University of Texas Medical Branch, Galveston, TX November 30, 2009 Edward A Emmett MD University of Pennsylvania School of Medicine The Little Hocking That Could: Empowering a Community Through CBPR Intro to “Community First” Communications Model: A Vital Aspect of Encuentro & CBPR

Community Exposure to PFOA in Little Hocking, Ohio Development of EJ Partnership, formulation of aims, obtaining R25 grant CBPR study & findings Development of Communication Strategy: Guiding Principles, Prioritized Targets, Methods for Communication of Results Evaluation of Communications The Little Hocking that Could: Described

Resultant Community Empowerment & the “Free Market of Solutions” Free bottled water Residents adopt a variety of consent agreements – EPA and polluting facility incorporate into policy – drinking water All parties acted “prudently,” but in a variety of ways Scientific Publication The Paradigm Shift – from Trickle Down Results to “Community First” The Little Hocking that Could: Described (cont)

Intended to generate campus discussion on health policy issues, including community collaboration “Reverse outreach”; outreach to academic campus Participants: faculty and students; CTSA (ethics and community outreach key resources); researchers; GICRAC (Galveston Island Community Research Advisory Council) Underlying goal to introduce Dr Emmet’s model of ethical communication principles to Galveston community Currently continuing pursuit….. UTMB Health Policy Lecture Series

At UTMB: Audience from Health Policy Faculty & Students, CTSA, Ethics Key Resource, IRB, GICRAC (Galveston Community Research Advisory Committee). At UTMB: Audience from Health Policy Faculty & Students, CTSA, Ethics Key Resource, IRB, GICRAC (Galveston Community Research Advisory Committee).Emphasized: Roles of motivation and persuasive messages in reducing environmental hazards through regulation and voluntary decisions Roles of motivation and persuasive messages in reducing environmental hazards through regulation and voluntary decisions Role of community in developing communication strategies Role of community in developing communication strategies Community and individual empowerment through receipt of biomonitoring results. Community and individual empowerment through receipt of biomonitoring results. “Free-Market of solutions” at community level and through informed individual decision-making “Free-Market of solutions” at community level and through informed individual decision-making Discussion focused on the way to stimulate the role of ethical communications with GICs 2011 Public Health Policy Talk - Thematic Focus “Community-First Communication in CBPR” Dr. Edward Emmett and Rev. Dr Horace Strand

Encuentro 2011 Keynote Address Edward Emmett, MD & Rev. Horace Strand, DD " Evolution from Adversarial to Collaborative Decision-Making" Emphasized: The development of the struggle to achieve Environmental Justice in Chester PA Chester, a prototypical EJ community Early struggles and successful adversarial actions (including 1996 US Supreme Court case) with modest real changes in conditions The Chester Environmental Partnership, a collaborative approach, 2006 to present

Chester Environmental Partnership Rationale – multiple complex environmental health problems require widespread participation/disciplines/ agencies to develop and implement successful solutions The complementary roles of data/science and the community “feeling the pain and seeking a better future.” “The Physician and the Preacher.” Successes from the collaborative approach. Transforming science through community relationships. Shared objective with UTMB