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Agency for Toxic Sub- ßÌÍÜÎ Þ®±©²º·»´¼ñÔ¿²¼ Î»ª·¬¿´·¦¿¬·±² ß½¬·±² Ó±¼»´ stances and øßÌÍÜÎ ß½¬·±² Ó±¼»´÷ is a grass roots, community-level model Disease Registry designed to foster dialogue, communication, and vision among the (ATSDR) is a federal public diverse members to the “Development Community”. health agency headquartered in Atlanta, Georgia. ATSDR is re- The ATSDR Action Model creates a framework to assess the im- sponsible for evaluating and pro- pacts of redevelopment on public health, with a goal of achieving tecting community health from the positive, sustainable improvements in overall community health. effects of exposure to hazardous substances in the The Action Model framework encourages the Development environment. Community to focus on broad public health topics connected to community health, such as physical and mental health; environment; education Op- and economy; planning; safety and security; and communication and risk com- munication. erations (DRO) is a group of ATSDR representatives who live and work in Regional Offices, lo- The Action Model is built around four steps or questions: cated throughout the country and at the United States Step 1: What are the issues in the community? Step 2: How can development address these issues? Ø±© ¼±» ßÌÍÜÎ ¼»º·²» ¬¸» Ü»ª»´±°³»²¬ Ý±³³«²·¬§á The Development Community includes residents, planners, city agencies, health depart- ments, developers, and any other stakeholders in the com- munity of redevelopment. Step 3: What are the corresponding community health benefits? Þ®±©²º·»´¼ ·¬» are defined as “abandoned, idled, or underused indus- trial and commercial properties where reuse or redevelopment is complicated by real or perceived contamination.” These sites have received funding from EPA Brownfield Program. Step 4: What data are needed to measure change? Ô¿²¼ Î»«» ·¬» are defined as “any site formally utilized for commercial and industrial purposes complicated by real or perceived contamination” that has Through brainstorming, answering these four questions creates a framework for not received funding from the EPA incorporating positive and sustainable public health endpoints in redevelopment Brownfield Program. plans. ATSDR Action Model An example of the action model: STEP 1 STEP 2 STEP 3 STEP 4 What are the community health What data are needed to Category What are the community issues? How can redevelopment address the issues? benefits?measure change? Exposure to harmful substances in the Environmental cleanups at brownfields sites may Reduced blood lead levels, reduction of Hospitalizations for asthma environment, such as those at brown-reduce risk of exposure to certain harmful sub-learning disabilities in children, fewer Infant mortality rates fields sites or in old housing stock, is stances. In addition, renovation of old housing stock hospitalizations for asthma, fewer infant one of many risk factors for several and construction of newer homes may help further deaths, and fewer low birth weight infants. Lead and copper in tap water diseases and adverse health effects of reduce exposures to harmful substances. Health concern (e.g., asthma). Lead poisoning in children (blood lead levels) Low birth weight Community Elevated crime rates are detrimental to Development of abandoned sites, vacant lots, and Reduced crime-related injury and death. Acreage of vacant lots the overall health and well-being of the vacant buildings may reduce areas where certain Reduced fear of crime, likely resulting in community. crimes occur and create a better sense of community increased mobility of local residents. Violent crime rates among local residents. Due to lower educational attainment Improvements at existing educational facilities and Increased educational attainment, em-Education of adults levels, local residents may not be development of new educational centers (e.g., ployability, health insurance coverage, competitive in the labor force and thus vocational schools, community centers) may promote and understanding of health topics and Third grade reading comprehen- not receive the benefits from full-time the educational development of youth in the commu-information. sion employment. nity. A lack of jobs is contributing to a high Whether through renovating abandoned or deserted Lower unemployment rates and poverty Percentage of adults with health poverty rate, leaving residents with buildings or constructing new ones, redevelopment may increase health insurance coverage. benefits limited resources to access medical activities designed to attract business can bring jobs People may be able to afford better care and improve the residential infra-into the community. nutrition and housing, and crime rates Percentage of people employed structure.may decrease. Percentage of people living in poverty Land and Opportunities for physical activity are Providing recreational facilities (e.g., basketball Increased physical activity, decreased Acreage of parks Environmentlimited, in part, by a lack of usable parks courts) at parks and converting vacant lots into likelihood of disease and health problems People using parks and “green space.” “green space” may increase physical activity and related to a sedentary lifestyle. strengthen the sense of community. Community members may be exposed Clean-up activities at brownfields sites and other Reduced disease and injury as a result of Contaminated land to physical and environmental hazards sites with contaminated land will reduce harmful harmful exposures. Increased opportunity when brownfields sites are not cleaned exposures in the community. for redevelopment. up. Buildings and Vacant and poorly maintained buildings Redeveloping commercial buildings can create new Decreased exposure to environmental Commercial properties Infrastructure can expose residents to health hazards jobs, and new or renovated housing units can reduce contaminants, and decreased childhood Number of lead abatements and increase the perception of blight in exposures to harmful environmental contaminants blood lead levels. Reduction in crime, and the community. (e.g., lead) and improve residents’ quality of life. increase in employment. Number of new construction permits Residential properties The Action Model has been used in community health pilots in cities across the nation. To learn more about the ATSDR Action Model: Ô¿«®»´ Þ»®³¿²ô Contact øíïî÷ èèêóéìéê at ¿¬¼®ò´¿²¼®»«»à½¼½ò¹±ªò Or e-mail us at