The geologic profile of the western United States lends itself to naturally elevated levels of arsenic and uranium in groundwater and can be exacerbated by mining enterprises. The Navajo Nation, located in the American Southwest, is the largest contiguous Native American Nation and has over a 100-year legacy of hard rock mining. This study has two objectives, quantify the arsenic and uranium concentrations in water systems in the Arizona and Utah side of the Navajo Nation compared to the New Mexico side and to determine if there are other elements of concern. Between 2014 and 2017, 294 water samples were collected across the Arizona and Utah side of the Navajo Nation and analyzed for 21 elements. Of these, 14 elements had at least one instance of a concentration greater than a national regulatory limit, and six of these (V, Ca, As, Mn, Li, and U) had the highest incidence of exceedances and were of concern to various communities on the Navajo Nation. Our findings are similar to other studies conducted in Arizona and on the Navajo Nation and demonstrate that other elements may be a concern for public health beyond arsenic and uranium.
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http://dx.doi.org/10.3390/ijerph16152727 | DOI Listing |
Randomized controlled trials (RCTs) evaluating anti-cancer agents often lack generalizability to real-world oncology patients. Although restrictive eligibility criteria contribute to this issue, the role of selection bias related to prognostic risk remains unclear. In this study, we developed TrialTranslator, a framework designed to systematically evaluate the generalizability of RCTs for oncology therapies.
View Article and Find Full Text PDFAm J Trop Med Hyg
December 2024
Department of Epidemiology and Biostatistics, Mel and Enid Zuckerman College of Public Health, University of Arizona, Tucson, Arizona.
Helicobacter pylori is one of the most common infectious agents linked to any malignancy. Recent studies report higher H. pylori prevalence and gastric cancer incidence rates in the Navajo Nation than in general U.
View Article and Find Full Text PDFBMJ Public Health
July 2024
Department of Epidemiology and Biostatistics, Mel and Enid Zuckerman College of Public Health, 1295 N Martin Ave, Tucson, AZ 85724.
Objective: To assess factors associated with positive COVID-19 tests, perspectives on health-related care delivery during pandemic, and factors supporting resilience among members of the Navajo Nation.
Methods And Analysis: From May through October 2021, a multi-institutional team recruited participants (n=154) to complete a 49-item questionnaire or participate in focus group (n=14) about their experience with COVID-19 and the effects on their use and access to allopathic and traditional health care. A multi-investigator, phenomenological approach summarized focus group experiences.
Front Public Health
November 2024
Department of Earth & Environmental Science, New Mexico Institute of Mining and Technology, Socorro, NM, United States.
In the world today, there are many unknowns especially with rising environmental concerns. However, one of the most important is an irreplaceable and shared resource, water or as the Diné (Navajo) refer to as, Tó. Throughout the world many Indigenous communities are facing water challenges, from lack of and access to adequate infrastructure, water rights, climate change and water contamination issues due to a variety of sources including anthropogenic sources like mining, especially, on the Navajo (Diné) reservation.
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