Convened by the California Department of Public Health, Environmental Health Investigations Branch With support from the Agency for Toxic

Substances

2015

Table of Contents Background and Purpose ................................................................................................................... 3

Stakeholder Roundtable 2015.......................................................................................................... 4

What do You do When You Run Out of Cultural Experts? The Case for Cultural Humility ......... 4

Open Discussion Forum ...................................................................................................................... 5

The Making of an Environmental Justice Activist ...................................................................... 6

Climate Change Discussion ................................................................................................................ 7

Closing Remarks ..................................................................................................................................10

Appendix A: Agenda ...........................................................................................................................11

Appendix B: What do You do When You Run Out of Cultural Experts? The Case for Cultural Humility ....................................................................................................................................................12

Appendix C: Strategies to Manage Implicit Bias.......................................................................13

Appendix D: Climate Change and Health ....................................................................................13

Appendix G: Feedback .......................................................................................................................14

Appendix H: Attendees List .............................................................................................................15

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Background and Purpose

The Site Assessment Section (SAS) of the Environmental Health Investigations Branch (EHIB), California Department of Public Health (CDPH), conducts public health activities at hazardous waste sites in the State of California through a cooperative agreement with the federal Agency for Toxic Substances and Disease Registry (ATSDR). SAS carries out public health activities, which may include exposure assessments and investigations, health education and community involvement, technical assistance to local, state or federal agencies or community groups, and health studies when feasible. With no regulatory power, the impact that SAS makes in a community are its public health protective recommendations to the regulatory agencies overseeing cleanup or operations and efforts in community participation and health education.

Since 2006, SAS has been providing its stakeholders the opportunity to dialogue about environmental public health in the context of a roundtable. We have brought together individuals from public health departments, and community-based organizations, to: increase their access to resources and experts that can assist them; provide a forum for cross-communication; and catalyze local efforts addressing environmental public health. The purpose for these roundtables is twofold: 1) to facilitate learning and sharing about environmental public health concerns relevant among communities, agencies, and SAS staff, and 2) to provide a forum for feedback and direction to the SAS group from communities and agencies.

Timeline of Stakeholders Roundtables

Year Topic 2006 Prioritizing & Meeting Community Needs at Hazardous Waste Si tes 2007 Methamphetamine Laboratories & Facilities Emitting Hazardous Chemicals in the Ai r 2008 Land Use Planning & Environmental Publi c Health 2009 * 2010 Health Impact Assessments & Long-Term Stewardship of Hazardous Waste Si tes 2011 * 2012 * 2013 Water Quali ty & Disease Cl usters

2014 Healthy Housing and Indoor Air Quality, Navigating Envi ronmental Health Agencies and Understanding and Approaching Unengaged Communiti es

2015 Cultural Humility, Environmental Health Activism and Climate Change in Publi c Health

*Note: funding challenges prevented SAS from conducting a roundtable in 2009 and 2012; however, in 2011 instead of organizing a roundtable, SAS helped EHIB host a symposium for promotores (community health workers) from across the state.

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Stakeholder Roundtable 2015

The roundtable was held in Los Angeles, California on February 12, 2015. During this roundtable, 27 participants (9 community advocates, 6 CDPH staff and 12 representatives from other government agencies) were convened to learn about cultural humility, environmental justice activism, climate change and to engage in open discussions with other participants. Topics were selected based on suggestions made by roundtable participants and perceived utility of topics by roundtable organizers. For a copy of the agenda please refer to Appendix A.

At the beginning of the roundtable, Dr. Gabriele Windgasse, Chief of SAS, provided participants with a general background and purpose of the roundtables. Dr. Windgasse also reviewed the history of the roundtable and went over the day’s agenda.

