EPA 601/R-16/0QS I December 5516 I www.epa.gov/fesearch
Environmental Justice
RESEARCH ROADMAP
United States
Environmental Protection
Agency
Office of Research and Development
Research Roadmap: Environmental Justice

-------
Contents
Authors and Contributors	iii
Executive Summary	iv
I,	Introduction	1
A.	Background	2
B.	Problem Statement	5
C.	Purpose	5
II,	Research Scope	7
A.	Expanded Problem Statement	7
B.	Scientific Challenges and Key Research Topics	11
Developing Decision-Support Tools for Identifying and Prioritizing Concerns, Assessing Cumulative
Impacts, and Evaluating Mitigation Options	11
Improving Our Understanding of Environmental Health Disparities and Developing Methods and
Data for Assessing Cumulative Risks	12
Supporting Tribal Sustainability and Well-being	15
Characterizing Climate Justice	16
lil, Crosscutting ORD Research	17
A. Current and Planned ORD Research	17
Developing Decision Support, Citizen Science, and Community Engagement	18
Environmental Health Disparities and Cumulative Assessment	24
Supporting Tribal Sustainability and Well-being	29
Characterizing Climate Justice	32
IV,	Research Gaps and Priority Research Needs	36
V,	Summary	46
Appendix A. Environmental Justice-Related Research Projects	A-l
Appendix B. ORD's 16 Making a Visible Difference Communities	B-l
Appendix C. Acronyms and Abbreviations	C-l
Appendix D. References	D-l
ii

-------
Authors and Contributors
Andrew M. Geller
Environmental Justice Research Roadmap Lead
Sustainable and Healthy Communities Research Program
Contributors
Maggie Breville
Office of Research and Development,
National Central for Environmental Research
Emily Eisenhauer
Kathy Sykes
Office of Research and Development,
Sustainable and Healthy Communities Research Program
Florence Fulk
James Quackenboss
Valerie Zartarian
Office of Research and Development,
National Exposure Research Laboratory
Fred Hauchman
Ed Washburn
Office of Research and Development,
Office of Science Policy
Annie Jarabek
Office of Research and Development,
Human Health Risk Assessment Research Program
Charles Lee
Office of Enforcement and Compliance Assurance
Mary Manibusan
Sharon Oxendine
Office of Chemical Safety and Pollution Prevention
Emily Snyder
Office of Research and Development,
Homeland Security Research Program
Kathleen Williams
Office of Research and Development,
National Health and Environmental Effects Research Laboratory

-------
Executive Summary
Many studies have established that sources of environmental hazards are disproportionately located in
communities that have a majority population of people of color, low-income residents, or indigenous
peoples. Studies also show that these population groups often experience higher exposures to
environmental hazards associated with the places where they live, work, and play. Additionally, these
population groups tend to be most burdened with adverse health conditions that either have
environmental triggers or affect similar physiological systems as environmental pollution, such as
cardiovascular disease, preterm birth, low birth weight, and asthma.1 Finally, America's overburdened
communities are, in many cases, those that are least prepared for potential impacts from environmental
stressors associated with climate change such as extreme weather emergencies or heat stress.
The Environmental Justice Research Roadmap describes the interface between environmental justice
and science, and outlines opportunities that exist in the link between environmental equity and
technology. Science is needed to inform the U.S. Environmental Protection Agency's (EPA's)
considerations of environmental justice in its policies and its regulatory analyses and in the
implementation of its programs. The research included in this Roadmap will provide the scientific basis
to improve EPA's and other stakeholders' ability to take actions to mitigate and prevent health
disparities from environmental conditions and pollution. Newly developed software tools will provide
access to science and technology to facilitate community-engaged decision-making to help build
healthy, safe, and sustainable communities and Tribes. Further, the research described here will provide
a scientific and technological basis to help the Agency and decision-makers at State, Tribal, and local
levels ensure the equitable distribution of the benefits of the built and natural environments.
This Research Roadmap focuses on four science challenges:
1.	Developing decision-support tools for identifying and prioritizing concerns, assessing
cumulative impacts, and evaluating mitigation options. This challenge includes the
development of decision-support tools and science, including citizen science, to ensure
meaningful engagement and to acknowledge community ownership or investment in the
process of research, data collection, and development of solutions. This research and
development is used in problem formulation and scoping, for screening-level assessments, and
to improve information access, evaluate options, and inform decision-making.
2.	Improving our understanding of environmental health disparities and developing methods
and data for assessing cumulative risks. This challenge includes research to reduce health risks
and mitigate the incidence and prevalence of environmental health disparities in overburdened
communities. This includes scientific understanding and supporting metrics to support the
consideration of cumulative risk of multiple contaminants and nonchemical or community
stressors in risk assessments.
1 Summarized in EPA (2016b) and Morello-Frosch, et al. (2011).
iv

-------
3.	Supporting Tribal sustainability and well-being. This challenge includes science to support the
use of traditional ecological knowledge, facilitate the characterization and mitigation of
environmental conditions that place heritage diets and other cultural practices at risk, and
support the environmental health and well-being of Tribal nations.
4.	Characterizing climate justice. This challenge includes research to characterize community-scale
vulnerability and resilience factors and risk of health disparities resulting from environmental
stressors such as extreme weather conditions, drought, flooding, or other results of changes in
precipitation, heat stress, sea level rise, and changes in natural benefits (ecosystem services).
This research is included in the FY16-19 Strategic Research Action Plans that guide the Office of
Research and Development's (ORD's) research. The EJ Research Roadmap is a key element in EPA's EJ
2020 Action Agenda.
This Roadmap also recognizes that gaps remain in EPA's approach for advancing science to address EJ
issues. These include:
•	Understanding the interactions of the built, natural, and social environments with human
biology that result in health disparities.
•	Incorporating these interactions into cumulative assessments.
•	Researching the equitable distribution and quality of ecosystem services; social and political
influences on the generation, distribution, and valuation of ecosystem services; and impacts on
health promotion.
•	Developing standardized methods and metrics for EJ analysis, including exposure assessment.
•	Increasing social science capacity in EPA's ORD and integrating social science with natural,
physical, and other environmental science.
•	Increasing direct community engagement in the development of the Agency's scientific agenda
and priorities.
•	Assessing outcomes both directly related to the usability of the science and tools developed by
EPA and longer-term outcomes resulting from voluntary or regulatory actions designed to
promote health and reduce environmental inequities.
•	Continuing to build scientific and technical capacity in overburdened communities to enhance
community capacity to engage meaningfully in the development of environmental rules and
other decisions that affect communities.
v

-------
I. Introduction
This Environmental Justice Research Roadmap describes the interface between environmental justice
and science and outlines opportunities for scientific research that exist in the link between
environmental equity and technology. The research presented here is included in the Fiscal Year 2016-
2019 Strategic Research Action Plans (StRAPs) that guide research in the U.S. Environmental Protection
Agency's (EPA's) Office of Research and Development (ORD) through 2019. The research and
development needed to support decisions that advance environmental justice (EJ) cross traditional
scientific disciplines. This Roadmap outlines specific strategies for uniting ORD programs and expertise
into a seamless, efficient overall research portfolio.
The EJ Research Roadmap is a key element in the EPA's
developing EJ 2020 Action Agenda. The Roadmap represents a
significant body of research (some in progress, some
proposed) that recognizes the importance of near-source
exposures and the demographics of those exposed. It seeks to
determine whether the burden of environmental health risk is
evenly distributed across all Americans or whether some
communities carry the preponderance of that risk, and why.
ORD's inclusion of research to address overburdened groups
and communities was accelerated by engagement with
advisory groups and the development of a science plan in
EPA's Plan EJ 2014 (EPA, 2011).
ORD research related to environmental justice will strengthen the scientific foundation for actions at the
Agency, Tribal, State, local, and community levels to address environmental and health inequalities in
overburdened populations and communities. This goal will be attained by using fundamental and
community-based research approaches to develop scientific understanding, guidance, decision tools,
and scientific information to support decision-making. ORD has identified four core research areas-
termed "science challenges"—through which critical contributions for addressing environmental justice
can be made:
1.	Developing decision-support tools,
2.	Improving our understanding of environmental health disparities and developing data and
methods for assessing cumulative risk;
3.	Supporting Tribal science; and
4.	Characterizing climate justice.
For each science challenge, this Roadmap presents key science questions, identifies important research
products, and summarizes how ORD's ongoing and planned research will address the challenge.
Science to Support
EPA's EJ 2020 Action Agenda
The EJ 2020 Action Agenda identifies
steps the Agency will take over the
next few years to integrate
environmental justice into everything it
does, cultivate strong partnerships that
improve on-the-ground results, and
chart a path forward for reducing
disparities in the Nation's most
overburdened communities.
1

-------
A. Background
In 1994, President William J. Clinton issued Executive Order (EO) 12898 in which he declared "each
Federal agency shall make achieving environmental justice part of its mission by identifying and
addressing, as appropriate, disproportionately high and adverse human health or environmental effects
of its programs, policies, and activities on minority populations and low-income populations." The
President issued this order in recognition of the racial and economic disparities in the locations of toxic
sites and their potential impacts on adjacent communities. These disparities had fueled the birth of the
environmental justice movement more than a decade earlier when the civil rights and environmental
movements came together to protest the locating of a waste site for soil contaminated with PCBs
(polychlorinated biphenyls) in a predominantly African-American community in North Carolina (Table 1).
The Agency's mandate to pursue environmental justice is rooted in the specific provisions2 of EO 12898
regarding research related to the health and environment of people of color and low-income
populations, specifically noting the importance of developing the science to assess multiple and
cumulative exposures. Table 1 lists additional milestones in the development of EJ programs at EPA.
EPA's Technical Guidance for Assessing Environmental Justice in Regulatory Analysis (EPA, 2016b) and
Guidance on Considering Environmental Justice during Development of Regulatory Actions (EPA. 2015b)
contain excellent descriptions of the role of science, impact, and risk assessment in regulatory analysis
and EPA's regulatory authority with respect to environmental justice.
Table 1. Key Events in the Development of Environmental Justice Programs at EPA
Year
Event
Content
1982

Linking of environmental and civil rights movements, resulting in civil disobedience
action drawing attention to environmental racism; more than 550 protesters were
arrested
1987

Toxic Wastes and Race in the United States: A National Report on the Racial and

Socio-Economic Characteristics of Communities with Hazardous Wastes Sites:


rcognized racial and economic disparities in hazardous waste siting
1992

Reducina Risk in all Communities (1992) recognized that environmental risks are
often greater for low-income and minority communities
1992

EPA's Office of Environmental Equity established in November 1992; name changed
to the Office of Environmental Justice in 1994



1993

The National Environmental Justice Advisory Council, a Federal advisory committee
to EPA, provides advice and recommendations about broad, crosscutting issues
related to environmental justice from all stakeholders involved in the EJ dialogue
1994
Issuance of Presidential EO
12898 Federal Actions To
Address Environmental
Justice in Minority
Populations
EO 12898 focused Federal attention on environmental and human health conditions
in communities of color and low income with the intention of achieving
environmental justice; established the expectation that Federal agencies use existing
regulatory statutes to address environmental justice, including the Civil Rights Act of
1964 and the National Environmental Policy Act of 1969
2 Section 1-103 and Section 3-3 of the Executive Order outline goals for research, data collection, and analysis specific to
environmental justice.
2

-------
Table 1. Key Events in the Development of Environmental Justice Programs at EPA
Year
Event
Content
1999
National Academy of
Sciences report Toward
Environmental Justice:
Research, Education, and
Health Policv Needs
Institute of Medicine report on environmental justice made strong recommendations
to improve the science base, involve the affected population, and communicate the
findings to all stakeholders
2004
EPA: Toolkit for Assessina
Potential Alleaations of
Environmental Iniustice
Provides a conceptual and substantive framework for understanding the Agency's EJ
program; presents a systematic approach with reference tools and indicators for use
in assessing and responding to potential allegations of environmental injustice or in
preventing injustices from occurring; includes the Guzy memo (2000) that described
the EPA statutory and regulatory authorities under which EJ issues may be addressed
in permitting
2010
EPA Svmposium on the
Science of Disproportionate
Environmental Health
Impacts
Science from inside and outside EPA to address environmental justice including
indicators, indices, cumulative assessment, and information access tools
2014
Development of EPA Plan
2014 EJ
Strategy and implementation plans to protect the environment and health in
overburdened communities; empower communities to take action to improve their
health and environment; and establish partnerships with local, State, Tribal, and
Federal organizations to achieve healthy and sustainable communities
2014

EPA's EJ-related research, along with the activities of other EPA offices, support the
Administrator's commitment to ensuring that all communities have the same degree
of protection from environmental and health hazards
2014

NEJAC released the report. Recommendations for Intearatina Environmental Justice
into the EPA's Research Enterprise
2015
EPA final Guidance on
Considerina Environmental
Justice durina Development
of Reaulatorv Actions
EPA's guide for determining when environmental justice should be considered during
the Action Development process when developing regulations; includes strategies
and techniques for meaningful involvement and screening-level assessments to
identify potential EJ concerns
2015

EJ 2020 will build on the foundation established through EPA's Plan EJ 2014 and
expand that work through commitments that will continue through the next five
years
2016
EPA publishes Technical
Guidance for Assessina
Environmental Justice in
Reaulatorv An alvsis
Provides technical guidance to help analysts evaluate potential EJ concerns
associated with EPA regulatory actions; based on currently available, scientifically
appropriate risk assessment and regulatory analysis methods
3

-------
The mission of EPA is to protect human health and the
environment. The Agency works with urban, rural, and
economically disadvantaged communities to ensure
that everyone—regardless of age, race, economic
status, or ethnicity—has access to clean water and
clean air and the opportunity to live, work, learn, and
play in healthy communities (EPA, 2014a). EPA's goal is
not only to provide protection for the general
population, but also to minimize inequities in health
risks, environmental quality, and the distribution of
ecosystem services (nature's benefits) to overburdened
communities.
EPA's EJ efforts seek to protect the health and
environment of overburdened communities,
support these communities in taking action to
improve their own health and environment, and
build partnerships for improving community health
and long-term well-being (EPA, 2016a). The Agency
aims to conduct community-engaged research to
support improved integrated assessments
considering multiple contaminants and life
stressors. Ideally, this work integrates social and
physical sciences aimed at improving our
understanding of environmental and health
inequalities in overburdened populations and
communities in the United States and taking
appropriate actions to eliminate disproportionate
impacts (EPA, 2011). Technological development is
focused on enhancing community stakeholder
access to scientific information to inform decision-
making with the goal of improving the ability to characterize environmental conditions and identify,
assess, and compare available options to reduce potential health and environmental impacts. Under
Plan EJ 2014 (EPA. 2011). EPA committed to continue building the strong scientific foundation to
support environmental justice and conduct disproportionate impact analysis, particularly methods and
supporting scientific information to characterize and assess cumulative impacts appropriately. This
research has been formally included in the FY16-19 StRAPs that guide ORD research through 2019.
EPA's Fiscal Year 2014-2018 EPA Strategic Plan (EPA. 2014a) "recognizes (that) environmental justice,
children's health, and sustainable development are all at the intersection of people and place...
Throughout all our work to achieve more livable communities, EPA is committed to ensuring we focus
on children's health and environmental justice." The EPA Strategic Plan also captures the Agency's long-
standing commitment to strengthen human health and environmental protection in Indian country and
Critical Definition:
Environmental Justice
EPA defines environmental justice as
"the fair treatment and meaningful
involvement of all people regardless of
race, color, national origin, or income
with respect to the development,
implementation, and enforcement of
environmental laws, regulations,
and policies" (EPA, 2016b).
Critical Definition: Overburdened
"Overburdened" describes ethnic minority,
low-income, Tribal, and indigenous
populations or communities in the United
States that potentially experience
disproportionate environmental harms and
risks due to exposures or cumulative
impacts or greater vulnerability to
environmental hazards. This increased
vulnerability may be attributable to an
accumulation of both negative and lack of
positive environmental, health, economic,
or social conditions within these
populations or communities, including the
inability to participate meaningfully in the
decision-making process (Plan EJ 2014).
4

-------
increase Tribal capacity to establish and implement environmental programs. EPA is striving for an
outcome that has been defined as Just Sustainabilities: Ensuring a better quality of life for all, as defined
in different community contexts, now and into the future, while living within the limits of supporting
ecosystems (Agyeman et al., 2003). Environmental justice, disadvantaged communities, and Tribal
issues are explicitly addressed in four of EPA's five media and enforcement-based strategic goals and in
two of its cross-agency strategies; research needs for these goals are addressed across ORD's six
National Research Programs. In recognition of this, ORD has identified environmental justice as a
crosscutting research area.
Iblerri Statement
Many studies have established that sources of environmental hazards often are located and
concentrated in areas having majority populations of people of color, low-income residents, or
indigenous peoples (e.g., Agyeman, et al., 2016; Bullard, 1994; Bullard, et al., 2008; Cutter, 2003;
Maantay, 2001; Mohai, et al., 2009; Mohai and Saha, 2015b; Ringquist, 2005). Studies also show these
population groups often experience higher exposures to environmental hazards associated with the
places where they live, work, and play, often in conjunction with additional social and economic
stressors (Morello-Frosch, et al., 2011). Additionally, these population groups tend to be most burdened
with adverse health conditions that either have environmental triggers or affect similar physiological
systems as environmental pollution, such as cardiovascular disease, preterm birth, low birth weight, and
asthma (EPA, 2016b; Morello-Frosch, et al., 2011). Finally, America's overburdened communities are, in
many cases, those least prepared for potential impacts from environmental stressors associated with
climate change such as extreme weather emergencies or heat stress (Shi, et al., 2016). Addressing
environmental justice requires a public health model of prevention and targeted action to mitigate
disproportionate risk and health disparities from environmental conditions and pollution and to
promote health and well-being (Bullard, 1993).
The goal of ORD research addressing environmental justice is to strengthen the scientific foundation for
actions at the agency, State, Tribal, local, and community levels that address environmental and health
inequalities in overburdened populations and communities. EPA needs science to be able to consider
environmental justice fully in its policies, regulatory analyses, and program implementation, including
those programs EPA administers directly, delegates to States or Tribes, or effects through voluntary
efforts or community-level action. Needed research includes examining exposure to overburdened
communities, factors affecting health disparities, and the equitable distribution of the benefits of the
built and natural environments. Research translation and technical support and development are
needed to provide access to science and technology to facilitate community-engaged decision-making to
help build healthy, safe, and sustainable communities and Tribes.
C, Purpose
The EJ Research Roadmap assembles the research from across ORD that is designed to address medium-
specific and multimedia cumulative exposures and impacts, to identify and remediate conditions, and to
build capacity for community-engaged action in overburdened communities—all in the context of the
5

