Who should be on Allegheny County’s new board of health?
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Photo by Mingjun Liu on Unsplash

Who should be on Allegheny County’s new board of health?

Experts weigh in on what types of appointees are needed to build a healthier Pittsburgh and surrounding county.

PITTSBURGH — In the next year, Allegheny County, which ecompasses Pittsburgh, is expected to get an entirely new board of health.


The board of health is a nine-member panel that makes rules and regulations, addresses public health threats, advises the county health director and makes other important decisions impacting the health of residents.

We spoke with public health experts and community health advocates about what a “dream team” board of health might look like.

Everyone emphasized that there’s no place for politics in public health. They said it’s critical to choose board members who have expertise in public health, who recognize that health is a nonpartisan issue and who will prioritize the health of the community above all else.

They all emphasized the importance of having community representation on the board — particularly from environmental justice communities.

Why are we getting a new board of health?

Board members are supposed to serve staggered four-year terms, but often end up serving past the expiration of their terms. Seven of the nine current board members are serving past expired terms. The other two members’ terms will expire in January 2024.

In November 2023, Allegheny County will elect a new county executive who will take office in January of the following year, and will appoint nine new members to the board of health.

The county health department is also about to get a new director, since Dr. Deborah Bogen, the county’s health director since 2020, has been appointed as secretary of the Pennsylvania Department of Health (Patrick Dowd is her temporary replacement).

All these changes present a unique opportunity to reimagine the health department.

Here’s what experts had to say.

Matt Mehalik, executive director of the Breathe Project

Matt Mehalik

Matt Mehalik has served as executive director of the Breathe Project, a Pittsburgh-based collaborative of more than 50 regional and national environmental advocacy groups since 2016.

Mehalik is also an adjunct professor of environmental policy at Carnegie Mellon University and previously served as a program director for Sustainable Pittsburgh.

EHN: What types of expertise should be represented on a board of health?

Matt Mehalik: Because the health department holds responsibility for implementing the federal Clean Air Act in Allegheny County, we particularly need people with a higher level of expertise in air quality regulation.

We need people who have expertise in preventing diseases like asthma, and we need people with technical expertise in air pollution monitoring and enforcement, and people who deeply understand air pollution’s impacts on public health.

We should also have more voices and representation from community members who are impacted by air pollution — particularly those in environmental justice communities or in close proximity to the most impactful sources of air pollution.

EHN: Are there any types of appointees you think should be avoided on the new board of health?

Matt Mehalik: We need to avoid regulatory capture by powerful industries. This is currently a problem.

For example, the Allegheny County Health Department has a subcommittee on pollution prevention and education, and it’s chaired by U.S. Steel — one of the biggest industrial polluters in the county. As a result, they’re not doing their job, which is to educate people about air pollution. Industry interests are also overrepresented on other advisory committees, like the air advisory committee, and impacted communities are underrepresented. That needs to stop.

There’s also a complete lack of transparency about who sits on these committees, what their affiliations are and how long their terms are. Those committees don’t have any legal force — they’re just advisory — but they do exert influence.

EHN: Are there any specific initiatives you’d hope to see a newly revitalized board of health take on, particularly related to environmental health in the region?

Matt Mehalik: First, I’d like to see much-improved dialog with local communities that experience air pollution issues.

Second, the county should never agree to settlement agreements that create “pay to pollute” relationships with polluting entities — something we have major problems with right now.

Third, we need better partnerships to analyze data and gather information related to air pollution events. We have the Smell Pgh app and Breathe Cams that Carnegie University’s CREATE Lab has created in collaboration with the Breathe Project, and the health department basically ignores all of that data right now.

Fourth, there’s still a backlog of Title V permits at the health department. We need to eliminate that backlog and improve the way those permits are tracked and managed.

About the author(s):

Kristina Marusic
Kristina Marusic

Kristina is the Senior Editor of Environmental Health News. She also reports on environmental health and justice issues in Pittsburgh and Western Pennsylvania. Her book, "A New War On Cancer: The Unlikely Heroes Revolutionizing Prevention," uncovers an emerging national movement to prevent cancer by reducing our exposure to cancer-causing chemicals in our everyday lives.

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