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Climate Change and Health Seminar: Disconnected - Understanding chronic and acute energy insecurity, health impacts and policy options for energy justice

November 23, 2021
  • 00:03<v ->So, hi everyone,</v>
  • 00:04thank you for coming in person
  • 00:06and also thank you for our online audiences.
  • 00:09So today, it's my great honor
  • 00:12to have Dr. Diana Hernandez joining us.
  • 00:17Dr. Hernandez is currently Associate Professor
  • 00:20of Social Medical Sciences
  • 00:24in the Columbia University Mailman School of Public Health.
  • 00:27Her work examines the impacts of policy
  • 00:30and place-based interventions on the health
  • 00:33and well-being on social economic (mumbles)
  • 00:38She has an advanced look at the concept
  • 00:40which (mumbles) today,
  • 00:42energy insecurity to reflect the changes
  • 00:46associated with meeting basic household energies
  • 00:49and its links to house.
  • 00:52And Dr. Hernandez is currently a (mumbles) scholar
  • 00:55at the Russell Sage Foundation
  • 00:57where she is currently writing a book,
  • 01:00"Energy Insecurity in The US."
  • 01:02So while we're very much looking forward
  • 01:04to her forthcoming book,
  • 01:06we're very fortunate today
  • 01:07to have a pre-overview over her work.
  • 01:10So without further ado, Dr. Hernandez.
  • 01:17<v ->Of course, I'm muted.</v>
  • 01:18Hi, thank you so much for the introduction.
  • 01:20I'm really excited to be here today
  • 01:24to share some of this kind of ongoing work
  • 01:28on energy insecurity as you stated, Kai.
  • 01:31I'm going to share my screen again
  • 01:34and get started.
  • 01:35I will warn you that I am a New Yorker
  • 01:39and I speak fast.
  • 01:40I'm also planning on covering quite a bit of material,
  • 01:44but also want to leave time for questions and answers
  • 01:49later on in the session.
  • 01:50So by all means,
  • 01:52and I'm a little shy on Twitter,
  • 01:55but please do,
  • 01:58you know, tag me on Twitter @DrDianaHernandz
  • 02:04without the E, the second E.
  • 02:06So I'm gonna tell you a little bit
  • 02:08about my academic interests.
  • 02:10I'll kind of give you a sense
  • 02:11of the four pillars of housing,
  • 02:14talk about what energy insecurity is,
  • 02:16as well as housing and policy interventions
  • 02:19to address this issue.
  • 02:22Let me just kind of say that
  • 02:24I've been doing work on
  • 02:26at the intersection of energy equity, housing and health
  • 02:29for over a decade now.
  • 02:32And there was a time
  • 02:34when the social determinants of health
  • 02:37and environmental determinants of health
  • 02:38were kind of separate entities.
  • 02:41And there are some of us that are kind of working
  • 02:44on bringing these two fields together,
  • 02:48because of course, they kind of intersect.
  • 02:52In addition to doing that,
  • 02:54I've been working on, you know,
  • 02:55kind of these joint concepts of energy insecurity
  • 02:58and energy justice,
  • 03:00thinking about housing and robust ways
  • 03:02poverty and community-engaged research,
  • 03:05as well as social and public health entrepreneurship.
  • 03:11The bulk of my work has actually been
  • 03:13about looking at interventions.
  • 03:16I've been fortunate to do
  • 03:18kind of real life-based research projects related to legals,
  • 03:25the kind of provision of legal services
  • 03:28to address housing problems, energy efficiency,
  • 03:33and clean heat interventions,
  • 03:36the privatization or the repositioning of public housing,
  • 03:39thinking about climate change and emergency preparedness,
  • 03:43housing-based social and health interventions.
  • 03:47So basically, the provision of these kinds of services
  • 03:51within housing spheres
  • 03:52and also smoke-free housing and social impact real estate.
  • 03:56I will cover a lot of those in my talk today,
  • 04:00but I always like to kind of share this image
  • 04:02because in some ways,
  • 04:04the real essence of the work that I've been doing
  • 04:06is about expanding the notion of sick buildings,
  • 04:10and vulnerable occupants,
  • 04:12along with intervention strategies.
  • 04:14Kind of realizing that our housing
  • 04:17or the people that live in housing,
  • 04:20especially those that are kind of more vulnerable,
  • 04:23need to continue to experience that disadvantage
  • 04:29and the kind of health risks they're in.
  • 04:32So I want to really start.
  • 04:34You know this conversation will be about household energy,
  • 04:39but I'd be remiss not to kind of put household energy
  • 04:44within the context of a nuanced appreciation
  • 04:49of what housing actually represents.
  • 04:53And thinking about housing
  • 04:56as having kind of more than one pillar,
  • 04:59so it is in some ways a physical entity.
  • 05:03It's a social entity.
  • 05:05But it is really about these kind of four areas;
  • 05:11costs, conditions, consistency and context.
  • 05:16And what I have found over the years is that,
  • 05:20many people make trade-offs at these intersections
  • 05:24between, let's say, cost and conditions.
  • 05:28So the poor,
  • 05:30for instance, might be relegated
  • 05:31to some of the kind of poorest quality housing.
  • 05:36They are also much more likely to experience displacement,
  • 05:45sometimes from climate change,
  • 05:47sometimes from economic forces.
  • 05:49So the consistency of their housing is at risk.
  • 05:53And then also,
  • 05:54we know so much about the interplay between kind of,
  • 05:58or neighborhood effects, essentially.
  • 06:00But there's an interplay between housing effects
  • 06:02and neighborhood effects.
  • 06:04So that what's happening in the outer core
  • 06:07if we're thinking about it
  • 06:08from a social-ecological perspective,
  • 06:11also has implications for what's happening
  • 06:13inside people's homes, and vice versa.
  • 06:16So, part of my work has been about just laying out
  • 06:21what the nuances of housing are,
  • 06:23situating it in the kind of historical policies
  • 06:27and practices that have made housing distribution
  • 06:34quite different and segregated and separate,
  • 06:38but not equal in the same ways
  • 06:41that education has historically kind of unfolded.
  • 06:45And so this is just kind of a heuristic
  • 06:49to appreciate the various policies
  • 06:52from Native American displacements to reservations,
  • 06:57to public housing, redlining, exclusionary zoning
  • 07:02as formal policies,
  • 07:04but also the kind of discriminatory practices
  • 07:08that were materialized through (mumbles)
  • 07:11Sorry, racial residential covenants, predatory lending,
  • 07:15and more recently, gentrification.
