The impact of deinstitutionalization became evident only in retrospect, and has placed a significant burden on already overburdened community services [ 12, 14].
While most children arrive in the displaced camps with their families, some are tragically separated from their parents and are either left to fend for themselves or forced to rely on already overburdened community members.
The city has one of the highest minority (people of color) populations (22.9%) and one of the lowest average incomes ($35,000) in Massachusetts, but is also the second most extensively overburdened community by environmental hazards in the state [ 36].
Even where there is support, it has been difficult to reach every woman and newborn with home visits (26), and there are implementation challenges including the difficulty of identifying all pregnant women, ensuring and maintaining skills for large numbers of workers, and tracking programme-relevant data collected at community level without overburdening community workers (35).
"We can't overburden communities, we have to be realistic about that.
These interventions won't just address lead, but the plethora of diseases that are overburdening communities like Flint, Detroit and Houston County, Alabama.
Concern with not overburdening either community members or professionals, information from existing healthcare services and disaster recovery efforts (i.e., mandated child health checkups and the afore-mentioned community model between the University and city PHNs) were capitalized upon in Fukushima City to undertake this line of academic inquiry.
Our clean energy revolution needs to be equitable, affordable, and accessible to all Californians, especially low-income people, communities of color, and communities overburdened by fossil fuel pollution.
Attempts to reach an accommodation that protects communities overburdened by industrial sites while satisfying our long-term need for energy have been ignored.
This is unacceptable for any Californian, but it is especially disturbing given the fact that fracking overwhelmingly occurs close to schools that serve predominately Latino public school students, the majority of whom live in communities already overburdened by pollution and the resulting negative health impacts.
"We have communities already overburdened, and they could really get the short end of the stick if we allow this technology to continue without the proper evaluation of the health and environment risks," said Miriam Rotkin-Ellman, senior scientist at the NRDC and lead author of the report.
