Prevention Agenda 2019-2024: Promote a Healthy and Safe Environment Action Plan

Promote a Healthy and Safe Environment Action Plan (PDF, 1.1MB, 49pp.)

Table of Contents

Overview

The 2019-2024 State Health Improvement Plan to "Promote a Healthy and Safe Environment" in New York State focuses on five core areas that impact health. These are: the quality of the water we drink and enjoy for recreation; the air we breathe; the food and products we ingest and use; the built environments where we live, work, learn and play; as well as injuries, violence and occupational health. "Environment," as used here, incorporates all dimensions of the physical environment that impact health and safety.

The Plan was developed by the Department's Center for Environmental Health in collaboration with diverse stakeholders representing environmental; occupational health; violence and injury prevention; health care providers, local, State and Federal government agencies; community based and non-profit organizations; and academic and research organizations.

The Plan is organized by focus area and includes goals, objectives, and evidence-based interventions. Additional information about the focus areas can be found in the NYS Health Assessment.


Focus Area 1. Injuries, Violence and Occupational Health

Goal 1.1 Reduce falls among vulnerable populations

Target 4.1 per 10,000
Baseline 4.1 per 10,000
Baseline Year 2016
Data Source Vital Statistics Death Files
Data Level state, county level
Target 170.1 per 10,000
Baseline 179.9 per 10,000
Baseline Year 2016
Data Source SPARCS
Data Level state, county level
Evidence and Resources

Evidence Base: National Council on Aging comprehensive list of evidence-based falls prevention programs

https://www.ncoa.org/healthy-aging/falls-prevention/falls-prevention-programs-for-older-adults-2/

Implementation Resources: Centers for Disease Control and Prevention (CDC) Guide to Implementing Effective Community Based Fall Prevention Programs

https://www.cdc.gov/homeandrecreationalsafety/falls/community_preventfalls.html

NYSDOH and Broome County Health Department Falls Prevention Video https://www.youtube.com/watch?v=XxDr4V06KaU&feature=youtu.be

Age Range Older Adults (65+ years), people with disabilities
Social Determinants Addressed Housing
Transportation
Health Care
Built Environment
Lead Sectors Governmental Public Health Agencies
Healthcare Delivery system
Community or neighborhood residents
CBOs and Human service agencies
Intermediate-level Measure Example Number of staff or community partners trained to provide evidence-based programs.
Additional Intermediate-level Measure Example(s) Number of older adults that have taken evidence-based classes.
Evidence and Resources

Evidence Base: Johnston, Y., Bergen, G., Bauer, M., Parker, E., Wentworth, L., McFadden, M., Reome, C., Garnett, M. (2018). Implementation of the Stopping Elderly Accidents Deaths and Injuries (STEADI) Initiative in Primary Care: An Outcome Evaluation. The Gerontologist, gny101, https://doi.org/10.1093/geront/gny101

Implementation Resources: CDC STEADI (Stopping Elderly Accidents, Deaths & Injuries) initiative

https://www.cdc.gov/steadi/

Age Range Older Adults (65+ years), people with disabilities
Social Determinants Addressed Housing
Transportation
Health Care
Built Environment
Lead Sectors Healthcare Delivery system
Contributing Sectors Governmental Public Health Agencies
CBOs and Human service agencies
Intermediate-level Measure Example Number of older adults screened for fall risk.
Additional Intermediate-level Measure Example(s) Number of older adults at risk for falls given a falls plan of care
Evidence and Resources

Evidence Base: Panel on Prevention of Falls in Older Persons, American Geriatrics Society and British Geriatrics Society. Summary of the Updated American Geriatrics Society/British Geriatrics Society clinical practice guideline for prevention of falls in older persons. J Am Geriatr. Soc. 2011;59(1):148-157.

Implementation Resources:

CDC Check for Safety: A Home Fall Prevention Checklist for Older Adults

https://www.cdc.gov/steadi/pdf/check_for_safety_brochure-a.pdf

New York City Department of Health and Mental Hygiene Falls Prevention Home Safety Checklist

https://www1.nyc.gov/assets/doh/downloads/pdf/ip/prevent-falls-checklist.pdf

Age Range Older Adults (65+ years), people with disabilities
Social Determinants Addressed Housing
Transportation
Health Care
Built Environment
Lead Sectors Healthcare Delivery system
Contributing Sectors Governmental Public Health Agencies
CBOs and Human service agencies
Housing agencies
Other contributing sectors: Dormitory Authority of State of New York
Intermediate-level Measure Example Number of homes assessed for fall risk with modifications made
Evidence and Resources

Evidence Base: Shubert, T. E., Smith, M.L., Jiang, L., Jiang and M. G. Ory (2016). "Disseminating the Otago Exercise Program in the United States: Perceived and Actual Physical Performance Improvements From Participants." J Appl Gerontol.

Implementation Resources: American Hospital Association, Tools to Implement the Otago Exercise Program: A Program to Reduce Falls

http://www.hret-hiin.org/resources/display/tools-to-implement-the-otago-exercise-program-a-program-to-reduce-falls


Age Range Older Adults (65+ years), people with disabilities
Social Determinants Addressed Housing
Transportation
Health Care
Built Environment
Lead Sectors Healthcare Delivery system
Intermediate-level Measure Example Number of older adults given exercise and fall prevention activities during physical or occupational therapy.
Evidence and Resources

Evidence Base: Panel on Prevention of Falls in Older Persons, American Geriatrics Society and British Geriatrics Society. Summary of the Updated American Geriatrics Society/British Geriatrics Society clinical practice guideline for prevention of falls in older persons. J Am Geriatr. Soc. 2011;59(1):148-157.

Implementation Resources: CDC STEADI initiative

https://www.cdc.gov/steadi/training.html
Age Range Older Adults (65+ years), people with disabilities
Social Determinants Addressed Health Care
Lead Sectors Healthcare Delivery system
Contributing Sectors Governmental Public Health Agencies
CBOs and Human service agencies
Intermediate-level Measure Example Number of pharmacists engaged.
Additional Intermediate-level Measure Example(s) Number of pharmacists committed to medication review and management for older adults. (Both would be measured at a local level).

Goal 1.2 Reduce violence by targeting prevention programs particularly to highest risk populations

Target 0.32 per 10,000
Baseline 0.35 per 10,000
Baseline Year 2016
Data Source Vital Statistics Death Files
Data Level state, county level
Target 3.0 per 10,000
Baseline 3.3 per 10,000
Baseline Year 2016
Data Source NYS SPARCS Data
Data Level state, county level
Target 38.1 per 10,000
Baseline 42.3 per 10,000
Baseline Year 2016
Data Source SPARCS
Data Level state, county level
Target 0.38 per 10,000
Baseline 0.42 per 10,000
Baseline Year 2016
Data Source NYS SPARCS Data
Data Level state, county level
Evidence and Resources

Evidence Base: John Jay College of Criminal Justice

https://johnjayrec.nyc/cureviolence/

Cure Violence, Scientific Evaluation Results

http://cureviolence.org/results/scientific-evaluations/

SNUG Evaluation

https://www.rit.edu/cla/criminaljustice/sites/rit.edu.cla.criminaljustice/files/docs/WorkingPapers/2013/2013-10.pdf

Implementation Resources: Cure Violence

http://cureviolence.org

Cure Violence New York (SNUG State and Cure Violence NYC Sites)

http://cureviolence.org/partners/us-partners/snug/

New York City Office to Prevent Gun Violence, Crisis Management System https://www1.nyc.gov/site/peacenyc/interventions/crisis-management.page

Age Range New Yorkers of all Ages
Social Determinants Addressed Economic Stability
Education
Food Security
Housing
Community Cohesion
Built Environment
Lead Sectors Governmental Public Health Agencies
Healthcare Delivery system
Community or neighborhood residents
CBOs and Human service agencies
Governmental Public Safety Agencies
Contributing Sectors Colleges and Universities
Policy makers and elected officials
Intermediate-level Measure Example Number of multi-sector violence prevention programs.
Additional Intermediate-level Measure Example(s) Number or partners involved in the violence prevention programs.
Number of New Yorkers served a range of intervention/programs.
Evidence and Resources

Evidence Base: Fenton, R.A., Mott, H.L., McCartanm K., and Rumney, P.N.S. (2015) Public Health England review of evidence for bystander intervention to prevent sexual and domestic violence in universities. London: Public Health England and Bristol University of the West of England

http://www2.uwe.ac.uk/faculties/BBS/BUS/law/Law%20docs/dvlitreviewproof0.6.forCLR.pdf