  • 07:18And the impacts of this have everything to do with health.
  • 07:22And health, in its physical forms
  • 07:25and also in its mental forms,
  • 07:27the kind of idea around wellbeing.
  • 07:29These pillars of housing that I just described,
  • 07:33really kind of reflect larger structures and mechanisms
  • 07:38through which housing is impacted.
  • 07:41And then also how kind of independently and together,
  • 07:46they ultimately kind of impact overall health,
  • 07:50chronic disease, infectious disease,
  • 07:54injury, maternal health, and other dimensions of health.
  • 07:58And so with that,
  • 08:01I will say that,
  • 08:02in some ways, my understanding of housing
  • 08:08and how nuanced it is,
  • 08:09and also how segregated neighborhoods basically
  • 08:13have implications for life chances came for certain
  • 08:18in my training as a sociologist,
  • 08:21but also in my lived experience as a New Yorker
  • 08:24and someone who grew up in a disadvantaged neighborhood
  • 08:26in subsidized housing in the Bronx.
  • 08:30And so I always like to start my talks
  • 08:32just kind of positioning myself
  • 08:34on what I understand locally.
  • 08:37So this is Manhattan.
  • 08:40Some of you may be familiar,
  • 08:41this is Central Park,
  • 08:42which is obviously a,
  • 08:43you know, kind of a huge organizing green space
  • 08:48in this city.
  • 08:49This is Staten Island, Brooklyn, Queens and the Bronx,
  • 08:53that makes up the five boroughs of New York City.
  • 08:55And as you can tell,
  • 08:57just by the kind of deep blue,
  • 08:59that the Bronx is pretty poor.
  • 09:03And that that poverty is pretty concentrated
  • 09:07at the borough level,
  • 09:08and also in other pockets of the city.
  • 09:11And that actually doesn't just stop at the level of poverty.
  • 09:17It also has implications for things like rent burden.
  • 09:21So how much people pay for housing relative to their income.
  • 09:27So that in the same places
  • 09:28that are kind of most impoverished,
  • 09:31they also tend to have the highest rent burdens
  • 09:36in New York City.
  • 09:38So Bronx residents are more rent burdened,
  • 09:41for instance, than others.
  • 09:44This is kind of going.
  • 09:45It has a mind of its own.
  • 09:46I don't know what's going on, but anyway.
  • 09:48So with rent burden,
  • 09:50you know, kind of a consequence of rent burden
  • 09:53might be evictions.
  • 09:55And now mind you, obviously in the pandemic,
  • 09:58we've had city, state and federal level policies
  • 10:04kind of banning evictions.
  • 10:07But prior to that,
  • 10:08in 2018, the Bronx, an impoverished area,
  • 10:13an area that's highly rent burdened,
  • 10:15was also probably not surprisingly
  • 10:17most impacted by evictions.
  • 10:20So, of the 20,000 or so evictions that happened in 2018,
  • 10:26the bulk of them were happening in the Bronx.
  • 10:30And this is important
  • 10:31because there have been interesting interventions,
  • 10:34including the provision of legal services
  • 10:37for tenants in housing court
  • 10:40to kind of better balance the relationship
  • 10:42between landlords and tenants in court,
  • 10:46and give tenants a fighting chance around the evictions.
  • 10:52But it doesn't stop there.
  • 10:54So just, you know, we talked about,
  • 10:58the different dimensions of housing rent.
  • 11:01So poverty kind of fits within that context bucket.
  • 11:05The cost fits within obviously the rent burden,
  • 11:10the consistency of housing is reflected in the evictions.
  • 11:15And then there's homes,
  • 11:17access to healthy homes, essentially.
  • 11:20And what you see in this map,
  • 11:26is essentially that people that live in the Bronx
  • 11:30have the least access to healthy housing,
  • 11:33and the most access is happening in areas that are kind of,
  • 11:38that are higher (mumbles)
  • 11:39of people that live,
  • 11:41you know, have higher socio-economic positions.
  • 11:44And that's also true around heat complaints.
  • 11:48So that residents of the Bronx are much more likely
  • 11:52to call in to the city's 311 line
  • 11:57to report having no heat or hot water.
  • 12:02So these are reflections of conditions.
  • 12:07And it's not just in the wintertime when people have issues,
  • 12:12it's also in the summertime.
  • 12:14So that the AC penetration rate,
  • 12:17meaning how many air conditioners exists,
  • 12:21is lowest in the Bronx.
  • 12:23So you have almost a third or so of residents in the Bronx
  • 12:28that do not have access to an air conditioner.
  • 12:34What I've learned in the time since,
  • 12:39kind of thinking about these pillars of housing,
  • 12:42which I just described,
  • 12:43is that home-based infrastructure actually is public health.
  • 12:49And my insights on this issue,
  • 12:53in some ways stem from the book called "Heat Wave"
  • 12:58by Eric Klinenberg.
  • 13:00So in that book,
  • 13:01obviously, he talks about social resilience,
  • 13:04and the fact that African-Americans
  • 13:07were disproportionately impacted by hospitalizations,
  • 13:11and really by deaths during the 1995 Heatwave.
  • 13:15He's a sociologist.
  • 13:17And that insight was incredibly important for thinking about
  • 13:22who would be on the front lines of climate change.
  • 13:25And in some ways,
  • 13:27he was really kind of early in his observations
  • 13:32about this changing climate
  • 13:34and who would be most vulnerable.
  • 13:37And he talked a lot about the fact
  • 13:39that people were dying alone in their homes.
  • 13:42I'm a sociologist too.
  • 13:45But I actually think about the kind of technical aspects
  • 13:51that contributed to the disproportionate deaths
  • 13:55among African-Americans in Chicago.
  • 13:59And basically, the idea is that,
  • 14:01you know, there were many closed windows,
  • 14:03there were some fans,
  • 14:05but there were also very few air conditioners.
  • 14:08And mind you, this is in 1995.
  • 14:10So it's not surprising
  • 14:11that the kind of energy infrastructure might have been,
  • 14:17kind of, that ACs might have been less available.
  • 14:19But I just showed you more recent data from New York City
  • 14:22that shows that in poor neighborhoods
  • 14:24people are less likely to have air conditioning.
  • 14:27And public housing in New York City,
  • 14:30it was up until very recently,
  • 14:31only one in two households
  • 14:33that lived in public housing actually had access
  • 14:36to an air conditioner.
  • 14:38I was listening to NPR one day,
  • 14:41and I heard a story about Maricopa County.
  • 14:44Maricopa County had been
  • 14:46one of the first Departments of Health
  • 14:48to actually measure excess heat deaths.
  • 14:51And that's not surprising because this is in Arizona
  • 14:53where you know, I remember going in an Uber,
  • 14:57and the Uber driver said we have three seasons;
  • 15:01pre-infernal, inferno and post-infernal.
  • 15:04And so really important
  • 15:06for Maricopa County Department of Health
  • 15:09and others on the ground
  • 15:11to understand not only the prevalence of excess heat deaths,
  • 15:15but also what was at the root.
  • 15:17And it was their study about what was at the root
  • 15:19that to me was really interesting
  • 15:21and actually has spurred a further collaboration.
  • 15:24But I just want to walk us through.
  • 15:26So of the people that basically died in their homes,
  • 15:33almost all of them basically died
  • 15:35in a non-cooled indoor environment.
  • 15:39For some of them,
  • 15:42you know, kind of a minority of them,
  • 15:44they had no AC at all.
  • 15:46For others, so 92% actually had an AC,
  • 15:50but the majority of the people that died at home
  • 15:53had no working AC.
  • 15:56They also had the AC in the off position,
  • 16:00or their utilities were shut off.
  • 16:03So this really goes to show that there's something
  • 16:06other than the fact that they live alone,
  • 16:09kind of contributing to their demise, essentially.
  • 16:13And one of the things
  • 16:14that I've been doing over the course of my career,
  • 16:17especially more recently,
  • 16:19is engaging in the public debate
  • 16:21around how public health essentially,
  • 16:26is linked to public policy.
  • 16:29And of course,
  • 16:29my kind of public policy of reference primarily
  • 16:36is the Low Income Home Energy Assistance Program, LIHEAP.
  • 16:40And just this past summer,
  • 16:42I wrote along with a former student of mine,
  • 16:46Sonal Jessel, who's now working at WE ACT,
  • 16:51a piece in City &amp; State in New York,
  • 16:54which is basically read by policymakers
  • 16:56about the need to kind of revisit LIHEAP
  • 17:00in some ways, because in many states,
  • 17:03but especially in New York,
  • 17:07only AC distribution is available.
  • 17:11So actually acquiring an air conditioning unit.
  • 17:15But the cost of running the electricity
  • 17:18isn't covered by Low Income Home Energy Assistance Program,
  • 17:22because it's primarily a heating subsidy.
  • 17:30So basically, we're asking,
  • 17:31you know, kind of policymakers
  • 17:33to revisit what the kind of stipulations
  • 17:37for receipt of LIHEAP might look like for households.
  • 17:40In fact, to kind of preserve health,
  • 17:43but also to prevent deaths.
  • 17:46And then more recently,
  • 17:49I wrote a piece in USA Today,
  • 17:53that talks on the one hand about heating, home heating.
  • 17:58And the fact that,
  • 18:00the cost of heating will actually increase significantly
  • 18:04this heating season, as in like right now.
  • 18:08And that that will force people
  • 18:11to make what to me are really inhumane,
  • 18:16and unnecessary trade-offs between other basic needs,
  • 18:20like food, and or medicine.
  • 18:25It obviously has implications for not just thermal comfort,
  • 18:30but like I said, a healthy and safe indoor temperature.
  • 18:37Interestingly enough, the heating costs
  • 18:41that are increasing the most are actually also fossil fuels.
  • 18:45So it's natural gas, heating oil, propane.
  • 18:49And those are also the kind of heating sources
  • 18:53used primarily by lower income groups.
  • 18:58You know, there's obviously the connection
  • 18:59to energy efficiency, to health,
  • 19:02not just for the elderly,
  • 19:04but really across the life force,
  • 19:06including the very young and prenatally.
  • 19:09This obviously, I have driven,
  • 19:11I think the point that this is a matter of survival,
  • 19:14but also a matter of environmental justice.
  • 19:17And so with that,
  • 19:19I'd like to get into
  • 19:20well, what is energy insecurity?
  • 19:22Because at some point,
  • 19:25you know, all of this backdrop
  • 19:27is important information to know,
  • 19:30but ultimately, kind of naming the phenomenon
  • 19:33was pretty critical.
  • 19:35And I can't take credit for coining the term
  • 19:37but I certainly (mumbles)
  • 19:39You know, I'm the scholar that kind of operationalized
  • 19:44the concept of energy insecurity
  • 19:46and has basically defined
  • 19:49like what the dimensions of this phenomenon happen to be.
  • 19:56And it sits as a,
  • 19:59again, I'm not sure why this is kind of going back on me.
  • 20:01But anyway, it sits as a kind of a basic necessity of life.
  • 20:06So Maslow's Hierarchy of Needs would place household energy
  • 20:10really as a kind of a base
  • 20:13in the pyramid of physiological needs,
  • 20:16that are warmth or cooling depending on the season.
  • 20:20The World Health Organization a while ago talked
  • 20:23about energy being essential to meeting basic needs,
  • 20:27a prerequisite for health,
  • 20:29but something also that's ignored.
  • 20:31And I'm really happy to say that that's no longer the case.
  • 20:36I don't think that people are ignoring the issue as much.
  • 20:39They may or may not be kind of paying
  • 20:41as much attention as it merits.
  • 20:43But it certainly has received more attention
  • 20:46in the decade or so,
  • 20:47since I've been working in this space.
  • 20:49One of the pieces
  • 20:50that I think is really kind of important to recognize
  • 20:53is that, you know, well, let's just define this.
  • 20:57So it's an inability
  • 20:58to adequately meet basic household energy needs.
  • 21:01It has three dimensions.
  • 21:03So there's an economic dimension which,
  • 21:06like rent burden is really about
  • 21:08how much of household income is distributed
  • 21:12or allocated to energy expenses.
  • 21:16There's a physical component,
  • 21:17which is about the inefficiencies
  • 21:23in the actual, like performance,
  • 21:25the energy performance of buildings, or homes,
  • 21:29as well as the kind of availability
  • 21:32and performance of appliances
  • 21:35and other energy infrastructure.
  • 21:37Plus the fact that people are doing things
  • 21:39and they're managing as best they can
  • 21:43under different circumstances.
  • 21:45Another kind of way in which I've understood this phenomenon
  • 21:49is that there are acute forms of energy insecurity.
  • 21:53So power outages are really kind of a prime example, right?
  • 21:57So you know, power outages as a result of the wildfires
  • 22:00in California, for instance,
  • 22:03or the hurricane in Puerto Rico.
  • 22:07Also shut offs.
  • 22:10When people are unable to pay their utility bills
  • 22:13and they're shut off,
  • 22:14that kind of represents an acute form of energy insecurity.
  • 22:18Fuel shortages, in this case,
  • 22:20you know, kind of price increases that are pretty shocking,
  • 22:25might represent an acute form of energy insecurity.
  • 22:28And one of the things that I kind of like to say,
  • 22:31as a distinguishing factor between acute and chronic,
  • 22:34is that acute can actually have a wider spread impact
  • 22:39across socio-economic position.
  • 22:42Whereas chronic energy insecurity has a lot more
  • 22:45to do with people that might face these challenges
  • 22:48as a result of being poor,
  • 22:50or as a result of living in a certain housing type.
  • 22:53For instance, a mobile home or,
  • 22:57you know, sometimes in public or subsidized housing
  • 23:01that hasn't necessarily been kind of upgraded
  • 23:05to meet today's energy performance standards.
  • 23:09You know, kind of situating those three dimensions
  • 23:12so that the financial or economic components,
  • 23:17the housing conditions component,
  • 23:20and the behavioral piece,
  • 23:22it's also really important to be thinking
  • 23:24about kind of energy access,
  • 23:27like the acute kind of form of energy insecurity,
  • 23:31climate threats, including extreme weather, cold heat, etc,
  • 23:38and the just transition.
  • 23:39So there's a lot of discussion.
  • 23:41In fact, you know, COP26 is happening right now.
  • 23:44People are in Glasgow at the moment
  • 23:48discussing what happens in terms of clean heat,
  • 23:51or clean energy transitions,
  • 23:53and how do we reduce our carbon footprint.
  • 23:56And a big part of that is also of importance,
  • 23:59particularly for people
  • 24:00who are relying on fossil fuels at the moment
  • 24:04and are probably least able to make the transition
  • 24:09on their own.
  • 24:10So that's the kind of broader context
  • 24:13I wish to understand these dynamics.
  • 24:16So this is now dated.
  • 24:19And I want to say that,
  • 24:20there are going to be
  • 24:22well, first of all,
  • 24:23there's a new residential energy consumption survey
  • 24:26that was distributed,
  • 24:29and the data was collected in 2019 2020.
  • 24:32And I was really happy to support that effort
  • 24:36as an advisor on some of the questions
  • 24:37around energy insecurity.
  • 24:39But back in 2018,
  • 24:42the Energy Information Administration released a report
  • 24:46based on their 2015 RECS data that showed
  • 24:49that one in three households in The United States
  • 24:52are actually energy insecure.
  • 24:54And by their kind of definition,
  • 24:56at that point, they were thinking about it
  • 24:58in terms of those trade-offs
  • 24:59that I've already described,
  • 25:01the heat or eat.
  • 25:02Like the, you know,
  • 25:04kind of forgoing medicine,
  • 25:06sometimes transportation, other things, other basic needs
  • 25:09in order to meet their energy kind of cost obligations,
  • 25:15receiving a disconnection notice
  • 25:17or keeping the home at an unhealthy temperature.
  • 25:19So, for some households,
  • 25:21this is happening chronically right?
  • 25:23The dark blue really kind of suggests
  • 25:25that this is happening almost every month.
  • 25:28And then the lighter blue is conditional.
  • 25:30So it's happening kind of some months out of the year.
  • 25:35But we also know that energy insecurity is patterned
  • 25:38by social vulnerabilities.
  • 25:41So that low-income households are more likely
  • 25:44to be energy insecure.
  • 25:45Households with children,
  • 25:47people living in older homes,
  • 25:49African-American and Latinx populations are much more likely
  • 25:53to be energy insecure.
  • 25:55I'm going to put a pin on the elderly
  • 25:57because I think it's something that we'll come back to.
  • 25:59But based on this information,
  • 26:00you wouldn't think that the elderly are energy insecure,
  • 26:03but they are.
  • 26:04We actually use that same data
  • 26:06to measure the national prevalence rate
  • 26:09of disconnection notices,
  • 26:11and disconnections.
  • 26:13And what we found is that 3% of the population
  • 26:16in The United States has actually received a disconnection.
  • 26:20And just like the other forms of energy insecurity
  • 26:24that were highlighted before,
  • 26:26this is also patterned.
  • 26:28So that low-income households, Black and Latinx households,
  • 26:33but especially Black households.
  • 26:35Households with a head of household
  • 26:37that has a lower educational attainment rate,
  • 26:42households with children,
  • 26:45and also just adult households.
  • 26:48So not the elderly.
  • 26:50People living in mobile homes,
  • 26:52and also single detached homes,
  • 26:55people reporting inadequate insulation,
  • 26:58and living in older homes, renters,
  • 27:00people living in rural areas,
  • 27:03and those living in the South and the Northeast
  • 27:05were much more likely
  • 27:06to have actually received a disconnection.
  • 27:11Now, what do people do?
  • 27:12So we talked a lot about coping strategies.
  • 27:15And on the one hand there's the trade-off strategy,
  • 27:19there's also the strategy around thermal discomfort,
  • 27:22and then there's a strategy around energy assistance.
  • 27:26And what we found is that,
  • 27:27for households that receive no notice,
  • 27:30most of them aren't doing anything really to cope.
  • 27:33And that makes a lot of sense,
  • 27:34because they may not see the threat as imminent.
  • 27:38Now, once they've received the disconnection notice,
  • 27:41many more families are actually turning to trade-offs,
  • 27:47like foregoing their basic necessities,
  • 27:50or doing that in combination
  • 27:52with keeping the home at an unhealthy temperature,
  • 27:55or seeking and receiving energy assistance.
  • 28:01When they've actually experienced a disconnection,
  • 28:04many more of them are turning to a lot of strategies
  • 28:10to get by, essentially.
  • 28:12And the kind of prevalence of these coping strategies
  • 28:16just increases substantially.
  • 28:18So that more people are keeping their homes
  • 28:20at an unhealthy temperature foregoing,
  • 28:22and also receiving assistance,
  • 28:25but not as much as you would imagine,
  • 28:27given the kind of crisis at hand with a disconnection.
  • 28:33So obviously, we're kind of a public health crowd
  • 28:39and we care about what this actually means
  • 28:44in terms of health outcomes.
  • 28:46So earlier, I shared a kind of a pathway or heuristic
  • 28:49around the links between the different
  • 28:52kind of components of housing
  • 28:54and various health outcomes.
