Download or read book Environmental Justice and Community Based Health Model Discussion and Recommendations Report written by U.s. Environmental Protection Agency National Environmental Justice Advisory Council and published by Createspace Independent Pub. This book was released on 2001-02-28 with total page 90 pages. Available in PDF, EPUB and Kindle. Book excerpt: EPA, through its Office of Environmental Justice, asked the National Environmental Justice Advisory Council to provide advice and recommendations on the following questions: (1) What strategies and areas of research should be pursued to achieve more effective, integrated community-based health assessment, intervention, and prevention efforts?; (2) How should these strategies be developed, implemented and evaluated so as to ensure substantial participation, integration and collaboration among federal agencies, in partnership with: impacted communities; public health, medical and environmental professionals; academic institutions; state, tribal and local governments; and the private sector?; (3) How can consideration of socioeconomic status and cultural factors: (a) contribute to health disparities and cumulative and disproportionate environmental effects; and (b) be incorporated into community health assessments? This report reflects the advice and recommendations that resulted from pre-meeting preparation and on-site discussions and public comments. It sets forth a number of policy recommendations for consideration by EPA and other federal, state and local agencies to consider.
Download or read book Environmental Justice and Community Based Health Model Discussion and Recommendations Report written by United States. Environmental Protection Agency and published by . This book was released on 2001 with total page 117 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Download or read book Communities in Action written by National Academies of Sciences, Engineering, and Medicine and published by National Academies Press. This book was released on 2017-04-27 with total page 583 pages. Available in PDF, EPUB and Kindle. Book excerpt: In the United States, some populations suffer from far greater disparities in health than others. Those disparities are caused not only by fundamental differences in health status across segments of the population, but also because of inequities in factors that impact health status, so-called determinants of health. Only part of an individual's health status depends on his or her behavior and choice; community-wide problems like poverty, unemployment, poor education, inadequate housing, poor public transportation, interpersonal violence, and decaying neighborhoods also contribute to health inequities, as well as the historic and ongoing interplay of structures, policies, and norms that shape lives. When these factors are not optimal in a community, it does not mean they are intractable: such inequities can be mitigated by social policies that can shape health in powerful ways. Communities in Action: Pathways to Health Equity seeks to delineate the causes of and the solutions to health inequities in the United States. This report focuses on what communities can do to promote health equity, what actions are needed by the many and varied stakeholders that are part of communities or support them, as well as the root causes and structural barriers that need to be overcome.
Download or read book The Role and Potential of Communities in Population Health Improvement written by Institute of Medicine and published by National Academies Press. This book was released on 2015-02-25 with total page 113 pages. Available in PDF, EPUB and Kindle. Book excerpt: The Role and Potential of Communities in Population Health Improvement is the summary of a workshop held by the Institute of Medicine Roundtable on Population Health Improvement in April 2014 that featured invited speakers from community groups that have taken steps to improve the health of their communities. Speakers from communities across the United States discussed the potential roles of communities for improving population health. The workshop focused on youth organizing, community organizing or other types of community participation, and partnerships between community and institutional actors. This report explores the roles and potential of the community as leaders, partners, and facilitators in transforming the social and environmental conditions that shape health and well-being at the local level.
Download or read book Toward Environmental Justice written by Committee on Environmental Justice and published by National Academies Press. This book was released on 1999-03-11 with total page 152 pages. Available in PDF, EPUB and Kindle. Book excerpt: Driven by community-based organizations and supported by a growing body of literature, the environmental justice movement contends that poor and minority populations are burdened with more than their share of toxic waste, pesticide runoff, and other hazardous byproducts of our modern economic life. Is environmental degradation worse in poor and minority communities? Do these communities suffer more adverse health effects as a result? The committee addresses these questions and explores how current fragmentation in health policy could be replaced with greater coordination among federal, state, and local parties. The book is highlighted with case studies from five locations where the committee traveled to hear citizen and researcher testimony. It offers detailed examinations in these areas: Identifying environmental hazards and assessing risk for populations of varying ethnic, social, and economic backgrounds, and the need for methodologies that uniquely suit the populations at risk. Identifying basic, clinical, and occupational research needs and meeting challenges to research on minorities. Expanding environmental education from an ecological focus to a public health focus for all levels of health professionals. Legal and ethical aspects of environmental health issues. The book makes recommendations to decisionmakers in the areas of public health, research, and education of health professionals and outlines health policy considerations.
