Grantee Research Project Results
2019 Progress Report: Center for Indigenous Environmental Health Research
EPA Grant Number: R836151Center: Center for Indigenous Environmental Health Research
Center Director: Burgess, Jefferey L.
Title: Center for Indigenous Environmental Health Research
Investigators: Burgess, Jefferey L. , Harris, Robin B. , Ingram, Jani Cheri , Teufel-Shone, Nicolette I. , O’Rourke, Mary Kay
Current Investigators: Burgess, Jefferey L. , Harris, Robin B. , O’Rourke, Mary Kay , Ingram, Jani Cheri , Teufel-Shone, Nicolette I. , Hadeed, Steve , Blohm, Jonathan , Shammari, Modhi Al , Carl, Adam , Yuan, Nicole , Teufel-Shone, Nicky , Mayer, Brian , Clichee, Dominic , Whitewater, Shannon , Chico-Jarillo, Tara
Institution: University of Arizona
EPA Project Officer: Callan, Richard
Project Period: July 1, 2015 through June 30, 2020 (Extended to June 30, 2021)
Project Period Covered by this Report: July 1, 2018 through June 30,2019
Project Amount: $1,500,000
RFA: NIH/EPA Centers of Excellence on Environmental Health Disparities Research (2015) RFA Text | Recipients Lists
Research Category: Human Health
Objective:
This progress report covers the major activities and accomplishments during the fourth year of funding for the Center for Indigenous Environmental Health Research (CIEHR) at the University of Arizona Mel and Enid Zuckerman College of Public Health. The overall goal of the Center is to partner with American Indian and Alaska Native (AI/AN) communities to build capacity to determine the contribution of environmental exposures to health inequities and support generation and dissemination of information that influences policy development.
The Center is comprised of two research projects: 1) Health and Wellbeing Impact of Contamination of Traditional Food and Water on the Navajo (RP1) and 2) Cumulative Environmental Effects – Expanding Research with the Hopi Tribe (RP2), which are supported by four cores: 1) Administrative (AC), 2) Community Engagement (CEC), 3) Exposure Science (ESC) and 4) Pilot Project (PPC).
Separate detailed reports have been developed for each of the Center cores and research projects. Listed below are several of the major activities and accomplishments of the Center during this reporting period, July 1, 2018 to June 30, 2019.
This project will partner with American Indian and Alaska Native (AI/AN) communities to build tribal capacity to determine the contribution of chemical and other environmental exposures to health inequities and support effort to address these threats. This goal will be accomplished through community based participatory research, strengthening community resilience, increasing environmental health literacy (EHL), and informing AI/AN health and environmental policies to develop novel and sustainable strategies for reducing environmental health disparities and improving community wellness.
Research Project 1
Individual Project Title: Research Project 1: Health and Wellbeing Impact of Contamination of Traditional Foods and Water on the Navaj
The focus of Research Project 1 (RP1) – Health and Wellbeing Impact of Contamination of Traditional Foods and Water on the Navajo is determine health risk and community impacts (e.g. consumption issues, threats to cultural values, spiritual concerns, and public health impacts) from exposure to environmental uranium and arsenic contamination of traditional food, in particular mutton, and water for two Navajo communities.
The RP1 team is comprised of the PI and four graduate students as well as a number of undergraduates who assist with field and lab work in this reporting period:
- Project Lead: Jani Ingram, PhD (Navajo)
- Graduate Student: Andee Lister (Navajo)
- Graduate Student: Lindsey Jones
- Graduate Student: Jonathan Credo (Navajo)
- Graduate Student: Tasha Nez (Navajo)
Andee Lister, a graduate student, working on the food (mutton) characterization. Lindsey Jones, a graduate student, working on the water characterization with an emphasis on the geochemistry effects on the water chemistry of unregulated wells located in the Western Agency of the Navajo Nation. A minority supplement was awarded to Jonathan Credo during the funding period focused on water characterization with an emphasis on arsenic and uranium in unregulated water sources across the Navajo Nation. Mr. Credo is a second year medical student at the University of Arizona who is currently taking a leave of absence from his medical studies to pursue a doctoral degree in Clinical Translational Sciences also from the University of Arizona. Tasha Nez, a graduate student, working on environmental sample characterization for exposure to the sheep as well as the mutton survey expansion work to the Cove community.
