The Case for Healthy Places

IMPROVING HEALTH OUTCOMES.pdf

Place matters for health. It is well documented that one’s zip code can be a more reliable determinant of health than their genetic code. As a mission-driven health plan and integrated delivery system “at risk” for the health of our members and the communities we serve, the 200,000 employees of Kaiser Permanente work hard every day to provide the highest quality care at the lowest possible cost. But we also know that only 10-20% of what creates health has to do with access to care services. The rest of what creates health is directly shaped by where we live, work, learn, play and worship.

So if we are committed to improving population health and well being; reinforcing healthy lifestyle and behavior patterns; reducing health disparities by race and ethnicity; and seeking to reduce the drivers of chronic disease and preventable demand for services (and associated costs) that can make healthcare more affordable—we need to be involved in creating
healthy places.

This report codifies and presents the current evidence based on how placemaking strategies and projects—on a community’s streets, in parks and open spaces, in housing projects, and in diverse public settings—can contribute to improving people’s mental, physical and social health. It explores how built and natural environments that facilitate human connectivity and reduce isolation, while fostering equitable access to the social and economic determinants of health, directly supports human flourishing. It further addresses how placemaking undergirds economic prosperity, but also how leaders can create inclusionary strategies that reduce displacement of lower income and vulnerable families as property values increase.

Disparity Despite Diversity: Social Injustice in New York City’s Urban Agriculture System

Disparity_Despite_Diversity_Social_Injus.pdf

Many studies have documented the benefits of urban agriculture, including
increased food access, job creation, educational opportunities, and green space. A focus on its social benefits has fed an association of urban agriculture with social justice, yet there is a distinction between alleviating symptoms of injustice (such as disparate access to food or environmental amenities) and disrupting structures that underlie them. Despite
its positive impacts, urban agriculture systems may reinforce inequities that practitioners and supporters aim to address. This paper reports findings from a 2-year study of urban agriculture in New York City, which found race- and class-based disparities among practitioners citywide. Using the lens of critical race theory, it argues that a failure to examine urban agriculture’s role in either supporting or dismantling unjust structures may perpetuate an inequitable system. The paper concludes with recommendations for urban agriculture supporters and scholars to help advance social justice at structural levels.

How Trees and Vegetation Relate to Aggression & Violence

How Trees and Vegetation Relate to Aggression & Violence.pdf

There are conflicting public attitudes about city trees and vegetation. On one hand, experiences in natural settings are believed to promote healing and renewal. Yet in urban settings the presence of vegetation is often implicated as a screen for criminal activity. This briefing summarizes the research
findings on the relationship between urban vegetation and crimes, aggressive behavior, and safety. The science findings are not conclusive and may even seem inconsistent or conflicting, yet certain patterns and relationships appear across several studies.

Urban Green Spaces and an Integrative Approach to Sustainable Environment

 

Urban Green Spaces and an Integrative Approach to Sustainable Environment.pdf

This paper explains the benefits and challenges of urban green spaces based on the critical discussion of study results from different studies in different cities. The important roles played by green spaces are social, economic, cultural and environmental aspects of sustainable development. Urban green spaces can be a comprehensive tool for long term protection of  environmental sustainability through improving the quality of life and air quality, increasing property value due to their amenity and aesthetic characteristics, and reducing the energy costs of cooling buildings. Urban green spaces also can provide ecosystem services in which the recreation and relaxation facilities are especially available to urban dwellers and tourists too. To confirm the multiple roles played by green spaces, certain level of qualitative improvements and distribution of green spaces within the urban area should be considered and incorporated effectively into the environmental sustainability agenda. To do this, an integrated approach regarding the planning, monitoring, designing and maintaining of urban green spaces is required for improving the environmental sustainability in cities in
different countries.

Decolonizing Food Justice: Naming, Resisting, and Researching Colonizing Forces in the Movement

Decolonizing Food Justice.pdf

Over the past 15 years social movements for community food security, food sovereignty, and food justice have organized to address the failures of the multinational, industrial food system to fairly and equitably distribute healthy, affordable, culturally appropriate real food. At the same time, these social movements, and research about them, re-inscribe white, patriarchal systems of power and privilege. We argue that in order to correct this pattern we must relocate our social movement goals and practices within a decolonizing and feminist leadership framework. This framework challenges movement
leadership and scholarship by white people who uncritically assume a natural order of leadership based on academic achievement. We analyze critical points in our collaboration over the last four years using these frameworks. Doing so highlights the challenges and possibilities for a more inclusive food justice movement and more just scholarship.

Fumes Across the Fence-Line: The Health Impacts of Air Pollution from Oil & Gas Facilities on African American Communities

The Health Impacts of Air Pollution from Oil & Gas Facilities
on African American Communities

The oil and gas industry dumps 9 million tons of methane and toxic pollutants like benzene into our air each year. Methane is a greenhouse gas 87 times more potent than carbon dioxide at driving climate change and the oil and gas industry is now the largest source of methane pollution in the U.S.
But methane is just one harmful air pollutant from the oil and gas industry. This paper sheds light on the health impacts of air pollutants from oil and
gas facilities that specifically threaten the health of African American communities living near oil and gas facilities and in areas far from oil and
gas production.

