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Linking Social and Environmental Determinants to Health:
A Look at Well-Water Consumers’ Resilience and Health Equity
Jenna Maloney, James Rajotte, Michelle Wilson, Peter DiPippo, Alyson McCann (URI)
PROBLEM
Historical Background
• Private wells are not regulated under the Safe Water
Drinking Act and testing is voluntary.
• Regular well testing is insufficient, typically only
performed with real-estate transactions.
Rhode Island Context
• Nearly 100,000 rural residents obtain
drinking water from wells.
• Approximately 63,289 wells, many
located near known hazards.
Growing Concerns
• Poor health outcomes, lack of contaminant
mitigation, and undeveloped rapid sampling systems
impede building health resilience within well-water
communities.
OPPORTUNITY
Grant Announcement
• Funding opportunity issued by Centers for Disease
Control and Prevention (CDC) to interested states.
• Joint application for emergency preparedness
and drinking water programs.
Health Equity Framework
• Health equity centers on addressing
social determinants of health.
• Addressing the environment,
ecosystems, and implications on
health are then added.
• Place-based health promotion and
preparedness activities align to drive
resilience and ensure health security.
• Build social capital, foster social cohesion, and
reduce a communities’ vulnerability to hazards
before, during, and after emergencies.
“Resilience is all about being able to overcome the unexpected. Sustainability is about survival.
The goal of resilience is to thrive.” – Jamais Cascio
RESULTS
• A total of four tiers were developed using
this revised formula.
• Funding amounts range from $6,000 (Tier 1),
$4,000 (Tier 2), $2,000 (Tier 3), and $250
(Tier 4) per year.
• General significant and trending between and
across tiers were observed.
MOVING FORWARD
Evaluation Considerations
• Evaluate grant implementation
using other models to determine
possible correlations.
Applying the Model
• Explore application of funding alternative to
other cross-cutting grant opportunities for
which equity and risk should be considered.
• Consider using framework and funding formula
(as applicable) for current issues such as the
Burrillville Natural Gas Pipeline and Port of
Providence Expansion Project .
References
• CDC. (2015). “Environmental health services support for public health
drinking water programs to reduce drinking water exposures.” Atlanta, GA.
• U.S. Census Bureau. (2013). “American factfinder.” Washington, D.C.
• RIDOH. (2015). “Safewell Collaboratives.” Providence, RI.
FUNDING METHODOLOGY
Traditional Approach
• Distribute funding equally between all municipalities or base
on a simple, volume-driven formula.
• Volume is often viewed as land area or net population.
Revised Approach
• Create a tiered funding formula that
accounts for volume, risk, and equity.
• Outlined factors contributing to each
criteria assigned to funding formula.
• Used inherent weighting among identified
factors – volume (4 factors), risk (3 factors),
and equity (3 factors).
Data Collection and Analysis
• Obtained data from Geographic Information Systems (GIS)
and U.S. Census Bureau (Rhode Island 2013-15).
• Force ranked each factor in order of prevalence from largest
to smallest footprint for each city/town.
• Calculated a summated rating average for all factors and
criteria and adjusted funding accordingly, assigning tiers to
natural breaks within the data itself.
July 2015

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SURF_FinalPoster

  • 1. Linking Social and Environmental Determinants to Health: A Look at Well-Water Consumers’ Resilience and Health Equity Jenna Maloney, James Rajotte, Michelle Wilson, Peter DiPippo, Alyson McCann (URI) PROBLEM Historical Background • Private wells are not regulated under the Safe Water Drinking Act and testing is voluntary. • Regular well testing is insufficient, typically only performed with real-estate transactions. Rhode Island Context • Nearly 100,000 rural residents obtain drinking water from wells. • Approximately 63,289 wells, many located near known hazards. Growing Concerns • Poor health outcomes, lack of contaminant mitigation, and undeveloped rapid sampling systems impede building health resilience within well-water communities. OPPORTUNITY Grant Announcement • Funding opportunity issued by Centers for Disease Control and Prevention (CDC) to interested states. • Joint application for emergency preparedness and drinking water programs. Health Equity Framework • Health equity centers on addressing social determinants of health. • Addressing the environment, ecosystems, and implications on health are then added. • Place-based health promotion and preparedness activities align to drive resilience and ensure health security. • Build social capital, foster social cohesion, and reduce a communities’ vulnerability to hazards before, during, and after emergencies. “Resilience is all about being able to overcome the unexpected. Sustainability is about survival. The goal of resilience is to thrive.” – Jamais Cascio RESULTS • A total of four tiers were developed using this revised formula. • Funding amounts range from $6,000 (Tier 1), $4,000 (Tier 2), $2,000 (Tier 3), and $250 (Tier 4) per year. • General significant and trending between and across tiers were observed. MOVING FORWARD Evaluation Considerations • Evaluate grant implementation using other models to determine possible correlations. Applying the Model • Explore application of funding alternative to other cross-cutting grant opportunities for which equity and risk should be considered. • Consider using framework and funding formula (as applicable) for current issues such as the Burrillville Natural Gas Pipeline and Port of Providence Expansion Project . References • CDC. (2015). “Environmental health services support for public health drinking water programs to reduce drinking water exposures.” Atlanta, GA. • U.S. Census Bureau. (2013). “American factfinder.” Washington, D.C. • RIDOH. (2015). “Safewell Collaboratives.” Providence, RI. FUNDING METHODOLOGY Traditional Approach • Distribute funding equally between all municipalities or base on a simple, volume-driven formula. • Volume is often viewed as land area or net population. Revised Approach • Create a tiered funding formula that accounts for volume, risk, and equity. • Outlined factors contributing to each criteria assigned to funding formula. • Used inherent weighting among identified factors – volume (4 factors), risk (3 factors), and equity (3 factors). Data Collection and Analysis • Obtained data from Geographic Information Systems (GIS) and U.S. Census Bureau (Rhode Island 2013-15). • Force ranked each factor in order of prevalence from largest to smallest footprint for each city/town. • Calculated a summated rating average for all factors and criteria and adjusted funding accordingly, assigning tiers to natural breaks within the data itself. July 2015