The Centers for Disease Control and Prevention's (CDC's) Core Violence and Injury Prevention Program (Core) supports capacity of state violence and injury prevention programs to implement ...evidence-based interventions. Several Core-funded states prioritized prescription drug overdose (PDO) and leveraged their systems to identify and respond to the epidemic before specific PDO prevention funding was available through CDC. This article describes activities employed by Core-funded states early in the epidemic. Four case examples illustrate states' approaches within the context of their systems and partners. While Core funding is not sufficient to support a comprehensive PDO prevention program, having Core in place at the beginning of the emerging epidemic had critical implications for identifying the problem and developing systems that were later expanded as additional resources became available. Important components included staffing support to bolster programmatic and epidemiological capacity; diverse and collaborative partnerships; and use of surveillance and evidence-informed best practices to prioritize decision-making.
Many individuals practicing injury control have not received specific training for their work, in large part because of a scarcity of training opportunities. Consistent with its mission of "raising ...the health status of American Indian and Alaska Native people to the highest possible level," the Indian Health Service (IHS) created an innovative training program for federal and tribal employees. The model emphasizes training that is practical and can be applied immediately to community interventions. Many features of the IHS training model have broad applicability to other settings. These features include the use of experiential instruction, preceptors, and community case studies to train individuals from diverse cultural and educational backgrounds; educational strategies for employed adults; and courses that promote community empowerment. The development of IHS training courses are guided by community input, epidemiological data, advances in knowledge, and program evaluations. Courses range from a half-day "minicourse" to a full-year fellowship program. The success of the training model is evident in programs instituted by IHS Injury Prevention Specialist Fellowship graduates, whose projects have ranged from drowning prevention in Alaska to fire safety in North Dakota. The IHS training model could be applied in a variety of other community-based settings, but it is most relevant to programs that train individuals from diverse backgrounds who are not full-time students and programs that make community needs an organizational priority.
One of the most substantial challenges facing the field of injury and violence prevention is bridging the gap between scientific knowledge and its real-world application to achieve population-level ...impact. Much synergy is gained when academic and practice communities collaborate; however, a number of barriers prevent better integration of science and practice. This article presents 3 examples of academic-practitioner collaborations, their approaches to working together to address injury and violence issues, and emerging indications of the impact on integrating research and practice. The examples fall along the spectrum of engagement with nonacademic partners as coinvestigators and knowledge producers. They also highlight the benefits of academic-community partnerships and the engaged scholarship model under which Centers for Disease Control and Prevention-funded Injury Control Research Centers operate to address the research-to-practice and practice-to-research gap.
Purpose: To explore rates of pedestrian fatalities in Arizona, and how rates and circumstances of pedestrian deaths differ by race/ethnicity, urban or rural residence, age, and gender.
Methods: Using ...the Fatality Analysis Reporting System and the National Center for Health Statistics’ Multiple Cause of Death file, pedestrian fatalities in Arizona from 1990 through 1996 were classified by gender, race/ethnicity, and urban or rural residence. Age-adjusted rates were calculated and adjusted for the proportion of rural residence. Age analyses compared pedestrian fatality rates in 10-year age groups by race/ethnicity. Conditions associated with pedestrian deaths were examined, including the time and day of occurrence, alcohol involvement, and degree of pedestrian contribution to the crash.
Results: American Indians had rates of pedestrian deaths 6 to 13 times those of non-Hispanic whites. Elevated rates for American Indians were found in urban and rural areas, in both genders, in all age groups in men, and in five of nine age groups in women. American-Indian pedestrian death rates and relative risks (RRs) were higher in rural areas than in urban areas. Compared to non-Hispanic whites, urban Hispanic males had an elevated RR of 1.56, rural Hispanic females had an RR of 2.45, and urban African-American (AA) females had an RR of 2.33. However, significantly elevated rates, compared to non-Hispanic whites, were limited to Hispanic males aged <5 years and African-American females aged 65 to 74 years. In all race/ethnic groups, except rural Hispanics, men had higher rates than women, although American-Indian women had higher rates than non-Hispanic whites, African Americans, and Hispanic men.