-------
community or social environment in which people live, work, and play (Olden, et al., 2015). This
Roadmap describes the interface between environmental justice and science and outlines opportunities
presented in the link between environmental equity and technology. The EJ Research Roadmap
highlights EPA's role in science to address environmental justice. This Roadmap and the EJ2020 Action
Plan (EPA, 2016a) will help facilitate greater coordination and integration of EJ research efforts of ORD
and the Agency.
The research inventoried and described in this Roadmap does not comprise a separate, independent
research program. Rather, it is conducted as part of ORD's six National Research Programs and will serve
to inform further research direction by identifying research gaps. EJ-related research promotes
sustainable, healthy communities by providing state-of-the-science information, tools, and decision
processes that help characterize environmental and health inequities and lead to their mitigation. The
Roadmap also emphasizes research efforts that engage and work with community stakeholders to
reduce disproportionate environmental exposures and health impacts, ultimately promoting equitable
access to sustainable and healthy environments for all.
The EJ Research Roadmap serves to
communicate to EPA's Program and Regional
Office partners and to EPA's external
stakeholders (State and local agencies, Tribal
organizations, public health and community
groups) how ORD is integrating EJ-related
scientific research across its National Research
Programs. ORD research has been and will
continue to be instrumental in supporting
Agency rulemaking and policy decisions to
reduce environmental health disparities in
communities. Research findings will provide the
Agency, State and local governments, and other
community stakeholders with scientific
information that will inform decisions to improve
environmental equity regarding public health
and environmental quality. Environmental equity
includes ensuring access for all people to
nature's benefits that promote health and well-
being such as those afforded by, e.g. access to
green space, urban tree arbors, clean water, and
features of the environment that provide natural hazard mitigation, reducing environmental exposures
and accompanying health impacts.
ORD staff developed this Roadmap in consultation with staff from EPA Regional and Program Offices,
including the Office of Environmental Justice. It responds to recommendations on the planning and
Critical Definitions: Health and
Weil-Being, Sustainability
The World Health Organization defines health
as "a state of complete physical, mental and
social well-being and not merely the absence
of disease or infirmity (WHO, 1948)." ORD's
Sustainable and Healthy Communities
research program emphasizes this definition in
its Strategic Research Action Plan (StRAP):
Well-being is defined broadly and includes
human health and safety, continued access to
the benefits provided by ecosystem services,
and economic security and resilience, now and
in the future.
This definition is central to SHC's working
definition of sustainability as the long-term
well-being that emerges from a resilient
economy existing within a healthy society
dependent on an intact, functioning
environment.
6

-------
implementation of research addressing EJ concerns received from key advisory committees: ORD's
Board of Scientific Counselors (2015), the National Environmental Justice Advisory Council (NEJAC,
2014), and the National Advisory Council on Environmental Policy and Technology (NACEPT, 2012).
Additional input comes from the Children's Health Protection Advisory Committee (CHPAC, 2013) and
national strategies such as Healthy People 2020 (DHHS, 2010).
Section 3-3 of EO 12898 emphasizes including at-risk
populations in environmental health research,
identifying multiple and cumulative exposures, and
engaging overburdened groups in the development and
design of research that affects their communities.
Healthy People 2020, along with recent guidance from
NEJAC and CHPAC. includes recommendations for
research on the social determinants of disease and how
psychosocial stressors in overburdened communities
could modify sensitivity to the effects of pollution and
result in health disparities. Understanding the contribution of the environment to health disparities
promotes the development of policies and interventions that provide primary prevention and helps
improve resiliency at the individual and community levels. NEJAC also recommended that EPA
characterize and identify or map communities that are potentially vulnerable to the impacts of climate
change (e.g., based on geographic and demographic vulnerability) and analyze and measure
socioeconomic, racial, or ethnic disparities associated with various adaptation and mitigation options.
NACEPT's recommendations focus on technologies for detection and assessment, communications, and
remediation solutions. These guidance documents, advisory reports, and strategic plans emphasize the
importance of community engagement and meaningful involvement in addressing environmental health
and well-being.
II. Research Scope
A. Expanded Problem Statement
In June 1992, EPA issued its first report that recognized that environmental risks are often greater for
low-income communities and especially for communities of color, Reducing Risk in All Communities
(EPA, 1992) (see Table 1). This report followed on the United Church of Christ (1987) report, which
found race to be the most important variable in predicting where commercial hazardous waste facilities
were located in the United States. This finding has since been confirmed and extended by many reports,
which have noted that racial disparities in placing locally unwanted land uses persist (e.g., UCC, 2007;
Ringquist, 2005; Mohai and Saha, 2015b). The impacts on citizens in these communities are influenced
not only by differential exposures due to close proximity to sources of harmful chemicals or toxicants,
but also by nonchemical stressors. Communities also can suffer from inadequate physical and economic
infrastructures: poor housing, lack of transportation, insufficient healthy foods, limited access to natural
amenities such as green spaces or parks and to medical care, and inadequate water systems. Further,
Healthy People 2020 set the
elimination of health disparities and
achieving health equity as top
national priorities. Its focus on health
equity calls for addressing the
determinants of health that put
particular groups within the general
population at potential
disproportionate risk (DHHS, 2010).
7

-------
exposures to multiple environmental contaminants and nonchemical stressors can combine to induce
adverse impacts on health or result in greater, cumulative impacts. This complexity places issues
associated with environmental justice among the "wicked problems" that EPA will face during the next
decade. These problems are not only complex, affected by many factors of various spatial and long
temporal scales, and difficult to define, but also might be socially complicated, without a clear solution
or endpoint, and extend beyond the understanding of one discipline (NRC, 2012). Research to address
these issues will require a combination of qualitative, semiquantitative, and quantitative approaches,
including collaborative approaches from among the natural, physical, and social sciences.
The four science challenges listed below address multiple facets of environmental justice (Agyeman, et
al., 2016; Cook and Swyngedouw, 2012; Shi, et al., 2016; Schlosberg, 2004). Science and technology to
enhance community engagement addresses issues of meaningful involvement and procedural justice,
that is, the need for fairer and more democratic decision-making processes and the involvement of
overburdened communities in the process. Science to reduce disparities addresses distributional justice,
that is, the need for adverse environmental exposures and impacts not to be concentrated in, or nearby,
overburdened communities. Citizen science, tools to enhance information access, and an increased
emphasis on equitable distribution of natural amenities addresses a justice of capabilities, that is, the
need to create the capabilities necessary for supporting a healthy, functioning community (Cook and
Swyngedouw, 2012). Research that recognizes the long-term conditions in neglected, devalued
neighborhoods and the need for their ongoing sustainability addresses recognitional justice, that is, the
need for recognition of, and respect for, the disadvantaged communities that suffer from environmental
injustice (Agyeman, et al., 2016; Cook and Swyngedouw, 2012; Anguelovski, et al., 2016; Schlosberg,
2004). These challenges also capture critical areas of focus that Agency advisory groups, as described
above, have identified or that have emerged as our understanding has improved of the stressors
associated with climate change and their interaction with environmental exposure, sensitivity, and
adaptive capacity (USGCRP, 2016).
Meaningful involvement and procedural justice, distributional justice, justice of capabilities, and
recognitional justice collectively recognize the need to
1.	provide access to science-based, comprehensive decision-support tools that engage community
members and other stakeholders for building healthy, safe, and sustainable communities;
2.	provide the essential understanding of the drivers of exposure and health disparities to be able
to take regulatory and other actions to prevent these disparities;
3.	fulfill EPA's trust responsibilities with respect to federally recognized Tribes; and
4.	address the impacts of stressors associated with climate change, such as extreme heat, flooding,
drought, extreme weather, and vector-borne disease that could interact with the exposure,
health conditions, and adaptive capacity in overburdened communities.
This Research Roadmap focuses on four science challenges:
8

-------
1.	Developing decision-support tools for identifying and prioritizing concerns, assessing
cumulative impacts, and evaluating mitigation options - Development of decision-support
tools and science, including citizen science, to ensure meaningful engagement and acknowledge
community ownership or investment in the process of research, data collection, and
development of solutions. This research and development is used in problem formulation and
scoping, screening-level assessments, and improving information access, evaluating options, and
informing decision-making. This research reflects ORD's long-standing commitment to provide
research and technical support to remediate existing contaminated sites and to develop
materials management approaches that help avoid creating new ones.
2.	Improving our understanding of environmental health disparities and developing methods
and data for assessing cumulative risks - Research to understand and reduce health risks and to
mitigate the incidence and prevalence of environmental health disparities in overburdened
communities. This research includes developing scientific understanding and metrics to support
the consideration of cumulative risk of multiple contaminants and nonchemical or community
stressors (see Figure 2) in risk assessments.
3.	Supporting Tribal sustainability and well-being - Science to support the use of traditional
ecological knowledge, facilitate the characterization and mitigation of environmental conditions
that place heritage diets and other cultural practices at risk, and support the environmental
health and well-being of Tribal nations.
4.	Characterizing climate justice - Characterization of community-scale vulnerability and resilience
factors and cumulative risk of health disparities resulting from environmental stressors, for
example, extreme weather conditions, drought, flooding, or other results of changes in
precipitation, heat stress, sea level rise, and changes in natural benefits (ecosystem services).
The EJ Research Roadmap addresses research on impact assessment, screening-level tools, and
cumulative risk assessment (CRA). Cumulative impact assessments and CRAs are distinguished by such
factors as the amount and quality of data available, the level of scientific rigor and quantitation
required, and whether the application is for nonregulatory or regulatory purposes (EPA, 2016a). The
National Academy of Sciences noted the importance of the distinction between cumulative impacts and
risks in its landmark report, Science and Decisions: Advancing Risk Assessment (NRC, 2009). Cumulative
impact assessments use a range of qualitative and quantitative information to characterize a problem or
establish priorities for action by local, State, Tribal, or national decision-makers. Such assessments,
which include health impact assessments (HIAs), are of particular value for advancing policies to
promote the health and well-being of overburdened communities. CRAs, by contrast, are typically more
analytically complex, quantitative assessments of the combined risk to health or the environment from
multiple stressors. Decisions made at the Federal level to establish standards for environmental
contaminants, for example, would require the more rigorous assessments. Due to the special data and
methodological requirements of CRAs, this approach currently is less applicable than cumulative impact
assessments to local decision-making, although a CRA could provide needed information to inform one
or more objectives of a structured decision process like an HIA.
9

-------
The research arid development described in this Roadmap can be applied to analyses that provide useful
information about how policy options under consideration might affect distribution of risks across
population groups of concern and communities. Cumulative impact and risk assessment, along with life-
cycle assessment of chemicals and materials; acquisition of data on critical health stressors and
promoters in the built, natural, and social environments; and differential exposures and outcomes are
aii part of science-informed environmental decision-making and policy (Figure 1). This iterative process
starts with effective planning and scoping, which in turn drives subsequent steps of problem
formulation, data acquisition, modeling and analysis, and effective translation and communication to
assess the implications of decisions (NRC, 2012). The iterative nature of this process means that
assessments and approaches necessarily will be fit for the purpose of the decision at hand ("fit-for
purpose"), considering the context and use of the final results (EPA, 2016b).
Complex Challenges for the Future
r
Problem Formulation
•	Hypothesis Generation
•	Needs Assessment
•	Technical Approaches
Outcomes
» Balanced Informed Decisions
•	Improved Health
•	Cleaner Environment
~ Lower Costs
Analysis of Key Measures to Advance Knowledge /
Data Acquisition
Ecologic
Biologic
Physical
Chemical
Epidemiologic
Socioeconomic
Behavioral
v • Informatics

Data Modeling,
Analysis, and
Synthesis
Knowledge

•	Environmental Fate
•	Impacts
•	Population Health
•	Exposure and Dose
•	Mechanism and Mode of Action
•	Implications
•	Costs
•	Feedback
•	Behaviors
•	Decision Options
t
Applications, Decisions,
and Actions
•	Policy
•	Regulation
•	Social Change
Systems Thinking to Assess Implications of Decisions
Applying Science that Anticipates, Innovates, Takes the Long View, Is Collaborative
i
Synthesis and Evaluation
Sustainability Analysis
Solution-Oriented Approaches
Multiple-Criteria and
Multidimensional Tools
v ~ Uncertainty



J
Systems Tools and Skills
Life-Cycle Assessment
Cumulative Risk Assessment
Social, Economic, Behavioral,
and Decision Sciences
Synthesis Research
Translation and
Communication
J
Figure 1. Framework for enhanced science for environmental protection describes the iterative process of
science-informed environmental decision-making and policy (NRC, 2012).
The science challenges in this Roadmap are not mutually exclusive because they contain components
that address related aspects as ORD moves toward a systems approach to environmental justice. In
recognition of this overlap, some of the same science questions pertain to multiple challenges.
10

-------
IB, Scientific Challenges and Key Research Topics
Developing Decision-Support Tools for Identifying and Prioritizing Concerns, Assessing Cumulative
Impacts, and Evaluating Mitigation Options
EPA recognizes that research to serve communities will have the greatest impact when it addresses
problems formulated at the community stakeholder level and when it is conducted, if possible, through
participative and collaborative studies. Such a transdisciplinary approach is rooted in community-
engaged research. It builds on community expertise and places the focus on the end user of the science,
while providing opportunities for the community to build capacity. These opportunities help ensure
meaningful engagement in the processes of research, data collection, and development of solutions—
and acknowledge community ownership of, or investment in, that process (Heany, et al., 2007).
Research addressing the challenge of decision support and community engagement includes the
continued, evolving development of decision processes such as HIAs and other structured decision
approaches that allow for translation of scientific information into objectives that are meaningful to
both community members and technical experts. These approaches incorporate a community's values
into the decision process and ideally allow science to be considered together with other factors, such as
job creation, demographics, environmental quality, and land use or transportation issues, in decisions
that affect communities. For EPA, this research and research process is designed to increase community
engagement and ensure that the Agency provides access to the best science available and facilitates its
application to decision-making and generating solutions for overburdened communities.
Additional research under this challenge includes developing and applying tools that provide access to
relevant community-scale data and mapping or other visualization tools. Screening-level assessment
tools are included, which can potentially be used to evaluate various decision scenarios. Finally, this
research topic includes citizen science, such as environmental monitoring and GIS (geographic
information system) mapping. In 2015, EPA charged NACEPT to comment on strategic directions for
using citizen science (EPA, 2015a). In this charge, EPA noted, "Citizen science advances environmental
protection by helping communities understand local problems and collect quality data that can be used
to advocate for or solve environmental and health issues." The White House Office of Science and
Technology Policy recently issued a memorandum that directs agencies to take specific actions to
advance citizen science and crowdsourcing, emphasizing public participation and making it easy for
people to find out about and join in these projects. In addition, to fulfill a commitment made in the 2013
Open Government National Action Plan, the U.S. government is releasing the first-ever Federal
Crowdsourcing and Citizen Science Toolkit to help Federal agencies design, carry out, and manage
citizen science and crowdsourcing projects. Early successes of citizen science in addressing community
environmental issues include water and air monitoring approaches (Heany, et al., 2011; EPA, 2016c). The
incorporation of citizen science, especially that which uses the new generation of environmental
monitoring tools, into community-engaged research is an exciting new research area for ORD.
Finally, research on environmental justice recognizes social inequities in the geographic distribution of
environmental hazards, including uncontrolled hazardous waste sites; hazardous waste treatment,
11

-------
storage, and disposal facilities; leaking underground storage tanks; and other locally unwanted land uses
(UCC, 1987; UCC, 2007; Bullard, et al., 2007; Wilson, et al., 2013). The remediation and restoration of
contaminated sites in America's communities is a long-standing goal of EPA (EPA, 20140a). Scientific
research and technical support to identify, remediate, and restore contaminated sites in our
communities also is a strategic EPA goal and a primary focus of ORD's Sustainable and Healthy
Communities research program (SHC) (Bessler and McKernan, 2015; EPA, 2015c). SHC's research project
on contaminated sites and sediments addresses the importance of preventing human exposure to
contaminants, with a focus on ensuring that groundwater quality meets drinking water standards (EPA,
2015c). SHC recognizes that remediation of contaminated sites (or potentially contaminated sites, such
as brownfields) and their restoration for use as natural areas or for commercial or other uses can be
important first steps for mitigating EJ concerns. SHC research addresses the broad range of issues
involved in contaminated sites research: contaminated sites and sediments, environmental releases of
oils and fuels, and sustainable materials management. Below, research that is specifically focused on EJ
goals is described.
Key science questions:
1.	How can research to support decision-making at the Regional, State, and Tribal levels be better
translated so that it is accessible, useful, and transparent?
2.	How can overburdened communities be empowered to better characterize problems linked to
the environment and create solutions that ensure equitable distribution of the benefits from
community decisions?
3.	How can indicator approaches assist in better understanding the interrelationships between
social determinants of health, other nonchemical stressors, chemical agents, and the natural
environment—with particular emphasis on place-based contexts and potential for decision-
making?
4.	How can EPA use community-engaged research to understand cumulative exposures and risks
and health disparities, and examine scenario-specific case studies to explore implementation of
cumulative impact or risk assessment?
5.	How can contamination, from single or multiple sources, be characterized effectively and
remediated optimally to protect community public health and make land available for safe
reuse?
Improving Our Understanding of Environmental Health Disparities and Developing Methods and
Data for Assessing Cumulative Risks
EPA research will help in understanding and identifying ways to prevent health disparities that result
from environmental conditions and pollution in overburdened populations and communities. This effort
includes developing science and approaches to problem formulation to assess cumulative risk from
exposure to chemical and nonchemical stressors. It also includes promotion of health and well-being by
considering the built and natural environments, including access to nature's benefits (ecosystem
services).
12

-------
Previous research has focused primarily on disproportionate exposure to chemicals and their associated
adverse health effects. Expanding this area is needed, however, to understand how social determinants
of health—the conditions in which people are born, grow, live, work, and age—together with
environmental pollutants and poor environmental quality, can contribute to inequities in health and
well-being (Figure 2 and Figure 3). Social determinants of health include such factors as access to
affordable healthy food, potable water, green space, safe housing, clean air, and supportive social
networks (CHPAC, 2013; EPA, 2016b; deFur et al., 2007). Within the context of social determinants of
health, environmental determinants—comprising natural, built, and social environments—stand out as
critical for reducing and preventing health disparities because they are amenable to intervention and
prevention strategies. Thus, environmental influences are not limited to physical, chemical, or biological
agents and natural amenities, but also include social and economic stressors, institutional processes,
and resiliency factors. Because environmental stressors often co-occur, a key need is to understand how
they act in combination with one another and how they combine with non-environmental stressors.
Research is needed to understand the contributing factors and the potential impact they have on
communities and individuals so that it can be factored into decisions.
Improved health and well-being are the critical endpoints for this research. Health impacts documented
to show disparities in the incidence and severity of disease between socioeconomic and racial or ethnic
groups include adverse birth outcomes, cognitive deficits, effects related to growth and metabolism
(obesity, diabetes, high blood pressure, cardiovascular disease), and respiratory health impacts (asthma)
(e.g., Morello-Frosch, et al., 2011). Well-being is defined broadly; it includes human health and safety,
continued access to the benefits provided by ecosystem services, and economic security and resilience,
now and in the future.3
This science challenge emphasizes understanding the interactions among biological, social, spatial, and
environmental factors and how they contribute to disproportionate risk. Toward this end, laboratory
and community-based studies are designed to evaluate the extent to which these various factors
contribute to disproportionate risks and health disparities in overburdened communities. This research
is prerequisite to understanding the causal bases of adverse effects due to cumulative exposures for
informed and effective EPA and community-based decisions and interventions. ORD's Human Health
Risk Assessment research program (HHRA) has made as its goal to move beyond traditional risk
assessment methods to integrate and evaluate impacts of chemical and nonchemical stressors on the
environment and human health (Figure 2). Reaching this goal will be aided by making causal links
between the nonchemical stressors on the left of this figure and the realization of adverse health effects
through biological pathways on the right.
3 This definition is included in the ORD's Sustainable and Health Communities Research Program Strategic Research Action Plan
FY16-19.
13

-------
Community-
Level
Vulnerability
Individual-
Level
Vulnerability
Modified from: Gee and Payne-Sturges, 2004.
Environ Health Perspea. 112(17): 1645-1653.
Race/Ethnicity
Internal Dose
Exposure
Structural
Factors
Residential Location
Community
Stressors
Health Effects/
Disparities
Individual Stressors
Neighborhood
Resources
Community Stress
Traditional Risk Assessment
Biologically
Effective Dose
Environmental
Hazards and
Pollutants
Cumulative Risk Assessment
Stress/Coping,
Life Stage/Style
Figure 2. Conceptual map of the interaction between traditional risk assessment, focused on biological dose
and adverse outcome pathways emphasized by the Chemical Safety for Sustainability research program,
and community-scale contributors to cumulative risk assessment needed to address environmental health
disparities.
Key science questions:
1.	What interactions between environmental exposures and social, natural, and built
environmental systems, conditions, and policies result in unequal adverse environmental health
conditions among diverse overburdened population groups, Tribes, communities,
neighborhoods, and individuals? How can this understanding be applied to CRA?
What are the key social determinants related to vulnerability and environmental public health
for high priority public health outcomes such as poor birth outcomes, cognitive deficits,
cardiovascular disease, obesity, diabetes, asthma?
2.	What causal links can be made between chemical and nonchemical stressors and potential
biological adverse outcome pathways and mechanisms such as epigenetics for the purposes of
CRA and the identification of risk mitigation strategies?
3.	How can community-engaged research be used by EPA to understand cumulative exposures and
risks and health disparities, and examine scenario-specific case studies to explore
implementation of CRA?
4.	How can indicator approaches assist in better understanding the interrelationships between
social determinants of health, other nonchemical stressors, chemical agents and the natural
14

-------
environment—with particular emphasis on place-based contexts and potential for decision-
making?
Support!! il Sustainability and Well-being
EPA's Policy on Environmental Justice for Working with Federally Recognized Tribes and Indigenous
Peoples (EPA, 2014b) reinforces EPA's commitment to strengthening its engagement with Tribal
governments and indigenous communities while fulfilling its trust responsibility to federally recognized
Tribes. This policy describes how EPA works with federally recognized Tribes and indigenous peoples
throughout the United States, and with others living in Indian country. The Policy integrates 17 EJ and
civil rights principles to help EPA protect the environment and public health and address EJ concerns in
Indian country. EPA's Tribal Science program is designed to address issues of environmental quality and
environmental health in Indian country directly and to provide Tribes with science and tools to
implement Tribal environmental programs.
Historical events have adversely changed the environments and traditional food sources specific to
many Tribal populations (American Indians and Alaska natives) and have negatively affected Tribal
cultural practices and health. For example, environmental degradation and displacement of Tribes from
traditional lands have led to the elimination of heritage diets, affecting health, well-being, and social
cohesion. Impaired features of Tribal environments are not supporting previously sustainable and
healthy diets and lifestyles. These changes, combined with social stressors, might have contributed to
the increased incidences of asthma, diabetes, high cholesterol, and obesity in many Tribal communities.
Tribal communities also could be more vulnerable and disproportionately impacted by climate change,
especially when it disrupts the ability to depend on surrounding ecosystems for food sources, cultural
practices, and unique lifestyles. This issue is notable for native Alaskans who face the need to relocate
entire communities because of sea level rise and thawing of the tundra. Tribes need evidence-based
data and tools to help them identify and anticipate potential environmental problems that could result
from changes in their environments and societies.
ORD plays an important role as co-chair of the EPA's Tribal Science Council. This role recognizes ORD's
responsibility and ensures that Tribal science priorities are directly considered in ORD research planning
and implementation. ORD research to build Tribal sustainability focuses on use of traditional ecological
knowledge; development and training in assessment and restoration for proper functioning conditions
to restore and maintain Tribal lands and waterways; adaptation by Tribes to climate change impacts;
Tribal health issues, including indoor air quality, asthma, and use of indoor cook stoves; collaborative
development of decision support; and environmental information access tools. This research is
consistent with the principles included in the EPA Policy on Environmental Justice for Working with
Federally Recognized Tribes and Indigenous Peoples (EPA, 2014b).
Key science questions:
1. How can traditional ecological knowledge and ecosystem goods and services be used in Tribal-
specific assessments and other actions to support Tribal sustainability?
15

-------
2. What are the key factors in the social, natural, and built environments that result in vulnerability
or resilience to stressors associated with environmental toxicants? With climate change?
a.	How can this understanding contribute to greater Tribal preparedness?
b.	How do these factors interact with contaminated sites or other community
environmental hazards?
Characterizing Clirre ice
Climate change-related cumulative health risks are expected to be disproportionately greater for
overburdened communities, in part due to poorer infrastructure that results in lessened resilience to
stressors such as flooding or other extreme weather conditions, and in part due to differential proximity
and exposures to chemical sources and flood zones. EPA's Climate Adaptation Plan includes focusing on
"the most vulnerable people and places." EPA's Policy Statement on Climate Change Adaptation states
the need to "focus on incorporating consideration of environmental justice into the design and
evaluation of adaptation strategies." NEJAC recommendations to EPA in Conducting Research on
Potential Disproportionate Impacts of Climate Change Effects, Mitigation and Adaptation include
conducting research (tools, indicators, maps) to identify the most climate-vulnerable communities to
inform climate adaptation and emergency response strategies. Specifically, NEJAC recommended EPA
characterize and identify or map communities that are vulnerable to climate change (e.g., based on
geographic and demographic vulnerability) and analyze and measure socioeconomic, racial, or ethnic
disparities associated with different adaptation and mitigation options.
EPA research will focus on identifying key factors and interrelationships between social determinants of
health, other nonchemical stressors, and chemical agents relative to climate change-related impacts for
vulnerable populations. EPA has proposed to develop climate vulnerability and community resilience
indices as metrics for use in identifying and mapping locations at high risk from stressors such as sea
level rise, extreme weather conditions, heat stress, wildfires, changes in precipitation patterns leading
to drought and flooding, impacts on communities with contaminated sites and brownfields, and impacts
particular to Tribal communities.
Key science questions:
1.	What are the key factors in the social, natural, and built environments that result in vulnerability
or resilience to stressors associated with climate change?
2.	How do these factors interact with contaminated sites or other community environmental
hazards?
3.	How can this understanding contribute to greater community preparedness?
16

-------
ML Crosscutting ORD Research
A. Current and Planned ORD Research
This section summarizes ORD's current and planned research activities as they align with the four EJ
science challenge topics. ORD's National Research Programs implement these research activities
according to their respective StRAPs. Each activity addresses National Research Program-specific
outputs and simultaneously contributes to addressing the EJ Roadmap core research areas.
The National Research Program with key responsibility for each activity is provided below in Table 2:
•	ACE = Air, Climate, and Energy Research
•	CSS = Chemical Safety for Sustainability Research
•	HHRA = Human Health Risk Assessment Research
•	HSRP = Homeland Security Research Program
•	SHC = Sustainable and Health Communities Research
•	SSWR = Safe and Sustainable Water Resources Research
Table 2 provides a high-level overview of the distribution of EJ research across ORD's six National
Research Programs. Appendix Table A-l and Appendix Table A-2 summarize ORD EJ research on a
project-by-project basis and provide more detail on EJ research funded through ORD's Science to
Achieve Results (STAR) program.
Table 1. Relative Contribution of ORD's National Research Programs to ORD's Environmental Justice
Research Challenges

National Research Program*
EJ Science
Challenge
Air, Climate,
and
Energy
Chemical
Safety for
Sustainability
Homeland
Security
Research
Program
Human Health
Risk
Assessment
Safe and
Sustainable
Waters
Sustainable
and Healthy
Communities
Decision
Support and
Community
Engagement





y ^ ^
Health
Disparities and
Cumulative Risk
1


V V V


-------
Developing Decision Support,, Citizen Science, and Community Engagement
This research area includes the development of tools to provide access to scientific information by
communities and Tribes in a context that increases community engagement in defining, prioritizing, and
solving environmental quality, exposure, and health issues. These decision-support tools and resources
are expert systems that facilitate access to high-quality science pertinent to the locations and issues of
community and Tribal stakeholders outside of EPA as well as our Program partners within EPA. These
tools enable users to visualize features of the built and natural environment through publicly accessible
GIS tools and to identify potential pollution sources or modeled exposure concentrations and risks for
some environmental pollutants. They also provide use cases, tutorials, and step-by-step processes for
addressing community-level environmental issues. The tools highlighted here do not comprise the
comprehensive list of available tools. Others under development include, for example, decision-support
tools to help community stakeholders identify options associated with green infrastructure. A more
complete table, the SHC Usable Tool List, provides more examples of tools that can assist communities.
SHC also is working on interactive tools to help potential users sort through the many options available,
depending on the issues they are addressing.
A.	EPA's Cross-Agency Strategies Include "Working to Make a Visible Difference in Communities"
The Action Plan for this strategy includes focused and coordinated Agency action to assist
selected communities. Each EPA Region selected a few communities that were "environmentally
overburdened, underserved, and economically distressed." EPA's Regions and National
Programs coordinate their resources and work to address real community problems and
improve lives and conditions. For ORD, MVD is providing scientists with opportunities to work
with the Regions and communities on real-world testing and feedback for ORD tools, while the
projects provide real benefits to those communities. For example, in Newport News, Virginia,
ORD and Region 3 are evaluating the cumulative risk of port-related emissions on the
disadvantaged communities nearby, which will help target solutions. In Alexandria/Pineville,
Louisiana, ORD is working with Regional staff to evaluate the health implications of creosote
plants on nearby neighborhoods and look for sustainable materials solutions. Appendix B
describes ORD engagement in 16 of the current MVD projects.
B.	The Community-Focused Exposure and Risk Screening Tool (C-FERST) and Tribal-Focused
Environmental Risk and Sustainability Tool (T-FERST)
C-FERST and T-FERST are web-based decision-support tools designed to help communities and
Tribes, respectively, use their limited resources to identify, prioritize, and manage their
environmental public health issues. In Portland, Oregon, and Tacoma, Washington, for example,
a beta-test version of C-FERST has been used in conjunction with local community colleges and
community groups to increase community engagement in overburdened communities. C-FERST
has become the core of a broader effort to leverage other resources and convene partners to
identify issues, assess conditions, and address these issues. Communities can map their
neighborhoods and add data from EPA databases on the locations of contaminated sites,
combined sewer overflows, toxic release inventory sites, and other locations of interest; add
18

-------
demographic data drawn from the census; and add geocoded data for local community features
such as markets providing fresh food. In addition, ORD is working to develop a module within
C-FERST to enable its use for expediting the information gathering and organizing HIAs.
T-FERST is being developed with Tribal partners to address Tribal-specific needs for information
access, assessment, mapping, and consideration of potential solutions. The United Southern and
Eastern Tribes developed a step-by-step roadmap, which includes the use of traditional
ecological knowledge that will incorporate approaches to habitat restoration like proper
functioning conditions, described in the section, Supporting Tribal Sustainability and Well-being.
United Southern and Eastern Tribes also are engaging the Alaskan indigenous Tribes for more
input to this tool. An open-waters module is under development for T-FERST that will provide
historical and current water quality data to assess impaired or improved water quality for water
management efforts on the reservation. [SHC Project 2.62]
C.	The Community Cumulative Assessment Tool (CCAT)
CCAT is designed to guide community groups through the challenging aspects of CRA in a
participatory process with a specific focus on environmental justice. CCAT has a 10-step process
for local CRA and prioritization of potential solutions. The tool, based on EPA's Framework for
Cumulative Risk Assessment, was developed collaboratively with EPA's Program Offices and
Regions, and the communities they work with, with critical input from EJ stakeholder groups.
The CCAT step-by-step methodology incorporates community-specific and other data into a
structured decision-making approach to identify stressors and prioritize solutions. CCAT
addresses multiple stressors and susceptibility and vulnerability factors. It combines decision
analysis and risk assessment to identify, evaluate, rank, and prioritize stressors and solutions. A
beta-test version of CCAT currently is being used in several communities to evaluate its utility in
different contexts. In Newark, New Jersey, CCAT is part of a collaboration with Region 2 and a
local community corporation to develop and include citizen science measurements in the
assessment of multiple stressors and potential solutions and outcomes. In Chicago, Illinois, CCAT
is being used in collaboration with Region 5 and the University of Illinois in a partnership to
develop best practices and risk reduction related to environmental justice and Superfund
considerations. CCAT also is being used in conjunction with C-LINE (Community Line), described
below, in near-road and near-port contexts. CCAT will become part of C-FERST to provide
decision-support structure in the context of community assessment guidance. [SHC Project 2.62]
D.	Health Impact Assessment
HIA is a structured decision process that uses a combination of procedures, methods, and tools
to evaluate the potential effect of a proposed project or policy on the health of the population
and the distribution of those effects within the population. The World Health Organization
identified four core values of HIAs that are consistent with goals of environmental justice:
• Democracy: HIAs are participatory, involving stakeholders, and build collaborations between
health and other sectors
19

-------
•	Equity: Reduction of social disparities in health is a central concern in policy-making
•	Sustainability: A policy recognizes short-term and long-term health impacts
•	Ethical use of evidence: Use is as rigorous as possible, and considers both quantitative and
qualitative evidence, drawing on different scientific disciplines
Stakeholder and community engagement is a critical component of HIAs to ensure those
affected by the decision have a voice in the process. Research translation, defined as the
transfer of knowledge to community members and stakeholders about the relationship between
determinants of health and health outcomes, is another overarching goal of the HIA process.
ORD research will produce a free, publicly accessible HIA Resource and Tool Compilation that
HIA practitioners at all levels of experience can use to guide them through the HIA process. The
Compilation will be designed to provide an extensive list of resources that apply to the HIA
process and to the themes present throughout the process, such as equity and community
participation; it will provide tools that facilitate data collection and analysis. Additionally, ORD
will work with the EPA Regions to increase capacity to assess the impacts of Federal, Regional,
State, and local decisions on public health.
ORD/SHC has worked with EPA's Regions and with municipal and community groups on two
HIAs that addressed EJ issues, one in Springfield, Massachusetts, and the other in the Proctor
Creek neighborhood in Atlanta, Georgia. The neighborhood effort will be expanded to consider
establishing an incentive-based approach for increasing green infrastructure within the Proctor
Creek Watershed. Proctor Creek is one of the most impaired water bodies in the area. The
communities of Proctor Creek experience overlapping concerns including flooding, derelict and
abandoned properties, crime, and lack of economic opportunity. The assessment will support
identification of the best locations for green infrastructure that maximize public health benefits
across environmental, social, and economic determinants of health and where physical
properties are best suited for green infrastructure. SSWR is providing extensive analysis of soils
in the watershed to contribute to the assessment. Region 4 continues to be a key collaborator.
[SHC Project 2.62; SSWR Project 5.02]
SHC will work with EPA's Office of Federal Activities to consider the use of HIA as part of EPA's
National Environmental Policy Act/Section 309 reviews to enhance human health considerations
in the National Environmental Policy Act process through its ability to
•	Provide the lead agencies, stakeholders, and communities with information on the potential
health effects of a proposed action and its alternatives, through the broad consideration of
impacts on health and health determinants;
•	Identify potential disproportionate human health or environmental effects (or both) of a
proposed action and its alternatives on people of color, low-income populations, and
children and develop recommendations to address those effects; and
20

-------
• Develop recommendations to improve a proposed action and its alternatives or mitigate against
potential negative health impacts before the action is implemented, or both. [SHC Projects 2.62
& 4.61]
E.	EnviroAtlas
EnviroAtlas is a collection of interactive tools and resources that enables users to explore the
many benefits people receive from nature, often referred to as ecosystem services. Ecosystem
services often are overlooked, even though they are critical to maintaining and promoting
human well-being. With EnviroAtlas, users can access, view, and analyze diverse information to
understand more clearly how various decisions can affect an array of ecological and human
health outcomes. EnviroAtlas includes use cases as examples to help new users of the tool. One
use case demonstrates the use of the EnviroAtlas for analyzing and planning an urban tree
arbor, bringing in spatially explicit demographic information necessary to consider equitable
distribution or access to natural amenities. Another use case shows population numbers in an
urban near-road environment and the adequacy of vegetative buffers to reduce potential near-
source exposures. Such analyses are highlighted as examples for use in planning transportation
corridors and placing green spaces and other natural amenities.
EnviroAtlas includes a module, the Eco-Health Browser, that is an easy-to-use interface for a
curated database that describes connections between access to natural amenities and health
conditions of concern to many communities. For example, users can make links between low
birthweight or cardiovascular disease and the provision of ecosystem services—clean air, clean
water, recreation and physical activity, and engagement with nature. A user also could start with
features of urban ecosystems and learn about their relationships with physical and mental
health. Ultimately, this information can be used in decision-making about the siting of roads, the
preservation or development of green space, and other environmental issues. The results could
be incorporated readily into processes like health impact assessment as supporting data for
community objectives. EnviroAtlas is described further in the section, below, on climate justice.
[SHC Project 1.62]
F.	C-LINE, C-PORT
Transportation (including roadway traffic, airports, and ports) is a critical feature of the Nation's
economy. Ports can be considered multimodal transportation facilities as they typically have
truck and rail yard facilities for shipping goods to and from the ports. Multiple air pollutant
species, such as carbon monoxide (CO), oxides of nitrogen (NO, N02, NOx), particulate matter
(PMio, PM2.5), black carbon, and several air toxics can be emitted from these multimodal
facilities, affecting communities near the port and along freight-movement corridors.
C-LINE and C-PORT (Community Port) are screening-level models designed to help communities
explore the potential improvements to air quality and exposures due to voluntary or mandatory
programs. These tools predict concentrations of multiple criteria pollutants (National Ambient
Air Quality Standards, or NAAQS) and hazardous air pollutants (key mobile source air toxics) at
21

-------
fine spatial scales in the near-source environment. Screening-level air quality modeling is a
useful tool for examining what-if scenarios of changes in emission volume, such as those due to
changes in traffic counts, fleet mix, or speed, or changes in traffic, port, and airport emissions
due to equipment or vehicles. EPA's Guidance on Considering EJ during the Development of
Regulatory Actions (EPA 2015b) encourages the use of screening-level analysis when feasible to
recognize opportunities for identifying and addressing potential EJ concerns.
C-LINE was used in a collaboration between ORD and EPA Region 4 to examine the potential
impact of port expansion on air quality. As freight volume increases in Region 4 ports,
communities near the port and along goods movement corridors could experience increased
local-scale air pollution due to increased traffic. C-LINE was used to consider the entire
transportation network. In Newport News, Virginia, a community that contains commercial port
operations, highways, and multiple industrial facilities, C-LINE was used to compare different
roadway pollution scenarios to help identify areas for further research. Draft versions of these
tools are currently being applied in selected case studies in conjunction with CCAT and citizen
science approaches in the Ironbound District and Port of Newark, New Jersey. The tools will be
used in an integrated assessment project on sustainable port communities. [SCH Projects 2.62,
4.61; ACE Projects AIMS-1, PEP-1]
G. Citizen Science
Community engagement in environmental decisions that affect members of the community is
enhanced when that community collects its own data, for example, data on air quality, traffic,
potential pollution sources such as auto body shops, or locations for access to fresh, healthy
food. Collection of data by community members allows communities to participate in the
research and development process, to evaluate baseline conditions, and to evaluate changes in
environmental conditions after actions are taken to mitigate exposures to environmental
pollutants. The C-FERST, T-FERST, and EnviroAtlas tools enable communities to upload local data
to maps provided by those tools. For example, Region 10 used C-FERST as a community
engagement tool in two communities. For these communities, the presence of Superfund sites
was the point of entry for the Region but was not the basis for the use of the tool; C-FERST is
helping facilitate interactions between community groups and local community colleges to
address the many other environmental health issues in these communities.
The local data remain the property of the communities; none of those data are saved by
government computing systems. These decision-support tools are or will be available on the
internet free to the public for their use in learning more about issues identified by their
communities, mapping sensitive sites or locations of concern, and considering risk management
or risk mitigation alternatives. [SHC Projects 1.62 & 2.62]
EPA has developed an Air Sensor Toolbox for Citizen Scientists and Community Air Monitoring
Training videos to help build community capacity for environmental monitoring. The videos are
based on face-to-face Community Air Monitoring Training that provided individuals from
22

