As noted throughout the workshop, the environment and human health are closely linked. To delve further into this connection, Brian Smedley, Ph.D. (Urban Institute), moderated a session with presentations by Robert Bullard, Ph.D. (Texas Southern University), and Jacqueline Patterson, M.S.W., M.P.H. (The Chisholm Legacy Project). He facilitated further discussion with Roger A. Mitchell, M.D. (Howard University), and Mark Mitchell, M.D., M.P.H. (George Mason University).
“It’s been a long journey to get issues of justice to converge into a coherent area that can be addressed,” stated Dr. Bullard. In a four-decade quest for environmental and climate justice, he has written extensively on why health equity matters when looking at housing, disaster response, water and air, and other topics. He wryly commented that although he has written
18 books, they are essentially 1 book with variations on this important message.1 They all focus on the need for environmental justice, which he described as follows:
Environmental justice embraces the principle that all people and communities are entitled to equal protection of environmental, energy, health, employment, education, housing, transportation, and civil rights laws.2
He began this work when he collected data for the lawsuit Bean v. Southwestern Waste Management Corporation,3 which was the nation’s first lawsuit to challenge environmental racism using civil rights law. He and students in a research methods class, plotting on a map (in pre-computer and GPS times), found all five of Houston’s public landfills and six of eight incinerators were in Black neighborhoods, as were three of the four privately owned landfills. As a whole, more than 82 percent of waste disposed in Houston went into mostly Black neighborhoods, although Blacks made up only 25 percent of the city’s population. In a subsequent work, Dumping in Dixie (Bullard, 2000), he documented the connection between waste dumping, pollution, income, and race. The South is the most environmentally degraded region in the United States, he said, and it is no accident that the modern civil rights and environmental justice movements were born in the South. “Jim Crow passed pollution to the place of least resistance,” he stated.
Some attention to the issue grew in the 1990s. In 1992, Dr. Bullard recounted, the Environmental Protection Agency (EPA) issued a report on environmental equity. The National Institute of Environmental Health Sciences conducted its first symposium that included frontline communities. President Clinton signed an executive order on environmental justice4 at a ceremony that included community groups, sociologists, and cabinet
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1 Dr. Bullard’s full publication list is available at https://drrobertbullard.com/books/.
2 The U.S. Environmental Protection Agency has defined “environmental justice” as “the fair treatment and meaningful involvement of all people regardless of race, color, culture, national origin, income, and educational levels with respect to the development, implementation, and enforcement of protective environmental laws, regulations, and policies.” (https://19january2021snapshot.epa.gov/environmentaljustice/ej-2020-glossary_.html)
3 Margaret Bean et al. v. Southwestern Waste Management Corp. et al., U.S. District Court for the Southern District of Texas, 482 F. Supp. 673 (S.D. Tex. 1979), December 21, 1979.
4 Executive Order on Federal Actions to Address Environmental Justice in Minority Populations and Low-Income Populations, EO 12898, issued February 11, 1994.
members, among others. In 1999, an Institute of Medicine (now National Academy of Medicine) report found “people of color and low-income communities are exposed to higher levels of pollution than the rest of the nation, and these groups also contracted certain diseases more than affluent White communities” (IOM, 1999).
Today, climate justice advocates are pushing that the response to climate change be fair, he continued. It will not be if the response is “business as usual,” he said. While climate change will affect all parts of the United States, the costs of climate inaction hit people of color the hardest. He noted a 2017 study that showed that without effective climate action, the gross domestic product will decline 1.2 percent per temperature increase of 1°C, but parts of the American South will see a 20 percent decline in economic activity (Hsiang et al., 2017). Related to health and climate change, more than half of known infectious diseases are aggravated by climate, Dr. Bullard continued. In addition, climate change will further exacerbate asthma, a condition already affected by health disparities. It will also create mental stressors for adults and children.
