Health, Environmental and Social Justice

Health is a basic human right. Improving health requires social and environmental justice and sustainable development. The 'health for all' movement embraces principles shared by other social movements--in sustainable development, community safety and new economics. These principles include equity, democracy, empowerment of individuals and communities, underpinned by supportive environmental, economic and educational measures and multi-agency partnerships. Health promotion is green promotion and inequality in health is due to social and economic inequality. This paper shows how health, environmental and economic sustainability are inextricably linked and how professionals of different disciplines can work together with the communities they serve to improve local health and quality of life. It gives examples of how local policy and programme development for public health improvement can fit in with global and national policy-making to promote health, environmental and social justice.     

Beyond sustainability indicators

Abstract

Sustainability indicators are an increasingly popular tool for the identification of policies and monitoring of progress towards sustainable development. The need for indicators is clearly set out in Agenda 21 and has been taken up by the Commission for Sustainable Development. Devising alternative measures of progress to gross national product has been the subject of much research in the past few years. There are many local sustainability indicator initiatives now under way, co‐ordinated by local authorities and involving local communities. However useful these exercises have been (not least to those engaged in them) there is little evidence, so far, that sustainability indicators are leading to substantial shifts in policy at national or local level. Evidence points, in fact, to substantial barriers to progress in several key areas: for example, the necessity for the greater integration of environmental, social and economic policy, the tackling of inequality and poverty and the encouragement of greater public participation in action on sustainable development. In order for indicators to make any progress in surmounting these barriers there is a need to address issues of trust and to examine existing institutional structures and practices. In parallel with the development of indicators, national, and particularly local, government will need to experiment with new and creative techniques for community participation in decision making, engage in dialogue with new cultural networks and implement practical initiatives to improve the quality of life in particular communities.     

Leveraging foodways for health and justice

ABSTRACT

The global industrial food system is increasingly recognised as a source of poor health that deepens social and economic inequity. Health advocates, policy makers, and food activists strive to improve nutrition and food access across racial and ethnic divides; however, given established approaches, they may miss fundamental pathways for improving health and justice comprehensively. While food access and nutrition are often identified as primary concerns for marginalised communities and the reason for food insecurity and food-related illness, critical food justice scholars use a more expansive lens to suggest a democratised food system is needed, and that solutions based solely in access to healthy food can undermine more systemic approaches. Our research extends this analysis, highlighting the importance of endemic food culture (foodways) as a tool for retaining identity, building community, and maintaining health among refugee populations in one community in Salt Lake City, Utah. Further, this work suggests that community engagement and expertise is essential in leveraging foodways such that marginalised communities can effectively resist cheap, unhealthy, and placeless calories.     

The Role of Civic Environmentalism in the Pursuit of Sustainable Communities

This paper addresses public participation in sustainability initiatives and in the development of sustainable communities. In particular, it examines two models of public participation in environmental policy, referred to as 'information deficit models', and 'deliberative and inclusionary processes and procedures' (DIPS). The difference between the two models will be examined through the framework of the US discourse of 'civic environmentalism'. Using both examples and an analysis of recent literature, a distinction between 'narrow focus' and 'broad focus' civic environmentalism will be presented. It is argued that 'information deficit models' of public participation usually associated with 'narrow focus' civic environmentalism can successfully contribute to the 'environmental' aspects of sustainable communities. The paper concludes that DIPS and the greater sharing of control by citizens, non-governmental organizations and local governments offered by 'broad focus' civic environmentalism, are far more likely to result in a greater social capital, and a holistic appreciation of the inextricable links between environmental, social and economic characteristics of sustainable communities.     

Stretching “smart”: advancing health and well-being through the smart city agenda

ABSTRACT

Contemporary smart cities have largely mirrored the sustainable development agenda by embracing an ecological modernisation approach to urban development. There is a strong focus on stimulating economic activity and environmental protection with little emphasis on social equity and the human experience. The health and well-being agenda has potential to shift the focus of smart cities to centre on social aims. Through the systematic and widespread application of technologies such as wearable health monitors, the creation of open data platforms for health parameters, and the development of virtual communication between patients and health professionals, the smart city can serve as a means to improve the lives of urban residents. In this article, we present a case study of smart health in Kashiwanoha Smart City in Japan. We explore how the pursuit of greater health and well-being has stretched smart city activities beyond technological innovation to directly impact resident lifestyles and become more socially relevant. Smart health strategies examined include a combination of experiments in monitoring and visualisation, education through information provision, and enticement for behavioural change. Findings suggest that smart cities have great potential to be designed and executed to tackle social problems and realise more sustainable, equitable and liveable cities.     

