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Backyard Talk

Childhood asthma rates are dropping, but for who?

By: Dylan Lenzen

The Center for Disease Control and Prevention (CDC) recently released some good news with a report that shows that rates of asthma among U.S. children began to plateau after 2010 and actually declined in 2013. This is welcomed news considering that asthma rates doubled in the 80s and 90s and continued to increase from 2001 to 2010. Considering this, we should all be rejoicing these somewhat surprising new results, right? Not quite, as it turns out, for racial minorities and more generally, the poor, asthma continues to pose a challenge with little hope for amelioration.

For some minority demographics, the same study showed that rates of asthma have actually started to plateau, which lead the authors of the study to conclude that the black-white disparity in the prevalence of asthma has stopped increasing. While this sounds positive, the reality that black children experience a far greater occurrence of asthma than white children still exists. Black children remain nearly twice as likely to have asthma than white children and are also more likely to suffer complications from the disease due to inadequate medical care. While minorities and low-income children need better access to healthcare to treat the disease, it is not enough.

We need to recognize that this racial disparity in the occurrence of asthma among children is just one of many more symptoms that result from much greater problems of environmental and racial injustice. It is hard to imagine adequately treating this problem of childhood asthma without improving the toxic neighborhoods where many of our nations poor and minority children live and that remain a factor in the prevalence of the disease.

It is undeniable that minorities and low-income populations reside in neighborhoods of far lesser environmental and economic quality. A number of factors in these communities could potentially contribute to a greater prevalence of asthma. For example, low-income communities, especially those in populated metropolitan areas, likely face higher levels of air pollution from the overabundance of toxic industry or more indoor allergens due to deteriorating housing. Beyond these dangerous environmental factors, low-income communities experience higher levels to stress (an important social factor linked to asthma) due to exposure of violence, financial strain, family separation, chronic illness, death and family turmoil. In addition, poor health behaviors that result from overabundance of tobacco, alcohol, and fast food outlets and a lack of grocery stores can also lead to a greater prevalence of asthma susceptibility in minority and low-income communities. These factors must be addressed in order to eliminate the racial disparity seen with diseases like childhood asthma.

In order to adequately solve the health issues of our society for all Americans, the social structures that lead to environmental and racial justice must also be challenged.



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Backyard Talk

Positives and Pitfalls of EPA’s Pesticide Ruling

Between long hours, low pay and hazardous working conditions, farmworkers – many of whom are from minority and low-income communities – bear incredible health costs in order to sustain our country’s food supply. Pesticide exposure is one of the main occupational hazards of farm work, with both short-term health effects that can lead to lost days of work and school and hefty medical bills, and increased long-term risks of cancer and neurological problems. The EPA states that agricultural workers report between 1800 and 3000 pesticide exposure limits annually. It has been 22 years since the EPA last updated their agricultural Worker Protection Standard, and so the recently enacted changes, which more stringently protect farmworker health, are a welcome development, but are they enough?

The changes increase the frequency of pesticide handling training from every five years to a more robust annual requirement, which will include information about take-home exposures from dirty clothing and boots. They also establish “buffer zones” to protect workers from over-exposure to fumes and sprays. The regulations also set an age limit of eighteen for the handling and mixing of pesticides. Previously, there were no restrictions on children’s exposure to pesticides. The Farmworker Association of Florida wrote that the protections “bring farmworkers more in parity with health and safety regulations already covering workers in most other professions in the United States.”

https://www.youtube.com/watch?v=p0PMYSirxlY&feature=youtu.be

The regulations have been met with praise but also criticism from advocacy groups. While age limits and training requirements have been celebrated, many have commented that the new rules do not require workers to undergo routine medical monitoring for pesticide exposures, a protective measure that is required in both California and Washington.

Some advocates have also identified language barriers in communicating about the risks of pesticides, which typically have warning labels in English. “More than 80 percent of workers in the “salad bowls” of Salinas, Calif. or Yuma, Ariz., are Hispanic,” NPR reported in 2013. A further step for protecting worker safety would be to require making bilingual information available for pesticide products, which the recently updated regulations do not require. While advocacy group Farmworker Justice celebrated the regulations, Virginia Ruiz, the group’s director of occupational and environmental health, also stated in 2013 that “without bilingual labeling, today’s Spanish-speaking agricultural workforce is at great risk for pesticide exposure.”

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Gosia Wozniacka/AP - From NPR

Another pitfall of the regulations rests at the intersection of environmental justice and our nation’s debate over immigration reform. Paola Betchart of the Worker Justice Center of New York stated in an interview with North Country Public Radio that many farmworker illnesses go unreported because of the undocumented status of workers, who are fearful they will be deported if they seek medical attention. Justice for our nation’s farmworkers will require us to address much more than just pesticide exposure levels, but the new regulations are certainly a positive – and long-awaited – first step.


Learn more about farmworker exposures to pesticides here.

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