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    Linn Gould, Just Health Action

    Principal Investigator

    BJ Cummings, Duwamish River Cleanup Coalition/Technical Advisory Group

    Project Manager

    D U W A M I S H VA L L E Y C U M U L AT I V E H E A LT H

    I M P A C T S A N A L Y S I S : S E A T T L E , W A S H I N G T O NPhoto: Paul Joseph Br

    Technical Advisor y Group

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    DEPARTMENT OF ENVIRONMENTAL

    AN D OCCUPATI ONAL HE ALTH SCIE NC ES

    SCHOOL OF PUBLIC HEA LTH

    University of Washington

    Produced by

    U N I V E RS I T Y o WASHINGTON

    Suggested Citation

    G L, C BJ. D V C H I A. S, WA: J H A

    D R C C/ A G. M 2013.

    Technical Adviso ry Gr oup

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    Acknowledgments

    R, , Linn Gould, MS,

    MPH, P I , J H A. T

    BJ Cummings, P M, DRCC/AG , , , .

    Paulina Lopez, O S, D R C C/AG, S P

    G C R, C B P R

    .

    Michele Savelle M S GIS & G D .

    W :

    Morgan Barry, P H-S & K C, , ,

    .Shari Cross, S GIS A, W D, K C D N

    R P, ZIP E E

    .

    Juliet DAlessandro, J H A , .

    Bill Daniell, MD, MPH, A P, D E & O H S,

    S P H, U W, L

    G.

    Carol Dansereau, , , .

    Peter deFur, PD, E S C, .

    Richard Gelb, P M L, D O, K C D N

    R P, K C.

    Marilyn Hair, U W C E E H, E

    O C, .

    Alicia Moreno, U W S S W,D R C C/AG,

    C H P , .

    Alberto Rodrguez, P M, D R C C/AG,

    .

    Cathy Schwartz, U W, .

    David Solet, PD, A, P D & E U, P H-S & K C,

    C H I A.

    Eva Wong, PD, A, P D & E U, P H-S & K C,

    P H E .

    Michayala Ashley, Rohan Marrero, Daniel Patrick Osincup, U W,

    .

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    Executive Summary

    S S D V

    S z. T D R C C/

    A G (DRCC/AG) E J (EJ) R

    EPA C H I A (CHIA)

    D V S. C

    : , ,

    , , , ,

    , , , (OEHHA, 2010).

    I C EPA , 15

    S ZIP . I ; -

    ; ; ; (OEHHA, 2010).

    F , B H/G/S P (ZIP 98108)

    . T ,

    .., . C, -

    ( )

    S

    ZIP . T z

    D V .

    A , D

    , , ZIP

    S P G. I

    D V K C, D V

    , , ,

    . G S P 13- ( )

    S.

    I , D V - - , , , . T

    DRCC/AG EPA, W

    , L D R S S. I -

    , DRCC/AG , , , ; -

    - z; -,

    D V.

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    T S -

    , , D V. B

    , DRCC/AG EPA D V S

    . T :

    1. EPA D R S S ;

    2. ;

    3. .

    I ,

    D V

    S .

    T , , S II;

    S III; S IV;

    S V; S VI; S VII;

    S VIII. M , :

    ..//---.

    1 A S S US E P A N P L,

    z , C E R, C

    L A (CERCLA).

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    II. Key Denitions and Relevant EPA Regulations

    T . F

    ,

    D V D R S S.

    Environmental Justice (EJ): T US E P A (EPA) EJ

    , , ,

    , ,

    , ,

    . EPA

    -

    z -

    , , (://..//).

    I W S, EJ Governors 2012

    State Policy Action Plan to Eliminate Health Disparities , , ,

    , ,

    , , , , . E

    -

    , , , ,

    , z (G I C

    H D, D 2012).

    Environmental Justice Executive Order 12898: I 1994, Executive Order 12898: Federal Actions to

    Address Environmental Justice in Minority and Low-Income Populations P

    C. T O

    , ,

    , ,

    - T O , :

    (1)

    - ; (2) ; (3)

    - -; (4)

    - (EOP, 1994).

    Plan EJ 2014: I EJ EPA

    EPA A L J. I 20 EJ E

    O, EPA P EJ 2014. T P :

    Environmental justice

    addresses the disproportionate

    environmental risks borne by

    low-income communities and

    communities o color

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    1. ;

    2. ;

    3. , , , z

    .

