Analyze

“Since asthma surveillance data were not available at the census tract level for most of Louisiana, we estimated asthma burden using the inpatient discharge data available through LDH.”  (4)

“Case counts are not provided for CTs with a 2018 population of less than 800 to safeguard privacy.” (4)

“To minimize the need for suppression, inpatient discharge data was aggregated for the three most recent years available (2017–2019) and average annual crude rates were calculated for cases where asthma (ICD-10 code J45) was the primary diagnosis, as well as where asthma was any diagnosis.” (4)

“Spearman’s Rank Correlation was utilized to analyze the correlation between various social and environmental vulnerability factors, COVID-19 incidence, and the measures of asthma risk by CT.” (4)

“This was performed by first ranking the values in each dataset using RANK.AVG function in MS Excel 2016, followed by applying the PEARSON function to compare two datasets. Significance was set at alpha less than 0.05 (α < 0.05), with degrees of freedom (df) equal to two less than the total number of data points represented in both datasets” (4)

The research team works for the Section of Environmental Epidemiology and Toxicology, Office of Public Health, Louisiana Department of Health in Baton Rouge. Team members included Arundhati Bakshi; Shanon Soileau; Collete Stewart; Kate Friedman; Collete Maser; Alexis Williams; Kathleen Aubin; and Alicia Van Doren. 

“Currently, much of the environmental focus of the pandemic remains on PM2.5 levels; however, we noted that higher levels of ozone was consistently associated with higher incidence rates of COVID-19, and it was the only environmental factor that appeared to have an additive effect over SVI on COVID-19 incidence (Fig 1).” (11)

“Specifically, our data show a moderately strong positive correlation between SVI due to minority status/language barrier and three health data variables: asthma hospitalization; estimated asthma prevalence; and cumulative COVID-19 incidence at 3 months (Table 2). Interestingly, SVI measures were either negatively or not significantly correlated COVID-19 incidence at the 9-and 12-month time points, indicating that social vulnerability factors may have played a greater role in COVID-19 spread early in the pandemic, but may have been of diminishing importance as the pandemic wore on (Fig 1 and Table 2).” (9)

Bakshi A, Van Doren A, Maser C, Aubin K, Stewart C, Soileau S, et al. (2022) Identifying Louisiana communities at the crossroads of environmental and social vulnerability, COVID-19, and asthma. PLoS ONE 17(2): e0264336. https:// doi.org/10.1371/journal.pone.0264336. 

This document uses data resources from the Center for Disease Control/Agency for Toxic Substances and Disease Registry (CDC/ATSDR), the Environmental Protection Agency (EPA), and the Louisiana Department of Health (LDH).

These data resources include the Social Vulnerability Index (2018 - CDC/ATSDR), the NATA Respiratory Hazard Index (EPA 2014), PM2.5level (average annual concentration in ug/m3, EPA 2016), ozone level (summer seasonal average of daily maximum 8-hour concentration in air in parts per billion, EPA 2016), indoor mold concerns reported to IEQES program (average annual number of calls, LDH 2017-2019), cumulative COVID-19 incidence rate at 3-, 6-, 9- and 12-month increments (LDH March 2020 - March 2021), asthma hospitalization (average annual crude rate, where asthma was a primary diagnosis among hospitalization cases, LDH 2017-2019), and estimated asthma prevalence (average annual crude rate, where asthma was any diagnosis among hospitalization cases, LDH 2017-2019).

While the organization was founded by Taiwan's citizens to uphold environmental justice movements centered on Taiwanese citizens, its involvement in Vietnam's Formosa case signals that the organization itself may be broadening their scope in future endeavors. In leveraging its resources to seek redress for victims outside of Taiwan, ERF may need to extend their networks to international agencies as well as engage with communities not directly reachable to its workers. As Vietnam's Formosa case also concerns dealings with an authoritarian government, restrictions on speech, police brutality, and censureship on the part of Vietnam's government may render it difficult for ERF and affiliated agencies to obtain all relevant information pertaining to the case.