Objectives of Research
The overall objective proposed project is to determine health risks and community impacts (e.g., consumption issues, threats to cultural values, spiritual concerns, and public health impacts) from exposure to environmental uranium and arsenic contamination of traditional food and water for Navajo communities. This will be achieved through three specific aims.
Characterize the extent of metal contamination in culturally significant food and water sources for two Navajo communities. Uranium and arsenic associated with abandoned uranium mines in traditional food such as sheep as well as water are a major concern to the Navajo. This Aim will determine the extent of contamination in the food and water sources of the two Navajo communities. Following initial characterization of metal contamination, field work with subsequent chemical analysis is proposed for this Aim, involving Navajo students and the community.
- Characterize arsenic contamination in mutton
- Characterize uranium and arsenic contamination in water sources
- Explore targeted sources of environmental contamination
Model dietary metal exposure and utilize the Indigenous Health Indicator to Assess Health Impact. This Aim will focus on collecting a dietary history of individuals in the Navajo communities to model uranium and arsenic exposure through consumption of traditional foods and water. Community level socio-cultural public health pathways will be identified and evaluated. The physiological exposure pathways and socio-cultural significance will be integrated in a culturally relevant and effective impact assessment model called the Indigenous Health Indicator (IHI) developed by Swinomish tribal environmental health workers. Members of the Swinomish team have agreed to collaborate on adapting their IHI for this study. Surveys and dietary histories are proposed for the data collection for this aim.
- Assess the ingestion exposure pathway of uranium and arsenic in sheep and water
- Identify and assess the cultural-ecological exposure pathways for selected contaminants
- Integrate the socio-cultural and physiological exposure pathways into a culturally relevant and effective impact assessment model
Development of a Community-Participatory Multi-Level Policy Intervention Model. Results from Aims 1 and 2 will be utilized to develop a culturally-relevant policy focused on contamination of traditional Native American foods. We are proposing to deploy a culturally directed, empirically tested model that will allow Native American communities to establish (and assess) culturally applicable environmental health interventions. It will be important in the policy work to consult with the Traditional Knowledge Holders from the tribes to best shape policies around traditional food consumption. We believe that this approach will result in policy that other Native American tribes can adapt to address contamination of traditional foods in their communities.
- Integrate baseline policy & public health data to establish the CPMLIPI model
- Primary risk assessment including definition, exposure assessment, hazard assessment, risk characterization & management
- Initialize community consultation on community readiness for change in policy and public knowledge data collection
- Create community-specific models for policy & public health action
- Work with the CEC to evaluate policy development based on the community viewpoint
- Initiate community engaged development of dissemination plan
Research Project 2
Individual Project Title: Cumulative Effects: Expanding Research with the Hopi Tribe
The focus of Research Project (RP2) – Cumulative Effects: Expanding Research with the Hopi Tribe, also known as the Hopi Environmental Health Project (HEHP), is to work with the Hopi Tribe in northern Arizona to gather household samples from air, water, and food and examine cumulative and aggregate exposures. Based on tribal concerns, the project examines PM2.5 in indoor and ambient air, assessment of metals (speciated As and U) in air, water, and urine. Additional analytes have been added at the request of the Tribe or to enhance the science. These include collection of personal air samples, evaluation of soil and house dust for metals, radon in air, and evaluation of food frequency and dietary recall to evaluate food exposures.
The RP2 team at the University of Arizona (UA) includes:
- Project Lead: Robin Harris, PhD
- Co-Lead: Mary Kay O’Rourke, PhD
- Graduate Student: Steve Hadeed, MPH
- Graduate Student: Jonathan Blohm
- Graduate Student: Modhi Al Shammari, MS (no cost)
- Six undergraduate intern/students funded under a variety of mechanisms
The RP2 Hopi Collaborators include:
- Lorencita Joshweseoma, BA, MPH – Director Hopi Department of Health Services
- Morris Paukgana – Environmental technician
- Gregory Sehongva, Recruiter/Interviewer
- Delores Ami, recruitment tracking and coordination
- Several in-kind Environmental Technicians
- Several in-kind Community Health Resource workers (CHRs)
Objectives of Research
The overall objectives of this community-based participatory research (CBPR) project is to collaborate with the Hopi Tribe to provide information on HH exposures that can inform tribal programs and policies. The proposed work will employ multiple methods to evaluate the HH exposome and assess the impact of hazards, moderated by physical and social factors, on respiratory health and obesity. This will be achieved through three specific aims.