Download or read book A Synopsis of Stakeholder Representatives Views Regarding Community based Health Research Models written by Adrienne L. Hollis and published by . This book was released on 2000 with total page 31 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Download or read book Building Healthy Communities in Environmental Justice Areas written by Janine M. Legg Ph. D. and published by Booksurge Publishing. This book was released on 2006 with total page 354 pages. Available in PDF, EPUB and Kindle. Book excerpt: The biopsychosocial health model with an environmental component, Building Healthy Communities in Environmental Justice Areas (BHCEJA)was first introduced to academia and public health in 2002. The BHCEJA model has been peer reviewed and selected for presentations by the American Public Health Association, International Society of Environmental Epidemiologists and Office of Minority Health and accepted on February 10, 2005 by the Pennsylvania Department of Environmental Protections Environmental Justice Advisory Board as a starting place for subcommittee work for the Cumulative/Disparate subcommittee, and the Environmentally Burdened subcommittee.Moreover, the BHCEJA model is evidenced base and requires assessment, critical thinking, systematic planning and the reconceptualization of disease. The BHCEJA model is a biopsychosocial health model with an environmental health component that: requires a health assessment of the community based upon standardized health indicators and area based socioeconomic measures; and an assessment of the risk from the environmental burden (TRI chemicals released into the community) of the community. The BHCEJA model also requires health surveillance for exposure to the four ATSDR registry chemicals and lead. The BHCEJA model has seven requirements. The first requirement of the BHCEJA model requires the derivation of the community health disparities using health indicators and derivation of health risk to the community from environmental burden, using U.S. Environmental Protection Agency (EPA) RSEI risk related scores; seeks to create an equitable community health care delivery system based upon needed private and public sector resources; and requires a review of all health and mental health resources so that verticalization of community health programs can be eliminated. The second requirement of the BHCEJA model requires two assessments: assessment of health, and assessment of environmental burden. The third requirement of the BHCEJA model requires that health statistics be calculated on a three-year rate for at least five years (10 years is preferable) using standardized health indicators. The BHCEJA model requires health indicators be calculated for all races (where data is available) for: 1) Low Baby Birth Weight rate, (LBW)-Infants born under 2500 grams /(per 1000 live births; 2) Infant Mortality/(per 1000 live births) (where statistics are comparable and available); 3) Infant-4 year old mortality (age specified rate per 100,000); 4) all cause mortality (per 100,000 based on 200 std. Million population); 5) Cancer incidence rate (per 100,000); and 6) cancer incidence rates significantly above the state average, (per 100,000). The intent is to demonstrate the existence of disease or to show the lack their of disease in communities. The fourth requirement of the BHCEJA model requires that risk-related scores be calculated per: 1) chemical released; 2) per facility and chemical; 3) risk per county (and township if possible); 4) risk to community by age sex category, (Children under 10; Children 10-17; Males 19-44; Females 18-44; Adults 65 and Over) and a total risk-related score to the population; Risk by SIC code and ranking of each facility within the SIC code. The fifth requirement of the BHCEJA model requires that: poverty statistics be calculated (for the county that the community of concern is located, or the town that the community of concern is located) to determine the percent with income below the poverty level for at least a 5-10 year period of time (and then compared to the state rates). The sixth requirement of the BHCEJA model requires: 1) an assessment of the available childhood lead poisoning statistics (at least 5 years). The BHCEJA model also requires: 1) that trends be identified for area based socioeconomic measures. The last and seventh requirement of the BHCEJA model is an additional assessment of the RSEI risk-related scores (using RSEI, Ver. 2.1.2) for the four Agency for Toxic Substances Disease Registry (ATSDR), registry chemicals (benzene, TCE, TCA, and dioxin), if the registry chemicals are released in the community. The BHCEJA model also requires an analysis and understanding of the investigator of the released OSHA Carcinogens. A goal of the risk assessment and disease assessment is to determine if the risk related score is within the top 80% of risk and the rates of health indicators are above the state averages. After the assessment of the health indicators are calculated on a 3-year rate, (for five years) the first requirement is for the investigator to determine if the disease rates are significantly above the state average. The second requirement of the investigator is to compare all RSEI risk related scores in relationship to the state. The investigator when performing the queries should determine the risks to quantify in the data queried: (just air releases or air and water releases or air, water and landfill releases; or all releases). The fourth requirement of the investigator is to determine: 1) the health and mental health needs of community in total based upon disease burden; 2) the existing health care delivery system in the community; 3) if additional health programs are needed; 4) if a registry program is needed for the four chemicals lead, trichloroethylene, trichloroethane, benzene, and dioxin; 5) if the community could benefit by implementation of health promotion programs, health communication program and health education program; 6) if there are barriers to healthcare based on any population and culture; and 7) if improvements are needed in the community health care system and develop initial ideas on implementation of an integrated private and public sector health care delivery system. This model can be applied to a rural or urban setting, as the challenges in environmental justice areas seem to be anticipated and predictable. The application of the model is to implement local and state government policy to reduce health disparities and environmental burden that is evidenced based.
