Environmental Public Health Commons^™

Association Between Self-Reported Fatigue And Sarcopenia Measures Among Elderly In Selangor, Malaysia, Maria Justine, Aliff Latir, Nadhirah Noor, Angelbeth Joanny, Izzaty Iskandar, Maisarah Sakinah Amirul Faizi, Dzulhelmi Edinan

Kesmas

The association between fatigue and sarcopenia is not well understood, therefore, this study aimed to compare the sarcopenia measures among elderly with mild and severe fatigue and to determine whether fatigue severity is associated with sarcopenia measures. This was a cross-sectional study conducted on201 elderly (age = 68.45±6.30 years). The elderly was classified into either mild or severe fatigue based on the Fatigue Severity Scale (FSS), meanwhile, sarcopenia measures include SARC-F score, muscle mass (ASM/height2), calf circumference (CC), upper (handgrip) and lower limb muscle strength, as well as physical performance (gait speed). Data were analyzed using independent t-tests and logistic …

Accelerating The Provision Of Safe Water Supply In Urban And Rural Areas Of Indonesia, Sumengen Sutomo, Salord Sagala, Bebi Sutomo, Sri Winarti, Gelant Sanjaya

Kesmas

Over the past 100 years, the provision of a safe water supply to drink in Indonesia has been slowly progressed with low coverage. The majority of the population does not have access to safe water. Morbidity and mortality of water-related diseases, including diarrhea, are very high. The provision of safe water is not a technological issue but good water management that comprises content, institutional, and communication layer. This paper provided information for strategic and operational decisions to accelerate the provision of safe water services in urban and rural areas. Benchmarking good water management with the characteristics of the water supply …

Unintended Consequences Of Air Cleaning Chemistry, Douglas B. Collins, Delphine K. Farmer

Faculty Journal Articles

Amplified interest in maintaining clean indoor air associated with the airborne transmission risks of SARS-CoV-2 have led to an expansion in the market for commercially available air cleaning systems. While the optimal way to mitigate indoor air pollutants or contaminants is to control (remove) the source, air cleaners are a tool for use when absolute source control is not possible. Interventions for indoor air quality management include physical removal of pollutants through ventilation or collection on filters and sorbent materials, along with chemically reactive processes that transform pollutants or seek to deactivate biological entities. This perspective intends to highlight the …

Healthcare Systems Should Be Leaders In Patient-Centered Sustainability, Katherine T. Liu Md, Facp, Lesley B. Gordon Md, Ms

Journal of Maine Medical Center

No abstract provided.

Great (Soft) Power Competition: Us And Chinese Efforts In Global Health Engagement, Michael W. Wissemann

The US Army War College Quarterly: Parameters

Global health engagement, an underutilized strategy rooted in the strengths of soft power persuasion, can lead to more military-to-military cooperation training, help establish relationships that can be relied on when crises develop, stabilize fragile states, and deny violent extremist organizations space for recruiting and operations. Examining Chinese efforts worldwide to curry favor and influence and the challenges posed by the COVID-19 pandemic, this article shows health as a medium is a very compelling and advantageous whole-of-government approach to national security policy concerns.

Concentrations Of Lead, Mercury, Arsenic, Cadmium, Manganese, And Aluminum In The Blood Of Pakistani Children With And Without Autism Spectrum Disorder And Their Associated Factors, Mohammad H. Rahbar, Shahnaz H. Ibrahim, Syed Iqbal Azam, Manouchehr Hessabi, Fatima Karim, Sori Kim, Jing Zhang, Nasreen Gulzar Ali, Katherine A. Loveland

Department of Paediatrics and Child Health

Background: Autism Spectrum Disorder (ASD) is a neurodevelopmental disorder with early onset in utero or childhood. Environmental exposure to six metals (Pb, Hg, As, Cd, Mn, Al) is believed to be associated with ASD directly or interactively with genes. Objective: To assess the association of ASD among Pakistani children with the six metals and genotype frequencies of three GST genes (GSTP1, GSTM1, GSTT1).
Methods: We enrolled 30 ASD cases, age 2-12 years old, and 30 age- and sex-matched typically developing (TD) controls in Karachi, Pakistan. We assessed associations of ASD status with various factors using …

