Taking Action: Rebuilding Joplin after the Using the ATSDR Brownfields / Land Revitalization Action Model Green Complete Streets in the 20th Street Corridor Joplin, MO / January, 2014

Taking Action: Rebuilding Joplin after the Tornado 1 Using the ATSDR Brownfields / Land Revitalization Action Model

Contents

Land Revitalization Action Model ...... 4

1. Access to Nature ...... 5

2. Get Outside/ Be More Active ...... 9

3. Clean Environment/ Accessibility ...... 13

4. Healthier/ More Affordable Food Choices ...... 19

5. Want to Feel Safer ...... 21

6. Get Around Without a Car ...... 22

7. Other Health Issues ...... 23

8. Communications ...... 24

9. Employment / Education ...... 25

10. General ...... 26 Land Revitalization Action Model Green Complete Streets in the 20th Street Corridor, Joplin, The Agency for Toxic Substances and strategy for the 20th Street Corridor from especially as those conditions relate to Disease Registry (ATSDR) Brownfields/ Main Street to Highview Avenue. The Joplin human health. The City of Joplin, state and pri- Land Revitalization Action Model is a 2011 Tornado inflicted heavy damage on vate initiatives, as well as federal agencies are framework for a community revitalization this corridor, and the city plans to redevelop all working to improve Joplin’s infrastructure, project. The following four steps complete and revitalize the area. Because the tornado environment, and its economy. This Action the Action Model framework: completely destroyed parts of the corridor, Model organizes these efforts into one frame- the city wants to revitalize former residential work that incorporates health themes and Step 1: What are the issues in the community? or industrial areas for community use. Some enables planning, avoids duplication of effort, Step 2: How can redevelopment of these plans include a renovated high and provides dataset access. address these issues? school, a theater, and a library. The city Community members participated in Step 3: What are the corresponding also looked for input from USEPA to make community health benefits? a voluntary health engagement activity that the area more “green,” with bike paths and linked design characteristics to health. The Step 4: What data are needed sidewalks for residents to enjoy without activity took place during two community to measure change? relying on a vehicle for transportation. But meetings and the Third Thursday event in The Joplin 20th Street Corridor Action some of this area was dotted with mine June 2013. Over the three sessions, 135 people Model is focused around six Healthy waste piles (chat piles) that contained high provided their three top choices out of a list Community Land Reuse themes* and four lead levels. The City of Joplin is part of the of six health-related healthy community additional community concerns: Missouri lead (Pb) belt, and removal actions design ideas. 1. Access to Nature in this corridor were already taking place. 2. Get Outside/ Be More Active Nevertheless, during the revitalization process planners need to give special consideration 3. Clean Environment/ Accessibility to reducing possible lead exposures. 4. Healthier/ More Affordable food By incorporating essential health 5. Feel Safer themes, this Action Model compliments 6. Get Around Without Car the green complete street designs. And 7. Other Health Issues many of the measures suggested in this 8. Communications model might be applicable to other 9. Employment/Education areas of the city, which could enable the 10. General model’s expansion or reapplication. The City of Joplin asked the U.S. This Action Model characterizes existing Environmental Protection Agency (USEPA) to conditions and highlights community revi- assist in developing a green complete street talization efforts in the 20th street Corridor,

*Centers for Disease Control and Prevention Healthy Community Design Initiative. Healthy Community Design Checklist. 2012. Available from URL: http://www.cdc.gov/healthyplaces/factsheets/healthy_community_checklist.pdf Taking Action: Rebuilding Joplin after the Tornado 4 Using the ATSDR Brownfields / Land Revitalization Action Model 1. Access to Nature #1 in Joplin Health Engagement Activity (See Appendix A)

Community Issues Redevelopment Approach Health Benefit Measurement (Indicator) Comment/ Sources of Data

People need more access to Work with Parks and Rec to create a Increased physical activity leading # of existing parks, acreage of green Getting outside/being more active recreation for physical activity. plan for more parks, linkages, trails. to cardiovascular benefits, possibly space, with participation rates/ were listed as the top 2 choices reducing juvenile crime. usage of parks. in the Joplin Health Engagement Kids are not playing outside across Justification: Using the 2007 Activity. See Appendix A: Joplin the United States like they did Health and Preventative Practices Outdoor play increases fitness Look at childhood obesity Health Engagement Activity. decades ago. Survey, 32.5% of Jasper County levels and builds active, healthy rates over time as expressed by residents and 37.5% of Newton bodies, an important strategy in percentage of population. See Appendix B: 2010 “Yeah, walking is probably a good County residents are reported as helping kids who are obese get fit. Demographics map (note thing to have- maybe that is why overweight, with 27.8% and 28.7% limitation on census data I have gotten so fat”- Comment (respectively) reported as obese. pre-tornado). during community meeting on Green Complete Streets. Residents of both counties also report less leisure-time physical activity and overall fair or poor general health status. The average boy or girl in the United States spends as few as 30 minutes in unstructured outdoor play each day, and more than 7 hours each day in front of an electronic screen.

Taking Action: Rebuilding Joplin after the Tornado 5 Using the ATSDR Brownfields / Land Revitalization Action Model Community Issues Redevelopment Approach Health Benefit Measurement (Indicator) Comment/ Sources of Data

Limited opportunities are available Have more involvement with the Spending time outside raises Do physical counts of See Appendix A: Joplin Health for access to Nature according to parks and recreations department. levels of Vitamin D, helping people in parks. Engagement Activity- Access to Nature was listed as Number 1. Joplin Residents (in comments Parks Board. protect children from future bone Do surveys of communities problems, heart disease, diabetes during the Third Thursday event). Involve metropolitan needs/ wants with parks. and other health issues. “I’d like to get healthier and get Planning Board. outside more”- comment from Research suggests being Joplin resident during Third outside improves distance Thursday event. vision and lowers the chance of nearsightedness. Having playtime in nature may help children develop critical thinking & decision making skills.

Access to Nature. Some community Involve School boards, PTA’s, and Exposure to natural settings may Look at #s of park goers. Appendix A: Joplin Health be widely effective in reducing Engagement Activity- Access to members believe children in Joplin Teacher Associations. Make sure Check with School nurses/ local ADHD symptoms. Nature ranked Number 1. have hight rates of Attention Deficit that recess is still encouraged pediatricians for ADHD numbers. Hyperactivity Disorder (ADHD). in schools. Have outside “play” The number of Joplin kids with This belief is unconfirmed and is areas near schools. Have kid’s ADHD is currently not known. anecdotal from comments during playground areas in city parks that Try to establish percentage of third Thursday event. are kept maintained. population with ADHD. Justification: Childhood obesity Check with pharmacists for total rates have more than doubled the numbers of ADHD prescriptions. last 20 years; the United States has become the largest consumer of ADHD medications in the world. ADHD may be associated with exposure to Lead (Pb).

Taking Action: Rebuilding Joplin after the Tornado 6 Using the ATSDR Brownfields / Land Revitalization Action Model Community Issues Redevelopment Approach Health Benefit Measurement (Indicator) Comment/ Sources of Data

There is a voiced wish to have dog Have dog parks that are accessible Dog walking resources and Involve animal shelter groups See Appendix C: Park Sites. parks. This was said many times and connected to sidewalks on the facilities will encourage people and humane society to do See Appendix A: Joplin Health during the third Thursday event. 20th St. Corridor. to go outside with their canine events in parks. Engagement Activity. companions. This would In addition, there were many dogs Have dog “stations” with water Sponsor dog friendly 5K runs encourage exercise. (on leashes) at the third Thursday fountains (low on ground) and along corridors and look at event, so people do want to bring Dog waste stations (baggies and participation numbers. their dogs. garbage cans) that are serviced by Have college students/ high school Having dog-friendly areas would Parks or City trash. students administer the survey. also encourage people to get Involve dog groups- sponsor outside and have more access to Keep counts of the # of events to encourage people to activities done. nature (#1 rank on Joplin Health come outside with their dogs- 5K Engagement Activity). races, dog adoption days along “I think a dog park would be corridor, etc. really nice- there are lots of people with dogs and I don’t know of a dog park”- Joplin Resident at Third Thursday.

Taking Action: Rebuilding Joplin after the Tornado 7 Using the ATSDR Brownfields / Land Revitalization Action Model Community Issues Redevelopment Approach Health Benefit Measurement (Indicator) Comment/ Sources of Data

There has been a loss of trees Inventory of trees that have Trees can improve the environment, Forestry Board/ arbor activities Is there a map with tree locations due to the tornado and the been planted. improve aesthetics, reduce heat expressed as numbers of specific and types of trees? island effect, provide shade types of activities. situation has been exacerbated Require developers to plant for people, trap pollutants, with drought conditions. trees. Require developer to Count the number of promote green space, and increase provide SHADE trees in programs in place. walkability. conjunction with sidewalks. (Habitat for Humanity, tree Need in Joplin for shade during Summarize and upgrade a city donation groups). summer months on 20th St corridor ordinance re: planting of trees. if sidewalks put in- this is important Count the number of grassroots Encourage participation in to avoid heat stress for walkers. efforts in place. Arbor Day. Connect Tree plantings to Arbor days. Is there a Joplin forestry board/ arbor society? Connect tree plantings to school activities to increase children’s awareness of the importance of trees.

Parklets may be an effective way to Consider incorporating parklets Community health and See master plan. Having access to nature and bring a sense of nature. Parkscape into sidewalk/ streetscape in order connectivity to others is getting outside/being more the sidewalk landscape along to give residents a place to sit, important for mental active were listed as number 20th St Corridor. (Parklets and converse, relax. health well-being. 1 and 2 on the Joplin Health parkscaping is to add nature and Engagement Activity. green features to a sidewalk area by See Appendix A: Joplin Health adding trees, landscaping, benches, Engagement Activity. shade, and general ambience.

Taking Action: Rebuilding Joplin after the Tornado 8 Using the ATSDR Brownfields / Land Revitalization Action Model 2. Get Outside/ Be More Active #2 in Joplin Health Engagement Activity (See Appendix A)

Community Issues Redevelopment Approach Health Benefit Measurement (Indicator) Comment/ Sources of Data

There is a desire to have Bike Lanes Require that Bike Lanes be More exercise opportunities like bike Work with City of Joplin and See Appendix D: Listening to on Joplin Roads. built on roads or have shared lanes improve physical health and CART groups. Joplin- Next Steps: Joplin Area use paths. Require where mental well-being. Cart (Citizen Advisory Recovery “As an avid biker… I really like Partner with Livesmart streets are functioning as a Team) Pages 8-9. the shared/full use concept”- Being outside increases (Livesmartswmo.org) an collector level or greater. Joplin resident during community vitamin-D uptake. organization that advocates for Getting outside/ being more active more exercise opportunities, is listed as #2 on Joplin Health meeting at City Hall. Amend zoning to allow Regular physical activity is for bike paths. especially walking/biking trails. “To the Mobile community, associated with less chronic disease. Engagement Activity — Do counts of the # of people that shared use has more appeal”- Incorporate complete See Appendix A. Regular exercise can boost the are using the new bike lanes if Joplin resident during community streets elements. immune system. implemented. meeting at City Hall.

Children do not walk to school Consider adding Safe Routes Increased physical activity for Children and Transportation Be able to get outside/ be more (according to discussions with to Schools program, walking youth, community capacity to School. active was listed as the number 2 choice in the Joplin Health community members). school bus programs, and increases by walking programs, # of children walking to school, public transportation stops reduced accidents (from running in Engagement Activity- Wanting to This may be because schools are # of Safe Routes to Schools near schools. There needs to front of buses), improved air quality feel safer was number 5. currently being rebuilt and many programs, # of cars in front of be an overall pedestrian plan from fewer cars in front of schools temporary schools are not in schools in mornings, # of public See Appendix A: Joplin Health that considers children. -exposures are reduced. traditional neighborhoods. transportation stops near schools, # Engagement Activity. Justification: This is an issue that of accidents near schools. See Appendix B: 2010 may need to be readdressed once Get data of # of kids within walking Demographics map (note the new schools are built. Currently distance of schools in 20th St. limitation of pre-tornado data). kids are sent to ancillary schools or Corridor area (like Joplin High). former business sites for education while community is rebuilding from tornado.

Taking Action: Rebuilding Joplin after the Tornado 9 Using the ATSDR Brownfields / Land Revitalization Action Model Community Issues Redevelopment Approach Health Benefit Measurement (Indicator) Comment/ Sources of Data

Walking in Joplin is not done safely Increase accessibility by Healthier lifestyles decrease chronic Travel data (vehicle miles traveled – On walkscore.com, Joplin has a due to lack of sidewalks and lack of walking/biking. Get data re: disease. A dding sidewalks reduces CMAP), walkability surveys. walkscore of 44 which means that injuries and deaths from accidents. the city is car dependent and most destinations. Traffic congestion and traffic/accident statistics. Conduct a Walkscore. traffic accidents are issues. errands require a car. Look at potential walker Pedestrian counts: Joplin http://www.walkscore. There is interest in being demographic map- limitation: CART group may want to com/MO/Joplin able to walk, and having a may only have pre- tornado data look into a walkability study destination to walk to. (see Appendix B), though this or do pedestrian counts. Out of 525 restaurants, bars, and may constitute likely rebuilding of coffee shops in Joplin, people similar demographics. can only walk to an average of .4 Create destinations for walkers like restaurants in 5 minutes. parks, activities, restaurants, etc. See Appendix B: Demographics map of those under 18 and over 65- pre tornado 2010.

Continue to assess overall health Look at asthma rates. Reduced levels of asthma attacks; Community health status: see See Appendix E: Health Status weight loss in obese children. health status report for Joplin, Report 2010: Page 2 Conditions status in community- especially Look at access to recreation. Jasper County, and Newton County. and Risk Factors. chronic diseases that may be linked Healthy eating intervention in Identification of areas that need to inactive lifestyles. schools, recreation centers. attention (e.g., starting a walking Health Fairs – Blood Pressure, BMI, See Appendix E: Health Status program where cardiovascular EBL, Diabetes, Cholesterol. Report 2010: Page 4: Students Diabetes and obesity Address ways master plan may disease rates are high – all may eligible for free & reduced lunch. were issues in 2010. eliminate sources of particulate/ # of City walking trail programs. improve overall health. See Appendix B: 2010 Senior health? Diabetes? other asthma triggers. Health statistics- state health Demographics map (note Cardiovascular disease? A sthma? Work with health dept. and others statistics broken down by city/ limitation of pre-tornado data). to collect data. county level. Work with Park District, schools (e.g., healthy schools campaign). Look at demographics of potential walkers in 20th St Corridor- limitation may be pre-tornado data.

Taking Action: Rebuilding Joplin after the Tornado 10 Using the ATSDR Brownfields / Land Revitalization Action Model Community Issues Redevelopment Approach Health Benefit Measurement (Indicator) Comment/ Sources of Data

The 20th St Corridor is a busy Install walking paths and Promotes healthy lifestyle # of people going across town for DOT? FTA? area and may be dangerous for pedestrian- friendly areas. by walking/biking to more goods/services. City provides list of what are not pedestrian traffic unless sidewalks places. Less reliance on autos Make sure bike path is in the # of cross-town connections for safe connections. are installed. reduces air pollution. works. Map the circulation walking or biking. Accessibility was listed as the Sidewalks installed on both sides of patterns (CMAP) and look for Sidewalks also provide community Counts of pedestrian traffic around Number 3 choice in the Joplin streets listed in Joplin CART report. quick fixes. Develop a unified connectivity (mental health). expected areas like high school and Health Engagement Activity, “More Sidewalks… We just long range plan for transit. library area. wanting to feel safer was number 5. need more sidewalks”—Joplin Pedestrian crosswalks See Appendix A: Joplin Health Resident during Community corresponding to sidewalks. Engagement Activity. meeting at City Hall. Look at new demographics as See Appendix B: 2010 people move back and rebuild Demographics map (note in the 20th St Corridor- only limitation of pre-tornado data). old data (2010 pre-tornado) may be available. See Appendix D: Listening to Joplin- Sidewalks installed on both Be aware of expected 20th St sides of streets- Page 8. Corridor pedestrian traffic around library and schools.

Taking Action: Rebuilding Joplin after the Tornado 11 Using the ATSDR Brownfields / Land Revitalization Action Model Community Issues Redevelopment Approach Health Benefit Measurement (Indicator) Comment/ Sources of Data

There is a voiced need for more Recommend partnering with A healthy weight, active lifestyle Measure change in risk Look at par course/ fit trail designs: recreational space. “Livesmart” which is an initiative and a balanced diet can directly factor ranking in next Jasper http://www.fittrail.com/ in Jasper and Newton counties impact and lower factors related to County Community Health The community lists a lack of See Jasper County Community community health collaborative. chronic diseases. Collaborative report. “Adequate Exercise Opportunities” Health Collaborative: 2010 Health as the 2nd most important risk Recommend access to parks- Status Report http://health. factor, The Jasper and Newton sidewalks, bike lanes. jaspercounty.us/resources/2010_ Health_Status_Report.pdf. Counties Community Health Running, Walking, Biking Trails. Collaborative ranks Obesity Wanting to get outside and Have a Par Course/fit trail created to as number 1 risk factor and be more active was listed as correspond to the park trails. “Adequate Exercise Opportunities” number 2 in the Joplin Health as the 3rd risk factor. Perhaps partner with Engagement Activity. Dogwood Trailblazers. See Appendix A: Joplin Health Justification: Residents of Jasper Engagement Activity. and Newton County report less See Appendix F: Environmental leisure- time physical activity Sustainability. and overall fair or poor general health status. See Appendix B: 2010 Demographics map (note pre- tornado data).

Taking Action: Rebuilding Joplin after the Tornado 12 Using the ATSDR Brownfields / Land Revitalization Action Model 3. Clean Environment/ Accessibility #3 in Joplin Health Engagement Activity (See Appendix A)

Community Issues Redevelopment Approach Health Benefit Measurement (Indicator) Comment/ Sources of Data

There are previous historical mining Include a subset of the site Potential to reduce exposures, Site inventory with map (as above). See Appendix G1 and G2 for Joplin improved environmental quality. East and West Mining activities that affect currently inventory that has a map and type Listing of potential used sites that are proposed for of contamination at sites. contaminants at sites. Mining occurrences and Tornado redevelopment. (see http://health.jaspercounty.us/ Path: See Appendix G3 http:// List numbers and types of site risk leadtesting/index.html) health.jaspercounty.us/leadte communication activities. Work with EPA, MDNR, and sting/index.html Sample areas that are to become Health Dept to confirm that See Appendix H: public areas where children may be all new redevelopment is Jasper City Lead testing. happening on sites that have in contact with contaminated soil been remediated and do not have and be sure these samples do not chat piles or are contaminated exceed recommended safe levels. above health based standards. Test any areas that have suspected contamination if potential community exposure is possible. Recommend commercial and park testing for areas within corridor that have not been tested. Recommend testing at Murphy Blvd park.

Taking Action: Rebuilding Joplin after the Tornado 13 Using the ATSDR Brownfields / Land Revitalization Action Model Community Issues Redevelopment Approach Health Benefit Measurement (Indicator) Comment/ Sources of Data

Accessible housing concerns. Housing needs to be developed Important to provide aging in place Get list of residential New Housing map- Joplin. for all economic levels for true and community housing stock developments from developer community diversity and aging in for all ages. Improves community and from city manager. place features Senior Housing: cohesiveness and wellbeing. Contact Federal agency- HHS- • Independent Living Administration for Community • Assisted Living/Memory Care Living- Aging Services Program and get a count of the number of assisted living facilities. Count # of low income housing assistance title 42 properties available in proportion to the need of the population.

Taking Action: Rebuilding Joplin after the Tornado 14 Using the ATSDR Brownfields / Land Revitalization Action Model Community Issues Redevelopment Approach Health Benefit Measurement (Indicator) Comment/ Sources of Data

Water quality and runoff concerns. Create water retention and Cleaner water, healthier vegetation, Map/inventory of local waterways Include high school/ bioswale areas in public parks and reduced exposures (to things and point sources. college studentsfor summer (where appropriate) to capture and like e coli) regarding human health Water quality data trend. employment — perhaps slow storm water runoff. from a polluted environment. through MDNR. Level of Involvement of Park Add rain gardens with boards, City of Joplin and CART (# Murphy Boulevard Park Map: planting of native species and people involved or hours). http://www.recreationparks. appropriate tree plantings. Do a survey about Knowledge, net/MO/jasper/ Inventory of local waterways Use, and Behavior to look at Fish murphy-boulevard-park-joplin. and point sources in the area Consumption. L ook at results See Appendix D: (map and locations). E.g., Murphy from whether fish consumption Listening to Joplin: Page 8. Park stream, runoff into Joplin, advisories were followed. Turkey, Silver, and Shoal Creek’s. Water quality monitoring program- biological and chemical monitoring. Fish? Fish consumption advisories? Sample small stream in Murphy park for possible pollution- e. coli? Other streams near corridor? Include high school/ college students for summer employment.