-------
community action groups and Tribes across the Nation an opportunity to consider their own
citizen science air monitoring projects in the context of hands-on training and small group
discussions with experts in the field of citizen science. ORD and EPA Region 2 piloted community
use of air sensor technologies in collaboration with the Ironbound Community Corporation in
Newark, New Jersey. These efforts include both the sensor technologies and tools to examine
the data collected against the backdrop of community maps. Ironbound and EPA view citizen
science projects that connect local residents to air quality data as a way to make public health a
priority in communities and to build the capacity for communities to advocate for health-
protective policies at the local, State, and Federal levels. ORD research includes developing
methods for evaluating low-cost sensors to set performance standards. Setting performance
standards for the sensors could allow their use for citizen science applications and enable
description of their capabilities and limitations. ORD also has developed technology to help
reduce technical barriers to analyzing air quality data with its Real-time Geospatial Data Viewer
(RETIGO). RETIGO, together with mobile sensors and potential new sensor technologies, begins
to address NACEPT's recommendation to provide robust real-time data that can be applied to
fenceline and myriad community applications. RETIGO can serve as a data analysis platform, an
interim data processor, or an interoperable module with C-FERST or EnviroAtlas to address
community air quality issues.
ORD, together with EPA's Office of Air, is exploring new sensor and information technologies
that could form the foundation of future detection of leaks and fugitive emissions, source
inventory, and emissions verification strategies. EPA's goal is to develop automated mobile and
fixed-place fenceline and in-plant sensor systems to provide continuous information on
emissions. Such applications would enhance safe working environments and inform emission
inventories for several sectors, including oil and gas production and distribution, landfills and
wastewater treatment, agricultural operations, and petrochemical and other industrial facility
emissions. [ACE Project EM-1, EM-3]
H. EJ SCREEN
ORD notes that EPA developed EJSCREEN as a tool that highlights locations for further review as
a starting point for engagement, evaluation, or enforcement efforts. EJSCREEN, C-FERST, and
EnviroAtlas all draw from EPA's Geospatial Platform and have some of the same capacities for
displaying community-scale information. EPA, State and local agencies, and communities could
use these tools together or in sequence. For example, one can identify overburdened or other
candidate communities with EJSCREEN, then follow up by using C-FERST, T-FERST, CCAT, and
EnviroAtlas or the other tools described above to engage communities by using step-by-step
guides for community assessments, gathering more detailed information, and generating and
evaluating potential solutions. ORD is working with EJSCREEN developers to link these tools and
to update and harmonize the underlying datasets from which the multiple tools draw data.
23

-------
I. Contaminated Sites and Groundwater
More than 80 percent of the most serious hazardous waste sites in the United States have
adversely impacted the quality of nearby groundwater. Groundwater accounts for over 95
percent of the Nation's available freshwater resources, and is the drinking water source for half
the people in the United States. Groundwater wells near Superfund sites supply public and
private drinking water wells, irrigation and other agricultural demands, and commercial and
industrial business needs. No single method exists to characterize communities located near
hazardous waste sites, but a recent EPA study found that approximately 49 million people live
within 3 miles of Superfund sites or proposed National Priority List sites.
This task will produce applied research products that focus on the temporal and spatial changes
in groundwater, vapor intrusion, or contaminated sediments coupled with social and economic
factors related to community water supplies addressing Superfund, brownfields, or EJ concerns.
One of the most challenging aspects of site remediation is selecting a suitable contaminated site
management strategy that incorporates both technical and economical feasibilities of available
alternatives that include social variables and site reuse considerations. Research is needed to
develop a knowledge base and decision tools to assess and predict temporal and spatial changes
in aquifer-based water supplies related to community water supplies. ORD's intention is to focus
its efforts on the development of spatially and temporally based models or decision-support
tools. [SHC Project 3.61]
Environmental Health Disparities and Cumulative Assessment
ORD research to address environmental health disparities is focused on better understanding the
contribution of diverse factors to disproportionate risk, with an emphasis on how nonchemical stressors
might modify adverse health effects associated with exposures to chemical contaminants. These factors
include the natural, built, and social environments in combination with biological factors and response.
ORD focus includes continued updates to toxicity information on a chemical-specific basis to improve
the science supporting risk assessments.
A. National Institutes of Health (NIH)-EPA Centers of Excellence on Environmental Health
Disparities Research
ORD/SHC STAR research centers are co-funded with National Institute of Environmental Health
Science, National Institute of Minority Health and Health Disparities (NIMHD), and National
Institute of Children's Health and Human Development (NICHD) to stimulate basic and applied
research in understanding environmentally driven health disparities and improving access to
healthy environments for vulnerable populations and communities. The centers are designed to
foster interdisciplinary research on complex interactions among social, natural, and built
environmental systems, conditions, and policies that result in unequal environmental health
conditions and disproportionate impacts on (diverse) disadvantaged population groups,
communities, neighborhoods, and individuals. Research outcomes are expected to promote
innovative strategies to mitigate environmental exposures and health disparities; alleviate
system drivers of racial/ethnic and socioeconomic disparities; and improve access to healthy
24

-------
and sustainable environments for vulnerable populations. Proposals must include community-
based research, mentoring, capacity building, and research translation and information
dissemination. [SHC Project 2.63 (Appendix Table A-2)]
B.	Intramural EPA/ORD Research on Interrelationships among Social Determinants, Nonchemical
Stressors, and Chemical Agents
The SHC and ACE programs include intramural EPA/ORD research designed to characterize the
interrelationships among social determinants, nonchemical stressors, and chemical agents. The
research includes identifying neighborhood and social determinants and land use decisions that
influence health outcomes, especially sudden death and respiratory disease. Other research
focuses on environmental drivers of public health and well-being specific to communities of
color, with a focus on asthma and other critical health outcomes, in the context of stressors that
include housing and transportation, socioeconomic status, access to medical care, and
exposures to pesticides, toxic metals, mold, and air pollution. Additional asthma research
considers novel interventions to reduce asthma disparities. ORD research also considers how
chronic stress alters individual response to pollutants.
Of note is that the ACE research program has transitioned its research on NAAQS and
multipollutants to new projects focusing on Protecting Environmental Public Health and Well-
being (PEP). Although not all PEP projects are focused on environmental justice, they do
explicitly address community-scale issues; the potential role of socioeconomic status and other
social determinants of vulnerability to the effects of exposure to air pollutants; the identification
of modifiable factors in the built, natural, and social environment to reduce exposures, risks, and
impacts associated with air pollution; and research translation and outreach. [SHC Projects 2.62
& 2.63; ACE Projects PEP 1, 2, & 4]
C.	Cumulative Risk Assessment as an Integrative Approach
EPA has a long-standing interest in CRA. The research described here is intended to advance CRA
as an integrative approach for use by EPA Program Offices, Regions, and others, including
communities.
A current research emphasis in SHC, HHRA, and ACE is understanding the role of nonchemical
stressors and developing analytical methods for CRAs. ORD funded multiple grants through a
2009 Request for Applications (RFA) on this topic and will produce a summary report on this
body of research. The research addresses asthma, hypertension, central nervous system
function in association with the urban environment, stress, and exposure to air pollutants or
metals, and, in one case, in a community near a Superfund site. [SHC Project 2.62]
The HHRA program has proposed research on CRA focused on analytical approaches—for
example, grouping stressors to simplify the inclusion of chemical and nonchemical stressors for
human health CRA for specific health outcomes. Other examples include integrating
nonchemical stressors into the consideration of particulate matter and cardiac function and
25

-------
integrating ecosystem services into CRA, such as analyzing green space measures and asthma
incidence among children. This research is part of HHRA's broad framework for integrating
chemical and nonchemical stressors for CRA. Vulnerability information includes the
incorporation of vulnerability and cultural factors as shown in Figure 3. [HHRA Project 6]
Figure 3 does not include direct reference to systemic racism and discrimination and their
possible contributions to environmental exposure and environmental health disparities, as was
included in Wilson's Ecological Framework for Environmental Justice (Wilson, 2009) or in
Gravlee's discussion of the nested levels of causal inference at multiple scales of human biology
with the social and built environment (Gravlee, 2009). ORD anticipates that these factors will be
incorporated into some of the research by the EPA/NIEHS Centers for Health Disparities. In
addition, the interactions of human biology with the built, natural, and social environments and
environmental pollution (the "Total Environment") is the topic of an ORD RFA anticipated to be
released in FY17, with social structural factors as a potential stressor to be included in research
proposals.
Research into biological susceptibility includes investigating epigenetic mechanisms that might
underlie adverse health outcomes associated with combinations of chemical and nonchemical
stressors. Epigenetics refers to potentially inherited changes to molecules associated with
human genes that change gene expression. These changes might be induced by a variety of
conditions, including social stress. Research in the ACE program is aimed at understanding how
socioeconomic and various biological factors influence the response of individuals to mixtures of
air pollutants. This research is also examining whether living in a disadvantaged neighborhood is
reflected in long-term epigenetic changes that, in turn, result in alterations of specific biologic
pathways increasing the susceptibility to air pollutants. In August 2015, HHRA conducted a
workshop on epigenetics and CRA to explore how epigenetic markers can inform consideration
of susceptibility in risk assessment. Proceedings of this workshop will be available this fiscal
year. Another task is an integrated effort across the ACE, SHC, and HHRA programs to explore
how predictive epigenetic markers might inform neighborhood-based assessment of asthma
and cardiovascular diseases in the Research Triangle Park area in North Carolina. [HHRA Project
6; ACE Project PEP-2]
HHRA has also committed to incorporating susceptibility and vulnerability information into
assessments in the Integrated Risk Information System (IRIS) and the Integrated Science
Assessments (ISA) for NAAQS pollutants and for CRA. [HHRA Projects 2 (IRIS) and 3 (ISA)]
The CSS program conducts research on rapid exposure and toxicity assessment and on
development of biological adverse outcome pathways for use in screening of potentially toxic
compounds, ultimately to apply to risk assessment. This research is applicable to concerns
raised by NEJAC (Table 3) for assessing new products and prioritizing chemicals for IRIS
assessments. [SHC Project 2.62; HHRA Project 6; CSS Topics 1 and 2]
26

-------
In addition, HHRA's Projects 4 and 6 focus on community and site-specific risk. This research
area addresses three issues important to overburdened communities: the development of risk
assessment values for compounds of concern found at contaminated sites (Provisional Peer-
Reviewed Toxicity Values, HHRA-4), site-specific and Superfund regulatory technical support
(HHRA-5), and CRA methods and applications (HHRA-6).
Further discussion of cumulative assessment appears in the section on children's environmental
health and epigenetics and in the section above on decision-support tools.
Sources of Toxicants
Environmental
Stressors
Lifestyle
Conditions
Overall Level of
Vulnerability
Source Water.
Combustor Deposition
Soil/Sediments
Ingested Substances
Local Fish.
Drinking Water
Air
Combustor Emissions.
Drinking Water Disinfection
Byproducts(Showering)
Biological & Genetic
Traits/Sensitivities
•	Population illnesses
(e.g., asthmatics,
diabetics)
•	Genetic predisposition
to contracting a
disease(e.g.breast
cancer)
•	Intrinsic traits (e.g.,
race, gender)
Cultural. Dietary and Behavioral Factors
•	Local fish as staple of diet
•	Smoking, drug/alcohol abuse
•	Outdoor activities highly valued
•	Drinkingwaterfrom privately ownedwells
VulnerabilitvFactors I Buffers
•	Accessto health care
•	Crime rates
•	Proximity of homesto
pollutant sources
•	Socio-economic status
•	Diet/nutrition
• Accessto recreational facilities
• Social support networks
Current area of emphasis in human health risk assessment is incorporating ecological endpoints;
future work will Incorporate HSRP resiliency and SHC wellness indices.
Figure 3. Cumulative risk assessment framework illustrating various potential roles of chemical and
nonchemical stressors and buffers.
D. Screening and Developing Provisional Assessments for Previously Untested Contaminants
HHRA and CSS are actively grappling with how to apply emerging technologies to the
development of provisional risk assessment values, such as Provisional Peer-Reviewed Toxicity
Values for the Superfund program, and for all other assessments, including IRIS. CSS will provide
cost-efficient methods and high-throughput data for rapid risk-based evaluation of existing
chemicals and emerging materials. CSS, in collaboration with HHRA, is working on a new
screening-level assessment product called RapidToxto provide information on data-poor
chemicals and to reduce the time, cost, and uncertainty of risk-based chemical management
decisions. The goal is to deliver RapidTox assessments for large numbers of data-poor chemicals
through an automated computer dashboard and provide a range of information related to
hazard, chemical properties, fate and transport, and exposure. The information will include data
from traditional sources, when available, and new data streams in development such as
27

-------
automated read-across methods, high-throughput screening from ToxCast, adverse outcome
pathways, high-throughput exposure estimates from ExpoCast, and high-throughput
toxicokinetic models. The project will investigate methods to integrate and distill the diverse
data streams into quantitative toxicity values with associated estimates of uncertainty to
support various decision contexts. The RapidTox assessments will be developed for two case
study examples in partnership with EPA Program Offices.
HHRA is exploring the application of these tools and other data-mining approaches, including
disease-directed evaluations, to characterize other toxicity endpoints (e.g., liver) and outcomes
(e.g., cardiovascular disease, bladder cancer). The HHRA program also is actively exploring how
to use adverse outcome pathways to inform mode of action in its assessment products and as a
basis for integrating ecological and human toxicity for cumulative risk characterization. [CSS
Topic 1; HHRA-6]
E. Children's Environmental Health
Children's environmental health is well described in the Research Roadmap dedicated to that
topic. Because more than one in five U.S. children live in poverty, and the poverty rate of black
and Hispanic children is roughly twice that of white children (U.S. Census Bureau, 2010), this
topic also is critical for the EJ Roadmap. The Children's Environmental Health and Disease
Prevention Centers Program (SHC STAR research co-funded with NIEHS, Appendix Table A-2)
addresses children's susceptibility and vulnerability to chemical exposures in the context of the
communities in which they live, learn, and play. Community engagement, community outreach,
and the incorporation of social determinants of health are major components of this program.
ORD/SHC's intramural research includes experimental studies using rodent models designed to
characterize the interactions between selected nonchemical environmental factors of concern in
humans (e.g., psychosocial stress, poor diet, maternal obesity) and chemical stressors common
to low-income and at-risk communities for induction of adverse outcomes following prenatal
exposures. This research will be coordinated with HHRA and ACE research that considers
whether social factors might induce epigenetic reprogramming, and whether the epigenome
could be useful as a "biosensor" of environmental conditions, broadly defined such as those
found in overburdened communities. HHRA is focusing on incorporating genetic and epigenetic
susceptibility into CRA.
SHC has also funded extramural (STAR) research on Healthy Schools: Environmental Factors,
Children's Health and Performance, and Sustainable Building Practices to inform school building
design, construction, and operation practices on fostering safe and healthy school environments
and maximizing student achievement and teacher and staff effectiveness. [SHC Projects 2.62 &
2.63; HHRA Project 6; ACE Projects PEP 1, 2, & 4]
28

-------
F. Lead Exposure Risk
ORD is working with the Office of Water and Office of Land and Emergency Management
(OLEM) to provide better data on lead exposure risk for development of an updated Household
Action Level and supporting efforts to revise the Lead and Copper Rule. These analyses are
designed to provide data on relative contribution by exposure pathway, geographical
differences, and other key factors. [SHC Project 2.63]
Support!! i\ Sustainability and Well-being
EPA's Policy on Environmental Justice for Working with Federally Recognized Tribes and Indigenous
Peoples (EPA, 2014) reinforces EPA's commitment to strengthening its engagement with Tribal
governments and indigenous communities and to fulfilling its trust responsibility to federally recognized
Tribes. The Policy describes how EPA works with federally recognized Tribes and indigenous peoples
throughout the United States, and with others living in Indian country. The Policy integrates 17 EJ and
civil rights principles to help EPA protect the environment and public health and address EJ concerns in
Indian country. EPA's Tribal Science program is designed to address issues of environmental quality and
environmental health in Indian country directly and to provide Tribes with science and tools to
implement Tribal environmental programs.
To address Tribal sustainability, Native American institutions have recently increased emphasis on
restoring and sustaining traditional, healthy approaches to life that link environmental, economic, and
social well-being. Addressing Tribal sustainability requires evaluating environmental conditions and the
many factors that contribute to disproportionate exposures and health disparities (e.g., availability of
healthy food, restoring the use of traditional foods, differences in exposure factors due to lifestyle and
economic pressures). Furthermore, Tribal institutions raise questions about the impacts of stressors
associated with climate change on their communities and lifeways (e.g., sea level rise, changing plant
hardiness zones, drought, severe weather) and are working with EPA to develop tools, including
traditional ecological knowledge, that they can use to anticipate and adapt to these stressors.
A. Tribal Community Grants
The extramural STAR Tribal research program is currently funding six research grants focused on
sustaining health and environmental quality in Tribal communities (funded 2014-2017). The
research in these grants focuses on Tribal-specific indoor air quality, impacts of climate change
on Tribal health, water quality, and access to traditional foods. These community-focused grants
include research relevant to children's environmental health and disproportionately affected
communities (Appendix Table A-2). These research areas also are priorities of EPA's Tribal
Science Council.
The goal of the Tribal community grants is to develop sustainable solutions to environmental
problems that affect Tribes by focusing on health impacts of (1) climate change on Tribal
populations, and (2) indoor air pollution exposures that derive from or directly affect traditional
Tribal lifeways and cultural practices. Specific emphasis is on impacts to vulnerable groups
within Tribal communities. Partnering institutions involve Tribal communities through both
29

-------
university-based and Tribal community-based projects. The Yurok Tribe Environment Program
and Northern Arizona University are working with the Alaska Native Tribal Health Consortium to
develop a Yurok Climate Change Adaptation Plan for Water and Aquatic Resources. The
Swinomish Indian Tribal Community is working with the Skagit System Cooperative and the U.S.
Geological Survey's (USGS) Western Fisheries Research Center. Little Big Horn College and
Montana State University are working with Crow Tribal members and a Steering committee of
Tribal stakeholders. The University of Tulsa, Cherokee Nation Environmental Program, and other
Tribal partners are working on home and school indoor air quality interventions. The Alaska
Native Tribal Health Consortium (a nonprofit organization) is working on food and water security
threats in arctic remote Alaska native villages. The University of Massachusetts is working with
Native North American subsistence hunters on air quality in tents.
The current grants extend the efforts and impact of this longstanding program, which has been
in effect since 2000. ORD's report, Decade of Tribal Science (EPA, 2013), summarizes
extramural research focusing on cumulative chemical exposures and global climate change
that affect Tribes, while integrating cultural, ecological, and human/public health aspects.
Past recipients and research summaries are available on the EPA Tribal Environmental Health
Grants Recipient Lists page.
Extramural research on indoor air quality is complemented by ORD/SHC intramural research
investigating factors that confer greater environmental public health risk in Tribal areas and
communities. These include health impacts of indoor air pollution exposures that derive from or
directly affect traditional Tribal lifeways and cultural practices, emphasizing impacts on
vulnerable groups within Tribal communities [SHC Project 2.63], Also included is the
development of tools to help plan Tribal housing [SHC RESES projects, Project 4.61], Active
research in the ACE program involves cook stoves, including testing protocols, impacts on indoor
air quality and health, life-cycle analysis of fuel alternatives, and impacts on climate [ACE Project
SEM-3],
B. Local Environmental Observer (LEO) Network
Alaska's climate is changing rapidly. Local observers can detect changes in weather, landscapes
and seascapes, and in-plant and animal communities. The Alaska Native Tribal Health
Consortium developed the LEO Network in 2009, recognizing the value of local and traditional
knowledge and the need for a tool to document and share environmental observations. The
purpose was to increase awareness about vulnerabilities and impacts from climate change and
to connect community members with technical experts. LEO uses web-accessible Google Maps
to display observations of unusual or unique environmental events that then are shared with
LEO members. The maps contain event descriptions, photos, expert consultations, and links to
information resources. LEO has grown to include hundreds of participants and is helping
increase understanding about the emerging effects of climate change. The LEO Network recently
announced the launch of LEO Viewer, a new mobile app for handheld devices. LEO Viewer is a
global map and data interface. It allows viewers to experience through text, audio, and images
30

