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Asset Based Approaches for Community Engagement  

Katrina Wyatt, Robin Durie, and Felicity Thomas

This is an advance summary of a forthcoming article in the Oxford Research Encyclopedia of Environmental Science. Please check back later for the full article. The burden of ill health has shifted, globally, from communicable to non-communicable disease, with poor health clustering in areas of economic deprivation. However, for the most part, public health programs remain focused on changing behaviors associated with poor health (such as smoking or physical inactivity) rather than the contexts that give rise to, and influence, the wide range of behaviors associated with poor health. This way of understanding and responding to population ill health views poor health behavior as a defining “problem” exhibited by a particular group of individuals or a community, which needs to be solved by the intervention of expert practitioners. This sort of approach determines individuals and their communities in terms of deficits, and works on the basis of perceived needs within such communities when seeking to address public health issues. Growing recognition that many of the fundamental determinants of health cannot be attributed solely to individuals, but result instead from the complex interplay between individuals and their social, economic, and cultural environments, has led to calls for new ways of delivering policies and programs aimed at improving health and reducing health inequalities. Such approaches include the incorporation of subjective perspectives and priorities to inform the creation of “health promoting societal contexts.” Alongside this, asset-based approaches to health creation place great emphasis on valuing the skills, knowledge, connections, and potential within a community and seek to identify the protective factors within a neighborhood or organization that support health and wellbeing. Connecting Communities (C2) is a unique asset-based program aimed at creating the conditions for health and wellness within very low-income communities. At the heart of the program is the belief that health emerges from the patterns of relations within neighborhoods, rather than being a static attribute of individuals. C2 seeks to change the nature of the relations both within communities and with service providers (such as the police, housing, education, and health professionals) to co-create responses to issues that are identified by community members themselves. While many of the issues identified concern local environmental conditions, such as vandalism or safe out-door spaces, many are also contributory determinants of ill health. Listening to people, understanding the social, cultural, and environmental context within which they are located, and supporting new partnerships based on reciprocity and mutual benefit ensures that solutions are grounded in the local context and not externally determined, in turn resulting in sustainable health creating communities.

Article

Risks for Occupational Health Hazards Among Solid Waste Workers  

Mehrad Bastani, Nurcin Celik, and Danielle Coogan

This is an advance summary of a forthcoming article in the Oxford Research Encyclopedia of Environmental Science. Please check back later for the full article. The volume of municipal solid waste produced in the United States has increased by 68% since 1980, up from 151 million to over 254 million tons per year. As the output of municipal waste has grown, more attention has been placed on the occupations associated with waste management. In 2014, the occupation of refuse and recyclable material collection was ranked as the 6th most dangerous job in the United States, with a rate of 27.1 deaths per 100,000 workers. With the revelation of reported exposure statistics among solid waste workers in the United States, the problem of the identification and assessment of occupational health risks among solid waste workers is receiving more consideration. From the generation of waste to its disposal, solid waste workers are exposed to substantial levels of physical, chemical, and biological toxins. Current waste management systems in the United States involve significant risk of contact with waste hazards, highlighting that prevention methods such as monitoring exposures, personal protection, engineering controls, job education and training, and other interventions are under-utilized. To recognize and address occupational hazards encountered by solid waste workers, it is necessary to discern potential safety concerns and their causes, as well as their direct and/or indirect impacts on the various types of workers. In solid waste management, the major industries processing solid waste are introduced as recycling, incineration, landfill, and composting. Thus, the reported exposures and potential occupational health risks need to be identified for workers in each of the aforementioned industries. Then, by acquiring data on reported exposure among solid waste workers, multiple county-level and state-level quantitative assessments for major occupational risks can be conducted using statistical assessment methods. To assess health risks among solid waste workers, the following questions must be answered: How can the methods of solid waste management be categorized? Which are the predominant occupational health risks among solid waste workers, and how can they be identified? Which practical and robust assessment methods are useful for evaluating occupational health risks among solid waste workers? What are possible solutions that can be implemented to reduce the occupational health hazard rates among solid waste workers?