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Higher Education Enters the Ring
Why it matters Yesterday’s announcement that Linda McMahon is President-elect Donald Trump’s pick to lead the Department of Education ushers in a new era for universities and colleges. This signals a sharp pivot toward decentralization and pro-business policies, and it's expected that McMahon’s leadership will focus on dismantling traditional federal education structures, expanding school choice, and aligning education priorities with a business-first agenda. Higher education faces funding uncertainties, new accountability pressures, and the need to demonstrate its relevance in supporting economic growth. The Big Picture McMahon’s appointment reflects Trump’s broader strategy to reframe education policy in a way that prioritizes state control, entrepreneurship, and conservative cultural values. This will likely have significant consequences for higher education, including: Decentralization: Shifting control of education policy and funding to the states. School Choice Expansion: Redirecting public funds to private, religious, and homeschooling options. Economic Alignment: Pressuring institutions to support industry, small business, and workforce development through research, partnerships, and entrepreneurship/startup programs. Cultural Shifts: Rolling back policies on diversity, equity, and inclusion while emphasizing “patriotic” education. What’s at Stake Federal Funding Cuts: Threat: Research funding, Pell Grants, and other federal supports may face cuts. Reality Check: Congressional approval is required to eliminate funding streams like Title I, making complete federal withdrawal unlikely but changes and funding disruptions possible. Policy Shifts: Threat: Federal oversight will likely weaken, and policies favoring vocational and workforce-aligned education will likely put increased pressure on programs such as liberal arts. Universities will also likely face increasing pressure to align with ideological goals, such as restricting DEI (diversity, equity, and inclusion) initiatives. The new administration could wield considerable control over the school accreditation process, which has been seen by some to force ideological changes on campuses. There has been a movement to decentralize accreditation authority, reduce federal oversight, and align educational standards with conservative values. According to the Council for Higher Education, many of the ideas put forward focus on empowering states to authorize accrediting agencies and even serve as accreditors themselves, shifting control from federal to state governments. Action: Institutions must better identify their options amidst a rapidly evolving agenda at both the state and federal levels, develop strategies and secure the resources necessary. For instance, there are calls to prohibit accreditors from requiring institutions to implement Diversity, Equity, and Inclusion (DEI) policies. Institutions also need to understand what the implications of a more diverse accreditation landscape could be, with standards varying significantly across states, potentially affecting the uniformity and transferability of academic credentials nationwide. Reputational Risks: Concern: Growing public skepticism toward higher education undermines enrolment and support. Impact: Conservative narratives favoring alternatives like apprenticeships and other programs that support the economy and job growth will likely gain traction. Preserving Institutional Independence: Pressure: Universities face increased scrutiny of their course curriculum and research priorities that may be deemed ideologically contentious. Opportunity: Institutions must tangibly demonstrate their value to society. The more they can do to break down barriers between “town and gown” and counter the narrative that paints them as too expensive, elitist, and out of touch. Demonstrating Economic Impact: Need: Universities must showcase their role in driving economic growth through research, commercialization, and support for small businesses and entrepreneurs. Opportunity: Institutions should communicate their relevance in relatable ways that engage with businesses, emphasizing tangible contributions to research innovation and job creation as a positive return on investment that can be messaged to taxpayers. Key Questions for Higher Ed Leaders Funding: How can we diversify revenue streams and reduce reliance on federal support? Advocacy: How should universities engage state and federal leaders to protect their interests? Reputation: How can higher education rebuild public trust and counter skepticism? Relevance: How do we better communicate the value of university research and its role in supporting a pro-business agenda? Adaptation: Can institutions innovate by expanding industry partnerships, online education, and workforce-aligned programs? Implications of Project 2025 Project 2025 is a comprehensive initiative spearheaded by the Heritage