Toward Environmental Justice: Research, Education, and Health Policy Needs / Edition 1

Toward Environmental Justice: Research, Education, and Health Policy Needs / Edition 1

by Committee on Environmental Justice, Institute of Medicine
     
 

ISBN-10: 0309064074

ISBN-13: 9780309064071

Pub. Date: 03/05/1999

Publisher: National Academies Press

Driven by community-based organizations and supported by a growing body of literature, the environmental justice movement contends that poor and minority populations are burdened with more than their share of toxic waste, pesticide runoff, and other hazardous byproducts of our modern economic life.

Is environmental degradation worse in poor and minority

Overview

Driven by community-based organizations and supported by a growing body of literature, the environmental justice movement contends that poor and minority populations are burdened with more than their share of toxic waste, pesticide runoff, and other hazardous byproducts of our modern economic life.

Is environmental degradation worse in poor and minority communities? Do these communities suffer more adverse health effects as a result? The committee addresses these questions and explores how current fragmentation in health policy could be replaced with greater coordination among federal, state, and local parties.

The book is highlighted with case studies from five locations where the committee traveled to hear citizen and researcher testimony. It offers detailed examinations in these areas:

  • Identifying environmental hazards and assessing risk for populations of varying ethnic, social, and economic backgrounds, and the need for methodologies that uniquely suit the populations at risk.
  • Identifying basic, clinical, and occupational research needs and meeting challenges to research on minorities.
  • Expanding environmental education from an ecological focus to a public health focus for all levels of health professionals.
  • Legal and ethical aspects of environmental health issues.

The book makes recommendations to decisionmakers in the areas of public health, research, and education of health professionals and outlines health policy considerations.

Product Details

ISBN-13:
9780309064071
Publisher:
National Academies Press
Publication date:
03/05/1999
Edition description:
New Edition
Pages:
137
Product dimensions:
6.00(w) x 9.00(h) x (d)

Table of Contents

1 INTRODUCTION AND EXECUTIVE SUMMARY
1(10)
Concepts and Definitions
1(2)
The Committee's Origin and Task
3(3)
The Committee's Task
3(2)
The Data and Site Visits
5(1)
Conclusions and Recommendations
6(3)
Research
6(1)
Education
7(1)
Health Policy
8(1)
Organization of the Report
9(2)
2 ESTABLISHING A BASELINE
11(12)
Disparities in Health Status in the United States
11(3)
Low Birth Weight
13(1)
Infant Mortality
13(1)
Death Rates
13(1)
Cancer
13(1)
Disparities in Exposure to Environmental Hazards
14(4)
Examining Proximity to Environmental Health Hazards
14(2)
Characterizing Exposure
16(2)
Examining the Link Between Exposure and Health
18(3)
Lack of Health Status Characterization
19(1)
Failure of Differentiation of Populations and Differences in Outcomes
20(1)
A Case Study: Urban Asthma
20(1)
Conclusions
21(2)
3 RESEARCH
23(22)
Research Methodologies
24(9)
Documenting Excessive Exposures
24(2)
Assessing Susceptibility to Environmental Hazards
26(1)
Measuring the Health Effects of Exposure to Environmental Health Hazards
27(2)
Biomarkers
29(4)
Research Challenges
33(8)
Improving Epidemiologic Studies
34(1)
Addressing Race
35(1)
Participatory Research
36(4)
Enhancing Support for Research
40(1)
Conclusions and Recommendations
41(4)
4 EDUCATION
45(16)
Health Professional Education
46(6)
Enhancing Health Professional Education
46(5)
Increasing the Number of Minority Health Professionals
51(1)
Education of the Public
52(5)
Educating Children
53(2)
Community Leadership
55(1)
Conducting Participatory Research
55(2)
Conclusions and Recommendations
57(4)
5 HEALTH POLICY
61(8)
Current Science Base for Environmental Justice
61(3)
Expanding the Policy Process
64(1)
Conclusions and Recommendations
65(4)
REFERENCES 69(10)
APPENDIXES 79(52)
A Using Disease Cluster and Small-Area Analyses to Study Environmental Justice 79(24)
B Acknowledgments 103(6)
C Acronyms 109(2)
D Executive Order 12898 111(10)
E Committee and Staff Biographies 121(10)
INDEX 131

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