Protocol for Assessing Community Excellence in Environmental Health (PACE-EH) 2019 CDC Division of Nutrition, Physical Activity and Obesity (DNPAO) National Training F l o r i d a D e p a r t m e n t o f H e a l t h Julianne Price, RS Statewide PACE Coordinator May 7, 2019
Introduction § What is PACE-EH? v A methodology consisting of tasks to engage the public’s involvement, collect necessary and relevant information pertaining to community environmental health status, rank issues and set local priorities for action § How is the methodology applied? v 13 Tasks § Does it work? v Results have been proven. In Florida, over 65 PACE initiatives have yielded $80 million in improvements 2
Forgotten Communities Freeman Wiggs s m a i l i l W a m m E 3
Health Inequities in the Built Environment Use the PACE-EH experience to improve quality of life issues 4
PACE-EH Methodology • Facilitators examine potential for a CEHA • Define goals & scope • Facilitators “map” the of assessment • Generate list of local target community • Invite key community/ EH issues • Describe the context staff members Prepare for Locate Process Issues of the issues Tasks 4-6 Tasks 1-3 Set Stage Quantify/Qualify • Rank the issues for Action • Set priorities for action Issues • Develop action plans Tasks 5-7 • Develop local Tasks 8-13 • Evaluate progress indicators • Select relevant standards • Create issue profiles 5
PACE-EH: Most Common Health Issues § Heavy traffic § No sidewalks § Hazardous waste § No bike paths § Sanitary nuisances § Infant mortality § Solid waste issues § No street lights/ § Sewage/septic issues insufficient lighting § Frequent flooding § No affordable housing § Water quality § Dilapidated housing/uncared for property § Drowning § Forgotten by leaders § Crime (drugs, safety) § Drinking water/well contamination § Noise § Cut off from other neighborhoods § Air contamination/pollution § No fire hydrants § Park improvements 6
Fellsmere PACE-EH Project Over $4 Million Yield Creation of Residential Façade Improvement Grant Program • CDBG Paving and Drainage project ($1M) • FRDAP Award for Grant Park ($137,000 for ADA restroom • and other amenities) Demolished eight abandoned homes • Repaired over ten septic systems and rehabilitated homes • Installed walkways around perimeter of community park • Expansion of Go-Line Bus Route due to paving • Initiation of Community Gardening Project • Annexed adjacent Lincoln Park Subdivision • Built Two Homes in One Day! •
PACE-EH Walkability Projects u Anonymous Survey u 14 Questions u 401 Total Respondents u 378 Indian River County Residents Responses u Survey Responses collected September 2017-May 2018
PACE-EH Walkability Projects 100% 90% Is Poor Lighting a Barrier to you Walking or 90% Biking in your Community? 80% 69% 68% 70% 61% 59% 58% 57% 60% Percentage of 54% 51% 47% Respondents who 50% selected this 40% as a Barrier 30% 25% 20% 10% 0% 8 8 0 2 3 s 6 ) ) 8 ) t d r o 4 5 6 6 6 6 6 n e r s 9 9 9 9 9 9 9 o h s e 2 2 2 2 2 2 2 a d f t 3 3 3 3 3 3 f O 3 b n i G a ( o 7 W ( p 6 7 s 6 9 ( e 7 9 2 R 6 2 3 9 l 3 l 2 A 3 Area of Respondents
PACE-EH Walkability Projects Mapped responses to the question-“Please list the intersections in your community you don’t feel safe crossing. List in order of most dangerous to least dangerous.” Respondents’ Number of General Answers to Respondents this Question All of CR512 13 All of US1 11 All of SR60 9 All of A1A 6 All of 43 rd Ave 6 All Roads are the 4 most dangerous No Roads are the 7 most Dangerous
Questions? Julianne Price, RS Statewide PACE Coordinator Julianne.Price@flhealth.gov
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