Taking Action: Rebuilding Joplin after the Tornado 15 Using the ATSDR Brownfields / Land Revitalization Action Model Community Issues Redevelopment Approach Health Benefit Measurement (Indicator) Comment/ Sources of Data

Older housing stock has lead paint Require yearly testing/screening, Reduced exposures and blood Elevated Blood Level (EBL) data Educational Outreach to Bldg & issues as well as possible historical hold a health fair in collaboration lead levels leading to more active, from health dept—# children Zoning— NOTE: also covered under lead mining issues in soil. with schools, local hospital, health healthier children. being tested at a younger age, # of health study. department (Daniel Pekarek). kids screened, EBLs. Children may have elevated blood Reduced lead exposures, more Healthy Homes training lead levels (EBLs). They are only Health department will provide sustainable housing in future. # of demolitions/ redevelopments at Health Fairs? tested at kindergarten age, so could material on lead-safe work (especially those using safe See Appendix H: be missing early or later cases. practices. Contractors are required practices, if known). Jasper County Soil Lead Testing. to follow these practices (e.g., Fine particles of processed or See if number of children spray-wetting during demolition). See Appendix E: Health Status recycled lead/lead dust become a tested for lead increases in Residents can report violations to Report 2010: Page 10. hazard when they are ingested or next Health status report. city and health dept. inhaled. Lead exposure of this sort can cause learning and behavioral Create a sustainability ordinance problems, lower IQ levels, and (safe removal and recycling interfere with growth and hearing. of contaminated materials); include lead-safe practices Children less than 72 months and make it a necessity when of age are at greatest risk getting a permit or through RFP/ and are the primary focus RFQ process for developers. for blood lead testing. Look at map to see areas that In 2007, there were a total of 3,575 tested “high” for lead (Pb) and children tested in Jasper and consider this in development plan. Newton Counties. Also look at areas that are not Due to lead contamination in tested that may become public the area, it is important during places where children may have redevelopment, do not want to contact with soil. (e.g., parks, library dissipate lead into the environment grounds, picnic areas). (e.g., during demolition).

Taking Action: Rebuilding Joplin after the Tornado 16 Using the ATSDR Brownfields / Land Revitalization Action Model Community Issues Redevelopment Approach Health Benefit Measurement (Indicator) Comment/ Sources of Data

Art in an area may foster a Consider art along 20th St Art can promote mental health Get info from ArtRocks program Joplin ArtRocks. sense of ownership among Corridor incorporated into well-being, provide aesthetics, on community opinion towards residents which in turn will community design. positive feelings. art. Look for percentage of positive reactions to ideas and feasibility of want to keep the area clean. Joplin Murals. implementation.

It may be important to look at Fix infrastructure or encourage Reducing the sewage load to the Get info on sanitation from city Rain barrel program for drought infrastructure of water and sewer people to correct illicit connections. river can improve the environment works. Look for the numbers of and to water new trees? lines during redevelopment. Are See if inspections are required prior and reduce exposures to fecal connections that are upgraded to The city is drained by Joplin there sewer problems, such as to purchase. coliform and other contaminants. current code. Look for numbers of Creek, Turkey Creek, Silver illicit connections to storm sewer Help to prevent flooding sewer lines installed or repaired Creek and Shoal Creek. system in older housing? This may Encourage the City to conduct (basements) and reduce associated after tornado. be due to older infrastructure. Was education/ outreach re: stormwater contaminants and exposure, See Appendix I: Impaired Water List. management. infrastructure updated with new preserves housing. Sewer map of city. housing stock after tornado? Justification: Lack of trees and See EPA code audit report. old sewer lines may contribute to stormwater issues—need to also be concerned there are few trees. Additional weather factors like drought can contribute to runoff problems. Partner with Elk River Watershed Improvement Association (ERWIA) and Shoal Creek Watershed Improvement Association (SCWP).

Taking Action: Rebuilding Joplin after the Tornado 17 Using the ATSDR Brownfields / Land Revitalization Action Model Community Issues Redevelopment Approach Health Benefit Measurement (Indicator) Comment/ Sources of Data

Need Zoning and Building Summarize this plan. A better designed community Summaries of ordinances. Plan. Is most of this info available from increases opportunities for developer and city manager? Ordinances for good community Get info from developer. Brownfields plan summary; site design and to increase recreation, jobs. Overall, increases inventory, City Web sites and Get health connections Involve community volunteers. development in the 20th St the Health of the City (the city as a newsletters. See EPA code audit information. Codify results. Publish the existing Corridor and Main St area. living organism). and look for the number of zoning Ordinance, but map the steps EPA code audit report. and building ordinances that are and make It clearer. Access to out of code. information increases involvement.

Are there enough health related Approach: list of all agencies and Provide services to community # of Lists, fliers, programs, etc. See Appendix E: Health Status services for the community, services: YMCA, Hospitals, and members, which can have an (There are zero shelters). Report 2010: Alcohol and Mental Health: Pages 13-14. and do people know what is Shelters, What if there are not indirect or direct impact of physical Partner with KidsCount for available? E.g., substance and enough services? - plan for more? and mental health improvements. additional data on suicide rates. alcohol abuse are issues. Funding? Suicide rates were higher in Jasper Advertise? Put fliers in mailboxes, county than in Missouri in 2010. with water bill, and at library. Engage Health Dept.

Is Joplin providing quality access to Have quality access to healthcare. Prevention of disease, Get list of healthcare facilities as New hospital in Joplin being built. health care? This is already in master plan by treatment times may decrease well as proposed facilities. Look at See Appendix E: Health Status city- to become health care Mecca. morbidity and mortality. population numbers compared to Report 2010: Page 8. # of facilities to make sure adequate facilities are in place for residents.

Taking Action: Rebuilding Joplin after the Tornado 18 Using the ATSDR Brownfields / Land Revitalization Action Model 4. Healthier/ More Affordable Food Choices #4 in Joplin Health Engagement Activity (See Appendix A)

Community Issues Redevelopment Approach Health Benefit Measurement (Indicator) Comment/ Sources of Data

Will there be access to Healthy Encourage farmers markets on Decrease obesity risk, diabetes Get list of restaurants and Map with current Food Choices? 20th St Corridor. This would be in decrease, decrease chronic disease places that serve food permitted restaurants / food stores? risks. Potentially lower overweight/ to be on 20th street. “I would love to the main addition to the farmers market that Access to healthy food was listed obesity rates. Street area in downtown, but is downtown on Wednesdays. # of liquor stores, # stores as 4th choice in Joplin Health there are no grocery stores Encourage a full grocery store with full range of produce, # Engagement Activity. and types of restaurants. there” —Joplin resident during to be located along the corridor. See Appendix A: Joplin Health Third Thursday event. There may already be plans Engagement Activity. to include this near library in development as an anchor.

There are a lot of fast food Make affordable healthy food Fast food options generally have Look at # of permits that apply to Access to healthy food was listed options situated near 20th St alternatives available. higher levels of sodium, simple open on 20th St Corridor. as 4th choice in Joplin Health Corridor (mostly on Range Line carbohydrates, and fat; and do Engagement Activity. Consider encouraging non- Talk to PTA and other parents not provide ways to get the Rd)—consider having alternatives fast food restaurant permits groups about the types of See Appendix A: Joplin Health daily recommend amounts of to fast food within the 20th St on 20th St Corridor. options for their kids, and then Engagement Activity. Corridor. fruits and vegetables. This could survey parents to see which Encourage high school students to contribute to rates of overweight/ options to implement. become active in gardening- after obesity, as well as contribute school program? to chronic health problems like diabetes and heart problems.

Taking Action: Rebuilding Joplin after the Tornado 19 Using the ATSDR Brownfields / Land Revitalization Action Model Community Issues Redevelopment Approach Health Benefit Measurement (Indicator) Comment/ Sources of Data

There is an interest in more Work with Joplin Parks. Increase in community pride; Community gardens: See Appendix C: decreased exposures to lead Park Sites and facilities. Community Gardens and Offer weekend farmers markets # of vacant lots suitable for gardens. with reduction in elevated blood Farmers Markets. in shaded area. Access to Nature was listed as lead levels in children’ increased # of garden plots and Many citizens feel that the once a number 1 in the health survey. Soil test empty lots for lead (and access to healthy foods; increase Farmers Markets. week farmers market on weekday See Appendix A: Joplin Health possibly other metals). in mental health benefits from afternoons downtown in a non- Soil sampling- look at soil resting Engagement Activity. Possible uses for vacant lots- see proximity to green space; and report to look for chemicals and shaded parking lot does not See Appendix E: Health Status city manager for this. increase in community capacity heavy metals in soils that may pose provide adequate access. Report 2010: page 7. and interaction. an unhealthy risk. Remediate soil if Justification: More than 80% Jasper levels are deemed unsafe. and Newton County residents Decrease Diabetes Risk, Decrease report that they have LESS than Chronic disease rates. 5 fruits/vegetables daily (see Lowers rates of overweight Attachment H Page 7). and obesity.

Taking Action: Rebuilding Joplin after the Tornado 20 Using the ATSDR Brownfields / Land Revitalization Action Model 5. Want to Feel Safer #5 in Joplin Health Engagement Activity (See Appendix A)

Community Issues Redevelopment Approach Health Benefit Measurement (Indicator) Comment/ Sources of Data

Crime is of some concern, Collect crime data, work If people feel safer, they may walk Crime rates, # of neighborhood Crime map for Joplin www. though low. with neighborhood watch more which may improve health. watch groups. crimereports.com and enter Joplin. groups, address abandoned “It is already safe here”- a Joplin # of abandoned lots and Feeling safer was listed as the 5th lots and buildings. resident that still voted they want buildings (see site inv.)—tag most important health issue in the to feel safer on Third Thursday. City will inventory problem those that are problems. Joplin Health Engagement Activity. sites and work with local “As an old lady living by myself, See Appendix A: Joplin Health police department. The I want to know it is safe to walk Engagement Activity. city is already redeveloping around...I don’t want to get run- some of these properties. over”- Joplin Resident during Joplin Community Meeting. Redevelopment in general should address the problem, and the police will focus attention on redeveloping sites. Streetscaping and lighting are one approach as part of redevelopment. Having more eyes on the street may solve problem areas with low crime rates.

Taking Action: Rebuilding Joplin after the Tornado 21 Using the ATSDR Brownfields / Land Revitalization Action Model 6. Get Around Without a Car #6 in Joplin Health Engagement Activity (See Appendix A)

Community Issues Redevelopment Approach Health Benefit Measurement (Indicator) Comment/ Sources of Data

There are Transportation concerns. Have transportation options that Services to seniors increase Trolley program data. Proposed Trolley map: mobility and access to services Not everyone wants to use a car. can be used besides automobiles. # of programs including ridership See Appendix J—Green Line. (e.g., getting to physician or Trolley program—look at information, assisted living homes, Wanting to get around without “I hate Cars, I wish I didn’t have hospital appointments). Seniors connectivity of program. Times senior services. a car was selected as the 6th most to use them”—Joplin resident at mental health well-being increased service available, ridership info. important thing in the Joplin Community meeting. when active in community. Contact Federal agency- HHS- (GREEN LINE for 20th Street) Administration for Community Health Engagement Activity out “I don’t need to be more active- Living- Aging Services Program. of 6 options. I’ve got arthritis. I do need to be See Appendix A: Joplin Health able to get around without a car, Engagement Activity. though” —Joplin Resident at Community meeting.

Taking Action: Rebuilding Joplin after the Tornado 22 Using the ATSDR Brownfields / Land Revitalization Action Model 7. Other Health Issues

Community Issues Redevelopment Approach Health Benefit Measurement (Indicator) Comment/ Sources of Data

Smoking and Tobacco rates are Partner with “Breathe Easy of Smoking contributes to early Partner with “Breathe Easy of See Appendix E: Health Status high in Jasper/ Newton County. Southwest Missouri”. mortality and morbidity. Second Southwest Missouri”-Community Report 2010: Page 12. hand smoke contributes to health collaborative to look at Additional issues involve smoking Make new community features on respiratory and heart problems in smoking rates and whether they while pregnant. the 20th St Corridor — both indoor non-smokers. decline with interventions. Second hand smoke may and outdoor smoke free. contribute to negative health Library, parks, entire high school outcomes. campus, etc. must have smoke free ordinances.

There may be mental health issues Approach: Joplin Family YMCA and Improve mental health. Social Services: See Appendix E: within the community (and among school programs may partner and # of existing programs for youth Health Status Report 2010: Alcohol youth) that need to be addressed. discuss prevention/intervention. and adults, # of interventions and Mental Health: Pages 13-14. Community listed mental health Outreach to young children (e.g., reports from educators). in top community rankings as well through after school Dropout rates. as suicide and alcohol/substance and teen programs. abuse. Also teen pregnancy rates New data on mental health issues Need to get the Park programs due to Tornado. are high in Health Report. more involved with programming. E.g., get a health class or girl’s night at the park. Justification: There may be mental health issues surrounding loss/devastation from Tornado that are not quantified in Health Status 2010 report.

Taking Action: Rebuilding Joplin after the Tornado 23 Using the ATSDR Brownfields / Land Revitalization Action Model 8. Communications

Community Issues Redevelopment Approach Health Benefit Measurement (Indicator) Comment/ Sources of Data

Bring Health to the planning: Involve City of Joplin Community Increased trust (mental health # of partnership activities, Action model meetings, Health Director in planning benefit). Possible alignment of activities related to Brownfield health fair, outreach fair on Would the local health department meetings, communication goals (reduction in obesity, redevelopment. lead/healthy homes. like to be more involved in the programs, data collection. physical activity). redevelopment/ health community design aspects of the community?

Continue Communication of land Continue workshops like Increased trust, awareness, and Partnership activities (like City newsletter? Website? reuse ideas to citizens- especially design charrette. communication leads to mental invitations to ATSDR, EPA, HUD, Facebook page. how they relate to health. health benefits. DOT to visit). Also, include state Provide more transparency and regional partnerships (Dept of e.g., using the web to increase Increase in health literacy surround Health. Lastly list of local partners communication. Perhaps involve built environment and healthy like government and also .orgs. students in web design. community design. Make a list of all of these partners; Continue partnerships with ATSDR. keep it updated with contact Invite ATSDR to rollout of the 20th names, contact information. St Corridor redevelopment. Reaching out to Health Department. Get the # of newsletters, # of people at events like third Thursday (sign-in sheets or just having a tally). Use counter to track people reading city updates/ web page views/ newsletters. Distribution numbers of newsletters, numbers of emails. CART group correspondences.

Taking Action: Rebuilding Joplin after the Tornado 24 Using the ATSDR Brownfields / Land Revitalization Action Model 9. Employment /Education

Community Issues Redevelopment Approach Health Benefit Measurement (Indicator) Comment/ Sources of Data

Schools need to be rebuilt, New schools are being built- Smaller classrooms provide an # of schools by school district, See Appendix E-Health Status education standards continued; Joplin High School, Franklin opportunity to get more students class sizes. Report 2010: Page 4. keep drop-out rates low and Technical Center, East Middle involved in learning. Third grade reading graduation rates high. School, Irving Elementary, and Education leads to higher paying comprehension, test scores, Emerson Elementary were jobs and a healthier economy. attendance rate, and GPA destroyed; Cecil Floyd Elementary, of school overall. Duquesne Elementary, Eastmorland Elementary, and Kelsey Norman were damaged as well. In the months after the tornado, plans have been made to rebuild all schools that were destroyed in the tornado. The School district is set to reopen its Middle and Elementary schools in December 2013 and Joplin High School and Franklin Technical Center on August 2014.

Need more businesses in general to Redevelopment plan and Economic improvements, a healthy Inventory of businesses. City has business inventory re-inhabit newly developed areas. Corridor plan. local market, attractive downtown; and can update. Labeling—locally owned increased interaction among Locally-owned business can have a businesses—can form a community; sales tax revenues. symbol (shop local). merchants association. Local restaurants can promote Inventory of available summer specials on dine-ins. commercial properties. Maybe the Local Chamber of Sales tax, property tax. Commerce can help with this.

Taking Action: Rebuilding Joplin after the Tornado 25 Using the ATSDR Brownfields / Land Revitalization Action Model 10. General

Community Issues Redevelopment Approach Health Benefit Measurement (Indicator) Comment/ Sources of Data

There are additional areas USEPA is focused on the 20th St Potential to reduce exposures, Site inventory. See Appendix K for Main Street outside of USEPS’s focus along Corridor. Joplin has additional improve communication between Development graphic. 20th St Corridor that are being plans for Main Street. The City is city and residents, provide better redeveloped, for example the working with a master developer connectivity, physical activity Main Street Corridor. to redevelop sites. Be sure the opportunities with walking and developer considers healthy smart biking, mental health benefits. growth features in development like sidewalks, transportation, mixed use, and connectivity.

Taking Action: Rebuilding Joplin after the Tornado 26 Using the ATSDR Brownfields / Land Revitalization Action Model Appendices Appendix A: Joplin Health Engagement Activity Appendix A

120 Joplin Health Engagement Activity Asked Community Members top 3 choices: 100 What health aspects of community design are important to you? 80

60

40

20

0

A Health Engagement Activity was facilitated by ATSDR and the Joplin Citizen Advisory Recovery Team (CART) in order to get feedback from community members about what health aspects of community design were important to them. Participants were asked at two community meetings and at the Joplin Third Thursday Event in June 2013 to select their top three choices by placing stickers onto a poster board. There were 135 participants in this activity over the 3 days. Appendix B: Pre Tornado Demographics Map Joplin, MO - 20th Street Corridor INTRODUCTORY MAP SERIES Jasper County, Missouri Persons per square mile General population 0 Population density 11 - 1,000 1,001 - 5,000 5,001 - 10,000 10,001 - 34,701

20th Street

Former H igh School

Miles 0 0.5 1 2

Demographic Statistics Children under age 18 Within one half mile buffer of site boundary Measure 2010 Total Population 9,654 White Alone 8,467 Black Alone 294 Am. Indian & AK Native Alone 159 Asian Alone 145 Native Hawaiian & Other Pacific Islander Alone 29 Some Other Race Alone 175 1 - 9 10 - 19 20 - 39 40 - 229 Two or More Races 390 HIspanic or Latino** 523 Adults aged 65 or older Children Aged 6 and Younger 1,112 Children Aged 18 and Younger 2,402 Adults Aged 65 and Older 1,317 Females Aged 15 to 44 2,117 Housing Units 4,602

Data Sources: US Census 2010, TomTom Int'l BV (2012).

Notes: Demographic counts were calculated using area-proportion spatial analysis method. 1 - 9 10 - 19 20 - 39 40 - 229 Individuals identifying origin as Hispanic or Latino may be of any race.

Map projection: NAD 1983 StatePlane Indiana West FIPS 1302. PRJ 04315 RBY5 8/15/2013 Agency for Toxic Substances and Disease Registry Division of Toxicology and Human Health Sciences

DRAFT - FOR INTERNAL REVIEW Appendix C: Park Sites and Facilities

Appendix D: Listening to Joplin — Next Steps

Listening to Joplin –Next Steps

Report of the Citizens Advisory Recovery Team Implementation Task Force

1 Contents Contents...... 2 Introduction ...... 5 Housing + Neighborhoods Projects ...... 6 1. Pilot Neighborhood ...... 6 2. Pilot Neighborhood Houses...... 6 3. Create a Neighborhood Architectural Advisory Board ...... 6 4. Increased enforcement of existing nuisance codes ...... 6 5. City wide education campaign regarding insurance information ...... 6 Schools and Community Facilities Sector Projects ...... 7 1. House Franklin Technical Center and New High School ...... 7 2. Build Storm Shelters ...... 7 3. 9th Grade Assimilation ...... 7 4. Build a memorial ...... 7 5. Develop a Center for Arts ...... 7 Infrastructure and Environment Sector Projects ...... 8 1. Require bike lanes ...... 8 2. Sidewalks installed on both sides of street ...... 8 3. Create a Joplin Creek Trail System ...... 8 6. Educate residents and business owners about storm water management ...... 9 Economic Development Sector Projects ...... 10 1. Rezone key corridors for near‐term and long‐term commercial ...... 10 2. Develop and Enforce Design Standards ...... 10 3. Pursue and support the Development of a medical school ...... 10 4. Develop a Virtual Spec Building ...... 10 5. Establish and Develop Workforce housing projects ...... 10 6. Provide Workforce soft skills training ...... 11 7. Establish the Joplin area as “workforce ready” ...... 11 8. Develop major, mixed use anchor projects ...... 11 Request for Proposal and Qualifications ...... 12 General Information ...... 13 Date of RFP Issuance ...... 13 Public Information ...... 13

2 Type of Contract ...... 13 Clarifications and Interpretations ...... 13 No Lobbying ...... 13 Deadline for Submission of Interest ...... 14 Point of Contact ...... 14 Evaluation of Qualifications ...... 14 Corporation’s Reservation of Rights ...... 14 Acceptance of Evaluation Methodology ...... 15 No Reimbursement for Costs ...... 15 Eligible Respondents ...... 15 Reference Checks ...... 15 Executive Summary ...... 15 Background ...... 15 Goals and Project Description ...... 16 Proposed Location ...... 16 Desired Qualifications ...... 16 Supporting Data ...... 17 Requirements for Proposal ...... 17 Respondent’s Interest and Ability to Undertake the Project ...... 17 Respondent’s Ability to Provide Services ...... 17 Provide the following information for the Respondent: ...... 17 Respondent’s Experience ...... 17 Respondents Vision for Redevelopment ...... 18 Execution of Offer ...... 18 Format for Statement of Qualifications ...... 20 General Instructions ...... 20 Site Map ...... 20 MINUTES CART Implementation Task Force, City of Joplin December 1, 2011 ...... 23 MINUTES ‐ CART Implementation Task Force, City of Joplin ‐ December 8, 2011 ...... 24 MINUTES ‐ CART Implementation Task Force, City of Joplin ‐ December 22, 2011 ...... 25 MINUTES ‐ CART Implementation Task Force, City of Joplin ‐ January 5, 2012 ...... 26

3

4 Introduction

The Citizens’ Advisory Recovery Team presented its plan, “Listening to Joplin” to the City Council on November 7, 2011. After a vote to accept the report, Mayor Mike Woolston recommended the formation of a task force composed of representatives from the primary recovery stakeholders ‐ the City Council, Joplin School Board, Joplin Chamber of Commerce, and the CART. The members are listed at the bottom of this page. Since their appointment, the Implementation Task Force (ITF) has been meeting bi‐weekly to assign action steps for the CART projects. Each project has at least one champion. In addition, the ITF prepared a Request for Proposal for a Master Developer to accelerate recovery efforts. That request (see Appendix A) was submitted to the City Council and approved at their December 19th meeting. Requests are due back on January 31, 2012. Requests will be reviewed by the CART ITF as well as the Joplin Redevelopment Corporation. The final recommendation will go to the City Council for its approval.

