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Dr. Cheney is attempting to answer the following question: What can we learn from the residents about their experience in living with asthma, and can this help us understand the disease?

There are very few hospitals in the area around the Salton Sea--only two in Imperial County and three in the Coachella Valley.

• In 2003, the Imperial Irrigation District signed the Quantification Settlement Agreement, in which they transferred the water from agricultural runoff that formerly fed the Salton Sea to supply municipalities in Southern California. The agreement kept water flowing into the lake until 2018 in order to give time to come up with ways to mitigate environmental effects of the lake's desiccation. These solutions have not materialized.
• UCR scientists are collecting dust for microbial analysis

• Increased salinity
• Waterfowl dieoffs
• Desiccation produces toxic dust that blows
• Childhood asthma and other respiratory conditions
• 15% of Imperial County residents have asthma
• wind-blown dust can act as a pathway for microbes, fungi, and viruses to enter lungs by attaching to dust particles
• Municipal sewage from Mexicali
• Waste from prisons

The "Disparities in Environmental Exposures and Health Impacts" project has four goals:

1. To establish a community advisory board to provide local stakeholder input;
2. To identify spatial patterns and trends in population exposure and in pollutant transport;
3. To distribute particle collectors at sites that represent the range of sources of particulate matter and to identify the elemental and biological composition of particles;
4. To use environmental chamber exposure studies to develop a protocol for monitoring pulmonary inflammation impacts of aerosol particulates identified from the particle collectors.

• The state of California is responsible for implementing and paying for environmental mitigation projects
• The Colorado River flows through multiple states and countries--all have a stake in extra-local actions

New and Alamo Rivers - transboundary movement

• Investors who left in the first half of the 20th century
• Residents who remained in the area (highly Latinx)
• Labor exploitation, especially of immigrants through programs like the Bracero program
• Indigenous groups - especially the Torres Martinez, 40% of whose land is underneath the Salton Sea
• Agriculture
• Historically not identified as an unwanted land use, which allowed farmers to get away with more than other industries

The main findings of the article are that the relationship between natural disasters and communicable diseases is not as much due to dead bodies or high trauma as it is to population displacement and a lack of preparredness of the local governing body for the disaster and the crowding of survivors that follows a disaster as this

1: Crowding is shown to be common in displaced populations, and local overpopulation/crowding often facillitates the transmittion of disease

2: Natural disasters that do not cause a displacement of a population are rarely associated with disease outbreaks

3: There is little or no evidence that dead bodies, as some believe, pose a epidemic risk for a population of survivors after a disaster has struck