A Joint project of AVillage…, Inc., and the Radix Ecological
Sustainability Center.
Introduction: The Ezra Prentice Community Health Project was
developed in response to a need perceived by AVillage…
Inc., a community based not-for-profit in the South End of Albany. Ezra
Prentice Homes is a public housing project situated next to the Port of Albany
in the city’s far southern edge and has been officially designated as an
Environmental Justice community by the NYS Department of Environmental Conservation.
However, until recently the DEC has been reluctant to address the air pollution
issues that plague this community. Through direct observation it was evident
that residents of Ezra Prentice suffer from an extremely high level of
illnesses that appeared to be related to air pollution. Ezra Prentice is in a
highly industrialized area, with many potential sources of air pollution, but
the two sources that most clearly impact residents are from the Kenwood rail
yards, where oil tanker and other rail cars are parked and switched directly
behind Ezra Prentice, and the heavy diesel truck traffic on South Pearl Street.
The Health Survey: Working with the Radix Ecological Sustainability Center, a
partner South End not-for-profit, we designed and implemented a comprehensive
health survey and organized local residents to do the outreach. Wherever
possible we used verified questions and relied on advice from faculty at the
SUNY School of Public Health in the design and administration of the survey
itself. The Resident Outreach Workers make the initial contacts, conduct an
initial environmental awareness survey, and make appointments for graduate
students certified in human subjects research to administer the survey. Residents
are compensated for taking the surveys with gift cards, and survey results are
kept confidential and under lock and key.
Why This Model: Even with advances in insurance coverage, insurers
and heath care providers have little success in reaching into low-income,
minority communities and serving people with chronic illnesses who live
isolated and stressful lives. AVillage brings deep roots in the South End that
enables us to listen and respond to community issues, and to recruit and train
community members to be part of the solution to their problems. Our partner,
the Radix Ecological Sustainability Center, also a South End organization,
brings a deep commitment to environmental justice and expertise in community
health and epidemiology. (We also partner with Trinity Alliance on food
security projects.) Because both AVillage and Radix are independent community
organizations, we can organize and address environmental injustice more
directly than can government or health organizations. The residents are assured
of representation that has no other agenda but theirs.
The Results So Far: As of December 2, health surveys have been
completed for 85 of 176 units at Ezra Prentice. Full results are available on
request, but the raw numbers for asthma (found in 55 percent of households
reporting, and with 38 percent of children), respiratory illnesses (20 percent
of households reporting) and high blood pressure (50 percent of households
reporting) are striking. The
initial numbers were enough to generate new concerns at the local and state
level.
Next Steps for the Health Survey: A larger sample size will
increase the validity of these results.
It is vital that we complete as many health surveys as possible. Our
goal is at least three quarters, or roughly 134 of the residential units. This
will require overcoming reluctance by some residents as they see results from
other members of the community and also see the possibility of results in
reducing air pollution factors. We also need to tabulate all the data and
compare it to health disparities in the rest of the South End and with other
demographically comparable communities. Up to this point, most of the survey
administration, outreach and administration have been a volunteer effort. The
attached budget represents the actual costs we estimate for completing the
health survey work at Ezra Prentice.
Primary data detailing the
prevalence of health issues on such a local scale is not available. The documentation of health issues in a
community neighboring an active port could have a huge impact beyond
Albany.
Next Steps for Ezra Prentice Residents: Our intention is to utilize
the health surveys to advocate for direct services for the residents of Ezra
Prentice who report needs that are not being met, and for enhanced preventive
services for the entire community. At the request of the Albany Housing Authority and the Albany
County Department of Health, AVillage and Radix are designing programs to
utilize existing services to address health issues at Ezra Prentice. These
programs will make use of our Resident Outreach Worker model, with residents
trained in basic health issues serving as “credible messengers” in their
community.
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