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The report analyzes the health impacts of ground-level ozone in the Eastern United States, specifically the OTAG region, using 1997 monitoring data and epidemiological concentration-response functions. It estimates that ozone exposure led to 53,000 respiratory hospital admissions, 16,000 cardiovascular hospital admissions, and 159,000 total respiratory emergency room visits during the April-October 1997 season. The analysis highlights significant uncertainty regarding mortality and chronic illness, which were excluded from the quantitative estimates. The findings are compared with a study by the American Lung Association, showing reasonably close results for respiratory admissions.

The Clean Air Task Force (CATF) has launched the Climate Equity and the Clean Energy Transition Project to address the historical trend of placing clean energy infrastructure in low-income neighborhoods and communities of color, which often exacerbates existing injustices. The project aims to move from adversarial relationships to cooperative engagement between environmental justice communities, the energy sector, and climate advocates. Key activities include on-site community research, analyzing best practices for clean energy siting to protect public health, and developing a roadmap to modernize federal government programs and budgets to make them more accessible to underserved populations. Additionally, CATF is piloting an online capacity-building tool for community engagement and hosting workshops with environmental justice organizations to redefine decision-making processes and address air quality health impacts. The project focuses on various U.S. rural, tribal, and urban locations, including the Navajo Nation and the Ironbound Community, to produce recommendations for equitable project development and federal program implementation.

The report details the environmental and public health impacts of waste incinerators in New Jersey, highlighting their disproportionate location in overburdened communities of color and low-income areas. It documents significant air permit violations and the receipt of millions in clean energy subsidies despite high emissions. The authors propose a shift toward a zero-waste hierarchy—emphasizing redesign, reduction, reuse, recycling, and composting—and recommend that New Jersey ban new incinerators and decommission existing ones by 2030.

The report projects substantial warming and shifting precipitation patterns for the US Midwest, with extreme heat events and heavy rainfall becoming more frequent. Under a higher emissions scenario, end-of-century temperatures could rise by up to 10°F, significantly increasing the frequency of severe heat waves and reducing snow cover. While annual precipitation may only increase slightly, winter and spring are expected to become wetter, while summer precipitation may decrease under higher emissions. These changes are projected to increase heat-related mortality and flooding risks across the region.

The paper examines Detroit's 2016 Community Benefits Ordinance, which requires developers of projects exceeding $75 million that receive significant city subsidies to negotiate benefits for local communities. While the CBO has helped 'level the playing field' by giving community members a role in development conversations, it is not a complete solution for systemic disinvestment and inequality. The authors recommend improving community resourcing, building representative coalitions, strengthening enforcement mechanisms, and integrating environmental justice and racial equity frameworks to support an equitable energy transition.