- Characterize the magnitude of environmental exposures to particulate matter (PM), As species, U and other contaminants from air, water, and food in households among the Hopi. Ninety households will be recruited to conduct HH and individual measurements assessing seasonal variation in exposures by heating fuel type (coal, wood, natural gas/electric). Inside and outside air will be sampled for PM, and air and water analyzed for As species, U, and other contaminants. For HH residents, height, weight, and lung function will be assessed. Urine samples, as allowed, will be analyzed for metals and metalloids. Dietary food and beverage consumption records will be collected, and specific traditional foods analyzed for As species and U. Research team decisions on protocols will be developed in collaboration with the CAB, the ESC and the CIEHR Community Engagement Core (CEC).
- Evaluate how exposures are moderated by social determinants of health, social capital and community resilience. Interviews will be used to measure social resources available to Hopi households and identify personal, material, and social capital that can modify exposure using social network methods. Relationships among household characteristics, environmental measures, cumulative exposures, and social capital will be examined as they relate to two outcomes, respiratory health and obesity.
- Expand the Hopi Tribe’s capacity to address areas of environmental concern that can inform programs and policy. Concurrent with aims 1 and 2, and with aid of the CAB, tribal leaders, the ESC and the CEC, the research team will determine the best approach to strengthen Hopi Tribe research capacity, community resilience, and environmental health literacy. Activities will include monitoring of ambient air quality, development of community events, and reporting of results. The sum of these activities will inform Hopi programs and policy to mitigate environmental exposures and associated health disparities.
Progress Summary:
During this fourth year of funding, a significant portion of time and effort has continued to be dedicated toward supporting and fostering infrastructure support. This Center infrastructure facilitates communication and collaboration within CIEHR (between cores and research projects) and between CIEHR and its internal and external partners.
The CIEHR Management Team, comprised of core and research project leads and co-leads has maintained monthly meetings. The CIEHR CD/CDI has successfully co-facilitated several UA Partnership for Indigenous Environmental Strategies (UA PIES) group meeting in this reporting period.
Training and financial support of CIEHR’s first indigenous early stage investigator or career development investigator, Dr. Stephanie Carroll Rainie (Ahtna Athabascan), continued in this reporting period. Dr. Rainie has guided Center initiatives and directed activities and partnership building in the Pilot Projects Core. Training and financial support of CIEHR’s first post-doctoral scholar, Dr. Carrie Nuva Joseph (Hopi) began in January 2019 and will continue until January 2020 (next reporting period).
The CIEHR PPC team and all three of the Pilot Project awardees, Swinomish, Sitka and San Carlos Pilot Projects, continued work started last reporting period to examine environmental health issues using CBPR principles. Additionally, funding was approved and awarded to the San Carlos Pilot Project in January 2019. This year we began work toward creating combined indigenous and academic teams to carry out the research proposed by all pilot projects and we plan on continuing this work into Year 5. The PPC team and the academic teams selected for each pilot project have started work to ensure that all projects engage community resilience, improve EHL and support policy development.
The CIEHR Community Engagement Core (CEC) have worked with CIEHR research projects to ensure that research activities conducted in collaboration with the Navajo and Hopi communities effectively engage community-based stakeholders through the use of a community resilience approach and translate the research findings into culturally-relevant materials. In particular, the CEC has worked with NAU researchers on the Traditional Foods Contamination on Navajo Nation Study (RP1) in interpreting the results of the mutton intake frequency questionnaire and drafting those results into a manuscript. The worked with Hopi Environmental Health Study (RP2) research team to translate and apply study findings to improve environmental health literacy in the Hopi tribal communties. The CEC has provided feedback, input and consultation to all CIEHR Pilot Projects – Swinomish, Sitka, and San Carlos.
The CIEHR Exposure Science Core (ESC) has worked to provide professional development and training to CIEHR personnel and community research partners in support of the CIEHR research and pilot projects. In this reporting period, the ESC team has continued provide support and training to the RP2 community research team, graduate students and undergraduate interns. research personnel. The ESC provided extensive training related to the operation of air quality equipment, collection of body measurements and field techniques in quality assurance and quality control measured. The ESC has also provided extensive consultation and aid to all CIEHR Pilot Projects – Swinomish, Sitka and San Carlos.