The ITF plan that follows is a living document. All of us realize that there may be changes and additions over time. The recommended steps listed are actionable items that will continue to move us toward the goal of recovery and past that to a community that is stronger, safer, greener, more attractive, and designed to reflect the dreams and desires of our citizens.

The united endorsement of this implementation plan will signal to everyone involved that every governing body is in agreement with what it will take to move forward. Our recovery has already begun. These projects and ideas will give us a structure to continue and intensify our efforts. Every one of us is ready to work. We hope that you are as well.

In the spirit of recovery,

Jane Cage Mark Rohr C.J. Huff Rob O’Brian CART ITF Chairman Joplin City Manager Joplin Schools Superintendent JACC President

Kim Carr, CART Housing Co‐Chair Trish Raney, City Council Anne Sharp, School Board Mike Wiggans, JACC Board Chair Doug Doll, CART Schools & Community Mike Seibert, City Council Jim Kimbrough, School Board Brad Beecher, JACC Board Mbr Facilities Co‐Chair Randy Moore, CART Economic Development Co‐Chair Clifford Wert, CART Infrastructure and Environment Co‐Chair

5 Housing + Neighborhoods Projects 1. Pilot Neighborhood – Includes green space, walking ability, connectivity, and sense of community. a. Assigned: Kim Cox ‐ CART Housing and Neighborhood b. Next Steps: i. ‐ Explore and use incentive funding to finance the project. ii. ‐ Develop a one block project as the pilot. iii. ‐ Determine a location and develop a budget iv. ‐ Acquire land or have land acquired by a private developer v. ‐ Create an RFP or informally locate a willing developer that would include all of the desired characteristics (green space allocation, walking ability, use of pilot neighborhood house designs from project 2) 2. Pilot Neighborhood Houses – Includes energy efficient housing, recommended building techniques, and sustainable sizing and proximity. a. Assigned: Kim Cox ‐ CART Housing and Neighborhood b. Next Steps i. ‐ Identify financing for the house designs such as a national competition with an award, use of university students or volunteers ii. ‐ Establish project scope and cost estimates iii. ‐ Draft the desired physical qualities (square footage, height, setback, accessibility, arch. style) iv. ‐ Create an RFQ to hire architects that can create enough plans to fill the Pilot Neighborhood. 3. Create a Neighborhood Architectural Advisory Board – Composed of city leaders, architects, builders, and community leaders, Provides expertise on best practices. a. Assigned: Matt Moran ‐ CART Housing and Neighborhood, AIA b. Next Steps: i. ‐ Determine best structure‐ freestanding group or part of the Design Review Standards board ii. ‐ Determine and convey incentives to homeowners that encourage appropriate design iii. ‐ Create examples of sustainable best practices for residential buildings to distribute iv. ‐ Create examples of context sensitive designs for designated Joplin Neighborhoods 4. Increased enforcement of existing nuisance codes. a. Assigned: City of Joplin, CART Housing and Neighborhoods b. Next Steps i. Inform citizens of requirements through public notification ii. Review nuisance and zoning codes for possible improvements 5. City wide education campaign regarding insurance information to the citizens, both renters and homeowners. a. Assigned: CART Housing and Neighborhood b. Next Steps i. Establish a “branded” campaign from a neutral party (Dept. of Insurance, City) ii. ‐ Identify possible funding streams (Dept. of Insurance?) iii. ‐ Establish cost of campaign iv. ‐ Identify key distribution centers (building dept. counter, rental voucher locations, apt. complexes) v. ‐ Choose other media sources (billboards, local t.v., Joplin Citizen, Tid‐Bits, and other local print media) vi. ‐ Incorporate MSSU Dept. of Communications and/or Joplin H.S. audio/video group

6 Schools and Community Facilities Sector Projects 1. House Franklin Technical Center and New High School in one building a. Assigned: Joplin Schools b. Next Steps i. A committee to tour and review technical high school programming at a number of school facilities in the Midwest that reflect that philosophy. In addition to staff and Board members, include community members. ii. Exploration of programming opportunities and construction methods. Select architects for the design of the new technical high school. iii. A series of “dream” meetings with parents, community members, staff, higher education institutions, and experts in the field of 21st century teaching and learning. Develop a final vision for this new school concept based on the feedback and direction from these meetings. 2. Build Storm Shelters within new schools a. Assigned: Joplin Schools b. Next Steps: i. Work closely with SEMA and FEMA to take advantage of 404 and 406 mitigation funds for the construction of safe rooms at all facilities, both new and those schools that currently don’t have safe rooms. ii. Work with SEMA for 404 mitigation on all sites being considered for safe rooms. Total of 16 at this time are being considered at both new and existing facilities. iii. Investigate a reverse 9‐1‐1 system to allow for 24/7 access to the safe rooms in the event of a storm. Consider working with and training identified neighborhood citizens to provide key and supervisory responsibilities at each location in the event the reverse 9‐1‐1 system fails. 3. 9th Grade Assimilation into High School a. Assigned: Joplin Schools b. Next Steps: i. 9th grade transition has been a focus of efforts these last few years related to strategic plan. The challenge and opportunity now exists to build a facility to create a supportive environment for 9th graders in the transition from middle school. The programming vision will drive the design. 4. Build a memorial of some kind to commemorate tornado and its victims a. Assigned: City of Joplin, CART Schools and Community Facilities 5. Develop a Center for Arts and Entertainment a. Assigned: RFP developed by Task Force 6. Improve and Expand Farmers Market a. Assigned: RFP developed by Task Force

7 Infrastructure and Environment Sector Projects 1. Require bike lanes for all new street construction where streets are functioning as a collector level or greater. a. Assigned: City of Joplin b. Next Steps i. Incorporate Complete Streets elements as appropriate ii. Amend Comprehensive Plan iii. Amend Subdivision Regulations iv. Amend Zoning Regulations v. Review Long‐Range Transportation Plan and amend as necessary vi. Involve CIP Committee vii. Identify resources (Transportation Enhancement Funds, Surface Transportation Program‐Urban funds, etc.) viii. Identify specific corridors and prioritize ix. Identify Level of Service (LOS) thresholds for adding bike lanes to roadways. 2. Sidewalks installed on both sides of street in new developments of all types (residential, commercial, industrial) as well as in existing Expedited Debris Removal area whenever possible. a. Assigned: City of Joplin b. Next Steps i. Amend Subdivision Regulations ii. Amend Procedures Manual iii. Explore CDBG funds as funding source. 3. Create a Joplin Creek Trail System that links into parks/green areas of all types, especially in conjunction with flood plain areas. Focus upon development of a significant trail system within our community to foster walking, jogging, running,, and biking by our residents a. Assigned: RFP developed by City of Joplin, Task Force b. Next Steps i. Review Long‐Range Transportation Plan ‐Trails Plan and amend as necessary ii. Seek funding opportunities (Transportation Enhancements, Recreational Trails Funds) iii. Involve Parks Board iv. Involve Metropolitan Planning Organization v. Involve Joplin Trails Coalition 4. Create Water retention and bioswale areas in public parks (where appropriate) to capture and slow storm water runoff. Add rain gardens with planting of native species and appropriate tree plantings a. Assigned: City of Joplin, RFP developed by Task Force b. Next Steps i. Involve Parks Board ii. Review Subdivision Regulations and amend as necessary iii. Review Procedures Manuals and amend as necessary iv. Review Storm Water Management Plan and amend as necessary v. Evaluate and incorporate Best Management Practices (BMPs) for alternatives 5. Obtain proposals for city‐wide curbside recycling, adding more neighborhood recycling and more recycling receptacles at public facilities and events a. Assigned: City of Joplin b. Next Steps

8 i. Involve Solid Waste Commission ii. Investigate neighborhood recycling drop‐off facilities and locations iii. Investigate and educate public on cost of curbside recycling. 6. Educate residents and business owners about storm water management, recycling, and reforestation practices a. Assigned: CART Infrastructure and Environment b. Next Steps i. Involve experts to assist in information gathering/distribution, i.e. Audubon Center, Missouri Department of Conservation; Joplin Tree Board; Arbor Day Foundation; Allied Waste; area consultants ii. Involve the Young Professionals Network for recycling programs/presentations; i.e. Pepsi‐Co Dream Machine Recycle Rally iii. Present to Joplin Globe guest editorials on benefits of reforestation, recycling, and storm water management iv. Involve MSSU and Joplin High Media Classes for creation of PSA's for communication of benefits v. Investigate other communities that have effective storm water management practices and improvements and use their projects as models in educational material 7. Evaluate feasibility of underground utilities and telecommunications resources a. Assigned: Brad Beecher, City of Joplin Planner b. Next Steps i. Encourage underground utilities from pole to house ii. Involve utility companies iii. Seek cost offset funding opportunities iv. Prioritize corridors or geographic areas v. Examine alternatives vi. Identify incentives for developers vii. Educate public

9 Economic Development Sector Projects 1. Rezone key corridors for near‐term and long‐term commercial, multi‐family and mixed use development including a. 20th Street : Duquesne Road to Schifferdecker b. South Main: 15th Street to 50th Street c. 26th Street: Main Street to Maiden Lane d. Connecticut: 20th Street to 32nd Street e. Assigned: Randy Moore, CART Economic Development Sector, City of Joplin f. Next Steps i. Have CART and city staff present to the Planning & Zoning Commission and City Council an amendment to the City’s existing Comprehensive Development Plan that identifies proposed land use changes along key corridors that would permit commercial, multi‐family and mixed use developments. ii. Have City investigate the creation of a planning overlay district to help encourage quality design and development. 2. Develop and Enforce Design Standards Committee a. Require sufficient depth from the corridor street to allow for quality development (recommend at least one block) b. Encourage consistency of construction materials and appearance c. Require a higher level of landscaping around buildings and parking lots than currently exists d. Assigned: Randy Moore ‐ CART Economic Development, City of Joplin e. Next Steps i. Have city staff work with consultant that is currently updating the City’s Comprehensive Development Plan to determine depth of new zoning districts along key corridors that will permit commercial, multi‐family and mixed use developments. ii. Develop Commercial Design Standards that will encourage a better appearance of the city’s commercial building stock, including, 360 degree design that encourage a better appearance on all sides of a commercial building as well as protect adjoining residential areas. iii. Review and amend the City’s Comprehensive Development Plan and Zoning Code to require more landscaping of commercial buildings, property and parking lots. iv. Have City investigate the creation of a planning overlay district to help encourage consistency of construction materials and appearance. 3. Pursue and support the Development of a medical school, possibly in partnership with MSSU or other host a. Assigned: Rob O’Brian – JACC, Med School Committee (name confirmation) b. Next Steps i. Support the efforts of the existing med school alliance organization 4. Develop a Virtual Spec Building a. Assigned: Rob O’Brian – JACC, JREDC b. Next Steps i. Assess and contract with a suitable architect to develop reviewable plans for the building 5. Establish and Develop Workforce housing projects to re‐establish and maintain a quality workforce. a. Assigned: JREDC, JACC, CART Housing and Neighborhoods b. Next Steps

10

6. Provide Workforce soft skills training through adult and student programs. a. Assigned: Joplin Schools, WIB b. Next Steps i. Review the results / input from employer surveys on required soft skills and align current programs to train those skills. ii. Develop, through heavy community support, strategic partnerships for students to apply those skills in a real‐life work environment. iii. Adopt employer‐proven programs that teach soft skills, such as Alchemy, into the curriculum 7. Establish the Joplin area as “workforce ready” by strongly supporting the state efforts on “work ready” certification at the adult and student levels. a. Assigned: Joplin Schools, WIB, Chamber b. Next Steps: i. Work with the State Workforce Development and Career Center to have all students participate in the “work ready” certification program to the level required to make Joplin a “work ready” community, ii. Provide additional training at the high school level that would allow for strategic partnerships with higher education institutions, including opportunities to receive an associate’s degree upon completion of the requirements of a high school diploma. 8. Develop major, mixed use anchor projects to encourage redevelopment in key areas, with an emphasis on maintaining quality of living concepts expressed in other CART areas. a. Assigned: RFP developed by Task Force b. Next Steps: i. Seek a master developer to address key geographic areas and projects 1. Publish RFP by December 31, 2011 with January 31, 2012 Return Date ii. Review Proposals through February 28, 2012 iii. Formalize relationship with Master Developer no later than March 1, 2012

11

Request for Proposal and Qualifications By the Joplin Redevelopment Corporation

Regarding Selection of Master Developer For Joplin Redevelopment Effort Qualifications Submittal Deadline: Tuesday, January 31st 2012, 5:00 P.M. Prepared by: Troy Bolander, Planning & Community Development Manager

12 General Information and Requirements

General Information Joplin Redevelopment Corporation (the “Corporation”) is soliciting statements of interest (“Responses”) from private developers (the “Respondents”) for selection of a Master Developer (“Developer”) for the further evaluation, programming, funding and redevelopment of the area damaged in the May 22, 2011 Joplin tornado (the “Project”), all in accordance with the terms, conditions, and requirements set forth in this Request for Proposal & Qualifications (RFP).

Responses to this RFP will be used by the Corporation to identify and then make the selection of the Developer for a Public Private Partnership to execute the Project. The RFP provides the information necessary to prepare a response for consideration and initial ranking by the Corporation. Based on the initial ranking, the Corporation may select up to three (3) of the top ranked qualified Respondents to attend interviews prior to selection.

The Corporation intends to use the Joplin Redevelopment Advisory Committee (Committee), comprised of representatives of the City Council, Joplin School Board, Chamber of Commerce and citizens from the Citizens Advisory Recovery Team to assist in evaluating the responses and making recommendations to the Corporation

Date of RFP Issuance This RFP is being issued on: December 28, 2011

Public Information All information, documentation, and other materials submitted in response to this solicitation are considered non‐ confidential and/or non‐proprietary and are subject to public disclosure.

Type of Contract The final contract form shall be negotiated between and be mutually acceptable to the parties. Any contract(s) resulting from this effort will be in the form of a public‐private partnership and will be negotiated at the sole discretion of the Corporation, City of Joplin (the “City”), and/or their agents

Clarifications and Interpretations Any clarifications or interpretations of this RFP that materially affect or change its requirements will be provided by the Corporation as an addendum. All such addenda issued by the Corporation shall be issued before the proposals are due as part of the RFP, and all Respondents shall acknowledge receipt of and incorporate each addendum in its Responses.

Respondents shall consider only those clarifications and interpretations that the Corporation issues by addenda five (5) days prior to the submittal deadline. Interpretations or clarifications in any other form, including oral statements, will not be binding on the Corporation and should not be relied upon in preparing its Responses.

No Lobbying Respondent acknowledges and accepts that from the Date of Issuance of the RFP until a final decision has been made by the Corporation, it will not take any action, make any effort or support or engage others on it’s behalf to take actions or efforts with attempt to influence the decision making process for this RFP in the favor of the Respondent. This includes direct contact with the City Council, City Manager and City staff of the City of Joplin, the members of the Corporation, board members of CART, board members of the Committee, board members of the Joplin Chamber, board members of the Joplin School Board, and others who may be engaged in the process. Additionally, the Respondent acknowledges and accepts that it will not attempt to use public communication such as the news media, social media, etc. as a means of attempting to

13 influence the RFP evaluation or decision making process. Any Respondent violating any of the aforementioned conditions is subject to immediate disqualification from consideration

Deadline for Submission of Interest The Developer will submit its Responses at the time and location described below:

TIME/DATE: RECEIVED BY 5:00 P.M. ON TUESDAY, JANUARY 31ST 2012 RFPs RECEIVED AFTER THIS TIME AND DATE WILL NOT BE ACCEPTED.

TO: CITY OF JOPLIN ATTN: MR. TROY BOLANDER PLANNING & COMMUNITY DEVELOPMENT 602 S. MAIN ST. JOPLIN, MO 64801

The Developer shall submit one (1) original with (16) identical copies of the Response in print and with one PDF copy provided on CD or USB drive. An original signature must be included on the “Respondent’s Request for Proposal and Ability to Undertake the Project” document submitted with original document.

Late received Responses will be returned to the Respondent unopened.

Properly submitted Reponses by the Respondents will not be returned.

Hard copies of RFP materials must be enclosed in a sealed envelope (box or container) addressed to the Point‐of‐Contact; the package must clearly identify the submittal deadline and that the response is for the Joplin Redevelopment Project.

Point of Contact The Corporation designates the following person as its representative and Point‐of‐Contact for this RFP.

Mr. Troy Bolander, Planning & Community Development Manager Joplin City Hall 602 S. Main Street Joplin, Missouri, 64801 (417) 624.0820 Ext. 510 [email protected]

Respondents shall restrict all contact with the Corporation and direct all questions regarding this RFP, including questions regarding terms and conditions and technical specifications, to the Point of Contact.

Evaluation of Qualifications The evaluation of the Responses shall be based on the requirements described in this RFP. All properly submitted Responses will be reviewed, evaluated, and ranked by the Corporation, with input from the Committee as noted above. The top three or fewer ranked Respondents may be selected by the Corporation to participate in an interview.

Corporation’s Reservation of Rights The Corporation may evaluate the Responses based on the anticipated completion of all or any portion of the Project. The Corporation reserves the right to reject any and all Responses and re‐solicit for new Responses, or to reject any and all

14 proposals and temporarily or permanently abandon the Project. The Corporation makes no representations, written or oral, that it will enter into any form of agreement with any respondent to this RFP for any project and no such representation is intended or should be construed by the issuance of this RFP.

Acceptance of Evaluation Methodology By submitting its Responses to this RFP, Respondent accepts the evaluation process and acknowledges and accepts that the determination of the “most qualified” firm(s) will require subjective judgments by the Corporation.

No Reimbursement for Costs The Respondent acknowledges and accepts that any costs incurred from the Respondent’s participation in this RFP shall be at the sole risk and responsibility of the Respondent.

Eligible Respondents Only individual firms or lawfully formed business organizations may apply (this does not preclude a Respondent from using consultants). The Corporation will contract only with the individual firm or formal organization that submits its Responses.

Reference Checks Respondent acknowledges and accepts that the through the RFP evaluation process reference checks and background investigation may be conducted as a part of the due‐diligence process.

Executive Summary

Background Joplin is located in southwest Missouri in the "four states" region encompassing Oklahoma, , Missouri and Arkansas. At the edge of the Ozark Mountain plateau region, Joplin has a current population of 50, 150 (2010 census). Joplin is the hub of the two‐county (Jasper & Newton) Metropolitan Statistical Area. The MSA population is 173,000, making it Missouri’s fourth largest MSA. The daytime population swells to 220,000, while the population within a 40‐mile radius of Joplin is 400,000. Joplin combines the beauty and hospitality of smaller town living with the convenience and commerce of larger city vitality.

Joplin was devastated by an EF5 tornado which touched down at 5:41pm on May 22, 2011. The massive tornado cut a path of destruction 3/4 to a mile wide and nearly 10 miles long through the city limits and the neighboring village of Duquesne. The overall storm path was estimated by the at nearly 14 miles in length.

Nearly 8000 structures were estimated to be impacted by the tornado. Many homes, along with churches, schools, businesses and one hospital, were completely destroyed in the wake of the tornado.

In responding to the disaster, the City created the Citizen Advisory Recovery Team (CART) to provide the Joplin Area citizen's with a forum where ideas could be brought to the table, consensus formed and ideas and/or projects can be taken to City Council or other appropriate organizations for consideration.

The members of CART are a diversified group of local Citizens. They have been selected to help guide the way for the Joplin Area citizens on this journey of recovery. Their job is to assist in obtaining citizen input, analyze the input and formulate ideas and/or projects which can be presented to the appropriate organization(s).

