How communities can collaborate across systems and sectors to
address environmental health disparities; with case studies from
Rochester, New York; Duluth, Minnesota; and Southern California.
Low-income and marginalized urban communities often suffer
disproportionate exposure to environmental hazards, leaving
residents vulnerable to associated health problems. Community
groups, academics, environmental justice advocates, government
agencies, and others have worked to address these issues, building
coalitions at the local level to change the policies and systems
that create environmental health inequities. In Bridging Silos,
Katrina Smith Korfmacher examines ways that communities can
collaborate across systems and sectors to address environmental
health disparities, with in-depth studies of three efforts to
address long-standing environmental health issues: childhood lead
poisoning in Rochester, New York; unhealthy built environments in
Duluth, Minnesota; and pollution related to commercial ports and
international trade in Southern California. All three efforts were
locally initiated, driven by local stakeholders, and each addressed
issues long known to the community by reframing an old problem in a
new way. These local efforts leveraged resources to impact
community change by focusing on inequities in environmental health,
bringing diverse kinds of knowledge to bear, and forging new
connections among existing community, academic, and government
groups. Korfmacher explains how the once integrated environmental
and public health management systems had become separated into
self-contained "silos," and compares current efforts to bridge
these separations to the development of ecosystem management in the
1990s. Community groups, government agencies, academic
institutions, and private institutions each have a role to play,
but collaborating effectively requires stakeholders to appreciate
their partners' diverse incentives, capacities, and constraints.
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