Health Impact Assessment Assessing Health Outcomes of PostSandy DecisionMaking Presented by Karen Lowrie PhD Planning Healthy Communities Initiative Mystic Island HIA What it is and What it isnt ID: 612081
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Mystic Island Voluntary BuyoutHealth Impact Assessment:Assessing Health Outcomes of Post-Sandy Decision-Making
Presented by: Karen Lowrie, Ph.D.Planning Healthy Communities InitiativeSlide2
Mystic Island HIA – What it is and What it isn’tWhat it is
HIA to inform buyout decisionOne of first HIAs on a resilience strategyDoor-opening to many future HIA and other studies
What it
isn’t
Post-Assessment of Sandy impacts
Analysis or comparison of various resilience options
Comprehensive assessment of any specific health impact
Statistically valid survey sampleSlide3
Voluntary BuyoutsNJ DEP Blue Acres Program – state funds and CDBG Disaster Recovery FundsIntention – Remove people from harm’s way and achieve environmental benefit
Purchase of private property with government fundsStructures demolishedLand returned to open spaceImpacts to public healthSlide4
New Jersey Context
130 miles of coastlineCoastal storm threatsNor’eastersTropical cyclones
Sea Level Rise
4Slide5
At-a-GlancePopulation: 8,164 – Trending down
Mostly waterfront community built in the 1960’s as resort34% of homes seasonal or vacantModerate income, Lower education, 98% whiteFew community assets, isolated and vulnerable
Mystic IslandSlide6
Sandy Impacts and ChallengesAbout 1,000 homes in LEHT substantially damaged.
Difficult to sell homes – falling prices even before storm – stressed local economyMore routine flooding since Sandy Lifting homes is
expensive
option and
problematic
Mystic IslandSlide7
Scope of the HIA
Program Alternatives:100 Property Voluntary Buyout
500 Property Voluntary Buyout
Blue Acres Criteria
Repurposed spaced as marsh with
p
assive recreation
Impacted populations:
LEH Township
Mystic Island residents
Elderly and Disabled
Lower income
Data Needs and Sources
Demographics and Socioeconomics
Health Characteristics – Physical (disease and lifestyle) and Mental Health (stress, anxiety, depression, additions, etc.)
Parcel-based (prop. values , characteristics, condition)
Mystic IslandSlide8Slide9
Open space Vision
Benefits of WetlandsFlood buffers
Filter chemicals
Provide habitats
Floating Docks
Minimal Maintenance
Can be used in combination with wetlands
Promotes Tourism
3 nearby National Wildlife Refuge Areas
Clamming
Endangered Species
Funding and Cost Considerations
Construction of bulkhead and passive recreation
Annual Maintenance
NJ has several grant opportunities
Source: http
://mid-atlanticmusings.blogspot.com/2012_05_01_archive.htmlSlide10
Research QuestionsWhat are the mental and physical health impacts of voluntary buyout scenarios for the residents of Mystic Island?
Sub-questions related to health determinants:What are the impacts related to flooding (
routine
due to SLR,
storm
events)?
What are the household
financial
impacts?
What are the
municipal fiscal
impacts?
What are the impacts to social fabric and cohesion?What are the impacts related to open space?
Mystic IslandSlide11
Stakeholder EngagementKickoff Meeting – Fall 2014
HIA Steering Committee (approx. 6-8 meetings) Key informant interviewsRoundtable DiscussionCommunity-wide resident survey – approx. 100 responsesSlide12
Baseline Health StatusOcean County, NJ:
Higher obesityLess access to recreation (10% below state)Higher heart diseaseMore smoking and drug use (treatment admissions)
Self-reported from Survey (LEH residents):
Heart disease 3% higher than County
Asthma
higher
than County
Depression at
26%
(
13%
higher than County)
Mystic IslandSlide13
Flooding Impacts on HealthMental HealthInjury and IllnessEvacuation
Hazards and ToxicsInfrastructure and Power OutagesSlide14Slide15
Question
Severe Impact
Moderate Impact
Very Little or No impact
Not Sure/ No Opinion
Impact on my property value
31.0%
25.0%
39.3%
4.8%
Sandy – Immediately After
70.1%
14.3%
Sandy – 2 years After
58.8%
23.4%
Elevated stress levels
30.6%
25.9%
37.7%
5.9%
Sandy - Immediately After
53.9%
24.3%
Mystic
lagooned
78.4%
Sandy – 2 years After
36.4%
28.6%
Mystic
lagooned
59.5%
Question: During and in the immediate months after STORM events, which of the following do you normally experience, and how severe is the impact?Slide16
Mental Health Impacts of Severe Storms
Short-term:
Trauma
Stress
Longer-term:
Anxiety
PTSD
Increased Domestic Violence
Increased Smoking/Drinking
Exacerbation of physical and mental health conditions
Fear of future floods
“The
i
nability to manage mental perspective has been increasing gradually and the need to access mental health assistance has become huge.
