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Federal Register/Vol. 87, No. 18/Thursday, January 27, 2022/Rules and Regulations 4373 <br /> that lacking adequate access to mortality and illness and increased The final rule includes enumerated <br /> affordable,healthy food or living in a well-being.197 Urban park use during eligible uses in disproportionately <br /> "food desert"may contribute to the COVID-19 pandemic may have impacted communities for developing <br /> disparities in diet that influence health declined among lower-income neighborhood features that promote <br /> outcomes,including contributing to pre- individuals.198 Encouraging physical improved health and safety outcomes, <br /> existing conditions that increased risk activity can also play a role in health such as parks,green spaces,recreational <br /> for severe COVID-19 outcomes. These outcomes, as a sedentary lifestyle is a facilities, sidewalks,pedestrian safety <br /> commenters cited public health research risk factor for chronic diseases and more features like crosswalks,201 projects that <br /> finding"clear evidence for disparities in severe COVID-19 outcomes.199 Parks, increase access to healthy foods, <br /> food access in the United States by recreation facilities, and sidewalks can streetlights,neighborhood cleanup,and <br /> income and race."193 promote healthier living environments other projects to revitalize public <br /> Some commenters also suggested that by allowing for safe and socially spaces. Recipients seeking to use funds <br /> neighborhood environment is connected distanced recreation during the COVID— for capital expenditures should refer to <br /> to other public health outcomes,like 19 pandemic. the section Capital Expenditures in <br /> mental health and public safety. For Additionally,food insecurity rates, General Provisions: Other,which <br /> example,some research suggests that which are higher among lower-income describes additional eligibility <br /> living in neighborhoods with green households and households of color, standards that apply to uses of funds for <br /> space and tree cover correlates with doubled among all households and capital expenditures. <br /> improved mental health outcomes.194 tripled among households with children b. Vacant or abandoned properties. <br /> Finally, some commenters argued that during the onset of COVID-19 from As discussed above,the interim final <br /> activities like installing streetlights, February 2020 to May 2020.200 rule included enumerated eligible uses <br /> greening or cleanup of public spaces or Improving healthy food access supports for building stronger communities <br /> land, and other efforts to revitalize public health,particularly among lower- through investments in housing and <br /> public spaces would support improved income households and households of neighborhoods in disproportionately <br /> public safety.195196 color that face disproportionate impacted communities. The interim <br /> These commenters recommended that outcomes. final rule also posed a question of <br /> Treasury include as an enumerated Treasury Response:Treasury whether other potential uses in this <br /> eligible use in disproportionately recognizes the connection between category, specifically"rehabilitation of <br /> impacted communities projects to neighborhood built environment and blighted properties or demolition of <br /> develop neighborhood features that physical health outcomes as discussed abandoned or vacant properties," <br /> promote improved health and safety in the research and analysis provided by address the public health or economic <br /> outcomes, such as parks,green spaces, commenters,including risk factors that impacts of the pandemic. <br /> recreational facilities, sidewalks, may have contributed to Public Comment.Several commenters <br /> pedestrian safety features like disproportionate COVID-19 health argued that programs or services to <br /> crosswalks,projects that increase access impacts in low-income communities. address vacant or abandoned property <br /> to healthy foods, streetlights, The final rule also recognizes that the Would respond to the public health and <br /> neighborhood cleanup,and other public health impacts of the pandemic negative economic impacts of the <br /> projects to revitalize public spaces. are broader than just the COVID-19 pandemic in disproportionately <br /> Background:Investments in disease itself and include substantial impacted communities. Some <br /> neighborhood features,including parks, impacts on mental health and public commenters cited research suggesting <br /> recreation facilities, sidewalks,and safety challenges like rates of violent that living near such property is <br /> healthy food access, can work to correlated with worse physical health <br /> improve physical and mental health crime,which are correlated with a and mental health outcomes,noted that <br /> outcomes.Allowing people access to neighborhood s built environment and such properties pose an environmental <br /> nature,including parks,has been features. As such,neighborhood features hazard, or argued that such properties <br /> connected to decreased levels of that promote improved health and present a barrier to economic recovery. <br /> safety outcomes respond to the pre- These commenters suggested that <br /> 193 J Beaulac,E Kristjansson,S Cummins,A existing disparities that contributed to renovation or demolition of vacant or <br /> systematic review of food deserts,1966-2007,Prev COVID-19 s disproportionate impacts abandoned property could benefit <br /> Chronic Dis 2009;6(3):A105,http://www.cdc.govl on low-income communities. communityhealth d raise property <br /> pcd/issues/2009/jul/08_0163.htm. an p p y <br /> 194 See,e.g.,Yijun Zhang et al.The Association values. Other commenters <br /> between Green Space and Adolescents'Mental 197 See,e.g.,American Public Health Association, recommended that Treasury include an <br /> Well-Being:A Systematic Review.International Improving Health and Wellness through Access to Nature(November 5,2013),https://www.apha.org/ enumerated eligible use for the <br /> journal of environmental research and public health <br /> vol policies-and-advocacy/public-health-policy- operation of land banks that redevelop <br /> vol.17,18 6640(Sep.11 2020),doi:1o.3390/.1 18 statements/policy-database/2014/07/08/09/18/ or renew vacant properties and land. <br /> 6640;EC South,BC Hohl,MC Kondo,JM <br /> MacDonald,CC Branas,Effect of Greening Vacant improving-health-and-wellness-through-access-to- Treasury Response:As noted <br /> Land on Mental Health of Community-Dwellingnature. <br /> throughout the final rule,the pandemic <br /> Adults:A Cluster Randomized Trial,JAMA Netw 198 LR Larson et al.,Urban Park Use During the underscored the importance of safe, <br /> Open.2018;1(3):e180298(2018),available at: COVID-19 Pandemic:Are Socially Vulnerable <br /> doi:1o.1001/jamanetworkopen.2018.0298. Communities Disproportionately Impacted?,Front. affordable housing and healthy <br /> 195 See,e.g.,Yanqing Xu,Cong Fu,Eugene Sustain.Cities 3:710243(2021),https://doi.orgl <br /> Kennedy,Shanhe Jiang,Samuel Owusu-Agyemang, 10.3389/frsc.2021.710243. 201 However,Treasury cautions recipients that <br /> The impact of street lights on spatial-temporal 199 JP Despres,Severe COVID-19 outcomes—the general infrastructure development,including street <br /> patterns of crime in Detroit,Michigan,Cities, role of physical activity.Nat Rev Endocrinol 17, or road construction,remains a generally ineligible <br /> Volume 79,Pages 45-52,ISSN 0264-2751(2018), 451-452(2021).https://doi.org/10.1038ls4l574- use of funds under the final rule.Sidewalks and <br /> https://doi.org/10.1016/j.cities.2018.02.021. 021-00521-1. pedestrian safety should be the predominant <br /> 196 A.Chalfin,B.Hansen,J.Lerner et al., 20O Caroline George and Adie Tomer,Beyond component of uses of funds in this category.While <br /> Reducing Crime Through Environmental Design: `food deserts':America needs a new approach to projects may include ancillary construction needed <br /> Evidence from a Randomized Experiment of Street mapping food,Brookings Institution(August 17, to execute the predominant component,a project <br /> Lighting in New York City,Journal of Quantitative 2021),https://www.brookings.edu/research/beyond- that predominantly involves street construction or <br /> Criminology(2021),https://doi.org/10.loo7/s10940- food-deserts-am erica-n eeds-a-n ew-approach-to- repair to benefit vehicular traffic would be <br /> 020-09490-6. mapping food-insecurity/. ineligible. <br />