What do You do When You Run Out of Cultural Experts? The Case for Cultural Humility

Dr. Hendry Ton, Associate Professor in the Department of Psychiatry and Behavioral Sciences at UC Davis spoke about cultural humility, implicit bias and methods for overcoming implicit bias. Dr. Ton began with a group activity that showed that a person’s name is both arbitrary and carries a story for the person holding that name. He then proceeded to define culture and differentiate cultural competence and cultural humility, and why the latter is more helpful. He closed with a detailed discussion of unconscious bias. Dr. Ton PowerPoint presentation is provided in Appendix B and his handout about managing implicit bias is in Appendix C.

Take home messages

1) Everyone has a culture, but it is often taken for granted. Culture encompasses shared norms, beliefs and values and governs how people act and express themselves.

2) Cultural competency involves having knowledge about other cultures. Cultural humility involves a lifelong self-reflection and understanding that we do not know everything. Cultural humility acknowledges that mistakes happen; we must learn from these mistakes.

3) The multiple identities we hold shape our culture. These identities come from a variety of sources including: gender, race, religion, sexual orientation, socioeconomic status and age.

4) Unconscious biases are positive or negative attitudes that a person holds on an unconscious level towards a person, group or thing. These biases are based in the primitive part of the brain and are automatic and sometimes irrational.

5) Overcoming biases requires work, but there are many actions individuals can take in order to address this (i.e. forming cross-cultural friendships, limiting assumptions about others, being an ally etc.).

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Unanswered Questions

Responses to unanswered questions and resources Question Answer How is cultural competency being translated into medicine?

There are several efforts to address this. At the national level, the U.S. Department of Health and Human Services, OPHS Office of Minority Health has released the National Standards for Culturally and Linguistically Appropriate Services in Health Care.

Source: http://minorityhealth.hhs.gov/assets/pdf/checked/finalreport.pdf

Resources

Topic Materials Information on Cultural Humility

M. Tervalon, J. Murray-Garcia (1998). Cultural humility versus cultural competence: a critical distinction in defining physician training outcomes in multicultural education, Journal of health care for the poor and underserved, Vol. 9, No. 2. (May 1998), pp. 117-125. https://www.youtube.com/watch?v=SaSHLbS1V4w

Taking Implicit Association Tests (IATs)

Currently tests are available for: Gender-Career, Native, Asian, Gender-Science, Weapons, Disability, Race, Age, Weight, Skin-tone, Presidents, Religion, Arab-Muslim and Sexuality. https://implicit.harvard.edu/implicit/takeatest.html

Information on Culturally and Linguistically Appropriate Services in Health Care

http://minorityhealth.hhs.gov/assets/pdf/checked/finalreport.pdf

Information on using Cultural in Research

http://obssr.od.nih.gov/pdf/cultural_framework_for_health.pdf

Open Discussion Forum

Nancy Palate introduced an open discussion forum where community representatives talked about things going on in their community and asked questions of representatives from government organizations.

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Topics of Discussion

Topic Details Working with communities when envi ronmental

assessments determine there is no health ri sk

It can be challenging for communiti es to be told that their situati on is “not that bad” and their envi ronment does not pose a risk to their health. It may be helpful to first determi ne what a community wants, before initiati ng site assessments. Issues can be prioritized and an action plan can be developed to address identified issues. The protocol for assessi ng community excellence in envi ronmental health (PACE-EH) can be a helpful framework to utili ze. Local health departments can initi ate the PACE-EH process.

Dealing with situati ons in which communiti es are not receiving the informati on they want

Some communities may feel that they are not told what the situation at hand means for their health. This may arise because agencies i nvolved may not

know or because they are not the correct agency to make this determinati on. Also, agenci es may focus on current and future exposures, but cannot account for past exposures. It is important for agenci es to maintain regular communication with communities and connect them with reli able and helpful contacts with agenci es as requested or needed.

