One map: Using geospatial analysis to understand lead exposure across humans, animals, and the environment in an urban US city.

Environmental lead contamination negatively impacts human, animal, and ecosystem health, yet there is a lack of research in this area that incorporates a One Health framework - examining co-exposures among species through their shared environment. The purpose of this study was to integrate human and animal data with public soil lead levels to better understand lead exposure patterns across species in an urban US city. Over 200 soil samples were collected, analyzed for lead, and mapped in combination with other risk factors pulled from the literature to identify areas of highest risk. Human socio-demographic data, dog, and house sparrow density data were mapped to investigate the association between these variables and soil lead levels. Geospatial analysis software was used to visualize the geospatial distribution of soil lead levels and known risk factors for environmental lead contamination, and a block group risk score was calculated and mapped. Associations between human and animal-associated variables and soil lead levels and block risk scores were assessed using Spearman's correlations. Positive, statistically significant associations were found between soil lead levels and higher population density, higher education levels, and higher median household income. Areas with higher soil lead levels and lead exposure risk scores were associated with greater dog density and greater house sparrow density. This study fills an important knowledge gap on the risk of environmental lead exposure to humans, domestic animals, and wildlife.

Occupational health and gorilla conservation in Rwanda.

The design and implementation of an employee health program for people who work with mountain gorillas in Rwanda is described. This program aims to improve worker health and to reduce human-to-gorilla transmission of infectious disease. The program covered approximately 111 workers, generally healthy men and women 25-45 years old, including essentially all people in Rwanda who have regular contact with gorillas. Initial assessment included a questionnaire, medical examination, and local tests. U.S. laboratory facilities were utilized to confirm some results and for serologic testing for zoonotic (simian) viruses. Initial interventions included STD/HIV prevention health education, tetanus immunization, and anthelminthic treatment. Local physicians continue to provide health services, including follow-up testing and treatment. Mountain Gorilla Veterinary Project (MGVP) veterinarians assist in planning and implementing continuing program components in collaboration with local health authorities and the other employing organizations.