED TO THAT DAIBL AND THEY
CAN GO STRAIGHT TO THE DATA
TABLES AND DATA TABLES ARE
DESIGNED SO THAT YOU CAN TRY TO
LOOK AT TRENDS, CAN YOU LOOK AT
HISTORICAL DATA, LONGITUDINALLY.
SO WE'RE TRYING TO MOVE IN THIS
DIRECTION, FIRST WITH MAKING THE
DATA MORE APPROACHABLE.
AND AT THE SAME TIME TRYING TO
THINK ABOUT HOW CAN WE BE MORE
INFORMATIVE ABOUT WHAT WE THINK
THE DATA SAYS, TO HELP OUR
PARTNERS.
>>THAT'S GREAT.
OKAY.
SO 1 MORE THING IN A TOPIC OF
SOURCES, SO I WANT TO BRING UP A
QUICK MENTION ABOUT ACUTE
SOURCES VERSUS MORE LIKE CHRONIC
SOURCES.
I'M GOING TO CALL ON ART FOR
THIS QUESTION BECAUSE ART IS AN
EMERGENCY ROOM PHYSICIAN IN
ADDITION TO BEING THE GURU IN
OUR DIVISION.
ART, YOU SOMETIMES DEAL WITH
PATIENTS WHO HAVE BEEN EXPOSED
TO THE TOXINS, POISONED IN SOME
WAY, CAN YOU TALK SOME ABOUT
SORT OF THE INTENSITY OF THAT
SITUATION?
BECAUSE WE WANT TO TALK ABOUT
HOW THAT MIGHT CULL PEOPLE'S
THINK BEING ALL EXPOSURES TO
CONTAMINANTS.
>>SURE, YEAH, AND THANKS AGAIN
FOR HAVING ME TODAY.
SO YEAH, I THINK 1 OF THE MOST
IMPORTANT CONCEPTS TO UNDERSTAND
IS THAT THE DOSE MIX OF POISON,
SO FOR EXAMPLE WHEN WE TALK
ABOUT THESE ACUTE EXPOSURES,
THAT ARE VERY, VERY ELEVATED,
THOSE WOULD BE THE 1S THAT WOULD
CAUSE THINGS LIKE SEIZURES AND
SEVERE HEALTH EFFECTS AND WHEN
WE'RE TALKING ABOUT, YOU KNOW
ENVIRONMENTAL CONTAMINANTS, OR
THESE ELEMENTS THAT ARE MAYBE
PRESENT IN ALL FOODS, WE'RE
TALKING ABOUT VERY, VERY SMALL
CONCENTRATIONS HERE, SO I'M GLAD
THAT KELLIE BROUGHT, YOU KNOW
THE TOXICANT ABOUT METHYL
MERCURY, SO YOU KNOW A LOT THAT
WE KNOW ABOUT METHYL MERCURY WAS
WHAT HAPPENED IN [INDISCERNIBLE]
JAPAN POISONING THERE WAS
INDUCTION POISONING OF THAT IN
THEUAR, THERE WAS A LOT OF
YOU--THERE WAS A LOT
DEVELOPMENTAL EFFECTS THAT WERE
BORN FROM THAT, THOSE BACK IN
THE 60S SO THAT WOULD HAVE BEEN
AN EXAMPLE, OF REALLY HIGH DOSE
ACUTE EXPOSURE.
YOU KNOW OTHER 1S AND SEE
CHARACTERIZED IN THESE NATIONAL
SURVEYS THAT DANIEL WAS TALKING
ABOUT.
THOSE ARE GOING TO BE VERY, VERY
SMALL QUANTITIES, NOT TO SAY
THAT NOT IMPORTANT, HOWEVER, WE
NEED TO PUT THAT INTO CONTEXT.
SO ANNA, THIS REALLY, THIS
REALLY KIND OF DRIVES SOME OF
THE COMMUNICATION CONCERNS,
RIGHT?
IF THIS KIND OF EMOTIONAL
INTENSITY THAT ART IS TALKING
ABOUT COLORS THE WHOLE SPACE,
THAT MAKES IT IN A SENSE PARENTS
WILL PERCEIVE THESE
COMMUNICATIONS AS IF IT WERE A
CRISIS EVEN IF IT ISN'T.
HOW DO WE COMMUNICATE AROUND
THAT?
>>THAT'S SUCH A GREAT POINT.
SO I WILL GET THERE BUT I WILL
TALK ABOUT A COUPLE OTHER THINGS
TO GET US TO WHERE YOU'RE GOING.
I WANT TO START WITH WHAT KELLIE
SAID EARLIER, SHE HAD A REALLY
KEY POINT EARLIER, SHE SAID, WE
WANT TO MAKE SURE OUR MESSAGES
AREN'T CONFUSING AND THAT WE
CONVEY KEY INFORMATION.
SHE ALSO MENTIONED HOW IMPORTANT
IT IS TO US AS SISTER AGENCIES
THAT WE'RE IN SYNCH WITH OUR
MESSAGES, AND WITH THAT, ANOTHER
ITEM CAME UP WHEN STEVE SAID
WHAT WOULD CHANGE IF I CHANGE?
AND THOSE ARE 2 VERY IMPORTANT
PIECES IN COMMUNICATION THAT WE
CAN AMPLIFY EACH RPGHT'S
MESSAGES.
SARAH WAS TALKING ABOUT PUBLIC
NOTIFICATIONS AND THE IMPORTANCE
OF REACHING PEOPLE ON THE
NATIONAL SIDE, AND KELLIE WAS
TALKING ABOUT NATIONAL
RECOMMENDATIONS AND GUIDANCE AND
WHEN WE THINK ABOUT THINGS LIKE
THAT, AND WE PULL IN ALL OF OUR
DIFFERENT AGENCIES AND OUR
EXPERTISE, THEN WE CAN DETERMINE
THE BEST APPROACH TO REACH OUR
AUDIENCES AND YOU OFTEN NEED TO
COME ABOUT THAT FROM THE
DIFFERENT AREAS THAT WE COME
FROM, SO THAT WE CAN AMPLIFY OUR
MESSAGES SO THAT WE ARE ABLE TO
REACH OUR COMMUNITIES AND THEN
GOING INTO THAT COMMUNITY AREA
AND SAYING, OKAY, WELL, IF WE
DID FOR INSTANCE HAVE THE FOOD
DESERT SITUATION, WHERE ARE THE
AREAS THAT THE COMMUNITIES ARE
WORKING TO OVERCOME THAT AND
OFTEN TIMES THEY'RE SETTING UP
AREAS THAT HAVE THE FOOD THAT
PEOPLE NEED IF WE ONLY KNEW
WHERE TO DIRECT THEM.
SO THE SUPPORTING MESSAGES AS
WELL, SO THAT PEOPLE KNOW WHERE
THEY CAN GET THE INFORMATION
THEY NEED.
SO ALONG THOSE SAME LINES,
JONATHAN, I THINK IT'S ALSO
IMPORTANT THAT WE'RE AWARE OF
THE PIECE THAT RISK EQUALS
HAZARD PLUS OUTRAGE, RIGHT?
WHAT IS--WHAT ARE THE PEOPLE'S
FEELINGS ABOUT THE SITUATION.
SO, A GOOD EXAMPLE OF THAT,
WOULD BE WHAT HAPPENED WITH
FUKISHIMA, AFTER THE EARTHQUAKE,
HOW MANY MESSAGES DID WE SEE ON
SOCIAL MEDIA IS AND OTHER PLACES
ABOUT PEOPLE IN THE UNITED
STATES WANTING TO GET POTASSIUM
IODIED OR THEY WERE CONCERNED
ABOUT THE FISH THEY WERE GOING
TO EAT, EVEN THOUGH HERE WE WERE
IN THE UNITED STATES.
SO WE NEEDED TO THINK ABOUT THE
MESSAGING THAT NEEDED TO BE DONE
WITHIN JAPAN, WE ALSO NEEDED TO
THINK ABOUT THE MESSAGING THAT
NEEDED TO BE DONE WITHIN THE
UNITED STATES AND THOSE ARE
DIFFERENT AUDIENCES, THOSE WHO
ARE DIRECTLY IMPACTED AND THOSE
THAT HAVE THE FEAR, SO, YOU KNOW
WHAT THEY NEEDED TO DO NEXT AND
I THINK THAT'S REALLY IMPORTANT
THAT WE LOOK AT THE OUTRAGE AND
THE HAZARD, HOW PEOPLE PERCEIVE
THAT HAZARD AND THEN KNOW THAT
PEOPLE, IF IT'S SOMETHING NEW,
WE WORRY ABOUT IT A LITTLE BIT
MORE.
ANOTHER EXAMPLE WOULD BE FOR
INSTANCE AN OIL SPILL ON YOUR
BEACH.
YOU'RE GOING TO BE OUTRAGED BY
THAT, EVEN THOUGH THE IMPACT OF
THAT, MAY NOT BE AS SEVERE AS A
HURRICANE THAT'S COMING ALONG
DOWN THAT SAME PATH IN A FEW
DAYS SO YOU HAVE TO LOOK AT THE
HAZARD AND THEN YOU LOOK AT THE
OUTRAGE AND DETERMINE HOW TO
MESSAGE BACK TO THE COMMUNITIES.
>>SO PEOPLE MAY BE CONCERNED
ABOUT CHRONIC EXPOSURE TO THE
CONTAMINANT, THEY MAY BE AWARE
AROUND ACUTE EXPOSURE, THEY MAY
BORROW EXTRA OUTRAGE BECAUSE OF
1 AND APPLY IT TO THE OTHER SO
WE HAVE TO BE DILIGENT ABOUT
COMMUNICATING THE LEVEL OF RISK
THEY'RE REALLY EXPERIENCING, IT
SOUNDS LIKE.
>>AND BE CAUTIOUS ON HOW YOU'RE
MESSAGING SO THAT YOU'RE GIVING
THEM THE INFORMATION THEY NEED
BUT ALSO REMEMBER THAT WE DON'T
WANT TO PUT THEM IN INFORMATION
OVERLOAD, RIGHT?
THERE WAS A THEORY THAT CAME OUT
IN THE 70S THAT SAID, THAT
THERE'S AN INFORMATION DEFICIT
THAT WE JUST GIVE THEM MORE
INFORMATION AND THEY CAN FIGURE
IT OUT BUT THAT'S NOT TRUE,
RIGHT?
YOU NEED--YOU KNOW A COUPLE
BULLETS TO EXPLAIN WHAT IS
NEEDED AND WHAT THE RISK IS AND
THEN LET PEOPLE MAKE THEIR
DECISION, WE CAN'T LECTURE
PEOPLE AND WE CAN'T GO ABOUT IT
SAYING WE HAVE ALL THE ANSWERS.
SX HEAT WE SYRUPLY DON'T WANT TO
GIVE THEM A BOOK FULL OF
INFORMATION WHERE THEY HAVE TO
LOOK FOR IT, YOU HAVE TO GIVE
THE BOTTOM LINE INFORMATION UP
FRONT WHERE THEY CAN MAKE THE
NEXT BEST DECISION FOR FAMILIES.
THAT SETS UP GREAT FOR QUESTION
3 BUT QUESTION 2 IS GOING TO BE
HOW HOW DO WE EDKAILT ABOUT
NUTRITION TO HELP PROTECT PEOPLE
FROM ENVIRONMENTAL CONTAMINANTS
AND I KELLIE I KNOW THIS IS A
TOPIC NEAR AND DEAR TO YOU.
>>I THINK THIS IS THE 1 WHERE
YOU SAID I WAS GETTING INTO THIS
ALREADY, SO, YEAH, SO, YOU KNOW
I TALKED ABOUT HOW THORS
WORKSHOP IS BRINGING NUTRITION
AND TOXICOLOGY TOGETHER AND TO
ME, THAT IS THE BEST WAY WE CAN
COMMUNICATE ABOUT HOW NUTRITION
CAN BEST PROTECT PEOPLE FROM
EXPOSURES TO ENVIRONMENTAL
CONTAMINANTSS, SO WE NEED TO
BRING THAT INFORMATION TOGETHER.
SO I DESCRIBED ABOUT HOW EPA'S
REFERENCE DOSE LIMIT IS A GREAT
WAY FOR US TO EVALUATE HOW YOU
CAN DETERMINE LEVELS OF MERCURY,
SPECIFICALLY METHYL MERCURY THAT
MAY BE IN SEAFOOD TO MAKE
RECOMMENDATIONS THAT IS VERY
PROTECTIVE AROUND LIMITING
MERCURY INTAKE BUT IT'S ALSO
VERY CONSERVATIVE.
YOU KNOW IT'S VERY COMMON TO
HAVE A LARGE UNCERTAINTY FACTOR
WHEN YOU'RE CONSIDERING RISKS
AND YOU KNOW THIS IS TRUE WITH
UPPER LIMITS FOR NUTRIENTS AS
WELL.
