health impact assessment for seattle's duwamish river...
TRANSCRIPT
![Page 1: Health impact assessment for Seattle's Duwamish River ...justhealthaction.org/wp-content/uploads/2012/11/... · Health impact assessment for Seattle's Duwamish River Superfund cleanup](https://reader035.vdocuments.net/reader035/viewer/2022071217/604cfd47a03a0265112aed3d/html5/thumbnails/1.jpg)
Health impact assessment for Seattle's Duwamish River Superfund cleanup plan
William (Bill) Daniell, MD MPH
C. Linn Gould, MS MPH
BJ Cummings, MA
October 30, 2012 Session 4025.0
![Page 2: Health impact assessment for Seattle's Duwamish River ...justhealthaction.org/wp-content/uploads/2012/11/... · Health impact assessment for Seattle's Duwamish River Superfund cleanup](https://reader035.vdocuments.net/reader035/viewer/2022071217/604cfd47a03a0265112aed3d/html5/thumbnails/2.jpg)
Bill Daniell UW Public Health
Linn Gould Just Health Action
BJ Cummings Duwamish River Cleanup Coalition/ Technical Advisory Group (DRCC/TAG)
Funders Health Impact Project – a collaboration of the Robert Wood Johnson Foundation and The Pew Charitable Trusts
UW Rohm and Haas Professorship in Public Health Sciences
![Page 3: Health impact assessment for Seattle's Duwamish River ...justhealthaction.org/wp-content/uploads/2012/11/... · Health impact assessment for Seattle's Duwamish River Superfund cleanup](https://reader035.vdocuments.net/reader035/viewer/2022071217/604cfd47a03a0265112aed3d/html5/thumbnails/3.jpg)
Seattle
Google Maps (Oct 2012)
Duwamish
River
Puget
Sound
Elliott
Bay
![Page 4: Health impact assessment for Seattle's Duwamish River ...justhealthaction.org/wp-content/uploads/2012/11/... · Health impact assessment for Seattle's Duwamish River Superfund cleanup](https://reader035.vdocuments.net/reader035/viewer/2022071217/604cfd47a03a0265112aed3d/html5/thumbnails/4.jpg)
Seattle Times Aug 12, 2007
Early Seattle
claim map,
1850s HistoryLink file ID 2986
![Page 5: Health impact assessment for Seattle's Duwamish River ...justhealthaction.org/wp-content/uploads/2012/11/... · Health impact assessment for Seattle's Duwamish River Superfund cleanup](https://reader035.vdocuments.net/reader035/viewer/2022071217/604cfd47a03a0265112aed3d/html5/thumbnails/5.jpg)
Adapted from
Blomberg 2012;
Posted on
Duwamish Alive:
History
![Page 6: Health impact assessment for Seattle's Duwamish River ...justhealthaction.org/wp-content/uploads/2012/11/... · Health impact assessment for Seattle's Duwamish River Superfund cleanup](https://reader035.vdocuments.net/reader035/viewer/2022071217/604cfd47a03a0265112aed3d/html5/thumbnails/6.jpg)
A River Lost? (2007) Photos: Paul Joseph Brown, Seattle P-I
![Page 7: Health impact assessment for Seattle's Duwamish River ...justhealthaction.org/wp-content/uploads/2012/11/... · Health impact assessment for Seattle's Duwamish River Superfund cleanup](https://reader035.vdocuments.net/reader035/viewer/2022071217/604cfd47a03a0265112aed3d/html5/thumbnails/7.jpg)
A River Lost? (2007) Photo: Paul Joseph Brown, Seattle Post-Intelligencer
![Page 8: Health impact assessment for Seattle's Duwamish River ...justhealthaction.org/wp-content/uploads/2012/11/... · Health impact assessment for Seattle's Duwamish River Superfund cleanup](https://reader035.vdocuments.net/reader035/viewer/2022071217/604cfd47a03a0265112aed3d/html5/thumbnails/8.jpg)
Posted by US EPA (Flickr)
Paul Joseph Brown, Seattle P-I
Tom Reese: Choosing Hope: Reclaiming the Duwamish
River. On Blue Earth Alliance Blog. Ingrid Taylar. Flickr (2011)
![Page 9: Health impact assessment for Seattle's Duwamish River ...justhealthaction.org/wp-content/uploads/2012/11/... · Health impact assessment for Seattle's Duwamish River Superfund cleanup](https://reader035.vdocuments.net/reader035/viewer/2022071217/604cfd47a03a0265112aed3d/html5/thumbnails/9.jpg)
Muckleshoot fishermen load salmon
for weighing on Duwamish Waterway. Photo: Phil Webber. Seattle P-I. Sept 27, 2002
Duwamish Longhouse & Cultural Center
James Rasmussen, Duwamish Tribe, welcomes
Snohomish Tribe members in the Blue Heron Canoe. West Seattle Blog. June 24, 2011
![Page 10: Health impact assessment for Seattle's Duwamish River ...justhealthaction.org/wp-content/uploads/2012/11/... · Health impact assessment for Seattle's Duwamish River Superfund cleanup](https://reader035.vdocuments.net/reader035/viewer/2022071217/604cfd47a03a0265112aed3d/html5/thumbnails/10.jpg)
Spokane St Bridge on a Saturday morning. by "oneshot ," GameFishin.com. June 24, 2011
Kayaking south from Duwamish River Park. by Scott, CelebrateBig.com .Aug 2008
Source?
![Page 11: Health impact assessment for Seattle's Duwamish River ...justhealthaction.org/wp-content/uploads/2012/11/... · Health impact assessment for Seattle's Duwamish River Superfund cleanup](https://reader035.vdocuments.net/reader035/viewer/2022071217/604cfd47a03a0265112aed3d/html5/thumbnails/11.jpg)
Source: DRCC/TAG?
![Page 12: Health impact assessment for Seattle's Duwamish River ...justhealthaction.org/wp-content/uploads/2012/11/... · Health impact assessment for Seattle's Duwamish River Superfund cleanup](https://reader035.vdocuments.net/reader035/viewer/2022071217/604cfd47a03a0265112aed3d/html5/thumbnails/12.jpg)
In 2001, EPA listed a 5.5 mile stretch of the
Lower Duwamish Waterway as a Superfund site
Slide Credit:
Adapted from
BJ Cummings,
Duwamish River
Cleanup Coalition/
Technical Advisory
Group
![Page 13: Health impact assessment for Seattle's Duwamish River ...justhealthaction.org/wp-content/uploads/2012/11/... · Health impact assessment for Seattle's Duwamish River Superfund cleanup](https://reader035.vdocuments.net/reader035/viewer/2022071217/604cfd47a03a0265112aed3d/html5/thumbnails/13.jpg)
Adapted from EPA Region 10
Cleanup Planning Milestones
January
2013
2001
![Page 14: Health impact assessment for Seattle's Duwamish River ...justhealthaction.org/wp-content/uploads/2012/11/... · Health impact assessment for Seattle's Duwamish River Superfund cleanup](https://reader035.vdocuments.net/reader035/viewer/2022071217/604cfd47a03a0265112aed3d/html5/thumbnails/14.jpg)
Lead
Mercury
Arsenic
Cadium
Chromium
Copper
Silver
Zinc
PCBs
Anthracene
Chrysene
Fluorene
Fluorathene
Naphthalene
Phenol
Pyrene
Pentachlorophenol
Benz(a)anthracene
Benzo(a)pyrene
Benzo(b,k)fluoranthenes
Benzo(ghi)perylene
Benzoic acid
Benzyl acid
Benyl alcohol
Diethyl phthalate
Hexachlorobenzene
Di-n-octyl phthalate
Butybenzyl phthalate
Acenaphthene
Acenaphthylene
1,2,4-trichlorobenzene
1,4-dichlorobenzene
2.4-dimethylphenol
2-methylnaphthalene
Phenanthrene
Indeno (1,2,3-cd)pyrene
N-Nitrosodiphenylamine
Dibenz(a,h)anthracene
Dibenzofuran
Pollutants Above Standards
Slide Credit: Adapted from BJ Cummings, DRCC/TAG
![Page 15: Health impact assessment for Seattle's Duwamish River ...justhealthaction.org/wp-content/uploads/2012/11/... · Health impact assessment for Seattle's Duwamish River Superfund cleanup](https://reader035.vdocuments.net/reader035/viewer/2022071217/604cfd47a03a0265112aed3d/html5/thumbnails/15.jpg)
