1. Suzi Ruhl, JD, MPH, Senior Attorney Advisor Office of Environmental Justice, US EPA September 3, 2015, Chicago, IL Big Tent Celebration: Connecting Circles for Equitable, Healthy and Resilient Communities

2. Brownfields to Healthfields Transformation of brownfields that strengthens community health, equity, sustainability and resiliency for overburdened and underserved populations by increasing access to health care, recreation and healthy foods, education and jobs.

3. Local to National Approach  Grassroots & collaborative effort  Inventive, progressive approach  Economic, health & environmental benefits

4. 4 Strategic Framework Brownfields to Healthfields Stakeholder Engagement Throughout Patient & community centered health care access Prevention and wellness Community driven engagement Multi -stakeholder collaboration Cleaning up contaminated sites Transforming blighted property Improving tax base Job creation and training

5. Audience Participation Setting the Stage Hot Seat Snap Chat Mapping the Session

6. 6 Featuring the Presenters Setting the Stage:  Miles Ballogg, Brownfields Practice Leader, Director Brownfields & Economic Development, Cardno Hot Seat Snap Chat  Ed Johnson, Manager - East Tampa Community Redevelopment Area  Phil McMullan, Appalachian Management Systems  Mark Lewis, Brownfields Coordinator, Connecticut Dept. of Energy & Environmental Protection  Maryam Tasnif-Abbasi, Department of Toxic Substances Control  Lynda Arakelian, U.S.EPA Contractor (Redhorse Corporation)

7. Brownfields to Healthfields: for the Big Tent Celebration: Connecting Circles for Equitable, Healthy and Resilient Communities EPA Brownfields 2015 Conference September 3, 2015 Presented By: Miles Ballogg - Cardno

8. Healthfields “Healthfields” refers to the transformation of Brownfields Sites into viable projects that improve access to health and healthcare of the community through brownfields redevelopment, principals, tools and resources. Multiple Improvements: Remove Blight and Unsafe Buildings Clean Up Contamination in Overburdened Communities Create Jobs Improve Health/Address Environmental Justice Opportunity of Equitable Community Driven Redevelopment Ms. Willa Carson was the Pioneer of the Healthfields Movement Willa Carson Health Resource Center – Clearwater, Florida

9. Why Healthfields? Address Health Disparities and Provide Health & Healthcare in Underserved Communities – Health Zone 1, City of Jacksonville Many Brownfields Communities Suffer Disproportionate Numbers of Health Disparities Health Zone 1 has the highest rates of: Infant mortality Heart disease mortality Asthma-related emergency room visits Emergency room visits related to uncontrolled diabetes Need for Fresh Food and Health Care is Paramount ** Information provided by SKEO Solutions

10. Why Healthfields? Disparities in Access are also Common, Especially Among African Americans, Hispanics, and Low-Income Poor people had worse access to care than high-income people for 89% of measures Source: National Healthcare Quality Report, 2011...the more impoverished a neighborhood, the fewer the number of independent or chain supermarkets and the less access to fresh fruits, vegetables, low-fat milk, high-fiber foods, and other healthy meal and snack options. (The intersection of neighborhood racial segregation, poverty, and urbanity and its impact on food store availability in the United States - Bower, Thorpe Jr., Rohde, Gaskin, 2014) 10 of the 20 fastest growing occupations are healthcare related. Aging population increases medical demand 78 million post WWII baby boomers are now turning 65, the youngest will be 65 in 2029 Those over 65 have three times as many office visits per year Source: National Healthcare Quality Report, 2011

11. Why Healthfields? Disparities in Access are also Common, Especially among African- Americans, Hispanics and Low-Income Poor people had worse access to care than high-income people for 89% of measures …the more impoverished a neighborhood, the fewer the number of independent or chain supermarkets and the less access to fresh fruits, vegetables, low-fat milk, high-fiber foods, and other healthy meal and snack options. (The intersection of neighborhood racial segregation, poverty, and urbanity and its impact on food store availability in the United States - Bower, Thorpe Jr., Rohde, Gaskin, 2014) 10 of the 20 fastest growing occupations are healthcare related. (Department of Labor) Aging population increases medical demand 78 million post WWII baby boomers are now turning 65, the youngest will be 65 in 2029 Those over 65 have three times as many office visits per year

