Climate Change, Respiratory Health and Equity: Building Knowledge - - PowerPoint PPT Presentation

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Climate Change, Respiratory Health and Equity: Building Knowledge - - PowerPoint PPT Presentation

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Climate Change, Respiratory Health and Equity: Building Knowledge and Capacity for Action Asthma Regional Council of New England May 14, 2019 @HRiAction @ARC_NE1 Summit Purpose Build knowledge Illuminate bright spots about links between

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Climate Change, Respiratory Health and Equity: Building Knowledge and Capacity for Action

Asthma Regional Council of New England

May 14, 2019 @HRiAction @ARC_NE1

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Summit Purpose

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Build knowledge about links between respiratory health and climate change

Illuminate bright spots – particularly protecting

  • ur regions most

vulnerable populations

Increase capacity for collaboration to reduce climate change & promote climate resilient communities. Dialogue about how we can better address climate change, and promote equity

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Health equity

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Negative health outcomes…

Injury Heart disease Stroke Behavior problems Cancer Hypertension

Depression

Asthma Obesity COPD

Diabetes

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Negative health outcomes… influenced by health behaviors…

Injury Heart disease Stroke Behavior problems Cancer Hypertension

Depression

Asthma Obesity COPD

Diabetes exercise

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Negative health outcomes… influenced by health behaviors… shaped by the social determinants of health…

Injury Heart disease Stroke Behavior problems Cancer Hypertension

Depression

Asthma Obesity COPD

Diabetes

Air quality Education Neighborhood safety Physical condition of home Health services Places to be physically active Transportation Access to employment Affordable housing Homelessness Food Health care Childcare

exercise

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Injury Heart disease Stroke Behavior problems Cancer Hypertension

Depression

Asthma Obesity COPD

Diabetes exercise

Air quality Education Neighborhood safety Physical condition of home Health services Places to be physically active Transportation Access to employment Affordable housing Homelessness Food Health care Childcare

Negative health outcomes… influenced by health behaviors… shaped by the social determinants of health…

created and perpetuated by root causes of inequities

Classism & institutional barriers

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What is health equity?

Source: Human Impact Partners, Health Equity Guide https://healthequityguide.org/about/defining-health-equity/ Adapted from: Braveman P, Arkin E, Orleans T, Proctor D, and Plough A. What Is Health Equity? And What Difference Does a Definition Make? Princeton, NJ: Robert Wood Johnson Foundation, 2017

Health equity means that everyone has a fair and just

  • pportunity to be as healthy as

possible.

To achieve this, we must remove

  • bstacles to health — such as

poverty, discrimination, and deep power imbalances — and their consequences, including lack of access to good jobs with fair pay, quality education and housing, safe environments, and health care.

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  • Z. Bailey, et al - “Structural racism and health inequities in the USA: evidence and interventions”

Institutional and structural racism

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Institutional racism

Refers to the policies and practices of

  • rganizations (education, transportation,

housing, healthcare, etc.) that create different

  • utcomes for different racial groups.

Refers to the totality of ways in which societies foster racial discrimination through mutually reinforcing systems of housing, education, employment, earnings, benefits, credit, media, health care, and criminal justice. These patterns and practices in turn reinforce discriminatory beliefs, values, and distribution of resources.

Structural racism

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Health equity – upstream approach

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Equity framework

Challenge assumptions and narratives about what promotes and hinders health Create and sustain authentic and diverse engagement Strengthen capacity to correct power imbalances and address inequities

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Environmental Protection Agency, Region One Asthma Prevention and Control Programs at the:

  • Connecticut DPH
  • Maine DHHS
  • Massachusetts DPH
  • New Hampshire DHHS
  • Rhode Island DOH
  • Vermont DOH

Thank you Co-Sponsors

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Short Films

Our Climate Our Future Asthma Alley Fuel Change Anthem

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Introductions & Sectors Represented

  • Community Based, Environmental & Advocacy
  • Public Health – Local and State
  • Environmental Protection – Federal & State
  • Clinicians
  • Academics/Research
  • Energy Conservation
  • Housing
  • And More!

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Short Films

Our Climate Our Future Asthma Alley Fuel Change Anthem

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Small Group Discussion

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Discussion: (20 minutes):

  • Name one to three feasible actions that you could

take immediately – collaboratively and/or on your

  • wn. Consider:

▪ Assets/opportunities ▪ Partnerships ▪ Challenges ▪ Fit with your current work. Table Report out: Share ideas (15 minutes)

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Short Films

Our Climate Our Future Asthma Alley Fuel Change Anthem

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Small Group Discussion

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Individual reflection (10 minutes) Small Group discussions (30 minutes)

  • How can you work across sectors to help ensure that TCI

has a strong equity agenda?

  • What organizations or communities need to be at the table?
  • What can we do to uplift voices of frontline communities?
  • Ideas to push your work more upstream to address

climate resilience and/or respiratory health upstream?

Share with Group (25 minutes)

  • 0ne or two big takeaways.
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Evaluations Wrap-up

Thanks for Your Participation!