Quantitative Health Risk Assmt
Dioxins
PAHs Arsenic
PCBs
Leading
health
threats
Slide Credit: Adapted from BJ Cummings, DRCC/TAG
![Page 16: Health impact assessment for Seattle's Duwamish River ...justhealthaction.org/wp-content/uploads/2012/11/... · Health impact assessment for Seattle's Duwamish River Superfund cleanup](https://reader035.vdocuments.net/reader035/viewer/2022071217/604cfd47a03a0265112aed3d/html5/thumbnails/16.jpg)
EPA Region 10
Early Action Cleanups
![Page 17: Health impact assessment for Seattle's Duwamish River ...justhealthaction.org/wp-content/uploads/2012/11/... · Health impact assessment for Seattle's Duwamish River Superfund cleanup](https://reader035.vdocuments.net/reader035/viewer/2022071217/604cfd47a03a0265112aed3d/html5/thumbnails/17.jpg)
Cleanup: Four Objectives
RAO 1: * Protect health of people who
eat seafood
RAO 2: Protect health of people who have
contact with sediments
RAO 3: Protect health of fish and wildlife
RAO 4: Protect health of benthic
community
* RAO = Remedial Action Objective
Slide Credit: Adapted from BJ Cummings, DRCC/TAG
![Page 18: Health impact assessment for Seattle's Duwamish River ...justhealthaction.org/wp-content/uploads/2012/11/... · Health impact assessment for Seattle's Duwamish River Superfund cleanup](https://reader035.vdocuments.net/reader035/viewer/2022071217/604cfd47a03a0265112aed3d/html5/thumbnails/18.jpg)
EPA’s Favored Plan (5C+)
57 acres: Dredge/Remove
47 acres: Cap/Cover
53 acres: Enhanced/Monitored Recovery
“Institutional Controls” =
prevent people from eating resident fish/shellfish
Coordinate with State and local
pollution source control efforts
Slide Credit: Adapted from BJ Cummings, DRCC/TAG
![Page 19: Health impact assessment for Seattle's Duwamish River ...justhealthaction.org/wp-content/uploads/2012/11/... · Health impact assessment for Seattle's Duwamish River Superfund cleanup](https://reader035.vdocuments.net/reader035/viewer/2022071217/604cfd47a03a0265112aed3d/html5/thumbnails/19.jpg)
EPA’s Favored Plan
Total estimated cost:
$290 million
$50K/year for institutional controls
Not including source controls
Not including shoreline restoration
Total estimated time
7 years (active)
17 years “recovery”
Slide Credit: Adapted from BJ Cummings, DRCC/TAG
Principal
Responsible
Parties
• City of Seattle
• Port of Seattle
• King County
• Boeing
Other
responsible
parties
• Undetermined
number of
businesses
![Page 20: Health impact assessment for Seattle's Duwamish River ...justhealthaction.org/wp-content/uploads/2012/11/... · Health impact assessment for Seattle's Duwamish River Superfund cleanup](https://reader035.vdocuments.net/reader035/viewer/2022071217/604cfd47a03a0265112aed3d/html5/thumbnails/20.jpg)
Cleanup: Four Objectives
RAO 1: * Protect health of people who
eat seafood
RAO 2: Protect health of people who have
contact with sediments
RAO 3: Protect health of fish and wildlife
RAO 4: Protect health of benthic
community
* RAO = Remedial Action Objective
Slide Credit: Adapted from BJ Cummings, DRCC/TAG
![Page 21: Health impact assessment for Seattle's Duwamish River ...justhealthaction.org/wp-content/uploads/2012/11/... · Health impact assessment for Seattle's Duwamish River Superfund cleanup](https://reader035.vdocuments.net/reader035/viewer/2022071217/604cfd47a03a0265112aed3d/html5/thumbnails/21.jpg)
Post-Cleanup Health Risks
• Excess cancer risks will still reach 1 / 10,000 for some Tribal and Asian/PI fish consumers.