On November 7, 2011, following an involved public process, the CART presented its recommendation to the Joplin City Council for their consideration and adoption. The City adopted the CART’s report and then created the Committee with the responsibility of working on behalf of the community to be the lead public/private entity in the redevelopment. The

15 Committee is formed from the leadership of CART and representatives of the City of Joplin, Duquesne, Joplin Schools and Joplin Area Chamber of Commerce.

In furtherance of achieving the adopted vision, the City Council appointed the Joplin Redevelopment Corporation to select and retain a master developer to participate in a public private partnership and coordinate the redevelopment of the Project.

Goals and Project Description The goal of the Project is to utilize a Public‐Private‐Partnership to redevelop and invigorate the area most devastated by the May 22, 2011 tornado by

• Replacing lost residential housing, office, commercial, medical, etc. • Creating ties from the redeveloped area to downtown Joplin • Expanding opportunities for employment • Creating destination activity center(s) • Establishing a memorial to those lost in the storm • Addressing other projects and goals as developed by the CART (see attached report), and that are within the scope of the final agreement. • Using the redevelopment efforts as a catalyst to build upon existing goals for development and redevelopment in Joplin, including a parkway or series of neighborhood parks supporting the recovering neighborhoods, development of a performance and visual arts center, creation of a community and/or event center, and extension of the walk/bike paths. • Other efforts as may be jointly determined by the developer, Corporation, Committee and City Council(s)

Proposed Location The area of greatest concentration for this effort will be an area which is bounded by 7th street on the North and 32nd street on the South as well as by Schifferdecker Avenue on the West and Reinmiller Road on the East.

Desired Qualifications The Corporation desires to find a partner that can demonstrate experience and capacity in creating and executing Public‐ Private‐Partnerships for real estate developments and redevelopment strategies which successfully achieve the stated goals and objectives. The ideal candidate will be able to demonstrate that they:

• Possess a successful track record of public and private sector experience in real estate and economic development. • Have financial capacity and stability to undertake the project and can show it has a successful track record of experience in the ownership, development, and operation of wide variety of real estate sectors. • Is willing to dedicate the appropriate corporate resources, including experienced staff, to the Project to ensure the greatest likelihood of its success. • Is willing to consider participating financially in the pursuit costs, development and operations of the various project assets as may be warranted by the economics of the Project and negotiated in formal Project documents. • Will provide, once the project is complete, a qualified on‐site leadership team as well as take necessary actions to institute appropriate administrative processes, financial management oversight and reporting systems for the project.

16 • Has experience working with the Federal, state and local governmental entities, economic development organizations, chambers of commerce, convention and visitor services entities, etc., to achieve local development and redevelopment goals.

Supporting Data Considerable additional information on the Project is available through CART. For more information see following website http://joplinareacart.com

Requirements for Proposal Respondents shall carefully read the information contained in the following criteria and submit a complete Statement of Interest to all questions. Incomplete Responses will be considered non‐responsive and subject to rejection.

Respondent’s Interest and Ability to Undertake the Project (Maximum of two (2) printed pages per question)

Provide a statement of interest for the project including a narrative describing your firm and project team’s unique qualifications as they pertain to this particular project.

Provide a statement on the availability and commitment of your firm and its principal(s) and assigned professionals to undertake the project.

Respondent’s Ability to Provide Services

Provide the following information for the Respondent: • Legal name of the company • Address of the office that will be providing services • Number of years in business • Type of Operation (Individual, Partnership, Corporation, Joint Venture, etc.)Is your company currently for sale or involved in any transaction to expand or to become acquired by another business entity? If yes, please explain the impact both in organizational and directional terms. Provide any details of all past or pending litigation or claims filed against your company that would affect your company's performance under a contract with the Corporation and/or City of Joplin.

Is your company currently in default on any loan agreement or financing agreement with any bank, financial institution, or other entity? If yes, specify date(s), details, circumstances, and prospects for resolution.

Does any relationship exist by relative, business associate, capital funding agreement, or any other such kinship between your firm and any Corporation or City employee? If so, please explain.

Respondent’s Experience • Provide a summary of your company and specifically either the public or private sector experience, solely in Public‐Private‐Partnership real estate developments, contained by the senior leadership team of the Respondent (NOT any of the sub‐team members such as architects, engineers, consultants, etc.). • Please describe the real estate related public‐private‐partnerships in which the Senior Leadership Team of the Prospective Master Developer (NOT any of the sub‐team members such as architects, engineers, consultants, etc.) has been responsible for from either the public sector or the private sector standpoint in the past five years.

17 • Please describe the economic development tools, programs, and other legislative initiatives that the Senior Leadership Team of the Respondent (NOT any of the sub‐team members such as architects, engineers, consultants, etc.) has been responsible for from either the public sector or the private sector standpoint. Specifically point out how these economic development tools have been utilized by the Respondents Senior Leadership in the capital structure of Public‐Private‐Partnership real estate developments. • Please provide company summaries of the private sector, co‐development partners that you have already secured to develop and bring private sector capital to the Project. Please describe the order of magnitude of private sector capital which will be invested from such private sector co‐development partners. Please provide contingent letters of intent to participate from each co‐development partner. • Please describe the architectural, engineering, investment banking, legal, consulting, etc. professionals that you have already secured as part of your Joplin Redevelopment Team. Please provide a letter of intent to participate from the above firms and/or individuals. • Outline the specific action item plan and time frame that you envision the Project taking to completion. • What is the anticipated budget process and anticipated (high level) out‐of‐pocket Pursuit Cost that the City or Corporation would be required to budget as it participates in the Project. • What is the anticipated fee arrangement for the Respondent and their Professional Team

Respondents Vision for Redevelopment Respondent will provide in this document, or in a separate supporting document, its vision for the Project. The document will contain:

• An executive summary • Summary list and description of any proposed team members • Identification of the challenges and opportunities as identified by the developer • Conceptual development plan including • Map(s) of the redevelopment area, • Proposed major elements and their location • Any connection with downtown and other City/community initiatives • Outline for how and when public input will be obtained on the plan and how and when communication will be made with the public, with elected officials and with stakeholders in the Project • Proposed possible transaction structure, including legal and political implications • Preliminary high‐level estimate of project costs and funding strategies for each • Preliminary high‐level schedule and major project steps

Execution of Offer NOTE TO RESPONDENTS: SUBMIT ENTIRE SECTION WITH RESPONSE. THIS EXECUTION OF OFFER MUST BE COMPLETED, SIGNED, AND RETURNED WITH THE RESPONDENT'S QUALIFICATIONS. FAILURE TO COMPLETE, SIGN AND RETURN THIS EXECUTION OF OFFER WITH THE QUALIFICATIONS MAY RESULT IN REJECTION OF THE QUALIFICATIONS.

SIGNING A FALSE STATEMENT MAY VOID THE SUBMITTED QUALIFICATIONS OR ANY AGREEMENTS OR OTHER CONTRACTUAL ARRANGEMENTS, WHICH MAY RESULT FROM THE SUBMISSION OF RESPONDENT’S QUALIFICATIONS, AND THE RESPONDENT MAY BE REMOVED FROM ALL PROPOSER LISTS. A FALSE CERTIFICATION SHALL BE DEEMED A MATERIAL BREACH OF CONTRACT AND, AT THE JRC'S OPTION, MAY RESULT IN TERMINATION OF ANY RESULTING CONTRACT.

By signature hereon, Respondent acknowledges and agrees that (1) this RFP is a solicitation for Interest and is not a contract or an offer to contract; (2) the submission of Responses by Respondent in response to this RFP will not create a contract between the City or the Corporation and Respondent; (3) Neither the City, Corporation or the Committee, or any

18 of their representatives, have made a representation or warranty, written or oral, that one or more contracts with the City or Corporation will be awarded under this RFP; and (4) Respondent shall bear, as its sole risk and responsibility, any cost which arises from Respondent's preparation of a response to this RFP.

By signature hereon, Respondent offers and agrees to furnish to the Corporation all of the products and/or services more particularly described in its Responses, and to comply with all terms, conditions and requirements set forth in the RFP documents and contained herein.

By signature hereon, Respondent affirms that they have not given, nor intends to give at any time hereafter, any economic opportunity, future employment, gift, loan, gratuity, special discount, trip, favor or service to a public servant, elected officials, leadership or staff of the City, Corporation or partner organizations in connection with the submitted Responses.

By signature hereon, the Respondent hereby certifies that neither the Respondent nor the firm, corporation, partnership or Developer represented by the Respondent, or anyone acting for such firm, corporation, or institution has violated the antitrust laws of this state, or the Federal antitrust laws, nor communicated directly or indirectly the Responses made to any competitor or any other person engaged in such line of business.

By signature hereon, Respondent represents and warrants that:

Respondent is a reputable company regularly engaged in providing products and/or services necessary to meet the terms, conditions and requirements of the RFP;

Respondent has the necessary experience, knowledge, abilities, skills, and resources to satisfactorily perform the terms, conditions and requirements of the RFP;

By signature hereon, Respondent certifies that the individual signing this document and the documents made part of the RFP is authorized to sign such documents on behalf of the company and to bind the company under any agreements or other contractual arrangements, which may result from the submission of the Response.

By signature hereon, Respondent affirms that no compensation has been received for participation in the preparation of the specifications for this RFP.

By signature hereon, Respondent affirms that it has not violated any of the noted No‐Lobbying provisions or specification contained in this RFP.

By signature hereon, Respondent agrees to defend, indemnify, and hold harmless the City, Corporation and the Committee, all of their officers, agents and employees from and against all claims, actions, suits, demands, proceedings, costs, damages, and liabilities, arising out of, connected with, or resulting from any acts or omissions of Respondent or any agent, employee, subcontractor, or supplier of Respondent in the execution or performance of any agreements or other contractual arrangements which may result from the submission of these Responses.

Submitted and certified this ___ day of

______

BY: ______

ITS: ______

______

19 ______

______

(Street Address) (City, State, Zip Code) (Telephone Number) / (Fax Number)

Format for Statement of Qualifications

General Instructions Qualifications shall be prepared SIMPLY AND ECONOMICALLY, providing a straightforward, CONCISE description of the Respondent's ability to meet the requirements of this RFP. Emphasis shall be on the QUALITY, completeness, clarity of content, responsiveness to the requirements, and an understanding of the Corporations needs.

Responses shall be a maximum of eighty (80) printed pages. The cover, table of contents, divider sheets, and Execution of Offer do not count as printed pages.

Respondents shall carefully read the information contained in this RFP and submit a complete response to all requirements and questions as directed. Incomplete Qualifications will be considered non‐responsive and subject to rejection.

Responses and any other information submitted by Respondents in response to this RFP shall become the property of the Corporation.

The Corporation and the City will not compensate Respondents for any expenses incurred in Response preparation or for any presentations that may be made, unless agreed to in writing in advance or required by law. Respondents submit the Responses at their own risk and expense.

Responses that are qualified with conditional clauses, alterations, items not called for in the RFP documents, or irregularities of any kind are subject to rejection by the Corporation, at its option.

The Corporation makes no representations of any kind that an award will be made as a result of this RFP or subsequent interview or recommendation. The Corporation reserves the right to accept or reject any or all Responses, waive any formalities or minor technical inconsistencies, or delete any item/requirements from this RFP when deemed to be in Corporation’s best interest.

Responses shall consist of answers to the questions asked in the RFP. It is not necessary to repeat the question in the Responses; however, it is essential to reference the question number with the corresponding answer.

Failure to comply with requirements contained in this RFP may result in the rejection of the Responses.

Site Map

Attached

20

21

22 MINUTES CART Implementation Task Force, City of Joplin December 1, 2011

The meeting of the CART Implementation Task Force was held on Thursday, December 1, 2011 at Joplin City Hall in the 5th floor conference room. Chair Jane Cage called the meeting to order at 5:35 p.m. Members in attendance were Brad Beecher, Mike Wiggins, Jim Kimbrough, Jane Cage, Anne Sharp, Clifford Wert, CJ Huff, David Weaver, Rob O’Brian, and Mark Rohr. Members who were not in attendance were Doug Doll, Kim Cox, Mike Seibert, Randy Moore, and Trisha Raney. Also attending the meeting were Troy Bolander and Steve Castaner.

First point of business was review of the minutes from the meeting held on November 17, 2011. Motion by Mr. Beecher and seconded by Ms. Sharp to accept the minutes from the November 17th meeting. Motion carried by unanimous voice vote.

Chairperson Cage distributed documents to those in attendance entitled” Listening to Joplin” and then a tabulation of priorities as developed by responses given to her on internet poll of committee’s members.

At this time, Chairperson Cage asked if there was any new information to share with the Task Force members.

Mr. Bolander provided an update on the meeting held on Wednesday, November 30th of the Joplin City Council with the purpose of prioritizing LIHTC (Low‐Income Housing Tax Credit) projects. The City Council ranked their choices, which were forwarded to the State.

Mr. Beecher gave an update on Empire’s service restoration efforts and returning customers.

Dr. Huff updated the Task Force on the possibility of getting more FEMA funding for high school and technical school based on need to meet educational standards.

Mr. Rohr stated he had a conference call on Monday, December 5th to discuss CDBG funding and how we can access that money for the implementation of the CART ideas.

(Mayor Mike Woolston arrived at the meeting at 6:05 p.m.)

Rob O’Brian went over documents that he had prepared in draft form entitled “Request for Statement of Interest” to solicit responses by master developers interested in helping Joplin to rebuild. The points contained within the document included qualifications, partners, experience, expectations of Joplin, etc. There was discussion about the entity that would lead the process to work with developers. The issue was raised regarding how specific the request should be. Brad Beecher said for the interest of time that maybe it should be general, which was the group’s consensus.

The Task Force members then talked about timetables for the presentation of recommendations. The consensus was that the “Request for Interest” document would be presented to the Joplin City Council at their second meeting in December (December 19th) and that the two City Council members of this task force would present the recommendation to get this request process started. A discussion was then held and a consensus arrived at that the Task Force should have all 4 groups (Chamber, CART, Joplin Schools and Joplin City Council) at a joint meeting in January to hear recommendations and vote whether to accept these recommendations or not. Mr. Rohr was asked to explore the legalities and logistics of such a meeting.

The CART Implementation Task Force next meeting will be on December 8th at Joplin City Hall. The meeting adjourned at 7:15 p.m. Approved Jane Cage, Chairperson Mark Rohr, Secretary CART Implementation Task Force

23 MINUTES ‐ CART Implementation Task Force, City of Joplin ‐ December 8, 2011

The meeting of the CART Implementation Task Force was held on Thursday, December 8, 2011 at Joplin City Hall in the 5th floor conference room. Chair Jane Cage called the meeting to order at 12:07 p.m. Members in attendance were Mike Wiggins, Kim Cox CJ Huff, Jane Cage, Trisha Rainey, Randy Moore, Clifford Wert, Jim Kimbrough, Anne Sharp, Rob O’Brian and Mark Rohr. Also in attendance was Mike Woolston. Members who were not in attendance David Weaver, Doug Doll, Mike Seibert.

The first action of business was to review the minutes from the meeting held on December 1, 2011. Motion by Ms. Sharp and seconded by Mr. Kimbrough to accept the minutes from the December 1, 2011 meeting. Motion carried by unanimous voice vote.

Discussion ensued relative to a joint meeting in January between the board members of the Chamber, CART, Joplin Schools and the Joplin City Council. It is anticipated that there would be 60‐70 board members and members of the public in attendance. It was mentioned that all boards would need to provide at least one week’s notice of the meeting. Due to the anticipated number of attendees it was felt that Missouri Southern State University would be a better location for this meeting. Chairperson Cage will contact MSSU about dates that are available and report back to the Task Force.

Rob O’Brian discussed the Statement of Interest (SOI) with the members. Mr. O’Brian also discussed the Frank Alexander property acquisition memo dated September 20, 2011 (memo attached). Further, Mr. O’Brian felt that based on the Alexander’s memo it made sense to run the SOI through the Chapter 353 Joplin Redevelopment Corporation, Inc.., chaired by Mr. Alden Buerge. All members in attendance felt this was a good idea. Mr. O’Brian distributed a revised SOI to the members. Mr. Rohr mentioned including all of CART projects from their report in SOI and the Task Force members agreed. Following a discussion the Task Force members felt it was better to call it an RFP rather than a SOI.

The Task Force discussed the upcoming presentation to the Joplin City Council on December 19th . Mr. O’Brian will develop information on Chapter 353 Joplin Redevelopment Corporation, Inc. and send to Chairperson Cage who will then draft a cover letter for the RFP. Ms. Rainey will then see that this information is sent to the Joplin City Council members prior to the agenda packet going out to them. This will allow the City Council advance time to review the information. It was also decided by the Task Force to include the City of Duquesne in the RFP.

Chairperson Cage will send a notice via email to the entire membership of the CART committee to attend a breakfast meeting on Friday, December 16th at Granny Shaffer’s Restaurant. The next meeting of the CART Implementation Task Force will be held on December 22, 2011 at noon at City Hall on 5th floor in the study room.

Meeting adjourned at 1:10 p.m.

24 MINUTES ‐ CART Implementation Task Force, City of Joplin ‐ December 22, 2011

The meeting of the CART Implementation Task Force was held on Thursday, December 22, 2011 at Joplin City Hall in the 5th floor conference room. Chair Jane Cage called the meeting to order at 12:10 p.m. Members in attendance were Mark Rohr, David Weaver, Jane Cage, Brad Beecher, Doug Doll, Jim Kimbrough, Rob O’Brian, Mike Seibert and Randy Moore. Also in attendance were Steve Graddy, Jonathan Raiche and Mike Woolston. Members not in attendance were Anne Sharp, C.J. Huff, Kim Cox, and Trisha Raney.

Minutes from December 8th meeting were presented for review. Motion made by Mr. Wert and seconded by Mr. Kimbrough to approve minutes which were approved by a unanimous voice vote.

At Chair Cage’s request, Mr. O’Brian discussed the RFP process saying it would be sent to all interested developers and a notice sent to the Missouri Economic Development office. Mr. O’Brian noted the RFP was unanimously approved by Joplin City Council on December 19, 2011. He said all interested parties would have 30 days to respond and it would likely take another 30 days to have a contract in place. Joint interviews could be conducted by this group and Joplin Redevelopment Corporation to talk to applicants and to forward a recommendation on to the Joplin City Council.

It was mentioned that on January 19, 2012 the BCLC (a division of the US Chamber of Commerce) will be in Joplin for a discussion on finances regarding Joplin’s rebuild. This group will talk about corporate foundations interested in helping Joplin. There was discussion about merging this event with a Resource Forum scheduled to be held on January 18th and 19th to be more efficient. At this point (12:35 p.m.) a conference call was conducted for 10 minutes with Steve Castaner from FEMA, Rebecca Estes from SEMA, Brad Streeter from HUD and Elizabeth Roberts regarding their event, which is intended to explain best practices for community rebuilding in other cities and accessing other resources to create synergy in rebuild. All involved in call thought combining two events made good sense.

Next the meeting progressed to discuss action steps of CART Plan. The discussion centered on the most controversial projects and whether to be specific or general in terms of recommendations to their respective boards. Consensus from the group was to be specific wherever possible. With that in mind Chair Cage discussed two of four categories with the group. A decision was made that the CART Implementation Task Force would schedule their next meeting for January 5, 2012 at noon.

The meeting adjourned at 1:30 p.m.

Approved Jane Cage, Chairperson Mark Rohr, Secretary CART Implementation Task Force

25 MINUTES ‐ CART Implementation Task Force, City of Joplin ‐ January 5, 2012

The meeting of the CART Implementation Task Force was held on Thursday, January 5, 2012 at Joplin City Hall in the 5th floor conference room. Chair Jane Cage called the meeting to order at 12:00 p.m. Members in attendance were Mike Seibert, Trisha Raney, Jim Kimbrough, Randy Moore, Mike Wiggins, Doug Doll, Kim Cox, Jane Cage, Brad Beecher, Anne Sharp, Rob O’Brian, Clifford Wert, and Mark Rohr. Also present were Mike Woolston, Steve Castaner, and Troy Bolander. Members not in attendance were C.J. Huff and David Weaver.

Minutes from January 4th meeting were presented for review. Motion made by Mr. Doll and seconded by Mr. Moore to approve minutes which were approved by a unanimous voice vote.

Chair Cage asked Mr. Castaner for an update on the call regarding Resource Forum. Resource Forum was to involve two meetings later in the month with US Chamber of Commerce and another with federal and state officials regarding programs to help residents. During the phone call discussion was held and a decision was made to combine the meetings into one large meeting and schedule this meeting on January 19th .

Chair Cage then introduced a press release that was developed for the January 19th joint meeting. There was no input by the members in attendance into possible changes to the press release. Mr. Bolander then gave an update on the RFP saying that the advertisement had been sent to 8‐9 developers and placed in a location(s) where developers were likely to see it. Chair Cage asked Mr. Rohr to talk about an email from City Attorney, Brian Head regarding specifics for the agenda for January 19, 2012. The group decided to call the document presented that evening as Joplin Area‐Next Steps. The City 1

Discussion then ensued regarding the January 19th meeting. In addition, a decision was made to add words “provide protection to surrounding neighborhoods” to the project on the recommended document that refers to zoning changes.

