Community Engagement Core

摘要/摘要 接触金属的社区往往资源、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 能够优先处理和减轻与社区相关的暴露途径和可能的健康风险。一个 基于双向交流和解决问题、公民科学和提供 通过共同实施干预措施的实际缓解系统可以为受影响的人提供持久的价值 社区。社区参与核心(CEC)将通过以下方式在MEMCARE-SRC中发挥关键作用 在当地居民和农村和城市社区的利益攸关方之间发展伙伴关系 SRC团队成员和学员了解社区需求并增进对 金属和金属混合物，确定暴露途径和缓解办法，并促进教育 以及公共政策，以确定风险并赋予社区成员以自身健康倡导者的权力 围绕着金属风险敞口。CEC的农村社区合作伙伴关系设在科罗拉多州的圣路易斯山谷， 受到纳尔逊隧道/准将废物堆和萨米特维尔矿山超级基金场地的影响。在这两个领域， 地下水和土壤受到多种金属的污染，包括砷、镉、锰、铅、 和铬。CEC的城市社区合作伙伴关系设在迪莫克社区卫生中心(DCHC) 马萨诸塞州波士顿的罗克斯伯里社区。DCHC为生活在周围的个人提供关怀 社区，面临家庭金属暴露的挑战，环境金属的高负担 曝光率和高贫困率。CEC将：1)确定孕妇对暴露的关注 对社区中的有毒金属及其对后代健康的影响；2)领导公民科学努力 协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 来自城乡社区的孕妇和儿童的样本以及尿液和脚趾甲；以及 3)使用商用滤水器和创新的新技术共同实施补救干预 MEMCARE-SRC开发了减少社区金属暴露的技术，并通过 参与其中的社区成员。CEC将使用方法和技术来检测危险 环境中的物质，作为以社区为基础的方法的一部分，以评估和减轻 这些物质对人体健康有影响。CEC是最基本的集成组件之一 MEMCARE-SRC将在所有SRC研究项目的研究中密切合作，并建立持久的 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，以确保 定向交换，为社区提供有关金属暴露的关键信息和 补救措施。此外，CEC将为MEMCARE-SRC的研究人员提供一个机会来开发新的 由社区对金属暴露对妇幼健康的担忧推动的解决方案。

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.