State law: cannot exceed 1 / 1,000,000
• Non-cancer risks will still reach Hazard Quotient of 8, for some Tribal children.
State and federal law: HQ cannot exceed 1
Slide Credit: Adapted from BJ Cummings, DRCC/TAG
![Page 22: Health impact assessment for Seattle's Duwamish River ...justhealthaction.org/wp-content/uploads/2012/11/... · Health impact assessment for Seattle's Duwamish River Superfund cleanup](https://reader035.vdocuments.net/reader035/viewer/2022071217/604cfd47a03a0265112aed3d/html5/thumbnails/22.jpg)
Institutional Controls
Warning signs
Advisories
Awareness
Education
Fish trading ?
Transportation to other locations ?
??? InvestigateWest 2011
![Page 23: Health impact assessment for Seattle's Duwamish River ...justhealthaction.org/wp-content/uploads/2012/11/... · Health impact assessment for Seattle's Duwamish River Superfund cleanup](https://reader035.vdocuments.net/reader035/viewer/2022071217/604cfd47a03a0265112aed3d/html5/thumbnails/23.jpg)
Duwamish Superfund HIA
Examine short-term
and long-term health
impacts of the
proposed cleanup and
institutional controls,
and related actions.
Recommendations:
Maximize benefits
Minimize undesirable, unintended impacts
Reduce inequities
Residents • South Park
• Georgetown
Tribes • Duwamish
• Suquamish
(Muckleshoot)
Subsistence
fishers (non-Tribal)
![Page 24: Health impact assessment for Seattle's Duwamish River ...justhealthaction.org/wp-content/uploads/2012/11/... · Health impact assessment for Seattle's Duwamish River Superfund cleanup](https://reader035.vdocuments.net/reader035/viewer/2022071217/604cfd47a03a0265112aed3d/html5/thumbnails/24.jpg)
Cumulative
Health
Impacts
Analysis
(CHIA)
Community Action for a Renewed
Environment (CARE)
Health
Impact
Assessment
(HIA)
Qualitative
Research:
Subsistence
fishing
Slide Credit: Adapted from
BJ Cummings, DRCC/TAG
![Page 25: Health impact assessment for Seattle's Duwamish River ...justhealthaction.org/wp-content/uploads/2012/11/... · Health impact assessment for Seattle's Duwamish River Superfund cleanup](https://reader035.vdocuments.net/reader035/viewer/2022071217/604cfd47a03a0265112aed3d/html5/thumbnails/25.jpg)
Challenges
Confusion, skepticism and polarization
Complexity – organization
Complexity – scope of assessment
Budget
Information gaps and uncertainty
![Page 26: Health impact assessment for Seattle's Duwamish River ...justhealthaction.org/wp-content/uploads/2012/11/... · Health impact assessment for Seattle's Duwamish River Superfund cleanup](https://reader035.vdocuments.net/reader035/viewer/2022071217/604cfd47a03a0265112aed3d/html5/thumbnails/26.jpg)
HIA
Team
Residents
Community
Advisory
Committee
Tribal
Community
Advisory
Committee
Fishing
Community
Advisors
Industry
Community
Advisors
Liaison
Committee
Community
