{"title":"Association of mercury exposure with allostatic load and cardiovascular disease risk.","authors":"Hayley Howard, Emmanuel Obeng-Gyasi","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>This study, utilizing data from NHANES 2017-2018, explores the association of mercury exposure with allostatic load and cardiovascular disease risk among a representative sample of the United States noninstitutionalized civilian population, involving 9,254 participants. The investigation provided critical insights including statistically significant relationships between mercury levels and diastolic blood pressure, total cholesterol and LDL cholesterol in linear regression, and triglycerides in logistic regression. Findings highlight the potential influence of environmental factors on cardiovascular health and the importance of integrating such factors into cardiovascular disease prevention and management strategies.</p>","PeriodicalId":89946,"journal":{"name":"International public health journal","volume":"16 3","pages":"259-269"},"PeriodicalIF":0.0,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12974899/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147437217","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Empowering communities: The role of wearable devices in environmental justice.","authors":"Akua Marfo, Emmanuel Obeng-Gyasi","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>This paper delves into the emerging role of wearable devices in the realm of environmental justice and public health monitoring, offering a novel perspective on how technology can empower communities, especially those facing disproportionate environmental challenges. It provides an in-depth analysis of various wearable sensor technologies, including air quality monitors, UV exposure sensors, and water quality sensors, highlighting their significance in real-time environmental and health data collection. The research underscores the importance of these devices in enabling marginalized communities to actively participate in monitoring and responding to environmental health hazards. By facilitating access to personalized and location-specific environmental data, wearable technologies not only raise individual awareness but also contribute to community-level advocacy and action. Furthermore, the paper explores the potential advancements in wearable technologies through the integration of AI and machine learning, enhancing their effectiveness in data analysis and interpretation. However, it also critically examines the challenges associated with data privacy, security, and accessibility, emphasizing the need for inclusive and equitable technology deployment. This study is significant for its contribution to understanding the intersection of technology, environmental health, and social justice. It argues that wearable devices can be transformative tools in achieving environmental justice, providing communities with the means to gather evidence, advocate for change, and protect public health. The findings of this paper are pertinent for policymakers, public health officials, and environmental justice advocates seeking to leverage technology for societal benefit.</p>","PeriodicalId":89946,"journal":{"name":"International public health journal","volume":"16 3","pages":"197-222"},"PeriodicalIF":0.0,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12974889/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147437589","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"A review on the potential lead pollution in domestic water use in the State of Mississippi.","authors":"William Dodoo Sackey, Emmanuel Obeng-Gyasi","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Not so long ago, the city of Jackson, Mississippi, was overwhelmed by severe water challenges following the failure of the city's largest water treatment plant. This failure led to acute water shortage, with most of the residents being unable to access clean tap water. Several of the communities that had running tap water had to subject the water to boiling in order to perform domestic tasks such as bathing or cleaning, as the water was generally unsafe and consisted of dirt and soil sediments. The breakdown in the water treatment plant is largely attributed to severe storms, which led to the flooding of the Pearl River, which serves as the source of the Jackson, Mississippi water system. Although the storms and floods were a significant factor, the Jackson water system has long been subjected to a culture of neglect and poor maintenance. The poor maintenance culture poses a significant public health threat, and it causes the old, rusty water pipelines to leach lead over time, and this has severe health implications. This paper presents a literature review on the potential for lead pollution in domestic water use within the southern state of Mississippi, and it highlights the existing legislation from agencies such as the United States Environmental Protection Agency (EPA), which exists to address such problems. This paper further discusses some potential health implications of lead toxicity, such as elevated blood pressure, renal impairments, and even death in very severe cases.</p>","PeriodicalId":89946,"journal":{"name":"International public health journal","volume":"16 3","pages":"249-256"},"PeriodicalIF":0.0,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12974900/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147438285","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"How combined PFAS (per- and polyfluoroalkyl substances) and metals may contribute to chronic obstructive pulmonary disease.","authors":"Aderonke Ayodele, Emmanuel Obeng-Gyasi","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>This paper explores the combined impact of PFAS (per- and polyfluoroalkyl substances) and heavy metals on respiratory health, focusing on their potential synergistic or additive effects. Evidence suggests that co-exposure to these contaminants might exacerbate pulmonary inflammation, oxidative stress, and lung injury. Studies indicate that PFAS and heavy metals, both known for their persistence and bioaccumulation in the environment, can disrupt immune responses, increase susceptibility to respiratory infections, and contribute to the development and exacerbation of COPD (chronic obstructive pulmonary disease). Given the limited research on the joint effects of PFAS and metals, this paper aims to fill the knowledge gap by providing insights into their interactive effects on respiratory health. It underscores the importance of regulatory measures to limit emissions of these contaminants and public health initiatives to reduce exposure. By addressing the combined impact of PFAS and metals, effective strategies can be developed to protect respiratory health and mitigate the risks associated with environmental pollutants.