Natural science and public health; prescription for a better environment; April 1-3, 2003, Reston, Virginia : conference abstracts
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Open-File Report↗
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The geology of natural asbestos deposits and its application to public health policy
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Geology in China↗
Viral diseases of fish and their relation to public health
No abstract available at this time
Book chapter↗
Residues in fish, wildlife, and estuaries. Indicator species near top of food chain chosen for assessment of pesticide base levels in fish and wildlife--clams, oysters, and sediment in estuarine environment
Federal efforts to determine pesticide levels in fish and wildlife are being carried out by the Bureau of Sport Fisheries and Wildlife, U. S. Department of the Interior. Monitoring estuarine pesticide levels in clams, oysters, and sediments is a joint endeavor of the Bureau of Commercial Fisheries, U. S. Department of the Interior, and the Water Supply and Sea Resources Program of the National Center for Urban and Industrial Health, Public Health Service, U. S. Department of Health, Education, and Welfare.
Pesticides Monitoring Journal↗
Leveraging multimission satellite data for spatiotemporally coherent cyanoHAB monitoring
Cyanobacteria harmful algal blooms (cyanoHABs) present a critical public health challenge for aquatic resource and public health managers. Satellite remote sensing is well-positioned to aid in the identification and mapping of cyanoHABs and their dynamics, giving freshwater resource managers a tool for both rapid and long-term protection of public health. Monitoring cyanoHABs in lakes and reservoirs with remote sensing requires robust processing techniques for generating accurate and consistent products across local and global scales at high revisit rates. We leveraged the high spatial and temporal resolution chlorophyll-a (Chl a ) and phycocyanin (PC) maps from two multispectral satellite sensors, the Sentinel-2 (S2) MultiSpectral Instrument (MSI) and the Sentinel-3 (S3) Ocean Land Colour Instrument (OLCI) respectively, to study bloom dynamics in Utah Lake, United States, for 2018. We used established Mixture Density Networks (MDNs) to map Chl a from MSI and train new MDNs for PC retrieval from OLCI, using the same architecture and training dataset previously proven for PC retrieval from hyperspectral imagery. Our assessment suggests lower median uncertainties and biases (i.e., 42% and -4%, respectively) than that of existing top-performing PC algorithms. Additionally, we compared bloom trends in MDN-based PC and Chl a products to those from a satellite-derived cyanobacteria cell density estimator, the cyanobacteria index (CI-cyano), to evaluate their utility in the context of public health risk management. Our comprehensive analyses indicate increased spatiotemporal coherence of bloom magnitude, frequency, occurrence, and extent of MDN-based maps compared to CI-cyano and potential for use in cyanoHAB monitoring for public health and aquatic resource managers.
Utah↗
Distribution of Elevated Nitrate Concentrations in Ground Water in Washington State
More than 60 percent of the population of Washington State uses ground water for their drinking and cooking needs. Nitrate concentrations in ground water are elevated in parts of the State as a result of various land-use practices, including fertilizer application, dairy operations and ranching, and septic-system use. Shallow wells generally are more vulnerable to nitrate contamination than deeper wells (Williamson and others, 1998; Ebbert and others, 2000). In order to protect public health, the Washington State Department of Health requires that public water systems regularly measure nitrate in their wells. Public water systems serving more than 25 people collect water samples at least annually; systems serving from 2 to 14 people collect water samples at least every 3 years. Private well owners serving one residence may be required to sample when the well is first drilled, but are unregulated after that. As a result, limited information is available to citizens and public health officials about potential exposure to elevated nitrate concentrations for people whose primary drinking-water sources are private wells. The U.S. Geological Survey and Washington State Department of Health collaborated to examine water-quality data from public water systems and develop models that calculate the probability of detecting elevated nitrate concentrations in ground water. Maps were then developed to estimate ground water vulnerability to nitrate in areas where limited data are available.
