Analyze

Studie provides visual representations of lead concentration in Santa Ana cross matching it with vulnerability risk.

“Also of note when interpreting our results is that this study did not take into consideration the ingestion of heavy metals through the dietary route. Had we considered this additional exposure pathway, our calculated chronic daily intake levels of heavy metals would have been greater, resulting in higher estimated risk (particularly for metals such as Pb, As, and Cd which have been widely documented in various foods)” (Marsi et al. 2021)

“Both cancer and non-cancer risk at the Census tract level exhibited positive correlations with indicators of social as well as physiological vulnerability” (Marsi et al. 2021)

Exposure to heavy metals has been associated with adverse health effects and disproportionately impacts communities of a lower socio-economic status.  

This study used a community-based participatory research approach to collect and analyze a large number of randomly sampled soil measurements to yield a high spatially resolved understanding of the distribution of heavy metals in the Santa Ana soil, in an effort to exposure misclassification. This study looks into average metal  concentrations at the Census tract level and by land use type, which helps map potential sources of heavy metals in the soil and better understand the association between socioeconomic status and soil contamination (Marsi et al. 2021). 

In 2018, soil samples of eight heavy metals including lead (Pb), arsenic (As), manganese (Mn), chromium (Cr), nickel (Ni), copper (Cu), cadmium (Cd), and zinc (Zn) were collected across Santa Ana. These were analyzed at a high resolution using XRF analysis. Then, metal concentrations were mapped out and American Community Survey data was used to assess the metals throughout Census tracts in terms of social and economic variables. Risk assessment was conducted to evaluate carcinogenic risk. The results of the concentrations of soil metals were categorized according to land-use type and socioeconomic factors. “Census tracts where the median household income was under $50 000 had 90%, 92.9%, 56.6%, and 54.3% higher Pb, Zn, Cd, and As concentrations compared to high-income counterparts” (Marsi et al. 2021). All Census tracts in Santa were above hazard inder >1, which implies non-carcinogenic effects, and almost all Census tracts showed a cancer risk above 104, which implies greater than acceptable risk. Risk was found to be driven by childhood exposure.

It was concluded that the issue of elevated soil contamination relates back to environmental justice due to overlap between contaminated areas and neighborhoods of lower socioeconomic status. Marsi et al. (2021) found there needs to be more community-driven recommendations for policies and other actions to address disproportionate solid contamination and prevent adverse health outcomes.      

Published in May 2021, amid the coronavirus pandemic where in-person community workshops and meetings turned into weekly virtual meetings. 

-> Authors:

Shahir Masri: Department of Environmental and Occupational Health, Program in Public Health, University of California, Irvine; air pollution scientist.

Alana M. W. LeBrón: Department of Health, Society, and Behavior, University of California, Irvine; Assistant Professor, Chicano/Latino Studies; Interests: structural racism and health, health of Latina/o communities, community-based participatory research.

Michael D. Logue: Department of Chicano/Latino Studies, University of California, Irvine

Enrique Valencia: Orange County Environmental Justice, Santa Ana

Abel Ruiz: Jóvenes Cultivando Cambios, Santa Ana; CRECE Urban Farming Cooperative member

Abigail Reyes: Community Resilience, University of California, Irvine

Jun Wu: Department of Environmental and Occupational Health, Program in Public Health, University of California, Irvine

The Emergency Medical Treatment and Labor Act is a law requiring that anyone coming into the emergency department will be stabilized and treated no matter what their insurance situation is. In terms of women's health, it is important to note that this means for active labors, medical treatment is necessary and required, no matter the health insurance of the patient. The purpose of this law to prevent certain patients from being turned away in an emergency situation or refused medical treatments if they are unable to pay, putting their health at risk.

EMTALA was enacted by Congress in 1986 and was part of the Consolidated Omnibus Budget Reconciliation Acts of 1985. Congress saw different cases around America where doctors were refusing medical care to patients who could not make a deposit at the time of their admittance to the ER. An example of this is a patient Eugene Barnes, who in 1985 suffered a stab wound and ultimately ended up dying because 6+ doctors refused to help him without payment or some form of compensation. This made national news and other cases began to come to light, such as at Baptist Hospital in Miami and many other areas. News outlets began to follow these cases and this caught attention of government officials. Shortly after, EMTALA was enacted.

http://www.pitt.edu/~kconover/ftp/emtala-draft.pdf