</p>","PeriodicalId":89946,"journal":{"name":"International public health journal","volume":"16 3","pages":"241-248"},"PeriodicalIF":0.0,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12974849/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147437935","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Association of total arsenic exposure with allostatic load and cardiovascular disease risk.","authors":"Elon Barbee, Emmanuel Obeng-Gyasi","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>This study aimed to investigate the relationship between arsenic exposure (as measured in urine) and both allostatic load and cardiovascular disease (CVD) risk markers within a representative group of participants from the U.S. noninstitutionalized civilian population. The results revealed individuals with high arsenic levels were significantly older than those with lower arsenic levels. Other findings indicated no significant associations between cardiovascular variables by degree of arsenic exposure as measured by total urinary arsenic. These results underscore the need to assess numerous biomarkers when examining the potential health implications of exposure to arsenic as markers of longer-term Arsenic exposure or consideration of specificity of arsenic species may have yielded different results.</p>","PeriodicalId":89946,"journal":{"name":"International public health journal","volume":"16 3","pages":"271-280"},"PeriodicalIF":0.0,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12974894/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147437235","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Occupational determinants of health.","authors":"Aderonke Adetunji, Emmanuel Obeng-Gyasi","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Occupational determinants of health encompass a broad spectrum of workplace factors that wield considerable influence over an individual's holistic well-being, encompassing physical, mental, and social dimensions. This viewpoint aims to provide an expansive and nuanced examination, evaluation, and definition of these determinants, elucidating the intricate interplay between one's occupation and their health. Extensive research, including a meticulous review of qualitative and quantitative studies conducted between 2000 and 2023, has been undertaken to delineate occupational hazards prevalent across diverse professions. The findings underscore the pivotal roles played by biological and chemical hazards, alongside the intricate web of occupational and socioeconomic factors, in shaping the health landscape of workers. This comprehensive analysis not only highlights the varied dimensions of occupational health but also sheds light on the multifaceted nature of hazards, emphasizing their significant impact on the well-being of individuals within the workforce.</p>","PeriodicalId":89946,"journal":{"name":"International public health journal","volume":"16 3","pages":"223-239"},"PeriodicalIF":0.0,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12974872/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147438272","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"How will Severe Acute Respiratory Syndrome Coronavirus-2 (SARS-CoV-2) and lead (Pb) exposure interact in the cardiovascular system?","authors":"Emmanuel Obeng-Gyasi","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The combined effects of lead exposure and the severe acute respiratory syndrome coronavirus-2 (SARS-CoV-2) and how they cause cardiovascular dysfunction are examined in this viewpoint manuscript. Lead was picked as a representative environmental contaminant because it has been studied extensively for more than 40 years, while SARS-CoV-2 illustrates the unpredictability of a new infectious agent that can quickly increase the environmental burden on communities. Given that this interaction represents a plausible combined exposure for many people, it is crucial to discuss how it might happen at a mechanistic level. SARS-CoV-2 causes the coronavirus disease 2019 (COVID-19), which can spread by contact and respiratory droplets. One may be exposed to lead and SARS-CoV-2 simultaneously depending on their living situation. Uncertainty exists regarding the consequences of this exposure on cardiovascular disease and its underlying processes. This paper aims to investigate these mechanisms and provide potential causes behind them. The interaction of lead with SARS-CoV-2 and its effects on the cardiovascular system are likely caused by direct damage, the promotion of reactive oxygen species (ROS) production, oxidative stress, and inflammation. In particular, the stimulation of nuclear factor kappa B (NF-B), interleukin-6 (IL-6), and tumor necrosis factor-alpha (TNF) were all identified as potentially important pathways. Blood clotting, cytokine storm cycle development, and increased hypoxia may also be the results of this. In summary, the effects on the immune system, coagulation, the renin-angiotensin-aldosterone system, and cardiac contractility were the four primary areas identified.</p>","PeriodicalId":89946,"journal":{"name":"International public health journal","volume":"16 1","pages":"3-10"},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11321597/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141977445","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Kylie W Riley, Kimberly Burke, Anabel Cole, Maricela Ureno, Holly M Dixon, Lehyla Calero, Lisa M Bramer, Katrina M Waters, Kim A Anderson, Julie B Herbstman, Diana Rohlman
