<< Back to Current Issue                 click here to download electronic copy                   CEHTP HOME >>

 

California Tracking              No. 2  Summer 2003

The Newsletter of the California Environmental Health Tracking Program

IN THIS ISSUE:

Feature Article

  Pacoima Beautiful: a Community Perspective on Environmental Health Tracking

 

Program Updates

  Statewide Needs Assessment

  Assessment of Data Systems

  Alameda County Demonstration Linkage Project Update

 

National and Regional Updates on Environmental Health Tracking

  CDC Releases Request for Proposals

  Updates on California Senate Bill 702 Report and Senate Bill 189

 

In Other News

  Special Survey on Californians and the Environment

  Precautionary Principle

  Announcements


Pacoima Beautiful: A Community Perspective on Tracking

Pacoima Beautiful, a community-based organization located in the northeast San Fernando Valley, "provides environmental education, leadership development, and advocacy to create a clean, healthy and safe environment to improve the quality of life" for over 97,000 residents of Pacoima.  Established in the mid-1990's, Pacoima Beautiful focuses on implementing "resident-driven" programs that help residents create clean and environmentally safe neighborhoods; assist youth in participating to improve the environment in Pacoima; and help residents create healthy homes for their children.

Community members are taking steps to prioritize environmental issues and health concerns.  Environmental concerns include freeways, a nearby airport, abandoned trash, oil drums, hazardous waste sites, land use conflicts and mold, dust mites, peeling paint.  Health concerns include asthma, lead poisoning, and impaired children's learning.   Of primary concern to Pacoima residents is finding out which environmental hazards contribute to health problems and the specific steps that can be taken to improve the health of the residents. "We can't move the freeway, but we want to know what kind of impact it has when it is 100 to 300 feet from the school," states Kristin Aldana-Taday, Associate Director of Administration for Pacoima Beautiful..

 

Pacoima Beautiful staff and community members recognize the value of having accurate, relevant data. They have conducted limited health surveys and sampled  air, water, and soil. They also recognize the need for ongoing help in locating and interpreting data specific to the community and comparing it to other communities.

 

"We need time to review, time to process, time to understand", states Aldana-Taday.  "Environmental health tracking sounds great - the more information you have the better.  But not if you don't know how to read it, not if you don't know what it means to say - 1000 people have XYZ thing, ABC facility puts out so many pounds of this chemical, or this chemical can cause cancer or birth defects.  What do we do next as a community group?  What do I do with the information as a resident?  How can we use the information to improve our environment and the health of our children?"

 

Pacoima Beautiful's vision of an environmental health tracking network includes:

Opportunities and resources for collaboration between scientists, researchers, and community members to address local environmental and health concerns

Increased accessibility to local (e.g., by zip code) relevant environmental and health data ("centralized place to access the data; the simpler the data comes out, the easier it is for us to work with")

Training for community members on how to access and use the data

Standardized data collection tool for local communities that will allow aggregation of locally collected data

Training for health care providers on environmental health issues that will help improve services like lead testing and also improve data collection

Promotes greater public understanding of health effects and environmental hazards

 

Additional community perspectives on environmental health tracking can be found here.


PROGRAM UPDATES

 

Statewide Needs Assessment: Seeking Your Input

In planning for an Environmental Health Tracking Network in California, it is essential that we hear the voices of stakeholders - NGOs, Tribal Organizations, and Local Health and Environmental Health Departments - to better address their needs.  

 

The California Environmental Health Tracking Program is conducting a statewide needs assessment in order to identify, describe, and prioritize the following:

Concerns and issues related to environmental health.

Needs related to collecting, reporting, accessing, analyzing, and interpreting environmental health data.

Needs related to utilizing environmental health data for  public health actions.

Capacity Building and Training issues related to environmental health tracking.

 

We are asking Local Health and Environmental Health Departments, Tribal Organizations, and NGOs to participate in a survey to provide information that will facilitate the development of a strategic plan for Environmental Health Tracking in California, including an Environmental Health Tracking Outreach/Education and Training Strategy.

 

Click here to participate in the needs assessment or to learn more about our initiative.

 

If you have any questions or would like further information, please contact the CEHTP Needs Assessment Coordinator:  Eddie Oh, MPH at 510-620-3698.

 

Technical Assessment: Can Health and Environmental Data Systems Be Integrated?

The CEHTP has recently awarded a sub-contract to the Sacramento consulting firm, Synergy, Inc.  Synergy is surveying and interviewing data managers and other IT personnel within government environmental and health departments to collect information about the existing technological and surveillance system infrastructures of these departments. 

 

The results will provide important information regarding the departments' abilities to integrate their surveillance systems with a statewide environmental public health tracking network.  The final report for this project will be available at the end of 2003.

 

If you have any questions or would like further information, please contact the CEHTP IT/GIS Manager:  Craig Wolff, MS Eng at 510-620-3655.

 

Alameda County Demonstration Linkage Project

The Alameda County Demonstration Linkage Project is a key component of the CEHTP.  The project will link datasets for traffic pollution, birth outcomes (low birth weight and pre-term birth), and asthma-related health care use for Alameda County and examine possible associations between these environmental hazards and health outcomes.

 

Data Collection Status

We are nearing the completion of collecting health data, with the data abstraction from Kaiser Permanente in its final stages.  The data from the California Center for Vital Statistics and the DHS Medical Care Statistics Section are in various stages of geocoding and processing.

 

This brings the project to an exciting stage, when work on statistical analysis of birth and asthma outcomes and the generation of maps and reports can begin.  The assembly of environmental data is also progressing.  We now have CalTrans information that describes traffic volumes on streets and highways throughout Alameda County.  From these data, we will be able to estimate traffic pollution in Alameda County in 2001.

