Community Engagement Core

总结/摘要 接触金属的社区通常资源、伙伴关系和科学知识有限 这将有助于减轻这些金属对晚年健康风险的影响。这些限制挑战了 优先考虑和减轻社区相关暴露途径和可能的健康风险的能力。一个 基于双向沟通和解决问题的方法，公民科学，并提供 通过共同实施的干预措施建立切实可行的缓解系统， 社区.社区参与核心（CEC）将在MEMCARE-SRC中发挥关键作用， 发展当地居民与农村和城市社区利益相关者之间的伙伴关系， SRC团队成员和学员了解社区需求，并提高对 金属和金属混合物，确定接触途径和缓解方法，并促进教育 和公共政策，以确定风险的特征，并赋予社区成员作为自身健康倡导者的权力 金属暴露。CEC的农村社区伙伴关系总部设在科罗拉多的圣路易斯山谷， 受纳尔逊隧道/尾矿堆和萨米特维尔矿山超级基金场地的影响。在这两个领域， 地下水和土壤被各种金属污染，包括砷，镉，锰，铅， 和铬。CEC的城市社区伙伴关系设在迪莫克社区卫生中心（DCHC）， 位于马萨诸塞州波士顿的罗克斯伯里附近。DCHC为居住在周围的个人提供护理 社区面临着家庭金属暴露的挑战，环境金属的高负担 风险暴露和高贫困率。CEC将：1）确定孕妇对暴露的担忧 有毒金属在他们的社区和对后代健康的影响; 2）导致公民科学的努力， 合作收集和评估饮用水和土壤中的单个金属和金属混合物水平 城乡社区孕妇、儿童的尿样和趾甲; 3)共同实施补救措施，使用市售水过滤器和创新的新技术， MEMCARE-SRC开发了减少社区金属接触的技术，其有效性得到了 参与的社区成员。CEC将使用方法和技术来检测危险 作为以社区为基础的方法的一部分， 这些物质对人体健康的危害。CEC是最基本的集成组件之一， MEMCARE-SRC，因为它将在所有SRC研究项目的研究中密切合作，并建立持久的合作伙伴关系。 与社区建立富有成效的伙伴关系，包括对这种伙伴关系进行例行评估， 定向交流，为社区提供有关金属风险的关键信息， 补救措施此外，CEC将为MEMCARE-SRC研究人员提供一个开发新的 这些解决方案是由社区对金属暴露对孕产妇和儿童健康的关切所驱动的。

SUMMARY/ ABSTRACT Communities that are exposed to metals often have limited resources, partnerships, and scientific knowledge that will aid in mitigating the impact of these metals on later-life health risks. Such limitations challenge the ability to prioritize, and mitigate community-relevant exposure pathways and possible health risks. An approach based on bi-directional communication and problem-solving, citizen science, and provision of practical mitigation systems through a co-implemented intervention could provide lasting value to affected communities. The Community Engagement Core (CEC) will serve a critical role in the MEMCARE-SRC by developing a partnership between local residents and stakeholders in rural and urban communities with our SRC team members and trainees to understand community needs and enhance broad understanding of metals and metals mixtures, identify exposure pathways and mitigation approaches, and promote education and public policy to characterize risk and empower community members as advocates of their own health around metals exposures. CEC’s rural community partnership is based in the San Luis Valley, Colorado, which is affected by the Nelson Tunnel/Commodore Waste Pile and Summitville mine Superfund sites. In both areas, groundwater and soil are contaminated with a variety of metals, including arsenic, cadmium, manganese, lead, and chromium. CEC’s urban community partnership is based at Dimock Community Health Center (DCHC) in the Roxbury neighborhood of Boston, MA. DCHC provides care for individuals living in the surrounding community, which is challenged with household metal exposures, a high burden of environmental metal exposures, and high poverty rates. The CEC will: 1) identify concerns of pregnant women regarding exposures to toxic metals in their community and the impact on offspring health; 2) lead a citizen science effort to collaboratively collect and assess individual metal and metal mixture levels from drinking water and soil samples as well as urine and toenails of pregnant women and children from urban and rural communities; and 3) co-implement a remediation intervention using commercially available water filters and innovative new MEMCARE-SRC developed technologies to reduce community metal exposures, with effectiveness tested by participating community members. The CEC will use methods and technologies to detect hazardous substances in the environment as part of a community-based approach to assess and mitigate the risks of these substances to human health. The CEC is one of the most fundamentally integrated components of the MEMCARE-SRC as it will partner closely in the research of all for SRC research projects and establish lasting and productive partnerships with the community, including routine evaluation of this partnership to ensure bi- directional exchange to provide the community with key information about metal exposures and options for remediation. In addition the CEC will provide an opportunity for MEMCARE-SRC researchers to develop novel solutions that are driven by community concerns surrounding metal exposures on maternal and child health.