WE HAVE UNCERTAINTY FACTORS THAT
WE ALSO USE IN THE PROCESS FOR
IDENTIFYING UPPER LIMITS FOR
NUTRIENTS.
BUT WHEN YOU THINK ABOUT THIS
EXAMPLE OF FISH, WHEN YOU
COMPARE WHERE THE RFD TAKES YOU
AS FAR AS AMOUNT AND TYPES OF
FISH TO CONSUME AND YOU COMPARE
THAT TO THE FINDINGS OF THE
DIETARY GUIDELINES THAT LOOK
WHOLISTICALLY AT SEAFOOD
CONSUMED WITHIN THE WHOLE DIET
CONIT TEXT ON HEALTH OUTCOMES,
YOU GET A DIFFERENT ANSWER.
AND THE DIETARY GUIDELINES FOUND
MODERATE EVERYDAYS OF AN
ASSOCIATION BETWEEN SEAFOOD
CONSUMED DURING PREGNANCY AND
COGNITIVE DEVELOPMENT IN THE
CHILD AND THAT'S A PRETTY
SIGNIFICANT FINDING, CONSIDERING
IT'S USING OBSERVATIONAL
EVIDENCE AND WHAT WE END UP WITH
IS SEAFOOD IN THE DIETARY
GUIDELINES BEING QUITE AMPLE AND
THE AMOUNTS AND TYPES IN OUR
FISHING ADVICE WHEN FOCUSING
SOLELYOT REFERENCE DOSE LIMIT
FOR ORAL METHOD ILLEGALS
AMERICARY, SO IT'S THE
DIFFERENCES AND METHODS THAT
RESULT IN THOSE DIFFERENCES AND
IT COMES BACK TOO, TO WHAT ANNA
WAS DESCRIBING ABOUT BRINGING
OUR EXPERTISE TOGETHER AND BEING
ABLE TO DECIDE ON WHAT THE
MESSAGE SHOULD BE WHEN WE'RE
CONSIDERING MULTIDISCIPLINARY
DISC INFORMATION BUT ALSO, YOU
KNOW THE COMMUNICATION SCIENCE.
AND SO, YOU KNOW THAT REALLY IS
OUR AIM FOR OUR NATIONAL ACADEMY
STUDY ON SEAFOOD AND CHILD
GROWTH AND DEVELOPMENT THAT I
DESCRIBED IS TO BRING THESE
DISCIPLINES TOGETHER WHICH WILL
INFORM A NUMBER OF THINGS BUT 1
OF THEM, YOU KNOW BEING
COMMUNICATIONS AND WHEN THAT'S
NOT POSSIBLE, IT'S NOT ALWAYS
GOING TO BE POSSIBLE FOR US TO
BRING MULTIPLE DISCIPLINES
TOGETHER, TO REVIEW THE
SCIENTIFIC EVIDENCE
SIMULTANEOUSLY, BUT YOU KNOW
WHEN THAT'S NOT POSSIBLE OR THAT
EVIDENCE BASE IS NOT AVAILABLE
YET, WE NEED TO DO OUR BEST TO
LOOK AT OAFDZ BOTH SIDES AND
MAKE RECOMMENDATIONS THAT REALLY
CONSIDER BOTH THOSE BENEFITS AND
THOSE RISKS AND CONSIDER THOSE
EXPOSURES, YOU KNOW WITHIN THE
LARGER CONTEXT OF DIET
EXPOSURES.
>>OKAY, LOOKS LIKE STEVE WAS
JUST RAISING HIS HAND.
STEVE?
>>YEAH, THANK YOU.
I REALLY APPRECIATE THE
OPPORTUNITY TO BE PART OF THIS
PANEL, I THOUGHT AS WE LISTEN TO
BOTH WHAT KELLIE SAID AND WHAT
SARAH SAID, IT STRIKES ME THAT
THESE ARE NOT SIMPLE ISSUES.
THESE ARE VERY COMPLEX ISSUES
AND AS ANNA STATED WE CAN'T
REALLY JUST DUMP ALL THAT
INFORMATION FOR FOLKS TO LISTEN
TO AND THEN MAKE THEIR OWN
DECISION.
WE NEED TO USE ALL THE AVAILABLE
COMMUNICATION TOOLS THAT WE HAVE
TO BE ABLE TO COMMUNICATE THAT
IN A WAY THAT PEOPLE CAN MAKE
THE BEST DECISIONS FOR THEIR
SITUATION.
AND THAT'S GOING TO OCCUR
DIFFERENTLY DEPENDING KNOW THEIR
INDIVIDUAL PERSPECTIVES AS WELL
AS THEIR LOCATION IN THE COUNTRY
AND THEIR KNOWLEDGE BACKGROUND.
SO, TO EXPAND AND TO REALLY
LEVERAGE THE COMMUNICATION, I
THINK SARAH WAS THE 1 WHO SAID,
WE'RE MAKING NATIONAL
RECOMMENDATIONS.
WE HAVE TO BE ABLE TO WORK AT
THE LOCAL LEVEL, TO BE ABLE TO
PROVIDE FOLKS THAT ARE
INFLUENCERS WHO HAVE KNOWLEDGE
OF THAT AREA, TO EDUCATE THEM IN
WAYS THAT THEY CAN COMMUNICATE
LOCALLY ON THE BEST POSSIBLE
SOURCES OF INFORMATION AND
DECISIONS FOR THEIR SPECIFIC
COMMUNITIES AND THEIR SPECIFIC
CONDITIONS WITHIN THOSE
COMMUNITIES.
SO THE MORE TOOLS THAT WE CAN
USE, TO EXPAND OUR MESSAGING AT
THE LOCAL LEVEL IS EXTREMELY
IMPORTANT.
>>THAT BRINGS UP AN INTERESTING
POINT, YOU'RE BRINGING UP
COMMUNICATION AT THE LOCAL
LEVEL, WE ARE TALKING ABOUT THE
KIND OF FOODS PEOPLE WOULD EAT
TO PROTECT THEMSELVES BUT THE
KINDS OF FOODS PEOPLE EAT REALLY
CHANGES BY LOCALITY.
I MEAN, YOU KNOW, IN SOME PLACES
IN FLORIDA, YOU WOULD BE PRETTY
COMMON TO EAT SEAFOOD, THAT'S
NOT AS COMMON IN OTHER PLACES,
JUST ANOTHER THING TO CONSIDER,
ANYWAY.
OKAY.
WE ARE GOING TO QUESTION 3.
WHAT ARE THE GUIDING PRINCIPLES
AND BEST PRACTICES FOR
INTEGRATING MESSAGING ABOUT
GENERAL HEALTH BENEFITS OF FOODS
AND MESSAGING ABOUT EXPOSURE TO
ENVIRONMENTAL CONTAMINANTS.
SO WHAT I'M AING IS THIS, LET'S
SAY YOU WANT TO ENCOURAGE PEOPLE
TO EAT, YOU KNOW WHOLE GRAINS,
RIGHT?
AND YOU WANT TO DO SO FOR HEMENT
BENEFITS FOR PROTECTION AGAINST
HEART DISEASE OR SOMETHING LIKE
THAT AND YOU WANT TO ENCOURAGE
PEOPLE TO EAT CERTAIN FOODS FOR
PROTECTION AGAINST ENVIRONMENTAL
CONTAMINANTS.
CAN THOSE MESSAGING BE COMBINED.
KELLIE YOU MENTIONED HOW
MUCH--THE SEPARATION BETWEEN THE
2, CAN WE ACTUALLY KIND OF PUSH
THEM TOGETHER?
IS THAT A POSSIBILITY?
AND I'M HOPING KELLIE AND SHARMI
CAN WEIGH TBH ON THAT.
>>I WILL SAY THE SHORT ANSWER
IS YES, THAT'S WHAT WE HAVE TO
DO, LIKE THOSE DIAGRAMS SEE
WHERE THE CIRCLES OVERLAP, WHERE
DO WE HAVE CONFIDENCE AND FOOD
DECISIONS THAT SUPPORT NUTRIENT
ADEQUACY TO HELP PROTECT AGAINST
ENVIRONMENTAL CONTAMINANTS BUT
ALSO LIMIT ENVIRONMENTAL
CONTAMINANT EXPOSURES
PARTICULARLY FOR THE VERY YOUNG
AND I WILL STOP THERE.
>>THANK YOU, CAN YOU HEAR ME?
>>YES.
>>I FEEL LIKE THIS IS PREACHING
TO THE CHOIR HERE BUT PROBABLY A
GOOD IDEA TO KIND OF REPEAT SOME
OF THE FUNDAMENTALS THAT ARE
WORTH REPEATING I THINK AS IT'S
REALLY IMPERATIVE TO BE ABLE TO
DEFINE AND IMPLEMENT AN
EFFECTIVE RISK COMMUNICATION AND
CONSUMER EDUCATION INITIATIVE.
YOU HEARD FROM ANNA, WE HEARD
FROM SARAH EARLIER, TODAY AND
THEN FROM STEVE, YESTERDAY, SO I
THINK I WILL REPEAT JUST A
COUPLE OF THINGS JUST TO KIND OF
EMPHASIZE, THE 1 THING I WOULD
LIKE TO EMPHASIZE IS
[INDISCERNIBLE] I KNOW SOMETIMES
IT'S VERY IMPORTANT AND I KNOW
IT'S NOT ALWAYS OUR STRONGEST
SUIT BUT WHAT THAT DOES IS
UNFORTUNATELY, THE SPACE OR THE
VOID, IT'S QUICKLY REALLY TAKEN
UP BY OTHERS WHO MAY NOT HAVE
THE RIGHT INFORMATION AND THEN
WE SPEND A LOT OF TIME TRYING TO
CORRECT THE MISINFORMATION.
THE MAIN THING IS WHAT YOU SAID
ABOUT HOW IMPORTANT IT IS FOR
US, FOR OUR MESSAGING TO BE
SCIENCE BASED AND OF COURSE
ADOPTING LIKE AN EVIDENCE BASED
APPROACH FOR ALL OF THE STAGES,
LIKE DEVELOPMENT,
IMPLEMENTATION, EVALUATION,
OBVIOUSLY, IT'S HUGELY
BENEFICIAL.
BUT WE ALSO KNOW THAT IT REALLY
GETS VERY TRICKY WITH RISK
COMMUNICATION AS KELLIE JUST
MENTIONED, CONSUMERS
OVERESTIMATE RISKS AND
UNDERESTIMATE BENEFITS, SO WHEN
THESE 2 ARE PRESENTED TOGETHER
IT CAN REALLY CAUSE CONFUSION.
SO IF WE HAVE CLEAR SCIENCE
THAT'S SHOWING THE BENEFITS
OUTWEIGH THE RISKS OR VICE
VERSA, THEN WE NEED TO MAKE THAT
THE MAIN MESSAGE AND SORT OF
ANCHOR ON THAT MESSAGE, OR, IF
THE RISK OF CONTAMINANTS IN FOOD
IS LESS THAN THE RISKS OF YOU
KNOW NOT GETTING THE NEW TRIENTS
IN THOSE SAME FOODS, THEN THAT
SHOULD BE OUR MAIN MESSAGE, SO I
GUESS, WE ALL KNOW THAT IF
CONSUMERS PLAIN LANGUAGE AND
MAIN MESSAGING, ARE REALLY HAVE
TO BE KIND OF THOUGHT THROUGH
AND IT'S NOT EASY, PROBABLY
STILL NOT THERE YET BUT I WANTED
TO MENTION FOR CONSUMERS FOR
DIFFERENT TARGET AUDIENCES,
REALLY THINKING ABOUT WHAT THE
MAIN MESSAGE IS AND PUTTING IT
OUT THERE, THE BOTTOM LINE UP
FRONT IS REALLY, REALLY
IMPORTANT.
>>ONE-SECOND, KELLIE, WHAT YOU
JUST DESCRIBED REALLY PAINTS A
VERY DIFFICULT PICTURE.
WE HAVE TO BASE IT ON THE
SCIENCE, RIGHT?
BUT WE HAVE TO MAKE IT
PALLETTABLE FOR A NONSCIENTIFIC
AUDIENCE AND WE'VE GOT TO
COMMUNICATE BOTH SIDES,
CONTAMINANTS AND PROTECTION--AND
NUTRITIONAL BENEFITS, AND WE'VE
GOT TO DID ALL THAT WITH A
SIMPLE MESSAGE THAT PEOPLE WILL
FOLLOW AND THAT WON'T SCARE
PEOPLE OFF BECAUSE WHEN THEY
HEAR THINGS LIKE CONTAMINANTS,
THEY MIGHT BE VERY NERVOUS.
ON THAT NOTE, KELLIE, YES?
