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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Description of Problem
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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Description of Problem
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Description of Problem
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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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Evidence-Based Programs
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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Evidence-Based Programs
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!
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