The Flint water crisis demonstrates the importance of adequate legal preparedness in dealing with complicated legal arrangements and multiple statutory responsibilities. It also demonstrates the need for alternative accountability measures when public officials fail to protect the public's health and explores mechanisms for restoring community trust in governmental public health.
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When Resources Become Stressors: Dynamics of the Stress Process in the Flint Water Crisis.
Cult Med Psychiatry
January 2025
Michigan State University, East Lansing, USA.
Disasters create and intensify stress for communities, with many factors contributing to how that stress results in mental health outcomes. Guided by the stress process model, this article presents findings from a qualitative investigation of the meaning of stress among community leaders in the context of the water crisis in Flint, Michigan. Semi-structured interviews were conducted with six community leaders in Flint and analyzed using grounded theory techniques.
View Article and Find Full Text PDFReconstructing decision-making dynamics during public health crises by applying data science to public records.
J Public Health Policy
December 2024
Tufts University, 169 Holland Street Somerville, Medford, MA, 02144, USA.
Public health policies can dramatically shape government responses to emerging public health crises. In cases where a response is inadequate, it's natural to seek improvements to these policies to achieve better results in future crises. However, while policies and outcomes are usually visible, the complex dynamics that link them are seldom obvious.
View Article and Find Full Text PDFRelationship Between Severity of Ischemia and Coronary Artery Disease for Different Stress Test Modalities in the ISCHEMIA Trial.
Circ Cardiovasc Interv
December 2024
Cardiovascular Clinical Research Center, Department of Medicine, NYU Grossman School of Medicine, New York, NY (H.R.R., L.P., S.B., J.S.H.).
Background: The relationship between the extent and severity of stress-induced ischemia and the extent and severity of anatomic coronary artery disease (CAD) in patients with obstructive CAD is multifactorial and includes the intensity of stress achieved, type of testing used, presence and extent of prior infarction, collateral blood flow, plaque characteristics, microvascular disease, coronary vasomotor tone, and genetic factors. Among chronic coronary disease participants with site-determined moderate or severe ischemia, we investigated associations between ischemia severity on stress testing and the extent of CAD on coronary computed tomography angiography.
Methods: Clinically indicated stress testing included nuclear imaging, echocardiography, cardiac magnetic resonance imaging, or nonimaging exercise tolerance test.
Stakeholder-driven assessment of watershed management strategies for agriculture and ecological sustainability: A case study in the lower Apalachicola-Chattahoochee-Flint (ACF) River Basin.
J Environ Manage
January 2025
School of Forest, Fisheries and Geomatics Sciences, University of Florida, Gainesville, FL, USA.
The effect of chelation on bone Pb stores in Pb poisoned children.
J Expo Sci Environ Epidemiol
December 2024
School of Health Sciences, Purdue University, West Lafayette, IN, USA.
Background: Lead exposure remains a key problem for children during development. One treatment for lead poisoning is chelation - a topic that remains controversial with varied results. Bone lead serves as a marker of total body burden of lead and encompasses between 60-90% of lead storage in children.
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