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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

This study examined the risk of acquiring Ebola Virus Disease (EVD) by healthcare workers in the setting of general hospitals and isolation units. By looking retrospectively at the Ebola Outbreak in Sierra Leone, the relative levels of risk to healthcare workers were computed and compared. The reasoning for these levels was also examined through interviews of surviving workers and the families/associates/colleagues of the deceased workers. The interviews reviewed common actions (and lack there of) for affected workers. This revealed certain themes that should be visited when reveising/creating hospital infection prevention and control policies.

In the case of this study, the vulnerable population examined was healthcare workers in Sierra Leone during the outbreak. These workers were found to be at a significant level of risk for transmission for a number of reasons. These include proximity to the virus (due to the occupation), lack of training in the area of infection control, and cultural factors (such as prevalence of self-medication and home management of illness). Nurses as a whole were most affected, with over half of the infected members.