Medicine and Health Sciences Commons^™

Louisville / Jefferson County Hazardous Material Commodity Flow Analysis, Dr. Vijay Golla, Dr. Ritchie D. Taylor, Jonathan Suhl, Jacob Eagleson, Prachi Chavan, Roni Grigsby, Jim Bottom

Public Health Faculty Publications

This report presents the results of a Hazardous Material Commodity Flow Analysis for the Louisville Metro area and Jefferson County. Study components were conducted by Western Kentucky University in partnership with Louisville / Jefferson County Emergency Management Agency. The study area was focused in Louisville and Jefferson County, Louisville Metro area, and included monitoring in Bullet County and Oldham County, as shown in Figure 1.1. As part of the study, hazardous material transport was monitored at the following sites: Interstate-64 (I-64), East and West bound lanes at The Belvedere; I-64, East and West bound lanes at Blankenbaker exit location; Interstate-65 …

Road Dust Lead (Pb) In Two Neighborhoods Of Urban Atlanta, (Ga, Usa), Daniel M. Deocampo, Phillip Jack Reed, Alexander P. Kalenuik

Public Health Faculty Publications

Road dust continues to be a major potential reservoir of Pb in the urban environment, and an important potential component of child Pb exposure. This study presents ICP-AES analyses of metals in 72 samples of road dust (<250 >μm) collected in the urban core of Atlanta, Georgia. In the Downtown area, median Pb concentrations are ~63 mg/kg Pb, with high values of 278 mg/kg. For comparison, median Pb values in a nearby residential neighborhood (also in the urban core) were ~93 mg/kg, with a high of 972 mg/kg. Geospatial variability is high, with significant variation observed over tens to hundreds …

Correlates Of Suicide Ideation And Attempt Among Youth Living In The Slums Of Kampala, Monica H. Swahn, Jane B. Palmier, Rogers Kasirye, Huang Yao

Public Health Faculty Publications

While suicidal behavior is recognized as a growing public health problem world-wide, little is known about the prevalence and risk factors for suicidal behaviors among street and slum youth in Africa, and in Uganda, specifically. The number of youth who live on the streets and in the slums of Kampala appears to be growing rapidly, but their mental health needs have not been documented, which has hampered resource allocation and service implementation. This study of youth, ages 14–24, was conducted in May and June of 2011, to assess the prevalence and correlates of suicidal behavior. Participants (N = 457) were …

Kentucky Worksite Wellness Tax Credit: A Health Impact Assessment, Cecilia M. Watkins, T. Lovely

Public Health Faculty Publications

The purpose of the assessment was to evaluate the potential effects of a worksite wellness tax credit on three main areas of concern for Kentucky: (!) nutrition, physical activity and obesity levels of children whose parents receive Worksite Wellness services, (2) jobs and (3) social cohesion.

Self-Harm And Suicide Attempts Among High-Risk, Urban Youth In The U.S.: Shared And Unique Risk And Protective Factors, Monica H. Swahn, Bina Ali, Robert M. Bossarte, Manfred Van Dulmen, Alex Crosby, Angela C. Jones, Katherine C. Schinka

Public Health Faculty Publications

The extent to which self-harm and suicidal behavior overlap in community samples of vulnerable youth is not well known. Secondary analyses were conducted of the “linkages study” (N = 4,131), a cross-sectional survey of students enrolled in grades 7, 9, 11/12 in a high-risk community in the U.S. in 2004. Analyses were conducted to determine the risk and protective factors (i.e., academic grades, binge drinking, illicit drug use, weapon carrying, child maltreatment, social support, depression, impulsivity, self-efficacy, parental support, and parental monitoring) associated with both self-harm and suicide attempt. Findings show that 7.5% of participants reported both self-harm and suicide …

Evaluation Of The Impact Of The Plastic Biosand Filter On Health And Drinking Water Quality In Rural Tamale, Ghana, Christine E. Stauber, Byron Kominek, Kaida R. Liang, Mumuni K. Osman, Mark D. Sobsey

Public Health Faculty Publications

A randomized controlled trial of the plastic BioSand filter (BSF) was performed in rural communities in Tamale (Ghana) to assess reductions in diarrheal disease and improvements in household drinking water quality. Few studies of household water filters have been performed in this region, where high drinking water turbidity can be a challenge for other household water treatment technologies. During the study, the longitudinal prevalence ratio for diarrhea comparing households that received the plastic BSF to households that did not receive it was 0.40 (95% confidence interval: 0.05, 0.80), suggesting an overall diarrheal disease reduction of 60%. The plastic BSF achieved …

Dynamic Adaptation Process To Implement An Evidence-Based Child Maltreatment Intervention, Gregory A. Aarons, Amy E. Green, Lawrence A. Palinkas, Shannon Self-Brown, Daniel J. Whitaker, John R. Lutzker, Jane F. Silovsky, Debra B. Hecht, Mark J. Chaffin

Public Health Faculty Publications

Background: Adaptations are often made to evidence-based practices (EBPs) by systems, organizations, and/or service providers in the implementation process. The degree to which core elements of an EBP can be maintained while allowing for local adaptation is unclear. In addition, adaptations may also be needed at the system, policy, or organizational levels to facilitate EBP implementation and sustainment. This paper describes a study of the feasibility and acceptability of an implementation approach, the Dynamic Adaptation Process (DAP), designed to allow for EBP adaptation and system and organizational adaptations in a planned and considered, rather than ad hoc, way. The …