>>YEAH, I WANTED TO JUST ADD
SOMETHING TO THAT AND I'M REALLY
INTERESTED IN ANN'S THOUGHTS ON
THIS AND YOUR PRESENTATION
REALLY RESONATE WIDE ME A LOT
BECAUSE WE'RE WORKING IN A SPACE
WHERE, YOU KNOW EVERYBODY HAS TO
EAT, WE'RE DEALING WITH FOODS
THAT ARE PART OF HEALTHY EATING
PATTERNS THAT ALSO HAPPEN TO
HAVE ENVIRONMENTAL CONTAMINANTS
IN THEM BECAUSE OF WHERE THEY'RE
GROWN, YOU KNOW SO THIS IS A
COMPLEX ISSUE, BUT YOU KNOW, I
THINK BACK TO, BEFORE I WAS AT
FDA, YOU KNOW I'VE HAD A LONGER
HISTORY OF THE TOPIC OF SEAFOOD
WITH THE DIETARY GUIDELINES
PROCESS BEFORE, IT WAS FDA
BEFORE, AND YOU KNOW 10-15 YEARS
AGO, PEOPLE WOULD TELL ME, THAT
THE MINUTE THAT MOTHER'S HEAR
YOU SAY THE WORD MERCURY THAT
ALL THEY HEAR IS DON'T EAT FISH
WHEN THAT WAS NEVER THE MESSAGE
AND EVEN SOME RESEARCH PUBLISHED
SUPPORTING THAT FISH ADVISORIES
MAY HAVE LED TO DECREASES IN
INTAKE.
AND SO, YOU KNOW WE'VE BEEN
WORKING REALLY HARD THROUGH
ITERATIONS, BUT HOW CAN WE USE
THE MODELS THAT YOU DESCRIBED AS
WAYS FOR US TO THINK ABOUT THAT
WE'RE COMING TO THIS AS LIKE
TALKING ABOUT GENERAL DIET, BUT
THE PARENTS ARE COMING TO THIS,
IN A STATE OF THIS IS NEW
INFORMATION, THIS IS A THREAT.
SO HOW DO WE--THIS IS REALLY
LAWEDDER DALE I SEE AS LIKE AN
OPPORTUNITY FOR OUR
COLLABORATION, TO REALLY SEE,
HOW CAN WE USE THE FACT THAT THE
PARENTS ARE FEELING LIKE THEY'RE
IN AN EMERGENCY SITUATION WHERE
WE WANT TO DECREASE THAT
ANXIOUS, WE WANT TO BRING THEM
FULL CIRCLE, THIS IS NOT NEW,
THIS IS SOMETHING THAT'S, YOU
KNOW, THAT'S--THESE HAVE BEEN IN
THE FOOD SUPPLY FOR A LONG TIME,
WE KNOW MORE ABOUT THEM NOW, WE
HAVE THE ABILITY TO DO MORE
ABOUT THEM NOW, BUT THESE ARE
THE THINGS CAN YOU DO BUT HOW
CAN WE REALLY TAKE THAT
SCENARIO, WHERE THEY'RE FEELING
THIS THREAT IN THE SENSE OF
URGENCY AND BRING THEM TO THAT
BETTER STATE OF BEING, LIKE,
OKAY, I GOT THIS.
>>THAT WAS WELL SAID, KELLIE,
AND HOW DO WE GET THOSE MESSAGES
ACROSS AND AT THE SAME TIME
THINK ABOUT MAYBE WE DIDN'T DO A
VERY GOOD JOB TO BEBIN WITH
WHICH ALWAYS HURT WHEN IS YOU
TRY TO REACH YOUR AUDIENCE
RIGHT?
I THINK WELL, I THINK BACK AND
DANIEL WILL BE ABLE TO RELATE TO
THIS WHEN WE DEALT WITH THE LUNG
INJURY AND TRYING TO REACH TEENS
AND YOUNG ADULTS ABOUT VAPING
AND HOW DANGEROUS IT WAS AND
E-CIGARETTES, RIGHT?
AND AT THAT TIME, AND THIS WAS
REALLY DATE ME BUT I DIDN'T KNOW
WHAT TIKTOK WAS AND WE THOUGHT
ABOUT OH WE'RE GOING TO SEND
MESSAGES THROUGH TIKTOK, AND I
WAS LIKE WHAT IS TIKTOK, SO
REACHING SOMEONE ON THEIR OWN
PLATFORM AND REACH PEERS THAT WE
MAY NOT HAVE BEEN ABLE TO REACH,
BUT ALSO THINKING ABOUT PARENTS
AREN'T BEING A CLINICIAN AND
MAKING IT REALLY EASY TO THINK
ABOUT WHEN A PATIENT COMES IN,
IF YOU WATCH A PHYSICIAN, THEY
START OUT WITH YOU'RE DO FOR, IF
IT'S A VACCINE OR YOU NEED
SOMETHING, THEY ALREADY STATED
UP FRONT AND THAT OPENS UP THE
COMMUNICATION IF SOMEONE IS
AFRAID OR THEY'RE WORRYING ABOUT
SOMETHING, SO THAT THE CLINICIAN
CAN FIND OUT WHAT THAT FEAR IS
AND THEY'RE ABLE TO COMMUNICATE
WITH THEM DIRECTLY AND IT OPENS
UP THE COMMUNICATION SO THAT
THEY CAN LEAD THEM IN THE
DIRECTION THAT THEY NEED TO TO
GO BASED ON SCIENCE.
ANOTHER THING WE CAN DO IS
THROUGH SOCIAL MEDIA, IT'S
CALLED A SANDWICH EFFECT, SO,
WHAT YOU DO IF YOU REALLY--IF
YOU NEED TO DEBUNK INFORMATION
AND YOU HAVE TO REPEAT IT, IT'S
NOT NECESSARILY THE BEST
APPROACH BECAUSE WE TRY SO OFTEN
TO NOT REPEAT IT BECAUSE THAT'S
USUALLY WHAT IS REMEMBERED, IS
YOU START WITH THE STATEMENT
THAT YOU KNOW SOMETHING IS SAFE
AND THEN, YOU SAY SOMETHING
ABOUT THE MISINFORMATION AND
THEN YOU FOLLOW IT UP WITH THEIR
ACTION, SO THAT THE FIRST
STATEMENT AND THE LAST STATEMENT
ARE THE 2 THAT REALLY HIT HOME
AND THE MIDDLE 1 IS JUST TO LET
THEM KNOW THIS IS MISINFORMATION
AND @ SAME TIME TO REASSURE
THEM.
SO THOSE ARE SOME OF THE
TECHNIQUES CAN YOU USE.
AND THEN THINKING ABOUT THOSE
COMMUNICATION DHANLES, WHAT IS
THE BEST PATH TO REACH PEOPLE,
IF IT'S YOUNG PEOPLE, THEN WE GO
1 DIRECTION, IF IT'S PARENTS WE
NEED TO GO IN ANOTHER DIRECTION
AND IT MAY BE THOSE TRUSTED
AGENTS, RIGHT?
WHETHER IT'S A PHYSICIAN OR
LOCAL CHURCH OR MOSQUE OR
TEMPLE, THESE ARE PEOPLE THAT
THEY RELY UPON, OR INFLUENCERS
WITHIN THEIR COMMUNITIES.
AND THAT'S HOW CAN YOU GET THOSE
CONNECTIONS IN PLACE.
>>AS SOMEBODY WHO HAS TO SPEAK
TO PATIENTS IN A MOMENT OF
DISTRUST, DOES THAT RESONATE
WITH YOU, WILL YOU FIND WORKS?
>>YEAH, CERTAINLY, I'M GLAD, WE
ALREADY MENTIONED A LOT OF THESE
CONCEPTS.
SO YOU KNOW WHAT WE DO IS FIRST
IF A PATIENT CAME UP TO ME AND
HAD A QUESTION, I WOULD CLEARLY
DEFINE WHERE THE BENEFITS AND
INTERVENTION OR MANAGEMENT OR
WHAT THEY CAN DO, SO, TRY TO PUT
EVERYTHING INTO 3 BUCKETS TO
MAKE IT SIMPLE.
FIRST 1 IS THE BENEFITS OUTWEIGH
THE RISK, SO NOW WE WILL DEFINE
THE BENEFITS, SO FOR EXAMPLE, IF
YOU TAKE THIS MEDICATION, YOU
WILL BE--YOU KNOW, YOU WILL DO
BETTER AT THESE SYMPTOMS, THEN
THE NEXT BUCKET IS, THE RISKS
OUT WEIGH THE BENEFIT.
SO FOR THAT, YOU KNOW YOU WOULD
HAVE TO FIGURE OUT FOR EXAMPLE,
THERE'S SOME OTHER VARIABLES
THAT THE PATIENT HAS EITHER
CO-MORBIDITIES, OTHER EXPOSURES,
MAYBE THEY DON'T--THEY HAVE
ALLERGIES OR MEDICATIONS OR
MAYBE THAT MEDICATION IS NOT
INDICATING WHAT THEY HAVE, AND
THAT INSTANCE, THE RISK OUTWAYS
THE BENEFITS, AND THEN WHAT I
THINK THEY SHOULD DO IS DEFINE
THOSE RISKS BY LAWEDDER DALE
DOES THAT REALLY MEAN IN--REALLY
MEAN IN TERMS OF VOMITING,
PERMANENT DISABILITY, AND SO ON.
AND THEN THE THIRD BUCKET IS THE
BUCKET THAT I SAY WE DON'T KNOW.
THERE'S CONFLICTING EVIDENCE,
THERE'S SOME STUDIES THAT SHOW
BENEFIT AND SOME STUDIES THAT
SHOW HARM.
SO THEN YOU KNOW, HAVING THOSE 3
BUCKETS PRESENTED TO THE PATIENT
MAKES THEM BE ABLE TO MAKE AN
INFORMED DECISION.
LET ME FINISH FOR JUST A MOMENT
SO THEN WHAT I USUALLY FOUND
WORKS PERSONALLY FOR ME, WHEN I
TALK TO MY PATIENTS IS I USUALLY
PUT THAT, YOU KNOW AS EFFECT,
THEN AFTER I GIVE THEM THOSE 3
BUCKETS, THEN I SAY TO THEM, YOU
KNOW WHAT?
YOU ARE THE 1 THAT NEEDS TO MAKE
DECISIONS FOR YOURSELF, I CAN
ONLY COUNCIL YOU AND I WOULD--I
WOULD TRY TO TAKE AWAY THINGS
LIKE EMOTION, FEAR, OTHER
NEGATIVE DECISION MAKING, THINGS
THAT MAY IMPEDE THAT AND THEN I
USUALLY SAY SOMETHING LIKE, YOU
KNOW WHAT, WHATEVER DECISION YOU
MAKE, IESM HERE TO STAND BY YOU
AND I CAN ANSWER ANY OF YOUR
QUESTIONS YOU HAVE, AND WORK
THROUGH THIS TOGETHER.
>>THAT IS INTERESTING.
WHAT YOU'RE SAYING, PRETTY SURE
CERC DRIVES A LOT OF ITS
PRINCIPLES FROM PHYSICIAN
COMMUNICATION BECAUSE A LOT OF
CONNECTION THERE, THAT IDEA OF
CONNECTING OF SORT OF LAYING OUT
FOR THE RECIPIENT OF THE
INFORMATION, THE BENEFITS VERSUS
THE RISKS.
AND SHOWING HOW 1 OUT WEIGHS THE
OTHER, THAT'S REALLY POWERFUL
AND IN OUR LEAD PROGRAM WE DO A
LOT OF THAT.
THERE'S A LOT OF INTERVENTIONS
THAT MAY BE EXPENSIVE OR
DIFFICULT, BUT WE REALLY TRY TO
EMPHASIZE THE BENEFITS OF
ENGAGING IN THAT EFFORT AND WITH
THAT I WILL CALL ON PERRI WHO
CAN ELUC DATE THAT CONCEPT MORE.
CAN PERRI, ARE YOU THERE?
>>WHAT SPECIFICALLY WERE YOU
WANTING ME TO TALK ABOUT?
>>COMMUNICATING BENEFITS VERSUS
RISKS BECAUSE IT'S NOT JUST
SOMETIMES IN OUR COMMUNICATION
EFFORTS, WE EXPLICITLY LAY OUT,
YOU KNOW HERE ARE THE THINGS TO
DO AND THERE MAY--WE DON'T WANT
TO REPEAT SORT OF FALSE
INFORMATION OR CONCERNS PEOPLE
HAVE, BUT AS WELL AS BENEFITS
BUT WE SORT OF TRY TO LAY OUT
WHAT THE BEST APPROACH AND WHAT
IS THE BALLAANCE IN THERE, I
KNOW THE LEAD PROGRAM WE DO THAT
AS WELL.
