Ebe I bi

Na m ikpeazụ blog post Ekwuru m aha edemede ise nke Social Determinants of Health (SDoH) nke achọpụtapụtara site na Ahụ Ike 2030. Ha bụ: 1) agbataobi anyị na gburugburu wuru, 2) ahụike na nlekọta ahụike, 3) ọnọdụ mmekọrịta mmadụ na ibe ya, 4) agụmakwụkwọ, na 5) nkwụsi ike akụ na ụba.¹ Taa, achọrọ m ikwu maka agbata obi anyị na gburugburu ebe ewuru, yana mmetụta - ma nke ọma ma nke ọjọọ - ha nwere ike ịpụta na ahụike anyị.¹

Dị ka Centlọ Ọrụ Maka Nchịkwa Ọrịa (CDC) si kwuo, gburugburu ebe e wuru gụnyere “akụkụ nile nke ebe anyị bi ma na-arụ ọrụ.” Nke a gụnyere ihe dịka ụlọ, okporo ụzọ, ogige ntụrụndụ na oghere ndị ọzọ (ma ọ bụ enweghị ya), yana akụrụngwa.² Chee echiche ebe ị bi ugbu a - agbata obi gị ọ nwere ebe ị na-aga ma ọ bụ ụzọ igwe kwụ otu ebe? Ọ nwere ogige ma ọ bụ ama egwuregwu dị nso? A na-emetọ ikuku mgbe niile n'ihi iwu ihe dị nso? Kedu ka ịnọ nso n'okporo ụzọ, ma ọ bụ na ụlọ ahịa nri? Ruo ókè ha a driveaa ka ị ga-akwọ iji gaa njem ije?

Ebe i bi, na ihe gbara gị gburugburu, dị mkpa. N’akụkọ ihe mere eme, ndị otu pere mpe nwere ike bi n’obodo ndị nwere nsogbu n’ihi “ịkpa oke agbụrụ na akụkọ ihe mere eme n’ụlọ” wee taa ahụhụ maka ya.^3,4 Dị ka Robert Wood Johnson Foundation si kwuo, “esemokwu agbata obi nwere ike ịmepụta ma mee ka ọghọm mmekọrịta mmadụ na ibe ya na-atụnye anya na ọdịiche nke ahụike yana mmekọrịta akụ na ụba, agbụrụ ma ọ bụ agbụrụ, na-enye ụzọ na-ezighi ezi iji nweta ihe onwunwe na ngosipụta maka ọnọdụ ndị na-emerụ ahụ ike.⁴

Were dịka ọmụmaatụ, Elyria Swansea, otu n'ime agbata obi kacha ochie na Denver nke dị na mpaghara mepere emepe nke ukwuu; ụfọdụ chere na ọ dị n'otu n'ime akara zip kacha emetọ na mba ahụ. Dabere na nyocha nke ATTOM Data Solutions na 2017, koodu zip 80216 bụ nke kachasị elu na "10 kachasị ngụkọta Gburugburu Ebe obibi Ewu Egwu."⁵ Ọ bụ ebe obibi Purina Dog Chow Plant, Suncor Oil Refinery, saịtị abụọ na-enye ego buru ibu, yana ọrụ mmeba nke I-70 nke na-aga n’ihu ugbu a, ha niile na-enye aka na ọnọdụ ibi ndụ dara ogbenye na mpaghara ahụ.^6,7

A 2014 Health Mmetụta Assessment chọpụtara na n'elu ise ike nchegbu impacting Elyria Swansea bi ndị: gburugburu ebe obibi mma, Njikọta na agagharị, ohere ibu na ọrụ, obodo nchekwa, na iche echiche nke ọma.⁸ Ọ chọpụtakwara na ndị bi, bụ ndị ọtụtụ ndị Hispanic, "na-arịa ụfọdụ n'ime ọnụọgụ kachasị elu nke ọrịa obi, ọrịa shuga, oke ibu na ụkwara ume ọkụ na City."⁷ Na Elyria Swansea, ọnụego ụlọ ọgwụ nke ụkwara ume ọkụ bụ 1,113.12 maka mmadụ 100,000 ọ bụla.⁹ Ugbu a, jiri nke a tụnyere mpaghara bara ọgaranya ma dị mma karịa Washington Park West, nke ndị okporo ụzọ na-adịghị emetụta ndị bi na ya, nrụrụ mgbe niile na mmetọ gburugburu ebe obibi. Ọnụ ọgụgụ nke ụlọ ọgwụ nke ụkwara ume ọkụ na akụkụ a nke Denver erughị otu ụzọ n'ụzọ anọ nke ọnụego na Elyria Swansea; ihe dị iche na-emenye ụjọ.⁹

Ọtụtụ ihe na-arụ ọrụ na ahụike anyị dum, na ebe anyị bi bụ nnukwu. Inwe ihe omuma a di oke nkpa maka mmejuputa mmekorita nke di nma ma di ire ma hu na ndi otu anyi natara ikike na nkwado.

References

1. Banyere Ndị Ahụ Ike 2030 - Ndị Ahụ Ike 2030 | ahụike.gov

2. https://www.cdc.gov/nceh/publications/factsheets/impactofthebuiltenvironmentonhealth.pdf

3. https://www.nationalgeographic.com/science/article/how-nature-deprived-neighborhoods-impact-health-people-of-color

4. https://www.rwjf.org/en/library/research/2011/05/neighborhoods-and-health-.html#:~:text=Depending%20on%20where%20we%20live,places%20to%20exercise%20or%20play.

5. https://www.attomdata.com/news/risk/2017-environmental-hazard-housing-risk-index/

6. https://www.coloradoindependent.com/2019/08/09/elyria-swansea-i-70-construction-health-impacts/

7. https://www.denverpost.com/2019/06/30/asthma-elyria-swansea-i-70-project/

8.https://www.denvergov.org/content/dam/denvergov/Portals/746/documents/HIA/HIA%20Composite%20Report_9-18-14.pdf

9. https://www.pressmask.com/2019/06/30/asthma-in-denver-search-rates-by-neighborhood/