University of Rochester, NY, USA.
New Solut. 2020 Nov;30(3):173-182. doi: 10.1177/1048291120947370. Epub 2020 Aug 3.
The environment and public health are managed by separate institutions that often operate in isolation from each other. This system is often referred to as managing in "silos." The resulting lack of coordination, inadequate consideration of cumulative effects, and diffuse targets for change contribute to the persistence of many environmental justice problems. There are many barriers to bridging these silos, particularly at state and federal levels. Local collaborations, however, may have greater potential for changing these systems. There has been limited assessment of successful local environmental health initiatives. This paper explores three case studies of local collaboration: lead poisoning prevention in Rochester, New York; promoting a healthy and equitable built environment in Duluth, Minnesota; and increasing consideration of community health in decisions around the ports of Los Angeles and Long Beach, California. It develops a research agenda to inform future collaborations to improve environmental health equity through local systems change.
环境和公共卫生由相互独立的机构管理，这种管理体制通常被称为“各自为政”。这种体制常常导致缺乏协调、对累积效应考虑不足，以及变革目标分散，从而使许多环境公正问题长期存在。克服这些隔阂存在许多障碍，尤其是在州和联邦一级。但是，地方合作更有可能改变这些体制。对成功的地方环境卫生举措的评估有限。本文探讨了三个地方合作的案例研究：纽约州罗切斯特市的铅中毒预防、明尼苏达州德卢斯市促进健康和公平的建筑环境，以及在加利福尼亚州洛杉矶和长滩港口决策中更多地考虑社区健康。本文提出了一个研究议程，以提供信息，促进未来通过地方系统变革改善环境健康公平的合作。