CDC Sexual Violence Prevention Strategies

https://www.cdc.gov/violenceprevention/sexualviolence/prevention.html

CDC Prevention STOP Sexual Violence, A Technical Package to Prevent Sexual Violence

https://www.cdc.gov/violenceprevention/pdf/SV-Prevention-Technical-Package.pdf

Implementation Resources:

Culture of Respect, Bringing in the Bystander

https://cultureofrespect.org/program/bringing-in-the-bystander/

National Institute of Justice, Green Dot Intervention Program

https://www.crimesolutions.gov/ProgramDetails.aspx?ID=509

NYSDOH Enough is Enough Program

https://www.health.ny.gov/prevention/sexual_violence/enough_is_enough.htm

NYSDOH Rape Prevention and Education Program

https://www.health.ny.gov/prevention/sexual_violence/education_program.htm

New York State Education Department: Social Emotional Learning: Essential for Learning, Essential for Life

http://www.p12.nysed.gov/sss/documents/SELEssentialforLearningandLife.pdf

New York City Office to Prevent Gun Violence, Crisis Management System https://www1.nyc.gov/site/peacenyc/interventions/crisis-management.page

Cure Violence New York (SNUG State and Cure Violence NYC Sites)

http://cureviolence.org/partners/us-partners/snug/

Age Range New Yorkers of all Ages
Social Determinants Addressed Education
Community Cohesion
Lead Sectors Colleges and Universities
Schools (K-12)
Community or neighborhood residents
Governmental Educational Agencies
Contributing Sectors Governmental Public Health Agencies
Healthcare Delivery system
CBOs and Human service agencies
Policy makers and elected officials
Other contributing sectors: Criminal Justice partners
Intermediate-level Measure Example Number of schools, Colleges/University, and Community programs engaged in conflict resolution, bystander interventions, and healthy relationship building.
Evidence and Resources

Evidence Base: Santaella-Tenorio, J., Cerda, M., Villaveces, A., Galea, S., What Do We Know About the Association Between Firearm Legislation and Firearm-Related Injuries? Epidemiologic Reviews, Volume 38, Issue 1, 1, January 2016, Pages 140-157, https://doi.org/10.1093/epirev/mxv012

Rowhani-Rahbar, A., Simonetti, J.A., Rivara. F.P., Effectiveness of Interventions to Promote Safe Firearm Storage, Epidemiologic Reviews, Volume 38, Issue 1, 1 January 2016, Pages 111-124, https://doi.org/10.1093/epirev/mxv006

Implementation Resources: Prevention Institute: Gun Violence Must Stop. Here's What We Can Do to Prevent More Deaths

https://www.preventioninstitute.org/focus-areas/preventing-violence-and-reducing-injury/preventing-violence-advocacy

New York City Office to Prevent Gun Violence, Crisis Management System https://www1.nyc.gov/site/peacenyc/interventions/crisis-management.page

Age Range New Yorkers of all Ages
Social Determinants Addressed Economic Stability
Housing
Lead Sectors Policy makers and elected officials
Community advocates
Contributing Sectors Governmental Public Health Agencies
Community or neighborhood residents
Other contributing sectors: Governmental Public Safety Agencies, Law Enforcement
Intermediate-level Measure Example Propose and pass gun safety legislation.
Additional Intermediate-level Measure Example(s) Promote use of locked gun safes.
Strengthen gun purchasing laws.
Evidence and Resources

Evidence Base: Cerda. M., Morenoff, J., Hansen, B., Tessari Hicks, K.J., Duque, L.F., Restrepo, A., Diez-Roux, A.V., Reducing Violence by Transforming Neighborhoods: A Natural Experiment in Medellin, Colombia. Am J. Epidemiol, 2012 May 15; 175(10): 1045-1053. https://academic.oup.com/aje/article/175/10/1045/89012

Implementation Resources: New York State Department of State: Opportunities Waiting To Happen, Redeveloping Abandoned Buildings and Sites to Revitalize Communities https://www.dos.ny.gov/opd/programs/pdfs/Guidebooks/ab/AbandonedBuildings.pdf

New York State Department of Environmental Conservation (NYSDEC), Brownfield Cleanup Program

https://www.dec.ny.gov/chemical/8450.html

Michigan Youth Violence Prevention Center

http://yvpc.sph.umich.edu/

Age Range New Yorkers of all Ages
Social Determinants Addressed Housing
Built Environment
Lead Sectors Governmental Public Health Agencies
Governmental Public Safety Agencies
Contributing Sectors Community or neighborhood residents
CBOs and Human service agencies
Economic development agencies
Natural environment agencies
Urban planning agencies
Intermediate-level Measure Example Number of environmental risks addressed.
Evidence and Resources

Evidence Base: Miller, C., Millenky, M., Schwartz, L., Goble, L., Stein, J., Building a Future: Interim Impact Findings from the YouthBuild Evaluation. Washington, DC: MDRC in partnership with Mathematica Policy Research.

https://www.mathematica-mpr.com/our-publications-and-findings/publications/building-a-future-interim-impact-findings-from-the-youthbuild-evaluation

Implementation Resources: CDC's STRYVE: Striving to Reduce Youth Violence Everywhere https://www.cdc.gov/violenceprevention/stryve/index.html

New York State Department of Labor's Apprenticeship Program.

https://labor.ny.gov/formsdocs/app/p532.pdf

New York State Department of Labor's Youth Jobs Program.

https://labor.ny.gov/careerservices/youth-tax-credit.shtm

WorkforceGPS Youth Apprenticeship.

https://apprenticeshipusa.workforcegps.org/resources/2017/02/02/10/56/Apprenticeship-Youth

Age Range New Yorkers of all Ages
Social Determinants Addressed Economic Stability
Education
Lead Sectors Governmental Public Health Agencies
Employers, businesses and unions
Colleges and Universities
Schools (K-12)
CBOs and Human service agencies
Contributing Sectors Policy makers and elected officials
Economic development agencies
Natural environment agencies
Urban planning agencies
Intermediate-level Measure Example Number of new educational, recreational, and employment opportunities.

Goal 1.3 Reduce occupational injury and illness

Target Ratio of the rate of black non-Hispanics to white non-Hispanics 1.0 per 10,000. Ratio of the rate of Hispanics to white non-Hispanics 1.5 per 10,000.
Baseline Ratio of the rate of black non-Hispanics to white non-Hispanics 0.89 per 10,000. Ratio of the rate of Hispanics to white non-Hispanics 1.64 per 10,000.
Baseline Year
Data Source NYSDOH, statewide Planning and Research Cooperative System.
Data Level state level
Target Ratio of the rate of black non-Hispanics to white non-Hispanics 1.2 per 10,000. Ratio of the rate of Hispanics to white non-Hispanics 1.0 per 10,000.
Baseline Ratio of the rate of black non-Hispanics to white non-Hispanics 1.33 per 10,000. Ratio of the rate of Hispanics to white non-Hispanics 0.93 per 10,000.
Baseline Year
Data Source NYSDOH, statewide Planning and Research Cooperative System.
Data Level state level
Target 19.2 per 10,000
Baseline 21.32 per 10,000
Baseline Year
Data Source NYSDOH, statewide Planning and Research Cooperative System.
Data Level state level
Evidence and Resources

Evidence Base: CDC National Institute for Occupational Safety and Health (NIOSH), Institute for Work & Health, A systematic review of the effectiveness of training & education for the protection of workers

https://www.cdc.gov/niosh/docs/2010-127/pdfs/2010-127.pdf

Implementation Resources: National Council for Occupational Safety and Health - Local COSH Groups

http://www.coshnetwork.org/COSHGroupsList

New York State Occupational Health Clinic Network

https://www.health.ny.gov/environmental/workplace/clinic_network.htm
Age Range Adolescents (ages 13-21) || Adults (ages 21-60) || Older adults (60+)
Social Determinants Addressed Natural Environment
Built Environment
Lead Sectors Employers, businesses and unions
Contributing Sectors Media
CBOs and Human service agencies
Other contributing sectors: Committee for Occupational Safety and Health (COSH) groups
Intermediate-level Measure Example Identify high-risk workers and employers and identify potential risks in these jobs as a first step to developing educational materials/training.
Evidence and Resources

