1 00:00:06,473 --> 00:00:07,374 >> GOOD MORNING, EVERYONE. 2 00:00:07,374 --> 00:00:08,942 I'M VERY HAPPY TO BE HERE TODAY 3 00:00:08,942 --> 00:00:14,348 TO WELCOME YOU TO DAY TWO. 4 00:00:14,348 --> 00:00:16,083 YESTERDAY I WAS WATCHING THIS 5 00:00:16,083 --> 00:00:24,524 WONDERFUL WORKSHOP ONLINE AND I 6 00:00:24,524 --> 00:00:33,867 WANT TO THANK DR. CHIDEYA AND I 7 00:00:33,867 --> 00:00:38,338 WAS TOUCHED BY THE COMMUNITY 8 00:00:38,338 --> 00:00:42,075 ENGAGEMENT AND PUTTING A 9 00:00:42,075 --> 00:00:43,410 PERSONAL TOUCH TO THE SCIENCE 10 00:00:43,410 --> 00:00:47,848 THAT WE'RE DISCUSSING. 11 00:00:47,848 --> 00:00:56,823 AS DR. LANGEVIN SAID YESTERDAY 12 00:00:56,823 --> 00:00:58,825 THEY'VE BEEN DEDICATED TO THE 13 00:00:58,825 --> 00:00:59,960 WHOLE PERSON HEALTH AND 14 00:00:59,960 --> 00:01:01,395 LISTENING TO THE TALKS IT'S 15 00:01:01,395 --> 00:01:06,099 CLEAR THE ISSUES WE'RE 16 00:01:06,099 --> 00:01:07,234 DISCUSSING TOUCH MULTISYSTEMS 17 00:01:07,234 --> 00:01:11,872 AND ORGANS AND WAS PLEASED TO 18 00:01:11,872 --> 00:01:13,540 SEE WHAT THE POTENTIAL 19 00:01:13,540 --> 00:01:14,274 COMPLEMENTALLY AND INTEGRATIVE 20 00:01:14,274 --> 00:01:17,077 HEALTH CAN BRING TO THAT 21 00:01:17,077 --> 00:01:17,377 DISCUSSION. 22 00:01:17,377 --> 00:01:19,980 SO YESTERDAY'S TALK ON LIFESTYLE 23 00:01:19,980 --> 00:01:22,649 INTERVENTION YOU, THE 24 00:01:22,649 --> 00:01:23,684 MICROBIOME, THE NATURAL PRODUCTS 25 00:01:23,684 --> 00:01:25,519 AND MIND AND BODY APPROACHES 26 00:01:25,519 --> 00:01:28,021 WERE HELPFUL. 27 00:01:28,021 --> 00:01:30,524 AS I WAS LISTENING TO THE TALK 28 00:01:30,524 --> 00:01:33,760 YESTERDAY THOUGH I WAS 29 00:01:33,760 --> 00:01:35,295 CONNECTING THE DOTS BECAUSE I 30 00:01:35,295 --> 00:01:37,197 THINK THERE IS A LOT THAT CAN BE 31 00:01:37,197 --> 00:01:37,597 DONE. 32 00:01:37,597 --> 00:01:41,001 THE PROBLEM IS ENORMOUS AND 33 00:01:41,001 --> 00:01:43,904 NCCIH OBVIOUSLY IS A SMALL 34 00:01:43,904 --> 00:01:45,105 CENTER AND THEREFORE WE'VE 35 00:01:45,105 --> 00:01:48,041 ALWAYS LEVERAGED EXISTING 36 00:01:48,041 --> 00:01:49,276 INITIATIVE TO ACTUALLY 37 00:01:49,276 --> 00:01:50,444 ACCOMPLISH THE LOFTY GOALS THAT 38 00:01:50,444 --> 00:01:53,480 WE HAVE. 39 00:01:53,480 --> 00:01:54,581 SO ONE OF THE INITIATIVE I'D 40 00:01:54,581 --> 00:01:56,383 LIKE TO BRING YOUR ATTENTION TO 41 00:01:56,383 --> 00:01:57,684 IF YOU'RE NOT ALREADY FAMILIAR 42 00:01:57,684 --> 00:01:59,686 WITH IT IS THE IMPROVE 43 00:01:59,686 --> 00:02:01,355 INITIATIVE WHICH IS LED BY THE 44 00:02:01,355 --> 00:02:02,990 NATIONAL INSTITUTE OF CHILD 45 00:02:02,990 --> 00:02:06,426 HEALTH AND HUMAN DEVELOPMENT AND 46 00:02:06,426 --> 00:02:09,129 THE OFFICE OF WOMEN'S HEALTH 47 00:02:09,129 --> 00:02:10,097 RESEARCH. 48 00:02:10,097 --> 00:02:12,265 IMPROVE STANDS FOR IMPLEMENTING 49 00:02:12,265 --> 00:02:14,968 MATERNAL HEALTH IN PREGNANCY 50 00:02:14,968 --> 00:02:18,305 OUTCOME VISION FOR EVERYONE. 51 00:02:18,305 --> 00:02:20,507 THEY'RE VERY INTERESTED IN 52 00:02:20,507 --> 00:02:25,312 LOOKING AT FUNDING RESEARCH THAT 53 00:02:25,312 --> 00:02:27,647 REDUCE PREVENTIBLE CAUSES OF 54 00:02:27,647 --> 00:02:30,317 MATERNAL AND IMPROVE HEALTH FOR 55 00:02:30,317 --> 00:02:32,686 WOMEN, BEFORE, DURING AND AFTER 56 00:02:32,686 --> 00:02:33,854 PREGNANCY. 57 00:02:33,854 --> 00:02:39,059 SO OBVIOUSLY WE TALKED ABOUT THE 58 00:02:39,059 --> 00:02:44,264 BEGINNING OF LIFE ALSO EARLY 59 00:02:44,264 --> 00:02:45,499 CHILDHOOD AND THIS INITIATIVE 60 00:02:45,499 --> 00:02:46,900 WOULD BE A GOOD OPPORTUNITY FOR 61 00:02:46,900 --> 00:02:47,668 RESEARCHERS INTERESTED IN THAT 62 00:02:47,668 --> 00:02:48,101 SPACE. 63 00:02:48,101 --> 00:02:50,837 WE CURRENTLY HAVE FUNDING 64 00:02:50,837 --> 00:02:54,708 OPPORTUNITIES THAT'S CURRENT. 65 00:02:54,708 --> 00:02:57,644 THE NEXT RECEIVE DATE IS OCTOBER 66 00:02:57,644 --> 00:03:01,048 25, 2024 AND THE INITIATIVE WILL 67 00:03:01,048 --> 00:03:02,282 GO ON THROUGH 2027. 68 00:03:02,282 --> 00:03:03,383 THIS IS ONE OPPORTUNITY I'D LIKE 69 00:03:03,383 --> 00:03:04,284 TO HIGHLIGHT. 70 00:03:04,284 --> 00:03:06,253 THE OTHER ONE SOME OF YOU THAT 71 00:03:06,253 --> 00:03:07,988 ARE ALREADY IN THE SPACE 72 00:03:07,988 --> 00:03:10,390 PROBABLY ARE AWARE OF THE ECHO 73 00:03:10,390 --> 00:03:13,026 PROGRAM WHICH IS ENVIRONMENTAL 74 00:03:13,026 --> 00:03:14,928 INFLUENCES ON CHILD HEALTH 75 00:03:14,928 --> 00:03:15,629 OUTCOME. 76 00:03:15,629 --> 00:03:20,634 AGAIN, THIS IS AN OPPORTUNITY TO 77 00:03:20,634 --> 00:03:23,003 COLLABORATE WITH INVESTIGATORS 78 00:03:23,003 --> 00:03:25,072 FUNDING THROUGH THE PROGRAM AND 79 00:03:25,072 --> 00:03:26,706 INSERT THE RESEARCH WE TALKED 80 00:03:26,706 --> 00:03:28,041 ABOUT YESTERDAY INTO THE 81 00:03:28,041 --> 00:03:28,542 INITIATIVE. 82 00:03:28,542 --> 00:03:31,945 THE OTHER INITIATIVE THAT I'D 83 00:03:31,945 --> 00:03:35,482 LIKE TO HIGHLIGHT IS ONE THAT 84 00:03:35,482 --> 00:03:37,284 THE NATIONAL INSTITUTE OF DRUG 85 00:03:37,284 --> 00:03:39,653 ABUSE HAS SPONSORED THE PAST 86 00:03:39,653 --> 00:03:42,923 CLOSE TO 10 YEARS NOW THE ABCD 87 00:03:42,923 --> 00:03:45,292 STUDY THE ADOLESCENT BRAIN 88 00:03:45,292 --> 00:03:48,528 COGNITIVE DEVELOPMENT STUDY. 89 00:03:48,528 --> 00:03:50,897 THEY JUST RENEWED THE PROGRAM 90 00:03:50,897 --> 00:03:53,100 FOR ANOTHER SEVEN YEARS AND ONE 91 00:03:53,100 --> 00:03:55,235 OF THE AREAS OF INTEREST OF THEM 92 00:03:55,235 --> 00:03:58,738 IS EXPOSURE TO ENVIRONMENTAL 93 00:03:58,738 --> 00:03:59,906 INFLUENCES. 94 00:03:59,906 --> 00:04:03,009 SO AGAIN, UTILIZING EXISTING 95 00:04:03,009 --> 00:04:05,712 PROGRAMS AT THE NIH AND 96 00:04:05,712 --> 00:04:10,750 POTENTIALLY NESTING NEW STUDIES 97 00:04:10,750 --> 00:04:12,819 INTO THE PROGRAM. 98 00:04:12,819 --> 00:04:14,654 FOR NCCIH A YEAR AND A HALF AGO 99 00:04:14,654 --> 00:04:16,923 WE HAD A VERY IMPACTFUL WORKSHOP 100 00:04:16,923 --> 00:04:20,260 ON PRECISION PROBIOTICS AND I 101 00:04:20,260 --> 00:04:23,163 CAN'T GIVE YOU THE DETAILS BUT 102 00:04:23,163 --> 00:04:24,764 WATCH OUT FOR AN INITIATIVE 103 00:04:24,764 --> 00:04:27,334 COMING DOWN SOON IN THAT 104 00:04:27,334 --> 00:04:27,567 CONTEXT. 105 00:04:27,567 --> 00:04:29,536 AND SO AGAIN THAT WOULD BE 106 00:04:29,536 --> 00:04:30,370 ANOTHER OPPORTUNITY. 107 00:04:30,370 --> 00:04:34,174 SO THE MESSAGE I WANT TO GIVE 108 00:04:34,174 --> 00:04:35,976 YOU IS THAT THERE IS A LOT OF 109 00:04:35,976 --> 00:04:37,911 WORK TO DO BUT WE DON'T NEED TO 110 00:04:37,911 --> 00:04:39,880 START FROM SCRATCH. 111 00:04:39,880 --> 00:04:41,214 THERE'S A NUMBER OF EXISTING 112 00:04:41,214 --> 00:04:43,250 INITIATIVES AT THE NIH THAT ARE 113 00:04:43,250 --> 00:04:45,852 VERY APPROPRIATE THAT WOULD 114 00:04:45,852 --> 00:04:47,988 ACTUALLY FOSTER 115 00:04:47,988 --> 00:04:52,025 MULTI-DISCIPLINARY RESEARCH AND 116 00:04:52,025 --> 00:04:53,326 COLLABORATIONS AND THAT'S 117 00:04:53,326 --> 00:04:55,529 THE MESSAGE I HAVE FOR YOU AS I 118 00:04:55,529 --> 00:04:58,131 DEVELOP THIS FIELD OF 119 00:04:58,131 --> 00:04:59,332 INCORPORATING COMPLEMENTARY AND 120 00:04:59,332 --> 00:05:02,302 INTEGRATIVE HEALTH APPROACHES TO 121 00:05:02,302 --> 00:05:03,336 TACKLE THE VERY VEX BEING 122 00:05:03,336 --> 00:05:03,570 PROBLEM. 123 00:05:03,570 --> 00:05:06,740 SO I LOOK FORWARD TO LISTENING 124 00:05:06,740 --> 00:05:12,045 MORE IMPACTFUL PRESENTATION 125 00:05:12,045 --> 00:05:22,556 TODAY AND THANK YOU VERY MUCH. 126 00:05:23,690 --> 00:05:24,157 >> THANK YOU SO MUCH 127 00:05:24,157 --> 00:05:26,927 DR. EDWARDS. 128 00:05:26,927 --> 00:05:31,765 JUST TO INTRODUCE MYSELF AGAIN 129 00:05:31,765 --> 00:05:42,309 I'M DR. SAKAI CHIDEYA AND WE'RE 130 00:05:44,644 --> 00:05:46,112 GLAD YOU'RE HERE FOR THE SECOND 131 00:05:46,112 --> 00:05:51,585 DAY OF WHAT'S TURNING OUT TO BE 132 00:05:51,585 --> 00:05:53,687 A WONDERFUL AND INSPIRING 133 00:05:53,687 --> 00:05:53,954 WORKSHOP. 134 00:05:53,954 --> 00:05:58,758 I APOLOGIZE FOR THE TECHNICAL 135 00:05:58,758 --> 00:05:59,726 GLITCHES WE HAD YESTERDAY 136 00:05:59,726 --> 00:06:00,860 MORNING. 137 00:06:00,860 --> 00:06:05,031 I HOPE PEOPLE SIGNED ON AGAIN 138 00:06:05,031 --> 00:06:06,933 AFTER HEARING A LOT OF SPANISH 139 00:06:06,933 --> 00:06:17,310 THE FIRST 10 MINUTES. 140 00:06:23,984 --> 00:06:27,554 I WANT TO REMIND FOLKS THERE'S A 141 00:06:27,554 --> 00:06:30,056 QR CODE AS WELL AS AN URL AND 142 00:06:30,056 --> 00:06:31,958 THAT WILL SHOW THE FULL PROGRAM 143 00:06:31,958 --> 00:06:32,959 AGENDA AS WELL AS THE BIOS OF 144 00:06:32,959 --> 00:06:34,227 ALL THE SPEAKERS. 145 00:06:34,227 --> 00:06:35,562 SO WE'RE NOT GOING TO BE 146 00:06:35,562 --> 00:06:41,568 SPEAKING THE BIOS ALOUD AT THE 147 00:06:41,568 --> 00:06:52,078 BEGINNING AND THE WORKSHOP IS 148 00:07:05,258 --> 00:07:06,593 BEING REPORTED AND IT WILL BE 149 00:07:06,593 --> 00:07:08,528 POSTED ON THE NIH WEB PAGE AND 150 00:07:08,528 --> 00:07:12,432 FREE FOR ANYONE TO ACCESS. 151 00:07:12,432 --> 00:07:14,868 THAT WILL PROBABLY BE POSTED A 152 00:07:14,868 --> 00:07:17,070 WEEK OR TWO AFTER THE EVENT IS 153 00:07:17,070 --> 00:07:17,270 OVER. 154 00:07:17,270 --> 00:07:24,044 IF YOU MISSED SOME OF THE SEGS 155 00:07:24,044 --> 00:07:28,315 OR MISSED DON'T FRET BECAUSE IT 156 00:07:28,315 --> 00:07:32,018 WILL BE ON THE NIH WEBSITE. 157 00:07:32,018 --> 00:07:38,525 LET US START WITH TODAY A GREAT 158 00:07:38,525 --> 00:07:42,929 OPENING SPEAKER MS. LAURENE 159 00:07:42,929 --> 00:07:45,999 ALLEN FROM THE MERRIMACK CITIZEN 160 00:07:45,999 --> 00:07:51,738 FOR CLEAN WATER SOMEONE 161 00:07:51,738 --> 00:07:54,774 PERSONALLY AFFECTED BY ENDOCRINE 162 00:07:54,774 --> 00:07:55,241 DISRUPTORS CHEMICALS. 163 00:07:55,241 --> 00:08:02,549 COME ON UP. 164 00:08:02,549 --> 00:08:04,617 >> NO SLIDES JUST ME AND MY 165 00:08:04,617 --> 00:08:04,918 STORY. 166 00:08:04,918 --> 00:08:09,222 I LIVE IN MERRIMACK, NEW 167 00:08:09,222 --> 00:08:09,489 HAMPSHIRE. 168 00:08:09,489 --> 00:08:11,558 I'VE LIVED THERE SINCE 1985 AND 169 00:08:11,558 --> 00:08:12,425 A CLINICAL SOCIAL WORKER AND 170 00:08:12,425 --> 00:08:15,128 WENT THERE TO RAISE A FAMILY AND 171 00:08:15,128 --> 00:08:16,963 MASSACHUSETTS WAS GETTING BUSY 172 00:08:16,963 --> 00:08:18,998 IN THE '80s TO MORE SPACE, GREEN 173 00:08:18,998 --> 00:08:19,265 SPACE. 174 00:08:19,265 --> 00:08:21,735 WHAT I BELIEVED WAS A REALLY 175 00:08:21,735 --> 00:08:23,470 PRISTINE ENVIRONMENT, SAFE, GOOD 176 00:08:23,470 --> 00:08:24,270 SCHOOLS, ALL THE THINGS YOU 177 00:08:24,270 --> 00:08:27,273 WOULD WANT TO RAISE A FAMILY. 178 00:08:27,273 --> 00:08:30,844 I AM A PERSON WHO LIVED MY LIFE 179 00:08:30,844 --> 00:08:32,245 PAYING ATTENTION TO THINGS LIKE 180 00:08:32,245 --> 00:08:34,414 EDCs AND PLASTICS AND THINGS 181 00:08:34,414 --> 00:08:35,849 LIKE THAT AND RAISED MY KIDDOS 182 00:08:35,849 --> 00:08:38,385 TO READ LABELS. 183 00:08:38,385 --> 00:08:40,653 I HAD THE PLEASURE OF LIVING IN 184 00:08:40,653 --> 00:08:43,523 A TOWN WHO HAD THE BEST TASTING 185 00:08:43,523 --> 00:08:49,229 WATER IN NEW HAMPSHIRE FOR MANY 186 00:08:49,229 --> 00:08:49,696 YEARS. 187 00:08:49,696 --> 00:08:51,698 PFAS ARE INVISIBLE AND TASTELESS 188 00:08:51,698 --> 00:08:53,099 AND TOXIC CHEMICALS. 189 00:08:53,099 --> 00:08:54,834 TO MY SURPRISE IN 2016 TO BE 190 00:08:54,834 --> 00:08:57,737 TOLD THE WATER WE BELIEVED TO BE 191 00:08:57,737 --> 00:08:59,606 SAFE AND WE DRANK FREELY FROM 192 00:08:59,606 --> 00:09:03,209 THIS TAP -- WE DID NOT BUY 193 00:09:03,209 --> 00:09:03,443 BOTTLED. 194 00:09:03,443 --> 00:09:05,145 WE FELT SECURE ABOUT IT WITH THE 195 00:09:05,145 --> 00:09:11,084 WATER REPORTS AND FILLED UP THE 196 00:09:11,084 --> 00:09:13,720 GLASS AND THOUGHT WE WERE DOING 197 00:09:13,720 --> 00:09:15,755 THE RIGHT THING. 198 00:09:15,755 --> 00:09:17,957 WE LEARNED A MANUFACTURING 199 00:09:17,957 --> 00:09:19,626 FACILITY IN THE NORTHEAST PART 200 00:09:19,626 --> 00:09:26,065 OF MERRIMAC HAD BEEN EMITTING 201 00:09:26,065 --> 00:09:28,601 AND POURING CHEMICALS AND MANY 202 00:09:28,601 --> 00:09:29,536 ACTS ILLEGAL. 203 00:09:29,536 --> 00:09:35,241 THE REGULATORY IS A WHOLE OTHER 204 00:09:35,241 --> 00:09:35,442 TALK. 205 00:09:35,442 --> 00:09:38,745 FOR MANY YEARS THEY USED PFE TO 206 00:09:38,745 --> 00:09:41,881 COAST FABRIC SO THE FABRIC 207 00:09:41,881 --> 00:09:44,951 COATING IF YOU'VE BEEN TO LONDON 208 00:09:44,951 --> 00:09:46,886 WHEN THE MILLENNIAL DOME CAME 209 00:09:46,886 --> 00:09:49,189 OUT THEY CREATED THE FABRIC 210 00:09:49,189 --> 00:09:53,226 WHICH IS LIGHT FIBERGLASS CLOTH 211 00:09:53,226 --> 00:09:57,063 SOAKED IN TEFLON BASICALLY AND 212 00:09:57,063 --> 00:09:59,499 SATELLITE COVERS AND THE BRONCO 213 00:09:59,499 --> 00:10:02,335 STADIUM COVER THERE, THE DENVER 214 00:10:02,335 --> 00:10:05,472 AIRPORT, THOSE TYPES OF THINGS 215 00:10:05,472 --> 00:10:09,375 YOU SEE UP THERE IS THEIR PATENT 216 00:10:09,375 --> 00:10:10,477 AND WHAT THEY'VE MADE. 217 00:10:10,477 --> 00:10:12,512 THEY'VE PROFITED FIVE YEARS. 218 00:10:12,512 --> 00:10:15,448 THE FIRST FIVE YEARS IS 219 00:10:15,448 --> 00:10:17,083 INVESTIGATION, $94 BILLION 220 00:10:17,083 --> 00:10:19,619 PROFITS IN OUR EXPENSE LITERALLY 221 00:10:19,619 --> 00:10:24,958 PHYSICALLY AND DOD CONTRACTS 222 00:10:24,958 --> 00:10:35,502 PRIMARILY AND I DIDN'T KNOW WHAT 223 00:10:44,477 --> 00:10:45,745 THEY WERE DOING. 224 00:10:45,745 --> 00:10:47,380 AS THE INVESTIGATION DEVELOPED 225 00:10:47,380 --> 00:10:50,617 OVER THE YEARS IT'S DESIGNATED 226 00:10:50,617 --> 00:10:53,820 AS THE LARGEST CONTAMINATION 227 00:10:53,820 --> 00:10:55,255 INVESTIGATION IN NEW ENGLAND AND 228 00:10:55,255 --> 00:10:58,725 NOT JUST NEW HAMPSHIRE AND WE'RE 229 00:10:58,725 --> 00:11:02,462 AN AREA THAT HAS A VERY DECENT 230 00:11:02,462 --> 00:11:04,030 INCOME SO THIS IS NOT A TOWN 231 00:11:04,030 --> 00:11:06,199 THAT YOU WOULD EXPECT TO SEE 232 00:11:06,199 --> 00:11:08,034 THIS IN, WHICH IS NOT OKAY. 233 00:11:08,034 --> 00:11:10,904 SO THE UNDUE BURDEN IS THERE. 234 00:11:10,904 --> 00:11:12,372 THE SOCIAL ECONOMIC IS STRONG SO 235 00:11:12,372 --> 00:11:14,707 GIVEN WHAT WE WOULD SEE AS A LET 236 00:11:14,707 --> 00:11:16,442 MORE PRIVILEGE, A LITTLE MORE 237 00:11:16,442 --> 00:11:18,478 POWER YOU WOULD THINK THAT STORY 238 00:11:18,478 --> 00:11:19,712 WOULD GO DIFFERENTLY IN WHAT 239 00:11:19,712 --> 00:11:21,514 YOUR ASKS WERE AND THE RESPONSES 240 00:11:21,514 --> 00:11:25,552 ARE THE SAME EVERYWHERE, DENIAL, 241 00:11:25,552 --> 00:11:27,353 MINIMIZATION AND SEPARATION OF 242 00:11:27,353 --> 00:11:29,322 EXPOSURE TO OUTCOME VERY 243 00:11:29,322 --> 00:11:29,589 ENGRAINED. 244 00:11:29,589 --> 00:11:31,491 SO IN THE BEGINNING THE STATE 245 00:11:31,491 --> 00:11:33,192 GAVE AN INFO MEETING PRIMARILY 246 00:11:33,192 --> 00:11:34,727 FOCUSSED ON WHAT THEY WERE DOING 247 00:11:34,727 --> 00:11:36,696 AND WHAT THEY WERE GOING TO DO 248 00:11:36,696 --> 00:11:37,163 IN THE INVESTIGATION. 249 00:11:37,163 --> 00:11:39,532 IT WAS VERY LIMITED TO A SMALL 250 00:11:39,532 --> 00:11:39,732 AREA. 251 00:11:39,732 --> 00:11:41,234 WE WERE TOLD IT WAS ONLY A FEW 252 00:11:41,234 --> 00:11:45,505 PRIVATE WELLS AND TWO PUBLIC 253 00:11:45,505 --> 00:11:46,873 WATER WELLS CLOSE AND THAT 254 00:11:46,873 --> 00:11:47,840 WASN'T TRUE. 255 00:11:47,840 --> 00:11:49,375 AT THAT POINT THEY WERE LOOKING 256 00:11:49,375 --> 00:11:51,277 AT WHAT TESTED OVER 100 PARTS. 257 00:11:51,277 --> 00:11:52,345 THEY CONTINUED TO TEST PRIVATE 258 00:11:52,345 --> 00:11:54,814 WELLS AND FOUND MORE AND MORE 259 00:11:54,814 --> 00:11:59,886 OVER 4,000 WERE IDENTIFIED OVER 260 00:11:59,886 --> 00:12:02,622 THE 70 PART MCL AND NOW WE'RE AT 261 00:12:02,622 --> 00:12:05,358 THE FOUR-PART FEDERALLY AND THAT 262 00:12:05,358 --> 00:12:06,759 WILL SHOW MORE HOMES WHO WERE 263 00:12:06,759 --> 00:12:09,162 TOLD SIX YEARS AGO THEY WERE 264 00:12:09,162 --> 00:12:09,429 SAFE. 265 00:12:09,429 --> 00:12:11,831 SO THIS FALSE SENSE OF SECURITY 266 00:12:11,831 --> 00:12:17,470 AND NARRATIVE WAS GIVEN FOR A 267 00:12:17,470 --> 00:12:18,104 LONG TIME. 268 00:12:18,104 --> 00:12:20,540 LET'S GO BACK TO THE FIRST 269 00:12:20,540 --> 00:12:20,773 MEETING. 270 00:12:20,773 --> 00:12:24,310 I SAW OLDER NEW ENGLANDERS STOIC 271 00:12:24,310 --> 00:12:28,314 AND OF OLDER AGES WHEN YOU ASKED 272 00:12:28,314 --> 00:12:29,916 HOW THEY'RE DOING THEY SAY FINE 273 00:12:29,916 --> 00:12:31,918 AND I'M MARRIED ONE OF THOSE NEW 274 00:12:31,918 --> 00:12:32,785 ENGLAND DIE-HARDS. 275 00:12:32,785 --> 00:12:33,987 THEY'RE ALWAYS FINE. 276 00:12:33,987 --> 00:12:35,555 THEY WERE GOING UP TO THE 277 00:12:35,555 --> 00:12:40,660 MICROPHONE AND DISCLOSING AND 278 00:12:40,660 --> 00:12:42,161 LOOKED NERVOUS AND HADN'T SPOKEN 279 00:12:42,161 --> 00:12:44,130 THIS WAY BEFORE AND THIS IS WHAT 280 00:12:44,130 --> 00:12:47,634 MY WIFE STRUGGLED WITH AND I'VE 281 00:12:47,634 --> 00:12:49,268 STRUGGLED WITH AND WHAT MY 282 00:12:49,268 --> 00:12:51,904 NEIGHBOR HAD AND MY CHILD AT 14 283 00:12:51,904 --> 00:12:54,674 HAD THEIR THYROID REMOVED. 284 00:12:54,674 --> 00:12:56,009 COULD IT BE THE WATER? 285 00:12:56,009 --> 00:12:58,878 THE STATE WILL NOT SAY YES, I'M 286 00:12:58,878 --> 00:13:01,948 NOT NAIVE BUT THE RESPONSE WAS 287 00:13:01,948 --> 00:13:04,984 SILENCE, SILENCE, SILENCE AND 288 00:13:04,984 --> 00:13:06,886 LAST DISCOMFORT FROM THE PEOPLE 289 00:13:06,886 --> 00:13:08,554 WHO WERE THERE WHOSE JOB IT WAS 290 00:13:08,554 --> 00:13:09,522 TO GUIDE US. 291 00:13:09,522 --> 00:13:12,425 AT THIS POINT IF YOU DISCOVERED 292 00:13:12,425 --> 00:13:14,060 YOU HAD ANYTHING GOING ON IN 293 00:13:14,060 --> 00:13:15,061 YOUR COMMUNITY YOUR RESPONSE IS 294 00:13:15,061 --> 00:13:18,398 BETTER AND WE WORKED WITH THE 295 00:13:18,398 --> 00:13:21,367 STATE AND FEDERAL GOVERNMENT AND 296 00:13:21,367 --> 00:13:24,037 THE RESPONSES WERE A TRAVESTY. 297 00:13:24,037 --> 00:13:26,372 THE SLIDES SHOWN TO US WITH 298 00:13:26,372 --> 00:13:29,008 INFORMATION ABOUT PFAS AT THAT 299 00:13:29,008 --> 00:13:32,011 POINT KEPT THE FOCUS ON PFOA AND 300 00:13:32,011 --> 00:13:34,580 WERE TOLD IT WAS AN EMERGING 301 00:13:34,580 --> 00:13:35,748 CONTAMINANT AND NO SCIENCE AND 302 00:13:35,748 --> 00:13:36,816 NO WAY TO SHOW YOUR HEALTH COULD 303 00:13:36,816 --> 00:13:39,752 BE RELATED TO EXPOSURE. 304 00:13:39,752 --> 00:13:42,588 SO IT DIDN'T SEEM RIGHT TO ME. 305 00:13:42,588 --> 00:13:44,524 IT WASN'T BUYING IT AND HAD A 306 00:13:44,524 --> 00:13:46,559 BAD FEELING AND WAS THINKING 307 00:13:46,559 --> 00:13:48,928 ABOUT ALL THE STORIES I HEARD 308 00:13:48,928 --> 00:13:51,798 AND THE PATTERNS OF CANCERS AND 309 00:13:51,798 --> 00:13:53,466 DEATH AND MULTIPLE HEALTH 310 00:13:53,466 --> 00:13:55,101 CONDITIONS AND STARTED READING 311 00:13:55,101 --> 00:13:55,868 THE CHATTER ON SOCIAL MEDIA 312 00:13:55,868 --> 00:13:57,737 BECAUSE PEOPLE CONTINUED TO TALK 313 00:13:57,737 --> 00:14:03,309 AND I REALIZED THIS IS A PROBLEM 314 00:14:03,309 --> 00:14:05,144 AND JUST NOT IN A CONCENTRATED 315 00:14:05,144 --> 00:14:06,579 AREA WHICH IS ALL OVER TOWN 316 00:14:06,579 --> 00:14:08,014 WHICH CAUGHT MY ATTENTION. 317 00:14:08,014 --> 00:14:11,718 AS I DID MY OWN RESEARCH ON THIS 318 00:14:11,718 --> 00:14:17,657 CLASS OF CHEMICALS PFOA I WENT 319 00:14:17,657 --> 00:14:19,125 TO THE STATE AND SAID YOU'RE 320 00:14:19,125 --> 00:14:20,026 SAYING THERE'S NO SCIENCE WHAT 321 00:14:20,026 --> 00:14:23,129 ABOUT THIS THERE'S A SAMPLE OF 322 00:14:23,129 --> 00:14:24,831 70,000 PEOPLE SEEMS DEFINITIVE 323 00:14:24,831 --> 00:14:26,966 TO ME THE HEALTH ACKNOWLEDGED 324 00:14:26,966 --> 00:14:29,402 ARE EVERYWHERE AND THERE'S MORE. 325 00:14:29,402 --> 00:14:30,503 WELL, THAT ISN'T REAL SCIENCE IT 326 00:14:30,503 --> 00:14:32,038 WAS A LAWSUIT. 327 00:14:32,038 --> 00:14:34,173 IT WAS CONTINUAL -- THERE'S NO 328 00:14:34,173 --> 00:14:37,009 SCIENCE, NO WILLINGNESS TO COME 329 00:14:37,009 --> 00:14:38,411 AND HEAR PEOPLE, COLLECT HEALTH 330 00:14:38,411 --> 00:14:41,047 DATA, DO SURVEYS. 331 00:14:41,047 --> 00:14:42,248 A REFUSAL TO BLOOD TEST PEOPLE 332 00:14:42,248 --> 00:14:44,817 AND ON AND ON IT WENT. 333 00:14:44,817 --> 00:14:47,153 AND IT CAME TO ME WHEN A 334 00:14:47,153 --> 00:14:48,988 POLLUTER IS NEGOTIATING WITH THE 335 00:14:48,988 --> 00:14:51,057 STATE THEY'RE WORKING BEHIND 336 00:14:51,057 --> 00:14:53,693 CLOSED DOORS TOGETHER AND THE 337 00:14:53,693 --> 00:14:55,261 PUBLIC IS NOT IN THAT 338 00:14:55,261 --> 00:14:55,561 DISCUSSION. 339 00:14:55,561 --> 00:14:59,899 SO IT WAS REALLY IMPORTANT TO ME 340 00:14:59,899 --> 00:15:01,334 TO BECOME INFORMED AND START 341 00:15:01,334 --> 00:15:03,102 ORGANIZING WITH PEOPLE, 342 00:15:03,102 --> 00:15:05,238 EDUCATING EACH OTHER, 343 00:15:05,238 --> 00:15:06,672 ADVOCATING, HAVING COFFEES WITH 344 00:15:06,672 --> 00:15:07,440 PEOPLE AT THE WATER DEPARTMENT 345 00:15:07,440 --> 00:15:09,542 WHO WERE NOT THE ENEMY, THEY 346 00:15:09,542 --> 00:15:12,245 FOLLOWED THE LAW TO SAY HOW ARE 347 00:15:12,245 --> 00:15:15,782 YOU GUYS DOING WITH ALL THIS 348 00:15:15,782 --> 00:15:16,015 STRESS? 349 00:15:16,015 --> 00:15:17,450 WE BUILT BIT BY BIT LOCAL 350 00:15:17,450 --> 00:15:18,584 REPRESENTATION AND LOCAL 351 00:15:18,584 --> 00:15:20,887 GOVERNMENT AND WATER UTILITIES 352 00:15:20,887 --> 00:15:21,287 ALL TOGETHER. 353 00:15:21,287 --> 00:15:24,023 WE EDUCATED EACH OTHER WITH THIS 354 00:15:24,023 --> 00:15:26,425 CITIZEN GROUP AND HAD MEETINGS 355 00:15:26,425 --> 00:15:27,760 AT THE LIBRARY TWO NIGHT A 356 00:15:27,760 --> 00:15:29,395 MONTH. 357 00:15:29,395 --> 00:15:31,297 LISTENED TO PEOPLE WHO CAME WITH 358 00:15:31,297 --> 00:15:32,865 STORIES TO TRY TO GIVE THEM 359 00:15:32,865 --> 00:15:34,233 RESOURCE AND GUIDANCE BECAUSE NO 360 00:15:34,233 --> 00:15:37,703 ONE WAS DOING THAT. 361 00:15:37,703 --> 00:15:40,873 IT WAS NEIGHBOR HELPING 362 00:15:40,873 --> 00:15:41,541 NEIGHBOR. 363 00:15:41,541 --> 00:15:44,744 AS IT PROGRESSED WE PUSHED FOR 364 00:15:44,744 --> 00:15:46,512 NO LAWS AND NO ONE FELT ANY 365 00:15:46,512 --> 00:15:48,514 EXPOSURE WAS SAFE AND WE WERE 366 00:15:48,514 --> 00:15:49,849 HEARING THIS PHASE. 367 00:15:49,849 --> 00:15:51,484 YOU'RE UNDER 70 PARTS. 368 00:15:51,484 --> 00:15:53,519 THE TWO WELLS CLOSED WERE OVER 369 00:15:53,519 --> 00:15:59,192 100 BUT YOUR PFAO IS RANGING 370 00:15:59,192 --> 00:16:02,028 FROM 17 SO 34 PARTS AND YOU'RE 371 00:16:02,028 --> 00:16:04,030 BLENDED AND SAFE AND I WAS 372 00:16:04,030 --> 00:16:07,266 SAYING DO NOT USE THE WORE WORD 373 00:16:07,266 --> 00:16:07,466 SAFE. 374 00:16:07,466 --> 00:16:09,769 IT'S IT'S IN COMPLIANCE AND IT'S 375 00:16:09,769 --> 00:16:11,637 AN EVOLVING AREA OF INTEREST 376 00:16:11,637 --> 00:16:16,742 DON'T TELL PEOPLE THEY'RE SHAVE. 377 00:16:16,742 --> 00:16:18,277 SO PRIVATE WELLS THE ONES 378 00:16:18,277 --> 00:16:19,645 GETTING CONCERNED AND SAYING 379 00:16:19,645 --> 00:16:20,746 SHOULD WE TEST WATER AND THEN 380 00:16:20,746 --> 00:16:23,449 GET THE RESULTED AND IF ANY HAVE 381 00:16:23,449 --> 00:16:24,684 SEEN THE FORMS THEY'RE NOT EASY 382 00:16:24,684 --> 00:16:25,785 TO INTERPRET. 383 00:16:25,785 --> 00:16:27,553 SO THEN I START GETTING CALLS. 384 00:16:27,553 --> 00:16:29,822 CAN YOU COME OVER AND TELL ME 385 00:16:29,822 --> 00:16:30,756 WHAT THIS MEANS? 386 00:16:30,756 --> 00:16:32,658 I THOUGHT I BETTER GET A CRASH 387 00:16:32,658 --> 00:16:34,427 COURSE IN HOW TO INTERPRET THIS 388 00:16:34,427 --> 00:16:37,563 AND REACH OUT TO SCIENCE FOLKS 389 00:16:37,563 --> 00:16:38,931 EN MASSE AND THEY HELPED AND I 390 00:16:38,931 --> 00:16:44,003 SAID FINE. 391 00:16:44,003 --> 00:16:50,209 OVER AND OVER THEY'D SAY THE 392 00:16:50,209 --> 00:16:52,545 PFAO IS UNDER 70 AND I SAID NO 393 00:16:52,545 --> 00:16:56,015 WHY ARE WE TESTING FOR THE WHOLE 394 00:16:56,015 --> 00:16:57,783 PANEL IF THEY AREN'T OF CONCERN 395 00:16:57,783 --> 00:16:59,752 AND THEY SAID THAT'S A GOOD 396 00:16:59,752 --> 00:17:00,019 POINT. 397 00:17:00,019 --> 00:17:02,521 I STARTED SEEING THE PROFILE 398 00:17:02,521 --> 00:17:07,159 AFTER PFA O IS PHPPA AND WHAT I 399 00:17:07,159 --> 00:17:10,897 KNOW NOW ARE THE C3s AND SOME 400 00:17:10,897 --> 00:17:17,003 C2s AND SOME C 6s AND THE 401 00:17:17,003 --> 00:17:19,238 SCIENCE OF PFAS GOES ON AND ON. 402 00:17:19,238 --> 00:17:21,941 TO MAKE A LONG STORY SHORT, 403 00:17:21,941 --> 00:17:24,510 THERE'S MORE THAN PFAO IN YOUR 404 00:17:24,510 --> 00:17:24,710 WATER. 405 00:17:24,710 --> 00:17:26,646 I WOULD SAY LET'S ADD THIS YOU 406 00:17:26,646 --> 00:17:27,780 WILL UP. 407 00:17:27,780 --> 00:17:31,717 THERE'S SO OF THIS AND THIS. 408 00:17:31,717 --> 00:17:33,786 ALL TOGETHER IT EQUALS 143 PART 409 00:17:33,786 --> 00:17:38,157 PER TRILLION NOT 17 FOR PFAO ARE 410 00:17:38,157 --> 00:17:39,825 YOU COMFORTABLE WITH THAT AND 411 00:17:39,825 --> 00:17:42,561 THEY'D STOP AND SAY DO YOU THINK 412 00:17:42,561 --> 00:17:44,530 ALL ARE A PROBLEM? 413 00:17:44,530 --> 00:17:46,098 WELL, YEAH. 414 00:17:46,098 --> 00:17:50,503 I SAID TO ME THEY'RE A PROBLEM. 415 00:17:50,503 --> 00:17:52,038 WE WORKED HARD AND GAINED 93% OF 416 00:17:52,038 --> 00:17:55,274 THE VOTE IN MY COMMUNITY WHO 417 00:17:55,274 --> 00:17:56,742 VOTED FOUR AND A HALF YEARS AGO 418 00:17:56,742 --> 00:18:00,012 TO REMEDIATE ALL OUR PUBLIC 419 00:18:00,012 --> 00:18:01,447 WELLS TO NON DETECT. 420 00:18:01,447 --> 00:18:03,816 THIS IS NOT MANDATED BY FEDERAL 421 00:18:03,816 --> 00:18:07,954 AND NEW HAMPSHIRE MCLs HAD NOT 422 00:18:07,954 --> 00:18:12,858 PASSED YESTERDAY AND WIE'RE 423 00:18:12,858 --> 00:18:13,960 WORKING ON THAT AND WE ARE 424 00:18:13,960 --> 00:18:15,628 LOOKING FOR RESOURCES AND NOT 425 00:18:15,628 --> 00:18:18,764 SCARING PEOPLE AND THERE WAS 426 00:18:18,764 --> 00:18:19,699 POSITION GUIDANCE WAS LACKING 427 00:18:19,699 --> 00:18:23,002 AND THE LATEST VERSION IS MUCH 428 00:18:23,002 --> 00:18:24,036 BETTER. 429 00:18:24,036 --> 00:18:27,840 I GAVE INPUT AND STILL ISN'T 430 00:18:27,840 --> 00:18:29,408 WHERE IT NEED TO BE. 431 00:18:29,408 --> 00:18:30,710 SILENT SPRING WAS PUTTING OUT 432 00:18:30,710 --> 00:18:31,744 THE BEST WE COULD FIND. 433 00:18:31,744 --> 00:18:33,179 THAT WAS THE WEBSITE I WAS 434 00:18:33,179 --> 00:18:33,379 USING. 435 00:18:33,379 --> 00:18:35,781 I WAS URGING THE STATE TO 436 00:18:35,781 --> 00:18:39,785 UTILIZE AND ADOPT THE RESOURCES. 437 00:18:39,785 --> 00:18:43,189 WE WEREN'T REALLY GETTING 438 00:18:43,189 --> 00:18:45,791 ANYWHERE THEN AND ENGAGED WITH A 439 00:18:45,791 --> 00:18:47,593 GREAT ACADEMIC PARTNER AT 440 00:18:47,593 --> 00:18:49,729 DARTMOUTH UNIVERSITY AND THEY'VE 441 00:18:49,729 --> 00:18:52,031 BEEN FABULOUS AND RIGHT BY OUR 442 00:18:52,031 --> 00:18:56,502 SIDE SAYING WE NEED THE NASEM 443 00:18:56,502 --> 00:18:57,803 ACKNOWLEDGED AND THE SILENT 444 00:18:57,803 --> 00:18:59,305 SPRING AND CAN'T GO BY WHAT CDC 445 00:18:59,305 --> 00:19:00,740 AND NEW HAMPSHIRE IS POSTING. 446 00:19:00,740 --> 00:19:04,010 PROBLEM IS IT'S ON THE WEBSITES. 447 00:19:04,010 --> 00:19:06,145 WHAT AVERAGE PERSON KNOWS THE 448 00:19:06,145 --> 00:19:09,849 WEBSITES AND HOW TO GET TO THE 449 00:19:09,849 --> 00:19:12,652 WEBSITE AND PEOPLE ARE GOING TO 450 00:19:12,652 --> 00:19:13,285 THEIR DOCTORS WITH HEALTH 451 00:19:13,285 --> 00:19:15,788 CONDITIONS NOT IN THEIR FAMILY 452 00:19:15,788 --> 00:19:17,189 HISTORY. 453 00:19:17,189 --> 00:19:20,359 MY HUSBAND I HAVE PHENOMENAL 454 00:19:20,359 --> 00:19:23,095 GENETICS AND LONGEVITY IN OUR 455 00:19:23,095 --> 00:19:28,667 FAMILY AND THE ONLY ONES WITH A 456 00:19:28,667 --> 00:19:30,603 POTENTIALLY A KIDNEY DOCTOR MORE 457 00:19:30,603 --> 00:19:32,872 ME AND THEY'RE NOT GENETICS OR 458 00:19:32,872 --> 00:19:33,139 LIFESTYLE. 459 00:19:33,139 --> 00:19:36,208 I LIVE ON A STREET A CUL-DE-SAC 460 00:19:36,208 --> 00:19:37,777 WITH 20 HOMES. 461 00:19:37,777 --> 00:19:40,613 SEVEN WOMEN ON THAT STREET HAVE 462 00:19:40,613 --> 00:19:41,514 HAD BREAST CANCER. 463 00:19:41,514 --> 00:19:44,683 7 OF 20 HOMES. 464 00:19:44,683 --> 00:19:46,685 SO SCREENINGS AND WE'VE WORKED 465 00:19:46,685 --> 00:19:48,654 TO GET THE WORD OUT ON OUR OWN 466 00:19:48,654 --> 00:19:53,392 TO BE VIGILANT AND THYROID AND 467 00:19:53,392 --> 00:20:00,066 VITAMIN D DEFICIENCIES AND 468 00:20:00,066 --> 00:20:04,003 NODULES AND I HAVE AN ODD GROWTH 469 00:20:04,003 --> 00:20:08,007 ON AN ADRENAL GLAND AND YOU'RE 470 00:20:08,007 --> 00:20:10,142 SUPPOSED TO LEARN TO LIVE WITH 471 00:20:10,142 --> 00:20:10,810 THESE THINGS AND THE 472 00:20:10,810 --> 00:20:11,711 RESPONSIBILITY IS NOT THERE AND 473 00:20:11,711 --> 00:20:12,945 THE EXPOSURE IS KNOWN. 474 00:20:12,945 --> 00:20:14,647 WE HAVE AMAZING DATA IN NEW 475 00:20:14,647 --> 00:20:16,248 HAMPSHIRE FOR TESTING. 476 00:20:16,248 --> 00:20:19,485 WE HAVE AIR MODELLING THAT GUYS 477 00:20:19,485 --> 00:20:22,988 BACK 15 YEARS PRIOR TO THE 478 00:20:22,988 --> 00:20:23,489 DISCOVERY. 479 00:20:23,489 --> 00:20:25,524 INTERESTINGLY ENOUGH THIS 480 00:20:25,524 --> 00:20:28,861 POLLUTER WAS ON A CORRECTIVE 481 00:20:28,861 --> 00:20:30,896 ACTION PLAN IN 2001 AND I HAD 482 00:20:30,896 --> 00:20:33,332 KNOWN I WOULD HAVE DONE 483 00:20:33,332 --> 00:20:35,868 SOMETHING WITH AN 11-YEAR-OLD 484 00:20:35,868 --> 00:20:39,839 AND 13-YEAR-OLD DAUGHTER AND 485 00:20:39,839 --> 00:20:42,141 THEY HAD UNUSUAL PATTERNS IN 486 00:20:42,141 --> 00:20:44,009 REPRODUCTIVE HEALTH. 487 00:20:44,009 --> 00:20:49,749 THE PATTERNS I'VE SEEN AND THE 488 00:20:49,749 --> 00:20:54,086 CLINICAL PRACTICE I HEAR STORIES 489 00:20:54,086 --> 00:20:56,622 AND HIGH RATES OF AUTISM AND 490 00:20:56,622 --> 00:21:01,026 ADHD AND NEURAL DEVELOPMENTAL 491 00:21:01,026 --> 00:21:01,660 PATTERNS ARE INCREASING 492 00:21:01,660 --> 00:21:03,429 EVERYWHERE AND MORE SO. 493 00:21:03,429 --> 00:21:04,997 IF WE DID A COMPARISON 494 00:21:04,997 --> 00:21:06,632 POPULATION AND INCIDENT REPORT I 495 00:21:06,632 --> 00:21:09,201 THINK WE WOULD FIND SOME 496 00:21:09,201 --> 00:21:10,136 SIGNIFICANCE THERE BY THE 497 00:21:10,136 --> 00:21:11,770 OBSERVATION OF MYSELF AND 498 00:21:11,770 --> 00:21:12,037 OTHERS. 499 00:21:12,037 --> 00:21:16,742 SO EVERY SYSTEM OF THE BODY 500 00:21:16,742 --> 00:21:17,843 REPRODUCTIVE HEATHER, 501 00:21:17,843 --> 00:21:19,378 CARDIOVASCULAR HEALTH AND KIDS 502 00:21:19,378 --> 00:21:22,882 WITH HEART ARRHYTHMIAS 503 00:21:22,882 --> 00:21:23,949 UNEXPLAINED AND MONITORS THAT 504 00:21:23,949 --> 00:21:25,684 TRACTOR A WEEK TO TWO WEEKS TO 505 00:21:25,684 --> 00:21:27,186 VERIFY WHAT'S GOING ON ONE THE 506 00:21:27,186 --> 00:21:29,522 HEART RHYTHMS AND THEY'RE 507 00:21:29,522 --> 00:21:30,956 CONSIDERED BENIGN, MANY OF THEM 508 00:21:30,956 --> 00:21:34,093 AND THEN SAY THINGS LIKE WELL, 509 00:21:34,093 --> 00:21:36,095 ADD MORE SALT OR LITTLE TWEAKS 510 00:21:36,095 --> 00:21:38,697 THAT I'VE HEARD PEOPLE SAY TO 511 00:21:38,697 --> 00:21:43,269 KIDS, BONE AND GROWTH DISORDERS 512 00:21:43,269 --> 00:21:46,038 THAT I SEE YOU WENT OUT IN 513 00:21:46,038 --> 00:21:48,474 SUMMER 2017 AND DESIGN AN 514 00:21:48,474 --> 00:21:49,441 INSTRUMENT THAT WOULD GATHER 515 00:21:49,441 --> 00:21:51,544 HEALTH DATA OF OUR COMMUNITY AND 516 00:21:51,544 --> 00:21:52,845 NEIGHBOR TO NEIGHBOR AND DID 517 00:21:52,845 --> 00:21:56,482 THIS AND THE PURPOSE WAS -- I 518 00:21:56,482 --> 00:21:58,884 DID IT AS PROPERLY AS I COULD 519 00:21:58,884 --> 00:22:00,186 WITH THE METHODOLOGY AND THE 520 00:22:00,186 --> 00:22:02,054 GOAL WAS TO BRING THIS TO THE 521 00:22:02,054 --> 00:22:03,822 STATE SO PEOPLE COULD FEEL 522 00:22:03,822 --> 00:22:05,558 VALIDATED AND BE SEEN. 523 00:22:05,558 --> 00:22:07,092 IT DIDN'T REALLY AMOUNT TO MUCH 524 00:22:07,092 --> 00:22:13,732 AND WHAT I DID IS SORTED THE 525 00:22:13,732 --> 00:22:15,367 DATA IN A WAY THEY COULD SEE 526 00:22:15,367 --> 00:22:16,502 MULTIPLE CONDITIONS WITH PEOPLE 527 00:22:16,502 --> 00:22:18,837 NOT THAT YOU WOULD EXPECT 528 00:22:18,837 --> 00:22:21,140 TOGETHER WITH ULCERATIVE COLITIS 529 00:22:21,140 --> 00:22:24,476 AND CARDIOVASCULAR AND METABOLIC 530 00:22:24,476 --> 00:22:26,412 AND REPRODUCTIVE AND A FEW OTHER 531 00:22:26,412 --> 00:22:26,645 THINGS. 532 00:22:26,645 --> 00:22:28,647 YOU'D SAY, HMM, THAT'S AN AWFUL 533 00:22:28,647 --> 00:22:30,216 LOT GIVEN THE AGE OF THIS PERSON 534 00:22:30,216 --> 00:22:31,850 IN THEIR 30s. 535 00:22:31,850 --> 00:22:33,819 SO WE STAYED AWAY FROM THE 536 00:22:33,819 --> 00:22:36,689 CANCERS AND THAT GATHERING 537 00:22:36,689 --> 00:22:37,957 BECAUSE AT THAT POINT WE STUCK 538 00:22:37,957 --> 00:22:39,291 TO WHAT WAS ACKNOWLEDGED BY THE 539 00:22:39,291 --> 00:22:41,627 STATE ON THEIR WEBSITE AND PUT 540 00:22:41,627 --> 00:22:42,861 ANOTHER QUESTION IN THERE THAT 541 00:22:42,861 --> 00:22:44,063 BASICALLY SAID IS THERE ANYTHING 542 00:22:44,063 --> 00:22:48,867 ELSE YOU WANT US TO KNOW OTHER? 543 00:22:48,867 --> 00:22:53,005 THAT WAS A WEALTH OF INFORMATION 544 00:22:53,005 --> 00:22:55,374 AND IT WAS BEASTLY DATA AND IT 545 00:22:55,374 --> 00:22:57,409 DUMPED INTO AN EXCEL SHEET AND I 546 00:22:57,409 --> 00:23:00,079 WAS WAY OVER THE HEAD AT THAT 547 00:23:00,079 --> 00:23:02,648 POINT AND PEOPLE SAID JUST BRING 548 00:23:02,648 --> 00:23:03,549 THE TO IT STATE AND SAY THERE'S 549 00:23:03,549 --> 00:23:05,150 A PROBLEM AND THEY'LL TAKE IT 550 00:23:05,150 --> 00:23:06,318 FROM THERE. 551 00:23:06,318 --> 00:23:10,422 YOU KNOW THAT ISN'T GOING TO 552 00:23:10,422 --> 00:23:12,024 HAPPEN? 553 00:23:12,024 --> 00:23:14,226 THEY ARE GOING TO SAY IT'S NOT 554 00:23:14,226 --> 00:23:15,094 SCIENTIFIC. 555 00:23:15,094 --> 00:23:17,863 IT'S A VALID SAMPLING AND THE 556 00:23:17,863 --> 00:23:19,231 METHODOLOGY I'LL TALK ABOUT AND 557 00:23:19,231 --> 00:23:19,632 THAT'S THAT. 558 00:23:19,632 --> 00:23:21,100 SO THERE ARE PATTERNS HERE WE 559 00:23:21,100 --> 00:23:21,834 NEED LOOKED AT. 560 00:23:21,834 --> 00:23:23,535 THEN WE HAVE A DISCUSSION ABOUT 561 00:23:23,535 --> 00:23:28,874 THE CANCERS BECAUSE WE DIDN'T GO 562 00:23:28,874 --> 00:23:30,843 THERE AND WE GAVE CANCER 563 00:23:30,843 --> 00:23:31,777 OBSERVATIONS AND PEOPLE CAME 564 00:23:31,777 --> 00:23:35,481 FORWARD AND WE ENGAGED BY THAT 565 00:23:35,481 --> 00:23:38,517 SUMMER AT THE FIRST NATIONAL 566 00:23:38,517 --> 00:23:41,186 PFAS CONFERENCE IN BOSTON SOME 567 00:23:41,186 --> 00:23:42,588 MEMBERS IMPACTED FROM YAS THE 568 00:23:42,588 --> 00:23:44,423 NATION MET AT LUNCH AND STARTED 569 00:23:44,423 --> 00:23:46,425 CHATTING ABOUT EACH OTHER'S 570 00:23:46,425 --> 00:23:48,627 STORIES AND OUT OF THAT WE'RE 571 00:23:48,627 --> 00:23:51,664 ALL DOING OUR CORNERS OF THE 572 00:23:51,664 --> 00:23:52,831 NATION LET'S GET TOGETHER 573 00:23:52,831 --> 00:23:55,434 BECAUSE YOU'RE SAFETY SHOULD NOT 574 00:23:55,434 --> 00:23:57,503 DEPEND ON YOUR ZIP CODE AND 575 00:23:57,503 --> 00:23:58,771 WHERE WE'RE MAKING PROGRESS AND 576 00:23:58,771 --> 00:24:00,873 NOT IS APPALLING TO ME. 577 00:24:00,873 --> 00:24:04,043 SO I COFOUNDED THE NATIONAL PFAS 578 00:24:04,043 --> 00:24:04,810 CONTAMINATION COALITION AND 579 00:24:04,810 --> 00:24:07,546 WE'VE DONE IMMENSE WORK ON 580 00:24:07,546 --> 00:24:09,848 POLICY AND WE HAVE WORKED WITH 581 00:24:09,848 --> 00:24:12,051 SOME PHENOMENAL PARTNERS AND I 582 00:24:12,051 --> 00:24:14,520 WAS ASTONISHED TO DISCOVER THAT 583 00:24:14,520 --> 00:24:15,854 ACROSS THE NATION THERE WERE 584 00:24:15,854 --> 00:24:18,090 ACADEMICS AND SCIENTISTS WHO 585 00:24:18,090 --> 00:24:19,825 WERE VERY FAMILIAR WITH THIS 586 00:24:19,825 --> 00:24:21,427 CHEMICAL CLASS AND THEIR 587 00:24:21,427 --> 00:24:23,829 RESEARCH HAD GONE BACK YEARS AND 588 00:24:23,829 --> 00:24:26,332 LINDA I MET YOU IN SUMMER 2017 589 00:24:26,332 --> 00:24:27,299 AND KNOWN YOUR WORK BECAUSE I 590 00:24:27,299 --> 00:24:29,868 WAS READING YOUR WORK AT THAT 591 00:24:29,868 --> 00:24:32,671 POINT AND READING AN iPAD IN BED 592 00:24:32,671 --> 00:24:35,007 AT NIGHT BECAUSE I SHOULD BE 593 00:24:35,007 --> 00:24:38,377 SLEEPING AND I WORK FULL TIME 594 00:24:38,377 --> 00:24:40,612 I'M THINKING ABOUT THIS IS 595 00:24:40,612 --> 00:24:41,714 TERRIBLE LOW DOSE AND YOU WERE 596 00:24:41,714 --> 00:24:43,215 SITTING RIGHT THERE NEXT TO ME 597 00:24:43,215 --> 00:24:47,286 AND SOMEBODY WAS SHOWING A SLIDE 598 00:24:47,286 --> 00:24:49,154 AND THEY TALKED ABOUT SOMETHING 599 00:24:49,154 --> 00:24:51,190 AND I UNDERSTOOD IT CONCEPTUALLY 600 00:24:51,190 --> 00:24:53,092 BUT I'M NOT A SCIENTIST AND I 601 00:24:53,092 --> 00:24:55,227 CAN'T REPEAT IT AND MUTTERED TO 602 00:24:55,227 --> 00:24:57,830 MY FRIEND, CAROL, THAT THE 603 00:24:57,830 --> 00:24:59,698 INTERESTING. 