Egenton Power Point Final 2009 Nsg600


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Egenton Power Point Final 2009 Nsg600

  1. 1. Arsenic in the Groundwater of the Red River Delta Vietnam<br />Patricia Egenton RN BSN CEN CCRN<br />June 26, 2009<br />
  2. 2. Crisis:Arsenic in the Tubewells<br /><ul><li>In the 1970’s the United Nations placed tubewells throughout Asia to access groundwater that lied below the surface to provide safe, clean drinking water to the people
  3. 3. Prior to this initiative they had been getting ill from drinking surface water
  4. 4. As the years went on people began to develop diseases and cancers associated with arsenic exposure
  5. 5. The tubewells were the source
  6. 6. Arsenic was leaking into the groundwater from natural sources and environmental sources</li></li></ul><li>The Red River Delta<br /><ul><li>Located in the Northern part of </li></ul> Vietnam<br /><ul><li>Close to the capital of Hanoi
  7. 7. Densely populated
  8. 8. River provides transport of goods in and out of Vietnam and China; polluting the river
  9. 9. Half the country’s rice crops are grown here
  10. 10. Half the tubewells that service the Delta are contaminated with high levels of arsenic</li></li></ul><li>Map of Vietnam<br />The Red River Delta is the area in the north between Hanoi and the Gulf of Tonkin<br />
  11. 11. The darker red shades show dense areas of population. The Red River Delta is the most populated area in the north.<br />
  12. 12. A Public Health Threat<br /><ul><li>Vietnam’s health care system is a mix of public and private coverage
  13. 13. Even with a public health system many go uninsured if they are above the poverty level but cannot afford private coverage
  14. 14. If such a dense population continues to be exposed, more problems will surface as the young people age</li></ul>THE FOLLOWING SLIDE SHOWS THE BREAKDOWN OF HEALTH COVERAGE IN VIETNAM<br />
  15. 15. The Health Care Plans in Vietnam<br />Source: Vietnam Social Security 2007<br />
  16. 16. Economic Success at Risk<br />Vietnam’s largest exports<br />crude oil<br />textiles<br />rice<br />coffee<br />2. Poverty rates <br /> 1998 = 37%<br /> 2006 = 16%<br />WOW<br />
  17. 17. Ensuring Healthy Human Resources for Continued Economic Success and Growth<br /><ul><li>Human resources continue to be in demand
  18. 18. Sick human resources will drain health care system and cripple economic growth
  19. 19. Infants, toddlers and small children are at higher risks due to exponential growth periods
  20. 20. If the children there today are going to enjoy the same economic successes, opportunities and growth, they are going to need to be healthy
  21. 21. Vietnam should invest in protecting these specific subgroups to ensure their nations economic stability and growth</li></li></ul><li>What about other groups?<br />Is choosing to focus on the younger population social injustice?<br />
  22. 22. PresentInitiatives<br /><ul><li>The World Health Organization, a subdivision of the United Nations, has installed sand filters in many of the tubewells throughout Asia
  23. 23. However, a lot of attention and resources have been focused on Bangladesh where the arsenic levels are higher
  24. 24. The WHO needs to be equitable with resources, since the UN installed them
  25. 25. Learn from successes and failures in Bangladesh</li></ul>are people using the filtered water?<br />are people forced to walk farther to the pumps fitted with the filters?<br />cost – are they cost efficient?<br />education – measure impact?<br />funding – private and public options to supplement The WHO’s initiative? <br />replacing used filters ? when? who is tracking?<br />constant measuring of arsenic levels is necessary<br />constant measuring of arsenic exposure in populations is necessary to determine effectiveness<br />
  26. 26. Nursing : At the forefront of health maintenance and health education<br />What the Vietnamese nursing community can do NOWto help keep their people healthy and avoid overexposure to the arsenic contaminated water: <br /><ul><li>Evidence based research suggests focusing on pregnant women and growing children
  27. 27. Provide household unit filters as part </li></ul> of prenatal care<br /><ul><li> Educate mothers
  28. 28. Communicate via email</li></ul> for convenience<br /><ul><li>Choose one population to focus on</li></li></ul><li><ul><li>Continue filter use through infancy
  29. 29. Send replacement reminders and </li></ul>vouchers<br /><ul><li>Lobby The WHO to add filters to school tubewells
  30. 30. Take advantage of the more educated parent and educate the importance of continuing to protect toddlers and young children against arsenic exposure
  31. 31. Monitor progress and compliance to support evidence based practice</li></li></ul><li>Support your nursing colleagues in Vietnam<br /><ul><li>What can you do?</li></ul>write to The World Health Organization<br />verbalize the importance of nursing’s role<br /><ul><li>monitoring people’s arsenic levels when using sand filters
  32. 32. initiate school programs
  33. 33. prenatal care education and distribution programs</li></ul>c) join professional organizations and attend global work groups<br />d) write to health officials in Vietnam<br /><ul><li>Collectively, nurses can put pressure on government health officials and influence change
  34. 34. Organize a nursing initiative to give web support to nurses in Vietnam about global safe water practices and educate the nurses there so they feel empowered to make a difference in their communities</li></li></ul><li>Water is precious! <br />Do not waste it! <br />FOR MORE INFORMATION:<br />Visit the following websites:<br /><br /><br /><br />