-------
the observations and technical consults posted by network members. EPA has supported LEO
since 2012, through its American Indian Environmental Office's Tribal assistance program and
collaborations with Region 10 serving Alaska. ORD has been engaged throughout, exploring
citizen science and innovative approaches. LEO applies local and traditional knowledge, science,
and modern technology to record and share observations and raise awareness about the
conditions in the circumpolar north. This successful collaboration with EPA was highlighted by
Alaskan Tribal leaders at the September 30, 2015 White House Citizen Science event.
C. Intramural Research
Five areas of intramural research are important for maintaining and improving Tribal
sustainability and addressing Tribal Science Council priorities.
1.	Fish consumption and climate change impacts on Tribal health and well-being. This research
is focused on assessing cumulative Tribal exposures to methyl mercury, PCBs, and other
contaminants associated primarily with fish consumption, including cost-benefit analyses to
inform Tribal decisions. Research approaches include dietary exposure modeling, meta-
analysis of biomonitoring samples including data provided by Tribes, and GIS spatial
mapping of Tribal exposures. Ideally, this research will be developed through a collaborative
Tribal case study (e.g., Penobscot Indian Nation, Maine) to focus on cumulative exposures
and cost-benefit analyses of Tribal decisions intended to restore heritage diets, for example,
dietary patterns, dam removals. This research applies population-based exposure models
developed to ensure chemical safety at the community/Tribal scale. [SHC Project 2.63]
2.	Proper functioning condition (PFC) of ecosystems. This research includes ecological
assessments and restoration centered on Tribal culture and values and traditional ecological
knowledge to help manage ecosystem and human health issues. PFC research is aimed at
reducing harmful risk to humans and the environment. Examples include using PFC to
(1) reduce risk in the Agency's use of methods for determining total maximum daily loads
(Clean Water Act and the new vision for total maximum daily loads); (2) improving water
quality, (3) understanding the risk associated with climate change; (4) using leading/lagging
indicators of ecosystem integrity, (5) improving best management practices to reduce risk,
(6) improving environmental regulations, (7) using big data for PFC assessments and others
(EnviroAtlas/T-FERST); and (8) improving methods for human health and environmental risk
assessment. This work also includes PFC outreach/capacity building for Tribes including
workshops, workshop reports, and GIS and remote sensing to support workshop field sites;
Tribal cultural information and traditional ecological knowledge; T-FERST and EnviroAtlas
demonstrations; and climate change. Finally, research includes individual PFC assessments,
adaptive management and monitoring plans for individual Tribes as requested, natural toxic
blooms (identification and sensing), and work with other communities, other Programs,
Regions, State and local communities, and the International Commission for Environmental
Cooperation. [SHC Project 2.63]
31

-------
3.	Harmful algal blooms: Research for forecasting and early detection of harmful algal blooms
in Tribal areas. Tools will be developed to characterize known toxins and identify and
characterize unknown toxins produced from natural toxin outbreaks [i.e., Prymnesium
(golden algae), Microcystis, Anabaena, Cylindrospermopsis, Euglena, and other, as yet
unidentified, algal toxins]. Preliminary studies focus on identifying key Prymnesium toxins
produced in inland ponds and lakes that are on Tribal lands. Temporal, short- and long-term
trends of the physicochemical relationships of pH, temperature, total nitrogen, total
phosphorous, calcium, and magnesium (and potentially other chemical parameters) —and
the toxins produced—will be analyzed, potentially to develop predictive forecasting tools
(real-time chemical sensors) for natural toxic blooms. This research includes potential health
impacts of interactions between naturally occurring arsenic in groundwater and algal toxins.
[SHC Project 2.63; SSWR Project 4.01]
4.	Tribal childcare center research. This proposed research would examine how time is spent at
Tribal childcare centers and how that might affect young children's exposures to various
chemical and biological agents. This research, a collaboration among EPA Region 10, the
Indian Health Service, and ORD, will provide data on the environmental concentrations of
lead, allergens, pesticides, PCBs, and other chemical and biological agents in Portland Area
Indian country childcare facilities. Valuable information also is expected on nonchemical
stressors that young children who attend daycare might experience. [SHC Project 2.63]
5.	Development of a Tribal Well-Being Index. This index integrates environmental,
social/health, and economic domains to provide a metric for holistic well-being in the Tribal
context. Such an index is useful for evaluating the potential impact of Tribal decisions that
affect ecosystem, social, and economic services on important contributors to well-being like
social cohesion, education, and cultural continuity. The Tribal Weil-Being Index is an index
constructed from indicators from the environmental, social/health, and economic domains.
It differs from T-FERST in that T-FERST is a broad information delivery and mapping tool
tailored for Tribal use. [SHC Project 2.64]
Characterizing Clim«	ice
Climate change threatens human health and the environment, but its impacts do not affect
communities equally. Emerging research has linked vulnerability to climate change and capacity to adapt
to its impacts to community socioeconomic and demographic characteristics (e.g., race, ethnicity,
income), access to social health and environmental services, level of education, and level of
preparedness (Figure 4). The following highlighted research activities address the importance of building
community resiliency to plan for, adapt to, and recover from the unmitigated effects of stressors
associated with climate change.
ORD is developing tools to help community decision-makers and planners assess their vulnerability to
the impacts of climate change, and better understand how all communities with emphasis on EJ
communities might benefit from using these tools (Figure 5). ORD is actively engaged with the National
Science Council, Office of Science and Technology Policy, Council on Environmental Quality, Federal
32

-------
Emergency Management Agency, and Centers for Disease Control and Prevention to develop improved
information about community-level vulnerabilities. ORD also is actively working at the interagency level
to expand access to information on projected climate impacts more generally. These interactions enable
EPA and ORD to ensure that EJ issues are incorporated into broader, cross-agency activities and
programs.
Intersection of Social Determinants of Health and Vulnerability
CLIMATE DRIVERS
People in poorer neighborhoods are
generally more likely to be exposed to
climate change health threats
People with chronic medical conditions
are more likely to have a serious
health problem during a heat wave
than healthy people
People with reduced access to care
and preventative services are more
likely to have a severe health outcome
from their illness
Elements of Vulnerability I I Social Determinants of Health	i i Examples
The boxes on the left provide examples of social determinants of health associated with different elements of vulnerability. The
boxes on the right illustrate examples of the implications of social determinants on increased exposure, increased sensitivity, and
reduced adaptive capacity. Adaptive capacity can affect exposure and sensitivity and the resilience of individuals or populations
experiencing health impacts by influencing access to care and preventive services (USGCRP, 2016, Chapter 9).
Figure 4. Increased exposure, increased sensitivity, and reduced adaptive capacity affect vulnerability at
different points in the causal chain from climate drivers to health outcomes.
Poverty,
Occupation,
Racial Discrimination
EXPOSURE PATHWAYS
Underlying Health
Disparities
HEALTH IMPACTS
HEALTH OUTCOMES
- BBB
Poverty; Education;
Social Norms;
Governance;
Social, Health, and
Economic Policy
33

-------
Factors
¦ Identify indicators for communl ty resilience
¦Identify factors of health disparities and vulnerability to impacts of climate change
Methods
¦Construct Climate vulnerability indices
¦Methods to assess urban resilience
¦EnviroAtlas, Green Infrastructure Wizard, other tools to illustrate ecosystem services
and other potential adaptation approaches
¦Identify tools such as Green Infrastructure to address climate change stressors
¦ Workingwith communities on HIA and other structured decision approaches to
consider options to reduce the impact of severe weather events, reduce heat stress
¦Work with Tribes and their TEK to increase the adaptive capacity
Figure 5. Integration of research on global climate change and community resiliency.
ORD research to develop resilience in vulnerability to climate change includes:
A. Climate Resilience Screening Index and Community Environmental Resilience Index
Climate resilience focuses on enhancing the performance of a system's capacity to adapt (built
or natural) in the face of multiple hazards (e.g., sea level rise, increased variability of seasonal
temperatures, increased incidence of storm events and flooding), rather than preventing or
mitigating the losses associated only with specific events. SHC has proposed a feasibility
assessment for building a Climate Resilience Screening Index (CRSI)—a composite measure of
community functions as they relate to community sustainability. This effort proposes to build on
the development of indicators for urban climate change resilience developed in the ACE
program and indicators and metrics used in existing community and climate resilience
evaluations [e.g., Rockefeller Foundation-ARUP City Resilience Framework. European
Commission Index for Climate Resilient Development 1. CRSI will describe a community's (e.g.,
Region, State, county, city, town, neighborhood) capacity to recover societal and economic
functionality, so that people living and working in these spatial units—particularly the most
vulnerable—survive and thrive after encountering climate exposures. [SHC Project 2.64]
The Community Environmental Resilience Index (CERI) is a tool under development by HSRP that
would allow communities to consider EJ populations in their emergency preparedness activities.
Specifically, CERI enables communities to assess their resilience to environmental disasters and
to make or advocate for decisions that improve their resilience. This set of indicators relates to
34

-------
environmental services, such as clean water, and builds on the National Institute of Standards
and Technology's general community resilience planning guide focused on the built
environment and infrastructure.
As for CRSI, this research combines environmental and social science research. CERI is not
focused specifically on stressors associated with climate change, but, rather, on improving
community resilience to disasters that can affect human health and disrupt water, waste, and
energy systems. CERI is part of a broader HSRP effort to develop tools and methods for effective
preparedness and response, including environmental resilience assessment tools to minimize
environmental risks associated with disasters, to return critical environmental and ecological
services to functionality quickly after a disaster, and to reduce vulnerabilities and risks to future
incidents. CERI will be producing a preliminary assessment of EPA community-based resilience
tools. The SHC program has a longer-term effort focused on developing a synthesis report on
quantitative and qualitative indicators of resilience in human and natural systems. [HSRP Topic:
Remediating Wide Areas; SHC Project 2.64]
EPA actions to support emergency preparedness in communities take place in EPA's Program
Offices. This support highlights the importance of community or Tribal engagement and
attention to vulnerable community members. See, for example, this EPA Connect blog entry on
Local Preparedness (EPA, 2015e) and this EPA fact sheet, Enhancing Local Planning under the
Emergency Planning and Community Right-to-Know Act (EPA, 2015f).
The ACE program includes several efforts directed toward developing community resilience
indicators. These efforts include the development of methods to assess urban resilience as a
path toward sustainability under climate and land use changes. One method will assess the
capability of different types of communities to withstand the impacts of average and extreme
climate changes without breakdowns in their economies, natural resources bases, or social
systems (resilience). This project is designed to evaluate whether (1) differences in urban
ecosystem resilience can be identified using common sets of metrics or composite metrics and
(2) typologies of urban ecosystems can be developed based on characteristics of urban areas
and other factors to extrapolate information to other urban ecosystems. The urban resilience
project is designed to provide outputs that can inform and help prioritize policies and measures
that foster greater resilience. [ACE Project CIVA-3]
B. EnviroAtlas
Additions will be made to existing tools that illustrate the links between ecosystem services and
potential mitigation of climate change impacts such as heat stress, extreme weather events,
water quality and quantity; incorporation of climate scenario time series viewer into EnviroAtlas
to allow users to consider potential changes overtime in temperature, precipitation, water
supply and demand, sea level rise. [SHC Project 1.62]
35

-------
C.	Wildfires
ACE research on the actual and perceived impact of a wildfire on a local community in terms of
social, economic, and environmental consequences shows that forecast-based interventions can
reduce the health and economic burden of wildfires. This is critical for environmental justice
because this research also showed that health impacts were significantly worse in a community
with lower socioeconomic status. [ACE Project PEP-1, 2, and 4]
D.	Climate Change Impacts in Communities with Contaminated Sites
Proposed research includes identifying key factors and interrelationships between social
determinants of health, other nonchemical stressors, and chemical agents with respect to
climate change-related impacts for vulnerable populations residing near water/wastewater
treatment facilities or contaminated sites. This research will assemble a broad range of
community vulnerability indicators to conduct GIS-based statistical analyses to examine (1) the
U.S. communities most vulnerable to potential flooding of water/wastewater treatment
facilities or contaminated sites; and (2) disparities associated with the most vulnerable
communities and particular groups based on socioeconomic, racial and ethnic factors, and
proximity to water/wastewater treatment facilities or contaminated sites vulnerable to flooding.
[SHC Project 2.63]
E.	Research on Technology for Small Water Systems
This grant-funded research focuses particularly on those small systems in areas susceptible to
extreme weather events including drought (Appendix Table A-2). These grants are designed to
increase community resilience to threats to their drinking water supplies. The grant to a
consortium of colleges led by Lincoln University, a historically black college and university,
focuses on the development and implementation of surface water treatments. A second grant is
focused on point-of-use water treatment systems in the Paso del Norte Region. This research
aims to develop small drinking water treatment systems through community participatory
research in the 12 colonias in the Paso del Norte Region, which includes El Paso, Texas, and
Otero and Dona Anna counties of New Mexico. [SSWR Project 6.03]
1.	See section on Tribal sustainability and well-being for additional research addressing
potential impacts and adaptation to climate change.
2.	For additional discussions and details on specific research gaps and priorities, see the
Climate Change Research Roadmap.
¦ ' I - search	Fn» rii IR's. -h- li 1U ds
The EJ Research Roadmap presents a broad inventory of ongoing ORD research and development
addressing different facets of environmental justice. Critical research that is not yet fully part of EPA's
research effort are described here as research gaps. These have been identified by EPA's advisory
groups, EPA scientists, and through review of the scientific literature.
36

-------
Environmental health disparities, cumulative assessment, and the built, natural, and social
environments. NEJAC (NEJAC, 2014), Healthy People 2020 (DHHS, 2010), and CHPAC (2013) share a
common call for understanding the driving factors that lead to health disparities and the relative
magnitude and contribution of those stressors. Although EPA research has begun to address issues in
CRA including the integration of chemical and nonchemical stressors, a gap remains in integrating the
holistic determinants of environmental health and well-being and developing tools and analytic methods
to apply this knowledge to generation of policies and solutions to support communities. These factors
include economic stability, education, social and community context, health and healthcare, and the
neighborhood and built environment (DHHS, 2016). In other words, research to inform cumulative risk
and cumulative impact assessment should address the total environment consisting of chemical and
nonchemical stressors in interaction with the natural, built, and social environments where people grow,
live, work, and age. This research should answer questions such as:
•	How do the cumulative effects of exposures to multiple environmental chemical contaminants
combine with the effects of stressors in the built, natural, and social environments to affect
health?
•	How are potentially overburdened communities exposed differentially to environmental hazards
and contaminants, and what are the drivers for such exposure scenarios? How does differential
exposure information increase our understanding of environmental contributions to
disproportionate impacts on health?
•	Can "big data" approaches, for example, the public health exposome (Juarez, et al., 2014), be
used to address the complex relationships among the environment, personal health, and
population disparities? What steps are needed to populate and maintain a public health
exposome database?
•	What approaches can be used to overcome issues in access to health data to be able to connect
exposures from the built, natural, social, and chemical environments to critical health
outcomes? Will projects like the CDC/RWJ 500 Cities Project or the NCVHS effort on using sub-
county data provide usable data?
•	How can an understanding of the relative contribution of different stressors be used to inform
cumulative impact assessment methods such as health impact assessment to promote decisions
that address multiple environmental drivers of health disparities?
•	What part do factors such as age, gender, and urban vs. rural play in environmental health
disparities? How do empowerment issues intersect with demographics and other spatial aspects
of exposure?
Equitable distribution of ecosystem services. This gap expands on a subset of the cumulative
assessment and impact research addressing quality and accessibility to natural amenities. As
communities look to provision of services in the built and natural environments to address health and
community well-being issues (e.g., Dustin, et al., 2009), whether these services are equitably distributed
must be questioned. Recent literature has expanded the focus of environmental justice beyond
37

-------
disparate exposures to environmental toxicants to potential uneven, unjust, or inequitable distribution
of ecosystem services and the health benefits they provide (Boone, et al., 2009; Jennings, et al., 2016;
Jennings, et al., 2012; Jennings and Gaither, 2015; Landry and Chakraborty, 2009). Sacoby Wilson, in his
ecologic framework to address justice and health issues (Wilson, 2009), describes both salutogenic
(health promoting) and pathogenic features of the environment. Jennings, et al. (2016) expand on this
concept for the natural environment in their review of connections between social determinants of
health as defined by Health People 2020 (economic stability, education, social and community context,
health and healthcare, and the neighborhood and built environment) and benefits linked to ecosystem
services provided by urban green spaces. An understanding of the linkage between ecosystem services
and the broad domains of human well-being—including factors beyond health, such as education, social
cohesion, spiritual and cultural fulfillment, safety and security, living standards, and connection to
nature (Smith, et al., 2013)—has been built into a Human Weil-Being Index (Summers, et al., 2014).
EPA's EnviroAtlas is a tool that can facilitate analysis of who in a community is benefiting from urban
green spaces, arbors, and other features of the natural environment.
Gaps remain, however, in several areas. For example, how are ecosystem services distributed and who
are the beneficiaries, especially in urban ecosystems? EPA's Final Ecosystem Services Classification
System (Landers, et al, 2016) makes clear that both the definition and valuation of ecosystem services
depend on the environmental class and biophysical supply of a particular natural amenity and who it
benefits. The challenge for identifying beneficiaries is that they could differ based on social drivers and
social perspective. Ernston (2013) draws clear attention to social and political factors that affect
definition and valuation of ecosystem services. These factors might contribute to inconsistent findings
on disparities in distribution, access, and quality of urban ecosystem services, such as parks and green
spaces (Smiley, et al., 2016; Bruton and Floyd, 2014; Floyd, et al., 2008). Several science questions are
outstanding4:
•	How are parks and other green spaces distributed and utilized across different communities
(Boone, et al., 2009)?
•	What criteria for social justice would be appropriate for ecosystem services valuation (Shi, et al.,
2016)?
-	How are ecosystem services perceived and valued among different populations at
community scale?
-	How are ecosystem services assessed in overburdened communities, especially those
related to social interactions, physical activity, and climate adaptation (Jennings and
Gaither, 2015)?
•	To what extent can urban green spaces and other ecosystem services mitigate existing health
disparities; what is the strength of their influence relative to other neighborhood factors; and
what are the interactions between ecosystem services and those other factors?
4 A number of these are adapted from Jennings, Larson, and Yun, 2016.
38