    T :

    (1) ; (2)

    EPA ; (3) ;

    (4) - ; (5) -

    (EPA, S 2011).

    L, R 10 P EJ 2014 EPA Region 10s Approach or

    Implementing Administrator Jacksons Seven Priorities: FY 201115, EJ S P

    (EPA, N 2011). G R 10 EJ S P :

    1. , , ,

    - ;

    2. , , ,

    , , , R 10;

    3.

    .

    Photo:BJCummings

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    W S , P EJ 2014 Legal Tools

    EPA

    (EPA, D 2011). F, EPA

    EJ , -

    . T : ,

    ,

    (EPA, O 2012).

    Environmental Justice Gap: R -

    / -

    ,

    , /

    - .

    Cumulative Impacts: T EJ E O

    EJ ,

    (EOP, 1994). W

    D R S

    S, D V,

    . C

    : ,

    , , , ,

    , , , (OEHHA, 2010). T O : ,

    (EOP, 1994).

    Health disparity vs. health inequity: A ( ) -

    , / ,

    ,

    (B, 2006). I , -

    , , (W, 1992). A

    , (US D

    H H S, O M H, 2010).

    A P EJ 2014 EJ EO 12898, EPA

    , , .

    Achieving health equity

    means the elimination o

    disparities and valuing

    everyone equally with

    ocused and ongoing societal

    eorts to addressavoidable inequalities.

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    III. Cumulative Impacts Analysis Method

    CUMULATIVEI

    MPACTS:

    BUILDINGASC

    IENTIFIC

    FOUNDATION

    December201

    0

    LindaS.Adam

    s,Secretary

    CaliforniaEnv

    ironmentalProt

    ectionAgency

    JoanE.Denton

    ,Ph.D.,Directo

    r

    OfficeofEnvir

    onmentalHea

    lthHazardAss

    essment

    A 23 -

    , W S (P-S, 2012). A

    - , US EP A (EPA)

    ,

    , ,

    . T D V C H I A

    (CHIA) C EPA (C EPA) , -

    , (OEHHA, 2010). F ---

    , C C

    I: B S F (OEHHA, 2010).

    T C EPA ( ),

    .

    T C EPA

    (OEHHA, 2010). F -

    , 13

    -

    .

    F 110, -

    Component Defnition Ranking Score

    Socioeconomic actors Community characteristics that result in 13

    increased vulnerability to pollutants

    Sensitive populations Populations with traits that may magniy 13

    the efects o pollutant exposures

    Environmental exposures Contact with pollution 110

    Environmental efects Adverse built environment conditions 15

    Public health efects Disease and other heath conditions 15

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    (.., ). E

    - 15

    , /

    .

    T ,

    15 . I

    , ,

    :

    Cumulative Impact = (Socioeconomic actors + Sensitive populations) x

    (Environmental exposures + Environmental efects + Public health efects)

    U , 6

    120. H . T -

    EPA, , , -.

    T CHIA D

    V, S , S

    . T Z I

    P (ZIP) , . S ZIP CHIA , F 1 ( 10). T ZIP -

    (, , )

    S . ZIP , /

    , , ,

    , , . F, C B P

    R (CBPR) , f D

    V S

    (A B, ). A

    D V , , -

    CHIA . T S VI.

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    Photo:BJCummings

    Environmental exposure component (Rank range 110)I (, , ,

    , ) . E

    , , (.., ) . T

    -

    , ,

    (P-S , 2006). H, ( ) , - /

    , ,

    (., ), (.., ) (OEHHA, 2010).

    Selected Indicators

    Concentrationofdieselparticulatematerinair(Figure8,page20)

    Concentrationofbenzeneinair(Figure9,page21)

    Numberandseverityofconrmedandsuspectedcontaminatedsites(Figure10,page22)

    Environmental efects component (Rank range 15)W ,

    (://..//.). I

    , , , D V C

    Certain populations are

    more vulnerable topollution because o

    their age, pre-existing

    conditions, and/or

    cultural practices.

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    B P R (CBPR) ( A B)

    , , .

    Selected Indicators Amountofforestcanopy(Figure11,page24)

    Amountofparkareaperresident(Figure12,page25) NumberofToxicReleaseInventorysites(Figure13,page26)2

    Public health component (Rank range 15)H U S

    (CDC, 2011; G I C

    H D, 2012). N

    CBPR .