Chair Cage then took the group through wording changes on the first two categories in the report‐ Housing needs in neighborhoods and Schools and Community facilities. A general discussion took place regarding the action steps contained within each and proposed changes.

It was decided by the members to meet on last time on January 12th and the discussed the possibility of inviting public input at that meeting. Chair Cage will send the members an email providing the specifics for the meeting on January 12th .

The meeting adjourned at 1:15 pm.

Approved______Jane Cage, Chairperson

Approved______Mark Rohr, Secretary CART Implementation Task Force

26 Appendix E: Community Health Collaborative Joplin

Jasper

Newton

Community Health Collaborative

2010 HealtH status rePort Joplin City Health Department Table Dan Pekarek, Director 321 East 4th Street Joplin, MO 64801 417-623-6122 oF Contents 417-624-6453 (fax) Acknowledgements 1 Table of Contents 1 Jasper County Health Executive Summary 2 Department Introduction 2 Tony Moehr, Administrator Demographics 3-4 105 Lincoln Carthage, MO 64836 Healthy Behaviors 5-7 417-358-3111 Access to Health Care Services 8 417-358-0494 (fax) Child Health 9-10 Maternal Health 11 Newton County Smoking & Tobacco 12 Health Department Alcohol & Drugs 13 Bob Kulp, Administrator Mental Health 14 812 W. Harmony P.O. Box 447 Communicable Disease 15 Neosho, MO 64850 Personal & Family Safety 16 417-451-3743 Environment 17-20 417-451-1852 (fax) Partner Organizations 21 Prepared & Edited By: Emergency Preparedness and Data Sources 22 Community Asset Builders, LLC 606 Dix Road Jefferson City, MO 65109 573-632-2700 573-632-6678 (fax)

Counties oF JasPer & neWton anD tHe City oF JoPlin 1 aCknoWleDGements

Executive summary Over the winter of 2009 and spring of 2010, the Jasper Information regarding these priority areas is included in this and Newton Counties Community Health Collaborative report, along with supporting data. The CHC and partner (CHC) developed an initial listing of community health organizations have existing programs to help address issues using the Missouri Department of Health and some of the issue areas and continue to work with the Senior Services’ MICA Prioritization tool. From this initial community, partners, and service organizations to meet set of issues, the CHC worked with other community the health needs of the citizens of Jasper and Newton organizations and individuals to arrive at a set of ten (10) Counties. key areas of concern. Community members and partners then completed individual prioritization surveys to arrive at the final set of priorities, as listed below:

Conditions Community ranking Coalition ranking Heart Disease Cancer Alcohol & Substance Abuse Heart Disease Cancer Diabetes Diabetes Infant Health Problems Suicide & Self-Inflicted Injuries Suicide & Self-Inflicted Injuries Stroke/Cerebrovascular Disease Alcohol & Substance Abuse Mental Health Stroke/Cerebrovascular Disease Risk Factors Community ranking Coalition ranking Child Abuse/Neglect Obesity Adequate Exercise Opportunities CAFOs Access to Healthcare Adequate Exercise Opportunities Smoking & Secondhand Smoke Smoking & Secondhand Smoke Teen Pregnancy Child Abuse/Neglect Introduction

The Jasper and Newton Counties Community Health Department of Health and Senior Services. Previous Collaborative is pleased to provide this Community Community Health Status Reports were also used to Health Status Report. It is the culmination of significant develop the areas of concern, which were then ranked research and reflection on the issues impacting the according to perceived importance in the community. health and general well-being of residents in our area. The second component of the reporting process included For our purposes, Community Health is defined and an analysis of the areas of concern, and an analysis of measured as the overall wellness of the community. additional health status indicators. The health status Wellness can be impacted by many factors including indicators include information from general areas that can the economy, education, crime, environment, disease, include socio-economic information, demographics, the availability of services and lifestyle factors such as environment, public safety, education, birth and childhood nutrition and exercise. data, and disease rate information. This analysis is not The reporting process involved two components. The all-inclusive, but analyzed to seek out general trends over first component was a prioritization of areas of concern. time. The areas of concern were developed with cooperation This report is divided into a number of sections, each of the Community Health Collaborative, community highlighting areas of interest and importance in the members, and with the use of data from the Missouri community. Graphs and charts are provided to help illustrate data and trends. 2 Demographics

PoPulation & Density The population of Jasper County has increased dramatically since Population Growth 2000 - 2008 the 1990 and 2000 census time periods. According to 2008 Census 140000 estimates, the current population of Jasper County is 116,813, an 120000 increase of 12,127 persons, or 11.6% from the 2000 census. 100000 The population in Newton County increased from the 2000 census by 3,484 persons to 56,120 according to 2008 estimates, growing by 6.6%. 80000 Both Jasper and Newton counties have exceeded the growth estimates 60000 from the 2000 census. Population 40000

With increasing populations, additional burdens are placed on 20000 Jasper County the environment, schools, government, social service providers, Newton County 0 transportation, and health care systems. Those in lower income brackets 2000 2004 2008 and at the poverty level face increased competition for scarce resources including competition for jobs, low-income housing, financial aid, food pantry supplies, and health and dental care services.

Per Capita Income Comparison Per CaPita inCome 35000 Jasper and Newton County per capita income rates are below the state rates. While generally following state trends, there 30000 has been an increasing gap between state rates and local rates over the past few years. 25000

20000 Poverty Poverty Rates for Children

Income Income Poverty is based 15000 Under Age 18 on the Federal 30% 10000 Poverty Level. The percentage 25% 5000 of poverty in 20% 0 Jasper County 1996 1997 1998 1999 2000 2001 20022003200420052006 was estimated at 15%

Jasper C ounty Newton County Missouri 17.9% in 2008, Percent with 26.6% of 10% Jasper Ne wton children age 0-17 5% Missouri Unemployment Rate Comparison living in poverty. 10% Newton County 0% 1990 2000 2008 9% has an estimated 8% 14.6% of people 7% in poverty, including 20.9% of children. The current economic climate has led to diminishing job opportunities, as evidenced 6% by unemployment rates, which is a contributing factor to the 5% increasing numbers of children and families living in poverty. Percent Percent 4% 3% 2% unemPloyment 1% Unemployment in Jasper and Newton Counties has been lower 0% than state trends since 2006. While lower than state rates, the 20002001 2002 2003 2004 2005 2006 2007 2008 2009 graph illustrates that local rates follow state unemployment and Jasper County Newton County Missouri economic trends.

3 Free anD reDuCeD sCHool Students Eligible for Free & Reduced Lunch (%) lunCH ProGram 60 The rate for students eligible to participate in the Free and Reduced Lunch program in each of the school districts in the 50 county has, on average, increased significantly in the past 40 eight years. While the overall rate for the state has increased 30 by slightly less than 6%, the rate for Jasper County has increased by over 9% and the rate for Newton County has Percentage 20 Missouri Jasper Average increased by over 14%. 10 Newton Average 0 eDuCation – GraDuation 2000 2001 20022003200420052006 2007 2008 anD DroPout rates Both Jasper and Newton Counties have multiple school districts. The dropout and graduation rates for the schools High School Graduation Rates within each county were averaged to provide overall rates for Averaged the counties. The averaged dropout rates for both counties 95 show large fluctuations, with distinct increases in 2006. The 90 average graduation rates show an overall increase from the year 2000. Jasper County peaked at 85% in 2004 and has 85 since declined to 81%, however this is still higher than the 2000 rate of 75%. Newton County graduated 80% of students 80 in 2000 and increased that to 91% by 2007, however the rate Percentage 75 Missouri Average dropped to 86% in 2008. Jasper Average 70 Newton Average

High School Dropout Rates 65 Averaged 2000 2001 2002 2003 200420052006 20072008 6

5 Education rates can directly impact a community’s ability to 4 attract and keep jobs with higher income potential. An educated 3 workforce is needed to sustain jobs that are above minimum

Percentage Percentage 2 Missouri Average wage. Levels of education can also be directly related to Jasper Average 1 unemployment rates. For example, those with less than a high Newton Average school education are more likely to be unemployed than those 0 2000 2001 2002 2003 2004 2005 20062007 2008 with college and post-graduate degrees.

http://www.bls.gov/emp/ep_chart_001.htm, 4 Healthy Behaviors Heart disease and stroke are the first and third leading causes of death in the United States, accounting for nearly 35% of all deaths. Centers for Disease Control (http://www.cdc.gov/nccdphp/publications/factsheets/Prevention/dhdsp.htm) These are also leading causes of death in Jasper and Newton Counties. Heart Disease According to the American Heart Association, the risk Heart Disease Related factors for heart disease include use of tobacco, physical Emergency Room Visits inactivity, high cholesterol, high blood pressure, and 18 obesity. Many of these risk factors can be reduced or 16 controlled by lifestyle changes. High levels of stress 14 can also contribute to unhealthy behaviors, such as 12 overeating or smoking. 10 (http://www.americanheart.org/presenter.jhtml?identifier=4726) 8

6 Ne wton Average Jasper County ranks in the first quintile among all Jasper Average Rate (per 1,000) 1,000) (per Rate 4 Missouri counties for heart disease related deaths. From Missouri Average 2 1998 – 2008, there were 3,964 deaths due to heart 0 94-96 disease for a county rate of 299.5 as compared to the 95-97 96-98 97-99 98-00 99-01 00-02 01-03 02-04 03-05 04-06 05-07 state rate of 253.7 (per 100,000). The mortality rate for heart disease has been decreasing overall for the state of Missouri and for Jasper County, however county stroke & residents remain at risk as the county rate has remained CerebrovasCular Disease higher than state rates since 1991. Stroke is a type of cardiovascular disease. It affects the Newton County ranks in the third quintile among all arteries leading to and within the brain. A stroke occurs Missouri counties for heart disease related deaths, with when a blood vessel that carries oxygen and nutrients a recorded 1,720 deaths during the 1998 – 2008 time to the brain is either blocked by a clot or bursts. When frame for a county rate of 259.2 as compared to the state that happens, part of the brain cannot get the blood (and rate of 253.7. The rate of emergency room visits related oxygen) it needs, so it starts to die. Stroke is the third to heart disease has increased dramatically over the past leading cause of death and the leading cause of disability few years in Newton County. For the 2003 – 2007 time for all Americans. The financial burden is staggering - period, there were 4,632 emergency room visits for a Americans will pay about $68.9 billion in 2009 for stroke- county rate of 16.6 (per 1,000) as compared to the state related medical costs and disability. rate of 12.6, placing the county in the second quintile. (American Stroke Association, http://www.strokeassociation.org) Heart disease related emergency room visits also There were 1,961 stroke related hospitalizations from increased for Jasper County residents and for all 2003 – 2007 in Jasper County, and 1,134 stroke related Missouri residents. hospitalizations during the same time period in Newton County. Statistically, Jasper and Newton counties rank in the third and fourth quintiles respectively; however both Stroke Related counties have experienced significant increases in the Emergency Room Visits 1 numbers of stroke related emergency room visits over 0.9 recent years. 0.8 According to recent estimates, about one in three U.S. 0.7 adults has high blood pressure, but because there are no 0.6 symptoms, nearly one-third of these people don't know 0.5 they have it. Uncontrolled high blood pressure can lead to 0.4 stroke, heart attack, heart failure or kidney failure. This is 0.3 Ne wton Average Rate (per 1,000) 1,000) (per Rate 0.2 Jasper Average why high blood pressure is often called the "silent killer." 0.1 Missouri Average The only way to tell if you have high blood pressure is to 0 have your blood pressure checked. 94-96 95-97 96-98 97-99 98-00 99-01 00-02 01-03 02-04 03-05 04-06 05-07 (American Heart Association, http://www.americanheart.org)

5 CanCer Cancer is a group of diseases that may cause Early Cancer Detection Screenings - 2007 almost any sign or symptom. The signs and % of Residents Jasper Newton symptoms will depend on where the cancer is, Missouri how big it is, and how much it affects nearby that have: County County organs or tissues. If a cancer has spread Never had mammogram 7.16% 7.10% 8.74% (metastasized), symptoms may appear in Never had pap smear 3.51% 7.36% 3.41% different parts of the body. Cancer begins when cells in a part of the body start to grow out of Never had blood stool test 47.35% 46.36% 58.49% control. There are many kinds of cancer, but Never had sigmoidoscopy 49.97% 48.61% 36.59% they all start because of out-of-control growth of or colonoscopy abnormal cells. A cancer may cause symptoms like fever, extreme tiredness (fatigue), or weight loss. This may be because cancer cells use up much of the body’s CoPD energy supply, or they may release substances that COPD, or Chronic Obstructive Pulmonary Disease refers change the way the body makes energy from food. Or the to a group of diseases that cause airflow blockage and cancer may cause the immune system to react in ways breathing-related problems. It includes emphysema, that produce these symptoms. chronic bronchitis, and in some cases asthma. In American Cancer Society (http://www.cancer.org) the United States, tobacco use is a key factor in the Cancer claims the lives of more than half a million development and progression of COPD, but asthma, Americans every year and is the second leading cause exposure to air pollutants in the home and workplace, of death in the United States, exceeded only by heart genetic factors, and respiratory infections also play disease. The financial costs of cancer are overwhelming, a role. In the United States, an estimated 10 million costing an estimated $206 billion according to the adults had a diagnosis of COPD in 2000, but data from National Institutes for Health. Cancer is the second a national health survey suggest that as many as 24 leading cause of death for residents of both Jasper and million Americans are affected. Newton counties, claiming a total of 3,848 lives between (source: Centers for Disease Control) 1997 and 2007. When compared to the state’s cancer- Residents of Jasper and Newton Counties face high related death rate of 202.6 (per 100,000), the county risks of death, hospitalization, and ER visits due to rates of 201.5 (Jasper) and 202.0 (Newton) are not COPD. From 1997 – 2007, there were 812 deaths statistically significant and place the counties in the third due to COPD in Jasper County, for a rate of 63.2 as quintile. compared to the state rate of 45.8 (per 100,000). The Early detection is key to successful cancer treatment. Newton County rate was 50.1. Both counties have rates Jasper and Newton County residents are less likely of hospitalization and ER Visits that are also higher than to undergo preventative screening for early cancer state rates, as evidenced in the chart. detection. Nearly 34% of Jasper County women aged 40 Early detection of COPD might alter its course and and older have not had a mammogram or breast exam progress. A simple test can be used to measure within the past year, and 50% of men and women aged pulmonary function and detect COPD in current and 50 and older have never had a colonoscopy. In Newton former smokers aged 45 and over and anyone with County, over 25% of women aged 40 and older have not respiratory problems. Avoiding tobacco smoke, home had a mammogram or breast exam within the past year, and workplace air pollutants, and respiratory infections and 48% of men and women aged 50 and older have are key to preventing the initial development of COPD. never had a colonoscopy. (source: Centers for Disease Control)

COPD - Chronic Obstructive Pulmonary Disease Jasper Newton Time Missouri County County Frame Rate Rate Rate Deaths (per 100,000) 1997-2007 63.2 50.1 45.8 Hospitalizations (per 10,000) 2003-2007 31.1 29.7 22.3 ER Visits (per 1,000) 2003-2007 8.6 8.3 5.2

6 Healthy Behaviors Diabetes Diabetes is a costly disease that can have serious complications and premature death. It is a major cause of heart disease and stroke and a leading cause of leg and foot amputations unrelated to injury, kidney failure, and new blindness in adults. The Centers for Disease Control and Prevention reported that 1.5 million new cases of diabetes were diagnosed in people age 20 years or older in 2005. (http://www.cdc.gov/Features/Livingwithdiabetes/) For the 1998-2008 time period, the death rate for diabetes for Jasper County was 22.3, and 19.3 for Newton County, as compared to the state rate of 24.19 (per 10,000). For the 2003-2007 time period, the hospitalization rate for diabetes was 18.3 for Jasper County and 19.3 for Newton County, as compared to the Missouri rate of 17.4 (per 10,000). Both the death rates and the hospitalization rates have increased slightly since the 1998-2003 time period.

Jasper Newton Missouri Indicator County Rate County Rate Rate Fair or poor general health status 21% 19.2% 16.8% Activity Limitation 24.4% 25.2% 22% No leisure-time physical activity 29.1% 27.1% 25.3% Overweight (25.0 – 29.9 BMI) 32.5% 37.5% 35.7% Obese (> = 30 BMI) 27.8% 28.7% 29.1% Less than 5 fruits & vegetables daily 80.5% 80.8% 76.1%

Livesmart is an initiative obesity & PHysiCal aCtivity Obesity is one of the most serious health issues facing of the Jasper and Newton society today. In the past twenty years, the problem Counties Community of obesity has grown so rapidly that it is considered a Health Collaborative. national epidemic. In Missouri, more than one in five The project goals are adults are considered obese, and more than half of the to improve chronic adult population is considered overweight or obese, disease rates impacted which can lead to obesity. by unhealthy behaviors in the two county area including Joplin. The initiative seeks to improve Being overweight or obese is a contributing factor diet of area residents by encouraging them to in many chronic diseases including diabetes, heart Eat Right by eating 5 servings of fruits and disease, and high blood pressure. A healthy weight, vegetables daily as well as Move More by active lifestyle, and balanced diet can directly impact exercising a minimum of 30 minutes, 5 times per and lower many risk factors related to chronic diseases. week. The program involves a community-wide Based on the 2007 Health and Preventative Practices concept that incorporates school, work and church Survey, 32.5% of Jasper County residents and 37.5% based events, advocates for more exercise of Newton County residents are reported as overweight, opportunities especially walking/biking trails, and with 27.8% and 28.7% (respectively) reported as obese. provides a web site www.Livesmartswmo.org that Residents of both counties also report less leisure-time includes maps of area trails, information on proper physical activity and overall fair or poor general health diet as well as other useful information. status.

7 Access to HealtH Care serviCes The number of people without health insurance has According to The Commonwealth Fund, in 2007, nearly increased steadily since the beginning of the century, two-thirds of U.S. adults, or an estimated 116 million now totaling about 47 million Americans. Most Americans people, struggled to pay medical bills, went without obtain health insurance coverage through their needed care because of cost, were uninsured for a employers. With the cost of health insurance outpacing time, or were underinsured (i.e., were insured but not inflation and wage increases, more employers are opting adequately protected from high medical expenses). out of the market. Family incomes have not kept pace (source: http://www.commonwealthfund.org/Content/Publications/ with health care inflation making non-group coverage Fund-Reports/2008/Aug/Losing-Ground--How-the-Loss-of-Adequate- unaffordable for most low-income families. Medicaid and Health-Insurance-Is-Burdening-Working-Families--8212-Finding. the State Children's Health Insurance Program help to fill aspx) Missouri residents are not exempt from the struggle. in the coverage gap for millions, especially children. The 2007 DHSS Health and Preventive Practice survey (source: National Conference of State Legislatures, http://www.ncsl. results indicate that 16.13% of Jasper County residents org/default.aspx?tabid=14530) reported having no health care coverage along with 17.01% of Newton County residents. Along with this, 8.83% of Jasper residents and 6.95% of Newton residents indicated they did not get medical care when needed for reasons such as cost, lack of insurance, and lack of transportation. Local Public Health Departments help to fill the health care gaps for many county residents by providing childhood immunizations free of charge to qualifying residents. Children with private insurance may seek care from their primary providers. The Jasper County Health Department also offers medical clinics that are available to clients with very limited income who are seeking assistance with prescriptions and basic medical care. Those receiving Medicare, Medicaid (Missouri Health Net), or private health insurance are not eligible for the clinic. The Joplin Health Department has a prescription assistance program to assist residents that attend the Joplin Community Clinic. Along with the local health departments, a significant number of uninsured and underinsured patients seek care at the aCCess Family Care (FQHC) Federally Qualified Health Center (FQHC) and the free statistiCs: clinic in Joplin as evidenced by the information below. A • 3,415 uninsured patients during last year significant level of uncompensated care is provided by • 1,200 – 1,500 patient waiting list in dental clinic local hospitals and other medical providers for under or • Top 3 diagnosis: diabetes, hypertension, anxiety/ uninsured residents. depression Community CliniC oF JoPlin (serves unDer/uninsureD) statistiCs: • 2,827 General Adult Medical visits • 611 dental patient visits • Top 5 diagnosis: diabetes, depression, hypertension, tooth ache, COPD 8 Infant & Child HealtH Jasper and Newton County rates for Infants participating in WIC are consistently and significantly higher than state rates. Women, Infants and Children (WIC) is a special program which provides services such as health screenings, risk assessments, nutrition education and counseling, breastfeeding promotion and referrals to health care for pregnant women, new mothers, infants and children up to their 5th birthday based on nutritional risk and income eligibility. High WIC participation rates in Jasper and Newton Counties indicate a prevalence of low-income families in need of assistance. This is also indicated by the county rates for infants on Medicaid, which are also higher than state rates.