Fact Sheet↗
Disease epidemics: Lessons for resilience in an increasingly connected world
In public health, the term resilience often refers to the personality traits that individuals possess which help them endure and recover from stressors. However, resilience as a system characteristic, especially in regards to complex social-ecological systems, can be informative for public health at scales larger than the individual. Acute shocks to systems occur against a background of existing conditions, which are crucial determinants of the eventual public health outcomes of those shocks, and in the context of complex dependencies among and between ecological and societal elements. Many components of a system's baseline condition are chronic public health concerns themselves and diminish the capacity of the system to perform in the face of acute shocks. The emerging field of resilience management is concerned with holistically assessing and improving a system's ability to prepare for and absorb disruption, and then recover and adapt across physical, information, environmental and social domains. Integrating resilience considerations into current risk- and evidence-based approaches to disease control and prevention 1 can move public health efforts toward more proactive and comprehensive solutions for protecting and improving the health of communities. Here, we look to the case of the Black Death as an illustrative case of a dramatic transformation in human history, an acute shock to a system that was underlain by chronic social maladies, to derive lessons about resilience management for public health in contemporary systems.
Journal of Public Health↗
Relationships between the health of Alaska Native communities and our environment -- phase 1, exploring and communicating
Alaska Natives depend on local natural resources for nutritional and, for many, spiritual health. As a result, public health in Alaska is strongly influenced by the relationship between people and their surrounding physical, chemical, and biological environments. Alaska is vast with diverse wildlife and plant communities that are valued as subsistence foods (fig. 1). These resources are supported by equally diverse ecosystems and their underpinning landforms and geologies. The U.S. Geological Survey (USGS) is attempting to integrate physical, chemical, and biological information to better describe current (2013) environments and project scenarios for the future. Integrating ecological data into the public health dialogue is challenging for the more than 280 rural communities of Alaska. This fact sheet reviews a recent USGS effort, the Geographic Information System (GIS) Native Health Project, to better incorporate scientific information into such dialogue.
Alaska↗
The US COVID-19 and Influenza Scenario Modeling Hubs: Delivering long-term projections to guide policy
Between December 2020 and April 2023, the COVID-19 Scenario Modeling Hub (SMH) generated operational multi-month projections of COVID-19 burden in the US to guide pandemic planning and decision-making in the context of high uncertainty. This effort was born out of an attempt to coordinate, synthesize and effectively use the unprecedented amount of predictive modeling that emerged throughout the COVID-19 pandemic. Here we describe the history of this massive collective research effort, the process of convening and maintaining an open modeling hub active over multiple years, and attempt to provide a blueprint for future efforts. We detail the process of generating 17 rounds of scenarios and projections at different stages of the COVID-19 pandemic, and disseminating results to the public health community and lay public. We also highlight how SMH was expanded to generate influenza projections during the 2022–23 season. We identify key impacts of SMH results on public health and draw lessons to improve future collaborative modeling efforts, research on scenario projections, and the interface between models and policy.
Epidemics↗
Spatial variability of harmful algal blooms in Milford Lake, Kansas, July and August 2015
Cyanobacterial harmful algal blooms (CyanoHABs) tend to be spatially variable vertically in the water column and horizontally across the lake surface because of in-lake and weather-driven processes and can vary by orders of magnitude in concentration across relatively short distances (meters or less). Extreme spatial variability in cyanobacteria and associated compounds poses unique challenges to collecting representative samples for scientific study and public-health protection. The objective of this study was to assess the spatial variability of cyanobacteria and microcystin in Milford Lake, Kansas, using data collected on July 27 and August 31, 2015. Spatially dense near-surface data were collected by the U.S. Geological Survey, nearshore data were collected by the Kansas Department of Health and Environment, and open-water data were collected by U.S. Army Corps of Engineers. CyanoHABs are known to be spatially variable, but that variability is rarely quantified. A better understanding of the spatial variability of cyanobacteria and microcystin will inform sampling and management strategies for Milford Lake and for other lakes with CyanoHAB issues throughout the Nation. The CyanoHABs in Milford Lake during July and August 2015 displayed the extreme spatial variability characteristic of cyanobacterial blooms. The phytoplankton community was almost exclusively cyanobacteria (greater than 90 percent) during July and August. Cyanobacteria (measured directly