Echoing other workshop presenters, Dr. Bullard pointed to redlining5 that created unequal living conditions and environmental protection. Black and Brown neighborhoods are located on land that is most likely to flood or face other damages. Flood risks are expected to increase by 25 percent in the next 30 years overall but increase by 40 percent in Black communities. Superfund sites are at risk from climate change, which can increase the frequency and intensity of natural disasters, according to the Government Accountability Office, and most Superfund sites are in Black and Brown communities (GAO, 2019). Dr. Bullard used the example of Hurricane Harvey in 2017 to state that while the communities most affected were Black and Brown, most recovery dollars went to white communities.
Dr. Bullard noted that Blacks are 61 percent more likely to live in counties that have the highest number of days of unhealthy air and are 57 percent more likely to live within 3 miles of an oil refinery. “America is segregated and so is pollution,” Dr. Bullard stated. He noted a recent study (Kodros
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5 Per Cornell University’s Legal Information Institute Wex legal dictionary, redlining can be defined as “a discriminatory practice that consists of the systematic denial of services such as mortgages, insurance loans, and other financial services to residents of certain areas, based on their race or ethnicity.”
et al., 2022) that found that residents in racially segregated communities breathe air that is 3 times more concentrated with dangerous toxins than residents living in communities with a low degree of racial housing segregation. Similarly, concentrations of metals from anthropogenic sources are 10 times higher in segregated areas when compared with communities with lower degrees of segregation, he explained.
These communities are “stranded from nature,” Dr. Bullard continued, adding “every American has the right to trees and green space.” Residents of Black communities are far more likely to live in “nature-deprived areas,” and the green justice movement has found there is 33 percent less tree canopy in these areas. Dr. Bullard reminded the group that heat is the top weather-related killer in the United States. Redlining has left many of these Black and Brown neighborhoods 5 to 13 degrees hotter than other areas. According to one study (Hsu, 2021), 97 percent of U.S. cities have this problem. Excess heat also worsens pregnancy outcomes (Bekkar et al., 2020) and is particularly dangerous for outdoor workers, who are 35 times more likely to die from heat exposure. This is also an economic justice issue, Dr. Bullard pointed out, because if they stay out of the heat and do not work, they do not get paid. Thiery et al. (2021) found that children born in 2021 will live through 7 times as many heatwaves, twice as many wildfires, and nearly 3 times as many droughts than their grandparents.
Dr. Bullard noted that there is some promising effort toward correcting these disparities. He pointed to the Justice40 Initiative, which targets low-income and disadvantaged communities so that 40 percent of benefits of the clean energy economy are directed to them.6 He also stressed the need to use an equity lens to end historically supported “infrastructure apartheid” to achieve better health and economic outcomes.
The Inflation Reduction Act of 2022 (P.L. 117-169) provides $370 billion for climate transition, $60 billion for environmental justice, and $60 billion for energy transitions. With these funds, “if [we] look through a climate and environmental justice lens, we can address these issues,” he posited. The challenge is to ensure that money gets to the right census tracts and neighborhoods. He called attention to the history of “red”
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6 For more information, see https://www.whitehouse.gov/environmentaljustice/justice40/.
states not funding “blue cites” within them, with the example of the water crisis affecting Jackson, Mississippi. He said the HBCU (Historically Black Colleges and Universities) Climate Change Consortium and Justice40 Initiative can provide tools to track progress and ensure that programs do not reproduce inequality or divert support away from the communities that most need it. He also urged engagement with HBCUs on climate-related solutions and an increase from the current 1 percent of federal and foundation support that HBCUs receive relative to other institutions.
Dr. Bullard concluded with some optimism based on the potential of intergenerational mobilization, partnerships, and the level of resources not seen in the past.
Ms. Patterson noted that Dr. Bullard laid out why environmental justice work must be prioritized. The Chisholm Legacy Project works to ensure frontline communities have the capacity to advance self-determination as it relates to climate justice mitigation and elimination of environmental injustice, she said. It is a resource hub for Black frontline climate justice leadership.7 The Chisholm Legacy Project is inspired by the life and work of Shirley Chisholm, Ms. Patterson said in recounting Cong. Chisholm’s legend and legacy. Her rallying cry was “unbought and unbossed,” and her work elevated both race and gender.
