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County publishes first EJ implementation status and health report, documenting persistent racial and geographic health gaps

Alameda County Board of Supervisors — Unincorporated Services Committee · March 25, 2026
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Summary

Planning and Public Health presented the first annual Environmental Justice (EJ) implementation status report (162 actions) and a county health status report showing significant racial and place‑based disparities in life expectancy and mid‑life mortality in the unincorporated EJ area; supervisors asked staff to translate findings into prioritized actions.

Alameda County planning and public‑health staff presented two linked reports to the Unincorporated Services Committee: the first annual implementation status for the Environmental Justice (EJ) Element and a county health status report focused on the EJ priority areas.

Ally Abbers (Planning) summarized the EJ implementation status: the EJ Element contains 162 actions across seven goal areas; of those, 58 are ongoing (part of regular agency work) and, of the remaining 103, roughly 10 have been implemented, seven show significant progress, 60 are in progress and 26 have not yet started. Examples of implemented work include multilingual online code‑enforcement complaint forms and transition of the All In Eats program to the Alameda County Community Food Bank. Abbers highlighted barriers to implementation (funding, staffing, shifting priorities) and described Year‑2 steps: better interagency coordination, a companion guide translated for community audiences, and improved baseline data.

Public Health presented health findings that staff said reflect long‑standing structural drivers of inequities. Julia Raifman and Tram Nguyen showed the EJ area life expectancy (80 years) lags the county average (82.5) and that life expectancy varies by place from about 75.2 in Hayward Acres to nearly 87.7 in Piedmont. The presenters reported a large racial gap (13–16 years by race and ethnicity in recent years) and noted mortality in middle age (45–74) is 49% higher in the EJ area than countywide. Leading causes of excess premature mortality include heart disease, cancer and overdose, and the data show African American/Black and Pacific Islander populations are disproportionately affected. Public Health emphasized the need to translate data into prioritized, culturally appropriate interventions—supporting healthy childhoods, housing stability, education and access to care.

Supervisors praised the reports and asked staff to more clearly map how EJ Element actions will address the health findings and to provide metrics for evaluating results over time. Community speakers and partner organizations said they are already using the EJ Element as a tool for outreach and programming and urged continued agency coordination and accessible public materials.