Center for Precision Environmental Health and Department of Medicine, Baylor College of Medicine, Houston, TX, 77030-3411, USA.
Southwest Center for Occupational and Environmental Health, Department of Epidemiology, Human Genetics and Environmental Sciences, 1200 Pressler, Houston, TX, 77030, USA.
Environ Health. 2020 Apr 5;19(1):39. doi: 10.1186/s12940-020-00590-1.
From 2006 to 2011, the City of Houston received nearly 200 community complaints about air pollution coming from some metal recycling facilities. The investigation by the Houston Health Department (HHD) found that while operating within legal limits, emissions from facilities that use torch cutting, a technique generating metal aerosols, may increase health risks for neighboring residents. Choosing to use collaborative problem solving over legislative rulemaking, HHD reached out to The University of Texas Health Science Center at Houston (UTHealth) to further evaluate and develop plans to mitigate, if necessary, health risks associated with metal emissions from these facilities.
Utilizing a community-based participatory research approach, we constituted a research team from academia, HHD and an air quality advocacy group and a Community Advisory Board (CAB) to draw diverse stakeholders (i.e., frustrated and concerned residents and wary facility managers acting within their legal rights) into an equitable, trusting and respectful space to work together. Next, we investigated metal air pollution and inhalation health risks of adults living near metal recyclers and ascertained community views about environmental health using key informant interviews, focus groups and surveys. Finally, working collaboratively with the CAB, we developed neighborhood-specific public health action plans to address research findings.
After overcoming challenges, the CAB evolved into an effective partnership with greater trust, goodwill, representation and power among members. Working together to translate and share health risk assessment results increased accessibility of the information. These results, coupled to community survey findings, set the groundwork for developing and implementing a stakeholder-informed action plan, which included a voluntary framework to reduce metal emissions in the scrap yard, improved lines of communication and environmental health leadership training. Tangible outcomes of enhanced capacity of our community and governmental partners included trained residents to conduct door-to-door surveys, adaptation of our field training protocol and survey by our community partner and development of a successful HHD program to engage residents to improve environmental health in their neighborhood.
Academic-government-community-industry partnerships can reduce environmental health disparities in underserved neighborhoods near industrial facilities.
从 2006 年到 2011 年,休斯顿市收到了近 200 起针对一些金属回收设施造成空气污染的社区投诉。休斯顿卫生局(HHD)的调查发现,虽然这些设施的运营符合法律规定,但使用火炬切割技术的设施排放的金属气溶胶可能会增加附近居民的健康风险。HHD 选择通过合作解决问题而不是通过立法规则制定来解决问题,他们向休斯顿大学健康科学中心(UTHealth)寻求帮助,以进一步评估并制定计划,以减轻这些设施的金属排放对健康的影响。
我们采用社区参与式研究方法,由学术界、HHD 和一个空气质量倡导团体以及一个社区咨询委员会(CAB)组成一个研究团队,将不同的利益相关者(即感到沮丧和担忧的居民以及在法律权利范围内行事的警惕的设施管理人员)纳入一个公平、信任和尊重的空间,共同努力。接下来,我们调查了居住在金属回收商附近的成年人的金属空气污染和吸入健康风险,并通过关键知情人访谈、焦点小组和调查了解了社区对环境健康的看法。最后,我们与 CAB 合作,制定了针对特定社区的公共卫生行动计划,以解决研究结果。
在克服挑战之后,CAB 发展成为一个有效的合作伙伴关系,成员之间的信任、善意、代表性和权力都有所增强。共同努力翻译和共享健康风险评估结果提高了信息的可及性。这些结果,加上社区调查结果,为制定和实施一个由利益相关者知情的行动计划奠定了基础,该计划包括减少废料场金属排放的自愿框架、改善沟通渠道和环境健康领导力培训。我们的社区和政府合作伙伴能力增强的具体成果包括培训居民进行挨家挨户调查、我们的社区合作伙伴对我们的现场培训协议和调查进行改编以及成功开展 HHD 计划,以吸引居民改善其邻里的环境健康。
学术-政府-社区-工业伙伴关系可以减少服务不足的社区附近工业设施的环境健康差距。