The life-threatening burdens placed on communities of color near oil and gas facilities are the result of systemic oppression perpetuated
by the traditional energy industry, which exposes communities to health, economic, and social hazards. Communities impacted by oil and gas
facility operations remain affected due to energy companies’ heavy polluting, low wages for dangerous work, and government lobbying against local
interests. The nature of the vulnerability of African American and other person of color fence-line communities is intersectional–subject to connected
systems of discrimination based on social categorizations such as race, gender, class, etc. Health impacts from the natural gas supply
chain (natural gas facilities as well as oil production facilities with associated gas) were quantifed in two reports published by Clean Air Task Force
(CATF). As demonstrated in the CATF’s Fossil Fumes report, many of these toxic pollutants are linked to increased risk of cancer and respiratory
disorders in dozens of counties that exceed U.S. EPA’s level of concern. These pollutants from the natural gas supply chain also contribute to the
ozone smog pollution that blankets the U.S. in the warmer months. The 2016 Gasping for Breath report, published by CATF, found that ozone smog
from natural gas industry pollution is associated with 750,000 summertime asthma attacks in children and 500,000 missed school days. Among
adults, this pollution results in 2,000 asthma related emergency room visits and 600 hospital admissions and 1.5 million reduced activity days.

 

Advancing Sustainability through Urban Green Space: Cultural Ecosystem Services, Equity, and Social Determinants of Health

ijerph-13-00196.pdf

 

Urban green spaces provide an array of benefits, or ecosystem services, that support our physical, psychological, and social health. In many cases, however, these benefits are not equitably distributed across diverse urban populations. In this paper, we explore relationships between cultural ecosystem services provided by urban green space and the social determinants of health outlined in the United States Healthy People 2020 initiative. Specifically, we: (1) explore connections between cultural ecosystem services and social determinants of health; (2) examine cultural ecosystem
services as nature-based health amenities to promote social equity; and (3) recommend areas for future research examining links between urban green space and public health within the context of environmental justice.

 

Food Sovereignty for the Right to Food: An Activist Guide

Food Sovereignty for the Right to Food Activist Guide compressed_0.pdf

Some of the key words used in this guide. If you come across any of these words in the guide that you need to remind yourself the meaning of, you can turn back to this page to check.
Agroecology – A way of farming that does not destroy nature, but instead works with the principles of nature. For example, it uses plants and animal manure to make compost, rather than throwing these materials away or using chemical fertilisers that destroy the soil. It is about building self-reliance, independence and power of those who produce our food, for example, by seed saving, recycling materials, and so on. Climate Change – The global warming of the earth’s temperature caused by all the carbon dioxide that our factories, coal power stations, transport and agriculture puts into the atmosphere. This causes changes in weather patterns, as well as extreme events like floods and droughts. Facilitator – The person (or persons) who runs a workshop or process. A facilitator keeps the workshop on track and guides the workshop, ensuring learning is taking place. Calories – the amount of energy that food contains in it. We need calories, which we get from food, in order to have energy. Food security – Food security exists when a household has access to enough nutritious food for its members to lead an active and healthy life. Food insecurity – When a household and its members to not have access to enough nutritious for to lead and active and healthy life Food value chain – Refers to the different steps through which food goes to become the item of food that we eventually purchase for our consumption. For example, the farm where the seed is planted, the miller where the wheat is turned into flour, the storage facilities where the flour is stored, the bakery where it is turned into bread, the shop where the bread is sold to customers. Food sovereignty – When people and communities control their own food systems, rather than markets and corporations. Those who produce our food are placed at the centre of food sovereignty and valued highly. Genetically modified organisms (GMOs) – Genetic modification of seeds, for example, is when scientists in a laboratory put genes into a seed to give it certain characteristics, like making it able to resist a pest or use less water. This technology is controlled by a few big companies who are forcing these seeds on farmers so that they can make a big profit out of selling them these seeds every season. Hunger – In basic terms, when someone or a group does not have enough food. In this guide, we locate hunger as a key outcome of our current food system and unequal society, rather than just an individual experience of an empty stomach. Liberalisation – When government removes barriers like taxes to imports like food in order to protect local producers, and promotes exports as well as a way of developing. Market – Where goods and services are bought and sold. A mechanism where buyers meet sellers.
Neoliberalism – The idea that every problem in society can be solved by the market. Everything we as humans need should be done by businesses and bought and sold for the highest profit. Right to food – According to our Constitution, everyone in South Africa should have enough nutritious food to eat every day, as a right. Transformation – A deep and thorough change. This can refer to individual transformation where a person changes deeply from how they were before. It can also refer to society, in which case we talk about social transformation – the deep and thorough change in society, usually for the better, from how it was before.