-------
-	How is the distribution of green infrastructure linked to environmental drivers of health
such as air quality, water quality, and heat stress in overburdened communities?
-	What are the associated ecosystem, societal, and economic benefits of improved
environmental management? Do these accrue in the community?
•	What pathways between humans and interactions with nature lead to positive health
outcomes?
-	What factors influence communities' awareness and appreciation of ecosystem services and
use of that information in setting priorities?
•	How do different land uses and land use decision-making processes contribute to environmental
health disparities? What approaches could communities take to reduce or prevent impacts from
land use that lead to environmental health disparities?
Standardized methods and metrics for EJ analyses. Mohai and Saha (2007, 2015a) showed that
different proximity metrics used in spatial analysis can give very different magnitudes of effects when
analyzing for associations between demographics and siting of locally unwanted land uses, such as
hazardous waste treatment, storage, and disposal facilities. In particular, actual distance-based metrics
are essential for characterizing disparate siting and exposure risk (Mohai and Saha, 2007; Bullard, et al.,
2008). These distance-based metrics contrast with metrics (unit-hazard coincidence methods) that use
demographics of a geographic unit (e.g., county) in which a hazard exists as a surrogate for distance.
They also showed that longitudinal analysis of the development of disparities in siting of locally
unwanted land uses is essential in developing appropriate policy responses to ameliorate existing
disparities and preventing the development of new sites (Mohai and Saha, 2015a, 2015b). EPA's
EJSCREEN has adopted distance metrics, where possible. EPA researchers need to be aware of the costs
and benefits of different methods of analysis (Sheppard et al., 1999).
Research gaps include longitudinal data sets that can be used for further analysis of siting disparities and
national-level evaluation of racial and socioeconomic disparities for additional environmental hazards,
including leaking underground storage tanks and combined sewer overflows. For many hazards, local
evaluations are available (e.g., Wilson 2013), but national analysis is difficult because of lack of national-
scale data. For example, EPA has developed a method for estimating private drinking water well density.
If this method can be used to map drinking water wells, in conjunction with the mapping of potentially
leaking underground storage tanks, an EJ analysis could be done to evaluate this risk to overburdened
communities.
Many spatial analyses, whether using distance-based metrics or unit-hazard coincidence methods, use
proximity as a surrogate for exposure risk. These analyses would benefit from the use of actual air,
water, and land quality and exposure estimates. For example, Mohai and Saha (2015b) recommend the
use of regression models of land use to construct historical air quality estimates in particular locations
based on satellite imagery. Other tools under development such as the SHC program's C-Line and C-Port
provide local-scale estimates of air quality and exposure risk based on historical meteorological data and
39

-------
emissions inventories. Downscaling of air quality estimates from the Community Multi-scale Air Quality
(CMAQ) system also might be used to evaluate local-scale historical air quality estimates.
Looking forward, analyses based on estimates of exposure risk that are more sophisticated might be
used in building methods for assessing cumulative pollution burdens for use in facility permitting and
generation of safety buffer standards between residential populations and industrial facilities (Bullard,
et al., 2008).
Social science capacity. Environmental exposures need to be considered in the context of the
community or social environment in which people actually live (Olden, et al., 2015). Understanding this
context is the role of social science. ORD's lack of social science capacity is a critical gap that cuts across
all research needed to address EJ issues. EPA needs social scientists to provide the appropriate
socioenvironmental factors to be included in all phases of research, including problem formulation,
experimental design, and research implementation in understanding exposure and health disparities,
usage and valuation of ecosystem services, and continued research on disparate siting practices. For the
purposes of evaluating environmental justice, anthropology, sociology, social psychology, and
economics are important fields to add to ORD's skill mix.
For example, in epidemiological and other biomedical research, race is often used as a surrogate for an
unspecified combination of environmental, behavioral, and genetic factors (Lin and Kelsey, 2000;
Gravlee, 2009). Biomedical anthropology, however, asks questions and provides study designs that
disentangle notions of genetic determinism and race and provide evidence on the effects of systemic
racism in producing biological inequalities (Dressier, et al., 2005; Non and Gravlee, 2015). Atypical
biomedical approach to examining the differences in prevalence of hypertension among black and white
Americans might search for associations between DNA-based estimates of African genetic ancestry and
hypertensive phenotypes. In one study of hypertension, researchers investigated the association
between culturally ascribed skin color categories versus skin pigmentation and hypertension, and found
that skin color status in a color-conscious society predicted hypertension significantly better than
genetics (Dressier, et al., 2005; Non and Gravlee, 2015). Another study found that education, but not
genetic ancestry was associated with blood pressure among African-Americans in the United States
(Non, et al., 2012). Searching for biological pathways underlying these environmentally and societal-
based differences, for example, social and behavioral epigenetic studies, will require social science
expertise (Mulligan, 2012).
The need for social science also applies to ecosystem services beyond the need for economists to
understand and incorporate ecosystem service valuation into decisions. As discussed above, a social
science perspective helps show that social practice moderates the generation of ecosystem services
through urban development patterns and day-to-day maintenance of urban ecosystems and who
benefits from these (Ernston, 2013). For example, from a global or regional biodiversity perspective,
given a finite number of trees to be planted, placing new trees where larger tree islands already exist to
increase landscape connectivity of trees would be a better option (Ernston, 2013; Heynen, 2003). From
the perspective of local justice and the equitable quality of life through equal interaction with urban
40

-------
trees, however, planting trees where there are none is better (Landry and Chakraborty, 2009; Holtan, et
al., 2014). This means that ecosystem services are not simply "out there/' even when one includes the
beneficiaries, but, rather, that they are entangled with social and political processes (Ernston, 2013).
Social science is needed to move between these scales of broadly viewed biophysical benefits and place-
based microenvironmental benefits (Ernston, 2013; Heynen, 2003).
Social science input is also critical with respect to culturally important landscapes or resources in the
context of climate change. ORD's Climate Change Research Roadmap raises this point in the context of
valuation—putting a value on things like changes in snow cover, or heritage sites and historical sites
with cultural value that might be subject to inundation from sea level rise, is very difficult. This point
might be most important in a Tribal context, but important colonial historical sites that are vulnerable to
sea level rise, or landscapes (e.g., Glacier National Park) that have broader cultural value more broadly,
also might exist. How to include those in an evaluation of loss due to climate change is not clear. Equity
in protection and preservation of historic sites of importance to Tribes and people of color, however, is a
critical element of recognitional justice—the need for recognizing and respecting communities that
suffer from environmental and other injustice (Schlosberg, 2004; Cook and Swyngedouw, 2012).
In addition, few studies have addressed issues of social vulnerability as part of local climate change
adaptation or have evaluated how emerging adaptation plans affect overburdened communities and
populations (Shi, et al., 2016). Planning at the municipal level raises a host of issues: the possibility that
poorer and less capable cities will be unable to implement adaptation planning; limited input into
adaptation planning decisions by a broad range of municipal departments and by social or EJ groups; the
probability that privately funded adaptation strategies will protect wealthier areas and exclude poorer
areas (Anguelovski, et al., 2016); and that local adaptation interventions can exacerbate negative effects
elsewhere, for example, embankment in one area can exacerbate flooding elsewhere (Shi, et al., 2016).
As in the discussion of ecosystem services (above), the question becomes one of climate adaptation for
whom, by whom, and how (Anguelovski, 2016). Addressing these issues requires social science research
to address the following [see additional questions in Shi, et al. (2016)]:
•	To what extent do climate adaptation plans developed by environmental and land use planning
departments prioritize addressing social vulnerability?
-	How has participation of a broader set of municipal departments and community groups
early in adaptation planning affected strategies and outcomes, especially for socially
vulnerable groups?
•	To what extent are urban and infrastructural design decisions for climate adaptation creating
new waves of displacement or other forms of maladaptation?
-	Under what conditions do infrastructure projects for climate adaptation prioritize or
complement efforts to address the needs of overburdened communities?
•	What tools (such as big data, open data, crowd sourcing) and planning scales (such as
communities, Regions, States) enable a broader range of municipalities to take steps to adapt to
climate impacts?
41

-------
Broader recommendations: EPA's National Environmental Justice Advisory Council has produced an
extensive set of recommendations for integrating environmental justice in the EPA's research enterprise
(NEJAC, 2014). These recommendations are summarized in Table 3. The comprehensive reach of this
NEJAC table makes it a helpful summary of the breadth of recommendations received by ORD from
several advisory groups. The Science Advisory Board (SAB) and Board of Scientific Counselors (BOSC), for
example, emphasized the need for community input. NACEPT provides more detail, emphasizing the
development of monitoring and assessment technologies along with technologies to better
communicate real-time information about ambient pollution levels and for emergency response.
The scope of this Roadmap is not adequate to address all of these issues, but ORD and the Agency have
activities that are addressing many of them (bolded text in Table 3), although the level of effort varies.
For example, this Roadmap lists a considerable body of research focused on the needs of American
Indians (Table 3, Item 1-1); this research, however, does not address the needs of all indigenous
peoples. For issues like the need to partner to advance access to healthcare in communities
experiencing environmental inequities (Table 3, Item 1-17), ORD has initiated programs like Healthy
Heart to deliver critical environmental health information to practitioners in communities such as North
Carolina's "Stroke Belt," developed research on the efficacy of preventive measures in wildfires areas
referenced above in the section on climate justice, and funds research that informs research translation
actions by Pediatric Environmental Health Specialty Units. ORD does not, however, play a direct role in
providing healthcare, and is more deeply engaged in the development and application of HIAs (Table 3,
Item 1-14). ORD's work to increase the rigor and use of science in HIAs has been noted by the National
Prevention Council, which identifies EPA as the Federal government leader in this area, and groups such
as the National Association of City and County Health Organizations are using ORD's report on HIAs as
instructional material (personal communication). ORD's initial HIAs were done in partnership with EPA's
Regions and local government and community groups from overburdened communities.
The nonbolded headings in Table 3 highlight some of the existing gaps in ORD's portfolio. These gaps
occur primarily in the areas of community engagement in setting the research agenda and assessing
outcomes.
Community engagement (Table 3, Item 2-1): ORD has made great strides in performing or funding
community-engaged research, but not necessarily in engaging communities per se in setting this
research agenda. This need was emphasized by the EPA SAB-BOSC Executive Council: Incorporate input
from communities to identify problems associated with environmental, biological, behavioral, social,
economic, and spatial stressors and how they interrelate.
In the area of community-engaged research, ORD includes provisions requiring or strongly
recommending community engagement in funding to STAR Centers for Children's Environmental Health
and Minority and Health Disparities, and the newly funded ACE Centers.
ORD's SHC research program has directed its researchers to conduct actionable research on problems
formulated at the stakeholder level, and to conduct its research through participative and collaborative
case studies to build on stakeholder expertise and to focus research and development on the end user.
42

-------
SHC has expanded its funding for research proposed by EPA's Regions for community-scale projects
through its Regional Sustainable Environmental Science (RESES) program; many of these projects
address community engagement and environmental health in overburdened Tribes or communities near
ports, roadways, or contaminated sites or that are considering green infrastructure approaches to
myriad problems rooted in stormwater or wastewater handling. All of ORD's National Research
Programs collaborate with EPA's Regions in Regional Applied Research Efforts, many of which address
issues in overburdened communities. Further, the citizen science research and outreach led by ACE has
engaged communities.
These efforts, however, while engaging communities, are not necessarily working with communities to
set the research agenda—in most cases, a university partner or EPA Region acts as a surrogate for the
community in proposing the research. ORD's SHC did sponsor listening sessions during the early
development of its program, but these focused on broad areas of interest to planning at community
governance levels.
EPA's STAR program has demonstrated the benefits of truly engaged community-based participatory
research, with community partners driving research in areas like health and safety for families of
pesticide applicators. Recently ORD researchers have begun to engage with community members at the
biannual Community Involvement Training Conferences and have found these to be extremely helpful in
orienting them toward the development of their technological or science products. The July 2015
Community Involvement Training Conference was sponsored by EPA's Office of Air and Radiation,
Region 4, the Office of Environmental Justice, and OLEM. ORD should work with EPA's programs,
Regions, Office of Sustainable Communities, and with community stakeholder groups to expand
opportunities for direct interaction of its scientists with community members. These could be at
listening sessions, perhaps sponsored jointly by ORD and EPA's Regions, which are incorporated into
ORD's regular planning cycle. Direct interaction also could occur at events such as the July 2015
workshop ACE sponsored to build capacity for citizen science where ORD scientists can learn more about
community needs for measurement or other technology. These events are important because they
could provide opportunities for community members to engage directly in the development of the
science and technology through their experience with the usability and applicability of the tools.
Assessing outcomes (Table 3, Items 3-1, 4-1, 4-2): Assessing direct outcomes resulting from ORD
research is often challenging because, while ORD provides science and technology, EPA's programs are
largely implemented through its Program and Regional Offices or through delegated parties at the State
level. Even so, the importance of monitoring or assessing outcomes of decisions made that affect
community well-being is at the heart of much of the research in ORD's National Research Programs. For
example, the SHC StRAP emphasizes the development of structured decision-making approaches like
HIAs that include a cycle of monitoring or assessment of outcomes to drive further improvement of
conditions or adaptive management. The HSRP similarly employs a structured cycle including "Lessons
Learned" to reduce vulnerabilities and increase resilience to contamination events or natural disasters.
43

-------
SHC has also invested resources in developing indicators and indices, such as the Human Well Being
Index (Summers, et al., 2014) and the Environmental Quality Index (Messer, et al., 2014), as metrics of
both baseline conditions and to evaluate changes effected by voluntary or regulatory practices. The
Environmental Quality Index contains a comprehensive set of indicators, covering many of the
recommendations for candidate indicators/measures made by Payne-Sturges and Gee (2010). Although
the Environmental Quality Index does include a social domain incorporating available census variables
on housing, education, income, crime, and discriminatory lending practices, it does not include broad
social processes such as residential segregation, community stressors in addition to crime,
neighborhood resources, or structural factors such as governance structure or the taxation system
(Payne-Sturges and Gee, 2010).
ORD offers its science and tools needs to its partners in programs such as OLEM's brownfields program,
the Great Lakes National Program Office, EPA's Regions, and the Agency for Toxic Substances and
Disease Registry for planning remediation or restoration activities. ORD needs to engage these partners
further to evaluate the longer-term outcomes of community-scale actions in terms of progress toward
restoration of the environment and broad community revitalization—the real steps toward
sustainability. Continued support for citizen science will be critical to these efforts; especially important
will be to develop clear standards and use of citizen science data by communities in communicating with
the Agency. These standards should be developed through collaborations with ORD, EPA Program
Offices, technology developers, and community stakeholders.
Promoting training of the next generation (Table 3, Items 2-5, 2-6): EPA Administrator Gina McCarthy
hailed the success of the ORD-Region 2 citizen science project in Newark saying, "Community-based air
monitoring projects like this one make public health a priority and pay multiple dividends. We not only
gain valuable information, we also help community members gain the skills and experience they need to
conduct citizen science projects in their communities to better protect their families." ORD has long
played a role in funding fellowships at the university and post-graduate levels to advance STEM (Science,
Technology, Engineering, Mathematics education) capacity, with an emphasis on underserved
communities and the economic opportunities that higher education brings. The Office needs to move
beyond that to build an infrastructure and partnerships to increase the capacity of community members
to engage meaningfully in the policy and planning decisions that affect their communities. ORD, working
with Regional partners, has taken small steps. For example, local community colleges developed a
curriculum based on C-FERST in Portland, Oregon, and Tacoma, Washington, and engaged in citizen
science to map features of their communities (Stewart, et al., 2016). Further development of academic-
community partnerships to build capacity, along with the development of educational curricula that can
incorporate sophisticated GIS and other scientific information delivery and visualization tools into
secondary education, have the potential to promote direct engagement of the community in the
decisions that affect their lives.
44

-------
Table 3. Summary of the NEJAC (2014) Recommendations
Bold lettering indicates some level of ORD activities in those areas (adapted from NEJAC, 2014).
TOPIC AREA
Opportunities to address
Community inclusive processes
Tailoring ORD tools for
Assessing impact of ORD Skills needed to address EJ

environmental inequities

community use
research

1-1. Incorporate Research Needs of

3-1. Collect Data for Evaluating


American Indians, Alaskan Natives, Native

Improvements in Environmental


Hawaiians and Other Indigenous Peoples

Conditions and Health Outcomes


1-2. Advance Research on Health




Disparities




1-3. Conduct and Collect Data for




Longitudinal Studies




1-4. Support Biomonitoring Research




1-5. Conduct Research and Collaborate to




Identify and Address Air Quality "Hot




Spots"




1-6. Conduct Research to Support



RESEARCH NEEDS, GAPS
Diesel Exhaust Regulations



AND FRAMEWORK
1-7. Conduct Research on Potential
Disproportionate Impacts of Climate
Change Effects, Mitigation and
Adaptation
1-8. Revise the EPA's Definition of
Sustainability
1-9. Conduct Research on
Incentivizing Business Performance
Beyond Compliance
1-10. Amplify Uncertainty Analyses to
Inform Risk Assessment, the
Application of the Precautionary
Principle and Decision Making
1-11. Assess New Products




1-12. Prioritize Chemicals in IRIS Process
2-1. Engage Communities in
3-2. Encourage Collaboration in

RESEARCH AGENDA
DEVELOPMENT IN
COLLABORATION WITH

Setting the Research Agenda
Setting the Research Agenda

1-13. Investigate Potential

3-3. Identify and Engage

Disproportionate Effects of Pesticide

Relevant Stakeholders

STAKEHOLDERS
Exposure of Rural and Urban
Farmworkers

3-4. Engage Stakeholders in
the Development of Research
Products and Tools


1-14. Promote Health Impact Assessment
2-2. Incorporate Community-
3-5. Develop Personnel Exchanges
5-1. Increase Social Scientists on

Method
Engaged Research Models Into

EPA Staff and as Consultants
RESEARCH
IMPLEMENTATION,
1-15. Adjust Extramural Research Review
Research Program


Process
Implementation


PARTNERSHIPS AND
FUNDING
1-16. Investigate Environmental
2-3. Build Community

5-2. Enhance Training of ORD
Contribution to Health Disparities
1-17. Partner to Advance Access to
Health Care in Communities
Experiencing Environmental Inequities
Capacity through Partnerships
and Technical Assistance

Scientists

1-18. Translate Research to Policy Makers
2-4. Communicate
Community-Engaged Research


RESEARCH

2-5. increase Use of


TRANSLATION AND

Technology to Communicate


COMMUNICATION

and Educate Stakeholders
2-6. Promote Environmental
Justice Education and
Training of the Next
Generation of Scientists and
Engineers



1-19. Evaluate the EPA's Integration of


4-1. Assess Research Outputs' 5-3. Assess Effectiveness of

Environmental Justice into Decision-


Support of Environmental Justice Environmental Justice Training for

Making


Outcomes Staff
RESEARCH EVALUATION



4-2. Assess Effectiveness of
Stakeholder Partnerships




4-3. Assess Use of EPA Tools
45

-------
V. Summary
ORD's EJ Research Roadmap is the first documentation of ORD's existing and ongoing research
supporting the Agency's implementation of environmental justice. The EJ Roadmap is presented as a
summary inventory of ORD's research efforts, categorized by four overlapping EJ science challenges:
(1) developing decision-support tools for identifying and prioritizing concerns, assessing cumulative
impacts, and evaluating mitigation options; (2) improving our understanding of environmental health
disparities and developing methods and data for assessing cumulative risks; (3) supporting Tribal
sustainability and well-being; and (4) characterizing climate justice.
ORD research directs attention to the myriad issues raised by environmental justice and captured
through discussions with advisory groups like NEJAC, NACEPT, the Institute of Medicine, EPA's own SAB,
and ORD's BOSC. Areas for increased emphasis include research that more fully integrates the
interactions of the built, natural, and social environments with human biology in determining
environmental exposures and outcomes; the equitable distribution and accounting for ecosystem
services; further progress on EJ analysis including exposure assessment; the need for expanded social
science approaches integrated with the natural and physical sciences; direct engagement with
communities in setting research directions; assessing the outcomes of decisions affecting communities
and assessing the utility of ORD tools for addressing EJ issues; and building community capacity to
engage directly in environmental decision-making.
46