  • 28:58And actually the same is true around energy.
  • 29:03But energy is kind of situated.
  • 29:04The three dimensions of energy
  • 29:06are kind of situated within those larger processes
  • 29:09of kind of housing and ratio residential segregation,
  • 29:14and some of the other kind of factors
  • 29:16that are happening at the neighborhood level,
  • 29:19but also that kind of reflects
  • 29:21the kind of discriminatory policies and practices
  • 29:24that I mentioned before.
  • 29:26And then in terms of outcomes,
  • 29:27there's a whole host of them,
  • 29:29some of them like really representing direct pathways
  • 29:33to adverse health outcomes,
  • 29:36as respiratory health, for instance, mental health.
  • 29:40But also the ones that are kind of in route
  • 29:43to these health outcomes,
  • 29:44like environmental consequences and social consequences
  • 29:47that might impact ultimately,
  • 29:50some of the physical and mental health consequences
  • 29:52that are kind of listed here.
  • 29:54And we wanted to kind of understand this.
  • 29:56All of these insights really came
  • 29:58from doing qualitative work,
  • 30:00asking people about their lives
  • 30:02and about their circumstances.
  • 30:04And ultimately, we did a study in Washington Heights,
  • 30:09which is across the bridge from the Bronx.
  • 30:11It's in upper Manhattan.
  • 30:12It's also where the School of Public Health at Columbia is.
  • 30:16And the local hospital
  • 30:19as a result of changes in Medicaid,
  • 30:26and the need to kind of reduce acute care visits,
  • 30:29and better understand and serve the community
  • 30:32asked us in the school of public health,
  • 30:34to kind of better understand different pieces.
  • 30:36And because I was on the team,
  • 30:37I added some questions about energy insecurity.
  • 30:40These are the questions that were asked,
  • 30:42and it's based on Cook at al 2008 paper
  • 30:49where they kind of have a brief indicator
  • 30:51of energy insecurity,
  • 30:53based on having received a letter using the stove to heat,
  • 30:57not having heat,
  • 30:58and also having received a shutoff.
  • 31:02And what we found in that study is that,
  • 31:0327% of residents in Washington Heights
  • 31:07were considered moderately
  • 31:08or severely energy insecure about half and half
  • 31:12as seen here.
  • 31:14And you know, the social patterning exists.
  • 31:17We know that households with children
  • 31:20of Black and Latinx in low-income households
  • 31:24were all more likely to be energy insecure,
  • 31:27moderately or severely so.
  • 31:29We also thought it was really interesting
  • 31:31that one in two households that were energy insecure
  • 31:35were also food insecure.
  • 31:37But that those that received food-related aid,
  • 31:41so those that received
  • 31:43Supplemental Nutritional Assistance Program benefits, SNAP,
  • 31:46and or Women, Infants and Children, WIC benefits
  • 31:49were much more likely to be secure.
  • 31:52Some earlier work had actually shown by Cook et al
  • 31:59at BMC, at Boston Medical Center,
  • 32:02that the receipt
  • 32:03of Low Income Home Energy Assistance Program, LIHEAP
  • 32:06actually created opportunities,
  • 32:09or was associated with more food security
  • 32:13as well as kind of developmental markers for children
  • 32:18in the affirmative.
  • 32:20And that was hopeful
  • 32:22because these are corresponding uncomplimentary findings.
  • 32:27Essentially, we also found
  • 32:28that energy insecurity was associated
  • 32:31with respiratory health, asthma and pneumonia,
  • 32:34as well as self reported anxiety, depression,
  • 32:39and diagnose depressive disorder,
  • 32:42as well as sleep quality.
  • 32:44And all of those things kind of make sense,
  • 32:46also makes sense that it wasn't associated with diabetes,
  • 32:50for instance, hypertension, or accidental falls.
  • 32:53Although I would say,
  • 32:55chronic conditions, and energy insecurity
  • 32:59are probably adversely linked.
  • 33:02So these days,
  • 33:04I'm writing a book.
  • 33:05And I'm writing a book called,
  • 33:06"Powerless: The People's Struggle for Energy in America."
  • 33:10And my goal in this book is to humanize energy,
  • 33:13in some ways,
  • 33:14because we haven't really thought enough about this issue
  • 33:17and we certainly haven't really thought
  • 33:18about how energy is necessarily
  • 33:21like affecting our day to day lives.
  • 33:24And I'm going to test out a few of my stories.
  • 33:27This is a story about Edith.
  • 33:29This is the chapter,
  • 33:29my second chapter in the book
  • 33:31and the one that I'm currently working on.
  • 33:34And it's about a woman who basically dedicated herself
  • 33:39to taking care of her dying father,
  • 33:42in a house in Detroit that they bought, and lived in,
  • 33:48you know, basically,
  • 33:50during the kind of great migration of African-Americans
  • 33:54from the South to Northern cities for opportunities,
  • 33:57for economic opportunities,
  • 33:59and for upward social mobility.
  • 34:01And this house kind of represented so much of that.
  • 34:05It also represented the decline of the city.
  • 34:09In fact, not only did her father die in this house,
  • 34:15this house also was dying by itself.
  • 34:19And its major organs,
  • 34:21which I consider to be the heating infrastructure
  • 34:27and the other kind of energy infrastructure
  • 34:30were the first signs of its demise.
  • 34:35And so, Edith, basically,
  • 34:38at some point the boiler gave up.
  • 34:40It was decades old.
  • 34:43She had lights that were basically powered by natural gas.
  • 34:49If you can imagine a time when the lights in our homes
  • 34:52were not powered by electricity.
  • 34:55Her son became (indistinct)
  • 34:56You know, like he started to kind of work on addressing
  • 35:01the light that had gone out,
  • 35:03not realizing that it was powered by natural gas.
  • 35:07And eventually, that caused a gas leak.
  • 35:12She called the local energy provider.
  • 35:14The energy provider,
  • 35:16this was during the winter time,
  • 35:19basically, her heat had already stopped working
  • 35:23because the boiler, the furnace gave way.
  • 35:28When the representative
  • 35:31from the local utility company came by
  • 35:33he's like, "listen, I can't do much for you,
  • 35:35I actually have to turn off your gas."
  • 35:38So the gas stove that she was using for heat
  • 35:40was no longer an option.
  • 35:42And at that point,
  • 35:43she was kind of resorting to using a kerosene heater,
  • 35:49which cost her about $40 to fill every three or four days.
  • 35:55And she could only warm her actual bedroom.