Resources

Topic Materials PACE-EH http://www.cdc.gov/nceh/ehs/ceha/pace_eh.htm

The Making of an Environmental Justice Activist

Luis Olmedo shared his journey to becoming Executive Director of Comité Civico del Valle in Imperial Valley. Luis did not set out to become an activist, however, an experience with an employer sparked positive change in his life. Olmedo’s father was director of Comité Civico del Valle and Olmedo became co-director. Luis then discussed his current NIH funded project to collect air quality data using air monitors. Luis suggested that effective communication with community members and government agencies involves working as a link between the community and government.

6

Resources

Topic Website Information about environmental health in Spanish

http://www.communityhealthstudies.org/es/

Information on Promotoras/Prom otores

http://www.cdph.ca.gov/programs/cobbh/Documents/Promotores%20de%20Salud%2 0HHS%20(CMS%20).pdf

Comité Civico del Valle

http://www.ccvhealth.org

Climate Change Discussion

Nancy, Armando and Danny facilitated a discussion about climate change. Roundtable participants shared their biggest concerns of the impact of climate change in their communities (see below). Government and community representatives shared the steps that their communities and workplaces are undertaking (or can undertake) to address global warming (see below). We would like to encourage attendees to take a look at the lists, undertake some of these steps and share new steps with each other. It was suggested that emphasizing the co-benefits of actions to curb global warming m ight be an effective strategy to promote efforts to combat global warming. A handout on climate change and health is available in Appendix D.

Climate Change Impacts of Greatest Concern to Communities

1) Lack of messaging in various languages (education) 2) Drought (water conservation) 3) Lack of baseline data 4) Access to the conversation 5) Disproportionate representation 6) Lack of power 7) Air quality 8) Food and water security

9) Transportation 10) Fracking 11) Sea level rise 12) Future use of land 13) City climate action plans 14) County and related environmental plans 15) Mitigation of greenhouse emissions 16) SB375 requirements 17) Unequal representation

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Measures or Projects You are Involved in Related to Climate Change 1) Water conservation (taking 5-minute showers) 2) Advocate support for biking and walking 3) Desert plants near home 4) Tree canopy coverage and expanding it 5) Bilingual environmental education 6) AB32 EJ advisory committee:

a) GNEB (good neighbor environmental board) to advise on climate change b) Air monitoring projects

7) County climate action plan 8) Bay Area Regional Health Inequities Initiative 9) Community Health Councils: Cap and trade SB535 conversations to discuss definition of benefits to disadvantaged populations 10) Workshops on water pollution issues 11) Bilingual workshops on renewable energy 12) IVAN on six counties to identify climate change issues with community and agencies 13) National climate change conversations

Measures or Projects You Could Start in Your Workplace or Community Related to Climate Change

1) Educate children in what they can do, which helps educate adults 2) Improve communication and education about climate change (ATSDR and Cal EPA) 3) Holistic approach; looking beyond superfund (ATSDR & EPA) 4) Community presentation on climate change in English and Spanish (Promotores) 5) Engage community on decision-making and members in health actions collaborative (EHIB and all) 6) Community education through migrant programs and daycare centers 7) Train family resource centers to educate and inform communities

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Unanswered Questions

Responses to unanswered questions and resources Question Answer

How many people actually ri de bikes?

Nationall y, 882,198 people bike to commute.

Source: http://bikeleague.org/content/revi sed-bike-data-breakdown

How do we encourage bike ri ding?

Interventions have effectively seen modest gains in biking behavi or by using individual-level behavi oral change, mass media campaigns and implementing changes to the physi cal envi ronment. http://www.bmj.com/content/341/bmj .c5293

Does encouraging biking work in Latino communities?

Oregon is currently targeting Latinos in an effort to increase walking and biking: http://www.oregon.gov/ODOT/PT/programs/training/4-vamonos.pdf Colorado is trying to promote biking by using promotoras/es: http://www.coloradoan.com/story/news/local/2015/01/27/program-promotes-biking-hispanics-latinos/22371221/ Mexico is has attempted to increase biking through the use of “public bicycles.”

