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Your Environment. Your Health.

Projects

Partnerships for Environmental Public Health (PEPH)

Supplement Program

Name and Grant Number, Project Title and Abstract

AZAROFF, LENORE S., 5 R25 ES012585-04 
Dorchester Occupational Health Initiative
The parent grant, the Dorchester Occupational Health Initiative (DOHI) has characterized floor finishing health hazards, feasible solutions and successful approaches to engaging immigrant families in educational activeness to increase their awareness of this health hazard. This supplemental proposal will provide quantitative data documenting the impact that this study has on floor finishing workers (primarily Vietnamese) and floor business owners. Data obtained will fall into 2 categories: information that businesses normally make available and information that is potentially more sensitive and private. More sensitive information will be obtained from workers about their experiences and will be obtained in private, confidential interviews, away from the work site, by telephone or in person. Businesses will be asked about kinds of equipment and materials used, reported accidents and prevention practices. A third data set will inquire about exposure to DOHI outreach activities which include training workshops and print materials on relevant health and safety issues as they impact floor finishing workers. Information gathered will be shared with immigrant families.

BRODY, JULIA G., 5 R25 ES013258-04 
Linking Breast Cancer Advocacy and Environmental Justice
Our project responds to environmental public health issues in Richmond, CA, and in Cape Cod, MA, and broader breast cancer constituencies nationally. In order to respond to community concerns in Richmond and the pending expansion and mitigation plans for the neighboring oil refineries, we propose to extend the scope of data analysis (Task 1) and hold additional community meetings (Task 2), which will include innovative trainings for study participants and other community members to empower them to further disseminate their knowledge. In addition to meeting immediate community public health needs, additional data analyses will provide the most comprehensive scientific assessment to date of cumulative impacts indoors in an EJ community where outdoor industrial and transportation sources contribute along with indoor sources generated in homes. In addition, as a foundation for evidence-based action to reduce EDC exposure from the use of cleaning products and personal care products in homes, we propose to translate results of our existing project into an online information resource (Task 3). In order to support the sustainability of our highly-effective collaborative, we believe we must also contribute to the sustainability of NIEHS funding for EJ and Community-Based Participatory Research, CBPR. We propose to contribute to this field by developing and publishing alternative evaluation metrics that include and go beyond scientific publication, based on our work and interviews with other EJ and CBPR projects (Task 4).

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DALTON, MADELINE A., 5 R01 ES014218-04
Environmental and Family Influences on Adolescent Overweight
The growing epidemic of adolescent obesity represents one of the foremost public health issues in the U.S. today. Overweight adolescents experience multiple physical and psychosocial health problems, and they are likely to stay overweight as adults. The dramatic increase in obesity over the past two decades suggests that individual differences are unlikely to account for the rise, and mounting evidence suggests that environmental factors may be important contributors to obesity. Although this presents a challenge for prevention, it also offers an opportunity in that community wide interventions or modifications to the environment have the potential to impact a large number of people. Our longitudinal parent grant, "Environmental and Family Influences on Adolescent Overweight," examines risk factors for adolescent overweight vis-à-vis influences on physical activity and food intake at the individual, family, school, and community levels, with a specific focus on rural environments. This administrative supplement proposes to translate our research findings into educational materials and disseminate them to schools, communities, and public health organizations to help them develop interventions for the built environment that will promote healthy eating and physical activity among adolescents. The supplement offers us an ideal opportunity to share information and build partnerships between public health groups, local schools, and the scientific research community who share the goal of reducing childhood obesity.

DI GIULIO, RICHARD, 5 P42 ES010356-09
Superfund Chemical Impact on Development

Environmental health issues are often complex, and thus outreach and educational materials must carefully craft balanced and comprehensive messages. As vulnerable populations may not access or respond to traditional outreach mechanisms, effective delivery also requires novel communication strategies. Given our increasingly diverse society, we must develop innovative, field-tested approaches that can deliver complex environmental health messages within cultural context. In addition, the message must be delivered by a trusted source of information. As a prototype for this new generation of outreach methods, this proposal seeks to develop, produce, and deliver culturally appropriate fish consumption advisory information for pregnant and early postpartum Latina women. We will develop outreach materials in a photonovella format using peer-to-peer key informant interviews and collaborative evaluation. The end-product materials will be directly incorporated into the nutrition education curriculum of the North Carolina Supplemental Nutrition Program for Women, Infants, and Children (WIC), which currently serves 17,000 Latino mothers and their children. The materials will be disseminated through our group’s network of relationships across NC and nationally, as well as via our public access website. This project is a new collaborative partnership between the Outreach Core of the Duke University Superfund Basic Research Program, the NC Division of Public Health, Nutrition Services Branch (NSB), and the North Carolina Healthy Start Foundation (NCHSF).

