The California Environmental Protection Agency (Cal/EPA) Environmental Justice Action Plan calls for guidelines for evaluating “cumulative impacts.” As a first step toward such guidelines, a screening methodology for assessing cumulative impacts in communities was developed. The method, presented here, is based on the working definition of cumulative impacts adopted by Cal/EPA [1]: “ Cumulative impacts means exposures, public health or environmental effects from the combined emissions and discharges in a geographic area, including environmental pollution from all sources, whether single or multi-media, routinely, accidentally, or otherwise released. Impacts will take into account sensitive populations and socio-economic factors, where applicable and to the extent data are available.” The screening methodology is built on this definition as well as current scientific understanding of environmental pollution and its adverse impacts on health, including the influence of both intrinsic, biological factors and non-intrinsic socioeconomic factors in mediating the effects of pollutant exposures. It addresses disparities in the distribution of pollution and health outcomes. The methodology provides a science-based tool to screen places for relative cumulative impacts, incorporating both the pollution burden on a community- including exposures to pollutants, their public health and environmental effects- and community characteristics, specifically sensitivity and socioeconomic factors. The screening methodology provides relative rankings to distinguish more highly impacted communities from less impacted ones. It may also help identify which factors are the greatest contributors to a community’s cumulative impact. It is not designed to provide quantitative estimates of community-level health impacts. A pilot screening analysis is presented here to illustrate the application of this methodology. Once guidelines are adopted, the methodology can serve as a screening tool to help Cal/EPA programs prioritize their activities and target those communities with the greatest cumulative impacts.
References
[1]
The California Environmental Protection Agency (Cal/EPA) Environmental Justice Action Plan, as of October 2004; California Environmental Protection Agency: Sacramento, CA, USA. Available online: http://www.calepa.ca.gov/EnvJustice/ActionPlan/Documents/October2004/ActionPlan.pdf (accessed on 14 June 2011).
[2]
Morello-Frosch, R.; Zuk, M.; Jerrett, M.; Shamasunder, B.; Kyle, A.D. Understanding the cumulative impacts of inequalities in environmental health: Implications for policy. Health Affairs 2011, 30, 879–887.
[3]
Pastor, M.J.; Sadd, J.L.; Morello-Frosch, R. Waiting to inhale: The demographics of toxic air release facilities in 21st century California. Soc. Sci. Q. 2004, 85, 420–440.
[4]
California Government Code § 65040.12.
[5]
Adler, N.E.; Rehkopf, D.H. U.S. disparities in health: Descriptions, causes, and mechanisms. Annu. Rev. Public Health 2008, 29, 235–252, doi:10.1146/annurev.publhealth.29.020907.090852.
[6]
Ponce, N.A.; Hoggatt, K.J.; Wilhelm, M.; Ritz, B. Preterm birth: The interaction of traffic-related air pollution with economic hardship in Los Angeles neighborhoods. Am. J. Epidemiol. 2005, 162, 140–148.
[7]
Bell, M.L.; Ebisu, K.; Belanger, K. Ambient air pollution and low birth weight in Connecticut and Massachusetts. Environ. Health Perspect. 2007, 115, 1118–1124.
[8]
California Department of Health Services (CDHS). The Burden of Asthma in California: A Surveillance Report; Prepared by staff members of California Breathing, a Program of the Environmental Health Investigations Branch of the California Department of Health Services: Richmond, CA, USA, 2007.
[9]
Centers for Disease Control and Prevention. Current Asthma Prevalence Percents by Age, United States; From the 2008 National Health Interview Survey (NHIS) Data: Table 4–1; Centers for Disease Control and Prevention: Atlanta, GA, USA, 2008.
[10]
Gold, D.R.; Wright, R. Population disparities in asthma. Annu. Rev. Public Health 2005, 26, 89–113.
[11]
Altekruse, S.F.; Kosary, C.L.; Krapcho, M.; Neyman, N.; Aminou, R.; Waldron, W.; Ruhl, J.; Howlader, N.; Tatalovich, Z.; Cho, H.; et al. SEER Cancer Statistics Review, 1975–2007; based on November 2009 SEER data submission, posted to the SEER web site; SEER: Bethesda, MD, USA, 2010. Available online: http://seer.cancer.gov/csr/1975_2007/ (accessed on 14 June 2011).
[12]
Pleis, J.R.; Lethbridge-Cejku, M. Summary health statistics for U.S. adults: National Health Interview Survey, 2006. Vital Health Stat. 2007, 10, 1–153.
[13]
Mensah, G.A.; Mokdad, A.H.; Ford, E.S.; Greenlund, K.J.; Croft, J.B. State of disparities in cardiovascular health in the United States. Circulation 2005, 111, 1233–1241.
[14]
U.S. Environmental Protection Agency. Framework for Cumulative Risk Assessment; U.S. Environmental Protection Agency, Office of Research and Development, National Center for Environmental Assessment, Risk Assessment Forum: Washington, DC, USA, 2003.
[15]
National Academies of Science. Implementing cumulative risk assessment. In Science and Decisions: Advancing Risk Assessment; The National Academies Press: Washington, DC, USA, 2009; pp. 213–239.
[16]
Alexeeff, G.; Faust, J.; Meehan August, L.; Milanes, C.; Randles, K.; Zeise, L. “Cumulative Impacts: Building a Scientific Foundation,” Office of Environmental Health Hazard Assessment; California Environmental Protection Agency: Sacramento, CA USA, 2010. Available online: http://oehha.ca.gov/ej/cipa123110.html (accessed on 14 June 2011).
[17]
U.S. Environmental Protection Agency. Guidelines for Carcinogen Risk Assessment and Supplemental Guidance for Assessing Susceptibility from Early-Life Exposure to Carcinogens (Supplemental Guidance); U.S. Environmental Protection Agency, Office of Research and Development, National Center for Environmental Assessment, Risk Assessment Forum: Washington, DC, USA, 2005. Available online: http://www.epa.gov/raf/publications/pdfs/CANCER_GUIDELINES_FINAL_3-25-05.pdf (accessed on 14 June 2011).
[18]
Technical Support Document for Cancer Potency Factors: Methodologies for Derivation, Listing of Available Values and Adjustments to Allow for Early Life Stage Exposures; The California Environmental Protection Agency (Cal/EPA): Sacramento, CA, USA, 2009. Available online: http://www.oehha.ca.gov/air/hot_spots/2009/TSDCancerPotency.pdf (accessed on 14 June 2011).
[19]
Finkelstein, M.M.; Jerrett, M.; DeLuca, P.; Finkelstein, N.; Verma, D.K.; Chapman, K.; Sears, M.R. Relation between income, air pollution and mortality: A cohort study. CMAJ 2003, 169, 397–402.