    Selected Indicators Heartdisease(Figure14,page27)

    Childhoodasthma(Figure15,page28)

    Lungcancer(Figure16,page29)

    Where you live

    aects your

    health

    Photo:PaulJosephBrown

    2 R I (RI) EPA .

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    V. Cumulative Impacts Analysis Results

    D ,

    ,

    F 216 2 ( 31). I , . F ,

    (R 13) 98108 ZIP (B H/G/S P),

    , 200% , -

    3. T 3 (3+3+3=9) , 98108 ZIP

    3 ( 2, 31). I 2,

    F 217: ,

    , . F ,

    , , 98108 ZIP 3

    , 1 .

    Social Vulnerability

    Socioeconomic Factors component (Rank range 13)

    B 13, 2 3 ZIP (98108, B H/G/S

    P; 98144, C D; 98178, R B)

    3 (N ; P 200%

    ; P - ).

    Photo:AidenDufy

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    Table2.Cumu

    lativeHealthImpactsAnalysis,byZIP

    code,Seattle,Washington(colorsco

    rrespondtocolorkeysinFigures217)

    98108

    98144

    98178

    98106

    98122

    98102

    98107

    98105

    98116

    98199

    BeaconHill/

    S.Central

    Rainier

    White

    N.Central

    Eastlake

    Ballard

    Univers

    ity

    Alki

    Magnolia

    Georgetown/

    District/

    Beach

    Center/

    District/

    District/

    Com

    ponent

    Indicator

    SouthPark

    Mt.Baker

    Delridge

    Madrona

    Laurelhurst

    www.justhealthaction.org

    Nocollegeeducation(%)

    3

    3

    3

    3

    2

    1

    2

    1

    2

    1

    Socioeconomic

    Below200%povertylevel(%)

    3

    3

    3

    2

    3

    2

    1

    3

    1

    1

    Factors

    Non-whiteminoritypopulation(%)

    3

    3

    3

    2

    2

    1

    1

    1

    1

    1

    (Rank13)

    Adultswithnohealthinsurance(%)

    *

    *

    *

    *

    *

    *

    *

    *

    *

    *

    Adultswithnoleisuretime(%)*

    *

    *

    *

    *

    *

    *

    *

    *

    *

    *

    Average

    3

    3

    3

    2

    2

    1

    1

    2

    1

    1

    Childrenunder5years(%)

    3

    3

    3

    3

    2

    1

    2

    1

    2

    2

    Sensitive

    Elderly65yearsandolder(%)

    3

    3

    3

    1

    1

    1

    2

    1

    3

    3

    Populations

    Foreignborn(%)

    3

    2

    3

    2

    1

    1

    1

    1

    1

    1

    (Rank13)

    Average

    3

    3

    3

    2

    1

    1

    2

    1

    2

    2

    Social

    SUM(Socioeconomic+

    6

    6

    6

    4

    4

    2

    3

    3

    3

    3

    Vulnerability

    SensitivePopulations)

    Dieselparticulatematter

    10

    6

    3

    5

    6

    10

    1

    4

    2

    1

    Environmental

    (ug/m3annualaverage)

    Exposures

    Benzene(ug/m3annualaverage)

    9

    7

    1

    2

    5

    10

    1

    3

    2

    1

    (Rank110)

    Conrmedandsuspected

    10

    2

    1

    4

    3

    2

    3

    2

    1

    2

    contaminatedsites(ISIS)

    Average

    10

    5

    2

    4

    5

    7

    2

    3

    2

    1

    Environmental

    Treecanopy(%)

    5

    4

    4

    4

    2

    5

    5

    2

    2

    1

    Eects

    Parkareaperresident

    4

    4

    5

    3

    5

    5

    5

    5

    5

    1

    (Rank15)

    Numberotoxicreleaseinventorysites

    5

    2

    1

    3

    1

    2

    4

    1

    1

    2

    Average

    5

    3

    3

    3

    3

    4

    5

    3

    3

    1

    Liveexpectancyatbirth(years)

    *

    *

    *

    *

    *

    *

    *

    *

    *

    *

    Adultsoverweightorobese(%)

    *

    *

    *

    *

    *

    *

    *

    *

    *

    *

    Heatdiseasedeathrateper100,000

    2

    2

    3

    4

    5

    1

    3

    1

    2

    2

    PublicHealth

    Strokedeathrateper100,000

    *

    *

    *

    *

    *

    *

    *

    *

    *

    *

    Eects

    Adultsdoctor-diagnoseddiabetes(%)

