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From the "Father of Environmental Justice" comes, Environmental Health and Racial Equity, a first-rate account of events, individuals, and organizations that have shaped the environmental justice movement over the past two decades. The struggles chronicled are both instructive and inspirational to anyone who wants to make a difference.
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.
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.
As global climate change proliferates, so too do the health risks associated with the changing world around us. Called for in the President’s Climate Action Plan and put together by experts from eight different Federal agencies, The Impacts of Climate Change on Human Health: A Scientific Assessment is a comprehensive report on these evolving health risks, including: Temperature-related death and illness Air quality deterioration Impacts of extreme events on human health Vector-borne diseases Climate impacts on water-related Illness Food safety, nutrition, and distribution Mental health and well-being This report summarizes scientific data in a concise and accessible fashion for the general public, providing executive summaries, key takeaways, and full-color diagrams and charts. Learn what health risks face you and your family as a result of global climate change and start preparing now with The Impacts of Climate Change on Human Health.
This book provides geographic perspectives and approaches for use in assessing the distribution of environmental health hazards and disease outcomes among disadvantaged population groups. Estimates suggest that about 40 per cent of the global burden of disease is attributable to exposures to biological and chemical pathogens in the physical environment. And with today's rapid rate of globalization, and these hazardous health effects are likely to increase, with low income and underrepresented communities facing even greater risks. In many places around the world, marginalized communities unwillingly serve as hosts of noxious facilities such as chemical industrial plants, extractive facilities (oil and mining) and other destructive land use activities. Others are being used as illegal dumping grounds for hazardous materials and electronic wastes resulting in air, soil and groundwater contamination. The book informs readers about the geography and emergent health risks that accompany the location of these hazards, with emphasis on vulnerable population groups. The approach is applications-oriented, illustrating the use of health data and geographic approaches to uncover the root causes, contextual factors and processes that produce contaminated environments. Case studies are drawn from the author's research in the United States and Africa, along with a literature review of related studies completed in Europe, Asia and South America. This comparative approach allows readers to better understand the manifestation of environmental hazards and inequities at different spatial scales with localized disparities evident in both developed and developing countries.
"This report to the Administrator reviews existing data on the distribution of environmental exposures and risks across population groups. It also summarizes the Workgroup's review of EPA programs with respect to racial minority and low-income populations."--Introd.
Racial and ethnic disparities in health care are known to reflect access to care and other issues that arise from differing socioeconomic conditions. There is, however, increasing evidence that even after such differences are accounted for, race and ethnicity remain significant predictors of the quality of health care received. In Unequal Treatment, a panel of experts documents this evidence and explores how persons of color experience the health care environment. The book examines how disparities in treatment may arise in health care systems and looks at aspects of the clinical encounter that may contribute to such disparities. Patients' and providers' attitudes, expectations, and behavior are analyzed. How to intervene? Unequal Treatment offers recommendations for improvements in medical care financing, allocation of care, availability of language translation, community-based care, and other arenas. The committee highlights the potential of cross-cultural education to improve provider-patient communication and offers a detailed look at how to integrate cross-cultural learning within the health professions. The book concludes with recommendations for data collection and research initiatives. Unequal Treatment will be vitally important to health care policymakers, administrators, providers, educators, and students as well as advocates for people of color.
Break the Cycle of Children's Environmental Health Disparities (Break the Cycle) is an annual collaborative interdisciplinary research and training program involving university students in academic tracks focusing on the impact of adverse social, economic, environmental, and political factors on children's health, development, education, and prospects for their future. The target populations are communities where there is a substantial measure of poverty associated with social, ethnic, racial, and political marginalization, environmental exposures and environmental injustice with high risks to children's health and well-being. Participating students are required to develop projects that focus on preventing or reducing adverse environmental factors or their impact on children's health and promote positive practices to improve the future outcome for children who live in these communities. Student projects cover a wide range of adverse factors and their associated health implications across the lifespan, and propose solutions at an individual, family, community, and societal level, with the potential for a positive intergenerational impact. At the end of the project period, participating students are required to present the results of their work at a national conference and then write a manuscript for publication. The papers in this publication represent the work of students who participated in the 15th Annual Break the Cycle program 2019-2020. The phrase Break the Cycle in this context uses the ecological construct of the cycle of environmental health disparities and offers a framework for tackling health disparities and promoting health equity among children who are vulnerable as a consequence of adverse social, economic, environmental and political factors.
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.
To be poor, working-class, or a person of color in the United States often means bearing a disproportionate share of the country’s environmental problems. Starting with the premise that all Americans have a basic right to live in a healthy environment, Dumping in Dixie chronicles the efforts of five African American communities, empowered by the civil rights movement, to link environmentalism with issues of social justice. In the third edition, Bullard speaks to us from the front lines of the environmental justice movement about new developments in environmental racism, different organizing strategies, and success stories in the struggle for environmental equity.