Resources

Topic Website Climate Change Communication

http://www.cli matechange.ca.gov

Zip code Level Information About Climate Change

http://cal-adapt.org

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Closing Remarks

This roundtable provided stakeholders an opportunity to learn about cultural humility and implicit bias. Stakeholders also learned ways in which they can address their own implicit bias. The event also provided a forum where community members could freely ask questions of government officials.

Roundtable participants also heard a first hand account that detailed the journey of an environmental health activist. Finally, participants discussed what they are doing or could do to address climate change in their communities.

SAS will continue striving to provide these types of learning opportunities to their stakeholders as well as provide additional tools and resources that increase community capacity and protect public health.

To read a summary of the feedback provided by roundtable participants please see Appendix G.

For a list of roundtable participants please see Appendix H.

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Appendix A: Agenda

11

Stakeholder Roundtable – February 12, 2015 Site Assessment Section, Environmental Health Investigation Branch

California Department of Public Health

AGENDA

Time Agenda Item Presenter

8:30 – 8:45 Breakfast

8:45 – 9:25 Welcome, Introductions, Background & Purpose of Roundtable

Gabriele Wi ndgasse DrPH., Chief, Site Assessment Secti on, CDPH

9:25 – 11:00 What Happens When You Run Out of

Cultural Experts? A Case for Cultural Humility

Hendry Ton, MD, MS, Di rector of Cultural Competency and Professionalism, UC Davi s Dept. Of Psychiatry and Behavioral Sci ence

11:00 – 11:10 Break

11:10 – 12:00 Open Forum/Discussion Nancy Palate, Health Educator, Environmental Health Investigati ons Branch, CDPH

12:00 – 1:00 Lunch

1:00 – 2:00 The Making of An Environmental Justice Activist

Luis Ol medo, Executi ve Director, Comité Cívico Del Valle

2:00 – 2:15 Break

2:15 – 3:45 Guided Discussion on Climate Change and Public Health Nancy Palate

3:45 – 4:00 Summary, Closing & Evaluations Gabriele Windgasse

Funding for this event was made possible by Cooperative Agreement Number 5U61TS000177-04 from the Centers for Disease Control and Prevention, Agency for Toxic Substances and Disease Registry. Its contents are solely the responsibility of the authors and do not necessarily represent the official views of The Centers for Disease Control and Prevention or the California Department of Public Health.

Appendix B: What do You do When You Run Out of Cultural Experts? The Case for Cultural Humility

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What do you do when you run out of cultural experts? The case for Cultural Humility Hendry Ton MD MS

Associate Clinical Professor

University of California, Davis Dept. of Psychiatry and Behavioral Science

Culture Meaning of Names

What is culture?

Culture is not talked about –- much of it is taken for granted (much like the air we breathe), and what is taken for granted is not discussed.

This means, however, that people have little practice in discussing how culture affects their behavior, and so are ill-prepared to explain their culture to others.

Levine, 2001

Culture

A set of meanings, norms, beliefs, and values shared by a group of people.

Taught, learned, and reproduced.

Shaping template.

In constant state of change.

Everyone has a culture…

When do you bring in the help of a cultural expert?

Asian

Refugee American

Vietnam-ese Doctor

Straight

Male

Parent

Cultural Identity

Race& Ethnicity

Gender

Sexual Orientation

Religion

Class Occupation

Family Roles

Language

Nationality

Groups

Intersectionality

The complex relationship between the intersecting domains of culture

Originally defined by Kimberle Williams Crenshaw in reference to Black Feminism

“The sum is greater than its parts”

Unconscious Bias Positive or negative attitudes that a person holds on an unconscious level towards a person, group, or thing.

Based on a primitive cognition system that finds patterns based on small bits of information

It can be adaptive: Danger detector, aids in clinical decision making in time urgent situations

But, it can also be irrational……

Ingroup vs. Outgroup

Two levels of mental operation

First Level: Where we think we operate most of the time. • Deliberate • Rational • Thoughtful

Second Level: Where we operate most of the time • Automatic • Impulsive • Irrational

Highly practiced skills

Driving Ambiguity

Tying your shoes

Riding a bicycle Walking

High stress and urgent situations

This is a visual illusion!

