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7/28/2019 Environmental Justice: How social determinants affect health disparities by Congresswoman Donna M. Christensen
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ENVIRONMENTAL JUSTICE: HOW SOCIALDETERMINANTS AFFECT HEALTHDISPARITIES.
PLACE MATTERS:ZEROING IN ONPOVERTY
CongresswomanDonna M. Christensen
April 4, 2013
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THE CONGRESSIONAL BLACK CAUCUS
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WHERE POVERTY DEFINES THE PLACE
COUNTLESS SCIENTIFIC STUDIES HAVECONSISTENTY SHOWED A DIRECT
RELATIONSHIP BETWEEN POVERTY AND
POOR HEALTH AND PREMATURE DEATHINDEPENDENT OF ANY OTHER FACTORS
OR INDIVIDUAL BEHAVIORS;
AND POOR SCHOOLS, POLLUTINGINDUSTRIES, SUBSTANDARD HOUSING,
HIGH UNEMPLOYMENT AND OTHER
DISPARITIES
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U.S. POVERTY RATE BY RACEPercent
Overall U.S.
Poverty Rate
Data: U.S. Bureau of the Census, 2011
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As Poverty Rates Increase, Health
Access Decreases:
During 2009, 3.7 additional people fell into
poverty.
The number of people without health
insurance rose by 4.3 million in 2009, to a
total of 50.7 million, while the percentage of
people who are uninsured rose from 15.4percent to 16.7 percent.
NOTE: These are the largest single-year
increases on record in data going back to 1987.
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GAPS AND CHANGES IN HOUSEHOLD
WEALTH BY RACEIn dollars per year
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PLACE MATTERS: ENSURING OPPORTUNITIES
FOR GOOD HEALTH FOR ALL JCPEC, SEPTEMBER 1012
San Joaquin Valley, California:
Focusing on ramifications ofenvironmental degradation
Lowest life expectancy in zip codes with
lowest income and largest percentage of
Hispanic residents. Premature deaths 2X
that of highest income zip codes
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PLACE MATTERS: ENSURING OPPORTUNITIES
FOR GOOD HEALTH FOR ALL JCPEC, SEPTEMBER 1012
New Orleans:
Life expectancy in the poorest zip code is25.5 years lower than life expectancy in
zip code with the lowest amount of
poverty. African Americans live
disproportionately in those areas
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PLACE MATTERS: ENSURING OPPORTUNITIES
FOR GOOD HEALTH FOR ALL JCPEC, SEPTEMBER 1012
Cook County, Illinois:Looking at access to healthy foods
At least 20% of residents living in poverty for 5decades
Income over 53,000 life expectancy 14 yearslongerthan those with under 25,000
With least access to chain supermarkets haveaverage life expectancy 11 years shorterthan
those who do. Premature death for African Americans nearly
2.5X that of White residents
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CBC ANTI-POVERTY INITIATIVES
111th and 112th Congress
Themed: Creating Pathways Out Of Poverty
H. Con. Res.198 - Expressing the sense of
Congress that poverty should be cut in half in10 years.
112th
Congress H.R. 3300Half in Ten Act of 2011 (Lee)
Establishment of the Out Of Poverty Caucus
Lee/McDermott)
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CBC ANTI-POVERTY INITIATIVES
CBC Poverty and the Economy Task
Force
Spurred formation of a Dem CaucusAnti-Poverty Task Force
The 10/20/30 initiative (Clyburn) First applied in ARRA remains a priority for
all funds and programs
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10/20/30
474 counties where 20 percent or more of thepopulation has been living below the poverty line for the
last 30 years. They lack access to quality schools,
affordable quality health care and adequate job
opportunities. In 2009, these counties were represented by 43
Democrats and 84 Republicans in the Congress.
Democrats represented 149 of them, with a total
population of8.8 million; Republicans 311, with a total population of8.3 million;
and
14, with a total population of5. 3 million, were split
between Republicans and Democrats.
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CONGRESSIONAL BLACK CAUCUSALTERNATIVE BUDGET FY 2014
PRO-GROWTH. PRO-PEOPLE.
PRO-AMERICA.
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CBC 2014 BUDGET WOULD HAVE:
Ended the Sequester
Protected and strengthened Social Security,
Medicare, Medicaid, all safety net programs
Invested in health, education, housing,
economic development, job creation, and
applied the 10/20/30 formula
Created public health option
AND reduced the deficit
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OF THE SEQUESTER
IMPACT
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CDC PROGRAMS PROMOTING
HEALTH, PREVENTING DISEASE
SEQUESTRATION WOULD RESULT IN 25,000 FEWER BREAST AND CERVICAL
CANCER SCREENINGS FOR LOW - INCOME, HIGH - RISK WOMEN
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COMMUNITY HEALTH CENTERS424,000 FEWER HIV TESTS WILL BE CONDUCTED BY HEALTH DEPARTMENTS
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EARLY CHILDHOOD CARE AND
EDUCATIONUNDER SEQUESTRATION, ROUGHLY 70,000 CHILDREN NATIONWIDE WOULD LOSE
ACCESS TO HEAD START, THEREBY LOSING COMPREHENSIVE EARLY CHILDHOODSERVICES
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SEQUESTRATION WOULD REDUCE WIC FUNDING BY $353 MILLION,RESULTING IN OVER 600,000 LOW INCOME, NUTRITIONALLY AT RISK,
PREGNANT, POSTPARTUM AND BREASTFEEDING WOMEN, INFANTS, AND
CHILDREN LOSING SERVICES
SUPPLEMENTAL NUTRITIONPROGRAMS FOR WOMEN, INFANTS,
AND CHILDREN
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ENVIRONMENTAL PROTECTION AGENCYSequestration would delay environmental clean up
efforts and hamper enforcement of environmentallaws.
