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How was research for this document conducted? Who participated?

margauxf

“Since asthma surveillance data were not available at the census tract level for most of Louisiana, we estimated asthma burden using the inpatient discharge data available through LDH.”  (4)

“Case counts are not provided for CTs with a 2018 population of less than 800 to safeguard privacy.” (4)

“To minimize the need for suppression, inpatient discharge data was aggregated for the three most recent years available (2017–2019) and average annual crude rates were calculated for cases where asthma (ICD-10 code J45) was the primary diagnosis, as well as where asthma was any diagnosis.” (4)

“Spearman’s Rank Correlation was utilized to analyze the correlation between various social and environmental vulnerability factors, COVID-19 incidence, and the measures of asthma risk by CT.” (4)

 

“This was performed by first ranking the values in each dataset using RANK.AVG function in MS Excel 2016, followed by applying the PEARSON function to compare two datasets. Significance was set at alpha less than 0.05 (α < 0.05), with degrees of freedom (df) equal to two less than the total number of data points represented in both datasets” (4)

The research team works for the Section of Environmental Epidemiology and Toxicology, Office of Public Health, Louisiana Department of Health in Baton Rouge. Team members included Arundhati Bakshi; Shanon Soileau; Collete Stewart; Kate Friedman; Collete Maser; Alexis Williams; Kathleen Aubin; and Alicia Van Doren. 

How are the links between environmental conditions and health articulated?

margauxf

“Currently, much of the environmental focus of the pandemic remains on PM2.5 levels; however, we noted that higher levels of ozone was consistently associated with higher incidence rates of COVID-19, and it was the only environmental factor that appeared to have an additive effect over SVI on COVID-19 incidence (Fig 1).” (11)

“Specifically, our data show a moderately strong positive correlation between SVI due to minority status/language barrier and three health data variables: asthma hospitalization; estimated asthma prevalence; and cumulative COVID-19 incidence at 3 months (Table 2). Interestingly, SVI measures were either negatively or not significantly correlated COVID-19 incidence at the 9-and 12-month time points, indicating that social vulnerability factors may have played a greater role in COVID-19 spread early in the pandemic, but may have been of diminishing importance as the pandemic wore on (Fig 1 and Table 2).” (9)

Bakshi A, Van Doren A, Maser C, Aubin K, Stewart C, Soileau S, et al. (2022) Identifying Louisiana communities at the crossroads of environmental and social vulnerability, COVID-19, and asthma. PLoS ONE 17(2): e0264336. https:// doi.org/10.1371/journal.pone.0264336. 

What forms of evidence and expertise are used in the document?

margauxf

This document uses data resources from the Center for Disease Control/Agency for Toxic Substances and Disease Registry (CDC/ATSDR), the Environmental Protection Agency (EPA), and the Louisiana Department of Health (LDH).

These data resources include the Social Vulnerability Index (2018 - CDC/ATSDR), the NATA Respiratory Hazard Index (EPA 2014), PM2.5level (average annual concentration in ug/m3, EPA 2016), ozone level (summer seasonal average of daily maximum 8-hour concentration in air in parts per billion, EPA 2016), indoor mold concerns reported to IEQES program (average annual number of calls, LDH 2017-2019), cumulative COVID-19 incidence rate at 3-, 6-, 9- and 12-month increments (LDH March 2020 - March 2021), asthma hospitalization (average annual crude rate, where asthma was a primary diagnosis among hospitalization cases, LDH 2017-2019), and estimated asthma prevalence (average annual crude rate, where asthma was any diagnosis among hospitalization cases, LDH 2017-2019).

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KRISTIJONAS.KERTENIS

"

“Today I announced $5 billion in funds to rebuild New Jersey and New York and here at NJIT tonight are the most remarkable design minds in the world,” said Donovan. “I spoke to President Obama for an hour about this design competition and he said this is exactly what the nation needs -- designers collaborating with government officials and residents affected by the storm. That’s the best way to rebuild and it’s our goal at HUD.”

Earlier in the day, the 10 design teams presented as many as five ideas to a jury assembled by Rebuild by Design, a Hurricane Sandy Rebuilding Task Force allied with HUD. The teams had three months to research their design ideas.  Early next month, the jury will select one idea -- the best idea -- from each team. The teams will focus on refining those ideas and the competition will continue into 2014, when HUD will decide which team or teams to fund.   "

"James Giresi, one of the students, said that Theodore’s class gave him the opportunity to get hands-on, real-life experience.  His team visited the Jersey shore several times, studying the ecology of the lowlands and the highlands, as well as the demographics of the residents living along the coast. After they gathered their research, they shared their findings with Theodore and the Dutch experts on her team"

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stephanie.niev…

A year after Hurricane Sandy, ten different design groups, filled with designers, architects, planners and engineers, decided to gather at NJIT to discuss ways on how to make Newark less vulnerable to hurricanes and other natural disasters. One team was lead by a professor at NJIT, who had four different proposals that will protect a wide portion of the coasts of New Jersey. Each of the teams came up with several ideas on how to make Newark more resilient to natural disasters.

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stephanie.niev…

There were several professional design teams a part of reaching a solution to make Newark more resilient to hurricanes. Among these groups, there was a group of students that had helped in planning. One of the teacher's in charge of a design group from NJIT had been teaching a master’s class in infrastructure planning. There were 15 students in the class that had helped her in her design strategies. After being into seven different teams, the students went out and did research in towns that were deeply affected by Hurricane Sandy. There were a range of majors among the students, from architecture to design or planning. Each student used his or her own knowledge and separate disciplines to come up with ideas to aid areas that were affected by Sandy.