Upstream

How is King County doing?

Upstream indicators reflect how well we are creating those essential conditions that give all communities an equal influence on policies that affect their health and wellbeing. Because many communities face unhealthy environments, lack of affordable housing, poverty, unsafe neighborhoods, and racism/discrimination, they are placed at a significant disadvantage to advocate for equitable policies from government, schools, and other institutions. While achieving equity upstream is a long term endeavor, it can provide the greatest benefit to largest number of people.

The accompanying indicators are an initial look at upstream conditions in King County, and many of them show significant inequities, particularly for communities of color. Most notably, in 2007, African-Americans were about four times more likely and Latinos were about three times more likely than whites to be living below the Federal poverty level. In addition, people of color (41 percent) were more than twice as likely to report discrimination in the past year than were whites (25 percent).

What else influences these indicators?

These indicators are influenced by the policies and decisions occurring at federal, state, and local levels of government. They are also influenced by the extent to which disadvantaged communities have a voice in shaping these policies and decisions.

What role does King County government play?

While King County is only one of many jurisdictions whose policies and decisions affect these upstream indicators, it can test and model approaches that incorporate equity and social justice into policies and decisions. Through partnerships with other jurisdictions and communities, King County can support and create space for disadvantaged communities to have a greater voice in shaping policies and decisions that affect them. In addition, as an employer, King County can promote fairness and racial justice in organizational practices by educating employees and examining internal policies . This website will soon include measurements for specific strategies that address upstream conditions.