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4.
Am J Public Health ; 110(3): 288-294, 2020 03.
Artigo em Inglês | MEDLINE | ID: mdl-31944847

RESUMO

An ever-changing landscape for environmental health (EH) requires in-depth assessment and analysis of the current challenges and emerging issues faced by EH professionals. The Understanding the Needs, Challenges, Opportunities, Vision, and Emerging Roles in Environmental Health initiative addressed this need.After receiving responses from more than 1700 practitioners, during an in-person workshop, focus groups identified and described priority problems and supplied context on addressing the significant challenges facing EH professionals with state health agencies and local health departments. The focus groups developed specific problem statements detailing the EH profession and workforce's prevailing challenges and needs according to 6 themes, including effective leadership, workforce development, equipment and technology, information systems and data, garnering support, and partnerships and collaboration.We describe the identified priority problems and needs and provide recommendations for ensuring a strong and robust EH profession and workforce ready to address tomorrow's challenges.


Assuntos
Saúde Ambiental/organização & administração , Desenvolvimento de Pessoal , Recursos Humanos/normas , Grupos Focais , Humanos , Liderança , Determinação de Necessidades de Cuidados de Saúde
5.
Creat Nurs ; 25(4): 270-274, 2019 Nov 01.
Artigo em Inglês | MEDLINE | ID: mdl-31796612

RESUMO

The nursing tradition is rich in service and selflessness, which has helped contribute to our reputation as a widely respected and trusted profession. Inadvertently, however, a selfless approach can deter nursing leaders from elevating their stories as models of success. In the interest of highlighting the narratives of emerging nurse leaders, this article presents the stories of four nurses from across the United States who are working within the realm of environmental health. From climate change to lead poisoning, and from environmental advocacy to community health education, these four nursing leaders from the Alliance of Nurses for Healthy Environments (ANHE) embody what it means to tackle the challenges of environmental health with courage, innovation, and tenacity.


Assuntos
Saúde Ambiental/organização & administração , Promoção da Saúde/organização & administração , Liderança , Enfermeiras Administradoras/psicologia , Adulto , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Papel Profissional , Estados Unidos
6.
Artigo em Inglês | MEDLINE | ID: mdl-31671731

RESUMO

The Environmental Protection Agency's (EPA) Superfund program was established to identify, assess and clean up the nation's worst hazardous waste sites to protect human health and the environment. Community involvement is an important part of the Superfund program for at least three reasons. First, involving communities in decision making at Superfund sites is a statutory requirement. Second, community involvement is important so that clean up decisions will support reuse in the surrounding community. Third, because even after cleanup many sites have residual contamination that warrants administrative and legal controls to protect health and the environment, community members should understand these controls to both help protect community members and any limitations on site reuse. Community feedback informs both proposed actions and local reuse decisions. While the EPA recognizes that the agency performs many activities that are helpful to support community involvement, there are areas in need of improvement and further research would be helpful for communities in the future.


Assuntos
Participação da Comunidade/métodos , Recuperação e Remediação Ambiental/métodos , Locais de Resíduos Perigosos , United States Environmental Protection Agency/organização & administração , Participação da Comunidade/estatística & dados numéricos , Saúde Ambiental/métodos , Saúde Ambiental/organização & administração , Política Ambiental , Recuperação e Remediação Ambiental/estatística & dados numéricos , Humanos , Desenvolvimento de Programas , Melhoria de Qualidade , Estados Unidos , United States Environmental Protection Agency/estatística & dados numéricos
7.
Artigo em Inglês | MEDLINE | ID: mdl-31546760

RESUMO

Social science-environmental health (SS-EH) research takes many structural forms and contributes to a wide variety of topical areas. In this article we discuss the general nature of SS-EH contributions and offer a new typology of SS-EH practice that situates this type of research in a larger transdisciplinary sensibility: (1) environmental health science influenced by social science; (2) social science studies of environmental health; and (3) social science-environmental health collaborations. We describe examples from our own and others' work and we discuss the central role that research centers, training programs, and conferences play in furthering SS-EH research. We argue that the third form of SS-EH research, SS-EH collaborations, offers the greatest potential for improving public and environmental health, though such collaborations come with important challenges and demand constant reflexivity on the part of researchers.


