Rebuilding Caribbean Environmental Health Post-Crisis Programs: A Preliminary Study for Virtual Mentorship.

After the hurricanes in 2017 in the U.S. Caribbean, it was essential to rebuild, strengthen, and sustain essential environmental health (EH) services and systems. The National Environmental Health Association, in partnership with the Centers for Disease Control and Prevention, developed an online mentorship program for newly hired and existing EH staff and health department leadership in Caribbean health departments. Participants were provided with both practical and didactic learning and were allowed to evaluate the program. Both mentors and mentees were highly satisfied with the knowledge and skills acquired, and mentees expressed it was relevant to their daily work. Based on the findings, we recommend both an online and a hybrid mentorship program for leadership- and inspector-level workforces in EH and potentially in other fields.

Study on the Synthesis of ZnO Nanoparticles Using Azadirachta indica Extracts for the Fabrication of a Gas Sensor.

This paper compared the effects of A. indica plant proteins over chemical methods in the morphology of zinc oxide nanoparticles (ZnO NPs) prepared by a co-precipitation method, and ethanol sensing performance of prepared thin films deposited over a fluorene-doped tin oxide (FTO) bind glass substrate using spray pyrolysis technique. The average crystallite sizes and diameters of the grain-sized cluster ZnO NPs were 25 and (701.79 ± 176.21) nm for an undoped sample and 20 and (489.99 ± 112.96) nm for A. india dye-doped sample. The fourier transform infrared spectroscopy (FTIR) analysis confirmed the formation of the Zn-O bond at 450 cm-1, and also showed the presence of plant proteins due to A. indica dye extracts. ZnO NPs films exhibited good response (up to 51 and 72% for without and with A. indica dye-doped extracts, respectively) toward ethanol vapors with quick response-recovery characteristics at a temperature of 250 °C for undoped and 225 °C for A. indica dye-doped ZnO thin films. The interaction of A. indica dye extracts helps to decrease the operating temperature and increased the response and recovery rates of the sensor, which may be due to an increase in the specific surface area, resulting in adsorption of more oxygen and hence high response results.

Pharmacists' roles in emergency and disasters: COVID-19 as an example.

BACKGROUND: Emergencies and disasters are major threats to health care systems. Coronavirus Disease 2019 (COVID-19) is at the center of a recent emergency situation that requires increased attention from health care professionals, including pharmacists. This study was aimed at providing an overview of pharmacists' roles in disasters and formulating a definition of expected roles and tasks through which they can perform these roles properly. METHODS: A systematic review was conducted utilizing a literature search performed on the Medline, EMBASE and PubMed databases. The last search occurred on 14 July 2020. Data were extracted and recorded on a data extraction sheet by the reviewers, then categorized using the prevention, preparedness, response, and recovery (PPRR) model. Study quality was evaluated using the Critical Appraisal Skills Program (CASP) checklist. RESULTS: Fifteen articles addressing pharmacists' roles in disasters were included. Of these, three addressed pharmacists' roles during the COVID-19 pandemic. Pharmacists' roles in the prevention of emergencies, including COVID-19, are focused on chronic disease medication supply and education. Regarding pharmacists' preparedness to perform their roles in disasters, they were more focused on health policy and population health planning, especially regarding the COVID-19 pandemic. Direct patient care continues to support patients through medication availability, and pharmacists' clinical roles are examples of their response to disasters. In addition, pharmacists have an important role in disaster recovery that involves several activities, such as restocking emergency kits and reestablishing normal stock. Studies were generally of a reasonable quality. However, some limitations were noted among studies, and higher quality studies that contribute to existing knowledge are needed. CONCLUSION: Health care systems' utilization of pharmacists' new roles can result in a well-prepared disaster response, as observed during the COVID-19 pandemic. Pharmacists' engagement in decision-making processes and adequate demonstration of pharmacists' nontraditional roles in the literature can facilitate the health care community's acceptance of such roles.

Nipah outbreak in North Kerala - What worked? Insights for future response and recovery based on examination of various existing frameworks.

