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Environmental Health
Improvements in
Communities
Making	
  a	
  Visible	
  Difference	
  in	
  
Communi5es	
  
MA	
  Sustainable	
  Communi1es	
  and	
  
Campuses	
  Conference:	
  	
  
The	
  Pursuit	
  of	
  Sustainable	
  Living	
  
April	
  16,2015	
  
EPA’s Themes-Meeting the Challenge
Ahead
•  Making	
  a	
  Visible	
  Difference	
  in	
  Communi5es	
  across	
  the	
  Country	
  
•  Addressing	
  Climate	
  Change	
  and	
  Improving	
  Air	
  Quality	
  
•  Taking	
  Ac1on	
  on	
  Toxics	
  and	
  Chemical	
  Safety	
  
•  Protec1ng	
  Water	
  
•  Launching	
  a	
  New	
  Era	
  of	
  State,	
  Tribal	
  and	
  Local	
  Partnerships	
  
•  EPA	
  as	
  a	
  High	
  Performance	
  Organiza1on	
  
•  Working	
  Towards	
  a	
  Sustainable	
  Future	
  
Administrator	
  Gina	
  McCarthy	
  
Making a Visible Difference in
Communities across the Country
•  EPA	
  must	
  work	
  each	
  and	
  every	
  day-­‐hand-­‐in-­‐hand	
  with	
  other	
  federal	
  
agencies,	
  states,	
  tribes	
  and	
  local	
  communi5es	
  –to	
  improve	
  the	
  
health	
  of	
  American	
  families	
  and	
  protect	
  the	
  environment	
  one	
  
community	
  at	
  a	
  5me,	
  all	
  across	
  the	
  country.	
  	
  We	
  must	
  expand	
  the	
  
work	
  we	
  do	
  to	
  enhance	
  the	
  livability	
  and	
  economic	
  vitality	
  of	
  
neighborhoods	
  in	
  and	
  around	
  brownfields	
  sites;	
  strengthen	
  our	
  
rela1onship	
  with	
  America’s	
  agricultural	
  community;	
  support	
  green	
  
infrastructure	
  to	
  manage	
  urban	
  waters;	
  reduce	
  air	
  pollu1on	
  along	
  
roadways,	
  railways	
  and	
  at	
  ports;	
  and	
  take	
  into	
  considera5on	
  the	
  
impacts	
  of	
  our	
  decisions	
  on	
  environmental	
  jus5ce	
  communi5es	
  
through	
  increased	
  analysis,	
  beUer	
  science,	
  and	
  enhanced	
  community	
  
engagement	
  to	
  ensure	
  the	
  protec1on	
  of	
  basic	
  fundamental	
  rights.	
  
Place Matters in Environmental Health
EPA Wants to make a Visible Difference
•  Rank	
  34th	
  in	
  world	
  for	
  Life	
  Expectancy:	
  USA-­‐79	
  yrs	
  	
  vs	
  	
  Japan-­‐84	
  yrs	
  
•  Disparity	
  within	
  USA	
  :	
  zipcode	
  predicts	
  life	
  expectancy	
  
•  Using	
  DC	
  subway	
  line-­‐	
  9	
  yr	
  difference	
  in	
  life	
  expectancy:	
  
	
  	
  	
  	
  	
  	
  	
  	
  	
  Downtown	
  DC-­‐	
  72yr.	
  out	
  to	
  Chevy	
  Chase-­‐	
  81.3yrs.	
  
	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  12	
  miles	
  and	
  9+	
  yrs	
  difference	
  
	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  Causes	
  of	
  mortality	
  vary	
  as	
  well	
  	
  	
  	
  
•  No	
  community	
  wants	
  to	
  be	
  known	
  for	
  being	
  unhealthy	
  hotspot:	
  	
  
	
  	
  	
  	
  Asthma,	
  	
  respiratory	
  diseases,	
  birth	
  defects	
  and	
  mortality,	
  cardiac	
  
diseases,	
  cancers,	
  autoimmune	
  diseases	
  
What	
  Works:	
  Community-­‐based,	
  Community-­‐
driven	
  Programs	
  created	
  to	
  build	
  local	
  
partnerships	
  to	
  help	
  communi5es	
  understand	
  
and	
  reduce	
  risks	
  from	
  all	
  sources	
  of	
  toxics.	
  