Digital Equity Is An Environmental Justice Issue, Courtney B. Cooper

Master's Projects and Capstones

Digital equity has evolved into a more critical area of focus due to the novel coronavirus (COVID-19) pandemic. The COVID-19 pandemic exacerbated the existing digital divide, or the divide that exists between those who have access to the internet and those that do not, by moving many important services and resources online to reduce the spread of the virus. This shift has created more challenges for communities who either lack or have inadequate access to the internet. Furthermore, it is likely that internet utilization will only increase as we continue to recognize its capabilities. A lack of or inadequate access …

Investigation Of Environmental Lead Exposures In Children At A Midwestern City With Superfund Site, Zijian Qin

Theses & Dissertations

Childhood exposure to lead is known to cause a host of adverse health effects in children, with no safe blood lead level indicated. Environmental lead contamination is prevalent throughout the United States and remains a threat to the healthy development of children living in these areas, including children in Omaha, Nebraska. The overall objectives of this dissertation were to characterize potential sources of lead in the community – where children play and where children live through the use of environmental exposure sampling. This dissertation also provides insight into current Nebraska children's blood lead levels and identifies local populational attributes that …

U.S. Cosmetic Policy Reform: A Growing Need To Protect Communities Of Color From Exposure To Toxic Chemicals, Amna Haslam

Master's Projects and Capstones

Women of color are at a higher risk of exposure to toxic chemicals because of their use of more personal care products when compared to white women. A literature review was conducted focusing on mercury, a highly toxic heavy metal, found in some skin lightening creams used in Latinx, Black, and Southeast Asian communities to evaluate the impact of toxic chemicals used in communities of color. The use of skin lightening products is associated with the perception of beauty and social advantage. Further, women of color regardless of educational attainment experience the same social pressures to lighten their skin. This …

Regional Covid-19 Dynamics: Surrogate Synchrony In Case Infection Rates, Samantha Robinson

Mathematical Sciences Faculty Publications and Presentations

As many jurisdictions consider in-person learning strategies (including at Institutions of Higher Education, IHE), implementing travel restrictions or quarantines, and/or establishing interstate pacts to reduce COVID-19 spread, this study explores the degree to which COVID-19 case infection rates in a group of neighboring, Southern and Midwestern U.S. states (namely, Arkansas and its contiguous neighbors) are patterned in a non-random way known as synchrony. Utilizing surrogate synchrony (SUSY) to estimate the dyadic coupling between the COVID-19 case infection rate processes in this region from March to December 2020, results indicate that significant synchrony is present between Arkansas and three of its …

Development And Validation Of Biosafety Climate Scale And Survey-Based Analyses Of Safety Perceptions In Biological Research And Teaching Laboratories At Public Universities In The Usa., Sivarchana Mareedu

Electronic Theses and Dissertations

Biosafety plays a key role in ensuring safety of researchers’ as well as the public from unintentional exposures to infectious agents. However, the occurrence of lab acquired infections, exposures, and safety lapses in biological laboratories underscores challenges in biosafety program management. The raise in emerging and reemerging infectious diseases and the ongoing COVID-19 pandemic reiterates the need for biosafety and research community to work together. Literature recommends the application of safety climate in measuring safety culture. The goal of this dissertation is to quantify biosafety climate and examine associated factors to understand the gaps between research and biosafety professionals in …

Prevalencia Mensual De Trastorno De Ansiedad Generalizada Durante La Pandemia Por Covid-19 En México, Pablo Gaitán-Rossi, Víctor Pérez-Hernández, Mireya Vilar-Compte, Graciela Teruel-Belismelis

Department of Public Health Scholarship and Creative Works

Objective. Estimate the prevalence of generalized anxiety disorder (GAD) from April to June 2020. Materials and methods. Repeated cross-sections design based in the Encovid-19, a series of monthly mobile surveys with represen- tative samples of Mexico (N= 833-1 674).The questionnaire includes the GAD-2 scale, and, in July, the GAD-7 scale was added; we examined its internal validity with confirmatory factor analysis and its concurrent validity with sociodemo- graphic variables. Using GAD-7 as criterion, we analyzed the predictive validity of the GAD-2.We estimated the monthly prevalence with the GAD-2. Results. The GAD-7 and the GAD-2 are reliable and valid.The GAD-2 has …