Foundation, a conservative think tank, aiming to reshape the U.S. federal government through a conservative lens. Launched in April 2023, it serves as a strategic blueprint for a potential conservative administration, detailing policy proposals, personnel strategies, training programs, and a 180-day action plan. Analysis from the Brookings Institution states that "many proposals in Project 2025 would require an unlikely degree of cooperation from Congress, though others could be enacted unilaterally by a second Trump administration.” While we don’t know the full extent to which Project 2025 will be implemented, its agenda seeks to reshape federal agencies, including the Department of Education, with a significant impact on the sector. Key areas of focus include: Title I and Student Aid Proposals to give parents more control over federal funds could deprioritize public education. Tax Credits for School Choice Incentives to support private school tuition may shift K-12 pipelines, impacting university enrolment. Economic Realignment Universities will need to align with business priorities, emphasizing innovation, commercialization, and job creation. Diversity Equity & Inclusion Project 2025 explicitly calls for reducing federal spending on what it deems unnecessary or politicized initiatives, and DEI programs are likely to fall under this categorization. This could have wide-ranging impacts, including changes to school ranking systems that have a DEI component. Ranking bodies such as US News & World Report may need to adjust their methodologies to account for changes in diversity initiatives and data availability. With potential reductions in diversity-related data, rankings might place greater emphasis on other factors such as academic performance, faculty qualifications, and post-graduate outcomes. This also could extend to endowments, which direct funding toward diversity programs through scholarships and fellowships. For institutions that rely heavily on DEI as a cornerstone of their fundraising and donor relations strategies, they may experience reduced donor enthusiasm, particularly from philanthropic organizations or alumni committed to these causes. Regulatory Rollbacks There is the potential for significant changes to Title IX protections and federal loan forgiveness programs, creating legal and financial uncertainty. What Universities Can Do Now: Secure Funding Build relationships with private donors, businesses, and industry partners. Strengthen advocacy efforts at the state level to safeguard funding & other resources. Adopt proactive strategies to mitigate potential policy impacts, such as diversifying revenue sources, engaging donors with aligned government priorities, and ensuring compliance with evolving regulations. Reinforce Public Trust Explain complex topics in accessible ways to help the public and policymakers make informed decisions. Help promote and support faculty who can serve as credible sources for the media, countering misinformation and fostering informed dialogue. Strengthen community connections with your experts through public speaking engagements, workshops, and local events. Position the university as a hub for knowledge and innovation that benefits the community. Capitalize on the reach and influence of alumni. Highlight their successes to show how they benefitted from educational programs and research. Position them as important role models and advocates in the community who are contributing to economic growth. Demonstrate Relevance Showcase faculty and their research breakthroughs. Demonstrate how their work benefits industries, supports entrepreneurship and addresses societal challenges. Speak to real-world outcomes in health, technology, the environment, and more. Use accessible language to connect with policymakers, business leaders and taxpayers. Strengthen Advocacy: Partner with peer institutions to shape policy discussions. Position universities and colleges as vital contributors to a pro-business agenda. Innovate: Expand stackable credentials and micro-credential programs that are aligned with private and public sector requirements and emerging skills-based models. Look at new online education options. Embrace partnerships that connect academic research to real-world economic impact. Universities must deliver a more compelling, data-driven, yet humanized story about their institution’s contributions, fostering stronger relationships with government, the private sector, and taxpayers. What's Next This new era will most certainly challenge higher education to rethink its approach to funding, policy, and public engagement. For all institutions, both public and private, there is no place to hide. As they step into the ring, Higher Education leaders will need lots of support as they look to forge new paths for research, teaching, and community service while engaging their stakeholders in ways that more powerfully communicate their vital contributions to society. The bell has rung—are you ready?

It's the right of every citizen - and with a presidential election less than two weeks away, a team of social workers from UConn are working to make sure every voice is heard as the U.S. choses a new leader on Nov. 5. Voting Is Social Work - a campaign led by Tanya Rhodes Smith, director of the Nancy A. Humphreys Institute for Political Social Work at the UConn School of Social Work - is getting a lot of attention for its work engaging social workers to help empower some of the most vulnerable and disenfranchised groups to get registered and cast their ballots in local elections. “Voting is complicated, and it’s intimidating, especially for vulnerable populations, like the unhoused, the formerly incarcerated, or those living in congregate care,” says Rhodes Smith. “We know that being a non-voter is a very isolating space, because voting is highly relational. Campaigns generally ignore non-voters— you don’t get campaign materials, or someone knocking on your door. Information on candidates in state and local elections in communities with low turnout can be very hard to find or even nonexistent.” That’s where social workers, explains Rhodes Smith, can play an important role in helping disenfranchised voters understand their rights – and register to vote. Money, Power, and Resources As co-founders since 2015, UConn’s Humphreys Institute has been the institutional home for Voting Is Social Work. Also known as the National Social Work Voter Mobilization Campaign, Voting Is Social Work supports nonpartisan voter engagement as central to social work’s mission, ethical mandate, and impact. “We’ve always believed that social work has the power to transform democracy,” says Rhodes Smith, “and we believe every social worker – and social service agency – should include nonpartisan voter engagement into their practice and work. Because we reach non-voters – those who are least likely to vote.” October 16 - UConn Today It's an initiative catching attention across the country. Research has linked voting to higher earning and education, better health outcomes, and lower rates of recidivism. But education is key, particularly for individuals with special circumstances, like the formerly incarcerated, people living in congregate care, and the unhoused. Homelessness comes with a new, unique set of challenges during an election cycle. However, homeless residents have protections, including voting rights. Nationwide, only 10% of unhoused people vote each year, according to the Institute of Political Social Work at the University of Connecticut. Many social workers in Connecticut are working to educate unhoused residents about their voting rights, according to UConn Social Work professor Tanya Rhodes Smith, director of the Nancy A. Humphreys Institute for Political Social Work. “When you ask somebody if they would like to check their voter registration, they may say, ‘I'm not eligible,’ or ‘I've never voted,’ and that's really important information for you to know,” Rhodes Smith said. “It really tells a story about them.” About 60% of eligible voters turnout in presidential election years, but increasing voting rates is important for local elections as well, Rhodes Smith said. “When you have 10% to 15% [voter turnout], that's not an accountable government, that's a government that's accountable to the 10% to 15%,” Rhodes Smith said. “We've seen it over and over in Bridgeport, that nothing changes because that turnout rate doesn't go up, and so there is no accountability when you have an unhealthy democracy.” October 10 - WNPR Looking to know more about this important work? If so, let us help. Tanya Rhodes Smith specializes in policy development, nonprofit administration, voter engagement and legislative advocacy. She's available to speak with media about this important topic - simply click on her icon now to arrange an interview.

On this day in 1981, the Centers for Disease Control and Prevention (CDC) reported the first cases of what would later be known as Acquired Immunodeficiency Syndrome (AIDS). This event marks a crucial moment in medical history, heralding the beginning of an epidemic that would profoundly impact millions of lives globally. This topic remains newsworthy due to its lasting implications on public health, medical research, and social stigma. Understanding the evolution of the AIDS crisis provides insights into ongoing challenges in healthcare, policy, and community support. Key story angles that may engage a broad audience include: Historical Overview of the AIDS Epidemic: Tracing the timeline of the AIDS crisis from its early days to the present, highlighting key medical and social milestones. Advancements in HIV/AIDS Treatment and Research: Exploring the breakthroughs in antiretroviral therapies, the search for a cure, and the latest research developments. Public Health Policies and Responses: Analyzing the effectiveness of public health initiatives and policies in managing and preventing HIV/AIDS, including current strategies and future directions. Social and Cultural Impact: Investigating how the AIDS epidemic has influenced societal attitudes, policies towards marginalized communities, and the ongoing fight against stigma and discrimination. Global Perspective: Examining the global impact of HIV/AIDS, comparing responses and outcomes in different regions, and the role of international organizations in combating the epidemic. Personal Stories and Advocacy: Sharing personal narratives of those affected by HIV/AIDS, the role of advocacy groups, and the importance of community support in addressing the epidemic's challenges. These angles provide journalists with a range of perspectives to explore, ensuring comprehensive coverage of the historical, medical, and societal dimensions of the AIDS epidemic. Connect with an Expert about the History of AIDS in America: Dr. Adey Nyamathi Founding Dean and Distinguished Professor of Nursing · UC Irvine Petra Molnar Associate Director · Refugee Law Lab, Osgoode Hall Law School Andrea Benoit Assistant Professor (Adjunct) · Western University David J. Hardy Professor of Psychology | Psychological Science · Loyola Marymount University Valerie Earnshaw Associate Professor, Human Development and Family Sciences · University of Delaware To search our full list of experts visit www.expertfile.com Photo credit: Ehimetalor Akhere Unuabona

MEDIA RELEASE: The CAA Worst Road in Ontario is Hamilton's Aberdeen Avenue
The nominations are in, and Aberdeen Avenue in Hamilton is the CAA Worst Road for 2024. This is the first year Aberdeen Avenue has claimed the top spot on the provincial list due to potholes, poor road maintenance, and traffic congestion. It first debuted on the top regional list for Hamilton 2021 and has since climbed to the top. Taking the second and third place spots are Eglinton Avenue West in Toronto, due to traffic congestion, potholes and poor road maintenance and Barton Street East in Hamilton, due to potholes and poor road maintenance. "We know that the campaign works; time and time again, we see roads and infrastructure projects being moved up and budgets prioritized after the road has appeared on the list," says Teresa Di Felice, assistant vice president of government and community relations, CAA South Central Ontario. "For the last 21 years, the campaign has given Ontarians a voice to help them nominate the roads they believe are in need of urgent repair." CAA Worst Roads lists provide decision-makers with an important citizen perspective on which roadway repairs need to be expedited and key priorities for infrastructure funding and investments moving forward. In Ontario, 145 municipalities nominated over 2,000 different roads in their communities. Municipalities are responsible for approximately 140,000 kilometres of roads across the province. "Roads, sidewalks, and bike paths are only some of the things municipal governments fund with limited revenue sources," says Di Felice. "It's important for communities to share their view on what and where investments should be made. CAA Worst Roads is a forum to do that." Drivers accounted for most of the nominations, while cyclists and pedestrians accounted for about a quarter. Ontarians shared their primary reasons for selecting a road, with 53 per cent citing potholes, followed by poor road maintenance (52 per cent), traffic congestion (13 per cent) and poor cycling infrastructure, or lack thereof (8 per cent). Ontario's top 10 list is verified by the Residential and Civil Construction Alliance of Ontario (RCCAO). "For the second consecutive year, RCCAO is proud to be the technical partner of the CAA Worst Roads advocacy campaign," says Nadia Todorova, Executive Director of RCCAO. "This year's campaign revealed growing competition on Ontario's deteriorating infrastructure amidst a growing state of good repair backlog. Long-term, sustainable funding is needed to build and maintain critical infrastructure." Ontario's Top 10 Worst Roads for 2024 1. Aberdeen Avenue, Hamilton 2. Eglinton Avenue West, Toronto 3. Barton Street East, Hamilton 4. County Road 49, Prince Edward County 5. Hurontario Street, Mississauga 6. Bloor Street West, Toronto 7. Cedar Street North, Uxbridge 8. Finch Avenue West, Toronto 9. Lake Shore Boulevard East, Toronto 10. Laclie Street, Orillia Worst Roads by Region Central— Laclie Street, Orillia Eastern— County Road 49, Prince Edward County Halton-Peel-York-Durham— Hurontario Street, Mississauga Niagara— Portage Road, Niagara Falls North— Widdifield Station Road, North Bay Southwest— Plank Road, Sarnia Western— York Road, Guelph Ottawa— Carling Avenue, Ottawa For the complete list of the 2024 Worst Roads, please visit https://www.caasco.com/advocacy/worst-roads/2024-results

MEDIA RELEASE: 18th Street in Brandon Named CAA's Worst Road in Manitoba
