sanitary nuisance

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Sanitary NuisanceBy: Janelle BurgessNovember 24, 2010


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O utlineGlossaryDescription of problemHealth ImpactIssues Related to the Sanitary NuisanceProblem: An Iceberg ConceptTargets/GoalGathering ConstituencyHandlesO rganizing MethodsIntervention StrategiesEvidence-Based ProgramsTacticsResult of TacticsCulture HumilityO bjectivesEvaluation of InterventionLogic Model for EvaluationCoalition MembersMaintenance and Sustainability

Utilizing the MediaQuestions 2


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Glossary

Health Disparities: are the differences indisease and adverse health conditions thatexist among certain population groups.

Community Engagement & Mobilization:working collaboratively with and through

groups of people; connected by place,interest, or situation to address issuesaffecting their well being.

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Glossary

Targets: persons or institutes you act against

Handles: laws, regulatory, processes or rules thatmay be open to interpretation

EPA: Environmental Protection Agency

CDC: Center for Disease Control and Prevention

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Description of Problem

Sanitary Nuisanceinjurious to health:

Untreated or improperly

treated human waste, airpollutants, gases, andodors which are harmfulto human or animal life(DO H, 2010).

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After the discovery of the sanitary nuisance

Apartment manager was notified

Environmental Specialist was contacted

Apartment personnel was given a 24 hr notice

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Health Impact

Health disparities

Environment concerns

Spread infectious disease

Enteric diseases such as Cryptosporidiosis, Giardiasis,Salmonellosis, Cholera, E. Coli, Hepatitis A, and Shigellosis

may be transmitted through human excrement (CDC, 2010)

Pathogens in raw sewage can contaminate the ecologicalsystems, and sicken animals

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Health Impact

O dorcauseshealth

problems

Eyeirritation

Gastro-intestinal(vomiting,diarrhea)

CentralNervousSystem

(drowsiness,dizziness, &headaches)

Cardiovascular(Tachycardia )

Psychological(mood and

behavioralchanges)

Upper and

lowerrespiratory

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Incidents Related to the SanitaryNuisance

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Problem: An Iceberg concept

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Sanitary Nuisance

Pipes over 50 years old

Manager lack of concern

Lack of man power


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Targets/ Goal

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Targets

Apartmentcomplexmanager

HarborCompany

Goal

To enhance thequality of life forall residents at

the apartmentcomplexes


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Gathering Constituency

Galvanize the residents of the apartmentcomplex

conducting resident meetings providing educational materials about the health

hazard and environmental hazards

Empower residents to take action

Develop a plan to mobilize the community

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Gathering Constituency

Through community engagement and mobilization determine consensus about the sanitary nuisance

Build partnerships with other organizations, apartmentcomplexes and institutions

Media Environmental Specialists Institute of Public Health Florida Department of Health Leon County Health Department Keep Tallahassee-Leon County Beautiful (KTLCB)

Collectively assign individual responsibility

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Handles

Florida Statue 386.041 1a Protects Floridians from air pollutant gases, noisome

odors, untreated or improperly treated human wastethat is harmful to human and animal life

Florida Statute 386.041 2

Mandates the DO

H, its agents, and the local healthdepartments to investigate any alleged nuisance, anddetermine if it constitutes a sanitary nuisance

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Handles

Florida Statutes 386.03 A notice to remove nuisances by the Department of

Health or local health authorities within 24 hours

Florida Statutes 386.051 States a person is guilty of a second degree

misdemeanor, if found guilty, punishable for keepingor maintaining a nuisance to health

7 day letter to apartment manager requestingrepairs

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O rganizing Methods

PRECEED-PRO CEED model

Gantt chart

Logic Model

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Intervention Strategies

Increase participation Greater impact

Intervention matching, mapping, and pooling O ne shoe doesn t fit all Combine evidence based programs with

community experience and knowledge

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Evidence-Based Programs

Tenderloin Senior O rganizing Project (TS O P)

City that failed to enforce housing codes andordinances Empower the residents to possess leadership

skills and take action(Minkler, 2009)

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Evidence-Based ProgramsEnvironmental Justice project

EPA program that provides funding to bring togethergovernmental and non-governmental organizations and theirresources

utilizes equal treatment and involvement of all races and socio-economic status

Utah which has a focus on environmental health in children

Jacksonville, Florida focuses on improving health in lower-income and minority populations

(CDC, 2010)

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Community Action for a Renewed Environment (CARE)program

Utilized to investigate known and unknown toxins in theapartment complex, and reduce the risks of these sanitarytoxins

Methods used to help with intervention:Getting organizedAnalyzing risksReducing risksTracking progress