Neutralization Of Il-33 Modifies The Type 2 And Type 3 Inflammatory Signature Of Viral Induced Asthma Exacerbation, Kristi J. Warren, Jill A. Poole, Jenea M. Sweeter, Jane M. Devasure, John D. Dickinson, R. Stokes Peebles, Todd A. Wyatt

Journal Articles: Environmental, Agricultural & Occupational Health

BACKGROUND: Respiratory viral infections are one of the leading causes of need for emergency care and hospitalizations in asthmatic individuals, and airway-secreted cytokines are released within hours of viral infection to initiate these exacerbations. IL-33, specifically, contributes to these allergic exacerbations by amplifying type 2 inflammation. We hypothesized that blocking IL-33 in RSV-induced exacerbation would significantly reduce allergic inflammation.

METHODS: Sensitized BALB/c mice were challenged with aerosolized ovalbumin (OVA) to establish allergic inflammation, followed by RSV-A2 infection to yield four treatment groups: saline only (Saline), RSV-infected alone (RSV), OVA alone (OVA), and OVA-treated with RSV infection (OVA-RSV). Lung outcomes included …

Gut Integrity And Duodenal Enteropathogen Burden In Undernourished Children With Environmental Enteric Dysfunction, Zehra Jamil, Najeeha Talat Iqbal, Romana Idress, Zubair Ahmad, Kamran Sadiq, Junaid Iqbal, Sana Syed, Aneeta Hotwani, Furqan Kabir, Kumail Ahmed, Sheraz Ahmed, Fayyaz Umrani, Fatima Aziz, Adil Kalam, Syed Asad Ali

Department of Biological & Biomedical Sciences

Environmental enteric dysfunction (EED) is a subclinical condition of intestinal inflammation, barrier dysfunction and malabsorption associated with growth faltering in children living in poverty. This study explores association of altered duodenal permeability (lactulose, rhamnose and their ratio) with higher burden of enteropathogen in the duodenal aspirate, altered histopathological findings and higher morbidity (diarrhea) that is collectively associated with linear growth faltering in children living in EED endemic setting. In a longitudinal birth cohort, 51 controls (WHZ > 0, HAZ > -1.0) and 63 cases (WHZ< -2.0, refractory to nutritional intervention) were recruited. Anthropometry and morbidity were recorded on monthly bases up to 24 months of age. Dual sugar assay of urine collected after oral administration of lactulose and rhamnose was assessed in 96 children from both the groups. Duodenal histopathology (n = 63) and enteropathogen analysis of aspirate via Taqman array card (n = 60) was assessed in only cases. Giardia was the most frequent pathogen and was associated with raised L:R ratio (p = 0.068). Gastric microscopy was more sensitive than duodenal aspirate in H. pylori detection. Microscopically confirmed H. pylori negatively correlated with HAZ at 24 months (r = -0.313, p = 0.013). Regarding histopathological parameters, goblet cell reduction significantly correlated with decline in dual sugar excretion (p< 0.05). Between cases and controls, there were no significant differences in the median (25th, 75th percentile) of urinary concentrations (μg/ml) of lactulose [27.0 (11.50, 59.50) for cases vs. 38.0 (12.0, 61.0) for controls], rhamnose [66.0 (28.0, 178.0) vs. 86.5 (29.5, 190.5)] and L:R ratio [0.47 (0.24, 0.90) vs. 0.51 (0.31, 0.71)] respectively. In multivariable regression model, 31% of variability in HAZ at 24 months of age among cases and controls was explained by final model including dual sugars. In conclusion, enteropathogen burden is associated with altered histopathological features and intestinal permeability. In cases and controls living in settings of endemic enteropathy, intestinal permeability test may predict linear growth. However, for adoption as a screening tool for EED, further validation is required due to its complex intestinal pathophysiology.