Download or read book The Future of Nursing 2020 2030 written by National Academies of Sciences Engineering and Medicine and published by . This book was released on 2021-09-30 with total page pages. Available in PDF, EPUB and Kindle. Book excerpt: The decade ahead will test the nation's nearly 4 million nurses in new and complex ways. Nurses live and work at the intersection of health, education, and communities. Nurses work in a wide array of settings and practice at a range of professional levels. They are often the first and most frequent line of contact with people of all backgrounds and experiences seeking care and they represent the largest of the health care professions. A nation cannot fully thrive until everyone - no matter who they are, where they live, or how much money they make - can live their healthiest possible life, and helping people live their healthiest life is and has always been the essential role of nurses. Nurses have a critical role to play in achieving the goal of health equity, but they need robust education, supportive work environments, and autonomy. Accordingly, at the request of the Robert Wood Johnson Foundation, on behalf of the National Academy of Medicine, an ad hoc committee under the auspices of the National Academies of Sciences, Engineering, and Medicine conducted a study aimed at envisioning and charting a path forward for the nursing profession to help reduce inequities in people's ability to achieve their full health potential. The ultimate goal is the achievement of health equity in the United States built on strengthened nursing capacity and expertise. By leveraging these attributes, nursing will help to create and contribute comprehensively to equitable public health and health care systems that are designed to work for everyone. The Future of Nursing 2020-2030: Charting a Path to Achieve Health Equity explores how nurses can work to reduce health disparities and promote equity, while keeping costs at bay, utilizing technology, and maintaining patient and family-focused care into 2030. This work builds on the foundation set out by The Future of Nursing: Leading Change, Advancing Health (2011) report.
Download or read book Environmental Justice And Public Health written by Rafeal Mechlore and published by Rose Publishing (CA). This book was released on 2023-09-27 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: "Environmental Justice and Public Health" is a compelling and intertwined field that addresses the intersection of environmental concerns and their profound impact on human well-being. It recognizes that environmental issues are not evenly distributed across society and that marginalized communities often bear a disproportionate burden of environmental hazards. This dynamic field of study and advocacy seeks to rectify these disparities, ensuring that all individuals, regardless of their socio-economic background or demographic, have equal access to a clean and healthy environment. At its core, environmental justice and public health are intimately connected, as the environment in which people live, work, and play has a profound influence on their health outcomes. Here's a closer look at the key aspects of this critical intersection: Environmental Hazards: Many communities, particularly those marginalized or disadvantaged, face a higher prevalence of environmental hazards such as air and water pollution, toxic waste sites, and industrial facilities. These hazards can lead to a range of health issues, including respiratory diseases, cancer, and developmental problems, affecting the overall well-being of individuals in these areas. Health Disparities: Environmental injustice often leads to health disparities, where certain populations experience higher rates of illness and shorter life expectancies due to their exposure to environmental hazards. This exacerbates existing inequalities in healthcare access and outcomes. Access to Resources: Environmental justice aims to ensure that all communities have equitable access to clean air, clean water, green spaces, and other environmental resources that promote good health. This includes addressing issues like food deserts, where disadvantaged neighborhoods lack access to fresh and nutritious food. Community Empowerment: Environmental justice advocates work to empower communities to participate in decision-making processes regarding their environment. This includes providing them with the tools and knowledge needed to advocate for policies and practices that protect their health and environment. Policy and Advocacy: The field of environmental justice and public health relies on policy initiatives and advocacy efforts to bring about change. These efforts often include pushing for stricter environmental regulations, community-based research, and legal actions against polluters. Environmental Racism: Environmental justice also sheds light on the phenomenon of environmental racism, where minority and low-income communities face a disproportionate burden of pollution and environmental hazards. Addressing this issue is central to achieving equitable public health outcomes. Global Impact: While many environmental justice discussions focus on local or national issues, it's important to recognize that environmental problems often have global implications. Climate change, for example, affects communities worldwide and requires collective efforts to mitigate its impact on public health. Health Equity: Ultimately, the goal of environmental justice and public health is to promote health equity. This means that everyone, regardless of their background, should have the same opportunities to lead a healthy life, free from the adverse effects of environmental hazards. Environmental justice and public health represent a powerful partnership between environmental stewardship and social justice. It recognizes that the health and well-being of individuals and communities are deeply intertwined with the health of the planet. By addressing environmental inequalities and advocating for policies that prioritize public health, this field contributes to a more equitable and sustainable future for all.
