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Environmental Factor

Environmental Factor

Your Online Source for NIEHS News

October 2017

Hurricane responses build on community connections

NIEHS community connections help protect health after recent hurricanes and reduce environmental health impacts of future disasters.

Gwen Collman 'Today, we have community-engaged research of one type or another in almost every single program here at NIEHS,' said Collman in her welcoming remarks. (Photo courtesy of Steve McCaw)

NIEHS resources are playing a vital role in helping protect health in the aftermath of the August and September hurricanes, and they will help reduce environmental health impacts of future disasters.

The institute's emphasis on community-engaged research helped NIEHS and grantees quickly mobilize, working with partners in Texas, Florida, Puerto Rico, and other hard-hit areas, according to speakers at a September workshop. Community-engaged research refers to studies in which scientists collaborate with local residents to set the research agenda and communicate findings.

"Under Dr. Birnbaum's leadership, the amount of intellectual time and energy put toward this concept of working with partners at the state, local, and community levels has become a big part [of the NIEHS program]," said Gwen Collman, Ph.D., director of the NIEHS Division of Extramural Research and Training.

Timely workshop focus

Collman spoke at a combined workshop Sept. 6-8 of two NIEHS programs. "Engaging Diverse Partners: Strategies to Address Environmental Public Health" involved the NIEHS Partnerships for Environmental Public Health (PEHP) program and the National Institutes of Health Disaster Research Response (DR2) program.

Long before the hurricanes developed in the Atlantic, NIEHS leaders decided to hold the annual workshops back-to-back because of their common focus on community engagement. The organizers recognized the value of highlighting both successful approaches to engaging diverse partners, and effective partnerships in the aftermath of disasters.

PEPH Meeting Small group sessions provided substantive feedback to organizers and an opportunity for participants to become better acquainted. (Photo courtesy of Steve McCaw)

Strong networks and research tools at the ready

Liam OFallon Lead organizer Liam O'Fallon, who directs PEPH, said the breakout sessions would provide time to discuss successes and next steps in advancing community-engaged research across disciplines. (Photo courtesy of Steve McCaw)

As Houston grappled with floods and Hurricane Irma approached Florida, participants heard firsthand how existing community networks play a crucial role in deploying aid and initiating research.

"As soon as that storm [Hurricane Harvey] hit, it became apparent that we are building a very strong network of research responders who are trying to understand the key questions and get work underway," Collman reported.

According to Joseph "Chip" Hughes Jr., who leads the NIEHS Worker Training Program (WTP) NIEHS actions were underway in three different states, representing three different federal regions.

"We've been dealing with disasters since 9/11, [and] we’re trying to create tools to make your jobs easier," said WTP program analyst Jim Remington, during the DR2 session. Those tools are found on the DR2 website, which is maintained by the NIEHS partner in leading the program, the National Library of Medicine.

Baseline data just in time

In a case of remarkable timing, Texas A&M University became home to the newest NIEHS Superfund Research Center (SRC) in August. Funding began Sept. 1, and according to Jennifer Horney, Ph.D., head of the center’s Community Engagement Core, researchers were out in the field the same day.

They went to Manchester, a neighborhood surrounded by refineries, freeways, a rail yard, and water treatment facilities. SRC staff had just finished collaborating with Texas Environmental Justice Advocacy Services to take baseline soil and water samples.

"By comparing to baseline, we’ll be able to see what the [contaminant] levels were post-Harvey," Horney said. Exposure data will help researchers better understand health risks in Manchester and elsewhere.

Wristbands will assess exposure

Jim Remington Remington described the tools that small groups evaluated, such as a deployment checklist and resource registry. (Photo courtesy of Steve McCaw)

Thanks in part to DR2 tools, a different sort of exposure study was launched in the Houston neighborhood of Highlands by an SRC in Oregon. Kim Anderson, Ph.D., from Oregon State University (OSU), developed silicone wristbands that collect chemicals the wearer is exposed to. Baylor College of Medicine staff helped distribute them to participants, who wore them for a week.

According to Heather Henry, Ph.D., from the NIEHS Superfund Research Program, research tools created through DR2 helped enable Anderson to launch her study with 1,000 participants.

Timely research to assess exposure and potential health impacts are one of the goals of DR2, according to NIEHS Senior Medical Advisor Aubrey Miller, M.D.

Significant progress in seven years

These stories stood in stark contrast to the delays faced by researchers after the 2010 Deepwater Horizon oil spill. NIEHS epidemiologist Richard Kwok, Ph.D., explained that by the time scientists designed the Gulf Long-term Follow-up Study, or GuLF STUDY, obtained approval and funding, and recruited researchers, they had to estimate worker exposure using mathematical, chemical, and geographic data.

"The lessons we learned in the GuLF STUDY helped provide the genesis of the DR2 program," Kwok said.

Horney Horney, second from right, described three types of sampling locations — neighborhood sampling based on previous concerns; geographic information system mapping to predict pooling and sediments settling; and historically flooded sites analyzed by a statistician. (Photo courtesy of Heather Henry)
Joan Packenham Joan Packenham, Ph.D., leads the NIEHS Office of Human Research Compliance. "Joan has led the charge, not just at NIEHS but internationally," Miller said of her efforts to develop preapproved research protocols. (Photo courtesy of Steve McCaw)
Aubrey Miller Miller shared early insights from a survey of participants in the three DR2 tabletop exercises. Although the response rate was 27 percent, Miller reported positive feedback, such as communities being better prepared for disaster. (Photo courtesy of Steve McCaw)
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