Day 1: Sunday, April 23

Time

Session Description

Faculty

7:30am-8:00am

Breakfast

8:00am-8:10am

Welcome by the President

Jeannie K. Tomlinson, MSN, RN, COHN-S, FAAOHN, AAOHN President

8:10am-8:30am

Opening of Summit

Get a snapshot of the global practice of occupational and environmental health nursing and the international health regulations impacting it. Learn the implications of the WHO World Health Report for occupational health nurses everywhere. 

Outcomes: Identify the primary health issues facing the most workers, globally.

Bonnie Rogers, DrPH, COHN-S, LNCC, FAAOHN
Director, NC Occupational Safety and Health Education and Research Center and OHN Program
Vice President, ICOH

8:35am-9:35am

Global Best Practices Panel 1

Moderator: Sharon Kemerer, MSN, RN, COHN-S/CM FAAOHN, Corporate Director OH & Safety,  Baxter Healthcare Corp (Sponsored by VaxServe)

Using Innovation Technology to Reduce Ergonomic Risk

This is a case study of how one large multinational company has partnered with a wearable motion capture company to launch a new pilot project that merges technology currently used in professional sports and the video gaming industry with workplace health and safety. This is the first company worldwide to merge technology suits for 3D ergonomic assessments to help identify ergonomic risk factors and identify measures to help reduce musculoskeletal disorders, but has application to any company, worldwide.

Outcomes:  Identify how one company is using innovative technology to identify and reduce ergonomic risk.  Describe the assessment method.  State how this early implementation can have practice applications for other industries. 

Tara E O'Leary,
BSN, RN, COH-N
PepsiCo Global Director Occupational Health & Safety
Pepsico International, Foundation Trust

AFGHANISTAN: Working in the Sandbox

The US Army Corps of Engineers recognized the importance of Occupational Health Nursing (OHN) services in a deployed area. Approval was obtained allowing the first OHN to be deployed to a combat zone in Afghanistan. This is her story, describing the challenges and rewards of initiating an occupational health program in a foreign, war-torn country.

Outcomes: Identify the demanding physical and emotional components associated with deployment. Describe the Afghan culture and priorities. State differences in occupational health in Afghanistan vs. in the United States.

Barbara A Smith, RN
Occupational Health Nurse, US Army

Best Practice Sharing by Occupational Health Nurses in Asia Pacific

Occupational Health Nurses are practicing around the globe and providing excellent health-related services to workers worldwide. This session will include best practices by occupational health nurses (OHN) who work for a multinational company in the Asia Pacific region. The best practices will cover a range of OHN roles and responsibilities including Health Promotion Programs, Health Counseling, and Return to Work Management. The presenters will discuss their successes and the challenges and pitfalls they encountered along the way. They will highlight their strategies for effectively implementing programs that are culturally relevant at their country locations in Asia Pacific and maintaining compliance with the company requirements and country-specific regulations.

Outcomes: Discuss challenges encountered in implementing a return to work program in Asia Pacific and strategies for managing effective return to work.  Describe factors contributing to a successful health promotion program in Asia Pacific.  List key elements in conducting health counseling and meeting worker needs.

Lucy F Carlson, MS, MPH, RN, COHN-S/CM
Occupational Health Manager, 3M Company

9:40am-10:00am

Occupational Health and Public Policy: How a Nurse and Worker Advocates Got Together and Won!

Occupational health nurses are tasked with protecting worker health and are in a unique position to assist community groups, policymakers, and employers to safeguard the health of vulnerable workers. An Occupational Health Nurse, jointly with worker advocates from the Worker Defense Project (WDP) will describe the Texas, US construction industry’s occupational health crisis and their advocacy to improve construction worker health at the city level by passing a rest break ordinance. Participants will learn how occupational and environmental health nurses can partner with policy advocates to protect the health of vulnerable workers. 

