Bridging Silos最新文献

The Coalition to Prevent Lead Poisoning: Promoting Primary Prevention in Rochester, New York 预防铅中毒联盟:促进纽约州罗切斯特市的初级预防

Bridging Silos Pub Date : 1900-01-01 DOI: 10.7551/mitpress/12136.003.0008

{"title":"The Coalition to Prevent Lead Poisoning: Promoting Primary Prevention in Rochester, New York","authors":"","doi":"10.7551/mitpress/12136.003.0008","DOIUrl":"https://doi.org/10.7551/mitpress/12136.003.0008","url":null,"abstract":"In 2002, rates of childhood lead poisoning in certain highrisk neighborhoods in Rochester, New York, were more than ten times the national average. In the context of failing schools, child poverty, and high crime rates, local advocates coalesced around the idea that addressing lead in older housing could make a difference in children’s lives— and the community’s wellbeing. The resulting Coalition to Prevent Lead Poisoning (CPLP) focused its efforts on promoting systems changes to prevent lead exposure. CPLP worked to develop awareness of the problem, support for policy change, and a framework for a costefficient local lead law. Although many older cities have similar lead problems, Rochester is one of the few that has successfully passed and implemented a housing law to prevent lead poisoning. The lead law includes provisions for reporting and data sharing, which CPLP leveraged to monitor implementation and adaptation over time. In addition to the law, CPLP fostered collaboration between community, government, and academic partners to sustain, support, and adapt Rochester’s lead poisoning prevention efforts over time. A decade on, lead poisoning rates in Rochester have decreased more than twice as steeply as those in the rest of upstate New York. This case demonstrates how bringing together diverse stakeholders and reframing the problem of lead poisoning from a “health issue” to a “housing issue” were key to developing a new, locally appropriate solution to a longstanding problem. 4 The Coalition to Prevent Lead Poisoning: Promoting Primary Prevention in Rochester, New York","PeriodicalId":414150,"journal":{"name":"Bridging Silos","volume":"4 1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"125694141","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

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Index 指数

Bridging Silos Pub Date : 1900-01-01 DOI: 10.7551/mitpress/12136.003.0016

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Changing Local Systems to Promote Environmental Health and Justice 改变地方系统以促进环境健康和正义

Bridging Silos Pub Date : 1900-01-01 DOI: 10.7551/mitpress/12136.003.0005

{"title":"Changing Local Systems to Promote Environmental Health and Justice","authors":"","doi":"10.7551/mitpress/12136.003.0005","DOIUrl":"https://doi.org/10.7551/mitpress/12136.003.0005","url":null,"abstract":"nessed environmental injustice in graphic detail. Lowincome people— predominantly African Americans— suffered most from this crisis, were underserved by disaster response efforts, and recovered more slowly. Many residents were permanently displaced. As researchers, agencies, and the media searched for explanations, it became clear that historical patterns of land use had put lowincome communities and people of color in harm’s way (Levitt and Whitaker 2009). Lack of resources limited the ability of marginalized communities to recover. Multiple vulnerabilities including chronic disease, mental health issues, and addiction compounded the effects of the disaster on these populations. According to Bates and Swan (2010, 21), “Katrina swept away the ‘traditional belief’ that natural disasters are equally devastating on populations and do not discriminate in terms of what is destroyed.” Longstanding policies and practices created the environmental disparities that lay at the root of the hurricane’s disproportionate impacts on these communities (Pastor et al. 2006; Levitt and Whitaker 2009; Pardee 2005; Wailoo, Dowd, and O’Neill 2010). Decades of land use and economic development decisions led to concentrated poverty in areas at high risk of flooding. Housing policies failed to provide safe housing, particularly for communities of color. Lack of transportation resources limited the mobility of poorer residents. These and other environmental conditions— such as lowincome residents’ lack of access to affordable and nutritious foods, preventive health care, and opportunities for physical activity— contributed to the high rates of chronic disease and the poor health status of these same communities, reducing their resilience to environmental disaster. 1 Changing Local Systems to Promote Environmental Health and Justice","PeriodicalId":414150,"journal":{"name":"Bridging Silos","volume":"183 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"116110675","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Building Bridges: Systems Approaches to Local Environmental Health Problems 搭建桥梁:解决当地环境健康问题的系统方法

Bridging Silos Pub Date : 1900-01-01 DOI: 10.7551/mitpress/12136.003.0007

{"title":"Building Bridges: Systems Approaches to Local Environmental Health Problems","authors":"","doi":"10.7551/mitpress/12136.003.0007","DOIUrl":"https://doi.org/10.7551/mitpress/12136.003.0007","url":null,"abstract":"public health and managing the environment. Although one of the main goals of environmental management is to protect human health, there are significant gaps in the current system’s ability to identify, prevent, or address health hazards resulting from cumulative environmental exposures at local scales. At the same time, the public health community has become more aware of how social, economic, and environmental health determinants contribute to the health problems facing our society and particularly to the health disparities facing lowincome urban areas and communities of color. The widely recognized paradox of the U.S. health care system is that it spends more per person than any other country, and yet its health status is worse than many countries that spend far less on health care (Brink 2017; Fox 2016). The diseases that dominate health costs and drive health inequities are chronic conditions like obesity, diabetes, and heart disease. These same diseases are influenced by factors including people’s education, income, and environment. Such social determinants of health may affect health directly through increasing people’s exposure to environmental hazards, crime, and poor nutrition or indirectly by shaping individual behaviors and people’s access to preventive services and care. Social determinants of health, in turn, are shaped by policies, systems, environments, and institutions outside the purview of the health care system. Recognition of the importance of social determinants of health has encouraged public health professionals to work toward changing policies that shape social, economic, and environmental conditions. This “Health in All Policies” (HiAP) approach encompasses a range of environmental policy 3 Building Bridges: Systems Approaches to Local Environmental Health Problems","PeriodicalId":414150,"journal":{"name":"Bridging Silos","volume":"42 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"130627091","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

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Local Environmental Health Initiatives: The Impacts of Collaboration 地方环境卫生倡议:合作的影响

Bridging Silos Pub Date : 1900-01-01 DOI: 10.7551/mitpress/12136.003.0011

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The Promise of Local Environmental Health Initiatives 地方环境卫生倡议的承诺

Bridging Silos Pub Date : 1900-01-01 DOI: 10.7551/mitpress/12136.003.0012

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Standing Silos: Public Health and Environmental Management 常设筒仓:公共卫生和环境管理

Bridging Silos Pub Date : 1900-01-01 DOI: 10.7551/mitpress/12136.003.0006

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THE Impact Project: Trade, Health, and Environment around Southern California’s Ports 影响项目:南加州港口周围的贸易、健康和环境

Bridging Silos Pub Date : 1900-01-01 DOI: 10.7551/mitpress/12136.003.0010