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2010

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“We have these really strong connections between people’s health at the neighbourhood level and their wealth and where they live. I think that’s what really resonated with the people of Hamilton.”

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In 2010, Stelco hot idled its last blast furnace located in Hamilton, meaning that the furnace was no longer actively used, but still maintained for potential future use.  This action was monumental as it was the first step in the permanent closure of the blast furnace, which occurred in 2013.  Along with the last blast furnace being put out of commission, a 7-part investigative report was published in the Hamilton Spectator newspaper. It was called the Code Red series and it provoked critical conversations and increased community awareness regarding the health disparities present in Hamilton.   The publication won both local and national awards and received attention from the provincial and federal governments.  From this report, the Code Red Cancer Series Web Mapping Application was created using Geographic Information System (GIS) and was published in the Hamilton Spectator.  It was created to demonstrate the rates and distribution of different types of cancers in Hamilton and their correlation to location and socioeconomic status (Figure 1). In a presentation discussing the results of the original Code Red project, the investigative reporter who created Code Red, Steve Buist, shared his thoughts on why this project felt important for so many people:

 

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Figure 1: Location of companies contributing to Hamilton’s steel industry, as identified by The National Pollutant Release Inventory, plotted on the Code Red map demonstrating the cancer incidence per 1000 people aged 45 and older.  The black circles represent the location of the companies where steel production occurs. The red colour represents the highest incidence rate of cancer in Hamilton of 146 to 340 people per 1000 people (14.6% to 34%), in which all of the black circles can be found, visually depicting a correlation between the two factors (in addition to other contributing factors). A) A broader view of Hamilton including a legend detailing the incidence rate (per 1000 people) that correlates with each colour on the map. B) A magnified version of the same map in Figure 1A with labels of the names of the companies contributing to Hamilton’s steel industry.

 

The Code Red series inspired numerous projects which furthered investigations into the widespread health effects of the Hamilton steel industry.  In response to the health disparities outlined in Code Red, a new position in the Hamilton municipal government was created to prioritize public health, and a healthcare center was relocated to the area identified as most in need from the study.

 

Code Red highlighted how some neighbourhoods across Hamilton, particularly those in the industrial sector, experience higher levels of air pollution compared to others.   It explained how exposure to the emitted carcinogenic substances from Hamilton’s steel industry can lead to consequent health impacts – especially for those without access to the proper health resources to address their health concerns.    Undoubtedly, the environmental impact of the emissions contributes to the continuous cycle of negative health effects. Along with Code Red, multiple studies have demonstrated correlations between living in proximity to steel plants and health issues such as lung cancer, breast cancer, and cancer in children.      This is primarily attributed to the exposure to polycyclic aromatic hydrocarbons and metals such as cadmium, arsenic, and zinc. Many of these studies echo the findings of the Code Red project and address the role socioeconomic status has on health outcomes — particularly in industrial cities like Hamilton.

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References: â€‹

  1. McNeil M. The making of Steeltown. The Hamilton Spectator. https://www.thespec.com/news/hamilton-region/flashbacks-hamilton/the-making-of-steeltown/article_1708829f-9fa6-5d17-98c7-4e97b6d045d4.html#tncms-source=login. Published February 8, 2021.

  2. Van Dongen M. Last Stelco blast furnace demolished on Hamilton bayfront. The Hamilton Spectator. https://www.thespec.com/news/hamilton-region/last-stelco-blast-furnace-demolished-on-hamilton-bayfront/article_d46a286b-963c-5266-9d63-7a07a030debc.html#:~:text=The%20blast%20furnace%20was%20controversially,keeps%20Stelco%20history%20alive%20online. Published August 17, 2022.

  3. Haagsma S, Huynh K, Shulist L. Analyzing Code Red: Ten Years Later: Community Response and Impact of the Original Series. Published online March 2023. https://knowledgetranslation.mohawkcollege.ca/wp-content/uploads/2023/05/Research-Briefing-Paper_Haagsma-et-al-2023.pdf

  4. Leahy M. ‘Code Red’ by Steve Buist: Groundbreaking journalism using GIS. Esri Canada. Published August 30, 2019. https://resources.esri.ca/customer-stories/code-red-by-steve-buist-groundbreaking-journalism-using-gis

  5. DeLuca PF, Buist S, Johnston N. The Code Red Project: Engaging Communities in Health System Change in Hamilton, Canada. Soc Indic Res. 2012;108(2):317-327. doi:10.1007/s11205-012-0068-y

  6. The Hamilton Spectator. CODE RED: Find cancer rates in your Hamilton neighbourhood. The Hamilton Spectator. https://www.thespec.com/news/hamilton-region/code-red-find-cancer-rates-in-your-hamilton-neighbourhood/article_a04c6c94-243e-5329-90a7-6700d7d22381.html. Published October 26, 2013.

  7. Buist S. Code Red 10 years later. Presented at: The Hamilton Spectator; 2019. https://www.youtube.com/watch?v=lYijc1VvlhE

  8. Environment and Climate Change Canada. Maps of reporting facilities – virtual globe format. Government of Canada. Published 2024. https://data-donnees.az.ec.gc.ca/data/substances/plansreports/map-of-reporting-facilities-geodatabase/maps-of-reporting-facilities-virtual-globe-format/?lang=en

  9. Buist S. Code Red Cancer Series Web Mapping Application. Published online 2013. https://mcmaster.maps.arcgis.com/apps/webappviewer/index.html?id=0f563e29cf9a423794c23b0fdfac746d

  10. Simone D, Eyles J, Newbold BK, Kitchen P, Williams A. Air Quality in Hamilton: Who is Concerned? Perceptions from Three Neighbourhoods. JSTOR. Published online May 4, 2012. https://www.jstor.org/stable/23260309

  11. Clean Air Hamilton. Health Impacts. Hamilton Public Services. Published 2024. https://cleanairhamilton.ca/health-impacts/

  12. Breugelmans O, Ameling C, Marra M, et al. Lung Cancer Risk and Past Exposure to Emissions from a Large Steel Plant. Journal of Environmental and Public Health. 2013;2013:1-8. doi:10.1155/2013/684035

  13. Benedetti M, Lavarone I, Comba P. Cancer Risk Associated with Residential Proximity to Industrial Sites: A Review. Archives of Environmental Health: An International Journal. 2001;56(4):342-349. doi:10.1080/00039890109604466

  14. López-Cima MF, García-Pérez J, Pérez-Gómez B, et al. Lung cancer risk associated with residential proximity to industrial installations: a spatial analysis. Int J Environ Sci Technol. 2013;10(5):891-902. doi:10.1007/s13762-013-0248-6

  15. Pan SY, Morrison H, Gibbons L, et al. Breast Cancer Risk Associated With Residential Proximity to Industrial Plants in Canada. Journal of Occupational & Environmental Medicine. 2011;53(5):522-529. doi:10.1097/JOM.0b013e318216d0b3

  16. Brown LM, Pottern LM, Blot WJ. Lung cancer in relation to environmental pollutants emitted from industrial sources. Environmental Research. 1984;34(2):250-261. doi:10.1016/0013-9351(84)90093-8

  17. Chan E. Industrial emissions and Children’s Environmental Injustice in Canada: Exploring geographical patterns and an example of its relation to Children’s Cancer in Manitoba. Published online 2015. doi:10.7939/R3DN4067Q

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