Environmental Justice Analysis Of Drinking Water Policies In Michigan Cities, Annika Paldan

Honors Theses

This thesis examined environmental justice aspects of drinking water policies in four cities across Michigan: Flint, Birmingham, St. Joseph, and Benton Harbor. An overview of the history of the environmental justice movement, environmental racism, and drinking water policies provided the basis for a four-part evaluative criterion to assess environmental justice components at the municipal level. These criteria include (1) housing tenure, (2) age, size, and service line composition of the infrastructure, (3) public participation in the policy process, and (4) emergency management of the city. Findings indicate that environmental justice has come a long way, with cities now incorporating components …

Optimization Of Vaccine Supply Chains In Low- And Middle-Income Countries Utilizing Drones, Maximilian Kolter

Graduate Theses and Dissertations

Despite tremendous efforts from governments and humanitarian organizations, millions of children in low- and low-middle-income countries (LICs and LMICs) are still excluded from the benefits of immunization. The vaccine distribution in LICs and LMICs is challenging for several reasons, such as limited cold chain capacities, vaccine wastage, uncertain demand, and lack of access to immunization services. A promising avenue to address these issues is the utilization of drones for vaccine delivery. Drones can fly at high speed on direct paths and could enable on-demand deliveries to mitigate limited storage capacities. Further, their independence of road networks could allow them reaching …

Hubungan Jumlah Koloni Bakteri Di Udara Dalam Ruang Dengan Kejadian Sick Building Syndrome (Sbs) Pada Pegawai Di Arsip Nasional Republik Indonesia Tahun 2019, Rachma Aditria Suci, Ririn Arminsih Wulandari

Jurnal Nasional Kesehatan Lingkungan Global

Background. Sick Building Syndrome (SBS) is one of the problems that are often experienced by residents in office buildings. SBS can be caused due to indoor air quality and individual characteristics. This study aims to determine the relationship between the total amount of bacterial colonies in the air in indoor office with SBS at Arsip Nasional Republik Indonesia. Methods. Cross sectional study design was used, the independent variables was the total number of colonies. The confounding variables were temperature, relative humidity, lighting, age, gender, working period, history of allergies and smoking habits. Results. Statistical analysis gives the results of the …

Pengaruh Tekanan Panas Terhadap Tekanan Darah Tinggi Pada Pekerja Bagian Casting Dan Pressing Di Pt X Tahun 2019, Shendy Glenfano Salean, I Made Djaja

Jurnal Nasional Kesehatan Lingkungan Global

Background. Heat pressure is a combination of several factors such as air temperature, air humidity, air velocity which is a forming of heat pressure. Exposure to high heat pressure can cause an increase in heart rate and blood pressure, also known as hypertension. According to the WHO, hypertension causes the deaths of as many as 8 million deaths a year worldwide. According to Riskesdas (2018) in Indonesia hypertension has a high prevalence, which is equal to 25.8% in 2013 and then becomes 34.1% in 2018. Methods. This study used a cross-sectional study design. This study aims to see the relationship …

Analisis Risiko Kesehatan Pajanan Timbal Dalam Kangkung Air Pada Petani Kangkung Di Kelurahan Sukapura Jakarta Utara Tahun 2019, Fauzia Rachmidiani, Suyud Warno Utomo

Jurnal Nasional Kesehatan Lingkungan Global

Background. Fuel can emit lead heavy metal into the air and will fall to the ground and accumulate in the soil or water. Soil has the ability to retain most of the harmful elements it contains in a long time. Planting water spinach on the edge of a road that is heavily traversed by vehicles will affect lead levels in water spinach due to the absorption of lead from the environment. This study aims to estimate the level of health risk of water spinach farmers due to ingestion of lead in water spinach grown in Sukapura District, North Jakarta. Methods. …

Penyakit Berbasis Lingkungan, Phbs Dan Kondisi Lingkungan Di Lembaga Pemasyarakatan Perempuan Kelas Iia Jakarta, Nurunissa Pratiwi, Laila Fitria

Jurnal Nasional Kesehatan Lingkungan Global

Background. The environment-based disease is a disease phenomenon caused by human association with environmental factors. 3 environmental-based diseases observed in this study were ARI, diarrhea, and fungal infection skin diseases. The purpose of this study was to describe the health problems experienced by prisoners, environmental conditions and the application of clean and healthy behavior, and the relationship between variabels in the Class IIA, Jakarta. Methods. This study used a cross-sectional study with 96 respondents. Retrieval of data using a questionnaire interview technique. Results. The results of statistikal tests showed that there was a significant relationship between the incidence of ARI …