Rural residence accounted for 27% of the excess American-Indian pedestrian mortality. Sixty-one percent of urban, American-Indian pedestrian deaths occurred on weekends, compared to 29% among non-Hispanic whites and 46% among Hispanics. American Indians had six times the rate of alcohol-related pedestrian deaths as non-Hispanic whites in urban areas and 16 times that respective rate in rural areas. Hispanics had an alcohol- involvement RR of 1.82 in urban areas, but the RR was not elevated in rural areas. When blood alcohol was measured, the blood alcohol concentration was >0.20 g/dL in 64.4% of American Indians, 35% of Hispanics, and 29% of non-Hispanic whites.
Conclusion: A major disparity in pedestrian fatalities exists for both American-Indian men and women in urban and rural areas. Other racial/ethnic groups have elevated pedestrian fatality rates that are gender and residence specific, and are limited to specific age groups. Much of the American-Indian excess mortality is alcohol related and associated with residence in rural areas.
This study evaluated the contributions of rural residence, alcohol use, and pedestrian fatalities to the high American Indian motor-vehicle crash mortality rate in Arizona.
Records from the Fatal ...Accident Reporting System were used to examine mortality rates between 1979 and 1988.
American Indians had increased relative risks in all motor-vehicle crash categories in all residence-gender groups. The percentage of excess mortality associated with alcohol varied from 36.8% to 66.7%, and the percentage associated with pedestrian deaths ranged from 27.2% to 55.4%.
Efforts to reduce excess motor-vehicle crash mortality among American Indians should concentrate on preventing pedestrian and alcohol-related fatalities.
Galveston Bay is an anthropogenic-influenced estuary where industrial runoff, wastewater, and shipping vessel discharges enter the bay alongside natural freshwaters. Here, heavy metal concentrations ...in Galveston Bay surface sediment (2-year quarterly time-series) and a single sediment core are presented to explore the anthropogenic and geochemical controls on the spatiotemporal distributions, fluxes, sources, and potential toxicity of metals within this estuary. Samples were leached to distinguish authigenic sediment coatings from geogenic crystalline material. Spatial differences dominate the observed concentration variability, with higher metal concentrations in eastern vs. western bay sediments, as the eastern bay is where metals are flocculated from the dissolved phase and/or sediments are hydrodynamically trapped. Temporal variations are a secondary controlling factor, with sediment metal concentrations positively correlated with Trinity River discharge. Core data indicate stable Fe, Pb Ni, Cd and Hg levels during the 20th century but increasing Cu and Zn levels in recent years. Galveston Bay sediments are potentially toxic for As, Cd, Cr, Cu, Ni, Sb, Zn and Hg, based on federal toxicity standards. Enrichment factors and statistical analyses suggest that Ni and Cr originate from natural sources, while anthropogenic sources dominate supply of As, Cd, Hg, Ni, Pb, Sb, and Zn. This unique time-series shows that major flooding events, such as Hurricane Harvey in 2017, affect surface sediment metal distributions in Galveston Bay, but not any more than the natural geochemical controls on spatiotemporal distributions of metals in anthropogenic-influenced estuaries.
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•Galveston Bay sediment metal content spatial variability driven by flocculation•Sediment metal levels have not declined in recent history despite clean-up efforts.•Galveston Bay sediments may be toxic for As, Cd, Cr, Cu, Ni, Sb, Zn and Hg.
