Analyze

WHAT (& WHAT FOR): Lead is a metal often found in pipes, and in old paint (before it was banned in paint in the late 1970s). Before 1996, lead also found in vehicle fuel resulting in  soil contamination in many communities from both paint dust and vehicle pollution. 

HEALTH IMPACT: Lead is a neurotoxin and is known to have no safe blood lead level in children. 

Has been linked to:

1. Brain swelling, anemia, seizures, renal failure, reduced IQ, and ADHD

2. Damages brain development in children

3. Connected to behavioral problems like aggression and bullying, and internalizing problems such as depression and anxiety 

LOCAL IMPACT: Recent research in Santa Ana has shown that there is a disproportionately impact of solid lead contamination crisis on lower income, people of color communities. 

POSSIBLE RESPONSES: There are many ways to respond to lead contamination:

1. Providing special health care for children with high blood lead levels, and investigating possible sources of lead exposure in homes, daycares and school, playground, etc.

2. Implement strict housing policies where landlord and city housing officials are required to have lead inspections of homes for lead paint hazards (especially in low income, people of color communities)

3. Requiring a minimum reduction standard for lead paint in older homes 

4. Requiring blood lead level test as part of the routine check up for children (extremely important for children in low-income housing)

WHAT (& WHAT FOR): PFOAS are a group of large manufactured chemicals that are widely used in various everyday items. Often used in waterproof items and nonstick pans among other products.  They are used in a number of industrial processes. Improper disposal of the chemicals from industrial manufacturing has resulted in PFAS seeping down into the ground and into the water supply.  These chemicals are known to be forever chemicals that  do not degrade in the environment. 

HEALTH IMPACT: PFAS are known to be forever chemicals that cause weakened immune systems, increased cholesterol level, increased risk of testicular and kidney cancers, and decreased vaccine response in children. EPA has concluded that exposure to PFOA and PFOS over certain levels may result in developmental effects to fetuses during pregnancy (low birth weight) or breastfed infants (accelerated puberty, skeletal variations). 

LOCAL IMPACT: Both the State Water Board and the Santa Ana Water Board have initiated investigations. The PFAS investigation done by State of California Regional Water Quality Control Board reveals results that show PFAS concentrations above the current Notification Levels for drinking water. Santa Ana Water Board staff is currently working to identify potential sources of the contamination in the groundwater. 

POSSIBLE RESPONSES: 

1. Conduct wellhead treatment to treat PFAS impacted drinking water to levels below state-established PFOA/PFOS notification levels.

2.  Obtain a more comprehensive monitoring information on potential sources of PFAS

3. Set Effluent guidelines, develop analytical methods and issue water quality criteria for PFAS

WHAT (& WHAT FOR): Lead is a metal often found in pipes, and in old paint (before it was banned in paint in the late 1970s). Before 1996, lead also found in vehicle fuel resulting in  soil contamination in many communities from both paint dust and vehicle pollution. 

HEALTH IMPACT: Lead is a neurotoxin and is known to have no safe blood lead level in children. 

Has been linked to:

1. Brain swelling, anemia, seizures, renal failure, reduced IQ, and ADHD

2. Damages brain development in children

3. Connected to behavioral problems like aggression and bullying, and internalizing problems such as depression and anxiety 

LOCAL IMPACT: Recent research in Santa Ana has shown that there is a disproportionately impact of solid lead contamination crisis on lower income, people of color communities. 

POSSIBLE RESPONSES: There are many ways to respond to lead contamination:

1. Providing special health care for children with high blood lead levels, and investigating possible sources of lead exposure in homes, daycares and school, playground, etc.

2. Implement strict housing policies where landlord and city housing officials are required to have lead inspections of homes for lead paint hazards (especially in low income, people of color communities)

3. Requiring a minimum reduction standard for lead paint in older homes 

4. Requiring blood lead level test as part of the routine check up for children (extremely important for children in low-income housing)

This image reminds me of how mutual aid and communities keep each other fed, and safe, and how local practices are actually best practices. My own research， although not immediatley related to the specific public health concern of COVID, will focus on Indigenous food soverignty, particularly the right and autonomy to ferment and distribute alcohol (紅糯米酒) within the Amis community, and their current fight with the local health department on declaring whether or not their alcohol is "safe" for public consumption and distribution.

Due to the trust crisis between the groups, public health cannot be improved via the service from the medical centers. General publics are refused to get into contacts with aid workers.

Under OSHA Law, the employers must ensure their workers are in a safe workplace that does not contain any serious hazards according to the OSHA safety and health standards.

With the employers’ rights and responsibilities, OSHA has provided a list of methods to maximize the safe conditions within the workplace. For example, they have provided free Law Poster relevant to OSH Act for download and posting.

“Notify OSHA within 8 hours of a workplace fatality or within 24 hours of any work-related inpatient hospitalization, amputation or loss of an eye (1-800-321-OSHA [6742]).”

The central argument of the film is about the choice that needs to made upon with the emergency responders in a complex situation such as the lack of medical service within the country. The choices include which patient gets helped and which one are not with the lack of material supplies and the medical technology available. Or making choices if MSF member continues to stay in such condition to assist the locals getting medical treatment.

1. Patients: to get access with digital and gamified mental health assessments to diagnose themselves and gain self-awareness. After assessment, the patient might want get to a talk with the health professionals to have an ideal solution to the problem. Even by not getting frequent contacts with health professionals, the patients still can track their own health status with the system.
2. Providers: will receive patients’ data and recorded into a dashboard data to view the profiles more efficiently. The dashboard function also allows the track on the history and current progress. Relevant assessment also can be send out to the patients regularly in order to assist both provider and patients to understand the situation more clearly.
3. Organizations: organizations might include from a range of primary care center to hospital emergency room, with the data obtained from the patient, coordinated care can be provided. It is also a great tool to analysis the patients and form a study.

The vulnerable populations have addressed in this policy are the populations affected by the environmental contamination. “While the actor-survivors were dying a slow, painful, convulsive death… The contaminated water was collected but the “victims” died.”

The report is provided with both English and Japanese for the technical professionals to study.  For the general publics, this report summary (fact sheet) has provided in six major languages  to assist them to gained a broad understanding to the works.