1. Marti Lindsey Maureen King Leroy Williams Gila River Indian Community Community Action for a Renewed Environment Level I (Pilot) Project (GRIC CARE) The

4. Building Partnership 1 (23 + Partners) 4 Community members Public Health Nursing Community Leaders Gila River Farms Industrial Parks GRIC Casinos Grassroots HR-OSH CHRs DOT HuHuKam ASU / U of A Public Works Office of Water Rights Pinal/Maricopa County Public Health Education District Community Managers Schools, Childcare, Headstart… Risk Management Office/ Insurance Institute of Tribal Environmental Professionals Office of Planning & Evaluation WIC (Community Services) Public Information Office Economic Development Community Housing Youth Council Finance Dept USEPA IHS ITCA JATAP Salt River PMIC Elderly Concerns Tribal Social Services AZ State Health Dept GRIC Fire Department Ak-Chin Indian Community Land Use Planning & Zoning Fort McDowell Yavapai Nation Office of Emergency Management 4 *Prospective partners

5. GRIC CARE Core Team 5 GRIC Environment Health GRIC Occupational Safety & Health (OSH) Joint Air Toxics Assessment Project (JATAP) U.S. Environmental Protection Agency (EPA) Public Health Nursing Huhugam Heritage Center Tribal Social Services GRIC OP&E LUPZ GRIC Youth Council GRIC Elderly Services

6. The GRIC CARE Mission Statement The GRIC CARE project is a shared, voluntary effort to increase Community understanding of how the environment affects our health by building on the Gila River Indian Community’s tradition of respect for the land, air, water. 6

7. 7 Identifying Concerns 2 First, GRIC CARE Project Introduction – Natural Resources Standing Committee – Health & Social Standing Committee – Cultural Resources Standing Committee – GRIC Tribal Council – Council of Elders / Elderly Concerns Toxic Education & Reduction Outreach – District Community Meetings – Youth Council Annual Conference ‘08 GRIC CARE Kick-off Events 2008

8. 8 Five (5) Community Concerns Identified AIR QUALITY 1 SOLID WASTE 4 Pesticides 3 WATER QUALITY 5 Hazardous Waste 2

9. Community Vulnerabilities 3 9 Children & the Elderly are more susceptible to health impacts. Community members who have respiratory illness, diabetes, cancer Members who are near industrial sources or pollution sources Cultural concerns (aesthetics, Need of support or guidance to take action Neighboring jurisdiction, control over outside influence – encroachment (??), Communication

10. Community Assets 4 Departments within Tribal government Council of Elders Youth Council Gila River Prevention Coalition 10

11. Immediate Actions 5 DEQ and Public Works District organizations – D1 and D6 GRIC CARE Cleaning with Green Products Partnership Assistance 11

12. Collect & Organize 6 Monthly GRIC CARE meeting Orientation meeting District presentations Public Events (Fairs, Block Parties, Elderly meetings and luncheons GRIC Youth Conferences Public Health Nurse Other Conferences (NTCEM, NTF, Environmental health leadership training Cleaning with Green Materials Other organizations (Prevention Coalition, DEQ Program staff 12

13. Community Assessment

14. 14 Ranking the Risks: Presenting the Potential Health Impacts 7

15. Potential Solutions 8 Steps to/from Risk Ranking and Prioritization event provided some direction Support from GRIC leadership – reassurance Support from EPA R9 and Build upon DEQ and other projects in process Sept. 28 th meeting Continual research – outside Community 15

16. The Real Work Begins 9 Trash in the environment Oct 09 – March 2010 grant proposal Current DEQ and Public Works (others) work plan towards solid waste and recycling projects GRIC CARE Level I Risk Reduction Plan 16

17. --Evaluation-- How to become self-sustaining Recommendations… 17