>>I WOULD SAY THIS, I MEAN, WE
DON'T REPEAT SO MUCH WHAT NOT TO
DO, THAT KIND OF IS WHAT ANNA
WAS SAYING A BIT BEFORE, YOU
WANT TO TALK ABOUT WHAT TO DO
AND SHE WAS SAYING IN HER
APPROACH, YOU ADDRESS WHAT NOT
TO DO AND THEN YOU END WITH WHAT
TO DO, BUT WE'RE NOT TRYING TO
DEBUNK ANY MYTHS HERE SO I
WOULDN'T SAY THAT WE REALLY
FOCUS ON WHAT NOT TO DO, BUT IN
TERMS OF LIKE IF WE HAVE--IF
IT'S COMMON SOURCES OF LEAD OR
EMERGING SOURCES, THEN WE CAN
TALK ABOUT DEFINITELY, LIKE,
SOME OF THE OTHER SPEAKER VS
SAID, GIVEN ACTIONABLE STEPS,
LIKE THING YOU CAN DO TO PROTECT
YOUR FAMILY, WE WANT TO GIVE
INFORMATION ABOUT WHERE YOU CAN
FIND THE SOURCES, WE DO TALK
ABOUT HOW TO AVOID SOURCES WHEN
WE CAN, LIKE FOR EXAMPLE, YOU
KNOW, IF THERE'S PRODUCTS THAT
WE KNOW THAT HAVE LEAD, SO IT'S
NOT SO MUCH LIKE AN
INTERVENTION.
JUST IF WE ARE AWARE THAT
PRODUCTS OR FOODS OR WHAT HAVE
YOU HAVE LEAD, WE WILL
COMMUNICATE THAT OUT WE WILL
TALK ABOUT WHAT THEY CAN DO, WE
WILL TALK ABOUT WORKING WITH THE
HEALTHCARE PROVIDERS TO GET
TESTED, BLOODLET TESTS IF THE
PATIENTS ARE CONCERNED ABOUT THE
CHILDREN'S LEVELS.
THERE'S ALSO BEEN TALK ABOUT
LOCAL CONDITIONS AND I THINK
THAT'S ALSO REALLY IMPORTANT
BECAUSE THERE'S DIFFERENT
SOURCES AND DIFFERENT
COMMUNITIES ESPECIALLY IF
THERE'S RESETTLEMENT COMMUNITIES
AND THEN WHEN YOU GET INTO THAT,
YOU NEED TO THINK ABOUT CULTURAL
COMPETENCY AND PROVIDING
INFORMATION IN MULTIPLE
LANGUAGES, I MEAN, I LIKED WHAT
PEOPLE ARE SAYING ABOUT, YOU
KNOW THE INFLUENCERS ARE SOURCES
SO I THINK IT'S JUST A LOT OF
WHAT WE'VE HEARD HERE, YOU KNOW
THE ACTIONABLE STEPS FOCUSED ON
WHAT TO DO, MINIMIZING, YOU KNOW
NOT GIVING A LOT OF WEIGHT ON
WHAT NOT TO DO, JUST BRIEFLY
TOUCHING ON THAT AND REALLY
HIGHLIGHTING WHAT YOU CAN DO AND
THEN TRYING TO MAKE THINGS
REALLY APPLICABLE AT THE LOCAL
LEVEL AND WORKING WITH THE
TRUSTED RESOURCES.
DID YOU WANT ME TO SAY MORE OR
DOES THAT COVER IT?
>>I WILL COME BACK TO YOU
BECAUSE TIME IS MOVING FASTER
THAN ANTICIPATED AND I'M GOING
ON TO THE FOURTH DISCUSSION
TOPIC WHICH IS PREFERRED
LANGUAGE.
AND BEFORE WE GET THERE, THERE'S
1 CONCERN I WANT TO DISCUSS WITH
THE PANEL.
WE--YOU COMMUNICATE BOTH TO THE
PUBLIC AND TO A LOT OF
SCIENTIFIC AUDIENCES, YOU HAVE
TO.
YOU USE VERY BIG WORDS, WORDS
THAT MAY BE INTIMIDATING, IS IT
FAIR TO SAY, THAT THAT LANGUAGE
THAT ISN'T NECESSARILY CONSUMER
FRIENDLY LANGUAGE STILL REACHES
CONSUMERS.
>>WAS THAT FOR ME?
>>IT'S FOR YOU.
>>IT'S A CHALLENGE.
ABSOLUTELY WE KNOW THE
INFORMATION EVEN IF WE AS WE
MENTIONED BEFORE, TRYING TO PUT
MORE INFORMATION ON OUR WEBSITE
AND WE KNOW THAT OUR WEBSITE IS
VISITED MORE BY TECHNICAL
AUDIENCES THAN BY THE GENERAL
PUBLIC OR AT LEAST WE BELIEVE
SO.
WE HAVE RELATIVELY LOW NUMBERS
OF HITS ON OUR LAB WEBSITE, BUT,
I THINK IT'S SAFE FOR US TO
ASSUME IT'S NOT ONLY LAB STAFF
THAT ARE COMING AND CONSUMING
INFORMATION THAT WE MAY HAVE
TARGETED TOWARDS SCIENTIFIC
AUDIENCES.
THE QUESTION IS, YOU KNOW WHEN
SOMEBODY BROUGHT IT UP BEFORE, I
THINK IT WAS STEVE THAT, YOU
KNOW DIFFERENT CONSUMERS MAY
HAVE DIFFERENT LEVELS OF
BACKGROUND KNOWLEDGE AND TELL
YOU SOMETHING THAT SCARES ME IS
NOT PROVIDING ENOUGH
SOPHISTICATED, NOT ENOUGH
INFORMATION FOR THE
SOPHISTICATED CONSUMER WHO MAYBE
THEY'RE NOT A SCIENTIST BUT THAT
DOESN'T MEAN THAT WE WANT TO BE,
THAT WE SHOULDN'T COMMUNICATE
ABOUT WHAT WE'RE DOING.
IT MAKES ME THINK OF MY SPOUSE
WHO DURING COVID, SHE WOULD GO
ON THE COVID, TO THE CDC WEBSITE
AND WOULD SAY, THEY'RE NOT
GIVING ME ENOUGH INFORMATION.
I APPRECIATE THAT THEY'RE TRYING
TO WRITE EVERYTHING IN PLAIN
LANGUAGE BUT THEY'RE NOT GIVING
ME ENOUGH.
SO THERE'S THIS FINE--YOU KNOW,
WE DO NEED TO BE ABLE TO PROVIDE
INFORMATION TO DIFFERENT KINDS
OF CONSUMERS AND IT IS A
CHALLENGE TO DO IT ALL AT THE
SAME TIME.
I DON'T KNOW THAT WE HAVE THE
RIGHT ANSWER HERE BUT I THINK
ABOUT IT SIMILARLY WITH US, YOU
KNOW AS OUR DIVISION WHEN WE TRY
TO EXPLAIN WHAT WE DO WE DO?
WHAT KIND OF VALUE DO WE PROVIDE
TO THE PUBLIC?
WELL, IT'S A CHALLENGE TO
EXPLAIN WHAT KIND OF VALUE WE
PROVIDE TO THE PUBLIC AND SOME
OF THAT VALUE IS IN SUPPORTING
OTHER SCIENTISTS, AND TRYING TO
CONVEY THAT WITH ENOUGH
SPECIFICITY SO THAT IT MAKES
SENSE BUT WITHOUT TOO MUCH
INFORMATION THAT WE LOSE THE
CONSUMER WHO ISN'T A LAB RATOORY
PROFESSIONAL.
AND SO MY CONCERN, I WILL TOSS
TO ANNA FOR THIS MY CONCERN IS
THAT TD TERMINOLOGY THAT YOU USE
IN A LAB, I MEAN IF YOU HAVE A
CHEMICAL, IT SOWBDS INTIMIDATING
SO BECOMES A AN INTIMIDATING
CONTEXT SO ANNA, I WILL TOSS TO
YOU NOW.
>>THANKS SO MUCH YEAH, PLAIN
LANGUAGE IS KEY, RIGHT?
AND KNOWING THE AUDIENCE THAT
WE'RE TRYING TO REACH AND THERE
ARE MORE THAN 1 AUDIENCE AND WE
HAVE TO THINK ABOUT LANGUAGE AND
EVEN GEOGRAPHICALLY WHERE
SOMEONE IS LOCATED, SO YOU WOULD
COMMUNICATE DIFFERENTLY TO
APPALACHIA THAN YOU WOULD TO
CALIFORNIA.
SO YOU HAVE TO THINK ABOUT THOSE
ISSUES AS WELL.
AND I WAS JUST THINKING ABOUT,
WHAT ART ENDED HIS CONVERSATION
ABOUT WITH PATIENTS, HE
MENTIONED IN HIS LAST STATEMENT
HE MENTIONED WITH HIS PATIENT
THAT WE'RE DOING THIS TOGETHER.
I THINK THAT'S IMPORTANT THAT
WHEN WE ARE MESSAGING AND
REACHING THE PUBLIC WE MAKE IT
KNOWN THAT WE'RE THERE FOR THEM
AND WE'RE IN THIS TOGETHER AND
THEY'RE NOT ALONE AND WE'RE
THERE FOR THEM AND WE HAPPENED
WHERE THEY'RE COMING FROM.
I THINK THAT'S HOW YOU BREECH
THE DIFFERENT AUDIENCES THAT
YOU'RE TRYING TO CONNECT WITH.
BECAUSE I DON'T THINK ANY OF US
ARE HERE TO BECAUSE WE TRULY DO
WANT TO HELP THE PUBLIC.
>>WE HAVE HAND RAISES FROM
PERRI AND SHARMI.
>>YEAH, I QUICKLY WANTED TO ADD
TO WHAT DANIEL MENTIONED
EARLIER, BASED ON SOME OF OUR
EXPERIENCES WITH SOME OF OUR
EDUCATION INITIATIVES, CLEARLY,
IT IS A CHALLENGE WHERE YOU HAVE
GENERAL CONSUMERS WHO WANT
INFORMATION IN PLAIN LANGUAGE,
IN THE MIN NUM NUMBER OF WORDS,
POSSIBLE, AND THEN HAVE YOU THE
NEXT LEVEL OF CONSUMERS WHO ARE
LOOKING FOR MORE INFORMATION.
SO 1 OF THE THINGS THAT WE HAVE
BEEN ABLE TO DO, AND THIS WAS
AFTER SIGNIFICANT INFORMATIVE
RESEARCH THROUGH FOCUS GROUPS
AND INDEPTH INTERVIEWS, WE ARE
KIND OF FOCUSING ON DEVELOPING
LIKE THE 101 LIKE BASIC LEVEL
INFORMATION THAT GOES ON OUR
WEBSITE AND THEN, USING A LOT OF
LINKS AND DEVELOPING TIER 1
LEVEL MATERIALS FOR THOSE
CONSUMER WHO IS WANT A LITTLE
BIT MORE INFORMATION, LIKE SHOW
ME THE DATA, WHERE ARE THE
STUDIES, AND EVEN FOR THE
MANUSCRIPTS OR STUDIES, SORT OF
JUST LINKING TO THEM, IF WE CAN
THINK OF DEVELOPING MAYBE AN
INFO GRATES--GRATUE OFIC THAT
SORT OF JUST--INFO GRAPHIC THAT
HIGHLIGHTS THOSE FINDINGS FROM
THAT RESEARCH THAT WOULD BE
REALLY HELPFUL FOR THIS, YOU
KNOW FOR THIS NEXT GROUP OF
CONSUMER THAT'S LOOKING FOR
DATA.
THANKS.
>>PERRI?
>>THANKS SO I AGREE WITH WHAT
EVERYONE SAID BUT I WANT BRING
UP THE FLIP SIDE.
EVEN FOR PEOPLE WHO HAVE A LOT
OF EDUCATION, LIKE HEALTHCARE
PROVIDERS OR PROFESSIONALS, IT'S
GOOD IF YOU CAN INSTILL IT DOWN
TO JUST THE ESSENCE BECAUSE
PEOPLE ARE JUST BOMBARDED WITH
INFORMATION FROM ALL KINDS OF
SOURCES AND IF THERE'S LIKE A
WALL OF JUST TEXT ACCIDENT IT'S
HARD TO GET THROUGH SO NOT THAT
YOU HAVE TO MAKE IT SO SIMPLE,
BUT JUST ALSO KEEPING IN MIND
THAT BUSY PROFESSIONALS LIKE TO
HAVE THINGS IN BULLETS AND JUST
CALLED OUT WITH THE MAIN POINTS.
I JUST WANTED TO ADD THAT
PERSPECTIVE.
>>YEAH, ESPECIALLY FOR
PHYSICIANS ESPECIALLY FOR
EMERGENCY ROOM PHYSICIANS WHO
HAVE SEE A LARGE NUMBER OF
PATIENTS COMING THROUGH.
THEY WANT IT TO BE EFFICIENT.
THAT MAKES A LOT OF SENSE.
OKAY.
>>DOES ANYONE ELSE HAVE
ANYTHING TO ADD ON PREFERRED
TERMS OR TERMINOLOGY.