by cell counts and indirectly by regression-estimated chlorophyll) and microcystin (measured directly by enzyme-linked immunosorbent assay [ELISA] and indirectly by regression estimates) concentrations varied by orders of magnitude throughout the lake. During July and August 2015, cyanobacteria and microcystin concentrations decreased in the downlake (towards the outlet) direction. Nearshore and open-water surface grabs were collected and analyzed for microcystin as part of this study. Samples were collected in the uplake (Zone C), midlake (Zone B), and downlake (Zone A) parts of the lake. Overall, no consistent pattern was indicated as to which sample location (nearshore or open water) had the highest microcystin concentrations. In July, the maximum microcystin concentration observed in each zone was detected at a nearshore site, and in August, maximum microcystin concentrations in each zone were detected at an open-water site. The Kansas Department of Health and Environment uses two guidance levels (a watch and a warning level) to issue recreational public-health advisories for CyanoHABs in Kansas lakes. The levels are based on concentrations of microcystin and numbers of cyanobacteria. In July and August, discrete water-quality samples were predominantly indicative of warning status in Zone C, watch status in Zone B, and no advisories in Zone A. Regression-estimated microcystin concentrations, which provided more thorough coverage of Milford Lake ( n =683–720) than discrete samples ( n =21–24), generally indicated the same overall pattern. Regardless of the individual agencies sampling approach, the overall public-health advisory status of each zone in Milford Lake was similar according to the Kansas Department of Health and Environment guidance levels.
Kansas↗
The role of airborne mineral dusts in human disease
Exposure to fine particulate matter (PM) is generally acknowledged to increase risk for human morbidity and mortality. However, particulate matter (PM) research has generally examined anthropogenic (industry and combustion by-products) sources with few studies considering contributions from geogenic PM (produced from the Earth by natural processes, e.g., volcanic ash, windborne ash from wildfires, and mineral dusts) or geoanthropogenic PM (produced from natural sources by processes that are modified or enhanced by human activities, e.g., dusts from lakebeds dried by human removal of water, dusts produced from areas that have undergone desertification as a result of human practices). Globally, public health concerns are mounting, related to potential increases in dust emission from climate related changes such as desertification and the associated long range as well as local health effects. Recent epidemiological studies have identified associations between far-traveled dusts from primary sources and increased morbidity and mortality in Europe and Asia. This paper provides an outline of public health research and history as it relates to naturally occurring inorganic mineral dusts. We summarize results of current public health research and describe some of the many challenges related to understanding health effects from exposures to dust aerosols.
Aeolian Research↗
Phytoforensics: Trees as bioindicators of potential indoor exposure via vapor intrusion
Human exposure to volatile organic compounds (VOCs) via vapor intrusion (VI) is an emerging public health concern with notable detrimental impacts on public health. Phytoforensics, plant sampling to semi-quantitatively delineate subsurface contamination, provides a potential non-invasive screening approach to detect VI potential, and plant sampling is effective and also time- and cost-efficient. Existing VI assessment methods are time- and resource-intensive, invasive, and require access into residential and commercial buildings to drill holes through basement slabs to install sampling ports or require substantial equipment to install groundwater or soil vapor sampling outside the home. Tree-core samples collected in 2 days at the PCE Southeast Contamination Site in York, Nebraska were analyzed for tetrachloroethene (PCE) and results demonstrated positive correlations with groundwater, soil, soil-gas, sub-slab, and indoor-air samples collected over a 2-year period. Because tree-core samples were not collocated with other samples, interpolated surfaces of PCE concentrations were estimated so that comparisons could be made between pairs of data. Results indicate moderate to high correlation with average indoor-air and sub-slab PCE concentrations over long periods of time (months to years) to an interpolated tree-core PCE concentration surface, with Spearman’s correlation coefficients (ρ) ranging from 0.31 to 0.53 that are comparable to the pairwise correlation between sub-slab and indoor-air PCE concentrations (ρ = 0.55, n = 89). Strong correlations between soil-gas, sub-slab, and indoor-air PCE concentrations and an interpolated tree-core PCE concentration surface indicate that trees are valid indicators of potential VI and human exposure to subsurface environment pollutants. The rapid and non-invasive nature of tree sampling are notable advantages: even with less than 60 trees in the vicinity of the source area, roughly 12 hours of tree-core sampling with minimal equipment at the PCE Southeast Contamination Site was sufficient to delineate vapor intrusion potential in the study area and offered comparable delineation to traditional sub-slab sampling performed at 140 properties over a period of approximately 2 years.