Birth Defects per 10,000 1000 900 800 While neither Jasper nor Newton County has a high 700 rate of infant mortality, both counties have high rates of 600 birth defects. The Jasper County rate is 673.5 and the 500 Newton County rate is 722.3, as compared to the state 400 rate of 591.1 (Per 10,000) during the 2001-2005 time Ne wton Average period. While the state rate has remained fairly stable 300 Jasper Average 200 Missour i Average during the 1999-2006 time period, the rates of birth 100 defects have increased dramatically for both Jasper and Newton Counties. 0 99-01 00-02 01-03 02-04 03-05 04-06 Information on birth defects in Missouri is maintained in a passive registry. The information comes from a According to the March of Dimes, about 150,000 babies merging of several different data sources including birth certificates, death certificates, newborn patient are born with birth defects each year in the United States. Birth defects are defined as abnormalities of abstracts, pediatric inpatient and outpatient abstracts, structure, function, or body metabolism that are present and other state systems for children with special health care needs. A passive registry means that case finding at birth. These abnormalities lead to mental or physical disabilities or are fatal. There are more than 4,000 is limited to reports provided to the MO DHSS and there is no verification of reported defects. It is probable that different known birth defects, ranging from minor to serious, and although many can be treated or cured, some cases are not reported, and that other cases are they're the leading cause of death in the first year of life. diagnosed after the first year of the infant’s life although diagnostic tests available during the first year of life (source: http://kidshealth.org/parent/system/ill/birth_defects.html) has increased in the community and may increase the ability to detect defects that would not have been found until years later.. It can also be assumed that the registry contains false-positive entries, which would include tentative diagnosis that were not later removed. Birth defects also result in intrauterine death, and those instances are not tracked on the Birth Defects registry. As a result, the Birth Defects registry has several limitations regarding data collection, making it difficult to truly know the extent of the problem in Missouri.

9 Infant & Child HealtH

2008 Rates of EmergencyRoom Visits Children Under Age 15 350 300 Jasper Average Newton Average 250 Missouri Average 200 150

100 Rate (per 1,000) 1,000) (per Rate 50 0

Skin Infection

Respiratory

(throatDigestive and lung)system Brain -eyes spinal - ears cord Injury and Poisoning

Kidneys - bladder - genitalia

Along with birth defects, residents in Jasper and Both counties also have high rates of injury related Newton Counties face concerns over lead exposure. Emergency Room visits for children under age 15. The area was a leading source of lead production from Rates for visits related to other conditions are also the mid 1800s until the mid 1900s. Fine particles of higher. Children in Jasper and Newton counties are processed or recycled lead/lead dust become a hazard also more likely to be hospitalized for infections, mental when they are ingested or inhaled. Lead exposure of disorders, respiratory and digestive conditions. this sort can cause learning and behavioral problems, According to Kids Count Data, childhood death rates lower IQ levels, and interfere with growth and hearing. are higher in Jasper and Newton Counties than in Children less than 72 months of age are at greatest Missouri for the 2005 and 2006 time periods. Newton risk and are the primary focus for blood lead testing. County rates have been consistently higher than state In 2007, there were a total of 3,575 children tested rates since 2002. The majority of the deaths for those in Jasper and Newton Counties, with 35 children in under age 15 were related to birth defects, SIDS, and Jasper County being followed for elevated blood lead other conditions related to early infancy. levels and 9 children in Newton County being followed. The county rates were 1.4% for Jasper and 0.8% for Newton, as compared to the state rate of 1.5%.

Child (ages 1-14) Death Rates (per 100,000) Year Jasper County Newton County Missouri 2002 20.6 39.8 24.8 2003 21.5 43.9 23.7 2004 18.4 34.3 23.2 2005 23.5 30.4 22.8 2006 25.9 26.1 20.3

10 teen PreGnanCy Teen pregnancy is of concern to many counties in Maternal Missouri, including Jasper and Newton Counties. Teen birth rates are of concern because teens generally have poor eating habits, neglect to take vitamins and may HealtH smoke, drink alcohol, or take drugs during pregnancy. Safe motherhood begins before conception with proper Future opportunities are also diminished for teen mothers nutrition and a healthy lifestyle and continues with because they are more likely to drop out of high school appropriate prenatal care, the prevention of complications and then face employment limitations due to a lack when possible, and the early and effective treatment of skills and education. Employment limitations can of complications. The ideal result is a pregnancy at potentially force the teen mother to become financially term without unnecessary interventions, the delivery dependent on family or public assistance. of a healthy infant, and a healthy postpartum period in a positive environment that supports the physical and (ages 15-17) emotional needs of the woman, infant, and family. (source: Teen Pregnancy Rates http://www.cdc.gov/reproductivehealth/) 7%

6%

Mothers Receiving 5% Inadequate Prenatal Care 25% 4%

3% 20% Percentage Percentage 2% Jasper Average 15% Newton Average 1% Missouri Average

10% 0%

Percentage Percentage 91-9392-94 93-9594-9695-9796-9897-9998-0099-0100-0201-0302-0403-0504-0605-0706-08 Jasper Average 5% Newton Average Missouri Average Jasper County teen pregnancy rates are higher than 0% statewide rates, and have been increasing slightly 91-9392-94 93-9594-9695-9796-9897-9998-0099-0100-0201-0302-0403-0504-0605-0706-08 since 2003. During the 2004 – 2008 time period in Jasper County, there were 361 births to mothers aged Inadequate prenatal care is an area of concern for 15 to 17, for a county rate of 4.0% as compared to expectant mothers in both Jasper and Newton Counties. the state rate of 3.3%. There were also 909 births to The number of mothers receiving inadequate prenatal mothers age 18 to 19, for a county rate of 10.0%, as care in 2008 in Jasper County was 349, for a county rate compared to the state rate of 7.9%. Newton County of 19.5%. The number of mothers receiving inadequate teen pregnancy rates are also higher than statewide prenatal care in Newton County during the same time rates, with county rate of 4.0% and a total of 152 births period was 143, for a county rate of 20.1%. In comparison, to mothers aged 15 to 17, and 385 births to mothers the state rate for the stated time period was 11.9%. The aged 18 to 19 for a county rate of 10.0%. county rates for mothers receiving Both counties have high late care, during the 2nd or 3rd Mothers With Less Than trimesters, were also higher than rates of mothers with less High School Education than a high school education. state rates. The Jasper County 35% Jasper County has a rate of rate was 18.8%, the Newton 30% 27.6% and Newton County County rate was 19.6%, and the 25% state rate was 13.4%. has a rate of 24.4%, as 20% compared to the state rate 15% of 18.4%. State trends show 10% Jasper Average Percentage Percentage a decrease in mothers with Newton Average 5% Missouri Average less than a high school 0% education, however rates in

91-93 92-94 93-95 94-96 95-97 96-98 97-99 98-00 99-01 00-02 01-03 02-04 03-05 04-06 05-07 06-08 Jasper and Newton Counties have been increasing.

11 Smoking & Tobacco tobaCCo Tobacco use kills nearly half a million Americans each year, HealtH with one in every six U.S. deaths the result of smoking. Smoking harms nearly every organ of the body, causing Breathe Easy of Southwest many diseases and compromising smokers’ health in general. Missouri is an initiative of Nicotine, a component of tobacco, is the primary reason that the Jasper and Newton tobacco is addictive, although cigarette smoke contains many Counties Community Health other dangerous chemicals, including tar, carbon monoxide, Collaborative. The goals of acetaldehyde, nitrosamines, and more.* BESWMO are to educate the *National Institute on Drug Abuse (http://www.drugabuse.gov/ residents of the area about ResearchReports/Nicotine/Nicotine.html) the dangers of smoking, secondhand smoke and smokeless tobacco use; to encourage tobacco use cessation; and to encourage area Mother Smoked During Pregnancy business owners to implement voluntary smoke- 35% free policies that protect both workers and 30% customers from the harmful effects of tobacco 25% and secondhand smoke. The program works with many area partners to provide assistance 20% with drafting policies, obtaining help in quitting 15% Jasper County smoking and promoting smoke-free healthy Percentage 10% Joplin lifestyles. Through a strong collaboration with Newton County the Clean Air Project, upcoming efforts will be 5% Missouri Average focused on assisting SW Missouri municipalities 0% to adopt strong clean indoor air ordinances. 91-93 92-94 93-95 94-96 95-97 96-98 97-99 98-00 99-01 00-02 01-03 02-04 03-05 04-06 05-07 06-08 Further information about current activities, community partnerships, and smoke-free dining Overall, smoking attributable deaths are decreasing in options can be found on the program’s website Missouri and in Newton County as well. An estimated at www.breatheeasyswmo.org. 1,049 people in Newton County died from smoking related problems from 1998-2008, for a county rate of 161.3 (per 100,000) as compared to the state rate of Smoking - Attributable Death Rates (per 100,000) 154.58. However, the rate of deaths in Jasper County 250 was 182.4. While the Jasper County rate is lower than previous years, it still remains significantly higher than 200 the state rate during the stated time period. Smoking during pregnancy can harm both an expectant 150 mother and her unborn baby. It increases the risk of preterm delivery and nearly doubles the risk of having 100 (source: http://www.marchofdimes. a low-birthweight baby. Jasper Average com/professionals/14332_1171.asp) The Jasper County rate 50 Newton Average of mothers who smoked while pregnant was 21.6% Missouri Average in 2008, as compared to the state rate of 17.6%. The 0 Newton County rate was also 21.6%. Rates for Jasper 91-93 92-94 93-95 94-96 95-97 96-98 97-99 98-00 99-01 00-02 01-03 02-04 03-05 04-06 05-07 06-08 County have remained higher than state rates since 1991. The City of Joplin has an even greater rate of mothers that smoke during pregnancy, with data indicating a rate that is increasing as opposed to the declining state rate. The 1999 rate for Joplin was 22.5%, which has since increased to 29.5% in 2008.

12 Alcohol alCoHol There were 127 deaths in Jasper County during the 1998 – DruGs 2008 time period that were Alcohol/Drug Induced according to the Missouri Department of Health and Senior Services Hospitalizations: Alcohol-related Disorders Leading Cause of death profile for a county rate of 10.9 50 (per 100,000) as compared to the state rate of 15.54. In 45 Newton County, there were 59 alcohol/drug induced deaths 40 Jasper Average for a county rate of 10.0. While the alcohol/drug induced 35 Newton Average death rate is not signifi cant for either county, area hospitals 30 Missouri Average are facing increasing numbers of hospitalizations that are 25 20 considered alcohol related disorders. In Jasper County, there were 509 hospitalizations during 2008 for a county 15

Rate (per 10,000) 10,000) (per Rate 10 rate of 47.8 (per 10,000) as compared to the state rate of 5 9.34. The rate for Newton county for the same time period 0 was 17.7. Both counties are showing a disturbing trend 94-96 95-97 96-98 97-99 98-00 99-01 00-02 01-03 02-04 03-05 04-06 05-07 06-08 with significant increases in alcohol related hospitalizations Year s over the past five years. Jasper County has increased from a rate of 6.5 in 1994-96 to 44.4 in 2006-08. For the same time periods, the rate for Newton County increased from 2.5 to 18.3. Rates for Missouri stayed nearly stable, with a slight decrease from 10.5 to 8.8 during the given time period.

Percent of Crashes with Alcohol Involvement 8% 7% 6% 5% 4% Arrests for Driving Under the Influence (DUI) fluctuate from 3% year to year, but average out to 1,291 per year during 2001 2% to 2008 in Jasper County and 330 per year for Newton Jasper County 1% Newton County County. Alcohol is reported to be a factor in an average of 4.5% of all Jasper County traffic accidents each year and 0% 2000 2001 2002 2003 2004 2005 2006 2007 2008 6.5% of Newton County accidents. While Jasper County rates have remained fairly consistent during the 2001 to 2008 time frame, Newton County rates have increased nearly 3% over the time period. substanCe abuse The Missouri State Highway Patrol statistics indicate a decreasing number of arrests due to narcotics during the 2001 – 2008 time period in Jasper County. Drug related arrests in Newton County increased slightly during the stated time period, from 212 arrests in 2001 to 287 arrests in 2008. The Missouri State Highway Patrol also reports Methamphetamine Lab incidents for both counties show overall decreases in the number of incidents investigated.

13 data showsarecentincreaseinsuicideratesforJasper While this is not a statistically significant difference, trending was 14.6 for Jasper County as compared to 12.7 for the state. Therateforsuicidesthe1997–2007timeperiod period. inj For Jasper County, rates of hospitalizations due to self-inflicted violence rates. injuries, alcoholandsubstanceabuse,domesticfamily of problems. Those factorsincluderatesofsuicide,self-inflicted however there are some factors that can provide an indication The mentalhealthstatusofacountycanbedifficulttotrack, HealtH Mental

Number of Children than stateuries rates were for higherthe 1997 – 2007 time

1000 1200 1400 1600 1800

200 400 600 800 moms. and 83percentofthoseparentsare million childrengohometooneparent, phenomenon. IntheUnitedStates,22 there regardingthisfastgrowingfamily the years. There aremanystatisticsout all racialandethnicgroupsthroughout two parentshasbeendecliningamong The percentageofchildrenwholivewith with anyofthechildren'sotherparents. with oneormorechildren,whoisnotliving today's world. A singleparent isaparent Single-parent familiesareverycommonin does_it_pg2.html?cat=2 article/297615/single_parent_households_how_ evidenced in thechart. as wellwith increases ofupto14% as reflected inJasperandNewton Counties in Missourisince1990,and theincreaseis increaseinsingleparentfamilies significant 0

01 02 03 04 2005 2004 2 2003 2002 2001

Childre

(source: http://www.associatedcontent.com/ Ment n al Re He ceiv 5)

There hasbeena al in th g Service 0 2007 006 2 Public Ne Jasp wt er on

Average s Average 0 2009 008 SE

D

2007 2000 1990 Year Missourians fromtheMedicaidsystem. drastic cutsinthestatebudgetthatremovedabout 90,000 the numbersplummetedin2006forbothcounties dueto a totalof511 childrenreceiving servicesin2005.However the percentageofincreasewasevengreater, at75.6%with 1,525 by2005,foranincreaseof65.6%.InNewton County, were 921childrenreceivingservices. The numberjumpedto mental health services. In Jasper County in 2001, there chi KidsCount data shows a historical increase in the number of for suicides was 12.0. injuries forthe1997-2007timeperiodwas6.2,andrate Newton Countyrateforhospitalizationsduetoself-inflicted The suicide rateisalsohighfortheCityofJoplinat16.7. The Joplinrateforthe1997-2007timeperiodwas11.9. The greater riskforhospitalizationsduetoself-inflictedinjuries. County Joplinover theresidents past feware years.also at

ldren receiving public SED (serious emotional disturbance)

Jasper County

in SingleParentFamilies Rate (per 100,000) 10 12 14 16 18 0 2 4 6 8 Percentage ofChildren 32.9% 24.5% 19.3% Jasp er Coun ty Su Newton County Jo icide 1997-2007 pl in 28.8% 19.5% 14.4% Ra Ne wt on County te s

Misso Missouri 31.2% 24.3% 19.5% ur

i

,

14

Rates of Animal Bites in Joplin City, Jasper and Newton Counties Communicable 2006--2008 (Rate @ 100,000 Population) 500.0 Joplin 400.0 Jasper Disease Newton 300.0 Rates of Shiga Toxin E. coli (STEC) in Joplin City, Jasper and Newton Counties, 200.0 2006-2008 (Rate @ 100,000 population) 14.0 100.0 12.0 Joplin Jasper 0.0 10.0 2006 2007 2008 Newton 12.5 8.0

Local health agencies have the responsibility of protecting the 6.0 public by controlling the spread of communicable diseases 4.0 in the community. This goal is achieved through conducting 2.2 2.0 2.2 2.1 2.2 tracking (surveillance) and investigations on all the reportable 1.6 0.00.0 0.0 communicable diseases and conditions in the community. 0.0 There are over 100 reportable disease and conditions in 2006 2007 2008 Missouri. Recently, health care systems provided an organized response Local public health agencies conduct disease investigations as to the H1N1 flu outbreak by sponsoring vaccination clinics, they are reported in the community. This involves collecting providing public information, and tracking reported cases. information from several sources Health departments in the Counties about the disease or condition Rate of Rocky Mountain of Jasper and Newton and the and using that information to Spotted Fever in Joplin City, City of Joplin are addressing the establish the extent of the disease Jasper and Newton Counties potential risk to our food by offering or condition and implementing the 2006--2008 (Rate @ 100,000 Population) Food Safety Programs. There is an appropriate prevention. Disease 50.0 46.3 ever-changing inventory of facilities investigations can range from a Joplin that are inspected regularly. single case to community-wide 40.0 Jasper 33.6 Inspection frequency is determined outbreaks. Newton 30.0 by a priority assessment formula In Jasper and Newton Counties, applied to each food service facility. 17.1 18.9 and in the City of Joplin, there 20.0 15.615.4 Facilities are inspected one to three are several elevated levels and 12.5 times per year, depending on the disease outbreaks that have 10.0 been detected to include: E. coli 0.0 2.2 level of priority. The 1999 Food 0.0 and Drug Administration Model Shiga toxin (Jasper County, 2008); 2006 2007 2008 Varicella (chicken pox) (Jasper Food Code is used as the basis County, 2006); Pertussis (Jasper for the ordinances in Joplin and and Newton Counties, 2006); and Neuro-invasive West Nile Jasper, and the program in Newton. Food Safety Training is Virus (Joplin, 2007). Other conditions that were considered to also an important element of the programs, as employees be elevated between 2006 and 2008 were Chlamydia, animal and management are trained to “keep it safe” with safe food bites, and chronic Hepatitis C. processing, good hygiene, and clean facilities. Rates of Varicella (Chicken Pox) Rates of Pertussis (Whooping Cough) in Joplin City, Jasper and Newton Counties in Joplin City, Jasper and Newton Counties 2005--2008 (Rate @ 100,000 Population) 2006--2008 (Rate @ 100,000 Population) 80.0 16.0 14.7 71.6 14.0 Joplin 14.0 60.0 Jasper 12.0 Joplin Newton 10.0 Jasper 40.0 8.0 Newton 32.7 29.6 6.0 19.8 20.0 4.0 9.3 13.2 2.2 6.6 10.5 2.0 0.0 0.0 2.1 0.0 0.0 0.00.0 0.00.00.0 0.0 0.0 2005 2006 2007 2008 2006 2007 2008 15 Personal

DomestiC violenCe Family saFety Domestic violence is a pattern of assaultive and coercive MSHP Domestic Violence Rates behaviors that abusers use to control their intimate (per 100,000 population) partners. In addition to the very real threat of harm or death 1600 to themselves or their children, victims must contend with 1400 the accompanying financial and emotional hardships. They Jasper 1200 often must cope with cultural and religious values that Newton emphasize keeping families intact, regardless of abuse. 1000 Social service and justice systems don’t always provide 800 adequate safety and support, leaving victims with further feelings of insecurity and instability. 600 The Missouri State Highway Patrol (MSHP) records the 400 number of incidents related to domestic violence reports. 200 As evidenced in the graph, the MSHP rates of reported 0 domestic violence have increased in Jasper County 2001 2002 2003 2004 2005 2006 2007 2008 since 2003 and have decreased in Newton County since 2004. The Missouri Department of Health and Senior Services Assault Injury Profile indicates there were a total of 48 Emergency Room visits in Newton County and 117 Emergency Room visits in Jasper County that were classified as Spouse-Partner Abuse during the 1997 – 2007 time frame.

CHilD abuse Child Abuse and Neglect Every day, across the country, the very people children rely on for Rates of Abuse - per 1,000 protection and comfort subject them to abuse or neglect. Children 18 in our own community face these same risks. In Missouri, there 16 Jasper Average Ne wton Average are over 60,000 children involved in the child protection system 14 Missouri Average each year. Approximately 10,000 of those children are confirmed 12 as abused or neglected. 10 (http://www.childabuseprevention.org/index.php) 8 6 Rates of child abuse and neglect have declined overall in Missouri and in Jasper County, however Newton County rates have been 4 increasing since 2005, as evidenced in the graph. The Missouri 2 Department of Health and Senior Services Assault Injury Profile 0 indicates that child abuse related deaths and hospitalization rates 19951996199719981999200020012002200320042005200620072008 for both Jasper and Newton Counties are slightly higher than state rates for the 1997-2007 time period. 16 Environment soliD Waste Currently there are no solid waste landfills operating in Jasper or New ton Counties. Solid waste generated in the two-county area is disposed of in landfills in Barton County or Kansas. All residents of Jasper and Newton Counties have access to sol id waste disposal services.

Several communities in the two-county area operate recycling pro grams including Carthage, Carter ville, Joplin and Webb City in Jasper County; and Granby, Seneca and Neosho in Newton County. Many other individual businesses and office environments participate in individualized recycling programs.