>>I JUST WANT TO ADD 1 THING
JONATHAN THAT GOES BACK TO WHAT
BOTH PERRI AND SHARMI WERE
TALKING ABOUT ABOUT MESSAGING
AND HOW TO GET THOME ACROSS, 1
THING WE DID SEE AT THE
BEGINNING OF COVID, AND THE
SCHOOL SYSTEMS WERE DEPENDING ON
WHAT TYPE OF PARENT YOU WERE,
YOU MIGHT GET THE BITE SIZE,
LIKE THE BOTTOM LINE AND
INFORMATION, YOU MAY BE A PARENT
THAT NEEDS MORE INFORMATION, YOU
MAY GET THE APPETIZER VERSION OR
YOU MAY BE 1 OF THOSE THAT NEED
TO KNOW EVERYTHING THAT GOING ON
IN THE SCHOOL SYSTEM AND YOU GET
THE DINNER PORTION AND YOU GET
TO CHOOSE WHICH MESSAGE YOU
WANTED TO READ THROUGH.
AND AS A PARENT THAT WAS VERY
HELPFUL AND EACH PERSON WAS
DIFFERENT, RIGHT?
AND EACH OF US NEED DIFFERENT
THINGS AND IN KNOWING THAT,
GOING INTO COMMUNICATION, I
THINK THAT'S VERY HELPFUL
BECAUSE EVERYONE HAS THEIR OWN
WAY OF LEARNING AND SOME NEED
MORE AND SOME DON'T NEED AS MUCH
INFORMATION.
SO KEEPING THAT IN MIND, I
REALLY LIKED SHARMI'S COMMENT
ABOUT THAT.
IT'S VERY HELPFUL.
>>JONATHAN CAN I ADD ABOUT
TERMINOLOGY?
BECAUSE WE'VE BONE SOME SEMINARS
THAT REALLY SPEAK TO THIS TOPIC
BECAUSE PARTICULARLY FOR THIS
ISSUE, FROM A TOXICOLOGICAL
STANDPOINT, TOXICOLOGISTS AND
CHEMISTS USE THE WORDS TOXIC
ELEMENTS SO I REALLY ENCOURAGE
US TO THINK ABOUT THE RISKS TO
PUBLIC HEALTH IF WE COMMUNICATE
ABOUT FOODS THAT ARE PART OF
HEALTHY DIETARY PATTERNS USING
TERMS LIKE TOXIC.
IT'S THE CONTAMINANT THAT HAS
THE TOXIC EFFECTS, IT'S THE DOSE
THAT MAKES THE POISON BUT IF THE
PUBLIC IS LED TO BELIEVE THROUGH
OUR COMMUNICATIONS THAT THE
FOODS ARE TOXIC, YOU KNOW WE'RE
TALKING ABOUT TD PUBLIC FEELING
THAT FRUITS, VEGETABLES, WHOLE
GRAIN, SEAFOOD, THEY THINK
THEY'RE TOXIC, I THINK WHAT
DETRIMENT CAN HAPPEN TO PUBLIC
HEALTH AND CARE IS JUST REALLY
GREATLY NEEDED IN MESSAGING
HERE.
YOU KNOW THIS FALL WE CONDUCTED
OUR FIRST MAJOR FOCUS GROUP FOR
CLOSER TO 0, TO BETTER
UNDERSTAND PARENTS AWARENESS AND
THEIR UNDERSTANDING OF CONCERNS
ABOUT ENVIRONMENTAL CONTAMINANTS
IN FOODS AND I DO THINK WE
REALLY ARE GOING TO BE ABLE TO
THROUGH THIS STUDY TO GET TO A
LOT OF THE EMOTIONAL AND FEAR
ASPECTS OF THAT ANNA DESCRIBED
ABOUT LAWEDDER DALE PARENTS ARE
FEELING AND BEING ABLE TO KNOW
WHAT THEY'RE FEELING.
SO THE FINDINGS AREN'T AVAILABLE
YET BUT TERMINOLOGY WAS A MAIN
TOPIC OF THAT DISCUSSION.
IN THOSE FOCUS GROUPS.
WE TALKED ABOUT WHAT TERMS THEY
HEARD, WHAT DO DIFFERENT TERMS
MEAN TO THEM, HOW DO THE PARENTS
FEEL ABOUT THOSE TERMS, AND YOU
KNOW IT'S CLEAR THAT PARENTS
WANT 0 EXPOSURE, BUT THAT'S NOT
POSSIBLE AND SO, WE REALLY DO
AIM TO--1 WHERE PAIRVELTS CAN
REALLY FEEL CONFIDENT IF FEEDING
THEIR CHILDREN A VARIETY OF FOOD
THAT WILL PROVIDE THE NUTRITION
THAT THEIR CHILDRENS NEED.
THANK YOU.
>>EXCELLENT POINT.
FOLLOWING UP ON THAT BECAUSE
THAT WAS SOMETHING THAT MIGHT
INSPIRE THOUGHTS IN THE
AUDIENCE, IF YOU'RE IN THE
AUDIENCE, IF YOU HAVE QUESTIONS
WE WOULD LOAMACYIC TO BE ABLE TO
ADDRESS THEM, IF THEY'RE ON
TOPIC.
PLEASE KEEP THEM ON TOPIC.
WE WOULD LIKE TO ADDRESS THEM
AFTER THE PANEL DISCUSSION, SO
PLEASE USE THE LINK UNDER YOUR
STREAMING WINDOW, CLICK THERE
AND INTEREST QUESTIONS, WE WOULD
LOVE TO HEAR PEOPLE'S FEEDBACK.
SO PLEASE DO THAT.
OKAY, I WILL GO TO THE NEXT
DISCUSSION TOPIC.
HOW DO WE MARKET OUR MESSAGES TO
REACH THE PUBLIC THROUGH
CREDIBLE SOURCES THEY TRUST TO
HELP COUNTER MISINFORMATION AND
THIS IS BRINGING IN ANNA
PRESENTATION AND COMBINING IT
WITH EVERYTHING WE DO AND FIRST
OF ALL WE WANT TO BRING UP TO
EVERYONE, REMEMBER HEALTH
MARKETING IS A WHOLE CHAIN FROM
GATHERING DATA AT THE BEGINNING,
MAKING SURE WE GATHER THE RIGHT
INFORMATION SO WE KNOW WHAT TO
TALK ABOUT, RIGHT?
PROCESSING IT, DEVELOPING,
CLEARING MESSAGING, PUTTING
THOSE MESSAGES OUT TO THE PUBLIC
AND THEN FINDING THE RIGHT
CHANNELS, TO REACH THE RIGHT
PEOPLE.
SO, ANNA, CAN YOU COMMENT SOME
ON PARTNERSHIPS AS A WAY TO GET
THE RIGHT MESSAGE OUT FROM THE
RIGHT PERSON?
>>YEAH.
SO PARTNERSHIPS IS AN IMPORTANT
PIECE, YOU KNOW WHETHER YOU'RE
TRYING TO CONNECT, WHEREVER
YOU'RE TRYING TO CONNECT, YOUR
PARTNERS ARE YOUR BEST APPROACH.
I COULD COME UP WITH MANY
EXAMPLES OF THIS WHETHER I WAS
COMMUNICATING IN AFRICA OR IF
I'M COMMUNICATING WITHIN THE
UNITED STATES, DEPENDING ON
WHERE YOU ARE GEOGRAPHICALLY,
YOU NEED THOSE PARTNERSHIPS
BECAUSE YOUR PARTNERS MAY BE
ABLE TO REACH PEOPLE THAT YOU
CANNOT REACH AND YOU JUST HAVE
TO KNOW THAT THAT'S THE REALITY
THAT YOU'RE DEALING WITH, THAT
MANY TIMES, YOU KNOW, A
COMMUNITY MAY SEE, WELL THERE'S
THE FEDERAL GOVERNMENT COMING
IN, THEY ARE GOING TO TELL US
WHAT TO DO AND AUTOMATICALLY YOU
LOST YOUR AUDIENCE BUT THE
PARTNERS THAT YOU--THE
PARTNERSHIPS YOU MAKE WITHIN
THOSE COMMUNITIES WILL BE ABLE
TO REACH PEOPLE THAT YOU MAY NOT
BE ABLE TO AND AT THE END OF THE
DAY, IT DOESN'T MATTER WHERE THE
MESSAGE COMES FROM, IT MATTERS
THAT THE MESSAGE GETS TO THE
AUDIENCE YOU'RE TRYING TO
CONNECT WITH.
SO I SAY THIS ALL THE TIME AND I
KNOW JONATHAN IS PROBABLY SO
TIRED OF HEARING THIS IN MY
GROUP BUT ALWAYS SAY EGO IS THE
ENEMY, SO ONCE YOU GET PAST THAT
AND YOU KNOW THAT YOU HAVE A
MESSAGE THAT NEEDS TO MEET
SOMEONE, THAT YOU NEED TO
CONNECT WITH SOMEONE, THAT'S
REALLY THE KEY SO, AND THEN
DETERMINING NOT JUST THOSE
PARTNERSHIPS AND HOW YOU WILL
GET THAT MESSAGE TO SOMEONE, BUT
ALSO WHO SHOULD DELIVER THAT
MESSAGE, WHO IS THE PERSON WHO
NEEDS TO DELIVER IT?
IS IT A COMMUNITY LEADER, IS IT
AN INFLUENCER THAT PEOPLE ARE
LISTENING TO?
YOU KNOW, THOSE ARE SOME OF THE
KEYLE ELEMENTS THAT YOU NEED TO
THINK ABOUT AS WELL AS PLATFORM.
I'VE SEEN IN SOME COMMUNITIES
WHAT'S APP IS USED FOR SOME
THINGS.
IN OTHER COMMUNITIES A FLYER MAY
BE USED OR PUBLIC HEALTH
ANNOUNCEMENT AT A GAS STATION
TELEVISION AS YOU'RE PUMPING
YOUR GAS, THERE ARE MANY
DIFFERENT WAYS THAT THINGS
CONNECT BUT THINK ABOUT WHO THE
PERSON IS, THAT'S GOING TO
CREATE THAT MESSAGE AND HOW IS
IT GOING TO CONNECT WITH PEOPLE
YOU ARE TRYING TO REACH.
A GOOD EXAMPLE OF THIS IS WE HAD
INFO GRAPHICS MADE UP ABOUT A
PHYSICIAN TALKING TO A FAMILY,
AND EVERY INFO GRAPHIC HAD A
MALE DOCTOR AND HE'S GIVING
DIRECTIONS TO EVERYONE.
WELL THE WORLD'S CHANGES, THERE
ARE ALSO FEMALE DOCTORS, SO,
GOTTA THINK ABOUT, AND ALSO, THE
DIVERSITY OF YOUR AUDIENCE, WHO
ARE YOU TRYING TO EXPREECH WHAT
LANGUAGES--REACH AND WHAT
LANGUAGES SHOULD YOU CONSIDER?
>>I WILL CALL ON STEVE AND
SARAH.
BECAUSE STEVE RAISED HIS HAND
AND SARAH BECAUSE SHE'S
ENTHUSIASTICALLY SHAKING HER
HEAD.
>>I THINK WHAT ANNA TALKED
ABOUT IS REALLY HARD AND I KNOW
THAT'S STATING THE OBVIOUS AND
WE HAVE WORKED AS A GROUP THAT
WORKS REALLY HARD ON
COMMUNICATION, WE RECOGNIZE IT
TAKES A HUGE AMOUNT OF EFFORT TO
GET THE COMMUNICATION RIGHT, AND
CHOOSING THE RIGHT RESOURCES TO
MAKE THOSE DECISIONS IS
IMPORTANT IS IF WE GET IT WRONG,
THE FIRST TIME, WE ALL KNOW WE
WILL SPEND A HUGE AMOUNT OF
TIME, WAY MORE THAN WE SHOULD
TRYING TO FIX THAT FIRST
MESSAGE, SO ANNA CLEARLY HAS A
LOT OF EXPERIENCE IN BEING ABLE
TO COMMUNICATE UNDER THOSE
CONDITIONS AND MAKING IT RIGHT
THE FIRST TIME.
BUT SO OFFENSE WE DON'T THINK
ABOUT IT WHEN WE'RE BUSY AND
THERE'S SO MUCH COMING AT US SO
THIS IS REALLY HARD AND THIS
PANEL SPENDS A LOT OF TIME
THINKING ABOUT HOW TO
COMMUNICATE PURPOSELY AND
EFFECTIVELY AND BUT SOMETIMES
IT'S DAMAGE CONTROL IS WHAT WE
SPEND MOST OF OUR TIME ON.
>>YEAH, YEAH.
SARAH?