	
  
	
  
Collabora1on	
  
	
  	
  	
  	
  Bring	
  together	
  local	
  businesses,	
  residents	
  and	
  local	
  governments	
  in	
  a	
  collabora1ve	
  
process	
  to	
  address	
  local	
  environmental	
  risks.	
  
•  Ranking	
  
	
  	
  	
  	
  Helps	
  communi1es	
  gain	
  an	
  understanding	
  of	
  all	
  poten1al	
  sources	
  of	
  exposure	
  to	
  toxic	
  
pollutants	
  	
  in	
  order	
  to	
  address	
  environmental	
  problems	
  at	
  the	
  local	
  level.	
  
•  Assistance	
  
	
  	
  	
  	
  Provides	
  communi1es	
  with	
  funding,	
  tools,	
  and	
  technical	
  assistance	
  for	
  implemen1ng	
  
local	
  solu1ons	
  that	
  reduce	
  environmental	
  exposures	
  
How	
  to	
  Work	
  with	
  Communi5es-­‐	
  
Strategies	
  That	
  Work!	
  
•	
  	
  Support	
  and	
  educate	
  communi5es	
  
	
  
•	
  	
  Build	
  effec5ve	
  collabora5ons	
  
	
  
•	
  	
  Mobilize	
  local	
  resources	
  and	
  use	
  
voluntary	
  programs	
  
	
  
•	
  	
  Build	
  long	
  term	
  community	
  capacity	
  	
  
Industrial	
  Economics	
  Inc.	
  “Community	
  KPI	
  2012”	
  
survey	
  
7
How	
  	
  EPA	
  Community	
  Ac5ons	
  for	
  a	
  
Renewed	
  Environment	
  (CARE)	
  Worked	
  
	
  CARE	
  helps	
  communi1es	
  access	
  technical	
  support	
  
and	
  build	
  capaci)ty)y	
  to	
  reduce	
  toxics	
  through	
  
collabora1ve	
  ac1on	
  at	
  the	
  local	
  level.	
  	
  CARE	
  helps	
  
communi1es:	
  
(1) 	
  Join	
  together	
  in	
  partnerships	
  with	
  local	
  
business,	
  government,	
  and	
  organiza1ons.	
  	
  
(2) 	
  Develop	
  a	
  comprehensive	
  understanding	
  of	
  
the	
  sources	
  of	
  environmental	
  pollutants	
  and	
  
set	
  local	
  environmental	
  priori1es;	
  	
  
(3) 	
  Carry	
  out	
  projects	
  to	
  reduce	
  risks	
  through	
  
collabora1ve	
  ac1on	
  at	
  the	
  local	
  level,	
  and	
  	
  
(4) 	
  Ensure	
  self-­‐sustaining	
  partnerships	
  and	
  
capabili1es	
  so	
  that	
  it	
  leaves	
  behind	
  organized	
  
stakeholder	
  groups	
  and	
  a	
  structure	
  to	
  con1nue	
  to	
  
improve	
  human	
  health	
  and	
  the	
  local	
  environment.	
  
	
  
County	
  Health	
  	
  
Rankings	
  &	
  Roadmaps	
  
www.countyhealthrankings.or
g	
  
	
  	
  
A	
  Robert	
  Wood	
  Johnson	
  
Founda1on	
  Program	
  
§  Free	
  services	
  (DfE	
  workplace	
  safety	
  training,	
  on-­‐
site	
  health	
  visits,	
  business	
  development	
  training)	
  
in	
  exchange	
  for	
  par1cipa1on	
  in	
  program.	
  	