The Region M Solid Waste Manage ment District helps to coordinate waste disposal and recycling efforts in the area. The group facilitates the application for, and As of January 2006, the Joplin Recycling Center dispersal of, various grants that help local govern- Household Hazardous Waste (HHW) Satellite ments, businesses and other entities operate solid waste Facility accepts (limited) HHW during regular operational disposal, recy cling and litter control programs. hours. It is free to residents of McDonald, Newton, Jasper, Barton and Vernon Counties. For HHW that is Illegal dumping or littering continues to be an issue. not accepted, such as paint and motor oil, instructions Several communities operate nuisance control programs, and free supplies are given to residents so they can including litter control efforts. In response to growing properly dispose of various items. litter problems on rural roadways, Newton and Jas per Counties operate a litter control program. The City of Waste disposal issues that are receiving more attention Joplin Code Enforcement also operates a litter control in recent years are those associated with the proper program utilizing community service workers. disposal of old electronic waste (e.g. televisions, computer monitors, etc.) and the disposal of unused prescription, over-the-counter, and illegal (seized in police actions) drugs. It is anticipated that in the near future electronic waste will be banned from disposal in local landfills thus providing a new challenge for disposal. While still legal for residents to dispose of unused prescription or over- the-counter drugs in landfills or by flushing into sewer systems, these disposal methods are becoming less accepted nationwide as more information becomes available about levels of these drugs ending up in streams, rivers and groundwater sources.

17 Environment air Quality While air quality in the two-county area is generally still at this time but also indicated that there is evidence considered to be good, several issues related to air quality that ozone levels could be a problem in the future. In continue to evolve and warrant increased attention. response to this, 2 new ozone monitors have been placed in Jasper County by MDNR to more closely Ozone: monitor ozone levels and provide better data for future The quality of outdoor air is monitored in Missouri by the decisions. More recently, in early 2010 EPA has proposed Department of Natural Resources (DNR) for compliance strengthening even further the ozone standards for the with the National Ambient Air Quality Standards that nation. What this may mean for local ozone standard set limits for seven air pollutants that have docu mented attainment remains to be seen. effects on public health. Ozone is one of these seven pollutants. Among other health effects, breathing ozone Based on these activities, and the concern raised by can worsen bronchitis, emphysema and asthma and them the Ozark Clean Air Alliance (OCAA) formed in reduce lung function. 2007 in the Springfield area. The group represents approximately 40 organizations from Southwest Missouri In March of 2008 the Environmental Protection Agency including businesses, government, and individuals. The (EPA) finalized a new ground level ozone standard of 75 OCAA developed a Clean Air Action Plan (CAAP) in 2008 parts per billion (ppb). Based on air quality monitoring with the goals of voluntarily and proactively improving air conducted in several locations in Southwest Missouri quality in Southwest Missouri. Representation from the some counties in the region were found to be in violation Joplin area has been solicited from this group and several or “non-attainment” for this new standard. The Missouri entities have become active in this organization. Department of Natural Resources was required by EPA to review the data to determine which counties might be Odor: considered “non-attainment.” This review was completed Odor issues in the two-county area continue to occur by MDNR in September of 2008 and recommendations and receive attention from the public with some were sent to EPA for their approval. In their report, frequency. Complaints are largely linked to concentrated MDNR recommended that the Joplin Metropolitan Area animal feeding operations (CAFOs) and specific local (Jasper and Newton Counties) should be considered manufacturing industries. Southwest Missouri, including in compliance or in attainment with the ozone standard Jasper and Newton counties, has one of the highest concentrations of CAFO’s in the entire state, mainly poultry operations. Other Issues: Additional information on reportable chemical releases to the environ ment is gathered by the Environmental Protection Agency and MDNR and is compiled in the Toxic Release Inventory (TRI). This report indicates the total amount of atmospheric releases in the area, but is not necessarily an indication of adverse effects on human health or the environment. The TRI data is available through the EPA at http://www.epa.gov/ tri/ or DNR at http://www.dnr.mo.gov/ env/tri/index.htm. Additional information can be found on the EPA’s Envirofacts website: http://www.epa.gov/enviro/ index.html. According to Envirofacts, Jasper County currently has 25 registered facilities that produce and release air pollutants and Newton County has 21 registered facilities. 18 Environment Water Quality Increasing populations in Jasper and Newton counties continue to increase the demand for drinking water and other domestic and industrial water needs. Historical environmental problems and the increasing population continue to contribute to environmental concerns over contaminated ground water and surface water. Drinking Water A study conducted by Missouri American Water Company revealed that drinking water supplies could be depleted in some areas of the two county region as soon as 2015. Current studies conducted by the U.S. Geological Survey indicate that areas of the Ozark Aquifer continue to decline and deep wells are not likely to be a long term solution for drinking water supplies. The Tri-State Water Resource Coalition was formed and began feasibility studies to locate potential future sources of drinking water. Current potential options being considered include water allocations from area lakes such as Grand Lake O’ The Cherokees, Stockton, Table Rock, Beaver and others, construction of small water supply reservoirs in the region, and implementation of water conservation practices. Ground Water Contamination Jasper and Newton Counties are part of the Tri-State Mining District, historically known for lead mining. Although lead mining in the area ceased many years ago, the environmental impacts of lead, cadmium, and zinc (heavy metals) persist today. Much progress has been made by local health departments, the Missouri Department of Natural Resources, and the Environmental Protection Agency (EPA) in reducing hazards to the public and in environmental clean-up. Most residential properties in both counties have been remediated to reduce heavy metals in soil to a safe level based on current EPA standards. The EPA is in the process of cleaning up the old mining areas in Jasper County and plans to initiate clean-up activities in Newton County in 2010. Many rural water wells are contaminated from the mining activity. As a result, EPA and Missouri American Water Company have provided public water supplies to most of these areas. The remaining areas are slated to have new deep water wells provided by the EPA and should be completed in the near future. Newton County also has two EPA superfund sites from Trichloroethylene (TCE) contaminated groundwater. The Newton County Wells site near Joplin has been remediated and all affected residents are now on public water supplies. The Pools Prairie Site near Neosho is still undergoing remediation, but all affected residents are on public water supplies.

19 Environment

Impaired Waters List (From MDNR Proposed 2010 Missouri 303(d) List) Waterbody name Pollutant(s) source u/D County Blackberry Cr. Chloride, Sulfate Chloride Asbury PP Jasper Cadmium, Lead, Zinc, Mill Tailings (Aban.), Rural Center Cr. Jasper Bacteria NPS Center Cr. Bacteria Rural NPS Jasper/Newton Clear Cr. Bacteria Rural NPS Newton Clear Cr. Nutrients, Low D.O. Monett WWTP Newton Dry Branch Bacteria Rural NPS Jasper Hickory Cr. Bacteria Rural NPS Newton Indian Cr. Bacteria Rural NPS Newton Little Lost Cr. Bacteria Rural NPS Newton Lone Elm Hollow Metals Mill Tailings (Aban.) Jasper Lost Cr. Bacteria Rural NPS Newton Middle Indian Cr Bacteria Rural NPS Newton North Fk. Spring R. Low D.O., Bacteria Lamar WWTP, Rural NPS Jasper North Indian Cr. Bacteria Rural NPS Newton Shoal Cr. Bacteria Rural NPS Newton South Indian Cr. Bacteria Rural NPS Newton Spring River Bacteria Rural NPS Jasper Cadmium, Lead, Zinc, Mill Tailings (Aban.), Rural Turkey Cr. Jasper Bacteria NPS Willow Br. Bacteria Rural NPS Newton

Watersheds and Surface Water Contamination Many of the creeks and streams in Jasper and Newton County are currently listed (2008 list) or proposed for the 2010 EPA 303(d) list for impaired waters. A complete listing may be found on the Missouri Department of Natural Resources (MDNR) web site at http://www.dnr.mo.gov/env/wpp/waterquality/303d.htm. The reasons for impairment are many, including but not limited to nutrients, sedimentation, bacteriological contamination (E coli), low dissolved oxygen, and heavy metals. The sources of contamination include old mining waste, agriculture, livestock, septic systems, wildlife, wastewater treatment plants, and public use of local waterways. Many watershed groups have been formed to help address these issues. The Elk River Watershed Improvement Association (ERWIA) and Shoal Creek Watershed Improvement Group (SCWIG) on upper Shoal Creek were formed several years ago. More recently the Shoal Creek Watershed Partnership (SCWP) on lower Shoal Creek and the Spring River Watershed Partnership were formed to continue efforts to improve water quality on area watersheds.

20 Partner orGaniZations

Community Health Collaborative Partners 2010 Access Family Care Joplin Roadrunners Alliance of Southwest Missouri Living Well Smoothies American Cancer Society Local Health Departments (Joplin City, Jasper and Newton Counties) Clean Air Project Missouri Department of Health and Community Residents Senior Services Community Clinic of Joplin Missouri Southern State University Dogwood Trailblazers Neosho School District Freeman Health System Ozark Center Freeman Southwest YMCA St. John’s Regional Medical Center Jasper County Family Support Division United Way of Southwest Missouri Joplin Family YMCA Wildcat Glades Audubon Center Joplin Parks and Recreation Joplin School District

21 Emergency PrePareDness Planning for and responding to emergencies affecting community health continues to be an important function of local officials in the medical community. Most recently, planning efforts for dealing with pandemic flu events were tested during the 2009-2010 H1N1 Pandemic Flu outbreak. Planning and response activities for community-wide public health emergencies continue to be centered in the Medical Subcommittee of the Joplin/Jasper County Local Emergency Planning Committee. The subcommittee includes representatives from local and state government, Emergency Management, health departments, hospitals, EMS, American Red Cross, the local Federally Qualifi ed Health Center (FQHC), and others. Some of the emergency plans and improvement projects that have received attention most recently include: Animal Emergency Response Plan-Animal Sheltering Plan Mass Care Sheltering Plan (including a plan for dealing with persons with Special Needs) Public Health Training Plan Complete update of the Local Public Health Emergency Plan (LPHEP) (including a complete update to the Strategic National Stockpile [SNS plan]) Update of Annex-M (the Health & Medical Annex) to the County Emergency Plan (including a Mass Fatality-Emergency Mortuary Standard Operating Guide [SOG]) Data sourCes U.S. Census Bureau U.S. Bureau of Labor Statistics Missouri Department of Economic Development Missouri Department of Elementary and Secondary Education Missouri Department of Health and Senior Services Missouri State Highway Patrol Missouri Department of Mental Health Missouri Department of Social Services Kids Count Missouri Department of Natural Resources American Heart Association Centers for Disease Control American Stroke Association American Cancer Society Access Family Care (FQHC) Community Clinic of Joplin March of Dimes Jasper County Health Department Newton County Health Department City of Joplin Health Department 22 Report Designed and Prepared by:

Community asset builDers, llC 606 DiX roaD JeFFerson City, mo 65109 PHone: 573-632-2700 FaX: 573-632-6678 [email protected] Appendix F: Environmental Sustainability

Appendix G: Joplin Mining Map with Tornado Path

Appendix H: Jasper County Soil Lead Testing

Appendix I: Impaired Waters List Appendix I:

Appendix J: Joplin Proposed Trolley Lines

1 1

7 Y Y

W

H H W 4 Y Y 2

9 9

R R

K K

D R A K K

P A

N N O

L

S S

N E

L

R

Y C

D

A

A

D D R

E E V A O F D E Y Y B

L N N N N U R

H Y Y N N

U

N S

S

D D

R L P O F D E

N B L N N

Y Y N N

U S

U

4 4

S

E 20TH ST 4

Y Y L N N 30TH ST Y Y W

A

- N N U S

N N

E E

Y

I A L L L N

Y Y R T

N N U S N N

L L E L N

T S A P N N

W

´

H

N N

E E P

L

Y Y L

S O

N N U S

L N N N N

T T S E R C N U S E N N

T

A N N

L P P O T

E E T R N N

T

R R E S T T N C E K

S E 32ND ST

R N

L L Y Y E

G D A B N N

E

S N N

E E N E R E L

T

N

I

T T

S

E

K

A

L

B

D D R

S S E R C I

S S A V A R T

D D R

R R E I M L L IN E R

D D R

L I A R R B

D

R

N

A

M F

F

W -

E

Y

N

R R D E E K E B E R W O O

H N A

V

H

E E

T N A

L T

S

Y

N 4

4 A - Deviated ServiceArea Green RouteStop Multiple Route Stop Stop Route Red Stop Route Blue

F Transfer StationTransfer Y

F I W

T

D D

E E R R

M O A C Y S

E EH

E ZORA ST

T

A

T

R R D

W W O

B IN A

R

S

R

E

T

R

0

R R 0

D

N L N N

D D

I S G G N O O S O W 0 0 I L L

R C E N I A U L D Q

G ! ! ! !

T

R R

D

S S D

E L

I N T A T A C R

K Æ a L D

R

C R

S I H

D

R

N E

H E

Y C

L D

K S

T R R K

A R I R I T A Y S N C

M

C

J D S

W B

A

N

D D U O

R O

E E

N E S U Q U D S E R N N A D N L L

R

W

I

S

G P

N E N L

E E H S U R

R R E B E B R M

I A E

P 2

H L L

E

3

R V D R

E E N L L S E U Q U T D

E P E A E E S

L

U I Y

G I T

E B

L R

L L C A

R R

E E D D R

D

S E E W N

U Q U

D

B

R R O R

E R R D

A R N T W

D T

T S

C C

E

L E

E MAR ZEL E S R

I

A C

X

N

O R C N

DR E N

N E

SO R

E R

Y G

T D

R I R R

E

T

D I

R L

11 !

D

R

R R D I E E G D

R

T T U

W L A

D N Y Y

A R

Y Y

D

B O

G H H

O D

A U

A E

S

R R

O N N D

T

K E R T

A

L R

E T

L

I I

L R E W L I T

E

L

S

S C D

I

R R MSSU

R R

A D N N A

R G C T T

M N N A

L O R G C

M

D O

D O

V

E L R R L W W

D

V I E E E E O

H H G O

N N

C

L N N

E E I C R

F

C T T

X X I F R E E X X O F F W O

N N L T

L R

A

S

T

D

D

Y

R T

D D

D D O R U O W E G D E

L V

D D S

B

T

L Z E O G

D D V

L B E N B R S S P H E T R S

W E

I H

R

S

E H

I F T

R R D R R S I E E E D T T

N O D E K E M D W O O

N N C R R E SUNRISE DR

T R

N 7

V R

B T

7

D E L 2

H

E S

K

K

E

E

T E T R E

D

C R

L V

A W

T I

R G

A R

E R

I

C

R R E N

O

B G

W G

O A

G

R R

I

R R U

C

D D N

O

P P

H I I

S R

I L H

S K R

D

A CASTLE ROCK DR

B

N

P

E E VANDALIACT O

I N

L D D R

V L B F G U S

I

R S

V A D

D D N I

I ! ZORA ST

R

R 10

N N

N E

D D L A V L E E I

P A

R R

I

S S A B V I L

N E L V A D Y Y S

O G G I

N N A W R

H

W R

D D D O

U

O N T W

W L R G E E

L N B N N

K K L R A

P H

R T O

N T

L C

D

R Y

VESTAVIA DR T

S

E R

R N R

W W S I

T E E V A

X X E R

W U H R

K

D IL P

L B

E E O H V

X X

A T E

R E D

D R N

T 5

N E W

E

T R N 9 2 A A D E C

E T

R

I #

* A

C

T

E E

M M K

S

A E E V

S S C R E T

P V E MARKWARDT

E E

V

A E

S S R E

T E

E P

B

L S S

H N V

9 D H R *# O E D M M

T !

N T R E

N R

R 2

L C O V

C

3 A C C L O

Northpark Mall A

O I

N E

T

Y Æ

a E 10TH ST

N I E R R

D

W W E

I H KELLER DR S

V

T H

R 8 M O

N G T

C T E 9TH ST D D

E E T

V P A A A V E N E G N N

E E I T L

D

O R T J A M

R T

! S

D K S R S S T

S R S

N

S

# R R *

E

L

R S

R H D E E V A D H E 20TH ST E

A A E L V E H N

E G P H U H T

T S E

T L T

S R T

' # * H T 47

T T 1 ! U T 3 4 2 W T A R W T 3

8

1

T

E 1

A 6

O

1

C

M #

E *

E E E

R D I N H E E E

L A N

C I G N N

R E E

E E

T T

W

E

E

A V

46

T D

A R !

R R E R

V E E O T U

A

W W

D D D R E I V

E E I N D L

H E E G T G I H R A N

N N G I E E C R # * W Sams

S

V N S

T

G

I D T

L E 36TH ST

E E D D R

E E G

I L N

E

S S

N A W R

A # * L D D V S E

S

T T B A O R

I F

E D

K T

K

E I W T N

W

S

R R

U T R

N N H

K S

A E

E I W W V V A

H H G I

G E 2

R V T T

T N E E A D T V I

B

E

L T

R 2

H O

H

D A

S

S

S

E V 9 S

R

A V

E E

E W W

D

V I

H

* H I G

E A T

E #

P

E

T T

T

G

E E S

W W A V ' H

9 T H V I G E

D I H E G

E E H

E E H SEPH V

A N K BLVD U T

S R O R

D

E

T 2 J

S 6 T

A L D S T

T R

G O A

E E I

V R R A

I L L E

N N

M 3

6 T

W D

H 7

C 8 3 E E V

A A A

N O

H E Z

I R

R D H A

M 1

I 1

1

R 4 S

E E V V E E E

R A A A K K

A T

T

E E V U T O N Z

A A A R I

A 48

N O Z

I R A

E E !

V R R A A

A A

4

O W E N Z I

A I R

0 E

E E E 19TH ST E

H H

E 20TH ST

V E E 2

A

R K K

Z A H

T

N N

O 1

E E E C

A V

K K R R T Z

A

E E V N N

E E O

R K K

A

U T

C V

S

N E

S I 6

E A

L

N N

T T E

W E S R

E T

E T X A I B S S T

A V E E

A R N 4

T PLAZA DR

A

V E E

K K

A

A

R T

O Z

N

V E E

A S S

A

E T X X

E E V

I S S I I P P A

A I M I S

D S E

E E

D R R

A

V A C

E E S

K N N L G R

C O N I E

E E V

N N L

K K

A

R A

Z O

E E

R V

7

A V

T E T T K K R

Z A

O H A V E E K K

! R

Z A

A T O

S

T T T

T T

T

T

T

T T C S DOUGLAS PL I E E R A E E V L A C

A A T T S R I

T D 6

O

T L W

N N

F S S

S

S H

S T

S

2

T ! E E

S 12 V

I I P

S K A

I S

H P I S S T

M I

S S

T H H

H H H

I I T T

T S H C

I P

A P S I S

E S

I M R T S 5

E E V A R R A T

E L T

U

N B T T

S

T T

I T

H H

S 3

I I

A V

T 4 E

I P P

S I S M A S I M S

E

S 1 2

T # 6

7 5

O T T

E E

* E 25TH ST D D 1

I R G

N T D

I N

S E

N

Food-4-Less A

L R H

1 1

E E

U

R M 1

E E

A A V M A

S R A

L A B

A

T S N

N N

E 5TH ST E 45 6

A A A

V C

B A E U E M A A L T T L E ! C

M A A

T

A

A B

E A

A

Y L

L

A I L

3

N

E E

O V E E

A

E A D

D R

I E 9TH ST E E

O L

X F 8

L A

E E D R R

V

A O

L E

L L L

N

W H E 34TH ST

O

R S V H

E E B

N N P D A

S V A A D I

R

C O

F

T L

E C E

T

E

R E

N

E T A

S I U

H

B E E V V E E

D T L

O

N N O A IS E E V A A A

E E

R R A I G O S N N

A I D R

N S D

R G R A O L F

T S

I

R

A 5

I N S

E #

T N

T * V R

E S T

N S L N

T R

N

E E

1 I

V A

S 2 A E

L L L

N E

U L 2 O W T T

I A

R

C B

A V

T R E L L E L C S E T N W O

D A A S E B R

S LO W

H T E

D C V

L G

A A F 4 4

T A

P C E

S N 49

L S

W N

V L !