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EATON, DAVID L., 5 P30 ES007033-14 
Center for Ecogenetics and Environmental Health
This proposal seeks to develop and foster an emerging partnership between the UW Center for Ecogenetics and Environmental Health (CEEH) and the Northwest Indian College (NWIC). The capstone of the project is the creation of an innovative set of classroom materials based on a synthesis of Native ways of understanding human environment interactions and the core concepts of the environmental health sciences (EHS) as they are typically taught in higher education. These materials will be developed in the context of an authentic campus-community partnership and will be disseminated throughout the community by Native students. The project helps each of the partners attain their institutional goals and build capacity in ways that would not be possible without this collaborative effort. It also provides an opportunity to articulate and evaluate a model for campus-community partnerships that could be used in a variety of settings and across many disciplines. The project seeks to:

Develop a sustainable campus-community partnership between NWIC and CEEH that is mutually beneficial and values the contributions of both partners equally.

Foster the personal, academic and professional development of NWIC and Tribal School students and encourage them to become leaders in their communities on issues related to gene-environment interactions, CBPR, and ethical research practices.

Articulate and evaluate a model of collaborative outreach and education in Native communities that can serve as a set of best practices for other campus-community public health partnerships.

GILLILAND, FRANK D., 5 P30 ES007048-12 
Environmental Exposures, Host Factors and Human Disease
Building on the success of the 2007 Moving Forward Conference, this proposal aims to develop new partnerships, including nurturing some relationships started at the Conference, that will further the aims of our parent grant and our outreach program. Specifically, the aims of this supplemental proposal are to: 1) Build new partnerships focused on the health impacts of ports and goods movement with community groups from both inside and outside of California, aimed at a) improving each group’s capacity to address emerging environmental health issues through technical assistance, and b) enhancing communication through joint sponsorship of community forums in KS, SC, PA, and in rail yard communities in CA; 2) Inform scientists at several other NIEHS centers in Port communities (Houston and Seattle) about the latest research findings and community concerns/policy actions in southern California; 3) Expand the nationwide electronic network of community groups, scientists, and others concerned about health impacts of ports and goods movement, a) through the above partnership activities, b) by developing and utilizing an interactive multimedia mapping tool, and c) through sharing information about the latest relevant research findings on the health effects of air pollution and how these findings can be effectively translated into public health action and policy; 4) Evaluate the success of this one-year effort, including its ability to expand the network, work effectively with new partners, effect policy change or public health actions, and leverage funding opportunities. 5) Exploratory aim #5: Determine the interests of communities and investigators to address emerging concerns near two other large ports in the United States, NJ/NY and San Juan, Puerto Rico.

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GRATTAN, LYNN M., 5 R01 ES012459-05 
Domoic Acid Neurotoxicity in Native Americans
To work collaboratively with three Native American communities (Quinault, Quileute and Makah Tribes) to develop and implement a community health education program to reduce the risk of Domoic Acid exposure and toxicity. Rationale: Studies from the parent grant are currently under way to determine the potential effects of low levels of Domoic Acid (DA) exposure in Native Americans in the Pacific Northwest. Preliminary findings indicate that many members of our cohort have been at significant risk for low level, chronic DA exposure for at least 10 years. Furthermore, there is reason to believe that the cumulative effects of DA exposure may have long term effects on memory efficiency. Unfortunately, results from our recently completed Perceived Risk studies (n= 288) indicate that: 1. Only about 1'2of the tribe members surveyed believe that DA exposure is a potential health problem. 2. 42% of the surveyed individuals believe there is nothing they can do to reduce their exposure risk. 3. 24% of respondents believe they are immune to the effects domoic acid. Subsequently, there is an important immediate need to translate our current scientific knowledge about domoic acid and human health into materials and messages that can be used by tribal educators, leaders, agencies and community members. Moreover, we need the mechanisms and infrastructure in place for providing reliable, effective, and potentially sensitive public health information to the community when our parent grant studies are completed (all data collected and analyzed). Toward this end, we propose to develop and implement a human health focused, community based education program in collaboration with our network of tribal partners.

