National Environmental Justice Conference

Lois Wessel, CFNP Association of Clinicians for the Underserved Georgetown School of Nursing and Health Studies Washington, DC March 27-28, 2014

If you cant breathe, nothing else matters

-American Lung Association

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Rositas Story

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Medication Management

ADVAIR $187-$219
FLOVENT $138-$224 QVAR $92-$114

www.drugstore.com

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Rositas Reality

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www.clinicians.org

Smoke does not know to stop at the doorNEJM, Winicoff

Consumer Demand Health issues Reduced fire hazards Decreased cleaning cost

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Federal Policy July 2009

Encouraged PHAs to implement non-smoking policies Designated areas Some for new residents 112 PHAs have opted for non-smoking Local smoking cessation resources
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www.clinicians.org

Federal Action Plan to Reduce Racial and Ethnic Asthma Disparities

Federal Ac on Plan: Four Strategies

Remove barriers to delivery of guidelines-based asthma care

1 3

Build local capacity to deliver integrated community-based care Accelerate effort to prevent onset of asthma

2 4

Improve capacity to iden fy those most in need

www.epa.gov/asthma/childrenstaskforce

Barriers
HOUSING LANGUAGE

COST OF MEDS

CULTURE

ACCESS

LITERACY

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Community Health Workers

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Health IT