  
§  Prac1ce	
  changes:	
  switching	
  to	
  aqueous	
  brake	
  
cleaner,	
  reducing	
  perchloroethylene-­‐containing	
  
aerosols,	
  using	
  hydrophic	
  mop	
  technology,	
  oil	
  and	
  
solvent	
  recycling,	
  waterborne	
  coa1ngs	
  to	
  
eliminate	
  VOCs.	
  	
  
§  Reduced	
  outdoor	
  and	
  indoor	
  air	
  pollutants,	
  
hazardous	
  waste,	
  improper	
  disposal;	
  90-­‐100%	
  
proper	
  use	
  of	
  best	
  work	
  prac1ces	
  in	
  175	
  shops	
  
fully	
  inspected	
  and	
  trained	
  
§  702	
  workers	
  trained,	
  428	
  shops	
  inspected	
  
§  Na5onal	
  Implica5ons:	
  	
  Model	
  project	
  for	
  EPA	
  
Na5onal	
  Collision	
  Repair	
  Campaign	
  to	
  meet	
  CAA	
  
rules	
  faster;	
  grantee	
  helped	
  design	
  EPA	
  campaign.	
  
Boston,	
  MA	
  -­‐-­‐Releases	
  and	
  Waste	
  from	
  Auto	
  
Body	
  Shops	
  Reduced	
  
•  Con1nued	
  work	
  with	
  small	
  business:	
  nail	
  and	
  hair	
  salons	
  
•  Brandeis	
  Uiversity	
  students	
  sampled	
  in	
  over	
  20	
  salons:	
  
formaldehyde	
  over	
  OSHA	
  limits	
  
•  Nail	
  salon	
  educa1on	
  and	
  regula1ons	
  
Commission	
  will	
  con1nue	
  program,	
  use	
  model	
  for	
  
other	
  sectors,	
  is	
  now	
  sharing	
  “Safe	
  Shops	
  Tool	
  Kit”	
  
na1onally.	
  
	
  
10
What	
  Local	
  Businesses	
  	
  
Gain	
  From	
  CARE	
  
•  CARE	
  helps	
  businesses	
  build	
  
new	
  posi5ve	
  rela5onships	
  in	
  
the	
  community	
  and	
  develop	
  
new	
  rela5onships	
  with	
  EPA,	
  
state	
  and	
  local	
  governments	
  
	
  
§  Addi5onal	
  informa5on	
  
and	
  support	
  to	
  take	
  
advantage	
  of	
  EPA’s	
  
programs	
  regarding	
  
emissions	
  reduc5ons	
  
	
  
Rank Issue Rank Issue
1 ETS 15 CO	
  (indoors)
2 PM	
  2.5 16 Asbestos
3 Diesel	
  Exhaust 17 NO2
4 Industrial	
  Air	
  Pollu1on 18 Microbial	
  Contamina1on
5 Vehicle	
  Exhaust 19 VOCs
6 Ozone 20 Disinfec1on	
  By-­‐Products
7 Chemicals/Pes1cides	
  (soil) 21 Illegal	
  Dumping
8 Chemical/Pes1cides	
  (indoors) 22 Trash/Debris
9 Mold	
  (indoors) 23 Pollen	
  and	
  Mold	
  (outdoors)
10 Lead	
  Paint 24 Heavy	
  Metals	
  (water)
11 Pests	
  (indoors) 25 PM10
12 Radon 26 CO	
  (outdoors)
13 Brownfields 27 Prescrip1on	
  Drugs	
  (water)
14 SO2 	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  28 Fish	
  Consump1on
Table 9. The Ranking of All Individual Pollutants Based on the Risk Ranking Matrix*
*The ranks presented in this table do not include community concern.
Springfield	
  (CARE)	
  Ranking	
  of	
  Environmental	
  Problems	
  
Springfield	
  Community	
  Mobiliza5on	
  Project	
  	
  
Partners	
  for	
  a	
  Healthier	
  Community	
  
•  Over	
  18	
  community	
  mee1ngs	
  to	
  educate	
  and	
  empower	
  residents	
  