Outcomes: Describe the background, research, and reasons for a specific worker health ordinance. Describe advocacy methods for the ordinance and list three lessons learned from the occupational health nurse’s involvement in the advocacy. Describe problems affecting vulnerable workers in his/her community and compare them with the problems facing Texas construction workers. 

Moderator: Sharon Kemerer, MSN, RN, COHN-S/CM (Sponsored by VaxServe)

Letha S Smith, RN, MS, COHNS, FAAOHN
Manager, Occupational and Environmental Health Services, Fitness, Abbott Diagnostics

Juan Cardoza-Oquendo
Master of Public Affairs, Expected 2018
LBJ School of Public Affairs, The University of Texas at Austin

Diana Ramirez
Campaign Manager, Workers Defense Project, Austin, TX

10:00am-10:30am

Refreshment Break

10:30am – 11:30am

Global Research Panel

Moderator: Mary Pesch, MSN, MPH, RN, FNP-BC

An Urban Taxi Driver Study:  Daily Hassles and Mental Exertion; Sleep Disorders and Work-related Factors Associated with Road Traffic Crashes with co-author, Dr. Rami Elshatarat

Taxi drivers are commonly exposed to stressful situations and many daily hassles at work such as fare violations, disrespectful and challenging  behaviors by passengers, taxi owners/dispatchers, hotel doormen and police/traffic officers, bad weather, daily traffic congestion and construction, unpredictable pedestrians and bicyclists, and poor road conditions that lead to mental exertion and stress. Additionally, taxi drivers work long shifts, have high job demands and time pressures, often work at night, and are at increased risk for sleep disorders and stressful situations at work. Using the results from a descriptive, cross-sectional study of taxi drivers from 32 countries who were working in a large California city, USA, this presentation will identify: a) associations between mental exertion and work-related stressors, and predictors of high mental exertion; and, identify the relationship between abnormal sleepiness and road traffic crashes with work and behavioral factors. It will describe self-care techniques drivers use, plus implications for occupational health nursing interventions.

Outcomes: Identify the associations between work-related stressors/daily hassles and mental exertion.  Identify the relationship between abnormal sleepiness and road traffic crashes with work factors, driving safety, caffeine intake, sleeping patterns, fatigue, and exertion from taxi driving. Describe study strengths and limitations, implications for practice, and areas of future research.

Barbara J Burgel, PhD, RN, FAAN, FAAOHN
Professor of Clinical Nursing
University of California San Francisco School of Nursing

Evidence-based Advice on Resuming Activity for Young Adult Cancer Survivors in England: A Systematic Review

Cancer survivorship has become an increasingly important issue for nurses in the United Kingdom. Cancer mortality rates decreased 13% in males and 9% in females between the years 2010 – 2012, with a further estimated fall of 17% between the years 2011- 2030. More than a third of cancer survivors do not resume work (and other physical activities).  This presentation, based on a systematic literature review, will suggest themes to support practice guidance for nurses who support cancer survivors, including those who return to work and participate in physical activity.

Outcomes: Describe evidence-based approaches in the United Kingdom to supporting cancer survivors to resume work and recreational physical activity.

William Preece, Nurse
The Christie NHSFT

Helen Kirk, MA, BSc (Hons), BA, RN, RM, SCPHN
Head of OH Transition, Public Health England

Using Social Media in Research

Research has always been the foundation of evidence-based practices in the workplace. Yet the expense and complexity of conducting research requires that we remain open to emerging methods of discovery that are both informative and cost effective. This discussion will open a gateway for understanding new ways of conducting research that is both cost effective and rigorous, within an organization, across a country and across the globe.

Outcomes: Describe social media as a research tool. Identify recruitment and data collection using social media.

