In 2006, UPS driver Peggy Young became pregnant and asked for lighter-duty work that would comply with her doctor’s advice to limit lifting (to packages weighing 20 pounds or less during the first 20 weeks of her pregnancy, and 10 pounds or less during the remainder). UPS denied her request. Young was placed on leave without pay and lost her medical coverage, so she sued UPS. She didn’t win at the federal district or appeals court level, but the Supreme Court last week made a decision that gives Peggy Young a shot at winning – and might help other pregnant workers.
The Court didn’t actually decide whether UPS violated the Pregnancy Discrimination Act by denying Young’s request for light duty; instead, it sent the case back to the Fourth Circuit along with a new framework for deciding. SCOTUSBlog’s Lyle Denniston summarizes:
Dissatisfied with every argument made to it, a Supreme Court majority on Wednesday on its own fashioned a new way to test complaints that employers are discriminating against workers who become pregnant. The result, in Young v. United Parcel Service, was a kind of hybrid remedy, judging intentional bias on the one hand and harmful impact on women workers on the other.
It was clear, though, that female workers did not receive legal protection as strong as their advocates sought, but neither did employers get a free pass from claims of pregnancy bias. The six-to-three decision thus looked like a compromise, landing somewhere in the middle.
The underlying facts of Young v. UPS are pretty straightforward: The Pregnancy Discrimination Act amended Title VII of the Civil Rights Act of 1964. The first clause of the PDA clarified that Title VII’s prohibition against sex discrimination applies to discrimination “because of or on the basis of pregnancy, childbirth, or related medical conditions.” The second clause says that employers must treat “women affected by pregnancy … the same for all employment-related purposes … as other persons not so affected but similar in their ability or inability to work.” The question for the Supreme Court was whether Peggy Young’s claim that UPS violated the PDA and engaged in pregnancy discrimination was correctly decided by the lower courts, which threw her case out before she ever got to trial. The answer today? No. She gets to go back and argue her claim in the Virginia courts.
Writing for the majority, Justice Stephen Breyer found that, “Viewing the record in the light most favorable to Young, there is a genuine dispute as to whether UPS provided more favorable treatment to at least some employees whose situation cannot reasonably be distinguished from Young’s. She should be allowed to go back to court to argue that the reason she was not accommodated was her pregnancy.”
… UPS wouldn’t accommodate [Young’s] request for light lifting, contending that the company offered accommodations for only three classes of workers: those injured on the job, those who lost their Department of Transportation driving certification, and those who have a disability under the Americans with Disabilities Act. UPS told Young that she was ineligible for an accommodation and forced her to take an unpaid leave of absence without health benefits. According to her lawyer, Sharon Gustafson, in a conference call, any pregnant worker who sought accommodation at UPS at the time was similarly sent home.
In an article written just after the case’s oral argument, Lithwick noted that UPS has since voluntarily changed its policy to allow light-duty assignments for pregnant workers. But what about pregnant workers at other companies who are denied accommodations? Writing in the Huffington Post, Tom Spiggle offers a tennis-match analogy and concludes that the Court’s decision will make it easier for pregnant workers to bring discrimination cases in the future:
So the Court struck a compromise finding that an employer could not treat a pregnant worker differently than a non-pregnant work unless the employer had a good non-discriminatory reason.
In practice, it would be something like a tennis match. A pregnant employee could get a lawsuit over the net by arguing that her employer violated the law when it refused to give her, for instance, a light-duty assignment while giving non-pregnant workers similar changes.
The employer could then knock the lawsuit back over the net by showing that it had a good, non-discriminatory reason to treat pregnant workers differently.
The pregnant employee could then lob the lawsuit back over the net again if she could show that the reason offered by the employer was just a cover story for discrimination. A jury would then determine which side it believed offered the best evidence.
Note that this type of framework is well established in employment law. The tennis match that I referred to is called “burden shifting” and courts have long used it after the Supreme Court established it in McDonnell Douglas vs. Green.
Why This is a Win for Pregnant Workers
Some commentators have suggested that this was a compromise. That is true as far as the legal theory goes. The Court fashioned a framework somewhere in the middle of the polar opposite positions taken by Young and UPS. But, as a practical matter, this was a bigger win for pregnant employees because the ability to get into court is more than half of the battle.