  • 36:01In that process,
  • 36:02she was not only introducing the risk of fire, for instance,
  • 36:06but also freezing pipes.
  • 36:08So at some point,
  • 36:09she also didn't have running water.
  • 36:12And it was just a cascading effect,
  • 36:14a really bad kind of circumstances in this home.
  • 36:19And these pictures are actually from Zillow,
  • 36:22because she couldn't stay in that house anymore.
  • 36:26And it was actually the person that had recommended that she
  • 36:33well, the HVAC guy,
  • 36:36the heating, ventilation and air conditioning person
  • 36:38that came in to diagnose her dying furnace
  • 36:44told her like, maybe you should actually just move.
  • 36:47The people from her church
  • 36:50that had provided the kerosene heater
  • 36:52kind of suggested the same thing.
  • 36:54A month after I interviewed her,
  • 36:56she did put the house on the market.
  • 36:58Again, you know, those kind of four pillars of housing
  • 37:01with consistency being important,
  • 37:04she wasn't able to stay in a home
  • 37:06that not only had kind of important memories for her family
  • 37:12and represented so much about their upward mobility.
  • 37:15But she had to basically kind of evacuate
  • 37:19because the conditions were no longer tenable
  • 37:22for her to live in.
  • 37:23And this is not so unique,
  • 37:26in the experience of many people living in different homes
  • 37:30that are inherited,
  • 37:32and that have conditions issues
  • 37:34that make it kind of impossible
  • 37:36for people to actually live in.
  • 37:38I won't get into these stories with as much depth,
  • 37:41but this is a woman that I met in Alabama,
  • 37:43who wrote a letter to her utility provider,
  • 37:46and is like, listen, I know I don't use as much energy
  • 37:50but I've never seen bills that were this high.
  • 37:56But the challenge, of course,
  • 37:58is that she couldn't finish the,
  • 38:01she couldn't tell her story
  • 38:02because she couldn't finish the letter.
  • 38:05And that has everything to do with literacy,
  • 38:08not just energy literacy,
  • 38:10but just basic literacy,
  • 38:12in terms of people's ability
  • 38:13to really advocate for themselves,
  • 38:15using the tools of writing a letter.
  • 38:20And while I was with her,
  • 38:21I actually finished writing that letter for her
  • 38:24so that she could submit it.
  • 38:25And another woman that I met here in New York City,
  • 38:28who basically was praying to God,
  • 38:31because she was so worried about her bills,
  • 38:33she kept her oil tank, you know.
  • 38:38She monitors so closely how much energy she used,
  • 38:42that ultimately, she was always cold in the home.
  • 38:46And she basically says, "I suffer."
  • 38:49This is really kind of the private form of suffering
  • 38:53that makes people not just worry at night
  • 38:57but also kind of be sick
  • 38:59and ultimately sometimes perish in their own homes.
  • 39:02So let's talk about housing interventions.
  • 39:03And I'm gonna go through this quickly.
  • 39:05I want to shout out Daniel Cajon,
  • 39:08who will be joining your faculty and your center
  • 39:13next academic year.
  • 39:14He has been a wonderful colleague,
  • 39:17and first friend and mentee, now colleague,
  • 39:21and we worked on a lot of these
  • 39:23energy equity issues together.
  • 39:26But he was also a very important partner
  • 39:31in thinking through the clean heat transitions
  • 39:35here in New York City.
  • 39:37You know, things have gotten a lot better.
  • 39:39I'm going to go through this very quickly,
  • 39:41because I want to leave time for questions.
  • 39:43But back in, about 2015,
  • 39:47they had phased out the use of the dirtiest oil number six.
  • 39:51And you can see just by its picture,
  • 39:53it's super heavy.
  • 39:57And basically the incomplete combustion
  • 40:00of not just number six,
  • 40:03but it's kind of corresponding more diluted version,
  • 40:08but still dirty version of oil number four,
  • 40:12basically pollute the air.
  • 40:14So second to vehicular emissions are residential buildings
  • 40:19and other buildings responsible for air conditioning.
  • 40:24I'm sorry, for air pollution.
  • 40:25And in this process, probably not surprisingly,
  • 40:32there were many buildings that were burning dirty fuels,
  • 40:36because, you know, New York City is a relatively old city,
  • 40:42with buildings that were kind of turn of the last century,
  • 40:46and also relying on those kind of energy technologies
  • 40:50of yesteryear.
  • 40:52Now, you know, this kind of phasing out of dirty fuels
  • 40:57was an opportunity essentially,
  • 41:00to kind of clean up the air.
  • 41:03And this was during the Bloomberg administration.
  • 41:06And, you know, efficient as they were,
  • 41:08they were like, oh, well, you should also maybe consider
  • 41:10other energy efficiency upgrades,
  • 41:12and many buildings actually did.
  • 41:17So there was kind of almost a complete phase out
  • 41:19of the number six oil by the end of this.
  • 41:24And many actually,
  • 41:25about, over half had actually transitioned to clean fuels.
  • 41:30But as Daniels kind of work suggests,
  • 41:35this actually was not evenly distributed.
  • 41:38So some of the kind of dirtiest fuels continued to be burned
  • 41:45in the lowest income communities in Northern Manhattan,
  • 41:49and the Bronx primarily.
  • 41:51So these are kind of environmental justice communities
  • 41:54based on their racial composition,
  • 41:56and the percent of poverty in the neighborhood.
  • 41:59And they can little afford,
  • 42:02still burning the dirtiest the fuels
  • 42:05and yet, that's actually what is still happening
  • 42:09since number four oil is not to be phased out until 2030.
  • 42:14And so that's kind of one cautionary tale
  • 42:19about yes, the kind of large picture
  • 42:22around transitioning to cleaner fuels,
  • 42:25but also who might be left behind in doing so.
  • 42:29Another area of intervention that I've looked at
  • 42:32is the repositioning of public housing,
  • 42:36known as the Rental Assistance Demonstration Program.
  • 42:40So some of you may remember moving to Opportunity,
  • 42:44or HOPE VI.
  • 42:45Those were large housing interventions.
  • 42:49What has happened as a result of,
  • 42:51in some ways, the insights from like
  • 42:53you can't just move people out of communities
  • 42:55that they have known and belong to
  • 42:58and feel connected to.
  • 43:00Also, that decreasing the number of public housing units,
  • 43:05does more in the way of
  • 43:07actually dispossessing people of their homes,
  • 43:10and of those beloved communities.
  • 43:13But that conditions issues are significant
  • 43:15in public housing.
