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）的洪水损坏或摧毁了休斯顿地区的100,000多家房屋 当超过50英寸的降雨和洪水发生时。十几个超级基金站点和几个化学/石油 设施也参与了不受控制的释放到环境中。个人和社区表达 环境健康问题，并与我们联系以寻求帮助。作为回应，我们形成了一个多机构的 团队具有与NIEHS灾难研究反应（DR2）目标相关的专业知识。在某些机构支持下我们 动员我们的团队并制定了研究方案，通过双语同意获得了IRB批准，并搬家了 进入30天窗口内的场。我们进行了150多次健康调查，部署了相等数量的 腕带，收集超过450个口服，鼻和粪便生物样本，来自3次洪水 社区。根据我们的经验，我们相信我们可以增加300个人的入学率 使用6个月和12个月的Harvey数据。我们假设个人和社区级别 诸如社会支持，获得资源，社会经济地位（SEP）和邻近的因素 污染的来源将影响健康的影响。我们还假设个人环境暴露 霉菌和化学物质将增加受HH影响的健康风险。我们提出以下目标：目标1： 开发有效的灾难流行病学方法的方法。我们将进行健康评估以确定 在个人和社区层面上，HH的环境健康影响。我们的总体目标是发展 并管理健康风险评估和暴露于洪水以改善灾难研究 响应（DR2）工具。这些工具对于优化响应率，暴露量测量以及 HH后6和12个月的健康评估。目的2：将社区参与研究方法应用于 综合和传播发现并在3个时间点获得居民反馈，以告知研究更改和 为每个社区的环境健康行动计划提供框架。这些包括 有关资源重新分配和量身定制的外展计划的建议，以减轻与哈维有关的 结果。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：总体目标是最大程度地减少HH幸存者的不利环境健康影响 开发DR2工具，以改善大型城市中心对其他自然灾害的快速反应。