>>YEAH, THANKS JONATHAN, I
DON'T HAVE A SOLUTION BUT I CAN
SYMPATHIZE AS PART OF OUR
STAKEHOLDER ENGAGEMENT PROCESS
IN THIS RULE DEVELOPMENT THERE
WAS A DIVERSE PANEL OF
STAKEHOLDERS, THERE WAS ABOUT 12
PEOPLE THAT WERE DISCUSSING THE
TOPIC OF PROVIDING THIS
INFORMATION AND WHAT WAS
INTERESTING IS THERE WERE A
COUPLE PEOPLE ON THE PANEL THAT
WERE FROM THE WATER SYSTEMS
SIDE, AND THEY WERE VERY ADAM
ANT ABOUT THEY WANTED TO BE THE
TRUSTED SOURCE OF DRINKING WATER
INFORMATION AND THEY DIDN'T HAVE
TRUST IN OTHER ORGANIZATIONS AND
WHAT THEY WOULD DO TO EITHER
SPIN OR MANIPULATE OR SOMEHOW
CHANGE THE MESSAGE AROUND THE
DRINKING WATER, THE WATER
SYSTEMS WANTED TO CONVEY THAT
THE WATER WAS SAFE TO DRINK AND
THEY WERE CONCERNED THAT, YOU
KNOW OTHER ORGANIZATIONS THAT
WOULD MISREPRESENT WHAT THE
WATER SYSTEM WAS SAYINGOT OTHER
HAND WE HAD SOMEONE FROM A CITY
THAT WAS IMPACTED BY 1 OF THESE
WATER ISSUES, SIGNIFICANT WATER
ISSUES SAYING WE CAN'T ALWAYS
TRUST THE WATER SYSTEM, SO YOU
KNOW LIKE I SAID I DON'T HAVE A
SOLUTION BUT THERE DEFINITELY
NEEDS TO BE SOME PARTNERSHIPS
AND SOME WAY TO SHARE THAT
INFORMATION AND SEXER SPECIALLY
FOR COMMUNITIES THAT DON'T HAVE
THE SCIENCE EXPERTISE, THERE
THERE MAY BE WAYS TO COMMUNICATE
THAT AND MORE EASILY
UNDERSTANDABLE WAY OR THROUGH
CULTURAL CENTERS, CHURCHES, BUT
BUILDING THE TRUST IS CERTAINLY
IMPORTANT, TOO, SO ANYWAYS.
>>KELLIE?
>>YEAH, I THINK I HAVE ANOTHER
QUESTION FOR ANNA, IN CASE OTHER
PEOPLE HAVE TO ANSWERS BUT SORRY
ANNA I'M CAN ASKING YOU SO MANY
QUESTIONS BUT WITH YOUR
EXPERIENCE, YOU KNOW CRAFTING
THE PERFECT MESSAGE, I WON'T
CALL IT PERFECT, BUT CRAFTING
THE RIGHT MESSAGE IN THE RIGHT
SITUATIONS, AND AND GETTING THEM
TO THE AUDIENCES, AND UNIQUE TO
THE AUDIENCES, YOU KNOW MY
QUESTION IS REALLY AROUND THE
FACT THAT FOR A CRISIS
SITUATION, HAVE YOU A LARGE
OPPORTUNITY FOR AN UPTAKE IN
RESOURCES FOR THAT, BUT IN A
CHRONIC SITUATION LIKE WE'RE IN
NOW, WE WILL CONTINUOUSLY BE
DRIVING DOWN CONTAMINANTS IN THE
FOOD SUPPLY, WE ARE CONTINUOUSLY
ENCOURAGING HEALTHIER EATING
PATTERNS ACROSS THE U.S., AND
YOU KNOW IT'S AN HONORS
EMPLOYEES GOING CONTINUOUS, WE
HAVE TO BE ABLE TO MAINTAIN THAT
ONGOING LEVEL OF ENGAGEMENT AND
AT THE SAME TIME WHEN WE CREATE
INFORMATION AT THE FEDERAL
LEVEL, IT NEEDS TO BE ABLE TO
APPLY BROADLY TO MANY, MANY
AUDIENCES SO WHAT ARE YOUR
THOUGHTS ON HOW WE COULD TAKE
OUR CURRENT APPROACHES WHICH ARE
VERY MUCH USING LIMITED
RESOURCES, LIMITED TIME, LIMITED
STAFF, YOU KNOW LIMITED FUNDING
TO BE ABLE TO IDENTIFY YOU KNOW
RESOURCES THAT WE FEEL CAN APPLY
BROADLY, AND WE ARE LOOKING AT
HEALTH EQUITY ISSUES IN SPECIFIC
POPULATIONS, BUT OUR ABILITY TO
BE ABLE TO CHANGE OUR MESSAGE
FOR EVERY COMMUNITY IS PROBABLY
NOT LIKELY.
SO WHAT ARE OUR BEST CHANCES
THAT WE CAN TAKE OUR CURRENT
SORT OF APPROACH AND REALLY MAKE
IT MOST APPLICABLE TO THE NEEDS
OF THOSE UNIQUE COMMUNITIES?
>>THAT IS A GREAT QUESTION,
KELLIE AND I'M GLAD YOU BROUGHT
IT UP AND I ALWAYS GO BACK TO
THIS STATEMENT, ARE PEOPLE UPSET
ABOUT A RISK BECAUSE THEY THINK
IT'S DANGEROUS OR DO PEOPLE
THINK IT'S DANGEROUS BECAUSE
THEY'RE UPSET.
SO YOU HAVE TO FIGURE OUT WHERE
YOU'RE COMING FROM AND SOMETIMES
IT'S BOTH, RIGHT?
SO WHAT IS YOUR MAIN MESSAGE YOU
WANT TO GET ACROSS, AND THEN,
WHAT ARE THOSE KEY BULLETS THAT
YOU WANT TO MAKE SURE PEOPLE
KNOW ABOUT AND THEN TAKE THAT
INFORMATION, WHETHER IT'S 3 MAIN
IDEAS, RIGHT, THAT YOU WANT TO
GET TO YOUR AUDIENCE AND THEN
LOOK AT A COMMUNICATION ROLL OUT
PLAN AND LOOK AT YOUR GEOGRAPHIC
AREAS AND THEN SEND THOSE
MESSAGES OUT LOOKING AT THOSE
DIFFERENT AREAS, TRYING TO GET
THE SAME MESSAGE ACROSS KNOWING
THAT YOU'RE GOING TO BE LOOKING
AT DIFFERENT LANGUAGES, YOU'RE
GOING TO HAVE FOR INSTANCE
REFUGEES OR IMMIGRANTS IN
CERTAIN AREAS BUT JUST STAY TO
THAT 1 MAIN MESSAGE, AND THEN
HAVE ADDITIONAL RESOURCES
AVAILABLE ON YOUR WEBSITE, AND
ADDITIONAL THINGS FOR PEOPLE TO
LOOK AT BUT STICK TO YOUR MAIN
MESSAGE AND UNDERSTAND WHY
YOU'RE TRYING TO CONNECT WITH
PEOPLE AND THEN I THINK THAT
THAT'S THAT KIND OF SWEET MEDIUM
THAT YOU'RE TRYING TO TO GET TO.
IT'S NEVER EASY AND I THINK WE
SAW THAT OVER THE LAST FEW YEARS
AS WE KEPT TRYING TO FIGURE OUT
WHAT'S THE BEST WAY TO REACH
PEOPLE.
>>THERE ARE WAYS FOR US TO GET
FEEDBACK AS WE DISSEMINATE OUR
MESSAGES TO SAY, HEY IF THIS
DOESN'T APPLY TO YOUR COMMUNITY
TAKEN--THEY YOU SERVE, LET US
KNOW.
HOW DO WE BE TOIBL TO CREATE
THAT ENGAGEMENT WITH COMMUNITIES
BECAUSE A LOT OF UNDERSERVED
COMMUNITIES WE DON'T HAVE DATA
BECAUSE THEY'RE NOT--YOU KNOW
THEY MAY NOT BE AREAS WHERE THEY
ARE PARTICIPATING IN NHANE,
THERE MAY BE DESERTS AND IN
AREAS OF THE COUNTRY WHERE, YOU
KNOW, THERE'S HEALTH DISPARITIES
THERE BECAUSE WE'RE NOT AS
ENGAGED WITH THEM.
SO, HOW CAN WE GET FEEDBACK FOR
THE MESSAGES GO OUT?
>>YEAH, THAT'S A REALLY GOOD
POINT.
BECAUSE YOU CAN PUT TOGETHER
FOCUS GROUPS AND YOU CAN DO
OBSERVATION STUDIES AND PINPOINT
SOME OF THOSE MAIN AREAS, YOU'RE
TRYING TO TALK WITH SO, YOU
KNOW, LET'S SAY YOU'RE LOOKING
AT AN URBAN AREA VERSUS A RURAL
AREA, WHAT ARE SOME OF THEIR
OBSTACLES?
DO THEY--DO THEY LOOK AT SOCIAL
MEDIA, DO THEY RESPOND WELL WITH
WRITTEN COMMUNICATION?
I CAN TELL YOU HONESTLY 1 OF THE
MISTAKES I MADE GOING INTO EBOLA
BACK IN 2015, 2014 TIMELINE, I
SAID OH WE'LL JUST PUT TOGETHER
INFO GRAPHICS AND WE'LL PUT THEM
OUT THERE AND THE COMMUNITIES
WILL FOLLOW IT AND I DIDN'T
THINK ABOUT THE FACT THAT THE
READING LEVEL IF I WERE LUCKY
WAS THIRD GRADE.
AND ALSO DIDN'T THINK ABOUT THAT
SOME OF THE GRAPHICS ON THERE
LOOKED LIKE IF YOU WENT TO THE
HOSPITAL, IT LOOKED AS IF YOU
DIED THERE.
I WAS NOT GETTING ANYONE TO
FOLLOW ANYTHING THAT I WAS
ASKING BECAUSE I DIDN'T THINK
ABOUT FOCUS GROUPS AND TALKING
WITH THOSE COMMUNITY LEADERS.
ANOTHER EXAMPLE WOULD BE DURING
A HURRICANE.
WE'RE LOOKING AT MESSAGING ABOUT
BOILING WATER, YOU SEND OUT THAT
MESSAGE BUT THEN YOU REALIZE THE
COMMUNITY HAS NO ELECTRICITY,
NOT A GOOD WAY TO DO IT.
THINKING ABOUT THE DIFFERENT
AREAS THAT YOU'RE TRYING TO
REACH AND HOW TO GET THOSE
MESSAGES ACROSS, THERE'S REALLY
KEY, SO PUTTING TOGETHER A
STRATEGIC PLAN, WITH THE
COMMUNICATION ROLL OUT, AND
POINT TO THOSE MAIN AREAS YOU'RE
TRYING TO CONNECT WITH, THAT'S
GOING TO GET YOU WHERE YOU NEED
TO GO, AND THEN CAN YOU DO THOSE
FOCUS GROUPS AND OBSERVATION
STUDIES TO HELP YOU GET THERE.
>>I HAVE 1 THING TO ADD TO THAT
REAL QUICK KELLIE, IF THAT'S
OKAY.
>>YEAH.
>>I USED TO WORK ON EDC'S EPIC
TEAM, WHERE WE HAD A LARGE
NUMBER OF PARTNERSHIPS WITH
ORGANIZATIONS THAT REPRESENT
DIFFERENT CULTURAL GROUPS.
IF YOU HAVE COMMUNE KAIGDZ
PARTNERS THAT REPRESENT THESE
GROUPS NOT ONLY CAN THEY HELP
YOU SHARE MESSAGES THEY CAN GIVE
YOU THE FEEDBACK ON WHETHER OR
NOT YOUR MESSAGE HITS THE MARK.
AND THEY CAN AUGMENT YOUR
MESSAGES AND AMPLIFY THEM SO
THAT GIVES YOU ANOTHER WAY TO
REACH AUDIENCES.
>>YEAH, I JUST WANT TO SAY, I
KNOW SHARMI HAS SOMETHING SHE
WANTS TO SAY, TOO, IT'S SO
HELPFUL TO HEAR YOU DESCRIBE IT
THAT WAY BECAUSE WE DO HAVE
PLANS FOR CONSUMER STUDIES, YOU
KNOW MANY CONSUMER STUDIES, AND
WE DO HAVE PLANS TO DEVELOP, YOU
KNOW STRATEGIC PLAN FOR OUR
COMING WORK SO I THINK IT
RESONATES TO HEAR WHAT YOU
DESCRIBED AND THAT BEING QUITE
CONSIST WENT WHAT OUR PLANS ARE
FOR OUR NEXT STEPS.
SHARMI?
>>YEAH, THANKS KELLIE AND
THANKS EVERYBODY.
I'M JUST KIND OF----MEETING
PEOPLE WHERE THEY ARE, BE IT
LANGUAGE, CONTENT, HOW
COMPLICATED THE MESSAGE SHOULD
BE?
AND THEN THE PLATFORMS, WHAT ARE
THEY USING AND AS ANNA MENTIONED
A RURAL COMMUNITY IS USING
DIFFERENT PLATFORMS.