•  Solu1a	
  Ini1a1ve-­‐	
  mee1ng	
  with	
  ARISE	
  and	
  Solu1a	
  agreed	
  to	
  stop	
  burning	
  
coal	
  and	
  formed	
  community	
  advisory	
  commiUee	
  
•  Climate	
  jus1ce	
  leadership	
  skills	
  training	
  for	
  50	
  residents	
  and	
  worked	
  to	
  
create	
  climate	
  change	
  plan	
  for	
  city	
  
•  Air	
  quality	
  assessment	
  by	
  residents	
  and	
  youth	
  for	
  school	
  idling	
  and	
  
monitoring:	
  parents	
  mainly	
  problem	
  –school	
  system	
  adopted	
  different	
  
traffic	
  flow	
  and	
  an1-­‐idling	
  signs	
  
•  Working	
  with	
  city	
  on	
  improving	
  schools’	
  indoor	
  air	
  quality	
  
•  Focus	
  on	
  developing	
  Healthy	
  Housing	
  and	
  Energy	
  Coali1on	
  to	
  reduce	
  
asthma	
  triggers	
  in	
  homes	
  	
  
13
What	
  Communi5es	
  Gain	
  from	
  CARE	
  or	
  Any	
  
Broad	
  Based	
  Environmental	
  Program	
  
•  Risk	
  reduc5on	
  -­‐	
  unadainable	
  through	
  
na5onal	
  regula5ons	
  
•  An	
  improved	
  understanding	
  of	
  risk	
  
•  Collabora5ve	
  solu5ons	
  to	
  environmental	
  
problems	
  	
  
•  Increased	
  capacity	
  for	
  environmental	
  
stewardship	
  
•  A	
  network	
  of	
  communi5es	
  to	
  learn	
  from	
  
and	
  share	
  experiences	
  with	
  
14
One-­‐Stop	
  Shop	
  To	
  Community	
  
Tools:hdp://www.epa.gov/
care/	
  
•  The	
  Roadmap:	
  	
  A	
  10-­‐step	
  method	
  for	
  communi1es	
  to	
  assess	
  and	
  
priori1ze	
  local	
  risks	
  
•  Community	
  Guide	
  to	
  EPA’s	
  Partnership	
  Programs:	
  A	
  guide	
  of	
  EPA	
  
voluntary	
  programs	
  of	
  greatest	
  benefit	
  to	
  communi1es	
  
•  Grants	
  Guide:	
  A	
  compila1on	
  of	
  funding	
  sources	
  for	
  community	
  
environmental	
  and	
  public	
  health	
  ac1vi1es	
  
•  Promising	
  Prac5ces	
  to	
  Improve	
  Community	
  Performance	
  and	
  
Sustainability:	
  Successful	
  prac1ces	
  used	
  by	
  14	
  CARE	
  communi1es	
  
that	
  improved	
  performance	
  and	
  sustainability.	
  
•  Measurement	
  Tips	
  &	
  Resources	
  for	
  Community	
  Projects:	
  How	
  	
  to	
  
measure	
  progress	
  made	
  by	
  community	
  projects	
  working	
  to	
  
improve	
  environmental	
  health	
  
•  Sustainability	
  Checklist:	
  Ways	
  to	
  ensure	
  the	
  project	
  con1nues	
  to	
  
improve	
  the	
  environment	
  arer	
  the	
  EPA	
  CARE	
  funding	
  ends.	
  
CARE	
  Partnerships	
  and	
  EPA	
  staff	
  collaborated	
  on	
  these	
  tools	
  to	
  help	
  
community-­‐based	
  groups:	
  
RWJF Culture of Health Prize
‣  Annual	
  prize	
  
‣  Honoring	
  outstanding	
  community	
  efforts	
  and	
  partnerships	
  
‣  Winning	
  communi1es	
  receive	
  a	
  $25,000	
  cash	
  prize	
  
‣  2014	
  winners	
  to	
  be	
  announced	
  Summer	
  of	
  2014	
  
www.countyhealthrankings.org/roadmaps/prize
Summary	
  
• Where	
  we	
  live	
  maUers	
  to	
  our	
  health.	
  