Nebraska↗
Fate and transport of cyanobacteria and associated toxins and taste-and-odor compounds from upstream reservoir releases in the Kansas River, Kansas, September and October 2011
Cyanobacteria cause a multitude of water-quality concerns, including the potential to produce toxins and taste-and-odor compounds. Toxins and taste-and-odor compounds may cause substantial economic and public health concerns and are of particular interest in lakes, reservoirs, and rivers that are used for drinking-water supply, recreation, or aquaculture. The Kansas River is a primary source of drinking water for about 800,000 people in northeastern Kansas. Water released from Milford Lake to the Kansas River during a toxic cyanobacterial bloom in late August 2011 prompted concerns about cyanobacteria and associated toxins and taste-and-odor compounds in downstream drinking-water supplies. During September and October 2011 water-quality samples were collected to characterize the transport of cyanobacteria and associated compounds from upstream reservoirs to the Kansas River. This study is one of the first to quantitatively document the transport of cyanobacteria and associated compounds during reservoir releases and improves understanding of the fate and transport of cyanotoxins and taste-and-odor compounds downstream from reservoirs. Milford Lake was the only reservoir in the study area with an ongoing cyanobacterial bloom during reservoir releases. Concentrations of cyanobacteria and associated toxins and taste-and-odor compounds in Milford Lake (upstream from the dam) were not necessarily indicative of outflow conditions (below the dam). Total microcystin concentrations, one of the most commonly occurring cyanobacterial toxins, in Milford Lake were 650 to 7,500 times higher than the Kansas Department of Health and Environment guidance level for a public health warning (20 micrograms per liter) for most of September 2011. By comparison, total microcystin concentrations in the Milford Lake outflow generally were less than 10 percent of the concentrations in surface accumulations, and never exceeded 20 micrograms per liter. The Republican River, downstream from Milford Lake, was the only Kansas River tributary with detectable microcystin concentrations throughout the study period, and concentrations exceeded 1 microgram per liter for most of September 2011. Microcystin was detected periodically in other tributaries, but concentrations were low (less than 0.3 micrograms per liter). In contrast, the taste-and-odor compounds geosmin and 2-methylisoborneol (MIB) were detected in all tributaries located immediately downstream from reservoirs and total concentrations generally exceeded the human detection threshold (5 to 10 nanograms per liter) from September through mid-October. Microcystin, geosmin, and MIB were not detected in the Smoky Hill River upstream from the confluence with the Republican River that forms the Kansas River. Within a week after initial reservoir releases, microcystin, geosmin, and MIB were detected throughout a 173-mile reach of the Kansas River; these compounds remained detectable throughout the reach until mid-October. Losses to groundwater when streamflows in the Kansas River were increasing indicate the potential for reservoir releases to affect groundwater quality as well as surface-water quality. Total microcystin concentrations in the Kansas River generally were highest within about 24 miles of the confluence of the Smoky Hill and Republican Rivers, and decreased downstream; concentrations exceeded 1 microgram per liter in the Kansas River upstream from Topeka during the first 2 weeks of September. Patterns in microcystin occurrence and concentration at Kansas River tributary and main-stem sites indicate that Milford Lake was the source of microcystin in the Kansas River; however, the source of taste-and-odor compounds was not as evident, possibly because multiple tributaries contributed taste-and-odor compounds to the Kansas River. Microcystin and taste-and-odor compounds co-occurred in 56 percent of samples collected, indicating co-occurrence was common. Despite frequent co-occurrence, the spatial and temporal patterns in microcystin, geosmin, and MIB were unique and did not necessarily match patterns in cyanobacterial abundance. Use of a single compound or cyanobacterial abundance alone cannot necessarily be used as an indicator of the presence or concentration of these compounds. Measured concentrations of cyanobacteria and associated compounds were substantially higher than expected concentrations based on simple dilution models at some sites and substantially lower at others, though spatial and temporal patterns were unique for individual compounds. Data were not collected in such a way to determine whether differences between measured and expected concentrations were statistically significant. Results, however, indicate that simple dilution models were not sufficient to describe the downstream transport of cyanobacteria and associated compounds in the Kansas River.