Dr. Jani Ingram, lead of RP1, and her team of graduate student researchers, Jonathan Credo, Lindsey Jones, Tasha Nez and Andee Lister have made progress toward characterizing the extent of contamination in culturally significant food (mutton) and water of the Navajo communities of Leupp and Cameron, and of the off-reservation control site, Eagar, AZ. Jonathan Credo has worked in collaboration with the University of New Mexico to join water chemistry data sets to address gaps in information regarding water quality issues on Navajo Nation. Lindsey Jones has worked on investigating overall water chemistry of unregulated wells within 12 chapter areas in the Western Agency of the Navajo Nation. Former RP1 team member, Dr. Tommy Rock and the CEC have drafted a manuscript describing results from the mutton frequency questionnaire that was administered in the Navajo communities of interest as an indicator of risk. Graduate student Tasha Nez will continue work with this questionnaire in this reporting period and next reporting period in the planned expansion to the Cove, New Mexico community. IRB approvals for this survey were secured from Northern Arizona University and the Navajo Nation.
Drs. Robin Harris and Mary Kay O’Rourke, leads for RP2, along with their UA team of graduate student researchers, Steve Hadeed, Jonathan Blohm, and Modhi Alshammari and undergraduate student researchers have made several successful trips to the Hopi Reservation in northern Arizona to meet with Hopi community partners to troubleshoot issues with regional air sampling equipment, assisting household recruitment and sampling as well as return of individual and household results and to continue facilitating discussion and collaboration on research design, methods and implementation. As of February 2019, the RP2 team has successfully recruited and completed at least one round of sampling for 50 households. As of March 2019, sampling for 3 winters and 2 summers has been conducted. The RP2 successfully installed and operationalized a functional regional air monitoring station at Hopi, a request of the tribal research partners. The RP2 has successfully trained the UA undergraduate students in field sample processing and have sent them to appropriate laboratories to be analyzed. In addition, with the assistance of the ESC, the RP2 has continued to provide extensive training to community research partners, including Hopi environmental technicians on the maintenance and calibration of the equipment. In this reporting period, the RP2 teams has maintained all required tribal and institutional approvals to conduct research.
Research Project 1
For this reporting period (FY4), tasks and activities were undertaken in pursuit of all aims, with particular emphasis on Aim 1.
Aim 1: Characterize the extent of contamination in culturally significant food and water sources for two Navajo communities
- Characterize arsenic contamination in mutton
- Characterize uranium and arsenic contamination in water sources
- Explore targeted sources of environmental contamination
Activities: Since August 2015, work to address Aim 1 has involved the acquisition of sheep/mutton samples from two Navajo communities, Cameron and Leupp and the off-reservation community of Eagar, Arizona.
The Navajo community of Cameron is located on the southwest portion of the Navajo Reservation, near many abandoned uranium mines. The Navajo community of Leupp is also located in the southwest portion of the Navajo Reservation but in contrast, is not located near any abandoned uranium. Thus, sheep/mutton sampled from the Leupp community area served as the on-reservation, non-mining control site. Previous analysis of sheep tissue and organs samples (dried, ground and treated with nitric to measure uranium levels) from these reservation sites showed statistically similar level of uranium. Consequently, the off-reservation control sample site, Eagar, AZ was added.
A minority supplement was submitted and funded for Jonathan Credo, a 3rd year medical student at the University of Arizona who took a one-year leave of absence to pursue research. The focus of Mr. Credo’s research is in characterizing water quality across the Navajo Nation and provide important contaminant exposure information for both the Navajo people and their livestock. The proposed work scope for this Diversity Supplement is to have Mr. Credo work in collaboration with the University of New Mexico and Dr. Johnnye Lewis’ research group to join our water chemistry data sets for a manuscript that will fill the gaps in water quality issues on the Navajo Nation. Two manuscripts are in preparation describing water chemistry of the region and temporal changes utilizing information from a number of databases. Additionally, a master’s student in the Environmental Science & Policy program, Lindsey Jones, investigated unregulated water wells in the Western Agency of the Navajo Nation encompassing 12 Chapters for overall water chemistry. Ms. Jones prepared a booklet (Unregulated Groundwater Quality Western Navajo Nation) to disseminate her findings to the community. She provided oral presentations for the following Navajo community groups: Tuba City Chapter meeting on March 3, 2019, Grazing Committee meeting on March 7, 2019 (grazing officials from Cameron, Tuba City, Coalmine Canyon, and Bodaway/Gap), and the Western Agency quarterly meeting on March 16, 2019 (all 12 chapters in the study had representatives present). Additionally, she sent electronic versions of the report to all 12 Chapters along with the Navajo Nation Water Resource Department and Environmental Protection Agency. Lindsey is working on her thesis as well as a publication describing her work.