Implementing agenda 21 in local government: The Swedish experience

Abstract

Chapter 28 of the UNCED agreement ‘Agenda 21’ asks for implementing sustainable development at the local level of government. Sweden is amongst the fore‐running nations in having responded quickly to these demands. Virtually all of Sweden's 288 municipalities have decided to embark on the Local Agenda 21 process. In this article, the progress so far and how LA21 has been interpreted at the local level are examined. The motives behind the process, the tensions between national and local policy making, and the role of municipal networks and NGOs are analysed. Four case studies of pioneer municipalities are used to illustrate how LA21 has sometimes inspired more far‐reaching goals at the local than at the national level, and the combination of economic development and marketing with environmental policy. It remains to be seen whether the most recent national government investment programme towards local projects for sustainable development will resolve the present conflicts between national goals and local priorities.     

Social sustainability and the art of engagement—the small towns: big picture experience

Governments everywhere are recognising environmental sustainability as a major driver of technological and economic development—with innovative direction being found at the interface of our efforts to become more socially and environmentally sustainable. Rural communities, faced with the pressures of unprecedented change, have an opportunity to embrace the principles of sustainable development, to create a new future at the leading edge of global change—but they need help. They need both knowledge and skills to enable them to self-evaluate and strategically plan, and they need a highly motivated, creative, and coherent community to carry it through. Small Towns: Big Picture is a community development process designed to foster creative, energetic, and collaborative action by five small rural communities in central Victoria—focusing on the development of social, environmental, and economic sustainability indicators. The project bought together artists, researchers and local communities to produce a coherent and shared understanding of the sustainability issues and opportunities. This paper presents Small Towns: Big Picture, focusing specifically on the social dimension and the development of a Community Cohesion indicator through an arts-led community engagement process.     

Waste in the Inner City: Asset or assault?

In an unequal society, undesirable wastes often end up in the poorest and least powerful communities, becoming part of the economic and environmental milieu of the inner city. Two contradictory responses to waste reflect contrasting theoretical paradigms. Some wastes can become assets in local economic development, creating incomes through scavenging, industrial jobs in recycling plants or new businesses using locally available materials. Other wastes are an assault on the community that receives them; toxic wastes, polluting facilities and industrial by-products often create local health hazards rather than development. Waste as an asset is consistent with the free market model of economics. The inner city, 'endowed' with waste materials and low-wage labour, has a comparative advantage in labour-intensive processing of materials that the rest of society has discarded. Waste as an assault on the community is consistent with a different model of environmental risk. Some by-products of industry are so hazardous that they should not be produced, or should be tightly regulated. Each model has a realm of validity; the balance between the two depends on which wastes are hazardous, and which are just ugly resources waiting to be discovered.     

Can environmental compensation contribute to socially equitable conservation? The case of an ecological fiscal transfer in the Brazilian Atlantic forest

ABSTRACT

Regions of high biodiversity often coincide with regions of poverty and conservation can imply economic and social costs for poor resident populations. Environmental compensation is considered a tool to reduce socio-environmental conflict, improve the equity of conservation and promote sustainable development. The intricacies of specific socio-ecological systems may determine how compensation payments are interpreted locally to produce outcomes. This research examines the social perceptions of an ecological fiscal transfer which intends to compensate the local public administration for the substantial costs of conservation in a hotspot of biological and social diversity in the Brazilian Atlantic forest. In this context we explore whether financial compensation (1) influences local perceptions of the conservation regime, (2) contributes towards the reconciliation of human-conservation conflicts and (3) triggers any meaningful socio-economic improvement that would counter the local costs of conservation. Results show that environmental compensation is not widely recognised as effectively benefiting the community. Local authorities consider compensation insufficient to enact a sustainable development agenda. Environmental compensation could play an important role in a policy mix for socially equitable conservation by being explicitly linked to community benefits, especially to fostering local livelihoods. The collaboration of actors operating across multiple governance levels may improve the institutional capacity of local actors to produce effective outcomes.     

What is in a name? Language,framing and environmental justice activism in California's Central Valley

According to the environmental justice (EJ) literature, one important factor in the movement's success is the development of a frame linking inequality to the disproportionate presence of environmental toxins in low-income communities of colour. This article highlights the resonance of this frame among grassroots activists and professional advocates in California's Central Valley. However, through interviews and focus groups with activists and advocates in six Central Valley communities, we found that only the latter identified their work as EJ. Grassroots activists instead identified their work as about health, community development and environmentalism. Moreover, some were unfamiliar with EJ as a concept while others denied its applicability to their work. Theoretically, our findings suggest that frame resonance needs to be delinked conceptually from movement identification; it is possible for a movement's analysis of social problems and solutions to resonate among those who do not identify with the movement itself. Pragmatically speaking, this can prevent some grassroots activists who are directly affected by environmental racism from accessing the resources and networks that the EJ movement has painstakingly built, and suggests that movement leaders may need to increase their outreach to community groups.     

