Appendix B:   Example of Matrix of Environmental Public Health Indicators for second round of scoring and review (e.g. shown are those indicators retained from round 1 for Air).

Category-AIR

Criteria (equally balanced)

Scoring

Notes

OBJECTIVES

SELECTED INDICATORS from Table 1

Feasibility and manageability of collection and integration for U.S.-Mexico Border region

Ease of implementation over time

Synergy andComplementarity for Border XXI and other Programs

Cumulative
Score

Rank within Category

 

1. Assess exposures and risk levels (incl. Behaviours & PERCEPTIONS)

Amount of hazardous or toxic substances released in the ambient air (CDC)

           

Number of exceedances days for each ambient air standard (Border)

           

Ambient air concentrations for criteria pollutants in each sister city (Border)

           

Percentage of households using coal, wood or kerosene as main source of heating/cooking fuel (Briggs)

           

Proportion of youth 15-19 of age who smoke (PAHO D 30)

           

Level of criteria pollutants in ambient air (CDC)

           

2. Assess biological exposure and levels related of related diseases (mortality, morbidity)

Estimated death rates due to acute respiratory infections in children under 5 (PAHO C11)

           

Incidence of morbidity due to acute respiratory infections in children under 5 (Briggs)

           

Carbon monoxide poisonings deaths (CDC)

           

Asthma hospitalization rate for children 0-14 (EPA-C; D3)

           

Percentage of children under 18 with asthma and chronic bronchitis (EPA-C; D1)

           

Unusual pattern of cardiovascular and respiratory events (with environmental contribution) (CDC)

           

Unusual pattern of acute asthma event (CDC)

           

3A. IDENTIFY PRIORITY GROUPS FOR INTERVENTION (VULNERABLE)

SAME AS OTHER TABLES FOR VULNERABILITY

           

3B. IDENTIFY PRIORITY GROUPS FOR INTERVENTION (HIGH EXPOSURE)

Percentage of children living in counties in which air quality standards were exceeded (EPA-C; E1)

           

Percentage of homes with children under 7 where someone smokes regularly (EPA-C; E4)

           

Percentage of children living in counties where at least one air pollutant concentration was greater than a health benchmark in 1990 (EPA-C; E3)

           

Percentage of children's days with good, moderate or unhealthy air quality (EPA-C; E2)

           

4. Reduce exposure/disease through:

-adapted information support
-protective and control measures
-preventative, corrective measures
(at individuals,
community, state, federal levels)
-promote adapted behaviours and institutional responses

Implementation of programs that address motor vehicle emissions (CDC)

           

Schools with indoor air policies that address environmental hazards (incl. smoke and tobacco-free policies) (CDC)

           

Jurisdictions with laws pertaining to

Smoke-free indoor air (CDC)

           

Indoor air inspections (complaint-related) (CDC)

           

Level of alternate fuel in use in registered motor vehicles (CDC)