• There	
  are	
  great	
  dispari1es	
  in	
  health	
  based	
  on	
  where	
  
we	
  live.	
  
• Health	
  is	
  more	
  than	
  health	
  care.	
  Many	
  factors	
  
contribute	
  to	
  health	
  such	
  as	
  environmental	
  health.	
  	
  
• We’re	
  all	
  in	
  this	
  together.	
  It	
  takes	
  all	
  of	
  us	
  working	
  
together	
  to	
  improve	
  the	
  health	
  of	
  a	
  community.	
  
Environmental Health Improvements
in Communities: Make a Visible
Difference
MaryBeth	
  Smuts,	
  Ph.D.	
  
Regional	
  Toxicologist	
  
Air	
  Permits,	
  Toxics	
  and	
  Indoor	
  Programs	
  Unit	
  
US	
  EPA:	
  Region	
  1	
  New	
  England	
  
5	
  Post	
  Office	
  Square,	
  OEP05-­‐2	
  
Boston,	
  MA	
  02109	
  
617/9181512	
  
Smuts.marybeth@epa.gov	
  	
  

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V1 marybeth smuts epa

  • 1. Environmental Health Improvements in Communities Making  a  Visible  Difference  in   Communi5es   MA  Sustainable  Communi1es  and   Campuses  Conference:     The  Pursuit  of  Sustainable  Living   April  16,2015  
  • 2. EPA’s Themes-Meeting the Challenge Ahead •  Making  a  Visible  Difference  in  Communi5es  across  the  Country   •  Addressing  Climate  Change  and  Improving  Air  Quality   •  Taking  Ac1on  on  Toxics  and  Chemical  Safety   •  Protec1ng  Water   •  Launching  a  New  Era  of  State,  Tribal  and  Local  Partnerships   •  EPA  as  a  High  Performance  Organiza1on   •  Working  Towards  a  Sustainable  Future   Administrator  Gina  McCarthy  
  • 3. Making a Visible Difference in Communities across the Country •  EPA  must  work  each  and  every  day-­‐hand-­‐in-­‐hand  with  other  federal   agencies,  states,  tribes  and  local  communi5es  –to  improve  the   health  of  American  families  and  protect  the  environment  one   community  at  a  5me,  all  across  the  country.    We  must  expand  the   work  we  do  to  enhance  the  livability  and  economic  vitality  of   neighborhoods  in  and  around  brownfields  sites;  strengthen  our   rela1onship  with  America’s  agricultural  community;  support  green   infrastructure  to  manage  urban  waters;  reduce  air  pollu1on  along   roadways,  railways  and  at  ports;  and  take  into  considera5on  the   impacts  of  our  decisions  on  environmental  jus5ce  communi5es   through  increased  analysis,  beUer  science,  and  enhanced  community   engagement  to  ensure  the  protec1on  of  basic  fundamental  rights.  
  • 4. Place Matters in Environmental Health EPA Wants to make a Visible Difference •  Rank  34th  in  world  for  Life  Expectancy:  USA-­‐79  yrs    vs    Japan-­‐84  yrs   •  Disparity  within  USA  :  zipcode  predicts  life  expectancy   •  Using  DC  subway  line-­‐  9  yr  difference  in  life  expectancy:                    Downtown  DC-­‐  72yr.  out  to  Chevy  Chase-­‐  81.3yrs.                              12  miles  and  9+  yrs  difference                      Causes  of  mortality  vary  as  well         •  No  community  wants  to  be  known  for  being  unhealthy  hotspot:            Asthma,    respiratory  diseases,  birth  defects  and  mortality,  cardiac   diseases,  cancers,  autoimmune  diseases  
  • 5. What  Works:  Community-­‐based,  Community-­‐ driven  Programs  created  to  build  local   partnerships  to  help  communi5es  understand   and  reduce  risks  from  all  sources  of  toxics.       Collabora1on          Bring  together  local  businesses,  residents  and  local  governments  in  a  collabora1ve   process  to  address  local  environmental  risks.   •  Ranking          Helps  communi1es  gain  an  understanding  of  all  poten1al  sources  of  exposure  to  toxic   pollutants    in  order  to  address  environmental  problems  at  the  local  level.   •  Assistance          Provides  communi1es  with  funding,  tools,  and  technical  assistance  for  implemen1ng   local  solu1ons  that  reduce  environmental  exposures  
