Environmental Health Outcomes Research Among Hurricane Harvey Survivors

飓风哈维幸存者的环境健康结果研究

• 批准号: 9590487
• 负责人: MELISSA L. BONDY
• 金额: $ 27.57万
• 依托单位: BAYLOR COLLEGE OF MEDICINE
• 依托单位国家: 美国
• 财政年份: 2018
• 资助国家: 美国
• 起止时间: 2018-03-01 至 2020-02-29
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/9590487
• 关键词: Affect; Area; Biological; Chemical Exposure; Chemicals; Communities; Consent; Data; Demographic Factors; Dermatologic; Disasters; Economic Factors; Enrollment; Environment; Environmental Exposure; Environmental Health; Environmental Impact; Epidemiology; Exposure to; Feedback; Floods; Foundations; Future; Goals; Government Officials; Health; Health Surveys; High Prevalence; Home environment; Hurricane; Individual; Institutional Review Boards; Measurement; Medicine; Methods; Molds; National Institute of Environmental Health Sciences; Natural Disasters; Neighborhoods; Nose; Oral; Oregon; Organic Chemicals; Outcome; Outcome Assessment; Outcomes Research; Patient Self-Report; Petroleum; Population; Populations at Risk; Protocols documentation; Psychosocial Factor; Public Health; Public Health Schools; Questionnaires; Rain; Recommendation; Research; Research Personnel; Resource Allocation; Resources; Risk; Risk Assessment; Sampling; Social support; Socioeconomic Status; Source; Surveys; Survivors; Technology; Testing; Time; Universities; Vulnerable Populations; Walkers; Water; Work; base; bilingualism; cohort; college; experience; follow-up; health assessment; health data; improved; microbiome; microbiome research; outreach program; psychosocial; remediation; repaired; respiratory; response; superfund site; tool

ABSTRACT Flood waters from Hurricane Harvey (HH) damaged or destroyed more than 100,000 homes in the Houston area when over 50 inches of rain and flooding occurred. A dozen Superfund sites and several chemical/petroleum facilities were also involved in uncontrolled releases into the environment. Individuals and communities expressed environmental health concerns and reached out to us for assistance. In response, we formed a multi-institutional team with expertise relevant to NIEHS disaster research response (DR2) goals. With some institutional support we mobilized our team and developed study protocols, obtained IRB approvals with bi-lingual consents, and moved into the field within the 30-day window. We administered more than 150 health surveys, deployed equal number of wristbands, and collected more than 450 oral, nasal, and fecal biosamples, from individuals in 3 flooded communities. Based on our experience, we are confident that we can increase enrollment to 300 individuals complete with 6- and 12-month post-Harvey data. We hypothesize that individual- and neighborhood-level factors such as social support, access to resources, socioeconomic position (SEP), and proximity to point sources of contamination will affect health impact. We also hypothesize that personal environmental exposures to mold and chemicals will increase the health risks impacted by HH. We propose the following aims: Aim 1: To develop efficient methods for disaster epidemiology actions. We will conduct health assessments to identify the environmental health impact from HH at the individual and community level. Our overall goal is to develop and administer health risk assessments and exposure to flood waters in order to improve disaster research response (DR2) tools. These tools will be critical to optimize response rates, exposure measurements, and health assessments at 6 &12 months post-HH. Aim 2: To apply community-engaged research approaches to synthesize and disseminate findings and obtain resident feedback at 3 time points to inform study changes and provide the framework for the environmental health action plans for each neighborhood. These include recommendations for resource reallocation and tailored outreach programs to mitigate Harvey-related consequences. Aim 3: Evaluate the impact of Harvey-related exposures on short- and long-term health outcomes. Impact: Overall goal is to minimize the adverse environmental health effects of HH survivors and develop DR2 tools for improving rapid responses to other natural disasters in large urban centers.

抽象的 飓风哈维 (HH) 造成的洪水损坏或摧毁了休斯顿地区超过 100,000 所房屋 当降雨量超过 50 英寸并发生洪水时。十几个超级基金站点和几个化学/石油 设施也参与了向环境中不受控制的释放。个人和社区表示 环境健康问题并向我们寻求帮助。作为回应，我们成立了一个多机构 团队拥有与 NIEHS 灾害研究响应 (DR2) 目标相关的专业知识。在一些机构的支持下，我们 动员我们的团队并制定研究方案，获得 IRB 的双语同意批准，并移动 在 30 天的窗口内进入该领域。我们进行了 150 多项健康调查，部署了同等数量的调查 腕带，并从 3 个被淹没的地区的个人收集了 450 多个口腔、鼻腔和粪便生物样本 社区。根据我们的经验，我们有信心将注册人数增加到 300 人 包括哈维后 6 个月和 12 个月的数据。我们假设个人和社区层面 社会支持、资源获取、社会经济地位 (SEP) 以及与地点的接近程度等因素 污染源会对健康产生影响。我们还假设个人环境暴露 霉菌和化学品会增加受 HH 影响的健康风险。我们提出以下目标： 目标 1： 开发灾害流行病学行动的有效方法。我们将进行健康评估以确定 HH 在个人和社区层面对环境健康的影响。我们的总体目标是发展 并管理健康风险评估和洪水暴露情况，以改进灾害研究 响应（DR2）工具。这些工具对于优化响应率、暴露测量和 HH 后 6 个月和 12 个月的健康评估。目标 2：应用社区参与的研究方法 综合和传播研究结果，并在 3 个时间点获取居民反馈，以告知研究变化和 为每个社区的环境健康行动计划提供框架。这些包括 资源重新分配和定制外展计划的建议，以减轻哈维相关影响 结果。目标 3：评估哈维相关暴露对短期和长期健康的影响 结果。影响：总体目标是尽量减少 HH 幸存者对环境健康的不利影响 开发 DR2 工具，以提高大城市中心对其他自然灾害的快速响应能力。