• Website: https://erf.org.tw/about/

• Youtube Channel: https://www.youtube.com/channel/UCWiSqQq9d56aRjUabg3ZRfg

• Facebook page: https://www.facebook.com/ERFTW

• Instagram: https://www.instagram.com/erftw/ 

Environmental Rights Foundation (ERF)  was founded due to the result of the court settlement regarding the lawsuit on the 3rd phase expansion of Central Taiwan Science Park (CTSP) between farmers and the government. As such, the organization’s focus remains centered on ensuring community members' environmental rights across different government development plans.

https://erf.org.tw/news/ 

ERF has published over 150 press releases documenting their engagement communities in seeking government actions to address environmental disasters. These press releases include up-to-date news on each relevant environmental justice case the agency is currently working on. One example of a recent press release includes information issued by the Formosa Plastics Vietnam Steel Alliance, which consists of six non-governmental organizations supervising the case. Statements issued within this press release comes from members of Amnesty International Taiwan, Reporters  without Borderes, Environmental Lawyer's Association, and the Environmental Rights Protection Foundation. 

In regards to the Formosa case, ERF has collaborated with the Justice for Formosa Victims (JFFV)- a Vietnamese-American based organization- to coordinate efforts in seeking redress to affected communities.

• Drawn from website,community engagement  activities undertaken by ERF in Taiwan includes:

• At Reservoir Planning Areas: ERF has organized the International Day of Action for Rivers events on March 14 for two consecutive years in 2018 and 2019. The events aim at drawing the society’s attention on reservoir issues through local concerts or speed-walking events.

• At Solar Power Planning Areas: ERF has organized with local indigenous people the Tribe Land and Sunshine Workshop so that the local communities know more about solar energy and the practicing of indigenous peoples’ right of consultation and consent and the right of benefit sharing.

• At So-to-Be-Eliminated Fishing Villages Whose Land is Acquired by the Tourism Industry and Hotels: ERF organizes courses on urban planning procedures and more.

• Near Factories of the High Technology Industry: ERF organizes courses on communities’ right to know, health risk reports, and more.

• The organization has also established the following:

• Citizen Monitoring the Sixth Naphtha Cracker Environmental Rights Promotion Action Platform (Citizen Monitoring the Sixth Naphtha Cracker Platform): The Sixth Naphtha Cracker of Formosa Plastics is the largest petrochemical industrial park in central Taiwan, impacting the local environment and the health of residents greatly. Research has shown that the incidence of cancer is significantly higher in residents living near the petrochemical industrial park. Taixi Village of Changhua even has the name “cancer village”. The platform was co-established by civic organizations and local residents, aiming at urging the government to enhance its capability of environmental governance and conduct adequate environmental monitoring to realize the public’s right to know.

• Legalization of Unregistered Factories on Agricultural Land: At present, there are over 134,500 unregistered factories on agricultural land in Taiwan, occupying an area of 13,859 hectares. ERF has been working with civic organizations since 2017, organizing legal policy lobbying, urging the government to amend laws and regulations, and publicizing data and information for better policy tracking and judgement. 

• Judicial Remedies for Transnational Corporation Pollution (Ocean Pollution of Formosa Ha-Tinh Steel Corporation): ERF organized a lawyer group to assist the 7,875 Vietnamese victims. We filed for a civil lawsuit for compensation against the shareholders and board of directors of Formosa Ha-Tinh Steel Corporation, hoping that transnational corporations bear responsibilities of pollution.

ERF members include lawyers and environmental experts.  The board of directors of the ERF are nominated by governmental authorities, local farmers, lawyers, and environmental experts. Of special note to this case is Hsin-Hsuan Sun, a researcher at ERF. She maintains  an active online presence to educate others on the progress of the Formosa case in Vietnam and raise awareness on international policy developments with direct relevance to environmental justice cases. For example, her recent tweets call for greater involvement of underprivileged and indigenous communities in renewables development.