Aim 2: Model dietary metal exposure and utilize the Indigenous Health Indicator to assess health impact.
- Assess the ingestion exposure pathway of uranium and arsenic in sheep and water
- Identify and assess the cultural-ecological exposure pathways for selected contaminants
- Integrate the socio-cultural and physiological exposure pathways into a culturally relevant and effective impact assessment model
Activities: The mutton survey results were drafted into a manuscript entitled “Pathway of Exposure through Traditional Sheep Consumption in Cameron, Arizona”. The manuscript’s authors are Tommy Rock, Ricky Complain, Nicolette Teufel-Shone, and Jani C. Ingram. This manuscript was written collaboratively with the Community Engagement Core (Drs. Camplain and Teufel-Shone) who assisted in the interpretation of the survey results. The manuscript was submitted to the Navajo Nation Human Research Review Board (NNHRRB) for review on February 20, 2019. We plan to submit the manuscript to the International Journal of Environmental Research and Public Health after the NNHRRB review is complete. An additional survey is being planned for the Cove community as part of a project in collaboration with Diné College and the University of New Mexico. The survey work will be led by a new graduate student, Tasha Nez, who is working toward a master's degree from the NAU Environmental Science & Policy program. Tasha has strong Navajo language skills, which is a critical skill in terms of administering the survey. Resolutions of approval will be requested from the Cove Chapter and Northern Agency in the spring 2019 timeframe. Lastly, on February 19, 2019, a continuation request was submitted to the NNHRRB for one-year continuation of the project; the request was approved.
Aim 3: Development of a Community-Participatory Multi-Level Policy Intervention Model
- Integrate baseline policy & public health data to establish the CPMLIPI model
- Primary risk assessment including definition, exposure assessment, hazard assessment, risk characterization & management
- Initialize community consultation on community readiness for change in policy and public knowledge data collection
- Create community-specific models for policy & public health action
- Work with the CEC to evaluate policy development based on the community viewpoint
- Initiate community engaged development of dissemination plan
Research Project 2
- Maintained regional air monitoring station at Hopi, although we experienced series of equipment malfunctions. Identified alternate sampling equipment that was used for this year. TEOM was returned to manufacturer for repair and will be re-installed in March 2019.
- Maintained effective communication system that appears to have engaged the Hopi co-investigators of the team and local CAB members.
- Maintained all required approvals (Tribal and UA) to continue recruitment and fieldwork, including a large number of UA and Hopi team members.
- Reviewed and retrained Hopi and UA technicians and students in all fieldwork protocols. Held UA-Hopi refresher training at the UA in February 2019 that was highly regarded by the field team.
- Recruited and obtained household measurements from 50 households, with 15 households having completed all visits. While we did not meet our goal for 30 households recruited per year, recruitment has accelerated and the field team seems more able and willing to work additional days. We will need to continue recruitment through Year 5, however, to reach our recruitment goals (winter of 2020).
- Achieved higher response rate than initially expected on identification and recruitment of eligible households (currently almost 60% versus estimated 50%).
- Virtually all household participants willing to give urine samples for analysis of metals. This high level of participation for the biological samples was not expected based on initial community feedback.
- Completed data entry and management system and trained data entry personnel. All data entry now current with double entry for most systems. Data entry for first person entry now complete upon one month of receipt at the UA from the Hopi field.
- Trained UA student team in processing of field samples and sending them to the appropriate laboratories.
- Developed and evaluated participant result packet that appears to meet the need of the Hopi households. This packet has been reviewed by the CAB, additional Hopi community members, and clinicians from the Hopi Health Care Center.