When does it happen?

Sources of Implicit Bias

Outcomes of Unconscious Bias

Cultural Competence

DHHS Health Resources and Services Administration, Bureau of Health Professions

The level of knowledge-based skills required to provide effective clinical care to patients from a particular ethnic or racial group.

Office of Minority Health, National Standards for Culturally and Linguistically Appropriate Services in Health Care (CLAS Standards), 2001

Cultural competence - Having the capacity to function effectively as an individual and an organization within the context of the cultural beliefs, behaviors and needs presented by consumers and their communities.

Cultural Humility

A lifelong commitment to self-evaluation and self critique

Redressing the power imbalances in the client-provider dynamic

Developing mutually beneficial partnerships with communities on behalf of individuals and defined populations

Tervalon, Murray-Garcia 1998

Small Group Exercise

Small Group Discussion

Describe one experience in which you have benefitted from an unearned privilege

Describe one experience in which discrimination threatened your sense of health, occupational, psychological, or community security

Discussion

1. What was it like to share this with your group members?

2. What was it like to hear the experiences of your fellow group members?

3. Thinking back, what could have been done to improve awareness about the unearned privileges or experiences of discrimination discussed?

Large Group Report

Next Steps

• Make a conscious decision to establish friendships with people from other cultures.

• Put yourself in situations where you will meet people of other cultures.

• Examine your biases about people from other cultures.

• Ask people questions about their cultures, customs, and views.

• Read about other people's culture's and histories

• Don't forget to care and show caring

• Listen to people tell their stories

• Notice differences in communication styles and values; don't assume that the majority's way is the right way

• Risk making mistakes

• Learn to be an ally.

Appendix C: Strategies to Manage Implicit Bias

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Strategies to Manage Implicit Bias

1. Recognize that you have implicit biases!

2. Be aware, slow down, and think through situations that are more strongly

influenced by implicit bias:

a. Ambiguity and Uncertainty—our minds tend to fill ambiguous gaps with

our own preconceived notions

b. Distracted, Pressured, or Multitasking Situations—our automatic Level 2

processes tend to take over when in pressured, time-limited situations.

c. Low-Cognitive Effort Situations—conversely, when we are bored,

unengaged, we tend to go on auto-pilot, invoking Level 2 processes. The

sweet spot in is the middle—we are engaged thoughtfully—not bored and

not overwhelmed.

d. Obviously, situations for which you already have a strong underlying

implicit bias—this is where the Implicit Associations Test at

https://implicit.harvard.edu/implicit/takeatest.html can be a real resource!

3. When you find that you have been in one of these “high risk” situations, take time

to think through what happened and seek feedback and consultation from

colleagues, friends, or others involved. Don’t beat yourself up for it, but do learn

from it. Seek to repair the situation, be proactive at preventing it if possible. This

is one of the situations that you’ll want to be aware of in the future.

4. Seek out exposure to diversity to develop new and positive associations

a. Attend community events, celebrations, and learning experiences that give

you opportunities to develop positive associations

b. Engage with these with your full emotion, because emotions help to

solidify these associations

c. Cultivate empathy; especially regard groups in which you have a negative

implicit bias.

d. This may require ongoing efforts as it can be easy to slip back into

previously established biases.

Appendix D: Climate Change and Health

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Climate Change and Health

• Human health is highly impacted by climate change

In California: Sea levels have risen as much as seven inches over the last century. The state has seen increased average temperatures, more extreme hot days, fewer cold nights, longer growing season, less winter precipitation falling as snow, and both snowmelt and rainwater running off sooner in the year.

• Climate mitigation efforts can reap significant public health “co-benefits”

• Health messages are stronger motivators to action than catastrophic messages

• Climate change impacts intersect with health and social equity

40% 35% 30% 25% 20% 15% 10%

5% 0%

There is a lot you can do!