604 00:24:59,698 --> 00:25:01,834 I'M WONDERING WHAT THAT'S ABOUT 605 00:25:01,834 --> 00:25:08,073 IN MY WHATBLOOD WORK AND YOU SA 606 00:25:08,073 --> 00:25:11,977 SOMETHING ABOUT ALBUMIN BINDING 607 00:25:11,977 --> 00:25:12,945 IN THE PROTEIN AND THEN THEY 608 00:25:12,945 --> 00:25:15,814 ANNOUNCED YOU AND IT WAS AN 609 00:25:15,814 --> 00:25:16,582 AMAZING MOMENT. 610 00:25:16,582 --> 00:25:17,316 AS THE THINGS THROUGH THE YEARS 611 00:25:17,316 --> 00:25:21,820 AND SHORTLY AFTER THAT I FOUND 612 00:25:21,820 --> 00:25:23,122 THE PAPER ON AUTOPSY STUDIES 613 00:25:23,122 --> 00:25:25,224 FROM DENMARK SHOWING NOT JUST 614 00:25:25,224 --> 00:25:28,026 LEGACY COMPOUNDS BUT THE SHORTER 615 00:25:28,026 --> 00:25:31,430 CHAIN INCLUDING HPFADA IN EVERY 616 00:25:31,430 --> 00:25:34,633 ORGAN OF THE BODY WHERE THEY'RE 617 00:25:34,633 --> 00:25:36,402 FOUND AND I THOUGHT THERE'S A 618 00:25:36,402 --> 00:25:37,703 LOT OF KNOWLEDGE OUT THERE. 619 00:25:37,703 --> 00:25:39,471 WE HAVE ENOUGH SCIENCE AND DATA 620 00:25:39,471 --> 00:25:41,173 AND TESTING FOR SURE IN NEW 621 00:25:41,173 --> 00:25:44,710 HAMPSHIRE, MY GOSH, WE HAVE AIR 622 00:25:44,710 --> 00:25:47,746 MAPPING, MODELLING, WATER TESTS 623 00:25:47,746 --> 00:25:50,416 UP THE WAZOO BASICALLY BUT NOT 624 00:25:50,416 --> 00:25:52,584 THE ABILITY TO CONNECT THE 625 00:25:52,584 --> 00:25:54,887 EXPOSURE TO OUTCOME BECAUSE IT 626 00:25:54,887 --> 00:25:55,921 CREATES LIABILITY AND THAT'S A 627 00:25:55,921 --> 00:25:58,357 BIG NO-NO NOT JUST IN MY STATE 628 00:25:58,357 --> 00:26:00,092 BUT UNFORTUNATELY EVERY STATE IN 629 00:26:00,092 --> 00:26:01,293 THE NATION. 630 00:26:01,293 --> 00:26:05,164 THAT IS A TRAVESTY. 631 00:26:05,164 --> 00:26:05,998 THAT IS. 632 00:26:05,998 --> 00:26:08,434 WE ARE PAYING FOR REMEDIATION OF 633 00:26:08,434 --> 00:26:09,635 WATER AND KNOW THE POLLUTER IN 634 00:26:09,635 --> 00:26:12,938 THE STATE IS WORKING WITH THEM 635 00:26:12,938 --> 00:26:16,108 ON ALL THEIR PLANS AND HOLDING 636 00:26:16,108 --> 00:26:17,109 SUPPOSEDLY THEIR FEET TO THE 637 00:26:17,109 --> 00:26:17,676 FIRE. 638 00:26:17,676 --> 00:26:20,479 THIS POLLUTER WILL TELL THEIR 639 00:26:20,479 --> 00:26:21,780 INVESTORS THEY'RE ENVIRONMENTAL 640 00:26:21,780 --> 00:26:24,016 STEWARDS AND GOOD NEIGHBORS AND 641 00:26:24,016 --> 00:26:25,284 DONE EVERYTHING ASKED OF THEM. 642 00:26:25,284 --> 00:26:25,918 THEY HAVEN'T. 643 00:26:25,918 --> 00:26:28,620 THERE'S NO MEDICAL MONITORING. 644 00:26:28,620 --> 00:26:30,823 THERE ISN'T GOING TO BE. 645 00:26:30,823 --> 00:26:32,524 THE CLASS ACTION SUIT WAS 646 00:26:32,524 --> 00:26:33,926 WHITTLED DOWN SIGNIFICANTLY BY 647 00:26:33,926 --> 00:26:34,960 THE NEW HAMPSHIRE SUPREME COURT 648 00:26:34,960 --> 00:26:38,030 AND THEY HAVE FRIENDS IN HIGH 649 00:26:38,030 --> 00:26:38,931 PLACES. 650 00:26:38,931 --> 00:26:45,671 WHAT'S MADE IN NORTH CAROLINA IS 651 00:26:45,671 --> 00:26:48,073 MADE AND WHERE THEY GET THEIR 652 00:26:48,073 --> 00:26:51,443 POISON AND CBI AND CONFIDENT 653 00:26:51,443 --> 00:26:52,044 BUSINESS INFORMATION. 654 00:26:52,044 --> 00:26:53,178 YOU'RE NOT SUPPOSED TO KNOW 655 00:26:53,178 --> 00:26:54,313 WHAT'S IN THE MIXTURE. 656 00:26:54,313 --> 00:26:56,048 BUT WE KNOW WHAT'S IN THE DIP 657 00:26:56,048 --> 00:26:59,551 PAN STUDIES AND KNOW THE EPA DID 658 00:26:59,551 --> 00:27:01,353 STACK TESTING FOR US SO WE KNOW 659 00:27:01,353 --> 00:27:03,722 WHAT'S THERE BUT IT'S NOT PULLED 660 00:27:03,722 --> 00:27:04,923 INTO ANY OF THEIR CONSULTATION 661 00:27:04,923 --> 00:27:07,125 REPORTS SO IT'S NOT ACKNOWLEDGED 662 00:27:07,125 --> 00:27:11,096 IN ANY PROPOSALS TO DO AS LITTLE 663 00:27:11,096 --> 00:27:12,598 AS POSSIBLE FOR AS LESS MONEY AS 664 00:27:12,598 --> 00:27:13,832 POSSIBLE TO REMEDIATE WHICH IS 665 00:27:13,832 --> 00:27:18,303 FAR FROM COMPETE. 666 00:27:18,303 --> 00:27:20,138 SO THE RELEASES TO THE 667 00:27:20,138 --> 00:27:22,741 INHALATION IMPACTS THE HOMES 668 00:27:22,741 --> 00:27:27,079 CLOSE TO THE FACILITY HAD 669 00:27:27,079 --> 00:27:33,852 DISTINCT IMPACTS AND I SEE SOIL, 670 00:27:33,852 --> 00:27:37,823 AIR MERRIMACK HAS A WASTE WATER 671 00:27:37,823 --> 00:27:39,858 FACILITY AND THE FIRST TO MAKE 672 00:27:39,858 --> 00:27:41,793 COMPOST FROM BIO SOLIDS. 673 00:27:41,793 --> 00:27:42,528 I REALIZED THIS EARLY IN THE 674 00:27:42,528 --> 00:27:49,401 GAME AND SAY TO MYSELF, HMM, IF 675 00:27:49,401 --> 00:27:51,270 I TALK ABOUT THIS PUBLICALLY 676 00:27:51,270 --> 00:27:54,139 WHILE I TRY TO WIN OVER THE TOWN 677 00:27:54,139 --> 00:27:55,641 COUNCIL AND BUILD THIS ARMY I'M 678 00:27:55,641 --> 00:27:58,644 IN TROUBLE SO I BETTER NOT GO 679 00:27:58,644 --> 00:27:58,977 THERE. 680 00:27:58,977 --> 00:28:00,812 SO I QUIETLY TALKED ABOUT IN THE 681 00:28:00,812 --> 00:28:02,648 LAST COUPLE YEARS. 682 00:28:02,648 --> 00:28:04,016 I KNOW YOU KNOW THERE'S GREAT 683 00:28:04,016 --> 00:28:05,384 ATTENTION TO THE TOPIC SO 684 00:28:05,384 --> 00:28:08,453 EVERYONE CAN SPEAK FREELY NOW 685 00:28:08,453 --> 00:28:11,023 BUT THAT COMPOST WENT OUGHT ALL 686 00:28:11,023 --> 00:28:11,957 OVER NEW ENGLAND. 687 00:28:11,957 --> 00:28:13,559 RESIDENTS COULD TAKE IT. 688 00:28:13,559 --> 00:28:15,561 MANY YEARS AGO THEY USED TO SAY 689 00:28:15,561 --> 00:28:16,795 SPORT FIELDS AND LAWNS ONLY. 690 00:28:16,795 --> 00:28:19,932 I LOOKED BACK TO SEE WHERE IT 691 00:28:19,932 --> 00:28:21,333 WAS AND TRY TO RESEARCH THAT 692 00:28:21,333 --> 00:28:24,603 WHAT I REALIZED IS THEY HAD A 693 00:28:24,603 --> 00:28:26,972 CONSULTANT IN THE GAME AND 694 00:28:26,972 --> 00:28:29,775 RECLASSIFIED IT AS CLASS A FOOD 695 00:28:29,775 --> 00:28:32,110 GRADE BIO SOLIDS. 696 00:28:32,110 --> 00:28:35,647 ANOTHER DISCOVERY AT MIDNIGHT 697 00:28:35,647 --> 00:28:36,882 WHERE IT'S HORRIBLE AND THERE'S 698 00:28:36,882 --> 00:28:39,284 NO ONE TO TALK TO AND WE TALKED 699 00:28:39,284 --> 00:28:41,153 ABOUT MIND, BODY AND STRESS AND 700 00:28:41,153 --> 00:28:43,021 I WAS SMILING TO MYSELF. 701 00:28:43,021 --> 00:28:44,556 THE TOOLS I HAVE AS A THERAPIST 702 00:28:44,556 --> 00:28:47,826 AND OVER THE LAST FEW YEARS, MY 703 00:28:47,826 --> 00:28:51,863 GOSH BETWEEN MEDITATION AND 704 00:28:51,863 --> 00:28:54,733 SOUND THERAPY AND PROPER SUPPORT 705 00:28:54,733 --> 00:28:56,068 AND DIETARY AND SUPPLEMENTARY 706 00:28:56,068 --> 00:28:57,703 ARE THE ONLY THINGS TO GRAB ON 707 00:28:57,703 --> 00:29:00,706 TO BECAUSE THE OFFICIAL GUIDANCE 708 00:29:00,706 --> 00:29:02,207 IS NOT THERE AND WHAT'S SHAPING 709 00:29:02,207 --> 00:29:04,276 UP IS NOT ADEQUATE. 710 00:29:04,276 --> 00:29:06,545 I WORKED WITH RESIDENTS ACROSS 711 00:29:06,545 --> 00:29:08,380 THE NATION AS A COMMUNITY 712 00:29:08,380 --> 00:29:10,215 LIAISON IN THE NASEM REPORT. 713 00:29:10,215 --> 00:29:15,854 MANY GOOD THINGS CAME FROM THAT. 714 00:29:15,854 --> 00:29:17,756 THEY MISDELIVER AND THERE WAS 715 00:29:17,756 --> 00:29:20,459 FEEDBACK GIVEN BY PEOPLE MORE 716 00:29:20,459 --> 00:29:21,093 QUALIFIED TO MAKE THAT 717 00:29:21,093 --> 00:29:22,728 OBSERVATION FEEDBACK SO I THINK 718 00:29:22,728 --> 00:29:24,896 THAT WILL GET FIXED. 719 00:29:24,896 --> 00:29:26,665 THAT'S AN EASY MARKER MANY OF US 720 00:29:26,665 --> 00:29:29,368 HAVE IN OUR BLOOD WORKS TO SPOT 721 00:29:29,368 --> 00:29:30,936 WHAT'S GOING ON WITH TEXAS AND 722 00:29:30,936 --> 00:29:35,140 IMPACTS TO THE BODY. 723 00:29:35,140 --> 00:29:36,408 HERE WE HAVE SCIENCE AND DATA 724 00:29:36,408 --> 00:29:38,377 AND WHAT WE DON'T HAVE IS 725 00:29:38,377 --> 00:29:39,011 VALIDATION. 726 00:29:39,011 --> 00:29:41,413 WILL WE EVER GET THAT? 727 00:29:41,413 --> 00:29:44,049 IT'S THERE IN MANY FASHIONS 728 00:29:44,049 --> 00:29:45,317 FORMALLY AND INFORMALLY IT 729 00:29:45,317 --> 00:29:45,851 DEPENDS. 730 00:29:45,851 --> 00:29:48,353 WHAT WE HAVE IS THIS CRISIS AND 731 00:29:48,353 --> 00:29:51,556 INABILITY TO SEE, REALLY. 732 00:29:51,556 --> 00:29:52,858 WHERE EXPOSURE IS KNOWN. 733 00:29:52,858 --> 00:29:54,826 FROM THE NASEM FOCUSSED ON SEVEN 734 00:29:54,826 --> 00:29:56,261 LEGACY CHEMICALS THAT WAS A GOOD 735 00:29:56,261 --> 00:29:59,131 START BUT THEY WERE RESTRICTED 736 00:29:59,131 --> 00:30:00,365 TO THAT UNDER THE LAST 737 00:30:00,365 --> 00:30:00,999 ADMINISTRATION. 738 00:30:00,999 --> 00:30:03,869 THE PROBLEM I HAVE IS AS IT'S 739 00:30:03,869 --> 00:30:06,038 BEING IMPLEMENTED IT'S NOT GOING 740 00:30:06,038 --> 00:30:08,106 TO SWEEP ALONG WHAT WE NEED TO 741 00:30:08,106 --> 00:30:08,507 DO. 742 00:30:08,507 --> 00:30:10,542 SO FOR MY POLLUTER WHAT I KNOW 743 00:30:10,542 --> 00:30:13,578 IS IN 2015 THEY TRANSITIONED 744 00:30:13,578 --> 00:30:17,182 FULLY OVER TO THE SHORT CHAIN 745 00:30:17,182 --> 00:30:20,552 ETFA NEWER FORMULATION. 746 00:30:20,552 --> 00:30:21,787 THERE'S VIGOROUS RESISTANCE 747 00:30:21,787 --> 00:30:23,588 ACROSS THE NATION OF THE 748 00:30:23,588 --> 00:30:25,791 DEFINITION OF PFAS AND BILLS IN 749 00:30:25,791 --> 00:30:27,259 STATES BEING AMENDED INCLUDING 750 00:30:27,259 --> 00:30:30,796 MINE AND THE GOAL THERE IS TO 751 00:30:30,796 --> 00:30:33,865 TAKE THE POLY FORMERS AND NOT 752 00:30:33,865 --> 00:30:41,440 CALL THEM PFAS SIMPLY AND WHICH 753 00:30:41,440 --> 00:30:45,110 IS CRAZY AND IT'S ALL THERE IN 754 00:30:45,110 --> 00:30:46,812 HUGE QUANTITIES MORE THAN MOST 755 00:30:46,812 --> 00:30:48,480 ANYTHING ELSE. 756 00:30:48,480 --> 00:30:50,248 WE HAVE THE INFORMATION. 757 00:30:50,248 --> 00:30:52,350 WE SEE THE PAST EXPOSURE. 758 00:30:52,350 --> 00:30:56,054 WE SEE THE MORE CURRENT EXPOSURE 759 00:30:56,054 --> 00:30:59,057 AND IT'S THE LEGACY IN THE SHORT 760 00:30:59,057 --> 00:30:59,725 CHAIN. 761 00:30:59,725 --> 00:31:02,027 IF WE DON'T PROPERLY ACKNOWLEDGE 762 00:31:02,027 --> 00:31:03,128 THE FULL EXPOSURE IN PHYSICIAN 763 00:31:03,128 --> 00:31:05,831 GUIDANCE AND BLOOD TESTS AND 764 00:31:05,831 --> 00:31:07,566 WATER TESTS AND REGULATORY AND 765 00:31:07,566 --> 00:31:09,668 ALL OF IT WE'RE MISSING A LOT. 766 00:31:09,668 --> 00:31:12,504 WE KNOW FROM THE PROFILES OF 767 00:31:12,504 --> 00:31:14,740 NORTH CAROLINA THAT THEY'RE 768 00:31:14,740 --> 00:31:16,374 ACRONYMS FOR PFAS THEY'RE NOT 769 00:31:16,374 --> 00:31:18,176 LIKE MINE THOUGH THEY MAKE 770 00:31:18,176 --> 00:31:21,880 WHAT'S USED HERE IT'S THE 771 00:31:21,880 --> 00:31:23,081 PRODUCTION AND THEIR HEALTH 772 00:31:23,081 --> 00:31:25,617 PROFILES ARE JUST AS SIMILAR AND 773 00:31:25,617 --> 00:31:28,787 JUST AS DIRE IT'S APPALLING AND 774 00:31:28,787 --> 00:31:30,756 WE LOOK AT WHAT'S GOING ON 775 00:31:30,756 --> 00:31:31,389 FEDERALLY. 776 00:31:31,389 --> 00:31:36,795 WE HAVE MCLs FOR TWO LEGACY 777 00:31:36,795 --> 00:31:37,062 CHEMICALS. 778 00:31:37,062 --> 00:31:39,197 IF WE ADDRESS EACH ONE AT A TIME 779 00:31:39,197 --> 00:31:40,665 WE WON'T GET ANYWHERE. 780 00:31:40,665 --> 00:31:43,835 THE IMPACT ON THE BODY AND EVERY 781 00:31:43,835 --> 00:31:46,505 SYSTEM OF THE BODY WHEN I GATHER 782 00:31:46,505 --> 00:31:47,606 THAT HEALTH DATA I WENT AROUND 783 00:31:47,606 --> 00:31:49,441 TO GET SOMEBODY TO HELP ME 784 00:31:49,441 --> 00:31:51,877 ANALYZE IT AND SAY CAN WE DO 785 00:31:51,877 --> 00:31:53,078 SOMETHING WITH THIS? 786 00:31:53,078 --> 00:31:57,415 WE DID PUBLISH A PAPER CALLED 787 00:31:57,415 --> 00:32:03,255 MAKING THE INVISIBLE VISIBLE AND 788 00:32:03,255 --> 00:32:04,923 UNIVERSITY OF VERMONT HELPED AND 789 00:32:04,923 --> 00:32:09,394 THAT WENT TO THE PROPER 790 00:32:09,394 --> 00:32:11,663 CATEGORIES OF HEALTH AND FOUND 791 00:32:11,663 --> 00:32:12,664 STRONG FINDINGS SHY OF 792 00:32:12,664 --> 00:32:14,166 STATISTICAL SIGNIFICANCE. 793 00:32:14,166 --> 00:32:16,802 IT WAS THERE FOR REPRODUCTIVE 794 00:32:16,802 --> 00:32:20,806 HEALTH AND IT WAS 27 TIMES THE 795 00:32:20,806 --> 00:32:22,207 EXPECTED CARDIOVASCULAR AND MANY 796 00:32:22,207 --> 00:32:25,477 OTHER DISORDERS WERE VERY HIGH 797 00:32:25,477 --> 00:32:27,879 AND SHE WAS QUITE SURPRISED AT 798 00:32:27,879 --> 00:32:29,447 SOME OF THE FINDINGS AND I 799 00:32:29,447 --> 00:32:31,817 LOOKED AT HER AND SAID WILL YOU 800 00:32:31,817 --> 00:32:33,585 STUDY THIS AND YOU'RE WELL 801 00:32:33,585 --> 00:32:35,821 VERSED AND YET YOU'RE SURPRISED. 802 00:32:35,821 --> 00:32:38,390 THIS IS HOW IT IS. 803 00:32:38,390 --> 00:32:40,292 WHAT'S THAT ABOUT? 804 00:32:40,292 --> 00:32:41,226 SO, ON AND ON. 805 00:32:41,226 --> 00:32:43,195 SO I GUESS IN THIS GROUP WHAT 806 00:32:43,195 --> 00:32:46,865 I'M EXCITED TO BE HERE AND MEET 807 00:32:46,865 --> 00:32:47,132 EVERYONE. 808 00:32:47,132 --> 00:32:49,167 WHAT WE NEED HERE IS HEALING. 809 00:32:49,167 --> 00:32:50,402 THAT'S WHAT WE'RE NOT TALKING 810 00:32:50,402 --> 00:32:50,836 ABOUT ANYWHERE. 811 00:32:50,836 --> 00:32:54,472 WE'RE WORKING ON POLICY AND ON 812 00:32:54,472 --> 00:32:55,207 REGULATORY AND TO HOPEFULLY STOP 813 00:32:55,207 --> 00:33:01,046 THE SOURCES AND SO MANY THINGS 814 00:33:01,046 --> 00:33:03,882 AND PHYSICIAN GUIDANCE BUT 815 00:33:03,882 --> 00:33:06,284 HEALING OVER 8 YEARS IN MY 816 00:33:06,284 --> 00:33:07,118 COMMUNITY, WHERE'S THE HEALING. 817 00:33:07,118 --> 00:33:08,687 YOU'RE NOT GETTING WHAT YOU NEED 818 00:33:08,687 --> 00:33:10,622 FROM TRADITIONAL DOCTOR AND THE 819 00:33:10,622 --> 00:33:12,357 INTEGRATIVE METHODS I SEE ARE 820 00:33:12,357 --> 00:33:13,191 MAKING A DIFFERENCE. 821 00:33:13,191 --> 00:33:14,659 THEY MADE A DIFFERENCE IN SOME 822 00:33:14,659 --> 00:33:15,994 OF MY BLOOD WORK. 823 00:33:15,994 --> 00:33:19,064 I'M TRYING TO STAY ON TOP OF 824 00:33:19,064 --> 00:33:29,274 THINGS AND THIS IS A HUGE AREA 825 00:33:29,274 --> 00:33:32,043 OF IMPORTANCE TO ENDOCRINE 826 00:33:32,043 --> 00:33:35,647 DISRUPTOR AND THE 70-PLUS 827 00:33:35,647 --> 00:33:36,147 COMMUNITIES. 828 00:33:36,147 --> 00:33:37,082 WAIT UNTIL WE ADD THE REST. 829 00:33:37,082 --> 00:33:38,650 THIS IS AN AREA WE NEED TO 830 00:33:38,650 --> 00:33:39,885 CIRCLE AROUND. 831 00:33:39,885 --> 00:33:50,061 THANK YOU. 832 00:34:01,806 --> 00:34:03,875 >> TELL PEOPLE WHO YOU ARE FOR 833 00:34:03,875 --> 00:34:07,512 EVERYONE IN THE AUDIENCE, 834 00:34:07,512 --> 00:34:17,756 DR. BURNBAUM. 835 00:34:29,434 --> 00:34:35,407 >> FORMER DIRECTOR OF NIEHS. 836 00:34:35,407 --> 00:34:37,776 LAST NIGHT THE NATIONAL 837 00:34:37,776 --> 00:34:39,744 MANUFACTURE'S ASSOCIATION SUED 838 00:34:39,744 --> 00:34:41,413 EPA AFTER MANY YEARS OF 839 00:34:41,413 --> 00:34:42,480 ESTABLISHMENT OF REGULATORY 840 00:34:42,480 --> 00:34:45,583 LIMITS IN DRINKING WATER FOR SIX 841 00:34:45,583 --> 00:34:51,256 OF THE 15,000-OF PFAS. 842 00:34:51,256 --> 00:35:01,766 I THINK PEOPLE KNEW THEY'D BE 843 00:35:02,534 --> 00:35:03,868 SUED. 844 00:35:03,868 --> 00:35:06,605 THE FILING CLAIMS THAT THERE WAS 845 00:35:06,605 --> 00:35:07,639 INADEQUATE SCIENCE. 846 00:35:07,639 --> 00:35:09,507 ALSO AMERICAN WATER WORKS IS A 847 00:35:09,507 --> 00:35:09,874 SECOND SUIT. 848 00:35:09,874 --> 00:35:11,609 THERE'S TWO SUITS FILED AND I 849 00:35:11,609 --> 00:35:15,347 HAVE MY FILINGS READY TO GO. 850 00:35:15,347 --> 00:35:15,947 EARTH JUSTICE HAS BEEN BY MY 851 00:35:15,947 --> 00:35:17,148 SIDE. 852 00:35:17,148 --> 00:35:27,559 I'VE LEARNED HOW TO PLAY I 853 00:35:27,559 --> 00:35:28,994 ANTICIPATE WHAT THEY'LL DO AND 854 00:35:28,994 --> 00:35:31,396 PREPARE AND BE READY AND WE'LL 855 00:35:31,396 --> 00:35:33,898 BE FILING ON BEHALF OF MANY 856 00:35:33,898 --> 00:35:34,499 IMPACTED COMMUNITIES BIG THE 857 00:35:34,499 --> 00:35:39,904 CIRCUIT COURT SO WE'RE ON IT. 858 00:35:39,904 --> 00:35:45,210 >> YOU'RE RIGHT. 859 00:35:45,210 --> 00:35:50,248 MAKING AN ANALOGY OF A GAME OF 860 00:35:50,248 --> 00:35:53,051 CHESS AND IT'S AN UNHEALTHY 861 00:35:53,051 --> 00:35:53,251 GAME. 862 00:35:53,251 --> 00:35:54,386 INDUSTRY KNOWS THEY WON'T STOP 863 00:35:54,386 --> 00:35:56,054 THE MOVEMENT FORWARD TO REGULATE 864 00:35:56,054 --> 00:35:58,656 THE CHEMICALS OR TO BAN THEIR 865 00:35:58,656 --> 00:36:00,058 ACTUAL PRODUCTION WHICH IS WHERE 866 00:36:00,058 --> 00:36:01,626 WE PROBABLY NEED TO GO WITH MANY 867 00:36:01,626 --> 00:36:04,929 OF THESE THINGS BUT THE LONGER 868 00:36:04,929 --> 00:36:07,399 THEY CAN PROTEST, THE LONGER 869 00:36:07,399 --> 00:36:09,401 THEY CAN SUE, THEY CONTINUE TO 870 00:36:09,401 --> 00:36:13,905 MAKE HUGE AMOUNTS OF MONEY. 871 00:36:13,905 --> 00:36:14,572 HUGE. 872 00:36:14,572 --> 00:36:16,141 >> THEY ALSO COUNT ON THE 873 00:36:16,141 --> 00:36:17,509 STRENGTH OF THE NUMBERS ACROSS 874 00:36:17,509 --> 00:36:18,710 THE COUNTRY IS WHAT KEEPS ME 875 00:36:18,710 --> 00:36:19,711 GOING AND PROPPED UP. 876 00:36:19,711 --> 00:36:21,880 THERE'S PEOPLE I KNOW IN OTHER 877 00:36:21,880 --> 00:36:23,148 STATES THAT I NEVER WOULD HAVE 878 00:36:23,148 --> 00:36:27,485 MET UNLESS I HAD THIS AND YOU 879 00:36:27,485 --> 00:36:30,321 CAN HEAR MY VOICE THE 880 00:36:30,321 --> 00:36:31,956 CONFESSION, THEIR STORIES AND 881 00:36:31,956 --> 00:36:35,260 THEIR HARM -- IT'S HORRIBLE. 882 00:36:35,260 --> 00:36:37,729 BUT SOME OF THOSE FOLKS KNOW MY 883 00:36:37,729 --> 00:36:39,731 TRUTH AND I KNOW THEY'RE TRUTH. 884 00:36:39,731 --> 00:36:41,199 I TOLD SOMEONE THIS MORNING THEY 885 00:36:41,199 --> 00:36:43,034 KNOW THAT PART OF ME BETTER THAN 886 00:36:43,034 --> 00:36:45,603 MY CLOSEST LIFE LONG FRIENDS 887 00:36:45,603 --> 00:36:47,138 BECAUSE MY CLOSEST LIFE LONG 888 00:36:47,138 --> 00:36:48,039 FRIENDS DO NOT LIVE IN MY 889 00:36:48,039 --> 00:36:49,574 COMMUNITY AND DO NOT KNOW THE 890 00:36:49,574 --> 00:36:50,708 DEPTH AND THE KNOWLEDGE. 891 00:36:50,708 --> 00:36:54,512 SO THE STRENGTH AND THE 892 00:36:54,512 --> 00:36:57,415 INFORMATION -- YOU HAVE TO 893 00:36:57,415 --> 00:37:00,051 BECOME YOUR OWN EXPERT YOU HAVE 894 00:37:00,051 --> 00:37:02,053 NO CHOICE AND DEVELOP STRESS AND 895 00:37:02,053 --> 00:37:03,488 RESILIENCY FACTORS AND YOU KEEP 896 00:37:03,488 --> 00:37:05,323 EACH OTHER GOING AND THERE'S 897 00:37:05,323 --> 00:37:07,058 DAYS WHEN YOU JUST SAY ENOUGH 898 00:37:07,058 --> 00:37:08,560 ALREADY. 899 00:37:08,560 --> 00:37:10,595 I CAN'T DO THIS ANYMORE AND SAY 900 00:37:10,595 --> 00:37:12,497 I NEED TO AND I'LL BE DOING THIS 901 00:37:12,497 --> 00:37:14,699 THE REST OF MY LIFE. 902 00:37:14,699 --> 00:37:18,803 >> I WANT TO TOUCH ON JUST THAT 903 00:37:18,803 --> 00:37:20,105 BECAUSE YOU'RE LIVING THIS 904 00:37:20,105 --> 00:37:21,673 EXPERIENCE BUT YOU'RE ALSO A 905 00:37:21,673 --> 00:37:23,007 SOCIAL WORKER SO YOU'RE IN A 906 00:37:23,007 --> 00:37:25,643 POSITION WHERE YOU PROBABLY HEAR 907 00:37:25,643 --> 00:37:30,748 OTHER PEOPLE'S EXPERIENCES OF 908 00:37:30,748 --> 00:37:33,852 PAIN AND FRUSTRATION AND 909 00:37:33,852 --> 00:37:34,185 POWERLESSNESS. 910 00:37:34,185 --> 00:37:35,153 HOW ARE YOU AND YOUR COMMUNITY 911 00:37:35,153 --> 00:37:38,022 AND THE BROADER COMMUNITY OF 912 00:37:38,022 --> 00:37:39,891 PEOPLE BEING EXPOSED BY ECDs HOW 913 00:37:39,891 --> 00:37:41,559 ARE THEY NAVIGATING THEIR MENTAL 914 00:37:41,559 --> 00:37:42,460 HEALTH? 915 00:37:42,460 --> 00:37:44,896 THEY HAVE EACH OTHER. 916 00:37:44,896 --> 00:37:48,032 YOU MENTIONED NOW IN THE FACE OF 917 00:37:48,032 --> 00:37:49,501 ADVERSITY FINDING ALL THESE 918 00:37:49,501 --> 00:37:51,436 OTHER CONNECTIONS AND HAVING THE 919 00:37:51,436 --> 00:37:53,304 SHARED EXPERIENCE BUT WITHIN 920 00:37:53,304 --> 00:37:56,074 YOUR NEW ENGLAND COMMUNITY YOU 921 00:37:56,074 --> 00:37:57,876 MENTIONED PEOPLE ARE USUALLY 922 00:37:57,876 --> 00:38:00,945 TIGHT LIPPED. 923 00:38:00,945 --> 00:38:02,313 THEY DON'T SHARE A LOT ABOUT 924 00:38:02,313 --> 00:38:02,614 THEMSELVES. 925 00:38:02,614 --> 00:38:04,182 HOW IS THE MENTAL HEALTH AND HOW 926 00:38:04,182 --> 00:38:07,318 ARE THE MENTAL HEALTH PROVIDERS 927 00:38:07,318 --> 00:38:08,386 IN YOUR COMMUNITY DEALING WITH 928 00:38:08,386 --> 00:38:09,788 THIS AND NAVIGATING THIS? 929 00:38:09,788 --> 00:38:12,390 >> I ADDED TO MY SCREENING 930 00:38:12,390 --> 00:38:14,058 SOCIAL WORKERS DIFFER FROM A 931 00:38:14,058 --> 00:38:16,895 PSYCHOLOGIST IN THAT MY TRAINING 932 00:38:16,895 --> 00:38:20,031 IS BIO, PSYCHO, SOCIAL. 933 00:38:20,031 --> 00:38:22,066 THAT'S HOW I LOOK AT THING AT 934 00:38:22,066 --> 00:38:23,701 THE BIOLOGY AS THE INITIAL FIRST 935 00:38:23,701 --> 00:38:25,170 IF WE TREAT THE SYMPTOMS, 936 00:38:25,170 --> 00:38:26,571 ANXIETY AND DEPRESSION ARE REAL 937 00:38:26,571 --> 00:38:30,375 BUT CAN EMIT FROM MANY LONG-TERM 938 00:38:30,375 --> 00:38:32,043 SITUATIONS AND TRAUMA STORIES 939 00:38:32,043 --> 00:38:33,678 HAVE MANY FORMS AND IT'S A 940 00:38:33,678 --> 00:38:37,682 TRAUMA STORY OF A COMMUNITY AND 941 00:38:37,682 --> 00:38:40,385 VALIDATION GOES A LONG WAY. 942 00:38:40,385 --> 00:38:41,886 THE LACK OF FEAR WHEN YOU LOOK 943 00:38:41,886 --> 00:38:45,390 TO SOMEONE AND SAY HOW ARE YOU 944 00:38:45,390 --> 00:38:47,258 DOING AND THEY SEE YOU SEE THEM 945 00:38:47,258 --> 00:38:49,661 AND KNOW YOU'RE STRUGGLING AND 946 00:38:49,661 --> 00:38:50,161 TALK A LITTLE BIT. 947 00:38:50,161 --> 00:38:55,099 THAT GOES A LONG WAY. 948 00:38:55,099 --> 00:38:56,100 VALIDATION AND KNOWING PEOPLE 949 00:38:56,100 --> 00:38:57,902 AND THE FACT THAT THEY KNOW 950 00:38:57,902 --> 00:38:59,137 PEOPLE ARE IN THEIR COMMUNITY 951 00:38:59,137 --> 00:39:01,072 FIGHTING FOR THEM WHO CAME 952 00:39:01,072 --> 00:39:01,306 FORWARD. 953 00:39:01,306 --> 00:39:06,644 WE HAVE THE FIRST EPA LISTENING 954 00:39:06,644 --> 00:39:14,185 SESSION AND A WOMAN HAD KIDNEY 955 00:39:14,185 --> 00:39:16,521 CANCER TWICE AND LYMPHOMAS AND 956 00:39:16,521 --> 00:39:21,926 TOLD THEIR STORIES. 957 00:39:21,926 --> 00:39:24,596 WE HAD PEOPLE IN TEARS AND YOU 958 00:39:24,596 --> 00:39:26,064 KNOW YOU WERE HEARD IN THOSE 959 00:39:26,064 --> 00:39:28,800 STORIES AND THAT GOES A LONG WAY 960 00:39:28,800 --> 00:39:31,269 AND TURNING WE HAVE A PHRASE IN 961 00:39:31,269 --> 00:39:33,404 MY POSITION OVER HOW DO YOU TURN 962 00:39:33,404 --> 00:39:34,772 VICTIMS INTO SURVIVORS SOUNDS 963 00:39:34,772 --> 00:39:36,608 LIKE A CLICHE BUT IF YOU CAN 964 00:39:36,608 --> 00:39:38,643 FIND THAT STRENGTH IN YOUR NORTH 965 00:39:38,643 --> 00:39:40,745 STAR AND KNOW THERE'S A PLAN 966 00:39:40,745 --> 00:39:41,879 HERE AND IT DOESN'T HAPPEN IN A 967 00:39:41,879 --> 00:39:52,323 WEEK BUT THERE IS A PLAN. 968 00:39:53,358 --> 00:39:55,059 >> THE PANEL IS WHERE WE HAVE 969 00:39:55,059 --> 00:40:00,164 PEOPLE LIKE YOURSELF AND 970 00:40:00,164 --> 00:40:02,333 CLINICIANS WITH WHO ARE 971 00:40:02,333 --> 00:40:04,802 SUPPORTING PEOPLE HELPING US AS 972 00:40:04,802 --> 00:40:08,172 A RESEARCH COMMUNITY BETTER 973 00:40:08,172 --> 00:40:14,445 SUPPORT YOU AS YOU TAKE THIS 974 00:40:14,445 --> 00:40:15,113 JOURNEY BACK TO HEALTH. 975 00:40:15,113 --> 00:40:17,615 I ROOK FORWARD TO YOUR 976 00:40:17,615 --> 00:40:19,517 PERSPECTIVE ON THAT PANEL TOO. 977 00:40:19,517 --> 00:40:19,917 THANK YOU. 978 00:40:19,917 --> 00:40:23,154 I'D LIKE TO INTRODUCE 979 00:40:23,154 --> 00:40:25,223 DR. JULIANNE COURTNEY FROM THE 980 00:40:25,223 --> 00:40:27,158 NIH OFFICE OF DISEASE 981 00:40:27,158 --> 00:40:27,558 PREVENTION. 982 00:40:27,558 --> 00:40:29,427 SHE WILL BE MODERATING OUR NEXT 983 00:40:29,427 --> 00:40:34,832 SESSION AND WOULD LIKE TO 984 00:40:34,832 --> 00:40:37,835 INTRODUCE DR. LESLIAM 985 00:40:37,835 --> 00:40:38,469 QUIROS-ALCALA AND PLEASE BRING 986 00:40:38,469 --> 00:40:48,746 YOUR NAME CARD. 987 00:40:54,953 --> 00:40:59,624 -- DR. JOYANN COURTNEY FROM THE 988 00:40:59,624 --> 00:41:02,060 NIH OFFICE OF DISEASE PREVENTION 989 00:41:02,060 --> 00:41:02,860 WILL BE MODERATING. 990 00:41:02,860 --> 00:41:05,229 >> GREETINGS TO EVERYONE IN 991 00:41:05,229 --> 00:41:09,467 PERSON AND THOSE ATTENDING 992 00:41:09,467 --> 00:41:09,867 VIRTUALLY. 993 00:41:09,867 --> 00:41:13,604 I'M DR. JOYANN COURTNEY SERVING 994 00:41:13,604 --> 00:41:20,011 ON THE HEALTH DISPARITIES TEAM 995 00:41:20,011 --> 00:41:22,780 AND PROUD TO HAVE THIS PANEL AND 996 00:41:22,780 --> 00:41:27,652 ECDs AS DRIVERS AS HEALTH 997 00:41:27,652 --> 00:41:27,952 DISPARITIES. 998 00:41:27,952 --> 00:41:31,356 THIS PANEL AIMS TO IMPACT HEALTH 999 00:41:31,356 --> 00:41:32,557 DISPARITIES AND HOW TO BE 1000 00:41:32,557 --> 00:41:34,425 CORRECTED. 1001 00:41:34,425 --> 00:41:36,961 PANELISTS WILL DRAW FROM THEIR 1002 00:41:36,961 --> 00:41:38,096 RESEARCH AND EXPERTISE TO SHED 1003 00:41:38,096 --> 00:41:39,897 HIDE IN EXPOSURES IN 1004 00:41:39,897 --> 00:41:40,865 MARGINALIZED COMMUNITIES, HEALTH 1005 00:41:40,865 --> 00:41:42,834 OUTCOMES AND POPULATIONS THAT 1006 00:41:42,834 --> 00:41:43,634 EXPERIENCE HEALTH DISPARITIES 1007 00:41:43,634 --> 00:41:49,540 AND CHALLENGES AND POLICIES AND 1008 00:41:49,540 --> 00:41:50,208 REGULATION AUTHORITIES AND 1009 00:41:50,208 --> 00:41:52,510 ASSOCIATED COST AND THE 1010 00:41:52,510 --> 00:41:53,244 COMPLEXITIES THAT HIGH WITHIN 1011 00:41:53,244 --> 00:41:54,712 THESE DOMAINS. 1012 00:41:54,712 --> 00:41:57,882 I HAD A SNEAK PEEK AT THEIR 1013 00:41:57,882 --> 00:42:04,055 SLIDE SET SO I ANTICIPATE THE 1014 00:42:04,055 --> 00:42:05,223 DIALOGUE WILL PROVIDE 1015 00:42:05,223 --> 00:42:09,160 INFORMATION FOR THE PRODUCTS 1016 00:42:09,160 --> 00:42:10,962 CONTAINING EDC AND POPULATIONS 1017 00:42:10,962 --> 00:42:12,330 THAT EXPERIENCE THESE AND 1018 00:42:12,330 --> 00:42:15,233 INSPIRATION TO ENGAGE IN 1019 00:42:15,233 --> 00:42:16,100 ADVOCACY, RESEARCH AND 1020 00:42:16,100 --> 00:42:18,236 MULTI-LEVEL INTERVENTIONS AND 1021 00:42:18,236 --> 00:42:19,070 ULTIMATELY CHANGE. 1022 00:42:19,070 --> 00:42:23,207 SO NOW TO OUR DISTINGUISHED 1023 00:42:23,207 --> 00:42:24,042 PANEL. 1024 00:42:24,042 --> 00:42:27,879 MOST ARE WATCHING OR ATTENDING 1025 00:42:27,879 --> 00:42:30,314 VIRTUALLY BUT FULL BIOS AND 1026 00:42:30,314 --> 00:42:32,417 PRESENTATIONS ARE IN THE PROGRAM 1027 00:42:32,417 --> 00:42:34,252 YOU AND USE THE QR CODE TO SEE 1028 00:42:34,252 --> 00:42:37,955 THEIR EDUCATIONAL BACKGROUNDS 1029 00:42:37,955 --> 00:42:40,058 AND EXPERTISE AND AWARDS AND 1030 00:42:40,058 --> 00:42:42,627 THERE'S A SLIGHT CHANGE IN THE 1031 00:42:42,627 --> 00:42:42,894 ORDER. 1032 00:42:42,894 --> 00:42:44,295 I'LL QUICKLY INTRODUCE THEM IN 1033 00:42:44,295 --> 00:42:49,167 THE ORDER THEY'LL BE SHEPEAKING. 1034 00:42:49,167 --> 00:42:51,869 FIRST DR. LINDSEY TREVINO IN THE 1035 00:42:51,869 --> 00:42:54,539 DIVISION OF HEALTH EQUITY IN THE 1036 00:42:54,539 --> 00:42:54,839 DEPARTMENT. 1037 00:42:54,839 --> 00:42:56,607 POPULATION SCIENCE AT THE CITY 1038 00:42:56,607 --> 00:42:59,644 OF HOPE, LOS ANGELES. 1039 00:42:59,644 --> 00:43:03,181 AND DR. LEONARDO TRASANDE THE 1040 00:43:03,181 --> 00:43:05,249 DIRECTOR OF THE DIVISION OF 1041 00:43:05,249 --> 00:43:06,184 ENVIRONMENTAL PEDIATRICS AND 1042 00:43:06,184 --> 00:43:07,318 VICE CHAIR FOR RESEARCH IN THE 1043 00:43:07,318 --> 00:43:10,688 DEPARTMENT OF PEDIATRICS AT NYU 1044 00:43:10,688 --> 00:43:12,623 SCHOOL OF MEDICINE AND SERVES ON 1045 00:43:12,623 --> 00:43:15,927 THE FACULTY OF WAGNER SCHOOL OF 1046 00:43:15,927 --> 00:43:17,261 PUBLIC SERVICE. 1047 00:43:17,261 --> 00:43:21,566 AND DR. AMI ZOTA IS AN ASSOCIATE 1048 00:43:21,566 --> 00:43:24,068 PROFESSOR IN DEPARTMENT OF 1049 00:43:24,068 --> 00:43:25,570 HEALTH SCIENCES COLUMBIA 1050 00:43:25,570 --> 00:43:28,072 UNIVERSITY AND DR. LESLIAM 1051 00:43:28,072 --> 00:43:29,674 QUIROS-ALCALA IS AN ASSOCIATE 1052 00:43:29,674 --> 00:43:32,143 PROFESSOR AT JOHNS HOPKINS IN 1053 00:43:32,143 --> 00:43:32,944 THE DEPARTMENT OF ENVIRONMENTAL 1054 00:43:32,944 --> 00:43:33,978 HEALTH AND ENGINEERING. 1055 00:43:33,978 --> 00:43:37,548 SO EACH PANEL WILL HAVE ABOUT 10 1056 00:43:37,548 --> 00:43:38,883 MINUTES TO SHARE. 1057 00:43:38,883 --> 00:43:40,017 PLEASE JOT YOUR QUESTIONS DOWN 1058 00:43:40,017 --> 00:43:42,954 AND WE'LL TRY TO CATCH THE ONES 1059 00:43:42,954 --> 00:43:43,754 ONLINE AS WELL AS IN PERSON. 1060 00:43:43,754 --> 00:43:46,958 AND AT THIS TIME I'LL GIVE THE 1061 00:43:46,958 --> 00:43:52,096 FLOOR TO DR. LINDSEY TREVINO. 1062 00:43:52,096 --> 00:43:57,134 THANK YOU. 1063 00:43:57,134 --> 00:43:58,136 >> GOOD MORNING, EVERYONE. 1064 00:43:58,136 --> 00:44:00,037 I HOPE EVERYONE CAN HEAR ME 1065 00:44:00,037 --> 00:44:01,672 OKAY. 1066 00:44:01,672 --> 00:44:02,907 THANK YOU SO MUCH FOR THE 1067 00:44:02,907 --> 00:44:07,745 INVITATION TO PARTICIPATE IN 1068 00:44:07,745 --> 00:44:09,514 THIS VERY IMPORTANT AND I WOULD 1069 00:44:09,514 --> 00:44:13,017 SAY HOPEFULLY GROUNDBREAKING 1070 00:44:13,017 --> 00:44:14,385 WORKSHOP WHERE ALL THE 1071 00:44:14,385 --> 00:44:16,287 STAKEHOLDERS WHO CAN REALLY MAKE 1072 00:44:16,287 --> 00:44:17,455 A DIFFERENCE ARE ALL HERE 1073 00:44:17,455 --> 00:44:20,958 TOGETHER AT THE SAME TIME. 1074 00:44:20,958 --> 00:44:25,363 I'LL BE FOCUSSING ON ENDOCRINE 1075 00:44:25,363 --> 00:44:28,733 DISRUPTING CHEMICALS AND CANCER 1076 00:44:28,733 --> 00:44:29,333 DISPARITIES. 1077 00:44:29,333 --> 00:44:32,837 SO I WOULD JUST LIKE TO -- WE'VE 1078 00:44:32,837 --> 00:44:33,638 BEEN TALKING ABOUT THIS. 1079 00:44:33,638 --> 00:44:35,473 IT'S BEEN COMING UP OVER AND 1080 00:44:35,473 --> 00:44:38,943 OVER AND ESPECIALLY WITH THE 1081 00:44:38,943 --> 00:44:41,212 COMMUNITY PEOPLE THAT WE HAVE 1082 00:44:41,212 --> 00:44:42,213 HEARD FROM THEIR EXPERIENCES 1083 00:44:42,213 --> 00:44:45,917 THIS CONCEPT OF ENVIRONMENTAL 1084 00:44:45,917 --> 00:44:50,187 JUST JUSTICE THE FAIR TREATMENT 1085 00:44:50,187 --> 00:44:52,023 AND MEANINGFUL INVOLVEMENT OF 1086 00:44:52,023 --> 00:44:54,525 ALL PEOPLE REGARDLESS OF RACE, 1087 00:44:54,525 --> 00:44:58,362 COLOR, NATIONAL ORIGIN OR INCOME 1088 00:44:58,362 --> 00:44:59,463 AND WITH THE ENFORCEMENT OF 1089 00:44:59,463 --> 00:45:00,064 ENVIRONMENTAL LAWS AND 1090 00:45:00,064 --> 00:45:02,433 REGULATIONS AND POLICIES. 1091 00:45:02,433 --> 00:45:05,603 WHILE THIS MAY BE OF 1092 00:45:05,603 --> 00:45:06,971 ENVIRONMENTAL JUSTICE AS WHAT'S 1093 00:45:06,971 --> 00:45:08,973 IN THE WATER AND AIR WE CAN 1094 00:45:08,973 --> 00:45:10,775 THINK ABOUT THIS IN TERMS OF 1095 00:45:10,775 --> 00:45:13,311 EXTENDING TO THE PRODUCTS THAT 1096 00:45:13,311 --> 00:45:15,246 WE USE WHETHER IT'S IN THE FOOD 1097 00:45:15,246 --> 00:45:17,081 WE EAT OR THE PRODUCTS WE USE 1098 00:45:17,081 --> 00:45:18,950 EVERY DAY AND I'M NOT GOING TO 1099 00:45:18,950 --> 00:45:23,354 GO TOO MUCH INTO THIS BUT I 1100 00:45:23,354 --> 00:45:24,021 WANTED TO HIGHLIGHT THAT 1101 00:45:24,021 --> 00:45:26,290 DR. BULLARD IS THE FATHER OF 1102 00:45:26,290 --> 00:45:35,433 ENVIRONMENTAL JUSTICE. 1103 00:45:35,433 --> 00:45:36,667 IF YOU WANT TO THINK OF HOW THE 1104 00:45:36,667 --> 00:45:38,669 TERM CAME OUT IT STARTED WITH 1105 00:45:38,669 --> 00:45:41,906 HIM AND STUDIES HE DID IN 1106 00:45:41,906 --> 00:45:43,274 HOUSTON LOOKING AT WHERE THE 1107 00:45:43,274 --> 00:45:45,543 WASTE FACILITIES, LANDFILLS, 1108 00:45:45,543 --> 00:45:47,578 CHEMICAL PLANT AND INCINERATORS 1109 00:45:47,578 --> 00:45:48,412 WERE BEING BUILT. 1110 00:45:48,412 --> 00:45:51,916 IT TURNS OUT NOT SURPRISINGLY 1111 00:45:51,916 --> 00:45:53,985 THAT ALL OF THIS WASTE WAS BEING 1112 00:45:53,985 --> 00:45:58,155 DUMPED IN COMMUNITIES OF COLOR 1113 00:45:58,155 --> 00:45:58,589 DISPROPORTIONATELY. 1114 00:45:58,589 --> 00:46:00,591 IF YOU'RE INTERESTED IN LEARNING 1115 00:46:00,591 --> 00:46:02,293 MORE HOW ENVIRONMENTAL JUSTICE 1116 00:46:02,293 --> 00:46:03,894 CAME ABOUT, YOU CAN GO AHEAD AND 1117 00:46:03,894 --> 00:46:08,132 TAKE A LOOK AT THE BOOK HE WROTE 1118 00:46:08,132 --> 00:46:09,867 IN 1990. 1119 00:46:09,867 --> 00:46:11,502 ONE THING WE'VE BEEN TALKING 1120 00:46:11,502 --> 00:46:18,175 ABOUT ARE THERE ARE DISPARITIES 1121 00:46:18,175 --> 00:46:19,977 IN ENDOCRINE DISRUPTORS AND EDC 1122 00:46:19,977 --> 00:46:20,244 EXPOSURES. 1123 00:46:20,244 --> 00:46:21,646 I'LL HIGHLIGHT A COUPLE STUDIES 1124 00:46:21,646 --> 00:46:24,048 THAT HAVE LOOKED AT THAT. 1125 00:46:24,048 --> 00:46:29,854 DR. SERGEANT AND HIS GROUP HAVE 1126 00:46:29,854 --> 00:46:35,359 A NICE REVIEW LOOKING AT 1127 00:46:35,359 --> 00:46:36,661 DISPARITIES AND ECDs RELATED TO 1128 00:46:36,661 --> 00:46:36,927 DIABETES. 1129 00:46:36,927 --> 00:46:43,067 THIS IS A SNAPSHOT OF ONE OF THE 1130 00:46:43,067 --> 00:46:51,876 TABLES IN THAT PAPER LOOKING AT 1131 00:46:51,876 --> 00:46:56,547 BISPHENOL A AND LOOKING AT 1132 00:46:56,547 --> 00:46:57,548 DISPARITIES AND INCOME AND 1133 00:46:57,548 --> 00:46:59,350 WHETHER YOU HAVE ACCESS TO 1134 00:46:59,350 --> 00:47:02,620 HEALTHY FOODS. 1135 00:47:02,620 --> 00:47:05,923 AGAIN, FOOD SECURITY AND WHETHER 1136 00:47:05,923 --> 00:47:09,060 YOU ARE EMPLOYED OR UNEMPLOYED 1137 00:47:09,060 --> 00:47:10,628 AND THERE ARE DIFFERENT LEVELS 1138 00:47:10,628 --> 00:47:12,029 AND THE LAST SPEAKER SAID I'M 1139 00:47:12,029 --> 00:47:15,099 FROM A COMMUNITY WHERE WE MAKE 1140 00:47:15,099 --> 00:47:16,634 PRETTY DECENT MONEY AND STILL 1141 00:47:16,634 --> 00:47:17,768 HAVING THESE ISSUES. 1142 00:47:17,768 --> 00:47:23,107 I HIGHLIGHT THAT THERE ARE 1143 00:47:23,107 --> 00:47:25,209 DISPARITIES ON DIFFERENT LEVELS 1144 00:47:25,209 --> 00:47:28,746 BUT DEPENDING TYPES OF EXPOSURES 1145 00:47:28,746 --> 00:47:31,816 THE ADVERSE EXPOSURES KNOW NO 1146 00:47:31,816 --> 00:47:32,550 BOUNDARIES IN CATEGORIES AND 1147 00:47:32,550 --> 00:47:37,922 CATEGORIZATIONS. 1148 00:47:37,922 --> 00:47:42,760 THE OTHER STUDY WE HEARD ABOUT 1149 00:47:42,760 --> 00:47:46,764 PARABENS AND THIS STUDY WHERE 1150 00:47:46,764 --> 00:47:51,635 THEY LOOKED AT URINARY LEVEL 1151 00:47:51,635 --> 00:47:53,003 ACROSS RACE AND RACIAL ETHNIC 1152 00:47:53,003 --> 00:47:56,273 GROUPS AND FOR BOTH THE HIGHEST 1153 00:47:56,273 --> 00:47:58,075 LEVELS ACROSS FOR THE MOST PART 1154 00:47:58,075 --> 00:47:59,810 ACROSS DIFFERENT AGE GROUPS THE 1155 00:47:59,810 --> 00:48:03,881 HIGHEST LEVELS WERE SEEN IN 1156 00:48:03,881 --> 00:48:06,117 MEXICAN AMERICANS IN THE BLUE 1157 00:48:06,117 --> 00:48:14,525 AND IN WOMEN AND I'LL COME BACK 1158 00:48:14,525 --> 00:48:15,893 TO THAT IN THE REST OF MY TALK. 1159 00:48:15,893 --> 00:48:21,532 SO THERE'S A REALLY NICE 1160 00:48:21,532 --> 00:48:22,333 REVIEWER PROPERTY FROM THE 1161 00:48:22,333 --> 00:48:23,868 AMERICAN ASSOCIATION FROM CANCER 1162 00:48:23,868 --> 00:48:24,401 RESEARCH. 