- Continued to develop and present series of Citizen/Student Science active learning opportunities for classrooms in Hopi High School. Additional teachers asking for these modules to be presented to their classrooms.
Future Activities:
In the next reporting period, 7/1/2019-6/30/2020, continued efforts will be made by CIEHR personnel and its affiliated partners on activities in pursuit of all Center aims.
Center overall aims:
Aim 1: Partner with indigenous communities to carry out environmental exposure research.
Aim 2. Build indigenous community capacity to address environmental health inequities.
Aim 3. Improve environmental health research translation and inform health policy.
Particular efforts will be made in pursuit of Aims 1 and 2. Additionally, as many aspects of the research plans for RP1, RP2 and the pilot projects are continuing to be implemented in the next reporting period. We will continue work in pursuit of Aim 3, each of the research projects – RP1, RP2 and the pilot projects will be producing data, results and findings that will need to be disseminated to various audiences.
Specific activities to be carried out in pursuit of all three overall aims to be carried out by individual cores and research projects are outlined in each core/projects reports.
Research Project 1
In the next reporting period, 06/01/2018-05/31/2019, the Research Project 1: Navajo plans to make continued and concerted efforts to ensure that the specific aims and overall goal of the project are fulfilled and achieved.
We will be working both to complete manuscripts and submissions on the uranium/sheep work from Andee Lister’s thesis as well as water publications from Jonathan Credo and Lindsey Jones’ work. We are also working on submission of a Traditional Ecological Knowledge focused on this work. We are beginning a second project in Cove Arizona, and we plan to pursue approvals to survey the community on their mutton consumption. We will compare these results to the Cameron results.
Research Project 2
In the next reporting period, 06/01/2018-05/31/2019, the Research Project 2: Hopi plans to make continued and concerted efforts to ensure that the specific aims and overall goal of the project are fulfilled and achieved.
Plans include:
- Increase household sampling numbers.
- Work with the Hopi team members to identify additional strategies for sampling households more efficiently. For various cultural and community reasons, it has been difficult to get team members to work on weekends or after regular work hours; we have seen some movement on these issues as the team has become more invested in the project.
- We purchased another set of household monitoring equipment to allow more houses to be sampled per week.
- Hired additional recruiter/interviewer and an additional environmental technician
- Assure all QA/QC procedures are being implemented in the field and during data entry. Review results to assure that the field equipment and procedures are being performed as necessary.
- We now regularly review status of data entry and lab shipment.
- The UA graduate students have implemented more regular communication with the Hopi field team to identify data downloading issues and any other field concerns.
- Assure that all team members remain trained and confident. Identify back-up interviewers and environmental technician so that team can remain in the field when one person is sick or has to leave the community for a period of time.
- Revise participant results reports and process, working with Hopi CAB and team members and ESC.
- Develop and implement training or continuing medical education for local health providers about interpretation of lung function test results
- Develop preliminary analysis reports both for community, the CAB, and for national presentations.
- Conduct analyses for key findings and manuscripts. We have had the graduate students writing preliminary reports which is developing the necessary analytic skills and procedures for the upcoming reports and manuscripts.
