Multnomah County Health Department Environmental Health PACE EH A Tool for Overcoming Health...
-
Upload
morgan-critchett -
Category
Documents
-
view
214 -
download
0
Transcript of Multnomah County Health Department Environmental Health PACE EH A Tool for Overcoming Health...
![Page 1: Multnomah County Health Department Environmental Health PACE EH A Tool for Overcoming Health Disparities Lila Wickham, RN MS November 15, 2003.](https://reader035.fdocuments.us/reader035/viewer/2022070307/551b7681550346d6338b510a/html5/thumbnails/1.jpg)
Multnomah County Health Department
Environmental Health
PACE EH
A Tool for Overcoming Health Disparities
Lila Wickham, RN MS
November 15, 2003
![Page 2: Multnomah County Health Department Environmental Health PACE EH A Tool for Overcoming Health Disparities Lila Wickham, RN MS November 15, 2003.](https://reader035.fdocuments.us/reader035/viewer/2022070307/551b7681550346d6338b510a/html5/thumbnails/2.jpg)
Multnomah County
Multnomah County population 650,000 1/3 of Oregon’s residents
Primarily urban with 79% population in the City of Portland
Majority of diverse population resides in Multnomah County
![Page 3: Multnomah County Health Department Environmental Health PACE EH A Tool for Overcoming Health Disparities Lila Wickham, RN MS November 15, 2003.](https://reader035.fdocuments.us/reader035/viewer/2022070307/551b7681550346d6338b510a/html5/thumbnails/3.jpg)
Oregon’s Inequities
Oregon is one of two states in the nation in which the gap between the wealthy and the poor grew the fastest
The median household income for African Americans is the lowest of any group and 33% lower than the county median income
![Page 4: Multnomah County Health Department Environmental Health PACE EH A Tool for Overcoming Health Disparities Lila Wickham, RN MS November 15, 2003.](https://reader035.fdocuments.us/reader035/viewer/2022070307/551b7681550346d6338b510a/html5/thumbnails/4.jpg)
Why PACE ?
Dealing with “Hazard of the Week” Lack of “community” involvement in
environmental health Disparity between science and public perception Limited data at the local level Seeking available resources rather than
community desired resources
![Page 5: Multnomah County Health Department Environmental Health PACE EH A Tool for Overcoming Health Disparities Lila Wickham, RN MS November 15, 2003.](https://reader035.fdocuments.us/reader035/viewer/2022070307/551b7681550346d6338b510a/html5/thumbnails/5.jpg)
Vision of Success
Facilitate an inclusive community process that identifies, analyzes and prioritizes environmental health concerns and builds community capacity
![Page 6: Multnomah County Health Department Environmental Health PACE EH A Tool for Overcoming Health Disparities Lila Wickham, RN MS November 15, 2003.](https://reader035.fdocuments.us/reader035/viewer/2022070307/551b7681550346d6338b510a/html5/thumbnails/6.jpg)
Reach out into the community to engage collaboratively in research not perform research on a community
Biggest ongoing ethical issue remains allocation of resources
![Page 7: Multnomah County Health Department Environmental Health PACE EH A Tool for Overcoming Health Disparities Lila Wickham, RN MS November 15, 2003.](https://reader035.fdocuments.us/reader035/viewer/2022070307/551b7681550346d6338b510a/html5/thumbnails/7.jpg)
Eisenhower 1953
“Every gun that is fired, every warship launched, every rocket fired, signifies, in the final sense, a theft from those who hunger and are not fed, those who are cold and are not clothed. The world in arms is not spending money alone. It is spending the sweat of its labourers, the genius of its scientists, the hopes of its children”.
![Page 8: Multnomah County Health Department Environmental Health PACE EH A Tool for Overcoming Health Disparities Lila Wickham, RN MS November 15, 2003.](https://reader035.fdocuments.us/reader035/viewer/2022070307/551b7681550346d6338b510a/html5/thumbnails/8.jpg)
Definition of Success
Goal I. – Develop Functioning Coalition
1. Diverse Representation (organization, individuals, under represented communities)
2. Create Steering Committee3. Functional Work Groups4. Relationship Building5. Develop Action Plan for Assessment6. Advocate for Implementation of Action Plan
![Page 9: Multnomah County Health Department Environmental Health PACE EH A Tool for Overcoming Health Disparities Lila Wickham, RN MS November 15, 2003.](https://reader035.fdocuments.us/reader035/viewer/2022070307/551b7681550346d6338b510a/html5/thumbnails/9.jpg)
Definition of Success – Continued
Goal II. – Complete Environmental Health Assessment
1. Define Geographic Area of Focus
2. Define Goals, Objectives and Scope
3. Identify EH Issues
4. Analyze EH Issues
5. Prioritize EH Issues
![Page 10: Multnomah County Health Department Environmental Health PACE EH A Tool for Overcoming Health Disparities Lila Wickham, RN MS November 15, 2003.](https://reader035.fdocuments.us/reader035/viewer/2022070307/551b7681550346d6338b510a/html5/thumbnails/10.jpg)
How do you get to “community”?
