Environmental Public Health Commons^™

Policy Implementation: Teachers’ Role As First Responders In Emergencies And Disasters, Shabir Hyder, Adnan Fazal Manzoor, Muhammad Amjad Iqbal

Kesmas

During the past decade, the schoolchildren faced many disasters and emergencies originating from natural and man-made sources. The safety of schoolchildren rests with school management and teachers. This study aimed to assess teachers' awareness with regard to disaster prevention and health, safety, security, and environment (HSSE) policies at primary schools in Pakistan. In addition, it explores the suitability of teachers to perform as emergency handlers in the absence of school nurses and resource officers (SROs). The study involved a qualitative study, based on open-ended interviews from a sample of 25 school teachers. Methodology triangulation was applied to reduce bias. Results …

When Will The Covid-19 Pandemic In Indonesia End?, Dewi Susanna

Kesmas

On January 30, 2020, the World Health Organization(WHO) declared 2019-nCOV to be a Public Health Emergency of International Concern (PHEIC), due to the significant increase in confirmed new cases in various countries.1 In Indonesia, the first confirmed COVID-19 case was a female who had a closed contact with the 24th confirmed case in Malaysia and the second case was the mother of the first case.2 As time goes by, the number of new cases has increased significantly, reaching 160.165 confirmed cases with 6,944 deaths by August 27, 2020.3 The time when the COVID-19 pandemic in Indonesia will end is not …

Obesity Indicators And C-Reactive Protein In Indonesian Adults (More Than Equal To 40 Years Old): The Indonesian Family Life Survey 5, Yeni Mahwati, Dieta Nurrika

Kesmas

C-reactive protein (CRP) is the best clinical marker for systemic inflammation. Obesity is associated with increased CRP levels. Systemic inflammation is present before morbidity occurs. Research reveals that the identification of obesity indicators and CRP levels is limited among Indonesians. The present study investigated the associations between obesity indicators (body mass index [BMI], waist circumference [WC], waist-to-hip ratio [WHR], waist-to-height ratio [WHtR]) and CRP levels among Indonesian adults. This cross-sectional study based on Indonesian Family Life Survey-5 2014–2015 was conducted among 3,386 adults (≥ 40 years) living in 13 provinces in Indonesia during the study period. All data were collected …

Using The Reach, Effectiveness, Adoption, Implementation, Maintenance Framework In The Evaluation Of Community-Based Adolescent Care Pilot Program, Badra Al Aufa, Wahyu Sulistiadi, Mochamad Iqbal Nurmansyah, Agung T R Syiroj, Ibrahim Isa Koire

Kesmas

Posyandu Remaja (Posmaja) is a community-based adolescent care service in Indonesia that comprises a group of adolescents working as volunteers and healthcare workers under the guidance and responsibility of the Public Health Centre and City Health Office. The study aims to provide a formative evaluation program of Posmaja using the Reach, Effectiveness, Adoption, Implementation, and Maintenance (RE-AIM) framework. This research used a qualitative approach and took place in South Tangerang City, Indonesia. The data were collected from July until December 2018. Nineteen people participated in the study. The study used in-depth interviews and focus group discussions that adopted the RE-AIM …

A Study On Knowledge, Attitudes, And Practices On Rabies In The Philippines, Reynaldo Jr Bundalian, Monalisa Lacson, Catherine Bacani, Dinah Rose Soriano, Agnes Garing, Artemio Jr Aquino, Archie Policarpio, Joey Kyle Mallari, Remedios San Jose, Maria Fe Bulao, Neil Tanquilut, Patricia Joy Magsino

Kesmas

In 2007, the Philippine government passed the Anti-Rabies Act to address rabies in the country. However, rabies is still a major public health concern in many provinces. This study aimed to evaluate the knowledge, attitude, and practices (KAP) of residents on rabies, the Anti Rabies Act, and responsible pet ownership (RPO) in Pampanga, Philippines. A cross-sectional survey was done from October 2017 to February 2018 in 92 randomly selected barangays in the province. Questionnaires were adapted from similar studies. Logistic regression was used to identify factors associated with KAP. Results showed that most people have good knowledge of the Anti-Rabies …