Assuntos
Pesquisa Biomédica/organização & administração , Participação da Comunidade , Saúde Ambiental/organização & administração , Ciência Ambiental/organização & administração , Ciências Sociais/organização & administração , Humanos , Colaboração Intersetorial , Projetos de Pesquisa , Estados Unidos
8.
Artigo em Inglês | MEDLINE | ID: mdl-31443335

RESUMO

In this special issue of IJERPH, we feature studies conducted by research translation and community engagement teams that are funded through the Superfund Research Program in the United States. These and other teams funded by this program demonstrate how environmental and health communication research can contribute to generalizable lessons about helping and empowering contaminated communities. These types of applied behavioral, social and communication projects are important because while much about our communities is unique and must be addressed on a case by case basis, other aspects of research translation and community engagement processes are potentially generalizable across sites and can thus be used to scale up solutions to toxic contamination to other communities and countries more rapidly than would otherwise occur.


Assuntos
Participação da Comunidade , Saúde Ambiental/organização & administração , Comunicação em Saúde , Pesquisa Médica Translacional , Participação da Comunidade/economia , Pesquisa Médica Translacional/economia , Estados Unidos
10.
Artigo em Inglês | MEDLINE | ID: mdl-31108844

RESUMO

Victoria's (Australia) Environment Protection Authority (EPA), the state's environmental regulator, has recognized the need to develop an Environmental Health Tracking System (EHTS) to better understand environmental health relationships. To facilitate the process of developing an EHTS; a linkage-based conceptual framework was developed to link routinely collected environmental and health data to better understand environmental health relationships. This involved researching and drawing on knowledge from previous similar projects. While several conceptual frameworks have been used to organize data to support the development of an environmental health tracking system, Driving Force-Pressure-State-Exposure-Effect-Action (DPSEEA) was identified as the most broadly applied conceptual framework. Exposure and effects are two important components of DPSEEA, and currently, exposure data are not available for the EHTS. Therefore, DPSEEA was modified to the Driving Force-Pressure-Environmental Condition-Health Impact-Action (DPEHA) conceptual framework for the proposed Victorian EHTS as there is relevant data available for tracking. The potential application of DPEHA for environmental health tracking was demonstrated through case studies. DPEHA will be a useful tool to support the implementation of Victoria's environmental health tracking system for providing timely and scientific evidence for EPA and other decision makers in developing and evaluating policies for protecting public health and the environment in Victoria.


Assuntos
Saúde Ambiental/organização & administração , Saúde Pública/métodos , Exposição Ambiental , Poluição Ambiental , Humanos , Administração em Saúde Pública , Medição de Risco , Vitória
11.
J Med Libr Assoc ; 107(2): 258-264, 2019 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-31019396

RESUMO

The Medical Library Association recently announced its commitment to diversity and inclusion. While this is a positive start, critical librarianship takes the crucial concepts of diversity and inclusion one step further by advocating for social justice action and the dismantling of oppressive institutional structures, including white supremacy, patriarchy, and capitalism. Critical librarianship takes many forms, but, at its root, is focused on interrogating and disrupting inequitable systems, including changing racist cataloging rules, creating student-driven information literacy instruction, supporting inclusive and ethical publishing models, and rejecting the notion of libraries as neutral spaces. This article presents examples of the application of critical practice in libraries as well as ideas for applying critical librarianship to the health sciences.


Assuntos
Saúde Ambiental , Biblioteconomia , Arquivos , Saúde Ambiental/organização & administração , Humanos , Biblioteconomia/métodos , Biblioteconomia/organização & administração , Serviços de Biblioteca , Serviços Técnicos de Biblioteca
12.
Environ Health Perspect ; 127(4): 45001, 2019 04.
Artigo em Inglês | MEDLINE | ID: mdl-30957526

RESUMO

BACKGROUND: Environmental health scientists may find it challenging to fit the structure of the questions addressed in their discipline into the prevailing paradigm for translational research. OBJECTIVE: We aim to frame the translational science paradigm to address the stages of scientific discovery, knowledge acquisition, policy development, and evaluation in a manner relevant to the environmental health sciences. Our intention is to characterize differences between environmental health sciences and clinical medicine, and to orient this effort towards public health goals. DISCUSSION: Translational research is usually understood to have evolved from the bench-to-bedside framework by which basic science transitions to clinical treatment. Although many health-related fields have incorporated the terminology and context of translational science, environmental health research has not always found a clear fit into this paradigm. We describe a translational research framework applicable to environmental health sciences that retains the basic structure that underlies the original bench-to-bedside paradigm. We propose that scientific discovery (T1) in environmental health research frequently occurs through epidemiological or clinical observations. This discovery often involves understanding the potential for human health effects of exposure to a given environmental chemical or chemicals. The practical applications of this discovery evolve through an understanding of exposure-response relationships (T2) and identification of potential interventions to reduce exposure and improve health (T3). These stages of translation require an interdisciplinary partnership between exposure sciences, exposure biology, toxicology, epidemiology, biostatistics, risk assessment, and clinical sciences. Implementation science then plays a crucial role in the development of environmental and public health practice and policy interventions (T4). Outcome evaluation (T5) often takes the form of accountability research, as environmental health scientists work to quantify the costs and benefits of these interventions. CONCLUSION: We propose an easily visualized framework for translation of environmental health science knowledge-from discovery to public health practice-that reflects the crucial interactions between multiple disciplines in our field. https://doi.org/10.1289/EHP4067.


