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The Washington State Board of Health

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Carl Osaki, RS, MSPH. Joe Finkbonner, RPh, MHA ... Washington State Board of Health. 1102 SE Quince St. Olympia Washington 98504-7990 ... – PowerPoint PPT presentation

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Title: The Washington State Board of Health


1
The Washington StateBoard of Health
  • Priority Environmental Justice
  • Board Sponsors
  • Carl Osaki, RS, MSPH
  • Joe Finkbonner, RPh, MHA
  • Final Report of the Environmental Justice
    Subcommittee
  • June 13, 2001
  • Washington State Board of Health
  • 1102 SE Quince St
  • Olympia Washington 98504-7990
  • (360) 236-4110, Fax (360) 236-4088
  • www.doh.wa.gov/sboh/

2
  • OverviewSubcommittee on Environmental Justice
  • Carl Osaki, RS, MSPH
  • Joe Finkbonner, RPh, MHA

3
Definition of Environmental Justice
  • Environmental Justice refers to the fair
    treatment and meaningful involvement of all
    people regardless of race, color, national
    origin, or income with respect to the
    development, implementation, and enforcement of
    environmental laws, regulations, and policies.

4
Overview
  • Board established environment justice as one of
    its priority issues
  • Board created Subcommittee on Environmental
    Justice
  • Subcommittee drafted workplan
  • Subcommittee worked with the community to
    implement workplan and make recommendations

5
Background work
  • Establish Working Definition of EJ
  • Conduct literature review
  • Collect data on disease prevalence and pollution
    distribution in Washington
  • Survey EJ efforts in other states and agencies
  • Work with Washingtons EJ players
  • Understand Washingtons EJ issues
  • Collaborate with other EJ activities in the state
  • Convene Interagency Workgroup on EJ

6
Workplan Goals
  • Raise Consciousness about EJ
  • Create Clearinghouse of Information on Boards
    Website
  • Draft EJ Guidelines for Agency Use

7
  • Framework for Understanding Environmental Justice
  • Carl Osaki, RS, MPH

8
Environmental Justice A public health issue
  • EJ addresses problems associated with the
    disproportionate burden of pollution in
    low-income and minority communities.
  • The Subcommittee was interested in the health
    effects from this disproportionate pollution
    burden
  • The Subcommittee evaluated what is known about
    health status in low-income and minority
    communities and related this to what is known
    about pollution in those areas

9
EJ/Public Health Analysis
  • Are there health disparities in low-income and
    minority communities?
  • Is there disproportionate exposure to
    environmental pollutants?
  • How do patterns of disease disparity relate to
    environmental exposure disparity?

10
  • Are there health disparities in low-income and
    minority communities?

11
Excess Burden of Disease Among Racial/Ethnic
Populations in Washington StateRate ratio is
shown for each group.
Diseases Deaths from AIDS, Asthma, Cervical
Cancer, Diabetes and Cases of Tuberculosis. (DOH
Office of Epidemiology)
12
Many Factors Contribute to Health Disparities
  • Environmental and Occupational Conditions
  • Poverty
  • Behavioral Choices
  • Genetic Variability
  • Nutrition
  • Access to Medical Care

13
  • Is there disproportionate exposure to
    environmental pollutants?

14
Disproportionate Exposure
  • Greater number of facilities in one community
    than another
  • The concentration of toxic substances coming from
    the facilities results in greater risk of
    exposure

15
  • How do patterns of disease disparity relate to
    environmental exposure disparity?

16
Exposure and Disease
  • Difficult to establish causal links
  • Methods to evaluate relative contribution of
    environmental factors to health status and to
    estimate individuals risk of disease from
    exposure
  • -- Epidemiology
  • -- Toxicology
  • Policymakers need to rely on epidemiology,
    toxicology, and community input to inform their
    decisions

17
  • Findings and
  • Recommendations
  • Carl Osaki, RS, MSPH
  • Joe Finkbonner, RPh, MHA
  • Janice Englehart, MPH

18
The Subcommittee found
  • EJ embraced by many community-based organizations
  • EJ poorly understood by government and regulatory
    agencies
  • Many agency staff with complaints of not knowing
    how to effectively engage the public in their
    processes
  • Willingness on the part of agency staff to learn
    and be more responsive to community needs

19
Subcommittee findings cont.
  • Frustration in agency and community
    representatives who complain of not having access
    to one another
  • Frustration in communities where many agencies
    are working
  • Lack of understanding in the community about
    different agency roles

20
  • Recommendations

21
Better Agency Coordination
  • The Department of Ecology and the Department of
    Health work together to achieve more coordinated
    efforts among local, state, and federal agencies.
  • Maintain and expand the interagency workgroup
  • Better utilization of NEPA and SEPA
  • Welcome NEJAC to Washington

22
Improve Agency Capacity through Education
  • Encourage staff participation in GOIA training
  • Incorporate EJ and cultural competency training
    into existing training programs
  • Distribute NEJACs Model Plan for Public
    Participation
  • Collaborate with federal EJ efforts

23
Adopt EJ Guidelines
  • Ensure community participation in finalizing
    guidelines
  • Recommend that the Board ask Governor Locke to
    consider incorporating guidelines into an
    executive order
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