I MEAN I'M JUST COMING BACK FROM
A LONG DETAIL WORKING ON
COVID-19 EDUCATION AND 1 OF THE
THINGS THAT WE FOUND OUT WAS
THAT RADIO IS A LOT MORE USED IN
DIFFERENT COMMUNITIES.
SO WE REALLY HAVE TO UNDERSTAND
WHAT PEOPLE ARE CONSUMING, HOW
THEY'RE CONSUMING AND THAT'S HOW
WE DO TARGETED EDUCATION AND
OUTREACH.
AND JUST 1 OTHER POINT WE REALLY
SHOULDN'T DISCOUNT OURSELVES AS
TRUSTED MESSENGERS BECAUSE I
KNOW TRUST IN GOVERNMENT AND
SCIENCE OVERALL IS DECLINING BUT
WE STILL KNOW THAT MANY PEOPLE
TRUST THE INFORMATION WE BUT
OUT.
BUT THE REALITY IS, NOT FLOWING
TO OUR FEDERAL WEBSITE
ESSENTIALLY SO HOW DO WE GET OUR
INFORMATION TO THOSE TAX FORMS,
SOCIAL MEDIA SEARCH, GOOGLE ADD
WORK, SO THAT'S WHERE PAID MEDIA
IS BIG, SOMETIMES WE WORK WITH
VERY SMALL RESOURCES, DON'T HAVE
MONEY TO DO PAID MEDIA ADs BUT
WE KNOW IT WORKS SO HOW CAN WE
WORK WITH OUR STAKEHOLDERS,
PARTNERS TO GET OUR INFORMATION
OUT TO THE PUBLIC.
I THINK THAT'S ALSO SOMETHING WE
SHOULD ALL THINK ABOUT.
>>I WANT TO CALL ON PERRI, HOW
DO WE DO THAT IN THE LEAD
PROGRAM?
>>HOW DO WE REACH SOME OF THE
HARDER TO REACH AUDIENCES?
WELL 1 THING WE'RE DOING, WE
STARTED THIS WORKING WITH THE
DIGITAL PARTNERSHIP TEAM AT CDC
IS WE ARE WANTING TO SHARE
MESSAGES AND ENGAGE WITH GROUPS
IN THE PAST, 1 OF THEM IS
BLACKDOCTOR.ORG, IT'S PRETTY
OBVIOUS THERE THE AUDIENCE THERE
BUT ANOTHER 1 IS DAILY VITAMINA,
THAT IS A COMMUNICATION NETWORK
FOR TO THE LATINA POPULATION,
WE'RE ALSO GOING TO WORK WITH
THE PTAs, SO GET MESSAGES OUT
IN SCHOOLS AND WITH THE SCHOOL
NURSES SO TRYING TO THINK MORE
BROADLY ABOUT THE AUDIENCES AND
NOT STICK WITH LIKE THE
TRANSLATIONAL RESEARCH DITIONZAL
PARTNERS AND REALLY JUST TRY TO
SEE LIKE WHO HAVE WE NOT ENGAGED
WITH IN THE PAST AND WHERE ELSE
CAN WE GET OUR MESSAGE OUT WITH
GROUPS THAT WOULD HAVE A SIMILAR
FOCUS AND INTEREST.
>>OKAY, IF SOMEBODY HAS
ANYTHING ELSE TO ADD ON THIS
TOPIC, I WILL GO TO THE LAST 1
WHICH IS ON SCREENING AND
TESTING.
SO, WE NEED TO KNOW WHO'S BEING
AFFECTED BY BY CONTAMINANTS IN
THEIR FOOD AND WATER, AND THAT
HELPS US KNOW THE LOCAL
COMMUNICATION NEEDS AND THAT
KIND OF THING.
ALSO IF PEOPLE ARE BEING
AFFECTED SAY IF THE WATER SUPPLY
IS CONTAMINANTED AND WE NEED TO
ENCOURAGE PEOPLE AT LEAST IN
SOME SITUATIONS TO GET CLINICAL
TESTING, SO I WANTED TO KIND OF
CALL ON A FEW OF YOU, AND TALK
ABOUT THAT IS HOW WE COMMUNICATE
AROUND THAT SO I WILL CALL ON
ART AND ASK HIM TO TALK ABOUT
COMMUNICATING TO PARENTS FOR
CHILDREN WHO NEED TO BE TESTED
FOR CERTAIN THINGS.
NOW DOES IS THAT WORK?
>>SO, I THINK THE FIRST THING
TO DO IS THAT YOU SHOULD FIND
OUT AND TALK TO YOUR DOCTOR
FIRST AND THEN FIND OUT IF
YOU'RE DOCTOR CAN HELP YOU
WHETHER TESTING IS REQUIRED OR
NOT.
BECAUSE THERE'S GOING TO BE SO
MANY VARIABLES INVOLVED.
FOR EXAMPLE, HOW LONG WERE YOU
EXPOSED IS THIS ACUTE OR CHRONIC
EXPOSURE?
WHAT TYPE OF SYMPTOMS HAVE YOU
AND WHAT ARE THE CONCERNS AND
WHAT ARE THE SUBSTANCES THAT
YOU'RE CONCERNED ABOUT, ALL
THOSE WILL DETERMINE WHETHER
THERE'S A TEST INDICATOR OR NOT
INDICATED.
YOU KNOW TESTING FOR
ENVIRONMENTAL TOXICANT AND
CONTAMINANT SYSTEM VERY NUANCED
BECAUSE AS STEVE CAN TELL YOU,
THERE'S DIFFERENT WAYS THAT YOU
KNOW ELEMENTS THAT ARE
ELIMINATED.
SO FOR EXAMPLE, IF YOU'RE WORRY
BODY ELEMENTAL MERCURY, CAN YOU
TEST THAT THROUGH A URINE LEVEL,
BUT IF YOU'RE WORRY BODY ORGANIC
MERCURY, THAT MAY NEED A BLOOD
TEST.
SO IF YOU SEND THE WRONG BLOOD
OR URINE THEY MAY NOT EVEN
DETECT IT.
THERE'S ALSO OTHER THINGS LIKE
RELATED EXPOSURES SO FOR
EXAMPLE, FOR ARSENIC, AND IF YOU
JUST GET A TALL ARSENIC LEVEL
BUT YOU HAD CONSUMED A LOT OF
SEAFOOD, THAT MAY JUST REPRESENT
ORGANIC ARSENIC WHICH IS NOT AS
TOXIC AS INORGANIC ARSENIC WHAT
YOU'RE WORRY BODY SO THERE ARE
ALL THESE OTHER NUANCES THAT YOU
NEED TO TALK TO YOUR PHYSICIAN
FOR THEM TO BE ABLE TO YOU KNOW
ORDER THE TEST.
AND THEN THE OTHER THING THAT I
THINK THERE'S A GAP GAB IS
THERE'S REQUIRED EDUCATION AND
TRAINING FOR MEDICAL PROVIDERS
AND CLINICIANS.
I THINK THAT FOR ENVIRONMENTAL
HEALTH, YOU KNOW, I REMEMBER
MEDICAL SCHOOL, WE PROBABLY GOT
1 LECT IRB IN 4 YEARS OF MEDICAL
SCHOOL, ON ENVIRONMENTAL
EXPOSURE, SO YOU KNOW PROVIDING
TRAINING AND THE RIGHT TOOLS AND
KNOWLEDGE FOR THEM TO BE ABLE TO
ADVISE THEIR PATIENTS IS ALSO
VERY, VERY IMPORTANT.
>>PERRI, WE DO A BIT OF WORK
TRYING TO PERSUADE PARENTS IN
THE RIGHT SITUATIONS TO GET
THEIR CHILDREN TESTED FOR LEAD.
DOES WHAT ART SAID CONNECT, DOES
THAT MAKE SENSE.
HOW DO WE GO ABOUT COMMUNICATING
THAT MESSAGE?
>>RIGHT.
SO IT'S DEFINITELY WHAT ART
SAID, WE RECOMMEND IF PATIENTS
ARE CONCERNED ABOUT POSSIBLE
LEAD EXPOSURES AND TALK TO THEIR
HEALTHCARE PROVIDERS WITH LEAD
THERE'S NOT USUALLY OBVIOUS
SIGNS ORATISM TOMS SO WE
RECOMMEND THAT IF A PARENT KNOWS
THE CHILD IS EXPOSED TO LEAD OR
IF THEY ARE CONCERNED THAT THEY
DO TALK TO THE DOCTOR BECAUSE
LIKE ART SAID THERE'S SEVERAL
DIFFERENT CONSIDERATIONS TO TAKE
INTO ACCOUNT BEFORE JUST
DECIDING TO TEST.
SO BUT WE DEFINITELY ENCOURAGE
TESTING IN THE MEDICAID
POPULATION THAT'S REQUIRED BY
FEDERAL LAW TO TEST AT 1 AND 2
AND THEN FOR ALL OTHER CHILDREN
WHO COULD BE AT RISK, SO I DON'T
THINK IT'S REALLY DIFFERENT THAN
WHAT ART SAID, I COMPLETELY
AGREE WITH WHAT HE SAID.
>>SARAH CAN YOU COMMENT SOME
ABOUT LEAD TESTING AFTER WATER
SUPPLIES HAVE BEEN CONTAMINATED,
MAYBE PIPES THAT KIND OF THING.
>>WELL, SURE, IESM NOT A LEAD
EXPERT IN OUR OFFICE, SO PEOPLE
HAVE FOLLOW UP QUESTIONS I CAN
PUT THEM IN TOUCH WITH THE RIGHT
PEOPLE, BUT AS I MENTION SAID IN
MY PRESENTATION, THAT SOME OF
THE WATER SYSTEMS DO HAVE A LEAD
TESTING PROGRAM WHERE THEY CAN
REQUEST A LEAD SAMPLE KIT FROM
THE WATER SYSTEM THEMSELVES, I
LIVE IN D. C. MY WATER SYSTEM,
MAKES THAT PRETTY CLEAR.
I THINK EVEN IN THERE, CCR OR
WEBSITE AND SO, I DID IT MYSELF
WHERE I ASKED FOR LEAD KIT, THEY
DROPPED IT OFF AT MY HOUSE, SEND
IT BACK AND THEY CONTACTED ME
WITH THE RESULTS, NO LEAD AT MY
KITCHEN TAP BUT THEY MAY OR MAY
NOT BE THE CASE FOR ALL WATER
SYSTEMS.
I THINK THAT'S CHALLENGING AND
THERE ARE FROM WHAT I
UNDERSTAND, I HAVEN'T ACTUALLY
USED 1 BEFORE BUT THERE MAY BE
LEAD TEST KITS AT THE BIG BOX
HARDWARE STORES BUT WE CAN'T
SPEAK TO THE ACCURACY OF THOSE
TESTS.
SO IT'S--
>>IT'S JUST A DIFFICULT
PROCESS.
AND THEN DANIEL SOME OF THIS
KIND OF TESTING THAT HAPPENS AT
THE CONSUMER LEVEL?
DOES THAT FEED INTO NATIONAL
DATABASES THAT HELP INFORM US
FOR FUTURE PLANNING?
>>NOT FROM OUR SHOP AT LEAST.
ONE THING FROM THERE ROLE IS
THAT PEOPLE WHO DO MAKE THE
EFFORT TO GO SOMEWHERE AND GET A
BLOOD DRAW OR GIVE URINE THAT
THEY CAN HAVE TRUST AND AN
ACCURATE TEST ON THE BACK END.
SOPHISTICATEDY WE TRY TO SUPPORT
THE LABORATORIES WITH QUALITY
ASSURANCE.
WE ARE MOVING MORE AND MORE INTO
RUNNING STANDARDIZATION
PROGRAMS, HARMONIZATION PROGRAMS
TRYING TO MAKE SURE IF YOU'RE
TEST INDEED 1 PLACE, CAN
YOU--YOU WOULD GET A SIMILAR
RESULT ELSEWHERE, I THINK THAT'S
SORT OF OUR ROLE ON THAT FRONT.
CERTAINLY YOU KNOW WE HEAR ABOUT
THE UPTAKE IN CONSUMER TESTING
AND DIRECT TO CONSUMER TESTING
AND YOU KNOW HAVE CURIOSITIES
AND CONCERNED ABOUT WHAT ALL
THAT MEANS.
>>NA'S A WHOLE OTHER TOPIC.
>>I DON'T KNOW ABOUT THE MIND
SET THAT MORE TEST SUGGEST
ALWAYS BETTER, SPEAKING TO WHAT
ART WAS SAYING, DOES YOUR
PHYSICIAN RECOMMEND THIS
TESTING?
IS THERE A PLARN DEPENDING ON
THE TEST RESULT, YOU KNOW ARE
YOU INTENDING TO TAKE SOME SORT
OF INTERACTION, IS THERE AN
INTERVENTION AVAILABLE.
THESE ARE THE KINDS OF QUESTIONS
THAT NEED TO BE ASKED BEFORE A
TEST IS PERFORMED.