Asia Pacific region has been witnessing numerous public health emergencies in recent years with the Nipah outbreak in North Kerala (2018), India, needs special mention. Threats posed and experiences gained have compelled health systems to draft frameworks nationally and internationally for preparedness, outbreak response, and recovery. Our failure to obtain comprehensive guiding frameworks for application in the Indian context for Ebola, Severe Acute Respiratory Syndrome, Influenza A (H1N1), and Nipah outbreaks led us to the search outside India for frameworks that have worked in the past. A thorough review of the WHO, Centers for Disease Control and Prevention, and Malaysian framework was done to identify explicit components and replicable objectives to the national context. In the absence of a specific framework, Nipah recovery and response experience that worked in Kerala outbreak (2018) was compared against novel H1N1 (2015) guidelines at national level. This article provides the groundwork and insights as a value addition toward an India-specific framework of action for response and recovery for Nipah outbreaks in future.

Temporary disaster debris management site identification using binomial cluster analysis and GIS.

An essential component of disaster planning and preparation is the identification and selection of temporary disaster debris management sites (DMS). However, since DMS identification is a complex process involving numerous variable constraints, many regional, county and municipal jurisdictions initiate this process during the post-disaster response and recovery phases, typically a period of severely stressed resources. Hence, a pre-disaster approach in identifying the most likely sites based on the number of locational constraints would significantly contribute to disaster debris management planning. As disasters vary in their nature, location and extent, an effective approach must facilitate scalability, flexibility and adaptability to variable local requirements, while also being generalisable to other regions and geographical extents. This study demonstrates the use of binomial cluster analysis in potential DMS identification in a case study conducted in Hamilton County, Indiana.

Paper-Based Humidity Sensors as Promising Flexible Devices, State of the Art, Part 2: Humidity-Sensor Performances.

This review article covers all types of paper-based humidity sensor, such as capacitive, resistive, impedance, fiber-optic, mass-sensitive, microwave, and RFID (radio-frequency identification) humidity sensors. The parameters of these sensors and the materials involved in their research and development, such as carbon nanotubes, graphene, semiconductors, and polymers, are comprehensively detailed, with a special focus on the advantages/disadvantages from an application perspective. Numerous technological/design approaches to the optimization of the performances of the sensors are considered, along with some non-conventional approaches. The review ends with a detailed analysis of the current problems encountered in the development of paper-based humidity sensors, supported by some solutions.

Integrating marine oil snow and MOSSFA into oil spill response and damage assessment.

Marine snow formation and vertical transport are naturally occurring processes that carry organic matter from the surface to deeper waters, providing food and sequestering carbon. During the Deepwater Horizon well blowout, oil was incorporated with marine snow aggregates, triggering a Marine Oil Snow (MOS) Sedimentation and Flocculent Accumulation (MOSSFA) event, that transferred a significant percentage of the total released oil to the seafloor. An improved understanding of processes controlling MOS formation and MOSSFA events is necessary for evaluating their impacts on the fate of spilled oil. Numerical models and predictive tools capable of providing scientific support for oil spill planning, response, and Natural Resource Damage Assessment are being developed to provide information for weighing the ecological trade-offs of response options. Here we offer considerations for oil spill response and recovery when assessing the potential for a MOSSFA event and provide tools to enhance decision-making.

Capacitive and Conductometric Type Dual-Mode Relative Humidity Sensor Based on 5,10,15,20-tetra Phenyl Porphyrinato Nickel (II) (TPPNi).

(1) Background: A quest for a highly sensitive and reliable humidity monitoring system for a diverse variety of applications is quite vital. Specifically, the ever-increasing demand of humidity sensors in applications ranging from agriculture to healthcare equipment (to cater the current demand of COVID-19 ventilation systems), calls for a selection of suitable humidity sensing material. (2) Methods: In the present study, the TPPNi macromolecule has been synthesized by using a microwave-assisted synthesis process. The layer structure of the fabricated humidity sensor (Al/TPPNi/Al) consists of pair of planar 120 nm thin aluminum (Al) electrodes (deposited by thermal evaporation) and ~160 nm facile spin-coated solution-processable organic TPPNi as an active layer between the ~40 µm electrode gap. (3) Results: Electrical properties (capacitance and impedance) of sensors were found to be substantially sensitive not only on relative humidity but also on the frequency of the input bias signal. The proposed sensor exhibits multimode (capacitive and conductometric) operation with significantly higher sensitivity ~146.17 pF/%RH at 500 Hz and 48.23 kΩ/%RH at 1 kHz. (4) Conclusions: The developed Al/TPPNi/Al surface type humidity sensor's much-improved detecting properties along with reasonable dynamic range and response time suggest that it could be effective for continuous humidity monitoring in multi environmental applications.

ZnS Quantum Dot Based Acetone Sensor for Monitoring Health-Hazardous Gases in Indoor/Outdoor Environment.