More than nine million people are estimated to live inneighborhoods with commercial hazardous waste facilities,
including more than 5.1 million people of color.
Over half of residents (56%) of communities with commercialhazardous waste facilities are people of color. AfricanAmericans, Hispanics/Latinos and Asians/Pacific Islanders 1.7,2.3, and 1.8 times more likely than whites to live in these
neighborhoods, respectively.
More than two - thirds of residents of neighborhoods withclustered facilities are people of color.
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EJ RELATED IMPACTS OF SEQUESTRATION:
Eliminate or significantly reduce air quality datasystems. Americans that have or care for individualswith respiratory and cardiac health issues rely on
AIRNow for information about when to take action toavoid health impacts from air pollution.
EPA would eliminate upgrades for the EmissionsInventory and Air Quality Systemsthe Agencywould only fund operations for thesesystems. Without this monitoring data, futureimprovements in air quality would be hampered ordelayed. (SA)
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EJ IMPACTS OF SEQUESTRATION
Limit EPAs capacity to identify toxic airemissions, water discharges, and other sourcesof pollution that directly affect public health andthe environment. (SA)
Hinder tribal governments ability to ensureclean air and clean and safe waterby cutting EPAtribal funding. This funding supports environmentalprotection for 566 tribes on 70 million acres of triballands. (SA)
Reducing funding to understand the effect ofnanomaterials on human health and dispose ofrare earth minerals used in electronic, therebylimiting innovation and manufacturing opportunities
with these materials in the US. (SA)
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EJ RELATED IMPACTS OF SEQUESTRATION
Sequestration cuts to State Revolving Funds(SRFs) would deprive communities fromaccess to funding to build or repair decayingwater and wastewater infrastructure that
provides safe drinking water and treatssewage.[1] (SA)
Eliminate more than 100 water qualityprojects and restoration projects through cuts
to the Water Program State ImplementationGrants. Examples of projects include:
[1] Seehttp://water.epa.gov/grants_funding/cwsrf/uploa
d/CWSRF-FY12allot.pdffor state-by-stateim acts.
http://water.epa.gov/grants_funding/cwsrf/upload/CWSRF-FY12allot.pdfhttp://water.epa.gov/grants_funding/cwsrf/upload/CWSRF-FY12allot.pdfhttp://water.epa.gov/grants_funding/cwsrf/upload/CWSRF-FY12allot.pdfhttp://water.epa.gov/grants_funding/cwsrf/upload/CWSRF-FY12allot.pdfhttp://water.epa.gov/grants_funding/cwsrf/upload/CWSRF-FY12allot.pdfhttp://water.epa.gov/grants_funding/cwsrf/upload/CWSRF-FY12allot.pdf -
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EJ RELATED IMPACTS OF SEQUESTRATION
Discontinue funding for two joint EPA/NIH Centers ofExcellence for Childrens Health Research. Thesecenters are providing a greater understanding of howthe environment impacts todays most pressing
childrens health challenges, including asthma,autism, attention deficit disorder, neurodevelopmentaldeficits, childhood leukemia, diabetes, andobesity. Eliminating funding would negatively impact
graduate students and faculty who would have to lookfor new funding to keep their research going andultimately slow down the pace of scientificresearch in these important public health areas.(SA)
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FROM E&C COMMITTEE OVERSIGHT PLAN:
The Committee will continue to monitorinternational negotiations on efforts to controlgreenhouse gas emissions in connection withconcerns about global climate change. Inaddition, the Committee will examine the EPAsefforts to regulate domestic greenhouse gasemissions under the Clean Air Act based on its
endangerment finding. The Committee willconsider whether such agreements andregulatory efforts are scientifically wellgrounded.
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FROM E&C COMMITTEE OVERSIGHT PLAN
The Committee will continue to reviewsignificant rulemakings under the Clean Air
Act and the potential economic and job
impacts of those rulemakings on the energy,manufacturing and construction industriesand other critical sectors of the U.S.economy, as well as any public health and
environmental benefits of the regulations.The Committees review will includeoversight of the Environmental ProtectionAgencys (EPA) decisions, strategies andactions
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2014 BUDGET BATTLES
Sequester Affordable Care Act
Social Security, Medicare and Medicaid
SNAP, WIC, other safety net programs Education
Infrastructure
Jobs
Innovation/research Regulation pollution, banks, corporations
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Its the people of color who are
disproportionately affected by bad food, bad air,and bad water. People of color are also
disproportionately unable to escape the negativeconsequences of global warming. Look at
Hurricane Katrina. People of color need equalprotection from the worst environmentaldisasters and equal access to the best
environmental technologies. We should bespeaking out ourselves on these issues, because
we are going to be hit first and hardest byeverything negative, and we will benefit last and
least from everything positive unlesseverybody works to solve this problem.
-- Van Jones
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PRESIDENT BARACK OBAMA
THIS IS OUR MOMENT
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President Barack Obama
30
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SPRING HEALTH BRAINTRUST
HEALTH EQUITY, HEALTH CARE QUALITY
AND THE AFFORDABLE CARE ACT: THENEXT CHAPTER
April 22, 23, 2013RITZ CARLTON, DC
www.nmqf.org
PLEASE J OIN US
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SUGAR BAY HOTEL
ST. THOMAS US VIRGIN ISLANDS
November 13-16, 2013
www.buildinghealthycommunties2013.com
AND
THE SEVENTH NATIONAL HEALTH
DISPARITIES CONFERENCE
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CONGRESSWOMANDONNA M. CHRISTENSEN
www.donnachristensen.house.gov
THANK YOU