Evidence Base: CDC NIOSH, Promoting Safe Work for Young Workers

https://www.cdc.gov/niosh/docs/99-141/pdfs/99-141.pdf

Implementation Resources: CDC NIOSH, Youth@Work-Talking Safety Curriculum for New York:

https://www.cdc.gov/niosh/talkingsafety/states/ny/2015-138/default.html
Age Range Adolescents (13-21)
Social Determinants Addressed Natural Environment
Built Environment
Lead Sectors Governmental Public Health Agencies
Contributing Sectors Employers, businesses and unions
Media
Schools (K-12)
Other contributing sectors: Committee for Occupational Safety and Health (COSH) groups, BOCES, NYS Department of Education
Intermediate-level Measure Example Identify industries and employers where large number of young workers are employed and target one to two for education.
Evidence and Resources

Evidence Base: CDC NIOSH, Collecting and Using I&O Data: https://www.cdc.gov/niosh/topics/coding/collecting.html

American Public Health Association, Incorporating Occupational Information in Electronic Health Records

https://www.apha.org/policies-and-advocacy/public-health-policy-statements/policy-database/2014/07/11/16/27/incorporating-occupational-information-in-electronic-health-records

Implementation Resources:

Regional Health Information Organizations (RHIOs)

https://www.nyacp.org/i4a/pages/index.cfm?pageID=3760&activateFull=true
Age Range Adolescents (13-21) || Adults (ages 21-60) || Older Adults (60+)
Social Determinants Addressed Health Care
Built Environment
Lead Sectors Healthcare Delivery system
Contributing Sectors Governmental Public Health Agencies
Employers, businesses and unions
Policy makers and elected officials
Other contributing sectors: Regional Health Information Organization
Intermediate-level Measure Example Provide methods to link electronic reporting records with occupational health registries and databases.
Additional Intermediate-level Measure Example(s) Require that all NYSDOH databases collect information on occupation and industry.

Goal 1.4 Reduce traffic related injuries for pedestrians and bicyclists

Target 1.43 per 100,000
Baseline 1.59 per 100,000
Baseline Year 2016
Data Source Vital Statistic Death Files
Data Level state, county level
Target 26.09 per 100,000
Baseline 28.99 per 100,000
Baseline Year 2016
Data Source SPARCS
Data Level state, county level
Evidence and Resources

Evidence Base: Countermeasures that Work: A Highway Safety Countermeasure Guide For State Highway Safety Offices, Ninth Edition 2017 (pdf)

Implementation Resources:

National Highway Traffic Safety Administration

www.nhtsa.gov/road-safety

New York State Governor's Traffic Safety Committee

www.safeny.ny.gov

NYSDOH Pedestrian Safety

www.health.ny.gov/prevention/injury_prevention/pedestrians.htm

New York State Department of Transportation

www.dot.ny.gov/index

New York State Pedestrian Safety Action Plan

www.ny.gov/programs/pedestrian-safety-action-plan

NYS Pedestrian Safety, Tips for Drivers and Pedestrians, and Projects

www.ny.gov/pedestrian-safety/pedestrian-safety-and-projects#pedestrian-safety

NYS Pedestrian Safety Resources

www.ny.gov/pedestrian-safety/additional-information#resources

Pedestrian Bicycle and Information Center

www.pedbikeinfo.org

Age Range New Yorkers of all Ages
Social Determinants Addressed Education
Transportation
Built Environment
Lead Sectors Governmental Public Health Agencies
Transportation agencies
Contributing Sectors Community or neighborhood residents
CBOs and Human service agencies
Urban planning agencies
Other contributing sectors: Local Law Enforcement Agencies
Intermediate-level Measure Example Establishment of community based pedestrian safety partnerships/coalitions committed to engaging in education, engineering, and/or enforcement activities.
Additional Intermediate-level Measure Example(s) Number of partners participating.
Number of pedestrian safety educational activities planned and/or conducted.
Number of infrastructure improvements planned, built, and/or installed.
Evidence and Resources

Evidence Base: US Department of Transportation, National Highway Traffic Safety Administration, Countermeasures that Work: A Highway Safety Countermeasure Guide for State Highway Safety Offices, Ninth Edition 2017

https://www.nhtsa.gov/sites/nhtsa.dot.gov/files/documents/812478_v5_countermeasures-that-work-a-highway-safety-countermeasures-guide-9thedition-2017.pdf

Implementation Resources:

National Highway Traffic Safety Administration

www.nhtsa.gov/road-safety

New York State Governor's Traffic Safety Committee

http://safeny.ny.gov/peds-ndx.htm#Programs

NYSDOH Pedestrian Safety

www.health.ny.gov/prevention/injury_prevention/pedestrians.htm

New York State Department of Transportation

www.dot.ny.gov/index

New York State Pedestrian Safety Action Plan

www.ny.gov/programs/pedestrian-safety-action-plan

Pedestrian Bicycle and Information Center

www.pedbikeinfo.org


Age Range Law enforcement (Adults aged 21 - 60) || Older Adults (60+)
Social Determinants Addressed Transportation
Built Environment
Lead Sectors Governmental Public Health Agencies
Transportation agencies
Contributing Sectors CBOs and Human service agencies
Other contributing sectors: Local Law Enforcement Agencies
Intermediate-level Measure Example Number of Law Enforcement Officers trained.
Additional Intermediate-level Measure Example(s) Increase in tickets written for pedestrian law violations for both drivers and pedestrians
Evidence and Resources

Evidence Base: US Department of Transportation, National Highway Traffic Safety Administration, Countermeasures that Work: A Highway Safety Countermeasure Guide for State Highway Safety Offices, Ninth Edition 2017

https://www.nhtsa.gov/sites/nhtsa.dot.gov/files/documents/812478_v5_countermeasures-that-work-a-highway-safety-countermeasures-guide-9thedition-2017.pdf

CDC Bicycle Helmet Laws for Children

www.cdc.gov/motorvehiclesafety/calculator/factsheet/bikehelmet.html

Implementation Resources: Countermeasures that Work: A Highway Safety Countermeasure Guide For State Highway Safety Offices, Ninth Edition 2017

https://www.nhtsa.gov/sites/nhtsa.dot.gov/files/documents/812478_countermeasures-that-work-a-highway-safety-countermeasures-guide-.pdf

National Highway Traffic Safety Administration

www.nhtsa.gov/road-safety

New York State Governor's Traffic Safety Committee

www.safeny.ny.gov/bike-ndx.htm

NYSDOH Bicycle and Wheeled Recreation Safety

https://www.health.ny.gov/prevention/injury_prevention/bicycles.htm

CDC Bicycle Safety

https://www.cdc.gov/motorvehiclesafety/bicycle/index.html

Pedestrian Bicycle and Information Center

www.pedbikeinfo.org

Age Range Primary: Children and Adolescents || Secondary: New Yorker of all Ages
Social Determinants Addressed Transportation
Lead Sectors Governmental Public Health Agencies
Transportation agencies
Contributing Sectors Healthcare Delivery system
Schools (K-12)
CBOs and Human service agencies
Other contributing sectors: Law Enforcement Agencies
Intermediate-level Measure Example Number of helmets fitted and distributed.

Focus Area 2. Outdoor Air Quality

Goal 2.1 Reduce exposure to outdoor air pollutants

Target 3 days
Baseline 17 days
Baseline Year 2018
Data Source NYSDEC Monitoring Data compared to current NAAQS
Data Level state, county level
Target
Baseline
Baseline Year
Data Source
Data Level
Evidence and Resources

Evidence Base: The National Ambient Air Quality Standards (NAAQS) for Particle Pollution https://www.epa.gov/sites/production/files/2016-04/documents/health_2012_factsheet.pdf

US EPA Ozone Pollution

https://www.epa.gov/ozone-pollution

Implementation Resources:

NYSDEC AQI Forecast

https://www.dec.ny.gov/cfmx/extapps/aqi/aqi_forecast.cfm

US EPA AirNow

https://www.airnow.gov/

Age Range New Yorkers of all Ages
Social Determinants Addressed Transportation
Community Cohesion
Health Care
Natural Environment
Lead Sectors Governmental Public Health Agencies
Natural environment agencies
Contributing Sectors Healthcare Delivery system
Employers, businesses and unions
Insurers
Media
CBOs and Human service agencies
Transportation agencies
Other contributing sectors: Office of the Aging, Education Department, Asthma Partners of New York
Intermediate-level Measure Example Number of air quality Health Advisories issued each year in NYS.
Additional Intermediate-level Measure Example(s) Increase the number of counties in NYS that are in attainment of the National Ambient Air Quality Standards
Evidence and Resources