Occupational guidance for pregnant workers
We’ll have to wait and see how the lower courts rule when they apply the Supreme Court’s framework for deciding cases involving the Pregnancy Discrimination Act. In the meantime, Young’s case made me curious about the kinds of work accommodations doctors might recommend for pregnant workers. Just last year, researchers from the University of Texas at Austin School of Nursing reviewed the existing evidence and created “Occupational guidance for physical and shift work of pregnant women in the United States.”
The guidelines recommend that a physician conduct a systematic evaluation for a pregnant worker to determine whether work restrictions or modifications may be necessary; the evaluation should include an occupational health interview and identification of work-related risk factors. Such risk factors include long work schedule (more than 40 hours per week), multiple employments, frequent overtime, shift work, repetitive stair climbing, bending or stooping for more than an hour a day late in pregnancy, manual lifting, and prolonged hours standing (more than three or four hours of standing continuously). For women with uncomplicated normal pregnancy, sedentary activity may be performed for 40 weeks or the beginning of labor, while very heavy activities are advised only until 20 weeks.
Recommendations specifically regarding lifting in pregnancy reference recent publications in the journals American Journal of Obstetrics & Gynecology (Leslie A. MacDonald et al) and Human Factors (Thomas R. Waters et al). The lists of authors for both articles are similar, and include multiple authors from the National Institute for Occupational Safety and Health – although both articles include disclaimers that the views are those of the authors and do not necessarily represent NIOSH’s views. Both describe the researchers work to adapt the revised NIOSH lifting equation to develop recommended weight limits for pregnant women.
The authors of these articles cite literature that describes risks for both fetuses and pregnant women, with the caveat that levels of evidence vary. Research has linked heavy exertion during pregnancy to an increased risk of miscarriage, spontaneous abortion, pre-term delivery, and pre-eclampsia. For pregnant women, changes in their center of mass, spinal curvature, and abdominal girth may increase their risk of injury from lifting. The authors suggest that physicians ask pregnant women about the frequency and duration of on-the-job lifting, and propose different weight limits depending on the responses.
One important thing about the recommended weight limits is that they vary depending on the location of the item the worker is lifting (this is also considered in the lifting equation for the general worker population). It’s easiest for a worker to lift something that’s located directly in front of his or her abdomen. The size of a typical pregnant woman’s abdomen at 20+ weeks makes it hard for her to lift things from the most favorable lifting position, so the recommended weight limits for the second half of women’s pregnancies are lower. The researchers do not recommend lifting objects off the floor for women at any stage of pregnancy.
Specific recommendations range from 17 to 36 pounds for a woman who’s early in her pregnancy and lifts infrequently, with the 17-pound limit being for objects located high up and far away from the body, and 36 pounds for objects lifted from directly in front of the abdomen. The limit for the front-of-the-abdomen location drops to 26 pounds for women more than 20 weeks pregnant. For women who lift repetitively for more than an hour a day, the limits range from nine pounds to 18 pounds, with the latter figure dropping to 13 pounds for women more than 20 weeks pregnant. The authors note, though, that these guidelines assume certain conditions, such as two-handed lifting, lifting without rotation of the spine, and no more than three lifts per minute. When any of these assumptions is violated, the authors recommend a job analysis. And, of course, they note that clinicians should always consider individual patient factors and use their own judgments.
This new guidance can help physicians offer evidence-based advice to their pregnant patients whose jobs involve lifting. The extent to which employers feel obligated to offer work assignments that comply with physician advice will be influenced by Peggy Young’s case, which is not yet fully resolved.
In a somewhat frightening illustration of anti-vaccine trends, a new report estimates that among groups affected in the recent measles outbreak, the rates of measles-mumps-rubella immunization might have been as low as 50 percent.
Earlier this month, a report published in JAMA Pediatrics concluded that MMR vaccination rates in many of the populations affected by the Disneyland-related measles outbreak are well below the necessary numbers to maintain herd immunity. Led by researchers at Boston Children’s Informatics Program, the project used disease data from the California Department of Public Health as well as current and historical data from the disease surveillance system known as HealthMap to estimate vaccination rates among the recent outbreak clusters. Researchers then used estimates of disease transmission among fully susceptible as well as immune populations to calculate their findings.
