This book provides geographic perspectives and approaches for use in assessing the distribution of environmental health hazards and disease outcomes among disadvantaged population groups. Estimates suggest that about 40 per cent of the global burden of disease is attributable to exposures to biological and chemical pathogens in the physical environment. And with today's rapid rate of globalization, and these hazardous health effects are likely to increase, with low income and underrepresented communities facing even greater risks. In many places around the world, marginalized communities unwillingly serve as hosts of noxious facilities such as chemical industrial plants, extractive facilities (oil and mining) and other destructive land use activities. Others are being used as illegal dumping grounds for hazardous materials and electronic wastes resulting in air, soil and groundwater contamination. The book informs readers about the geography and emergent health risks that accompany the location of these hazards, with emphasis on vulnerable population groups. The approach is applications-oriented, illustrating the use of health data and geographic approaches to uncover the root causes, contextual factors and processes that produce contaminated environments. Case studies are drawn from the author's research in the United States and Africa, along with a literature review of related studies completed in Europe, Asia and South America. This comparative approach allows readers to better understand the manifestation of environmental hazards and inequities at different spatial scales with localized disparities evident in both developed and developing countries.

The United States is among the wealthiest nations in the world, but it is far from the healthiest. Although life expectancy and survival rates in the United States have improved dramatically over the past century, Americans live shorter lives and experience more injuries and illnesses than people in other high-income countries. The U.S. health disadvantage cannot be attributed solely to the adverse health status of racial or ethnic minorities or poor people: even highly advantaged Americans are in worse health than their counterparts in other, "peer" countries. In light of the new and growing evidence about the U.S. health disadvantage, the National Institutes of Health asked the National Research Council (NRC) and the Institute of Medicine (IOM) to convene a panel of experts to study the issue. The Panel on Understanding Cross-National Health Differences Among High-Income Countries examined whether the U.S. health disadvantage exists across the life span, considered potential explanations, and assessed the larger implications of the findings. U.S. Health in International Perspective presents detailed evidence on the issue, explores the possible explanations for the shorter and less healthy lives of Americans than those of people in comparable countries, and recommends actions by both government and nongovernment agencies and organizations to address the U.S. health disadvantage.

When environmental health problems arise in a community, policymakers must be able to reconcile the first-hand experience of local residents with recommendations by scientists. In this highly original look at environmental health policymaking, Jason Corburn shows the ways that local knowledge can be combined with professional techniques to achieve better solutions for environmental health problems. He traces the efforts of a low-income community in Brooklyn to deal with environmental health problems in its midst and offers a framework for understanding "street science"—decision making that draws on community knowledge and contributes to environmental justice. Like many other low-income urban communities, the Greenpoint/Williamsburg neighborhood of Brooklyn suffers more than its share of environmental problems, with a concentration of polluting facilities and elevated levels of localized air pollutants. Corburn looks at four instances of street science in Greenpoint/Williamsburg, where community members and professionals combined forces to address the risks from subsistence fishing from the polluted East River, the asthma epidemic in the Latino community, childhood lead poisoning, and local sources of air pollution. These episodes highlight both the successes and the limits of street science and demonstrate ways residents can establish their own credibility when working with scientists. Street science, Corburn argues, does not devalue science; it revalues other kinds of information and democratizes the inquiry and decision making processes.

In the United States, some populations suffer from far greater disparities in health than others. Those disparities are caused not only by fundamental differences in health status across segments of the population, but also because of inequities in factors that impact health status, so-called determinants of health. Only part of an individual's health status depends on his or her behavior and choice; community-wide problems like poverty, unemployment, poor education, inadequate housing, poor public transportation, interpersonal violence, and decaying neighborhoods also contribute to health inequities, as well as the historic and ongoing interplay of structures, policies, and norms that shape lives. When these factors are not optimal in a community, it does not mean they are intractable: such inequities can be mitigated by social policies that can shape health in powerful ways. Communities in Action: Pathways to Health Equity seeks to delineate the causes of and the solutions to health inequities in the United States. This report focuses on what communities can do to promote health equity, what actions are needed by the many and varied stakeholders that are part of communities or support them, as well as the root causes and structural barriers that need to be overcome.

Are we environmentally victimizing, perhaps even poisoning, our minority and low-income citizens? Proponents of environmental justice assert that environmental decisionmaking pays insufficient heed to the interests of those citizens, disproportionately burdens their neighborhoods with hazardous toxins, and perpetuates an insidious environmental racism. In this critique of environmental justice advocacy, Foreman argues that it has cleared significant political hurdles but displays substantial limitations and drawbacks. Activism has yielded a presidential executive order, management reforms at the Environmental Protection Agency, and numerous local political victories. Yet the environmental justice movement is structurally and ideologically unable to generate a focused policy agenda. Ironically, environmental justice advocacy may also threaten the very constituencies it aspires to serve distracting attention from the many significant health hazards challenging minority and disadvantaged populations. Foreman recommends specific institutional reforms intended to recast the national dialogue about the stakes of these populations in environmental protection.

To be poor, working-class, or a person of color in the United States often means bearing a disproportionate share of the country’s environmental problems. Starting with the premise that all Americans have a basic right to live in a healthy environment, Dumping in Dixie chronicles the efforts of five African American communities, empowered by the civil rights movement, to link environmentalism with issues of social justice. In the third edition, Bullard speaks to us from the front lines of the environmental justice movement about new developments in environmental racism, different organizing strategies, and success stories in the struggle for environmental equity.

This book explores various and distinct aspects of environmental health literacy (EHL) from the perspective of investigators working in this emerging field and their community partners in research. Chapters aim to distinguish EHL from health literacy and environmental health education in order to classify it as a unique field with its own purposes and outcomes. Contributions in this book represent the key aspects of communication, dissemination and implementation, and social scientific research related to environmental health sciences and the range of expertise and interest in EHL. Readers will learn about the conceptual framework and underlying philosophical tenets of EHL, and its relation to health literacy and communications research. Special attention is given to topics like dissemination and implementation of culturally relevant environmental risk messaging, and promotion of EHL through visual technologies. Authoritative entries by experts also focus on important approaches to advancing EHL through community-engaged research and by engaging teachers and students at an early age through developing innovative STEM curriculum. The significance of theater is highlighted by describing the use of an interactive theater experience as an approach that enables community residents to express themselves in non-verbal ways.