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“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. 

“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. 

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).

The IAEA is an international organization that seeks to promote the peaceful use of atomic technology and serve as an international regulator to promote safety and eliminate proliferation of nuclear weapon technology. According to the IAEA’s mission statement: “The International Atomic Energy Agency:  is an independent intergovernmental, science and technology-based organization, in the United Nations family, that serves as the global focal point for nuclear cooperation; assists its Member States, in the context of social and economic goals, in planning for and using nuclear science and technology for various peaceful purposes, including the generation of electricity, and facilitates the transfer of such technology and knowledge in a sustainable manner to developing Member States; develops nuclear safety standards and, based on these standards, promotes the achievement and maintenance of high levels of safety in applications of nuclear energy, as well as the protection of human health and the environment against ionizing radiation; verifies through its inspection system that States comply with their commitments, under the Non-Proliferation Treaty and other non-proliferation agreements, to use nuclear material and facilities only for peaceful purposes.” (iaea.org)

The membership of the IAEA consists of 168 countries as of February 2016. Membership includes all major countries and every nuclear power other than North Korea. To become a member state, a country must submit an application which is then reviewed by the IAEA Board of Governors who determine if the applying country is willing and able to uphold the charter. Then the general conference must approve the application and grant the state membership. It is important to know that a country does not need to join the Nuclear Non-Proliferation Treaty to be a member of the IAEA. Currently India, Israel, Pakistan, and the South Sudan have not signed and North Korea is withdrawn. (iaea.org)

 The mission of the IAEA is to promote and help the development of peaceful nuclear technologies and promote safety standards as well as inspect compliance to the commitments to non-proliferation treaties. (iaea.org)

                The IAEA has worked with Iran to complete seven projects and has another nine in the works for development of nuclear power, spent fuel processing, radiopharmaceuticals, heavy water, and security projects. (en.mehrnews.com/)

                The IAEA just held a conference in Manila to assist the Philippines in determining whether or not to revive its mothballed nuclear power plant, under the larger umbrella of the future of nuclear in the Asia-Pacific. (bworldonline.com)

                The agency also responded to the Fukushima incident. During the incident, they assisted Japan by analyzing a plethora of data and sending recommendation and results of their work. Over the last 5 years, the IAEA has sent ten expert missions and will assist in decommissioning the plant. Meanwhile, the IAEA is helping with monitoring leak/contamination management and managing radioactive waste. They are furthering first response efforts by hosting drills to better train and equip first responders for nuclear disasters. (iaea.org)

The IAEA’s approach is to be a friend of the countries and nuclear partners of those countries which hold IAEA membership. One of the IAEA’s missions is to promote nuclear power while on the other hand its other mission is to promote safety and check adherence to the nuclear treaties, agreements, and standards.

The IAEA failed to properly prevent the Three Mile Island or Chernobyl incidents. After these events the IAEA started two conventions for notification and response to nuclear disasters. Since the Fukushima incident, the IAEA has evolved the way they approach disaster and health to include even the most outlandish scenarios and actively trains first responders how to deal with such occurrences.  (iaea.org)