A5055775039- Arsenic contamination and mitigation
- Heavy Metal Exposure and Toxicity
- Environmental Justice and Health Disparities
- Water Treatment and Disinfection
- Injury Epidemiology and Prevention
- Ethics and Legal Issues in Pediatric Healthcare
- Community Health and Development
- Palliative Care and End-of-Life Issues
- Fluoride Effects and Removal
- Fecal contamination and water quality
- Climate Change and Health Impacts
- Teacher Education and Leadership Studies
- Health Policy Implementation Science
- Child Nutrition and Water Access
- Grief, Bereavement, and Mental Health
- Heavy metals in environment
- Disaster Management and Resilience
- Evaluation and Performance Assessment
- Flood Risk Assessment and Management
- Teacher Professional Development and Motivation
- Groundwater and Isotope Geochemistry
- Public Health Policies and Education
Indian Health Service
2018-2024
Johns Hopkins University
2022-2023
Bloomberg (United States)
2022
United States Public Health Service
2020-2021
Indian Navy
2021
United States Public Health Service Commissioned Officers Association
2017-2018
BACKGROUND: In the United States, nationwide estimates of public drinking water arsenic exposure are not readily available.We used U.S. Environmental Protection Agency's (EPA) Six-Year Review contaminant occurrence data set to estimate exposure.We compared community system (CWS) concentrations during 2006-2008 vs. after 2009-2011, initial monitoring period for compliance with EPA's 10 lg=L maximum level (MCL).OBJECTIVE: Our objective was characterize potential inequalities in CWS over time...
The current US Environmental Protection Agency (EPA) maximum contaminant level (MCL) for arsenic in public water systems (10 µg/L) took effect 2006. Arsenic is not federally regulated private wells. impact of the 2006 MCL on exposure US, as confirmed through biomarkers, presently unknown. We evaluated national trends hypothesizing that urinary levels would decrease over time among participants using but those well water. further estimated expected number avoided lung, bladder, and skin...
Chronic arsenic exposure has been associated with an increased risk of cardiovascular disease; diabetes; cancers the lung, pancreas and prostate; all-cause mortality in American Indian communities Strong Heart Study.
In the United States (US), private-supply tapwater (TW) is rarely monitored. This data gap undermines individual/community risk-management decision-making, leading to an increased probability of unrecognized contaminant exposures in rural and remote locations that rely on private wells. We assessed point-of-use (POU) TW three northern plains Tribal Nations, where ongoing arsenic (As) interventions include expansion small community water systems POU adsorptive-media treatment for Strong Heart...
Arsenic is a naturally occurring toxicant in groundwater, which increases cancer and cardiovascular disease risk. American Indian populations are disproportionately exposed to arsenic drinking water. The Strong Heart Water Study (SHWS), through community-centered approach for intervention development implementation, delivered an mitigation program private well users communities. SHWS comprised community-led water testing, point-of-use filter installation, mobile health promote sustained use...
Abstract Background The objective of this study was to evaluate the behavioral determinants associated with exclusive use arsenic-safe water in community-led Strong Heart Water Study (SHWS) arsenic mitigation program. Methods SHWS is a randomized controlled trial program designed reduce exposure among private well users American Indian Great Plains communities. All households received point-of-use (POU) filters installed at baseline and were followed for 2 years. Behavioral selected those...
Background and aim: Long-term arsenic exposure in potable water remains a serious public health challenge the United States. Rural communities with high reliance on private wells, including American Indian communities, are disproportionately impacted by contaminated water. However, efforts to decrease limited. The objective of this study is evaluate behavioral determinants associated exclusive arsenic-safe use Strong Heart Water Study (SHWS). Methods: SHWS randomized control trial designed...
The paper argues that the principles and theories of learning behaviour change are integral to success health promotion programs. Four major associated with successful programs introduced. concern being sure about reasons for embarking on programs, importance theory-based credibility, clear differences in forms evaluations available program leaders, significant persons achieving maintaining gains. Seven questions which should be asked any proposed then outlined. They include asking how...
BACKGROUND AND AIM: Arsenic and uranium in unregulated private wells affect many rural populations across the US, including American Indian communities. The current EPA maximum contaminant level (MCL) is 10 µg/L for arsenic 30 uranium. Here, we evaluate association between drinking water levels three tribal regions North Dakota South participating Strong Heart Water Study. METHODS: Well samples were collected 2014-2020. Metal concentrations from 441 dichotomized by their MCL a graduated...
The public health workforce is dependent on well-trained and diverse professionals that possess the necessary knowledge, competencies, leadership to advance field of address urgent persistent problems faced by individuals communities. Communities have been historically marginalized disadvantaged rely respected trusted willing understand confront vestiges enduring racist cultural perceptions beliefs prevent optimal equitable healthcare. DrPH programs created opportunities for students gain...
Preview this article: To My Apprentice—Thoughts of a Master Teacher, Page 1 < Previous page | Next > /docserver/preview/fulltext/ej/84/2/englishjournal7305-1.gif