This study reports the ZnS quantum dots (QDs) synthesis by a hot-injection method for acetone gas sensing applications. The prepared ZnS QDs were characterized by X-ray diffraction (XRD) and transmission electron microscopy analysis. The XRD result confirms the successful formation of the wurtzite phase of ZnS, with a size of ~5 nm. Transmission electron microscopy (TEM), high-resolution TEM (HRTEM), and fast Fourier transform (FFT) images reveal the synthesis of agglomerated ZnS QDs with different sizes, with lattice spacing (0.31 nm) corresponding to (111) lattice plane. The ZnS QDs sensor reveals a high sensitivity (92.4%) and fast response and recovery time (5.5 s and 6.7 s, respectively) for 100 ppm acetone at 175 °C. In addition, the ZnS QDs sensor elucidates high acetone selectivity of 91.1% as compared with other intrusive gases such as ammonia (16.0%), toluene (21.1%), ethanol (26.3%), butanol (11.2%), formaldehyde (9.6%), isopropanol (22.3%), and benzene (18.7%) for 100 ppm acetone concentration at 175 °C. Furthermore, it depicts outstanding stability (89.1%) during thirty days, with five day intervals, for 100 ppm at an operating temperature of 175 °C. In addition, the ZnS QDs acetone sensor elucidates a theoretical detection limit of ~1.2 ppm at 175 °C. Therefore, ZnS QDs can be a promising and quick traceable sensor nanomaterial for acetone sensing applications.

Synthesis of In Situ Photoinduced Halloysite-Polypyrrole@Silver Nanocomposite for the Potential Application in Humidity Sensors.

Halloysite-polypyrrole-silver nanocomposite has been prepared via in situ photopolymerizations of pyrrole in the presence of silanized halloysite and silver nitrate as a photoinitiator. The halloysite nanoclay (HNT) was modified using the hydrogen donor silane coupling agent (DMA) in order to provide anchoring sites for the polypyrrole/silver composite (PPy@Ag). The mass loadings for both PPy and Ag have been estimated to be 21 and 26 wt%, respectively. The anchored Ag particles were found in the metallic state. The resulting PPy@Ag-modified silanized HNT has been evaluated for the potential application for impedance humidity sensors. HNT-DMA-PPy@Ag nanocomposite with different weight % of PPy@Ag (0.25 wt%, 0.5 wt%, and 1 wt%) was deposited on the pre-patterned interdigital Indium Tin Oxide (ITO) electrodes by spin coating technique. The addition of Ag nanoparticles within the nanocomposite enhances the hydrophilicity of the sensing film, which improves the sensitivity of the humidity sensors. The HNT-DMA-PPy@Ag (0.5 wt%) nanocomposite-based impedance sensors showed good sensitivity and lowered hysteresis as compared to the other ratios of the composite. The maximum calculated hysteresis loss of the HNT-DMA-PPy@Ag (0.5 wt%)-based humidity sensor is around 4.5% at 80% RH (relative humidity), and the minimum hysteresis loss estimated to be 0.05% at 20% RH levels. The response and recovery time of HNT-DMA-PPy@Ag (0.5 wt%) nanocomposite-based impedance sensors were found to be 30 and 35 s, respectively. The interesting humidity-dependent impedance properties of this novel composite make it promising in humidity sensing.

Wireless Hand-Held Device Based on Polylactic Acid-Protected, Highly Stable, CTAB-Functionalized Phosphorene for CO2 Gas Sensing.

Phosphorene is a novel two-dimensional (2D) material with exceptional properties and is connecting the gaps between graphene and transition-metal chalcogenides but having environmental instability. In this study, we present effective liquid exfoliation of few-layer phosphorene (FLP) from bulk black phosphorous (BP) in the presence of cetyltrimethylammonium bromide (CTAB), a cationic surfactant that is highly stable. It successfully stabilizes FLP in deionized water, which is consistent with obtained characterization and gas-sensing studies. Our investigation shows that the dynamic sensing response of the CTAB-grafted phosphorene (P-CTAB) sensor increases by ∼1.5 times as the relative humidity (RH) varies from 33 to 75%, which is the first published result for CO2 gas detection. The sensitivity values of the P-CTAB and P-CTAB/polylactic acid (PLA) are found to be 0.0356 and 0.0329 ppm-1, respectively, toward CO2 gas. It is notable that when a polylactic acid (PLA) membrane is introduced as a barrier layer in our fabricated Arduino-based Bluetooth-enabled hand-held device, it obstructs the environmental effect with a trace-level detection capability and negligible change over time (up to 30 days). Herein, for the first time, we discover the gas-sensing characteristics of CTAB-grafted phosphorene and witness an ultrasensitive and selective response toward CO2 gas detection.