GROOPMAN, JOHN, 5 P30 ES003819-20 
Johns Hopkins Center in Urban Environmental Health
This proposed administrative supplement is to engage in activities and to strengthen our relationship with two community partner organizations: the Environmental Justice Partnership and the Coalition to End Childhood Lead Poisoning. Through the proposed activities in this supplement we will build new partnerships with community groups /stakeholders; develop and disseminate educational and outreach materials; enhance communication with partners; and engage the community and researchers in Environmental Health Science projects. The activities and products proposed below will be developed in conjunction with EJP and the Coalition to End Childhood Lead Poisoning, as well as COEC’s Community Advisory Board.

  1. To enhance our presence at the "Day at the Market", with the assistance of Mr. Bernard Canniffe, a COEC member and faculty member at MICA, and his students at MICA we will develop a hanging poster to advertise upcoming events for this activity at the Northeast Market. This will give us a more permanent presence at the Northeast Market. In addition, we will construct new laminated educational posters that we have previously utilized at both the Market and BGW.
  2. In conjunction with MICA we will develop new prototype materials (posters /pamphlets) based on the Center’s research and focus (Figure 1) and topics of interest to residents.
  3. We will work with EJP and MICA to develop print materials for EJP’s "Toxic Tour "event, an event promoted at the "Day at the Market". Mr. Glenn Ross, EJP vice president (9) and developer of this tour, is often present to discuss the tour and local environmental issues. We will also develop a virtual Toxic Tour product. We envision modeling this after Tox Town developed by the National Library of Medicine (toxtown.nlm.nih.gov), but based on local sites and issues. This virtual tour then will be linked to the EJP’s (www.environmentaljusticepartnership.org) and the Center’s websites. This will be a useful product for schools in the region.
  4. COEC will organize meetings with other agencies and funders to involve them in our outreach activities and dissemination practices and to share the products that they offer at the "Day at the Market". As COEC staff attends a variety meetings throughout Baltimore, as groups have heard about this event they often inquire about participating.
  5. As mentioned previously, these city markets provide a common gathering place for Baltimore residents. Thus, we will explore expanding the "Day at the Market" to additional days as well as to other Baltimore City markets.
  6. In conjunction with the Coalition to End Childhood Lead Poisoning and EJP, we will be involved in organizing and presenting a series of breakfast forums with City and State legislators and leaders of faithbased organizations concerning the Coalition’s Safe at Home project. This is an expansion of the activities currently proposed for this project.
  7. Finally, we will hold a community resource fair for residents involving COEC partners in East Baltimore in the Spring of 2009. This event, as well as our continued participation in BGW, will enable the Center to promote the Town Meeting it will be holding in the fall of 2009.

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HAMMOCK, BRUCE D., 5 P42 ES004699-22 
Biomarkers of Exposure to Hazardous Substances
Our administrative supplement request to "Promote Partnerships for Environmental Public Health" engages drinking water stakeholders in bioremediation research underway in Project #1 and utilizes our Research Translation Core to help bring about policy change. The project includes new partners including: an impacted community-based water company in Glennville, CA, the site of an MTBE/TBA contaminated drinking water aquifer; members of the local community; the Central Valley Regional Water Quality Control Board; the California Department of Public Health's Drinking Water Program; the American Water Works Research Foundation (AWWARF). The project involves community members in data collection, operation of the bioreactor and evaluation of the success of the treatment process. The proposal builds upon a past small business collaboration with Environmental Resolutions Inc. (ERI), which incorporated UC Davis Superfund research into their fluidized-bed bioreactor for treatment of MTBE and TBA, contaminants common in oxygenated gasoline. The overall goal of the proposed supplement is to establish the effectiveness and microbiological safety of the ERI bioreactor that employs the PM1 bacterial strain for drinking water production. Simultaneously a new microbial DNA assay can be used to evaluate the potential for remediation of the contaminated aquifer. Establishing the microbiological safety of the system on a private well in the community, which lost local water supply in 1998, also allows the community to consider the technology for its new public drinking water system. (Funding for the system is awaiting current litigation.) Involvement of the California Department of Health Services and Water Quality Control Board and industry review of the outcome serves as a 6 first step and impetus to bring about policy changes with regard to biological treatment of drinking water. The project utilizes the naturally occurring, MTBE/TBA degrading PM1 strain, isolated and characterized by Project #1, and a DNA-based bioassay recently developed by Project #1's researchers to track PM1's spatial and temporal occurrence.