Cultural And Religious Belief Approaches Of A Tuberculosis Program For Hard-To-Reach Populations In Mentawai And Solok West Sumatera, Indonesia, Rizanda Machmud, Irvan Medison, Finny Fitry Yani

Kesmas

Tuberculosis (TB) is a leading public health concern in Indonesia. It ranks second on the list of high-burden TB countries. In West Sumatra, 47% of TB cases are undetected, late diagnosed, and received incomplete treatment because of low-level awareness and knowledge and stigma, especially among the hardest to reach populations. The study aims to identify the best communication channel to reach those who live in vulnerable and remote areas. This study was a qualitative study applying in-depth interviews to the informal leaders, health officers, cultural artists, and religious leaders across districts in Mentawai and Solok Districts, which are remote and …

The Future Environmental And Health Impacts Of Coal, Robert B. Finkelman, Amy L. Wolfe, Michael S. Hendryx

Faculty, Staff, and Affiliated Publications--KGS

In the United States, coal consumption in the last 12 years has declined from 1,045,140 million short tons in 2007 to 539,420 million short tons in 2019, a decrease of almost 50%. During that period the number of electric power coal generators has declined from 1,470 to 738 accounting for 21% of capacity. An even more dramatic decrease in coal use has occurred in Western Europe. This significant reduction in coal use and the concomitant closure of coal mines and coal-burning power plants will result in substantially cleaner air, reductions in respiratory problems such as asthma, less heart disease, fewer …

Evidence Of Nickel And Other Trace Elements And Their Relationship To Clinical Findings In Acute Mesoamerican Nephropathy: A Case-Control Analysis, Rebecca S. B. Fischer, Jason M. Unrine, Chandan Vangala, Wayne T. Sanderson, Sreedhar Mandayam, Kristy O. Murray

Plant and Soil Sciences Faculty Publications

BACKGROUND: Although there are several hypothesized etiologies of Mesoamerican Nephropathy (MeN), evidence has not yet pointed to the underlying cause. Exposure to various trace elements can cause the clinical features observed in MeN.

METHODS AND FINDINGS: We measured 15 trace elements, including heavy metals, in renal case-patients (n = 18) and healthy controls (n = 36) in a MeN high-risk region of Nicaragua. Toenails clippings from study participants were analyzed using inductively coupled plasma mass spectrometry. A case-control analysis was performed, and concentrations were also analyzed over participant characteristics and clinical parameters. Nickel (Ni) concentrations were significantly higher in toenails …

A Geologically Based Indoor-Radon Potential Map Of Kentucky, William C. Haneberg, Amanda T. Wiggins, Douglas C. Curl, Stephen F. Greb, William M. Andrews Jr., Kathy Rademacher, Mary Kay Rayens, Ellen J. Hahn

Faculty, Staff, and Affiliated Publications--KGS

We combined 71,930 short-term (median duration 4 days) home radon test results with 1:24,000-scale bedrock geologic map coverage of Kentucky to produce a statewide geologically based indoor-radon potential map. The test results were positively skewed with a mean of 266 Bq/m³, median of 122 Bq/m³, and 75th percentile of 289 Bq/m³. We identified 106 formations with ≥10 test results. Analysis of results from 20 predominantly monolithologic formations showed indoor-radon concentrations to be positively skewed on a formation-by-formation basis, with a proportional relationship between sample means and standard deviations. Limestone (median 170 Bq/m³) …

Associations Between Household-Level Exposures And All-Cause Diarrhea And Pathogen-Specific Enteric Infections In Children Enrolled In Five Sentinel Surveillance Studies, Josh M. Colston, Abu S G. Faruque, M Jahangir Hossain, Debasish Saha, Suman Kanungo, Inácio Mandomando, Muhammad Imran Nisar, Anita K. M. Zaidi, Richard Omore, Zulfiqar Ahmed Bhutta

