This presentation shares the Lakota Sioux experience through the view of a USPHS Team Commander who participated in a Community Health and Service Mission, designed to meet the field-based training needs of emergency response teams. During the session, there will also be a discussion of the partnership between the U.S. Public Health Service (USPHS), the Lakota Sioux Tribe, and a non-government organization (Remote Area Medical). Many photos and cultural experiences will be shared to illustrate the mission.
As part of NEHA's continuos effort to provide convenient access to information and resources, we have gathered together for you the links in this section. Our mission is "to advance the environmental health and protection professional for the purpose of providing a healthful environment for all,” as well as to educate and inform those outside the profession.
Voluntary Approaches to Solid Waste Management in Small Towns: A Case Study of Community Involvement in Household Hazardous Waste Recycling
Waterborne outbreaks of salmonellosis are uncommon. The Tennessee Department of Health investigated a salmonellosis outbreak of 10 cases with the only common risk factor being exposure to a single splash pad. Risks included water splashed in the face at the splash pad and no free residual chlorine in the water system. We surveyed water quality and patron behaviors at splash pads statewide. Of the 29 splash pads participating in the water quality survey, 24 (83%) used a recirculating water system. Of the 24, 5 (21%) water samples were tested by polymerase chain reaction and found to be positive for E. coli, Giardia, norovirus, or Salmonella. Among 95 patrons observed, we identified common high-risk behaviors of sitting on the fountain or spray head and putting mouth to water. Water venue regulations and improved education of patrons are important to aid prevention efforts.
79.10 | 8-12
During the summer of 2014 an outbreak of tickborne relapsing fever (TBRF) occurred in a group of high school students and staff at a youth camp, which was reported to Coconino County Public Health Services District. Six confirmed and five probable cases of TBRF occurred. During the environmental investigation two rodents tested positive for TBRF, but the vector, soft ticks, could not be found in their “normal” habitat. Ticks were finally located in areas not typical for soft ticks.
78.8 | 8-11
Worksite Built Environment and Objectively Measured Physical Activity While at Work: An Analysis Using Perceived and Objective Walkability and Greenness
The role of worksite environments in promoting physical activity (PA) remains largely unexplored. With workers in the U.S. spending half of their waking day in their work environment, the workplace could be an important venue for the promotion of health and PA. We examined associations between PA gained while at work and the built environment around the workplace. We measured PA using accelerometer devices in a sample of 119 participants of the Supports at Home and Work for Maintaining Energy Balance study, with a wear time of 1 week. Measures of built environment included perceived walkability, two different measures of objective walkability, and greenness.
Working in an environment perceived as walkable was associated with more minutes of PA while at work in all models. When measured objectively, walkability was found significant in the adjusted models controlling for both home walkability and amount of PA gained in nonwork related activities. Greenness of the work environment was found nonsignificant. Findings suggest investing in walkable environments around the workplace or having worksites located in walkable areas can contribute to increased minutes of PA for employed people in the U.S.
81.7 | 20-26
Consumer-generated restaurant review sites offer a wealth of information about dining options. These sites are based on consumers’ experiences; therefore, it is useful to assess the relevance between restaurant review (for food quality) and retail food facilities (RFFs) inspection results (for sanitation) from health departments. This study analyzed New York City restaurant ratings on Yelp.com to determine if there was a relationship to RFFs’ violation scores for those same facilities found on the New York City Department of Health and Mental Hygiene web pages. In addition, we assessed differences between RFFs defined on Yelp as quick service versus full service, and chains versus nonchains. Yelp ratings were found to be correlated only with sanitation in chain RFFs.
78.10 | 8-12
Recent outbreaks of mosquito-borne diseases in the Americas indicate the need for the reinstatement of mosquito elimination efforts in the region. These efforts need to have buy-in from all governmental agencies within the region using a multidisciplinary effort with appropriate financial support.
80.2 | 26-27
“If Providers Had Recommended It, We Would Have Had It Tested”: Rural Mothers’ Perspectives on Barriers and Facilitators to Testing for Arsenic in Their Well Water
Arsenic in well water is associated with risk of cancer, cardiovascular disease, diabetes, and adverse pregnancy and childhood outcomes. More than 1 in 10 private water wells in New Hampshire contain arsenic concentrations exceeding the U.S. Environmental Protection Agency’s maximum contaminant level of 10 µg/L arsenic. In July 2019, New Hampshire became the second state in the country to reduce the maximum contaminant level for arsenic in public water to 5 ppb through the signing into law of HB 261. Testing is the only way to identify whether well water contains arsenic, as arsenic is odorless, colorless, and tasteless; however, private well water testing often does not occur as recommended. Therefore, we sought to determine perspectives of pregnant women about testing their well water. We conducted three focus groups with a total of 12 mothers of young children. Most knew of the need to test for radon and some talked about fluoride but they had not been aware of the need to regularly test for arsenic in well water. Most reported that their healthcare providers had not asked them whether they had tested their water for arsenic; however, the mothers reported that they thought the recommendation would have motivated them to pursue testing. Other barriers included cost and perception of testing as a complicated and time-consuming task. In conclusion, rural mothers of young children are willing to test for arsenic in their well water if their healthcare providers recommend it.
82.3 | 26-32