Injuries Safety Whistle Blowing ^ Undocumented Workers © Policy/Regulation/ Enforcement Crop Workers Elderly . Susceptible Populations- HeatWaves/UV 0 , Wildfires^^- Timely Birth Defect Clusters Disease "^Surveillance' Cancer Clusters Peer Reviewed Articles | Accessible Risk Communication Evidence- Based Key Nanopartide Massive Pulmonary Exposure Fibrosis . Thought Leadership Storytelling Dissemination 0 Best ' Practices \ Program / Evaluation ¦ Policy © Dust Exposure Pesticides Known Toxicants Citizen Science Credibility Resource , Sharing Primary Node ¦1 Secondary Node © Frequency denotes the number of mind maps that expressed this idea Safe Workplace/ Recreational Space Cancer Prevention Tobacco Cessation Total Surrounding Environment Plant-Based , Diet ¦. Research Environmental Determinants Vaping Wildfire Respiratory / Asthma \ CAFO's Mental & • Physical Health Physiological — Behavioral Socioeconomic Internships/ Education Mentorship , Training Tracking Network^ Flood/ Storm Events © ROI for ' Locals Local Level Capacity The majority of mind maps began with an environmental concern and used subsequent branches to elaborate. However, a few mind maps started with a disease and then identified associated environmental exposures. In order to represent the various ways that our partners are conceptualizing environmental health, we decided to represent these ways of thinking separately. Acronyms Particulate Matter Mental & Physical Stressors Wildfire Smoke Extreme Weather © I k Effects of Repeated Exposure Marine _ Biotoxins Sea Level Rise Cumulative Impacts Drought 0 — Frequency , Pollen Season Vector Borne/ © Infectious Disease Health Equity Climate Refugees rji Distrust of Science o \ Local Workforce CAFO - Concentrated Animal Feeding Operation EH - Environmental Health HAB - Harmful Algal Bloom HRI - Heat Related Illness IPM - Integrated Pest Management LHD - Local Health Department MAHC - Model Aquatic Health Code NEARS - National Environmental Assessment Reporting System PCP - Primary Care Physician PFAS - Per/Polyfluoroalkyl Substances POC - People of Color REHS - Registered Environmental Health Specialist ROI - Return on Investment SRTS - Safe Routes to School Medical School Curriculum (2) Include LHD PCP EH Inquiries j \ / Health Care 2 Chemical Spill Physical Recreational Ecosystems Emergencies- Safe Distance Housing, Schools Monitor Health Risk HABs Q Irrigation Environmental Determinants of Child Health Disparities Health Sector Resilience Weatherization Community Resilience Schools Resilient EH Programs EH Strike Teams Workforce Training Accessible n Affordable ' Public _ Transit Active \ —Multimodal - Infrastructure \ Road Signs Near-Road Pollution \ A Transportation Q / Vehicular & -'Pedestrian Safety Green Spaces Reflective Roofs - Government - Policy Subsidies Distributed Energy ' Generation Health Impacts Transportation Sustainable Healthy & Inclusive Housing " Energy Carbon Pricing LHD Collaboration"^ Force of Change Education on Issues (Re)Emerging Pathogens Swimmer Health Economy Job/Training Clean & Safe Water © LHD Input / Standard Pool Beaches Code (MAHC) Rivers Pools Recreational Water Legionella ' Outbreak N Sanitation Public Drinking \ Water LHD Preparation^ ) Contamination^ - Infrastruci Support Seasonal Staff Emergency / Preparation Chemical Pollutants Private Water \ Affordability ^andHea/f 7 V^C 7 9 Environmental Health Concerns J Porous Pavement Community Design Childcare © Policy, Regulation, & Enforcement , Superfund Asbestos - Mold Waste Management Healthy ' Housing Lead Prevention SRTS Safety A i Sustainable Programs Environmental Surveillance Primary © Disease Prevention Clustering Epidemiologic Surveillance s Environmentally Damaging Consumer Products Unsafe Disposal^ Quality Affordability Availability Prevention \ Inequity ^ \ / Intergenerational NYT1619 Project \ Surveillance & Prevention NEARS Best Practices Foodborne Illness Outbreaks Investment in Remediating Hazards in Marginalized Communities History Environmental Mitigation / Environmental Detection Disparate Exposure Exposure / Resistance Lead & ' Heavy Metals O Sources/ - Enviro Media e9Uity POC Tribes/Territories LGBTQ Disabled Pre-existing Conditions Elderly 0 Children Pregnant Houseless Rural Undocumented Refugee Low Income © _Vaping -Asthma Housing Developmental Sensitivity ^ Sewage * Treatment Safety Basic / Drinking Needs Water ftt Policy, Regulation, & Enforcement Crop — Quality Agricultural Practices - Nuritition _Foodi Safety .LHDTraining Emerging Trends - Inspection — Restaurant Grading Food Security / \ Affordability Thre Standard Retail • Framework (FDA Food Code) Carcinogens 0 Obesogens Endocrine Disruptors Consumer Products Industrial Byproducts Microplastics ^ PFAS Q Unknown Hazards v Forever Chemicals \ Toxins Biomonitoring Dose Extrapolation Toxicology Research 0 Laboratory Infrastructure / Toxicity- Environmental Fate & Degradation \ Chemical Exposure Pathway Modeling ^ Chronic Exposure Clinical Testing Clinical Diagnosis Follow-up & Registry Drug Therapy Organ Systems Affected Comorbid Disease Preventi on/Screening _ Scientific Literature Evidence Social Capital Financial Capital — - Policy/Economics Social/Behavioral Sustainable, Inclusive Urban Planning Labor - Unions Self Determination Voting AdvocacyX\""^ \ \ Action \ Disenfranchisement Consumer Choice Structural Racism ------- |