Kansas↗
Estimating microcystin levels at recreational sites in western Lake Erie and Ohio
Cyanobacterial harmful algal blooms (cyanoHABs) and associated toxins, such as microcystin, are a major global water-quality issue. Water-resource managers need tools to quickly predict when and where toxin-producing cyanoHABs will occur. This could be done by using site-specific models that estimate the potential for elevated toxin concentrations that cause public health concerns. With this study, samples were collected at three Ohio lakes to identify environmental and water-quality factors to develop linear-regression models to estimate microcystin levels. Measures of the algal community (phycocyanin, cyanobacterial biovolume, and cyanobacterial gene concentrations) and pH were most strongly correlated with microcystin concentrations. Cyanobacterial genes were quantified for general cyanobacteria, general Microcystis and Dolichospermum , and for microcystin synthetase ( mcyE ) for Microcystis , Dolichospermum , and Planktothrix. For phycocyanin, the relations were different between sites and were different between hand-held measurements on-site and nearby continuous monitor measurements for the same site. Continuous measurements of parameters such as phycocyanin, pH, and temperature over multiple days showed the highest correlations to microcystin concentrations. The development of models with high R 2 values (0.81–0.90), sensitivities (92%), and specificities (100%) for estimating microcystin concentrations above or below the Ohio Recreational Public Health Advisory level of 6 μg L −1 was demonstrated for one site; these statistics may change as more data are collected in subsequent years. This study showed that models could be developed for estimates of exceeding a microcystin threshold concentration at a recreational freshwater lake site, with potential to expand their use to provide relevant public health information to water resource managers and the public for both recreational and drinking waters.
Ohio↗
Resetting the bar: Establishing baselines for persistent contaminants after Hurricane Sandy in the coastal environments of New Jersey and New York, USA
In the immediate aftermath of natural disasters, public health officials and other first responders engage in many activities to protect the public and ecosystems in the affected area. These activities include critical tasks designed to minimize adverse consequences resulting from chemical and microbial contaminant exposures, such as acute disease incidence and transmission. However, once these urgent priorities have been met and situations requiring immediate attention have been stabilized, questions regarding the potential longer term threats to humans and ecosystems associated with persistent contaminant exposures remain. Research conducted to address these questions is frequently challenged by the lack of available baseline contaminant information collected before the event for comparison and perspective. In addition, deployments of field crews and collection of environmental samples typically occur days, weeks, or months after the event. Consequently, during and in the aftermath of disasters, public health agencies commonly advise the public to disinfect water, avoid contact with disturbed infrastructure (such as sewer lines), and (or) refrain from use of recreational waters, with the general focus on acute health threats; however, the persisting effects of such releases on local recreational waters, fisheries, and other estuarine habitats are often undetermined.
New Jersey, New York↗
An appraisal of the ground-water resources of the lower Susquehanna River basin (An interim report)
This report describes the availability, quantity, quality, variability, and cost of development of the ground-water resources in the lower Susquehanna River basin. The report has been prepared for and under specifications established by the Corps of Engineers, U. S. Army, and the Public Health Service, Department of Health, Education, and Welfare. A comprehensive study of the water and related land resources of the Susquehanna River basin was authorized by the Congress of the United States in October 1961, and the task of preparing a report and of coordinating the work being done by others in support of the study was assigned to the Corps of Engineers. The comprehensive study is being conducted by several Federal departments and independent agencies in cooperation with the States of New York, Pennsylvania, and Maryland. The Public Health Service under its authority in the Federal Water Pollution Control Act (P. L. 660) initiated a comprehensive water quality control program for the Chesapeake drainage basin, which includes the Susquehanna River basin. This report is intended to serve the specific needs for ground-water information of both the Corps of Engineers and the Public Health Service, as well as those of the other participating Federal and State agencies.