Evidence Base:

National Association of County and City Health Officials, Taking Action to Address the Public Health Impact of Wildfire Smoke

https://nacchovoice.naccho.org/2018/05/03/taking-action-to-address-the-public-health-impact-of-wildfire-smoke/

CDC Protect Yourself from Wildfire Smoke

https://www.cdc.gov/features/wildfires/index.html

CDC Wildfire Smoke

https://www.cdc.gov/disasters/wildfires/smoke.html

Implementation Resources: US EPA Guide for Public Health Officials - Wildfire Smoke

https://www3.epa.gov/airnow/wildfire_may2016.pdf

Age Range New Yorkers of all Ages
Social Determinants Addressed Transportation
Community Cohesion
Health Care
Natural Environment
Built Environment
Lead Sectors Governmental Public Health Agencies
Transportation agencies
Natural environment agencies
Contributing Sectors Healthcare Delivery system
Media
Schools (K-12)
CBOs and Human service agencies
Policy makers and elected officials
Urban planning agencies
Other contributing sectors: Emergency Preparedness
Intermediate-level Measure Example Enhance collaborations that will allow a weight of evidence approach (NYSDEC air monitoring data, NYSDOT or other public video feeds, reports of visible smoke impacts, and media reports) to track and monitor conditions to determine those events that warrant a local smoke advisory warning.
Evidence and Resources

Evidence Base:

State and Territorial Air Pollution Program Administrators and Association of Local Air Pollution Control Officials, Reducing Greenhouse Gases and Air Pollution: A Menu of Harmonized Options

http://www.oecd.org/environment/cc/2055676.pdf

World Health Organization, Air Pollution Guidance

http://www.who.int/ipcs/assessment/public_health/air_pollution/en/

Journal of Urban Health, How can Urban Policies Improve Air Quality and Help Mitigate Global Climate Change: a Systematic Mapping Review

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4794467/

Implementation Resources:

NYS Taking Action to Reduce Climate Change Pollution

https://www.governor.ny.gov/news/no-166-redoubling-new-yorks-fight-against-economic-and-environmental-threats-posed-climateExecutive Order No. 166

US EPA Clean Air Act Overview

https://www.epa.gov/clean-air-act-overview/benefits-and-costs-clean-air-act-1990-2020-second-prospective-study

NYSDEC, Air

https://www.dec.ny.gov/chemical/281.html

NYSDEC, Tips to Keep Air Clean

https://www.dec.ny.gov/public/43563.html

NYSDEC, Executive Order 4

https://www.dec.ny.gov/energy/71389.html

Age Range New Yorkers of all Ages
Social Determinants Addressed Economic Stability
Housing
Transportation
Community Cohesion
Health Care
Natural Environment
Built Environment
Lead Sectors Governmental Public Health Agencies
Natural environment agencies
NYS Energy Research and Development Agency
Contributing Sectors Employers, businesses and unions
Community or neighborhood residents
CBOs and Human service agencies
Policy makers and elected officials
Transportation agencies
Urban planning agencies
Intermediate-level Measure Example Reduce local government building GHG emissions to meet the Governor's "40-by-30" goals (40% below 1990 levels by 2030).
Additional Intermediate-level Measure Example(s) Reduce releases of pollutants from stationary sources (e.g., industrial, food service, residential heating) and mobile sources (e.g., rail, marine, and on and off- road vehicles) that contribute to local and regional pollutant levels.

Focus Area 3. Built and Indoor Environments

Goal 3.1 Improve design and maintenance of the built environment to promote healthy lifestyles, sustainability and adaptation to climate change

Target 8.625%
Baseline 7.5%
Baseline Year 2017
Data Source NYSDEC Climate Smart Communities program.
Data Level state, county level
Target .47775
Baseline 0.455
Baseline Year 2017
Data Source US Census American Community Survey
Data Level state, county level
Target
Baseline
Baseline Year
Data Source
Data Level
Target .93
Baseline .63
Baseline Year 2018
Data Source NYS Cooling Tower Registry
Data Level state, county level
Target
Baseline
Baseline Year
Data Source
Data Level
Evidence and Resources

Evidence Base:

Balbus, J.M et al. A wedge-based approach to estimating health co-benefits of climate change mitigation activities in the United States. Climatic Change. 2014; 127: 199-210.

Gao, J. et al. Public health co-benefits of greenhouse gas emissions reduction: A systematic review. Sci Total Environ. 2018; 627: 388-402.

Implementation Resources:

Certification process information

https://climatesmart.ny.gov/ .

NYSDEC Climate Smart Communities Pledge

https://www.dec.ny.gov/energy/65494.html

Age Range New Yorkers of all Ages
Social Determinants Addressed Transportation
Community Cohesion
Health Care
Natural Environment
Built Environment
Lead Sectors Governmental Agencies (Local Government)
Contributing Sectors Governmental Public Health Agencies
Community or neighborhood residents
CBOs and Human service agencies
Policy makers and elected officials
Transportation agencies
Economic development agencies
Natural environment agencies
Urban planning agencies
Intermediate-level Measure Example Number of certified communities
Additional Intermediate-level Measure Example(s) Number of communities working towards certification
Evidence and Resources

Evidence Base: The Use of Cooling Centers to Prevent Heat-Related Illness: Summary of Evidence and Strategies for Implementation (Climate and Health Technical Report Series Climate and Health Program, Centers for Disease Control and Prevention)

https://www.cdc.gov/climateandhealth/docs/UseOfCoolingCenters.pdf

Implementation Resources: NYSDOH Cooling Centers Information and Resources https://www.health.ny.gov/environmental/weather/cooling/

NYSDOH interactive map application to identify nearest Cooling Center

https://apps.health.ny.gov/statistics/environmental/public_health_tracking/tracker/#/CCMap

NYSDOH Heat Vulnerability Index to assist local public health leaders and emergency planners identify areas with populations with greatest vulnerability to heat to mitigate the public health impact of heat in their area https://www.health.ny.gov/environmental/weather/vulnerability_index/

NYSDOH County heat and health profile reports and summaries of county level temperature trends, heat-related health effects, and list some adaptation resources https://www.health.ny.gov/environmental/weather/profiles/

Age Range New Yorkers of all Ages; certain populations are more vulnerable to heat than others including children and the elderly
Social Determinants Addressed Community Cohesion
Health Care
Natural Environment
Built Environment
Lead Sectors Governmental Public Health Agencies
Contributing Sectors Employers, businesses and unions
Media
Colleges and Universities
Community or neighborhood residents
CBOs and Human service agencies
Policy makers and elected officials
Transportation agencies
Economic development agencies
Natural environment agencies
Urban planning agencies
Other contributing sectors: Public Libraries, Senior Centers, Fire Departments, Municipalities, Non-Profit Organizations (e.g., American Red Cross)
Intermediate-level Measure Example Number of counties currently participating in the program.
Number of designated cooling centers across NYS.
Additional Intermediate-level Measure Example(s) Number of households receiving cooling assistance through HEAP.
Number of people using cooling centers.
Evidence and Resources

Evidence Base:

Community Preventive Services Task Force Recommendation for Built Environment Interventions to Increase Physical Activity

https://www.thecommunityguide.org/content/combined-built-environment-features-help-communities-get-active

Implementation Resources:

NYSDEC Green Your Commute Information

https://www.dec.ny.gov/public/96405.html

511NY Rideshare

https://511nyrideshare.org/

NYSDEC Climate Smart Community Grant Program

http://www.dec.ny.gov/energy/109181.html#CSC .

