A CBPR PARTNERSHIP TO ADDRESS CROW CANCER RISKS FROM CONTAMINATED WATER & FOOD

乌鸦保护区社区暴露于高浓度的环境污染物， 一系列因素。这些措施包括：1）广泛租赁农业土地，这可能会减少 对经营者环境管理的激励; 2）缺乏关于保留地的法规，以减轻 农业对环境的影响; 3）自给性狩猎和采集以及其他传统做法， 增加暴露于环境污染物风险; 4）水不足/过时或不存在， 废水处理系统;以及5）矿山和其他有毒废物场地分布不均， 保留地 该提案描述了一个基于社区的前瞻性研究（CBPR）合作， 蒙大拿州立大学环境卫生学院;乌鸦部落的环境，健康，自然 资源和农业主管;印度卫生局的卫生和土木工程专业人员 医院在乌鸦机构;科学教师从小大角学院（LBHC）的乌鸦保留地;大 霍恩县专员和其他组织和社区成员从乌鸦部落。 这项研究的主要目标是建立在大学和 乌鸦社区，包括LBHC，以解决乌鸦保留地的环境健康危害， 特别是关于乌鸦部落的高癌症发病率，以及 癌症集群的社区成员被认为与劣质水和其他 环境暴露。社区将参与每一阶段的工作，其中将涉及，1） 制定取样和分析计划，以充分评估饮用沃茨的污染物负荷 2）评估接触途径和生计及其他文化习俗， 有助于暴露风险; 3）向社区居民传达风险，并制定和提供 关于减少接触和今后监测的建议。

The Crow Reservation community is exposed to high concentrations of environmental contaminants through a number of factors. These include: 1) widespread leasing of agricultural lands, which may reduce the incentive for operator environmental stewardship; 2) the lack of regulations on reservation lands to mitigate environmental effects of agriculture; 3) subsistence hunting and gathering and other traditional practices that increase exposure risk to environmental contaminants; 4) inadequate/outdated or non-existent water and wastewater treatment systems; and 5) the unequal distribution of mine and other toxic waste sites on Reservation lands. This proposal describes a Community Based Participatory Research (CBPR) collaboration between Environmental Health faculty from Montana State University; the Crow Tribe's environmental, health, natural resources and agriculture directors; health and civil engineering professionals from the Indian Health Service Hospital in Crow Agency; science faculty from Little Big Horn College (LBHC) on the Crow Reservation; Big Horn County Commissioners and additional organizations and community members from the Crow Tribe. The major objective of this research is to build on an existing partnership between the University and the Crow community, including LBHC, to address environmental health hazards on the Crow Reservation, particularly in relation to the high rates of cancer in the Crow tribe and the anecdotal evidence from community members of cancer clusters that are believed to be related to poor quality water and other environmental exposures. The community will participate in every phase of the work which will involve, 1) Establishing a sampling and analysis program to adequately assess contaminant loadings to drinking waters and subsistence foods; 2) Evaluating exposure pathways and subsistence and other cultural practices that contribute to exposure risk; 3) Communicating risks to community residents and developing and providing recommendations for exposure mitigation and future monitoring.