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“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).

It would be great to interview current and former staff members of CBE to gain insight into what it is like to work on major campaigns and among a team who is victorious in practical issues. I would ask what are the most impactful strategies in community organizing that have proven effective in various campaigns facilitated by the CBE.

CBE’s mission focuses on the belief that everyone has the right to live in a healthy environment, free from the harmful effects of pollution and other environmental hazards. They also believe mobilizing community engagement leads to their empowerment and includes them in critical policy and decision-making conversations. Finally, by holding polluters accountable and promoting environmental regulatory laws, the CBE can ensure that polluters abide by necessary restrictions.

1. The CBE is regarded as one of California's most important and influential environmental justice organizations and the nation. Given the victories in critical cases throughout the years, it has a solid reputation for its advocacy work and is well respected by policymakers, environmental advocates, and community members. 

2. Within the media, CBE has been covered extensively in credible local and national media outlets. The organization is often quoted and featured as a credible and effective EiJ org. Its work has been recognized and celebrated.

1. Communities for a Better Environment functions within the nonprofit sector, specifically within social justice and advocacy subsectors. 

1.  Among the CBE’s board of directors sits Caroline Farrell, the Executive Director of the Center on Race, Poverty & the Environment (CRPE)

2. The CBE collaborates with other local, state, and national grassroots organizations. 

3. Additionally, the CBE has a history of working with labor unions representing workers closely tied to environmental issues, such as employees from refineries and power plants.

1. Climate Justice – CBE efforts are focused on the intersection of environmental issues, emphasizing the significance of the disproportionate impacts on low-income communities of color.

2. Racial Justice – The CBE is committed to amplifying the voices of Black and Brown communities in their work. Their work can be considered an effort to dismantle systems of oppression and inequality.

3. Corporate Power – CBE can be seen as a counterbalance to corporate interests and is proactive in holding polluters accountable by promoting policies that prioritize public health and environmental protection over corporate profits.

1. Community-led initiatives emphasize the importance of community members providing input central to their needs. 

2. Intersectionality is also key to describing the interconnectedness of environmental and social injustices.

3. At times they focus on narrow and specific issues such as air pollution or toxic waste disposal.