According to the Centers for Disease Control and Prevention, from January to March 20, 178 cases of measles have been reported in 17 states and Washington, D.C. The majority of the cases — 74 percent — were linked to the multistate outbreak traced back to Disneyland in Anaheim, California. CDC reports that the majority of those who have contracted the virus were not vaccinated. The JAMA Pediatrics report puts that point into even clearer focus, finding that inadequate vaccination rates were likely fueling the outbreak. (This may seem like a no-brainer, as public health officials made numerous pleas for people to get vaccinated in the wake of the outbreak. But in the world of public health, associations are rarely made without first seeing the science. This report is the first to positively link measles vaccination rates and the current outbreak.)
“Our data tell us a very straightforward story — that the way to stop this and future measles outbreaks is through vaccination,” said report co-author John Brownstein, a digital epidemiologist at Harvard and co-founder of HealthMap, in a news release. “The fundamental reason why we’re seeing the number of cases we are is inadequate vaccine coverage among the exposed.”
The report found that within measles outbreak clusters in California, Arizona and Illinois, the measles vaccination rate is likely between 50 percent and 86 percent. Both rates are well below what’s needed to protect the larger population. Because measles is so contagious, the report estimates that a vaccine rate of 96 percent to 99 percent is needed to preserve herd immunity and prevent future measles outbreaks. The report authors noted that their estimates only reflect vaccination rates among the exposed populations within each outbreak cluster and do not reflect nationwide rates or the overall rate for California. Report authors Brownstein, Maimuna Majumder, Emily Cohn, Sumiko Mekaru and Jane Huston write:
While data on MMR vaccination rates are available, coverage is often calculated at the state or county level and may not be granular enough to assess risk in an outbreak situation; this is especially the case for outbreaks originating at a tourist destination, where vaccination coverage among visitors is highly heterogeneous. Clearly, MMR vaccination rates in many of the communities that have been affected by this outbreak fall below the necessary threshold to sustain herd immunity, thus placing the greater population at risk as well.
In conjunction with the JAMA Pediatrics report, researchers at HealthMap also put together a dynamic model that shows how different vaccination rates affect the growth of a measles outbreak. The model shows that if a population is fully immunized against measles, one case of measles will result in only two additional cases within 70 days of the start of an outbreak. Using that same scenario and time period, the model found that a 90 percent vaccination rate would lead to 29 cases, an 80 percent vaccination rate would lead to just more than 200 cases, a 70 percent coverage rate would result in about 900 cases, and a 60 percent vaccination rate would lead to more than 2,800 cases.
Kim Krisberg is a freelance public health writer living in Austin, Texas, and has been writing about public health for more than a decade.
I’ll be looking to the Charleston Gazette’s Ken Ward Jr. to keep me apprised of the upcoming trial of former Massey Energy CEO Don Blankenship. The trial is scheduled to begin on April 20. That’s just a few weeks after the 5th anniversary (April 5) of the massive coal dust explosion that killed 29 mine workers at Blankenship’s Upper Big Branch mine in southern West Virginia.
Ward reports this week on Blankenship’s appearance on March 24 before a US magistrate. He plead not guilty (again) to three felony counts, including a conspiracy to thwart federal mine safety inspections. Ward explains how this revised indictment differs from the one brought by the Justice Department in November 2014. He also describes some of many pre-trial motions filed by Blankenship’s attorneys to delay the trial and/or exclude evidence, and at Coal Tattoo, Ward posts the legal briefs for 20 of them. These documents are now available to the public because his newspaper and other media organizations challenged a gag order imposed by the federal judge hearing the case.
Blankenship’s legal team and lead attorney have filed motions that run the gamut from asking to disqualify certain federal judges to claims of a vindictive prosecutor. One motion asks the court to dismiss the indictment because
“the government has charged him and singled him out for prosecution in retaliation for his release of a documentary film entitled “Upper Big Branch — Never Again.”
[I blogged here when the film was released last year and urged people boycott it.]
The motion continues:
“That documentary, an exercise of Mr. Blankenship’s First Amendment rights, excoriated the federal government and accused the Mine Safety and Health Administration of being negligent and wrong about the cause of the Upper Big Branch disaster and standing in the way of mine safety. The prosecution constitutes a vindictive and selective prosecution in violation of the First and Fifth Amendments to the United States Constitution.”
I think this and the other motions are a sign of things to come—-long, drawn out litigation.
As the family and friends of the 29 men who were killed in the Upper Big Branch mine prepare to mark the fifth anniversary of the disaster, I know that some are finding comfort that the man ultimately responsible for it is being held to account. I’m glad we’ll have Ken Ward Jr. and others from the Charleston Gazette reporting on the trial for us.