•Galveston Bay sediment Pb concentrations do not exceed federal toxicity limits•Sediment leaching reveals distinct natural and anthropogenic Pb isotope signals•Isotope fingerprinting shows a large ...percentage of sedimentary Pb is anthropogenic
The geochemical behavior of Pb in terrestrial and coastal water systems significantly influences Pb biogeochemical cycling and pollutant exchange at the land-sea continuum. An ideal case study of Pb environmental geochemistry is Galveston Bay, an anthropogenic estuary exposed to industrial runoff, wastewater and shipping vessel spills but also fed by natural rivers. Here, sediments from Galveston Bay were measured for Pb isotope ratios and abundances to constrain Pb sources and fluxes and understand Pb pollution history in the bay. Lead isotopes have been established as source tracers of environmental pollution and allow Pb sources to be reliably fingerprinted and identified. Sediments were leached to distinguish authigenic sediment coatings from lithogenic residual sediments, in addition to bulk sediment digestions. Total Pb concentrations ranged from 1.76 µg/g–29.19 µg/g in bulk digests, which are below federal toxicity thresholds and aligns well with prior measurements of Pb in Galveston Bay sediments in the 20th century. Lead concentrations are spatially constrained by flocculation in eastern bay areas where the Trinity River enters the bay and positively temporally correlated to freshwater discharge. Sediment 206Pb/204Pb, 207Pb/204Pb, and 208Pb/204Pb ratios range between 18.338–19.777±0.002, 15.557–15.755±0.002 and 37.913–43.340±0.005, respectively, and were used in an advanced Bayesian isotope mixing model to identify Pb sources in the Galveston Bay sediment fractions analyzed. Anthropogenic sources supply approximately 83.8%, 16.6% and 25.5% of Pb to the leachates, residues and bulk sediments, respectively. This study showcases the importance of estuaries in moderating terrestrial and marine Pb distribution and provides insight for future contaminant studies in Galveston Bay and other estuarine systems around the world.
MAIN FINDINGS Pb isotope ratio and abundance measurements of Galveston Bay sediments demonstrate significant anthropogenic Pb inputs to the estuary despite low Pb levels.
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Tomato fruit ripening is accompanied by extensive degradation of pectic cell wall components. This is thought to be due to the action of a single enzyme, polygalacturonase, whose activity is ...controlled, at least in part, at the level of gene expression. At the onset of tomato fruit ripening, polygalacturonase enzyme activity, mRNA levels, and relative rate of gene transcription all increase dramatically. To elucidate the role of polygalacturonase during tomato fruit ripening, we utilized a pleiotropic genetic mutation, rin, that blocks many aspects of ripening, including the activation of polygalacturonase gene transcription. The polygalacturonase structural gene was ligated to a promoter that is inducible in mature rin fruit and inserted into the fruit genome, and plants were regenerated. This allowed expression of the polygalacturonase gene in transgenic rin fruit at a time corresponding to ripening in wild-type fruit. Expression of this gene resulted in the accumulation of active polygalacturonase enzyme and the degradation of cell wall polyuronides in transgenic rin fruit. However, no significant effect on fruit softening, ethylene evolution, or color development was detected. These results indicate that polygalacturonase is the primary determinant of cell wall polyuronide degradation, but suggest that this degradation is not sufficient for the induction of softening, elevated rates of ethylene biosynthesis, or lycopene accumulation in rin fruit.
We have studied the transcription of polygalacturonase (PG) and several other ripening-associated genes in wild-type tomato (Lycopersicon esculentum) fruit and three ripening-impaired mutants, rin, ...nor, and Nr. In wild-type fruit, the PG gene becomes transcriptionally active early in ripening and remains transcriptionally active during the ripening process. Fruit of the three ripening-impaired mutants, which have reduced levels of PG mRNA, have correspondingly reduced PG transcription rates. Other ripening-associated genes showed diverse patterns of expression in the ripening-impaired mutant backgrounds. These results indicate that transcriptional activation of the PG gene is an important control point regulating the expression of PG during ripening in wild-type fruit and that PG expression in rin, nor, and Nr fruit is blocked at the level of transcription. A comparison of PG transcription rates and mRNA levels with those of other ripening-associated genes suggests that posttranscriptional processes may also contribute to the large accumulation of PG mRNA during ripening.
We have previously described the construction and expression of a chimeric gene that allows developmentally regulated expression of tomato (Lycopersicon esculentum) polygalacturonase in ...ripening-impaired, mutant (rin) tomato fruit (JJ Giovannoni, D DellaPenna, AB Bennett, RL Fischer 1989 The Plant Cell 1:53-63). We now show that expression of the chimeric polygalacturonase gene in rin tomato fruit resulted in the accumulation of all three polygalacturonase isozymes (PG1, PG2A, and PG2B). Polyuronide solubilization and polyuronide depolymerization both reached their maximal levels in transgenic rin fruit prior to the appearance of PG2 isozymes. These results demonstrate that PG1, PG2A, and PG2B all arise by differential processing of a single gene product and further suggest that the PG1 isozyme is sufficient to carry out both polyuronide solubilization and depolymerization in vivo.
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