The Chisholm Legacy Project vision, Ms. Patterson continued, is grounded in a Just Transition framework, moving from an extractive economy to a living economy that recognizes the regenerative nature of the Earth and honors ecological and human well-being. To achieve this, she quoted the late author and activist Audre Lorde, who said “the master’s tools will never dismantle the master’s house.” Thus, Ms. Patterson said, a regenerative economy embodies the interrelated values of community, ecology, power, restoration, and transformation. “The overarching goals are many and deep, and we feel they are inextricably tied to each other, such as anchoring ecological restoration, centering frontline leadership, and disrupting the status quo,” she said. In fact, she continued, when people say that the system is flawed, she counters that “the system is doing exactly what it is intended to do in an extractive economy.”
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7 For more information, see https://thechisholmlegacyproject.org.
The Chisholm Legacy Project seeks to work and walk with Black communities to surface their visions for systemic change, build strategy to achieve those visions, devise action plans, leverage existing resources and partners for implementation, and celebrate and replicate transformational results. Racism leads to economic disparities, extreme toxic exposures, disproportionate climate impacts, health disparities, and deep political disenfranchisement. However, she continued, these negative things are pathologized rather than focus on lifting up the assets in the Black community (see Figure 7-1): resilience, innovations, culture and heritage, historical institutions, and social influencer status.
The Chisholm Legacy Project approach is rooted in community building, frontline movement building, bending the arc of mainstream environmentalism toward equality and justice, and supporting Black femme (women and female-identified persons) well-being. It takes on the roles of advocate, capacity builder, incubator, curator, and resource hub database manager. She highlighted training and programs in these five roles.
Dr. Mark Mitchell reflected that the issues highlighted by Dr. Bullard and Ms. Patterson must be included at the start of any planning process, by ensuring the participation of those most affected. Low-income and people of color know the solutions, he stressed. Women have been leaders in the Black community and in the environmental community and must receive the credit for their work. Similarly, frontline health workers must be involved in strategies to increase resilience. He urged science, engineering, and medical professionals do their part to make sure that the involvement of those most affected happens. He described the Climate and Health Equity Fellowship program at George Mason University, which trains health professionals of color to be national leaders.
Dr. Roger Mitchell focused on how to message to communities where environmental justice is not seen as a priority. Drawing on his experiences on the board of the Hip Hop Caucus, he stressed the value in utilizing culture, music, and art to illustrate how important the environment is to health. Increasing consciousness, addressing barriers, and increasing equity must be presented in a way that is relevant to a community that has been disenfranchised. He lauded the intersectionality that undergirds the Chisholm Legacy Project. “As scientists, we understand the pieces, but we are called to understand as a whole,” he noted. As examples, he urged
attention to the connection between the environment and violence, asthma, obesity, and other issues. Agreeing with Dr. Bullard, he said, “We have to connect the dots and not separate things into buckets. This kind of interdisciplinary conversation becomes important to reach sustainable solutions.”
Given the complexity of the issues, Dr. Smedley asked the presenters about future directions and upcoming disparities for the Black community to brace for, based on existing trends and data. Dr. Bullard referred to the concerns he raised in his presentation, but he stressed:
The maps do not have to be our future. The same forces that keep our schools and universities underfunded, that are dumping poison on us are the same forces that are suppressing the vote. What we have to do is ensure that we exert the political power we have, and tap into the collaborations, the coalitions, and the political apparatuses to ensure we make our votes count, we work toward policies that count, and we track every piece of the data so we can say, no, this particular highway, this particular facility, this particular operation has a negative impact, and we therefore need alternatives.
“Fairness, justice, and equity are how we will reshape the future,” he said. The nation’s demographics are shifting, he pointed out, so that by 2045, the country will be majority people of color. However, he said, it is important to start now and not wait until then to transition. Civil engineers are leading efforts to be resilient to climate change, Dr. Bullard said, but the solutions are not just technological, but social and humanistic, valuing people and culture.