Enhancing humidity sensing performance of polyaniline/water soluble graphene oxide composite.

The humidity sensing performance of Polyaniline/Water soluble graphene oxide [PWGO] composites have been presented in this work. Various mass ratios of Water soluble graphene oxide [WGO] were mechanically mixed with Polyaniline [PANI] prepared by in-situ polymerization process to form PANI / WGO composites. For the purpose of humidity sensing studies, the samples were structurally characterized by FTIR, Raman, XRD, SEM and TEM techniques and comparatively analyzed. The film of the samples prepared by deposition on ordinary glass substrate using cost effective spin coating technique were tested for their humidity sensing performance in the relative humidity (RH) range of 11-97%. Of the four composites studied, the PWGO-4 composite recorded a good response time of 8 s and a recovery time of 9 s and a very low humidity hysteresis. The mechanism for sensing has been explained on the basis of three sequential steps: chemisorption, physisorption and condensation process. The humidity sensing stability of the composites were tested over a period of 2 months.

New Insights on the Fast Response of Poly(Ionic Liquid)s to Humidity: The Effect of Free-Ion Concentration.

The swelling mechanism is widely used to explain the response of ionic liquids (ILs) or poly(ionic liquid)s (PILs) to moisture. While a fairly broad consensus has been attained, there are still some phenomena that are not well explained. As a complement to the swelling mechanism, we systematically studied the free volume theory in the rapid response and recovery of PIL humidity performance. We chose poly(1-ethyl-3-vinylimidazolium bromide) (PIL-Br), poly(1-ethyl-3-vinylimidazolium tetrafluoroborate) (PIL-BF4) and poly(1-ethyl-3-vinylimidazolium bis(trifluoromethane sulfonimide)) (PIL-TFSI) as model materials and investigated the impact of PIL structure including anion type, film thickness and affinity to moisture on performance to obtain the humidity sensing mechanism for PILs based on free volume theory. Hence, we can combine free volume theory with the designed PIL structures and their affinity with moisture to obtain a high concentration of free ions in PIL sensing films. Furthermore, the PIL humidity sensors also show fast, substantial impedance changes with changing humidity for real-time monitoring of the human respiratory rate due to a fast response and recovery performance. Therefore, our findings develop a new perspective to understand the humidity performance of PILs based on free volume theory, resulting in fast response and recovery properties realized by the rational design of PIL sensing films.

Disaster Health Management: Do Pharmacists Fit in the Team?

BACKGROUND: In addition to the traditional logistics role, pharmacists are undertaking important new roles in disasters. Despite this, little is known about the level of acceptance of these activities by other providers. PROBLEM: The aim of this study was to determine the international opinion of disaster and health professionals regarding the emerging roles of pharmacists in disasters. METHODS: Delegates at the World Association for Disaster and Emergency Medicine's (WADEM; Madison, Wisconsin USA) 20th Congress in Toronto, Canada (April 2017) were invited to complete an anonymous survey posing eight questions regarding attitudes towards pharmacists' roles in disasters. Quantitative data were analyzed using IBM (IBM Corp.; Armonk, New York USA) SPSS statistical software version 23, and qualitative data were manually coded. RESULTS: Of the 222 surveys handed out, 126 surveys were completed yielding a 56.8% response rate. Of the respondents, 96.8% (122/126) believed pharmacists had a role in disasters additional to logistics. Out of 11 potential roles pharmacists could perform in a disaster, provided on a 5-point Likert scale, eight roles were given a rating of "Agree" or "Strongly Agree" by 72.4% or more of the participants. Lack of understanding of a pharmacist's roles and capabilities was the highest described barrier to pharmacists' roles in disaster management. CONCLUSIONS: This multi-disciplinary disaster health "community" agreed pharmacists have roles in disasters in addition to the established role in supply chain logistics. Participants accepted that pharmacists could possibly undertake numerous clinical roles in a disaster. Several barriers were identified that may be preventing pharmacists from being further included in disaster health management planning and response.WatsonKE, TippettV, SingletonJA, NissenLM. Disaster health management: do pharmacists fit in the team?Prehosp Disaster Med. 2019;34(1):30-37.