1163 00:48:24,401 --> 00:48:26,437 I WON'T GO TOO MUCH INTO THIS 1164 00:48:26,437 --> 00:48:28,372 BUT WHEN WE'RE THINKING ABOUT 1165 00:48:28,372 --> 00:48:30,374 THE POPULATION GROUPS THAT 1166 00:48:30,374 --> 00:48:33,210 EXPERIENCE CANCER DISPARITIES 1167 00:48:33,210 --> 00:48:35,045 WE'RE TALKING ABOUT RACE OR 1168 00:48:35,045 --> 00:48:37,181 ETHNIC MINORITY POPULATIONS, 1169 00:48:37,181 --> 00:48:38,816 PEOPLE WHO DON'T HAVE INSURANCE 1170 00:48:38,816 --> 00:48:39,884 COVERAGE, PEOPLE WITH 1171 00:48:39,884 --> 00:48:41,585 DISABILITIES AND INDIVIDUALS 1172 00:48:41,585 --> 00:48:44,021 INCARCERATED AND THE LIST GOES 1173 00:48:44,021 --> 00:48:44,255 ON. 1174 00:48:44,255 --> 00:48:47,124 AND SO I WILL TALK ABOUT RACIAL 1175 00:48:47,124 --> 00:48:48,426 AND ETHNIC MINORITY POPULATIONS 1176 00:48:48,426 --> 00:48:49,827 AND DISPARITIES IN THIS GROUP 1177 00:48:49,827 --> 00:48:52,496 BUT I JUST WANT TO POINT OUT 1178 00:48:52,496 --> 00:48:57,301 THAT WE'RE TALKING ABOUT CANCER 1179 00:48:57,301 --> 00:48:57,935 DISPARITIES ACROSS A LOT OF 1180 00:48:57,935 --> 00:48:58,769 DIFFERENT POPULATION GROUPS AND 1181 00:48:58,769 --> 00:49:00,504 TO KEEP THIS IN MIND AS WE DO 1182 00:49:00,504 --> 00:49:03,707 OUR STUDIES AND MOVE FORWARD. 1183 00:49:03,707 --> 00:49:06,043 AND SO WHEN WE THINK ABOUT WHAT 1184 00:49:06,043 --> 00:49:09,547 IS DRIVING THESE CANCER 1185 00:49:09,547 --> 00:49:13,184 DISPARITIES IT'S VERY MULTI 1186 00:49:13,184 --> 00:49:13,751 LEVEL. 1187 00:49:13,751 --> 00:49:17,621 THERE'S SOCIO, PSYCHOSOCIAL AS 1188 00:49:17,621 --> 00:49:18,289 WELL AS ENVIRONMENTAL WHICH IS 1189 00:49:18,289 --> 00:49:20,724 WHAT WE'RE ALL TALKING ABOUT 1190 00:49:20,724 --> 00:49:20,925 TODAY. 1191 00:49:20,925 --> 00:49:23,394 WITHIN THAT CONTEXT WE'RE ALSO 1192 00:49:23,394 --> 00:49:24,595 THINKING ABOUT STRUCTURAL 1193 00:49:24,595 --> 00:49:27,798 INEQUITIES AND INJUSTICES, 1194 00:49:27,798 --> 00:49:28,732 RACISM, DISCRIMINATION AND 1195 00:49:28,732 --> 00:49:29,633 SEGREGATION. 1196 00:49:29,633 --> 00:49:31,435 ALL THESE THINGS KIND MUCH COME 1197 00:49:31,435 --> 00:49:36,574 TOGETHER TO UNFORTUNATELY IMPACT 1198 00:49:36,574 --> 00:49:38,642 WHETHER PEOPLE CAN GET CANCER 1199 00:49:38,642 --> 00:49:40,811 CARE, WHEN ARE THEY DIAGNOSED, 1200 00:49:40,811 --> 00:49:43,347 ARE THEY AT HIGHER RISK FOR 1201 00:49:43,347 --> 00:49:44,782 DEVELOPING THESE CANCERS AND 1202 00:49:44,782 --> 00:49:48,819 OTHER ADVERSE HEALTH OUTCOMES. 1203 00:49:48,819 --> 00:49:51,322 SO THERE WAS A VERY ELEGANT 1204 00:49:51,322 --> 00:49:55,659 STUDY THAT CAME OUT LOOKING AT 1205 00:49:55,659 --> 00:49:56,927 ASSOCIATIONS BETWEEN EDC 1206 00:49:56,927 --> 00:49:58,596 EXPOSURES AND PREVIOUS CANCER 1207 00:49:58,596 --> 00:49:58,863 DIAGNOSIS. 1208 00:49:58,863 --> 00:50:03,467 THIS GROUP WENT IN AND LOOKED AT 1209 00:50:03,467 --> 00:50:04,268 THE NHANES DATA WHICH WE HEARD A 1210 00:50:04,268 --> 00:50:06,136 LOT ABOUT IN THE PREVIOUS DAY. 1211 00:50:06,136 --> 00:50:07,705 I PULLED OUT A COUPLE EXAMPLES. 1212 00:50:07,705 --> 00:50:11,709 THIS IS FOR PHENOLS INCLUDING 1213 00:50:11,709 --> 00:50:14,545 BPA WHICH I TALKED ABOUT ON THE 1214 00:50:14,545 --> 00:50:16,447 PREVIOUS SLIDE AND PARABENS AND 1215 00:50:16,447 --> 00:50:18,215 IF WE LOOK AT DIFFERENT CANCERS 1216 00:50:18,215 --> 00:50:21,952 IN MEN, WE CAN SEE THAT THERE'S 1217 00:50:21,952 --> 00:50:23,687 VARIABILITY IN TERMS OF THE 1218 00:50:23,687 --> 00:50:27,625 ASSOCIATION BETWEEN THE 1219 00:50:27,625 --> 00:50:30,361 EXPOSURES IN PREVIOUS CANCER 1220 00:50:30,361 --> 00:50:31,662 DIAGNOSIS WITH SOME MAYBE A 1221 00:50:31,662 --> 00:50:33,063 LITTLE BIT OF INCREASED HIGHER 1222 00:50:33,063 --> 00:50:36,033 RISK FOR SOME OF THESE -- THIS 1223 00:50:36,033 --> 00:50:39,870 IS METHYL PARABEN AND PURPLE 1224 00:50:39,870 --> 00:50:41,405 PARABEN FOR PROSTATE CANCER AND 1225 00:50:41,405 --> 00:50:43,874 A SIMILAR STORY IN WOMEN FOR THE 1226 00:50:43,874 --> 00:50:46,877 PHENOLS AND PARABENS WHERE IT'S 1227 00:50:46,877 --> 00:50:49,113 DEPENDENT ON FOR BREAST CANCER 1228 00:50:49,113 --> 00:50:50,381 FOR EXAMPLE ALL REPRODUCTIVE 1229 00:50:50,381 --> 00:50:54,084 CANCERS AND OVARIAN CANCER THESE 1230 00:50:54,084 --> 00:50:55,719 CHEMICALS ARE ASSOCIATED WITH 1231 00:50:55,719 --> 00:51:00,691 HIRE CHANCE OF PREVIOUS CANCER 1232 00:51:00,691 --> 00:51:10,467 DIAGNOSIS HIGHER CHANCE OF 1233 00:51:10,467 --> 00:51:12,036 PREVIOUS CANCER AND THERE'S NOT 1234 00:51:12,036 --> 00:51:15,539 A LOT OF STUDIES FOR THIS AND 1235 00:51:15,539 --> 00:51:17,775 THEY LOOKED AT WHETHER WE CAN 1236 00:51:17,775 --> 00:51:19,109 SUBCLASSIFY AND SEE IF THERE'S A 1237 00:51:19,109 --> 00:51:20,844 DIFFERENCE IN THESE ASSOCIATIONS 1238 00:51:20,844 --> 00:51:23,480 BASED ON RACE AND ETHNICITY. 1239 00:51:23,480 --> 00:51:26,050 HERE I'M SHOWING ON THIS PANEL 1240 00:51:26,050 --> 00:51:27,718 THE RESULTS FOR THE FINALLIES 1241 00:51:27,718 --> 00:51:34,425 AND PAYER WEN -- PARABENS FOR 1242 00:51:34,425 --> 00:51:35,893 MEXICAN WOMEN VERSUS WHITE WOMEN 1243 00:51:35,893 --> 00:51:37,094 AND THERE'S NOT DIFFERENTIAL 1244 00:51:37,094 --> 00:51:39,396 ASSOCIATIONS BUT FOR BOTH WHITE 1245 00:51:39,396 --> 00:51:41,398 AND MEXICAN AMERICAN WOMEN BPA 1246 00:51:41,398 --> 00:51:44,468 IS ASSOCIATED WITH PREVIOUS 1247 00:51:44,468 --> 00:51:45,869 CANCER DIAGNOSIS FOR OVARIAN 1248 00:51:45,869 --> 00:51:47,838 CANCER, FOR EXAMPLE. 1249 00:51:47,838 --> 00:51:50,040 I THINK THIS STUDY AND WE CAN 1250 00:51:50,040 --> 00:51:52,042 SEE FOR BREAST CANCER BOTH WHITE 1251 00:51:52,042 --> 00:51:53,611 WOMEN AND MEXICAN AMERICAN WOMEN 1252 00:51:53,611 --> 00:51:56,747 THESE CHEMICALS ARE ASSOCIATED 1253 00:51:56,747 --> 00:51:59,616 WITH A HIGHER RISK OF PREVIOUS 1254 00:51:59,616 --> 00:52:00,884 CANCER DIAGNOSIS. 1255 00:52:00,884 --> 00:52:03,220 WHEN WE LOOK AT OTHER HISPANIC 1256 00:52:03,220 --> 00:52:04,955 AND WHITE WOMEN WE SEE KIND OF A 1257 00:52:04,955 --> 00:52:06,023 SIMILAR STORY WHERE IT'S 1258 00:52:06,023 --> 00:52:08,025 DEPENDENT ON THE CHEMICAL AND 1259 00:52:08,025 --> 00:52:09,893 DEPENDENT ON THE CANCER BUT FOR 1260 00:52:09,893 --> 00:52:14,398 EXAMPLE IF I HIGHLIGHT HERE FOR 1261 00:52:14,398 --> 00:52:17,768 BP3 FOR BREAST CANCER AND OTHER 1262 00:52:17,768 --> 00:52:20,037 HISPANIC WOMEN THERE'S A HIGHER 1263 00:52:20,037 --> 00:52:22,673 RATE OF PREVIOUS CANCER FOR 1264 00:52:22,673 --> 00:52:25,609 OTHER HISPANIC WOMEN WITH BP3. 1265 00:52:25,609 --> 00:52:30,914 THE CAVEAT WITH THIS STUDY IS 1266 00:52:30,914 --> 00:52:34,685 THIS IS WE'RE LOOKING AT 1267 00:52:34,685 --> 00:52:35,919 PREVIOUS CANCER DIAGNOSIS AND 1268 00:52:35,919 --> 00:52:39,890 THE LEVELS OF THE CHEMICALS THAT 1269 00:52:39,890 --> 00:52:42,459 WERE THE SNAPSHOT TAKEN WHEN THE 1270 00:52:42,459 --> 00:52:44,528 H HANES SURVEY WAS DONE. 1271 00:52:44,528 --> 00:52:49,833 SO THERE'S MORE WORK TO BE DONE 1272 00:52:49,833 --> 00:52:51,001 IN THIS AREA BUT IF YOU'RE 1273 00:52:51,001 --> 00:52:54,571 INTERESTED LOOK AT TO THE PAPER 1274 00:52:54,571 --> 00:52:56,440 BECAUSE THEY ALSO LOOKED AT 1275 00:52:56,440 --> 00:52:57,608 PHTHALATES AND OTHER CHEMICALS 1276 00:52:57,608 --> 00:53:00,444 AND THERE WAS OTHER DATA I 1277 00:53:00,444 --> 00:53:02,279 DIDN'T PULL OUT FOR TIME. 1278 00:53:02,279 --> 00:53:08,052 WE KIND OF ALREADY HAVE SEEN A 1279 00:53:08,052 --> 00:53:18,595 VERSION OF THIS HOW THEY ACT AND 1280 00:53:22,733 --> 00:53:24,668 HOW THEY POTENTIALLY DRIVE THE 1281 00:53:24,668 --> 00:53:28,138 CANCER DISPARITIES SO ONE WAY WE 1282 00:53:28,138 --> 00:53:29,907 STUDY THIS THOUGH WE HAVE TALKED 1283 00:53:29,907 --> 00:53:32,876 ABOUT HOW REDUCTIONIST IT CAN BE 1284 00:53:32,876 --> 00:53:35,012 AND ONE WAY WE STUDIED THIS IN 1285 00:53:35,012 --> 00:53:37,247 THE LAB BECAUSE WE CAN'T GIVE 1286 00:53:37,247 --> 00:53:39,416 PEOPLE THE CHEMICALS AND FIGURE 1287 00:53:39,416 --> 00:53:41,385 OUT HOW THEY WORK IN TERMS OF 1288 00:53:41,385 --> 00:53:43,754 CANCER DEVELOP 1289 00:53:43,754 --> 00:53:47,458 THE AND PROGRESSION AND USE IN 1290 00:53:47,458 --> 00:53:49,093 VITRO MODELS. 1291 00:53:49,093 --> 00:53:51,261 WE DID A SCREEN WITH THE NCI6 1292 00:53:51,261 --> 00:53:56,033 PANEL OF CELLS. 1293 00:53:56,033 --> 00:54:02,706 THIS IS A PANEL OF 60 CHEMICALS 1294 00:54:02,706 --> 00:54:04,775 AND LOOKED AT CELL VIABILITY. 1295 00:54:04,775 --> 00:54:08,045 THIS IS A HEAT MAP I PULLED OUT 1296 00:54:08,045 --> 00:54:12,049 THE BREAST CANCER CELLS. 1297 00:54:12,049 --> 00:54:15,886 THOSE THAT GET MORE YELLOW ARE 1298 00:54:15,886 --> 00:54:18,689 WHERE WE SEE THE INCREASED 1299 00:54:18,689 --> 00:54:21,892 GROWTH OF THE BREAST CANCER 1300 00:54:21,892 --> 00:54:23,260 CELLS. 1301 00:54:23,260 --> 00:54:27,331 FIVE OF THE SIX CANCER CELL 1302 00:54:27,331 --> 00:54:28,565 LINES ARE EUROPEAN HISTORY AND 1303 00:54:28,565 --> 00:54:30,667 NOT GOOD NEWS AND MOST ARE 1304 00:54:30,667 --> 00:54:30,901 EUROPE. 1305 00:54:30,901 --> 00:54:33,837 IT'S OF A CAVEAT OF THE STUDY 1306 00:54:33,837 --> 00:54:35,139 AND OF PREVIOUS STUDIES MOVING 1307 00:54:35,139 --> 00:54:40,711 FORWARD WE'LL NEED TO TAKE THIS 1308 00:54:40,711 --> 00:54:44,047 INTO ACCOUNT. 1309 00:54:44,047 --> 00:54:48,685 SO THERE MAY BE AN ASSOCIATION 1310 00:54:48,685 --> 00:54:52,089 WITH THE EXPOSURES AND CAN 1311 00:54:52,089 --> 00:54:52,890 REDUCING EXPOSURES REDUCE THE 1312 00:54:52,890 --> 00:54:56,126 RISK OF THESE CANCERS. 1313 00:54:56,126 --> 00:54:57,995 SOMETHING PEOPLE ARE STARTING TO 1314 00:54:57,995 --> 00:54:59,830 TALK ABOUT IS DO ECDs INTERFERE 1315 00:54:59,830 --> 00:55:03,100 WITH THERAPIES BECAUSE HORMONE 1316 00:55:03,100 --> 00:55:05,702 RESPONSIVE CANCERS THESE 1317 00:55:05,702 --> 00:55:06,837 THERAPIES ARE HORMONE RELATED 1318 00:55:06,837 --> 00:55:09,273 AND WE CAN HAVE AN INTERFERENCE 1319 00:55:09,273 --> 00:55:10,240 WITH THE THERAPIES AND SOMETHING 1320 00:55:10,240 --> 00:55:13,911 THAT I DIDN'T GET TO TALK ABOUT 1321 00:55:13,911 --> 00:55:16,380 BUT WE KNOW AND HAVE HEARD ECDs 1322 00:55:16,380 --> 00:55:21,685 ARE ALSO OBESOGENIC AND DIABETES 1323 00:55:21,685 --> 00:55:23,420 AND OBESITY ARE RISK FACTORS FOR 1324 00:55:23,420 --> 00:55:24,955 CANCER AND CANCER DISPARITY AND 1325 00:55:24,955 --> 00:55:27,024 SOMETHING IMPORTANT WE'VE BEEN 1326 00:55:27,024 --> 00:55:27,925 TALKING ABOUT THE GAP IN 1327 00:55:27,925 --> 00:55:32,563 RESEARCH INCLUSIVITY AND IT'S A 1328 00:55:32,563 --> 00:55:34,698 MAJOR DISPARITY IN UNDERSTANDING 1329 00:55:34,698 --> 00:55:34,998 THE LIRNGZ. 1330 00:55:34,998 --> 00:55:36,667 WITH THAT I'D LIKE TO THANK MY 1331 00:55:36,667 --> 00:55:37,234 COLLABORATORS AND FUNDING 1332 00:55:37,234 --> 00:55:37,467 SOURCES. 1333 00:55:37,467 --> 00:55:38,068 THANK YOU VERY MUCH FOR YOUR 1334 00:55:38,068 --> 00:55:48,245 ATTENTION. 1335 00:56:08,098 --> 00:56:11,168 >> NEXT UP WE'LL HAVE 1336 00:56:11,168 --> 00:56:14,571 DR. LEONARDO TRASANDE. 1337 00:56:14,571 --> 00:56:16,206 >> THANK YOU FOR THE 1338 00:56:16,206 --> 00:56:16,807 OPPORTUNITY. 1339 00:56:16,807 --> 00:56:19,743 SORRY I CAN'T BE WITH YOU. 1340 00:56:19,743 --> 00:56:22,179 IT'S MY SON'S 8th GRADE 1341 00:56:22,179 --> 00:56:26,183 GRADUATION TODAY SO I HAVE TO BE 1342 00:56:26,183 --> 00:56:27,951 A PARENT FIRST THAN IN PERSON. 1343 00:56:27,951 --> 00:56:30,120 BUT IT'S BEEN A WONDERFUL TWO 1344 00:56:30,120 --> 00:56:32,022 DAYS THUS FAR AND I'M DELIGHTED 1345 00:56:32,022 --> 00:56:33,790 TO BE PART OF THIS. 1346 00:56:33,790 --> 00:56:39,062 SO IF WE CAN GO TO THE NEXT 1347 00:56:39,062 --> 00:56:41,465 SLIDE, I'LL PROVIDE THE ADULT 1348 00:56:41,465 --> 00:56:45,736 SUMMARY BEFORE WE GO IN. 1349 00:56:45,736 --> 00:56:47,337 MANY OF YOU HAVE ALREADY BETTER 1350 00:56:47,337 --> 00:56:56,913 THAN I EXPLAINED THE IMPACT OF 1351 00:56:56,913 --> 00:56:57,547 ENDOCRINE DISRUPTING CHEMICALS 1352 00:56:57,547 --> 00:57:00,317 ON DISEASE ACROSS THE LIFE SPAN. 1353 00:57:00,317 --> 00:57:03,820 I'LL HAVE A SUBPAR COMPONENT AND 1354 00:57:03,820 --> 00:57:05,022 PLASTICS ARE A SUBSTANTIAL 1355 00:57:05,022 --> 00:57:06,890 DRIVER OF EDC RELATED DISEASE 1356 00:57:06,890 --> 00:57:08,058 AND DISABILITY. 1357 00:57:08,058 --> 00:57:15,899 THAT'S VERY RECENT WORK WE'VE 1358 00:57:15,899 --> 00:57:20,037 DESCRIBED. 1359 00:57:20,037 --> 00:57:21,772 AND WE KNOW AS LINDSEY EXPLAINED 1360 00:57:21,772 --> 00:57:23,707 IT'S A STARK AND DIFFICULTY 1361 00:57:23,707 --> 00:57:25,709 REALITY AND MORE IMPORTANT TO 1362 00:57:25,709 --> 00:57:33,917 ADDRESS WE KNOW DISPROPORTIONATE 1363 00:57:33,917 --> 00:57:38,388 EXPOSURES TO ECDs ARE WIDELY 1364 00:57:38,388 --> 00:57:42,759 EXPERIENCED AND THE DISEASE AND 1365 00:57:42,759 --> 00:57:43,393 BURDEN DISPROPORTIONATELY BORN 1366 00:57:43,393 --> 00:57:44,294 BY SUBPOPULATIONS. 1367 00:57:44,294 --> 00:57:46,129 WE NEED TO DEVELOP AND SCALE 1368 00:57:46,129 --> 00:57:51,101 INTERVENTIONS FOR THOSE WHO 1369 00:57:51,101 --> 00:57:54,638 SUFFER THE MOST. 1370 00:57:54,638 --> 00:57:55,739 THE NEXT COUPLE OF SLIDES ARE 1371 00:57:55,739 --> 00:57:58,075 PROBABLY A REVIEW. 1372 00:57:58,075 --> 00:58:01,144 THE SCIENCE AT THIS POINT IS 1373 00:58:01,144 --> 00:58:03,914 WELL ESTABLISHED AND MAINSTREAM 1374 00:58:03,914 --> 00:58:09,419 AND VIGOROUS AND WAS THE 1375 00:58:09,419 --> 00:58:12,556 ENDOCRINE DISRUPTING DECLARATION 1376 00:58:12,556 --> 00:58:14,524 AND WAS A LABORATORY AND BASIC 1377 00:58:14,524 --> 00:58:19,996 SCIENCE SET OF DISCOVERIES AND 1378 00:58:19,996 --> 00:58:21,598 FURTHER ELABORATED BY THE REPORT 1379 00:58:21,598 --> 00:58:25,602 DOCUMENTING A GLOBAL PUBLIC 1380 00:58:25,602 --> 00:58:30,006 HEALTH CONCERN OF ECDs IN 2012. 1381 00:58:30,006 --> 00:58:36,913 AND THE DRUMBEAT HAS CONTINUED. 1382 00:58:36,913 --> 00:58:38,815 THE ENDOCRINE SOCIETY HAD A 1383 00:58:38,815 --> 00:58:40,217 STATEMENT WITH REFERENCES 1384 00:58:40,217 --> 00:58:44,020 PARTICULARLY EVIDENCE FROM HUMAN 1385 00:58:44,020 --> 00:58:45,789 STUDIES ON THE LOWER LEFT YOU 1386 00:58:45,789 --> 00:58:51,495 SEE GUIDANCE FOR PATIENTS OR 1387 00:58:51,495 --> 00:58:53,296 PREGNANT PEOPLE IDENTIFYING 1388 00:58:53,296 --> 00:58:54,431 STEPS TO REDUCE EXPOSURE. 1389 00:58:54,431 --> 00:59:00,604 I'M PROUD TO SAY THE AMERICAN 1390 00:59:00,604 --> 00:59:11,248 ACADEMY OF PEDIATRICS HAD AN 1391 00:59:16,553 --> 00:59:20,023 ARTICLE FOR THE ADDITIVE TO 1392 00:59:20,023 --> 00:59:21,858 FOODS AND NEED TO BE ADDRESSED 1393 00:59:21,858 --> 00:59:23,059 THROUGH PUBLIC POLICY. 1394 00:59:23,059 --> 00:59:24,928 THAT THE THE MOST POTENT OBESITY 1395 00:59:24,928 --> 00:59:25,629 AND DIABETES PREVENTION PATHWAY 1396 00:59:25,629 --> 00:59:31,802 IN THEIR EYES. 1397 00:59:31,802 --> 00:59:35,405 THEN THE COMMUNITY DISCUSSION 1398 00:59:35,405 --> 00:59:37,541 REALLY DROVE THIS HOME AND THE 1399 00:59:37,541 --> 00:59:39,943 NATIONAL ACADEMY OF SCIENCES AND 1400 00:59:39,943 --> 00:59:41,978 THE FOLLOW-UP CDC REPORT 1401 00:59:41,978 --> 00:59:43,580 DOCUMENTING HEALTH CARE PROVIDER 1402 00:59:43,580 --> 00:59:45,916 STEPS TO ADDRESS PFAS ARE 1403 00:59:45,916 --> 00:59:48,251 LANDMARK WHEN YOU THINK ABOUT 1404 00:59:48,251 --> 00:59:50,120 THE REALITY THE LAST CHEMICAL 1405 00:59:50,120 --> 00:59:55,926 THAT WAS ROUTINELY SUGGESTED FOR 1406 00:59:55,926 --> 00:59:57,894 CLINICAL TESTING WAS LEAD NEARLY 1407 00:59:57,894 --> 01:00:04,534 40 OR SO YEARS AGO. 1408 01:00:04,534 --> 01:00:08,038 SO, DOCUMENT THE DISEASE BURDEN 1409 01:00:08,038 --> 01:00:13,477 THAT WE KNOW DUE TO ECDs THAT 1410 01:00:13,477 --> 01:00:15,045 AFFECT ALL OF US. 1411 01:00:15,045 --> 01:00:17,747 BASED ON AN INDIVIDUALS OF STUDY 1412 01:00:17,747 --> 01:00:21,218 FROM 2015 SOMEWHAT DATED NOW BUT 1413 01:00:21,218 --> 01:00:26,056 WERE THE BEST CRITERIA FOR 1414 01:00:26,056 --> 01:00:27,924 EVALUATING THE EVIDENCE USING 1415 01:00:27,924 --> 01:00:32,028 THE INTERGOVERNMENTAL PANEL ON 1416 01:00:32,028 --> 01:00:34,731 CLIMATE CHANGE TO REDUCE BURDEN 1417 01:00:34,731 --> 01:00:35,332 AND ECONOMIC COST BASED ON 1418 01:00:35,332 --> 01:00:37,033 DEGREE OF UNCERTAINTY. 1419 01:00:37,033 --> 01:00:40,036 WHAT WE FIRST FOUND IN EUROPE 1420 01:00:40,036 --> 01:00:43,974 WERE COST OF ECDs ANNUALLY OF 1421 01:00:43,974 --> 01:00:50,013 160 BILLION EURO, 1.2% OF THE 1422 01:00:50,013 --> 01:00:52,282 GROSS DOMESTIC PRODUCT AND IT 1423 01:00:52,282 --> 01:00:58,388 WAS ONLY BASED ON FEWER THAN 5% 1424 01:00:58,388 --> 01:01:06,229 OF THE EDCs STUDIES AND THIS IS 1425 01:01:06,229 --> 01:01:11,067 A SEVERE UNDER ESTIMATE AND YET 1426 01:01:11,067 --> 01:01:12,035 1% OF THE GROSS DOMESTIC 1427 01:01:12,035 --> 01:01:13,270 PRODUCT. 1428 01:01:13,270 --> 01:01:14,471 THE U.S. COST HIGHER. 1429 01:01:14,471 --> 01:01:17,007 BECAUSE POLICIES PREDICT 1430 01:01:17,007 --> 01:01:17,941 EXPOSURE. 1431 01:01:17,941 --> 01:01:18,708 EXPOSURE CONTRIBUTE TO DISEASE 1432 01:01:18,708 --> 01:01:20,410 AND DISEASE ULTIMATELY AFFECTS 1433 01:01:20,410 --> 01:01:22,279 US ALL. 1434 01:01:22,279 --> 01:01:23,246 THE REASON THE COSTS IN THE 1435 01:01:23,246 --> 01:01:26,182 U.S. ARE HIGHER IS THE LEGACY OF 1436 01:01:26,182 --> 01:01:27,918 THE CALIFORNIA LAW THAT REQUIRE 1437 01:01:27,918 --> 01:01:31,955 FLAME RETARDANTS BE ADDED TO 1438 01:01:31,955 --> 01:01:33,990 EVERY PIECE OF POLY URETHANE 1439 01:01:33,990 --> 01:01:35,692 FOAM IN FURNITURE FOR MANY YEARS 1440 01:01:35,692 --> 01:01:41,665 AND THAT ONLY STOPPED IN 2013. 1441 01:01:41,665 --> 01:01:44,534 EUROPE ALREADY BANNED PBDEs BY 1442 01:01:44,534 --> 01:01:46,903 THEN BUT THE REVERBERATION IN 1443 01:01:46,903 --> 01:01:50,473 THE U.S. FOR GENERATION WAS IN 1444 01:01:50,473 --> 01:01:55,579 THE FORM OF $240 BILLION OF LOST 1445 01:01:55,579 --> 01:01:57,280 EXPECT PRODUCTIVITY DUE TO FLAME 1446 01:01:57,280 --> 01:01:59,849 RETARDANTS ALONE AND MORE THAN 1447 01:01:59,849 --> 01:02:03,687 $160 BILLION EXPLAINED IN 1448 01:02:03,687 --> 01:02:03,920 EUROPE. 1449 01:02:03,920 --> 01:02:06,957 THE GOOD NEWS, THERE CAN BE GOOD 1450 01:02:06,957 --> 01:02:09,659 NEWS, IS GOOD POLICIES LIKE THE 1451 01:02:09,659 --> 01:02:12,028 FOOD POLICY PROTECTION ACT ADDED 1452 01:02:12,028 --> 01:02:13,863 AN ADDITIONAL SAFETY FACTOR FOR 1453 01:02:13,863 --> 01:02:24,374 KIDS RESULTING IN LOW ORGANO 1454 01:02:29,379 --> 01:02:31,381 PHOSPHATES BECAUSE OF THE POLICY 1455 01:02:31,381 --> 01:02:41,925 PREVENTION AND PROACTIVE ACTION. 1456 01:02:44,094 --> 01:02:44,160 . 1457 01:02:44,160 --> 01:02:48,965 THE SLIDE HAS CHANGED BUT WE 1458 01:02:48,965 --> 01:02:50,500 SUBSEQUENTLY LOOKED AT P FOS 1459 01:02:50,500 --> 01:02:53,269 ACROSS THE 13 CONDITIONS THAT 1460 01:02:53,269 --> 01:02:56,272 RUN CRADLE TO GRAVE FROM 1461 01:02:56,272 --> 01:03:06,282 INFECTIOUS TO CHRONIC DISEASE 1462 01:03:06,282 --> 01:03:09,919 AND THE COSTS ARE IN THE $5 1463 01:03:09,919 --> 01:03:10,720 BILLION DOLLARS. 1464 01:03:10,720 --> 01:03:12,455 WITH THIS AUDIENCE AND THE OTHER 1465 01:03:12,455 --> 01:03:14,457 PANELISTS I DON'T HAVE TO GO 1466 01:03:14,457 --> 01:03:16,459 INTO AS MUCH DETAIL IN 1467 01:03:16,459 --> 01:03:21,865 DOCUMENTING THE DISPARITIES IN 1468 01:03:21,865 --> 01:03:27,904 THE ECDs EXPOSURE. 1469 01:03:27,904 --> 01:03:30,940 AND SUFFICE TO SAY WE'VE HAD 1470 01:03:30,940 --> 01:03:32,475 MULTIPLE STUDIES DOCUMENT THE 1471 01:03:32,475 --> 01:03:38,615 DIFFERENCES AND PATHWAYS IN EDC 1472 01:03:38,615 --> 01:03:40,417 EXPOSURE THAT CONTRIBUTE TO 1473 01:03:40,417 --> 01:03:44,020 DOCUMENTED DIFFERENCES IN LEVEL 1474 01:03:44,020 --> 01:03:45,689 OF DISEASE AND BURDEN AND 1475 01:03:45,689 --> 01:03:46,322 DISABILITY I'LL TALK ABOUT IN 1476 01:03:46,322 --> 01:03:51,895 THE NEXT SLIDE. 1477 01:03:51,895 --> 01:03:52,996 YOU'LL REMEMBER IN THAT SLIDE 1478 01:03:52,996 --> 01:03:55,965 THAT THE DISEASE BURDEN OF $340 1479 01:03:55,965 --> 01:03:58,935 BILLION IN THE U.S. WAS LARGELY 1480 01:03:58,935 --> 01:04:01,037 DRIVEN BY NEUROCOGNITIVE 1481 01:04:01,037 --> 01:04:03,873 CONSEQUENCES AND DRIVEN BY FLAME 1482 01:04:03,873 --> 01:04:08,044 RETARDANT CONSEQUENCES. 1483 01:04:08,044 --> 01:04:10,647 WITH FOLLOW-UP WORK WE LOOKED 1484 01:04:10,647 --> 01:04:12,482 MORE CAREFULLY FOLLOWING ON 1485 01:04:12,482 --> 01:04:14,818 NHANES DATA ON ALL CHEMICALS WE 1486 01:04:14,818 --> 01:04:16,319 STUDIED IN THE PREVIOUS ANALYSES 1487 01:04:16,319 --> 01:04:19,622 AND WHAT THE BURDEN WAS BY SUB 1488 01:04:19,622 --> 01:04:20,790 POPULATION AND RACIAL ETHNIC 1489 01:04:20,790 --> 01:04:21,057 SUBGROUP. 1490 01:04:21,057 --> 01:04:24,661 AND THE FINDINGS ARE DISTURBING. 1491 01:04:24,661 --> 01:04:28,798 YOU CAN SEE IN THE SECOND COLUMN 1492 01:04:28,798 --> 01:04:31,568 THE PROPORTION OF THE POPULATION 1493 01:04:31,568 --> 01:04:33,470 THAT ALIGNS WITH EACH RACIAL 1494 01:04:33,470 --> 01:04:35,705 ETHNIC GROUP IN THE U.S. AT THE 1495 01:04:35,705 --> 01:04:36,005 TIME. 1496 01:04:36,005 --> 01:04:41,311 AND YOU CAN SEE IN BOLD THE 1497 01:04:41,311 --> 01:04:42,879 DISPARITIES BROUGHT HOME. 1498 01:04:42,879 --> 01:04:44,214 SO NON-HISPANIC BLACKS COMPRISED 1499 01:04:44,214 --> 01:04:46,850 OF 14.7% OF THE U.S. POPULATION 1500 01:04:46,850 --> 01:04:52,021 AT THE TIME WE STUDIED THIS. 1501 01:04:52,021 --> 01:04:59,262 YET THEY SUFFER 17% AND IF YOU 1502 01:04:59,262 --> 01:05:00,663 USE SENSITIVITY ANALYSES TO 1503 01:05:00,663 --> 01:05:02,766 MODIFY THE ASSUMPTION THE TRUE 1504 01:05:02,766 --> 01:05:04,534 PERCENTAGE MAY BE A LITTLE LOWER 1505 01:05:04,534 --> 01:05:04,801 16%. 1506 01:05:04,801 --> 01:05:06,503 IT DOESN'T SEEM LIKE A LOT BUT 1507 01:05:06,503 --> 01:05:08,705 ACROSS THE U.S. POPULATION 1508 01:05:08,705 --> 01:05:11,875 THAT'S A BIG CHANGE IN DISEASE 1509 01:05:11,875 --> 01:05:13,910 BURDEN AND CAUSES OF PROPORTION 1510 01:05:13,910 --> 01:05:14,477 OF THE POPULATION. 1511 01:05:14,477 --> 01:05:20,016 THEN WHEN YOU LOOK AT ORGAN JOE 1512 01:05:20,016 --> 01:05:30,527 FOSS -- ORGAN JOE FOSS -- -- 1513 01:05:35,698 --> 01:05:36,666 ORGANOPHOSPHATE EXPOSURE AND 1514 01:05:36,666 --> 01:05:38,802 NON-HISPANIC BLACK AND MEXICAN 1515 01:05:38,802 --> 01:05:40,403 AMERICANS CONTINUE TO BEAR THEIR 1516 01:05:40,403 --> 01:05:42,806 BURDEN BUT YOU SEE NON-HISPANIC 1517 01:05:42,806 --> 01:05:44,374 WHITES SUFFER A LOWER BURDEN. 1518 01:05:44,374 --> 01:05:49,646 LESS THAN THE MAJORITY. 1519 01:05:49,646 --> 01:05:52,348 DESPITE 54% OF THE POPULATION AT 1520 01:05:52,348 --> 01:05:56,019 THE TIME WAS NOT HISPANIC. 1521 01:05:56,019 --> 01:05:57,353 >> TWO MINUTES. 1522 01:05:57,353 --> 01:05:58,188 >> NO PROBLEM. 1523 01:05:58,188 --> 01:06:01,791 WITH OBESITY DISPARITIES WE SEE 1524 01:06:01,791 --> 01:06:02,592 EVEN MORE STARK CONSEQUENCES 1525 01:06:02,592 --> 01:06:04,227 WHEN YOU LOOK AT LEGACY 1526 01:06:04,227 --> 01:06:07,597 PESTICIDES SUCH AS DDT WITH 1527 01:06:07,597 --> 01:06:11,067 CONTRIBUTIONS OF CHILDHOOD 1528 01:06:11,067 --> 01:06:12,368 OVERWEIGHT AND DIABETES. 1529 01:06:12,368 --> 01:06:13,603 MUCH HIGHER AS DESCRIBED. 1530 01:06:13,603 --> 01:06:15,405 LET'S GO THROUGH QUICKLY BECAUSE 1531 01:06:15,405 --> 01:06:18,274 I'VE HAD THE BENEFIT OF THE NEXT 1532 01:06:18,274 --> 01:06:23,379 SLIDE, PLEASE, OF OTHERS 1533 01:06:23,379 --> 01:06:26,182 DESCRIBING INTERVENTION BUT THIS 1534 01:06:26,182 --> 01:06:27,083 SLIDE BRINGS IT FURTHER HOME. 1535 01:06:27,083 --> 01:06:31,855 YOU CAN SEE NON-HISPANIC WHITES 1536 01:06:31,855 --> 01:06:33,523 COMPRISE ROUGHLY 66% OF THE 1537 01:06:33,523 --> 01:06:37,527 POPULATION YET ONLY PAY 52% OF 1538 01:06:37,527 --> 01:06:39,762 THE FAIR WHEN OUT COMES TO 1539 01:06:39,762 --> 01:06:43,066 DISEASE BURDEN COSTS. 1540 01:06:43,066 --> 01:06:45,201 YOU CAN SEE NEARLY EVERY OTHER 1541 01:06:45,201 --> 01:06:50,306 GROUP SUFFERS A DISPROPORTIONATE 1542 01:06:50,306 --> 01:06:50,807 BAUE 1543 01:06:50,807 --> 01:06:51,574 BURDEN. 1544 01:06:51,574 --> 01:06:56,012 WE NEED TO ARTICULATE SAFE AND 1545 01:06:56,012 --> 01:07:03,920 SIMPLE STEPS TO POPULATIONS TO 1546 01:07:03,920 --> 01:07:05,955 MITIGATE EXPOSURES. 1547 01:07:05,955 --> 01:07:08,725 WITH I KNOW EXPOSURE CAN BE 1548 01:07:08,725 --> 01:07:12,028 PREVENTED IN HIGH-INCOME AS WELL 1549 01:07:12,028 --> 01:07:13,763 AS LOW-INCOME POPULATIONS AND 1550 01:07:13,763 --> 01:07:18,635 POLICY ACTIONS THAT ALSO REDUCE 1551 01:07:18,635 --> 01:07:19,569 THE EXPOSURES DISPROPORTIONATELY 1552 01:07:19,569 --> 01:07:20,937 BENEFITS SUBPOPULATIONS. 1553 01:07:20,937 --> 01:07:24,807 THE SAME IS TRUE FOR BISPHENOL 1554 01:07:24,807 --> 01:07:25,642 AND PHTHALATE EXPOSURES. 1555 01:07:25,642 --> 01:07:29,245 THEY'VE BEEN PREVENTED IN 1556 01:07:29,245 --> 01:07:29,879 HIGH-INCOME POPULATIONS AS WELL 1557 01:07:29,879 --> 01:07:30,113 AS LOW. 1558 01:07:30,113 --> 01:07:31,247 THE NATURE OF THE INTERVENTION 1559 01:07:31,247 --> 01:07:37,587 MAY DIFFER BUT WE NEED TARGETED 1560 01:07:37,587 --> 01:07:38,154 INTERVENTIONS. 1561 01:07:38,154 --> 01:07:40,023 THE HOUSEHOLD ENVIRONMENT IS 1562 01:07:40,023 --> 01:07:40,657 IMPORTANT TOO. 1563 01:07:40,657 --> 01:07:43,259 PROBABLY NOT AS GOING TO BE AS 1564 01:07:43,259 --> 01:07:45,194 EASY TO INCOME IN LOW-INCOME 1565 01:07:45,194 --> 01:07:48,398 POPULATIONS BUT REINFORCES THE 1566 01:07:48,398 --> 01:07:49,966 POLICY THAT POLICY EXPOSURE CAN 1567 01:07:49,966 --> 01:07:52,468 PRODUCE SUBSTANTIAL DECREASES IN 1568 01:07:52,468 --> 01:07:54,971 THE FLAME RETARDANTS AND THE 1569 01:07:54,971 --> 01:08:00,243 PFAS. 1570 01:08:00,243 --> 01:08:03,746 WITH THAT I'LL EMPHASIZE WE'VE 1571 01:08:03,746 --> 01:08:07,817 DOCUMENTED THE EXPOSURE TO THE 1572 01:08:07,817 --> 01:08:12,021 VDCs IS ANYWHERE FROM 70 TO 100% 1573 01:08:12,021 --> 01:08:15,325 PLASTIC AND THE PROPORTION OF 1574 01:08:15,325 --> 01:08:18,461 EDC RELATED DISEASE BURDEN THAT 1575 01:08:18,461 --> 01:08:20,196 IS DUE TO PLASTIC IS IN THAT 1576 01:08:20,196 --> 01:08:23,366 SAME RANGE WITH THE DISPARITIES 1577 01:08:23,366 --> 01:08:24,734 FOLLOWING THE SAME DRUMBEAT. 1578 01:08:24,734 --> 01:08:27,170 SO WE NEED TO PARTICULARLY FOCUS 1579 01:08:27,170 --> 01:08:28,504 AS WE THINK ABOUT A GLOBAL 1580 01:08:28,504 --> 01:08:30,406 PLASTICS TREATY AND OTHER STEPS 1581 01:08:30,406 --> 01:08:32,208 TO REDUCE THESE CHEMICAL 1582 01:08:32,208 --> 01:08:34,477 EXPOSURES ABOUT THE PRIMARY 1583 01:08:34,477 --> 01:08:35,778 SOURCES AND FOCUS ON THOSE 1584 01:08:35,778 --> 01:08:36,346 PREVENTION STEPS AS WELL. 1585 01:08:36,346 --> 01:08:45,922 THANK YOU FOR THE OPPORTUNITY. 1586 01:08:45,922 --> 01:08:47,724 >> SHOULD I BEGIN? 1587 01:08:47,724 --> 01:08:50,159 >> YES. 1588 01:08:50,159 --> 01:08:50,860 THANK YOU. 1589 01:08:50,860 --> 01:09:01,170 >> HOLD ON, SORRY. 1590 01:09:01,871 --> 01:09:04,507 >> DR. TRASSANDE I NEED YOU TO 1591 01:09:04,507 --> 01:09:06,009 STOP MOVING THE MOUSE FOR A 1592 01:09:06,009 --> 01:09:06,242 SECOND. 1593 01:09:06,242 --> 01:09:08,044 >> I CAN'T MUTE. 1594 01:09:08,044 --> 01:09:09,212 THAT'S WHAT CAN'T DO. 1595 01:09:09,212 --> 01:09:09,479 OKAY. 1596 01:09:09,479 --> 01:09:15,385 YOU CAN MUTE NOW. 1597 01:09:15,385 --> 01:09:19,188 >> OKAY. 1598 01:09:19,188 --> 01:09:27,897 SEEMS LIKE -- SO SHOULD I BEGIN? 1599 01:09:27,897 --> 01:09:28,064 YES? 1600 01:09:28,064 --> 01:09:31,200 >> YES, THANKS. 1601 01:09:31,200 --> 01:09:33,636 >> I'M DR. ZOTA FROM COLUMBIA 1602 01:09:33,636 --> 01:09:34,537 UNIVERSITY. 1603 01:09:34,537 --> 01:09:36,773 WHAT I'M GOING TO FOCUS MY TALK 1604 01:09:36,773 --> 01:09:44,013 ON IS THE ROLE OF SOCIAL AND 1605 01:09:44,013 --> 01:09:45,982 STRUCTURAL DETERMINATES IN 1606 01:09:45,982 --> 01:09:47,350 DRIVING INEQUITIES IN EDC 1607 01:09:47,350 --> 01:09:50,253 EXPOSURES AND POTENTIAL 1608 01:09:50,253 --> 01:09:51,387 INTERVENTIONS AND I KIND MUCH 1609 01:09:51,387 --> 01:09:53,723 CALL THIS LINE OF WORK THE 1610 01:09:53,723 --> 01:09:55,692 ENVIRONMENTAL INJUSTICE AND 1611 01:09:55,692 --> 01:09:57,927 BEAUTY AND I'LL BE DEFINING THAT 1612 01:09:57,927 --> 01:10:07,303 LATER. 1613 01:10:07,303 --> 01:10:08,371 MY TALK IS GOING TO BE FOCUSSED 1614 01:10:08,371 --> 01:10:10,706 ON THE BEAUTY CARE PRODUCTS IN 1615 01:10:10,706 --> 01:10:10,973 INDUSTRY. 1616 01:10:10,973 --> 01:10:13,476 I THINK WE'VE HAD MANY TALKS 1617 01:10:13,476 --> 01:10:17,346 THAT HAVE HIGHLIGHTED OUR 1618 01:10:17,346 --> 01:10:21,050 LARGELY UNREGULATED INDUSTRY OF 1619 01:10:21,050 --> 01:10:22,018 COSMETICS, BEAUTY PRODUCTS, 1620 01:10:22,018 --> 01:10:27,957 PERSONAL CARE PRODUCTS CONTAIN 1621 01:10:27,957 --> 01:10:28,624 MULTIPLE ENDOCRINE DISRUPTING 1622 01:10:28,624 --> 01:10:29,325 CHEMICALS THAT CAN HARM HEALTH 1623 01:10:29,325 --> 01:10:31,327 AND WE MENTIONED SOME ALREADY. 1624 01:10:31,327 --> 01:10:32,662 THESE LOVELY GRAPHICS ARE 1625 01:10:32,662 --> 01:10:35,331 AVAILABLE TO ALL OF YOU FROM THE 1626 01:10:35,331 --> 01:10:40,036 CAMPAIGN FOR SAFE COSMETICS THE 1627 01:10:40,036 --> 01:10:42,038 BCPP SAFER BLACK BEAUTY 1628 01:10:42,038 --> 01:10:43,306 CAMPAIGN. 1629 01:10:43,306 --> 01:10:46,809 WE TALKED ABOUT PARABENS AND 1630 01:10:46,809 --> 01:10:55,451 PFAS AND UC FILTERS. 1631 01:10:55,451 --> 01:10:57,353 THESE ARE IN PRODUCTS WE USE 1632 01:10:57,353 --> 01:11:00,022 EVERY DAY THAT CAN GET INTO OUR 1633 01:11:00,022 --> 01:11:02,325 BODIES AND IMPACT HEALTH ACROSS 1634 01:11:02,325 --> 01:11:03,926 THE LIFE COURSE. 1635 01:11:03,926 --> 01:11:05,928 THE EVIDENCE IS ALSO BUILDING 1636 01:11:05,928 --> 01:11:08,297 AROUND THE LIFE COURSE IMPACTS 1637 01:11:08,297 --> 01:11:09,966 OF PERSONAL CARE PRODUCTS 1638 01:11:09,966 --> 01:11:12,201 PARTICULARLY ON WOMEN'S HEALTH 1639 01:11:12,201 --> 01:11:12,802 OUTCOMES. 1640 01:11:12,802 --> 01:11:14,804 SO THIS IS NOT EASY RESEARCH TO 1641 01:11:14,804 --> 01:11:17,573 DO AND THE METHODS ON HOW TO 1642 01:11:17,573 --> 01:11:22,678 QUANTIFY THESE RISK ARE 1643 01:11:22,678 --> 01:11:26,782 ADVANCING YEARLY BUT WE HAVE 1644 01:11:26,782 --> 01:11:32,021 EVIDENCE ON EARLY MENARCHE TO 1645 01:11:32,021 --> 01:11:42,298 GIN 1646 01:11:42,598 --> 01:11:42,865 GI 1647 01:11:42,865 --> 01:11:45,968 GINECOLOGIC OUTCOME AND THE 1648 01:11:45,968 --> 01:11:50,573 HEALTH EVIDENCE IS BUILDING. 1649 01:11:50,573 --> 01:11:52,508 THE WORK OF MY COLLEAGUES AND I 1650 01:11:52,508 --> 01:11:54,477 SHOW THE RISK IS NOT THE SAME 1651 01:11:54,477 --> 01:11:57,280 FOR ALL POPULATIONS. 1652 01:11:57,280 --> 01:11:59,315 BLACK AND LATINX POPULATIONS IN 1653 01:11:59,315 --> 01:12:01,350 THE U.S. USE MORE PRODUCTS 1654 01:12:01,350 --> 01:12:03,753 ACROSS MULTIPLE CATEGORIES AND 1655 01:12:03,753 --> 01:12:06,322 MORE TOXIC PRODUCTS ACROSS 1656 01:12:06,322 --> 01:12:07,156 MULTIPLE CATEGORIES. 1657 01:12:07,156 --> 01:12:10,993 WE LOOKED AT HAIR PRODUCT USE, 1658 01:12:10,993 --> 01:12:15,731 SKIN LIGHTENING CREAMS, COSM 1659 01:12:15,731 --> 01:12:17,500 COSMETICS AS WELL AS FRAGRANCE 1660 01:12:17,500 --> 01:12:19,035 PRODUCTS BEING A CATCH-ALL TERM 1661 01:12:19,035 --> 01:12:20,269 THAT CAN HAVE MANY CHEMICALS 1662 01:12:20,269 --> 01:12:23,306 OFTEN YOU HAVE NO IDEA WHAT'S IN 1663 01:12:23,306 --> 01:12:28,010 IT AND PARTICULARLY FRAGRANCED 1664 01:12:28,010 --> 01:12:30,580 VAGINAL AND INTIMATE CARE 1665 01:12:30,580 --> 01:12:31,747 PRODUCTS. 1666 01:12:31,747 --> 01:12:38,721 WE KNOW THESE DISPARITY ARE 1667 01:12:38,721 --> 01:12:39,856 DRIVING THE DISPARITIES IN THE 1668 01:12:39,856 --> 01:12:42,825 LEVELS OF CHEMICALS IN OUR 1669 01:12:42,825 --> 01:12:43,059 BODIES. 1670 01:12:43,059 --> 01:12:46,529 MY TEAM PUBLISHED A STUDY WHERE 1671 01:12:46,529 --> 01:12:54,136 WE LAID THIS OUT PIECE BY PIECE 1672 01:12:54,136 --> 01:13:00,009 USING NHANES DATA AND PRODUCTS 1673 01:13:00,009 --> 01:13:01,711 USED AROUND OURSELF YOU'LL 1674 01:13:01,711 --> 01:13:03,379 REPRODUCTIVE ORGANS FOR DECADES 1675 01:13:03,379 --> 01:13:05,014 AND THERE WERE RACIAL ETHNIC 1676 01:13:05,014 --> 01:13:06,816 DIFFERENCES IN THE PRODUCTS 1677 01:13:06,816 --> 01:13:08,918 BEING USED ESPECIALLY THOSE 1678 01:13:08,918 --> 01:13:12,021 OFTEN USED TO CONTROL ODOR, 1679 01:13:12,021 --> 01:13:14,323 ALT 1680 01:13:14,323 --> 01:13:16,292 ALTER SCENT WERE MORE LIKELY TO 1681 01:13:16,292 --> 01:13:18,327 BE USED BY BLACK WOMEN THAN 1682 01:13:18,327 --> 01:13:20,162 WHITE WOMEN AND FOUND VAGINAL 1683 01:13:20,162 --> 01:13:22,632 DOUCHING IN PARTICULAR WAS 1684 01:13:22,632 --> 01:13:24,100 ASSOCIATED WITH ONE PHTHALATE IN 1685 01:13:24,100 --> 01:13:30,706 A DOSE RESPONSE WAY SO WOMEN WHO 1686 01:13:30,706 --> 01:13:32,842 DOUCHED FREQUENTLY HAD 150% 1687 01:13:32,842 --> 01:13:36,545 HIGHER LEVELS THAN THOSE WHO DID 1688 01:13:36,545 --> 01:13:42,952 NOT DOUCHE AND IT EXPLAINS THE 1689 01:13:42,952 --> 01:13:44,020 BLACK-WHITE DIFFERENCE IN 1690 01:13:44,020 --> 01:13:44,854 PHTHALATES. 1691 01:13:44,854 --> 01:13:46,923 WHEN I DID THIS WE GOT A LOT OF 1692 01:13:46,923 --> 01:13:48,157 PRESS BUT THE REPORTERS WERE 1693 01:13:48,157 --> 01:13:50,960 ALMOST VILIFYING THE USERS, 1694 01:13:50,960 --> 01:13:54,297 WOMEN WHO DOUCHE AND SAYING 1695 01:13:54,297 --> 01:13:57,933 WELL, THIS PRACTICE IS 1696 01:13:57,933 --> 01:14:02,471 DISCOURAGED BY THE OB-GYN 1697 01:14:02,471 --> 01:14:04,340 COMMUNITY AND WHY ARE WOMEN 1698 01:14:04,340 --> 01:14:05,875 DOING THIS BUT THERE'S A LONG 1699 01:14:05,875 --> 01:14:07,543 SOCIAL CONTEXT ON WHAT ARE 1700 01:14:07,543 --> 01:14:11,047 BEAUTY NORMS AND ADAPTIVE 1701 01:14:11,047 --> 01:14:12,715 BEHAVIORS THAT PEOPLE USE TO 1702 01:14:12,715 --> 01:14:14,984 COMPLY WITH THE BEAUTY FORMS. 1703 01:14:14,984 --> 01:14:18,454 I THOUGHT THAT WAS ABSENT IN ANY 1704 01:14:18,454 --> 01:14:20,022 BODY OF LITERATURE. 1705 01:14:20,022 --> 01:14:24,026 SO I STARTED FIRST WRITING ABOUT 1706 01:14:24,026 --> 01:14:26,295 THIS IDEA OF ENVIRONMENTAL 1707 01:14:26,295 --> 01:14:29,265 INJUSTICE OF BEAUTY AND 1708 01:14:29,265 --> 01:14:30,933 REFRAMING A DISPARITY IN PRODUCT 1709 01:14:30,933 --> 01:14:34,203 USE AND ASSOCIATED HEALTH 1710 01:14:34,203 --> 01:14:36,305 OUTCOMES AS AN ENVIRONMENTAL 1711 01:14:36,305 --> 01:14:39,175 HEALTH JUSTICE CONCERN. 1712 01:14:39,175 --> 01:14:42,578 I FIRST WROTE THIS IN 2009 BUT 1713 01:14:42,578 --> 01:14:44,013 TOOK A WHILE TO COME TO THE 1714 01:14:44,013 --> 01:14:44,313 LITERATURE. 1715 01:14:44,313 --> 01:14:46,782 I TEAMED UP WITH A SOCIAL 1716 01:14:46,782 --> 01:14:49,318 SCIENTIST AND WE PUBLISHED IT 1717 01:14:49,318 --> 01:14:51,287 EIGHT OR NINE YEARS LATER AND TO 1718 01:14:51,287 --> 01:14:52,621 REFLECT ON HOW FAR WE'VE COME, I 1719 01:14:52,621 --> 01:14:54,957 REMEMBER WHEN WE WERE TRYING TO 1720 01:14:54,957 --> 01:14:57,660 PUBLISH THIS WE WENT TO ONE OF 1721 01:14:57,660 --> 01:14:58,327 THE LARGE ENVIRONMENTAL HEALTH 1722 01:14:58,327 --> 01:14:59,328 JOURNALS TO SEE IF THEY WERE 1723 01:14:59,328 --> 01:15:04,266 INTERESTED IN AND THAT I DIDN'T 1724 01:15:04,266 --> 01:15:05,267 THINK THIS WAS AN ENVIRONMENTAL 1725 01:15:05,267 --> 01:15:06,302 HEALTH ISSUE. 1726 01:15:06,302 --> 01:15:09,939 IT'S A BIG DEAL THAT NOW WE'RE 1727 01:15:09,939 --> 01:15:12,641 HAVING CONFERENCES LIKE THIS. 1728 01:15:12,641 --> 01:15:15,845 THE REASON WE DEVELOPED THE 1729 01:15:15,845 --> 01:15:21,083 FRAMEWORK IS WE THINK PRODUCT 1730 01:15:21,083 --> 01:15:23,219 USE DEPENDS ON THE INDIVIDUAL 1731 01:15:23,219 --> 01:15:25,087 AND THERE'S FACTORS HOW WOMEN 1732 01:15:25,087 --> 01:15:27,990 THINK ABOUT BEAUTY WAS IT'S A 1733 01:15:27,990 --> 01:15:29,892 GENDER FORM OF POWER AND THE 1734 01:15:29,892 --> 01:15:31,527 PRODUCTS THEY USE, WE KNOW THERE 1735 01:15:31,527 --> 01:15:33,963 ARE LOTS OF SOCIAL ECONOMIC AND 1736 01:15:33,963 --> 01:15:36,599 HISTORICAL FACTORS THAT 1737 01:15:36,599 --> 01:15:37,867 INFLUENCE WHAT WE FIND 1738 01:15:37,867 --> 01:15:38,134 BEAUTIFUL. 1739 01:15:38,134 --> 01:15:39,301 AND THESE FACTORS AND PRESSURES 1740 01:15:39,301 --> 01:15:41,837 ARE NOT THE SAME FOR ALL WOMEN 1741 01:15:41,837 --> 01:15:44,673 BUT VARY ACCORDING TO ONE'S 1742 01:15:44,673 --> 01:15:45,508 SOCIAL POSITION. 1743 01:15:45,508 --> 01:15:48,511 SO FOR EXAMPLE GLOBALLY, 1744 01:15:48,511 --> 01:15:50,813 WHITENESS AND WHITE FEMININITY 1745 01:15:50,813 --> 01:15:53,149 ARE THE BEAUTY A DEALS AT THE 1746 01:15:53,149 --> 01:15:56,018 TOP OF OUR BEAUTY HIERARCHY AND 1747 01:15:56,018 --> 01:16:00,022 THE CLOSER YOU ARE TO THOSE 1748 01:16:00,022 --> 01:16:00,890 BEAUTY NORMS THE MORE SOCIAL 1749 01:16:00,890 --> 01:16:01,824 ECONOMIC OPPORTUNITIES YOU'LL BE 1750 01:16:01,824 --> 01:16:04,994 AFFORD AND THEY'RE ENFORCED 1751 01:16:04,994 --> 01:16:05,761 THROUGH ADVERTISING AND POLICIES 1752 01:16:05,761 --> 01:16:07,630 IN THE WORKPLACE AND SCHOOLS AND 1753 01:16:07,630 --> 01:16:09,732 PEER PRESSURE AND CULTURAL 1754 01:16:09,732 --> 01:16:09,999 TRADITION. 1755 01:16:09,999 --> 01:16:12,802 WOMEN OF COLOR ARE INHERENTLY 1756 01:16:12,802 --> 01:16:17,473 OUTSIDE THE BEAUTY FORMS AND 1757 01:16:17,473 --> 01:16:19,508 THEY OFTEN EXPERIENCE 1758 01:16:19,508 --> 01:16:22,344 SYNERGISTIC FORMS OF 1759 01:16:22,344 --> 01:16:23,646 DISCRIMINATION AT THE 1760 01:16:23,646 --> 01:16:26,215 INTERSECTION THE RACISM, SEXISM 1761 01:16:26,215 --> 01:16:27,416 AND CLASSISM LEADING TO USE OF 1762 01:16:27,416 --> 01:16:33,055 MORE PRODUCTS AS AN ADAPTIVE 1763 01:16:33,055 --> 01:16:33,956 RESPONSE. 1764 01:16:33,956 --> 01:16:37,093 WE CREATED THIS FRAMEWORK TO 1765 01:16:37,093 --> 01:16:39,995 HELP UNDERSTAND HOW THESE 1766 01:16:39,995 --> 01:16:43,966 FACTORS ARE INTERCONNECTED. 1767 01:16:43,966 --> 01:16:46,035 AND SO MY GROUP AND MY 1768 01:16:46,035 --> 01:16:49,805 COLLEAGUES WE'VE DEVELOPED A 1769 01:16:49,805 --> 01:16:51,640 RESEARCH AGENDA THAT'S BEEN 1770 01:16:51,640 --> 01:16:52,842 INFORMED BY THE THEORY OF 1771 01:16:52,842 --> 01:16:53,609 CHANGE. 1772 01:16:53,609 --> 01:16:55,511 IF WE'RE GOING TO ADDRESS THESE 1773 01:16:55,511 --> 01:16:57,346 DISPARITIES WE NEED TO THINK OF 1774 01:16:57,346 --> 01:17:01,784 INTERVENTIONS ON MULTIPLE 1775 01:17:01,784 --> 01:17:02,518 LEVELS. 1776 01:17:02,518 --> 01:17:04,787 SO SOME OF THESE WERE MENTIONED 1777 01:17:04,787 --> 01:17:05,955 AS BEHAVIORAL INTERVENTIONS. 1778 01:17:05,955 --> 01:17:07,389 IN MY OPINION THAT ALONE WON'T 1779 01:17:07,389 --> 01:17:09,625 SOLVE THE PROBLEM. 1780 01:17:09,625 --> 01:17:11,227 WE NEED POLICY CHANGE, LAWS THAT 1781 01:17:11,227 --> 01:17:15,464 ARE GOING TO REGULATE CHEMICALS 1782 01:17:15,464 --> 01:17:18,467 MORE EFFECTIVELY AND NEED 1783 01:17:18,467 --> 01:17:19,969 CHAMPIONS IN THE PRIVATE SECTOR 1784 01:17:19,969 --> 01:17:21,403 WHO ARE WILLING TO MAKE CLEANER 1785 01:17:21,403 --> 01:17:26,909 AND SAFER PRODUCTS AS PART OF 1786 01:17:26,909 --> 01:17:29,712 THEIR BRAND IDENTITY AND THE 1787 01:17:29,712 --> 01:17:32,014 ELEPHANT IN THE ROOM IS 1788 01:17:32,014 --> 01:17:39,955 ADDRESSING SOCIAL NORMS. 1789 01:17:39,955 --> 01:17:43,559 AS LONG AS STRESSORS LIKE HAIR 1790 01:17:43,559 --> 01:17:45,861 DISCRIMINATION EXIST PEOPLE BE 1791 01:17:45,861 --> 01:17:47,830 PUSHED TO USE THEM. 1792 01:17:47,830 --> 01:17:49,064 I'LL TALK ABOUT THE RESEARCH 1793 01:17:49,064 --> 01:17:51,166 WE'VE DONE AROUND THIS TO 1794 01:17:51,166 --> 01:17:52,001 IDENTIFY THE LINKAGES AS WELL AS 1795 01:17:52,001 --> 01:17:54,870 THINK ABOUT INTERVENTIONS. 1796 01:17:54,870 --> 01:17:56,472 OFTEN IN COLLABORATION WITH 1797 01:17:56,472 --> 01:17:57,773 COMMUNITY GROUPS. 1798 01:17:57,773 --> 01:18:00,276 I'M HERE IN NORTHERN MANHATTAN 1799 01:18:00,276 --> 01:18:03,646 WE COLLABORATE WITH WE ACT FOR 1800 01:18:03,646 --> 01:18:04,947 ENVIRONMENTAL JUSTICE ONE OF THE 1801 01:18:04,947 --> 01:18:05,781 LONGEST STANDING ENVIRONMENTAL 1802 01:18:05,781 --> 01:18:08,918 JUSTICE ORGANIZATIONS THAT ARE 1803 01:18:08,918 --> 01:18:09,985 FOCUSSED ON EMPOWERING AND 1804 01:18:09,985 --> 01:18:11,253 ORGANIZING LOW-INCOME PEOPLE OF 1805 01:18:11,253 --> 01:18:11,620 COLOR. 1806 01:18:11,620 --> 01:18:15,991 NAY HAVE A BEAUTY INSIGHT-OUT 1807 01:18:15,991 --> 01:18:17,226 CAMPAIGN AND HAVE LONG FOCUSSED 1808 01:18:17,226 --> 01:18:18,193 ON TOXICS. 1809 01:18:18,193 --> 01:18:20,062 THE GOAL IS TO RAISE AWARENESS 1810 01:18:20,062 --> 01:18:22,164 ABOUT TOXIC BEAUTY PRODUCTS IN 1811 01:18:22,164 --> 01:18:26,835 ORDER TO PROTECT CONSUMERS AND 1812 01:18:26,835 --> 01:18:29,738 WI AC COMMUNITIES BECAUSE 1813 01:18:29,738 --> 01:18:32,007 NORTHERN COMMUNITY AND THE BRONX 1814 01:18:32,007 --> 01:18:33,842 HAVE SO MANY BEAUTY SUPPLY 1815 01:18:33,842 --> 01:18:34,076 STORES. 1816 01:18:34,076 --> 01:18:35,844 WHEN THEY DEVELOPED THE CAMPAIGN 1817 01:18:35,844 --> 01:18:37,313 THEY RECOGNIZED THERE WAS NO 1818 01:18:37,313 --> 01:18:39,014 DATA ON PRODUCT USE AND DRIVERS 1819 01:18:39,014 --> 01:18:41,050 OF PRODUCT USE IN THEIR 1820 01:18:41,050 --> 01:18:43,285 COMMUNITIES. 1821 01:18:43,285 --> 01:18:44,353 SO WE PARTNERED TOGETHER -- 1822 01:18:44,353 --> 01:18:45,187 >> TWO MINUTES. 1823 01:18:45,187 --> 01:18:45,955 >> OKAY. 1824 01:18:45,955 --> 01:18:52,528 WE DECIDED TO FOCUS ON TWO 1825 01:18:52,528 --> 01:18:52,795 STRESSORS. 1826 01:18:52,795 --> 01:18:53,996 ONE ON NATURAL-HAIR 1827 01:18:53,996 --> 01:18:57,032 DISCRIMINATION AND DID A SURVEY 1828 01:18:57,032 --> 01:19:00,536 AND FOUND CHEMICAL STRAIGHTENER 1829 01:19:00,536 --> 01:19:02,905 USE IS DECLINING BUT STILL 1830 01:19:02,905 --> 01:19:04,139 PREVALENT IN BLACK COMMUNITIES 1831 01:19:04,139 --> 01:19:05,908 AND IN TERMS OF SOCIAL 1832 01:19:05,908 --> 01:19:08,210 DETERMINATES WE FOUND 1833 01:19:08,210 --> 01:19:11,447 RESPONDENTS THROUGH PEERS OR 1834 01:19:11,447 --> 01:19:11,981 FAMILY MEMBERS EXPRESSED 1835 01:19:11,981 --> 01:19:12,615 PREFERENCE FOR STRAIGHT HAIR 1836 01:19:12,615 --> 01:19:15,517 WERE MORE LIKELY TO USE CHEMICAL 1837 01:19:15,517 --> 01:19:17,987 STRAIGHTENERS IN THEIR LIFE 1838 01:19:17,987 --> 01:19:19,288 TIMES AND PEOPLE WHO THOUGHT 1839 01:19:19,288 --> 01:19:22,524 OTHERS THOUGHT STRAIGHT HAIR WAS 1840 01:19:22,524 --> 01:19:27,129 ASSOCIATED WITH BEAUTY BEING 1841 01:19:27,129 --> 01:19:27,796 MORE PROFESSIONAL AND YOUNGER 1842 01:19:27,796 --> 01:19:32,668 AND WEALTHIER WERE MORE LIKELY 1843 01:19:32,668 --> 01:19:36,639 TO USE STRAIGHTENERS IN THEIR 1844 01:19:36,639 --> 01:19:44,013 LIFE TIME. 1845 01:19:44,013 --> 01:19:46,415 OCCIDENTAL COLLEGE IS WORKING 1846 01:19:46,415 --> 01:19:49,018 WITH A POPULATION AND THEY'RE 1847 01:19:49,018 --> 01:19:51,787 STARTING TO DO COMMUNITY-LEVEL 1848 01:19:51,787 --> 01:19:54,657 INTERVENTIONS AN USING A 1849 01:19:54,657 --> 01:19:57,126 SMARTPHONE APP TO COLLECT DATA 1850 01:19:57,126 --> 01:19:58,961 AMONG BLACK AND LATINA WOMEN AND 1851 01:19:58,961 --> 01:20:00,462 UNDERSTAND THE COMPLEXITY OF 1852 01:20:00,462 --> 01:20:00,763 PRODUCT USE. 1853 01:20:00,763 --> 01:20:03,499 FOR EXAMPLE, IN TERMS OF NEW 1854 01:20:03,499 --> 01:20:09,905 CHEMICALS WE'RE FOCUSSING ON ONE 1855 01:20:09,905 --> 01:20:11,006 FORMALDEHYDE RELEASES AND IS A 1856 01:20:11,006 --> 01:20:12,007 FOCUS OF FDA. 1857 01:20:12,007 --> 01:20:13,275 THEY'VE BEEN PRIMARILY FOCUSSED 1858 01:20:13,275 --> 01:20:15,477 ON HAIR PRODUCTS. 1859 01:20:15,477 --> 01:20:19,314 WE'RE FINDING 6% TO 8% OF ALL 1860 01:20:19,314 --> 01:20:24,019 PERSONAL CARE PRODUCTS LIST 1861 01:20:24,019 --> 01:20:26,388 FORMALDEHYDE OR RELEASERS AND 1862 01:20:26,388 --> 01:20:32,461 TWO-THIRDS USE PRODUCTS WITH 1863 01:20:32,461 --> 01:20:35,230 FORMALDEHYDE RELEASERS INCLUDING 1864 01:20:35,230 --> 01:20:36,965 FACE CREAMS AND INCREASE 1865 01:20:36,965 --> 01:20:37,232 PRODUCTS. 1866 01:20:37,232 --> 01:20:40,335 AND BIOLOGICAL MECHANISMS ARE 1867 01:20:40,335 --> 01:20:41,670 NOT WELL UNDERSTOOD FOR HOW 1868 01:20:41,670 --> 01:20:44,440 THESE PRODUCTS IMPACT HEALTH. 1869 01:20:44,440 --> 01:20:47,309 SO WE ARE ACTUALLY -- THIS SLIDE 1870 01:20:47,309 --> 01:20:49,645 DIDN'T TRANSLATE WELL BUT 1871 01:20:49,645 --> 01:20:54,083 BEGINNING A CASE CROSSOVER STUDY 1872 01:20:54,083 --> 01:20:56,018 WHICH WILL INFORM INTERVENTIONS 1873 01:20:56,018 --> 01:20:59,088 WITH THE FOCUS ON UNDERSTANDING 1874 01:20:59,088 --> 01:20:59,555 BIOLOGICAL PROCESSES. 1875 01:20:59,555 --> 01:21:02,858 HERE WE'RE GOING TO BE 1876 01:21:02,858 --> 01:21:04,860 RECRUITING WOMEN WHO ALREADY 1877 01:21:04,860 --> 01:21:06,028 RELAX THEIR HAIR AND HAVE THEM 1878 01:21:06,028 --> 01:21:09,598 GO IN ONE SALON DO A HAIR 1879 01:21:09,598 --> 01:21:13,702 RELAXER TREATMENT AND 1880 01:21:13,702 --> 01:21:14,370 CHEMICAL-FREE TREATMENT AND THEN 1881 01:21:14,370 --> 01:21:17,206 GO BACK TO A CHEMICAL TREATMENT 1882 01:21:17,206 --> 01:21:20,042 AND WE'LL COLLECT 12 URINE 1883 01:21:20,042 --> 01:21:21,410 SAMPLES TO CHARACTERIZE 1884 01:21:21,410 --> 01:21:24,012 METABOLOMIC SIGNATURES IN URINE 1885 01:21:24,012 --> 01:21:27,082 SPECIFIC TO EACH SALON 1886 01:21:27,082 --> 01:21:27,449 TREATMENT. 1887 01:21:27,449 --> 01:21:29,118 BECAUSE WE'LL BE IN A CONTROLLED 1888 01:21:29,118 --> 01:21:31,387 SETTING WE'LL BE ABLE TO MATCH 1889 01:21:31,387 --> 01:21:32,721 THE METABOLOMIC PROFILE TO THE 1890 01:21:32,721 --> 01:21:34,389 CHEMICAL PROFILES OF ALL THE 1891 01:21:34,389 --> 01:21:38,494 PRODUCTS USED IN THE SALON WHICH 1892 01:21:38,494 --> 01:21:43,165 WE'RE GETTING TARGETED AND 1893 01:21:43,165 --> 01:21:45,067 NON-TARGETED TESTING FOR THE 1894 01:21:45,067 --> 01:21:46,735 METABOLOMICS AND WE'LL DO 1895 01:21:46,735 --> 01:21:49,738 QUALITATIVE WORK WHILE WE DO THE 1896 01:21:49,738 --> 01:21:51,206 STUDY TO UNDERSTAND WHAT WOMEN'S 1897 01:21:51,206 --> 01:21:56,011 EXPERIENCES WERE WITH THE 1898 01:21:56,011 --> 01:21:57,579 CHEMICAL-FREE SILK PRESSED 1899 01:21:57,579 --> 01:21:57,846 TREATMENT. 1900 01:21:57,846 --> 01:21:59,214 SO WITH THAT, I JUST WANT TO 1901 01:21:59,214 --> 01:22:00,349 THANK MY TEAM AND I'LL END 1902 01:22:00,349 --> 01:22:00,549 THERE. 1903 01:22:00,549 --> 01:22:10,726 THANK YOU. 1904 01:22:30,512 --> 01:22:35,851 >> GOOD MORNING AND THREW -- 1905 01:22:35,851 --> 01:22:38,053 THANK YOU TO THE WORKSHOP 1906 01:22:38,053 --> 01:22:38,353 ORGANIZERS. 1907 01:22:38,353 --> 01:22:40,055 I'LL TALK ABOUT EDC WORKPLACE 1908 01:22:40,055 --> 01:22:41,623 EXPOSURE AS A DRIVER TO HEALTH 1909 01:22:41,623 --> 01:22:43,425 DISPARITIES AS WELL AS AN 1910 01:22:43,425 --> 01:22:44,560 OPPORTUNITY FOR PUBLIC HEALTH 1911 01:22:44,560 --> 01:22:45,494 ACTION TO MITIGATE HEALTH 1912 01:22:45,494 --> 01:22:47,863 INEQUITIES. 1913 01:22:47,863 --> 01:22:49,565 SO WE KNOW SEVERAL FACTORS CAN 1914 01:22:49,565 --> 01:22:51,233 CONTRIBUTE TO AN INDIVIDUAL'S 1915 01:22:51,233 --> 01:22:52,534 VULNERABILITY WHEN IT COMES TO 1916 01:22:52,534 --> 01:22:56,004 ENVIRONMENTAL EXPOSURES. 1917 01:22:56,004 --> 01:22:58,640 THESE INCLUDE SUSCEPTIBILITY AND 1918 01:22:58,640 --> 01:23:01,276 PRECONCEPTION, PRENATAL AND 1919 01:23:01,276 --> 01:23:02,511 CHILDHOOD PERIOD AND PREEXISTING 1920 01:23:02,511 --> 01:23:05,414 CONDITIONS AND GENETICS IN 1921 01:23:05,414 --> 01:23:07,416 ADDITION TO ACCESS TO HEALTH 1922 01:23:07,416 --> 01:23:09,384 CARE, HEALTH THE FOODS AND 1923 01:23:09,384 --> 01:23:10,285 PRODUCT AS WELL AS AN 1924 01:23:10,285 --> 01:23:14,089 INDIVIDUAL'S ABILITY TO 1925 01:23:14,089 --> 01:23:15,824 ANTICIPATE AND RECOGNIZE OR 1926 01:23:15,824 --> 01:23:16,825 RECOUP FROM EXPOSURES. 1927 01:23:16,825 --> 01:23:17,993 WE ALSO KNOW WHERE WE LIVE AND 1928 01:23:17,993 --> 01:23:21,263 WORK CAN HAVE AN IMPACT ON OUR 1929 01:23:21,263 --> 01:23:21,496 HEALTH. 1930 01:23:21,496 --> 01:23:22,564 IT'S WIDELY RECOGNIZED THAT 1931 01:23:22,564 --> 01:23:24,333 HIGHER ENVIRONMENTAL EXPOSURES 1932 01:23:24,333 --> 01:23:25,767 HAVE BEEN DOCUMENTED IN 1933 01:23:25,767 --> 01:23:27,803 LOWER-INCOME AND COMMUNES OF 1934 01:23:27,803 --> 01:23:30,839 COLOR LARGELY DUE TO PRACTICES 1935 01:23:30,839 --> 01:23:33,342 ROOTED IN STRUCTURAL RACISM SUCH 1936 01:23:33,342 --> 01:23:36,011 AS REDLINING AND IT'S OFTEN 1937 01:23:36,011 --> 01:23:37,246 THESE INDIVIDUALS WHO HOLD MORE 1938 01:23:37,246 --> 01:23:43,418 HAZARDOUS JOBS. 1939 01:23:43,418 --> 01:23:47,356 ONE THING OFTEN IGNORED IS THAT 1940 01:23:47,356 --> 01:23:48,824 WORK IS AN IMPORTANT SOCIAL 1941 01:23:48,824 --> 01:23:50,425 DETERMINATE OF HEALTH OFTEN 1942 01:23:50,425 --> 01:23:51,727 NEGLECTED WHEN WE TALK ABOUT 1943 01:23:51,727 --> 01:23:53,228 PUBLIC HEALTH RESEARCH AND 1944 01:23:53,228 --> 01:23:53,695 INTERVENTIONS. 1945 01:23:53,695 --> 01:23:58,033 IN FACT THE WORKPLACE CAN 1946 01:23:58,033 --> 01:24:01,136 INCREASE A PERSON'S 1947 01:24:01,136 --> 01:24:03,305 VULNERABILITIES THAT CAN LEAD TO 1948 01:24:03,305 --> 01:24:03,739 HEALTH INEQUITIES. 1949 01:24:03,739 --> 01:24:07,142 RESEARCH SHOWS THE WORKPLACE CAN 1950 01:24:07,142 --> 01:24:17,085 ACCOUNT FOR 30% TO 55% 1951 01:24:17,085 --> 01:24:18,520 INEQUITIES AND THOUGH THE 1952 01:24:18,520 --> 01:24:24,059 WORKPLACE IS AN EXCELLENT AVENUE 1953 01:24:24,059 --> 01:24:24,893 FOR INTERVENTIONS. 1954 01:24:24,893 --> 01:24:26,395 I WANT TO TALK ABOUT RESEARCH ON 1955 01:24:26,395 --> 01:24:30,032 HAIR DRESSERS OF COLOR WHO ARE A 1956 01:24:30,032 --> 01:24:31,199 VULNERABLE EXPERIENCE 1957 01:24:31,199 --> 01:24:32,034 EXPERIENCING EDC EXPOSURE 1958 01:24:32,034 --> 01:24:34,002 DISPARITIES AND A POTENTIALLY 1959 01:24:34,002 --> 01:24:35,137 HIGHER RISK OF HEALTH INEQUITIES 1960 01:24:35,137 --> 01:24:38,373 DUE TO THESE EXPOSURES. 1961 01:24:38,373 --> 01:24:40,008 SO A LITTLE BIT ABOUT WHAT LED 1962 01:24:40,008 --> 01:24:41,510 TO THIS WORK. 1963 01:24:41,510 --> 01:24:44,079 WE KNOW AS OTHERS HAVE SHOWN 1964 01:24:44,079 --> 01:24:46,014 THAT WOMEN HAVE A HIGHER BODY 1965 01:24:46,014 --> 01:24:49,051 BURDEN WHEN WE'RE TALKING ABOUT 1966 01:24:49,051 --> 01:24:52,020 EDCs PRESENT IN PERSONAL CARE 1967 01:24:52,020 --> 01:24:53,755 PRODUCTS COMPARED TO FEMALES AND 1968 01:24:53,755 --> 01:24:56,058 FOR WOMEN IT'S BLACK AND LA 1969 01:24:56,058 --> 01:24:59,161 TEENA WHO HAVE A HIGHER BODY 1970 01:24:59,161 --> 01:24:59,394 BURDEN. 1971 01:24:59,394 --> 01:25:03,498 THIS -- LATINA AND DUE TO 1972 01:25:03,498 --> 01:25:05,267 SOCIAL-CULTURAL DIFFERENCES IN 1973 01:25:05,267 --> 01:25:07,970 PRODUCT USE AND SPECIFIC 1974 01:25:07,970 --> 01:25:09,137 PRODUCTS MARKETED TO THIS 1975 01:25:09,137 --> 01:25:11,006 POPULATION AS WELL AS ED 1976 01:25:11,006 --> 01:25:12,574 FREQUENCY OF USE AND VARIETY OF 1977 01:25:12,574 --> 01:25:13,608 DIFFERENT PRODUCTS, INFLUENCED 1978 01:25:13,608 --> 01:25:17,212 BY A SOCIETAL PRESSURES AND 1979 01:25:17,212 --> 01:25:20,515 SOCIETAL CULTURAL NORMS TO FIT 1980 01:25:20,515 --> 01:25:23,585 INTO AN BEAUTY STANDARD. 1981 01:25:23,585 --> 01:25:24,653 WE KNOW WOMEN IN GENERAL IN THE 1982 01:25:24,653 --> 01:25:26,021 U.S. POPULATION WOMEN OF COLOR 1983 01:25:26,021 --> 01:25:33,462 HAVE A HIGHER BURDEN OF ECDs BUT 1984 01:25:33,462 --> 01:25:34,896 WHAT ABOUT WOMEN WHO USE THEM AS 1985 01:25:34,896 --> 01:25:37,366 PART OF THEIR JOBS WHICH LED US 1986 01:25:37,366 --> 01:25:41,136 TO STUDY HAIR DRESSERS IN THE 1987 01:25:41,136 --> 01:25:42,971 U.S. THERE'S OVER 700,000 HAIR 1988 01:25:42,971 --> 01:25:46,274 ADDRESSERS AND IT'S A LARGELY 1989 01:25:46,274 --> 01:25:48,043 FEMALE WORKFORCE. 1990 01:25:48,043 --> 01:25:51,380 THE AVERAGE AGE IS 38. 1991 01:25:51,380 --> 01:25:54,249 WHICH MEANS THEY'RE WOMEN OF 1992 01:25:54,249 --> 01:25:57,052 REPRODUCTIVE AGE AND IT POSES A 1993 01:25:57,052 --> 01:25:58,253 WOMEN'S AND CHILDREN'S HEALTH 1994 01:25:58,253 --> 01:25:58,787 RISK. 1995 01:25:58,787 --> 01:25:59,921 IT'S A POPULATION EXPERIENCING 1996 01:25:59,921 --> 01:26:01,790 BOTH CHEMICAL AND NON-CHEMICAL 1997 01:26:01,790 --> 01:26:04,026 STRESSORS OUTSIDE THE WORKPLACE 1998 01:26:04,026 --> 01:26:04,660 AS WELL. 1999 01:26:04,660 --> 01:26:07,362 THEY ALSO FACE BARRIERS IN 2000 01:26:07,362 --> 01:26:09,664 ACCESSING SAVING RESOURCE AND 2001 01:26:09,664 --> 01:26:12,034 UNAWARE OFTEN OF WORKPLACE 2002 01:26:12,034 --> 01:26:13,035 HAZARDS. 2003 01:26:13,035 --> 01:26:14,936 SO PRIOR TO THIS WORK AND STILL 2004 01:26:14,936 --> 01:26:18,240 THERE'S VERY FEW STUDY WHERE WE 2005 01:26:18,240 --> 01:26:19,674 TALK ABOUT SALON SPACES 2006 01:26:19,674 --> 01:26:20,275 PARTICULARLY IN THE UNITED 2007 01:26:20,275 --> 01:26:20,942 STATES. 2008 01:26:20,942 --> 01:26:25,580 IN ADDITION, FINDINGS FROM 2009 01:26:25,580 --> 01:26:27,482 EPIDEMIOLOGIC STUDIES ARE 2010 01:26:27,482 --> 01:26:27,816 INCONCLUSIVE. 2011 01:26:27,816 --> 01:26:29,885 MOST ARE DONE IN EUROPE AND RELY 2012 01:26:29,885 --> 01:26:31,853 ON JOB TITLE TO ASSESS EXPOSURE. 2013 01:26:31,853 --> 01:26:34,589 SO THERE'S LITTLE INFORMATION ON 2014 01:26:34,589 --> 01:26:36,191 CHEMICAL EXPOSURE ON THE 2015 01:26:36,191 --> 01:26:40,028 SITTINGS AND DATA TO WOMEN 2016 01:26:40,028 --> 01:26:42,764 SERVING A RACIALLY ETHNIC 2017 01:26:42,764 --> 01:26:44,733 DIVERSE POPULATION IS CURRENTLY 2018 01:26:44,733 --> 01:26:48,036 LACKING AND PRODUCTS TARGETED TO 2019 01:26:48,036 --> 01:26:49,838 BLACK WOMEN WHICH INCLUDE MANY 2020 01:26:49,838 --> 01:26:51,373 TOXIC CHEMICALS. 2021 01:26:51,373 --> 01:26:53,909 I WANT TO BRIEFLY ACKNOWLEDGE MY 2022 01:26:53,909 --> 01:26:55,877 COMMUNITY PARTNER AND PRIOR 2023 01:26:55,877 --> 01:26:58,580 PILOT STUDY PARTICIPANT KARINA 2024 01:26:58,580 --> 01:27:01,116 RANDOLPH A SALON OWNER. 2025 01:27:01,116 --> 01:27:03,952 YOU'LL SEE HER IN A LOT OF 2026 01:27:03,952 --> 01:27:04,219 PICTURES. 2027 01:27:04,219 --> 01:27:07,355 TO BEGIN ADDRESSING SOME GAPS WE 2028 01:27:07,355 --> 01:27:09,891 STARTED PILOT STUDIES. 2029 01:27:09,891 --> 01:27:13,895 FOR SELECT INDOOR AIR RESULTS 2030 01:27:13,895 --> 01:27:16,698 INDOOR ORGANIC VOLATILE 2031 01:27:16,698 --> 01:27:19,568 COMPOUNDS MEDIUM IS TWO TO 75 2032 01:27:19,568 --> 01:27:21,536 TIMES HIGHER IN SALONS AND 2033 01:27:21,536 --> 01:27:23,405 OFFICE SPACED AND PM 2034 01:27:23,405 --> 01:27:25,474 CONCENTRATIONS WERE HIGHER IN 2035 01:27:25,474 --> 01:27:29,511 SALONS SERVING LATINA AND BLACK 2036 01:27:29,511 --> 01:27:32,047 CLIENTELE VERSUS SHOWS SERVING 2037 01:27:32,047 --> 01:27:32,447 JUST BLACK WOMEN. 2038 01:27:32,447 --> 01:27:34,249 WE ALSO CONDUCTED BIO MONITORING 2039 01:27:34,249 --> 01:27:36,284 AND TOOK URINE SAMPLES AT THE 2040 01:27:36,284 --> 01:27:37,519 END OF THE WORK SHIFT TO ASSESS 2041 01:27:37,519 --> 01:27:42,457 EXPOSURE FOR THE WORKDAY AND FOR 2042 01:27:42,457 --> 01:27:44,059 HERE WE SEE EACH REPRESENT 2043 01:27:44,059 --> 01:27:48,630 DIFFERENT BIOMARKERS FOR 2044 01:27:48,630 --> 01:27:50,098 DIFFERENT ECDs AND THE BLUE 2045 01:27:50,098 --> 01:27:51,433 REPRESENTS OFFICE WORKERS AND 2046 01:27:51,433 --> 01:27:53,702 RED IS HAIR DRESSERS. 2047 01:27:53,702 --> 01:27:55,170 AND WE'RE SEEING THAT ACROSS THE 2048 01:27:55,170 --> 01:27:58,907 BOARD WE'RE SEEING STATISTICALLY 2049 01:27:58,907 --> 01:28:00,942 SIGNIFICANTLY HIGHER 2050 01:28:00,942 --> 01:28:09,818 CONCENTRATIONS OF THE VOCs IN 2051 01:28:09,818 --> 01:28:11,920 THE SAMPLE SIZE AND SAW 2052 01:28:11,920 --> 01:28:13,088 DIFFERENCES AMONG HAIR DRESSERS 2053 01:28:13,088 --> 01:28:15,357 BASED ON CLIENTELE. 2054 01:28:15,357 --> 01:28:16,758 WE SAW THAT HAIR DRESSERS 2055 01:28:16,758 --> 01:28:20,695 WORKING IN BLACK SALONS WHO 2056 01:28:20,695 --> 01:28:22,731 HAPPEN TO BE BLACK FEMALE 2057 01:28:22,731 --> 01:28:25,133 HAIRSTYLISTS HAD HIGHER 2058 01:28:25,133 --> 01:28:27,302 CONCENTRATIONS OF VOCs COMPARED 2059 01:28:27,302 --> 01:28:30,605 TO THOSE SERVING IN LATINO AND 2060 01:28:30,605 --> 01:28:31,273 BLACK CLIENTELE. 2061 01:28:31,273 --> 01:28:34,709 FOR PHTHALATES WE SAW HIGHER 2062 01:28:34,709 --> 01:28:35,877 CONCENTRATIONS OBSERVED AMONG 2063 01:28:35,877 --> 01:28:39,447 HAIR DRESSERS COMPARED TO OFFICE 2064 01:28:39,447 --> 01:28:39,681 WORKERS. 2065 01:28:39,681 --> 01:28:41,950 FOR EXAMPLE, GEOMETRIC 2066 01:28:41,950 --> 01:28:44,653 CONCENTRATIONS FOR MEP WERE TEN 2067 01:28:44,653 --> 01:28:46,488 TIMES HIGHER AND COMPARED TO 2068 01:28:46,488 --> 01:28:47,756 WOMEN IN THE GENERAL POPULATION 2069 01:28:47,756 --> 01:28:49,357 OF THE SAME AGE RANGE WE'RE 2070 01:28:49,357 --> 01:28:54,329 SEEING MEDIAN CONCENTRATIONS 2071 01:28:54,329 --> 01:28:58,967 WERE HIGHER THAN THE 75% AMONG 2072 01:28:58,967 --> 01:29:00,001 WOMEN IN THE U.S. 2073 01:29:00,001 --> 01:29:02,037 AND COMPARED TO OTHER STUDIES 2074 01:29:02,037 --> 01:29:06,041 AND PUBLISHED LITERATURE MEDIUM 2075 01:29:06,041 --> 01:29:06,875 CONCENTRATIONS WERE UP TO 41 2076 01:29:06,875 --> 01:29:08,610 TIMES HIGHER THEN THE LEVELS 2077 01:29:08,610 --> 01:29:09,945 LINKED WITH PREMATURE OVARIAN 2078 01:29:09,945 --> 01:29:16,585 FAILURE. 2079 01:29:16,585 --> 01:29:19,588 MEP IS A BIOMARKER OF DET 2080 01:29:19,588 --> 01:29:27,162 COMPARED IN SOME STUDIYS TO -- 2081 01:29:27,162 --> 01:29:30,432 STUDIES ASSOCIATED WITH PRETERM 2082 01:29:30,432 --> 01:29:32,934 BIRTH AND PREGNANCY 2083 01:29:32,934 --> 01:29:34,035 COMPLICATIONS AMONG OTHERS. 2084 01:29:34,035 --> 01:29:36,071 WHAT YOU SEE IS DIFFERENT VOCs 2085 01:29:36,071 --> 01:29:38,073 FOR WHICH WE MEASURED BIOMARKERS 2086 01:29:38,073 --> 01:29:42,544 IN URINE AND ON THE Y AXIS WE 2087 01:29:42,544 --> 01:29:43,645 HAVE DIFFERENT SERVICES OR 2088 01:29:43,645 --> 01:29:48,917 WORKPLACE CHARACTERISTS AND THE 2089 01:29:48,917 --> 01:29:52,053 PLUS INDICATES IF YOU USED A 2090 01:29:52,053 --> 01:29:58,026 PARTICULAR AUSE OF A PRODUCT YOU 2091 01:29:58,026 --> 01:30:00,061 HAD HIGHER VOCs. 2092 01:30:00,061 --> 01:30:01,529 THERE'S BEEN A BIG PUSH FOR 2093 01:30:01,529 --> 01:30:02,931 GOING NATURAL AND NOT RELAXING 2094 01:30:02,931 --> 01:30:05,367 YOUR HAIR OR NOT TEXTURIZING 2095 01:30:05,367 --> 01:30:07,402 YOUR HAIR. 2096 01:30:07,402 --> 01:30:08,637 BECAUSE IT'S BELIEVED IT'S MUCH 2097 01:30:08,637 --> 01:30:10,705 SAFER OR TOXIC FREE OR CHEMICAL 2098 01:30:10,705 --> 01:30:13,208 FREE TO GET NATURAL HAIR 2099 01:30:13,208 --> 01:30:14,509 SERVICES AND THERE'S STILL 2100 01:30:14,509 --> 01:30:16,044 CHEMICALS BEING USED AND WE DID 2101 01:30:16,044 --> 01:30:17,779 FIND FOR THOSE HAIR DRESSERS 2102 01:30:17,779 --> 01:30:19,781 REPORTING PROVIDING THE SERVICES 2103 01:30:19,781 --> 01:30:20,649 WE'RE STILL FINDING HIGH 2104 01:30:20,649 --> 01:30:27,689 CHEMICAL EXPOSURES. 2105 01:30:27,689 --> 01:30:33,428 WE ALSO ASKED A DETAILED HEALTH 2106 01:30:33,428 --> 01:30:33,828 HISTORY. 2107 01:30:33,828 --> 01:30:35,697 WE LOOKED AT THE PREVALENCE OF 2108 01:30:35,697 --> 01:30:42,170 ASTHMA AMONG U.S. ADULTS 8.4 AND 2109 01:30:42,170 --> 01:30:44,806 U.S. BLACKS IS 10.4 AND UP OUR 2110 01:30:44,806 --> 01:30:47,142 STUDY WE HAD A PREVALENCE OF 2111 01:30:47,142 --> 01:30:49,811 17.4% IN HAIR DRESSERS AND 75% 2112 01:30:49,811 --> 01:30:53,648 OF THE HAIR DRESSERS THAT WE 2113 01:30:53,648 --> 01:30:55,717 INTERVIEWED HAD BEEN DIAGNOSED 2114 01:30:55,717 --> 01:31:00,588 AT SOME POINT DURING EMPLOYMENT 2115 01:31:00,588 --> 01:31:05,493 AND WE'RE HOPING TO LOOK AT THIS 2116 01:31:05,493 --> 01:31:07,529 FURTHER WITH A GRANT WE JUST 2117 01:31:07,529 --> 01:31:07,696 GOT. 2118 01:31:07,696 --> 01:31:09,531 WE LOOKED AT GYNECOLOGIC 2119 01:31:09,531 --> 01:31:10,832 CONDITIONS AND ADVERSE PREGNANCY 2120 01:31:10,832 --> 01:31:12,000 CONDITIONS ON BIRTH OUTCOMES. 2121 01:31:12,000 --> 01:31:14,069 THE BLUE BARS OR TOP BARS 2122 01:31:14,069 --> 01:31:19,374 REPRESENT HAIR DRESSER AND THE 2123 01:31:19,374 --> 01:31:22,043 GREEN ARE OFFICE WORKERS AND 2124 01:31:22,043 --> 01:31:25,447 RACIALLY AND ETHNICALLY SIMILAR 2125 01:31:25,447 --> 01:31:26,915 COMPARISON GROUPS. 2126 01:31:26,915 --> 01:31:28,483 FOR EXAMPLE WE FOUND THAT FOR 2127 01:31:28,483 --> 01:31:29,951 MENSTRUAL CYCLE ABNORMALITIES 2128 01:31:29,951 --> 01:31:32,854 WAS ALMOST DOUBLE THE PREVALENCE 2129 01:31:32,854 --> 01:31:35,423 REPORTED IN OFFICE WORKERS AND 2130 01:31:35,423 --> 01:31:38,593 SO MENSTRUAL CYCLE ABNORMALITIES 2131 01:31:38,593 --> 01:31:40,261 ARE IMPORTANT FOR FROM THE 2132 01:31:40,261 --> 01:31:43,865 STANDPOINT OF FERTILITY AND 2133 01:31:43,865 --> 01:31:46,067 LINKED TO PREMATURE MORTALITY 2134 01:31:46,067 --> 01:31:51,906 AND INCREASED RISK OF CARDIO 2135 01:31:51,906 --> 01:31:52,674 METABOLIC DISEASES AS WELL AS 2136 01:31:52,674 --> 01:31:58,046 DIFFERENT OUTCOME PREGNANCY, 2137 01:31:58,046 --> 01:32:01,783 PREECLAMPSIA AND DIFFICULTY 2138 01:32:01,783 --> 01:32:04,052 CONCEIVING AND FOUND A HIGHER 2139 01:32:04,052 --> 01:32:07,655 PREVALENCE IN OUR SMALL SAMPLE 2140 01:32:07,655 --> 01:32:09,758 OF HAIR DRESSERS. 2141 01:32:09,758 --> 01:32:13,061 IN WORKING WITH THE EDC AND 2142 01:32:13,061 --> 01:32:14,596 DISPARITIES THERE'S CULTURAL 2143 01:32:14,596 --> 01:32:15,196 CONSIDERATIONS ARE PARAMOUNT 2144 01:32:15,196 --> 01:32:25,707 WHEN CON CAN DU-- CONDUCTING T 2145 01:32:25,707 --> 01:32:28,510 WORK AND INCENTIVES HAVE TO BE 2146 01:32:28,510 --> 01:32:31,146 GIVEN TO YOUR COMMUNITY AND 2147 01:32:31,146 --> 01:32:32,881 DOESN'T HAVE TO JUST BE 2148 01:32:32,881 --> 01:32:33,181 MONETARY. 2149 01:32:33,181 --> 01:32:34,949 YOU CAN ARM YOUR COMMUNITY WITH 2150 01:32:34,949 --> 01:32:35,216 RESOURCES. 2151 01:32:35,216 --> 01:32:37,385 WE HAVE TO THINK ABOUT HOW TO 2152 01:32:37,385 --> 01:32:39,821 INFORM SUSTAINABLE INTERVENTIONS 2153 01:32:39,821 --> 01:32:41,656 LIKE OTHER COLLEAGUES MENTIONED. 2154 01:32:41,656 --> 01:32:44,058 IT'S ESSENTIAL TO BUILD TRUST TO 2155 01:32:44,058 --> 01:32:46,061 START IMPACTING BEHAVIORS AND 2156 01:32:46,061 --> 01:32:47,362 STUDY TEAM MEMBERS SHOULD HAVE 2157 01:32:47,362 --> 01:32:47,996 REPRESENTATION FROM THE TARGET 2158 01:32:47,996 --> 01:32:49,731 POPULATION. 2159 01:32:49,731 --> 01:32:51,933 AND I KNOW DR. ZOTA ALSO 2160 01:32:51,933 --> 01:32:53,668 MENTIONED THIS SO I'M GLAD WHEN 2161 01:32:53,668 --> 01:32:55,403 I HEARD HER SAY THIS BUT THE 2162 01:32:55,403 --> 01:32:57,839 ELEPHANT IN THE ROOM IS UNTIL WE 2163 01:32:57,839 --> 01:32:59,541 BEGIN ADDRESSING SYSTEMIC AND 2164 01:32:59,541 --> 01:33:01,009 STRUCTURAL ISSUES WE'LL CONTINUE 2165 01:33:01,009 --> 01:33:02,811 TO SEE HEALTH INEQUITIES WITH 2166 01:33:02,811 --> 01:33:04,045 THE MOST VULNERABLE SUFFERING 2167 01:33:04,045 --> 01:33:05,947 THE BURDEN. 2168 01:33:05,947 --> 01:33:09,884 WE CAN'T WORK IN SILOS. 2169 01:33:09,884 --> 01:33:12,887 IT WILL TAKE A VILLAGE AND ALL 2170 01:33:12,887 --> 01:33:15,290 STAKEHOLDERS TO ENSURE 2171 01:33:15,290 --> 01:33:16,024 EVERYONE'S RIGHT TO HEALTH 2172 01:33:16,024 --> 01:33:17,892 EQUITY AND NOT ONLY ACADEMICS 2173 01:33:17,892 --> 01:33:21,362 BUT COMMUNITY AND POLICY MAKERS 2174 01:33:21,362 --> 01:33:21,996 AND ADVOCACY GROUPS AS WELL AS 2175 01:33:21,996 --> 01:33:22,530 PRODUCT MANUFACTURERS AND 2176 01:33:22,530 --> 01:33:26,501 INDUSTRY. 2177 01:33:26,501 --> 01:33:28,036 WITH THAT I WANT TO ACKNOWLEDGE 2178 01:33:28,036 --> 01:33:30,338 MY RESEARCH TEAM, STUDY 2179 01:33:30,338 --> 01:33:31,606 PARTICIPANTS, STUDENTS AND TO 2180 01:33:31,606 --> 01:33:33,074 THANK THE AUD YEPS FOR BEING 2181 01:33:33,074 --> 01:33:34,042 HERE TODAY. 2182 01:33:34,042 --> 01:33:35,577 THANK YOU. 2183 01:33:35,577 --> 01:33:36,311 -- AUDIENCE FOR BEING HERE 2184 01:33:36,311 --> 01:33:36,511 TODAY. 2185 01:33:36,511 --> 01:33:40,048 THANK YOU. 2186 01:33:40,048 --> 01:33:40,882 >> THANK YOU. 2187 01:33:40,882 --> 01:33:43,084 WE HAVE ENOUGH TIME FOR 2188 01:33:43,084 --> 01:33:43,351 QUESTIONS. 2189 01:33:43,351 --> 01:33:45,687 I SAW A FEW PEOPLE TAKING 2190 01:33:45,687 --> 01:33:45,954 PICTURES. 2191 01:33:45,954 --> 01:33:47,622 HOT OF PEOPLE JOTTING DOWN 2192 01:33:47,622 --> 01:33:47,822 NOTES. 2193 01:33:47,822 --> 01:33:55,563 SO ANY QUESTIONS ON THE FLOOR ? 2194 01:33:55,563 --> 01:33:57,365 >> I'M AT NCCIH. 2195 01:33:57,365 --> 01:33:59,033 I KNOW YOU'RE PRESSED FOR TIME 2196 01:33:59,033 --> 01:34:00,535 BUT I SAW ONE LINE ALL NEGATIVES 2197 01:34:00,535 --> 01:34:03,037 ON THE BOTTOM OF THAT COMPLEX 2198 01:34:03,037 --> 01:34:05,540 SCREEN ABOUT WEARING MASKS. 2199 01:34:05,540 --> 01:34:07,742 I'M CURIOUS WHAT KIND OF MANAGES 2200 01:34:07,742 --> 01:34:10,478 AND DID YOU REALLY SOO THAT MUCH 2201 01:34:10,478 --> 01:34:12,046 OF A REDUCTION OF EXPOSURE FOR 2202 01:34:12,046 --> 01:34:16,050 PEOPLE WEARING MASKS? 2203 01:34:16,050 --> 01:34:19,554 >> THANK YOU. 2204 01:34:19,554 --> 01:34:22,123 THE QUESTION WAS RECALL -- 2205 01:34:22,123 --> 01:34:24,058 THAT'S A GREAT QUESTION. 2206 01:34:24,058 --> 01:34:27,862 THIS STUDY HAPPENED BEFORE 2207 01:34:27,862 --> 01:34:28,062 COVID. 2208 01:34:28,062 --> 01:34:30,298 WE NEED TO LOOK AT THIS FURTHER 2209 01:34:30,298 --> 01:34:32,534 BECAUSE IT WAS A PILOT STUDY. 2210 01:34:32,534 --> 01:34:34,302 WE WERE SEEING WHAT WORKED AND 2211 01:34:34,302 --> 01:34:35,837 WHAT DIDN'T AND THAT WAS A 2212 01:34:35,837 --> 01:34:37,171 CONCERN WHERE WE DIDN'T REALLY 2213 01:34:37,171 --> 01:34:38,940 GET INTO WHAT TYPE OF MASK THEY 2214 01:34:38,940 --> 01:34:39,607 WERE WEARING. 2215 01:34:39,607 --> 01:34:41,342 WE JUST ASKED DO YOU WEAR ANY 2216 01:34:41,342 --> 01:34:43,778 TYPE OF MASK WHEN YOU'RE 2217 01:34:43,778 --> 01:34:44,746 CONDUCTING DIFFERENT TYPES OF 2218 01:34:44,746 --> 01:34:45,013 SERVICES. 2219 01:34:45,013 --> 01:34:51,719 WE NEED TO LOOK AT THAT WE NEED 2220 01:34:51,719 --> 01:35:02,130 TO LOOK AT THAT FURTHER. 2221 01:35:03,698 --> 01:35:07,435 >> I KNOW IN MANY NAIL SALONS 2222 01:35:07,435 --> 01:35:10,071 WHERE THEY HAVE EXPOSURES TO 2223 01:35:10,071 --> 01:35:12,040 ECDs EVEN BEFORE COVID THEY'D 2224 01:35:12,040 --> 01:35:15,276 WEAR MASKS BECAUSE THE FUMES ARE 2225 01:35:15,276 --> 01:35:17,545 SO STRONG AND TO SEE THERE MAY 2226 01:35:17,545 --> 01:35:19,714 BE PROTECTIVE BENEFIT FROM MASKS 2227 01:35:19,714 --> 01:35:21,449 BUT DID YOU CAPTURE INFORMATION 2228 01:35:21,449 --> 01:35:23,451 ON VENTILATION OR GLOVES? 2229 01:35:23,451 --> 01:35:26,955 I KNOW SOMETIMES WHEN PEOPLE ARE 2230 01:35:26,955 --> 01:35:30,158 HANDLING THE NO-LYE BASE 2231 01:35:30,158 --> 01:35:37,198 RELAXERS THEY'LL HAVE TO WEAR 2232 01:35:37,198 --> 01:35:39,133 GLOVES BECAUSE IT CAN BURN THEIR 2233 01:35:39,133 --> 01:35:39,367 FINGERS. 2234 01:35:39,367 --> 01:35:41,402 >> WE DIDN'T FIND DIFFERENT 2235 01:35:41,402 --> 01:35:42,403 GLOVE USE FOR THE DIFFERENT 2236 01:35:42,403 --> 01:35:44,405 CHEMICALS WE MEASURED AND THE 2237 01:35:44,405 --> 01:35:47,408 OTHER QUESTION WAS ABOUT 2238 01:35:47,408 --> 01:35:47,875 VENTILATION. 2239 01:35:47,875 --> 01:35:48,743 WE LOOKED AT VENTILATION BUT 2240 01:35:48,743 --> 01:35:50,878 THOUGH WE HAVE MONITORED 23 TO 2241 01:35:50,878 --> 01:35:54,048 30 WORKERS DEPENDING ON THE 2242 01:35:54,048 --> 01:35:57,151 PILOT STUDY WAS SIX SALONS. 2243 01:35:57,151 --> 01:35:58,820 TO US IT'S NOT ENOUGH SAMPLE 2244 01:35:58,820 --> 01:36:00,655 SIZE BUT KNOW VENTILATION IS NOT 2245 01:36:00,655 --> 01:36:01,623 SUFFICIENT AND OFTEN TIMES THEY 2246 01:36:01,623 --> 01:36:02,290 DON'T HAVE A LOT OF CONTROL OVER 2247 01:36:02,290 --> 01:36:12,400 THIS. 2248 01:36:13,601 --> 01:36:16,104 >> HI, MY NAME IS AMY. 2249 01:36:16,104 --> 01:36:17,438 MY QUESTION IS ABOUT TOXIC 2250 01:36:17,438 --> 01:36:22,910 CLEANING AND BEAUTY PRODUCTS AND 2251 01:36:22,910 --> 01:36:24,846 I WORK WITH FARM WORKING WOMEN 2252 01:36:24,846 --> 01:36:27,448 WHO BUY MOST THEIR PRODUCTS FROM 2253 01:36:27,448 --> 01:36:29,250 THE 99 CENT STORE AND A LOT OF 2254 01:36:29,250 --> 01:36:30,818 THOSE PRODUCTS ARE HARMFUL. 2255 01:36:30,818 --> 01:36:32,954 THEY'RE NOT USUALLY NATURAL, 2256 01:36:32,954 --> 01:36:33,988 ORGANIC AND PART OF THE REASON 2257 01:36:33,988 --> 01:36:37,025 THEY PURCHASE THESE PRODUCTS IS 2258 01:36:37,025 --> 01:36:38,359 PROXIMITY AND PRICE. 2259 01:36:38,359 --> 01:36:39,227 I'M CURIOUS WHAT RECOMMENDATIONS 2260 01:36:39,227 --> 01:36:42,930 YOU HAVE FOR COMMUNITIES WHO 2261 01:36:42,930 --> 01:36:44,866 LIVE IN ISOLATED AREAS AND WHAT 2262 01:36:44,866 --> 01:36:46,768 IS MAYBE MOST ACCESSIBLE AND 2263 01:36:46,768 --> 01:36:50,104 WHAT TYPES OF CHANGES CAN THEY 2264 01:36:50,104 --> 01:36:55,877 MAKE THAT IS AFFORDABLE AND IN 2265 01:36:55,877 --> 01:36:56,911 REACH OR IF SOMEONE ELSE WANTS 2266 01:36:56,911 --> 01:37:04,385 TO ANSWER. 2267 01:37:04,385 --> 01:37:05,420 >> ANYONE CAN JUMP IN. 2268 01:37:05,420 --> 01:37:08,823 >> I THINK YOU BRING UP A REALLY 2269 01:37:08,823 --> 01:37:11,592 GOOD POINT ABOUT ACCESSIBILITY 2270 01:37:11,592 --> 01:37:12,960 BOTH IN TERMS OF PRICE AS WELL 2271 01:37:12,960 --> 01:37:21,202 AS JUST GEOGRAPHIC ACCESS. 2272 01:37:21,202 --> 01:37:22,670 I THINK WHEN WE TALK ABOUT 2273 01:37:22,670 --> 01:37:24,472 INTERVENTIONS IN THE SPACE, I 2274 01:37:24,472 --> 01:37:29,510 THINK AN INDIVIDUAL CAN DO ONLY 2275 01:37:29,510 --> 01:37:30,945 SO MUCH AND THERE ARE MULTIPLE 2276 01:37:30,945 --> 01:37:36,050 EFFORTS BY THE NGO COMMUNITY TO 2277 01:37:36,050 --> 01:37:39,954 WORK DIRECTLY WITH BUSINESSES ON 2278 01:37:39,954 --> 01:37:43,925 THEIR CHEMICAL POLICY FOR 2279 01:37:43,925 --> 01:37:44,158 STORES. 2280 01:37:44,158 --> 01:37:46,427 SO FOR EXAMPLE THERE'S AN EFFORT 2281 01:37:46,427 --> 01:37:48,029 CALLED MIND THE STORE WHERE THEY 2282 01:37:48,029 --> 01:37:51,999 WORK WITH RETAILERS AND THEY'VE 2283 01:37:51,999 --> 01:37:53,968 HAD A LOT OF SUCCESS. 2284 01:37:53,968 --> 01:37:56,037 THEY GOT METHYLENE CHLORIDE -- I 2285 01:37:56,037 --> 01:37:58,706 THINK IT WAS THAT, OUT OF HOME 2286 01:37:58,706 --> 01:38:04,746 DEPOT AND OTHER STORES LIKE 2287 01:38:04,746 --> 01:38:14,355 THAT. 2288 01:38:14,355 --> 01:38:16,057 AND THEY'VE AFFECTED WHAT IS 2289 01:38:16,057 --> 01:38:19,026 SOLD. 2290 01:38:19,026 --> 01:38:22,997 THEY'VE TRIED ENGAGING DOLLAR 2291 01:38:22,997 --> 01:38:26,667 STORES BUT THERE'S LESS 2292 01:38:26,667 --> 01:38:29,737 RECEPTIVITY AND THAT'S WHERE 2293 01:38:29,737 --> 01:38:31,339 PUBLISH PRESSURE AND MEDIA 2294 01:38:31,339 --> 01:38:33,407 ATTENTION IN THE ISSUES CAN HELP 2295 01:38:33,407 --> 01:38:38,713 CREATE A FEEDBACK LOOP TO PUT 2296 01:38:38,713 --> 01:38:41,048 PRESSURE ON THE STORES. 2297 01:38:41,048 --> 01:38:43,418 BECAUSE WE CAN TELL YOU THINGS 2298 01:38:43,418 --> 01:38:44,285 LIKE MAYBE THEY CAN MAKE THEIR 2299 01:38:44,285 --> 01:38:49,090 OWN PRODUCTS BUT THE REALITY IS 2300 01:38:49,090 --> 01:38:52,026 WITH THIS ISSUE INDIVIDUALS HAVE 2301 01:38:52,026 --> 01:38:56,397 POWER TO A CERTAIN AMOUNT BUT WE 2302 01:38:56,397 --> 01:38:58,099 HAVE TO IMPACT WHAT'S AVAILABLE 2303 01:38:58,099 --> 01:39:00,768 AT THE STORE LEVEL AND WHAT'S 2304 01:39:00,768 --> 01:39:04,539 GOING ON WITH POLICY TOO BECAUSE 2305 01:39:04,539 --> 01:39:05,273 WE CAN'T. 2306 01:39:05,273 --> 01:39:08,042 SHOP OUR WAY OUT OF THE PROBLEM. 2307 01:39:08,042 --> 01:39:13,548 >> THANK YOU. 2308 01:39:13,548 --> 01:39:15,349 I HAD ONE QUESTION FOR THE 2309 01:39:15,349 --> 01:39:21,122 ENTIRE PANEL AND AN EMERGING 2310 01:39:21,122 --> 01:39:21,322 TOPIC. 2311 01:39:21,322 --> 01:39:24,325 THERE'S A RECENT DATA AND BIRTH 2312 01:39:24,325 --> 01:39:25,526 DEFECTS AND OTHER THINGS, HARM 2313 01:39:25,526 --> 01:39:28,029 THINGS THAT ARE COMING WITH ECDs 2314 01:39:28,029 --> 01:39:33,434 AND THEY WERE LOOKING AT THE 2315 01:39:33,434 --> 01:39:36,037 PAPER LOOKED AT PSYCHOSOCIAL 2316 01:39:36,037 --> 01:39:36,304 FACTORS. 2317 01:39:36,304 --> 01:39:39,173 MORE NON-CHEMICAL STRESSORS IN 2318 01:39:39,173 --> 01:39:40,908 CONJUNCTION WITH THE CHEMICAL 2319 01:39:40,908 --> 01:39:45,913 STRESSORS AND HOW THAT WAS 2320 01:39:45,913 --> 01:39:48,549 PLAYING A ROLE IN HARM AS WELL 2321 01:39:48,549 --> 01:39:49,884 AS BEING SEEN IN POPULATIONS 2322 01:39:49,884 --> 01:39:52,053 THAT EXPERIENCE HEALTH 2323 01:39:52,053 --> 01:39:52,386 DISPARITIES. 2324 01:39:52,386 --> 01:39:54,989 SO I'M CURIOUS FOR PEOPLE WHO 2325 01:39:54,989 --> 01:39:56,724 ARE INVESTIGATING THIS FIELD OF 2326 01:39:56,724 --> 01:40:00,027 WORK IN YOUR FIELD OF WORK, ARE 2327 01:40:00,027 --> 01:40:02,964 THERE OTHER NON-CHEMICAL 2328 01:40:02,964 --> 01:40:08,035 STRESSORS THAT YOU ARE 2329 01:40:08,035 --> 01:40:11,939 ACCOUNTING FOR AND SHOULD THERE 2330 01:40:11,939 --> 01:40:14,075 BE OTHER MEASUREMENTS WHEN 2331 01:40:14,075 --> 01:40:24,619 COLLECTING THE DATA ON THE ECDs? 2332 01:40:26,821 --> 01:40:27,955 WAS MY QUESTION CLEAR? 2333 01:40:27,955 --> 01:40:31,559 >> I THINK THERE'S SOME DATA 2334 01:40:31,559 --> 01:40:34,262 AROUND SYNERGISTIC IMPACTS OF 2335 01:40:34,262 --> 01:40:37,798 ECDs AND STRESS. 2336 01:40:37,798 --> 01:40:40,034 PARTICULARLY FOR THE PRENATAL 2337 01:40:40,034 --> 01:40:40,401 PERIOD. 2338 01:40:40,401 --> 01:40:41,836 WHEN I THINK ABOUT STRESS I 2339 01:40:41,836 --> 01:40:45,573 THINKS IT'S JUST AS COMPLICATED 2340 01:40:45,573 --> 01:40:46,707 AS TRYING TO MEASURE 2341 01:40:46,707 --> 01:40:48,576 ENVIRONMENTAL CHEMICALS. 2342 01:40:48,576 --> 01:40:49,277 SO THERE'S SO MANY DIFFERENT 2343 01:40:49,277 --> 01:40:52,580 FORMS OF STRESS AND YOU HAVE TO 2344 01:40:52,580 --> 01:40:53,748 THINK ABOUT ARE YOU MORE 2345 01:40:53,748 --> 01:40:56,484 INTERESTED IN ACUTE STRESS OR 2346 01:40:56,484 --> 01:40:58,886 MORE INTERESTED IN CHRONIC 2347 01:40:58,886 --> 01:40:59,120 STRESS. 2348 01:40:59,120 --> 01:41:06,127 AND SO I THINK THE MEASUREMENT 2349 01:41:06,127 --> 01:41:07,728 OF WHAT TYPE OF STRESS YOU WANT 2350 01:41:07,728 --> 01:41:10,031 TO MEASURE DEPENDS ON THE B 2351 01:41:10,031 --> 01:41:12,033 BIOLOGICAL PATHWAYS YOU THINK 2352 01:41:12,033 --> 01:41:15,036 MAY BE IMPACTED AS WELL AS THE 2353 01:41:15,036 --> 01:41:17,939 HEALTH OUTCOMES OF 2354 01:41:17,939 --> 01:41:18,272 CONSIDERATION. 2355 01:41:18,272 --> 01:41:19,573 I KNOW ONE PARTICULAR FORM OF 2356 01:41:19,573 --> 01:41:21,409 STRESS THAT MY GROUP IS THINKING 2357 01:41:21,409 --> 01:41:23,878 MORE ABOUT AS WE THINK ABOUT HOW 2358 01:41:23,878 --> 01:41:25,212 TO BRING INTERSECTIONALITY INTO 2359 01:41:25,212 --> 01:41:28,950 THIS WORK AND THINKING ABOUT 2360 01:41:28,950 --> 01:41:32,053 MULTIPLE FORMS OF MARGI 2361 01:41:32,053 --> 01:41:36,691 MARGINALIZATION AND HOW THEY MAY 2362 01:41:36,691 --> 01:41:38,726 SYNERGISTICALLY IMPACT IS 2363 01:41:38,726 --> 01:41:41,495 GENDERED RACISM AND THINKING 2364 01:41:41,495 --> 01:41:46,100 MORE HOW TO CAPTURE 2365 01:41:46,100 --> 01:41:47,902 SOCIAL-STRUCTURAL IMPACTS OF 2366 01:41:47,902 --> 01:41:48,436 INTERSECTIONAL IDENTITY. 2367 01:41:48,436 --> 01:41:50,071 THAT'S ONE FOR EXAMPLE THAT I 2368 01:41:50,071 --> 01:41:53,007 THINK IS LESS USED IN THIS SPACE 2369 01:41:53,007 --> 01:41:57,511 THAT WE'RE USING QUALITATIVE 2370 01:41:57,511 --> 01:41:59,046 DATA AS WELL AS SURVEY 2371 01:41:59,046 --> 01:42:00,047 MEASUREMENTS BUT I'LL LET OTHERS 2372 01:42:00,047 --> 01:42:01,782 JUMP IN HERE. 2373 01:42:01,782 --> 01:42:04,051 ANY OF THE OTHER PANELISTS HAVE 2374 01:42:04,051 --> 01:42:10,591 ANYTHING TO ADD? 2375 01:42:10,591 --> 01:42:10,725 S 2376 01:42:10,725 --> 01:42:13,628 >> A LOT OF US THINK OF 2377 01:42:13,628 --> 01:42:16,097 OXIDATIVE STRESS AND DIETARY 2378 01:42:16,097 --> 01:42:20,034 BIOMARKERS AND VARIOUS FORMS OF 2379 01:42:20,034 --> 01:42:30,311 STRESS HORMONE. 2380 01:42:34,181 --> 01:42:40,054 >> ANY OTHER COMMENTS ON THAT? 2381 01:42:40,054 --> 01:42:40,821 OKAY. 2382 01:42:40,821 --> 01:42:42,356 DR. QUIROS-ALCALA LIKES YOU'RE 2383 01:42:42,356 --> 01:42:44,225 POISED TO SAY SOMETHING? 2384 01:42:44,225 --> 01:42:45,793 OKAY, WELL, THANK YOU THAT WAS 2385 01:42:45,793 --> 01:42:46,260 AN EXCELLENT SESSION. 2386 01:42:46,260 --> 01:42:50,998 THANK YOU, EVERYONE. 2387 01:42:50,998 --> 01:42:55,403 SO KNOW WE'RE GOING TO MOVE ON 2388 01:42:55,403 --> 01:42:58,105 TO OUR LAST SESSION BEFORE LUNCH 2389 01:42:58,105 --> 01:42:59,507 MODERATED FROM DR. LAVERNE BROWN 2390 01:42:59,507 --> 01:43:04,045 FROM THE OFFICE OF DIETARY 2391 01:43:04,045 --> 01:43:05,346 SUPPLEMENTS. 2392 01:43:05,346 --> 01:43:13,087 AND PLEASE FEEL FREE TO SIT UP 2393 01:43:13,087 --> 01:43:15,556 HERE AS WELL AS LILLY MARCELIN. 2394 01:43:15,556 --> 01:43:22,096 DR. BROWN, THANK YOU. 2395 01:43:22,096 --> 01:43:24,298 >> GOOD MORNING, EVERYONE. 2396 01:43:24,298 --> 01:43:25,833 LET ME STOP AND SAY THIS HAS 2397 01:43:25,833 --> 01:43:31,439 BEEN A FANTASTICING W IING -- 2398 01:43:31,439 --> 01:43:34,075 FANTASTIC WORKSHOP AND THANK YOU 2399 01:43:34,075 --> 01:43:36,143 FOR TO SEKAI FOR THE WORKSHOP 2400 01:43:36,143 --> 01:43:38,112 BECAUSE I'VE LEARNED SO MUCH. 2401 01:43:38,112 --> 01:43:40,448 MY NAME IS LAVERNE BROWN I LEAD 2402 01:43:40,448 --> 01:43:43,651 THE RESILIENCE AND HEALTH 2403 01:43:43,651 --> 01:43:44,518 STUDIES PROGRAM AT THE NIH 2404 01:43:44,518 --> 01:43:47,488 OFFICE OF DIETARY SUPPLEMENTS 2405 01:43:47,488 --> 01:43:48,189 AND LEAD THE NIH RESEARCH 2406 01:43:48,189 --> 01:43:49,790 WORKING GROUP. 2407 01:43:49,790 --> 01:43:51,625 BEFORE I INTRODUCE OUR ESTEEMED 2408 01:43:51,625 --> 01:43:53,627 PANELISTS FOR THE SESSION, I'D 2409 01:43:53,627 --> 01:43:54,895 LIKE TO FIRST PROVIDE A LITTLE 2410 01:43:54,895 --> 01:43:57,164 BIT OF AN OVERVIEW OF WHY WE 2411 01:43:57,164 --> 01:43:58,532 FELT IT WAS IMPORTANT TO HAVE A 2412 01:43:58,532 --> 01:44:03,337 SESSION DEDICATED SPECIFICALLY 2413 01:44:03,337 --> 01:44:06,040 TO RESILIENCE AGAINST EDC 2414 01:44:06,040 --> 01:44:07,641 ASSOCIATED DISEASES. 2415 01:44:07,641 --> 01:44:09,009 NOW THE NIH RESEARCH RESILIENCE 2416 01:44:09,009 --> 01:44:09,944 WORKING GROUP DEFINES RESILIENCE 2417 01:44:09,944 --> 01:44:13,447 AS THE CAPACITY TO RESIST, ADAPT 2418 01:44:13,447 --> 01:44:14,949 TO, RECOVER OR GROW FROM A 2419 01:44:14,949 --> 01:44:16,517 CHALLENGE FOR STRESSOR. 2420 01:44:16,517 --> 01:44:18,385 OUR UNDERSTANDING IS THAT 2421 01:44:18,385 --> 01:44:19,954 RESILIENCE OUTCOMES CAN BE 2422 01:44:19,954 --> 01:44:22,456 ATTRIBUTED TO PATHWAYS THAT ARE 2423 01:44:22,456 --> 01:44:26,260 UNIQUE AND UNRELATED TO ANY 2424 01:44:26,260 --> 01:44:29,463 DISEASE PATHWAY SUCH THAT 2425 01:44:29,463 --> 01:44:33,934 STUDIES OR PROGRAMS OR EVEN DATA 2426 01:44:33,934 --> 01:44:34,768 SOURCES INTENTIONAL ABOUT 2427 01:44:34,768 --> 01:44:36,470 CAPTURING RESILIENCE OUTCOMES 2428 01:44:36,470 --> 01:44:38,772 MAY EXPAND OUR UNDERSTANDING OF 2429 01:44:38,772 --> 01:44:41,642 HOW BEST TO PROMOTE FAVORABLE 2430 01:44:41,642 --> 01:44:42,877 HEALTH OUTCOMES UPON EXPOSURE TO 2431 01:44:42,877 --> 01:44:46,413 OR DARE I SAY DESPITE EXPOSURE 2432 01:44:46,413 --> 01:44:51,085 TO STRESSORS LIKE ECDs. 2433 01:44:51,085 --> 01:44:53,320 YOU IN OTHER WORDS AS WE 2434 01:44:53,320 --> 01:44:56,991 CONTINUE TO PREVENT, WE WORK TO 2435 01:44:56,991 --> 01:45:01,228 MITIGATE EXPOSURES TO ECDs THE 2436 01:45:01,228 --> 01:45:02,396 NIH RESILIENCE WORKING GROUP 2437 01:45:02,396 --> 01:45:04,064 BELIEVES IT'S ALSO IMPORTANT AT 2438 01:45:04,064 --> 01:45:05,199 THE SAME TIME CONSIDER HOW BEST 2439 01:45:05,199 --> 01:45:07,568 TO STRENGTHEN OUR SYSTEMS TO 2440 01:45:07,568 --> 01:45:09,036 BETTER RESPOND TO THOSE 2441 01:45:09,036 --> 01:45:09,303 EXPOSURES. 2442 01:45:09,303 --> 01:45:12,039 WE MIGHT BE ABLE TO DO THAT BY 2443 01:45:12,039 --> 01:45:13,707 IDENTIFYING AND ENHANCING 2444 01:45:13,707 --> 01:45:15,643 PROTECTIVE FACTORS THAT PROMOTE 2445 01:45:15,643 --> 01:45:16,343 RESILIENT OUTCOMES. 2446 01:45:16,343 --> 01:45:19,246 SO AS YOU'LL SEE FROM OUR 2447 01:45:19,246 --> 01:45:22,049 PANELISTS WHO REPRESENT THIS 2448 01:45:22,049 --> 01:45:23,617 VERY DIVERSE EXPECTS AND 2449 01:45:23,617 --> 01:45:25,052 EXPERTISE FROM THE RESILIENCE 2450 01:45:25,052 --> 01:45:27,354 SESSION TODAY, RESILIENCE 2451 01:45:27,354 --> 01:45:30,291 OUTCOMES CAN BE EXPLORED ACROSS 2452 01:45:30,291 --> 01:45:30,858 MULTIPLE DOMAINS. 2453 01:45:30,858 --> 01:45:31,425 WE CAN EXPLORE RESILIENCE 2454 01:45:31,425 --> 01:45:36,030 THROUGH THE LENS OF A COMMUNITY, 2455 01:45:36,030 --> 01:45:38,699 ENVIRONMENT, PSYCHOLOGICAL 2456 01:45:38,699 --> 01:45:40,034 RESILIENCE, PHYSIOLOGICAL 2457 01:45:40,034 --> 01:45:41,735 RESILIENCE, GENETICS OR EVEN AT 2458 01:45:41,735 --> 01:45:44,438 THE MOLECULAR OR CELLULAR LEVEL. 2459 01:45:44,438 --> 01:45:45,472 WITH THAT I'D LIKE TO WELCOME 2460 01:45:45,472 --> 01:45:48,909 OUR PANELISTS FOR THE SESSION. 2461 01:45:48,909 --> 01:45:50,411 EACH WILL BRIEFLY INTRODUCE THE 2462 01:45:50,411 --> 01:45:51,712 WORK THEY'RE DOING RELEVANT TO 2463 01:45:51,712 --> 01:45:53,113 THE SESSION AND FOLLOWING THE 2464 01:45:53,113 --> 01:45:54,448 BRIEF INTRODUCTORY PRESENTATIONS 2465 01:45:54,448 --> 01:45:56,083 THE PANELISTS WILL JOIN TOGETHER FOR PANEL DISCUSSION. 2466 01:45:59,090 --> 01:46:00,391 >> GOOD MORNING, EVERYONE. 2467 01:46:00,391 --> 01:46:04,462 I'M VERY HAPPY TO BE HERE. 2468 01:46:04,462 --> 01:46:06,998 THE CONFERENCE HAS BEEN 2469 01:46:06,998 --> 01:46:09,567 WONDERFUL. 2470 01:46:09,567 --> 01:46:17,975 MY NAME IS LILLIAN MARCELLIN AND 2471 01:46:17,975 --> 01:46:19,877 A STARTED AN ORGANIZATION 12 2472 01:46:19,877 --> 01:46:21,679 YEARS AGO. 2473 01:46:21,679 --> 01:46:24,615 AS YOU READ OUR MISSION 2474 01:46:24,615 --> 01:46:27,018 STATEMENT, I'D LIKE TO SHARE 2475 01:46:27,018 --> 01:46:29,520 WITH YOU THAT EVERY TIME I MEET 2476 01:46:29,520 --> 01:46:33,157 WITH OUR BOARD MEMBERS WE ALWAYS 2477 01:46:33,157 --> 01:46:34,592 TAKE THE TIME TO READ OUT LOUD 2478 01:46:34,592 --> 01:46:44,969 THE MISSION STATEMENT. 2479 01:46:48,506 --> 01:46:50,074 THE REASON IS I BELIEVE THE 2480 01:46:50,074 --> 01:46:52,410 MISSION STATEMENT SUCH AS OURS 2481 01:46:52,410 --> 01:46:53,644 COMES WITH ACCOUNTABILITY AND 2482 01:46:53,644 --> 01:46:55,012 RESPONSIBILITY TO OUR 2483 01:46:55,012 --> 01:46:59,483 COMMUNITIES, TO THE WOMEN THAT 2484 01:46:59,483 --> 01:47:03,754 WE WORK WITH. 2485 01:47:03,754 --> 01:47:14,298 SO ALSO THE MULTIPLE OPPRESSIONS 2486 01:47:26,577 --> 01:47:27,979 THAT SHOW IN MULTIPLE FORMS FOR 2487 01:47:27,979 --> 01:47:30,481 US IN THE BLACK COMMUNITY. 2488 01:47:30,481 --> 01:47:34,485 ONE SUCH OPPRESSION IS 2489 01:47:34,485 --> 01:47:36,153 ENVIRONMENTAL INJUSTICE. 2490 01:47:36,153 --> 01:47:39,390 SO THROUGH OR WORK AT THE 2491 01:47:39,390 --> 01:47:42,326 RESILIENT SISTERHOOD PROJECT. 2492 01:47:42,326 --> 01:47:45,863 I HAVE TO KEEP ADJUSTING THE 2493 01:47:45,863 --> 01:47:46,030 MIC. 2494 01:47:46,030 --> 01:47:48,232 CAN YOU HEAR ME WELL? 2495 01:47:48,232 --> 01:47:49,867 GOOD. 2496 01:47:49,867 --> 01:47:53,637 THROUGH OUR WORK RSP SHORT SHORE 2497 01:47:53,637 --> 01:47:57,074 THE RESILIENT SISTERHOOD 2498 01:47:57,074 --> 01:48:01,178 PROJECT, WE STRIVE TO 2499 01:48:01,178 --> 01:48:03,781 HISTORICALLY ACKNOWLEDGE AND TO 2500 01:48:03,781 --> 01:48:07,718 CONTEXTUALIZE EXPOSURE TO 2501 01:48:07,718 --> 01:48:15,793 ENVIRONMENTAL TOXIN IN THE BLACK 2502 01:48:15,793 --> 01:48:19,163 COMMUNITY FROM PERSONAL PRODUCT 2503 01:48:19,163 --> 01:48:29,473 AND SO MUCH MORE. 2504 01:48:30,441 --> 01:48:34,612 WITH THE WORK WE DO WE FOCUS ON 2505 01:48:34,612 --> 01:48:37,148 DISEASES OF REPRODUCTIVE SYSTEM 2506 01:48:37,148 --> 01:48:39,016 THAT DISPROPORTIONATELY AFFECT 2507 01:48:39,016 --> 01:48:46,857 WOMEN OF AFRICAN DESCENT AND 2508 01:48:46,857 --> 01:48:47,391 FIBROIDS. 2509 01:48:47,391 --> 01:48:50,161 I THINK YESTERDAY SOMEBODY ASKED 2510 01:48:50,161 --> 01:48:51,896 A QUESTION ABOUT BLACK WOMEN AND 2511 01:48:51,896 --> 01:48:53,798 FIBROIDS AND THE STATISTICS 2512 01:48:53,798 --> 01:48:56,300 ABOUT HOW MANY BLACK WOMEN ARE 2513 01:48:56,300 --> 01:48:59,804 AFFECTED BY FIBROIDS. 2514 01:48:59,804 --> 01:49:02,907 THE ANSWER IS 70% TO 80% OF 2515 01:49:02,907 --> 01:49:07,578 BLACK WOMEN EITHER HAVE OR WILL 2516 01:49:07,578 --> 01:49:13,184 HAVE FOLLICULAR FIBROIDS ACC 2517 01:49:13,184 --> 01:49:16,554 ACCORDING TO THE CDC. 2518 01:49:16,554 --> 01:49:18,689 THEY'RE NOT DISPROPORTIONATELY 2519 01:49:18,689 --> 01:49:24,495 ED BY ENDOMETRIOSIS BUT DO END 2520 01:49:24,495 --> 01:49:28,365 UP WITH HIGH RATES OF 2521 01:49:28,365 --> 01:49:31,602 ENDOMETRIOSIS AND WOMEN WITH 2522 01:49:31,602 --> 01:49:42,146 FIBROIDS AND SORRY FOR THE TYPO. 2523 01:49:49,153 --> 01:49:53,023 AND MANY ARE AFFECTED BY 2524 01:49:53,023 --> 01:49:56,327 FIBROIDS AND ENDOMETRIOSIS AND 2525 01:49:56,327 --> 01:49:59,029 PCO AND FERTILITY AND EARLY 2526 01:49:59,029 --> 01:50:02,967 PUBERTY AND MENOPAUSE WHICH ALSO 2527 01:50:02,967 --> 01:50:07,004 AFFECT YOUNG BLACK GIRLS. 2528 01:50:07,004 --> 01:50:09,974 ISSUES OF MENOPAUSE ALSO 2529 01:50:09,974 --> 01:50:10,674 REPRODUCTIVE HEALTH CONDITIONS 2530 01:50:10,674 --> 01:50:16,914 WE TALK ABOUT AND ALSO IN TERMS 2531 01:50:16,914 --> 01:50:22,753 OF HOW EXPOSURE TO ECDs 2532 01:50:22,753 --> 01:50:24,755 CONTRIBUTE TO MAKE THE 2533 01:50:24,755 --> 01:50:30,728 EXPERIENCES THEIR WOMEN TO BE 2534 01:50:30,728 --> 01:50:41,272 MORE CHALLENGING AND ONE PANEL 2535 01:50:45,776 --> 01:50:47,778 TALKED ABOUT THE IMPORTANCE OF 2536 01:50:47,778 --> 01:50:50,447 LOOKING AT ECDs THROUGH 2537 01:50:50,447 --> 01:50:51,081 REPRODUCTIVE HEALTH ACROSS THE 2538 01:50:51,081 --> 01:51:01,258 LIFE SPAN. 2539 01:51:09,567 --> 01:51:13,304 AND YOU CAN'T EMPOWER PEOPLE OR 2540 01:51:13,304 --> 01:51:18,776 FULLY ENGAGE WITH PEOPLE WITHOUT 2541 01:51:18,776 --> 01:51:21,111 ROOM BRINGING THE NECESSARY 2542 01:51:21,111 --> 01:51:21,378 KNOWLEDGE. 2543 01:51:21,378 --> 01:51:23,013 SO KNOWLEDGE GAPS AROUND FIRST 2544 01:51:23,013 --> 01:51:29,653 OF ALL TO START OUT WITH MANY OF 2545 01:51:29,653 --> 01:51:32,723 THE DISEASES IS OMITTED. 2546 01:51:32,723 --> 01:51:37,027 MANY TIMES I'LL TALK TO SOMEONE 2547 01:51:37,027 --> 01:51:38,429 DIAGNOSED WITH FIBROIDS AND 2548 01:51:38,429 --> 01:51:40,898 THEY'LL SAY I HAVE FIBROIDS I'M 2549 01:51:40,898 --> 01:51:42,967 LIKE OH, WOW. 2550 01:51:42,967 --> 01:51:45,636 TELL ME MORE, WHERE ARE THE 2551 01:51:45,636 --> 01:51:48,472 FIBROIDS LOCATED AND I'LL GET 2552 01:51:48,472 --> 01:51:50,140 THIS BLANK STARE. 2553 01:51:50,140 --> 01:51:52,309 OF COURSE IT'S NOT THE FAULT OF 2554 01:51:52,309 --> 01:51:53,377 THAT PATIENT FOR NOT KNOWING 2555 01:51:53,377 --> 01:51:58,649 WHERE THE FIBROIDS ARE LOCATED. 2556 01:51:58,649 --> 01:52:00,517 SO NOT ONLY THEY DON'T HAVE THE 2557 01:52:00,517 --> 01:52:03,020 BASIC KNOWLEDGE OF THE ILLNESS 2558 01:52:03,020 --> 01:52:05,055 AFFECTING THEM BUT YOU CAN 2559 01:52:05,055 --> 01:52:06,023 IMAGINE THE LACK OF KNOWLEDGE 2560 01:52:06,023 --> 01:52:10,027 THEY WOULD HAVE WHEN IT COMES TO 2561 01:52:10,027 --> 01:52:10,995 THINKING ABOUT PERHAPS HOW 2562 01:52:10,995 --> 01:52:15,032 EXPOSURE TO ECDs MAY BE A 2563 01:52:15,032 --> 01:52:16,767 CONTRIBUTING FACTOR TO THEIR 2564 01:52:16,767 --> 01:52:19,136 DEALING WITH SOME THINGS LIKE 2565 01:52:19,136 --> 01:52:19,703 FIBROIDS. 2566 01:52:19,703 --> 01:52:21,739 SO EDUCATION INTERVENTION ALSO 2567 01:52:21,739 --> 01:52:22,406 IS SOMETHING THAT'S CRUCIAL FOR 2568 01:52:22,406 --> 01:52:32,750 THE WORK THAT WE DO. 2569 01:52:39,957 --> 01:52:45,329 AND CAN YOU HEAR ME? 2570 01:52:45,329 --> 01:52:51,001 BUT ALSO WITH HEALTH 2571 01:52:51,001 --> 01:52:52,936 PRACTITIONERS. 2572 01:52:52,936 --> 01:52:54,371 SO WE DO A LOT OF WORK IN 2573 01:52:54,371 --> 01:52:58,242 COLLABORATION WITH MANY OF OUR 2574 01:52:58,242 --> 01:53:03,013 COMMUNITY PARTNERS AND ONE SUCH 2575 01:53:03,013 --> 01:53:06,517 COLLABORATION IS WITH A RESEARCH 2576 01:53:06,517 --> 01:53:08,152 PROJECT WHERE WE WANTED TO 2577 01:53:08,152 --> 01:53:11,021 ENGAGE WITH BLACK WOMEN IN OUR 2578 01:53:11,021 --> 01:53:14,792 COMMUNITY. 2579 01:53:14,792 --> 01:53:17,428 AND TO ASSESS WHAT KIND OF 2580 01:53:17,428 --> 01:53:20,931 PRODUCTS WE ARE USING, HOW OFTEN 2581 01:53:20,931 --> 01:53:22,466 WE WERE USING THEM AND SO THESE 2582 01:53:22,466 --> 01:53:25,069 ARE THE DIFFERENT STEPS THAT WE 2583 01:53:25,069 --> 01:53:27,871 TOOK BUT WHEN WE SET OUT TO TALK 2584 01:53:27,871 --> 01:53:31,942 ABOUT TO DO THAT RESEARCH, WE 2585 01:53:31,942 --> 01:53:32,843 WERE NOT THINKING ABOUT USING 2586 01:53:32,843 --> 01:53:34,244 SOCIAL MEDIA AT ALL. 2587 01:53:34,244 --> 01:53:35,913 BUT THIS RESEARCH SHOWS THE 2588 01:53:35,913 --> 01:53:38,382 IMPORTANCE OF ENGAGING DIRECTLY 2589 01:53:38,382 --> 01:53:40,117 WITH PEOPLE WHO ARE MOSTLY 2590 01:53:40,117 --> 01:53:41,385 IMPACTED BY HEALTH AND THE MOST 2591 01:53:41,385 --> 01:53:44,855 IMPACT WILL BY THE HEALTH ISSUES 2592 01:53:44,855 --> 01:53:47,257 AND IT WAS TRUE, ONCE WE RECORD 2593 01:53:47,257 --> 01:53:48,525 THE THIS IT WAS AN A 2594 01:53:48,525 --> 01:53:49,927 CONVERSATION ABOUT THE PRODUCTS 2595 01:53:49,927 --> 01:53:51,862 THEY WERE USING. 2596 01:53:51,862 --> 01:53:57,101 WE FOUND THAT MANY OF THEM WERE 2597 01:53:57,101 --> 01:54:03,540 USING PRODUCTS THAT WERE FROM 2598 01:54:03,540 --> 01:54:04,508 SOCIAL MEDIA INFLUENCERS AND 2599 01:54:04,508 --> 01:54:10,814 THAT LED US TO REDIRECT AND 2600 01:54:10,814 --> 01:54:15,052 RE-THINK HOW WE WERE GOING TO 2601 01:54:15,052 --> 01:54:16,653 PLAN THE RESEARCH WHICH TURNED 2602 01:54:16,653 --> 01:54:21,325 OUT TO BE EXTREMELY SUCCESSFUL 2603 01:54:21,325 --> 01:54:24,695 AND WITHIN ONE YEAR USING AND 2604 01:54:24,695 --> 01:54:30,968 ENDED UP HAVING SOCIAL MEDIA 2605 01:54:30,968 --> 01:54:31,802 INFLUENCERS AND WE TRAINED THEM 2606 01:54:31,802 --> 01:54:34,571 AND THEY HAD TO AGREE TO AT 2607 01:54:34,571 --> 01:54:37,207 LEAST PARTICIPATE IN TWO 2608 01:54:37,207 --> 01:54:39,476 WORKSHOPS BECAUSE WE WANTED TO 2609 01:54:39,476 --> 01:54:42,913 BE UNDERSTOOD AND WERE AWARE AND 2610 01:54:42,913 --> 01:54:44,681 HAD CONTROL OVER THE MEDIA 2611 01:54:44,681 --> 01:54:46,517 CONTENT THEY WERE DELIVERING TO 2612 01:54:46,517 --> 01:54:47,885 MAKE SURE THE INFORMATION THEY 2613 01:54:47,885 --> 01:54:49,453 WERE COMMUNICATING WITH THE 2614 01:54:49,453 --> 01:54:54,758 AUDIENCE WE WERE TRYING TO 2615 01:54:54,758 --> 01:54:57,294 TARGET WAS AN IMPORTANT MESSAGE 2616 01:54:57,294 --> 01:55:07,604 RELEVANT TO ECDs. 2617 01:55:08,505 --> 01:55:13,444 OF COURSE EVEN THE IMPORTANCE OF 2618 01:55:13,444 --> 01:55:16,113 RESILIENCE THOUGH I COULD HAVE 2619 01:55:16,113 --> 01:55:16,847 DONE WORKSHOPS FOR BLACK PEOPLE 2620 01:55:16,847 --> 01:55:22,252 BUT THAT'S A DIFFERENT TOPIC FOR 2621 01:55:22,252 --> 01:55:32,729 ANOTHER TIME BUT -- AT THE 2622 01:55:36,600 --> 01:55:38,235 BEGINNING OF THE CONFERENCE 2623 01:55:38,235 --> 01:55:39,903 SEKAI MENTIONED THE IMPORTANCE 2624 01:55:39,903 --> 01:55:43,040 OF HOW PEOPLE TALK A LITTLE BIT 2625 01:55:43,040 --> 01:55:44,675 ABOUT AVOIDANCE WHEN IT COMES TO 2626 01:55:44,675 --> 01:55:47,010 ECDs AND SAID SOMETHING 2627 01:55:47,010 --> 01:55:50,147 IMPORTANT WHICH IS WHAT IS NEXT 2628 01:55:50,147 --> 01:55:52,449 TO IMPOSSIBLE AND I THINK WE PUT 2629 01:55:52,449 --> 01:55:54,218 A LOT OF BURDEN ON THE 2630 01:55:54,218 --> 01:55:55,319 COMMUNITIES THAT WE ARE TRYING 2631 01:55:55,319 --> 01:55:56,653 TO SERVE. 2632 01:55:56,653 --> 01:55:59,323 SO I THINK IT'S IMPORTANT -- I 2633 01:55:59,323 --> 01:56:06,997 THINK FOR US WE ARE REQUIRED. 2634 01:56:06,997 --> 01:56:14,204 I UNWORKING WITH COMMUNITY -- IN 2635 01:56:14,204 --> 01:56:15,339 WORKING WITH THE COMMUNITY AND 2636 01:56:15,339 --> 01:56:17,307 THINK OF THE PARADIGM SHIFT TO 2637 01:56:17,307 --> 01:56:19,209 THE BURDEN IS NOT THOSE IN THE 2638 01:56:19,209 --> 01:56:21,445 COMMUNITY BUT MOST IMPACTED IN 2639 01:56:21,445 --> 01:56:22,980 ORDER TO MITIGATE THEIR EXPOSURE 2640 01:56:22,980 --> 01:56:29,720 TO ENVIRONMENTAL STRESSORS. 2641 01:56:29,720 --> 01:56:31,889 AND ALONG WITH THE ENVIRONMENTAL 2642 01:56:31,889 --> 01:56:34,892 STRESSORS IT'S IMPORTANT FOR US 2643 01:56:34,892 --> 01:56:38,996 TO THINK ABOUT THE STRESSORS OF 2644 01:56:38,996 --> 01:56:42,766 RACISM WHICH IS IT'S OWN 2645 01:56:42,766 --> 01:56:45,969 TOXICITY IN THE LIVES OF MANY 2646 01:56:45,969 --> 01:56:48,572 WOMEN DEALING WITH REPRODUCTIVE 2647 01:56:48,572 --> 01:56:50,674 HEALTH ISSUES. 2648 01:56:50,674 --> 01:56:52,609 IN RESILIENCE I BELIEVE I 2649 01:56:52,609 --> 01:56:57,714 STARTED THE PROJECT I THOUGHT 2650 01:56:57,714 --> 01:57:04,988 ABOUT THE WORK AND RESILIENCE 2651 01:57:04,988 --> 01:57:07,958 HAS POTENTIAL AND WITH THAT 2652 01:57:07,958 --> 01:57:10,994 COMBS RESPONSIBILITY. 2653 01:57:10,994 --> 01:57:14,998 WE BELIEVE IN GOING FORWARD. 2654 01:57:14,998 --> 01:57:16,867 AND NOT BACKWARD AND ALL THE 2655 01:57:16,867 --> 01:57:21,772 RESEARCH THAT WE'RE DOING 2656 01:57:21,772 --> 01:57:22,973 DEMONSTRATE THAT. 2657 01:57:22,973 --> 01:57:23,540 SOME STEPS ARE SLOWER THAN 2658 01:57:23,540 --> 01:57:29,713 OTHERS. 2659 01:57:29,713 --> 01:57:32,082 I'M GRATEFUL FOR DOING THE WORK 2660 01:57:32,082 --> 01:57:33,784 WE DO AND TRYING TO WILL 2661 01:57:33,784 --> 01:57:35,519 UNDERSTAND THE REALITY AND 2662 01:57:35,519 --> 01:57:40,290 CHALLENGES ARE QUITE FIERCE. 2663 01:57:40,290 --> 01:57:50,601 THANK YOU SO MUCH. 2664 01:57:56,573 --> 01:58:06,783 >> HI, EVERYONE. 2665 01:58:07,050 --> 01:58:10,387 I WANT TO TALK TO YOU FROM THE 2666 01:58:10,387 --> 01:58:11,088 CONTEXT OF ENVIRONMENTAL STRESS 2667 01:58:11,088 --> 01:58:14,024 FACING OUR COMMUNITIES AND HOW 2668 01:58:14,024 --> 01:58:17,928 DO WE ADDRESS THAT ESPECIALLY IN 2669 01:58:17,928 --> 01:58:20,764 THE CONTEXT OF CLIMATE CHANGE. 2670 01:58:20,764 --> 01:58:25,235 AND SO AND SO AND SO YOU'LL TALK 2671 01:58:25,235 --> 01:58:26,937 ABOUT PSYCHOLOGICAL RESILIENCE. 2672 01:58:26,937 --> 01:58:27,604 WE HAVEN'T SPECIFICALLY LOOKED 2673 01:58:27,604 --> 01:58:33,377 AT ECDs BUT WHEN WE LOOK AT 2674 01:58:33,377 --> 01:58:34,678 CLIMATE-RELATED DISASTERS THEN 2675 01:58:34,678 --> 01:58:37,247 THEN ECDs COME UP FROM THE KINDS 2676 01:58:37,247 --> 01:58:40,283 OF DISASTERS THAT TAKE PLACE 2677 01:58:40,283 --> 01:58:41,218 LIKE WILDFIRES OR FLOODS THAT 2678 01:58:41,218 --> 01:58:43,120 CAN BE ASSOCIATED WITH RELEASE 2679 01:58:43,120 --> 01:58:48,425 OF ECDs. 2680 01:58:48,425 --> 01:58:52,996 JUST AS AN INTRODUCTION, I LEAD 2681 01:58:52,996 --> 01:58:56,233 THE NEAT LABS AT UC SAN DIEGO. 2682 01:58:56,233 --> 01:58:57,768 I'M AN ASSOCIATE PROFESSOR IN 2683 01:58:57,768 --> 01:59:01,505 THE DEPARTMENT OF PSYCHIATRY AND 2684 01:59:01,505 --> 01:59:02,606 CO-LEAD THE CLIMATE CHANGE AND 2685 01:59:02,606 --> 01:59:04,841 MENTAL HEALTH INITIATIVE. 2686 01:59:04,841 --> 01:59:07,010 SO I'LL TALK MORE ON THE MENTAL 2687 01:59:07,010 --> 01:59:10,080 HEALTH AND NEUROLOGICAL HEALTH 2688 01:59:10,080 --> 01:59:12,282 PERSPECTIVES AND THE 2689 01:59:12,282 --> 01:59:13,350 PSYCHOLOGICAL ASPECTS OF 2690 01:59:13,350 --> 01:59:16,987 RESILIENCE. 2691 01:59:16,987 --> 01:59:18,455 MY WORK IN THE LAST FIVE YEARS 2692 01:59:18,455 --> 01:59:20,057 HAS LOOKED AT STUDYING 2693 01:59:20,057 --> 01:59:21,224 RESILIENCE IN THE CONTEXT OF 2694 01:59:21,224 --> 01:59:23,593 CLIMATE CHANGE IMPACT ON MENTAL 2695 01:59:23,593 --> 01:59:27,230 HEALTH AND BRAIN HEALTH WITHIN 2696 01:59:27,230 --> 01:59:32,969 OUR IMPACTED AND VULNERABLE 2697 01:59:32,969 --> 01:59:33,270 COMMUNITIES. 2698 01:59:33,270 --> 01:59:34,337 SO A RESILIENCE RESEARCH STUDY 2699 01:59:34,337 --> 01:59:38,208 WAS EMBEDDED IN THE CONTEXT OF 2700 01:59:38,208 --> 01:59:42,946 THE WILDFIRES THAT ARE HAPPENING 2701 01:59:42,946 --> 01:59:44,848 IN CALIFORNIA ESPECIALLY IN 2702 01:59:44,848 --> 01:59:47,217 VULNERABLE COMMUNITIES THAT LIVE 2703 01:59:47,217 --> 01:59:50,487 AT THE WILD LAND URBAN 2704 01:59:50,487 --> 01:59:51,021 INTERFACES. 2705 01:59:51,021 --> 01:59:56,226 THESE ARE WHERE THE FOREST MEETS 2706 01:59:56,226 --> 02:00:01,798 THE RESIDENTIAL AREAS WE FIND 2707 02:00:01,798 --> 02:00:04,534 CHRONIC EFFECTS ON MENTAL HEALTH 2708 02:00:04,534 --> 02:00:06,236 SYMPTOMS FOUND AND WE SEE 2709 02:00:06,236 --> 02:00:12,242 CHRONIC EFFECTS THAT ARE IN THE 2710 02:00:12,242 --> 02:00:16,113 DOMAINS OF POSTTRAUMATIC STRESS 2711 02:00:16,113 --> 02:00:18,815 DISORDER AND ANXIETY. 2712 02:00:18,815 --> 02:00:20,383 THESE ARE INDIVIDUALS PRIMARILY 2713 02:00:20,383 --> 02:00:25,989 EXPOSED TO THE FIRED AND PEOPLE 2714 02:00:25,989 --> 02:00:28,759 DIRECTLY EXPOSED FOLLOWED BY 2715 02:00:28,759 --> 02:00:29,893 THOSE INDIRECTLY EXPOSED AND 2716 02:00:29,893 --> 02:00:30,961 INDIVIDUALS IN THE SAME 2717 02:00:30,961 --> 02:00:34,231 COMMUNITIES WHERE THE FIRES TOOK 2718 02:00:34,231 --> 02:00:35,332 PLACE BUT THEY WEREN'T 2719 02:00:35,332 --> 02:00:38,268 PERSONALLY IMPACTED BY THEM. 2720 02:00:38,268 --> 02:00:43,206 THEY DID NOT SUFFER PERSONAL 2721 02:00:43,206 --> 02:00:47,811 DAMAGE IN TERMS OF INJURY OR 2722 02:00:47,811 --> 02:00:49,179 DEATH OR PROPERTY LOSS IN ANY 2723 02:00:49,179 --> 02:00:49,346 WAY. 2724 02:00:49,346 --> 02:00:54,417 IT'S INTERESTING TO SEE MENTAL 2725 02:00:54,417 --> 02:00:59,790 HEALTH IS IMPACTED IS COMMUNITY 2726 02:00:59,790 --> 02:01:00,991 IS AFFECTED. 2727 02:01:00,991 --> 02:01:03,627 WHEN WE THINK OF MENTAL HEALTH, 2728 02:01:03,627 --> 02:01:06,930 THE AFFECTS ARE LONG LASTING IN 2729 02:01:06,930 --> 02:01:07,998 THAT WE SEE THESE AFFECTS EVEN 2730 02:01:07,998 --> 02:01:11,735 SIX MONTHS TO A YEAR AFTER THE 2731 02:01:11,735 --> 02:01:13,270 DISASTER'S TAKEN PLACE WHICH IS 2732 02:01:13,270 --> 02:01:14,805 AFTER THE SMOKE-RELATED EFFECTS 2733 02:01:14,805 --> 02:01:16,640 HAVE SUBSIDED. 2734 02:01:16,640 --> 02:01:18,875 HOW DOES THE SMOKE-RELATED 2735 02:01:18,875 --> 02:01:23,013 EFFECTS INTERACT WITH THE TRAUMA 2736 02:01:23,013 --> 02:01:28,285 PATHWAYS AND STRESS PATHWAYS TO 2737 02:01:28,285 --> 02:01:29,319 BRING ABOUT THE LONG-TERM 2738 02:01:29,319 --> 02:01:30,287 EFFECTS IS AN AREA OF INTEREST 2739 02:01:30,287 --> 02:01:34,658 FOR US TO STUDY. 2740 02:01:34,658 --> 02:01:36,726 ALONG SIDE POSTTRAUMATIC STRESS 2741 02:01:36,726 --> 02:01:37,561 DISORDER WE SEE HIGHER 2742 02:01:37,561 --> 02:01:40,330 PREVALENCE OF DEPRESSION AND 2743 02:01:40,330 --> 02:01:44,034 ANXIETY WHICH IS 1.5 TO 2X 2744 02:01:44,034 --> 02:01:46,570 RELATIVE TO POPULATIONS NOT 2745 02:01:46,570 --> 02:01:50,974 EXPOSED TO THESE STRESSORS. 2746 02:01:50,974 --> 02:01:51,975 IN THIS REGARD CLIMATE CHANGE 2747 02:01:51,975 --> 02:01:55,011 RELATED DISASTERS ARE A HUGE 2748 02:01:55,011 --> 02:01:59,216 STRESSOR ON OUR SYSTEMS. 2749 02:01:59,216 --> 02:02:00,917 AND WHEN WE THINK OF RESILIENCE 2750 02:02:00,917 --> 02:02:04,487 IN THE CONTEXT OF CLIMATE CHANGE 2751 02:02:04,487 --> 02:02:07,991 WE LOOKED AT A POPULATION OF 2752 02:02:07,991 --> 02:02:09,826 1,000 PEOPLE STUDYING HERE AND 2753 02:02:09,826 --> 02:02:14,130 NOT JUST LOOKED AT THE 2754 02:02:14,130 --> 02:02:15,498 DEMOGRAPHIC FACTORS BUT OTHER 2755 02:02:15,498 --> 02:02:17,234 PSYCHOLOGICAL RESILIENCE 2756 02:02:17,234 --> 02:02:17,467 FACTORS. 2757 02:02:17,467 --> 02:02:19,169 AND WHAT EXACTLY IS PROTECTING 2758 02:02:19,169 --> 02:02:21,104 PEOPLE FROM DEVELOPING THESE 2759 02:02:21,104 --> 02:02:25,175 MENTAL HEALTH SIGNS. 2760 02:02:25,175 --> 02:02:27,510 AND SO IF YOU LOOK AT THE 2761 02:02:27,510 --> 02:02:29,646 FACTORS IN GREEN IN EACH CASE 2762 02:02:29,646 --> 02:02:32,949 THESE ARE THE FACTORS THAT 2763 02:02:32,949 --> 02:02:34,784 PROTECT FROM PTSD OR DEPRESSION 2764 02:02:34,784 --> 02:02:38,321 OR ANXIETY IN A SIGNIFICANT WAY. 2765 02:02:38,321 --> 02:02:42,626 WE FOUND AGE BRINGS A SENSE OF 2766 02:02:42,626 --> 02:02:46,196 PSYCHOLOGICAL WISDOM THAT 2767 02:02:46,196 --> 02:02:47,063 PROTECTS FROM DEVELOPING OVER 2768 02:02:47,063 --> 02:02:50,400 ALL SEVERE SYMPTOMS. 2769 02:02:50,400 --> 02:02:53,003 WE ALSO FOUND RESILIENCE WHICH 2770 02:02:53,003 --> 02:02:55,572 WERE MEASURED USING THE BRIEF 2771 02:02:55,572 --> 02:02:56,339 RESILIENCE SCALE AND THAT LOOK 2772 02:02:56,339 --> 02:02:59,576 AT THE ABILITY TO BOUNCE BACK 2773 02:02:59,576 --> 02:03:01,144 FROM STRESSORS THE QUESTION IS 2774 02:03:01,144 --> 02:03:02,312 FOCUSSED ON THE ABILITY TO 2775 02:03:02,312 --> 02:03:05,015 BOUNCE BACK FROM STRESSORS. 2776 02:03:05,015 --> 02:03:07,484 IF ONE HAD GREATER PERSONAL 2777 02:03:07,484 --> 02:03:08,685 RESILIENT BELIEFS THEY WERE 2778 02:03:08,685 --> 02:03:10,120 PROTECTIVE AGAINST THE 2779 02:03:10,120 --> 02:03:11,588 DEVELOPMENT OF THE SYMPTOMS. 2780 02:03:11,588 --> 02:03:14,024 IN TERMS OF DEPRESSION AND 2781 02:03:14,024 --> 02:03:16,927 ANXIETY, IT WAS ALSO IMPORTANT 2782 02:03:16,927 --> 02:03:23,566 TO HAVE SKILLS IN THE DOMAIN OF 2783 02:03:23,566 --> 02:03:31,308 EXERCISE AND AS WELL AS 2784 02:03:31,308 --> 02:03:33,376 MINDFULNESS AND SLEEP WAS 2785 02:03:33,376 --> 02:03:35,745 IMPORTANT AND HAVING LESSER 2786 02:03:35,745 --> 02:03:38,481 SLEEP DISTURBANCES WAS IMPORTANT 2787 02:03:38,481 --> 02:03:39,649 AS WELL. 2788 02:03:39,649 --> 02:03:42,786 WE CAN SEE HAVING PROPER 2789 02:03:42,786 --> 02:03:44,587 LIFESTYLE FACTORS IN PLACE SUCH 2790 02:03:44,587 --> 02:03:47,223 AS EXERCISE AROUND MINDFULNESS 2791 02:03:47,223 --> 02:03:48,992 AND SLEEP AND PERSONAL 2792 02:03:48,992 --> 02:03:50,160 RESILIENCE BELIEFS ALL COME 2793 02:03:50,160 --> 02:03:52,762 TOGETHER TO FORM PROTECTION 2794 02:03:52,762 --> 02:03:56,533 AGAINST MENTAL HEALTH SYSTEMS WE 2795 02:03:56,533 --> 02:03:58,335 SEE IN THE CONTEXT OF CLIMATE 2796 02:03:58,335 --> 02:03:59,536 CHANGE AGGREGATED DISASTERS. 2797 02:03:59,536 --> 02:04:01,271 >> ONE MINUTE, JYOTI. 2798 02:04:01,271 --> 02:04:11,414 >> SURE. 2799 02:04:14,784 --> 02:04:17,921 THAT WAS OBSERVATIONAL WORK AND 2800 02:04:17,921 --> 02:04:19,990 NATURE-BASED INTERVENTIONS THAT 2801 02:04:19,990 --> 02:04:22,993 DEVELOPED ECO MINDFULNESS. 2802 02:04:22,993 --> 02:04:26,997 THAT'S DONE IN THE CONTEXT 2803 02:04:26,997 --> 02:04:29,499 BECAUSE INDIVIDUALS DEVELOPED A 2804 02:04:29,499 --> 02:04:31,735 POOR OR CONNECTION WITH NATURE 2805 02:04:31,735 --> 02:04:33,403 WHERE THEY'VE LOST THEIR ABILITY 2806 02:04:33,403 --> 02:04:35,672 TO CONNECT WITH NATURE IN AI 2807 02:04:35,672 --> 02:04:41,344 POSITIVE WAY BECAUSE OF THE 2808 02:04:41,344 --> 02:04:43,046 APOCALYPTIC NATURE OF WHAT 2809 02:04:43,046 --> 02:04:46,716 THEY'VE WITNESSED AND 2810 02:04:46,716 --> 02:04:48,518 REEXPERIENCE NATURE IN A MORE 2811 02:04:48,518 --> 02:04:49,819 POSITIVE WAY AGAIN AND 2812 02:04:49,819 --> 02:04:50,987 PROTECTIVE COMMUNITY-LED 2813 02:04:50,987 --> 02:04:55,825 INTERVENTIONS WE'RE PARTNERING 2814 02:04:55,825 --> 02:05:01,965 ON THAT WE'RE MEASURING EFFECTS 2815 02:05:01,965 --> 02:05:05,668 OBJECTIVELY AND BRAIN FUNCTION 2816 02:05:05,668 --> 02:05:07,003 AND COGNITIVE SYMPTOMS TO SEE 2817 02:05:07,003 --> 02:05:12,075 HOW ECO MINDFULNESS TOOLS CAN 2818 02:05:12,075 --> 02:05:13,076 HELP WITH THE RESILIENCE 2819 02:05:13,076 --> 02:05:15,211 BUILDING IN THESE IMPACTED 2820 02:05:15,211 --> 02:05:15,879 COMMUNITIES. 2821 02:05:15,879 --> 02:05:20,083 OVER ALL OUR OBSERVATIONAL WORK 2822 02:05:20,083 --> 02:05:21,451 HAS ALSO SHOWN INDIVIDUALS WITH 2823 02:05:21,451 --> 02:05:25,655 STRONGER TIES TO COMMUNITIES AND 2824 02:05:25,655 --> 02:05:27,123 FAMILY TIES AND COMMUNITY TIES 2825 02:05:27,123 --> 02:05:28,091 WITH OTHERS WITHIN THEIR 2826 02:05:28,091 --> 02:05:33,329 COMMUNITY ARE ALSO PROTECTED 2827 02:05:33,329 --> 02:05:38,868 FROM THE MENTAL HEALTH OUTCOMES 2828 02:05:38,868 --> 02:05:49,045 IN DEVELOP IS -- DEVELOPING 2829 02:05:49,045 --> 02:05:49,712 PTSD IN THE CONTEXT OF CLIMATE 2830 02:05:49,712 --> 02:05:49,946 CHANGE. 2831 02:05:49,946 --> 02:05:58,555 THANK YOU. 2832 02:05:58,555 --> 02:06:02,992 >> THANK YOU. 2833 02:06:02,992 --> 02:06:06,429 >> I'M FROM EAST CAROLINA 2834 02:06:06,429 --> 02:06:06,729 UNIVERSITY. 2835 02:06:06,729 --> 02:06:08,531 I'M KAREN LITWA. 2836 02:06:08,531 --> 02:06:11,034 I'D LIKE TO THANK LAVERNE FOR 2837 02:06:11,034 --> 02:06:13,837 THE INVITATION TO TALK ABOUT 2838 02:06:13,837 --> 02:06:14,637 RESILIENCE FROM A MOLECULAR 2839 02:06:14,637 --> 02:06:15,438 PERSPECTIVE AND WOULD LIKE TO 2840 02:06:15,438 --> 02:06:17,173 THANK THE FUNDERS OF THE 2841 02:06:17,173 --> 02:06:17,440 RESEARCH. 2842 02:06:17,440 --> 02:06:19,008 THIS PROJECT WAS INITIATED 2843 02:06:19,008 --> 02:06:21,678 THROUGH FUNDING FROM THE NORTH 2844 02:06:21,678 --> 02:06:22,445 CAROLINA STATE UNIVERSITY CENTER 2845 02:06:22,445 --> 02:06:30,086 FOR HUMAN HEALTH AND THE 2846 02:06:30,086 --> 02:06:32,288 ENVIRONMENT AND SINCE FUNDED BY 2847 02:06:32,288 --> 02:06:34,224 THE OFFICE OF DIETARY 2848 02:06:34,224 --> 02:06:35,758 SUPPLEMENTS AND NCCIH. 2849 02:06:35,758 --> 02:06:38,061 WE'RE INTERESTED IN WHETHER THE 2850 02:06:38,061 --> 02:06:41,331 PHYTO CHEMICAL CAN PROTECT 2851 02:06:41,331 --> 02:06:43,032 DEVELOPING BRAINS FROM A 2852 02:06:43,032 --> 02:06:52,709 CHEMICAL DISRUPTION. 2853 02:06:52,709 --> 02:06:55,011 HOW CAN WE PROTECT AGAINST THE 2854 02:06:55,011 --> 02:07:05,355 CHEMICALS AROUND US? 2855 02:07:08,491 --> 02:07:10,093 THIS SPROUT CONTAINS 2856 02:07:10,093 --> 02:07:12,595 SULFORAPHANE AND WHEN IT ENACTS 2857 02:07:12,595 --> 02:07:14,030 WITH THE ENZYME AROUND THIS 2858 02:07:14,030 --> 02:07:16,065 OCCURS WHEN THE PLANT IS 2859 02:07:16,065 --> 02:07:16,299 INJURED. 2860 02:07:16,299 --> 02:07:19,269 SO WE SEE THE LEVELS OF THE 2861 02:07:19,269 --> 02:07:21,237 SULFORAPHANE ARE HIGHEST IN THIS 2862 02:07:21,237 --> 02:07:23,673 LITTLE DEVELOPING SPROUT WHEN IT 2863 02:07:23,673 --> 02:07:26,176 NEEDS TO BE PROTECTED FROM 2864 02:07:26,176 --> 02:07:27,010 INJURY IN ORDER TO FULLY DEVELOP 2865 02:07:27,010 --> 02:07:29,379 INTO A PLANT. 2866 02:07:29,379 --> 02:07:31,681 SO WE WANTED TO KNOW WHETHER WE 2867 02:07:31,681 --> 02:07:33,516 COULD USE THIS SULFORAPHANE TO 2868 02:07:33,516 --> 02:07:36,586 ALSO PROTECT THE DEVELOPING 2869 02:07:36,586 --> 02:07:43,059 NEURAL CIRCUITS OF OUR BRAIN IN 2870 02:07:43,059 --> 02:07:44,260 PREVENT NEURAL DEVELOPMENTAL 2871 02:07:44,260 --> 02:07:54,437 DISORDERS. 2872 02:08:04,514 --> 02:08:10,453 THE BASIC IDEA IS YOU CAN BE 2873 02:08:10,453 --> 02:08:11,221 EXPOSED TO PHARMACEUTICAL DRUG 2874 02:08:11,221 --> 02:08:16,826 AND FOR EXAMPLE SPOEMOKING AND 2875 02:08:16,826 --> 02:08:21,431 ENVIRONMENTAL SUCH AS PESTICIDE 2876 02:08:21,431 --> 02:08:22,932 EXPOSURE AND FACTORY POLLUTANTS 2877 02:08:22,932 --> 02:08:24,901 CAN ALL IMPACT THE FETUS DURING 2878 02:08:24,901 --> 02:08:26,769 THE SENSITIVE PERIOD WHEN YOU'RE 2879 02:08:26,769 --> 02:08:29,172 BUILDING THE FOUNDATIONS OF THE 2880 02:08:29,172 --> 02:08:29,639 BODY. 2881 02:08:29,639 --> 02:08:33,443 AND WE'RE PARTICULARLY 2882 02:08:33,443 --> 02:08:34,777 INTERESTED IN THE DEVELOPMENT OF 2883 02:08:34,777 --> 02:08:36,346 THE BRAIN THAT LAYS THE 2884 02:08:36,346 --> 02:08:37,313 FOUNDATION FOR LATER BEHAVIORS. 2885 02:08:37,313 --> 02:08:41,884 SO WE WANTED TO UNDERSTAND 2886 02:08:41,884 --> 02:08:43,286 WHETHER WE COULD USE 2887 02:08:43,286 --> 02:08:48,091 SULFORAPHANE TO PREVENT ADVERSE 2888 02:08:48,091 --> 02:08:50,193 OUTCOMES RELATED TO CHEMICAL 2889 02:08:50,193 --> 02:08:51,394 EXPOSURES AND LEADING TO THE 2890 02:08:51,394 --> 02:08:54,364 NORMAL DEVELOPMENT OF THE BRAIN 2891 02:08:54,364 --> 02:08:55,598 IN NORMAL BEHAVIORAL OUTCOMES. 2892 02:08:55,598 --> 02:08:58,001 I DO WANT TO MENTION THESE 2893 02:08:58,001 --> 02:09:01,437 STUDIES ARE BEING PERFORMED IN 2894 02:09:01,437 --> 02:09:05,174 COLLABORATION WITH DR. McCOY AT 2895 02:09:05,174 --> 02:09:05,575 FLORIDA ATLANTIC. 2896 02:09:05,575 --> 02:09:11,014 I'M GOING TO PRESENT ON THE 2897 02:09:11,014 --> 02:09:16,853 STUDIES IN MY LAB AND DR. McCOY 2898 02:09:16,853 --> 02:09:18,554 IS DOING RESEARCH ON BEHAVIORAL 2899 02:09:18,554 --> 02:09:22,358 OUTCOMES IN A MOUSE MODEL 2900 02:09:22,358 --> 02:09:22,625 SYSTEM. 2901 02:09:22,625 --> 02:09:27,030 SO OUR MODEL HAVE TINY ORGANOIDS 2902 02:09:27,030 --> 02:09:31,000 THAT MIMIC THE DEVELOPING CORTEX 2903 02:09:31,000 --> 02:09:40,376 OF THE BRAIN. 2904 02:09:40,376 --> 02:09:43,446 AND THIS IS ESTABLISHED IN 2905 02:09:43,446 --> 02:09:47,317 HUMANS EPIDEMIOLOGICALLY AS WELL 2906 02:09:47,317 --> 02:09:48,751 AS IN MOUSE MODELS LEADS TO 2907 02:09:48,751 --> 02:09:50,053 AUTISM LIKE BEHAVIOR. 2908 02:09:50,053 --> 02:09:52,455 THE INTERVENTION IN THIS CASE IS 2909 02:09:52,455 --> 02:09:54,991 USING SULFORAPHANE WHICH IS A 2910 02:09:54,991 --> 02:09:58,961 PHYTO CHEMICAL ABUNDANT IN THE 2911 02:09:58,961 --> 02:10:01,297 SPROUT OF CRUCIFEROUS VEGETABLES 2912 02:10:01,297 --> 02:10:02,732 SUCH AS BROCCOLI AND EXAMINED 2913 02:10:02,732 --> 02:10:08,971 SEVERAL OUTCOMES RELATED TO THE 2914 02:10:08,971 --> 02:10:11,874 INTERVENTION WHETHER WE CAN 2915 02:10:11,874 --> 02:10:14,977 REDUCE STRESS CAUSED BY VALPROIC 2916 02:10:14,977 --> 02:10:18,715 ACID OR AND HAVE NORMAL 2917 02:10:18,715 --> 02:10:20,850 DEVELOPMENT OF SYNAPSES IN THE 2918 02:10:20,850 --> 02:10:23,920 BRAIN AS WELL AS NORMAL SYNAPTIC 2919 02:10:23,920 --> 02:10:24,187 FUNCTION. 2920 02:10:24,187 --> 02:10:26,122 ACTION POTENTIAL FORMATION 2921 02:10:26,122 --> 02:10:27,523 WITHIN THE NEURAL CIRCUITS. 2922 02:10:27,523 --> 02:10:29,092 COMMUNICATION AGAIN THE NEURONS 2923 02:10:29,092 --> 02:10:31,461 AND WE ALSO EXAMINED THE 2924 02:10:31,461 --> 02:10:32,628 TRANSCRIPTIONAL SIGNATURES 2925 02:10:32,628 --> 02:10:33,096 ASSOCIATED WITH THIS 2926 02:10:33,096 --> 02:10:37,400 INTERVENTION. 2927 02:10:37,400 --> 02:10:40,336 JUST TO GIVE YOU INSIGHT INTO 2928 02:10:40,336 --> 02:10:42,572 HOW SULFORAPHANE WORKS. 2929 02:10:42,572 --> 02:10:45,274 AT A MOLECULAR LEVEL, 2930 02:10:45,274 --> 02:10:46,876 SULFORAPHANE IS A SMALL 2931 02:10:46,876 --> 02:10:48,611 MOLECULE. 2932 02:10:48,611 --> 02:10:59,122 IT'S LIPOPHILIC AND INTERACT 2933 02:11:00,423 --> 02:11:06,095 WITH THE LIGASE. 2934 02:11:06,095 --> 02:11:08,431 IT CAN INTERACT WITH KEAP1 2935 02:11:08,431 --> 02:11:13,636 HOLDING ON TO THE TRANSCRIPTION 2936 02:11:13,636 --> 02:11:21,477 FACTOR NRF2 AND DEGRADING THE 2937 02:11:21,477 --> 02:11:25,081 FACTOR AND WHEN SULFORAPHANE IT 2938 02:11:25,081 --> 02:11:28,351 BIND ALLOWING NRF2 TO BECOME 2939 02:11:28,351 --> 02:11:31,487 PHOSPHORYLATED AND ENTER INTO 2940 02:11:31,487 --> 02:11:34,991 THE NUCLEUS LEADING TO THE UP 2941 02:11:34,991 --> 02:11:38,995 REGULATION OF ANTIOXIDANT AND 2942 02:11:38,995 --> 02:11:49,472 PHASE 2 DETOX FACE ENZYMES. 2943 02:12:11,894 --> 02:12:13,796 AND WE CAN UPREGULATE THE 2944 02:12:13,796 --> 02:12:16,199 EXPRESSION OF ANTIOXIDANT GENE 2945 02:12:16,199 --> 02:12:17,667 PRODUCTS LEADING TO NORMAL 2946 02:12:17,667 --> 02:12:18,367 SYNAPTIC DEVELOPMENT AND 2947 02:12:18,367 --> 02:12:19,001 FUNCTION IN THE DEVELOPING 2948 02:12:19,001 --> 02:12:27,043 BRAIN. 2949 02:12:27,043 --> 02:12:28,277 AND THERE'S RESULTS CURRENTLY 2950 02:12:28,277 --> 02:12:32,548 UNDER REVIEW FOR PUBLICATION. 2951 02:12:32,548 --> 02:12:37,687 MY STUDENTS CURRENTLY ADDRESS 2952 02:12:37,687 --> 02:12:43,059 REVIEWER COMMENTS. 2953 02:12:43,059 --> 02:12:44,460 AND THERE'S A NERVOUS SYSTEM TO 2954 02:12:44,460 --> 02:12:48,097 THE LEVEL AND UNDER 2955 02:12:48,097 --> 02:12:48,798 PHYSIOLOGICAL CONDITIONS BETWEEN 2956 02:12:48,798 --> 02:12:51,734 SPECIES AND ANTIOXIDANTS. 2957 02:12:51,734 --> 02:12:53,903 YOU HAVE THE NORMAL DEVELOPMENT 2958 02:12:53,903 --> 02:12:57,273 OF THE SYNAPTIC CONNECTIONS AND 2959 02:12:57,273 --> 02:12:59,375 NORMAL SIGNALLING BETWEEN THEM 2960 02:12:59,375 --> 02:13:01,711 AND WHEN YOU INTRODUCE BPA YOU 2961 02:13:01,711 --> 02:13:05,014 SOO THE INCREASE IN CELLULAR 2962 02:13:05,014 --> 02:13:06,749 OXIDATIVE STRESS. 2963 02:13:06,749 --> 02:13:09,085 WE ACTUALLY SAW A REDUCTION IN 2964 02:13:09,085 --> 02:13:12,321 THE FORMATION OF SYNAPSES 2965 02:13:12,321 --> 02:13:14,223 BETWEEN NEURONS AND WE SAW SOME 2966 02:13:14,223 --> 02:13:15,091 DISRUPTION TO NEURAL ACTIVITY 2967 02:13:15,091 --> 02:13:17,693 THAT WAS RELATED TO THE LEVEL OF 2968 02:13:17,693 --> 02:13:20,596 NEURONAL ACTIVITY. 2969 02:13:20,596 --> 02:13:23,366 AND WE ALSO SAW SIGNATURES, GENE 2970 02:13:23,366 --> 02:13:25,268 SIGNATURE CHANGES THAT WERE 2971 02:13:25,268 --> 02:13:27,670 SIMILAR TO THOSE IN INDIVIDUALS 2972 02:13:27,670 --> 02:13:30,006 WITH AUTISM SPECTRUM DISORDERS. 2973 02:13:30,006 --> 02:13:33,276 HOWEVER, WHEN WE ADDED 2974 02:13:33,276 --> 02:13:35,011 SULFORAPHANE EITHER PRIOR TO BPA 2975 02:13:35,011 --> 02:13:39,015 EXPOSURE OR IN ADDITION TO BPA 2976 02:13:39,015 --> 02:13:43,352 EXPOSURE, WE WERE ABLE TO 2977 02:13:43,352 --> 02:13:47,423 RECOVER THAT NEURAL FUNCTION. 2978 02:13:47,423 --> 02:13:50,960 WE SAW THE OXIDATIVE PHYSIOLOGY 2979 02:13:50,960 --> 02:13:52,995 RESTORATION AND NORMAL FORMATION 2980 02:13:52,995 --> 02:13:55,431 OF THE SYNAPSES WAS RESTORED AS 2981 02:13:55,431 --> 02:13:56,866 WELL AS THEIR FUNCTION AND WE 2982 02:13:56,866 --> 02:14:02,338 SAW SOME CHANGES IN GENE 2983 02:14:02,338 --> 02:14:08,978 EXPRESSION AND CHANGES RELATED 2984 02:14:08,978 --> 02:14:10,379 TO SYNAPTIC STABILITY AND 2985 02:14:10,379 --> 02:14:10,980 MITOCHONDRIAL FUNCTION WE'RE 2986 02:14:10,980 --> 02:14:12,481 FOLLOWING UP ON AND I SHOULD 2987 02:14:12,481 --> 02:14:14,584 MENTION THAT THESE WERE RESULTS 2988 02:14:14,584 --> 02:14:17,587 WERE PRIMARILY SEEN WITH A VERY 2989 02:14:17,587 --> 02:14:18,454 LOW DOSE OF OUR SULFORAPHANE 2990 02:14:18,454 --> 02:14:21,824 INTERVENTION. 2991 02:14:21,824 --> 02:14:24,994 AND SO WHILE OUR STUDY EXAMINED 2992 02:14:24,994 --> 02:14:30,232 USING THIS MODEL WE WANT TO 2993 02:14:30,232 --> 02:14:31,033 EXTEND TO ENDOCRINE DISRUPTING 2994 02:14:31,033 --> 02:14:34,403 CHEMICALS AND WAY IN THE TO 2995 02:14:34,403 --> 02:14:35,771 HIGHLIGHT WORK DONE BY MY 2996 02:14:35,771 --> 02:14:42,011 COLLABORATOR AND THE ABILITY TO 2997 02:14:42,011 --> 02:14:45,481 PREVENT HYPOSPADIAS IN A MOUSE 2998 02:14:45,481 --> 02:14:45,681 MODEL. 2999 02:14:45,681 --> 02:14:46,315 I'M THERE AND THANK YOU FOR YOUR 3000 02:14:46,315 --> 02:14:52,288 ATTENTION. 3001 02:14:52,288 --> 02:14:55,591 >> I THINK WE HAVE A MINUTE OR 3002 02:14:55,591 --> 02:14:58,861 TWO FOR QUESTIONS AND I THINK 3003 02:14:58,861 --> 02:15:00,763 I'LL TAKE THE MODERATOR'S 3004 02:15:00,763 --> 02:15:02,298 PREROGATIVE AND ASK THE FIRST 3005 02:15:02,298 --> 02:15:02,765 QUESTION. 3006 02:15:02,765 --> 02:15:04,166 WE WANTED THE SESSION TO FOCUS 3007 02:15:04,166 --> 02:15:06,902 ON RESILIENCE BUT WE COULDN'T 3008 02:15:06,902 --> 02:15:08,471 TALK ABOUT RESILIENCE WITHOUT 3009 02:15:08,471 --> 02:15:10,740 ALSO FIRST TALKING ABOUT THE 3010 02:15:10,740 --> 02:15:14,677 RISK AND THE PROBLEMS WE'RE 3011 02:15:14,677 --> 02:15:16,779 FACING WITH ECDs. 3012 02:15:16,779 --> 02:15:17,847 YOU HEARD ABOUT THE PROBLEMS 3013 02:15:17,847 --> 02:15:22,952 WITH ECDs SO I WANTED TO GIVE MY 3014 02:15:22,952 --> 02:15:23,953 PANELISTS AN OPPORTUNITY TO 3015 02:15:23,953 --> 02:15:26,656 ADDRESS QUESTIONS RELATED 3016 02:15:26,656 --> 02:15:27,823 DIRECTLY TO RESILIENCE. 3017 02:15:27,823 --> 02:15:31,060 SO I'LL JUST PICK THE QUESTION. 3018 02:15:31,060 --> 02:15:33,829 YOU'D LIKE TO SHARE MORE DETAILS 3019 02:15:33,829 --> 02:15:35,131 ON SPECIFIC EXAMPLES OF 3020 02:15:35,131 --> 02:15:38,768 RESILIENCE MODELS IN YOUR LAB OR 3021 02:15:38,768 --> 02:15:41,537 IN THE COMMUNITY AND PROGRAMS OR 3022 02:15:41,537 --> 02:15:44,974 EVEN IN YOUR DATA COLLECTION. 3023 02:15:44,974 --> 02:15:49,311 MODELS THAT HAVE ALREADY WORKED 3024 02:15:49,311 --> 02:15:51,047 THAT MIGHT ADDRESS EDC EXPOSURE 3025 02:15:51,047 --> 02:15:58,220 OR SIMILAR TOXICANTS. 3026 02:15:58,220 --> 02:15:59,989 DO ANY MIND SHARING THERE? 3027 02:15:59,989 --> 02:16:10,700 >> I THINK MARK HAD TO STEP OFF. 3028 02:16:10,700 --> 02:16:12,101 WOULD YOU LIKE TO SHARE 3029 02:16:12,101 --> 02:16:13,369 ADDITIONAL DETAILS ON SPECIFIC 3030 02:16:13,369 --> 02:16:16,105 EXAMPLES OF RESILIENCE MODELS 3031 02:16:16,105 --> 02:16:18,741 THAT HAVE WORKED TO ADDRESS 3032 02:16:18,741 --> 02:16:21,210 EITHER EDC EXPOSURE OR SIMILAR 3033 02:16:21,210 --> 02:16:25,414 TOXICANTS IN YOUR RESEARCH OR 3034 02:16:25,414 --> 02:16:35,591 PROGRAMS. 3035 02:16:38,427 --> 02:16:41,464 >> IT'S HOW WE DEFINE A 3036 02:16:41,464 --> 02:16:45,634 HEALTHIHEALTHY 3037 02:16:45,634 --> 02:16:45,868 SYSTEM. 3038 02:16:45,868 --> 02:16:46,736 THERE ARE POTENTIAL BIOMARKERS 3039 02:16:46,736 --> 02:16:50,639 WE CAN USE OXIDATIVE STRESS 3040 02:16:50,639 --> 02:16:53,175 BEING ONE AND METABOLIC 3041 02:16:53,175 --> 02:16:56,212 SIGNATURES THAT REALLY ARE 3042 02:16:56,212 --> 02:16:58,481 INDICATIVE OF HIGHLY FUNCTIONING 3043 02:16:58,481 --> 02:17:01,417 SYSTEM AND USE THE METRICS TO 3044 02:17:01,417 --> 02:17:03,986 DEFINE INTERVENTIONS THAT ARE 3045 02:17:03,986 --> 02:17:05,387 PROMOTING THOSE HEALTHY 3046 02:17:05,387 --> 02:17:05,688 SIGNATURES. 3047 02:17:05,688 --> 02:17:10,926 AND I WANT TO POINT OUT I DON'T 3048 02:17:10,926 --> 02:17:14,029 WANT TO DEMONIZE THE SPECIES 3049 02:17:14,029 --> 02:17:15,664 BECAUSE IF WE USED TOO MUCH 3050 02:17:15,664 --> 02:17:17,767 SULFORAPHANE IT ALSO WAS NOT 3051 02:17:17,767 --> 02:17:18,100 PROTECTIVE. 3052 02:17:18,100 --> 02:17:20,970 IT'S FINDING A BALANCE BETWEEN 3053 02:17:20,970 --> 02:17:23,272 THE PATHWAYS THAT ALLOW US TO 3054 02:17:23,272 --> 02:17:25,407 FUNCTION WITHIN AN OPTIMAL 3055 02:17:25,407 --> 02:17:27,009 RANGE. 3056 02:17:27,009 --> 02:17:28,277 >> THANK YOU, KAREN. 3057 02:17:28,277 --> 02:17:30,312 DID YOU WANT TO ADD, LILLY? 3058 02:17:30,312 --> 02:17:37,887 >> I THINK ABOUT THE FIRST 3059 02:17:37,887 --> 02:17:43,425 RESEARCH AND THE RESULTS THAT 3060 02:17:43,425 --> 02:17:45,094 LED US TO DO ANOTHER RESEARCH 3061 02:17:45,094 --> 02:17:49,431 WITH A YOUNGER -- I FORGOT TO 3062 02:17:49,431 --> 02:17:53,135 MENTION THE FIRST 25 WOMEN THAT 3063 02:17:53,135 --> 02:17:56,071 ACQUITTED WERE BETWEEN THE AGES 3064 02:17:56,071 --> 02:18:02,077 OF I THINK 22 TO 45. 3065 02:18:02,077 --> 02:18:07,516 BUT WE ALSO THOUGHT IT WOULD BE 3066 02:18:07,516 --> 02:18:12,955 IMPORTANT TO SEE WHAT THE 3067 02:18:12,955 --> 02:18:16,425 PATTERNS OF USAGE OF PRODUCTS 3068 02:18:16,425 --> 02:18:19,962 AND THE FREQUENCY AND ALSO COULD 3069 02:18:19,962 --> 02:18:24,366 IT BE THE SAME PATTERNS OF 3070 02:18:24,366 --> 02:18:27,703 FOLLOWING THE RECOMMENDATIONS OF 3071 02:18:27,703 --> 02:18:28,604 SOCIAL MEDIA INFLUENCES FROM 3072 02:18:28,604 --> 02:18:32,708 YOUNGER GROUPS SO WE DECIDED TO 3073 02:18:32,708 --> 02:18:34,810 DO ANOTHER RESEARCH WITH YOUNG 3074 02:18:34,810 --> 02:18:39,782 GIRLS BETWEEN THE AGES OF 15 TO 3075 02:18:39,782 --> 02:18:45,521 21 JUST TO ALSO SEE THE IMPACT 3076 02:18:45,521 --> 02:18:49,458 OF JUST BEING INFLUENCED BY 3077 02:18:49,458 --> 02:18:51,427 SOCIAL MEDIA INFLUENCERS 3078 02:18:51,427 --> 02:18:55,731 RECOMMENDING ALL KINDS OF 3079 02:18:55,731 --> 02:18:57,099 PRODUCTS THAT LIVE WITH ECDs. 3080 02:18:57,099 --> 02:18:58,100 >> THANK YOU. 3081 02:18:58,100 --> 02:18:59,935 SO IT SOUNDS LIKE WHAT I'M 3082 02:18:59,935 --> 02:19:01,437 HEARING IS THERE'S A SOCIAL 3083 02:19:01,437 --> 02:19:04,373 ASPECT TO PROMOTING RESILIENCE. 3084 02:19:04,373 --> 02:19:08,444 I'M HEARING FROM KAREN THERE'S 3085 02:19:08,444 --> 02:19:10,145 EVEN A MOLECULAR ASPECT. 3086 02:19:10,145 --> 02:19:10,713 DID YOU WANT TO ADD TO THIS 3087 02:19:10,713 --> 02:19:20,956 CONVERSATION? 3088 02:19:24,493 --> 02:19:26,462 >> AND THERE'S CO-PANELISTS ON 3089 02:19:26,462 --> 02:19:32,134 THE SPECIFIC AS SPEPECTS BUT THS 3090 02:19:32,134 --> 02:19:34,336 BIOLOGICAL MARKERS TRACKED IN 3091 02:19:34,336 --> 02:19:34,870 COMMUNITIES IN TERMS OF 3092 02:19:34,870 --> 02:19:38,240 COGNITIVE AND NEURAL FUNCTIONS 3093 02:19:38,240 --> 02:19:40,342 THAT CAN CHANGE IN THE CONTEXT 3094 02:19:40,342 --> 02:19:43,078 OF BUILDING RESILIENCE TO 3095 02:19:43,078 --> 02:19:47,650 ENVIRONMENTAL STRESSORS. 3096 02:19:47,650 --> 02:19:51,020 >> WE ALSO HAVE A QUESTION FROM 3097 02:19:51,020 --> 02:19:58,594 DR. LANGEVINE. 3098 02:19:58,594 --> 02:20:02,731 >> CAN YOU HEAR ME? 3099 02:20:02,731 --> 02:20:08,404 I HAD A QUESTION -- WELL 3100 02:20:08,404 --> 02:20:09,638 STARTING WITH THE WHAT WAS 3101 02:20:09,638 --> 02:20:12,508 PRESENTED WITH THE AFFECT OF THE 3102 02:20:12,508 --> 02:20:21,417 SULFORAPHANE AT A LOW DOSE. 3103 02:20:21,417 --> 02:20:29,959 AND THE CONCEPT OF FOREMESIS AND 3104 02:20:29,959 --> 02:20:33,729 A LOWER DOSE VERSUS HIGHER DOSE 3105 02:20:33,729 --> 02:20:36,865 BEING TOXIC AND A GENERALIZED 3106 02:20:36,865 --> 02:20:38,400 CONCEPT AND SOMETIMES THE 3107 02:20:38,400 --> 02:20:39,735 COMPOUNDS COULD BE STRESSORS IN 3108 02:20:39,735 --> 02:20:41,403 AND OF THEMSELVES, SMALL 3109 02:20:41,403 --> 02:20:45,040 STRESSORS AT LOW DOSE BUT THEN 3110 02:20:45,040 --> 02:20:46,842 STIMULATE AN ADAPTIVE RESPONSE 3111 02:20:46,842 --> 02:20:50,946 THAT COULD BE BENEFICIAL AND 3112 02:20:50,946 --> 02:20:51,914 CONFIRM RESILIENCE. 3113 02:20:51,914 --> 02:20:55,017 HAVE YOU LOOKED AT THOSE 3114 02:20:55,017 --> 02:21:03,826 MECHANISMS IN YOUR WORK? 3115 02:21:03,826 --> 02:21:05,527 >> WE DIDN'T REALLY LOOK TOO 3116 02:21:05,527 --> 02:21:09,765 MUCH AT WHAT WAS HAPPENING AND I 3117 02:21:09,765 --> 02:21:12,434 DO THINK IT MAY BE A CASE WHERE 3118 02:21:12,434 --> 02:21:14,003 THAT INTERVENTION IS GOING TO BE 3119 02:21:14,003 --> 02:21:17,039 CONTEXT DEPENDENT ON LEVEL OF 3120 02:21:17,039 --> 02:21:17,639 EXPOSURE AS TO WHETHER IT'S 3121 02:21:17,639 --> 02:21:24,847 BENEFICIAL OR NOT. 3122 02:21:24,847 --> 02:21:26,582 WE DID SEE SIGNATURES RELATED 3123 02:21:26,582 --> 02:21:29,685 MORE TO THIS INTEGRATED STRESS 3124 02:21:29,685 --> 02:21:32,221 RESPONSE WE FELT LIKE IN THE 3125 02:21:32,221 --> 02:21:35,691 PRESENCE OF BPA SULFORAPHANE 3126 02:21:35,691 --> 02:21:37,393 WHERE THE CELLS SEEM TO BE 3127 02:21:37,393 --> 02:21:40,829 BASICALLY ENTERING A STATE THAT 3128 02:21:40,829 --> 02:21:41,764 ALLOW THEM TO HAVE STABILITY IN 3129 02:21:41,764 --> 02:21:44,700 THE PRESENCE OF THIS STRESSOR 3130 02:21:44,700 --> 02:21:47,036 RATHER THAN SHIFTING TO AN 3131 02:21:47,036 --> 02:21:48,837 APOPTOTIC MECHANISM. 3132 02:21:48,837 --> 02:21:51,006 SO YOU SEE MORE PHOSPHORYLATION 3133 02:21:51,006 --> 02:21:54,443 OF THIS TRANSLATIONAL MACHINERY 3134 02:21:54,443 --> 02:21:56,979 LIKE EIF2A SO AT TO THE 3135 02:21:56,979 --> 02:21:58,480 TRANSCRIPTIONAL WE SAW SOME OF 3136 02:21:58,480 --> 02:22:01,483 THOSE PATHWAYS WERE STARTING TO 3137 02:22:01,483 --> 02:22:01,917 BE ENGAGED. 3138 02:22:01,917 --> 02:22:03,852 GIVING THE CELL SPACE TO STILL 3139 02:22:03,852 --> 02:22:07,022 EXIST DESPITE THE STRESSOR BEING 3140 02:22:07,022 --> 02:22:08,824 PRESENT AND CONTINUE TO THRIVE 3141 02:22:08,824 --> 02:22:11,026 WHEN THE STRESSOR IS GONE. 3142 02:22:11,026 --> 02:22:14,730 >> THAT IS SUPER INTERESTING. 3143 02:22:14,730 --> 02:22:19,868 I THINK YOUR MODEL MIGHT BE A 3144 02:22:19,868 --> 02:22:25,474 GOOD ONE FOR STUDYING THIS 3145 02:22:25,474 --> 02:22:26,875 PARTICULAR COMPOUND BUT ALSO 3146 02:22:26,875 --> 02:22:28,944 PERHAPS A MORE GENERAL 3147 02:22:28,944 --> 02:22:30,679 APPLICATION OF THE IDEAL. 3148 02:22:30,679 --> 02:22:31,947 >> THANK YOU. 3149 02:22:31,947 --> 02:22:36,585 WE'RE ALSO EXAMINING OTHER 3150 02:22:36,585 --> 02:22:37,486 COMPOUNDS SUCH AS CANNABIDIOLS. 3151 02:22:37,486 --> 02:22:39,121 >> THANK YOU. 3152 02:22:39,121 --> 02:22:42,958 >> WE HAVE ANOTHER QUESTION FROM 3153 02:22:42,958 --> 02:22:45,594 THE ZOOM PLATFORM. 3154 02:22:45,594 --> 02:22:49,465 THIS IS FOR JYOTI. 3155 02:22:49,465 --> 02:22:54,069 DR. MISHRA CAN YOU TALK MORE 3156 02:22:54,069 --> 02:22:56,238 ABOUT THE YOUR MINDFULNESS-BASED 3157 02:22:56,238 --> 02:22:58,373 PROGRAMS AND WHAT ARE LESSONS 3158 02:22:58,373 --> 02:23:01,477 LEARNED TO INFORM FUTURE 3159 02:23:01,477 --> 02:23:02,544 RESEARCH IN THE EDC SPACE 3160 02:23:02,544 --> 02:23:03,745 DIRECTLY INFORMED AND DELIVERED 3161 02:23:03,745 --> 02:23:07,015 BY PEOPLE WHO NEED THESE 3162 02:23:07,015 --> 02:23:09,184 INTERVENTIONS THE MOST? 3163 02:23:09,184 --> 02:23:10,686 >> THANK YOU FOR THE QUESTION. 3164 02:23:10,686 --> 02:23:11,620 COMMUNITY PARTNERSHIPS ARE VERY 3165 02:23:11,620 --> 02:23:13,088 IMPORTANT TO US. 3166 02:23:13,088 --> 02:23:17,559 THESE ARE PARTNERSHIPS WHERE WE 3167 02:23:17,559 --> 02:23:21,797 STRIVE FOR EQUAL POWER IN 3168 02:23:21,797 --> 02:23:22,998 RELATIONSHIPS AND THE COMMUNITY 3169 02:23:22,998 --> 02:23:27,202 LEADERS ARE THE ONES WHO DECIDE 3170 02:23:27,202 --> 02:23:28,871 WHAT CAN BE FEASIBLY IMPLEMENTED 3171 02:23:28,871 --> 02:23:30,139 IN THESE COMMUNITIES. 3172 02:23:30,139 --> 02:23:32,841 WHAT KIND OF PROGRAMS THE 3173 02:23:32,841 --> 02:23:34,877 DURATION OF THE PROGRAMS AND 3174 02:23:34,877 --> 02:23:37,946 WHERE WE COME IN IS MOSTLY IN 3175 02:23:37,946 --> 02:23:38,747 HELPING WITH THE SCIENTIFIC 3176 02:23:38,747 --> 02:23:41,450 DESIGN AND STRUCTURE MAKING SURE 3177 02:23:41,450 --> 02:23:42,985 THAT THERE ARE CONTROLS IN 3178 02:23:42,985 --> 02:23:46,421 PLACE, MAKING SURE THERE'S 3179 02:23:46,421 --> 02:23:49,791 ADEQUATE ASSESSMENTS THAT ARE 3180 02:23:49,791 --> 02:23:51,093 BOTH ADDRESSING SUBJECTIVE AS 3181 02:23:51,093 --> 02:23:53,028 WELL AS OBJECTIVE ASPECTS OF 3182 02:23:53,028 --> 02:23:55,030 RESILIENCE AND OBJECTIVE ASPECTS 3183 02:23:55,030 --> 02:23:57,199 COME IN FROM COGNITIVE AND 3184 02:23:57,199 --> 02:23:59,034 NEURAL MEASURES. 3185 02:23:59,034 --> 02:24:01,370 AND WE RESPECT THAT OUR 3186 02:24:01,370 --> 02:24:03,539 COMMUNITY PARTNERS WANT TO LEARN 3187 02:24:03,539 --> 02:24:05,073 ABOUT THESE KINDS OF 3188 02:24:05,073 --> 02:24:07,476 MEASUREMENTS AS WELL SO WE TRY 3189 02:24:07,476 --> 02:24:11,046 TO MAKE THINGS USER FRIENDLY SO 3190 02:24:11,046 --> 02:24:13,549 THEY CAN LEARN TO ADMINISTER 3191 02:24:13,549 --> 02:24:16,885 THESE ASSESSMENTS ON THEIR OWN 3192 02:24:16,885 --> 02:24:19,655 AND SO THAT IT DOESN'T FEEL LIKE 3193 02:24:19,655 --> 02:24:25,460 WE'RE COMING IN FROM OUTSIDE TO 3194 02:24:25,460 --> 02:24:26,795 INTERVENE WITHIN THE COMMUNITY. 3195 02:24:26,795 --> 02:24:31,867 FOR LONG-TERM SUSTAINABILITY 3196 02:24:31,867 --> 02:24:34,303 IT'S IMPORTANT THAT COMMUNITY 3197 02:24:34,303 --> 02:24:35,504 MEMBERS THEMSELVES TAKE THE 3198 02:24:35,504 --> 02:24:37,639 ASSESSMENTS AND INTERVENTIONS ON 3199 02:24:37,639 --> 02:24:42,177 THEIR OWN AND GROW THEM AND 3200 02:24:42,177 --> 02:24:44,146 SCALE THEM ON THEIR OWN WITH 3201 02:24:44,146 --> 02:24:45,080 HEALTH. 3202 02:24:45,080 --> 02:24:47,649 AND WE'RE PROUD THAT WE'VE GREEN 3203 02:24:47,649 --> 02:24:50,052 BEYOND STATES SO WE CAN DO THIS 3204 02:24:50,052 --> 02:24:53,922 WORK IN CALIFORNIA AND IN 3205 02:24:53,922 --> 02:24:55,624 HAWAI'I WHERE THEY WERE RECENTLY 3206 02:24:55,624 --> 02:24:59,027 HIT BY THE WILDFIRES AS WELL. 3207 02:24:59,027 --> 02:24:59,795 IT'S ABSOLUTELY COMMUNITY LED 3208 02:24:59,795 --> 02:25:05,267 AND WE'RE MOSTLY THE HELPERS IN 3209 02:25:05,267 --> 02:25:06,268 THE SCIENTIFIC EFFORT. 3210 02:25:06,268 --> 02:25:09,838 SO IT'S IMPORTANT TO RESPECT THE 3211 02:25:09,838 --> 02:25:10,472 COMMUNITY PARTNERS. 3212 02:25:10,472 --> 02:25:13,475 WHEN WE WANT TO EXPAND TO NEW 3213 02:25:13,475 --> 02:25:14,209 COMMUNITIES, FINDING NEW 3214 02:25:14,209 --> 02:25:15,110 COMMUNITY PARTNERS IS THE FIRST 3215 02:25:15,110 --> 02:25:17,613 THING WE DO. 3216 02:25:17,613 --> 02:25:22,184 PEOPLE WHO FEEL THAT THEY CAN 3217 02:25:22,184 --> 02:25:25,821 HAVE A STRONG FOOTPRINT TO 3218 02:25:25,821 --> 02:25:30,192 COALESCE COMMUNITY MEMBERS INTO 3219 02:25:30,192 --> 02:25:30,959 NEW INTERVENTIONS. 3220 02:25:30,959 --> 02:25:33,862 AND WE'VE BEEN FORTUNATE WITHIN 3221 02:25:33,862 --> 02:25:37,266 THE VULNERABLE COMMUNITIES ECO 3222 02:25:37,266 --> 02:25:39,668 MINDFULNESS HAS GROWN AS A NEW 3223 02:25:39,668 --> 02:25:41,436 INTERVENTION APPROACH THAT IS 3224 02:25:41,436 --> 02:25:43,472 REALLY HELPING THE MENTAL HEALTH 3225 02:25:43,472 --> 02:25:44,806 OF THE PEOPLE THAT ARE IMPACTED 3226 02:25:44,806 --> 02:25:49,978 BY THESE DISASTERS. 3227 02:25:49,978 --> 02:25:51,847 >> GREAT, THANK YOU, JYOTI. 3228 02:25:51,847 --> 02:25:54,249 I WANT TO THANK MY PANELISTS 3229 02:25:54,249 --> 02:25:56,852 AGAIN AND TURN THE WORKSHOP BACK 3230 02:25:56,852 --> 02:25:58,220 TO SEKAI. 3231 02:25:58,220 --> 02:26:00,022 >> THANK YOU, DR. BROWN AND 3232 02:26:00,022 --> 02:26:00,289 PANELISTS. 3233 02:26:00,289 --> 02:26:01,456 LET'S GIVE THEM A ROUND OF 3234 02:26:01,456 --> 02:26:05,093 APPLAUSE. 3235 02:26:05,093 --> 02:26:06,395 VERY GREAT. 3236 02:26:06,395 --> 02:26:07,496 WE'LL BREAK FOR LUNCH NOW 3237 02:26:07,496 --> 02:26:08,730 EVERYONE AND PLEASE COME BACK AT 3238 02:26:08,730 --> 02:26:09,798 1:00 P.M. EASTERN TIME. 3239 02:26:09,798 --> 02:26:12,134 THANK YOU. 3240 02:26:12,134 --> 02:26:15,370 MY NAME IS OMOWUNMI OSINUBI FOR 3241 02:26:15,370 --> 02:26:16,938 THE INJURY STUDY CENTER. 3242 02:26:16,938 --> 02:26:18,640 WE'RE GOING TO BE TALKING ABOUT 3243 02:26:18,640 --> 02:26:20,676 MILITARY OCCUPATION AND 3244 02:26:20,676 --> 02:26:21,810 ENVIRONMENTAL EXPOSURES TO ECDs 3245 02:26:21,810 --> 02:26:26,415 AND HOI DO WE ACTUALLY ADDRESS 3246 02:26:26,415 --> 02:26:29,384 THOSE CONCERNS. 3247 02:26:29,384 --> 02:26:35,157 YOU HAVE MY BIO ALREADY AND MY 3248 02:26:35,157 --> 02:26:45,667 PRESENTATION IS ON MILITARY 3249 02:27:13,495 --> 02:27:16,665 SERVICE MEMBERS WHO HAVE SERVED 3250 02:27:16,665 --> 02:27:18,433 VALIANTLY AND SOME ARE ALSO PAID 3251 02:27:18,433 --> 02:27:21,436 THE ULTIMATE SACRIFICE. 3252 02:27:21,436 --> 02:27:22,671 WE LEARN FROM THEM AND 3253 02:27:22,671 --> 02:27:27,743 EVERYTHING THAT WE DO. 3254 02:27:27,743 --> 02:27:32,381 WE'RE NATIONAL HEALTH OUTCOME 3255 02:27:32,381 --> 02:27:33,949 MILITARY EXPOSURES WAR RELATED 3256 02:27:33,949 --> 02:27:36,451 ILLNESS AND INJURY STUDY CENTER 3257 02:27:36,451 --> 02:27:37,552 AND THE FIRST ONE WAS 3258 02:27:37,552 --> 02:27:38,387 ESTABLISHED IN NEW JERSEY WHICH 3259 02:27:38,387 --> 02:27:40,555 IS WHERE I'M FROM. 3260 02:27:40,555 --> 02:27:44,726 THERE'S A COUPLE OTHER WRIISCs 3261 02:27:44,726 --> 02:27:55,170 AND ONE CLOSE TO YOU HERE. 3262 02:27:57,572 --> 02:27:59,341 WITH LOOK AT EXPOSURES IN THE 3263 02:27:59,341 --> 02:28:00,542 MILITARY SERVICE AND CLINICAL 3264 02:28:00,542 --> 02:28:04,846 CARE AND RESEARCH AND EDUCATION. 3265 02:28:04,846 --> 02:28:14,956 WE OFFER A VARIETY OF SERVICES 3266 02:28:14,956 --> 02:28:19,261 CONSULTING OF MEDICAL RECORDS 3267 02:28:19,261 --> 02:28:24,733 AND INTERDISCIPLINARY OVER DAYS 3268 02:28:24,733 --> 02:28:26,902 AND GIVE ROAD MAPS HOW TO 3269 02:28:26,902 --> 02:28:28,570 IMPROVE THEIR HEALTH AND WE HAVE 3270 02:28:28,570 --> 02:28:30,172 EXPOSURE ASSESSMENTS. 3271 02:28:30,172 --> 02:28:33,608 ONE OF THE THING THAT'S BEEN 3272 02:28:33,608 --> 02:28:35,043 COMMON IN THE PRESENTATION 3273 02:28:35,043 --> 02:28:37,479 LISTENING TO PRESENTERS LIKE 3274 02:28:37,479 --> 02:28:39,815 LAURENE TALKED ABOUT, PROVIDERS 3275 02:28:39,815 --> 02:28:45,487 NOT UNDERSTANDING THE EXPOSURES 3276 02:28:45,487 --> 02:28:50,425 AND FARM WORKERS GO TO THE E.R. 3277 02:28:50,425 --> 02:28:52,360 OR PRIMARY CARE PROVIDER AND WE 3278 02:28:52,360 --> 02:28:55,564 HELP PROVIDERS AND OTHER PEOPLE 3279 02:28:55,564 --> 02:28:56,965 UNDERSTAND HOW TO TAKE AN 3280 02:28:56,965 --> 02:28:59,501 EXPOSURE HISTORY AND HOW TO MAKE 3281 02:28:59,501 --> 02:29:00,936 THAT CONNECTION BETWEEN EXPOSURE 3282 02:29:00,936 --> 02:29:02,838 AND DISEASE WHICH IS DESPERATELY 3283 02:29:02,838 --> 02:29:03,138 NEEDED. 3284 02:29:03,138 --> 02:29:03,972 THAT THE THE FOCUS OF MY 3285 02:29:03,972 --> 02:29:09,945 PRESENTATION TODAY. 3286 02:29:09,945 --> 02:29:15,083 WHAT MILITARY AND ENVIRONMENTAL 3287 02:29:15,083 --> 02:29:15,951 EXPOSURES ARE LIKE. 3288 02:29:15,951 --> 02:29:19,387 AND THOSE WERE MENTIONED AROUND 3289 02:29:19,387 --> 02:29:21,823 WE'LL LOOK AT ENDOCRINE 3290 02:29:21,823 --> 02:29:28,630 DISRUPTORS RELATED TO MILITARY 3291 02:29:28,630 --> 02:29:39,174 SERVICE AND P-U-R-E AND PATTERNS 3292 02:29:39,374 --> 02:29:41,109 AND U UNDERSTAND EXPOSURE AND R 3293 02:29:41,109 --> 02:29:43,144 IS REMOVAL AND REDUCE EXPOSURES 3294 02:29:43,144 --> 02:29:44,579 AND E IS EFFECTIVE 3295 02:29:44,579 --> 02:29:44,913 COMMUNICATION. 3296 02:29:44,913 --> 02:29:46,748 IF YOU REMEMBER THE ACRONYM, 3297 02:29:46,748 --> 02:29:48,517 PURE, YOU'RE IN A GOOD PLACE TO 3298 02:29:48,517 --> 02:29:58,960 START WITH YOUR PATIENTS. 3299 02:30:01,730 --> 02:30:06,868 WE HAVE VETERANS IN THE UNITED 3300 02:30:06,868 --> 02:30:09,137 STATES AND THE MAJORITY OF 3301 02:30:09,137 --> 02:30:11,439 VETERANS GET THEIR CARE FROM THE 3302 02:30:11,439 --> 02:30:11,940 COMMUNITY. 3303 02:30:11,940 --> 02:30:13,508 AM I TOO FAST? 3304 02:30:13,508 --> 02:30:14,276 OKAY, I'LL SLOW. 3305 02:30:14,276 --> 02:30:17,245 ALMOST HALF THE VETERANS WE SEE 3306 02:30:17,245 --> 02:30:18,280 IN THE V.A. HAVE CONCERNS ABOUT 3307 02:30:18,280 --> 02:30:19,147 THEIR EXPOSURES. 3308 02:30:19,147 --> 02:30:21,116 SO IT'S REALLY IMPORTANT FOR US 3309 02:30:21,116 --> 02:30:24,019 AS A COMMUNITY OF PROVIDERS AND 3310 02:30:24,019 --> 02:30:25,253 SCIENTISTS TO HAVE AN 3311 02:30:25,253 --> 02:30:27,656 UNDERSTANDING OF WHAT THE 3312 02:30:27,656 --> 02:30:30,425 EXPOSURES ARE AND HOW THEY MIGHT 3313 02:30:30,425 --> 02:30:33,828 IMPACT -- 3314 02:30:33,828 --> 02:30:44,005 [SPANISH] 3315 02:30:51,813 --> 02:30:53,148 AND WE LOOK WHETHER IT'S WORK IN 3316 02:30:53,148 --> 02:30:54,783 THE COMMUNITY AFTER THEY JOINED 3317 02:30:54,783 --> 02:30:55,884 THE MILITARY SERVICE OR WORK 3318 02:30:55,884 --> 02:30:57,085 THEY DID IN THE COMMUNITY WHILE 3319 02:30:57,085 --> 02:31:00,455 THEY WERE IN THE MILITARY 3320 02:31:00,455 --> 02:31:01,856 SERVICE WHILE WE GO. 3321 02:31:01,856 --> 02:31:07,329 BEAR THAT IN MIND AND WHILE WE 3322 02:31:07,329 --> 02:31:17,806 THINK OF AND THEY COME WITH 3323 02:31:19,407 --> 02:31:21,376 EXPOSURES AND IF THEY DEPLOY 3324 02:31:21,376 --> 02:31:23,511 SERVICES FOR COMBAT, WHAT WERE 3325 02:31:23,511 --> 02:31:24,279 THE EXPOSURES? 3326 02:31:24,279 --> 02:31:26,748 WE'RE LOOKING AT EXPOSURES FROM 3327 02:31:26,748 --> 02:31:30,418 AGE MULTITUDE OF ASPECTS TO MAKE 3328 02:31:30,418 --> 02:31:32,754 SENSE OF THE EXPOSURES AND SEE 3329 02:31:32,754 --> 02:31:34,022 IF ANY OF THOSE ARE MORE THAN 3330 02:31:34,022 --> 02:31:38,493 ONE ARE LINKED TO THEIR HEALTH 3331 02:31:38,493 --> 02:31:43,198 CONDITIONS. 3332 02:31:43,198 --> 02:31:47,535 LET'S TALK ABOUT GARRISON 3333 02:31:47,535 --> 02:31:47,836 EXPOSURES. 3334 02:31:47,836 --> 02:31:49,938 THERE'S 800 MILITARY BASES AND 3335 02:31:49,938 --> 02:31:51,339 COMPRISED 1% OF THE LAND MASS OF 3336 02:31:51,339 --> 02:31:53,541 THE UNITED STATES AND MANY OF 3337 02:31:53,541 --> 02:31:54,275 THESE MILITARY BASES AT LEAST 3338 02:31:54,275 --> 02:32:00,315 150 OF THEM ARE LISTED IN THE 3339 02:32:00,315 --> 02:32:03,318 EPA IMPERATIVE SITE AND HAVE 3340 02:32:03,318 --> 02:32:04,319 SIGNIFICANT CONTAMINATION. 3341 02:32:04,319 --> 02:32:11,059 MANY OF THOSE CONTAMINANTS ARE 3342 02:32:11,059 --> 02:32:19,100 ECDs. 3343 02:32:19,100 --> 02:32:21,002 THE QUESTION IS DOES THE VETERAN 3344 02:32:21,002 --> 02:32:24,105 HAVE DIRECT CONTACT WITH THE EDC 3345 02:32:24,105 --> 02:32:25,106 FOUND IN THE ENVIRONMENT OR FROM 3346 02:32:25,106 --> 02:32:26,441 THE WATER ON THE BASE. 3347 02:32:26,441 --> 02:32:33,815 HAVE THAT IN THE BACK OF YOUR 3348 02:32:33,815 --> 02:32:44,292 MIND AIR FORCE BASES ARE A 3349 02:32:51,266 --> 02:32:52,867 SIGNIFICANT SOURCE OF 3350 02:32:52,867 --> 02:32:54,869 CONTAMINATION FOR PFAS FOR THE 3351 02:32:54,869 --> 02:32:55,370 LOCAL ENVIRONMENT. 3352 02:32:55,370 --> 02:33:01,609 MANY HAS BEEN IN THE NEWS MORE 3353 02:33:01,609 --> 02:33:03,144 RECENTLY AND AS A MATTER OF FACT 3354 02:33:03,144 --> 02:33:04,779 THE U.S. MILITARY A CONCERN IF 3355 02:33:04,779 --> 02:33:08,016 THEY WERE TO BAN PFAS IT MAY 3356 02:33:08,016 --> 02:33:09,651 AFFECT NATIONAL SECURITY BECAUSE 3357 02:33:09,651 --> 02:33:12,253 IN A LOT OF THE COMPONENTS AND 3358 02:33:12,253 --> 02:33:13,354 MATERIALS THEY USE HAVE THIS 3359 02:33:13,354 --> 02:33:15,156 FOREVER CHEMICALS AS PART OF THE 3360 02:33:15,156 --> 02:33:19,928 COMPONENT SO WE HAVE TO STRIKE A 3361 02:33:19,928 --> 02:33:21,963 BALANCE BETWEEN SECURITY AS WELL 3362 02:33:21,963 --> 02:33:22,497 AS INDIVIDUAL HEALTH AND 3363 02:33:22,497 --> 02:33:27,502 WELL-BEING. 3364 02:33:27,502 --> 02:33:28,703 SO, WE HAVE BEEN IN CONFLICT A 3365 02:33:28,703 --> 02:33:32,774 NUMBER OF YEARS IN THE UNITED 3366 02:33:32,774 --> 02:33:33,241 STATES. 3367 02:33:33,241 --> 02:33:39,814 WHICH CONFLICT HAS THE MOST 3368 02:33:39,814 --> 02:33:50,058 INFAMOUS ECDs? 3369 02:33:54,162 --> 02:34:02,003 MILITARY CONFLICTS OVERSEES MAY 3370 02:34:02,003 --> 02:34:03,238 EXPOSE TO CHEMICALS IN SERVING 3371 02:34:03,238 --> 02:34:06,074 IN COMBAT. 3372 02:34:06,074 --> 02:34:08,643 HOW DO WE USE THE EXPOSURES AND 3373 02:34:08,643 --> 02:34:09,611 OCCUPATIONAL MEDICINE WE LIKE TO 3374 02:34:09,611 --> 02:34:10,411 GROUP THINGS. 3375 02:34:10,411 --> 02:34:15,850 THE PHYSICAL AND PSYCHOLOGICAL 3376 02:34:15,850 --> 02:34:16,518 EXPOSURES. 3377 02:34:16,518 --> 02:34:21,322 WHEN SOMEBODY IS EXPOSED TO 3378 02:34:21,322 --> 02:34:23,291 BLASTS IT DOES SOMETHING TO THE 3379 02:34:23,291 --> 02:34:32,300 BRAIN AND THE ADRENAL AND HI 3380 02:34:32,300 --> 02:34:34,202 HYPOTHALAMIC ACCESS AND THERE'S 3381 02:34:34,202 --> 02:34:35,737 PSYCHOLOGICAL STRESSORS. 3382 02:34:35,737 --> 02:34:39,808 MILITARY SEXUAL TRAUMA, ALL OF 3383 02:34:39,808 --> 02:34:43,077 THOSE PER TURN THE HPA AXIS. 3384 02:34:43,077 --> 02:34:45,480 LAY ON THAT CHEMICAL EXPOSURES. 3385 02:34:45,480 --> 02:34:51,452 THE SOLVENTS, THE PAINT, THE 3386 02:34:51,452 --> 02:34:53,388 PESTICIDES, CHEMICAL WEAPONS. 3387 02:34:53,388 --> 02:34:56,691 WHAT ARE THEY CONCERNED ABOUT? 3388 02:34:56,691 --> 02:34:56,925 SARIN. 3389 02:34:56,925 --> 02:35:02,430 IT'S AN ORGANOPHOSPHATE. 3390 02:35:02,430 --> 02:35:03,832 THAT'S AN ENDOCRINE DISRUPTOR IF 3391 02:35:03,832 --> 02:35:09,838 IT DOESN'T KILL YOU. 3392 02:35:09,838 --> 02:35:11,506 THE PROPHYLACTIC MEASURES ARE 3393 02:35:11,506 --> 02:35:12,874 COMPOUNDS THERE'S PESTICIDES AND 3394 02:35:12,874 --> 02:35:15,109 THEY ARE USE PESTICIDE ON THEIR 3395 02:35:15,109 --> 02:35:21,749 SKIN AND UNIFORM AND OF COURSE 3396 02:35:21,749 --> 02:35:32,293 BIOLOGICAL EXPOSURES AND OTHER 3397 02:35:34,495 --> 02:35:39,467 COMPONENTS CAN DISRUPT THE 3398 02:35:39,467 --> 02:35:42,003 ENDOCRINE EXPOSURE AND MAYBE 3399 02:35:42,003 --> 02:35:43,504 THEY WERE EXPOSED TO ONE 3400 02:35:43,504 --> 02:35:44,172 CONTAMINANT IN THE COMMUNITY AND 3401 02:35:44,172 --> 02:35:49,444 THESE VETERANS HAVE A MULTITUDE 3402 02:35:49,444 --> 02:35:53,815 OF EXPOSURES PERTURBING THEIR 3403 02:35:53,815 --> 02:35:54,983 ENDOCRINE SYSTEMS AND OTHERS AS 3404 02:35:54,983 --> 02:35:55,183 WELL. 3405 02:35:55,183 --> 02:36:00,755 WHY DID THIS GET IN THEIR BODY? 3406 02:36:00,755 --> 02:36:03,791 THE MAIN WAY IS INHALATION OF 3407 02:36:03,791 --> 02:36:06,194 THE DUST AND VAPORS AND SOME IS 3408 02:36:06,194 --> 02:36:07,729 THROUGH FOOD. 3409 02:36:07,729 --> 02:36:10,431 PLASTIC WRAPS AND THE WATER IN 3410 02:36:10,431 --> 02:36:12,300 THE BOTTLE THAT HAS SAT IN THE 3411 02:36:12,300 --> 02:36:17,972 HOT SUN IN THE DESERT, 130 3412 02:36:17,972 --> 02:36:23,011 DEGREES FOR WEEKS AND CONSUMED 3413 02:36:23,011 --> 02:36:25,113 GALLONS AND THERE'S LEECHES OF 3414 02:36:25,113 --> 02:36:27,215 PLASTICS AND WHAT IS APPLIED TO 3415 02:36:27,215 --> 02:36:30,018 THE SKIN IT'S HIGHLY UNLIKELY 3416 02:36:30,018 --> 02:36:31,252 YOU'LL GET ECDs THROUGH 3417 02:36:31,252 --> 02:36:34,756 INJECTIONS BUT OF COURSE THE IVY 3418 02:36:34,756 --> 02:36:35,623 FLUIDS SOME OF THE PLASTIC 3419 02:36:35,623 --> 02:36:37,025 LEECHES IN. 3420 02:36:37,025 --> 02:36:40,595 WHEN YOU THINK OF THE MULTIPLE 3421 02:36:40,595 --> 02:36:42,030 PATHWAYS IN WHICH THE DISRUPTORS 3422 02:36:42,030 --> 02:36:43,598 GET IN THE BODY THERE'S 3423 02:36:43,598 --> 02:36:45,833 PATHWAYS. 3424 02:36:45,833 --> 02:36:48,269 WHEN YOU DO AN EXPOSURE 3425 02:36:48,269 --> 02:36:51,372 ASSESSMENT THESE ARE THINGS YOU 3426 02:36:51,372 --> 02:36:52,840 INTO NEED TO ASK. 3427 02:36:52,840 --> 02:36:53,875 WHAT WAS EXPOSED? 3428 02:36:53,875 --> 02:36:59,147 THEIR PARENTS, SIBLINGS, WHO 3429 02:36:59,147 --> 02:37:00,648 SERVED WITH THEM? 3430 02:37:00,648 --> 02:37:05,853 WHEN DID THE EXPOSURE OCCUR? 3431 02:37:05,853 --> 02:37:08,489 WHERE WERE THEY WHEN THEY WERE 3432 02:37:08,489 --> 02:37:10,858 EXPOSED AND HOW DID IT GET IN 3433 02:37:10,858 --> 02:37:17,432 THEIR BODIES AND HOW WILL THE 3434 02:37:17,432 --> 02:37:18,433 EXPOSURE AFFECT THEM AND IT THIS 3435 02:37:18,433 --> 02:37:26,407 IS HOW TO TAKE AN EXPOSURE 3436 02:37:26,407 --> 02:37:29,110 HISTORY. 3437 02:37:29,110 --> 02:37:29,644 ENDOCRINE DISRUPTORS AND 3438 02:37:29,644 --> 02:37:31,379 REMEMBER MICRO PLASTICS TO ADD 3439 02:37:31,379 --> 02:37:32,547 TO EVERYTHING ELSE THAT CAN 3440 02:37:32,547 --> 02:37:39,087 HAPPEN AND OVERSEES. 3441 02:37:39,087 --> 02:37:40,989 AND WE NEED TO FIGURE OUT HOW TO 3442 02:37:40,989 --> 02:37:42,824 ADDRESS THIS. 3443 02:37:42,824 --> 02:37:45,593 SO YOU HAVE A 44-YEAR-OLD 3444 02:37:45,593 --> 02:37:47,495 VETERAN WHO SHOWS UP IN YOUR 3445 02:37:47,495 --> 02:37:49,864 CLINIC AND HAS CONCERN AND HAS 3446 02:37:49,864 --> 02:37:51,399 NEVER HAD LIVER PROBLEMS AND IS 3447 02:37:51,399 --> 02:37:53,668 NOW TIRED ALL THE TIME AND HAS 3448 02:37:53,668 --> 02:37:57,805 MEMORY ISSUES AND SIX MONTHS AGO 3449 02:37:57,805 --> 02:38:08,349 HAD AN NEPHRECTOMY AND THINKS HE 3450 02:38:16,858 --> 02:38:19,093 WAS POISONED BY THE MILITARY. 3451 02:38:19,093 --> 02:38:19,560 THAT'S A LOT. 3452 02:38:19,560 --> 02:38:23,898 IN HIS RECORDS HE HAS OBJECTIVE 3453 02:38:23,898 --> 02:38:27,468 FINDINGS TO SHOW HE HAS 3454 02:38:27,468 --> 02:38:30,438 NEUROPATHY AND MILD COGNITIVE 3455 02:38:30,438 --> 02:38:33,841 IMPAIRMENT ON NEUROPSYCHOLOGICAL 3456 02:38:33,841 --> 02:38:37,345 TESTING AND HIS COLITIS IS 3457 02:38:37,345 --> 02:38:41,049 COMPOUNDED BY THE COLONOSCOPY 3458 02:38:41,049 --> 02:38:44,252 AND HAS HYPERTHYROIDISM AND 3459 02:38:44,252 --> 02:38:54,128 METABOLIC SYNDROME AND HIS 3460 02:38:54,128 --> 02:38:55,730 NEPHRECTOMY AND IS ONLY 33 YEARS 3461 02:38:55,730 --> 02:38:56,297 OLD. 3462 02:38:56,297 --> 02:38:58,166 YOU CAN TAKE AN EXPOSURE HISTORY 3463 02:38:58,166 --> 02:38:59,834 AND THE INSTITUTES OF FUNCTIONAL 3464 02:38:59,834 --> 02:39:02,303 MEDICINE HAS GIVEN US A WAY TO 3465 02:39:02,303 --> 02:39:07,208 HAVE A TIME LINE OF THE EXPOSURE 3466 02:39:07,208 --> 02:39:08,676 AND SEE WHERE THE HEALTH 3467 02:39:08,676 --> 02:39:09,210 CONDITIONS LIE. 3468 02:39:09,210 --> 02:39:11,446 LET'S START ON THE LEFT SIDE THE 3469 02:39:11,446 --> 02:39:18,352 COLUMN THAT SAYS PREDISPOSING 3470 02:39:18,352 --> 02:39:19,253 FACTORS. 3471 02:39:19,253 --> 02:39:21,622 THESE ARE ANTECEDENTS AND HIS 3472 02:39:21,622 --> 02:39:31,032 FATHER IS A VETO -- VIETNAM 3473 02:39:31,032 --> 02:39:34,702 VETERAN AND HAS A PTSD AND 3474 02:39:34,702 --> 02:39:38,372 ALCOHOLISM AND NON-HODGKIN'S 3475 02:39:38,372 --> 02:39:38,706 LYMPHOMA. 3476 02:39:38,706 --> 02:39:39,907 ALL THE CONDITIONS EXCEPT FOR 3477 02:39:39,907 --> 02:39:42,743 THE ALCOHOLISM ASIDE ARE LINKED 3478 02:39:42,743 --> 02:39:45,847 TO MILITARY SERVICE IN VIETNAM. 3479 02:39:45,847 --> 02:39:56,224 SIBLINGS ARE HEALTHY. 3480 02:39:57,125 --> 02:40:02,430 HE WAS AT CAMP LEJEUNE AND THEY 3481 02:40:02,430 --> 02:40:08,069 HAD SOLVENTS SOME KNOWN TO BE 3482 02:40:08,069 --> 02:40:10,004 CARCINOGENICS AND HAD SOME 3483 02:40:10,004 --> 02:40:12,073 DEGREE OF POVERTY AND PARENTAL 3484 02:40:12,073 --> 02:40:15,042 ABUSE WITH PHYSICAL INJURIES AND 3485 02:40:15,042 --> 02:40:17,945 THINKING ABOUT HIS. 3486 02:40:17,945 --> 02:40:20,581 HPA AXIS ALREADY PRE-PROGRAMMED 3487 02:40:20,581 --> 02:40:24,085 FOR TRAUMA AND ESCAPED THAT 3488 02:40:24,085 --> 02:40:26,220 SITUATION TO GO TO THE MILITARY 3489 02:40:26,220 --> 02:40:29,724 AND TRAINED AT AN AIRCRAFT 3490 02:40:29,724 --> 02:40:34,862 MECHANIC AND STATIONED IN 3491 02:40:34,862 --> 02:40:35,129 MICHIGAN. 3492 02:40:35,129 --> 02:40:39,467 WHAT WAS WHERE HE WAS STATIONED? 3493 02:40:39,467 --> 02:40:45,039 THEY HAD CONTAMINANT IN THE 3494 02:40:45,039 --> 02:40:50,044 WATER SUPPLY AND APPP WAS 3495 02:40:50,044 --> 02:40:50,645 SOMETI 3496 02:40:50,645 --> 02:40:51,345 SOMETIMES DOUSED ON HIM AND 3497 02:40:51,345 --> 02:40:52,813 THERE WERE PETRO CHEMICALS AND 3498 02:40:52,813 --> 02:40:55,850 HAD TWO DEPLOYMENTS TO THE GULF 3499 02:40:55,850 --> 02:40:57,852 WAR AND ALL THOSE OTHER 3500 02:40:57,852 --> 02:41:02,423 EXPOSURES AS WELL. 3501 02:41:02,423 --> 02:41:05,259 WHEN HE CAME BACK FROM THE GULF 3502 02:41:05,259 --> 02:41:06,394 HE DEVELOPED NEUROPATHIC 3503 02:41:06,394 --> 02:41:13,434 SYMPTOMS AND HAD FATIGUE, 3504 02:41:13,434 --> 02:41:14,769 IRRITABLE BOWEL IN SYNDROMES AND 3505 02:41:14,769 --> 02:41:18,339 WENT TO WORK AS A CIVILIAN AT 40 3506 02:41:18,339 --> 02:41:21,842 AS A WELDER EXPOSED TO PETRO 3507 02:41:21,842 --> 02:41:23,077 CHEMICAL SOLVENTS AND FUMES. 3508 02:41:23,077 --> 02:41:25,379 NOW HE HAS ALL THESE CONDITIONS 3509 02:41:25,379 --> 02:41:27,481 SO HOW DO YOU THEN FIGURE OUT 3510 02:41:27,481 --> 02:41:28,015 WHAT EXPOSURE CAUSED WHAT 3511 02:41:28,015 --> 02:41:37,658 DISEASE? 3512 02:41:37,658 --> 02:41:42,997 AND WE KEEP THE CYCLE GOING AND 3513 02:41:42,997 --> 02:41:47,235 THE STANDARD AMERICAN DIET WITH 3514 02:41:47,235 --> 02:41:48,603 ONGOING HEALTH ISSUES AND 3515 02:41:48,603 --> 02:41:50,438 CIVILIAN EXPOSURES BUT HAS SOME 3516 02:41:50,438 --> 02:41:53,941 POSITIVE MEDIATORS WHEN WE THINK 3517 02:41:53,941 --> 02:41:55,376 ABOUT RESILIENCE IN TERMS OF 3518 02:41:55,376 --> 02:41:56,510 FAMILY AND ALL THAT. 3519 02:41:56,510 --> 02:41:57,845 I'M GOING TO MOVE FORWARD IN 3520 02:41:57,845 --> 02:41:59,647 TERMS OF THE PICTURES OF WHAT 3521 02:41:59,647 --> 02:42:00,848 SOME OF THE VETERANS HAVE 3522 02:42:00,848 --> 02:42:01,849 DESCRIBED AND WHEN YOU DO THE 3523 02:42:01,849 --> 02:42:08,856 RESEARCH WE KNOW, YES, THE WATER 3524 02:42:08,856 --> 02:42:12,727 WAS CONTAMINATED WITH PFAS. 3525 02:42:12,727 --> 02:42:18,432 WHAT HE WANTS TO KNOW IF IT 3526 02:42:18,432 --> 02:42:28,876 CAUSED HIS HEALTH ISSUES. 3527 02:42:32,847 --> 02:42:34,949 AND THE V.A. WOULD GRANT SERVICE 3528 02:42:34,949 --> 02:42:38,886 CONNECTION IF IT'S CONNECTED. 3529 02:42:38,886 --> 02:42:41,722 AS FAR AS HIS HEALTH ISSUES 3530 02:42:41,722 --> 02:42:45,860 LET'S TALK ABOUT HIS 3531 02:42:45,860 --> 02:42:46,927 HYPERCHOLESTEROLEMIA AND THYROID 3532 02:42:46,927 --> 02:42:51,299 FUNCTION AND URIC ACID AND 3533 02:42:51,299 --> 02:42:55,803 ULCERATIVE COLITIS AND KIDNEY 3534 02:42:55,803 --> 02:42:57,471 CANCER AND THEY'RE ALL 3535 02:42:57,471 --> 02:42:59,640 INDICATIVE OF EXPOSURE AND HE 3536 02:42:59,640 --> 02:43:03,678 WAS EXPOSED TO PETRO CHEMICALS 3537 02:43:03,678 --> 02:43:06,580 AND NEUROCOGNITIVE IMPAIRMENT, 3538 02:43:06,580 --> 02:43:09,183 PETRO CHEMICAL SOLVENTS CAN 3539 02:43:09,183 --> 02:43:19,727 CAUSE NEURAL -- NEUOPATHY -- 3540 02:43:21,896 --> 02:43:28,602 NEUROPATHY AND KIDNEY CANCER AND 3541 02:43:28,602 --> 02:43:30,304 THE BOTTOM LINE IS THEY HAVE 3542 02:43:30,304 --> 02:43:31,672 CONTRIBUTED AT LEAST IN PART OR 3543 02:43:31,672 --> 02:43:32,106 IN WHOLE. 3544 02:43:32,106 --> 02:43:38,312 THEY DO NOT HAVE TO BE THE ONLY 3545 02:43:38,312 --> 02:43:39,847 CONTRIBUTING FACTOR. 3546 02:43:39,847 --> 02:43:49,023 BUT THEY ARE NOT THE ONLY 3547 02:43:49,023 --> 02:43:50,424 EXPOSURES. 3548 02:43:50,424 --> 02:43:54,428 WE CANNOT UNWIND THE CLOCK BUT 3549 02:43:54,428 --> 02:43:56,964 STILL LIVES IN THE WURTSMITH 3550 02:43:56,964 --> 02:43:57,998 BASE ENVIRONMENT AND STILL HAS 3551 02:43:57,998 --> 02:44:01,102 TO GET HIS WATER TEST AND MAY 3552 02:44:01,102 --> 02:44:03,504 HAVE TO DO REMEDIATION AND LOOK 3553 02:44:03,504 --> 02:44:04,638 AT WHAT FILTRATION HE'S WORKING 3554 02:44:04,638 --> 02:44:06,407 WITH AND HEAVY METALS. 3555 02:44:06,407 --> 02:44:07,808 YOU WANT TO MAKE SURE HE'S 3556 02:44:07,808 --> 02:44:09,143 PROTECTED AT THE WORK OR GETS 3557 02:44:09,143 --> 02:44:10,411 DIFFERENT WORK AND THE NEXT NING 3558 02:44:10,411 --> 02:44:13,080 I WANTED TO ADDRESS IN THE NEXT 3559 02:44:13,080 --> 02:44:18,953 COUPLE OF MINUTES IS AFFECTIVE 3560 02:44:18,953 --> 02:44:19,286 COMMUNICATION. 3561 02:44:19,286 --> 02:44:22,857 WE KNOW THAT 30% SAY THEIR 3562 02:44:22,857 --> 02:44:26,394 HEALTH IS WORSE AFTER JOINING 3563 02:44:26,394 --> 02:44:26,994 THE MILITARY. 3564 02:44:26,994 --> 02:44:28,462 REMEMBER THESE ARE THE FITTEST 3565 02:44:28,462 --> 02:44:33,834 OF THE FIT IN OUR POPULATION. 3566 02:44:33,834 --> 02:44:35,069 THEY JOINED THE MILITARY AND 3567 02:44:35,069 --> 02:44:36,637 THEY'RE HEALTH IS WORSE. 3568 02:44:36,637 --> 02:44:38,839 WE NEED TO PAY ATTENTION TO 3569 02:44:38,839 --> 02:44:41,475 WHAT'S GOING ON. 3570 02:44:41,475 --> 02:44:42,843 IN THE MEDICAL FIELD WE WANT TO 3571 02:44:42,843 --> 02:44:44,412 GIVE A MEDICAL DIAGNOSIS THE 3572 02:44:44,412 --> 02:44:47,748 NAME IT AND BLAME IT AND TAME IT 3573 02:44:47,748 --> 02:44:50,384 APPROACH IN TERMS OF TREATMENT 3574 02:44:50,384 --> 02:44:50,751 RECOMMENDATIONS. 3575 02:44:50,751 --> 02:44:52,653 VETERANS HAVE BELIEFS ABOUT 3576 02:44:52,653 --> 02:44:53,954 THEIR EXPOSURE AND INTERESTED IN 3577 02:44:53,954 --> 02:44:59,360 WHAT THEY CAN DO TO GET BETTER. 3578 02:44:59,360 --> 02:45:02,430 SOMETIMES IT CAN BE ATTENTION. 3579 02:45:02,430 --> 02:45:04,598 VETERANS GET THEIR SOURCES OF 3580 02:45:04,598 --> 02:45:09,837 INFORMATION FROM MANY AVENUES. 3581 02:45:09,837 --> 02:45:17,812 I THINK IT WAS LORRAINE IN THE 3582 02:45:17,812 --> 02:45:18,913 HIGH INFLAMMATION AND SHE CAN'T 3583 02:45:18,913 --> 02:45:20,080 BUY IT AND WENT ON SOCIAL MEDIA 3584 02:45:20,080 --> 02:45:22,817 AND TRUSTED HER COMMUNITY AND 3585 02:45:22,817 --> 02:45:25,586 PEERS AND VETERANS TRUST 3586 02:45:25,586 --> 02:45:27,822 VETERANS MORE THAN THE 3587 02:45:27,822 --> 02:45:28,122 GOVERNMENT. 3588 02:45:28,122 --> 02:45:29,723 HELLO, ANYONE LISTENING? 3589 02:45:29,723 --> 02:45:30,925 WHEN WE THINK OF COMMUNICATION 3590 02:45:30,925 --> 02:45:32,393 ARE YOU A TRUSTED SOURCE OF 3591 02:45:32,393 --> 02:45:33,260 INFORMATION FOR THE COMMUNITY 3592 02:45:33,260 --> 02:45:36,063 YOU'RE TRYING TO GET THE MESSAGE 3593 02:45:36,063 --> 02:45:36,997 ACROSS? 3594 02:45:36,997 --> 02:45:39,200 WE HAVE TO THINK ABOUT WHO 3595 02:45:39,200 --> 02:45:40,067 VETERANS TRUST OR WHO YOUR 3596 02:45:40,067 --> 02:45:41,335 COMMUNITY IS GOING TO TRUST TO 3597 02:45:41,335 --> 02:45:45,272 DELIVER THAT INFORMATION. 3598 02:45:45,272 --> 02:45:47,408 AND WHEN YOU TALK ABOUT PFAS OR 3599 02:45:47,408 --> 02:45:53,447 ECDs OR WHATEVER WE HAVE MEDICAL 3600 02:45:53,447 --> 02:45:54,415 TERMINOLOGY. 3601 02:45:54,415 --> 02:45:58,085 THEY CANNOT PROCESS ALL THAT 3602 02:45:58,085 --> 02:46:02,957 INFORMATION ALSO THERE'S DELAYS 3603 02:46:02,957 --> 02:46:04,959 IN THE RELEASE OF INFORMATION 3604 02:46:04,959 --> 02:46:06,427 AND THEY TALK ABOUT THE ADVISORY 3605 02:46:06,427 --> 02:46:06,727 LEVEL. 3606 02:46:06,727 --> 02:46:08,262 ARE THEY SUPPOSED TO BELIEVE YOU 3607 02:46:08,262 --> 02:46:09,864 WHEN THERE'S SO MANY CHANGES IN 3608 02:46:09,864 --> 02:46:11,298 WHAT YOU SAID? 3609 02:46:11,298 --> 02:46:14,802 SO AS COMMUNITIES OF SCIENTISTS 3610 02:46:14,802 --> 02:46:15,703 AND PROVIDERS WE HAVE TO THINK 3611 02:46:15,703 --> 02:46:21,876 OF ALL THE THINGS THAT ARE LIKE 3612 02:46:21,876 --> 02:46:25,012 INFORMATION BLOCKS. 3613 02:46:25,012 --> 02:46:27,181 THERE ARE MANY THINGS BUILT INTO 3614 02:46:27,181 --> 02:46:31,685 OUR WAY OF COMMUNICATION. 3615 02:46:31,685 --> 02:46:33,454 VERY QUICKLY, RISK PERCEPTION. 3616 02:46:33,454 --> 02:46:35,356 IF THE PERCEPTION OF THE RISK IS 3617 02:46:35,356 --> 02:46:38,058 HIGH AND THE TRUST IS LOW, 3618 02:46:38,058 --> 02:46:41,562 THEY'RE NOT GOING TO LISTEN TO 3619 02:46:41,562 --> 02:46:42,062 YOU. 3620 02:46:42,062 --> 02:46:43,864 WHAT MAKES RISK PERCEPTION HIGH? 3621 02:46:43,864 --> 02:46:47,968 IF THE EXPOSURE IS INVOLUNTARY 3622 02:46:47,968 --> 02:46:50,404 AND CONTROLLED BY OTHER PEOPLE 3623 02:46:50,404 --> 02:46:53,207 AND CAN CAUSE CANCER AND CAN 3624 02:46:53,207 --> 02:46:55,643 AFFECT CHILDREN, IT'S OF HUMAN 3625 02:46:55,643 --> 02:47:01,615 ORIGIN AND NOT WELL UNDERSTOOD, 3626 02:47:01,615 --> 02:47:12,159 THERE'S CA TAS -- ACAST TROPHY 3627 02:47:16,430 --> 02:47:17,464 YOU HAVE TO ADDRESS THE CONCERN 3628 02:47:17,464 --> 02:47:18,365 ON THE RISK. 3629 02:47:18,365 --> 02:47:24,538 WHAT MAKES YOU A TRUSTED AND 3630 02:47:24,538 --> 02:47:25,239 CREDIBLE SOURCE? 3631 02:47:25,239 --> 02:47:27,841 WE TALKED ABOUT P VALUES AND 3632 02:47:27,841 --> 02:47:31,512 CONFIDENCE INTERVALS. 3633 02:47:31,512 --> 02:47:33,280 THAT TECHNICAL COMPETENCE IS 3634 02:47:33,280 --> 02:47:37,217 ONLY 17% OF WHAT ACCOUNTS FOR 3635 02:47:37,217 --> 02:47:39,820 PERCEIVED TRUST AND CREDIBILITY. 3636 02:47:39,820 --> 02:47:42,423 MOST ARE SOFT SKILLS, EMPATHY, 3637 02:47:42,423 --> 02:47:44,291 CARING, COMMITMENT AND 3638 02:47:44,291 --> 02:47:49,997 DEDICATION, HONEST AND OPENNESS 3639 02:47:49,997 --> 02:47:51,799 ESTABLISHED FROM THE BEGINNING 3640 02:47:51,799 --> 02:47:53,300 OTHERWISE YOUR MESSAGE WON'T GET 3641 02:47:53,300 --> 02:47:53,734 THROUGH. 3642 02:47:53,734 --> 02:47:55,603 SO BASICALLY WHAT ARE THE 3643 02:47:55,603 --> 02:47:56,570 TECHNIQUES? 3644 02:47:56,570 --> 02:48:03,243 START BY OFFERING EMPATHY. 3645 02:48:03,243 --> 02:48:05,179 VALIDATE, REMEMBER WHEN REMEMBER 3646 02:48:05,179 --> 02:48:08,549 WHEN THEY WERE TALKING ABOUT THE 3647 02:48:08,549 --> 02:48:09,683 EXPERIENCE OF THE FARM WORKER 3648 02:48:09,683 --> 02:48:12,419 AND WHEN FIREFIGHTERS GO TO 3649 02:48:12,419 --> 02:48:12,686 PROVIDERS. 3650 02:48:12,686 --> 02:48:15,122 NOBODY'S VALIDATING THEIR 3651 02:48:15,122 --> 02:48:15,756 EXPOSURE CONCERN. 3652 02:48:15,756 --> 02:48:18,926 THEY'RE NOT LISTENED TO LET 3653 02:48:18,926 --> 02:48:20,227 ALONE VALIDATE AND HAVE TO 3654 02:48:20,227 --> 02:48:22,596 LISTEN AND ACTIVELY REFLECT BACK 3655 02:48:22,596 --> 02:48:30,137 AND YOU WANT TO MAKE SURE AS YOU 3656 02:48:30,137 --> 02:48:35,909 SOMEONE KATE -- COMMUNICATE AND 3657 02:48:35,909 --> 02:48:39,847 EXPRESS EMPATHY AND PROVIDE THEM 3658 02:48:39,847 --> 02:48:40,748 WITH NECESSARY INFORMATION AND 3659 02:48:40,748 --> 02:48:45,853 IT'S ONLY AFTER THAT YOU CAN 3660 02:48:45,853 --> 02:48:47,421 WITH RECOMMENDATIONS THEY CAN DO 3661 02:48:47,421 --> 02:48:54,428 ON THEIR OWN BECAUSE YOU'VE BEEN 3662 02:48:54,428 --> 02:49:02,403 ABLE 3663 02:49:02,403 --> 02:49:04,238 ABLE TO AND WHEN THERE'S 3664 02:49:04,238 --> 02:49:05,706 FOLLOW-UP PROMISED YOU NEED TO 3665 02:49:05,706 --> 02:49:06,473 FOLLOW-UP BECAUSE WE'RE IN 3666 02:49:06,473 --> 02:49:07,741 SERVICE RECOVERY MODE. 3667 02:49:07,741 --> 02:49:18,218 THANK YOU SO MUCH EVERYONE. 3668 02:49:22,489 --> 02:49:25,659 >> DOES ANYONE HAVE QUESTIONS 3669 02:49:25,659 --> 02:49:26,527 FOR DR. OMOWUNMI OSINUBI. 3670 02:49:26,527 --> 02:49:30,597 >> I WORK WITH THE JESSE BROWN 3671 02:49:30,597 --> 02:49:32,466 V.A. AS WELL AS USC. 3672 02:49:32,466 --> 02:49:34,334 IT'S NICE TO MEET YOU. 3673 02:49:34,334 --> 02:49:36,036 THE V.A. IS AN OUTSTANDING 3674 02:49:36,036 --> 02:49:37,371 EXAMPLE HOW THIS COULD BE DONE. 3675 02:49:37,371 --> 02:49:39,373 I COULD LOVE TO SEE THIS SORT OF 3676 02:49:39,373 --> 02:49:40,941 EDUCATION DONE IN OUR MEDICAL 3677 02:49:40,941 --> 02:49:41,875 STUDENTS AND MEDICAL SCHOOLS 3678 02:49:41,875 --> 02:49:43,811 ACROSS THE COUNTRY. 3679 02:49:43,811 --> 02:49:44,912 I'M WONDERING IF YOU DO 3680 02:49:44,912 --> 02:49:46,313 EDUCATION WITH THE MEDICAL 3681 02:49:46,313 --> 02:49:48,415 SCHOOL OR HOW THE V.A. COULD 3682 02:49:48,415 --> 02:49:50,417 POTENTIALLY GET MORE INVOLVED IN 3683 02:49:50,417 --> 02:49:51,885 MAKING OUR MEDICAL STUDENTS 3684 02:49:51,885 --> 02:49:54,154 SMARTER ABOUT ALL THE ISSUES. 3685 02:49:54,154 --> 02:49:55,489 >> ABSOLUTELY. 3686 02:49:55,489 --> 02:49:57,157 THANK YOU SO MUCH. 3687 02:49:57,157 --> 02:49:59,293 WE DO A LOT OF EDUCATION. 3688 02:49:59,293 --> 02:50:01,495 SO ALL PROVIDERS COMING INTO THE 3689 02:50:01,495 --> 02:50:03,931 V.A. NOW HAVE TO TAKE THE FIRST 3690 02:50:03,931 --> 02:50:06,433 MODULE ON EXPOSURES. 3691 02:50:06,433 --> 02:50:10,904 THAT IS NOW REQUIRED. 3692 02:50:10,904 --> 02:50:14,475 WE DO MONTHLY WEBINARS FROM THE 3693 02:50:14,475 --> 02:50:21,682 V.A. TMS WEBSITE AND SOMETHING 3694 02:50:21,682 --> 02:50:22,416 CALLED TRAIN. 3695 02:50:22,416 --> 02:50:28,622 TRAIN IS A WEBSITE AVAILABLE TO 3696 02:50:28,622 --> 02:50:29,189 PROVIDERS EVERYWHERE. 3697 02:50:29,189 --> 02:50:30,491 THAT'S ANOTHER WAY TO GET THE 3698 02:50:30,491 --> 02:50:32,459 INFORMATION ACROSS AND WE DO 3699 02:50:32,459 --> 02:50:33,293 ROTATIONS FOR MEDICAL STUDENTS 3700 02:50:33,293 --> 02:50:36,830 AS WELL. 3701 02:50:36,830 --> 02:50:38,098 SO IF WE HAVE RESIDENTS WHO WANT 3702 02:50:38,098 --> 02:50:39,666 TO ROTATE AND MEDICAL STUDENTS 3703 02:50:39,666 --> 02:50:41,468 WHO WANT TO ROTATE WITH US TO 3704 02:50:41,468 --> 02:50:43,537 SEE HOW THIS IS DONE, WE WELCOME 3705 02:50:43,537 --> 02:50:43,871 THAT AS WELL. 3706 02:50:43,871 --> 02:50:45,639 I'M HAPPY TO SHARE MY 3707 02:50:45,639 --> 02:50:47,207 INFORMATION WITH YOU AND HAPPY 3708 02:50:47,207 --> 02:50:50,144 TO SEND YOU INFORMATION ON THE 3709 02:50:50,144 --> 02:50:51,345 LINKS WHICH I PROBABLY SHOULD 3710 02:50:51,345 --> 02:50:52,880 HAVE PUT ON THIS ON WHERE TO GET 3711 02:50:52,880 --> 02:50:54,915 MORE TRAINING ON THIS BUT THANK 3712 02:50:54,915 --> 02:50:56,383 YOU, THAT'S A GREAT QUESTION. 3713 02:50:56,383 --> 02:50:56,917 THANK YOU. 3714 02:50:56,917 --> 02:50:57,351 AND IMPORTANT ONE. 3715 02:50:57,351 --> 02:50:59,853 THANK YOU SO MUCH. 3716 02:50:59,853 --> 02:51:03,323 >> I ALSO WANT TO SAY GREAT TALK 3717 02:51:03,323 --> 02:51:05,659 WITH LOTS OF INFORMATION. 3718 02:51:05,659 --> 02:51:07,361 I DON'T KNOW IF YOU'RE AWARE BUT 3719 02:51:07,361 --> 02:51:10,864 THE V.A. IS ORGANIZING TO HOLD A 3720 02:51:10,864 --> 02:51:13,333 MAJOR SYMPOSIUM THIS SUMMER TO 3721 02:51:13,333 --> 02:51:14,768 MAKE THE AGENT ORANGE BIO 3722 02:51:14,768 --> 02:51:18,405 SPECIMENS AND DATA AVAILABLE 3723 02:51:18,405 --> 02:51:19,373 AGAIN FOR RESEARCH. 3724 02:51:19,373 --> 02:51:20,641 BECAUSE WE CAN ASK QUESTIONS 3725 02:51:20,641 --> 02:51:21,975 TODAY WE COULDN'T ASK 20 OR 30 3726 02:51:21,975 --> 02:51:26,246 YEARS AGO. 3727 02:51:26,246 --> 02:51:27,047 >> THANK YOU FOR THAT COMMENT. 3728 02:51:27,047 --> 02:51:29,516 I HAVE TO SAY SOMETHING ABOUT 3729 02:51:29,516 --> 02:51:33,854 VIETNAM VETERANS BECAUSE IT'S A 3730 02:51:33,854 --> 02:51:34,421 SPECIAL POPULATION. 3731 02:51:34,421 --> 02:51:35,823 REMEMBER THE POLITICS GOING ON 3732 02:51:35,823 --> 02:51:38,125 WITH THAT WAR AT THE TIME THEY 3733 02:51:38,125 --> 02:51:40,627 FOUGHT THE WAR VALIANTLY AND 3734 02:51:40,627 --> 02:51:42,429 CAME BACK TO AN UNGRATEFUL 3735 02:51:42,429 --> 02:51:42,663 NATION. 3736 02:51:42,663 --> 02:51:43,664 THEY WERE CALLING THEM NAMES AND 3737 02:51:43,664 --> 02:51:45,365 ALL THAT AND WENT TO THE V.A. 3738 02:51:45,365 --> 02:51:53,307 AND WERE SHELLSHOCKED AND THE 3739 02:51:53,307 --> 02:51:55,242 V.A. WASN'T ACKNOWLEDGING THEIR 3740 02:51:55,242 --> 02:51:55,609 EXPOSURES. 3741 02:51:55,609 --> 02:51:58,879 THE VIETNAM VETERANS IN 3742 02:51:58,879 --> 02:52:02,516 PARTICULAR ARE ON THE BRUNT OF 3743 02:52:02,516 --> 02:52:03,684 THE EXPOSURES AND LACK OF 3744 02:52:03,684 --> 02:52:04,551 RECOGNITION OF WHAT THE 3745 02:52:04,551 --> 02:52:05,819 EXPOSURES DID TO THEM WHETHER 3746 02:52:05,819 --> 02:52:07,187 THEY WERE PHYSICAL OR 3747 02:52:07,187 --> 02:52:10,290 PSYCHOLOGICAL OR CHEMICAL 3748 02:52:10,290 --> 02:52:10,557 EXPOSURES. 3749 02:52:10,557 --> 02:52:11,558 FOR ANY VIETNAM VETERAN IN THE 3750 02:52:11,558 --> 02:52:14,428 ROOM OR LISTENING TO THIS, 3751 02:52:14,428 --> 02:52:16,630 AGAIN, APOLOGIES TO HOW WE'VE 3752 02:52:16,630 --> 02:52:17,598 TREATED YOU. 3753 02:52:17,598 --> 02:52:19,833 WE SHOULD NOT HAVE DONE THAT. 3754 02:52:19,833 --> 02:52:22,903 MANY VETERANS ARE STILL NOT 3755 02:52:22,903 --> 02:52:23,437 RECOGNIZED. 3756 02:52:23,437 --> 02:52:25,072 GULF WAR, THE MORE RECENT ONES 3757 02:52:25,072 --> 02:52:29,042 ARE STILL NOT RECOGNIZED BUT 3758 02:52:29,042 --> 02:52:33,847 IT'S NOT AS BAD AS IT WAS IN THE 3759 02:52:33,847 --> 02:52:39,653 VET NAM WAR ERA SO THREW -- SO 3760 02:52:39,653 --> 02:52:42,055 YOU THANK YOU FOR ACKNOWLEDGING 3761 02:52:42,055 --> 02:52:42,422 THAT. 3762 02:52:42,422 --> 02:52:45,859 >> I'M ASKING THIS QUESTION ON 3763 02:52:45,859 --> 02:52:49,897 BEHALF OF DR. ZLATNIK. 3764 02:52:49,897 --> 02:52:51,965 SHE SAID GREAT TALK ARE YOUR 3765 02:52:51,965 --> 02:52:53,367 GROUPS STUDYING PREGNANCY 3766 02:52:53,367 --> 02:52:58,338 OUTCOMES IN VETS OR THEIR 3767 02:52:58,338 --> 02:52:58,605 FAMILIES? 3768 02:52:58,605 --> 02:52:59,706 >> WE DON'T SEEK OUT PREGNANT 3769 02:52:59,706 --> 02:53:02,409 WOMEN BECAUSE IT'S NOT OUR AREA 3770 02:53:02,409 --> 02:53:04,912 OF SPECIALTY. 3771 02:53:04,912 --> 02:53:08,215 HAVING SAID THAT THE NATIONAL 3772 02:53:08,215 --> 02:53:08,849 ACADEMIES SCIENCES ENGINEERING 3773 02:53:08,849 --> 02:53:13,353 MEDICINE IN THEIR MOST RECENT 3774 02:53:13,353 --> 02:53:16,556 GULF WAR AND HEALTH LOOK AT THE 3775 02:53:16,556 --> 02:53:18,225 HEALTH EFFECTS OF THE CHEMICALS 3776 02:53:18,225 --> 02:53:19,793 BECAUSE THE DISCUSSION YESTERDAY 3777 02:53:19,793 --> 02:53:21,862 WAS WHAT HAPPENED TO YOUR 3778 02:53:21,862 --> 02:53:23,864 GRANDMOTHER MAY NOT AFFECT YOUR 3779 02:53:23,864 --> 02:53:26,633 MOTHER BUT MAY AFFECT THE 3780 02:53:26,633 --> 02:53:27,167 GRANDCHILD. 3781 02:53:27,167 --> 02:53:29,036 IT MAY SKIP A GENERATION. 3782 02:53:29,036 --> 02:53:31,471 SO THERE'S SOME DATA TO INDICATE 3783 02:53:31,471 --> 02:53:33,440 THAT SO THAT'S THE NEXT PART OF 3784 02:53:33,440 --> 02:53:37,411 THE RESEARCH IS TO LOOK AT THE 3785 02:53:37,411 --> 02:53:38,445 INTERGENERATIONAL HEALTH EFFECT. 3786 02:53:38,445 --> 02:53:43,250 AT THE RISK WE GENERALLY DON'T 3787 02:53:43,250 --> 02:53:45,852 SEE PREGNANT WOMEN. 3788 02:53:45,852 --> 02:53:53,760 THANK YOU. 3789 02:53:53,760 --> 02:53:58,332 >> I'M ASKING A QUESTION ON MY 3790 02:53:58,332 --> 02:53:58,565 BEHALF. 3791 02:53:58,565 --> 02:54:00,000 I HEARD YESTERDAY AND TODAY 3792 02:54:00,000 --> 02:54:03,870 ABOUT THE POTENTIAL POWER OF 3793 02:54:03,870 --> 02:54:10,410 TESTING TO EMPOWER PEOPLE TO 3794 02:54:10,410 --> 02:54:11,545 PROTECT THEIR OWN HEALTH AND 3795 02:54:11,545 --> 02:54:12,879 CHANGE THEIR BEHAVIOR. 3796 02:54:12,879 --> 02:54:14,948 I'M CURIOUS AT THE V.A. IF I WAS 3797 02:54:14,948 --> 02:54:17,284 A VETERAN AND THOUGHT I HAD BEEN 3798 02:54:17,284 --> 02:54:19,786 EXPOSED BUT HAD NO SYMPTOMS LIKE 3799 02:54:19,786 --> 02:54:22,422 YOU'RE CASE EXAMPLE HAD KIDNEY 3800 02:54:22,422 --> 02:54:24,524 CANCER, METABOLIC SYNDROME AND 3801 02:54:24,524 --> 02:54:26,126 FATTY LIVER, HAD SOME THINGS 3802 02:54:26,126 --> 02:54:28,929 THAT WERE CLEARLY ABNORMAL ON 3803 02:54:28,929 --> 02:54:32,599 TESTS BUT SAY I DIDN'T HAVE ANY 3804 02:54:32,599 --> 02:54:38,438 SYMPTOMS AND I STILL LOOKED 3805 02:54:38,438 --> 02:54:39,773 HEALTHY, WOULD THE V.A. IS IT 3806 02:54:39,773 --> 02:54:42,242 POSSIBLE TO GET THEIR LEVELS 3807 02:54:42,242 --> 02:54:44,444 TESTED FOR ECDs IF THEY'RE 3808 02:54:44,444 --> 02:54:44,778 ASYMPTOMATIC? 3809 02:54:44,778 --> 02:54:47,280 >> THAT'S A GREAT QUESTION. 3810 02:54:47,280 --> 02:54:50,083 AFTER THE NASEM REPORT CAME OUT, 3811 02:54:50,083 --> 02:55:00,093 I THINK IT WAS TWO YEARS AGO NOW 3812 02:55:00,093 --> 02:55:01,328 THEREABOUT AND IT'S THE FIRST 3813 02:55:01,328 --> 02:55:03,463 TIME WE CAN HAVE A CHEMICAL WE 3814 02:55:03,463 --> 02:55:05,499 WE CAN TEST FOR AFTER THE 3815 02:55:05,499 --> 02:55:06,900 EXPOSURE BECAUSE PFAS LASTS A 3816 02:55:06,900 --> 02:55:08,068 LONG TIME. 3817 02:55:08,068 --> 02:55:10,704 YOU CAN'T TEST FOR SOLVENTS THAT 3818 02:55:10,704 --> 02:55:12,105 HAPPENS 30 YEARS AGO. 3819 02:55:12,105 --> 02:55:14,408 YOU WON'T FIND IT IN THEIR 3820 02:55:14,408 --> 02:55:14,708 BLOODSTREAM. 3821 02:55:14,708 --> 02:55:16,476 SO THE V.A.'S LOOKING AT THAT 3822 02:55:16,476 --> 02:55:18,412 RIGHT NOW AS TO WHAT THEY'RE 3823 02:55:18,412 --> 02:55:20,080 GOING TO DO IN TERMS OF 3824 02:55:20,080 --> 02:55:25,285 RECOMMENDATION FER -- FOR 3825 02:55:25,285 --> 02:55:25,519 TESTING. 3826 02:55:25,519 --> 02:55:31,558 THE ONE VETERAN PART OF WHOM IS 3827 02:55:31,558 --> 02:55:35,529 REFLECTED IN THE CASE WAS HIGH 3828 02:55:35,529 --> 02:55:36,696 HELL AND HOLY WATER I WAS GOING 3829 02:55:36,696 --> 02:55:42,102 TO GET HIM TESTED AND HAD 3830 02:55:42,102 --> 02:55:44,805 ELEVATED LEVELS OF THE ONE FOUND 3831 02:55:44,805 --> 02:55:53,447 IN AFFF WAS TESTED AND HE WAS AN 3832 02:55:53,447 --> 02:55:55,215 INFLUENCER AND I THOUGHT IF WE 3833 02:55:55,215 --> 02:55:58,952 DON'T GET HIM TESTED, WE'LL HEAR 3834 02:55:58,952 --> 02:56:00,387 ABOUT IT SO IT'S COMING. 3835 02:56:00,387 --> 02:56:06,927 WE DON'T HAVE AN ANSWER YET. 3836 02:56:06,927 --> 02:56:08,829 WHAT WE'RE DOING WITH THE 3837 02:56:08,829 --> 02:56:11,064 VETERANS NOW IS THAT BECAUSE WE 3838 02:56:11,064 --> 02:56:14,201 CANNOT FIX JUST THE ONE PROBLEM, 3839 02:56:14,201 --> 02:56:18,371 WE'RE LOOKING AT A WHOLISTIC 3840 02:56:18,371 --> 02:56:19,806 APPROACH IN TERMS OF WHOLE 3841 02:56:19,806 --> 02:56:21,108 HEALTH FUNCTIONAL MEDICINE AND 3842 02:56:21,108 --> 02:56:22,409 WITH THAT WE'RE DOING FUNCTIONAL 3843 02:56:22,409 --> 02:56:23,243 MEDICINE TESTS WHERE WE'RE 3844 02:56:23,243 --> 02:56:27,914 LOOKING AT THE GENOMICS. 3845 02:56:27,914 --> 02:56:30,717 WE'RE LOOKING AT THE URINE FOR 3846 02:56:30,717 --> 02:56:32,152 THE HORMONES IF THERE'S 3847 02:56:32,152 --> 02:56:33,887 DYSREGULATION THERE AND LOOKING 3848 02:56:33,887 --> 02:56:36,890 AT THE GUT HEALTH. 3849 02:56:36,890 --> 02:56:39,092 WE'RE LOOKING AT THE GUT 3850 02:56:39,092 --> 02:56:39,626 MICROBIOME. 3851 02:56:39,626 --> 02:56:42,429 WE'RE LOOKING AT THE SLEEP AND 3852 02:56:42,429 --> 02:56:45,198 THEY'RE EXERCISE AND GIVE THEM 3853 02:56:45,198 --> 02:56:45,866 FITBITS. 3854 02:56:45,866 --> 02:56:47,033 WE'RE COLLATING THE INFORMATION 3855 02:56:47,033 --> 02:56:49,903 AND SAY WE KNOW YOU'VE BEEN 3856 02:56:49,903 --> 02:56:50,470 EXPOSED HAVE YOU ALL THESE 3857 02:56:50,470 --> 02:56:51,371 HEALTH ISSUES. 3858 02:56:51,371 --> 02:56:53,573 THERE'S NO PILL BUT HOWEVER, 3859 02:56:53,573 --> 02:56:54,808 THIS IS WHAT WE CAN DO. 3860 02:56:54,808 --> 02:56:57,210 WE CAN WORK ON NUTRITION AND 3861 02:56:57,210 --> 02:56:58,345 EXERCISE AND SLEEP. 3862 02:56:58,345 --> 02:56:59,813 THEN WE'LL USE THE DATA. 3863 02:56:59,813 --> 02:57:03,016 I SAY, LOOK, YOUR CHOLESTEROL IS 3864 02:57:03,016 --> 02:57:03,216 HIGH. 3865 02:57:03,216 --> 02:57:05,252 YOU DON'T DETOXIFY VERY WELL. 3866 02:57:05,252 --> 02:57:07,420 YOU NEED MORE BROCCOLI AND 3867 02:57:07,420 --> 02:57:09,656 BRUSSEL SPROUTS. 3868 02:57:09,656 --> 02:57:14,394 THAT WILL BEAT IT. 3869 02:57:14,394 --> 02:57:18,265 OKAY, THANK YOU VERY MUCH. 3870 02:57:18,265 --> 02:57:20,934 >> DON'T GO TOO FAR. 3871 02:57:20,934 --> 02:57:21,601 YOU CAN PLOP DOWN AT THE TABLE 3872 02:57:21,601 --> 02:57:22,669 IF YOU WANT. 3873 02:57:22,669 --> 02:57:25,605 OUR NEXT -- THAT WAS EXCELLENT. 3874 02:57:25,605 --> 02:57:30,043 OUR NEXT SESSION IS A PANEL OF 3875 02:57:30,043 --> 02:57:31,578 CLINICIANS LIKE DR. OMOWUNMI 3876 02:57:31,578 --> 02:57:35,615 OSINUBI AS WELL AS COMMUNITY 3877 02:57:35,615 --> 02:57:45,625 MEMBERS LIKE LAURENE ALLEN AND 3878 02:57:45,625 --> 02:57:50,530 AMY TAMAYO AND INVITE YOU TO 3879 02:57:50,530 --> 02:57:52,866 COME TO THE TABLE AND WE HAVE 3880 02:57:52,866 --> 02:57:54,401 PEOPLE ONLINE AS WELL. 3881 02:57:54,401 --> 02:57:57,037 DR. WENDY WEBER FROM NCCIH WILL 3882 02:57:57,037 --> 02:58:07,480 BE MODERATING THE SESSION. 3883 02:58:15,255 --> 02:58:17,524 >> THANK YOU. 3884 02:58:17,524 --> 02:58:22,229 WE'VE HAD FROM 250 AND LOTS OF 3885 02:58:22,229 --> 02:58:23,563 PEOPLE WATCHING ONLINE AND THANK 3886 02:58:23,563 --> 02:58:26,099 YOU FOR STICKING WITH US THROUGH 3887 02:58:26,099 --> 02:58:28,368 TO THE END. 3888 02:58:28,368 --> 02:58:32,839 AND AS I SAID WHAT OUR NEXT 3889 02:58:32,839 --> 02:58:34,407 PANEL IS ABOUT IS TALKING WITH 3890 02:58:34,407 --> 02:58:35,742 COMMUNITY MEMBERS AND 3891 02:58:35,742 --> 02:58:37,410 COMMISSIONS ON THE PANEL TO 3892 02:58:37,410 --> 02:58:38,979 REALLY THINK ABOUT HOW DOES ALL 3893 02:58:38,979 --> 02:58:41,248 OF WHAT WE'VE LEARNED AND HOW 3894 02:58:41,248 --> 02:58:42,849 DOES THEIR EXPERIENCE -- WHAT DO 3895 02:58:42,849 --> 02:58:44,784 WE NEED TO THINK ABOUT TO INFORM 3896 02:58:44,784 --> 02:58:45,619 THE FUTURE OF RESEARCH WE'RE 3897 02:58:45,619 --> 02:58:51,891 GOING TO BE DOING IN THIS FIELD 3898 02:58:51,891 --> 02:58:53,793 AND WE'RE HERE AT NIH AND 3899 02:58:53,793 --> 02:58:55,028 LISTENING AND WANT IT LEARN 3900 02:58:55,028 --> 02:58:56,129 WHAT'S NEEDED AND FROM YOUR 3901 02:58:56,129 --> 02:59:06,539 DIFFERENT PERSPECTIVES. 3902 02:59:08,375 --> 02:59:09,542 WE'LL START WITH PREVIOUS 3903 02:59:09,542 --> 02:59:10,744 INTRODUCTIONS FROM OUR PANELISTS 3904 02:59:10,744 --> 02:59:13,446 TO INTRODUCE THEMSELVES TO THE 3905 02:59:13,446 --> 02:59:20,754 GROUP AND IF YOU CAN JUST SHARE 3906 02:59:20,754 --> 02:59:22,422 INITIALLY THE PERSPECTIVE YOU 3907 02:59:22,422 --> 02:59:31,231 BRING AS A PANEL AND HAVE 3908 02:59:31,231 --> 02:59:32,432 QUESTION TO START AND BRIEFLY 3909 02:59:32,432 --> 02:59:33,633 SAY WHO THE DIFFERENT SPEAKERS 3910 02:59:33,633 --> 02:59:36,202 ARE AND WE'LL GO IN THAT ORDER 3911 02:59:36,202 --> 02:59:40,640 FOR PEOPLE TO SAY HELLO AND 3912 02:59:40,640 --> 02:59:41,141 INTRODUCE THEMSELVES. 3913 02:59:41,141 --> 02:59:45,912 SO JOINING VIRTUALLY WE HAVE 3914 02:59:45,912 --> 02:59:51,918 VIOLA WAGHIYI -- I BELIEVE I 3915 02:59:51,918 --> 02:59:54,554 SAID SAID THAT RIGHT FROM THE 3916 02:59:54,554 --> 02:59:56,856 ALASKA COMMUNITY ACTION ON 3917 02:59:56,856 --> 02:59:57,157 TOXICS. 3918 02:59:57,157 --> 03:00:02,395 SECOND UP WILL BE AMY TAMAYO WHO 3919 03:00:02,395 --> 03:00:11,838 IS JOINING US FROM THE ALIANZA 3920 03:00:11,838 --> 03:00:16,776 NATIONAL DE CAMPESINNAS AND 3921 03:00:16,776 --> 03:00:20,146 WE'LL HAVE LAURENE ALLEN ON THE 3922 03:00:20,146 --> 03:00:25,652 MERRIMACK CITIZENS FOR CLEAN 3923 03:00:25,652 --> 03:00:27,887 WATER AND MARYA ZLATNIK FROM THE 3924 03:00:27,887 --> 03:00:31,157 UNIVERSITY OF CALIFORNIA, SAN 3925 03:00:31,157 --> 03:00:37,197 FRANCISCO AND WE'LL HAVE SHEELA 3926 03:00:37,197 --> 03:00:38,798 SATHYANARAYANA FROM THE 3927 03:00:38,798 --> 03:00:40,066 UNIVERSITY OF WASHINGTON ALSO 3928 03:00:40,066 --> 03:00:43,303 FROM A CLINICIAN PERSPECTIVE AND 3929 03:00:43,303 --> 03:00:50,410 THEN OUR LAST SPEAKER OMOWUNMI 3930 03:00:50,410 --> 03:00:59,152 OSIN 3931 03:00:59,152 --> 03:00:59,786 OSINUBI AND SHE'S WITH US FROM 3932 03:00:59,786 --> 03:01:00,987 THE DEPARTMENT OF VETERANS 3933 03:01:00,987 --> 03:01:01,221 AFFAIRS. 3934 03:01:01,221 --> 03:01:02,455 VIOLA CAN I TURN THINGS TO YOU 3935 03:01:02,455 --> 03:01:05,425 TO START US OFF? 3936 03:01:05,425 --> 03:01:07,327 >> GOOD AFTERNOON. 3937 03:01:07,327 --> 03:01:17,370 MY NAME IS VIOLA THE DAUGHTER OF 3938 03:01:17,370 --> 03:01:27,914 MY GRANDFATHER AND GRANDMOTHER 3939 03:01:34,454 --> 03:01:36,189 IS FROM TRADITIONAL ISLAND AND 3940 03:01:36,189 --> 03:01:37,657 NATIVE VILLAGES AND TRIBAL 3941 03:01:37,657 --> 03:01:41,795 CITIZEN AND ENVIRONMENTAL HEALTH 3942 03:01:41,795 --> 03:01:44,130 AND JUSTICE DIRECTOR AT ALASKA 3943 03:01:44,130 --> 03:01:47,367 COMMUNITY ACTION ON TOXICS AND 3944 03:01:47,367 --> 03:01:50,403 WHITE HOUSE ENVIRONMENTAL 3945 03:01:50,403 --> 03:01:51,671 JUSTICE ADVISORY COUNCIL. 3946 03:01:51,671 --> 03:01:56,976 I'D LIKE TO THANK THE ORGANIZERS 3947 03:01:56,976 --> 03:02:02,315 AND NIH FOR THE OPPORTUNITY. 3948 03:02:02,315 --> 03:02:04,050 [NOT SPEAKING ENGLISH] 3949 03:02:04,050 --> 03:02:08,855 >> THANK YOU SO MUCH. 3950 03:02:08,855 --> 03:02:09,022 AMY. 3951 03:02:09,022 --> 03:02:10,423 >> GOOD AFTERNOON. 3952 03:02:10,423 --> 03:02:15,595 MY NAME IS AMY TAMAYO THE POLICY 3953 03:02:15,595 --> 03:02:17,397 DIRECTOR WITH THE NATIONAL 3954 03:02:17,397 --> 03:02:21,334 ALLIANCE OF FARM WORKER WOMEN. 3955 03:02:21,334 --> 03:02:26,406 A NATIONAL FARM WORKERS' 3956 03:02:26,406 --> 03:02:28,441 ORGANIZATION CREATED BY AND FOR 3957 03:02:28,441 --> 03:02:31,878 FARM WORKER WOMEN OR FARM WORKER 3958 03:02:31,878 --> 03:02:33,680 FAMILY AN WORK ON IMMIGRATION 3959 03:02:33,680 --> 03:02:36,115 RIGHTS AND PESTICIDES AND ENDING 3960 03:02:36,115 --> 03:02:37,650 VIOLENCE AGAINST WOMEN AND MADE 3961 03:02:37,650 --> 03:02:39,752 UP OF 50 MEMBER ORGANIZERS 3962 03:02:39,752 --> 03:02:46,426 ACROSS 20 DIFFERENT STATES. 3963 03:02:46,426 --> 03:02:50,330 >> LAURENE ALLEN MANY MERRIMACK 3964 03:02:50,330 --> 03:02:52,999 CITIZENS FOR CLEAN WATER AND HI 3965 03:02:52,999 --> 03:02:54,567 WORK ON ENGAGEMENT ADVOCATING 3966 03:02:54,567 --> 03:02:57,604 FOR PFAS IMPACTED COMMUNITY AND 3967 03:02:57,604 --> 03:02:59,873 WE'RE WORKING WITH 30 DIFFERENT 3968 03:02:59,873 --> 03:03:01,040 STATES AND PEOPLE WHO HAVE 3969 03:03:01,040 --> 03:03:02,408 STEPPED INTO THESE ROLES BECAUSE 3970 03:03:02,408 --> 03:03:09,682 WE NEEDED TO GET THE JOB DONE. 3971 03:03:09,682 --> 03:03:13,553 >> MARYA. 3972 03:03:13,553 --> 03:03:21,327 >> I'M MARYA ZLATNIK A MATERNAL 3973 03:03:21,327 --> 03:03:23,329 FETAL MEDICINE DOC IN SAN 3974 03:03:23,329 --> 03:03:26,432 FRANCISCO AND I'M PART OF WHAT 3975 03:03:26,432 --> 03:03:27,934 ASK CALLED THE PROGRAM AND 3976 03:03:27,934 --> 03:03:28,902 RESEARCH REPRODUCTIVE HEALTH AND 3977 03:03:28,902 --> 03:03:33,540 THE ENVIRONMENT AT UCSF AS WELL 3978 03:03:33,540 --> 03:03:36,843 AS THE REGION 9 STATE PEDIATRIC 3979 03:03:36,843 --> 03:03:37,877 ENVIRONMENTAL SPECIALTY UNIT. 3980 03:03:37,877 --> 03:03:40,847 AS A HIGH-RISK PREGNANCY 3981 03:03:40,847 --> 03:03:42,415 SPECIALIST WHO PROVIDES CLINICAL 3982 03:03:42,415 --> 03:03:44,484 CARE FOR PEOPLE PREGNANT, 3983 03:03:44,484 --> 03:03:46,886 LACTATING OR PLANNING PREGNANCY 3984 03:03:46,886 --> 03:03:49,289 AS WELL AS A PROFESSOR WHO 3985 03:03:49,289 --> 03:03:50,924 EDUCATES MEDICAL STUDENTS, 3986 03:03:50,924 --> 03:03:51,991 OB-GYN'S IN TRAINING AND IN 3987 03:03:51,991 --> 03:03:53,927 PRACTICE ABOUT THE HEALTH HARMS 3988 03:03:53,927 --> 03:03:56,729 OF ECDs AND OTHER ENVIRONMENTAL 3989 03:03:56,729 --> 03:03:57,830 EXPOSURES, I'M REALLY PLEASED TO 3990 03:03:57,830 --> 03:03:59,265 BE HERE AND THIS HAS BEEN SUCH 3991 03:03:59,265 --> 03:04:00,233 AN OUTSTANDING MEETING. 3992 03:04:00,233 --> 03:04:02,435 I'VE LEARNED SO MUCH. 3993 03:04:02,435 --> 03:04:07,840 THANK YOU. 3994 03:04:07,840 --> 03:04:08,708 >> ALL RIGHT. 3995 03:04:08,708 --> 03:04:11,444 AND WE JUST HEARD FROM OUR LAST 3996 03:04:11,444 --> 03:04:13,980 SPEAKER BUT DO YOU WANT TO IN 3997 03:04:13,980 --> 03:04:18,217 CASE ANYONE'S -- SORRY, SHEELA, 3998 03:04:18,217 --> 03:04:18,518 YOU'RE NEXT. 3999 03:04:18,518 --> 03:04:23,089 >> THANKS, MY NAME IS SHEELA 4000 03:04:23,089 --> 03:04:23,556 SATHYANARAYANA I'M A 4001 03:04:23,556 --> 03:04:27,493 PEDIATRICIAN AND PROFESSOR OF 4002 03:04:27,493 --> 03:04:28,761 PEDIATRICS AND ALSO ADJUNCT 4003 03:04:28,761 --> 03:04:30,763 PROFESSOR IN THE DEPARTMENT OF 4004 03:04:30,763 --> 03:04:32,298 ENVIRONMENTAL AND OCCUPATIONAL 4005 03:04:32,298 --> 03:04:33,433 HEALTH SCIENCES AT THE 4006 03:04:33,433 --> 03:04:35,401 UNIVERSITY OF WASHINGTON AND 4007 03:04:35,401 --> 03:04:39,105 SEATTLE CHILDREN'S RESEARCH 4008 03:04:39,105 --> 03:04:39,572 INSTITUTE. 4009 03:04:39,572 --> 03:04:41,174 AND I COME AS A CLINICIAN WHO 4010 03:04:41,174 --> 03:04:42,475 SPEAKS TO FAMILIES AND PATIENTS 4011 03:04:42,475 --> 03:04:45,211 AND WORKS WITH THE REGION 10 4012 03:04:45,211 --> 03:04:47,647 PEDIATRIC AND ENVIRONMENTAL 4013 03:04:47,647 --> 03:04:51,951 HEALTH SPECIALTY UNIT AND 4014 03:04:51,951 --> 03:04:57,323 RESEARCHER WHO FOCUSSED ON 4015 03:04:57,323 --> 03:04:57,957 ENDOCRINE DISRUPTOR CHEMICALS 4016 03:04:57,957 --> 03:05:00,159 AND I WANT TO THANK THE 4017 03:05:00,159 --> 03:05:03,830 ORGANIZERS TO PUT FORWARD SUCH A 4018 03:05:03,830 --> 03:05:04,931 FORWARD THINKING WORKSHOP 4019 03:05:04,931 --> 03:05:06,366 BRINGING THE ADVOCATES AND 4020 03:05:06,366 --> 03:05:08,368 RESEARCH COMMUNITY WHICH IS SO 4021 03:05:08,368 --> 03:05:09,168 IMPORTANT TO MOVING THIS FIELD 4022 03:05:09,168 --> 03:05:15,608 FORWARD. 4023 03:05:15,608 --> 03:05:17,377 >> GREAT, WE HEARD FROM ALASKA 4024 03:05:17,377 --> 03:05:20,179 SO I THINK THE INTRODUCTION WILL 4025 03:05:20,179 --> 03:05:20,880 WORK FOR US. 4026 03:05:20,880 --> 03:05:21,914 WHY DON'T WE START OFF AND ONE 4027 03:05:21,914 --> 03:05:23,683 OF THE QUESTIONS WE ASKED TO THE 4028 03:05:23,683 --> 03:05:26,119 PANEL WAS WHAT WOULD BE YOUR TOP 4029 03:05:26,119 --> 03:05:26,419 PRIORITIES? 4030 03:05:26,419 --> 03:05:27,954 MAYBE ONE TO TWO PRIORITIES IF 4031 03:05:27,954 --> 03:05:29,889 YOU COULD GET THIS RESEARCH 4032 03:05:29,889 --> 03:05:31,658 COMMUNITY THAT'S LISTENING TO DO 4033 03:05:31,658 --> 03:05:33,793 THE WORK THAT YOU WOULD LIKE TO 4034 03:05:33,793 --> 03:05:36,095 SEE DONE, WHAT WOULD BE THOSE 4035 03:05:36,095 --> 03:05:38,464 TOP PRIORITIES AND YOU CAN GO IN 4036 03:05:38,464 --> 03:05:39,365 ANY ORDER. 4037 03:05:39,365 --> 03:05:48,408 WHO WOULD LIKE TO GO FIRST? 4038 03:05:48,408 --> 03:05:49,442 >> SINCE I'M SITTING NEXT TO 4039 03:05:49,442 --> 03:05:50,410 YOU, I'LL GO FIRST. 4040 03:05:50,410 --> 03:05:55,381 A COUPLE THINGS. 4041 03:05:55,381 --> 03:05:58,117 HOW DO WE EDUCATE EFFECTIVELY 4042 03:05:58,117 --> 03:05:59,585 HEALTH CARE PROVIDERS SO OUR 4043 03:05:59,585 --> 03:06:01,921 PATIENTS AND MEMBERS OF OUR 4044 03:06:01,921 --> 03:06:04,590 COMMUNITIES DO NOT FEEL 4045 03:06:04,590 --> 03:06:06,426 DISMISSED WHEN THEY SHOW CONCERN 4046 03:06:06,426 --> 03:06:14,734 ABOUT ENVIRONMENTAL EXPOSURES? 4047 03:06:14,734 --> 03:06:16,969 MOST MEDICAL SCHOOL CURRICULUM 4048 03:06:16,969 --> 03:06:19,539 IS VERY WEAK WHEN IT COMES TO 4049 03:06:19,539 --> 03:06:19,906 EXPOSURES. 4050 03:06:19,906 --> 03:06:22,508 AND THEY BARELY ASK WHAT JOB YOU 4051 03:06:22,508 --> 03:06:25,478 DO LET ALONE ASK YOUR ZIP CODE. 4052 03:06:25,478 --> 03:06:26,279 THAT'S ONE THING. 4053 03:06:26,279 --> 03:06:28,147 THE OTHER AREA IS MANY PEOPLE DO 4054 03:06:28,147 --> 03:06:31,818 NOT HAVE A SINGLE EXPOSURE AND 4055 03:06:31,818 --> 03:06:37,490 THEY GENERALLY DO NOT HAVE A 4056 03:06:37,490 --> 03:06:39,692 SINGLE OUTCOME BUT OUR RESEARCH 4057 03:06:39,692 --> 03:06:43,930 AND FUNDING IS TYPICALLY GEARED 4058 03:06:43,930 --> 03:06:47,834 TOWARDS ONE EXPOSURE, ONE 4059 03:06:47,834 --> 03:06:48,134 OUTCOME. 4060 03:06:48,134 --> 03:06:50,903 THAT'S NOT WHAT LIFE IS ABOUT. 