NYSDEC Climate Smart Communities Certification Actions

https://climatesmart.ny.gov/actions-certification/actions/

NYSDOT Complete Streets

https://www.dot.ny.gov/programs/completestreets

Smart Growth America

Safer Streets, Stronger Economies: Complete Streets project outcomes from across the country

https://www.smartgrowthamerica.org/app/uploads/2016/08/safer-streets-stronger-economies.pdf

CDC Transportation Health Impact Assessment Toolkit

https://www.cdc.gov/healthyplaces/transportation/promote_strategy.htm

Age Range New Yorkers of all Ages
Social Determinants Addressed Community Cohesion
Health Care
Natural Environment
Built Environment
Lead Sectors Governmental Agencies (Local Governments)
Contributing Sectors Governmental Public Health Agencies
Community or neighborhood residents
CBOs and Human service agencies
Policy makers and elected officials
Transportation agencies
Economic development agencies
Natural environment agencies
Urban planning agencies
Intermediate-level Measure Example Miles of active transportation opportunities within jurisdiction
Additional Intermediate-level Measure Example(s) Number of projects designed to enhance active transportation opportunities within jurisdiction
Evidence and Resources

Evidence Base: CDC Cooling Towers

https://www.cdc.gov/healthywater/other/industrial/cooling_towers.html

Implementation Resources: NYSDOH Protection Against Legionella

https://www.health.ny.gov/environmental/water/drinking/legionella/index.htm

10 NYCRR Subpart 4-1 Cooling Towers Regulation

https://regs.health.ny.gov/content/subpart-4-1-cooling-towers

ASHRAE Standard 188-2015 Legionellosis: Risk Management for Building Water Systems p. 7-8 https://www.ashrae.org/technical-resources/standards-and-guidelines#188

Age Range New Yorkers of all Ages; Adults over 50 are at the highest risk for legionellosis
Social Determinants Addressed Built Environment
Lead Sectors Governmental Public Health Agencies
Contributing Sectors Employers, businesses and unions
Intermediate-level Measure Example Number of registered towers and the percent of towers in compliance. (By 2021: 78% compliance)
Evidence and Resources

Evidence Base: CDC Healthcare Water Management Program Frequently Asked Questions

https://www.cdc.gov/legionella/wmp/healthcare-facilities/healthcare-wmp-faq.html

Implementation Resources:

NYSDOH Protection Against Legionella: Residential and Health Care Facility Requirements

https://www.health.ny.gov/environmental/water/drinking/legionella/hospitals_health_care.htm

10 NYCRR Subpart 4-2 Health Care Facility Regulation

https://regs.health.ny.gov/content/subpart-4-2-health-care-facilities

CDC Guidance on Legionella

https://www.cdc.gov/legionella/wmp/healthcare-facilities/healthcare-wmp-faq.html

Federal Register, Centers for Medicare and Medicaid Services (CMS), 42 CFR 483.80

https://www.federalregister.gov/documents/2016/10/04/2016-23503/medicare-and-medicaid-programs-reform-of-requirements-for-long-term-care-facilities

CMS Survey and Certification Memo S&C 17-30-All, dated 6/2/2017 (revised 6/9/2017) https://www.cms.gov/Medicare/Provider-Enrollment-and-Certification/SurveyCertificationGenInfo/Downloads/Survey-and-Cert-Letter-17-30.pdf

Age Range New Yorkers of all Ages; Adults over 50 are at the highest risk for legionellosis and the most likely to be patients/residents of Article 28 facilities.
Social Determinants Addressed Built Environment
Lead Sectors Healthcare Delivery system
Contributing Sectors Governmental Public Health Agencies
Intermediate-level Measure Example Number of trainings and resources provided.
Additional Intermediate-level Measure Example(s) Sampling and management plans (water management plan) submitted that contain evidence of effective facility water management practices.

Goal 3.2 Promote healthy home and school environments

Target 1 year old: 95% 2 year old: 95%
Baseline 1 year old: 58.72% 2 year old: 56.82%
Baseline Year 2017
Data Source New York state immunization Information System, 2017 Aggregate Clinical Performance Report
Data Level state, county level
Target 8000 units annually
Baseline 7861 initial home visits
Baseline Year 2016
Data Source NYSDOH Childhood Lead Poisoning Prevention Program Reports and other program data
Data Level state, county level
Target
Baseline
Baseline Year
Data Source
Data Level
Target 50000 tests per year (3 year average)
Baseline 37563 tests per year (3 year average)
Baseline Year 2015-2017
Data Source NYSDOH Radon Database/Application and Dataset per 10 NYCRR Part 16.130(b)(1))
Data Level state, county level
Target 3700 homes per year (3 year average)
Baseline 3439 homes per year (3-year average)
Baseline Year 2015-2017
Data Source Dataset per 10 NYCRR Part 16.130(b)(3))
Data Level state, county level
Target
Baseline
Baseline Year
Data Source
Data Level
Target 10%
Baseline 0.2%
Baseline Year
Data Source NYSDOH database maintained by the Clean, Green, and Healthy Schools program as schools enroll
Data Level state, county level
Target
Baseline
Baseline Year
Data Source
Data Level
Evidence and Resources

Evidence Base: CDC guidance on lead action levels and follow-up https://www.cdc.gov/nceh/lead/acclpp/actions_blls.html

CDC Preventing Lead Poisoning in Young Children

https://www.cdc.gov/nceh/lead/publications/books/plpyc/chapter7.htm

Implementation Resources: NYSDOH Information for Health Care Providers on Lead Poisoning Prevention and Management

https://www.health.ny.gov/environmental/lead/health_care_providers/index.htm

NYSDOH, Local Health Department Lead Poisoning Program (LPPP)

https://www.health.ny.gov/environmental/lead/health_care_providers/local_health_departments.htm

Regional Lead Resource Center (RLRC)

https://www.health.ny.gov/environmental/lead/exposure/childhood/regional_lead_resource_centers.htm
Age Range Infants and Toddlers up to age 5
Social Determinants Addressed Economic Stability
Education
Housing
Built Environment
Lead Sectors Governmental Public Health Agencies
Healthcare Delivery system
Contributing Sectors Media
CBOs and Human service agencies
Intermediate-level Measure Example Number of outreach materials distributed or training offered.
Additional Intermediate-level Measure Example(s) Number of children screened.
Evidence and Resources

Evidence Base: A Cost-Benefit Analysis of a State-Funded Healthy Homes Program for Residents With Asthma: Findings From the New York State Healthy Neighborhoods Program.

https://www.ncbi.nlm.nih.gov/pubmed/28121775

Implementation Resources: NYSDOH Childhood Lead Poisoning Prevention Program

https://www.health.ny.gov/environmental/lead/

CDC, Lead

https://www.cdc.gov/nceh/lead/default.htm

NYSDOH, Healthy Neighborhood Program

https://www.health.ny.gov/environmental/indoors/healthy_neighborhoods/

Age Range New Yorkers of all Ages, children up to age 13, Adolescents (13-21)
Social Determinants Addressed Economic Stability
Housing
Built Environment
Lead Sectors Governmental Public Health Agencies
Healthcare Delivery system
CBOs and Human service agencies
Intermediate-level Measure Example Enhance referral network to make referrals to both the childhood lead primary prevention program for home assessment and/or the healthy neighborhood program.
Additional Intermediate-level Measure Example(s) Increase the percentage of home visits for individual's with poorly controlled asthma under the Health Neighborhoods Program.
Evidence and Resources

Evidence Base: World Health Organization (WHO), Handbook on Indoor Radon http://apps.who.int/iris/bitstream/handle/10665/44149/9789241547673_eng.pdf;jsessionid=0FE3F65B7400BF681699BD5C5CAEBFF3?sequence=1

National Academy of Science, Biological Effects of Ionizing Radiation (BEIR) VI Committee, Health Effects of Exposure to Radon

https://www.nap.edu/read/5499/chapter/1

US EPA, Assessment of Risks from Radon in Homes, EPA 402-R-03-003 https://www.epa.gov/sites/production/files/2015-05/documents/402-r-03-003.pdf

Agency for Toxic Substances and Disease Registry (ATSDR) toxicological profile for radon https://www.atsdr.cdc.gov/substances/toxsubstance.asp?toxid=71

Implementation Resources:

NYSDOH Radon Information

www.health.ny.gov/radon

CDC Radon

https://www.cdc.gov/radon/

US EPA Radon

www.epa.gov/radon

US EPA Radon Guidance for Schools, Webinar: Radon in Schools

https://www.epa.gov/iaq-schools/forms/webinar-radon-schools-what-you-need-know-properly-manage-radon-your-school

Kansas State University, National Radon Program Services, Training and Resources

https://sosradon.org/RRNC-Code-Officials

Age Range New Yorkers of all Ages
Social Determinants Addressed Housing
Built Environment
Lead Sectors Governmental Public Health Agencies
Contributing Sectors Employers, businesses and unions
Media
Colleges and Universities
Schools (K-12)
Community or neighborhood residents
CBOs and Human service agencies
Policy makers and elected officials
Housing agencies
Urban planning agencies
Intermediate-level Measure Example Number of homes tested for radon.
Evidence and Resources