Department of Paediatrics and Child Health

Diarrheal disease remains a major cause of childhood mortality and morbidity causing poor health and economic outcomes. In low-resource settings, young children are exposed to numerous risk factors for enteric pathogen transmission within their dwellings, though the relative importance of different transmission pathways varies by pathogen species. The objective of this analysis was to model associations between five household-level risk factors-water, sanitation, flooring, caregiver education, and crowding-and infection status for endemic enteric pathogens in children in five surveillance studies. Data were combined from 22 sites in which a total of 58,000 stool samples were tested for 16 specific enteropathogens using …

Effectiveness Of Building Systems Strategies For Mitigation Of Airborne Transmission Of Sars-Cov-2, Meng Kong, Jialei Shen, Bing Dong, Jianshun Jensen Zhang

Mechanical and Aerospace Engineering - All Scholarship

Airborne transmission has been recognized as a major transmission pathway for the infectious disease COVID-19. This study investigated the effectiveness of several indoor air quality (IAQ) control strategies on the mitigation of airborne transmission of SARS-CoV-2, the virus that causes COVID-19. The well-known airborne disease infection risk model (Wells-Riley equation) was used to estimate the infection risk of the SARS-CoV-2 in seven (7) different types of spaces including conference center/ballrooms, hotel bistro//cafeteria, hotel lobby, classrooms (lecture), conference room/small classroom, hotel or cruise ship guest rooms and open plan offices. The IAQ control strategies included increased ventilation rate, improved air distribution …

J Mich Dent Assoc November 2020

The Journal of the Michigan Dental Association

Every month, The Journal of the Michigan Dental Association brings news, information, and features about Michigan dentistry to our state's oral health community and the MDA's 6,200+ members. No publication reaches more Michigan dentists!

In this issue, the reader will find the following original content:

• Feature articles on how “Routine Blood Lead Testing During Pregnancy Empowers Future Dental Caries and Neurotoxicity Research”, how to “Recoup Your Dues and More with MDA-Endorsed Programs”, and your “2021 MDA Membership Benefits Guide”.
• News you need, Editorial and regular department articles on MDA Foundation activities, Dentistry and the Law, Staff Matters, 10-Minute EBD, Headquarters …

Air Pollution And Non Communicable Diseases, Zafar Fatmi, Shafaq Mahmood, Zainab Samad, Mohammad Wasay

Community Health Sciences

No abstract provided.

Covid-19 Evacuation And Sheltering Risk Perception Study, Joshua G. Behr, Rafael Diaz, Wie Yusuf, Bridget Giles, Kaleen Lawsure, George Mcleod

Presentations, Lectures, Posters, Reports

First two paragraphs from the Executive Overview:

This report, COVID-19 Evacuation and Sheltering Risk Perception Study, is one of several key science-based research efforts produced for the State reflecting the most current knowledge related to evacuation and sheltering behavior. The primary data source for this report are interviews with 2,200 households across ten localities in Hampton Roads, including the Eastern Shore. The findings – and recommendations – within this report are intended to inform and advance state and local evacuation and public shelter planning.

This report contains 31 specific recommendations (Action Items) that broadly advance coastal resilience and protect the …

The Use Of Penalized Regression Analysis To Identify County-Level Demographic And Socioeconomic Variables Predictive Of Increased Covid-19 Cumulative Case Rates In The State Of Georgia, Holly L. Richmond, Joana Tome, Haresh Rochani, Isaac Chun-Hai Fung, Gulzar H. Shah, Jessica S. Schwind

Biostatistics, Epidemiology & Environmental Health Sciences: Faculty Publications

Systemic inequity concerning the social determinants of health has been known to affect morbidity and mortality for decades. Significant attention has focused on the individual-level demographic and co-morbid factors associated with rates and mortality of COVID-19. However, less attention has been given to the county-level social determinants of health that are the main drivers of health inequities. To identify the degree to which social determinants of health predict COVID-19 cumulative case rates at the county-level in Georgia, we performed a sequential, cross-sectional ecologic analysis using a diverse set of socioeconomic and demographic variables. Lasso regression was used to identify variables …

