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History Sanitary overflows discharge raw sewage, which may pollute the drinking water supply. During low or negative pressure events, Boil water advisories are sent, alerting consumers of potential contamination in the drinking water distribution system. Objective We investigated the links between SSOs and BWAs and diagnosis of gastrointestinal disease in Columbia, South Carolina, and neighboring communities from 2013-2017. Methods were used to determine the role of SSOs and BWAs on Emergency Room and Urgent Care visits with a primary diagnosis of GI disease by a standardized bi-directional case-crossover study design. In a zip code where more than 80% of residents identified as Black or African-American, the largest number of SSOs, BWAs, and GI cases were found. During the 0nt-u20134 day hazard period, there was a 13% rise in the chances of a GI disease diagnosis during the 0u20134 day hazard period, compared to control periods, but no associations were found during the other hazard times. During all three hazard seasons, BWAs were not affected with increased or decreased risks of GI illness. SSOs and BWAs were correlated with a greater risk of a GI disease diagnosis. Future research may investigate sewage contamination of the drinking water distribution system and the mechanisms of sewage intrusion from SSOs. There were 830 sanitary sewage overflows in Columbia, South Carolina, USA, from 2013 to 2017. Increasing risk of Emergency Room and Urgent Care diagnoses of GI disease were found using a case-crossover model, SSOs, and boil water experts were associated with an elevated risk of Emergency Room and Urgent Care diagnoses of GI illness, possibly due to contamination of the drinking water distribution system.
Source link: https://doi.org/10.1038/s41370-022-00498-7
Systemic lupus erythematosus or lupus is a common chronic autoimmune disease thatdisproportionately affects young African Americans. Increasing lupus awareness in this high-risk group may be a key component of ultimately improving lupus outcomes. Methods Two focus groups were organized in South Carolina with African American students from the University of HBCU's network of HBCUu2019s to discuss the perspectives of focus group participants on education, fear, and experiences with lupus. Conclusion Participants in our survey highlighted the importance of lupus education and awareness among African American youth and their families, as well as the need for information that would help them advocate for themselves and their families. Given the onset of lupus at an early age, it is therefore vital to include African American youth in raising education and knowledge about lupus.
Source link: https://doi.org/10.1186/s41927-022-00323-6
Rural residents with high food insecurity were 6. 1 times more likely to experience higher levels of stress and moderate food insecurity were 3. 2 times more likely to experience higher food insecurity after COVID-19 than those with low food insecurity; rural residents with high food insecurity were 6. 1 times more likely to experience higher food insecurity and moderate food insecurity were 3. 4 times more likely to experience greater stress than those with moderate food insecurity were 3. 6 times more likely to experience greater food insecurity and moderate food insecurity A buffering function in the connection between food insecurity and anxiety was provided by the local social environment and food environment, providing a buffering effect on the relationship between food insecurity and stress. The negative effects of food insecurity on stress were reduced by a more positive socioeconomic environment after COVID-19 and higher levels of esiness in food accessibility.
Source link: https://doi.org/10.1007/s10900-022-01176-3
Many landowners use at least one conservation tactic or are interested in starting one or two practices, according to our survey, which was randomly distributed to South Carolina forest landowners. According to our Logit regression report, certain variables, including land size and membership to an environmental group, were significant and associated with increased prescribe fire use. From the landowner's blueprint and statistical review of the landowner responses, we inferred that educational and financial resources are two primary factors in allowing landowners to pursue conservation efforts and keep landowners interested in cost sharing programs. In addition, assisting landowners with the introduction of prescribed fire through their participation in prescribed fire organizations and funding opportunities will most likely increase adoption and contribute to the preservation of ecosystem services in South Carolina and other states with large areas of private property in South Carolina and other states with large areas of landownership.
Source link: https://doi.org/10.1007/s11842-022-09512-0
Examining the latest incidence rates of HIV and STIs among racial and ethnic minority groups and rural residents is critical to inform and broaden initiatives to eliminate poverty and minimize the health risks of these illnesses. A two-year study was conducted in South Carolina using Medicaid administrative claims data over a 2-year period. During the investigation period, 158,731 Medicaid beneficiaries had at least one medical claim. Compared to non-Hispanic Black or other racial group/ethnicity in multivariable models, chlamydia, gonorrhea, and HIV, non-Hispanic Black or other minority race/ethnicity were highly associated with non-Hispanic Black or other racial group/ethnicity, compared to non-Hispanic white race/ethnic white race/ethnic white race/eteth Rural people were more likely to have a chlamydia and gonorrhea complaint than urban ones. Providing accurate data on gaps in STIs and HIV among a racial/ethnic minority and rural populations in a southern state is vital in formulating state Medicaid policies to address health inequities.
Source link: https://doi.org/10.1007/s10900-022-01165-6
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