  • 6. How  to  Work  with  Communi5es-­‐   Strategies  That  Work!   •    Support  and  educate  communi5es     •    Build  effec5ve  collabora5ons     •    Mobilize  local  resources  and  use   voluntary  programs     •    Build  long  term  community  capacity     Industrial  Economics  Inc.  “Community  KPI  2012”   survey  
  • 7. 7 How    EPA  Community  Ac5ons  for  a   Renewed  Environment  (CARE)  Worked    CARE  helps  communi1es  access  technical  support   and  build  capaci)ty)y  to  reduce  toxics  through   collabora1ve  ac1on  at  the  local  level.    CARE  helps   communi1es:   (1)  Join  together  in  partnerships  with  local   business,  government,  and  organiza1ons.     (2)  Develop  a  comprehensive  understanding  of   the  sources  of  environmental  pollutants  and   set  local  environmental  priori1es;     (3)  Carry  out  projects  to  reduce  risks  through   collabora1ve  ac1on  at  the  local  level,  and     (4)  Ensure  self-­‐sustaining  partnerships  and   capabili1es  so  that  it  leaves  behind  organized   stakeholder  groups  and  a  structure  to  con1nue  to   improve  human  health  and  the  local  environment.    
  • 8. County  Health     Rankings  &  Roadmaps   www.countyhealthrankings.or g       A  Robert  Wood  Johnson   Founda1on  Program  
  • 9. §  Free  services  (DfE  workplace  safety  training,  on-­‐ site  health  visits,  business  development  training)   in  exchange  for  par1cipa1on  in  program.     §  Prac1ce  changes:  switching  to  aqueous  brake   cleaner,  reducing  perchloroethylene-­‐containing   aerosols,  using  hydrophic  mop  technology,  oil  and   solvent  recycling,  waterborne  coa1ngs  to   eliminate  VOCs.     §  Reduced  outdoor  and  indoor  air  pollutants,   hazardous  waste,  improper  disposal;  90-­‐100%   proper  use  of  best  work  prac1ces  in  175  shops   fully  inspected  and  trained   §  702  workers  trained,  428  shops  inspected   §  Na5onal  Implica5ons:    Model  project  for  EPA   Na5onal  Collision  Repair  Campaign  to  meet  CAA   rules  faster;  grantee  helped  design  EPA  campaign.   Boston,  MA  -­‐-­‐Releases  and  Waste  from  Auto   Body  Shops  Reduced   •  Con1nued  work  with  small  business:  nail  and  hair  salons   •  Brandeis  Uiversity  students  sampled  in  over  20  salons:   formaldehyde  over  OSHA  limits   •  Nail  salon  educa1on  and  regula1ons   Commission  will  con1nue  program,  use  model  for   other  sectors,  is  now  sharing  “Safe  Shops  Tool  Kit”   na1onally.    
  • 10. 10 What  Local  Businesses     Gain  From  CARE   •  CARE  helps  businesses  build   new  posi5ve  rela5onships  in   the  community  and  develop   new  rela5onships  with  EPA,   state  and  local  governments     §  Addi5onal  informa5on   and  support  to  take   advantage  of  EPA’s   programs  regarding   emissions  reduc5ons    
  • 11. Rank Issue Rank Issue 1 ETS 15 CO  (indoors) 2 PM  2.5 16 Asbestos 3 Diesel  Exhaust 17 NO2 4 Industrial  Air  Pollu1on 18 Microbial  Contamina1on 5 Vehicle  Exhaust 19 VOCs 6 Ozone 20 Disinfec1on  By-­‐Products 7 Chemicals/Pes1cides  (soil) 21 Illegal  Dumping 8 Chemical/Pes1cides  (indoors) 22 Trash/Debris 9 Mold  (indoors) 23 Pollen  and  Mold  (outdoors) 10 Lead  Paint 24 Heavy  Metals  (water) 11 Pests  (indoors) 25 PM10 12 Radon 26 CO  (outdoors) 13 Brownfields 27 Prescrip1on  Drugs  (water) 14 SO2                      28 Fish  Consump1on Table 9. The Ranking of All Individual Pollutants Based on the Risk Ranking Matrix* *The ranks presented in this table do not include community concern. Springfield  (CARE)  Ranking  of  Environmental  Problems  