    *

    *

    *

    *

    *

    *

    *

    *

    *

    *

    (Rank15)

    Adultshypertension(%)

    *

    *

    *

    *

    *

    *

    *

    *

    *

    *

    Childhood(0-17)asthma

    5

    5

    2

    4

    4

    2

    2

    5

    1

    1

    hospitalizationrateper100,000

    Adultcigarettesmokers(%)

    *

    *

    *

    *

    *

    *

    *

    *

    *

    *

    Lungcancerdeathrateper100,000

    3

    3

    5

    3

    4

    1

    4

    1

    1

    2

    Average

    3

    3

    3

    4

    4

    1

    3

    2

    1

    2

    Environmental

    SUM(EnvironmentalExposures+

    1

    8

    12

    8

    11

    12

    13

    9

    8

    6

    4

    Vulnerability

    EnvironmentEfects+

    PublicHealthEfects)

    CUMULATIVE

    (SocialVulnerabilityx

    10

    6

    66

    50

    46

    43

    30

    28

    21

    19

    13

    IMPACTSCORE

    EnvironmentalVulnerability)

    *T

    esein

    dicatorswereevaluatedandcanb

    eviewedinA

    ppendixA

    .

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    Photo:CarlSimpson

    Cumulative ImpactsT S ZIP 3 ( 34) F 17 ( 35).

    Cumulative Impact = (Socioeconomic actors + Sensitive populations) x

    (Environmental exposures + Environmental efects + Public health efects)

    I 6 120, 106 ZIP

    98108 (B H/G/S P). T

    S. S C D/M.

    B (98144), 66. R B (98106), W C/D

    (98106), N C D/M (98122) - 50, 46, 43,

    . E (98102), B (98107), U D/L (98105), A (98116),

    M (98199) 30, 28, 21, 19, 13,

    .

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    Duwamish Valley

    residents are more

    likely to be

    hospitalied or

    asthma than King

    County residents

    overall.

    Photo:PaulJosephBrown

    D V K C . W z 100,000,

    D V z K C

    ( 18 [240.4 . 143.4] [83.4 . 53.6]) z (70.9 . 31). I ,

    (W , 2004).

    L , f ,

    D V, K C (79.4 . 81.5).

    Georgetown and South ParkT G S P

    5,160 (2010 C) (109 112). H

    G S P 98108 ZIP .

    F , (F 14, 27) 98108 ZIP

    - (2) ZIP ,

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    S P G

    . H S P G

    20062010 202.9 100,000, CHIA (171188).

    R 98108 80.8 ,

    3, (80.782.6 ),

    S K C . H,

    G S P,

    73.3 , S K

    C 81.5. A, G S P

    f S -

    , L, 98105 ZIP . L L 86.4 , 13

    G S P .

    Lie expectancy inLaurelhurst is . years, a

    ull years longer than

    or Georgetown and South

    Park residents.

    Photo:JoeMabel/wikip

    edia.com

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    T D V C H I A (CHIA)

    S 98018 ZIP (B H/G/S P) -

    S.T

    , , ,

    , . W

    , 98108 ZIP ZIP

    . A , D V

    S P G , , -

    ZIP -

    S P G. T z D

    V , E J G. I

    , D V - -

    , , , .

    T D R C C/

    A G, US E P A (EPA) C A

    G D R S S, EPA, W , -

    ,

    , . I , DRCC/AG

    , , , ; - -

    z; -, D V.

    VIII. Conclusions and Next Steps

    Photo:PaulJosephBrowns

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    he Duwamish Valley

    merits attention

    rom decision-makers

    regarding health

    protective and

    proactive

    environmental

    regulations,

    policies, practices,

    and actions.

    Pho

    to:PaulJosephBrown

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    P-S D, L GC. N E H M -

    : S D E H. Environmental Research 2006;

    102:154-171.P-S D, A, W J, R A, D E, Dz H. A R S-

    . Environmen-

    tal Justice 2012; 5(4)173187.

    US D H H S, O M H. N P

    A E H D. T N P A Df F 17, 2010.

    C 1: I. A : ://...///.

    ?=1&=34, A F 4, 2013.

    W M. 1992. T , Int. J. Health Serv. 22:42945.

    W RJ, M H, V CM, C S, S J, E R, G DR. C V

    A M: T I-C A S,American Journal o Public Health A 2004; 94,

    4, 625.

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