1. TOXIC TOUR Addressing health inequalities related to environmental justice: A partnership between the Bayview Hunters Point community, San Francisco Department of Public Health, & University of California-San Francisco −Karen Pierce, JD, Health Equity Projects, SFDPH −Buffy Bunting, MPH, CHES, Community Health Promotion & Prevention, SFDHP −Maya Yoshida-Cervantes, BS, HIV Epidemiology and Statistics, SFDPH

2. Presenter Disclosure “No relationships to disclose” −Karen Pierce, JD, Health Equity Projects, SFDPH −Buffy Bunting, MPH, CHES, Community Health Promotion & Prevention, SFDHP −Maya Yoshida-Cervantes, BS, HIV Epidemiology and Statistics, SFDPH (1)The following personal financial relationships with commercial interests relevant to this presentation existed during the past 12 months:

3. Bayview Hunters Point (BVHP)  Located in the Southeast corner of San Francisco  Home to about 35,000 residents  Greater than 50% the land is used for industrial use  1/3 of the city’s hazardous waste sites:  1 Federal Superfund Site  100 Brownfield Sites  1 (of 3) sewage treatment plant that handles 80% of San Francisco’s waste water

4. Bayview Hunters Point cont.

6. Asthma Hospitalization Rates 2007-2009

7. Bayview Hunters Point (BVHP)Toxic Tour An interactive three-hour mobile workshop to educate medical health care providers, local community members, and public health activists about the environmental and health inequities that residents are exposed to daily by living in proximity to toxic industries. BVHPToxic Tour A partnership created in 2002 with: Bayview Hunters Point Health and Environmental Assessment Task Force (HEAP) San Francisco Department of Public Health (SFDPH) University of California, San Francisco (UCSF) Collaborators Designed to introduce the public to the BVHP neighborhood through the lens of environmental justice, public health, and community perspectives Purpose The tour uses an environmental justice approach to outreach and educate health professionals and community members Indentifies the multiple industries in BVHP that largely contribute to the environmental impacts BVHP residents live with Discusses how the community can establish partnerships among city government and academia to address health inequities related to environmental justice Design/ Method

8. Community Benefits BVHP Residents Medical Learners, Residents, and Providers Public Health Employees and Learners

9. BVHP Residents Community Members Expand community members’ understanding of environmental impacts in their community Educate community members on how they can become more actively involved in their community Encourage residents to fight for social justice and environmental health

10. BVHP Residents

11. Medical Learners, Residents, and Providers Supplemental education for Medical Learners, Residents, and Providers Understand where social determinants are visible in the neighborhood. Provide an understanding of residents’ perspective on environment and health inequities

12. Public Health Employees and Learners Public Health Employees Learn methodologies that succeed in organizing and advocating for elimination of health inequities Learn techniques to develop partnerships with local grassroots organizations. Public Health Learners Learn how to identify health inequities related to exposure to environmental pollutants in the community Understand the Core Functions of Public Health associated with Environmental Justice

13. How this tour can be adapted for other localities  Toxic tours are conducted in Environmental Justice Communities around the world honoring the following principles: 2.Research must be conducted using a community-based participatory action model 1.Must be designed and led by community residents

14. For information on ongoing community toxic tours: Mark Matthews Rafiki Wellness Center Black Coalition on AIDS PHONE: (415) 615-9945, ext. 115 EMAIL: communityorganizing@bcoa.org