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communities through investments in housing and neighborhoods," the examples of services <br />provided generally focused on housing uses. In response to questions following release of the <br />interim final rule, Treasury issued further guidance clarifying that "investments in parks, public <br />plazas, and other public outdoor recreation spaces may be responsive to the needs of <br />disproportionately impacted communities by promoting healthier living environments." <br />Public Comment: General: A significant theme across many public comments was the <br />importance of neighborhood environment to health and economic outcomes and the potential <br />connections between residence in an underserved neighborhood and disproportionate impacts <br />from the pandemic. Many commenters highlighted the connection between neighborhoods and <br />health outcomes, including citing public health research linking neighborhood traits to health <br />outcomes. For example, the CDC states that "neighborhoods people live in have a major impact <br />on their health and well-being."19° As such, CDC identifies "neighborhoods and built <br />environment" as one of five key social determinants of health191 and includes "creat[ing] <br />neighborhoods and environments that promote health and safety" as one of the agency's goals <br />for social determinants of health outcomes. <br />a. Neighborhood features that promote improved health and safety outcomes. <br />Public Comment: Commenters argued that neighborhoods impact physical health <br />outcomes in several ways. First, some commenters reasoned that the physical environment and <br />1" U.S. Department of Health and Human Services, Neighborhood and Built Environment, <br />https://health.gov/healthypeople/objectives-and-data/browse-obj ectives/neighborhood-and-built-environment#cit 1 <br />(last visited November 9, 2021). <br />191 Social determinants of health are "the conditions in the places where people live, learn, work, and play that affect <br />a wide range of health risks and outcomes." Centers for Disease Control and Prevention, About Social Determinants <br />of Health (SDOH), https://www.cdc.gov/socialdeterminants/about.html (last visited November 9, 2021). <br />129 <br />