Kathleen Mullen, PhD, MS, RN, Case Manager, Kaiser Hospital

11:30am -12:30pm

Lunch On Your Own

12:30pm -1:30pm

Global Cultural Competencies Panel

Moderator:
Susan Randolph, MSN, RN, COHN-S, FAAOHN

Health & Wellness Programming in Central Asia

The presenters will discuss their actions when asked to develop and implement a health and wellness program for a multinational population in a remote part of Central Asia, from a cultural and needs assessment, to engaging management and unofficial leaders to building sustainability. 

Outcomes: Describe the challenges and successes of health programming in a multinational/international location. List the skills required for those who will build on the program after implementation. Identify what success looks like.

Nnenna Okoro, MS, COHN-S, APN
Sr. Occupational Health Clinician, Chevron

Christina Stevens, MPH
Senior Health & Productivity Advisor, Chevron Corporation

Occupational Health in Tanzania: An Emergency Department Leading Awareness and Culture Changes for Healthcare Workers

This interactive session will introduce you to working conditions in the first East African Emergency Department (ED) to include occupational risks. The session will include a discussion of the working environment for healthcare workers in an Emergency Department in Tanzania; the differences in occupational health risks and perceptions of risk in the Tanzanian ED health workers and non-ED workers; and ways forward for occupational health for health workers, particularly ED staff, in Tanzania.

Outcomes:  Describe the working environment for health workers in an Emergency Department in Tanzania. List differences in occupational health risks and perception in the Tanzanian Emergency Department health workers compared to an inpatient ward. Describe the implications for occupational health nurses working with any hospital ED.

Natalia LoBue, Executive Director
Abbot Fund Tanzania

Angelia A. Sepeku, MSCN, BSN,RN
Chief Nurse Coordinator, Emergency Department
Muhimbili, Tanzania

Implementing Health Programs for a Multicultural Population

This session will focus on how to design and implement effective health programs for a vastly diverse population, from the design of the program to the creation of preventative interventions to decrease morbidity and absenteeism, with the ultimate goal to increase morale and productivity. This presentation profiles a program implemented across ASEAN countries providing insight into the program’s design and strategy, communication methods, challenges and solutions.

Outcomes: Describe a low cost, high impact health program for a multicultural population. Identify creative ways to communicate the program and promote employee participation.

Euzelia S Hunter, MPH, RN, COHN-S/CM
Sr. Health Services Manager, IBM Corporation

Gabrielle Romasanta, RN
Clinical Supervisor
IBM Corporation, Philippines

1:35pm -1:55pm

Occupational Health Nursing Education

Moderator:  Barbara A Smith, RN

Modernising the Occupational Health Nursing Curriculum for the United Kingdom

Over the past decade, the workplace has evolved rapidly, prompting a review of priorities for occupational health nursing education and the development of a new approach in the United Kingdom (UK).  A revision of specialist nursing curriculum was essential to develop occupational health nurses equipped to meet the needs of a mobile and global workforce. The process for how the new education programmes were developed will be reviewed to support that the new UK curriculum is relevant internationally. 

Outcomes: Identify implications for any country’s education and development system from reflecting on the revision of the occupational health nurse specialist curriculum in the UK.  

Helen Kirk, MA BSc (Hons) BA RN RM SCPHN
Head of OH Transition
Public Health, England

2:00 pm-3:00pm

Global Best Practices Panel 2

Moderator: Mary Pesch, MSN, MPH, RN, FNP-BC

Boorman Report

This presentation will elaborate on how Guys and St Thomas', a large central London National Health Service Trust employing over 15,000, responded to the Boorman Report. The Report, a review of the health of the UK working population led to a series of initiatives across government to promote workplace health interventions aimed at both preventing and managing ill-health in the working age population. The presenter will share what was done to result in an exemplary and award-winning health and wellbeing programme that has applications in any country.

Outcomes: Describe how Guys and St Thomas’ initiated the health and wellbeing programme.  Identify challenges faced in developing and implementing the programme. State top tips that any country or service could use to make similar changes.

