Search

"The report distills cutting-edge learnings from a variety of scientific disciplines in a way that seeks to be accessible to a broad array of readers. The scientific standards used to develop the report include systematic and targeted searches using electronic research and grey literature databases of English language articles, with preference given to systematic literature reviews, metaanalyses, and replicable findings in multiple, large-scale, and/or well-designed studies from reputable sources. Where possible, such well-supported evidence is presented and related methodologies are described. Where not available, supportive or promising evidence, emerging from fewer studies and/or studies with smaller or otherwise less representative samples, are presented instead. These instances are flagged as such, and are presented only when better quality evidence does not yet exist and because they still represent findings of emerging interest and relevance to the field.” (p. xvii)

“Advances in functional neuroimaging, developmental neurobiology, genomics, epigenomics, transcriptomics, proteomics, and metabolomics have begun to decode the complex mechanisms by which early adversity can become biologically embedded and influence life-course health and even the health of the next generation.” (p. 12)

“Project Cal-Well of the California Department of Education (CDE)1416 and the Healthy Environment and Response to Trauma in Schools (HEARTS) program of the University of California, San Francisco (UCSF),1417 are two case studies in California that are presented to provide a snapshot of how primary, secondary, and tertiary prevention of toxic have been translated into school settings.” (p. 196)

"Between 2005–2006 and 2017–2018, there was a 47% relative increase in the number of public schools nationwide with one or more security staff with the authority to arrest students.1411 When public schools increasingly rely on school resource officers to discipline students at school, school-based arrests go up.1412 Combating these systems using restorative justice techniques that emphasize redirection and de-escalation tactics, and prioritize time in the classroom, can minimize re-traumatization and mistrust and better support students’ long-term physical, social-emotional, and cognitive growth.1408-1410” (p. 195)

ACEs Aware Grants program: “Awarded 150 grants to 100 organizations across the state in three categories—Provider Training, Provider Engagement, and Communications—to expand the reach and impact of the ACEs Aware initiative” (vii)

“Historically, the national child welfare system has directed almost all its attention and resources to tertiary prevention efforts for children who have already experienced abuse and/or neglect (i.e., to prevent recurrence). In California, the Department of Social Services (CDSS) is the administrative agency that oversees the child welfare system. The Office of Child Abuse Prevention (OCAP) within CDSS has recently championed a more overt primary prevention focus (i.e., preventing abuse and neglect before they occur) by addressing the major drivers of child welfare involvement: poverty, unaddressed mental health challenges of caregivers, substance use, and a parental history of child abuse.1198 “ (p. 163)

“ACEs Connection—an information-exchange catalyst and social network community of practice in the worldwide ACEs and toxic stress movement—had been working in partnership with the EfC Initiative to identify and document ACEs-related activities (e.g., trainings or events) at the local level. In this effort, ACEs Connection developed a mapping tool for displaying ACEs and trauma-informed organizational activities geographically and by sector.1529 Three California counties (Fresno, San Diego, and Santa Barbara) have been piloting its use to help track their local ACEs-related work.” (p. 285)

“Resilience is the ability to withstand or recover from stressors, and results from a combination of intrinsic factors, extrinsic factors (like safe, stable, and nurturing relationships with family members and others), and predisposing biological susceptibility.42,98,99. Of note, while the term resilience is often considered in the mental health and behavioral domains, scientific advances in understanding of the impact of stress on neuro-endocrine-immune-metabolic and genetic regulatory health compel advancement of the definition of resilience to also include these domains as well.” (p. 18-19)

Primary prevention: “Public education campaigns to raise awareness of ACEs and toxic stress, and to arm the public with science-based solutions for reducing the impact of ACEs on children and adults, paired with policy strategies to support safe, stable, and nurturing relationships and environments; Access to high-quality mental and physical healthcare, including family-centered treatments; • Enabling opportunities for stress-buffering activities such as access to nature, mindfulness activities, physical activity, and sufficient and high-quality sleep; Providing high-quality early and ongoing learning opportunities, including for social-emotional learning, executive function skills, healthy relationship skills, and responding to challenges; Cross-sector and sector-specific training in trauma-informed tools, approaches, and strategies for all providers engaging with children and families; and public health surveillance and policy-oriented applications of population-level indicators of exposure to ACEs and impacts of toxic stress.” (p. xxx)