HERTZ-PICCIOTTO, IRVA, 5 R01 ES015359-02 
The Charge Study: Childhood Autism Risks from Genetics and the Environment
This application for an Administrative Supplement to "The CHARGE Study: Childhood Autism Risks from Genetics and the Environment" (1R01-ES015359) aims to build partnerships with the Hispanic community that will foster outreach, communication and engagement regarding environmental hazards to child neurodevelopment. Our focus is on outreach to health professionals who provide services to a sizable Latino patient population. We will establish a new partnership with La Clínica de la Raza, a large network of community health care centers that provide a comprehensive array of services to medically indigent and ethnic communities, particularly Spanish-speaking individuals, in areas of northern California. Our goal is to overcome obstacles to participation in research on early child development through a broad effort that includes education of health professionals working with Spanish-speaking families on environmental hazards to children, provision of materials to be disseminated to these underserved communities in Spanish and English, and focused training that will increase capacity for diagnostic assessment of autism in non-English-speaking families. A parallel and complementary application is being submitted by the Community Outreach and Translation Core of the UC Davis Center for Children’s Environmental Health that focuses on reaching the lay community and improving the content of environmental health messages used for education of the Spanish-speaking public.

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HIATT, ROBERT A., 5 U01 ES012801-06 
Bay Area Breast Cancer & the Environment Research Center
Our challenge has been to get information about breast cancer and the environment and results from BABCERC out to the public and communities who originally generated the concern about the environment and breast cancer. Clearly the publication of scientific papers, even of high quality in the best journals, is not sufficient. To this end and as part of the parent BABCERC grant, the COTC has built partnerships with local breast cancer advocacy and community groups to educate them about what we already know about breast cancer and the environment and about the nature of the BABCERC project. Now, as our project nears completion, we believe that new partnerships are needed to ensure optimal dissemination of the results of this important investigation. With additional support and the challenge from Partners for Environmental Public Health (PEPH), we seek to go beyond the presentations and other outreach activities used to date. We propose to establish sustainable new partnerships that can provide channels for the dissemination of our results to pediatricians and environmental groups concerned with childhood health. We will call this effort Partnerships for the Dissemination of New Results (PARDNER) from BABCERC.

PARDNER will consist of, the production of a monograph directed to a public audience that summarizes the results of BABCERC research in the context of other current findings and up-to-date knowledge about breast cancer and the environment. The establishment of new partnerships with pediatricians and organizations concerned with childhood environmental health in the Bay Area to pilot and produce webcasts of the material from the monograph for broader consumption. A series of grand rounds' presentations to pediatricians using webcasts will highlight new knowledge of the determinants of puberty, the evidence that breast cancer may be initiated by events very early in life, and new evidence on the role of the chemical, social, and built environment in the development of breast cancer.

LIU, LEE-JANE SALLY, 5 R01 ES012657-05 
Children’s exposures/health effects/diesel exhaust
More than 450 children from over 60 elementary schools in the Puget Sound region have participated in the study. Through monthly health and on-bus and personal exposure sampling sessions, scientists, clinicians, the media, and school community stakeholders, including parents, teachers, school nurses, administrators, bus drivers and transportation department officials, have shown a strong interest and curiosity in various components and results of this study. The current study does not include extensive dissemination of study results for communications with the public outside of our study population or the promotion of partnerships in the communities. This administrative supplement grant will provide funding and resources to respond to many inquiries from our participants and school community stakeholders, and to reach community groups and researchers that may not be informed of the environmental public health issues related to this study. We propose to use this supplement to: 1. enhance communication with existing partners by developing and disseminating education and outreach materials for participants and their families, and school community members; 2. build new partnerships with the Pediatric Environmental Health Specialty Unit, the American Lung Association of Washington, and local Parent Teacher Associations in order to reach a broader population of interested community members; and 3. engage the scientific communities, including pediatricians, cardiologists, toxicologists, industrial hygienists, and occupational health physicians, through open forum on air pollution and children’s health to gather insights and brainstorm potential environmental health topics and issues from our study findings.