Helen Kay, RN, SPCHN (OH), PGD Community Health, MA, PGDNA, BA (Hons), Dip N (Lon)


Sarah Bexley, BA (Hons), RN (Adult), PG Dip Community Nursing
Public Health Nurse Manager, Guys and St Thomas’ NHS Trust

Getting a Grip on Fatigue

This is a case study of how one global business uses a Predictive Fatigue Management Program to address fatigue in its business. Four percent – approximately eleven million drivers – admit they have had an accident or near accident because they dozed off or were too tired to drive. U.S. motor vehicle deaths were up 7.7 percent nationwide in 2015.  While safety officials agree that the extent of the problem of fatigue is not fully known, this presenter will share how they are addressing the issue and how others can too. 

Outcomes: State the significance of fatigue as a workplace risk globally. Describe the technology being used to assess fatigue risk. Identify how any company can use advanced technology to assess fatigue risk and reduce fatigue as a contributor to driving accidents and fatalities.

Tara E O'Leary,
BSN, RN, COH-N
PepsiCo Global Director Occupational Health & Safety
Pepsico International, Foundation Trust

Impacts of Coal Mining in Baluchistan

This session will describe the conditions under which coal miners in Baluchistan work and suggest strategies for improvement.  Higher concentrations of coal dust (carbon and quartz contents of coal dust) have been measured against the threshold limits (recommended by NIOSH). The high concentration of coal dust in coal mine areas of Baluchistan is not only the source of health problems like routine headache, irritation in throat, nose, and eyes, drowsiness, shortness of breath, nausea, pneumoconiosis, tuberculosis, chronic obstructive bronchitis, heart problems, respiratory irritation, asthma and even lung impairment and lung cancer problems, but is causing severe damage to the environment. The coal water and slurry, the residual of coal mining, are disposed in an unconfined area which becomes the source of soil and water degradation. The contaminated ground water being ingested by coal workers has several health impacts on the workers, e.g., ulcers, diarrhea, cholera, hepatitis B and C.

Outcomes: Identify the health impacts of occupational exposure on coal mine workers of Baluchistan. Describe strategies and interventions to improve situations that create vulnerability in global populations at risk

Azad Salahuddin, PhD
Environmental Management Sciences
Assistant Professor of Management Sciences
National Defense University, Islamabad, Pakistan

3:00pm -3:30pm

Break & Poster Viewing & Memorable Activity

Visit posters and learn about occupational health nursing academic research and evidence-based projects that can be transferred to your worksite.  Participate in an activity designed to help you remember the experience of this Global Summit, what you learned and who you met.

Outcomes:  Identify poster results that may have implications for practice. 

3:30pm-3:55pm

Vaccine-preventable Diseases & International Travel

This presentation will provide the latest evidence-based updates related to vaccine-preventable diseases in any country.

Outcomes: Discuss the vaccines appropriate for global workers, by country, with potential for exposure to communicable diseases.  Identify trusted resources for consultation about vaccine-preventable diseases in various countries.

Moderator: Helen Kirk, MA BSc(Hons) BA RN RM SCPHN

William Bunn, MD, JD, MPH
Consultant/Advisor Health, Safety, Security and Productivity

4:00pm-4:30pm

Exposures, Surveillance, and Treatment of World Trade Center First Responders

This presenter will describe the work of the Manhattan clinic for the Mount Sinai Selikoff Centers for Occupational Health, a World Trade Center Health Program and Clinical Center of Excellence.  Based on the work-related exposures of first responders in the US 9/11 terrorist attack of the World Trade Center, this model can support occupational health surveillance and long term health implications for care following any disaster. 

Outcomes: Identify occupational health exposures and long term health implications.  Describe the importance of routine screening in an occupational health cohort.  Discuss cancer outcomes in the exposed population. 

