Framework for a Community Health Observing System for the Gulf of Mexico Region: Preparing for Future Disasters
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Le résumé fourni par la source
The Gulf of Mexico (GoM) region is prone to disasters, including recurrent oil spills, hurricanes, floods, industrial accidents, harmful algal blooms, and the current COVID-19 pandemic. The GoM and other regions of the U.S. lack sufficient baseline health information to identify, attribute, mitigate, and facilitate prevention of major health effects of disasters. Developing capacity to assess adverse human health consequences of future disasters requires establishment of a comprehensive, sustained community health observing system, similar to the extensive and well-established environmental observing systems. We propose a system that combines six levels of health data domains, beginning with three existing, national surveys and studies plus three new nested, longitudinal cohort studies. The latter are the unique and most important parts of the system and are focused on the coastal regions of the five GoM States. A statistically representative sample of participants is proposed for the new cohort studies, stratified to ensure proportional inclusion of urban and rural populations and with additional recruitment as necessary to enroll participants from particularly vulnerable or under-represented groups. Secondary data sources such as syndromic surveillance systems, electronic health records, national community surveys, environmental exposure databases, social media, and remote sensing will inform and augment the collection of primary data. Primary data sources will include participant-provided information via questionnaires, clinical measures of mental and physical health, acquisition of biological specimens, and wearable health monitoring devices. A suite of biomarkers may be derived from biological specimens for use in health assessments, including calculation of allostatic load, a measure of cumulative stress. The framework also addresses data management and sharing, participant retention, and system governance. The observing system is designed to continue indefinitely to ensure that essential pre-, during-, and post-disaster health data are collected and maintained. It could also provide a model/vehicle for effective health observation related to infectious disease pandemics such as COVID-19. To our knowledge, there is no comprehensive, disaster-focused health observing system such as the one proposed here currently in existence or planned elsewhere. Significant strengths of the GoM Community Health Observing System (CHOS) are its longitudinal cohorts and ability to adapt rapidly as needs arise and new technologies develop.
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Le contrôle bibliographique ouvert
DOI retrouvé dans Crossref DOI retrouvé ; titre concordant.
- Titre Crossref
- Framework for a Community Health Observing System for the Gulf of Mexico Region: Preparing for Future Disasters
- Date Crossref
- 15/10/2020
- Éditeur
- Frontiers Media SA
- Type
- journal-article
Ce recoupement confirme des métadonnées liées au DOI. Il ne confirme ni la méthode ni les conclusions de l’étude, et il ne compte pas comme une seconde source scientifique indépendante.
Où se fait cette recherche
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College of Charleston Center for Coastal Environmental and Human Health pays non établi dans la noticeUniversité ou école supérieure
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Tulane University pays non établi dans la noticeUniversité ou école supérieure
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New York University pays non établi dans la noticeUniversité ou école supérieure
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Louisiana State University Agricultural Center Department of Agricultural Economics and Agribusiness pays non établi dans la noticeUniversité ou école supérieure
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University of Southern Mississippi pays non établi dans la noticeUniversité ou école supérieure
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Western Washington University pays non établi dans la noticeUniversité ou école supérieure
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University of Washington Department of Global Health pays non établi dans la noticeUniversité ou école supérieure
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University of North Carolina at Chapel Hill pays non établi dans la noticeUniversité ou école supérieure
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Woods Hole Oceanographic Institution pays non établi dans la noticeOrganisme public
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RAND Corporation pays non établi dans la noticeOrganisation à but non lucratif
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Texas A&M University – Corpus Christi Gulf of Mexico Coastal Ocean Observing System pays non établi dans la noticeUniversité ou école supérieure
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Scripps Institution of Oceanography pays non établi dans la noticeStructure de recherche
Center for Coastal Environmental and Human Health — College of Charleston, Tulane University et New York University, avec 9 autres affiliations.
Une affiliation ne permet pas de déduire la nationalité d’un auteur.