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#ExpertSpotlight: 10th anniversary of Flint, MI, water crisis beginning

The 10th anniversary of the Flint, MI water crisis marks a pivotal moment in environmental justice and public health awareness. This event matters deeply to the public as it sheds light on systemic failures in infrastructure management, government accountability, and the disproportionate impacts of environmental hazards on marginalized communities. Here are several sub-topics that could be of interest to a broad audience: Health Impacts and Long-term Consequences: Explore the lingering health effects on residents exposed to lead-contaminated water, including neurological disorders, developmental delays, and mental health challenges. Government Response and Accountability: Investigate the role of local, state, and federal authorities in addressing the crisis, including accountability measures taken against officials responsible for the negligence and mismanagement. Community Resilience and Activism: Highlight the resilience of Flint residents and grassroots organizations in advocating for clean water access, demanding justice, and implementing community-led solutions. Infrastructure Challenges Nationwide: Examine the broader implications of Flint's water crisis on infrastructure investment, maintenance, and regulation across the United States, particularly in aging urban areas. Policy Reforms and Prevention Efforts: Discuss policy reforms enacted post-crisis to prevent similar incidents, such as improvements in water quality testing, infrastructure upgrades, and measures to ensure environmental justice. Legacy of Environmental Injustice: Analyze the broader socio-economic factors contributing to environmental injustices like the Flint water crisis, including racial disparities in access to clean water and the intersectionality of poverty and environmental hazards. This anniversary presents an opportunity for journalists to revisit the ongoing repercussions of the Flint water crisis, amplify the voices of affected communities, and advocate for sustainable solutions to prevent similar tragedies in the future. Connect with an Expert about the Flint, MI water crisis: To search our full list of experts visit www.expertfile.com Gerald Kauffman Project Director, Water Resources Center, Institute for Public Administration; Assistant Professor, Biden School of Public Policy and Administration · University of Delaware Viviane Yargeau Professor, Department of Chemical Engineering · McGill University Jared L. Cohon University Professor · Carnegie Mellon University Joe Brown Assistant Professor, Environmental Engineering · Georgia Tech - COE For journalists with questions or looking to cover the streaming wars, here is a select list of experts. Photo Credit: Bruno Guerrero

Healthy Environment, Healthy People: The Intersection Between Climate and Health

How is climate change influencing our health? Why does climate change have a greater impact on vulnerable populations and low-income people? How does the U.S. health care system affect the climate? How can health care systems improve their impact on the climate and the environment? ChristianaCare’s inaugural Climate and Health Conference addressed these topics and raised possible solutions at the John H. Ammon Medical Education Center on the Newark, Delaware, campus on April 12. At the conference, the common denominator was this: An unhealthy environment can lead to illnesses and deaths from air pollution, high heat, contaminated water and extreme weather events. Health systems, government entities, community organizations and individuals all have a role to play in decreasing these effects. “Climate, the environment and health care systems are intertwined,” said Greg O’Neill, MSN, APRN, AGCNS-BC. “We need to pay close attention to this relationship so we can improve health for everyone.” O’Neill is director of Patient & Family Health Education and co-chair of the Environmental Sustainability Caregiver Committee at ChristianaCare. Climate change and intensifying health conditions Negative health effects are so closely tied to the environments where people live, work and play that The Lancet called climate change “the greatest global health threat facing the world in the 21st century [and] the greatest opportunity to redefine the social and environmental determinants of health.” At the conference, speakers addressed specific areas of concern. Asthma. Air pollutants, while largely invisible, are associated with asthma. What’s more, people who live in urban areas with little green space are more likely to have uncontrolled asthma, said speaker Robert Ries, M.D., an emergency medicine resident at ChristianaCare. And there’s the rub, he said: When people with asthma spend time in green spaces, it may improve their health. “In Canada,” he said, “some doctors prescribe nature – two hours a week for better overall health outcomes. Could we do that here?” Heat-related illness. Temperatures worldwide have been rising, increasing the likelihood of heat-related health incidents. Heat waves may be harmful to children and older adults, particularly those who don’t have access to air conditioning, swimming pools or transportation to the beach, said speaker Alan Greenglass, M.D., a retired primary care physician. Children visit the emergency room 20% more frequently during heat waves. Weather-related illness. Climate change is causing more floods, which may result in respiratory problems due to mold growth; and droughts, which may threaten water safety and contribute to global food insecurity, said speaker Anat Feingold, M.D., MPH, an infectious disease specialist at Cooper Health. Stress and anxiety. Climate change can affect mental health, even leading to “solastalgia,” which is distress about environmental change and its effect on one’s home, said speaker Zachary Radcliff, Ph.D., an adolescent psychologist at Nemours. He encouraged clinicians in the audience to keep this mental health concern in mind when seeing patients as it may become more prevalent. Cardiovascular disease risk. Frequent consumption of red meat increases the risk of cardiovascular disease, the top cause of death in the U.S. It’s also unhealthy for the environment, said speaker Shirley Kalwaney, M.D., an internal medicine specialist at Inova. Livestock uses 80% of available farmland to produce only 17% of calories consumed, creating a high level of greenhouse gas emissions. By comparison, plant-based whole foods decrease the risk of cardiovascular disease and diabetes. They use only 16% of available farmland, producing 82% of calories consumed. This makes reducing red meat in our diets one of the most powerful ways to lower the impact on our environment. Health equity and the environment People in low-income communities are more likely to live in urban areas that experience the greatest impacts of climate change, including exposure to air pollutants and little access to green space, said speaker Abby Nerlinger, M.D., a pediatrician for Nemours. A Harvard study in 2020 demonstrated that air pollution was linked with higher death rates from COVID-19 — likely one of the many reasons the pandemic has disproportionally harmed Black and Latino communities. Similarly, access to safe, affordable housing is essential to a healthy environment, said Sarah Stowens, Ed.D., manager of State Policy and Advocacy for ChristianaCare, who advocated for legislation including the Climate Solutions Act, another bill that increased oversight regarding testing and reporting of lead poisoning and a policy to reduce waste from topical medications. Opportunities for change in health care Reduce emissions from pharmaceuticals and chemicals. These emissions are responsible for 18% of a health system’s greenhouse gas emissions. One way to reduce this number is for clinicians to prescribe a dry-powder inhaler (DPI) instead of a metered-dose inhaler (MDI) when applicable and safe for the patient and to give patients any inhalers that were used in the hospital at discharge if they are going home on the same prescription. Hospitals have opportunities to reduce greenhouse gases while caring for patients, said Deanna Benner, MSN, APRN, WHNP, women’s health nurse practitioner and co-chair of ChristianaCare’s Environmental Sustainability Caregiver Committee. The health care sector is responsible for 8.5% of U.S. greenhouse gas emissions, the highest per person in the world. U.S. greenhouse gas emissions account for 27% of the global health care footprint. One way to significantly reduce the carbon footprint is to use fewer anesthetic gases associated with greater greenhouse gas emissions, Benner said. Limit single-use medical devices. Did you know that one surgical procedure may produce more waste than a family of four produces in a week? Elizabeth Cerceo, M.D., director of climate health at Cooper Health, posed this question during her talk. Sterilizing and reusing medical devices, instead of using single-use medical devices, she said, may meaningfully reduce hospital waste. ChristianaCare’s commitment to healthy environments and healthy people As one of the nation’s leading health systems, ChristianaCare is taking a bold, comprehensive approach to environmental stewardship. ChristianaCare reduced its carbon footprint by 37% in 2023 by purchasing emission-free electricity. ChristianaCare joined the White House Climate Pledge to use 100% renewable energy by 2025, reduce greenhouse gas emissions by 50% by 2030 and achieve zero net emissions by 2050. ChristianaCare has created an Environmental, Social and Governance structure to help advance a five-year strategic plan that delivers health equity and environmental stewardship. Nearly 150 staff members have become Eco-Champions, an opportunity to be environmental change-leaders in the workplace. In 2023, ChristianaCare’s successful environmental stewardship included: Reducing our carbon footprint by 37% by purchasing emission-free electricity. Recycling 96,663 pounds of paper, which preserved 11,485 trees. Reducing air pollution by releasing an estimated 33,000 fewer pounds of nitrogen oxides and sulfur oxides through the use of a cogeneration energy plant on the Newark campus. Donating 34,095 pounds of unused food to the Sunday Breakfast Mission in Wilmington, Delaware. Donating 1,575 pounds of unused medical equipment to Project C.U.R.E., ChristianaCare’s Virtual Education and Simulation Training Center and Delaware Technical Community College. “In quality improvement, they say you improve the things that you measure,” O’Neill said in expressing goals for continued success. In looking ahead, said Benner, “I really hope that this conference is the catalyst for positive change with more people understanding how climate is connected to health, so that we can protect health from environmental harms and promote a healthy environment for all people to thrive.”

Nurse Leaders Danielle Weber and Michelle Collins Named Fellows in Nursing Innovation

Two ChristianaCare nurse leaders have been named fellows in the 2024-25 cohort of the prestigious Johnson & Johnson Nurse Innovation Fellowship Program. The fellows are Danielle Weber, MSN, MSM, RN-BC, NEA-BC, chief nurse executive, and Michelle Collins, DNP, APRN, CNS, ACNS-BC, NPD-BC, NEA-BC, LSSBB, vice president of Nursing Professional Excellence. These nurse innovators will work collaboratively to address a real-world challenge in ways that can be implemented at ChristianaCare. Weber, who also is chief nursing officer of Wilmington Hospital, leads ChristianaCare’s nursing staff in setting strategic imperatives, advises leadership on best practices in nursing, establishes nursing policies and procedures, oversees nursing education and research and creates a collaborative environment to ensure evidence-based care practices in both the acute care and home health settings. Collins leads ChristianaCare’s systemwide efforts to support nursing practice innovation, governance infrastructure and problem-solving, including a successful initiative in virtual acute care nursing. She also led ChristianaCare to achieve its third Magnet designation, the preeminent designation for excellence from the American Nurses Credentialing Center. With a strong commitment to innovation in nursing, ChristianaCare is at the forefront of virtual acute care nursing. This entails experienced nurses practicing virtually in another location supporting hospital-based nurses by documenting health information, providing patient education, monitoring patient lab work, completing patient admission documentation and helping with discharge planning and care coordination. The fellowship, administered by Penn Nursing and the Wharton School at the University of Pennsylvania, is a one-year, team-based program for chief nursing officers, nurse executives and other senior nurse leaders that aims “to advance health care by powering up nurse-led innovation and leadership within health systems.”

Church Mutual® talks Church Executive readers through how to protect children from sexual assault.

Eric Spacek, assistant vice president - Risk Control sat down with Church Executive during National Child Abuse Prevention Month to answer questions about sexual abuse prevention best practices and how to help keep the most vulnerable safe from exploitation.

How misinformation spreads online and shapes behavior

With the Internet as a font of information, particularly during a major crisis or conflict, a simple Google search can produce a stream of conjecture, conspiracy and alternative facts. Then there’s the firehose of “news” flooding social media feeds. By headlines alone, it’s near impossible to separate wheat from chaff. Coupled with that user frustration is a vulnerability to bad actors who push agendas under the guise of news. Indeed, on its worst days, the internet is a disinformation machine. Understanding that dynamic and its impact on our moods and behavior is NJIT’s Julie Ancis, a behavioral psychologist who’s a pioneer in the field of cyberpsychology. Her research examines how disinformation spreads and shapes how we act online and in person. As she explains on her blog for Psychology Today: “The speed and flow of information online has enabled information to be transferred on a mass global scale, galvanizing social movements such as the Arab Spring, Occupy Wall Street and #MeToo. In short, the ways in which we consume information and communicate with others both locally and globally have fundamentally changed.” To interview Ancis, click on the button below.

