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Mahoning County District Board of Health, Youngstown, Ohio

Partnering with Regional Environmental Protection Agency Representatives

The Mahoning County (OH) PACE EH facilitators enjoyed the commitment, resources, and expertise of regional Environmental Protection Agency officials who served as members of their CEHA team. The U.S. EPA Region 5 Cleveland Office uses a Community-Based Environmental Protection (CBEP) approach to serve the Northeast Ohio region. The CBEP approach helps EPA get the best environmental results by collaborating with other federal agencies, state and local governments, tribes, businesses, organizations, and individuals to solve environmental problems.

The Ohio Environmental Protection Agency (EPA) introduced the Mahoning PACE EH project to the Cleveland Office and suggested joining the steering committee. U.S. EPA staff became involved in the project by participating in commission and steering committee meetings and by serving as a resource for the Indoor Air Work Group.

The Cleveland Clean Air Century Campaign (CCACC) began as an EPA pilot project in 2001 and shared its background, membership, activities, goals, and lessons learned with the Mahoning PACE EH Commission.

Both U.S. EPA and Ohio EPA were key resources for technical literature relating to the three public health issues selected by the commission for action plans: protection of water supplies, urban sprawl, and indoor air pollution. Ohio EPA provided a copy of the completed Source Water Protection Plan (SWAP) for each of the community water supplies in the region and provided presentations on the topics of SWAPs and the possible use of pre-existing Water Quality Management Plans (WQMPs) as a tool to address both the protection of water supplies and urban sprawl issues. U.S. EPA provided access to numerous fact sheets related to indoor air pollution.

Health Valley PACE EH Project Report (December 2004)

Jane Warga

Delaware General Health District, Delaware, Ohio

Background/Project Description

Delaware County, in central Ohio, is the fastest growing county in Ohio and one of the fastest growing counties in the United States. Upon implementation of the PACE EH process, the Delaware City/County Health Department (DC/CHD) had approximately 50 staff members primarily focused on food safety, plumbing, inspections, waste management, and emergency response.

With support from the board of health, which promoted a proactive, community-driven approach to public health, this effort resulted in the formation of a CEHA team made up of 26 community volunteers, ranging from city officials to local business people.

The Delaware CEHA team began Phase II of the PACE EH process using a community outreach process to develop a ranking of 20 priority environmental health issues identified in Phase I. The issues included traditional environmental health categories such as water quality and water pollution, housing safety and sanitation, noise control, and pesticide and toxic substances control. Nontraditional issues included environmental education, zoning, and quality of life issues. Thirteen of the 20 identified issues were assigned to four community-action committees.

For more information about Delaware County General Health District''s PACE EH project and other pilot site results, see "PACE EH in Practice," a compendium of the pilot site results. This document is available for download on NACCHO''s Bookstore.

For more information, visit:

Susan Sutherland
Assessment Coordinator, Environmental Health