Pennsylvania↗
Collaborative hubs: Making the most of predictive epidemic modeling
The COVID-19 pandemic has made it clear that epidemic models play an important role in how governments and the public understand and respond to infectious disease crises. In the early days of the COVID-19 pandemic, models were used first to estimate the true number of infections, then to provide estimates of key parameters, to generate short-term forecasts of outbreak trends, and to quantify the possible effects of different interventions on the unfolding epidemic. In contrast to the central coordinating role played by major national or international agencies in weather-related emergencies, pandemic modeling efforts were initially scattered across many individual research institutions and academic groups. Differences in modeling approaches and assumptions of each individual effort led to contrasting results that at times contributed to confusion in public perception of the pandemic. For this reason, recent efforts to publicly coordinate modeling efforts in so-called “hubs” have provided governments, public health partners, and the public with assessments and forecasts that reflect the consensus (or lack thereof) in the modeling community. This has been achieved by openly and transparently synthesizing uncertainties across different individual modeling approaches and facilitating comparisons between them.
American Journal of Public Health↗
Selenium in waters in and adjacent to the Kendrick Project, Natrona County, Wyoming
Selenium in concentrations exceeding the maximum limit, 0.01 milligrams per liter or 10 micrograms per liter, recommended by the U.S. Public Health Service in 'Drinking-Water Standards, 1962,' Public Health Pub. 956, is present in waters in areas near Casper, Wyo. Some streams containing selenium flow into the North Platte River upstream from several municipalities that obtain water from the river and the alluvium along the river. The area of this investigation includes about 725 square miles in Natrona County in central Wyoming. Study effort was most intensive within the area bounded by the North Platte River, Casper Creek, and Casper Canal, the approximate boundaries of the Kendrick irrigation project. Geologic formations in the area contain selenium that may have been derived from deposits of seleniferous material or from volcanic emanations brought down by rain. Formations older than Cretaceous age were not considered as important sources of selenium in waters of the area, because no irrigation water is applied to areas underlain by these rocks. The selenium concentration in 82 samples of Cretaceous rocks ranged from less than 10 to 4,200 ?g/kg (micrograms per kilogram of sample); no correlation was found between selenium concentration and the depth at which the sample was collected. Of four samples of Tertiary rocks analyzed, three contained no selenium and one had a selenium concentration of 40 ?g/kg. The selenium concentration in 93 samples of Quaternary rocks ranged from less than 10 to 52.0 ?g/kg, and the highest selenium concentration was generally found at depths less than 4 feet. No geologic formation has consistently high concentrations of selenium, but high concentrations were found at points throughout the study area. Probably the rocks in any locality could be the source of selenium in the water in the surrounding vicinity. The selenium concentration in water from some wells fluctuates widely. It is concluded that the selenium concentrations in the ground water in these areas have not reached a state of equilibrium in the aquifer. It is possible that such nonequilibrium conditions exist in aquifers throughout much of the area. If so, statements in this report concerning- trends of selenium concentration in ground water are somewhat speculative.Poison Spring Creek, Poison Spider Creek, Oregon Trail Drain, and Casper Creek are the principal tributaries that contribute selenium to the North Platte River. The selenium load, expressed in pounds per day, in Poison Spring Creek and Poison Spider Creek decreased slightly during the first year of sampling and increased slightly during the second year of sampling. The selenium load in Oregon Trail Drain is greatest in late winter and early spring during the period of low flow; the selenium load in Casper Creek varies, but shows no correlation with season and little correlation with stream discharge. The North Platte River above and below the irrigation project had consistently low selenium concentrations, 10 ?g/l (micrograms per liter) or less, in the period April 1968 through June 1969. The total selenium load contributed to the North Platte River from tributaries in the study area is almost undetectable after mixing with the river water. From the fall of 1968 .to the spring of 1969, results of water sampling in areas influenced by irrigation show that the selenium concentration increased at 29 percent of the locations (average net increase of 64 ?g/l), decreased at 34 percent of the locations (average net decrease of 80 ?g/l), and had little (10 ?g/l or .less) or no change at 37 percent of the locations. As a comparison, results of water sampling in areas not influenced by irrigation showed that the selenium concentration increased at 2 percent of the locations (average net increase of 30 ?g/l), decreased at 26 percent of the locations (average net decrease of 30?g/l), and had little or no change at 72 percent of the locations. It is not possible to
Water Supply Paper↗