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Learning from the Flint Water Crisis: Restoring and Improving Public Health Practice, Accountability, and Trust
Colleen Healy Boufides1, Lance Gable1, Peter D Jacobson1
1Colleen Healy Boufides, J.D., is a senior attorney with the Network for Public Health Law-Mid-States Region Office, located at the University of Michigan School of Public Health. She assists public health attorneys, practitioners, and advocates to use law to protect the public's health by providing technical assistance, training, and practical tools. Colleen received her law degree from the Duke University School of Law and her Bachelor of Science degree from Arizona State University - the Barrett Honors College. Lance Gable, J.D., M.P.H., is an associate professor of law at Wayne State University Law School. His research addresses the overlap among law, policy, ethics, health and science. He holds a Bachelor of Arts degree in political science from the Johns Hopkins University and a master of public health degree from the Johns Hopkins Bloomberg School of Public Health. He earned his law degree from Georgetown University Law Center. Peter D. Jacobson, J.D., M.P.H., is Professor Emeritus of Health Law and Policy at the University of Michigan School of Public Health and Director, Center for Law, Ethics, and Health. Jacobson received an A.B. from Dickinson College, his law degree from the University of Pittsburgh School of Law, and M.P.H. from UCLA School of Public Health. He serves as Principal Investigator for the Mid-States Region of the Network for Public Health Law.
The Flint water crisis highlights the need for better legal preparation and accountability when public officials endanger health. It also explores ways to rebuild community trust in government public health services.
Area of Science:
- Environmental Law
- Public Health Policy
- Governmental Accountability
Background:
- The Flint water crisis revealed significant failures in public health protection and governmental oversight.
- Complex legal frameworks and statutory responsibilities were inadequately managed, leading to a public health emergency.
Purpose of the Study:
- To underscore the critical role of legal preparedness in managing public health crises.
- To examine alternative accountability mechanisms for public officials who fail in their duty to protect public health.
- To explore strategies for restoring community trust in governmental public health institutions.
Main Methods:
- Case study analysis of the Flint water crisis.
- Review of relevant legal statutes and public health regulations.
- Exploration of accountability frameworks and trust-building strategies.
Main Results:
- Inadequate legal preparedness exacerbated the Flint water crisis.
- Existing accountability measures were insufficient to address the failures of public officials.
- Restoring community trust requires transparent governance and demonstrated commitment to public health.
Conclusions:
- Robust legal preparedness is essential for effective public health crisis management.
- Innovative accountability measures are necessary to ensure public officials protect community health.
- Rebuilding trust necessitates systemic changes in governmental public health operations.
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