Journal Articles: 14 Displayed | Download in RIS Format
Other center views: | All 76 publications | 14 publications in selected types | All 14 journal articles |
---|
Type | Citation | ||
---|---|---|---|
|
Coksey E, Verhousgstraete M, Sneed S, Joseph C, Blohem J, Pakugana M, Joshwesonma L, Sheongva G, Hadeed S, Harris R, O'Rourke M. Drinking water and health assessment in a Northern Arizona community. HUMAN AND ECOLOGICAL RISK ASSESSMENT 2022;. |
R836151 (Final) |
Exit |
|
Hadeed S, O'Rourke M, Canales R, Joshweseoma L, Sehongva G, Paukgana M, Gonzalez-Figureroa E, Aslhmmari M, Burgess J, Harris R. Household and behavioral determinants of indoor PM2.5 in a rural solid fuel burning Native American community. INDOOR AIR 2021;31(6):2008-2019. |
R836151 (Final) |
Exit Exit |
|
Corlin L, Rock T, Cordova J, Woodin M, Durant JL, Gute DM, Ingram J, Brugge D. Health effects and environmental justice concerns of exposure to uranium in drinking water. Current Environmental Health Reports 2017;3(4):434-442. |
R836151 (2017) R836151 (2019) R836151 (2020) |
Exit |
|
Mayer B, Joshweseoma L, Sehongva G. Environmental risk perceptions and community health:arsenic, air pollution, and threats to traditional values of the hopi tribe. Journal of community health 2019;44(5):896-902. |
R836151 (2020) |
Exit |
|
Carroll SR, Rodriguez-Lonebear D, Martinez A. Indigenous Data Governance:Strategies from United States Native Nations. Data Science Journal 2019;18(1)3; doi:10.5334/dsj-2019-031. |
R836151 (2020) |
Exit Exit |
|
Credo J, Torkelson J, Rock T, Ingram JC. Quantification of elemental contaminants in unregulated water across western Navajo Nation. International journal of environmental research and public health 2019;16(15):2727. |
R836151 (2020) |
Exit |
|
Rock T, Camplain R, Teufel-Shone NI, Ingram JC. Traditional sheep consumption by Navajo people in Cameron, Arizona. International journal of environmental research and public health 2019;16(21):4195. |
R836151 (2020) |
Exit |
|
Jones MC, Credo JM, Ingram JC, Baldwin JA, Trotter Jr RT, Propper CR. Arsenic concentrations in ground and surface waters across Arizona including native lands. Journal of Contemporary Water Research & Education 2020;169(1):44-60. |
R836151 (2020) |
Exit |
|
Yuan NP, Mayer BM, Joshweseoma L, Clichee D, Teufel-Shone NI. Development of Guidelines to Improve the Effectiveness of Community Advisory Boards in Health Research. Progress in Community Health Partnerships:Research, Education, and Action 2020;14(2):259-69. |
R836151 (2020) |
Exit |
|
Jones L, Credo J, Parnell R, Ingram JC. Dissolved uranium and arsenic in unregulated groundwater sources–Western Navajo Nation. Journal of Contemporary Water Research & Education 2020;169(1):27-43. |
R836151 (2020) |
Exit Exit |
|
Rock T, Ingram JC. Traditional Ecological Knowledge Policy Considerations for Abandoned Uranium Mines on Navajo Nation. Human Biology 2020;92(1):19-26. |
R836151 (2020) |
Exit |
|
Ingram JC, Jones L, Credo J, Rock T. Uranium and arsenic unregulated water issues on Navajo lands. Journal of Vacuum Science & Technology A:Vacuum, Surfaces, and Films 2020;38(3):031003. |
R836151 (2020) |
Exit |
|
Hadeed SJ, O'Rourke MK, Burgess JL, Harris RB, Canales RA. Imputation methods for addressing missing data in short-term monitoring of air pollutants. Science of The Total Environment 2020:139140. |
R836151 (2020) R836151 (Final) |
Exit Exit |
|
Nanibaa'A G, Barton KS, Porter KM, Mai T, Burke W, Carroll SR. Access and management:indigenous perspectives on genomic data sharing. Ethnicity & Disease. 2019 Dec 12;29(Supp):659-68. |
R836151 (2020) |
Exit |
Supplemental Keywords:
American Indian/Alaska Native, Indigenous, Environmental Health, Health Disparities, Community-Based Participatory Research, Resilience, Capacity-Building, Social Determinants of Health, Environmental Health Literacy, Health Policy, Community Strategies, Community-Research Partnerships, Environmental Exposures, Chemical ContaminantsRelevant Websites:
Center for Indigenous Environmental Health Research (CIEHR) Exit
Progress and Final Reports:
Original Abstract Subprojects under this Center: (EPA does not fund or establish subprojects; EPA awards and manages the overall grant for this center).
R836151C001 Health and Wellbeing Impact of Contamination of Traditional Food and Water on Navajo
R836151C002 Cumulative Environmental Effects: Expanding research with Hopi Tribe
The perspectives, information and conclusions conveyed in research project abstracts, progress reports, final reports, journal abstracts and journal publications convey the viewpoints of the principal investigator and may not represent the views and policies of ORD and EPA. Conclusions drawn by the principal investigators have not been reviewed by the Agency.
Project Research Results
- Final Report
- 2020 Progress Report
- 2018 Progress Report
- 2017 Progress Report
- 2016 Progress Report
- Original Abstract
14 journal articles for this center