1. Toxic Tour Addressing health inequalities related to environmental justice: A partnership between the Bayview Hunters Point community, San Francisco Department of Public Health, & University of California-San Francisco • Karen Pierce, JD, Health Equity Projects, SFDPH • Buffy Bunting, MPH, CHES, Community Health Promotion & Prevention, SFDHP • Maya Yoshida-Cervantes, BS, HIV Epidemiology and Statistics, SFDPH

2. Presenter Disclosure • Karen Pierce, JD, Health Equity Projects, SFDPH • Buffy Bunting, MPH, CHES, Community Health Promotion & Prevention, SFDHP • Maya Yoshida-Cervantes, BS, HIV Epidemiology and Statistics, SFDPH “No relationships to disclose” (1) The following personal financial relationships with commercial interests relevant to this presentation existed during the past 12 months:

3. Bayview Hunters Point (BVHP) • Located in the Southeast corner of San Francisco • Home to about 35,000 residents • Greater than 50% the land is used for industrial use • 1/3 of the city’s hazardous waste sites: • 1 Federal Superfund Site • 100 Brownfield Sites • 1 (of 3) sewage treatment plant that handles 80% of San Francisco’s waste water

4. Bayview Hunters Point cont.

6. Asthma Hospitalization Rates 2007-2009

7. Bayview Hunters Point (BVHP)Toxic Tour

8. Community Benefits

9. BVHP Residents

10. BVHP Residents

11. Medical Learners, Residents, and Providers

12. Public Health Employees and Learners

13. How this tour can be adapted for other localities • Toxic tours are conducted in Environmental Justice Communities around the world honoring the following principles: • Must be designed and led by community residents • Research must be conducted using a community-based participatory action model

14. For information on ongoing community toxic tours: