Capabilities

Overall description of capabilities

Project Timeline: 5/1/2018 through 5/31/2019

The CARE studies were designed to better understand Californians’ exposures to chemicals and their exposure pathways, and trends in both the type and levels of these chemicals and toxins stored in their bodies. Carried out by Biomonitoring California, within the California Department of Public Health’s Environmental Investigations Branch, these studies measure and compare the environmental chemicals in found at-risk communities disproportionately impacted by environmental hazards, certain at-risk occupations, or the general population. The second of eight planned studies, CARE-LA was launched in 2018 and focused on adults residing in Riverside, San Bernardino, Imperial, Mono, and Inyo counties.

In collaboration with Biomonitoring California, SF staff helped mobilize environmental justice organizations and other groups working with California communities disproportionately impacted by environmental hazards to determine their community’s concerns and health priorities. SF staff helped carry out surveys to stakeholders, including environmental justice organizations, community groups, and Tribes focused on environmental and public health issues. Further recruitment led to conducting group listening sessions or one-on-one interviews with 60 individuals about specific environmental hazards of concern in their communities and how biomonitoring projects could support efforts to promote community health and improve local policies. Common environmental and health problems were identified and helped inform study design and strategies for building trust and establishing partnerships within these communities. 

SF staff identified, interviewed, and recruited 359 residents of Riverside, San Bernardino, Imperial, Mono, and Inyo counties were identified, interviewed, evaluated, and consented to participate in the second phase of the study, CARE-2. All study participants donated blood and urine samples which were tested for ten metals, and a subset of 159 participants was also tested for 1-nitropyrene (indicative of exposure to diesel exhaust), and 151 participants were tested for seven phenols (chemicals often used in personal care/consumer products). After samples were analyzed, SF helped to provide participants with their laboratory results and summary data on the entire study. We also held community meetings to discuss study findings with the general public.

Projects

  1. California Region Exposure Study I (CARE-LA)
  2. California's Strategic Plan Implementation Grants for Asthma
  3. Environmental Health Symposium for Promotores and Community Health Workers
  4. Palos Verdes Shelf Fish Contamination Project
  5. San Francisco Bay Fish Project
  6. Improve Low Rates of Childhood Lead Screening Amongst Health Care Providers
  7. Effectiveness of a Large Prenatal Tobacco Reduction Program
  8. California's Childhood Lead Poisoning Prevention Program
  9. Collection of Dried Blood Spots from Children for the Examination of CMV
  10. PBDE/Breast Milk Monitoring
  11. Early Childhood Mortality Study
  12. Preterm Markers Study-2006/07
  13. Maternal and Infant Genetic Contributions to Preterm Birth: the Inflammatory Response
  14. Preterm Markers Study-2009/10
  15. Development of a Research-Ready Pregnancy and Newborn Biobank in California
  16. National Newborn Screening and Genetics Resource Center
  17. Newborn Blood Spots, Collaborative Project with UCD Public Health Sciences Department
  18. Environmental and Molecular Epidemiology of Childhood Leukemia
  19. Evaluation of the Partnership for Smoke-Free Families Program
  20. Genetic Contributions to Preterm Birth Study
  21. Outcome Prediction in Children with Positive California Cystic Fibrosis Newborn Screening
  22. Prenatal and Neonatal Biologic Markers for Autism
  23. Ascertain Environmental Exposure During Pregnancy
  24. Enhancing the California Environmental Contaminant Biomonitoring Program
  25. CA Title 17 Analysis: Training/Certifying Renovation, Remodeling, and Painting Activities
  26. Children's Health Initiative - Impacts of Childhood Asthma in California
  27. Prenatal Smoke Exposure and Age at Menarche
  28. Selection In Utero: A Test of Competing Explanations
  29. iCARE General Population File
  30. Case-Control Study of Maternal and Infant Genetic Contributions to Preterm Birth
  31. California's Chronic Disease Environmental Health Surveillance System
  32. Design of California's Response and Surveillance System for Childhood Lead Exposures (RASSCLE II) System
  33. Data Mapping California's Blood Lead Testing Reports
  34. California Electronic Blood Lead Reporting Security and Data Transmission Upgrades
  35. Cystic Fibrosis Foundation Patient Registry Data Analysis