Download or read book Improving Health in the Community written by Institute of Medicine and published by National Academies Press. This book was released on 1997-05-21 with total page 497 pages. Available in PDF, EPUB and Kindle. Book excerpt: How do communities protect and improve the health of their populations? Health care is part of the answer but so are environmental protections, social and educational services, adequate nutrition, and a host of other activities. With concern over funding constraints, making sure such activities are efficient and effective is becoming a high priority. Improving Health in the Community explains how population-based performance monitoring programs can help communities point their efforts in the right direction. Within a broad definition of community health, the committee addresses factors surrounding the implementation of performance monitoring and explores the "why" and "how to" of establishing mechanisms to monitor the performance of those who can influence community health. The book offers a policy framework, applies a multidimensional model of the determinants of health, and provides sets of prototype performance indicators for specific health issues. Improving Health in the Community presents an attainable vision of a process that can achieve community-wide health benefits.
Download or read book The Future of Public Health written by Committee for the Study of the Future of Public Health and published by National Academies Press. This book was released on 1988-01-15 with total page 240 pages. Available in PDF, EPUB and Kindle. Book excerpt: "The Nation has lost sight of its public health goals and has allowed the system of public health to fall into 'disarray'," from The Future of Public Health. This startling book contains proposals for ensuring that public health service programs are efficient and effective enough to deal not only with the topics of today, but also with those of tomorrow. In addition, the authors make recommendations for core functions in public health assessment, policy development, and service assurances, and identify the level of government--federal, state, and local--at which these functions would best be handled.
Download or read book U S Health in International Perspective written by National Research Council and published by National Academies Press. This book was released on 2013-04-12 with total page 421 pages. Available in PDF, EPUB and Kindle. Book excerpt: The United States is among the wealthiest nations in the world, but it is far from the healthiest. Although life expectancy and survival rates in the United States have improved dramatically over the past century, Americans live shorter lives and experience more injuries and illnesses than people in other high-income countries. The U.S. health disadvantage cannot be attributed solely to the adverse health status of racial or ethnic minorities or poor people: even highly advantaged Americans are in worse health than their counterparts in other, "peer" countries. In light of the new and growing evidence about the U.S. health disadvantage, the National Institutes of Health asked the National Research Council (NRC) and the Institute of Medicine (IOM) to convene a panel of experts to study the issue. The Panel on Understanding Cross-National Health Differences Among High-Income Countries examined whether the U.S. health disadvantage exists across the life span, considered potential explanations, and assessed the larger implications of the findings. U.S. Health in International Perspective presents detailed evidence on the issue, explores the possible explanations for the shorter and less healthy lives of Americans than those of people in comparable countries, and recommends actions by both government and nongovernment agencies and organizations to address the U.S. health disadvantage.
Download or read book Oversight of EPA s Environmental Justice Programs written by United States. Congress. Senate. Committee on Environment and Public Works. Subcommittee on Superfund and Environmental Health and published by . This book was released on 2012 with total page 356 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Download or read book EPA Needs to Consistently Implement the Intent of the Executive Order on Environmental Justice EPA Evaluation Report written by Daniel J. Carroll and published by DIANE Publishing. This book was released on 2004 with total page 75 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Download or read book Race and Social Equity written by Susan T Gooden and published by Routledge. This book was released on 2015-01-28 with total page 224 pages. Available in PDF, EPUB and Kindle. Book excerpt: In this compelling book the author contends that social equity--specifically racial equity--is a nervous area of government. Over the course of history, this nervousness has stifled many individuals and organizations, thus leading to an inability to seriously advance the reduction of racial inequities in government. The author asserts that until this nervousness is effectively managed, public administration social equity efforts designed to reduce racial inequities cannot realize their full potential.
Download or read book The Law of Environmental Justice written by Michael Gerrard and published by American Bar Association. This book was released on 2008 with total page 920 pages. Available in PDF, EPUB and Kindle. Book excerpt: Environmental justice is the concept that minority and low-income individuals, communities and populations should not be disproportionately exposed to environmental hazards, and that they should share fully in making the decisions that affect their environment. This volume examines the sources of environmental justice law and how evolving regulations and court decisions impact projects around the country.
Download or read book Advancing Environmental Justice Through Community based Participatory Research written by and published by . This book was released on 2002 with total page 208 pages. Available in PDF, EPUB and Kindle. Book excerpt:
