The importance of combining state-of-the-art research with the translation of this work to the community has been an integral component of the Children's Environmental Health and Disease Prevention Research Centers program since its inception by the EPA and NIEHS 15 years ago. Here at the Dartmouth Center we aim to engage a wide range of stakeholders to protect the environmental health and wellbeing of children in a sustainable manner. Key members of our community are the mothers who are participants in our Birth Cohort study, the health care community, and parents. Given our researchers focus on mechanisms and effects of early life exposure to metals, in particular arsenic in food and water, the COTC seeks to explore ways to incorporate these findings into clinical care and public health practice.
Parents and Community: We are committed to providing informational resources to parents to help them reduce risks of environmental health exposures during vulnerable periods of their child's development.
Provider Resources: Patients look to their healthcare providers for advice and recommendations about environmental health exposures. We strive to share our research and evidence based recommendations with health care providers so that they can effectively respond to patient concerns, in particular about arsenic and other metals in food and water.
Study Participants:The New Hampshire Birth Cohort Study is at the Center of our research and participants are key stakeholders for our research findings.
We are collaborating with this practice based research network of rural primary care practices in New Hampshire, Vermont and Maine. In our current research study, we are working with selected practices in regions where there are a high percentage of families on private water systems to identify best practices for integrating well water testing into routine pediatric preventive care. This involves both education of the parents as well as the health care team on the basics of drinking water safety and testing, with particular emphasis on the regional importance of natural arsenic contamination. Our team's use of GIS mapping of arsenic contamination in relationship to the location of these regional primary care practices has been used to raise awareness of this issue among health care providers and for recruitment of practices to the well water testing study. Results of this study will be disseminated to other regional practitioners.
Our Center was selected as a project site for the "Dali Lab"- a group of talented computer science students and their faculty mentors within the Department of Computer Science at Dartmouth College. Students in the Dali project worked with Dr. Carolyn Murray to bring to life in a digital format the "story" of how arsenic enters our food supply. These undergraduates translated the Center's research findings about sources of arsenic in the diet and converted them to a visually pleasing and interactive format to engage and empower the public, particularly parents.
Participants in our birth cohort study that now numbers over 1,200 are a high priority community for our Center. We have been conducting focus groups within the NHBCS. Through these focus groups and future surveys we are seeking input on how best to communicate well water testing results, how best to design educational materials, and to better understand where mothers obtain the environmental health information they use to make decisions about their own health and that of their children. We will then use this information to inform the development of educational resources, both written and web based, to support the informational needs of our stakeholders and provide a platform for our scientists to share their findings.
This newly created Center in one of this country's premier law schools for Environmental Law underscores the burgeoning interest in food, food policy and the relationship between our food systems and human health. We meet regularly with Center leaders to identify how our scientific findings can help inform their efforts in addressing regulatory initiatives aimed at improving the health and safety of our food supplies. We are both working with the Dartmouth DALI lab (see below) on exciting projects to share our research findings with stakeholders in innovative ways.
Through a partnership with the Dartmouth DALI Lab, a student based digital arts development group within the Computer Science Department, an educational tool for the public was created to "tell the story" of how arsenic gets into our food supply. This fun info-graphic style tool provides evidence based suggestions to help reduce dietary arsenic exposure as well as a pictorial display of the many pathways of arsenic into the foods we eat. Explore this new tool and learn some tips for reducing your exposure to arsenic.Arsenic in our Food Supply - A Digital Story and Educational Tool