Potholes and Crumbling Pavement Along 18th Street in Brandon, Manitoba. (Submitted: March 27, 2024) The nominations have been tallied, and the 2024 CAA Worst Road is 18th Street in Brandon. 18th Street's issues with potholes and severe alligator cracking in the pavement have led to this dubious distinction. The road first appeared on the top 10 list in 2022 and has steadily climbed its way to the top. The second and third place spots are also taken by repeat offenders on the top 10 list are Leila Avenue in Winnipeg and Provincial Road 307 in Whiteshell. According to the voter insights, Leila Avenue's unavoidable potholes have damaged many vehicles, costing local drivers thousands of dollars in repairs. Voters also expressed concern over Provincial Road 307 regarding poor pedestrian infrastructure and road maintenance. "The 2024 CAA Worst Roads campaign provides a valuable snapshot of the roads that the public perceives as pain points," says Ewald Friesen, manager of government and community relations for CAA Manitoba, "For 13 years, this campaign has served as a powerful advocacy tool, initiating dialogue with decision-makers and driving positive change for safer roads across the province." CAA's most recent survey data shows that while 78 per cent of Manitobans do not appreciate road maintenance efforts, however, 88 per cent are willing to put up with the inconvenience of construction if that means they get a good road at the end of the repairs. The campaign received 486 road nominations from thousands of local voters across 71 municipalities. "Manitobans' frustration about the state of our roads is clear," says Friesen. “We know they voice their concerns to neighbours, friends, or mechanics; this campaign helps bring awareness to decision-makers, providing valuable insights on our preferences for how to prioritize road repair and maintenance." Half of the roads on the top 10 list have debuted this year. These include Highway 26, Pandora Avenue, Richmond Avenue, Grant Avenue, and Munroe Avenue, which are tied for ninth place. Manitoba's Top 10 Worst Roads for 2024 1. 18th Street, Brandon 2. Leila Avenue, Winnipeg 3. Provincial Road 307, Whiteshell 4. Kenaston Boulevard, Winnipeg 5. Provincial Highway 26, Saint François Xavier 6. Empress Street, Winnipeg 7. Pandora Avenue, Winnipeg 8. Saskatchewan Avenue, Winnipeg 9. Grant Avenue and Munroe Avenue, Winnipeg 10. Inkster Boulevard, Winnipeg and Richmond Avenue, Brandon "Municipalities are responsible for thousands of kilometres of roads across the province. Roads, sidewalks, and bike paths are only some of the things that municipal governments fund with limited revenue sources," adds Friesen. "It's important for communities to share their view on what and where investments should be made. CAA Worst Roads is a forum to do that." For more information and historical results, please visit: https://www.caamanitoba.com/advocacy/government-relations/worst-roads

MEDIA RELEASE: CAA Manitoba Urges Drivers to Slow Down and Move Over
A recent study conducted by CAA Manitoba revealed a knowledge gap in how drivers understand and comply with Slow Down Move Over (SDMO) laws. According to the study, 85 per cent of drivers claim they are aware of the SDMO law – however, only 41 per cent have a clear understanding of its definition. The survey also found that a third of drivers (30 per cent) confuse the SDMO law with the one that requires drivers to give emergency vehicles the right of way and clear passage when stopped on the side of the road. “This data shows us that there is a big divide and misunderstanding between the law in theory and the law in practice,” says Ewald Friesen, manager of government and community relations CAA Manitoba. “Lack of understanding of the Slow Down Move Over law poses a significant safety risk for tow truck operators and emergency vehicles on the province's roads." To help keep tow operators safe, CAA Manitoba is using National Slow Down Move Over Day to remind drivers of the law, its purpose and penalties for non-compliance. On May 14, all CAA Clubs across Canada are coordinating a National Slow Down Move Over Day, part of a broader campaign to remind motorists to be mindful and cautious around truck operators assisting others on the roadside. Across North America, more than 100 tow truck drivers have been killed in the last decade after being struck by oncoming traffic while helping stranded motorists with flat tires, breakdowns, and collisions. Given the lack of data collection on these types of deaths, this number is very conservative. Add to that the significant number of injuries and near misses demonstrates just how important it is to educate the public about the Slow Down Move Over law. “Tow truck operators face a high risk of injury when on the side of the road or in a live lane helping stranded drivers. “These are real people with friends, families and loved ones,” says Friesen. “CAA Manitoba will always advocate for their safety to create safer roads across Manitoba for everyone, including those working alongside it.” In Manitoba, the SDMO law requires drivers to slow down when a vehicle is working along the roadside. If the posted speed limit is less than 80 km/h, drivers are required to slow down to 40 km/h. If the posted speed limit is 80 km/h or higher, drivers are required to slow down to 60 km/h. Drivers are not as concerned for the safety of tow truck operators as they should be. The survey also found that when compared to other types of emergency vehicles, Manitoban drivers tend to slow down less for tow truck