 

The Linkage Process    

Geocoding, the process of assigning latitude and longitude coordinates to addresses, allows us to compare environmental information to health outcomes for people who live in different parts of Alameda County.  After processing, we will link the datasets and examine the environmental hazards and health outcomes together.  Geocoding will also allow us to visualize the data on a map with a "smoothed surface"- that is, without boundaries such as census tracts or zip codes.

 

Future Plans    

Once the data are analyzed, materials will be developed to present the findings.  Project staff will recruit local stakeholders from county agencies and community based organizations to assess these materials.  Lessons learned will contribute to the development of the statewide CEHTP.

 

For research questions, please contact:  Eric M. Roberts, MD, PhD, Demonstration Linkage Project Manager at 510-620-3699.

 

For community participation questions, please contact:  Michelle Wong, MPH, Demonstration Linkage Project Health Educator at 510-620-3661.


Regional and National updates on Environmental Health Tracking

 

CDC Releases Request for Proposals

The CDC announced the availability of funds for a cooperative agreement program with state and some local health departments.  The program will demonstrate and evaluate methods for linking data from existing health surveillance systems to existing human exposure or environmental hazard surveillance/monitoring systems.  The program will also serve to improve existing surveillance systems by increasing epidemiologic, analytic, and technological capacity at the local, state, and regional level.  The project period will be 3 years, and the funding is additional to the funds that support current demonstration linkage projects. 

 

The deadline for proposals was July 29, and the expected award date is in mid-September.

 

The demonstration linkage projects initiated from this program announcement will link environmental exposure/hazard data with one or more of the following health effects:

Neurological diseases (e.g. Alzheimer's disease, ALS, MS, Parkinson's disease)

Autoimmune diseases

Pesticide poisoning

Heavy metal poisoning (e.g. lead, mercury)

Major structural birth defects

Developmental disabilities (e.g. autism, mental retardation)

Cancers, especially those with shorter latency periods

Asthma and other chronic obstructive respiratory diseases

 

Updates on Senate Bill 702 Report and Senate Bill 189

Senate Bill 702 (Escutia):  Signed in October 2001, SB 702 states the Legislature's intent to establish an environmental health tracking system for chronic diseases and environmental hazards and exposures. The SB 702 Expert Working Group has been working hard to develop a legislative report with recommendations for the creation of a tracking system, estimates of associated costs for such a system, and recommendations for which health and environmental measurements should be used in the system.  Be on the lookout for the final report, which will be released for public comment this fall and available at our website.

 

Senate Bill 189 (Escutia):   Also known as the Environmental Health Tracking Act of 2003, SB 189 requires the California Department of Health Services, the California Environmental Protection Agency, and the University of California to jointly develop and sign a memorandum of understanding to assess the feasibility of establishing an environmental health tracking network.  The bill also authorize the California Environmental Health Tracking Program to collect an relevant information from state agencies, boards, departments, and offices.  The bill has been signed by Governor Davis on 9/16 and chaptered on 9/17.

  

For official California legislative information, go to www.leginfo.ca.gov


IN OTHER NEWS

 

Special Survey on Californians and the Environment

The Public Policy Institute of California (PPIC) released a new report, PPIC Statewide Survey: Special Survey on Californians and the Environment, in July 2003.  The report details results from a statewide telephone survey in which California residents were asked questions regarding growth, land use, and the environment.   The survey focuses in particular on public perceptions, individual actions, and policy preferences relating to air quality issues.

 

For the full report, go to: http://www.ppic.org/main/publication.asp?i=427

 

Key Findings

Air pollution was rated (30%) as the most important environmental issue, followed by water pollution (10%), growth and sprawl (7%), water supply (7%), and pollution in general (6%).

58% of respondents believe that air pollution is a serious health threat.

65% of respondents believed that environmental protection is a priority, even if it meant curbing economic growth.

 

Also see the National Survey of Public Perceptions of Environmental Health Risks, California Component: http://healthyamericans.org/docs/index.php?DocID=15

 

San Francisco Adopts Precautionary Principle

"We acknowledge that our world will never be free from risk.  However, a risk that is unnecessary, and not freely chosen, is never acceptable."

Jared Blumenfeld, Director, San Francisco Department of the Environment

 

The San Francisco Board of Supervisors adopted the Precautionary Principle on June 17, 2003.   The Precautionary Principle is a framework used to develop policies that protect health and the environment and has been used in many Western European countries.  Jared Blumenfeld, the Director of San Francisco Department of the Environment, describes the importance of and reasoning behind the adoption:  "Both locally and internationally, the public bears the direct consequences of environmental decisions. A government's course of action is necessarily enriched by broadly based public participation when a range of alternatives is considered. This concept of environmental democracy is deeply ingrained in San Francisco's Precautionary Principle." 

 

For more information on the San Francisco Precautionary Principle Ordinance, go to:

http://www.sfgov.org/sfenvironment/aboutus/policy/legislation/precaution_principle.htm

 

CEHTP Planning Consortium Meeting

The 3rd meeting of the CEHTP Planning Consortium will be held in Oakland on October 23rd, 2003.

For questions regarding participation, please contact: Mimi Johnson, MPH, CEHTP Program Coordinator, at (510) 622-4480 or mjohnson@dhs.ca.gov

 

Disclaimer: Links to non-CEHTP resources found at this site are provided solely as a service. These links do not constitute an endorsement of these resources and none should be inferred. CEHTP is not responsible for the content of the individual organization Web pages or documents found at these links.