12. Why Healthfields? Healthfields Redevelopment Provides a Wide Range of Redevelopment Opportunities / Benefits Health Care Community-Based Health Clinics Federally Qualified Health Centers Hospitals Vision Care Dental Care Urgent Care Health Related Industry Open-Space/Green-Space Access to Healthy Food Choices Grocery Community Gardens (on Safe Sites / Safe Practices) Address Food Desert Issues Healthy Food Choices

13. Lacoochee Community Center/Health Care Center, Lacoochee, FL Brownfields to Public Health Success Challenges No Access to Healthcare Former Borrow Pit/Sinkhole Geology Former Dump Area Metals and Petroleum Contamination Environmental Justice – Highest Concentration of Hispanic and African-American Population Tools Community Partnership Withlacoochee Regional Electric Cooperative Nearly $2 million in State Appropriations and Private Funding Pasco County Brownfields Assessment Grant Phase I & II ESAs, Geotechnical Reports HRSA Change in Scope Health Impact Assessment – Demonstrating Need Results 12,800 sq. ft. Building Premier Healthcare FQHC Nutrition and Job Training Programs Gymnasium Boys & Girls Club Officer-Friendly Program in the Center /Violence Prevention Public Housing Authority Involvement Health Center Grand Opening 3/25/15 Community Partners Melanie Kendrick – Pasco County Cheryl A. Pollock – Premier Community HealthCare Group, Inc. Sandra Whitehead – NACCHO

14. Challenges Medically Underserved Community in Polk County, Florida to healthcare on Brownfields sites Numerous Abandoned Petroleum sites and Mined Lands within the City Funding for Assessment Remediation and Redevelopment Nearest Hospitals or clinics 9.8 miles and 12.01 miles Tools USDA Community Visioning CFRPC – Brownfields Assessment Grant Donation of City Land HHS - HRSA Planning Grant EPA - Brownfields Assessment Grant – Outreach, Reuse Planning & Phase I& II ESA HHS- HRSA School-Based Grant HHS- HRSA New Access Point Results Results Community Based Healthcare in Rural Underserved Community Central Florida Healthcare, Mulberry, FL Brownfields to Public Health Success Health Center Grand Opening 4/8/15 Community Partners Ann Claussen – Central Florida Health Care Jennifer Codo-Salisbury – Central Florida Regional Planning Council Rick Johnson – City of Mulberry

15. Conclusion Healthfields redevelopment projects can result in potential opportunities to improve health and health care, install environmental justice and health equity and promote economic development in underserved communities. “Healthfields - Reducing Health Disparities through Redevelopment”

16. Thank You! Questions? Contact Information: Miles Ballogg Brownfields Practice Leader (727) 423.1587 miles.ballogg@cardno.com

17. Focus: Site and area wide brownfields since 1999 Police station-62% reduction in crime FQHCs and TOD Stormwater pond to park Design: City Within Metropolitan Area Assets: $1.3 ARRA funding $2 million brownfields Tax Increment Financing Success Model: Local Government Advancing Multiple Health Reuses (Tampa, FL)

18. Inventive Take Home Message “The Tampa model is quite simple: Government officials believe in the Bottom Up method of community involvement. Establishing a partnership of community stakeholders, both public and private sector individuals, who elect their own leadership and then respecting their decision making recommendations.” Ed Johnson Manager - East Tampa Community Redevelopment Area (813) 242-3806 ed.johnson@tampagov.net

19. Success Model: Leveraging Funding Sources (Grundy County, Tennessee) ARC grant $400k Local match: $100k State Energy grant: $125k CDBG grant $300k USDA grant $95k Total $1,020,000 TDOT grant $600k TN Parks and Rec $200k Tracy City Match $250k USDA-RD grant $70K Private Donations $200k Total $1,320,000 Former Grundy County High School EPA Brownfields Grant $500k (TN SE Development District)

20. Inventive Take Home Message  Grundy County’s typography and rural location make for unique opportunities and challenges  Residents know their needs- health, jobs, quality of life  Missing link is local capacity to find and implement resources  Grundy County now has strong local effort combined with resource team to bring in and implement available resources and successfully leverage funding and technical assistance  Together we are helping turn their brownfield legacies into sustainable economic development assets Phil McMullan Appalachian Management Systems Email: phil@appalachianms.comphil@appalachianms.com Phone: (615) 604-9008 Website: www.appalachianms.comwww.appalachianms.com

21. Success Model: EJ, Resiliency and Behavioral Health Hubs: New Haven, CT Focus: Emotional wellness Community Ambassadors Evidenced based Patient centered care Design: Partnership of academic, private sector, community organization, clinical care Assets: $4-8 million Hurricane Sandy SSBG Social Impact Bonds

