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#LA40by2030 Campaign 

The 2020 America’s Health Rankings ranks Louisiana 50th in the United States. In response, LCHE has developed the LA40by2030 campaign to improve health outcomes and quality of life for children and families across the state. The goal of the campaign is to improve the state’s national ranking to 40th by the year 2030. LCHE recognizes that improving Louisiana’s health ranking by 2030 will require the participation of government officials, public healthcare professionals, and the general public. LCHE is inviting stakeholders to develop a health equity database and action platform and contribute to achieving #LA40by2030.

Annual Health Summit

LCHE leads an annual health summit with the goal of improving health in Louisiana through the lens of health equity and determinants of health. The summit is designed to engage a diverse array of stakeholders in better understanding rapdily changing conditions of health with the goal of informing policy and building partnerships for community health improvements. This goal of the summit is to inspire action on the state, regional and local levels, and to facilitate progress towards LA40by2030.

The 2023 health summit will focus on population heath, and women and children's health. The summit is also aligned with the Louisiana Department of Health (LDH) state health improvement priorities: behavioral health, chronic disease, community safety, and maternal and child health.

Louisiana Resources and Educational Assessments for Children’s Health (LA REACH)

LA REACH is a pilot program to develop a holistic approach to improving school environments for teachers and students by decreasing instances of student disciplinary actions, violence, alternative school placement, increasing graduation rates, grade point averages, and standardized test scores. The program goals are to address the lack of awareness and resources for mental health, provide trauma-informed training to school personnel, and build stronger home and school relationships. The program strategy is to provide a safe and conducive environment for learning.

Office of Women's Health and Community Health (OHWHCH)

In 2022, LCHE’s organization and activism led to the creation of the first Louisiana office focused on women’s health. The Office of Women’s Health and Community Health (OWHCH) was established under a bill passed by the Louisiana Legislature on June 18, 2022. The office exists to improve women’s health outcomes and act as a coordinating agency and resources center for women’s health data and strategies. 

The Wade Institute for Youth Equity

The Wade Institute for Youth Equity is a year-round program dedicated to pursuing youth equity in key quality indicators, and promoting community safety in communities across Louisiana. For more than a decade, the Louisiana Center for Health Equity has devised and implemented a holistic public health approach to adolescent health. This includes, but is not limited to, youth violence prevention, positive youth development, healthy living including sexual risk avoidance, and mental health wellness. The Institute aims to create a well-rounded and equipped student for positive decision making. 

Louisiana Center for Health Equity: Mission and Vision

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LCHE is dedicated to advancing health equity to improve the overall health and well-being of all Louisianans. Since its founding in 2010, LCHE has worked to eliminate health and healthcare disparities attributed to structural, institutional, or social disadvantages. LCHE educates, advises, and mobilizes in an effort to advance health equity by dismantling health disparities caused by poverty, lack of access to quality healthcare, and unhealthy environmental conditions. In recent years, LCHE’s agenda has centered around supporting the behavioral health needs of youth exposed to trauma and childhood adversity. 

LCHE also provides opportunities for undergraduate and graduate students to participate in experiential learning opportunties through internships and fellowships. Click here to learn more.  

Affiliated Organizations, Collaboration and Critique

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LCHE often collaborates with the following organizations: Louisiana Department of Health, Pennington Biomedical Research Center, Southern University Law Center, Dillard University, and Louisiana State University (LSU), as well as national, state, and community-based organizations, such as the National Collaborative on Health Equity, League of Women Voters, March of Dimes), American Association of University Women (AAUW), National Congress of Black Women, among others. Interdisciplinary collaboration is talked about as an integral component of health equity advocacy. In her Career Pathways interview, founder and director Alma Stewart-Allen has highlighted the importance of bridging gaps between policy, medicine, social science, social services, business, and law. 

LCHE also often works closely with high school and university students, including but not limited to the Louisiana Youth Advisory Council (LYAC). Youth play an integral role in LCHE’s research and advocacy initiatives, through which they acquire the leadership, research and advocacy skills necessary for advancing environmental justice and health equity (see LCHE programs). 

LCHE  acts on behalf of Louisianans who are most impacted by structural inequities. In 2020, ProPublica published an article highlighting the disparities in Covid-related deaths between Black and white patients treated by Oschner Health, the largest nonprofit, academic health system in Louisiana. The journal’s analysis of data from the Centers for Disease Control and Prevention, and the local coroner’s office, found that patients that were Black were more likely to be sent home, and therefore also more likely to die at home. Families reported that Oschner staff pressured them into accepting hospice care. In response, the Louisiana Legislative Black Caucus also called for an investigation of Oschner’s practices. However, the Louisiana Health Department responded by declaring that the complaint was outside their purview. Following this development and seeking more impactful systems-change, LCHE filed a civil rights complaint against Oschner with the Department of Health and Human Services Office of Civil rights. Results of the civil rights investigation are still pending. 

 

Organizational Structure

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LCHE is led by founder and director Ms. Alma Stewart Allen, a registered nurse, former career state civil servant, entrepreneur, and public health policy advocate. For decades, she has testified at legislative hearings, run advocacy campaigns, and emphasized the significance of social and political determinants of health. She led an advocacy campaign to improve access to healthcare coverage, which resulted in Louisiana becoming the first state in the deep south to expand Medicaid under the Affordable Care Act in January 2016. Aiming to improve the state’s health rankings to 40th in the nation by the year 2030 (Louisiana currently ranks 46th), Ms. Stewart Allen continues her advocacy work by developing programs and initiatives aimed at improving health in Louisiana, particularly children’s mental health.