Dr. Mark Mitchell added health to the solutions needed. When the EPA was created, he said, it had an engineering, rather than a health, focus. He urged the need for both, with health and sociology leading. He called for supporting the work of Ms. Patterson and others to strengthen frontline groups and provide them with the technical assistance they need. In his view, the efforts of the Biden administration, including the Justice40 Initiative, is what needs to be done to make sure communities are ready to lead. To “lead by health,” he offered a graphic that shows the health consequences of climate, using the mnemonic HEATWAVE (see Figure 7-2). Mental and psychological health services, in a community-based and culturally appropriate manner, are critical, he added.
Dr. Roger Mitchell said adjacent to the environment as an emerging issue, violence and the “ubiquitous presence of guns in communities of color” is a public health issue (see also Chapter 3). There are 40,000 deaths due to guns each year, suicides and homicides. Homicide is the topmost killer of Black males aged 15 to 35, mostly from guns. Funding to look at
this issue has come after the murder of George Floyd, which he noted was a death in police custody. These issues have historically been underfunded; the National Institutes of Health and Centers for Disease Control and Prevention are funding gun violence research at $12.5 million apiece, but he noted this is not enough given the burden of disease and deaths. In his experience as a forensic pathologist, he said the numbers who are dying in custody, while being arrested, transported, booking, or incarcerated are not accurately counted. In any area of health, the first step in improving is counting the morbidity and mortality.
Ms. Patterson referred to Dr. Bullard’s point about the country’s changing demographics to comment that the rise of “replacement theory” is fomenting violence. She experienced this personally after presenting congressional testimony. “There is a false narrative around scarcity. It is not about scarcity, it’s about redistribution of resources,” she commented. “Out of fear, people are stockpiling weapons and ammunition. We must get real about this.”
Dr. Bright asked how to incorporate constructs of environmental justice into public school education. Dr. Bullard responded that it is important to get information about the environment, health, and climate into the K–12 curriculum. He suggested field trips and projects and, more broadly, integrating an environmental framework throughout the pedagogy. Relatedly, it is important to advocate and educate school boards that it is unacceptable to operate a school that is a hazard to children’s health both physically and in terms of what is and is not being taught. Some school boards and principals see the environment as an exciting learning opportunity for children, he added. Dr. Mark Mitchell added that schools built for Black and Brown children are in higher-risk environments such as flood plains or even city dumps. He said a Climate and Health Equity fellow developed a children’s book and coloring book on climate health and equity, that more such resources are becoming available, and that the new generation is demanding them.
In discussing the allocation of resources where they are most needed, Dr. Roger Mitchell drew on his experience as a deputy mayor in Washington, D.C. “We need to engage in the power of the vote,” he stated. “Everything is local.” Even when federal dollars are available, he said, “if the local community—the mayor, community leaders—are not advocates, no matter how many federal programs there are, that money will not reach the people.” He added that in addition to K–12, it is important for colleges and universities to educate students on environmental issues. He added
that the Association of American Medical Colleges does not mandate environmental justice or environmental studies; while recognizing how filled the curriculum is, “we have to make it important.” He also urged scientists to run for office. “We have often shied away from it, but scientists and physicians have to run for office to bring an evidence-based approach to policymaking,” he posited.
Dr. Bullard closed by saying it is important for people to understand that environmental justice in the academy began at HBCUs. Despite underfunding, their footprint was outsized in fighting for communities and ensuring the information produced gets in the hands of community members and policymakers.
Ms. Patterson urged as a final point to work for campaign finance reform to get money out of politics. Money and sweat equity has to be used to fight the billions of dollars being spent in campaigns.
Dr. Mark Mitchell stressed the need for the frontline grassroots to have a voice. Reflecting on his experience at an environmental justice organization, he said “what we taught was democracy—how to engage with public officials and prioritize the needs of the community.” Members had never voted before they joined the organization, but then realized the importance of voting. He agreed with the need to equip frontline groups to engage.
Dr. Roger Mitchell considered how scientists, engineers, and physicians can engage the Black community in a way that shows environmental justice and public health are important comes down to coming out of the ivory tower and doing the work in community. He said it is not just to equip but to lock arms in community, engage trusted messengers, and not shy away from hard conversations. He urged a model in which professionals come to the doorsteps of neighbors, rather than asking them to come to institutions.
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