>>WELL, DOES ANYBODY HAVE ANY
COMMENTS ON COMMUNICATIONS
AROUND TESTING IN THIS SPACE.
>>NO.
>>OKAY WE HAVE A COUPLE
QUESTIONS AND WE ARE DRAWING TO
A CLOSE PRETTY SOON.
WE HAVE A COUPLE QUESTIONS.
THE FIRST 1 IS THE QUESTIONER
MADE A COMMENT ABOUT HOW SOME
PEOPLE WHO ARE--DO NOT WORK IN
COMMUNICATION SPACE OR CLOSE TO
THE COMMUNICATION SPACE STILL
ENGAGE IN COMMUNICATION
ACTIVITIES.
THEY'RE REFERRING TO SCIENTISTS,
AND THAT THAT MAY MAKE IT MORE
DIFFICULT FOR THE ACTUAL
COMMUNICATORS TO GET THE MORE
PLAIN LANGUAGE INFORMATION OUT
THERE.
SO HOW DO WE EXPLAIN TO PEOPLE
THAT THERE ARE EXPERTS IN
COMMUNICATION THAT SHOULD BE
CONSULTED WHEN THEY OCCUR TAKING
SOME LIKE THIS ON.
I WILL START WITH ANNA FIRST
BECAUSE THIS IS SOMETHING WE
DEALS WITH ON A WEEKLY BASIS.
I KNOW.
>>SO I ALWAYS THINK OF, THERE'S
GREAT SCIENCE BEING DONE, SO WE
HAVE TO MAKE SURE WE HAVE THAT
INFORMATION OUT SO THE PUBLIC
KNOWS ABOUT IT SO THERE'S THAT
PIECE OF IT, AND THEN THERE'S
ALWAYS WHEN THERE'S A PROJECT
TAKING PLACE THAT WE'RE TRYING
TO REACH, THE GENERAL PUBLIC, OR
WE'RE LOOKING AT A SPECIFIC
AUDIENCE OF FOCUS, THAT WE BRING
THOSE HEALTH COMMUNICATORS IN AT
THE VERY BEGINNING, AS WELL AS
OUR HEALTH AND EQUITY OFFICE.
THOSE ARE THE 2 KEY ELEMENTS AT
THE VERY BEGINNING SO THEY CAN
HELP WITH THE PLANNING PROCESS.
BUT, YES, WE'RE ALWAYS, WE'RE
ALWAYS TRYING TO MAKE SURE WE'RE
ALL IN SYNCH AND MOVING FORWARD
TOGETHER.
>>I WILL TELL YOU FROM MY POINT
OF VIEW, IT'S GET IN EARLY.
IF THEY'RE WORKING ON SOMETHING,
TALK TO THEM EARLY AND TRY TO
ENCOURAGE THEM TO DO IT AND THE
MORE EFFECTIVE WAY AS EARLY AS
YOU CAN SEE THEY DON'T ENGAGE IN
A LOT OF EFFORT IN SOMETHING
THAT THEY WON'T BE ABLE TO USE
AND THEY GET MAD AT YOU.
I'VE EXPERIENCED THIS BEFORE.
OKAY.
NEXT QUESTION.
WHILE THE TOXIC ELEMENTS IN
FOOD, IS A CHRONIC LONGER TERM
HEALTH SITUATION FOR INFANTS AND
YOUNG CHILDREN, VERSUS ACUTE, IT
MAY BE PERCEIVED AS AN ACUTE
CRISIS BY PREGNANT WOMEN AND
PARENTS OF INFANTS AND YOUNG
CHILDREN--WHEN THE NEWS IS
ALREADY OUT THERE ON THIS TOPIC.
ISN'T THERE A RISK OF DOWN
PLAYING THE SITUATION AS
LONG-TERM AND CHRONIC WHEN FOR
THEM IT IS A WINDOW OF MAKING
DECISIONS AFFECTING THEIR CHILD
IN THE VERY SHORT-TERM.
SO TO PUT THIS IN AN EXAMPLE OR
CONTEXT AS A HYPOTHETICAL
EXAMPLE, SAY A WOMAN IS PREGNANT
AND SHE, YOU KNOW THIS IS A 9
MONTH PERIOD AND SHE DOES NOT
WANT TO--SO FOR HER THIS FEELS
LIKE AN ACUTE SITUATION, THIS IS
NOT AN EXPOSURE OVER 20 YEARS,
THIS IS I DON'T WANT TO EXPOSE
MY CHILD TO ANY HARM IN THAT
MOMENT.
SO HOW DO WE ADDRESS THAT AND
HOW DO WE THINK ABOUT THAT?
>>THIS IS KELLIE.
I THINK WE ACTUALLY ALREADY
REALLY TALKED ABOUT THIS A LOT.
YOU KNOW THIS WAS THE
CONVERSATION TAKEN--THEY WE HAD
WITH ANNA WHERE I SAID, YOU KNOW
WE'RE COMMUNICATING ABOUT FOODS,
WE'RE COMMUNICATING ABOUT
ONGOING EXPOSURES BUT PARENTS
COME TO THIS WITH A VERY ACUTE
EXPERIENCE.
THEY'RE SAYING, OH, GOSH, YOU
KNOW, RIGHT NOW MY CHILD IS
GROWING RIGHT NOW.
AND SO THEY COME TO IT FROM A
VERY DIFFERENT PERSPECTIVE AND I
THINK WE HAVE TO BETTER
UNDERSTAND AS ANNA DESCRIBED
WHAT THOSE FEELINGS ARE AND
WHERE THEY'RE COMING FROM SO WE
CAN PUT THEM WITHIN THE CONTEXT
OF, YOU KNOW THE ACCURATE
SCIENTIFIC AND PUBLIC HEALTH
SITUATION.
SO YOU KNOW I DEFER BACK TO ANNA
ABOUT HOW WE CAN BRIDGE BETWEEN
THIS ACUTE URGENCY, EMOTIONAL
RESPONSE WHEN PEOPLE RECEIVE NEW
INFORMATION, COMPARED TO THE
FACT THAT THIS IS REALLY AN
ONGOING TOPIC.
>>YEAH, IT'S A REALLY GOOD
POINT BECAUSE, YOU KNOW THERE'S
A LOT OF EMOTION INVOLVED RIGHT
WHEN YOU'RE PLANNING FOR A CHILD
AND YOU WANT TO MAKE SURE THAT
YOU'RE TAKING GOOD CARE OF
YOURSELF AND THAT YOUR BABY WILL
BE OKAY, SO, AGAIN, WE HAVE TO
REALIZE WHERE THEY'RE COMING
FROM, WHERE THEIR EMOTIONS ARE
AS WELL AS WHERE THEIR
PERSPECTIVE OF THE HAZARD IS, IT
MAY NOT MEET THE RISK RIGHT?
BECAUSE THE PERCEPTION MAY BE
DIFFERENT THAN THE REALTY,
RIGHT?
BUT WE HAVE TO BE--WE HAVE TO
UNDERSTAND WHERE THEY'RE COMING
FROM AND MEET THEM WHERE THEY
ARE AND THAT'S NOT AN EASY TASK
TO MAKE SURE THAT THOSE
MESSAGES, THAT WE'RE ABLE TO
MEET WITH THEM WHERE THEY ARE.
UNFORTUNATELY IT'S NOT AS EASY
BUT AGAIN, THAT'S WHAT WE NEED
TO MAKE SURE THAT THERE'S--YOU
KNOW THE MAIN IDEAS AND I THINK
THAT ART REALLY EXPLAINED IT
WELL WHEN HE WAS TALKING ABOUT
HOW YOU HANDLE IT WITH A
PATIENT, HOW YOU COMMUNICATE
WITH A PATIENT AND HOW, YOU
REALLY STATE THAT YOU'RE IN THIS
WITH THEM AND THAT YOU HAVE THE
INFORMATION AND HERE IT IS AND
THAT YOU'RE A RELIABLE SOURCE
AND THAT YOU BUILD TRUST.
I THINK THOSE ARE SOME OF THOSE
KEY ELEMENTS.
>>YEAH, THAT SOWBDS GOOD.
DOES ANYBODY ELSE HAVE ANY
COMMENTS, QUESTIONS?
BECAUSE THAT'S ALL THE QUESTIONS
FROM THE AUDIENCE, SO, I'M ABOUT
TO TOSS IT BACK TO KIMBERLY BUT
I WANTED TO SEE IF THERE WERE
ANY OTHER--ANYONE, GOING ONCE,
GOING TWICE?
OKAY.
WE'RE GOOD.
KIMBERLY?
WE WILL TOSS IT BACK TO YOU NOW.
PANELISTS YOU ARE FREE TO TURN
OFF YOUR CAMERAS.
>>THANK YOU JONATHAN, SO MY
NAME IS KIMBERLEA GIBBS WITH THE
NICHD WITH THE GROWTH AND
NUTRITION BRANCH, I'M SPEAKING
ON BEHALF OF THE PLANNING TEAM.
I WOULD LIKE TO THANK YOU FOR
ATTENDING THIS 2 DAY NIH FDA
HOSTED WORKSHOP, ENTITLED
BRIDGING THE BIOLOGICAL
COMMUNICATION SCIENCES ON
NUTRITION AND ENVIRONMENTAL
CONTAMINANTS AND FOODS TO
SUPPORT CHILD DEVELOPMENT.
THE FIRST DAY FOCUSED ON THE
ROLE OF NUTRITION AND
CONTAMINANTS IN FOODS CHILDREN
CONSUME.
TODAY, WE PIVOTED AND LEARNED
MORE ABOUT COMMUNICATING THE
SCIENCE WE DISCOVERED YESTERDAY.
WE BEGAN WITH AN OVERVIEW OF THE
FDA LED CLOSER TO 0 INITIATIVE
WHICH AIMS TO MINIMIZE
ENVIRONMENTAL EXPOSURES TO
CHILDREN, WE THEN LEARNED ABOUT
PROMOTING FOOD SAFETY PRACTICES
AND ONGOING INITTIAIVE ITS TO
PREVENT FOOD POARN ILLNESSES
FROM THE USDA.
WE ALSO LEARNED ABOUT DRINKING
WATER NOTIFICATIONS FROM THE EPA
AND CRISIS AND EMERGENCY RISK
COMMUNICATION PINS PELS,
PARTNERSHIPS AND EFFECTIVE
MESSAGING AROUND EMERGENCY
NOTIFICATIONS, MISINFORMATION
AND RELIABLE RESOURCES.
WE HAD A WONDERFUL PANELIST
DISCUSSION BRINGING EXPERTISE IN
TOXICOLOGY, NUTRITION, AND RISK
COMMUNICATION TOGETHER TO
CONSIDER MULTIDISCIPLINARY
ACTIONS AND BEST PRACTICES IN
HEALTH COMMUNICATIONS.
WE HOPE THIS INFORMATION FROM
THE WORKSHOP WILL CONTRIBUTE TO
NUMBER 1 THE STATE OF THE
SCIENTIFIC EVIDENCE ON FOODS
THAT SUPPORT CHILD DEVELOPMENT
BUT CONTAIN BOTH NUTRIENTS AND
CONTAMINANTS.
NUMBER 2, HOW RESEARCH CAN
SUPPORT BETTER COMMUNICATION TO
FAMILIES AND FOOD CHOICES THAT
SUPPORT HEALTH.
AND ALSO, BEST PRACTICES FOR
EFFECTIVELY COMMUNICATING WITH
PARTNERS, COMMUNITIES, AND
STAKEHOLDERS, AROUND NUMEROUS
PUBLIC HEALTH EMERGENCIES.
WE ALSO AIM TO HIGHLIGHT
RESEARCH, SUCCESSES, AND
OPPORTUNITIES TO IMPROVE THE
NUTRITIONAL STATUS OF CHILDREN,
AND FAMILIES THROUGHOUT THIS
WORKSHOP.
AGAIN, WE'RE THANKFUL TO OUR
COLLEAGUES FROM THE CENTERS FOR
DISEASE CONTROL AND PREVENTION
FOR MODERATING TODAY AND ALSO
BEING KEY CONTRIBUTORS TO ALL
PHASES OF THE WORKSHOP PLANNING.
THANK YOU TO MY FDA AND OTHER
NIH COLLEAGUES.
WE ALSO THANK OUR PANELISTS AND
PRESENTERS FOR WONDERFUL
PRESENTATIONS AND CONTRIBUTIONS
AND LAST BUT NOT LEAST, WE THANK
OUR AUDIENCE FOR JOINING US
TODAY FOR BOTH DAYS.
PLEASE NOTE THAT THE RECORDING
OF THIS WORKSHOP WILL BE POSTED
AND AVAILABLE FOR THE PUBLIC IN
THE FUTURE, THE WORKSHOP E-MAIL
WILL CONTINUE TO BE AVAILABLE
FOR THE NEXT FEW HOURS FOR
ADDITIONAL QUESTIONS.
I WANT TO THANK YOU AND EVERYONE
PLEASE TAKE CARE.