Innovation in Graduate Education for Health Professionals in Humanitarian Emergencies.

The objective of this report was to show how the Center for Humanitarian Emergencies (the Center) at Emory University (Atlanta, Georgia USA) has trained graduate students to respond to complex humanitarian emergencies (CHEs) through innovative educational programs, with the goal of increasing the number of trained humanitarian workers. Natural disasters are on the rise with more than twice as many occurring from 2000-2009 as there were from 1980-1989. In 2012 alone, 144 million people were affected by a natural disaster or displaced by conflict worldwide. This has created an immense need for trained humanitarian workers to respond effectively to such disasters. The Center has developed a model for educational programming that targets learners along an educational continuum ranging from the undergraduate level through continuing professional education. These programs, based in the Rollins School of Public Health (RSPH) of Emory University, include: a competency-based graduate certificate program (the Certificate) in humanitarian emergencies; a fellowship program for mid-career professionals; and funded field practica. The competency-based Certificate program began in 2010 with a cohort of 14 students. Since then, 101 students have received the Certificate with 50 more due for completion in 2016 and 2017 combined. The fellowship program for mid-career professionals has hosted four fellows from conflict-affected or resource-poor countries, who have then gone on to assume leadership positions with humanitarian organizations. From 2009-2015, the field practicum program supported 34 students in international summer practicum experiences related to emergency response or preparedness. Students have participated in summer field experiences on every continent but Australia. Together the Certificate, funded field practicum opportunities, and the fellowship comprise current efforts in providing innovative education and training for graduate and post-graduate students of public health in humanitarian response. These modest efforts are just the beginning in terms of addressing the global shortage of skilled public health professionals that can coordinate humanitarian response. Evaluating existing programs will allow for refinement of current programs. Ultimately, these programs may influence the development of new programs and inform others interested in this area. Evans DP , Anderson M , Shahpar C , del Rio C , Curran JW . Innovation in graduate education for health professionals in humanitarian emergencies. Prehosp Disaster Med. 2016;31(5):532-538.

Gas-Sensing Devices Based on Zn-Doped NiO Two-Dimensional Grainy Films with Fast Response and Recovery for Ammonia Molecule Detection.

Zn-doped NiO two-dimensional grainy films on glass substrates are shown to be an ammonia-sensing material with excellent comprehensive performance, which could real-time detect and monitor ammonia (NH3) in the surrounding environment. The morphology and structure analysis indicated that the as-fabricated semiconductor films were composed of particles with diameters ranging from 80 to 160 nm, and each particle was composed of small crystalline grain with a narrow size about 20 nm, which was the face-centered cubic single crystal structure. X-ray diffraction peaks shifted toward lower angle, and the size of the lattice increased compared with undoped NiO, which demonstrated that zinc ions have been successfully doped into the NiO host structure. Simultaneously, we systematically investigated the gas-sensing properties of the Zn-doped NiO sensors for NH3 detection at room temperature. The sensor based on doped NiO sensing films gave four to nine times faster response and four to six times faster recovery speeds than those of sensor with undoped NiO films, which is important for the NiO sensor practical applications. Moreover, we found that the doped NiO sensors owned outstanding selectivity toward ammonia.

No Pet or Their Person Left Behind: Increasing the Disaster Resilience of Vulnerable Groups through Animal Attachment, Activities and Networks.

Increased vulnerability to natural disasters has been associated with particular groups in the community. This includes those who are considered de facto vulnerable (children, older people, those with disabilities etc.) and those who own pets (not to mention pets themselves). The potential for reconfiguring pet ownership from a risk factor to a protective factor for natural disaster survival has been recently proposed. But how might this resilience-building proposition apply to vulnerable members of the community who own pets or other animals? This article addresses this important question by synthesizing information about what makes particular groups vulnerable, the challenges to increasing their resilience and how animals figure in their lives. Despite different vulnerabilities, animals were found to be important to the disaster resilience of seven vulnerable groups in Australia. Animal attachment and animal-related activities and networks are identified as underexplored devices for disseminating or 'piggybacking' disaster-related information and engaging vulnerable people in resilience building behaviors (in addition to including animals in disaster planning initiatives in general). Animals may provide the kind of innovative approach required to overcome the challenges in accessing and engaging vulnerable groups. As the survival of humans and animals are so often intertwined, the benefits of increasing the resilience of vulnerable communities through animal attachment is twofold: human and animal lives can be saved together.