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2 Human Health, Public Health Practice, and Community Resilience
Pages 4-11

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From page 4...
... • Activities initiated after the DWH disaster have led to the development of research cohorts, academic–community partnerships, and programs to build health capacity that the Gulf Research Program can learn from and build upon. • Research opportunities for the Gulf Research Program include advancing the science of community resilience, oil spill toxicology, individual exposure assessment, and cumulative risk assessment.
From page 5...
... . The conditions exist that threaten to disrupt Gulf Research Program also uses the definition of health • Rapidity: The capacity to meet priorities and achieve developed by the World Health Organization: "Health is goals in a timely manner in order to contain losses, a state of complete physical, mental, and social well-be- recover functionality, and avoid future disruption ing and not merely the absence of disease or infirmity" (WHO, 1946)
From page 6...
... For example, the Gulf States ample, understanding how environmental, health, tend to rate very poorly when compared with the rest economic, and social factors influence resilience is an of the United States on major health indicators, such interdisciplinary undertaking, an approach that is in- as the percentages of adults with poor or fair health, herent to public health. Complex public health prob- low-birth-weight babies, smoking rates, obesity, or inlems, Goldstein noted, can only be solved by collabo- surance coverage.
From page 7...
... by the workshop summary authors, Goldstein said: OIL SPILL–RELATED RESEARCH In addition to the physical stressors, the Deepwater Horizon oil disaster has disrupted delicate social, eco- Goldstein highlighted several health-related studies nomic, and psychological balances in communities and activities that have been initiated with funds related across the Gulf region. Local fishermen and fisher- to the DWH oil spill (Table 2-1; see also Appendix E)
From page 8...
... . GRHOP will use $105 million from conducted research in the aftermath of other disasters, the Deepwater Horizon Medical Benefits Class Action for example, 9/11 and Hurricane Sandy in 2012.4 In adsettlement to integrate primary care, mental and be- dition, relevant research is being conducted around the havioral health, and environmental health, he said, with world, such as that of Kim et al.
From page 9...
... This research and the public about the potential health impacts of requires: the DWH oil spill. As summarized in an article he coauthored in 2011, • Cross-cutting multidisciplinary approaches • Community cooperation and involvement several initiatives are urgently needed, before simi- • Public health agency cooperation and involvement lar disasters occur in the future: rapid development • Longer-term research support and implementation of protocols for baseline clini- • Interdependent projects cal evaluations, including respiratory function; bio- • Valid metrics of community resilience specimen banking; short- and longer-term medical surveillance and monitoring of workers; and devel- Oil Spill Toxicology opment of psychosocial interventions … especially for vulnerable populations.
From page 10...
... And, very few studies have ad- Individual Exposure Assessment vanced understanding of the chronic effects of oil spills. For example, what are the long-term implications of ex- Goldstein concluded his presentation by discussing posure to weathered crude oil, Goldstein asked.
From page 11...
... "This is a situation in cluding public health, gives the public health commuwhich we have not made the case. We have not tried nity an opportunity to prove that it can play a valuable hard enough to be sure that we can be involved." role in responses to oil spills, Goldstein concluded.


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