-------
Appendix A. Environmental Justice-Related Research Projects
The project titles reflect preliminary alignments in the 2016-2019 Strategic Research Action Plans.
Programmatic changes could result in project name changes, realignment, mergers, or splits that are not
reflected in this table.
Table A-l. ORD Projects including Environmental Justice Research
National Research
Program, Project
Number
Title
ACE CIVA-3
Climate Change Impacts, Vulnerability and Adaptation: Systems-based Approaches for Sustainable
Solutions
• Integrated response strategies such as combined climate adaptation and mitigation actions
with decision-support tools
ACE EM-3
Changing the Paradigm for Air Pollution Monitoring
•	Village Green
•	Air Sensor Toolbox for Citizen Scientists and low-cost air sensor performance evaluations
•	RETIGO for data visualization on GIS backdrop and interface with C-FERST, EnviroAtlas
•	Fugitive, area source, and fenceline monitoring
ACE PEP-1
Local and Regional Characteristics Influencing Public Health Impacts in Healthy and At-risk
Populations
•	Near-road, near-port exposures and wildfire health impacts
•	At-risk populations
ACE PEP-2
Modifiable Factors that Influence Air Pollution-related Public Health Impacts in Healthy and At-
risk Populations and Inform Risk Mitigation Strategies
•	Understanding the role of modifiable factors such as diet, exercise, exposure to green space,
social stressors in the association between air pollution and environmental public health
•	Identification of actions that mitigate exposure to air pollution and reduce health effects
ACE PEP-4
Translate Research into Actions that Protect Public Health and Wellbeing
•	Healthy Heart
•	Wildfire vulnerability index
•	Environmental literacy
ACE SEM-3
Sustainable Energy and Mitigation: End-use Impacts
• Cook stoves - health and climate benefits of cleaner technologies
CSS Topic 1
Chemical Evaluation: High Throughput Toxicology, Rapid Exposure, and Dosimetry
• Contributes data on hazard and exposure potential of chemicals; chemical prioritization for
additional testing or risk management
CSS Topic 2
Life-cycle Analytics
• Providing the tools to evaluate exposure to chemicals across the life cycle of products;
assessment of safer alternatives; and emerging materials such as nanomaterials
A-l

-------
National Research
Program, Project
Number
Title
CSS Topic 3
Complex Systems Science: Adverse Outcome Pathway Discovery and Development
• Developing effect-based methods for assessing cumulative exposures and risks
HHRA-1, -2
Integrated Risk Information System (IRIS) Assessments and Updates
• Incorporation of susceptibility and vulnerability information
HHRA-4
Provisional Peer-reviewed Toxicity Values
• Information to make informed decisions about cleaning up contaminated sites to protect
human health in nearby communities
HHRA-6
Cumulative Risk Assessment (CRA) Methods and Applications
•	Integrating chemical and nonchemical stressors, including community stressors, impacts of
green space, for CRA
•	Epigenetics: Potential mechanism through which nonchemical stressors increase susceptibility
to chemical stressors
•	Multiple stressor, multimedia research to inform CRAs
HSRP - Remediating
Wide Areas
Community environmental resilience to disasters
• Community Environmental Resilience Index
SHC 1.62
EnviroAtlas
•	Community-scale mapping of access to nature's benefits with demographic and other
population information
•	Proposed climate change vulnerability information
SHC 1.63
Environmental Workforce and Innovation
•	Greater Research Opportunities fellowships
•	People, Prosperity, and the Planet (P3) Student Competition for Innovation
SHC 2.62
Community Public Health and Well-being
•	Information access, mapping, and community engagement tools: C-FERST, T-FERST, CCAT
•	Health impact assessment
•	Bioavailability and urban soils
•	Biological (including epigenetic) basis for asthma and other high priority environmental health
outcomes in the context of social and neighborhood factors and exposure to pollution
•	Screening-level models for near-road and near-port contexts
•	Nonchemical stressors and analytical methods in CRAs including STAR-funded RFA
SHC 2.63
Assessing Health Disparities in Vulnerable Groups
•	Children's environmental health, including NIEHS-EPA Centers of Excellence with community
engagement
•	Health disparities, including NIH-EPA Centers of Excellence
•	Epigenetic research into early chemical and nonchemical determinants of later disease or
poor birth outcomes
•	Tribal science, including STAR-funded RFA
•	Climate change impacts in communities with contaminated sites
A-2

-------
National Research
Program, Project
Number
Title
SHC 2.64
Indicators, Indices, and the Report on the Environment
•	Human and Tribal Well-being Indices
•	Climate Resilience Screening Index (CSRI)
SHC 3.61
Contaminated Sites and Sediments
•	GIS-mapping and statistical analyses to identify communities and populations
disproportionately impacted by climate change-vulnerable contaminated sites
•	Spatial assessment of contaminated groundwater at hazardous waste sites near vulnerable
drinking water supplies
•	Exposure assessment case study of a community disproportionately impacted by climate-
vulnerable contaminated sites
SHC 4.61
Integrated Solutions for Sustainable Communities
•	Integrated ports assessment
•	Regional Sustainable Environmental Science (RESES); multiple projects on community
engagement, health impact assessments (HIAs), ports assessments, sustainability in
overburdened communities
SSWR4.01
Reducing Impacts of Harmful Algal Blooms
• Health impacts, water availability, Tribal sustainability
SSWR 5.02
Support increased adoption of green infrastructure into community stormwater management
plans and watershed sustainability goals: Information and Guidance through Community
Partnerships
•	Collaboration on health impact assessment
•	Decision support for green infrastructure solutions
SSWR 6.03
Water Systems: Transformative approaches and technologies for water systems
• STAR research on small water systems, including colonias in U.S.-Mexico Border area
A-3

-------
Table A-2. STAR Research Addressing Environmental Justice
EPA Office of Research and Development Science to Achieve Results (STAR) grant solicitations and awards that include community-engaged research, research on exposure and
health disparities and the contribution of nonchemical stressors or social determinants of health, Tribal sustainability, and engineering solutions for issues in overburdened
communities. Hyperlinked locations provide more detail on each of these solicitations.
Title
Research
Program
Project/
Topic
Description
Completion
Date
Children's Environmental Health and
Disease Prevention Centers Program
SHC
2.63
EPA-NIEHS Children's Environmental Health and Disease Prevention Centers
(joint with NIEHS) (14 currently active). Includes safety of farmworker families
and urban asthma research.
2016
Children's Environmental Health and
Disease Prevention Centers Program
SHC
2.63
A Children's Centers RFA funded in 2015 solicited proposals with increased
emphasis on how nonchemical factors and social determinants of disease
might exacerbate the risks associated with pollutants, making it especially
relevant to health disparities and EJ concerns.
2020
STAR Tribal Research Grants
SHC
2.63
Six grants focused on the development of sustainable solutions to
environmental problems that affect Tribes by focusing on (1) health impacts
of climate change on Tribal populations, and (2) health impacts of indoor air
pollution exposures that derive from or are directly affecting traditional Tribal
lifeways and cultural practices with specific emphasis on impacts to
vulnerable groups within Tribal communities.
2017-2019
Transdisciplinarv Networks of
Excellence on the Environment and
Health Disparities
SHC
2.63
Ten Centers of Excellence in Health Disparities, Joint with NIMHD through
MOU (2012-14) are evaluating how disproportionate environmental
exposures, especially in air and water, in combination with a diverse array of
nonchemical factors including social (including racial/ethnic composition),
built environment (such as poor housing, access to recreation facilities),
lifestyle (such as smoking), and economic stressors (such as lack of access to
healthy food) contribute to health disparities. A variety of negative health
outcomes is considered including cardiovascular disease, diabetes, poor
mental health, and cancer. Some centers are using geospatial and temporal
analyses to examine relationships and syndemic effects among health
disparities and environmental factors. Emphasis in others is placed on
community-based outreach and interventions.
2014
A-4

-------
Title
Research
Program
Project/
Topic
Description
Completion
Date
NIH-EPA Centers of Excellence in
Health Disparities
SHC
2.63
A new cross-agency STAR RFA (2014) created in partnership with NIH (NIEHS,
NIMHD, and NICHD) will fund Centers of Excellence in Health Disparities to
stimulate basic and applied research to understand environmentally driven
health disparities and improve access to healthy environments for vulnerable
populations and communities. It is designed to foster interdisciplinary
research on the complex interactions between social, natural, and built
environmental systems, conditions, and policies that result in unequal
environmental health conditions and disproportionate impacts among
(diverse) disadvantaged population groups, communities, neighborhoods,
and individuals. Outcomes of this research are expected to promote
innovative approaches and strategies to mitigate environmentally driven
exposures and health disparities, alleviate system drivers of racial/ethnic and
socioeconomic disparities, and improve access to healthy and sustainable
environments for vulnerable populations. Proposals must include community-
based research, mentoring, capacity building, and research translation and
information dissemination. (Centers to be funded in late 2015.)
2020
STAR RFA on Understanding the Role
of Nonchemical Stressors and
Developing Analytic Methods for
SHC
2.62
This includes grants on Community-based Participatory Research to Develop
New Methods for Analysis of Cumulative Risk in Urban Populations; Effects-
based CRA in a Low-Income Urban Community near a Superfund Site; Effects
of Stress and Traffic Pollutants on Childhood Asthma in an Urban Community;
Hypertension in Mexican-Americans: Assessing Disparities in Air Pollutant
Risks; Combined Effects of Metals and Stress on Central Nervous System
Function.
2014-2016
CRAs
STAR P3 Grants
SHC
1.63
Innovation small grants to universities; these address STEM education goals
and specific research goals. Grantees include: DePaul University-
Community-based Soil Quality Assessment as a Tool for Designing an Urban
Green Infrastructure Network to Manage Runoff; University of California -
Davis Small-Scale Ecosystem Engineering: Development of Household-Level
Graywater Treatment Systems; Mississippi State University - User-Friendly
Design Tools for Sustainable Wastewater Treatment in Rural and
Disadvantaged Communities.
Annual
Competition
A-5

-------
Title
Research
Program
Project/
Topic
Description
Completion
Date
STAR Grants on Small Water Svstems
SSWR
Water
Systems,
Project 3
These include a grant to a consortium of three Missouri universities, led by
Lincoln University of Missouri, a historically black college and university, to
identify trihalomethanes and N-nitrosamines associated with elevated
dissolved organic carbon/dissolved organic nitrogen in surface water supplies,
and develop and implement water treatment technologies to reduce the
health threats; point-of-use water treatment systems for improving
sustainability and environmental justice in the Paso del Norte Region; a grant
for small systems and Native American communities to develop, test, and
demonstrate small drinking water treatment methods to remove common
groundwater constituents in extreme environments using readily available
materials, such as biochar.
2015-2017
Water Infrastructure Sustainabilitv
and Health in Alabama's Black Belt
SSWR
Water
Systems,
Project 3
This STAR grant is designed to examine water and health in the "black belt" of
Alabama. This is a region where a large population of people of color resides
that is historically and currently underserved and economically
disadvantaged. The grantees are conducting a prospective cohort study that
follows 900 households for 18 months and includes active surveillance of
household water quality and health outcomes. Researchers are working with
residents in rural Hale, Wilcox, and Sumter counties in Alabama.
2015
Air Pollution Monitoring for
Communities (to be awarded)
ACE
PEP
This solicitation seeks research on (1) empowering communities and
individuals to take action to avoid air pollution exposure using low-cost
portable air pollution sensors; (2) ways communities and individuals interact
with air pollution sensors and their data; (3) methods for understanding and
managing the quality of data from air pollution sensors; and (4) how sensors
and sensor networks compare to traditional air quality monitoring methods.
Given the potential for portable air pollution sensors to enable communities
to reduce exposure and risk, substantial engagement with community groups
is encouraged. Research that will advance the ability of communities and
individuals to take action to avoid air pollution exposure is of particular
interest.
2019
A-6

-------
Title
Research
Program
Project/
Topic
Description
Completion
Date
Experimental Interventions to
Facilitate Clean Cook Stove Adoption,
Promote Clean Indoor Air, and
Mitigate Climate Change
ACE
SEM
This study will use price and social interaction experiments to provide
valuable information about technical and behavioral dimensions of stove
adoption and use. Climate modeling will provide a realistic assessment of the
range and timeframe of foreseeable climate benefits resulting from
widespread stove adoption. The project builds on preexisting partnerships
with two Indian NGOs already promoting stoves in rural communities to take
advantage of existing connections to stove-using households in diverse parts
of India. Both NGOs are well established and well staffed with gender- and
caste-sensitive personnel who will facilitate entry into the complex social
terrain of rural India.
2016
A Nontargeted Method for
Measuring Multiple Chemical
Exposures among a Demographicallv
Diverse Population of Pregnant
Women in Northern CA
CSS
Topic 1
This grant will use enhanced biomonitoring methods to characterize
chemicals found in a racially diverse cohort of pregnant women. The results
should show (1) whether pregnant women are exposed to more
environmental organic acids than previously understood, (2) whether there
are racial or ethnic differences in exposures, and (3) whether there are
correlates with socioeconomic status.
2014
A-7

-------
Af.|«r ti'f!1! U 1 'Kf> - i Ihtingf II- ill |i I nil;! 11* ¦ ~ v» rftihiii'inii'ies
*The efforts described below are in various stages of development; some are more formative than others.
Region 1
•	Lawrence, MA - ORD will provide expertise and tools to Region 1 and local communities to help
develop strategic water plans and green infrastructure for better combined sewer overflow control,
water quality compliance, and evaluate and improve drinking water supply resilience for
residents' wellbeing.
•	Bridgeport, CT - ORD will provide expertise, data, and tools to Region 1 and local communities
for climate vulnerability assessment and adaptation planning of wastewater infrastructure.
Region 2
•	Newark, NJ - The MVD project for Newark will include data and approaches from the EPA
Region, ORD, local community groups, and potentially State and other agencies. Plans are to
form a collaborative partnership to leverage expertise and problem-solving experience to
improve local resiliency and to develop risk reduction actions.
Region 3
•	Newport News, VA - ORD will support Region 3 in conducting a CRA associated with the port of
Hampton Roads, VA.
ORD is also working with Region 3 in the Newport News/Norfolk area as part of the Rockefeller
100 Resilient Cities initiative.
•	Dover, DE - C-FERST is being used in applying the successful approach from Region 10, doing
community outreach and engagement, partnering with local community colleges and
universities, and translating success in Region 10 to other communities.
Region 4
•	N. Birmingham, AL - There are two portions to this Regional Sustainable and Environmental
Science (RESES, ORD-based competitive funding for collaborative projects) project: an
EnviroAtlas portion and a National Stormwater Calculator portion. ORD will collaborate with the
City of Birmingham and Jefferson County to obtain and input the county's LiDAR data into the
Community Component of EnviroAtlas to provide high-resolution data on ecosystem services
and community benefits specific to Birmingham. The City will use the results of the EnviroAtlas
analysis in their green infrastructure planning processes to gain a better understanding of how
its decisions can affect ecological and human health outcomes. The second portion is to add a
costing module to the National Stormwater Calculator to assist the City in determining the costs
of various stormwater control measures. Originally, it was hoped that the RESES project would
allow the City to compare green and gray infrastructure options and develop a web application
for the National Stormwater Calculator, but resources are insufficient to accomplish this goal.
These two functions will be considered for later projects.
B-l

-------
•	Proctor Creek, Atlanta, GA - This project entails a green infrastructure HIA for the entire
Proctor Creek Watershed.
Region 5
•	Mill Creek, Cincinnati, OH - The City of Cincinnati has already undergone a great deal of
transformation with regard to stormwater and developing a more sustainable community. In
2013, for example, they received approval from EPA to cancel their plans to build a 40-million
gallon tunnel in lieu of storm sewer separation and green infrastructure projects to reduce
stormwater entering the combined sewer system.
EPA scientists are collecting hydrology and water quality data at a large Cincinnati green
infrastructure project at St. Francis Apartments where a two-tiered parking lot has been
converted to extensive rain gardens. ORD has already provided pollutant concentration data
into and from the rain gardens to Cincinnati's Municipal Sewer District to help inform its
estimates of pollutant load changes associated with green infrastructure. A report presenting
and interpreting the full data set from St. Francis will be completed as a final product of this
study and share with the District and Region 5.
In addition to the St. Francis pilot study, ORD will contribute to a new pilot effort led by
Hamilton County to develop an incentive program for green infrastructure (rain barrels, rain
gardens) on private homeowner properties in the Kings Run area. Information from the previous
ORD Shepherd Creek study has already informed its current Kings Run proposal, and ORD will
continue to provide technical support and information as helpful to the process. For example,
new estimates of life-cycle costs of the rain gardens and rain barrels from the Shepherd Creek
study are being developed. This information will be shared with Hamilton County and the
District to inform their Kings Run planning process.
•	Milwaukee, Wl - ORD is supporting the use of EnviroAtlas for community-scale data.
EnviroAtlas is a collection of interactive tools and resources that allows users to explore the
many benefits people receive from nature, often referred to as ecosystem services. Although
critically important to human well-being, ecosystem services are often overlooked. Using
EnviroAtlas, many types of users can access, view, and analyze diverse information to better
understand how various decisions can affect an array of ecological and human health outcomes.
•	SE Chicago, IL - This project was recently added to the ORD list and includes a Regional Applied
Research Efforts grant for a Village Green station at a public elementary school and educational
outreach with those students.
Region 6
•	Alexandria/Pineville, LA - ORD is working with Regional staff to enhance a sustainability
assessment to help local wood-preserving operations to use sustainable materials management
approaches, perform groundwater plume delineation, and review ambient and property line air
monitoring data.
B-2

-------
•	Crossett, AR - ORD is supporting a CRA of paper plant-related pollution rippling through urban
environment and fish consumption.
Region 7
•	Omaha, NE - The City of Omaha has demonstrated that a hybridized system utilizing both green
and gray infrastructure methods with the goal of reducing sewer overflows is the most efficient
and cost-effective approach to managing stormwater runoff. Specifically, the city is
demonstrating the utility from investigating soil properties (take strategic soil core samples)
prior to designing an infiltration-based green infrastructure technology for a specific area, plot,
or property. Between 2012 and 2014, a demonstration took place at 16 study sites throughout
Omaha. This approach has been used to confirm and otherwise direct proper application and
location of the green infrastructure techniques at 23 sites in Omaha. Documentation and
outreach materials describing these practices and results have been prepared and are being
used by stakeholders. A collaborative relationship between the Omaha public works, Nebraska
Department of Environmental Quality, University of Nebraska, USGS, EPA Region 7, and ORD
have contributed to understanding green infrastructure and ultimately to support the city's
combined sewer overflow long-term plan, which has direct impact on the community.
Additionally, a demonstration green infrastructure project was selected by the City of Omaha to
investigate and track through FY2017 the long-term performance and natural dynamic
properties of a specific site. ORD and R7 are collaborating with USGS's Nebraska Water Science
Center developing, implementing, and documenting a monitoring strategy for showcasing
environmental and economic efficiencies of green infrastructure for stormwater overflows. An
EPA kiosk is set up at the University of Nebraska, Omaha Extension. The kiosk is a
communication tool between EPA and the community to relay up-to-date information about the
project and provide a resource for understanding green infrastructure technologies.
•	This MVD project will showcase the approach of designing and monitoring a green infrastructure
project from up to 23 different sites in the Omaha community.
Region 8
•	Sun Valley, Denver, CO - This project entails a systems assessment of and recommendations for
the Sun Valley neighborhood around the light rail station. The goals for the neighborhood are to
improve connectivity, vibrancy, and economic opportunities, while maintaining cultural diversity
and a sense of place. ORD will use experience gained from the Durham, NC light rail study.
Region 9
•	Imperial Valley, CA - ORD will contribute expertise (and possibly loaned equipment) to Imperial
Valley for air monitoring, with data communication and application.
•	Region 9 is looking to enhance an existing community air quality research study, which involves
distributing approximately 30 low-cost particulate matter air monitors that report real-time
concentrations and do live-reporting of the data to the public. This existing study could be
strengthened in multiple different ways to have greater impact. Region 9 and ORD have had
B-3

