209146 Overcoming deficits in water and other local infrastructure in California's unincorporated communities: A regional research and advocacy initiative

Monday, November 9, 2009: 9:15 AM

Victor Rubin, PhD , Center for Health and Place, PolicyLink, Oakland, CA
Chione Flegal, MCP , Center for Health and Place, PolicyLink, Oakland, CA
In the Central Valley of California, several hundred thousand residents of more than 200 predominantly Latino low-income unincorporated communities face serious health and safety threats due to inadequate or nonexistent water and sewer systems, streets, sidewalks, parks and other infrastructure. The communities consistently show many of the most serious disparities in the state in health conditions that can be related to unsafe drinking water and to other inadequate infrastructure. Some of these underserved communities are rural, isolated settlements, while others are “islands” of unincorporated territory surrounded by rapidly expanding cities, but in each case their infrastructure deficits are created and compounded by their lack of political representation. Community leaders and their advocates have, for a number of years, organized and brought legal actions intended to improve public investment in these areas, and have now undertaken a broader initiative of research, capacity-building and policy change. These efforts are as localized as creating new neighborhood parks to encourage physical activity and as broad as developing state legislation to ensure that the water and infrastructure needs of unincorporated communities are taken into account in county general plans. This presentation, by leaders of the research component of this Valley-wide initiative, will describe the demographic and health conditions in the communities and the environment of political boundaries and financing districts which sustains the pattern of inadequate services. Then, the policy strategies that are being developed by the coalition of organizations will be described and analyzed.

Learning Objectives:
Describe the conditions in drinking water and other infrastructure which have led to persistent health disparities in low income unincorporated communities in California's Central Valley. Analyze the strategies employed by community water advocates and childhood obesity prevention advocates to improve infrastructure policy and finances.

Keywords: Advocacy, Water

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I am the supervisor of the research being described in the abstract. I have a doctorate in urban planning and am the VP for research of a leading national nonprofit organization.
Any relevant financial relationships? No

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.