Read the interview.
In a joint investigation from the Texas Tribune and Houston Chronicle, reporters looked into workplace safety at oil refineries 10 years after an explosion at a BP refinery in Texas City, Texas, left 15 workers dead and injured another 180. Unfortunately, reporters found that “though no single incident has matched the 2005 devastation, a two-month investigation finds the industry’s overall death toll barely slowed.”
In the four-part series, reporters chronicle what went wrong at the Texas City refinery, explore the aftermath and talk with survivors, and analyze data showing where and how refinery workers continue to lose their lives on the job. Among the investigation’s top findings: 58 workers have died at U.S. refineries since the 2005 Texas City explosion, which is just slightly fewer than in the decade before; federal officials have documented about one fire every week at refineries in the past eight years; and regulators don’t have the data they need to accurately track fatalities and monitor safety within refineries.
In the series’ fourth installment, “A Deadly Industry,” reporters Jim Malewitz, Jolie McCullough, Ben Hasson and Lise Olsen offer an exhaustive list of worker deaths at refineries culled from OSHA records, government investigations, newspaper archives and legal filings. They write:
The public can easily search data at the Occupational Safety and Health Administration, which records deaths and injuries reported across all industries. But typing the code for “Petroleum Refining” — 2911 — into the agency’s query tool only reveals a small fraction of all who died at refineries.
Oil refiners have increasingly contracted out some of their most dangerous jobs to companies that are classified elsewhere in the federal system.
The many categories include “3443, Fabricated Plate Work,” “1799, Special Trade Contractors, Not Elsewhere Classified” and “1629, Heavy Construction, Not Elsewhere Classified.”
In the 2005 Texas City blast, for instance, all of the 15 workers killed were contractors. None of their deaths show up in the federal government’s annual tally for the refining industry.
To read the full series, visit the Texas Tribune.
In other news:
EHS Today: Last week, McDonald’s employees filed OSHA complaints against 28 McDonald’s restaurants in 19 cities, claiming the fast food giant and its franchisees are overlooking serious safety risks, such as greasy floors, minimal protective equipment and no access to basic first aid kits. The workers said understaffing and pressures to work too fast are contributing to safety risks and injuries, writes Sandy Smith. With the support of Fight for $15, a grassroots movement to raise wages in the fast food industry, workers spoke at a news conference about their experiences, telling reporters that management had told workers to use condiments such as mustard to treat hot oil burns. During the news conference, organizers also released a new survey of fast food workers, finding that 79 percent have been burned in the past year. Smith quoted McDonald’s worker Brittney Berry of Chicago: “My managers kept pushing me to work faster, and while trying to meet their demands I slipped on a wet floor, catching my arm on a hot grill. The managers told me to put mustard on it, but I ended up having to get rushed to the hospital in an ambulance.”
Huffington Post: Today, the U.S. Supreme Court sided with former UPS worker Peggy Young, who sued the company for violating pregnancy discrimination laws. According to reporter Dave Jamieson, the Supreme Court threw out a lower court’s ruling that had blocked Young’s lawsuit, in which she said UPS refused to lighten her physical work duties to accommodate her pregnancy. Jamieson writes: “Justice Stephen Breyer, writing for the majority, said the question the lower court needed to ask was ‘why, when the employer accommodated so many, could it not accommodate pregnant women as well?'”
Los Angeles Times: Reporter Richard Marosi writes that one of Mexico’s biggest harvests destined for the U.S. is in the balance as farmworkers in Baja California go on strike for safer and fairer working conditions. In some instances, the protests were turning violent, with Mexico’s National Commission for Human Rights sending observers after protestors complained of arrests and police mistreatment. Marosi reports: “Labor leaders say that growers haven’t given raises in years, refuse to pay overtime and government-required benefits, and allow crew bosses to sexually harass female workers. They are asking agribusinesses to triple wages, now about $10 per day, and comply with all labor laws.”
USA Today: Mike Snider reports that San Francisco officials have unanimously voted in favor of requiring the city’s Municipal Transportation Agency to review a shuttle bus company’s labor practices when issuing permits to use official city bus stops. Snider quoted Scott Wiener, a member of the city and county Board of Supervisors: “Employee shuttles provide an important transportation service for many San Francisco residents and reduce the number of cars on our streets. It’s important to ensure that the drivers of these shuttles are treated fairly in terms of wages and working conditions. This resolution puts the Board of Supervisors firmly on record in support of these working men and women.”
Pittsburgh Business Times: OSHA has issued U.S. Steel a “willful violation” citation and seven serious violations in the wake of a September explosion at its plant in Fairfield, Alabama, that injured one worker and killed two, writes reporter Ethan Lott. According to the article, OSHA found that opening and closing a high-pressure valve while a furnace was operating at the direction of management caused the explosion. Lott quoted local OSHA director Ramona Morris: “Management knew that attempting to operate the valve while the furnace was still running placed workers at risk, yet they allowed them to do it because they didn’t want the production line down for hours. This employer chose productivity over the safety of its workers, and two people died as a result of this decision.”
Kim Krisberg is a freelance public health writer living in Austin, Texas, and has been writing about public health for more than a decade.
- The incident happened around 3:30 p.m.
- According to the Lea County Sheriff’s Office “workers were loading oil field related materials into perforated pipe, which was being installed into the drilling pipe when an explosion occurred.”
- “The oil field site belonged to Mesquite SWD.”
- Mr. Harrison, and another worker who was seriously injured in the incident, were employed by Warrior Wireline.
Sarah Matott of the Carlsbad Current-Argus reports:
- Emergency services from both Lea and Eddy counties, as well as from the Waste Isolation Pilot Plant, responded to the incident.
- An Eddy County official said the source of the explosion was believed to be “a tank battery fire.”
Each year, about 50 workers in New Mexico are fatally injured on-the-job. The Bureau of Labor Statistics reports 53 work-related fatal injuries in New Mexico during 2013 (preliminary data, most recent available.) Nationwide, at least 4,405 workers suffered fatal traumatic injuries in 2013.
The AFL-CIO’s annual Death on the Job report notes:
- New Mexico OSHA has 9 inspectors to cover more than 43,000 workplaces.
- The average penalty for a serious workplace safety violation in New Mexico is $998.
New Mexico-OSHA has mid-September 2015 to issue any citations and penalties related to the incident that stole James Harrison’s life. It’s likely they’ll determine that Harrison’s death was preventable. It was no “accident.”
A study published in a new supplement to the American Journal of Public Health investigates the extent to which public health activities in metropolitan areas suffered during the recent recession. In “Economic Shocks and Public Health Protections in US Metropolitan Areas,” Glen P. Mays and Rachel A. Hogg of the University of Kentucky’s College of Public Health used National Longitudinal Survey of Public Health Systems data on 280 US metropolitan areas from 1998, 2006, and 2012 to examine changes in the implementation of 20 core public health activities. These range from investigating adverse health events and performing public health laboratory testing services to conducting community health needs assessments and developing community health improvement plans.
Between 2006 and 2012, a composite measure of all activities declined by slightly less than five percent — but the drop was far more substantial in some metro areas and for some kinds of activities. When the authors divided the metropolitan areas into quintiles by the extent to which recommended public-health activities decreased or increased, they found that the lowest quintile showed a 25% decline in activity availability. For metro areas overall, the researchers found statistically significant increases in availability of behavioral risk factor surveillance and analysis of preventive services-utilization, while nine activities remained relatively stable and nine saw significant decreases. Mays and Hogg report:
Several public health activities remained nearly universally available during the period of study, including the investigation of adverse health events (available in 99.6% of communities), public health laboratory testing (99.2% availability), and the implementation of legally mandated public health services (89.2% availability) such as vital records collections and notifiable disease reporting.
… The largest reductions in availability between 2006 and 2012 occurred for activities that involved developing plans to improve community health (19.6% reduction), allocating resources on the basis of these plans (25.5% reduction), and implementing quality improvement processes for public health programs (15.3% reduction).
It’s not surprising that the researchers found that service delivery fell the most in areas that experienced the greatest reduction in public-health agency spending and household income and the greatest increases in unemployment.
Mays and Hogg report that the recession-related cuts would probably have been even more drastic if the federal government hadn’t put additional money into public health through the economic stimulus package and the Affordable Care Act’s Prevention and Public Health Fund. They also note that redirection of substantial PPHF money coupled with budget sequestration kept the federal contribution lower than it could have been, though.
The ACA may also be moderating reductions in public-health-service availability indirectly through its effects on various healthcare entities. Mays and Hogg explain, “the contributions to public health activities made by health care delivery system stakeholders such as hospitals, health insurers, and community health centers proved to be much more recession resitsant than were the contributions made by governmental agencies during this time period.” In particular, they cite the ACA’s requirement for not-for-profit hospitals that get tax exemptions to conduct community health needs assessments and develop community health improvement plans.