Exploring the Link Between Student Engagement and Deeper Learning

When students are engaged in their learning, they are more likely to dive deeper into the material. This is because they are actively participating in the process, asking questions, and seeking out answers. This is a concept that was recently explored by Amanda Jansen, a University of Delaware professor in the College of Education and Human Development.  With attention to teachers’ first-person narratives and reflections, her study offers educators a model for understanding student engagement so that they can better facilitate deeper learning in their classrooms. Funded by the National Science Foundation (NSF), it was found that the majority of the teachers in Jansen’s study understood the primary function of student engagement to be deeper learning about a mathematics concept rather than classroom performance. These teachers talked more about engagement in terms of cognitive, affective and social processes, and they often spoke about more than one dimension. Jansen also emphasizes that how educators ask students to be engaged often reveals helpful information about educators’ instructional practices and their own assumptions. It can also send a message to students about their role in the learning process. These more engaged students are more likely to analyze and evaluate information, rather than just passively accepting it. This higher level of thinking leads to a deeper understanding of the material and allows students to apply their knowledge in real-world situations. To speak to Jansen about the study and its impact, click her "View Profile" button. 

Covering Earth Day - Our Experts can Help | Media Advisory

As we commemorate Earth Day, the urgency to address environmental challenges and foster sustainable practices has never been more critical. Earth Day serves as a reminder of our collective responsibility to protect and preserve our planet for future generations. This event matters to the public because it highlights the interconnectedness of environmental issues with our daily lives and underscores the importance of taking action. Here are several sub-topics that could be of interest to a broad audience: Climate change mitigation efforts and their impact on local communities Innovative technologies and initiatives for renewable energy sources Conservation efforts to protect endangered species and habitats Sustainable practices in agriculture and food production The role of businesses and corporations in promoting environmental sustainability Government policies and regulations aimed at addressing environmental challenges Connect with an Expert about Earth Day: For journalists with questions or looking to cover the streaming wars, here is a select list of experts. Bryan W. Brooks, Ph.D. Distinguished Professor, Environmental Science and Biomedical Studies; Director of Environmental Health Science · Baylor University Jase Bernhardt Associate Professor of Geology, Environment, and Sustainability · Hofstra University Saleem Ali Professor of Energy and the Environment Geography and Spatial Sciences; Biden School of Public Policy and Administration · University of Delaware Francis Galgano, PhD Associate Professor, Geography and the Environment | College of Liberal Arts and Sciences · Villanova University To search our full list of experts visit www.expertfile.com Photo Credit:Fateme Alaie

Kelly Banas, Ph.D., To Present Her Latest Discovery at CRISPR Medicine’s First International Conference

Global audience in Copenhagen, Denmark, will learn of Gene Editing Institute research targeting the NRF2 gene in cancer cells Kelly Banas, Ph.D., principal investigator at ChristianaCare’s Gene Editing Institute, will present her latest research discovery related to targeting the NRF2 gene in cancer cells at the first CRISPR Medicine Conference held in Copenhagen, Denmark, April 22 to 25. The Gene Editing Institute’s research has focused on the NRF2 gene and the strong immune response it causes within cancer cells, allowing them to grow resistant to chemotherapy and leading cancer treatments to fail. By disrupting the NRF2 gene in cancer cells while allowing healthy cells to continue producing it, chemotherapy treatment becomes more effective. Gene Editing Institute principal investigators Kelly Banas, Ph.D., and Natalia Rivera-Torres, Ph.D., in the lab. Banas’ latest research delves into the mechanism of DNA repair following the removal of NRF2, ensuring that surrounding DNA in healthy cells is not affected and that the repair does not produce an unexpected outcome. “I’m extremely honored to be invited to this conference to highlight the work that all of our researchers at the Gene Editing Institute have put into this study,” Banas said. “The work we have done to characterize the impact of CRISPR on the NRF2 gene has changed how we approach new cancer targets. “This has influenced how we design experiments and analyze our data,” she said, “so it’s got a big impact on not just our work, but the work of anyone we collaborate with in the future. This community is full of phenomenal voices, and we’re committed to sharing our work in contexts like this to continue building a foundation of CRISPR research that will uplift treatment for some of the deadliest and most resilient cancers and diseases.” Read about Banas’ earlier research here.