22. Success Expanded: 3 40 Dixwell Ave., New Haven The Future Mixed use development: Housing, commercial, community center, Yale MOMs clinic Now Vacant lot, former drycleaner & gas station Soil contaminated with volatile organics, petroleum

23. Inventive Take Home Message Brownfields cleanup must meet community needs Know who your community is and what their needs are Partnerships are Critical Respect Others Share (information and resources) Obey the rules Cooperate Be truthful Show kindness Play fair Keep promises 23 Natasha Rivera-Labuthie & Kia Levey of Yale MOMs Mark Lewis, Brownfields Coordinator, Connecticut Dept. of Energy & Environmental Protection

24. Multi-Agency Partnership for Site Cleanup & Reuse in LA County Big Tent Celebration: Connecting Circles for Equitable, Healthy, and Resilient Communities Thursday, September 3, 2015 Maryam Tasnif-Abbasi, Department of Toxic Substances Control Lynda Arakelian, U.S.EPA Contractor (Redhorse Corporation) Brownfields 2015 – Sustainable Communities Start Here

25. Evolution of Collaboration I-710 Corridor EJ Initiative  Cities, local and state regulators, U.S. EPA Brownfields to Healthfields in LA River Watershed  Urban Waters Initiative, U.S. EPA, Federal Reserve Bank, health- focused nonprofits

26. Alondra Landfill Park Project Collaboration between State and City of Compton 14-acre former landfill in residential neighborhood Transit/freeway accessible Park planned with community garden, walking/running trails, exercise equipment, farmer’s market, and junior park ranger program

27. Healthfields Mapping Tool Based around CalEnviroScreen Data Source: CalEPA, Office of Environmental Health Hazard Assessment, California Communities Environmental Health Screening Tool (CalEnviroScreen 2.0 or CES). CES is a methodology to identify communities disproportionately burdened by multiple sources of pollution. Only top 10% of CES scores are shown (90%-100%) http://www.oehha.ca.gov/ej/ces11.html http://www.oehha.ca.gov/ej/ces11.html

28. Data Compiled in Mapping Tool 1. Abandoned UST Site 2. Water Board LUST Site 3. Water Board LUST Site – Eligible for Closure 4. Other Water Board Cleanup Site 5. Other Water Board Cleanup Site – Inactive 6. DTSC Cleanup Site – North 7. DTSC Cleanup Site – South 8. EPA Brownfields Cleanups in My Community 9. Publicly-Owned Open Acres – North 10. Publicly Owned Open Acres – South 11. CalEnviroScreen 2.0 12. EJ Screen – Linguistically Isolated 13. EJ Screen – Minority Populations 14. Areas Underserved by Community Health Services 15. Community Health Clinics 16. County Mental Health Provider 1-Mile Buffer Note: Bold layers are presented on screenshot.

29. Data Compiled (cont.) 17. Public Parks ½-Mile Buffer 18. LANLT Parks & Gardens 19. Bike Paths & Lanes 20. Low Income and Low [Food] Access at ½-Mile to 10-Miles 21. LA River Watershed Boundary 22. Southern LA River ½-Mile Buffer 23. LA City Council District 24. U.S. Congressional District 25. Service Planning Areas (SPA) 26. City Boundary 27. LA County Boundary 28. LA Promise Zone 29. Existing Bus Lines 30. Existing Rail Lines 31. Planned Rail Lines 32. ArcGIS Online Basemaps (Streets, and other options)

30. Types of Properties Displayed Abandoned UST Site Water Board LUST Site Other Water Board Cleanup Site DTSC Cleanup Site EPA Brownfields Cleanups in My Community Publicly-Owned Open Acres

31. Contact Info Maryam Tasnif-Abbasi Department of Toxic Substances Control 5796 Corporate Ave Cypress, CA 90630 Phone: 714-222-3485 Email: Maryam.Tasnif-abbasi@dtsc.ca.govMaryam.Tasnif-abbasi@dtsc.ca.gov Lynda Arakelian U.S. EPA Contractor supporting California UST Program (Redhorse Corporation) 600 Wilshire Blvd, Suite 1460 Los Angeles, CA 90017 Phone: 213-244-1805/ Cell: 415-216-3018 Email: lynda.arakelian@redhorsecorp.com; arakelian.lynda@epa.govlynda.arakelian@redhorsecorp.comarakelian.lynda@epa.gov

32. Audience Participation