2021

Author(s): Hsieh S, Harrison E, Phoenix JA, Hamilton R

Air pollution, climate change, and other environmental factors contribute to increasing asthma in many cities, including Washington, DC. This work provides a case study of how community input, neighborhood-level health surveys, and air quality monitoring can inform the understanding of asthma and air pollution. A partnership between residents, concerned citizens, scientists, and educators has been working for environmental health in a DC neighborhood located on a major roadway, next to concrete batch plants and close to several construction projects. A 2016 Community Health and Safety Study by the DC Department of Health, Office of Health Equity, recognized this particular neighborhood as more vulnerable to health impacts from recent construction in the area, compared with the surrounding areas, due to lower average income and higher percentage of seniors and children. This work presents neighborhood health surveys and air quality monitoring data at a more granular, local level than available from DC government agencies. The health surveys documented residents' experiences around air pollution, asthma, and other health concerns. A key finding was evidence that asthma might be undercounted in this neighborhood; among residents who did not indicate a diagnosis of asthma, many discussed having symptoms that could reflect asthma. Air quality monitoring (particulate matter [PM]) did not indicate that federal air quality standards have been violated. Real-time PM data, however, illustrated how current PM standards, such as 1- and 24-hour averages, may fail to capture shorter duration high PM events that are consistent with resident concerns.

DOI: https://dx.doi.org/10.1089/env.2020.0066