Marginalized groups that are traditionally excluded from policy and decision-making are often also disproportionately affected by the hardships of natural disasters. By including community residents in research and planning, public health practitioners and researchers can create programs that have immediate relevance and policy implications. This article describes a case study of the formation of a community-uniStephanie Farquhar is Assistant Professor, Portland State University, School of Community Health, 450F Urban Center, 506 Mill Street, Portland, OR 97207-0751. At the time of the study, Dr. Farquhar was a W.K. Kellogg Postdoctoral Fellow, University of North Carolina at Chapel Hill. Noelle Dobson is Program Manager, Active Living by Design, American Heart Association, Pacific Mountain Affiliate, Portland, OR. Address correspondence to: Stephanie Farquhar, PhD (E-mail: farquhar@pdx.edu). Portions of this article were adapted with permission from a book chapter written by Farquhar, S.A., and Wing, S. (2002). Methodological and ethical considerations of community-driven environmental justice research: Examination of two case studies from rural North Carolina. In M. Minkler & N. Wallerstein (Eds.), Community-based participatory research for health (pp. 221-241). New York: Jossey Bass. This material is used by permission of John Wiley & Sons, Inc. versity partnership and a community-based participatory research project conducted in the aftermath of Hurricane Floyd. The description of methods used and the implications for practice will highlight the importance of including those most affected by a natural disaster. Members of several groups worked collaboratively to define the social and public health concerns of a rural North Carolina community and to create changes in disaster-recovery policy and practice.

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