Content and slides created to describe a joint initiative between the Minnesota Pollution Control Agency and Minnesota Department of Health to address the adverse health outcomes related to air pollution. Audience was staff, supervisors, managers and assistant commissioners.
Urban Air Quality and Respiratory Health Joint Initiative
1. Urban Air Quality and Respiratory
Health Joint Initiative:
Riding towards good outcomes
MPCA Air Quality Forum
Chris Pulley
Air Quality/Health Coordinator
March 27, 2014
3. Why Are We Riding?
2013 Legislature
MPCA and MDH Mission
Air quality affects health, but how?
One of many factors
Steer us to…
Community engagement
3
4. Who’s Riding?
MPCA Staff
Air Assessment Section
EJ Coordinator
MDH Staff
Environmental
Surveillance and
Assessment Section
Chronic Disease &
Environmental
Epidemiology Section
4
5. What Tools Are We Using On Our
Ride?
Technical Report – due October 2014
Community Toolkit – due October 2014
Health Impact Assessment – due June 2015
Final Report to Legislature – due June 2015
5
6. Technical Report – Twin Cities Air
Pollution and Health Report
Based on NYC Report - Air Pollution and the
Health of New Yorkers: The Impact of Fine
Particles and Ozone
Zip-code level data in 7-county metro area
• Air quality data – MPCA
• Health incidence data – asthma, COPD, cardiovascular
(MDH)
BenMAP – health impacts from different scenarios
Results – health impacts, demographic data
6
7. Community Toolkit
Audience: community stakeholders
State, local and nonprofit resources
Disease management and impact reduction
Air quality, asthma, COPD, smoking cessation,
environmental tobacco smoke
7
8. Health Impact Assessment
Inform decision-makers about the effects of
any policy, program or project on the health of
people
Environmental - one of many factors
Nexus – community engagement
8
9. When We Will Arrive?
Final report due to Legislature – June 2015
Appropriate and effective agency roles for MPCA
and MDH
Recommendations for high leverage
issues/strategies
9
Hinweis der Redaktion
Do not use shading for titles or text
Source: Microsoft Clipart
Before I talk about this joint initiative, I want to share a personal story that’s related. On December 18, 2009, I biked to campus in the late afternoon along the Hiawatha LRT bike path to submit a grad paper. Biking home, I started wheezing. I later found out that I biked during an air quality alert day (the AQI was 124, unhealthy for sensitive groups).
http://www.pca.state.mn.us/index.php/view-document.html?gid=13322
This story relates to this joint initiative. Perhaps the poor air quality that day may have exacerbated my reactive airway disease. But were my lung issues also due my prolonged exposure to second hand smoke when I lived at home, or my college years of biking around the cities and near traffic? At the time, I did not know that biking on air quality alert days could affect respiratory health. It’s likely all of these contributed in some way, but it’s a curious question that rode me, in part, to this position. These are the kinds of questions, in terms of what affects their respiratory health, that communities may have.
Why are we riding? The 2013 legislature provided funding for this two year initiative, and was the joint request of MPCA and MDH. This initiative ties the missions of both agencies in working together to protect and improve our environment and enhance human health, It’s also part of the MDH mission, which is protecting, maintaining and improving the health of all Minnesotans.
We’re also riding because health data are saying air quality affects health, but how? People with chronic respiratory diseases (which include asthma and chronic obstructive pulmonary disease) are vulnerable to exacerbations due to air pollution. These diseases are complex and have many factors, of which outdoor air quality is just one. But it is one the public views as an important contributor, so this initiative will steer us to exploring the data, which may reveal strategies that could help both agencies improve community engagement around these issues.
Who’s riding? Air Assessment Section – Mary Jean Fenkse, Frank Kohlasch, myself, David Bael, Kristie Ellickson, Greg Pratt, Mary Williams, Dorian Kvale; EJ Coordinator – Ned Brooks
MDH Environmental Surveillance and Assessment Section – Dan Symonik, Kristin Raab, Linden Weiswerda
MDH Chronic Disease & Environmental Epidemiology – Jean Johnson, Chuck Stroebel, Wendy Brunner (asthma staff)
Steering team, comprised of supervisors/managers and other staff from both agencies meet monthly to provide direction to the core team, who work on the deliverables of this initiative that I’ll later describe.
These are our Deliverables and target completion dates. I’ll talk about each of these in the next slides.
Technical Report
Based on the NYC Report – Air Pollution and the Health of New Yorkers
Zip code level data
BenMAP - Scenarios: policy-relevant background, 10% improvement, lowest concentration among large US cities. Base on Clean Air MN Dialogues’ air quality improvement targets.
Results: PM 2.5 and Ozone health impacts, pollution exposure and pollution impacts correlate with SES factors?
Community Toolkit
Audience: community stakeholders
Resources: State, local and nonprofit efforts related to disease management and impact reduction around air quality, asthma, COPD, smoking cessation, environmental tobacco smoke)
Health Impact Assessment
Process used by organizations and community groups to provide decision-makers with information about how any policy, program or project may affect the health of people. Considers many factors including environmental)
MDH is working with Nexus Community Partners to provide HIA assistance through a sole-source contract. Re-grantor, rather than RFP, to communities in E. St. Paul, North Minneapolis or South Minneapolis.
When we will arrive? Destination is the Legislature:
We’re riding from the land of misperception, towards better data interpretation, so there’s a broad horizon vs. tunnel vision view of the data, in order to identify an appropriate and effective agency role in working to reduce the respiratory health burden in the high-density urban areas of Minneapolis and St. Paul where outdoor air quality is a concern.
Final report may include the technical report, recommendations for high leverage issues/strategies, community toolkit, summary of the HIA, and possible communication products (fact sheets, summaries, etc.)
Source: http://imagecache.allposters.com/images/pic/PTGPOD/297940e-FB~Silhouette-of-Cyclist-Holding-Bike-Over-His-Head-Posters.jpg