Moderator:
Tara E O'Leary,
BSN, RN, COH-N

Diana Gaetano, BS, RN, COHN-S
Nurse Clinical Coordinator
Mount Sinai Selikoff Centers for Occupational Health

 4:35pm-4:45pm

Wrap-up: Summary of the Day & Invitation to Fellows Reception

Mary Gene Ryan, MPH, BSN, COHN-S/SM, CSP, FAAOHN
President-elect, AAOHN

5:00pm-6:30pm

Fellows Reception

DAY 2: MONDAY, APRIL 24

Time

Title/Description/Outcomes

Faculty

7:30am-8:00am

Breakfast

8:00am-8:30am

Bus Trip to Tulane University School of Public Health and Tropical Medicine

8:30am-9:30am

Tropical Medicine Seminar: Malaria/Vaccine Research/Zika/Chagas

Leading researchers will discuss the development of a vaccine to stop the transmission of human malaria, control mechanisms for vector-borne diseases, including Zika and novel strategies for the control of parasitic diseases, such as therapeutic DNA vaccines for Chagas disease.  You will hear about research that encompasses the full range of activities from developing rapid and more accurate molecular methods for disease diagnosis and surveillance, to understanding the ecology of diseases in its natural setting, to the development of strategies and tools for disease prevention and management as scientists continue the development of novel diagnostics, new drugs, vaccines and tools for vector control.  You’ll meet scientists that do their research in countries such as Colombia, India, Kenya, Malaysia, Mali, Peru, Sierra Leone, and Zambia. 

Outcomes:  Identify leading research being performed on at least two tropical and one subtropical disease that can affect workers around the world.

Moderator: Mary Pesch, MSN, MPH, RN, FNP-BC
Host: Preston Marx, PhD. Chair and Professor,  Department of Tropical Medicine Tulane University School of Public Health and Tropical Medicine

Presenters & Tour Guides
Nirbhay Kumar, PHD
Professor, Department of Tropical Medicine
Tulane University School of Public Health and Tropical Medicine

Dawn Wesson, PhD
Associate Professor, Department of Tropical Medicine
Tulane University School of Public Health

Eric DuMonteil, PhD
Adjunct Professor of Tropical Medicine
Tulane School of Public Health and Tropical Medicine

9:30am – 10:30am

Tours (small groups of 10-15)

Tour the Center that houses a new state of the art biosafety level three (BSL-3) laboratory where research focuses on the development of treatments, vaccines and diagnostics for emerging infectious diseases that occur naturally, such as West Nile Virus, Dengue and Chagas. You will see a BSL-3 level insectary providing state of the art equipment for research into vector borne bio threat agents and emerging infectious diseases. You can see where the work is done on vector-borne pathogens as well as biological interactions between vectors and infectious agents and between the vectors and vertebrate hosts of these pathogens and parasites, such as malaria. 

Outcomes:  Discuss a unique research facility, doing leading-edge research for the treatment, vaccines and diagnostics for emerging infectious diseases from around the world.

10:30am-10:55am

Global Health Data:  Sources, Uses and Impact

Global health data can be used to understand the characteristics and needs of employee populations. This presentation will describe the various sources of global health data, including self-reported health risk assessments, the ways to understand and interpret it and how it can be used to design and focus employee health and wellbeing programs to target key areas of risk. The use of this data in one global corporation and the impact on employee health over time will be presented.

Outcomes: Identify at least two major sources of global health data.  Discuss the ways to analyze global health data as it may relate to an employee population.  Describe the way one global corporation has used health data to improve employee health and wellbeing.

Moderator:
Tara E O'Leary,
BSN, RN, COH-N

Zorianna Hyworon, B.SC. Hon
President & CEO
InfoTech, Inco.

Sharon Kemerer, MSN, RN, COHN-S/CM, FAAOHN
Corporate Director OH & Safety
Baxter Healthcare Corporation (Sponsored by VaxServe)

10:55am-11:00am

Closing Remarks

Jeannie K. Tomlinson, MSN, RN, COHN-S, FAAOHN
AAOHN President

11:00am-11:30am

Return Travel to Hotel