Global Air Quality Trekkers: Nandi Clean Kitchen Study, Samantha Dykhuis, Stephanie Schiavo, Avalin Senefeld

Purdue Journal of Service-Learning and International Engagement

Indoor air pollution is a widespread environmental health challenge sub-Saharan Africa and is the leading cause of premature death in many sub-Saharan African countries. This pollution is primarily caused by the burning of biomass fuels inside an enclosed kitchen in order to provide heat for cooking. Global Air Quality Trekkers is an undergraduate engineering team within the EPICS department at Purdue that began in fall 2016. Our objective is to create a kitchen design that utilizes natural ventilation to mitigate the amount of air pollutants present in these kitchens, specifically in the Nandi community of Western Kenya. This year, our …

Analisis Risiko Kesehatan Pajanan Particulate Matter (Pm2.5) Pada Pekerja Pengrajin Batu Bata Di Kecamatan Taktakan, Kota Serang, Banten, Tahun 2018, Nadiya Nurul Huda, Haryoto Kusnoputranto

Jurnal Nasional Kesehatan Lingkungan Global

Clay brick industry worker are at risk for the health effect to exposure PM2,5, resulting from combustion and forming process. This study aimed to estimate the risk of PM2,5 exposure in ambient air to clay brick industry worker in Kecamatan Taktakan Serang Banten. This study used primary data of 73 worker and environment sampel was measured from 9 site with Haz dust EPAM 5000. Univariate data were present and health risk was calculated using environmental health risk assessment method that generates value of individual exposure intake per day. Exposure intake was calculated based on PM2,5 concentration, individual exposure patterns, and …

Analisis Risiko Kesehatan Pemulung Akibat Pajanan Gas No2 Dan So2 Di Tpa Cipayung, Depok Tahun 2018, Rezha Pratiwi Eka Gharini, Ema Hermawati

Jurnal Nasional Kesehatan Lingkungan Global

Background. Gases NO2 and SO2 are air pollutants that cause odor and pollute the air around the landfill. The gases will emerge at every stage of landfilling and compaction operations in the landfill. This study aims to analyze the level of exposure risk of NO2 and SO2 gas, in ambient air to health disturbance on scavengers who move and settle around TPA Cipayung, Depok. Methods. This research was conducted in March-June of 2018 using the method of writing Environmental Health Risk Analysis (ARKL). Results. The result of measurement of NO2 has the average of measurement result is 31,794 µg/m3 , …

Analisis Hubungan Tingkat Kebisingan Dengan Kejadian Hipertensi Pada Pekerja Bagian Refining Di Pt X Tahun 2019, Shabrina Khairani, Umar Fahmi Achmadi

Jurnal Nasional Kesehatan Lingkungan Global

Background. The level of noise exposed to workers in industry that exceeds the threshold value can cause a stress mechanism that will increase heart rate and blood pressure. The purpose of this study is to find out the association between noise exposure and hypertension on workers in Refining section at PT X. Methods. This research method used a quantitative approach and a cross-sectional design on the 51 workers at Refining. This research used chi-square and regression logistics test as statistical analysis. Results. The result showed, there is a significant relationship between noise exposure and hypertension with p-value = 0,029 (OR …

Efektivitas Penyuluhan Individual Dan Kelompok Dalam Meningkatkan Pengetahuan, Sikap, Dan Perilaku Pengelolaan Sampah Rumah Tangga Berkonsep 3r (Studi Kasus Di Kelurahan Abadijaya Kota Depok Tahun 2018), Erin Firliana, Zakianis Zakianis

Jurnal Nasional Kesehatan Lingkungan Global

Background. The problem of increasing amount of waste is due to the lack of understanding and public awareness about household waste management using the 3R concept. Counseling is a health education activity carried out by disseminating information and instilling confidence to improve the knowledge, attitude, and behavior concerning household waste management using the 3R concept. The goal of this study is to find out which of the following counseling methods between individual counseling or group counseling is more effective at improving the value of average knowledge, attitude, and behavior towards household waste management using the 3R concept in Kelurahan Abadijaya, …