Decision
makers
Technical
Advisors
![Page 27: Health impact assessment for Seattle's Duwamish River ...justhealthaction.org/wp-content/uploads/2012/11/... · Health impact assessment for Seattle's Duwamish River Superfund cleanup](https://reader035.vdocuments.net/reader035/viewer/2022071217/604cfd47a03a0265112aed3d/html5/thumbnails/27.jpg)
"HIA 101"
![Page 28: Health impact assessment for Seattle's Duwamish River ...justhealthaction.org/wp-content/uploads/2012/11/... · Health impact assessment for Seattle's Duwamish River Superfund cleanup](https://reader035.vdocuments.net/reader035/viewer/2022071217/604cfd47a03a0265112aed3d/html5/thumbnails/28.jpg)
Liaison Committee
![Page 29: Health impact assessment for Seattle's Duwamish River ...justhealthaction.org/wp-content/uploads/2012/11/... · Health impact assessment for Seattle's Duwamish River Superfund cleanup](https://reader035.vdocuments.net/reader035/viewer/2022071217/604cfd47a03a0265112aed3d/html5/thumbnails/29.jpg)
Resident CAC
Credit for exercise design: Linn Gould, Just Health Action
![Page 30: Health impact assessment for Seattle's Duwamish River ...justhealthaction.org/wp-content/uploads/2012/11/... · Health impact assessment for Seattle's Duwamish River Superfund cleanup](https://reader035.vdocuments.net/reader035/viewer/2022071217/604cfd47a03a0265112aed3d/html5/thumbnails/30.jpg)
Note: The lists of “things” and “themes” were produced
by CAC members, and arerecorded in their own words.
Slide Credit: BJ Cummings, DRCC/TAG
![Page 31: Health impact assessment for Seattle's Duwamish River ...justhealthaction.org/wp-content/uploads/2012/11/... · Health impact assessment for Seattle's Duwamish River Superfund cleanup](https://reader035.vdocuments.net/reader035/viewer/2022071217/604cfd47a03a0265112aed3d/html5/thumbnails/31.jpg)
Priority areas for HIA
Cultural/
behavioral
changes
Food &
economic
security
Gentrification &
Revitalization
(long term)
Well
being
Self
Determination
Resources
security
Construction
Impacts &
Opportunities
(short term)
Slide Credit: Adapted from BJ Cummings, DRCC/TAG
Contaminated
fish and
sediments
Non-Tribal
Subsist.
Fishers
Local
Residents
Tribes EPA
CLEANUP
![Page 32: Health impact assessment for Seattle's Duwamish River ...justhealthaction.org/wp-content/uploads/2012/11/... · Health impact assessment for Seattle's Duwamish River Superfund cleanup](https://reader035.vdocuments.net/reader035/viewer/2022071217/604cfd47a03a0265112aed3d/html5/thumbnails/32.jpg)
Cultural/
behavioral
changes
Food &
economic
security
Gentrification &
Revitalization
(long term)
Well
being
Self
Determination
Resources
security
Construction
Impacts &
Opportunities
(short term)
Slide Credit: Adapted from BJ Cummings, DRCC/TAG
Contaminated
fish and
sediments
Non-Tribal
Subsist.
Fishers
Local
Residents
Tribes
EPA
CLEANUP
Industry
![Page 33: Health impact assessment for Seattle's Duwamish River ...justhealthaction.org/wp-content/uploads/2012/11/... · Health impact assessment for Seattle's Duwamish River Superfund cleanup](https://reader035.vdocuments.net/reader035/viewer/2022071217/604cfd47a03a0265112aed3d/html5/thumbnails/33.jpg)
Scoping:
Logic model
![Page 34: Health impact assessment for Seattle's Duwamish River ...justhealthaction.org/wp-content/uploads/2012/11/... · Health impact assessment for Seattle's Duwamish River Superfund cleanup](https://reader035.vdocuments.net/reader035/viewer/2022071217/604cfd47a03a0265112aed3d/html5/thumbnails/34.jpg)
Resident
impacts
Short-term: construction impacts and opportunities
Long-term: revitalization and gentrification
![Page 35: Health impact assessment for Seattle's Duwamish River ...justhealthaction.org/wp-content/uploads/2012/11/... · Health impact assessment for Seattle's Duwamish River Superfund cleanup](https://reader035.vdocuments.net/reader035/viewer/2022071217/604cfd47a03a0265112aed3d/html5/thumbnails/35.jpg)
Residents: Research questions
![Page 36: Health impact assessment for Seattle's Duwamish River ...justhealthaction.org/wp-content/uploads/2012/11/... · Health impact assessment for Seattle's Duwamish River Superfund cleanup](https://reader035.vdocuments.net/reader035/viewer/2022071217/604cfd47a03a0265112aed3d/html5/thumbnails/36.jpg)
Challenges
Confusion, skepticism and polarization
Complexity – organization
Complexity – scope of assessment
Budget
Information gaps and uncertainty
![Page 37: Health impact assessment for Seattle's Duwamish River ...justhealthaction.org/wp-content/uploads/2012/11/... · Health impact assessment for Seattle's Duwamish River Superfund cleanup](https://reader035.vdocuments.net/reader035/viewer/2022071217/604cfd47a03a0265112aed3d/html5/thumbnails/37.jpg)
HIA
Team
Residents
Community
Advisory
Committee
Tribal
Community
Advisory
Committee
Fishing
Community
Advisors
Industry
Community
Advisors
Liaison
Committee
Community
Decision
makers
Technical
Advisors
![Page 38: Health impact assessment for Seattle's Duwamish River ...justhealthaction.org/wp-content/uploads/2012/11/... · Health impact assessment for Seattle's Duwamish River Superfund cleanup](https://reader035.vdocuments.net/reader035/viewer/2022071217/604cfd47a03a0265112aed3d/html5/thumbnails/38.jpg)
EPA’s Favored Plan
Total estimated cost:
$290 million
$50K/year for institutional controls
Not including source controls
Not including shoreline restoration
Total estimated time
7 years (active)
17 years “recovery”
Slide Credit: Adapted from BJ Cummings, DRCC/TAG
Principal
Responsible
Parties
• City of Seattle
• Port of Seattle
• King County
• Boeing
Other
responsible
parties
• Undetermined
number of
businesses
![Page 39: Health impact assessment for Seattle's Duwamish River ...justhealthaction.org/wp-content/uploads/2012/11/... · Health impact assessment for Seattle's Duwamish River Superfund cleanup](https://reader035.vdocuments.net/reader035/viewer/2022071217/604cfd47a03a0265112aed3d/html5/thumbnails/39.jpg)
HIA
Team Technical
Advisors
![Page 40: Health impact assessment for Seattle's Duwamish River ...justhealthaction.org/wp-content/uploads/2012/11/... · Health impact assessment for Seattle's Duwamish River Superfund cleanup](https://reader035.vdocuments.net/reader035/viewer/2022071217/604cfd47a03a0265112aed3d/html5/thumbnails/40.jpg)
Information gaps and uncertainty
Subsistence fishing populations:
Who are they, and why do they do
whatever it is that they do?
What is "health," particularly from the
perspective of impacted Tribes?
Institutional controls:
Would the proposed ideas work?
What would work?
…and more
![Page 41: Health impact assessment for Seattle's Duwamish River ...justhealthaction.org/wp-content/uploads/2012/11/... · Health impact assessment for Seattle's Duwamish River Superfund cleanup](https://reader035.vdocuments.net/reader035/viewer/2022071217/604cfd47a03a0265112aed3d/html5/thumbnails/41.jpg)
MCC West, 2004
![Page 42: Health impact assessment for Seattle's Duwamish River ...justhealthaction.org/wp-content/uploads/2012/11/... · Health impact assessment for Seattle's Duwamish River Superfund cleanup](https://reader035.vdocuments.net/reader035/viewer/2022071217/604cfd47a03a0265112aed3d/html5/thumbnails/42.jpg)