Building New York State Centers of Excellence in Children’s Environmental Health: A Replicable Model in a Time of Uncertainty

Autor:	Lauren Zajac, Evonne Kaplan-Liss, Goeffrey Collins, Allen Dozor, Ruth Lawrence, Perry E. Sheffield, Robert W. Amler, Joel Forman, Phillip J. Landrigan, Danielle Laraque-Arena, Karen Hughes Miller, Richard Miller, Maida P. Galvez
Rok vydání:	2019
Předmět:	Pediatric Obesity medicine.medical_specialty Developmental Disabilities media_common.quotation_subject New York Congenital Abnormalities 03 medical and health sciences Politics AJPH Methods State (polity) Excellence Neoplasms Political science Environmental health Health care medicine Humans Retrenchment media_common Health Services Needs and Demand Government 030505 public health business.industry Public health Child Health Uncertainty Public Health Environmental and Occupational Health Legislature Environmental Exposure Health Care Coalitions Asthma Costs and Cost Analysis Premature Birth 0305 other medical science business Environmental Health State Government
Zdroj:	Am J Public Health
ISSN:	1541-0048 0090-0036
Popis:	Public health programs may be seriously affected in periods of federal retrenchment. During these times, state-based strategies provide an alternate pathway for advancing public health. A 12-year campaign to secure state support for a network of Centers of Excellence in Children’s Environmental Health (CEH) promoting health of children across New York State is described. It was driven by rising rates of asthma, birth defects, developmental disorders, and other noncommunicable diseases in children; growing evidence associating hazardous environmental exposures with these conditions; and recognition that federal resources in CEH are insufficient. Critical campaign elements were (1) formation of a statewide coalition of academic health centers, health care providers, public health officials, community advocates, and other stakeholders; (2) bipartisan collaborations with legislative champions and government leaders; (3) assessment of the burden of developmental disorders and noncommunicable diseases associated with environmental exposures among children; (4) maps documenting the presence of environmental hazards in every county statewide; (5) iterative charting of a changing political landscape; and (6) persistence. The 2017 award of a 5-year, $10 million contract to establish Centers of Excellence in CEH demonstrates the value of this statewide strategy.
Databáze:	OpenAIRE
Externí odkaz:	https://explore.openaire.eu/search/publication?articleId=doi_dedup___::4baa7a6fb3709f67ba0ba1eb23f2b739 https://doi.org/10.2105/ajph.2018.304742 Zobrazit plný text záznamu Plný text ve formátu PDF Plný text ve formátu HTML
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