Evidence Base: WHO, Handbook on Indoor Radon http://apps.who.int/iris/bitstream/handle/10665/44149/9789241547673_eng.pdf;jsessionid=0FE3F65B7400BF681699BD5C5CAEBFF3?sequence=1

National Academy of Science, Biological Effects of Ionizing Radiation (BEIR) VI Committee, Health Effects of Exposure to Radon

https://www.nap.edu/read/5499/chapter/1

US EPA, Assessment of Risks from Radon in Homes, EPA 402-R-03-003 https://www.epa.gov/sites/production/files/2015-05/documents/402-r-03-003.pdf

ATSDR toxicological profile for radon

https://www.atsdr.cdc.gov/substances/toxsubstance.asp?toxid=71

Implementation Resources:

NYS DOH, Radon Resistant New Construction information

https://www.health.ny.gov/environmental/radiological/radon/rrnc/index.htm

NYS Department of State, Division of Building Standards and Codes

https://www.dos.ny.gov/dcea/

Kansas State University, National Radon Program Services, Training and Resources

https://sosradon.org/RRNC-Code-Officials
Age Range New Yorkers of all Ages
Social Determinants Addressed Housing
Built Environment
Lead Sectors Governmental Public Health Agencies
State and Local Building Codes Officials
Contributing Sectors Policy makers and elected officials
Housing agencies
Economic development agencies
Urban planning agencies
Intermediate-level Measure Example Number of building code officials that receive training on radon resistant construction methods.
Additional Intermediate-level Measure Example(s) Number of policy makers/elected officials who are engaged.
Evidence and Resources

Evidence Base: WHO, Handbook on Indoor Radon http://apps.who.int/iris/bitstream/handle/10665/44149/9789241547673_eng.pdf;jsessionid=0FE3F65B7400BF681699BD5C5CAEBFF3?sequence=1

National Academy of Science, Biological Effects of Ionizing Radiation (BEIR) VI Committee, Health Effects of Exposure to Radon https://www.nap.edu/read/5499/chapter/1

US EPA, Assessment of Risks from Radon in Homes, EPA 402-R-03-003 https://www.epa.gov/sites/production/files/2015-05/documents/402-r-03-003.pdf

ATSDR toxicological profile for radon. https://www.atsdr.cdc.gov/substances/toxsubstance.asp?toxid=71

Implementation Resources:

NYSDOH, Radon Awareness Through Physicians

https://www.health.ny.gov/environmental/radiological/radon/md_campaign.htm

Conference of Radiation Control Program Directors, Reducing the Risk from Radon: Information and Interventions, A Guide for Health Care Providers http://www.radonleaders.org/sites/default/files/HP_Radon_Guide_2018_FINAL_CRCPD%20E-18-2.pdf

Iowa Cancer Consortium, Breathing Easier Campaign videos and resources for physicians http://canceriowa.org/BreathingEasier.aspx

CDC Radon Toolkit

https://www.cdc.gov/radon/toolkit/index.html

Age Range New Yorkers of all Ages
Social Determinants Addressed Housing
Built Environment
Lead Sectors Governmental Public Health Agencies
Healthcare Delivery system
Contributing Sectors CBOs and Human service agencies
Policy makers and elected officials
Intermediate-level Measure Example Number of materials provided.
Evidence and Resources

Evidence Base: E. Eitland, L. Klingensmith, P. MacNaughton, et al. Foundations for Student Success: How School Buildings Influence Student Health, Thinking, and Performance. Harvard T. H. Chan School of Public Health. 2018.

https://www.hsph.harvard.edu/news/hsph-in-the-news/school-buildings-student-health-performance/

Implementation Resources:

NYSDOH, New York State Clean, Green, and Healthy Schools

https://www.health.ny.gov/environmental/indoors/healthy_schools/audience.htm#students

NYSDOH, New York State Clean, Green, and Healthy Schools Program Guide for Schools

https://www.health.ny.gov/environmental/indoors/healthy_schools/docs/programguide.pdf

NYSDEC School Chemical Management

https://dec.ny.gov/education/105106.html

Age Range School-aged children 5-17 years old || Adults who work in schools. (Children up to age 13, Adolescents (13-21), and Adults (ages 21-60))
Social Determinants Addressed Education
Built Environment
Lead Sectors Schools (K-12)
Contributing Sectors Governmental Public Health Agencies
Employers, businesses and unions
Policy makers and elected officials
Natural environment agencies
Urban planning agencies
Other contributing sectors: NGOs
Intermediate-level Measure Example Number of schools enrolled in the Clean, Green, and Healthy Schools Program (500 schools enrolled by December 31, 2022).
Evidence and Resources

Evidence Base: US EPA, Drinking Water Best Management Practices for Schools & Child Care Facilities Served by Municipal Water Systems

https://nepis.epa.gov/Exe/ZyPDF.cgi?Dockey=P100HGM8.txt

US EPA, Drinking Water Best Management Practices for Schools and Child Care Facilities with Their Own Drinking Water Source

https://nepis.epa.gov/Exe/ZyPDF.cgi/P100GOT8.PDF?Dockey=P100GOT8.PDF

US EPA, School Siting Guidelines

https://www.epa.gov/sites/production/files/2015-06/documents/school_siting_guidelines-2.pdf

American Academy of Pediatrics (AAP), Drinking Water from Private Wells and Risks to Children

http://pediatrics.aappublications.org/content/pediatrics/123/6/1599.full.pdf

Implementation Resources:

ATSDR's Choose Safe Places for Early Care & Education

https://www.atsdr.cdc.gov/safeplacesforece/index.html

Children's Environmental Health Network

https://cehn.org/

Age Range Children and Adolescents (ages 6 weeks to 13 years of age) and Adults (women of child bearing age).
Social Determinants Addressed Education
Built Environment
Lead Sectors Governmental Public Health Agencies
Intermediate-level Measure Example Number of annual trainings for OCFS staff (inspectors, fire & safety reps, licensors), Local Health Departments, and Day care providers.

Focus Area 4. Water Quality

Goal 4.1 Protect water sources and ensure quality drinking water

Target 35 with 5-year total of 175
Baseline 23 yearly average with 5-year total of 114
Baseline Year
Data Source DWSRF Program data
Data Level state, Public water system level
Target
Baseline
Baseline Year
Data Source
Data Level
Evidence and Resources

Evidence Base:

The Associated General Contractors of America, Drinking Water and Wastewater Infrastructure

https://www.agc.org/connect/agc-groups/utility-infrastructure-division/drinking-water-and-wastewater-infrastructure

Hunter, P. R., MacDonald, A. M., & Carter, R. C. (2010). Water Supply and Health. PLoS Medicine, 7(11)

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2976720/

U.S. Environmental Protection Agency, Drinking Water Infrastructure Needs Survey and Assessment, Sixth Report to Congress

https://www.epa.gov/sites/production/files/2018-10/documents/corrected_sixth_drinking_water_infrastructure_needs_survey_and_assessment.pdf

Implementation Resources:

NYS Environmental Facilities Corporation, DWSRF

https://www.efc.ny.gov/DWSRF

NYSDOH, DWSRF Information Sheet

https://www.health.ny.gov/environmental/water/drinking/iup/information_sheet.htm

NYS Environmental Facilities Corporation, Water Infrastructure Improvement Act

www.efc.ny.gov/WIIA


Age Range New Yorkers of all Ages
Social Determinants Addressed Built Environment
Lead Sectors Governmental Public Health Agencies
Intermediate-level Measure Example Number of short term financing projects. (By December 31, 2020, a total of 30 short-term financing projects.)
Evidence and Resources

Evidence Base: Postel, S.L., and Thompson Jr., B.H. 2005. Watershed protection: Capturing the benefits of nature's water supply services. Natural Resources Forum 29:98-108. http://citeseerx.ist.psu.edu/viewdoc/download?doi=10.1.1.459.6538&rep=rep1&type=pdf

Implementation Resources: US EPA Protect Sources of Drinking Water Information and Resources

https://www.epa.gov/sourcewaterprotection

Source Water Collaborative

https://sourcewatercollaborative.org/

American Water Works Association Source Water Protection Resource Community

https://www.awwa.org/resources-tools/water-knowledge/source-water-protection.aspx

Association of State Drinking Water Administrators Source Water Protection

https://www.asdwa.org/source-water/

Age Range New Yorkers of all Ages
Social Determinants Addressed Built Environment
Lead Sectors Governmental Public Health Agencies
Natural environment agencies
Public Water Suppliers, Other Governmental Agencies (NYS Department of State, NYS Agriculture & Markets, and local municipalities)
Intermediate-level Measure Example Number of source water protection plans.

