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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

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)