The Forum Theatre of Augusto Boal: A Dramatic Model for Dialogue and Community-Based Environmental Science

Community oriented environmental science combines the inclusive, action-oriented goals of environmental justice communities and the rationalist methodologies of science in an effort to balance urgent social and physical needs with research protocols, precise analysis and carefully measured conclusions. Community-based participatory research acknowledges that local expertise and networks, adverse social and economic consequences of environmental degradation and community beliefs and attitudes are vital factors that affect both overall community health and research outcomes. A unique CBPR approach to inclusive outreach and education is Community Environmental Forum Theatre (CEFT), developed through the National Institute of Environmental Health Sciences Center in Environmental Toxicology at the University of Texas Medical Branch/Galveston TX. CEFT integrates the dramaturgy of Augusto Boal's Theatre of the Oppressed and the democratizing dialogic process of Paulo Freire into the design and implementation of environmental health research, community health care and education. CEFT projects throughout the Texas petrochemical belt have used this form of interactive workshop and energized public performance to increase knowledge of toxicological concepts, develop risk awareness, extend and strengthen coalitions, create action agendas and promote community advocacy skills. Boal image-making techniques help to deconstruct concepts such as exposure pathways, dose response, differential susceptibilities, multiple stressors/cumulative risk and the healthy worker effect. Image-based ethnographies provide insight into risk perceptions, risk communication outcomes and overarching community dynamics impacting environmental justice. CEFT project efficacy is evaluated via a multi-frame process focused on goals specific to the roles of the scientific/environmental health outreach specialist, the community development artist/practitioner and the advocate for environmental health and justice issues.     

Waste: Striving for a more sustainable future

Governments everywhere are recognising environmental sustainability as a major driver of technological and economic development—with innovative direction being found at the interface of our efforts to become more socially and environmentally sustainable. Rural communities, faced with the pressures of unprecedented change, have an opportunity to embrace the principles of sustainable development, to create a new future at the leading edge of global change—but they need help. They need both knowledge and skills to enable them to self-evaluate and strategically plan, and they need a highly motivated, creative, and coherent community to carry it through. Small Towns: Big Picture is a community development process designed to foster creative, energetic, and collaborative action by five small rural communities in central Victoria—focusing on the development of social, environmental, and economic sustainability indicators. The project bought together artists, researchers and local communities to produce a coherent and shared understanding of the sustainability issues and opportunities. This paper presents Small Towns: Big Picture, focusing specifically on the social dimension and the development of a Community Cohesion indicator through an arts-led community engagement process.     

Towards sustainable development? The evolution of environmental policy in Malaysia

Over the last five decades, Malaysia has undergone rapid economic, social and environmental change, a process which is still continuing. The pursuit of socio‐economic progress has been accompanied by an unprecedented rate of change in the natural environment. In parallel to this development, governmental responses have also adapted over time to address emerging environmental situations. This article views the recent history of Malaysia's evolving policy response to development needs and environmental change as consisting of four distinct stages. Despite an impressive array of policy statements and strategies to implement sustainable development, many challenges remain today. A clear articulation of normative principles of sustainable development is of paramount importance, as is the monumental task of policy implementation. The article argues that the trajectory of Malaysia's policy on natural resources and environmental issues bears the characteristics of path‐dependent evolution.     

Sustainable urban community development from the grassroots: Challenges and opportunities in a pedestrian street initiative

Abstract

A local sustainable development initiative to establish a temporary pedestrian zone within a Canadian urban community served as a research study into the efficacy of social capital in the development of a network for community action. This community-based initiative used social capital to overcome campaign obstacles and the campaign itself generated new social capital within the neighbourhood through the creation of adaptive networks of participants. The campaign succeeded in creating a part-time pedestrian-only space that serves as an educational example of change for sustainable community development that is replicable in other communities, and provides an example of alternative occupation of community space. Contrary to other literature, little evidence of “core burnout” was found although the network does continue to expend a large amount of effort and time on fundraising. While social capital is a powerful tool for local grassroots action, the availability of a critical source of economic capital may prove vital to the long-term success and sustainability of the network.     