Supporting Article for Critical Infrastructure Statute.

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The article is supported by additional articles that examine the constitutionality of Critical Infrastructure Bill in Louisiana. The article is supported in its claim that the statute can be argued as legislativley motivated as the critical infrastructure bills arose after the Dakota Acess Pipeline protest and the Lousiana revised Bill came after the Bayou Bridge Pipeline protest. The article is additionally supported in analysis of additional critical infrastructure bills from other states, such as Texas, Dakota, etc. 

Methods Used in Arguing Critical Infrastructure Article

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The methods/Theories used to produce claims of violations of First amendment and Due Process from the Revised statute are taken from Modern First Amendment Doctrines and approaches. The article as well utilizes previous court cases and their decisions to guide the analysis.

In terms of the Due Process Clause violation, the article states that any statue is in violation of the Due Process Clause if the statute is so standardless that is encourages or authorizes discriminatory enforcement. 

In terms of the First Amendment, the article estabilishes first how the United States Supreme Court analyzes cases that contest the First Amendment. Their are three theories introduced that support the first amendment, if a law is found to be prohibiting these theories, a case can be made that it violates the First Amendment. These theories include: "self-realization", "marketplace of ideas", and "democratic value". To determine wether the regulation effects a speaker or the marketplace two models are used: "speaker based" and "audience based". These are used to determine wether the statute will effect the public discourse or the individual. In the end, the article argues how each of these three theories are violated and therefore the statute is in violation of the First Amendment. 

The article as well looks at how the Supreme Court uses a "tiered-scrutiny" approach when analyzing the constitutionality of statutes. This allows the court to apply a different standard based on if the statute is content neutral or content based. Any content based statue is unconstitutional as it prohbits a certain type of speech. When a statute is content neutral, the court must provided evidence that the statute was content motivated. 

Quotes from Article: Examining Speech Suppressing Effect of Critical Infrastructure Statutes

Lauren

"The modifications to Louisiana Revised Statutes section 14:61 seem to be a direct response to the Bayou Pipeline protests for four reasons. First, this is evidenced by the addition of pipelines to the definition of "critical infrastructure" protected by the statute, as well as the creation of heightened penalties aimed at deterring those speaking out against the further construction of pipelines within the state. Second, the arrest of protestors were made within weeks of the modification of the statute, supporting the contention that the legislature made these changes to silence protestors. Third, a sponsor could [...] potentially have a personal motive [...] as energy and natural resource companies are his or her leading campaign donor [...]. Finally, the national trend of statutes protecting critical infrastructure which arose after the Dakota Access pipeline protests seems to suggest that the fear of opposition toward pipeline construction is what led the Louisiana Legislature to amend section 14:61" (Pg. 18). 

This quote describes the arguments that can be made in regards to proving motivation behind the legislative revisions. Despite the statute is content neutral, the motivations behind the statute prove that the statute be upgraded to strict scrutiny. 

"By suppressing the speech of those opposing pipeline construction within the state, the government restricts the ability of citizens to articulate their desires, inherently excluding them from the political process of making changes within their community and perpetuating their plight." 

"Though some regulations of conduct are permissible, it is impermissible for the legislature to suppress the expressive conduct of those opposing the Bayou Bridge pipeline construction, as this suppression results in a governmental distortion of public debate and offends the democratic system."

These quotes demonstrate how the statute can be held in violation of the first amendment. 

Examining Speech Suppressing Critical Infrastructure Article Main Findings

Lauren

The main argument presented in the article states that the Louisiana Revised Statute section 14:61 of the Louisiana Critical Infrastructure Bill should be revoked as it is impermissibly in violation with the First Amendment and the Due Process Clause of the Constitution. The article notes the timing and vagueness of the additions to the infrastrutcure bill to be discriminatorily motivated towards silencing a certain type of speech. The Revised Infrastructure Bill included the addition of "pipelines", both in construction and operating as apart of the definition of "critical infrastructure". The revised bill estabilished a strict penalty of jail for no more than 20 years or fine of no more than $25,000. The revision followed the Bayou Bridge Pipeline construction protests. The article argues for the regulation to be held under strict scrutiny under the law as, though it is content-neutral, the legislative motive appears to be content-based. An analysis is appropriate to conduct despite being content neutral. As well, the article argues that the new regulation silences speech, in violation with the first amendment. Noted in the article, First amendment arguments fall into three theories or categorizes: "self-realization" theory, "marketplace of ideas" theory, and "democracy" theory. The article argues that all three theories that enable the preservation of the first amendment are violated through the revised bill sections. The statute distorts the marketplace of ideas as it enforces such a harsh punishment, is standardless, and vague that it has the effect of creating self-censorship. Without access to dissenting ideas in opposition to the pipelines, this deprives the public from the marketplace of ideas but also denies them from self realization in creating their own opinions from the opposining ideas around them. Finally, the statue is argued to deny democracy in that it restricts the publics ability to share their desires for their communties, excluding them from the political process, denying them a democratic process to voice an opinion. The article goes on to propose ways in which the courts can fix their practices in reviewals of Due Process and First Amendment legal cases. 

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elizabeth.diblasio

The main hazard of this artifact is the chemically polluted waters of the Passiac River and its effects on the marine life. Furthermore, it ish from the river are typically eaten by the locals. The main form of precaution exercised to avoid this health hazard would be the fish exchange tents which have been set up for locals to use exchange their catches from the Passaic with farm raised tilapia.