Promote climate, health, and equity

Support local, state, and federal climate action strategies

Educate and engage your communities and elected officials

Support clean, safe, renewable energy

Support funding for public transportation and active transportation

Resources:

For webinars and resources on climate change and health

http://www.cdph.ca.gov/PROGRAMS/CCDPHP/Pages/ClimateChange.aspx

Appendix G: Feedback

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Stakeholder Roundtable 2015

Feedback Evaluation

• 27 people participated in the roundtable • 9 of the attendees were community advocates , 6 were CDPH staff, and 12 were representatives of other government

agencies • 15 of the attendees to the Roundtable completed an evaluation

How effective was the Roundtable at defining cultural humility? Total respondents: 100%

Rating Response Percentage Very Effective 100%

Somewhat Effective Somewhat Ineffective

Not at all Effective

How effective was the Roundtable at providing the testimony and the advice of an environmental justice activist? Total respondents: 100%

Rating Response Percentage Very Effective 99%

Somewhat Effective Somewhat Ineffective

Not at all Effective No Opinion 1%

How effective was the Roundtable at providing an opportunity to dialogue about climate change? Total respondents: 100%

Rating Response Percentage Very Effective 99%

Somewhat Effective 1% Somewhat Ineffective

Not at all Effective

Did the roundtable provide an opportunity to express your opinions and ideas effectively? Total respondents: 100%

Rating Response Percentage Yes 100%

No

Comments: “Yes, however I would have liked more discussion about pressing/emerging needs around environmental

health in California.” “Absolutely! Great to listen everybody’s stories and great to share mine so we know that there is interest

of more of this issue.” “The pace of the forum gave us plenty of time to participate, as well as the format.” “There was a scenario to discuss all those issues that the agency organized in a comfortable way.

Stakeholder Roundtable 2015

Feedback Evaluation There was plenty of time allowed for discussion and interaction versus a bunch of

lectures from talking heads. “It allowed for active participation from all those in attendance. Thus providing a dialogue on multiple

points.” “Good open forum.” “It was a very open and engaging group. I definitely felt included in the discussion.” “Absolutely! This was a very well organized and thought-out meeting. Just the right amount of topics.

Sometimes there is pressure to try to address too many topics. The result is that none of the topics get the time they deserve. Today was perfect in that regard.”

“I think everyone was provided an opportunity to comment.” “Yes, but there could have been more time built in for discussion. CDPH staff participated in discussion

too much given limited time allotted.” “The dialogue was open and encouraged participation.” “I was mainly here in listening mode- but felt like my ideas were welcome.”

Did you gain professional or personal knowledge or other value from your participation in the roundtable today? Total respondents: 100%

Rating Yes

Response Percentage 99%

Undecided 1%

Comments: “The day sparked many ideas and built some serious and useful introspection.” “I especially liked the discussion on cultural humility and how we can incorporate climate change

messaging into the work at my agency.” “I gained additional perspective on community and individual insight.” “Particularly on cultural humility. Also, it was interesting to hear input from the perspective of an

activist/community advocate group. Glad they were here!” “The cultural presentation was very informational. Dr. Ton was very informative.” “Luis Olmedo’s presentation was exceptional.” “I was able to understand more about cultural humility and how it plays a role in our daily lives and our

ability to go mentally on ‘automatic’.” “A greater awareness of the link between climate change and health effects and how to better present

that information.” “I reinforced other ones that I believe. For example, how the communication is key to face professional

and personal issues.” “There was plenty of honest discussion and sharing from people doing great work. We cross-taught

ourselves today.” “Both very interesting presenters. Hamble and professional, caring, honest, and motivated and I look

forward to working together.” “Absolutely! Thank you for the invitation.” “I felt I was with the least knowledge.”

What do you see as the most important results or outcomes of the roundtable?