  • 43:17In fact, there are billions of dollars
  • 43:20of capital backlogs in public housing
  • 43:24that really cripple the opportunity
  • 43:26for people living in public housing
  • 43:28to enjoy truly habitable homes.
  • 43:33And I basically looked at this transition
  • 43:39in the first ever RAD site in The United States,
  • 43:43which was in Fresno, California,
  • 43:45as well as the second one in New York City,
  • 43:47which was in Betances Houses in the South Bronx.
  • 43:51And these are some before pictures of the conditions
  • 43:58at Betances.
  • 44:00And just to kind of give you a sense,
  • 44:03I mean, you know, this is outside of the units
  • 44:06and the kind of common stairwells inside of the units
  • 44:11and a bathroom.
  • 44:12Mold obviously being a huge issue,
  • 44:15water leaks, etc.
  • 44:17At Betances they had, like redone the kitchens,
  • 44:20the bathrooms, the floors,
  • 44:22upgraded the windows to energy efficient ones,
  • 44:25included safety measures, like cameras
  • 44:28and adjusting doors so that they actually shut
  • 44:33and doing a number of kind of upgrades.
  • 44:35But a big part of it was around the heating
  • 44:38and ventilation systems.
  • 44:40When we did this work in Fresno, California,
  • 44:44there they had actually upgraded to mini splits.
  • 44:47So to heat pumps,
  • 44:49which we know are pretty efficient.
  • 44:51In a place like Fresno
  • 44:52where heating and cooling are both important,
  • 44:55it was critical.
  • 44:57And basically what we found,
  • 44:58again, kind of consistent with that,
  • 45:01the four pillars of housing kind of framework
  • 45:04is that these heating and cooling systems were upgraded.
  • 45:08People had reported increased thermal comfort
  • 45:11and temperature control.
  • 45:13You know, having access to appliances
  • 45:17that were newer and more efficient.
  • 45:21Also, the kind of, just the aesthetics
  • 45:26and the layout were better.
  • 45:28People felt better about where they were living,
  • 45:32that they had actively done mold abatement, etc.
  • 45:36People felt an increase in pride of place,
  • 45:40and the fact that they lived in places
  • 45:42that had been upgraded.
  • 45:43And for any of you who have done even minor upgrades
  • 45:47to your living space, like painting,
  • 45:49you realize just how important
  • 45:52a refreshed space actually feels.
  • 45:54But that didn't necessarily address
  • 45:56all of the problems in public housing.
  • 45:58I mean, obviously,
  • 45:59when you have a complex system of providing housing
  • 46:04with oftentimes, that external context,
  • 46:08like the neighborhood conditions not being optimal,
  • 46:11it continues to be felt among residents,
  • 46:14and that we actually found in our work.
  • 46:18At Betances, there was an interesting other component,
  • 46:21which was about providing opportunities
  • 46:24for people to come together.
  • 46:25For them to come together to talk to actually like,
  • 46:28you know, basically engage in very, very local forms
  • 46:33of governance and democracy.
  • 46:35This is a woman who was basically at Catholic Charities,
  • 46:41Paula Martinez, who was ushering the tenant.
  • 46:45She was a community,
  • 46:46like basically a resident organizer.
  • 46:48And the whole point was to basically empower residents
  • 46:53to come together to talk about a number of things,
  • 46:55not the least of which was a smoke free housing project
  • 46:58that we were working with them to implement.
  • 47:03And then in the two minutes that (mumbles)
  • 47:07I want to kind of end in two minutes.
  • 47:08So basically, it's not just housing level interventions
  • 47:13that are important.
  • 47:14Obviously, energy interventions are also important.
  • 47:17Some of that is about framing.
  • 47:20I wrote a paper a while ago
  • 47:21that basically linked energy sacrifice zones,
  • 47:25to communities that are essentially sacrificing
  • 47:30on a day to day basis,
  • 47:32and provided ways of thinking about energy justice
  • 47:37as a rights-based framework.
  • 47:39Sorry, this is really annoying.
  • 47:41So the right to healthy, sustainable energy,
  • 47:45the right to the best available energy infrastructure,
  • 47:48the right to affordable energy,
  • 47:49and the right to uninterrupted energy service.
  • 47:53This is Cecil Corbin-Mark,
  • 47:55who we lost last year, really sadly.
  • 47:58So he was a pioneer and a visionary
  • 48:01in thinking about ways of providing access
  • 48:05to clean energy and renewable energy
  • 48:09in communities like Harlem,
  • 48:13and upper Manhattan.
  • 48:15And we need more of that, right?
  • 48:17That's part of what energy justice is about.
  • 48:20As well as thinking about,
  • 48:22is it really actually necessary for us
  • 48:24to be shutting people off
  • 48:25as a way of kind of collecting on payments?
  • 48:31In California, they've actually passed
  • 48:33the Disconnection Reform Act
  • 48:35to reduce the number of disconnections
  • 48:38and enroll more people in medical baseline programs
  • 48:43and other shutoff protection services
  • 48:46so that less households are impacted by disconnections.
  • 48:51And then there's a LIHEAP piece.
  • 48:54You know, in New York State,
  • 48:57there's only protections around the holiday season,
  • 49:02and also for people that are of a certain age
  • 49:06and have medical conditions.
  • 49:11But deferred payments,
  • 49:12so like a payment plan is actually the usual,
  • 49:16sorry, I don't know what's going on.
  • 49:19The usual kind of way in which people try
  • 49:22to manage whatever outstanding bills they have
  • 49:26with their utility companies,
  • 49:27but oftentimes, these are promises that can't be kept.
  • 49:32And so I'm gonna (mumbles)
  • 49:34This is a kind of a rundown of energy justice solutions,
  • 49:39rethinking energy utility rate structures,
  • 49:44the shut off moratoriums,
  • 49:46not just seasonally,
  • 49:47but obviously COVID opened up the idea
  • 49:50that maybe we don't have to turn people off,
  • 49:52and we should find other ways of ensuring
  • 49:56that people have access to energy assistance benefits,
  • 49:59like the ones that I've mentioned before,
  • 50:00kind of improving housing codes
  • 50:02and energy standards and buildings,
  • 50:04and also kind of clean energy policies that are inclusive,
  • 50:09and that are intentional about ensuring
  • 50:11that people of color and low-income folks
  • 50:14are able to do their part.
  • 50:17And this is this little story about me
  • 50:19and basically, the fact that I do this kind of thing called
  • 50:23social impact real estate
  • 50:24where I have totally rehab buildings,
  • 50:28and in the South Bronx where I grew up.