Secondary prevention: “There is a consensus of scientific evidence that early detection and early intervention improves outcomes related to toxic stress. 6-9,23,31,603,704” (p. xxx)

Tertiary prevention: “Tertiary prevention involves interventions beyond the clinical setting. This report outlines how each sector—healthcare, public health, social services, early childhood, education, and justice— can contribute to healing the harmful effects of ACEs and toxic stress. To truly achieve practice and population health transformation, coordinating a cross-sector network of highly effective and transformative referral and service options is imperative.” (xxxii)

“Public health efforts should target preventing or reducing environmental factors that worsen toxic stress physiology, such as exposure to lead and air pollution” (p. 155)

“While vulnerable communities experience greater stressors and are therefore at higher risk, it is important to recognize that ACEs happen in every sociodemographic group, and that they are often under-recognized in upper-income and non-minority groups; therefore, universal approaches are necessary.” (p. 171) 

“Exposure to ACEs can also set up transmission of health risks across generations by altering gene expression (epigenetics) in parents to be, which can affect the development and health of their children, and future generations to come.32,33 Intergenerational transmission of toxic stress physiology can also perpetuate and exacerbate socially rooted inequities in health, achievement, socioeconomic mobility, and mortality.16,29,35,36,60,62” (xviii)

“While there currently exist no widely agreed-upon clinical diagnostic criteria for toxic stress, a number of biomarkers associated with neuro-endocrine-immune-metabolic disruption are under investigation.332-334” (p. 30)

“More research is needed to precisely identify clinically useful biomarkers to diagnose and follow risk of toxic stress longitudinally, as well as more specific therapeutic targets.” (xviii)

“Policy- and systems-level efforts to prevent ACEs and toxic stress also depend on the awareness and engagement of the general public and governmental decision-makers. The “political will” to implement pro-child, pro-family policies and budgets is influenced by social norms about the status of children and the loci of responsibility for their well-being. The dominant public narrative about child abuse and neglect, for example, has been characterized by an individual focus on “bad” parents and government interference. Based on research findings, the FrameWorks Institute has created a social counter-narrative that can help engage the public in understanding early child development as it applies to child abuse and neglect prevention, understanding potential policy directions, and supporting solutions to pressing problems.” (p. 148)

“Lead is an example of a specific environmental exposure that interacts with the toxic stress response, in that the effects of lead exposure are more powerful in children who are experiencing toxic stress, and vice versa. Lead exposure disrupts a child’s ability to recover from early life stress. Both animal and human studies have identified toxic stress and lead as affecting shared neurobiological systems, including the hypothalamicpituitary-adrenal (HPA) axis, as well as the frontal cortex and hippocampus (parts of the mesocorticolimbic system). Exposure to lead in early life can result in potentially lifelong alterations in the HPA axis and accentuate physiologic responses to stress.169 Exposures to both lead and toxic stressors (like ACEs) together result in enhanced neurotoxicity.170 Exposure to lead also acts synergistically with stress during pregnancy and early childhood, and is associated with decreased IQ, increased incidence of attention-deficit/hyperactivity disorder (ADHD), antisocial behavior, preterm birth, lower birth weight, and juvenile justice involvement.” (p. 24)

“Exposure to ACEs and the associated dysregulation of the immune system involved in toxic stress can combine with breathing polluted air to exacerbate negative asthma-related outcomes.” (p. 27)

“As another example, in utero exposure to both stress and air pollution can increase oxidative stress, which may affect the development of the fetal lungs, including increasing airway inflammation and adverse simplification of the normally complex structure.235,236 In fact, an increased risk of asthma was found in children co-exposed in utero to fine particulate matter (PM2.5 ) and maternal stress (OR 1.15; 95% CI, 1.03-1.26) during the phase of lung development when many of the peripheral airways important in asthma develop (canalicular phase).” (p. 27)

Because of my work on the Bhopal disaster, I follow worst case scenario potential in many places -- and the corridor between New Orleans and Baton Rouge has long been on my radar.  Worst case scenarios involve the catastrophic release of dangerous chemicals into the atmosphere and create "vulnerability zones" -- what many people call kill zones -- around an industrial facility.  A 2014 report  from  the Environmental Justice and Health Alliance documents how these zones are hotspots of environmental injustice in the United States. 