![Page 11: Multnomah County Health Department Environmental Health PACE EH A Tool for Overcoming Health Disparities Lila Wickham, RN MS November 15, 2003.](https://reader035.fdocuments.us/reader035/viewer/2022070307/551b7681550346d6338b510a/html5/thumbnails/11.jpg)
Select a Geographic Area
Environmental justice area– large % of people of color– low-income– disproportionately affected by environmental and health
threats– people with historically limited access to political & decision-
making power Exposure to multiple environmental problems Availability of existing data on that area PACE-EH support is welcomed by the community
![Page 12: Multnomah County Health Department Environmental Health PACE EH A Tool for Overcoming Health Disparities Lila Wickham, RN MS November 15, 2003.](https://reader035.fdocuments.us/reader035/viewer/2022070307/551b7681550346d6338b510a/html5/thumbnails/12.jpg)
People of Color
![Page 13: Multnomah County Health Department Environmental Health PACE EH A Tool for Overcoming Health Disparities Lila Wickham, RN MS November 15, 2003.](https://reader035.fdocuments.us/reader035/viewer/2022070307/551b7681550346d6338b510a/html5/thumbnails/13.jpg)
People of Color
![Page 14: Multnomah County Health Department Environmental Health PACE EH A Tool for Overcoming Health Disparities Lila Wickham, RN MS November 15, 2003.](https://reader035.fdocuments.us/reader035/viewer/2022070307/551b7681550346d6338b510a/html5/thumbnails/14.jpg)
People in Poverty
![Page 15: Multnomah County Health Department Environmental Health PACE EH A Tool for Overcoming Health Disparities Lila Wickham, RN MS November 15, 2003.](https://reader035.fdocuments.us/reader035/viewer/2022070307/551b7681550346d6338b510a/html5/thumbnails/15.jpg)
Exposure to multiple environmental problems
![Page 16: Multnomah County Health Department Environmental Health PACE EH A Tool for Overcoming Health Disparities Lila Wickham, RN MS November 15, 2003.](https://reader035.fdocuments.us/reader035/viewer/2022070307/551b7681550346d6338b510a/html5/thumbnails/16.jpg)
Exposure to multiple environmental problems
![Page 17: Multnomah County Health Department Environmental Health PACE EH A Tool for Overcoming Health Disparities Lila Wickham, RN MS November 15, 2003.](https://reader035.fdocuments.us/reader035/viewer/2022070307/551b7681550346d6338b510a/html5/thumbnails/17.jpg)
Availability of existing data on that area
Income Diversity Waste transfer stations Landfills Illegal dump sites Air quality Age of housing
Lead poisoning cases Benzene Diesel particulate matter Brownfields Automobile accidents Cancer incidence Pesticide exposures
Existing GIS data considered:
![Page 18: Multnomah County Health Department Environmental Health PACE EH A Tool for Overcoming Health Disparities Lila Wickham, RN MS November 15, 2003.](https://reader035.fdocuments.us/reader035/viewer/2022070307/551b7681550346d6338b510a/html5/thumbnails/18.jpg)
PACE-EH support is welcomed by the community
![Page 19: Multnomah County Health Department Environmental Health PACE EH A Tool for Overcoming Health Disparities Lila Wickham, RN MS November 15, 2003.](https://reader035.fdocuments.us/reader035/viewer/2022070307/551b7681550346d6338b510a/html5/thumbnails/19.jpg)
![Page 20: Multnomah County Health Department Environmental Health PACE EH A Tool for Overcoming Health Disparities Lila Wickham, RN MS November 15, 2003.](https://reader035.fdocuments.us/reader035/viewer/2022070307/551b7681550346d6338b510a/html5/thumbnails/20.jpg)
Active Neighborhood Coalitions
![Page 21: Multnomah County Health Department Environmental Health PACE EH A Tool for Overcoming Health Disparities Lila Wickham, RN MS November 15, 2003.](https://reader035.fdocuments.us/reader035/viewer/2022070307/551b7681550346d6338b510a/html5/thumbnails/21.jpg)
Passion and Storytelling
![Page 22: Multnomah County Health Department Environmental Health PACE EH A Tool for Overcoming Health Disparities Lila Wickham, RN MS November 15, 2003.](https://reader035.fdocuments.us/reader035/viewer/2022070307/551b7681550346d6338b510a/html5/thumbnails/22.jpg)
Core Functions of Public Health
AssessmentAssurancePolicy DevelopmentPassion
![Page 23: Multnomah County Health Department Environmental Health PACE EH A Tool for Overcoming Health Disparities Lila Wickham, RN MS November 15, 2003.](https://reader035.fdocuments.us/reader035/viewer/2022070307/551b7681550346d6338b510a/html5/thumbnails/23.jpg)
![Page 24: Multnomah County Health Department Environmental Health PACE EH A Tool for Overcoming Health Disparities Lila Wickham, RN MS November 15, 2003.](https://reader035.fdocuments.us/reader035/viewer/2022070307/551b7681550346d6338b510a/html5/thumbnails/24.jpg)
Immediate issues identified by community
See EH screening as a regular medical visit Neighborhood clean-ups Education on peeling paint and lead paint Landlord inspection of property on a regular
basis Mold in basements Disease carrying rodents
![Page 25: Multnomah County Health Department Environmental Health PACE EH A Tool for Overcoming Health Disparities Lila Wickham, RN MS November 15, 2003.](https://reader035.fdocuments.us/reader035/viewer/2022070307/551b7681550346d6338b510a/html5/thumbnails/25.jpg)
Immediate issues identified by community (cont)
Manage traffic so that children can walk safely to school
Change policy around diesel exhaust, trains, trucks
Stinky garbage cans
![Page 26: Multnomah County Health Department Environmental Health PACE EH A Tool for Overcoming Health Disparities Lila Wickham, RN MS November 15, 2003.](https://reader035.fdocuments.us/reader035/viewer/2022070307/551b7681550346d6338b510a/html5/thumbnails/26.jpg)
Next Steps
Complete community based assessment Identify and prioritize issues Create solutions Change public policy
![Page 27: Multnomah County Health Department Environmental Health PACE EH A Tool for Overcoming Health Disparities Lila Wickham, RN MS November 15, 2003.](https://reader035.fdocuments.us/reader035/viewer/2022070307/551b7681550346d6338b510a/html5/thumbnails/27.jpg)