O D T

M I

S O T

L D V A

V

D D E

4

E E A

P

O

L L E L N E D V E R H R

N N N

I N N A

S L

W O S

O A N

B R E T R

- J A

T T I

N N P

O R

E N S

A

V PL ROSEDALE

N N N O S R

S H R T E

T T B J R

P A T N T L

A T

E E

D

T S A C

I A

V

Y

3 W

2 4 E T B

P

Y L T

O S

A N L

V

H

F

E L T L

E E

G S

N N Y L L L P V A A

C L H 9

L WY

O R A C N N

N

T O O T

Y S S

I

L

E E N

E E

E A T

A A P R

N

S H O 2 E

T L N P R R

N D

T T W N N A

C T 1

I H A L

S

E T I E W N T

N

A T

V

I T 4

E L L

C L N N E

L R C

C O

N T

C C M

D C N

S M 3

E E I S A

K V

O U E 3

E S

U H

O

M S 0 V

E E

D

E

L

N

R P M C E

E E

E

D D A V

A 1 N E

A N S O

R

R

Y R L E R

E N E

T A M T T A V E

C S P A T T

R

E E

Y E A

F

O R

N N

A E

E E V T

13 ! O

L L A L V

A L E

L A

M N N

T L

C

M O

C C

M A

M

E C L

C C E E

C

R R D D

A V E E

3 N O V A

E E D A N L

C S

N

T T S T T I L H G

V N

O R N N E

H R

W F M

L O

V E E

A V

A E

T T S

E A

A L

T R E N

K N 3

F O

O C

C C M

E A

N

D D A

L B V V

E E J

H H P E

O A

L S J O

S D

D D R A A I N

I H C L

H S W W

R

G T

I H B

N N E

E

C

A V E E

A R R E

A W L

E D

U C E A P V

R

E E

D R A

W

A L

E D R R

I N T

T T T

L C

T

V E E

K K D D D A R R

A A

A A A N

R

A E E

V G H L

E E R A H I M

Q U

E W R L A A

A P E D

L L N

R R S S S S

V E E E E

I

A P

S

R K K

P A

A A

N N A

T T

C

V

T *

A #

A W

L

A

E E

C V

Y Y

A

H H H N

E

S S H

N

R H H H I

E J A V E E

W W

N D D

E N A L

H

L I H I

R O S G

D

S

V E E

I O

A T T T T

R K K

P A T

T

I

R T

L U

H

E E

V

A

A 5

S S

E 7 8 9

A R L

H C 4 6 C H T T S

44 R C

N N S

A ! T

1 1 1 L 3

P K K U

R 3 3

P

A T

H E

L

E 4

T

8

S T T C

C E E E H E

E

2 M E E E

A V E 15TH ST

S S

V A E E E L R E R K K

A

A V P A T T U U 2 S

C I T

E C

N N

C

* # O A T

T

E

E E J

A

V

V

A S S U I

E E S S I U O L

E E

V A

O L S T T

E

T T U

T T N N

H S C I T N N

S

C E E E S

N N

O C V

A

E E E E

A V E 6TH ST

U I C S S

O L

A

E E

S

T T T

T R

R H

V

E

A

V H

I

S S

O

U 0

L Y T

T T

T S

A V E

A

E L Y Y

S E I F N

T

E E

V A E 3 T E E E E E

A V T T

C C K K E #

T

M C C M

L *

S

S W

6

5

D D A

H

V A E

S

I

U O S S I L

S T T

C

K E

E

V A

E 4

T T I S S

E E

A V

U O

K

E 4

L E E C C

A M

S T T A

A V C

D D

R A ! N

T 14

S I

L

N N D E E V E E

I S

R R I I L

O

S S A

P

E R T H T T

T T S E

V E E H U

R G G

S S

A A C S

T T A S S

M E

N

T T E

G

U L E E

A V

E

C U T T

S

I C T E E L

L

N N E

A

E E V C O E N N D M

A R

S

N N

G

U

E

I M

L 6 R L L

A R R

E E

U E

V

A V

A C T T

O P U

S S I T C C

R H

T N N E A

T E C O S S

A

S A

E

M

U M

H ! L

H

E C

P

R T A S

S

Y D O

D A

M

S

E T

T O T I

D

E E

A

V

O

N T T B

N

R

M C V E C

6

E

I S

A R

N H

R R

A

N N 50 D

O R A V E E

W H T

E E O O

N G R A P H M

T T I A N V N !

C R O M

E O

V E

R

E A

I E

E T

C E A V

A E

O O G

M I

R N

C E E O

I

C V

M M A

T T

D N L

I N

O M

M E 33RD ST

V R

L

E E

V

I

P U

E E T W

A V

A E

V R E E

W

B B S I H

E E E E V P K M

A

A V

H A A

R O

C

I

E E R N N A

N W

S H H I G N E

I M P M

C T

A H

R R

W W T D

E N

R R V

E E T

N N A

D

A

C W S A M R N N A I R E E O N R M S

E H

O N P M

H A

E

A N W

HN AMP H

E E S S

A

S V

H H

S

H

G

I S

N N H

E A

V

E E D

A

G V

I R

T E

H S

P M

A

H A

E

W

N

N L H

T

H

E E A H

V

T R A

H H R T

I G V

E E S P

H

A S S A

G N S

I K

A

T T

D

N R

A P R R L

H T T

P

S O T

C F T

I A 3

D R

A P R R

C L S

P O

M

S

6

A E E

V N

N N N S H 8 I G A 3 5 I H C T

M A

A E

2

3

S S A E E

A T V 3

K A S N

T A T D

V

R S

V

I E

N N A

Y A

H C D D I

G E

I M N N

N R

U S

A O

R

M 43 G E

6 F

S

! E

5 O R E

T T E N O

D D

R

D N A L L

S O

R

U 1 G E

H M F U

! 3

N

S

S

P

E E H

A

V

O

L L A

H

T O

C S V

E E 4 E 44TH ST

Y W A

A

L N

I

C G

E T E

I

C

L H M

H

E E

V X T

I S S

A I

I L N L O T

D N N

I E E D

A R V T I ! N E V A I

N N S D N

S N O C O O 15 W I S I S C

W E

7 L

R N

O A

1 T E E

A N N N V

S I N

I O S C

W

T A

I *

# A E E V

N D

O

O A 4

E E R L I

L A V A

R 51

N N

T

I

E S

E E N S I

N A N N O V V E !

N C O A A I S W

C A S

I S D N A I

N N

I W

E E 2

A

V

I

W S

R O O

I N

L

I

L S E T E E V

N O I

S S A

I I L

E VALLEY ST L V

E HILL ST E S S A E FURNACE ST FURNACE E T

O I

L I N

I L D T

B R

T 42

E

S

!

Dillons

D S R

E E D

Y Y V A

L E N N

T T S

I S L

S O N

I V

I

D V E E

A A

A

A

E 5TH ST N

D I

A

E E

V

O H N I I O O

N N

E E H

N

A V

S 2 E V

I S S

A S

O I N L

A A

I L A N H A

I D N

I A V

E H N A A

T

D A I

I

N 2 G 2 T

# * V

E E V A X X O C T

T

R 3 H

S 4

N

0

E

I

V V 9

A A T

A 3

A V E E S E O E T

H O O I I M

N N

N N O A V E E

N A A

D I X X

A A V

E E 4

N N I N O

C E

N 3

R

6 A

V E E

H O O

P I

O E

E

A

# * V 3

A A

N E

I D

O P A

N

S I E

L L

E E V A

I A R M E

T N R

E E V

A

S A N A

I D

L L A

N R I E E E E V

M A A E

N N I A M E V N

A A T

S E O

I N

N D

S M V E E

A

N

J A

A

V E E T A A A

S M O T T N I N E M E

I

N

S S G

S

O D

A A L N A E E V A

G I

A

V

R E

W

A A H H O I A V

E E 52

T A A

O V E E

N E S N A

I M

S ! I U R

O R E E S

A V S I W A A M

O S U I I R I S O

E E V

E E T T A T

L AV E

I 9 0 E A P V A A R W S O E I N

T

A # 1 2 W

*

NDRETH AVE W O

A H

E E T

V A E E

I I R

O

L U I S S st

T M

T

S

E E V E E A N D D

A V A

G R I I R !

E E O

U V I S S S 16 A

M

A

N ND 9 E 41 53

GR R I I

P ! L !

U T O

L S T

3

S

O S I T S

M

Y E

A

V E N D D

A

4 R G

E E V

Y Y A S C K T

O U

K N

E H

E ! H Freeman Ea

P A E E V K

Y Y C L T U T N

H E

K T

L 8

5 T

E E V V E E

A

A N D D K Y Y A R T U C G E N

VD A K 3

Y BL 7

E

H

P E 9TH ST

3

V

R E

A A

A

I A N

V

U L

S

Y

E N N E

M P C

V E

K Y Y

A

U C

E N

N T

I K

V

E E

A A

A

I A N

V L V E E I A A S Y

A A E N N N P V T L N S Y T N E P R

S

S E

D

I

V

E E V S T T A A

A

I N I I R I N N G A V A

M

N N * # IA

T N

D I

A G

E E

A V

I

A A

S T T I

N R I N N I R

G I R

A M V

N N MAPS Office

* # V

R Z E E

V A

A A I

N I

G R I

Æ V

a A D D

V 3 L

A B S S N E R A

S T T A E I N N

H

M N

3

L

40

!

E E V N N I A

S T A P I L N N P 54 O M J

N N T T E ! T

T

T

D T RL

S S N

S V 2 S E T T A S I L 3 N T

P S O

V J E G T

T

! T D

T ! S S

I

N T T

S T

L D E V

D A T

S N

L H I

O P

E E H S

J V A

L L B L H W A L W ON S P N T V

A L S Y Y Y

S S W B U S R

Y N 17 ! ST T R T

T H H T

T H L T

S Y

S 1

! H T

H 18 T

2 H I 3 4 5 S E E V T T H

A

7 L S

A L T D

P 1 W T D S

B H

T !

19 H S

T 20 S

T

A 4 5 T !

R E ! 6 T T

A

V

R A

L L S N E E V E

P W 7 R I

N N A N N T L P 8 E H A O J W V

W W 1 1 L T H A

W L 4 S

1 W H

W U T S S 1 1 2 D

3 21

1 5

T

2 T !

E T

2 2

2 S

2

N

M 8

E E D P A

L L V 9 A I L L N N W W D I R 0 H H R R D

E E E E R A W E

G D I R

K K M P A 1 O

W

2 2

W R

L 2

W 3 R

T T

L

3

W W

W R 3

L W

E E T T O

A

V

L L

P R E A 3 P V E E 4 5 S S A

R R

P E B

Y

N N T L

W 27TH ST

W

P S S

W 4

4 4

W

E E

W E

V

A L L N W E E S

V A

R S S

E * Y

V

B T

#

W T

A V

D E

E A

L L

R H

P W 42ND ST

O A W

W W

Y

V

E E S

S S A E E T E Y R

A V S B E

R T F F D S

M T O

I N

B 1

36 6

A ! R

D D V H

P V

E E 4

A

V R 3 E F E

T T T B

F O M V E E

R

T A L L T R

L E

E A

C P

N Y

M 0

S

T A D

U S V

E E

B

A

B V T T T E F

R E O F

A V 3 C T

M

N

T T W

E

E A T W

R

T G

E S A T

S N A

O D

G

S E

E

ISLINGTON PL PL ISLINGTON S H T V

A L E

A T T

S

F

S H E E

O

S F

I

R W M H

E E E E V V

V T T E E A

T T A N

A E E G E F J F F

R * E M M

T O

A S

D #

N T

G V

E I D A

G K

M W 42ND ST

A D 2 H

A H

1 V E E E E

N N V A A

A

S S O N T T

T

C K A E

D G U A J

E R S R N N

1 N S

M T

R 1 A T

N

E E L

V

T T S C E R R R

D D L 3 L

B R K

A 4

E R

A

R R S C U 5

G

V A E E A E

N N

S K

ON R O

C

A I

T D L R 3 R S

J 3 I

G B W J

R 3

I R

W A

L E

A N S

V C

I C

A

E E V

N N A

K O S H

S A C

D D E H J

R T

D W

O N N W E E V

A S A W

O R R E

O N N

39 E

G R O C

N N E

O N L ! T

L R ALLE DR DR ALLE

V

L L V E E

R R O

A S

O N

E D N

E W C R

U

A M T

I P R

L

T I V E E

R R K A I O N E E

O N N N A

A V R N S C O

E

A C M K

F J L S D

S D

L

L V

R L L

L E

V E

I

E A I

E

A

N

R R

A E E

E V E

E E Y Y A W T

A

R V

P A

U T T

R G

R R N N S N T 2

H E

D D K

R L C

C

N R

O R

T I

E

C N S

L

O N

O N

C C O

E E R

A

M V T R

I R

L D

B D R C

E

R L

I M T

PO R

C

H

A C

R O A I F E

N

B

D D

A V E E P P S

S

P I H C E R R

T A

N N O

S 4

E I

S

T

C O

D D

E V A V E E H N 1

Y Y

P H D P

U R

M

R R

G R R R

L N D N

A O

I

T D W 3 R

R E

O H

S H

T B A V E E

Y Y

P H

U R

N D W

S 35 M T

I

G

!

D

D D R

D

M M L

Y E E

E E W N

N

O 8 L

I

T T R E E N

R R

A V

I H C E H O P

2 I G

M

S

P T

Freeman Hospital E

O O

C R

D D

L L L # I T N H I D

R

* R

R O H

G I

D D

T R

R S

E E E E 22

W D A V

N M E R R H

I C H O ! R P

T S

W U

24 H

R

!

H C

E E

M V

T A ST W46TH

E E

R I

B P 2N

H M

E

C #

D D

V S L E E *

I

B

S

V E E

V

A

E E R

T E

A R R V P I

S R O T E

M E

P E

A D

R R '

T R E

O P R E N O

T T A E E C

R R

N N G W 3 W R R

T R

R

C

L N D

O T N

T

I

E E N R

V A

H

R R

T E T

R I

C E O

P L

V E E R T

A R R 23 L

E T

A

S X N S

I E E

E E B !

N N N O

A E

E

S R J

O C

S

G R

R

T E E V A G T T P

M M E

L D

H R A G

D N

H W

E H

S M

L E R A H

N N R D E E V A M M

H T

I T

E D

G I H

D D O C T

S E

T N

I I I

T I

E E

A V V E E

A R R

A T

M N E M M T E

I R R L R O

R D T

A 0 P

H

E D O

6 T

R N

R

T V N

L

1

N N L

R

B

* 1 # M N N

L E N S I D N N A K 1 # * M H N N S L Y

25 O

E 2 K

! I

W

M

U

D A T 34

3 E

V V E E

E E !

A

A T

28 W 38 T A E M M T L

A

27 R

! H ! H

N N L

D E

A N W !

R A I

V M 26 L

St. John's Hospital O R

!

V D D

T T

B L

E E S

N

S D D D O K I A L L

E C E L L C N N L C C T L S S O C M CARRING E R D

D N N

O A 1

L

V

B S

A

L

N

B Y N N L O D E N N A V I E E

M A V

H T W T P

R # * D

E T

U E

S S R

Y Y

C

O

C C M

N N

E E M V V V S

A 1 O Y Y # * C

C C

M E

D N 2

A A

T

A

G N H

D R

E

E E S

A V

R D O S

N N N T

R

3 I

W

E E 7 V

Y Y A C T O

C C E E

A E T V R M

A O Y C

C

S W M

V S N

G T H

E V

A

M M D

H A W

G RD N I N 1 N T U

C

S

A O B S R D

29 E

T L ! V

L R G

L D

V

N O L A A D S I W

I O

L

T E R

G

T

W 30TH ST

W 29TH ST

M

L

E E

K V

A R

H A

M M N

N

G B S D

N I C

U N

S

C E E

A V

37 C

E D

A

M

H G

I N N

V E E

! M

N U

A V

C A

R M

H

G E

I N

L

N N

U N

C

B

A

V E E E

Y E T L R R

E E V H T A

D D

R R D L E E Y 2 T

N N R T L T I S G

3 A P

S R

W 27TH ST

0 T

1 (CANANLAND LN)

N

E E

E E V

E R R A

T T Y L E

V 2 2

A B

W W

R G

U

E S E E

V L

A

J D D D R D W RI

A D E V E E L A E E

E W

T R H

ES A E V E E

E E

L

A Y E A

H D

C T G E E E

A

V

R R V A

L E E E L Y T

D E A

D

I

0 E

E E V R

E E V

A A E L

D D A E E D D A R 1 T L L A L I # W * W

L

S

* E

# I

W 11TH ST V

W

A

E E V E E

C

T T

A D D D

E A L

E E L R

A T G AV W I L

ER

LIV

N O N D N

E E

V V

A

S

R S D L A L I W E O V A

E R R

V O I

L

N L

T

L L

E 2 N I

Y Y H K

H

C C

A T

M

N N V

E E 2 S

T

T

T

A V E E S

T T L

V E

S E

R O

O

5 S E

4 E

V A

L E T T

V E

S O V

E

O R R R A

I V E

O

1 W L

V

1 E

I V L O E R R

H A

R

W 24TH ST

W 26TH ST

V

E E H

Y Y A

E L

S T T

K I

L N V I

T E

S S

M O 33 C

T

T ! T C

E E

V

T 30 A T T

T L

T E

V T ! W E

S W O 7 - O R E V

Y Y A E L

I K S N C C

S S M

9

S

2

S

S

R

2

V E E

A

O E E

N

R H

O M N N

D H T E W 25TH ST

A

V E

E

D Y

L

T W 23RD ST N

I

H K C C

M W

T T

E E T S

A

V V V E E O R E A

N R W E E M S N T O O R R D N I M

8 O

S 9 T

3

1 2 4

R R H R

V S E E E

A D D N O R O M

A R

W T E

W D

W

W W W E

H 6

T

V

E E L

S N N O

A

V

J E F E F

R 1

T

L E E

A V

L

D D E I F W N I V E

N N

T A A S O

F E R

F E 2 J

B

S

1 D

W

W 17TH ST

D E E V A

L T T N A U W

N N S E V

A

T T

N U

N L D

A

W W

G A

A V E E

I D D E L

I N W

R F

L

V E E

U T T

A

N A L

W N

3 L

I

E E

V A

E E L P A

N N M

2 E

T T K L

T C

S

N N L

E A W H

A A N D

L S

M Y I L RD KINGSDALE N

S W 29TH ST C

R D D E E L

D

A W 30TH ST TERR S G K I N

W W

D E N N O A

K K A

V D M 31 !

R

T

3 DR

S

W 9TH ST D

E E O

V A R R E K C D E 32 2 R E F O I H F

N N C S ! W

H

R

W

T

A V E E

R R

A E E

K E C

V A

R E D R R E

I F E F C

K 4 I H S C V A D R E E E

N N O F E I H T G F S H C I N S A

N N

W 2 R

D T B

D

W

R R

R S

N

V

V E E

A A

A T

I N T

N N

M D

T

T T R R D T E T T E S A

S U S L N

R E S

T H Q

S

S

Walmart Q

S

S

B

T H

E S

S R Y Y R T B E

E S

H 6 W

T H T D

H

H D

E R

F

E E

V 2

A T

S S

M T R

A Y

A D T

N T U W

R R R

Y Y D

E L L

O K

G E

L E C 4 E

E V L

A N A C D D T T V 6

A A N R I

5 M D

4

E R

R R

O C D 1 1 W E N

1 E 2

Y

R D

C I

T S G

T

U

T S

R R

E E R G

A

V W E E

N D D R R A W C A L D D

T

J W 23RD ST E

V E O O

W W 17TH ST W

D E V E L A N N D

E S W T

N N C

I N N L S A I L G I B

A B R

S E

L

T T

E T

R N

B

T

L E S

O L E C E V

L

A N

A N T D D

E R

S R S

E E

V A

Y N

D D I

A L

E E V S

L

C S

B

R E E R O V

A T A

N D D U A L I L L

T

E E V

L

C Q

C

N R

H D E

T

B N A

T S

S

D R R

I C A A S S S

J E

N

W

T N

S R

U D O

S W A

I

7 L

2 H F

E

S C

E

V E E M

W W

A

O

D

2 A

E

T M

T Y

T T

L

R R C

D W

W

Q Q T T

R L Y Y S

S 7 R S

E R C T B E

I E S W W

N U E T T S

1 W S 2 R

H Y

T E

E G

S B

W W

T L

D D R

V E E L

D D N V E A S S

R

A G T N N O I R T I

S L D

T

H T S

E R

S T R T

E

D K

O O

D D R E E V

E E

5 A

T T A D D N

S

I I S A L T T T R G H B I H W

N

R C

H

2 R R

R

W 21ST ST 3 A

O

T D

B

2 N

4 R

L

W A

D D R D

I S S K N

L L

F F

O G

U

2 L D D

S S

R I K

I N

R

L

W R

H

W D

X

G

G G

R

O

F R

F E

N D

I R R

L D

A I

I T

C

O T

R

H

O

G X

N C Y Y O

LN F

D D

R M A

Y Y O D SS R

BLO

D PEAR D

L L D

T O A

R

E

L

S

I

D H

R

R L

O

H S

D

E S

P

G R

I N N

T D

R

2

N D W

O 3

T L

E L

V

T

S O

L H

C S R D A W

Y B N A T R H D E T N E RA H C

T

E L S

T

7

L

0 G

H

E 2

N

W T

B

U 6

W

J

2 D D T T

R

A C K K A C B L

W

R R D

B B U

L C Y Y R T N U O

L C

T

R

D D P

S S L

L I H

R R D D D N A L N A R T

E H I S S

S T L W L T

H

S P

P

T

T E E

S 5

H H

H

2 1

T

R R T

AN T Y Y A

T

W 3 D

R T

7

I 6 L

L 7

A R

S

F W

2

2 S

2 P E E

V A

R F D E I W N J N E

R S

H

H

W H K W A W

T

T

T

N 8 P E E

V A R R 9 E I E I L

8 S

2

2

L 2

F W

W

T T S N N E W V E

L S

O

T

G

S

E V H A

T Appendix K: Main Street Development

For more information please contact: Agency for Toxic Substances and Disease Registry Division of Community Health Investigations 4770 Buford Hwy. NE, Chamblee, GA 30341 Telephone: 1-800-CDC-INFO (232-4636) / TTY: 1-888-232-6348 Web: www.atsdr.cdc.gov/sites/brownfields/index.html Publication date: June 2014

Taking Action: Rebuilding Joplin after the Tornado 40 Using the ATSDR Brownfields / Land Revitalization Action Model