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MORENO, NANCY P., 5 R25 ES010698-07 
The Environment as a Context for Opportunities in School
In this supplemental request, we propose to use web-based approaches to disseminate the multifaceted ECOS model nationally through free professional development on both environmental health sciences content and the ECOS science teaching and partnership approach. This effort will leverage the existing high traffic, award-winning website, BioEd Online (www.bioedonline.org), created by Baylor College of Medicine (BCM), and a new companion site, K8 Science, which debuts in March 2008. This request is directly aligned with the goals of the original ECOS application, which included the following specific aim: Disseminate the curricular/instructional model, evaluation instruments and methodologies and other research findings to schools in Houston and throughout the nation, and to community stakeholders, using multiple strategies. The project also is designed to improve teachers’ science teaching skills and content knowledge through professional development, and access to instructional resources, which we propose to provide free online.

ROBERTSON, LARRY W., 5 P42 ES013661-02 
Semi-volatile PCBs: Sources, Exposures, Toxicities
The University of Iowa held a conference in 2007 to assist state legislators in understanding environmental health issues. In this proposal, we seek to convene a second workshop in Chicago to attract 15-20 Midwestern state representatives and build on the success of the 2007 workshop. The overarching goal of the workshop is to translate research into knowledge that is important to Midwestern legislators. We have chosen four environmental health issues the first of which is most relevant to the scientific mission of the Iowa Superfund Basic Research Program (isbrp) and all of which relate to environmental health in general. We seek to bring science to the process of creating state environmental policy on the subjects of: 1. Polychlorinated biphenyl (PCB) contamination in the Great Lakes region and cleanup of contaminated land and water, 2. health effects of Mercury and other heavy metals, 3. renewable energy production in the central states which enables the displacement of coal-fired power plant emissions including substances such as mercury and 4. effects of lead from several sources including mass demolitions of buildings containing lead-based paint.

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ROBINS, THOMAS G., 1 R01 ES014677-01A2 
Role of Diesel and Other Vehicular Exhaust in Exacerbation of Childhood Asthma
This project will develop a dissemination plan and educational and outreach materials for disseminating research findings to the English, Spanish and Arabic-speaking communities of Detroit and Dearborn, Michigan. Findings from the Diesel Project focus on the effects of vehicular exhaust on kids with asthma in the Dearborn and Detroit area. The goal is to facilitate the translation of findings into policy changes at the local and state level.

RUNDLE, ANDREW G., 5 R01 ES014229-04 
Obesity, Physical Activity and Built Space in New York City
Columbia University proposes to develop a partnership with the NYC Food and Fitness Partnership (NYCFFP). This group comprises more than 300 reps from CBOs, academic institutions, businesses, and city and state agencies. Supported by the Kellogg Foundation, NYCFFP is developing an action plan to promote healthy eating and PA in NYC. NYCFFP mobilizes city agencies and CBOs in a collaborative effort, includes neighborhood interventions. This project will conduct data collection and analysis, production of educational materials, and outreach to community groups involved in NYCFFP.

SHEPARD, PEGGY M., 5 R25 ES012090-05
Developing An Effective Community Ethical Review Model
The proposed administrative supplement project addresses Specific Aims 4 and 5 of the parent grant: [Aim 4] To establish an ongoing and long-term dialogue at both the local and national levels between scientists and community-based organizations that will develop and disseminate a model for effective community ethical review; [Aim 5] To demonstrate and evaluate an effective and transferable model and process for achieving community review of research on environmental health and gene-environment interactions. The proposed project expands the scope of Aim 4 to develop a useful curriculum that guides and informs the dialogue between researchers and community representatives. It expands Aim 5 by addressing our finding (during the course of carrying out the research under the parent grant) that interventions with researchers and community representatives are needed to implement an effective model of review of research by community representatives. In short, the proposed project expands upon our larger effort to design an effective model for Community Ethical Review of Human Subjects Research. The overarching goal is to identify ways in which communities can contribute to the design, implementation, conduct and review of environmental health research. It will continue a decade-long collaboration between WE ACT and both the Columbia Center for Children’s Environmental Health and the Center for Environmental Health in Northern Manhattan. The specific aims of the project are as follows:

Specific Aim I: Develop an ethics training curriculum for Community Ethical Review Board (CERB) members and researchers. Specific Aim II: Identify, recruit and train community stakeholders to serve as members of a Northern Manhattan Community Ethical Review Board. Specific Aim III: Develop a Protocol for pilot testing the Northern Manhattan Community Ethical Review Board at the Columbia Children’s Environmental Health Center and the Columbia NIEHS Center for Environmental Health. Specific Aim IV: Conduct a process evaluation of the entire project.

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