Goal 4.2 Protect vulnerable waterbodies to reduce potential public health risks associated with exposure to recreational water

Target
Baseline
Baseline Year
Data Source
Data Level
Target 1,228 annual beach closure days
Baseline 1,293 annual beach closure days
Baseline Year 2018
Data Source NYSDOH Bathing Beach closure tracking database
Data Level state, County, Waterbody level
Evidence and Resources

Evidence Base: US EPA 2016 Recreational Water Conference

https://www.epa.gov/sites/production/files/2016-06/documents/recreational-waters-session2-2016.pdf (Page 21)

Implementation Resources: NYSDOH Beach Water Quality Information Site:

http://ny.healthinspections.us/ny_beaches/

Age Range New Yorkers of all Ages
Social Determinants Addressed Natural Environment
Built Environment
Lead Sectors Governmental Public Health Agencies
Natural environment agencies
Intermediate-level Measure Example Number of waterbodies with bathing beach water quality information online.
Evidence and Resources

Evidence Base: Anderson, D. M., et al. 2002.Harmful algal blooms and eutrophication: Nutrient sources, composition, and consequences

https://link.springer.com/article/10.1007/BF02804901

https://pdfs.semanticscholar.org/e5eb/9e1d2c50af255f71f1a435618a7df630f63a.pdf

Siegel A, Cotti-Rausch B, Greenfield DI, Pinckney JL (2011) Nutrient controls of planktonic cyanobacteria biomass in coastal stormwater detention ponds. Mar Ecol Prog Ser 434:15-27. https://doi.org/10.3354/meps09195

Implementation Resources: NYSDEC Funding opportunities for non-point source pollution and water quality improvement

https://www.dec.ny.gov/chemical/113733.html#Funding

New York State DEC/EFC Wastewater Infrastructure Engineering Planning Grant - FAQs

https://dec.ny.gov/pubs/83186.html

NYSDEC examples of Green Infrastructure for Stormwater Management:

https://www.dec.ny.gov/lands/58930.html
Age Range New Yorkers of all Ages
Social Determinants Addressed Natural Environment
Built Environment
Lead Sectors Governmental Public Health Agencies
Natural environment agencies
Governmental Agencies (local municipalities)
Contributing Sectors Colleges and Universities
CBOs and Human service agencies
Policy makers and elected officials
Economic development agencies
Urban planning agencies
Intermediate-level Measure Example Number of jurisdictions that have implemented a watershed protection measure to address HABs (within 3 years, 7% of the waterbodies with HABs will have implemented some mitigation measures within respective watersheds).

Focus Area 5. Food and Consumer Products

Goal 5.1 Raise awareness of the potential presence of chemical contaminants and promote strategies to reduce exposure.

Target
Baseline
Baseline Year
Data Source
Data Level
Target 20
Baseline 8
Baseline Year 2018
Data Source Fish Advisory Maps by County
Data Level state, County, City level
Target
Baseline
Baseline Year
Data Source
Data Level
Evidence and Resources

Evidence Base: US EPA, Technical Review Workgroup Recommendations Regarding Gardening and Reducing Exposure to Lead-Contaminated Soils

https://nepis.epa.gov/Exe/ZyPDF.cgi/P100JJS3.PDF?Dockey=P100JJS3.PDF

CDC, Healthy Places: Community Gardens

https://www.cdc.gov/healthyplaces/healthtopics/healthyfood/community.htm

Urban Soils Institute, FAQ

http://www.usi.nyc/soils-faq.html

Environmental Geochemistry and Health, Estimated lead (Pb) exposures for a population of urban community gardeners

https://link.springer.com/article/10.1007/s10653-016-9790-8

Environmental Health Perspectives, Children's Lead Exposure: A Multimedia Modeling Analysis to Guide Public Health Decision-Making.

https://www.ncbi.nlm.nih.gov/pubmed/28934096

Implementation Resources: NYSDOH, Community Garden Raised Bed Tool Kit

https://www.health.ny.gov/environmental/outdoors/garden/docs/toolkit.pdf

NYSDOH, Healthy Gardening

https://www.health.ny.gov/environmental/outdoors/garden/index.htm

Cornell University College of Agriculture & Life Sciences, Healthy Soils, Healthy Communities

http://blogs.cornell.edu/healthysoils/

NYC Office of Environmental Remediation, NYC Clean Soil Bank

http://home2.nyc.gov/html/oer/html/nyc-clean-soil-bank/nyc-clean-soil-bank.shtml
Age Range New Yorkers of all Ages
Social Determinants Addressed Food Security
Community Cohesion
Natural Environment
Built Environment
Lead Sectors Governmental Public Health Agencies
Colleges and Universities
Cooperative Extension
Contributing Sectors Schools (K-12)
Community or neighborhood residents
Policy makers and elected officials
Housing agencies
Economic development agencies
Natural environment agencies
Urban planning agencies
Intermediate-level Measure Example Soil test results interpreted, garden soil covered/clean soil brought in.
Evidence and Resources

Evidence Base: US EPA, Technical Review Workgroup for Lead recommendations

https://nepis.epa.gov/Exe/ZyPDF.cgi/P100JJS3.PDF?Dockey=P100JJS3.PDF

Implementation Resources:

NYSDOH, Healthy Gardening

https://www.health.ny.gov/environmental/outdoors/garden/index.htm

Cornell University College of Agriculture & Life Sciences, Healthy Soils, Healthy Communities

http://blogs.cornell.edu/healthysoils/healthy-gardening/

ATSDR, soilSHOP Tool Kit

https://www.atsdr.cdc.gov/soilshop/index.html

Age Range New Yorkers of all Ages
Social Determinants Addressed Food Security
Community Cohesion
Natural Environment
Built Environment
Lead Sectors Governmental Public Health Agencies
Colleges and Universities
Cooperative Extension
Contributing Sectors Schools (K-12)
Community or neighborhood residents
Policy makers and elected officials
Housing agencies
Economic development agencies
Natural environment agencies
Urban planning agencies
Intermediate-level Measure Example Soil test results interpreted, garden soil covered/ clean soil brought in.
Evidence and Resources

Evidence Base: US EPA guidance on developing fish advisories

https://www.epa.gov/fish-tech/epa-guidance-developing-fish-advisories

Reducing Toxic Exposures from Fish Consumption in Women of Childbearing Age and Urban Anglers: Results of a Two-Year Diary Study

https://ecommons.cornell.edu/bitstream/handle/1813/51499/HDRU%20Report%2016-3%20Version%202.pdf?sequence=2

Tracking Declines in Mercury Exposure in the New York City Adult Population, 2004-2014, https://link.springer.com/article/10.1007/s11524-018-0269-z#citeas

Fish Consumption and Breast Milk PCB Concentrations among Mohawk Women at Akwesasne, https://academic.oup.com/aje/article/148/2/164/95863

Implementation Resources:

US EPA guidance on developing fish advisories

https://www.epa.gov/fish-tech/epa-guidance-developing-fish-advisories

Age Range New Yorkers of all Ages
Social Determinants Addressed Food Security
Natural Environment
Lead Sectors Governmental Public Health Agencies
Natural environment agencies
Intermediate-level Measure Example Annual Sampling Request. By December 31st of each year, the NYSDOH will provide an annual fish sampling request to NYSDEC. This request will include information including but not limited to sampling requests for fish in those waterbodies with known or suspected contamination, popular fishing waters and waters where trends in fish contamination are being monitored. Additionally, the request will include those species that are most likely to be caught and eaten by sport anglers, as well as on waterbodies or fish species that the public have expressed concern about (if there is no available data).
Evidence and Resources

Evidence Base: US EPA guidance on developing fish advisories

https://www.epa.gov/fish-tech/epa-guidance-developing-fish-advisories

Implementation Resources: Reference for reaching out to sensitive subpopulations.