“Slide17Slide18
Projected Impacts of Buyout on FloodingBuyout of chronically flooded properties will eliminate health impacts for those whose homes are purchased and leave Mystic Island
.Clustered buyout of chronically flooded properties should reduce the severity of routine and storm-related damage and flooding by providing a buffer for storm surge and wave action for residents who remain in Mystic Island, thus reducing frequency and severity of nuisance
and storm-related flood
caused
physical and mental health
outcomes such as elevated stress, feelings of isolation, exposures to toxics, debris and mold.
Slide19
Resident Comments about Impact of Sandy on Household Finances “I’ve gone broke.”
“I had to rent a house and also still pay my mortgage. (A)ll life's savings are gone as well as all life's belongings.” “It is taking so long to recover, I would hate to see it again.”
“I would have jumped at a buyout option if it was available immediately after the storm. I would even take it now if it could cover the cost of the home.”Slide20
Projected Impacts: Household FinancesFor the people who accept buyout, household finances should improve if a fair purchase price is offered that addresses current debt and provides ability to find and purchase adequate property in a less vulnerable area.
For Little Egg Harbor residents, buyouts should have a negligible negative impact on household finances.Buyouts should reduce future needs of residents to access and use recovery programs.
Slide21Slide22
Projected Impacts: Municipal FinancialBuyout scenarios would result in a minor to moderate loss of tax revenue to the municipal budget, combined with cost savings that will likely not be fully realized.
While the 100-unit buyout has limited effect, under the 500-unit buyout scenario, the Little Egg Harbor school district would be affected, and costs might have to be cut, including laying off some teachers or administrative personnel.Economic benefits could be achieved through the buyout scenario, including reduced costs of recovery from future flooding and storms, and potential revenue generated from new eco-tourism, but these benefits were not quantified in this study and require a more detailed analysis.Slide23Slide24
Projected Impact: Open SpaceOpen space with opportunity for recreation provides very positive health impacts for physical fitness and reduction of disease.
There are strong positive mental health impacts associated with proximity of well-maintained open space.Eco-tourism opportunities can help to support local businesses and improve property values.Local open space with recreation opportunities disproportionately benefits lower income people who have limited access to private clubs.Slide25Slide26
Projected Impact: Social CohesionRemoving abandoned homes through
buyout will remove a source of distress and health hazards, improving quality of
life.
Loss of homes and populations could hurt some local
programs,
causing feelings of isolation and sadness, particularly among lower income and younger individuals.
The new recreational open space created by the bought out properties should provide opportunities for social interaction that improve community quality of life and mental health of residents.Slide27
Summary FindingsLiving in floodprone
area is stressful.There are both short-term and long-term health effects of large-scale disasters.There are strong mental health impacts related to financial difficulties and loss of control, especially for lower income and elderlyOpportunity to use buyout to strengthen economy and social networks – benefits most vulnerableRange of options will be needed to build resilience and live sustainably along coast.
Recommendations aimed at government decision-makers, both to inform buyout support and improve recovery programsSlide28
Selected Recommendations about BuyoutsBuyouts should be
clustered in a geographic area that results in greatest potential to reduce storm-related impacts. (i.e., most vulnerable to storm impacts and fewest elevated homes)Social services, particularly
access to mental health services
, should be improved as a complement to a buyout program and targeted to lower income, less educated populations
.
Buyout programs should be
funded and readily activated
and offered to residents quickly after storm-related disasters occur
.
Consider uses for the new open space that will
provide
physical health benefits and gathering
places for community-building
and public events.Slide29
Selected Recommendations about Recovery ProgramsCommunity
education about vulnerabilities so that residents understand the benefits of the measures.Agencies trained
to both
prevent
and
recognize the long-term mental health effects
following a storm event through
ongoing mental health surveillance, appropriate intervention, and adaptation strategies
.
Disaster managers at all levels
work
together
with
a goal to operate efficiently
to return affected populations to normalcy as quickly as possible.Financial counseling services offered as part of disaster case management
to
help storm victims access
programs
and provide them advice about
financial management.Slide30
Resilience and Health:Topics for Future Study
Effects of post-disaster recovery on specific vulnerable subpopulationsPrioritization of buyout areas based on health and risk reduction, considering socially vulnerable populations
Quantify the impact of open space on nuisance flooding
Impact
of buyouts on neighborhood quality of life
factors
Health
impacts for households who accept
buyouts
Effects
of resiliency strategies on
local/regional economy
Comparison of resilience strategies vs. do-nothing