(EPA, 2010)

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New York State Healthy Neighborhoods Program(NYHNP)

Involved people in neighborhoods with high levels of environmental risk factors that can lead to asthmamorbidity and mortality

Provided information to change individual behavior toimprove asthma triggers

Sanitary nuisances have been known to trigger asthmaattacks

Similarities to the residents are as follow: minorities,children younger than 14, and older housing

(CDC, 2010)

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Tactics

Call the Environmental Health Specialist daily

Provide manager with an article the residents

would publish in a newspaper

Provide manager with a letter for non-payment of rent by all tenants in the building

Prepare a picture board of all health issues in thebuilding and take it to the rent office

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Tactics

Use Facebook to gain support for our cause

File a law suit

Complete maintenance work orders daily

Send daily emails to the district office

Constantly report after hour maintenanceproblems

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Result of Tactics

Flood of rawsewage

flowingdown the

street

O ver 4 ftdeep holes

in front of building

Feet awayfrom a

residentfront door

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Culture Humility

Residents share a culture that they identify with

Families are mainly Black and Hispanic

District office is located in Atlanta, GA

District managers could gain a betterunderstanding of the residents

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Culture Humility

Personnel from the district office should travel toTallahassee and view the environmental healthconcerns

Residents are aware of the lack of sensitivity by thedistrict staff, which inhibits their ability to truthfullylisten and dialogue with the residents

Living in a healthy home is a right, not a privilege forthe tenants statement seems to be blinded by the wealth of our

managers

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O bjectives

O bjectives

90% of residents will be able to identify potentialhealth hazards inside and outside of their

apartment

100% of major repairs will be made within 48hours of reported apartment damages

100% of residents will be living in safe homeswithin 3 months of intervention

100% of sanitary nuisances will be removed fromthe apartment complexes within 24 hours

90% of residents will be satisfied with their living conditions(environment) within 3 months of the intervention

Strategies toensure objectives

are met

Repeattactics

Evaluate

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Evaluation of InterventionExample of EvaluationQuestions Methodology Data Collection

Do you know what itemsnot to flush in your toilet?

What have you flushed in

your toilet over the last 10days?

Can sewage (human feces)expose outside causeserious health illness?

What type of diseases isassociated with rawsewage?

Do you have mildew in

your home?

Quantitative (survey) After the intervention,residents will be asked tocomplete a questionnaire(post-test), and the results

will be compared with pre-test.

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Evaluation of Intervention

Example of EvaluationQuestions

Methodology Data Collection

How comfortable are youwith your apartment?

How satisfied are you withthe outside environment of your apartment?

Quantitative (survey) A quality of life satisfactionquestionnaire will beadministered to theresidents

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Evaluation of Intervention

Example of EvaluationQuestions

Methodology Data Collection

How long did it take to

remove all sanitarynuisances?

Are apartment complaintsbeing repaired in a timelymanner?

Qualitative (observation) Residents will observe the

mangers and the maintenancework. Residents will record allneeded conversations

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Logic Model for EvaluationInput Outputs Outcome- Impact

Activities Participants ShortTerm

MediumTerm

Long Term

Residents

Time

Money

Stakeholders

Coalitionmembers

Partners

Providetrainingsessions

Provide healtheducationsessions

Provideenvironmentalvolunteer

Deliverinformationbrochures

Buildingmeetings

Residents

Residents

Residents

Residents andmangers

Residents

Managersaspire tochange theresident s

livingcondition

Residents gainhealthknowledge

Managersbecome aware

of all sanitarynuisances

Residents gainskills to detectpotentialharmfulhazards inhome

Eliminatesanitarynuisance

Residentsdecreasesthe amountof non-flushableitems

Sewagepipes areprepared

Enhancethe qualityof life forresidents inapartmentcomplexes

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Coalition MembersTallahassee s Tenants to End Sanitary Nuisance and Health Hazards

Tenants

Local HealthDepartment

SocialWorkers

HousingActivist

HealthEducators

CommunityO rganizers

EnvironmentalSpecialist

Physician

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Maintenance and Sustainability

Building Check

Inform and trained new residents

Monthly meetings

Residents are decision makers

Prepare evaluation report

Present community with evaluation report

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Maintenance and Sustainability

Set up a face book page

Build community capacity

Determine funding for future intervention

The vision and value of the resident s partnersshould reflect the vision and values of thecommunity itself, and lead to sustainability

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Utilizing the Media

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Children deserve to live

in a sanitaryenvironment!

For self-empowerment

Get the message out

Influence policy change


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Thank you!Questions???

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Children belongin BEAUTIFULenvironments!

sanitary nuisance

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