A Randomized Controlled Trial Of The Plastic-Housing Biosand Filter And Its Impact On Diarrheal Disease In Copan, Honduras., Anna M. Fabiszewski De Aceituno, Christine E. Stauber, Adam Walters, Rony E. Meza Sanchez, Mark Sobsey

Public Health Faculty Publications

Point of use drinking water treatment with the BioSand filter (BSF) allows people to treat their water in the home. The purpose of this research was to document the ability of the Hydraid plastic-housing BSF to reduce diarrheal disease in households who received a BSF in a randomized controlled trial. The trial of the Hydraid plastic-housing BSF was carried out in rural, mountainous communities in Copan, Honduras during April of 2008 to February of 2009. A logistic regression adjusting for clustering showed that the incidence of diarrheal disease in children under 5 years was reduced by approximately 45% (odds ratio …

The 1918–19 Influenza Pandemic In Boyacá, Colombia, Gerardo Chowell, Cecile Viboud, Lone Simonsen, Mark A. Miller, Rodolfo Acuna-Soto, Juan M. Ospina Díaz, Abel Fernando Martínez-Martín

Public Health Faculty Publications

To quantify age-specific excess-mortality rates and transmissibility patterns for the 1918–20 influenza pandemic in Boyacá, Colombia, we reviewed archival mortality records. We identified a severe pandemic wave during October 1918–January1919 associated with 40 excess deaths per 10,000 population. The age profile for excess deaths was W shaped; highest mortality rates were among infants (age), followed by elderly persons (>60 y) and young adults (25–29 y). Mean reproduction number was estimated at 1.4–1.7, assuming 3- or 4-day generation intervals. Boyacá, unlike cities in Europe, the United States, or Mexico, experienced neither a herald pandemic wave of deaths early in 1918 …

Epidemiological Characteristics And Underlying Risk Factors For Mortality During The Autumn 2009 Pandemic Wave In Mexico, Gerardo Chowell, Santiago Echevarria-Zuno, Cecile Viboud, Lone Simonsen, Mark A. Miller, Irma Fernandez-Garate, Cesar Gonzalez-Bonilla, Victor H. Borja-Aburto

Public Health Faculty Publications

Background: Elucidating the role of the underlying risk factors for severe outcomes of the 2009 A/H1N1 influenza pandemic could be crucial to define priority risk groups in resource-limited settings in future pandemics. Methods: We use individual-level clinical data on a large series of ARI (acute respiratory infection) hospitalizations from a prospective surveillance system of the Mexican Social Security medical system to analyze clinical features at presentation, admission delays, selected comorbidities and receipt of seasonal vaccine on the risk of A/H1N1-related death. We considered ARI hospitalizations and inpatient-deaths, and recorded demographic, geographic, and medical information on individual patients during August-December, 2009. …

Risk Factors For Mortality Among 2009 A/H1n1 Influenza Hospitalizations In Maricopa County, Arizona, April 2009 To March 2010, Gerardo Chowell, Aurimar Ayala, Vjollca Berisha, Cecile Viboud, Mare Schumacher

Public Health Faculty Publications

We analyzed individual-level data on pandemic influenza A/H1N1pdm hospitalizations from the enhanced surveillance system of the Maricopa County Department of Public Health, AZ, USA from April 1st, 2009 to March 31st, 2010. We also assessed the the risk of death among A/H1N1 hospitalizations using multivariate logistic regression. Hospitalization rates were significantly higher among Native Americans (risk ratio (RR) = 6.2; 95% CI: 6.15, 6.21), non-Hispanic Black (RR = 3.84; 95% CI: 3.8, 3.9), and Hispanics (RR = 2.0; 95% CI: 2.0, 2.01) compared to non-HispanicWhites. Throughout the spring, 59.2% of hospitalized patients received antiviral treatment; the proportion of patients treated …

Recrudescent Wave Of Pandemic A/H1n1 Influenza In Mexico, Winter 2011-2012: Age Shift And Severity, Gerardo Chowell, Santiago Echevarria-Zuno, Cecile Viboud, Lone Simonsen, Concepcion Grajales Muñiz, Ramón Alberto Rascón-Pacheco, Margot González-León, Victor Hugo Borja Aburto

Public Health Faculty Publications

BACKGROUND:

A substantial recrudescent wave of pandemic influenza A/H1N1 that began in December 2011 is ongoing and has not yet peaked in Mexico, following a 2-year period of sporadic transmission. Mexico previously experienced three pandemic waves of A/H1N1 in 2009, associated with higher excess mortality rates than those reported in other countries, and prompting a large influenza vaccination campaign. Here we describe changes in the epidemiological patterns of the ongoing 4th pandemic wave in 2011-12, relative to the earlier waves in 2009. The analysis is intended to guide public health intervention strategies in near real time.

METHODS:

We analyzed demographic …

Feasibility Study Of Social Media To Reduce Intimate Partner Violence Among Gay Men In Metro Atlanta, Georgia, Sheryl M. Strasser, Megan Smith, Danielle Pendrick, Sarah Boos-Beddington, Ken Chen, Frances Mccarty

Public Health Faculty Publications

Intimate Partner Violence (IPV) is a major public health issue occurring in the United States and globally. While little is known in general about IPV, understanding about the prevalence of physical IPV among gay men is even more obscure. There is a clear disparity in violence research attention focused on this vulnerable segment of society. This cross-sectional survey study was conducted to examine the feasibility of enrolling 100 gay men from Atlanta into an IPV survey study. The survey was administered via Facebook. Ninety-nine usable surveys were collected. Chi-square tests reveal that minority ethnic status, illicit drug use, and non-disclosed …