The authors warn that cutting back on activities like policy development and planning, as many public-health agencies did during the recession, raises concerns about local capacity to effectively respond to preventable diseases. These efforts require long-term commitments that don’t show an immediate payoff, so public officials often find it easier to cut them in difficult budget years. Years of inadequate funding, though, add up to missed opportunities to improve population health.
Mays and Hogg suggest “new, long-term financing instruments such as social impact bonds” to help public-health service providers weather economic shocks. They acknowledge that the federal government may need to play a larger role, too. I’d like to see federal funding for public health increase automatically during economic downturns, rather than relying on Congress to agree to pass an economic stimulus package or other such legislation. Then we wouldn’t see important public health functions decline — and decline most sharply in the hardest-hit communities — when unemployment rises.
A small minnow known as the Oregon chub recently became the 29th species to recover after being listed as endangered under the U.S. Endangered Species Act and the first fish to ever join those ranks. The Endangered Species Act, signed into law in 1973, is widely considered one of the most important pieces of U.S. environmental legislation ever enacted. This e360 photo gallery highlights the 21 species endemic to the United States that have made recoveries strong enough to be removed from the endangered list.
Read more | View gallery of recovered species
For all you city-dwellers out there, next time you walk by a vacant lot that’s been refurbished with green gardens and budding trees, take note of your heart rate. You might find the pleasantly green view caused a welcome moment of relaxation and lowered stress.
At least that’s what researchers found in a new study published this week in the American Journal of Public Health. In monitoring the ambulatory heart of rate of study participants in Philadelphia before and after they walked by vacant urban lots that had received a “greening remediation treatment,” researchers found that seeing a greened lot decreased people’s heart rate significantly more than seeing a regular vacant lot.
To conduct the study, researchers used a heart rate monitor with GPS to measure participants’ stress response as they went on a planned walk through their respective neighborhoods. Vacant lots in one neighborhood had received a greening treatment, which included planting grass and trees, removing garbage and installing a low fence, while another neighborhood’s vacant lots received no greening treatment. Participants walked through their neighborhoods before the greening intervention and three months after the intervention. Study authors Eugenia South, Michelle Kondo, Rose Cheney and Charles Branas write:
The body’s stress response is a reasonable biological pathway for understanding the impact of neighborhood blight on health. Although this response is protective in acute situations, permanent downstream inflammatory changes and dysregulation of cardiovascular, neurological, and endocrine systems accumulate over a lifetime for persons repeatedly exposed to stressors in their neighborhood surroundings. Basic structural improvements to blighted neighborhood environments, such as “greening” vacant lots, offers a promising and sustainable, yet underused, solution to such stressors.
Among the study participants, average heart rate went from 103.3 beats per minute before the greening intervention to 107.2 beats per minute after the greening intervention, for a total increase of 3.9 beats per minute. When participants weren’t in view of any lots, average heart rate went from 101.2 to 107.2, for a total increase of 6 beats per minute. When in view of nongreened vacant lots, average heart rates went from 99.6 in the preintervention period to 109.1 three months later, for an increase of 9.5 beats per minute. So, what do all those beats mean? According to the researchers’ calculations, the average reduction in heart rate associated with being near the greened lots was more than five beats per minute lower than when near vacant lots that hadn’t been greened.
In comparison, there was minimal change in heart rates among study participants who walked by nongreened vacant lots during both the preintervention and postintervention time periods. All the study participants actually lived in the neighborhoods where the walking study was conducted, so changes in heart rates wouldn’t be attributable to being in unfamiliar surroundings. The study is the first neighborhood walking trial in which physiological effects were measured in real time among people reacting to sites in their own neighborhoods.
The authors noted that their study adds to the growing body of research that finds structural changes in urban environments can have positive impacts on human health. As many public health practitioners say when it comes to health: place matters.
“Vacant lot greening requires no individual action to be effective and is a relatively simple and inexpensive intervention with the potential to affect the health of many residents,” the study stated. “If neighborhood blight contributes to the development of stress in a neighborhood, improvements to these physical conditions may lead to widespread downstream health benefits.”
Kim Krisberg is a freelance public health writer living in Austin, Texas, and has been writing about public health for more than a decade.