  • 12. Springfield  Community  Mobiliza5on  Project     Partners  for  a  Healthier  Community   •  Over  18  community  mee1ngs  to  educate  and  empower  residents   •  Solu1a  Ini1a1ve-­‐  mee1ng  with  ARISE  and  Solu1a  agreed  to  stop  burning   coal  and  formed  community  advisory  commiUee   •  Climate  jus1ce  leadership  skills  training  for  50  residents  and  worked  to   create  climate  change  plan  for  city   •  Air  quality  assessment  by  residents  and  youth  for  school  idling  and   monitoring:  parents  mainly  problem  –school  system  adopted  different   traffic  flow  and  an1-­‐idling  signs   •  Working  with  city  on  improving  schools’  indoor  air  quality   •  Focus  on  developing  Healthy  Housing  and  Energy  Coali1on  to  reduce   asthma  triggers  in  homes    
  • 13. 13 What  Communi5es  Gain  from  CARE  or  Any   Broad  Based  Environmental  Program   •  Risk  reduc5on  -­‐  unadainable  through   na5onal  regula5ons   •  An  improved  understanding  of  risk   •  Collabora5ve  solu5ons  to  environmental   problems     •  Increased  capacity  for  environmental   stewardship   •  A  network  of  communi5es  to  learn  from   and  share  experiences  with  
  • 14. 14 One-­‐Stop  Shop  To  Community   Tools:hdp://www.epa.gov/ care/   •  The  Roadmap:    A  10-­‐step  method  for  communi1es  to  assess  and   priori1ze  local  risks   •  Community  Guide  to  EPA’s  Partnership  Programs:  A  guide  of  EPA   voluntary  programs  of  greatest  benefit  to  communi1es   •  Grants  Guide:  A  compila1on  of  funding  sources  for  community   environmental  and  public  health  ac1vi1es   •  Promising  Prac5ces  to  Improve  Community  Performance  and   Sustainability:  Successful  prac1ces  used  by  14  CARE  communi1es   that  improved  performance  and  sustainability.   •  Measurement  Tips  &  Resources  for  Community  Projects:  How    to   measure  progress  made  by  community  projects  working  to   improve  environmental  health   •  Sustainability  Checklist:  Ways  to  ensure  the  project  con1nues  to   improve  the  environment  arer  the  EPA  CARE  funding  ends.   CARE  Partnerships  and  EPA  staff  collaborated  on  these  tools  to  help   community-­‐based  groups:  
  • 15. RWJF Culture of Health Prize ‣  Annual  prize   ‣  Honoring  outstanding  community  efforts  and  partnerships   ‣  Winning  communi1es  receive  a  $25,000  cash  prize   ‣  2014  winners  to  be  announced  Summer  of  2014   www.countyhealthrankings.org/roadmaps/prize
  • 16. Summary   • Where  we  live  maUers  to  our  health.   • There  are  great  dispari1es  in  health  based  on  where   we  live.   • Health  is  more  than  health  care.  Many  factors   contribute  to  health  such  as  environmental  health.     • We’re  all  in  this  together.  It  takes  all  of  us  working   together  to  improve  the  health  of  a  community.  
  • 17. Environmental Health Improvements in Communities: Make a Visible Difference MaryBeth  Smuts,  Ph.D.   Regional  Toxicologist   Air  Permits,  Toxics  and  Indoor  Programs  Unit   US  EPA:  Region  1  New  England   5  Post  Office  Square,  OEP05-­‐2   Boston,  MA  02109   617/9181512   Smuts.marybeth@epa.gov