  • 50:30And incorporated solar, for instance,
  • 50:33and energy efficiency
  • 50:35has been a really kind of interesting proof of concept,
  • 50:39opportunity to think about reinvesting
  • 50:42in low-income communities from within.
  • 50:45And so with that, I will stop sharing,
  • 50:48and invite all of you to ask questions.
  • 50:51Sorry that I didn't need more time.
  • 50:54It was maybe more than I could do in 40 minutes.
  • 51:00And I also wanna just (mumbles)
  • 51:02So Danya Keene, I know,
  • 51:05I'm here with our Arline Geronimus
  • 51:06at the Russell Sage Foundation,
  • 51:08and I'm a big fan of your work,
  • 51:10and I'm happy to see that you're here.
  • 51:13<v ->Thank you Diana.</v>
  • 51:14I think this is very fascinating.
  • 51:17(indistinct)
  • 51:20I'm sure the students are enjoying
  • 51:21this real world examples and experiences.
  • 51:24And actually, we have gathered a lot of questions for you
  • 51:27from students already.
  • 51:29And I just want to remind you
  • 51:30that although we only have seven minutes left
  • 51:33but for our own audience online,
  • 51:35if you do have a question,
  • 51:37please post them in the chat box.
  • 51:40The first question is actually related to your,
  • 51:43showing the examples
  • 51:44and also you mentioned a very interesting perspective
  • 51:48of increasing the energy standard.
  • 51:53Several students have been interested in like,
  • 51:58how feasible or beneficial with policies
  • 52:01focused on the energy efficiency
  • 52:04that can be used to protect the low-income
  • 52:07and people of color families
  • 52:10from the energy security.
  • 52:14<v ->I mean, I think that from the energy performance</v>
  • 52:19and building standard perspective,
  • 52:23as it intersects with those that are living
  • 52:27in subsidized housing,
  • 52:29or in rent-stabilized housing,
  • 52:33there's always the kind of need to,
  • 52:35of course, provide access to the kind of best performance.
  • 52:42I mean, a lot of the 311 no heat complaints
  • 52:45are actually coming from people
  • 52:49that are living in those very same buildings.
  • 52:52But we also need to couple that with tenant protections.
  • 52:57And that was a recognition
  • 52:58that really came as a result of the clean heat work.
  • 53:04So before they started to do
  • 53:07the kind of grading system for buildings,
  • 53:11in New York City, first commercially,
  • 53:13and now, increasingly, in residential buildings,
  • 53:18it was so clear that some landlords were using that
  • 53:21as an opportunity, essentially,
  • 53:23to kick long-term tenants out.
  • 53:25The ones that were living in gentrifying neighborhoods,
  • 53:29where they could command more rents.
  • 53:32And they use these kinds of capital improvement,
  • 53:36of course, I'm just using a New York City example.
  • 53:37But they use the capital improvement assessments,
  • 53:41essentially, to make it almost impossible
  • 53:43for those long-term residents to stay
  • 53:46and to afford to be able to stay.
  • 53:49And what I have concluded in,
  • 53:53kind of assessing what this ultimately looks like,
  • 53:55is that there has to be a much more kind of concerted effort
  • 54:00to support those landlords
  • 54:03and even possibly subsidizing,
  • 54:07or kind of completely providing grants to those landlords
  • 54:16in exchange for allowing people to stay in those buildings.
  • 54:19Because it doesn't do much for people to actually like,
  • 54:26(mumbles)
  • 54:27for the physical conditions of the buildings to improve
  • 54:31if the people that have been living there forever
  • 54:33and sometimes suffering in significant ways
  • 54:36to not be able to benefit essentially.
  • 54:38So I think this is,
  • 54:41it's an area for kind of more consideration,
  • 54:45but it's not going to be,
  • 54:47it won't go away,
  • 54:48especially as we think
  • 54:49about the electrification of buildings,
  • 54:53both in the introduction of kind of clean cooking options
  • 54:58as well as clean eating options and cooling,
  • 55:01absolutely, we have to think
  • 55:03about the tenant protection aspects.
  • 55:05And I don't know that we have it all figured out,
  • 55:07but it's definitely something
  • 55:09that I think has to be more front of mind for policymakers.
  • 55:13<v ->Thank you Diana.</v>
  • 55:14We're having some background noise.
  • 55:16Sorry about that.
  • 55:17But we do have a question from actually Susie Row.
  • 55:21She's wondering like,
  • 55:22do you think that HHS selection of the (mumbles)
  • 55:27to Justice40 Initiative pilots
  • 55:31will provide an opportunity for policy reforms?
  • 55:36<v ->Yeah, I mean, so Justice40 is definitely an opportunity</v>
  • 55:43to essentially do what we did in public health, right?
  • 55:49Health in all policies.
  • 55:51You know, in this case,
  • 55:52it's basically thinking about, you know,
  • 55:57low-income people of color,
  • 56:02the need to transition
  • 56:04and have kind of climate considerations,
  • 56:09be front of mind together.
  • 56:11I do think it has a huge,
  • 56:16it presents a huge opportunity.
  • 56:19I think the implementation of this is yet to be seen.
  • 56:25Dr. Tony Reames, who used to be at University of Michigan,
  • 56:29and is now basically heading up Justice40 at the DOE
  • 56:35will basically (mumbles)
  • 56:36I believe that he kind of has all of those intentions
  • 56:40and will do his best.
  • 56:43But I think the policy situation in Congress right now
  • 56:47is challenging,
  • 56:49and it's a little hard to predict,
  • 56:51essentially what will be coming.
  • 56:56So, I think in its spirit,
  • 56:58it's right in its implementation.
  • 57:02It's yet to be seen,
  • 57:03but I think that in the same way that we made big strides
  • 57:06in thinking about health in all policies,
  • 57:08the Justice40 piece,
  • 57:09and supporting environmental justice organizations,
  • 57:13community-based organizations,
  • 57:14all of those kind of elements of Justice40
  • 57:18will hopefully make it successful
  • 57:20in addressing many of these challenges.
  • 57:25<v ->Thank you Diana.</v>
  • 57:26I think that,
  • 57:27although there are many questions students would ask,
  • 57:31but we are running out of time.
  • 57:32And it's a great pleasure to have you here,
  • 57:35and thank you so much for this amazing
  • 57:38and fantastic talk.
  • 57:40<v ->Thank you.</v>
  • 57:41Thank you so much for the invitation.
  • 57:42I wish you all the best.