-------
multiple discussions on approaches to enhance the existing project and provide support to the
community.
Region 10
• N/NE Portland, OR - ORD is providing holistic support for community needs—land use,
brownfields, urban waters, air, equity in development.
- Awarded RESES (Regional Sustainable and Environmental Science): Making a Visible
Difference in N/NE Portland: Engaging Communities; Using Citizen Science to Assess and
Address Children's Environmental Health from Transit and Air Pollution
B-4

-------
Appendix C. Acronyr	Bviations
ACE	Air, Climate, and Energy research program, ORD, US EPA
BOSC	Board of Scientific Counselors - FACA group for Office of Research and Development, US EPA
CCAT	Community Cumulative Assessment Tool
CERI	Community Environmental Resilience Index
C-FERST	Community-focused Exposure and Risk Screening Tool
CHPAC	Children's Health Protection Advisory Council - FACA group for Office of Children's Health
Protection, US EPA
C-LINE	Community Line - source screening-level model to estimate air quality near roadways or other
"line" sources based on emissions inventories, meteorological data, and analytical models of air
dispersion
C-PORT	Community Port screening-level model to estimate air quality from line, point, and area sources
in port locations based on emissions inventories, meteorological data, and analytical models of
air dispersion
CRA	cumulative risk assessment
CRSI	Climate Resilience Screening Index
CSS	Chemical Safety for Sustainability research program, ORD, US EPA
EJ	environmental justice
EO	Executive (Presidential) Order
EPA	U.S. Environmental Protection Agency
FACA	Federal Advisory Committee Act of 1972
GIS	geographic information system
HHRA	Human Health Risk Assessment research program, ORD, US EPA
HIA	health impact assessment
HSRP	Homeland Security Research Program, ORD, US EPA
IRIS	Integrated Risk Information System, HHRA / NCEA, ORD, US EPA
ISA	Integrated Science Assessment of NAAQS pollutants
LEO	Local Environmental Observer
MVD	Making a Visible Difference implementation plan for EPA crosscutting strategic goal
NAAQS	National Ambient Air Quality Standards
NACEPT	National Advisory Council on Environmental Policy and Technology
NCEA	National Center for Environmental Assessment, ORD, US EPA
NCVHS	National Committee on Vital and Health Statistics
NEJAC	National Environmental Justice Advisory Council
NICHD	National Institute of Children's Health and Human Development, one of the NIH
NIEHS	National Institute of Environmental Health Science, one of the NIH
NIH	National Institutes of Health
NIMHD	National Institute of Minority Health and Health Disparities, one of the NIH
ORD	Office of Research and Development, US EPA
PCB	polychlorinated biphenyl organic chemical compound
PEP	Protecting Environmental Public Health project in ACE program, ORD, US EPA
PFC	proper functioning condition - method for evaluation of ecological condition
RESES	Regional Sustainable Environmental Science awards funding (internal to EPA) for ORD-Regional
collaborative projects, SHC, ORD, US EPA
C-l

-------
RETIGO
Real-Time Geospatial Data Viewer
RFA
Requests for Applications for grant solicitations
SAB
Science Advisory Board FACA for US EPA
SHC
Sustainable and Healthy Communities research program, ORD, US EPA
SSWR
Safe and Sustainable Water Resources research program, ORD, US EPA
STAR
Science to Achieve Results granting program, ORD, US EPA
StRAP
Strategic Research Action Plan (for each of ORD's National Research Programs)
T-FERST
Tribal-focused Environmental Risk and Sustainability Tool
USGS
U.S. Geological Survey
C-2

-------
Appendix D. References
Anguelovski, I, Shi, L, Chu, E, Gallagher, D, Goh, K, Lamb, Z, Reeve, K, Teicher, H, 2016. Equity impacts of
urban land use planning for climate adaptation: Critical perspectives from the global north and
south. J Planning Educ Research 1-16. doi:10.1177/0739456X16645166.
Agyeman, J, Schlosberg, D, Craven L, and Matthews, C, 2016. Trends and directions in environmental
justice: From inequity to everyday life, community, and just sustainabilities. Annu Rev Environ
ResourAl: 6.1-6.20.
Agyeman, J, Bullard, R, and Evans, B Evans, (eds) 2003. Just sustainabilities: Development in an unequal
world. Cambridge, MA: MIT Press.
Bessler, S and J. McKernan, 2015. Engineering technical support center annual report fiscal year 2014;
Technical support and innovative research for contaminated sites. U.S. Environmental Protection
Agency, Washington, DC, EPA/600/R-15/132, 2015.
Boone, CG, Buckley, GL, Grove, JM, and Sister, C, 2009. Parks and people: an environmental justice
inquiry in Baltimore, MD. Annals Assoc Amer Geographers 99 (4): 767-787.
Bruton, CM and Floyd, MF, 2014. Disparities in built and natural features of urban parks: Comparisons by
neighborhood level race/ethnicity and income. J Urban health: Bulletin NY Acad Med 91(5): 894-
907.
Bullard, 1993. Environmental justice for all, chapter 1 in Environmental Justice and Communities of
Color, RD Bullard, ed. San Francisco: Sierra Club Books.
Bullard, RD, 1994. Environmental justice for all: It's the right thing to do. J Envtl Law and Litigation 9:
281-308.
Bullard, RD, Mohai, P, Saha, R, and Wright, B, 2008. Toxic wastes and race at twenty: Why race still
matters after all of these years. Environ Law 38: 371-411.
CHPAC, 2013. Social determinants of health, http://www2.epa.gov/sites/production/files/2014-
05/documents/chpac-sdh-l etter-nov-2013-final.pdf.
Commission for Racial Justice, United Church of Christ, 1987. Toxic wastes and race in the United States:
A national report on the racial and socio-economic characteristics of communities with hazardous
wastes sites.
http://d3n8a8pro7vhmx.cloudfront.net/unitedchurchofchrist/legacv url/13567/toxwrace87.pdf?l
418439935.
Cook, IR and Swyngedouw, E, 2012. Cities, social cohesion and the environment: towards a future
research agenda. Urbsn Studies 49(9): 1959-1979.
Cutter, SL, 2003. Race, class, and environmental justice. Progress in Human Geography 19(1): 111-122.
deFur, PL, Evans, GW, Cohen Hubal, EA, Kyle, AD, Morello-Frosch, RA, Williams, DR, 2007. Vulnerability
as a function of individual and group resources in cumulative risk assessment. Env Health Perspect
115: 817-824.
DHHS, 2010. Healthy People 2020. http://www.healthypeople.gov/2020/default.
D-l

-------
Dressier, WW, Oths, KS, Gravlee, CC, 2005. Race and ethnicity in public health research: Models to
explain health disparities. Annual Rev Anthropology 34: 231-252.
Dustin, DL, Bricker, KS, and Schwab, KA, 2009. People and nature: Toward an ecological model of health
promotion. Leisure Scl: An Interdisciplinary Journal 32(1): 3-14.
EPA, 1992. Reducing risk in all communities.
https://nepis.epa.aov/Exe/ZvPURL.cai?Docke¥=40000JLA.TXT
EPA, 2004. Toolkit for assessing potential allegations of environmental injustice.
https://www.epa.gov/communitvhealth/toolkit-assessing-potential-allegations-environmental-
justice.
EPA, 2011. Plan EJ 2014 - Science tools development, https://www.epa.gov/environmentaliustice/plan-
ei-2014-science-tools-development
EPA, 2013. Decade of Tribal science, http://www2.epa.gov/sites/production/files/2015-
OS/documents/results-impacts-summarv-QlOy 14.pdf.
EPA, 2014a. Fiscal year 2014-2018 EPA strategic plan.
http://www2.epa.gov/sites/production/files/2014-09/documents/epa strategic plan fyl4-18.pdf.
EPA, 2014b. EPA policy on Environmental justice for working with federally recognized Tribes and
indigenous peoples, https://www.epa.gov/environmentaliustice/environmental-iustice-tribes-and-
indigenous-peoples.
EPA, 2015a. EPA strategic directions on using citizen science for environmental protection - charge to
NACEPT. https://www.epa.gov/sites/production/files/2015-
09/documents/nacept charge on citizen science final.pdf.
EPA, 2015b. Guidance on considering environmental justice during development of regulatory actions.
https://www.epa.gov/sites/production/files/2015-06/documents/considering-ei-in-rulemaking-
guide-final.pdf.
EPA, 2015c. Sustainable and healthy communities strategic research action plan. EPA 601/K-15/006
https://www.epa.gov/research/strategic-research-action-plans-2016-2019.
EPA, 2015d. EPA sustainable materials management program strategic plan for fiscal years 2017-2022.
https://www.epa.gov/smm/epa-sustainable-materials-management-program-strategic-plan-fiscal-
vears-2017-202.2.
EPA, 2015e. Blog entry on Local Preparedness, https://blog.epa.gov/blog/2015/10/epa-continues-
support-for-local-preparednessprevention-activities/
EPA, 2015f. Fact Sheet on Enhancing Local Planning under the Emergency Planning and Community
Right-to-Know Act: https://www.epa.gov/sites/production/files/2Q15-
07/documents/state tribal local guide factsheet 7-10-2015 2.pdf
EPA, 2016a. Draft EJ 2020 action agenda - environmental justice strategic plan 2016 - 2020.
https://www.epa.gov/environmentaliustice/ei-2020-action-agenda.
EPA, 2016b. Technical guidance for assessing EJ in regulatory analysis.
https://www.epa.gov/environmentaliustice/technical-guidance-assessing-environmental-iustice-
regulatorv-analvsis.
EPA, 2016c. Citizen science air monitoring in the Ironbound Community. EPA/600/R-16/049.
D-2

-------
Ernston, H, 2013. The social production of ecosystem services: A framework for studying environmental
justice and ecological complexity in urbanized landscapes. Landscape and Urban Planning 109: 7-
17.
Federal Register 1994: Federal actions to address environmental justice in minority populations and low-
income populations, 59(32), February 16, 1994.
Floyd, MF, Crespo, G, and Sallis, JF, 2008. Active living research in diverse and disadvantaged
communities. Stimulating dialogue and policy solutions. Am j Prev Med 34(4): 271-274.
Gravlee, CC, 2009. How race becomes biology: Embodiment of social inequality. AmerJ Physical
Anthropology 139: 47-57.
Guzy, GS, 2000. EPA Statutory and Regulatory Authorities Under Which Environmental Justice Issues
May Be Addressed in Permitting, https://www.epa.gov/sites/production/files/2015-
02/documents/ei permitting authorities memo 120100.pdf
Heany, CD, Wilson, S, Wilson, OR, 2007. The West End Revitalization Association's community-owned
and-managed research model: Development, implementation, and action. Progress in community
Health Partnerships 1(4): 339-349.
Heany, C, Wilson, S, Wilson, O, Cooper, J, Bumpass, N, Snipes, M, 2011. Used on community-owned and
-managed research to assess the vulnerability of water and sewer services in marginalized and
underserved environmental justice communities. J Environ Health 74(1): 8-17.
Heynen, NC, 2003. The scalar production of injustice within the urban forest. Antipode 35(5): 980-998.
Holtan, MT, Dieterlen, SL, and Sullivan, WC, 2014. Social life under cover: Tree canopy and social capital
in Baltimore, Maryland. Env Behavior 47(5): 502-525
Jennings, V, Gaither, G, 2015. Approaching environmental health disparities and green spaces: An
ecosystem services perspective. IntJ Env Res Public Health 12: 1952-1968.
Jennings, V, Gaither, G, Gragg, RS, 2012. Promoting environmental justice through urban green space
access: A synopsis. Env Justice 5(1): 1-7.
Jennings, V, Larson, L, and Yun, J, 2016. Advancing sustainability through urban green space: Cultural
ecosystem services, equity, and social determinants of health. IntJ Environ Res Public Health 13:
196-211.
Juarez, PD, et al., 2014. The public health exposome: A population-based, exposure science approach to
health disparities research. IntJ Environ Res Public Health 11: 12866-12895.
Landers, D., Nahlik, A. and Rhodes, C., 2016. The Beneficiary Perspective - Benefits and Beyond. Potchin,
M., R. Haines-Young, R. Fish and R.K. Turner (ed.), Routledge Handbook on Ecosystem Services.
Routledge, Taylor & Francis Group, New York, NY, 74-87, (2016).
Landry, SM and Chakraborty, J, 2009. Street trees and equity: Evaluating the spatial distribution of an
urban amenity. Env Planning A 41:2651-2670.
Lin SS and Kelsey, JL, 2000. Use of race and ethnicity in epidemiologic research: Concepts,
methodological issues, and suggestions for research. Epidemiologic Reviews 22 (2): 187-202.
Maantay, J, 2001. Zoning, equity, and public health. Am J Publ Health 91(7): 1033-1041.
Messer, LC, Jagai, JS, Rappazzo, KM, and Lobdell, DT, 2014. Construction of an environmental quality
index for public health research. Env Health 13: 39-61.
D-3

-------
Mohai, P, Pellow, D, and Roberts, JT, 2009. Environmental justice. Annu Rev Environ Resourc 34: 405-
430.
Mohai, P and Saha, R, 2007. Racial inequality in the distribution of hazardous waste: A national-level
reassessment. Social Problems 54(3): 343-370.
Mohai, P and Saha, R, 2015a. Which came first, people or pollution? Assessing the disparate siting and
post-siting demographic change hypothesis of environmental injustice. Env Research Letters 10:
115008.
Mohai, P and Saha, R, 2015b. Which came first, people or pollution? A review of theory and evidence
from longitudinal environmental justice studies. Env Research Letters 10: 125011.
Morello-Frosch, et al., 2011. Understanding the cumulative impacts of inequalities in environmental
health: Implications for policy. Health Affairs 30(5): 879-887.
Mulligan, CJ, 2015. Social and behavioral epigenetics. Amer Anthropologist 117:736-749.
NACEPT, 2012. Technologies for environmental justice communities and other vulnerable populations.
http://www2.epa.eov/sites/production/files/documents/2012 0215 nacept ej vp letter with ca
se studies web.pdf.
NCVHS, 2016. Using Sub-county Data to Promote Multi-sector Approaches for Community Health and
Well-being: Identifying Gaps and Opportunities. Federal Register 81(166), August 26, 2016, p.
58946. https://www.gpo.gov/fdsvs/pkg/FR-2016-08-26/html/2016-20512.htm.
NEJAC, 2014. Recommendations for Integrating Environmental Justice into the EPA's Research
Enterprise, https://www.epa.gov/environmentaliustice/recommendations-integrating-
environmental-iustice-epas-research-enterprise.
Non, AL and Gravlee, CC, 2015. Biology and culture beyond the genome: Race, racism, and health. Amer
Anthropologist 117: 736-749.
Non, AL, Gravlee, CC, and Mulligan, CJ, 2012. Education, genetic ancestry, and blood pressure in African
Americans and Whites. Amer J Public Health 102: 1559-1565.
NRC, 2009. Science and decisions advancing risk assessment. Washington, DC: National Academies Press.
NRC, 2012. Science for erw/ironmental protection: The road ahead. Washington, DC: National Academies
Press.
Olden, K, Olden, HA, Lin, Y-S, 2015. The role of the epigenome in translating neighborhood disadvantage
into health disparities. Curr Envir Health Rept 2: 163-170.
Payne-Sturges, D and Gee, GG, 2006. National environmental health measures for minority and low
income populations: Tracking social disparities in environmental health. Env Research 102: 154-
171.
Ringquist, EJ, 2005. Assessing evidence of environmental inequities: A meta-analysis. J Policy Analysis
Management 24(2): 223-247.
Saha, R and Mohai, P, 2005. Historical context and hazardous waste facility siting: Understanding
temporal patterns in Michigan. Social Problems 52(4): 618-648.
Schlosberg, D, 2004. Reconceiving environmental justice: global movements and political theories.
Environmental Politics 13(3):517-540.
D-4

-------
Sheppard, E, Leitner, H, McMaster, RB, and Tian, H, 1999. GIS-based measure of environmental equity:
Exploring their sensitivity and significance. J Exp Analysis Environ Epidemiol 9: 18-28.
Shi, L, Chu, E, Anguelovski, I, Aylett, A, Debats, J, Goh, K, Schenk, T, Seto, KC, Dodman, D, Roberts, D,
Roberts, JT, VanDeveer, SD, 2016. Roadmap towards justice in urban climate adaptation research.
Nature Climate Change 6: 131-137. doi:10.1038/nclimate2841.
Smiley, KT, Sharma, T, Steinberg, A, Hodges-Copple, S, Jacobson, E, and Matveeva, L, 2016. More
inclusive parks planning: Park quality and preferences for park access and amenities. Env Justice
9(1): 1-7.
Smith, LM, Case, JL, Smith, HM, Harwell, LC, Summers, JK, 2013. Relating ecosystem services to domains
of human well-being: Foundation for a U.S. index. Ecological Indicators 28: 79-90.
Stewart, SL, Duncan, PB, Stohs, SM, 2016. EPA's community-focused exposure and risk screening tool: A
trial with community partners. The International Journal of Sustainability Policy and Practice 12(2).
Summers, JK, Smith, LM, Harwell, LC, Case JL, Wade, CM, Straub, KR, and Smith, HM, 2014. An index of
human well-being for the U.S.: A TRIO approach. Sustainability 6: 3915-3935.
UCC, 1987. Toxic wastes and race in the United States. Commission for Racial Justice, United Church of
Christ.
UCC, 2007. Toxic wastes and race at twenty: 1987-2007. United Church of Christ Justice and Witness
Ministries.
U.S. Census Bureau, 2010. American community survey. Child poverty in the United States 2009 and
2010: Selected race groups and Hispanic origin, https://www.census.gov/prod/2Qllpubs/acsbrlO-
05.pdf.
USGCRP, 2016. The impacts of climate change on human health in the United States: A scientific
assessment. Crimmins, A., J. Balbus, J.L. Gamble, C.B. Beard, J.E. Bell, D. Dodgen, R.J. Eisen, N. Fann,
M.D. Hawkins, S.C. Herring, L. Jantarasami, D.M. Mills, S. Saha, M.C. Sarofim, J. Trtanj, and L. Ziska,
Eds. U.S. Global Change Research Program, Washington, DC, 312 pp.
http://dx.doi.org/10.7930/J0R49NQX.
WHO, 1948. Preamble to the Constitution of the World Health Organization as adopted by the
International Health Conference, New York, 19-22 June 1946; signed on 22 July 1946 by the
representatives of 61 States (Official Records of the World Health Organization, no. 2, p. 100) and
entered into force on 7 April 1948.
Wilson, S, 2009. An ecologic framework to study and address environmental justice and community
health issues. Env Justice 2: 15-23.
Wilson, S, Zhang, H, Burwell, K, Samantapudi, A, Dalemarre, L, Jiang, C, Rice, L, Williams, E, Nancy, C,
2013. Leaking underground storage tanks and environmental injustice: Is there a hidden and
unequal threat to public health in South Carolina? Env Justice 6(5): 175-182.
D-5

-------
SEPA
United States
Environmental Protection
Agency
PRESORTED STANDARD
POSTAGE & FEES PAID
EPA
PERMIT NO. G-35
Office of Research and Development (8101R)
Washington, DC 20460
Official Business
Penalty for Private Use
$300

-------