Source:

Social Ecological Model Urie Bronfenbrenner, 1979

Physical Environment- Housing & Transit Source: Milwaukeens.org; Photo by Brendan O’Brien Milwaukee Co Transit System Bus route map Childhood lead level elevation 624 children, 3.2% prevalence Vehicle ownership 20%-73% varies by neighborhood Data sources: City of Milwaukee lead poisoning prevention program; University of Michigan Transportation Research Institute

Physical Environment- Air Asthma Implications 21,757 ED visits for asthma #1 in state for asthma hospitalizations, and #2 for asthma ED visit rate Pediatric asthma costs $10 M annually Data Sources: Wisconsin Emergency Department Visit Files, Office of Health Informatics. WI asthma statistics, Data Source: American Lung Association,

Data source: COMPASS Social Factors: Exposure to Stress

Opportunities Use of health impact assessments Health in all policies approach Cross-sector collaboration Source:

Changes in health Changes in risk factors and protective factors Environmental shift (i.e. policy) Changes in change agents Develop needed community capacity Community awareness of issue TARGETED ACTIONS Racial & Ethnic Approaches to Community Health (REACH) Meister JS, et al. Prev Chronic Dis Adapted from CDC Photo Source:

Amani Community Partnership

Contact Veronica Gunn, MD, MPH Vice President, Population Health Management & Payment Innovation