Assuntos
Saúde Ambiental/organização & administração , Saúde Pública/métodos , Pesquisa Médica Translacional/organização & administração , Humanos
13.
Ecohealth ; 16(2): 317-329, 2019 06.
Artigo em Inglês | MEDLINE | ID: mdl-30953243

RESUMO

Entangled in complex ecological, sociocultural, and economic systems, current environmental health problems require integrated participatory approaches. Alpuyeca, a semi-urban, highly marginalized community in South-Central Mexico burdened by lead and polychlorinated biphenyl (PCB) contamination, dengue fever, and intestinal diseases, illustrates this. Its residents are distinctive, however, for their concerted actions in the face of environmental problems and the presence of defenders of a prehispanic worldview based on the protection of nature. This article addresses the health impacts of an integrated environmental health promotion strategy implemented through a participatory action research intervention based on qualitative and quantitative methods. Different actors, sectors, dimensions, and knowledge types were harmonized in a collaborative space created specifically for our interdisciplinary research team, community residents and local authorities. Reflections, plans and actions were developed collectively in this space with the view of finding solutions anchored in the local culture. Results included sharp reductions in blood-lead concentrations among children, in entomological indices, and in PCB contamination, as well as capacity strengthening. Medium-level community participation was achieved. This work contributes evidence that participatory environmental health research can be effective in analyzing and reducing problems in communities with multiple environmental health concerns. It complements ecohealth and environmental health literacy approaches.


Assuntos
Saúde Ambiental/métodos , Poluição Ambiental , Promoção da Saúde , Criança , Participação da Comunidade , Dengue/epidemiologia , Dengue/prevenção & controle , Exposição Ambiental/análise , Exposição Ambiental/prevenção & controle , Saúde Ambiental/organização & administração , Promoção da Saúde/métodos , Promoção da Saúde/organização & administração , Humanos , Intoxicação por Chumbo/sangue , Intoxicação por Chumbo/diagnóstico , México/epidemiologia , Bifenilos Policlorados/toxicidade
14.
East Mediterr Health J ; 24(2): 117-118, 2018 May 03.
Artigo em Inglês | MEDLINE | ID: mdl-30370914

RESUMO

The Eastern Mediterranean Region (EMR) is a diverse region in terms of income, development, health and environmental conditions. The environment and ecosystems are under serious pressures with adverse impacts on human health and well-being. Environmental Health (EH) is an area of growing importance for EMR, and environmental risk factors such as air, water and soil pollution, chemical exposures, climate change and radiation, contribute to more than 100 diseases and injuries, and environmental hazards are responsible for about 22% of the total burden of disease in the Region.


Assuntos
Saúde Ambiental/organização & administração , Pesquisa/organização & administração , Saúde Ambiental/normas , Poluição Ambiental/prevenção & controle , Humanos , Oriente Médio , Material Particulado , Fatores de Risco , Saneamento/métodos , Saneamento/normas , Organização Mundial da Saúde
19.
Epidemiol Prev ; 42(2): 167-170, 2018.
Artigo em Italiano | MEDLINE | ID: mdl-29774714

RESUMO

Eleven projects within the LIFE programme (through which the Directorate-General for Environment of the European Commission provides funding for projects aim at protecting environment and nature) addressing environmental-health-related issues have been involved in a collaborative network called KTE LIFE EnvHealth Network. The shared issues tackled by that projects are knowledge transfer and exchange (KTE). The objective of the LIFE programme is to support the implementation of the environmental legislation in the European Union, to provide new tools and knowledge that will help to better protect both the territory and the communities. Transferring knowledge to decision makers, at the appropriate and effective level, is therefore a central function of the projects. The Network promotes national and international networking, which intends to involve other projects, to provide methodological support, to make information and successful practices circulate, with the aim of multiplying the energies of each project involved.


Assuntos
Conservação dos Recursos Naturais , Saúde Ambiental/organização & administração , Disseminação de Informação , Tomada de Decisões , União Europeia , Troca de Informação em Saúde , Política de Saúde , Humanos , Cooperação Internacional , Gestão de Riscos
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