operators. While motorists say they will reduce their speed and fully change lanes when they encounter emergency vehicles like police (95 per cent), ambulances (93 per cent) and fire trucks (89 per cent) only 70 per cent will slow down and move over for a tow operator. “Everyone deserves a safe place to work, including tow truck operators who are working in extremely unsafe conditions, "says Friesen. “ CAA Manitoba will continue to educate the public on road safety, and bring awareness to the laws that have been put in place to protect tow operators along with other emergency roadside assistance.” CAA Manitoba is encouraging motorists to get informed on the laws put in place to protect tow operators and other emergency roadside assistance on National Slow Down, Move Over Day. To learn more about Slow Down, Move Over, visit: https://www.caamanitoba.com/advocacy/government-relations/slow-down DIG Insights conducted an online survey on behalf of CAA Manitoba between October 26th –November 6th, 2023, of 758 Manitoba drivers aged 18-75 years. Based on the sample size and the confidence level (95 per cent), the margin of error for this study was +/- 3 per cent

STORY: CAA Clubs Across Canada join forces on National Slow Down Move Over Day
Every year, CAA clubs across Canada mark the second Tuesday of May as National Slow Down Move Over Day. This year, National Slow Down Move Over Day is on May 14, 2024. To help keep tow operators safe, CAA South Central Ontario is highlighting the importance of National Slow Down Move Over Day. Everyone deserves a safe place to work including tow truck drivers who are working in unsafe conditions. According to a recent CAA survey of 1,516 Ontario drivers, while almost all drivers comply with Ontario’s slow down move over law, nearly half admit to not slowing down and moving over for tow trucks because they were not aware they had to. As we approach the summer driving season, it is important for drivers to slow down and move over when approaching a roadside emergency rescue. By doing so, we can help protect the lives of those who work on our roads and highways and make our roads safer for everyone. In Ontario, the SDMO law requires drivers to slow down, and if there is space and it's safe, move over one lane when approaching a stopped emergency vehicle, including tow trucks, with flashing lights. Fines could range from $400 to $2,000 and three demerit points if convicted and possible suspension of driver's licence for up to two years. As a longtime advocate of road safety, CAA has been pushing for safer roads for everyone. Learn more about CAA SDMO efforts here: https://www.caasco.com/advocacy/road-safety/slow-down-move-over

Assigned a Piece for May Day? Our Experts are Here to Help with Your Questions and Coverage
May Day, celebrated on May 1st each year, holds significance as a global day of action for anti-capitalist, anarchist, and other left-wing activists. Originating from the historic struggles of the labor movement, May Day symbolizes solidarity, workers' rights, and social justice. Understanding the importance of this event requires recognizing its relevance to contemporary societal issues and its potential to spark discussions on a wide range of topics that resonate with the public. Key sub-topics that may interest journalists and the public include: Labor Rights and Worker Advocacy: Exploring the current state of labor rights worldwide, including issues such as fair wages, workplace safety, and the challenges faced by marginalized workers. Social Justice Movements: Examining the role of May Day in amplifying the voices of social justice movements advocating for equality, diversity, and inclusion across various sectors of society. Economic Inequality: Analyzing the growing disparities in wealth and income distribution globally and how May Day serves as a platform to address systemic economic injustices. Political Activism and Protest Culture: Investigating the tradition of political activism and protest culture associated with May Day, including its historical roots and contemporary expressions. Global Solidarity: Highlighting instances of international solidarity and collaboration among activists, unions, and grassroots organizations during May Day events worldwide. The Future of Work: Discussing the evolving nature of work in the digital age, automation's impact on employment, and the need for policies to ensure a just transition for workers. May Day serves as a powerful reminder of the ongoing struggles for social and economic justice, offering journalists and the public an opportunity to engage with pressing issues, amplify marginalized voices, and envision a more equitable future. Connect with an Expert about May Day: Steven E. Harris Associate Professor · University of Mary Washington Dr Elisabeth Schimpfössl Senior Lecturer · Aston University Edward Lopez Professor · Western Carolina University David Smilde Charles A. and Leo M. Favrot Professor of Human Relations and and Senior Associate Fellow at CIPR · Tulane University To search our full list of experts visit www.expertfile.com Photo Credit: Sinitta Leunen