{"title":"Factors that Influence Environmental Health Literacy from Returning Polycyclic Aromatic Hydrocarbon Exposure Results.","authors":"Kylie W Riley, Kimberly Burke, Anabel Cole, Maricela Ureno, Holly M Dixon, Lehyla Calero, Lisa M Bramer, Katrina M Waters, Kim A Anderson, Julie B Herbstman, Diana Rohlman","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Reporting personal environmental exposure data back from researchers to study participants is becoming more common, however there are few tools to assess whether report back increases Environmental Health Literacy (EHL). This study assessed whether sociodemographic or environmental characteristics were associated with changes in EHL after receiving personal air monitoring results. This study was conducted in a New York City based pregnancy cohort wherein participants were assessed for exposure to polycyclic aromatic hydrocarbons during the third trimester of pregnancy. Participants (n=168) received their results two to five years after participation and a subset (n=47) completed a survey evaluating perspectives on their results and subsequent behaviors. Using these results, we created a quantitative scale of EHL, with higher scores indicative of higher EHL. We found that participants with a college degree were significantly more likely to be surprised by their results than those with less than a high school degree (OR = 5.60, p ≤ 0.05) and that higher naphthalene levels were associated with decreased odds of being surprised about receiving the results (OR = 0.37, p = 0.02). There were no observed associations between demographic or exposure characteristics and our dichotomous EHL indicator; however, those with more education and higher income tended to have higher EHL scores. Additionally, participants who reported being surprised by or glad to receive their results had higher EHL scores. Open-ended text responses indicated that while some participants felt worried after receiving their results, participants reported being glad to have received the report.</p>","PeriodicalId":89946,"journal":{"name":"International public health journal","volume":"15 3","pages":"317-331"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12707802/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145776818","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Shalini H Shah, Alan D Woolf, Kimberly Manning, Faye Holder-Niles, Bridget Tully, Shelby Flanagan, Matthew C Spence, Marissa Hauptman
{"title":"The more you know: Insights from integrated pre-visit surveys in a pediatric environmental health center.","authors":"Shalini H Shah, Alan D Woolf, Kimberly Manning, Faye Holder-Niles, Bridget Tully, Shelby Flanagan, Matthew C Spence, Marissa Hauptman","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The Pediatric Environmental Health Center (PEHC) at Boston Children's Hospital is a specialty referral clinic that provides consultation for approximately 250 patients annually. Identifying environmental hazards is key for clinical management. Exposure concerns include lead, mold, pesticides, perfluoroalkyl substances (PFAS), impaired air quality, and more. Our goal was to identify concerns and visit priorities of our patient population to guide visits. A 47-question pre-visit survey was created exploring potential environmental hazards and administered prior to visits using a platform integrated into the electronic medical record (EMR). The study group was a convenience sample of patients from June 2021 to June 2022. Of 204 total visits, 101 surveys were submitted, yielding a response rate of 49.5%. 66/101 (65.3%) were surveys from initial consultations used for descriptive analysis. The majority of patients were seen for a chief complaint of lead exposure (90.1%). Most respondents had concerns about peeling paint (40.0%), and those reporting peeling paint were more likely to report additional concerns [75.0%, p < 0.001]. Other concerns highlighted were mold (15.2%), pests (15.2%), asbestos (10.6%), air pollution (9.1%), temperature regulation (7.6%), pesticides (6.1%), PFAS (4.5%), and formaldehyde (4.5%). A knowledge gap was identified; 45.5% (30/66) respondents responded \"no\" to the question asking if the Poison Control Center phone number was stored in their phone. This study illustrates how the implementation of a pre-visit EMR integrated survey engages families, informs clinical care, and serves as a point-of-care education tool for specific knowledge gaps. Findings will guide development of future environmental health screeners.</p>","PeriodicalId":89946,"journal":{"name":"International public health journal","volume":"15 3","pages":"297-306"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10868725/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139742886","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Han N Oo, Miranda Spratlen, Courtney K Blackwell, Teresa Durham, Jia Guo, Lori Hoepner, Diurka Diaz, Gladys Badia, Shuang Wang, Julie B Herbstman
{"title":"Neighborhood quality and positive health indicators among urban adolescents.","authors":"Han N Oo, Miranda Spratlen, Courtney K Blackwell, Teresa Durham, Jia Guo, Lori Hoepner, Diurka Diaz, Gladys Badia, Shuang Wang, Julie B Herbstman","doi":"10.52305/LXGW1086","DOIUrl":"10.52305/LXGW1086","url":null,"abstract":"<p><p>There is a growing epidemiologic interest to expand the scope of health research beyond disease and risk factors to a more comprehensive evaluation of all health states, including those on the positive end of the spectrum (\"positive health\"). Neighborhood quality (NQ) is a potentially modifiable factor that may influence positive health. We evaluated the association between perception of NQ in childhood and indicators of positive health among adolescents who live in low-income, urban neighborhoods of New York City. Mothers assessed NQ prospectively via questionnaire at child ages 5, 7, 9, and 11. Indicators of positive health domains including general health, physical health, and mental health were assessed and reported by mothers when their children were between the ages of 10-20 years and self-reported among a subset of children at 16-20 years. Children were grouped into \"stressed\" and \"non-stressed\" NQ groups based on the repeated prospective maternal report evaluating various aspects of their neighborhood. Overall, we found a general trend that those in the perceived \"non-stressed\" NQ groups had better Global Health compared to those in the \"stressed\" NQ group. In the subset of children who provided self-report, we observed significant associations between better overall NQ and NQ safety and better Global Health. We also observed a significant relationship between greater perceived neighborhood social cohesion and lower psychological stress. Our findings identify an important modifiable environmental factor in child and adolescent health that could serve as a focus for interventions to help break the cycle of children's environmental health disparities.</p>","PeriodicalId":89946,"journal":{"name":"International public health journal","volume":"14 3","pages":"289-300"},"PeriodicalIF":0.0,"publicationDate":"2022-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11257161/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141725235","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}