Environmental Health Outcomes Research Among Hurricane Harvey Survivors

摘要 飓风哈维（HH）引发的洪水沃茨破坏或摧毁了休斯顿地区10万多所房屋 超过50英寸的降雨和洪水十几个超级基金的网站和几个化学/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， 环境卫生问题，并向我们寻求帮助。作为回应，我们成立了一个多机构 与NIEHS灾害研究响应（DR 2）目标相关的专业知识团队。在一些机构的支持下， 动员了我们的团队，制定了研究方案，获得了IRB的双语批准，并将 在30天之内送到现场我们进行了150多项健康调查，部署了同等数量的 腕带，并收集了450多个口腔，鼻腔和粪便生物样本，从个人在3淹没 社区.根据我们的经验，我们有信心将注册人数增加到300人 包括哈维飓风后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）和与点的接近度等因素 污染源会影响健康。我们还假设个人环境暴露 霉菌和化学品会增加HH影响的健康风险。我们提出以下目标：目标1： 制定灾害流行病学行动的有效方法。我们会进行健康评估， 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沃茨暴露，以改善灾害研究 响应（DR 2）工具。这些工具对于优化响应率、暴露测量以及 HH后6个月和12个月的健康评估。目标2：采用社区参与的研究方法， 综合和传播研究结果，并在3个时间点获得居民反馈，以告知研究变更， 为每个社区的环境健康行动计划提供框架。这些包括 建议资源重新分配和量身定制的推广计划，以减轻哈维相关 后果目标3：评估与哈维相关的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DR 2工具，以提高对大城市中心其他自然灾害的快速反应。

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.