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3709344/

The Efficacy of Classroom Presentation in Spanish and English for Risk Communication on Fish Consumption Advisories.

https://www.researchgate.net/publication/10606576_Evaluating_Risk_Communication_about_Fish_Consumption_Advisories_Efficacy_of_a_Brochure_versus_a_Classroom_Lesson_in_Spanish_and_English

Article from Atlantic States on communicating with multiethnic groups (see page 5).

http://aslf.org/wp-content/uploads/2013/01/ASLF_Fish-Consumption-Communication-Strategy.pdf


Age Range New Yorkers of all Ages, with special emphasis on women under 50 (childbearing age) and children under 15 who are at higher risk from the contaminants in fish
Social Determinants Addressed Education
Food Security
Natural Environment
Lead Sectors Governmental Public Health Agencies
Colleges and Universities
CBOs and Human service agencies
Environmental Organizations
Contributing Sectors Media
Schools (K-12)
Community or neighborhood residents
Policy makers and elected officials
Natural environment agencies
Other contributing sectors: Immigration Support Organizations, Food Banks and Faith Institutions
Intermediate-level Measure Example By December 31, 2022, post three county public-access fishing maps online for regions of the state where contaminated waterbodies are heavily fished.
Additional Intermediate-level Measure Example(s) Number of organizations participating and disseminating information.
Evidence and Resources

Evidence base: Hore P, Ahmed M, Nagin D, and Clark N. 2014. Intervention Model for Contaminated Consumer Products: A Multifaceted Tool for Protecting Public Health. Am J Public Health. 104(8):1377-83.

Implementation Resources: NYSDEC Household Cleansing Product Information Disclosure Program

https://www.dec.ny.gov/chemical/109021.html

NYS Agriculture and Markets Food Safety Alerts

https://www.agriculture.ny.gov/AD/alertList.asp

US Food & Drug Administration Recalls, Market Withdrawals, and Safety Alerts

https://www.fda.gov/Safety/Recalls/default.htm
Age Range New Yorkers of all Ages
Social Determinants Addressed Education
Food Security
Community Cohesion
Lead Sectors Governmental Public Health Agencies
Media
Policy makers and elected officials
Natural environment agencies
Contributing Sectors Healthcare Delivery system
Employers, businesses and unions
Colleges and Universities
CBOs and Human service agencies
Other contributing sectors: Governmental Agencies: NYS Agriculture and Markets and NYS Food Laboratory
Intermediate-level Measure Example Number of organizations participating and disseminating information.

Goal 5.2 Improve food safety management

Target
Baseline
Baseline Year
Data Source
Data Level
Target 56%
Baseline 52%
Baseline Year 2003-2017
Data Source New York state Foodborne Disease Surveillance Data
Data Level state level
Evidence and Resources

Evidence Base: US FDA Food Guidance, Regulation, and Food Code: Benefits Associated with Complete Adoption and Implementation of the FDA Food Code

https://www.fda.gov/Food/GuidanceRegulation/RetailFoodProtection/FoodCode/ucm494616.htm

(The study associates the presence of a certified food manager (one of the requirements of the Model Food Code) with a reduction in the likelihood of having an outbreak.)

CDC and Partner Study on Food Safety

https://www.cdc.gov/nceh/ehs/ehsnet/docs/JFP_Sys_Env_Eval_Id_Food_Safety_bw_OB_NOB_Rest.pdf

Implementation Resources:

US FDA Food Guidance Regulation and Food Code

https://www.fda.gov/food/guidanceregulation/retailfoodprotection/foodcode/

Age Range New Yorkers of all Ages
Social Determinants Addressed Built Environment
Lead Sectors Governmental Public Health Agencies
Contributing Sectors Employers, businesses and unions
Policy makers and elected officials
Intermediate-level Measure Example By December 31, 2022, publish for public comment, regulation amendments to Part14 that incorporate Chapters 1-7 of FDA 2017 Model Food Code.
Evidence and Resources

Evidence Base: National Center for Biotechnology Information (NCBI) Resources:

Biggerstaff, G. 2015. Improving Response to Foodborne Disease Outbreaks in the United States: Findings of the Foodborne Disease Centers for Outbreak Response Enhancement (FoodCORE), 2010-2012. J Public Health Manag Pract. 21(4): E18-E26.

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4629497/

Gould, L.H., Rosenblum, I Nicholas, D., Phan, Q, Jones, T. 2013. Contributing Factors in Restaurant-Associated Foodborne Disease Outbreaks, FoodNet Sites, 2006 and 2007. J Food Prot. 76(11): 1824-1828.

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4591533/

CDC and partner study on Food Safety

https://www.cdc.gov/nceh/ehs/ehsnet/docs/JFP_Sys_Env_Eval_Id_Food_Safety_bw_OB_NOB_Rest.pdf

CDC Environmental Health Services: NEARS Data and Foodborne Disease Outbreaks

https://www.cdc.gov/nceh/ehs/publications/jeh-march-2018/march-cf-nears-h.pdf

(These articles demonstrate that the application of targeted resources is an effective means to identify, implement, and document model practices that successfully improve the completeness and timeliness of foodborne disease outbreak response activities. The critical information learned from training and additional resources help resolve outbreaks quickly, remove contaminated foods from commerce, and protect additional people from getting sick.)

Implementation Resources: CDC: Foodborne Disease Outbreak Training and Resources

https://www.cdc.gov/foodcore/practice/comms-training.html

National Environmental Health Association Epi- Ready Team Training

https://www.neha.org/professional-development/education-and-training/epi-ready-team-training

CDC, Environmental Health Services: Environmental Assessment Training Series (EATS)

https://www.cdc.gov/nceh/ehs/elearn/eats/index.html

CDC, Food Safety Education Month

https://www.cdc.gov/foodsafety/education-month.html

CDC Burden of Foodborne Illness: Findings

https://www.cdc.gov/foodborneburden/2011-foodborne-estimates.html

NYS Agriculture and Markets Division of Animal Industry

https://www.agriculture.ny.gov/AI/AIHome.html

NYS Agriculture and Markets Division of Food Safety and Inspection

https://www.agriculture.ny.gov/FS/FSHome.html

NYS Agriculture and Markets Division of Milk Control and Dairy Services

https://www.agriculture.ny.gov/DI/DIHome.html
Age Range New Yorkers of all Ages
Social Determinants Addressed Education
Food Security
Lead Sectors Governmental Public Health Agencies
Contributing Sectors Policy makers and elected officials
Other contributing sectors: Governmental Agencies (NYS Agriculture and Markets)
Intermediate-level Measure Example Number of foodborne disease outbreaks with an identified etiologic agent or vehicle.
Additional Intermediate-level Measure Example(s) Number of trained Local Health Department personnel to carry out foodborne outbreak investigations.
Evidence and Resources

Evidence Base: NCBI Resources:

Biggerstaff, G. 2015. Improving Response to Foodborne Disease Outbreaks in the United States: Findings of the Foodborne Disease Centers for Outbreak Response Enhancement (FoodCORE), 2010-2012. J Public Health Manag Pract. 21(4): E18-E26.

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4629497/

Institute of Medicine (US) Forum on Emerging Infections, Public Health Systems and Emerging Infections: Assessing the Capabilities of the Public and Private Sectors: Workshop Summary.

https://www.ncbi.nlm.nih.gov/books/NBK100248/

(The application of targeted resources, documenting model practices and the critical information and efforts made by other State and Federal partners have improved the completeness and timeliness of foodborne disease outbreak response activities.)

Implementation Resources: US Council to Improve Foodborne Outbreak Response Guidelines

http://cifor.us/downloads/clearinghouse/2nd%20edition%20CIFOR%20Guidelines%20Final.pdf

WHO Guidelines for Investigation and Control of Foodborne Diseases Outbreak

http://www.who.int/foodsafety/publications/foodborne_disease/outbreak_guidelines.pdf

Minnesota Department of Health Outbreak Response Protocol

http://www.health.state.mn.us/divs/eh/food/pwdu/outbreakprotocol.pdf

CDC Foodborne Disease Outbreak Training and Resources

https://www.cdc.gov/foodcore/practice/comms-training.html

National Environmental Health Association Epi- Ready Team Training

https://www.neha.org/professional-development/education-and-training/epi-ready-team-training

CDC Environmental Health Services: Environmental Assessment Training Series (EATS)

https://www.cdc.gov/nceh/ehs/elearn/eats/index.html

Age Range New Yorkers of all Ages
Social Determinants Addressed Education
Food Security
Lead Sectors Governmental Public Health Agencies
Contributing Sectors Policy makers and elected officials
Other contributing sectors: Governmental Agencies (NYS Agriculture and Markets)
Intermediate-level Measure Example Measure timeliness and completeness of foodborne disease outbreak investigation and reporting