“Coal is in our food,coal is in our blood”: everyday environmental injustices of rural community gardening in Central Appalachia

ABSTRACT

Central Appalachia's historical dependence on natural resource extraction industries has contributed to a long history of under- and uneven development, including trends of persistent poverty, cycles of unemployment, weakened local governance, environmental degradation, and severe social inequalities relative to the rest of the nation. Though these trends have been well documented at structural and community-levels, scholarship is more limited in assessing how the conditions of natural resource dependency may shape the everyday experiences of those who live in such regions and how those everyday experiences may illuminate challenges for future development. Employing an embedded case study design, this study examines how everyday environmental injustices may be experienced via community gardening activities, a sustainable development-oriented activity celebrated in urban locations but largely unexplored in rural environments. Drawing upon in-depth interviews with 43 gardening programme coordinators and participants, the findings demonstrate that everyday environmental injustices are experienced across four distinct, yet overlapping and mutually reinforcing, dimensions: natural, built, human health, and socioeconomic environments. These factors in turn constrain programme participation and beneficial programme outcomes, particularly for more disadvantaged households that are affected by chronic illness, geographic isolation, and environmental hazards. Although the interviewees viewed many of these challenges as further justification for pursuing grassroots initiatives like community gardening programmes, these constraints also interacted in a way that limited the success of these locally-oriented sustainable development efforts, particularly for individuals who are the most socially, economically, and environmentally marginalised.     

Fair fracking? Ethics and environmental justice in United Kingdom shale gas policy and planning

The exploitation of shale gas resources is a significant issue of environmental justice. Uneven distributions of risks and social impacts to local site communities must be balanced against the economic benefits to gas users and developers; and unequal decision-making powers must be negotiated between local and central governments, communities and fracking site developers. These distributive and procedural elements are addressed in relation to UK policy, planning, regulatory and industry development. I adopt an explicitly normative framework of policy evaluation, addressing a research gap on the ethics of shale gas by operationalising Shrader-Frechette’s Principle of Prima Facie Political Equality. I conclude that UK fracking policy reveals inherent contradictions of environmental justice in relation to the Conservative Government’s localist and planning reform agendas. Early fracking policy protected communities from harm in the wake of seismic risk events, but these were quickly replaced with pro-industry economic stimulation and planning legislation that curtailed community empowerment in fracking decision-making, increased environmental risks to communities, transferred powers from local to central government and created the conditions of distributive injustices in the management of community benefit provisions. I argue that only by “re-localising” the scale of fracking governance can political equality be ensured and the distributive and procedural environmental injustices be ameliorated.     

Sustainability in Practice

Sweden has led the way in Europe in environmental protection, ecologically based technological innovation and social democracy. As new economic and ethnographic realities impact upon it, it faces challenges to its policies and practices long familiar elsewhere in Europe. We report on a study for the Swedish Research Councils in which we examined the national framework and political strategy for sustainable development, and how the strategy is being implemented in Sweden's three major cities and two case-study municipalities. History and tradition, cultural homogeneity and a strong and shared sense between sectors of 'the public good', emerged as very important. Until recently, these have obviated the need for formal links between the environmental, social and economic agendas. They now appear inadequately developed at all levels of governance. Tensions in policy are being played out at the level of the municipality, to which power is highly devolved, and Local Agenda 21, interpreted as project rather than process, seems unequal to the task of integration. We suggest what lessons may be drawn from the Swedish experience if issues of power and trust, leadership and participatory vs representative democracy are to be resolved.     

Sustainable economic development and environmental auditing: a local authority perspective

This paper appraises the concept of environmental auditing in respect of the principles of sustainable economic development, and the options available to local authorities for positive action. Humberside County Council's various environmental initiatives are reviewed as a case study. Particular attention is given to progress with implementation, and the integration of economic development and environmental issues.     

The ecohealth system and the community engagement movement in foundations: A case study of mutual benefits from grants funded by the United Nations Foundation

Ecohealth is a process for identifying key environmental determinants causing mortality or morbidity and combating them by mobilizing multiple social sectors. Evolving out of the concept of environmental health, ecohealth provides a framework for long‐term sustainability. The health outcomes anticipated by environmental interventions are part of a long‐term agenda and require fundamental groundwork for the growth of community‐driven development. Building long‐term sustainability requires that two key approaches be developed through ecohealth. The first is the strengthening of local community institutions, whether formal or informal. The second is building financial mechanisms that are more diversified and less reliant on a single donor. As a result, the ecohealth system provides an opportunity for foundations to empower communities, build cross‐cutting cooperation, and gain knowledge through projects. If people's environmental behaviour is to change and be sustained in the long term to produce desired health outcomes, this will require all members of society to be capable of functioning within the existing institutional infrastructure. This means that not only do formal institutions need to become more accessible but also that concepts relating to local informal institutions must be incorporated into ecohealth projects. It is imperative that we identify and understand relevant local institutions and how they can be transformed so that new environmental forms of behaviour can be sustained and result in positive health outcomes. The intersection of environmental and health concerns provides an ideal area in which the gap between government and civil society can be bridged — not only providing solutions to ecohealth concerns, but building government capacity in general and making these positive changes sustainable in the long term. This article is a case study, based on several United Nations Foundation grants. It outlines the significance of traditional community organizations, the breadth of their long‐term relations with communities, their resources, and the adoption of sustained forms of behaviour. In addition, the article highlights the role that international foundations can play in creating innovative financing mechanisms through community‐based foundations.