Healthy Environment, Healthy People: The Intersection Between Climate and Health
How is climate change influencing our health? Why does climate change have a greater impact on vulnerable populations and low-income people? How does the U.S. health care system affect the climate? How can health care systems improve their impact on the climate and the environment? ChristianaCare’s inaugural Climate and Health Conference addressed these topics and raised possible solutions at the John H. Ammon Medical Education Center on the Newark, Delaware, campus on April 12. At the conference, the common denominator was this: An unhealthy environment can lead to illnesses and deaths from air pollution, high heat, contaminated water and extreme weather events. Health systems, government entities, community organizations and individuals all have a role to play in decreasing these effects. “Climate, the environment and health care systems are intertwined,” said Greg O’Neill, MSN, APRN, AGCNS-BC. “We need to pay close attention to this relationship so we can improve health for everyone.” O’Neill is director of Patient & Family Health Education and co-chair of the Environmental Sustainability Caregiver Committee at ChristianaCare. Climate change and intensifying health conditions Negative health effects are so closely tied to the environments where people live, work and play that The Lancet called climate change “the greatest global health threat facing the world in the 21st century [and] the greatest opportunity to redefine the social and environmental determinants of health.” At the conference, speakers addressed specific areas of concern. Asthma. Air pollutants, while largely invisible, are associated with asthma. What’s more, people who live in urban areas with little green space are more likely to have uncontrolled asthma, said speaker Robert Ries, M.D., an emergency medicine resident at ChristianaCare. And there’s the rub, he said: When people with asthma spend time in green spaces, it may improve their health. “In Canada,” he said, “some doctors prescribe nature – two hours a week for better overall health outcomes. Could we do that here?” Heat-related illness. Temperatures worldwide have been rising, increasing the likelihood of heat-related health incidents. Heat waves may be harmful to children and older adults, particularly those who don’t have access to air conditioning, swimming pools or transportation to the beach, said speaker Alan Greenglass, M.D., a retired primary care physician. Children visit the emergency room 20% more frequently during heat waves. Weather-related illness. Climate change is causing more floods, which may result in respiratory problems due to mold growth; and droughts, which may threaten water safety and contribute to global food insecurity, said speaker Anat Feingold, M.D., MPH, an infectious disease specialist at Cooper Health. Stress and anxiety. Climate change can affect mental health, even leading to “solastalgia,” which is distress about environmental change and its effect on one’s home, said speaker Zachary Radcliff, Ph.D., an adolescent psychologist at Nemours. He encouraged clinicians in the audience to keep this mental health concern in mind when seeing patients as it may become more prevalent. Cardiovascular disease risk. Frequent consumption of red meat increases the risk of cardiovascular disease, the top cause of death in the U.S. It’s also unhealthy for the environment, said speaker Shirley Kalwaney, M.D., an internal medicine specialist at Inova. Livestock uses 80% of available farmland to produce only 17% of calories consumed, creating a high level of greenhouse gas emissions. By comparison, plant-based whole foods decrease the risk of cardiovascular disease and diabetes. They use only 16% of available farmland, producing 82% of calories consumed. This makes reducing red meat in our diets one of the most powerful ways to lower the impact on our environment. Health equity and the environment People in low-income communities are more likely to live in urban areas that experience the greatest impacts of climate change, including exposure to air pollutants and little access to green space, said speaker Abby Nerlinger, M.D., a pediatrician for Nemours. A Harvard study in 2020 demonstrated that air pollution was linked with higher death rates from COVID-19 — likely one of the many reasons the pandemic has disproportionally harmed Black and Latino communities. Similarly, access to safe, affordable housing is essential to a healthy environment, said Sarah Stowens, Ed.D., manager of State Policy and Advocacy for ChristianaCare, who advocated for legislation including the Climate Solutions Act, another bill that increased oversight regarding testing and reporting of lead poisoning and a policy to reduce waste from topical medications. Opportunities for change in health care Reduce emissions from pharmaceuticals and chemicals. These emissions are responsible for 18% of a health system’s greenhouse gas emissions. One way to reduce this number is for clinicians to prescribe a dry-powder inhaler (DPI) instead of a metered-dose inhaler (MDI) when applicable and safe for the patient and to give patients any inhalers that were used in the hospital at discharge if they are going home on the same prescription. Hospitals have opportunities to reduce greenhouse gases while caring for patients, said Deanna Benner, MSN, APRN, WHNP, women’s health nurse practitioner and co-chair of ChristianaCare’s Environmental Sustainability Caregiver Committee. The health care sector is responsible for 8.5% of U.S. greenhouse gas emissions, the highest per person in the world. U.S. greenhouse gas emissions account for 27% of the global health care footprint. One way to significantly reduce the carbon footprint is to use fewer anesthetic gases associated with greater greenhouse gas emissions, Benner said. Limit single-use medical devices. Did you know that one surgical procedure may produce more waste than a family of four produces in a week? Elizabeth Cerceo, M.D., director of climate health at Cooper Health, posed this question during her talk. Sterilizing and reusing medical devices, instead of using single-use medical devices, she said, may meaningfully reduce hospital waste. ChristianaCare’s commitment to healthy environments and healthy people As one of the nation’s leading health systems, ChristianaCare is taking a bold, comprehensive approach to environmental stewardship. ChristianaCare reduced its carbon footprint by 37% in 2023 by purchasing emission-free electricity. ChristianaCare joined the White House Climate Pledge to use 100% renewable energy by 2025, reduce greenhouse gas emissions by 50% by 2030 and achieve zero net emissions by 2050. ChristianaCare has created an Environmental, Social and Governance structure to help advance a five-year strategic plan that delivers health equity and environmental stewardship. Nearly 150 staff members have become Eco-Champions, an opportunity to be environmental change-leaders in the workplace. In 2023, ChristianaCare’s successful environmental stewardship included: Reducing our carbon footprint by 37% by purchasing emission-free electricity. Recycling 96,663 pounds of paper, which preserved 11,485 trees. Reducing air pollution by releasing an estimated 33,000 fewer pounds of nitrogen oxides and sulfur oxides through the use of a cogeneration energy plant on the Newark campus. Donating 34,095 pounds of unused food to the Sunday Breakfast Mission in Wilmington, Delaware. Donating 1,575 pounds of unused medical equipment to Project C.U.R.E., ChristianaCare’s Virtual Education and Simulation Training Center and Delaware Technical Community College. “In quality improvement, they say you improve the things that you measure,” O’Neill said in expressing goals for continued success. In looking ahead, said Benner, “I really hope that this conference is the catalyst for positive change with more people understanding how climate is connected to health, so that we can protect health from environmental harms and promote a healthy environment for all people to thrive.”

America's Most Endangered Rivers | Media Advisory
Every year, the release of America's Most Endangered Rivers List serves as a critical wake-up call, drawing attention to the urgent need to protect our nation's waterways and the communities that depend on them. As threats to our rivers continue to escalate due to pollution, overdevelopment, and climate change, this annual report highlights the importance of preserving these vital ecosystems for current and future generations. Here are key story angles for journalists to explore: Environmental impacts of river degradation: Investigating the consequences of pollution, habitat destruction, and water scarcity on wildlife and local communities. Economic implications of river conservation: Analyzing the economic benefits of healthy rivers for industries such as tourism, agriculture, and recreation. Community activism and river conservation efforts: Showcasing grassroots initiatives and advocacy campaigns aimed at protecting and restoring endangered rivers. Government policies and river management: Assessing the effectiveness of current regulations and resource management strategies in safeguarding our waterways. Indigenous perspectives on river stewardship: Highlighting indigenous knowledge and traditional practices related to river conservation and sustainability. Climate change and the future of America's rivers: Exploring how rising temperatures and extreme weather events are exacerbating threats to river health and resilience. Connect with an Expert about Jackie Robinson For journalists with questions or looking to cover todays' release of America's Most Endangered Rivers List, here is a select list of experts. To search our full list of experts visit www.expertfile.com Colin J. Gleason Associate Professor of Civil and Environmental Engineering · University of Massachusetts Amherst Alan Clarke Hydrological Services Leader · Global Water Experts Michael C. Slattery Professor, Department Chair and Director of the Institute for Environmental Studies · Texas Christian University AJ Reisinger Assistant Professor · University of Florida Photo Credit: Dan Cardoza