See this 2001 Greenpeace map. When Greenpeace made this map, there was a push (by organizations like the Competitive Enterprise Institute) to pull worst case scenario information off the Internet because of its potential use by terrorists.  Greenpeace pushed back in campaigns for "chemical security," arguing that the best way to reduce risk is to reduce the production, handling and use of dangerous chemicals -- laying ground for today's movement for a "just transition."  See just transition work in Lousiana by the another gulf is possible campaign . 

Worst case scenarios came back into US national attention after the fertilizer plant explosion in West, Texas in 2014, prompting the Center for Effective Government's report, Kids in Danger Zones (showing that Houston and Port Arthus in Texas and Baton Rouge in Louisiana are the most high-risk metro areas in the United States).  See the Louisana Fact Sheet from the report (listing the highest risk facility in New Orleans as a wastewater treatment plant.). Note that the maps in the Center for Effective Government's report are no longer interactive -- pointing to a challenge the QA project is addressing: what we've termed "archiving for the anthropocene."  We need to figure out what archiving for the anthropocene should look like, how to build and sustain it, and how to put it to good use. 

Worst case scenarios have come back into controversy recently with Trump's EPA's saying that focus on worst case climate scenarios are unrealistic. Louisiana looks pretty bad....  see Propublica’s “Losing Ground.” 

The extreme weather that comes with climate change of course exacerbates worst case scenario risks.  See this on floods and chemical plant safety across the United States.  See this on the 2016 "thousand year" flood in Louisiana.  See this moderate recognition of the problem. 

As a participant in the NOLA Anthropocene Campus, I have gained insights on how communities, stewards, and managers of ecosystems in New Orleans have rolled out forms of interspecies care vis-à-vis ongoing environmental changes, coastal erosion, climate catastrophes and their deeply present and current effects (i.e., the 2010 BP oil disaster). Whilst much analytical lens has been given to geospatial changes in the study of the Anthropocene, here, I focus on how relations to non-human beings, also threatened by the changing tides of NOLA’s waterscapes, can enrich our understanding of such global transformations.

After disasters like Katrina, urban floodwaters harbored many hidden perils in the form of microbes that cause disease. Pathogenic bacterial exposure occurred when wastewater treatment plants and underground sewage got flooded, thus affecting the microbial landscape of New Orleans and increasing the potential of public health risks throughout Southern Louisiana. But one need not wait for a disaster event like Katrina to face these perils. Quotidian activities like decades of human waste and sewage pollution have contaminated public beaches now filled with lurking microbes. Even street puddle waters, such as those found on Bourbon Street, contain unsanitary bacteria level from years of close human exploitation of horses and inadequate drainage in 100-year old thoroughfares. More recently, microbial ecologies have also changed in the Gulf of Mexico due to the harnessing of energy resources like petroleum. Lush habitats for countless species are more and more in danger sounding the bells of extinction for the imperiled southern wild.

Human-alteration has severely damaged the wetland marshes and swamps that would have protected New Orleans from drowning in the water surge that Hurricane Katrina brought from the Gulf of Mexico. The latter is something that lifelong residents (i.e., indigenous coastal groups) of the Mississippi River Mouth have been pointing to for a  long time. Over the past century, the river delta’s “natural” infrastructure has been altered by the leveeing of the Mississippi River. Consequently, much of the silt and sediments that would generally run south and deposit in the river mouth to refeed the delta get siphoned off earlier upstream by various irrigation systems.