“Get knowledge and share ideas and learn ways to be more effective and inform communities.”

Stakeholder Roundtable 2015

Feedback Evaluation “Climate change discussion- I would like to assist in informing/educating communities

about climate change.” “That there are people out there just like me interested in learning and understanding more and helping

more on this issue. That gives me HOPE.” “Inspiration and motivation to keep up the good work we’re already doing and do more as we can.” “To mix theory and experiences as a way to increase the knowledge about many issues that are

connected.” “The connections with the people from many different agencies (government) and community. A sense

that we’re all in this together – on the same ‘side’ – common ground.” “Getting various points of view on issues not only agency wise but also geographically.” “Exchanging experiences and perspectives.” “Broadened perspective, net-working. “Exchanging relationships/partnerships.” “The interaction with different stakeholders. That unfortunately is rare.” “Sense of relativity. Many common issues and views. Willingness to work together to better our

communities.” “The opportunity to hear diverse opinions and experiences. Discussions were tough-provoking and gave

me ideas to bring back with me to work.” “Personally I gained a lot from the cultural humility talk – it was very useful for my work. The group had a

lot of time for information sharing and learning from one another. The relationships that form from that will be invaluable moving forward.”

“Priorities on climate change.”

Please list any additional thoughts you have that were not captured by today’s process:

“Thank you for the opportunity to be here. You all do such great work. I think everyone benefited from this experience.”

“Great meeting. Good input from participants. Good food!” “The climate discussion was incomplete – It’s a huge topic and probably needs more time.” “Providing a list of people and their emails so we can follow up with each other will be helpful.” “Can you please provide us the contact information for Kathy from Public Health Institute? I would like to

follow up about climate change.” “I would like to see events in urban areas.”

Appendix H: Attendees List

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Registration - 2015 Stakeholder Roundtable Last First Title Organization

Alcalá Héctor Doctoral Student UCLA

Becerra Haydee Management Analyst City of South Gate

Chevez Armando Health Assessor California Department of Public Health

Dominguez Alcira Health Educator California Department of Public Health

Duarte Romie Community Involvement Coordinator United States Environmental Protection Agency

Gerhardstein Ben Public Health Advisor, Region 9 (Pacific Southwest) Agency for Toxic Substances and Disease Registry

Kent Michael Hazardous Materials Ombudsman Contra Costa Health Services

Knowles Robert Sr. Regional Representative Agency for Toxic Substances and Disease Registry

Kwon Danny Health Assessor California Department of Public Health

Lear Stacey Public Participation Specialist California Department of Toxic Substances Control

LeCoultre Trent Environmental Health Specialist Agency for Toxic Substances and Disease Registry

Lopez Jesus Community Worker California Rural Legal Assistance

Lopez Mari Policy Director Vision y Compromiso

Mata Hugo Director of Media and Bilingual Outreach C2 Alternative Services

Miller Andy Associate Director for Climate United States Environmental Protection Agency

Registration - 2015 Stakeholder Roundtable Last First Title Organization

Olmedo Velez Luis Executive Director Comite Civico del Valle, Inc.

Palate Nancy Health Educator California Department of Public Health

Parker Heather Community Involvement Coordinator United States Environmental Protection Agency

Perez Lourdes Program Coordinator Ceres Partnership for Healthy Children

Sherin Kevin Deputy Director, Center for Chronic Disease Prevention and Health Promotion California Department of Public Health

Steva Erin Environmental Health Policy Analyst Community Health Councils

Tasnif-Abbasi Maryam Brownfields Coordinator California Department of Toxic Substances Control

Taylor Debra Toxicologist California Department of Toxic Substances Control

Ton Hendry Director of Medical Student Education in Psychiatry UC Davis

Uribe Luis Promotor (Santa Barbara) Vision y Compromiso

Velez Elena Founder Los EcoAmigos

Windgasse Gabriele Chief, Site Assessment Section California Department of Public Health