4061 03:06:50,903 --> 03:06:52,271 THE QUESTION IS HOW DO WE THINK 4062 03:06:52,271 --> 03:06:54,407 OF RESEARCH STUDY THAT LOOK AT 4063 03:06:54,407 --> 03:07:04,917 THE IMPACT OF MULTIPLE EXPOSURES 4064 03:07:04,917 --> 03:07:15,461 AND THERE'S AOUT COME AND HAVE 4065 03:07:16,095 --> 03:07:16,863 MULTI-DISCIPLINARY INTERVENTIONS 4066 03:07:16,863 --> 03:07:22,401 BECAUSE WHEN YOU HAVE A SERIES 4067 03:07:22,401 --> 03:07:24,437 OF HEALTH ISSUES IT'S NOT GOING 4068 03:07:24,437 --> 03:07:26,973 TO BE MEDICATION ALONE OR 4069 03:07:26,973 --> 03:07:27,940 SUPPLEMENTS ALONE. 4070 03:07:27,940 --> 03:07:30,610 YOU'LL HAVE TO BRING ALL THOSE 4071 03:07:30,610 --> 03:07:32,812 TOGETHER AND THE QUESTION IS HOW 4072 03:07:32,812 --> 03:07:34,147 DO WE DESIGN RESEARCH AND FUND 4073 03:07:34,147 --> 03:07:39,619 STUDIES SO WE'RE LOOKING AT 4074 03:07:39,619 --> 03:07:40,419 COMPREHENSIVE WHOLE HEALTH 4075 03:07:40,419 --> 03:07:41,921 APPROACH IN TERMS OF THE 4076 03:07:41,921 --> 03:07:43,389 INTERVENTION TO MAKE A 4077 03:07:43,389 --> 03:07:45,925 DIFFERENCE IN HOW PEOPLE ARE 4078 03:07:45,925 --> 03:07:50,296 FEELING? 4079 03:07:50,296 --> 03:07:52,565 >> I AGREE IT'S IMPORTANT AND 4080 03:07:52,565 --> 03:07:54,367 COMMUNITIES WHO ARE EXPOSED ARE 4081 03:07:54,367 --> 03:07:57,236 EXPOSED TO CLASSES OF CHEMICALS 4082 03:07:57,236 --> 03:08:02,408 AROUND MULTITUDE OF OTHER 4083 03:08:02,408 --> 03:08:03,709 TOXICANTS. 4084 03:08:03,709 --> 03:08:05,678 WE SHOULDN'T HAVE TO PROVE THE 4085 03:08:05,678 --> 03:08:07,246 HARM AND IT'S GEARED TO ONE 4086 03:08:07,246 --> 03:08:08,815 COMPOUND AT A TIME TO TAKE MY 4087 03:08:08,815 --> 03:08:10,716 LIFE TIME, MY CHILDREN'S LIFE 4088 03:08:10,716 --> 03:08:13,019 TIME AND FUTURE UNBORN 4089 03:08:13,019 --> 03:08:14,420 GRANDCHILDREN'S GRAND TIME, 4090 03:08:14,420 --> 03:08:15,188 ETCETERA. 4091 03:08:15,188 --> 03:08:16,923 IT'S NOT ACCESSIBLE. 4092 03:08:16,923 --> 03:08:19,859 WHILE THE WORK HERE WE TALKED 4093 03:08:19,859 --> 03:08:20,526 ABOUT HEALING. 4094 03:08:20,526 --> 03:08:22,395 HEALING IS RESILIENCE, HEALING 4095 03:08:22,395 --> 03:08:24,931 IS IMPORTANT, HEALING WILL MAKE 4096 03:08:24,931 --> 03:08:26,766 COMMUNITIES WHOLE, BEING 4097 03:08:26,766 --> 03:08:27,733 VALIDATED, ACTIVE LISTENING ALL 4098 03:08:27,733 --> 03:08:28,734 THE THINGS YOU TOUCHED ON BUT 4099 03:08:28,734 --> 03:08:30,203 WE'LL HAVE TO GET TO THE 4100 03:08:30,203 --> 03:08:31,737 RICHNESS OF THE DATA. 4101 03:08:31,737 --> 03:08:32,605 WHEN HAVE YOU AN EXPOSED 4102 03:08:32,605 --> 03:08:35,241 COMMUNITY YOU DON'T NEED TO WAIT 4103 03:08:35,241 --> 03:08:37,109 FOR THE PROOF FOR EVERY LITTLE 4104 03:08:37,109 --> 03:08:42,215 COMPOUND AND THEN WHAT'S THE 4105 03:08:42,215 --> 03:08:46,385 CURE SNOW OVERLAPS ARE THERE AND 4106 03:08:46,385 --> 03:08:47,887 IF WE GATHER THE HEALTH 4107 03:08:47,887 --> 03:08:54,093 INFORMATION AS THE MINNESUSCULE 4108 03:08:54,093 --> 03:08:55,795 SAMPLING I DID THERE'S A 4109 03:08:55,795 --> 03:08:59,899 RICHNESS OF DATA AS THE 4110 03:08:59,899 --> 03:09:00,166 BASELINE. 4111 03:09:00,166 --> 03:09:02,001 YOU KNOW THE EXPOSURE AND GATHER 4112 03:09:02,001 --> 03:09:03,803 THE HEALTH PROFILES AND 4113 03:09:03,803 --> 03:09:05,037 INFORMATION AND CAN TRACK THAT 4114 03:09:05,037 --> 03:09:06,405 OVER TIME FOR EXAMPLE TO SEE IF 4115 03:09:06,405 --> 03:09:09,442 WE STOP THE SOURCE OF WATER 4116 03:09:09,442 --> 03:09:10,109 CONTAMINATION FOR EXAMPLE DOES 4117 03:09:10,109 --> 03:09:13,746 THAT RESULT IN A DECREASE IN 4118 03:09:13,746 --> 03:09:15,815 CERTAIN MARKERS AND BLOOD WORK? 4119 03:09:15,815 --> 03:09:17,583 IT HAS FOR ME SOMEWHAT. 4120 03:09:17,583 --> 03:09:19,719 IT'S UP AND DONE BUT MAYBE AND 4121 03:09:19,719 --> 03:09:21,954 THEN WHAT? 4122 03:09:21,954 --> 03:09:25,291 WE CAN'T JUST WAIT AND SEE AND 4123 03:09:25,291 --> 03:09:27,660 SAY WE STOPPED THE SOURCE THE 4124 03:09:27,660 --> 03:09:29,028 POLICY AND REGULATION IS AN 4125 03:09:29,028 --> 03:09:30,296 ONGOING TO BATTLE PEOPLE ARE 4126 03:09:30,296 --> 03:09:31,097 WORKING ON YOU BUT PERHAPS WE 4127 03:09:31,097 --> 03:09:33,966 NEED TO STOP AND THINK HOW TO 4128 03:09:33,966 --> 03:09:38,004 WRAP AROUND HOW TO HELP PEOPLE 4129 03:09:38,004 --> 03:09:40,973 HEAL WITH BASIC THINGS WE KNOW 4130 03:09:40,973 --> 03:09:42,341 WORK FOR ENDOCRINE DISRUPTORS 4131 03:09:42,341 --> 03:09:44,677 ACROSS THE BOARD AND LOOKING AT 4132 03:09:44,677 --> 03:09:46,746 THE DATA HOW CAN WE GATHER TO 4133 03:09:46,746 --> 03:09:51,183 AND IT'S A RICHNESS OF 4134 03:09:51,183 --> 03:09:51,550 INFORMATION. 4135 03:09:51,550 --> 03:09:52,785 THEN YOU'LL REALLY SEE WHAT IS 4136 03:09:52,785 --> 03:09:57,957 OUT THERE AND WHAT IS HAPPENING 4137 03:09:57,957 --> 03:09:58,891 CAN FROM THE PANEL AND CLASS 4138 03:09:58,891 --> 03:10:02,395 ACKNOWLEDGEMENT. 4139 03:10:02,395 --> 03:10:12,571 THANK YOU. 4140 03:10:13,506 --> 03:10:17,643 >> ONE THING THAT'S STRUCK ME IS 4141 03:10:17,643 --> 03:10:19,712 THOSE WHO WORK IN THE FIELD ARE 4142 03:10:19,712 --> 03:10:21,847 CONSTANTLY THINKING HOW TO 4143 03:10:21,847 --> 03:10:22,848 INCORPORATE MORE INFORMATION IN 4144 03:10:22,848 --> 03:10:28,554 MEDICAL CARE AND TO PROVIDERS ON 4145 03:10:28,554 --> 03:10:29,155 FRONT LINES. 4146 03:10:29,155 --> 03:10:31,023 AND ONE THING THAT MAY BE GREAT 4147 03:10:31,023 --> 03:10:32,425 IS THE HEALTH CARE PROVIDERS 4148 03:10:32,425 --> 03:10:36,529 THAT WE DO HAVE HERE, I DO THINK 4149 03:10:36,529 --> 03:10:41,500 IT MIGHT BE NICE TO COMBINE AND 4150 03:10:41,500 --> 03:10:45,972 WRITE A LETTER TO ADVOCATE FOR 4151 03:10:45,972 --> 03:10:47,440 INCORPORATION OF ENVIRONMENTAL 4152 03:10:47,440 --> 03:10:52,478 COMPONENTS TO THE MEDICAL 4153 03:10:52,478 --> 03:10:58,851 CURRICULUM IS UNRELATED AND HARD 4154 03:10:58,851 --> 03:11:09,261 TO INTRODUCE NEW THINGS. 4155 03:11:15,501 --> 03:11:20,706 AND IN TERMS OF RESEARCH 4156 03:11:20,706 --> 03:11:22,975 PRIORITIES, I DO THINK THAT 4157 03:11:22,975 --> 03:11:24,844 THERE DOES NEED TO BE MORE FOCUS 4158 03:11:24,844 --> 03:11:26,045 ON INTERVENTION RESEARCH. 4159 03:11:26,045 --> 03:11:27,980 WHILE WE CAN CONTINUE TO LOOK AT 4160 03:11:27,980 --> 03:11:29,515 MULTIPLE EXPOSURES AND OUTCOMES, 4161 03:11:29,515 --> 03:11:32,218 I THINK WE DO HAVE ENOUGH 4162 03:11:32,218 --> 03:11:33,753 INFORMATION ON MANY CHEMICALS. 4163 03:11:33,753 --> 03:11:36,655 WHEN I STARTED 15 YEARS AGO WE 4164 03:11:36,655 --> 03:11:38,224 DIDN'T KNOW PHTHALATES WERE 4165 03:11:38,224 --> 03:11:40,393 GOING TO BE SIGNIFICANT AND 4166 03:11:40,393 --> 03:11:40,793 HARMFUL. 4167 03:11:40,793 --> 03:11:44,130 WE LEARNED SO MUCH IN THE PAST 4168 03:11:44,130 --> 03:11:45,331 DECADE ABOUT SO MANY CHEMICALS 4169 03:11:45,331 --> 03:11:55,875 AND OFTEN IT'S THE SAME LESSON 4170 03:12:02,481 --> 03:12:05,184 LEARNED YOU CAN TELL PEOPLE TO 4171 03:12:05,184 --> 03:12:06,752 HAVE A HEALTHY DIET, EXERCISE 4172 03:12:06,752 --> 03:12:08,387 REGULARLY AND ALL THE PIECES BUT 4173 03:12:08,387 --> 03:12:10,389 THE EVIDENCE BEHIND SOME OF 4174 03:12:10,389 --> 03:12:11,424 THOSE IS A LITTLE WEAK. 4175 03:12:11,424 --> 03:12:14,293 WHAT WE HEARD OVER THE PAST TWO 4176 03:12:14,293 --> 03:12:17,430 DAYS ARE THE POSITIVE 4177 03:12:17,430 --> 03:12:18,597 INTERVENTION STUDIES BUT FOR 4178 03:12:18,597 --> 03:12:20,299 EVERY POSITIVE INTERVENTION 4179 03:12:20,299 --> 03:12:21,834 STUDY THERE'S A NUL STUDY. 4180 03:12:21,834 --> 03:12:27,640 I HAVE HAD ONE OF THOSE AND I 4181 03:12:27,640 --> 03:12:33,979 KNOW MANY OTHERS HAVE SO WE NEED 4182 03:12:33,979 --> 03:12:35,448 MORE IN THAT REALM. 4183 03:12:35,448 --> 03:12:37,850 AND IN TERMS OF TRANSLATION WE 4184 03:12:37,850 --> 03:12:40,820 NEED A LITTLE BIT MORE FOCUS ON 4185 03:12:40,820 --> 03:12:44,523 INVOLVING COMMUNITY 4186 03:12:44,523 --> 03:12:47,560 ORGANIZATIONS AND CIRCULATING 4187 03:12:47,560 --> 03:12:49,562 EDUCATIONAL AWARENESS AND THAT 4188 03:12:49,562 --> 03:12:51,897 COMES WITH PARTNERING AT THAT 4189 03:12:51,897 --> 03:12:54,400 LOCAL LEVEL AND OFTEN THERE 4190 03:12:54,400 --> 03:12:59,205 ISN'T A FRAMEWORK FOR THAT. 4191 03:12:59,205 --> 03:13:01,707 COMMUNITY-BASED PARTICIPATORY 4192 03:13:01,707 --> 03:13:03,175 RESEARCH SEEMS TO BE SILOED AND 4193 03:13:03,175 --> 03:13:05,911 MAYBE IT COULD BE MORE 4194 03:13:05,911 --> 03:13:09,348 INTEGRATED ACROSS RESEARCH AND 4195 03:13:09,348 --> 03:13:10,216 CREATE MORE OF AN IMPACT OVER 4196 03:13:10,216 --> 03:13:15,988 ALL. 4197 03:13:15,988 --> 03:13:18,257 >> GREAT, THANK YOU. 4198 03:13:18,257 --> 03:13:19,892 VIE, I SEE YOUR HARD AS WELL. 4199 03:13:19,892 --> 03:13:25,197 >> YES, THANK YOU. 4200 03:13:25,197 --> 03:13:32,538 I COME FROM A COMMUNITY LOCATED 4201 03:13:32,538 --> 03:13:37,243 IN THE NORTH BERRING SEE BECAUSE 4202 03:13:37,243 --> 03:13:38,277 YOU HAVE OUR PROXIMITY TO RUSSIA 4203 03:13:38,277 --> 03:13:39,912 AND THEY ESTABLISHED TWO BASES 4204 03:13:39,912 --> 03:13:42,248 BECAUSE OF THE COLD WAR AND 4205 03:13:42,248 --> 03:13:43,883 WE'VE BEEN STRUGGLING TO HOLD 4206 03:13:43,883 --> 03:13:45,985 THEM ACCOUNTABLE SINCE THEN. 4207 03:13:45,985 --> 03:13:51,924 AND I STARTED THE WORK 21 YEARS 4208 03:13:51,924 --> 03:13:56,228 AGO AND IT'S SO PERSONAL BECAUSE 4209 03:13:56,228 --> 03:14:01,000 OF THE TWO FORMER DEFENSE SITES. 4210 03:14:01,000 --> 03:14:03,002 A FORMER HEALTH AID STARTED 4211 03:14:03,002 --> 03:14:05,304 NOTICING HIGH RATES OF CANCER, 4212 03:14:05,304 --> 03:14:08,207 LOW BIRTH WEIGHT BABIES, 4213 03:14:08,207 --> 03:14:09,708 MISCARRIAGES, STILLBIRTHS IN OUR 4214 03:14:09,708 --> 03:14:12,044 FAMILIES THAT LIVED, WORKED OR 4215 03:14:12,044 --> 03:14:14,413 CAMPED AT ONE OF THE FORMER 4216 03:14:14,413 --> 03:14:21,420 BASES. 4217 03:14:21,420 --> 03:14:24,557 AND SHE TRIED TO GET HELP FOR 4218 03:14:24,557 --> 03:14:27,393 OUR COMMUNITY FOR 20 YEARS AND 4219 03:14:27,393 --> 03:14:31,564 AS A RESPECTED HELD ELDER 4220 03:14:31,564 --> 03:14:33,332 COMMUNITY AND NOBODY TOOK HER 4221 03:14:33,332 --> 03:14:38,437 KNOWLEDGE AND OBSERVATIONS AND 4222 03:14:38,437 --> 03:14:42,408 HIGHLY TRAINED IN THE HEALTH 4223 03:14:42,408 --> 03:14:52,785 FIELD NOBODY TOOK HER 4224 03:15:02,428 --> 03:15:03,395 OBSERVATIONS AND WE'RE STILL 4225 03:15:03,395 --> 03:15:07,733 BEING DISCREDITED FOR THE HEALTH 4226 03:15:07,733 --> 03:15:08,901 HARMS WE'VE SEEN. 4227 03:15:08,901 --> 03:15:10,402 WHETHER AS THE COMMUNITY WITH 4228 03:15:10,402 --> 03:15:12,705 PESTIC 4229 03:15:12,705 --> 03:15:19,712 PESTICIDES, HEAVY METALS, 4230 03:15:19,712 --> 03:15:23,949 SOLVENTS, FUEL SPILLS, ASBESTOS, 4231 03:15:23,949 --> 03:15:26,151 MERCURY, MILITARY TOXIC. 4232 03:15:26,151 --> 03:15:28,754 THE BURDEN OF PROOF WAS PUT ON 4233 03:15:28,754 --> 03:15:29,388 MY PEOPLE. 4234 03:15:29,388 --> 03:15:30,422 THE MILITARY TURNED THEIR BACK 4235 03:15:30,422 --> 03:15:38,464 ON US. 4236 03:15:38,464 --> 03:15:45,371 NOW WE KNOW THE HEMISPHERIC SINK 4237 03:15:45,371 --> 03:15:51,377 THAT ARRIVE IN THE ARCTICS AND 4238 03:15:51,377 --> 03:15:53,712 FINDING THEM IN OUR FOOD FOR 4239 03:15:53,712 --> 03:15:56,282 EXCESS CANCER RISK AND BEING 4240 03:15:56,282 --> 03:15:57,349 RELEASED QUICKER AS THE 4241 03:15:57,349 --> 03:16:07,626 PERMAFROST MELT. 4242 03:16:09,094 --> 03:16:16,902 AND NOW WE KNOW THE ARCTIC OF 4243 03:16:16,902 --> 03:16:20,439 ALL THE OCEANS HAS THE MOST 4244 03:16:20,439 --> 03:16:22,274 CHEMICALS AND THERE'S 16,000 4245 03:16:22,274 --> 03:16:24,910 CHEMICALS IN THE PRODUCTION OF 4246 03:16:24,910 --> 03:16:26,679 PLASTICS BUT THEY'RE ABSORBING 4247 03:16:26,679 --> 03:16:27,980 EVEN MORE AS THEY'RE ARRIVING ON 4248 03:16:27,980 --> 03:16:33,986 OUR SHORES. 4249 03:16:33,986 --> 03:16:35,954 THERE'S AN ENVIRONMENTAL 4250 03:16:35,954 --> 03:16:37,623 VIOLENCE WHERE WE'RE BEING 4251 03:16:37,623 --> 03:16:38,457 CONTAMINATED WITHOUT OUR 4252 03:16:38,457 --> 03:16:42,261 CONSENT. 4253 03:16:42,261 --> 03:16:49,835 WE OFFER -- WE RECENTLY PRODUCED 4254 03:16:49,835 --> 03:16:54,239 OUR PROTECT OUR BREAST CANCER 4255 03:16:54,239 --> 03:16:56,542 PREVENTION TOOL KIT WE PRODUCED 4256 03:16:56,542 --> 03:16:57,976 RECOGNIZING THERE'S NOT ENOUGH 4257 03:16:57,976 --> 03:17:02,881 EDUCATION LIKE THE FIRST SPEAKER 4258 03:17:02,881 --> 03:17:06,218 SPOKE ABOUT HOW MEDICAL SCHOOLS 4259 03:17:06,218 --> 03:17:09,988 AND EDUCATION IS VERY WEAK. 4260 03:17:09,988 --> 03:17:12,958 WE PRODUCED THIS KNOWING NATIVE 4261 03:17:12,958 --> 03:17:13,659 ALASKAN WOMEN HAVE THE MOST 4262 03:17:13,659 --> 03:17:15,494 BREAST CANCER IN OUR STATE. 4263 03:17:15,494 --> 03:17:18,397 IT'S HOW TO PREVENT BREAST 4264 03:17:18,397 --> 03:17:21,967 CANCER. 4265 03:17:21,967 --> 03:17:24,636 WE OFFERED IT AT THE ANNUAL 4266 03:17:24,636 --> 03:17:27,005 COMMUNITY HEALTH DAY TRAINING 4267 03:17:27,005 --> 03:17:33,979 AND OFFERED GRAND ROUNDS. 4268 03:17:33,979 --> 03:17:41,286 ALSO OTHER TRAININGS WITH CMAs. 4269 03:17:41,286 --> 03:17:46,692 RECOGNIZING HOW IT'S IMPORTANT 4270 03:17:46,692 --> 03:17:48,794 WE EDUCATE THE HEALTH CARE 4271 03:17:48,794 --> 03:17:50,396 PROFESSIONALS BECAUSE IT'S NOT 4272 03:17:50,396 --> 03:17:52,231 IF GETTING CANCER BUT WHEN. 4273 03:17:52,231 --> 03:17:55,434 I'M A BREAST CANCER SURVIVOR. 4274 03:17:55,434 --> 03:17:57,035 I'VE HAD THREE MISS CHARGES AND 4275 03:17:57,035 --> 03:18:01,039 WE WERE A FAMILY OF EIGHT. 4276 03:18:01,039 --> 03:18:07,279 HALF OF US GOT CANCER AND MY 4277 03:18:07,279 --> 03:18:08,881 MOTHER GOT CANCER, DIABETES, 4278 03:18:08,881 --> 03:18:10,149 STROKES, DIABETES, MENTAL 4279 03:18:10,149 --> 03:18:14,386 HEATHER HARMS AND ON AND ON. 4280 03:18:14,386 --> 03:18:17,423 AND WE KNOW THAT THESE TOMMIC 4281 03:18:17,423 --> 03:18:23,929 EXPOSURES ARE 4282 03:18:23,929 --> 03:18:24,363 MULTI-GENERATIONAL. 4283 03:18:24,363 --> 03:18:30,936 WE OFFER EDUCATION AND EMPOWER 4284 03:18:30,936 --> 03:18:31,770 WOMEN TO ENVIRONMENTAL HEALTH 4285 03:18:31,770 --> 03:18:34,807 AND JUSTICE AND TO WORK 4286 03:18:34,807 --> 03:18:35,941 PROACTIVELY AND WORK WITH THEIR 4287 03:18:35,941 --> 03:18:39,044 TRIBE TO CONTACT THEIR 4288 03:18:39,044 --> 03:18:40,746 LEGISLATORS AND HOW TO TESTIFY 4289 03:18:40,746 --> 03:18:45,984 AND CONTACT THE LEGISLATORS. 4290 03:18:45,984 --> 03:18:50,389 SO IT'S IMPORTANT WE MAKE SURE 4291 03:18:50,389 --> 03:18:54,393 MEASURES ARE EN PLACE TO PROTECT 4292 03:18:54,393 --> 03:18:57,496 OUR MOST VULNERABLE. 4293 03:18:57,496 --> 03:18:58,797 OUR CHILDREN, WE'RE DOING 4294 03:18:58,797 --> 03:19:03,268 RESEARCH ON OUR CHILDREN LOOKING 4295 03:19:03,268 --> 03:19:04,837 AT ENDOCRINE DISRUPTOR CHEMICALS 4296 03:19:04,837 --> 03:19:06,972 LISTENING TO CONCERNS OF OUR 4297 03:19:06,972 --> 03:19:08,006 PARENTS AND GRANDPARENTS AND DUE 4298 03:19:08,006 --> 03:19:09,908 TO CONCERNS OF THE CHILDREN IN 4299 03:19:09,908 --> 03:19:11,410 MY COMMUNITY HAVE THE LOWEST 4300 03:19:11,410 --> 03:19:12,010 TEST SCORES. 4301 03:19:12,010 --> 03:19:15,981 HOW CAN WE PASS ON OUR 4302 03:19:15,981 --> 03:19:16,982 LANGUAGES? 4303 03:19:16,982 --> 03:19:18,383 OUR CREATION STORIES AND SONGS 4304 03:19:18,383 --> 03:19:21,954 AND DANCES. 4305 03:19:21,954 --> 03:19:25,357 OUR CULTURES AND TRADITIONS OUR 4306 03:19:25,357 --> 03:19:30,229 CHILDREN CAN'T LEARN? 4307 03:19:30,229 --> 03:19:33,932 IT'S IMPORTANT THAT HEALTH CARE 4308 03:19:33,932 --> 03:19:38,270 PROVIDERS AND GET EXTENSIVE 4309 03:19:38,270 --> 03:19:40,405 HEALTH HISTORY OF YOUR PATIENTS, 4310 03:19:40,405 --> 03:19:45,978 WHERE THEY MAY HAVE LIVED, WHERE 4311 03:19:45,978 --> 03:19:49,982 THERE'S ADJACENT TO EYE MILITARY 4312 03:19:49,982 --> 03:19:50,949 BASE ADJACENT OR IN CLOSE 4313 03:19:50,949 --> 03:19:54,286 PROXIMITY TO DEVELOPMENT WHETHER 4314 03:19:54,286 --> 03:20:02,394 IT'S FOSSIL FUEL, MINING AND 4315 03:20:02,394 --> 03:20:05,998 ALSO FOR COMMUNITIES LIKE MINE 4316 03:20:05,998 --> 03:20:12,571 TO SHARE THE KNOWLEDGE OF THEIR 4317 03:20:12,571 --> 03:20:23,115 HEALTH HISTORY TO MAKE SURE THEY 4318 03:20:24,016 --> 03:20:25,083 MAKE DECISIONS IN THEIR HEALTH 4319 03:20:25,083 --> 03:20:26,385 CARE. 4320 03:20:26,385 --> 03:20:31,156 THANK YOU VERY MUCH. 4321 03:20:31,156 --> 03:20:32,391 >> IT'S GREAT TO HEAR WHAT THE 4322 03:20:32,391 --> 03:20:35,360 OTHER PANELISTS ARE THINKING. 4323 03:20:35,360 --> 03:20:41,199 ONE OF THE THINGS THAT I WOULD 4324 03:20:41,199 --> 03:20:46,405 SUBJECT AS A WAY TO GET HEALTH 4325 03:20:46,405 --> 03:20:49,841 CARE PROVIDERS MORE WILLING TO 4326 03:20:49,841 --> 03:20:51,543 DISCUSS THESE ISSUES IS TO GIVE 4327 03:20:51,543 --> 03:20:53,078 HEALTH PROVIDERS TOOLS TO 4328 03:20:53,078 --> 03:20:54,112 ADDRESS THESE ISSUES. 4329 03:20:54,112 --> 03:20:57,983 I MAY NOT WANT TO ASK WHAT 4330 03:20:57,983 --> 03:21:01,053 SOMEBODY'S OCCUPATION IS IF I 4331 03:21:01,053 --> 03:21:03,255 CAN'T GIVE ADVICE. 4332 03:21:03,255 --> 03:21:07,125 IF SOMEONE TELLS ME THEY LIVE BY 4333 03:21:07,125 --> 03:21:09,561 A SUPER FUND THEY PROBABLY KNOW 4334 03:21:09,561 --> 03:21:14,600 THAT'S NOT THE HEALTHIEST PLACE 4335 03:21:14,600 --> 03:21:16,134 TO LIVE BUT WHERE THEY CAN 4336 03:21:16,134 --> 03:21:17,803 AFFORD OR WHERE THEY'RE FAMILY 4337 03:21:17,803 --> 03:21:18,236 LIVES. 4338 03:21:18,236 --> 03:21:20,739 I WOULD LOVE TO ENCOURAGE THE 4339 03:21:20,739 --> 03:21:26,912 NCCIH, THE NIEHS TO JOIN WITH 4340 03:21:26,912 --> 03:21:32,084 THE NICHD AND THINK OF FUTURE 4341 03:21:32,084 --> 03:21:35,220 LABORERS AS A HIGH RISK 4342 03:21:35,220 --> 03:21:37,255 PREGNANCY SPECIALIST BUT A RICH 4343 03:21:37,255 --> 03:21:39,958 AREA TO DO RCTs. 4344 03:21:39,958 --> 03:21:43,562 WE'VE HEARD OF AIR FILTRATION, 4345 03:21:43,562 --> 03:21:45,964 CHEMICALS IN PERSONAL CARE 4346 03:21:45,964 --> 03:21:47,366 PRODUCTS, POTENTIALLY WATER 4347 03:21:47,366 --> 03:21:49,434 FILTRATION, BASIC SUPPLEMENTS, 4348 03:21:49,434 --> 03:21:52,004 ARE THERE RCTs WHERE WE CAN TAKE 4349 03:21:52,004 --> 03:21:54,406 WOMEN AT RISK FOR PRE-TERM BIRTH 4350 03:21:54,406 --> 03:21:57,042 AND PROVIDE AN INTERVENTION AND 4351 03:21:57,042 --> 03:21:58,710 SEE IF THAT MAKES A DIFFERENCE 4352 03:21:58,710 --> 03:21:59,645 IN OUTCOMES? 4353 03:21:59,645 --> 03:22:01,813 IF PHYSICIANS KNOW I CAN PROVIDE 4354 03:22:01,813 --> 03:22:03,415 THIS INFORMATION AND IT'S 4355 03:22:03,415 --> 03:22:06,151 ASSOCIATED WITH A DECREASED RISK 4356 03:22:06,151 --> 03:22:07,686 OF PRETERM BIRTH I THINK YOU'LL 4357 03:22:07,686 --> 03:22:09,988 GET PHYSICIANS TALKING ABOUT 4358 03:22:09,988 --> 03:22:16,695 ENVIRONMENTAL EXPOSURES. 4359 03:22:16,695 --> 03:22:18,697 I THINK RCTs ARE THE PLACE WHERE 4360 03:22:18,697 --> 03:22:19,931 IT'S AT. 4361 03:22:19,931 --> 03:22:30,442 MAYBE IT COULD BE A BUNDLE OF 4362 03:22:39,718 --> 03:22:41,053 INTERVENTIONS AND DO COGNITIVE 4363 03:22:41,053 --> 03:22:46,725 WORK AND SCREENING FOR CHILDHOOD 4364 03:22:46,725 --> 03:22:49,461 EXPERIEN 4365 03:22:49,461 --> 03:22:50,996 EXPERIENCES LAKE THERE'S GOING 4366 03:22:50,996 --> 03:22:54,399 TO BE IN CLINICAL RESEARCH. 4367 03:22:54,399 --> 03:22:58,036 THOSE ARE SOME OF MY 4368 03:22:58,036 --> 03:22:58,403 SUGGESTIONS. 4369 03:22:58,403 --> 03:23:00,572 >> I WANTED TO ADD MORE TO THE 4370 03:23:00,572 --> 03:23:06,411 RECOMMENDATION SHEELA BRUTH UP 4371 03:23:06,411 --> 03:23:08,580 ABOUT PARTNERSHIPS BETWEEN 4372 03:23:08,580 --> 03:23:09,981 COMMUNITY ORGANIZATIONS AND NGOs 4373 03:23:09,981 --> 03:23:15,954 AND ACADEMIC INSTITUTIONS, WE 4374 03:23:15,954 --> 03:23:24,863 SEE A LOT OF AND DO AN INTERVIEW 4375 03:23:24,863 --> 03:23:26,398 TO HOW THINGS HAVE AFFECTED YOU. 4376 03:23:26,398 --> 03:23:29,134 AND PEOPLE ARE HESITANT TO 4377 03:23:29,134 --> 03:23:29,901 PARTICIPATE IN THE REPORTS 4378 03:23:29,901 --> 03:23:30,836 BECAUSE THEY'RE ALWAYS THINK IN 4379 03:23:30,836 --> 03:23:32,437 THE BACK OF THEIR MIND 4380 03:23:32,437 --> 03:23:33,739 ESPECIALLY IF THEY DON'T HAVE 4381 03:23:33,739 --> 03:23:38,777 IMMIGRATION STATUS HOW IS MY 4382 03:23:38,777 --> 03:23:43,749 PERSONAL INFORMATION BEING USED 4383 03:23:43,749 --> 03:23:45,984 OR IS MY EMPLOYER GOING TO FIND 4384 03:23:45,984 --> 03:23:47,886 OUT AND RETALIATE AGAINST ME. 4385 03:23:47,886 --> 03:23:49,121 BECAUSE OF THE REASONS AND 4386 03:23:49,121 --> 03:23:56,294 THERE'S A CULTURAL BARRIERS TOO. 4387 03:23:56,294 --> 03:23:58,630 WITH FARM WORKER WOMEN WE'RE 4388 03:23:58,630 --> 03:23:59,931 TAUGHT AT A YOUNG AGE TO NEVER 4389 03:23:59,931 --> 03:24:02,400 TALK ABOUT YOUR BODY OR SHOW 4390 03:24:02,400 --> 03:24:05,270 YOUR BODY TO ANYBODY EXCEPT YOUR 4391 03:24:05,270 --> 03:24:07,239 HUSBAND SO PEOPLE ARE HESITANT 4392 03:24:07,239 --> 03:24:09,975 TO BE FORTHCOMING ABOUT ANYTHING 4393 03:24:09,975 --> 03:24:11,777 RELATED TO REPRODUCTIVE HEALTH. 4394 03:24:11,777 --> 03:24:16,615 THERE'S ALWAYS THIS LEVEL OF 4395 03:24:16,615 --> 03:24:18,416 DISTRUST BETWEEN PEOPLE IN THE 4396 03:24:18,416 --> 03:24:20,519 COMMUNITY AND PEOPLE ENGAGING IN 4397 03:24:20,519 --> 03:24:21,086 THE RESEARCH. 4398 03:24:21,086 --> 03:24:23,622 IT'S IMPORTANT TO PARTNER WITH 4399 03:24:23,622 --> 03:24:26,324 THE GRASSROOTS ORGANIZATION WHO 4400 03:24:26,324 --> 03:24:26,958 HAVE RELATIONS WITH PEOPLE IN 4401 03:24:26,958 --> 03:24:32,564 THE TARGET COMMUNITY AND SOME 4402 03:24:32,564 --> 03:24:33,832 THINGS THAT HAVE HELPED MORE 4403 03:24:33,832 --> 03:24:35,867 PARTICIPATION FROM COMMUNITY 4404 03:24:35,867 --> 03:24:37,936 MEMBERS IS WE ALWAYS ASK IF, 4405 03:24:37,936 --> 03:24:40,071 WELL, WE NEED RESOURCES AND 4406 03:24:40,071 --> 03:24:43,508 FUNDING TO BE CONDUCTING 4407 03:24:43,508 --> 03:24:45,911 OUTREACH AND FACILITATING THE 4408 03:24:45,911 --> 03:24:46,978 SURVEYS IN SPANISH OR OTHER 4409 03:24:46,978 --> 03:24:51,316 INDIGENOUS LANGUAGES WE NEED TO 4410 03:24:51,316 --> 03:24:53,351 BE ABLE TO PAY STAFF TO DO THAT 4411 03:24:53,351 --> 03:24:56,388 AND ASK WE CAN GET FEEDBACK IN 4412 03:24:56,388 --> 03:24:58,323 THE DESIGN OF THE RESEARCH AND 4413 03:24:58,323 --> 03:24:59,224 THAT'S IMPORTANT BECAUSE AT 4414 03:24:59,224 --> 03:25:00,659 LEAST SPEAKING FROM MY 4415 03:25:00,659 --> 03:25:02,093 EXPERIENCE I SEE A LOT OF THE 4416 03:25:02,093 --> 03:25:03,962 COMMUNITY ORGANIZATIONS ARE 4417 03:25:03,962 --> 03:25:06,631 APPROACHED TOWARDS THE END IN 4418 03:25:06,631 --> 03:25:08,066 DEVELOPING THE SURVEY OR THE 4419 03:25:08,066 --> 03:25:09,067 QUESTIONNAIRE AND HELP US 4420 03:25:09,067 --> 03:25:09,901 DISTRIBUTE TO THE COMMUNITY. 4421 03:25:09,901 --> 03:25:20,445 AND WE SEE IT AND SEE THAT IT'S 4422 03:25:20,912 --> 03:25:24,149 IN SPANISH BUT YOU PLUGGED IT IN 4423 03:25:24,149 --> 03:25:25,083 GOOGLE TRANSLATE BUT MAYBE IT 4424 03:25:25,083 --> 03:25:27,118 DOESN'T TRANSLATE IN OUR 4425 03:25:27,118 --> 03:25:30,822 LANGUAGE AND SO CHANGING THE 4426 03:25:30,822 --> 03:25:33,859 LANGUAGE SO IT COLLOQUIALLY 4427 03:25:33,859 --> 03:25:35,460 MAKES SENSE SO PEOPLE CAN 4428 03:25:35,460 --> 03:25:38,430 RESPOND AND THERE ARE PEOPLE WHO 4429 03:25:38,430 --> 03:25:48,874 ARE ILLITERATE BUT ALLOW 4430 03:25:49,241 --> 03:25:51,843 RESPONSES TO BE, ORAL, 4431 03:25:51,843 --> 03:25:54,412 RECORDINGS AND SPEAK MESSAGES 4432 03:25:54,412 --> 03:25:55,647 AND WHAT'S APP AND USING IMAGES 4433 03:25:55,647 --> 03:25:57,983 AND VIDEOS IF PEOPLE ARE 4434 03:25:57,983 --> 03:26:02,387 UNCOMFORTABLE TALKING ABOUT 4435 03:26:02,387 --> 03:26:06,691 CERTAIN TOPICS AND ALLOWING FOR 4436 03:26:06,691 --> 03:26:09,861 AN OPPORTUNITY TO LEARN FROM THE 4437 03:26:09,861 --> 03:26:12,864 ORGANIZATIONS AND IF IT'S A 4438 03:26:12,864 --> 03:26:14,399 TOPIC WHERE SOMEONE CAN FEEL 4439 03:26:14,399 --> 03:26:15,967 LIKE THEY MAY BE RETRAUMATIZED 4440 03:26:15,967 --> 03:26:18,003 OR COMING IN MY COMMUNITY AND 4441 03:26:18,003 --> 03:26:21,973 EXTRACTING PERSONAL STORIES LIKE 4442 03:26:21,973 --> 03:26:24,910 YOU HEARD YESTERDAY, SOMETIMES 4443 03:26:24,910 --> 03:26:26,144 THEY FEEL LIKE WHAT ARE YOU 4444 03:26:26,144 --> 03:26:27,646 DOING ABOUT MY TRAUMA STORIES 4445 03:26:27,646 --> 03:26:29,614 AND JUST TALKING ABOUT IT BUT 4446 03:26:29,614 --> 03:26:33,952 NOT DOING ANYTHING TO HELP ME 4447 03:26:33,952 --> 03:26:39,357 BUT THAT'S WHERE YOU CAN BRIDGE 4448 03:26:39,357 --> 03:26:48,900 TRUST WITH THE COMMUNITY OH AND 4449 03:26:48,900 --> 03:26:50,402 IN NAVIGATING THE RELATIONSHIPS 4450 03:26:50,402 --> 03:26:54,072 WITH THE COMMUNITY AND 4451 03:26:54,072 --> 03:26:55,340 ORGANIZERS WE GET OUR MEMBERS TO 4452 03:26:55,340 --> 03:26:57,108 UNDERSTAND HOW IMPORTANT IT IS 4453 03:26:57,108 --> 03:26:58,810 TO CONTRIBUTE THEIR VOICES AND 4454 03:26:58,810 --> 03:27:01,079 STORIES IN THE WAY THEY CAN 4455 03:27:01,079 --> 03:27:06,384 WHETHER IT'S EVENTS LIKE THIS OR 4456 03:27:06,384 --> 03:27:11,556 WRITTEN TESTIMONY AND TRYING TO 4457 03:27:11,556 --> 03:27:16,795 PROVIDE COMMENTS TO REGULATORY 4458 03:27:16,795 --> 03:27:21,132 SESSIONS AND INFORM OF A FUNDING 4459 03:27:21,132 --> 03:27:21,433 OPPORTUNITY. 4460 03:27:21,433 --> 03:27:22,667 SOMETIMES WE NEED TECHNICAL 4461 03:27:22,667 --> 03:27:23,802 ASSISTANCE APPLYING TO GRANTS. 4462 03:27:23,802 --> 03:27:25,770 THAT'S COMPLICATED FOR US AND 4463 03:27:25,770 --> 03:27:27,105 OTHER BIGGER ORGANIZATIONS HAVE 4464 03:27:27,105 --> 03:27:29,874 A FULL-TIME GRANT WRITER WHO 4465 03:27:29,874 --> 03:27:33,311 UNDERSTANDS THAT LANGUAGE WE 4466 03:27:33,311 --> 03:27:33,712 DON'T. 4467 03:27:33,712 --> 03:27:37,015 ANYWAY YOU'RE ABLE TO PROVIDE 4468 03:27:37,015 --> 03:27:38,984 THE OPPORTUNITIES OR SUPPORT 4469 03:27:38,984 --> 03:27:39,818 SMALLER ORGANIZATIONS TO SHARE 4470 03:27:39,818 --> 03:27:42,687 STORIES OR ACCESS RESOURCES TO 4471 03:27:42,687 --> 03:27:44,255 GATHER THE DATA OURSELVES IS 4472 03:27:44,255 --> 03:27:46,391 SOMETHING THAT I THINK WOULD 4473 03:27:46,391 --> 03:27:50,395 REALLY HELP THAT GAP IN GETTING 4474 03:27:50,395 --> 03:27:54,399 COMMUNITY INPUT. 4475 03:27:54,399 --> 03:27:55,100 >> THAT'S GREAT. 4476 03:27:55,100 --> 03:27:57,936 YOU AND SHEELA FOLLOWED UP ON 4477 03:27:57,936 --> 03:27:59,037 WHAT MY NEXT QUESTION WAS GOING 4478 03:27:59,037 --> 03:27:59,437 TO BE. 4479 03:27:59,437 --> 03:28:04,009 IN PART OF THE WORK WE DO HERE 4480 03:28:04,009 --> 03:28:05,577 AT NCCIH AT NIH WE'RE DOING 4481 03:28:05,577 --> 03:28:07,679 SEVERAL SETS OF STUDIES IN 4482 03:28:07,679 --> 03:28:09,981 PARTNERSHIP WITH HEALTH CARE 4483 03:28:09,981 --> 03:28:13,151 SYSTEMS AROUND COMMUNITY 4484 03:28:13,151 --> 03:28:21,993 ORGANIZATIONS AND ONE THING WE 4485 03:28:21,993 --> 03:28:23,294 HEARD IS THE RESEARCHER HAS THE 4486 03:28:23,294 --> 03:28:24,496 QUESTION AND READY TO COME TO 4487 03:28:24,496 --> 03:28:25,296 YOU AND IMPLEMENT THE QUESTION 4488 03:28:25,296 --> 03:28:30,435 AND DO THE STUDY IN THE 4489 03:28:30,435 --> 03:28:34,939 COMMUNITY OR GROUP WE HAD CASES 4490 03:28:34,939 --> 03:28:36,908 WHERE AMAZING QUESTIONS CAME 4491 03:28:36,908 --> 03:28:37,742 FROM THE COMMUNITY ORGANIZATIONS 4492 03:28:37,742 --> 03:28:39,978 AND THEY HAVE FOUND A RESEARCH 4493 03:28:39,978 --> 03:28:41,046 PARTNER. 4494 03:28:41,046 --> 03:28:46,284 WHAT ADVICE DO YOU OR OTHERS 4495 03:28:46,284 --> 03:28:49,487 HAVE IN TERMS OF HOW ELSE WOULD 4496 03:28:49,487 --> 03:28:53,958 YOU GIVE ADVICE IN HOW TO 4497 03:28:53,958 --> 03:28:55,326 APPROACH THIS AND FOR THOSE IN 4498 03:28:55,326 --> 03:28:58,296 THE CLINICS WHAT IS YOUR ADVICE 4499 03:28:58,296 --> 03:29:00,532 FOR WANTING TO DO RESEARCH WITH 4500 03:29:00,532 --> 03:29:01,933 YOUR PATIENT POPULATIONS OR 4501 03:29:01,933 --> 03:29:03,968 TRYING TO RECRUIT FROM YOUR 4502 03:29:03,968 --> 03:29:04,202 CLINIC. 4503 03:29:04,202 --> 03:29:10,809 I'LL OPEN THAT UP. 4504 03:29:10,809 --> 03:29:13,278 >> I'LL TALK ABOUT THE CLINIC. 4505 03:29:13,278 --> 03:29:14,546 MY FIRST THING IS WANTING TO DO 4506 03:29:14,546 --> 03:29:15,947 RESEARCH. 4507 03:29:15,947 --> 03:29:17,615 YOU NEED TO SHADOW AND SEE WHAT 4508 03:29:17,615 --> 03:29:21,820 LIFE IS REALLY LIKE AND HEAR 4509 03:29:21,820 --> 03:29:23,188 FROM THE PATIENT DIRECTLY AND 4510 03:29:23,188 --> 03:29:26,391 UNDERSTAND THEIR LIVED 4511 03:29:26,391 --> 03:29:30,195 EXPERIENCE. 4512 03:29:30,195 --> 03:29:32,030 I ENCOURAGE THE RESEARCH IN 4513 03:29:32,030 --> 03:29:32,897 FLORIDA SERVED POPULATION TO BE 4514 03:29:32,897 --> 03:29:40,004 PART OF OUR CLINICAL PROCESS. 4515 03:29:40,004 --> 03:29:42,340 THEN YOU CAN LOOK AT YOUR 4516 03:29:42,340 --> 03:29:46,010 RESEARCH AND SEE HOW THAT 4517 03:29:46,010 --> 03:29:50,415 ADDRESSES THE MAIN ISSUES 4518 03:29:50,415 --> 03:29:54,419 VETERANS ARE DEALING WITH. 4519 03:29:54,419 --> 03:29:57,489 >> I THINK IT'S IMPORTANT WHEN 4520 03:29:57,489 --> 03:29:58,456 YOU'RE CONCEPTUALIZING TO REACH 4521 03:29:58,456 --> 03:30:00,024 OUT AND ENGAGE COMMUNITY GROUPS 4522 03:30:00,024 --> 03:30:02,527 FROM THE START AND INVOLVE THEM 4523 03:30:02,527 --> 03:30:04,028 IN THE PROCESS BEFORE 4524 03:30:04,028 --> 03:30:05,530 FORMULATING THE MAIN QUESTIONS 4525 03:30:05,530 --> 03:30:08,099 AND MAKING SURE THE THESIS IS 4526 03:30:08,099 --> 03:30:10,201 CORRECT AND INCLUDE THEM IN 4527 03:30:10,201 --> 03:30:11,136 DRAFT. 4528 03:30:11,136 --> 03:30:12,837 IT'S FUNNY. 4529 03:30:12,837 --> 03:30:14,405 I'M LEARNING THE TECHNOLOGICAL 4530 03:30:14,405 --> 03:30:15,173 SKILLS IN THE LAST YEARS I'VE 4531 03:30:15,173 --> 03:30:17,142 NEVER HAD AND ONE THAT 4532 03:30:17,142 --> 03:30:18,910 EMBARRASSES YOU LOOKING BACK 4533 03:30:18,910 --> 03:30:20,478 WORKING WITH AN ACADEMIC PARTNER 4534 03:30:20,478 --> 03:30:26,017 IN BOSTON AND WHEN IT KAMZ 4535 03:30:26,017 --> 03:30:28,052 CAME -- CAME TIME TO APPLY FOR 4536 03:30:28,052 --> 03:30:30,421 THE STUDY WHICH WE WERE DENIED 4537 03:30:30,421 --> 03:30:37,262 FOR AND I NEVER THOUGHT IT WOULD 4538 03:30:37,262 --> 03:30:38,696 BE ALLOWED BUT I'M USING THE 4539 03:30:38,696 --> 03:30:40,965 iPAD AND iPHONE AND GOING BACK 4540 03:30:40,965 --> 03:30:42,834 AND FORTH SO DON'T FORGET THE 4541 03:30:42,834 --> 03:30:43,134 TECHNOLOGY. 4542 03:30:43,134 --> 03:30:44,536 SOMETIMES PEOPLE ARE SCARED OF 4543 03:30:44,536 --> 03:30:46,671 IT AND DON'T ENGAGE AND THE 4544 03:30:46,671 --> 03:30:48,940 PEOPLE WHO ARE ENGAGING LIKE I 4545 03:30:48,940 --> 03:30:50,308 WAS, THEY'RE SENDING DRAFTS SO I 4546 03:30:50,308 --> 03:30:52,744 OPEN UP MY E-MAIL AND SEE A WORD 4547 03:30:52,744 --> 03:30:54,312 FILE IN THE DRAFT SO I READ IT 4548 03:30:54,312 --> 03:30:56,481 AND I'M ASKED TO GIVE INPUT. 4549 03:30:56,481 --> 03:30:59,184 I SAY HOW DO I GIVE INPUT IN 4550 03:30:59,184 --> 03:30:59,651 THIS. 4551 03:30:59,651 --> 03:31:00,485 I'LL PUTTING IT ON ONE DEVICE 4552 03:31:00,485 --> 03:31:02,520 READING IT AND ON THE OTHER 4553 03:31:02,520 --> 03:31:04,022 DEVICE I'M MAKING MY COMMENTS. 4554 03:31:04,022 --> 03:31:05,823 SO I SUBMIT MY COMMENTS AND THEY 4555 03:31:05,823 --> 03:31:07,525 SAY, GREAT, THANK YOU. 4556 03:31:07,525 --> 03:31:12,430 AND AFTER A FEW MONTHS AND MAYBE 4557 03:31:12,430 --> 03:31:16,501 45 TO 50 REVISIONS I HAPPEN TO 4558 03:31:16,501 --> 03:31:19,904 HAVE A LAPTOP OPEN FOR 4559 03:31:19,904 --> 03:31:21,306 TELEHEALTH REASONS AND I OPENED 4560 03:31:21,306 --> 03:31:24,676 THE LAPTOP IN WORD AND YOU ALL 4561 03:31:24,676 --> 03:31:26,377 USE COMPUTERS BUT YOU KNOW WHAT 4562 03:31:26,377 --> 03:31:27,612 HAPPENS IN WORD YOU SEE THE 4563 03:31:27,612 --> 03:31:32,016 TRACKING THING ON THE RIGHT, I 4564 03:31:32,016 --> 03:31:36,654 HAD NO IDEA THAT EXISTED. 4565 03:31:36,654 --> 03:31:38,289 PERFECTLY INTELLIGENT PERSON AND 4566 03:31:38,289 --> 03:31:39,757 THINK I'M COLLABORATING AND I 4567 03:31:39,757 --> 03:31:40,425 SEE EVERYBODY'S COMMENTS ARE 4568 03:31:40,425 --> 03:31:42,126 THERE AND IDENTIFIED AND I THINK 4569 03:31:42,126 --> 03:31:44,529 YOU ALL KNOW WHAT THAT LOOKS 4570 03:31:44,529 --> 03:31:44,796 LIKE. 4571 03:31:44,796 --> 03:31:48,099 I REACH BACK OUT TO THE TEAM AND 4572 03:31:48,099 --> 03:31:49,300 SAY, OH, MY GOSH, THREE MONTHS 4573 03:31:49,300 --> 03:31:50,568 IN I DIDN'T KNOW THIS WAS A 4574 03:31:50,568 --> 03:31:52,036 THING AND EXISTED. 4575 03:31:52,036 --> 03:31:54,739 I STUMBLED ON IT. 4576 03:31:54,739 --> 03:31:58,309 WHY DIDN'T YOU JUST TELL ME IF 4577 03:31:58,309 --> 03:32:01,012 TO OPEN THIS ON THE LAP TON AND 4578 03:32:01,012 --> 03:32:02,080 THEY SAID IT'S OKAY WE WROTE 4579 03:32:02,080 --> 03:32:03,982 WHAT YOU SAID AND INCORPORATED 4580 03:32:03,982 --> 03:32:04,148 IT. 4581 03:32:04,148 --> 03:32:06,417 NOT JUST THE CONTENT BUT MAKING 4582 03:32:06,417 --> 03:32:10,421 SURE YOU GIVE A LITTLE BIT OF A 4583 03:32:10,421 --> 03:32:14,626 PRIMMER ON BASIC DOs AND DON'Ts 4584 03:32:14,626 --> 03:32:17,528 BECAUSE I WAS A YELLOW PAD NOTE 4585 03:32:17,528 --> 03:32:19,797 TAKER FOR YEARS IN MY WORK. 4586 03:32:19,797 --> 03:32:21,432 DON'T OVERLOOK THOSE BASIC 4587 03:32:21,432 --> 03:32:26,371 THINGS IN PARTNERING FOR PEOPLE 4588 03:32:26,371 --> 03:32:27,138 WHO WILL BE SILENT OVER VARIOUS 4589 03:32:27,138 --> 03:32:28,773 THINGS LIKE ZOOM AND SOMEBODY 4590 03:32:28,773 --> 03:32:30,441 SELLS I'LL DROP THE LINK IN THE 4591 03:32:30,441 --> 03:32:30,642 CHAT. 4592 03:32:30,642 --> 03:32:32,644 TO THIS DAY I SAY TO MYSELF, 4593 03:32:32,644 --> 03:32:33,544 THERE IS THE DROPPED IN THE 4594 03:32:33,544 --> 03:32:33,745 CHAT. 4595 03:32:33,745 --> 03:32:36,080 I REALLY WANT TO LOOK AT IT BUT 4596 03:32:36,080 --> 03:32:38,483 IF I HIT THAT LINK WHAT WILL 4597 03:32:38,483 --> 03:32:39,784 HAPPEN TO THE ZOOM? 4598 03:32:39,784 --> 03:32:41,586 WILL IT BE GONE? 4599 03:32:41,586 --> 03:32:45,823 WILL I GET IT BACK AND NEVER DO 4600 03:32:45,823 --> 03:32:45,990 IT. 4601 03:32:45,990 --> 03:32:47,825 I CAN LAUGH AT MYSELF, 4602 03:32:47,825 --> 03:32:49,827 FORTUNATELY, BUT THERE'S SOME 4603 03:32:49,827 --> 03:32:51,963 BASIC THINGS ACADEMIC AND 4604 03:32:51,963 --> 03:32:53,731 SCIENCE FOLKS TAKE FOR GRANTED 4605 03:32:53,731 --> 03:32:55,400 IS A PRIMITIVE SKILL SET. 4606 03:32:55,400 --> 03:32:57,702 WE DO NOT HAVE THOSE SKILLS. 4607 03:32:57,702 --> 03:32:59,404 WE HAVE A LOT OF TO OFFER AS 4608 03:32:59,404 --> 03:33:04,275 COMMUNITY MEMBERS BUT PARTNERING 4609 03:33:04,275 --> 03:33:05,410 GOES BEYOND LISTENING AND 4610 03:33:05,410 --> 03:33:08,279 VALIDATING AND DRAFT REVISIONS. 4611 03:33:08,279 --> 03:33:10,014 BRINGING THE TECHNOLOGY IN. 4612 03:33:10,014 --> 03:33:11,282 THAT'S A FUNNY QUIP OVER ONE OF 4613 03:33:11,282 --> 03:33:19,190 THE THINGS I LEARNED ON THE WAY. 4614 03:33:19,190 --> 03:33:20,024 >> THAT'S GREAT. 4615 03:33:20,024 --> 03:33:21,359 >> SHEELA. 4616 03:33:21,359 --> 03:33:29,067 >> I GUESS ONE POINT I WANTED TO 4617 03:33:29,067 --> 03:33:29,901 MAKE WAS I HEARD FROM MANY 4618 03:33:29,901 --> 03:33:31,736 PEOPLE WHO HAVE TRAINEES, ONE OF 4619 03:33:31,736 --> 03:33:35,340 THE THINGS I TELL MY TEAM AND 4620 03:33:35,340 --> 03:33:37,041 TRY TO STAND BEHIND THE CALL OF 4621 03:33:37,041 --> 03:33:39,711 MY TRAINEES IS DON'T LET YOUR 4622 03:33:39,711 --> 03:33:41,045 RESEARCH DIE IN A JOURNAL. 4623 03:33:41,045 --> 03:33:48,986 I BELIEVE THAT. 4624 03:33:48,986 --> 03:33:50,621 JOURNALS ARE IMPORTANT AND HELP 4625 03:33:50,621 --> 03:33:54,459 WITH THE DISCOURSE BUT WHAT 4626 03:33:54,459 --> 03:34:03,935 HELPS IS EVERYONE IN CAN HEAR 4627 03:34:03,935 --> 03:34:05,436 THE RESULTS AND I ASK TRAINEES 4628 03:34:05,436 --> 03:34:08,639 WHAT DID YOU DO TO TRANSLATE THE 4629 03:34:08,639 --> 03:34:10,007 RESULTS? 4630 03:34:10,007 --> 03:34:14,412 SOME HAVE FOUND ORGANIZATIONS 4631 03:34:14,412 --> 03:34:19,550 AND DIFFERENT AUDIENCES AND A 4632 03:34:19,550 --> 03:34:22,553 K-12 SCHOLAR DID AN ARTICLE ON 4633 03:34:22,553 --> 03:34:24,055 ULTRA FINE EXPOSURE AND REACHED 4634 03:34:24,055 --> 03:34:26,858 OUT TO AN ORGANIZATION CONCERNED 4635 03:34:26,858 --> 03:34:28,259 ABOUT THE AIR FLIGHT PATH OVER 4636 03:34:28,259 --> 03:34:30,428 THEIR COMMUNITY WITH SIGNIFICANT 4637 03:34:30,428 --> 03:34:32,497 AIR POLLUTION AND COMMUNICATED 4638 03:34:32,497 --> 03:34:38,403 THAT HANDOUT TO THAT 4639 03:34:38,403 --> 03:34:38,736 ORGANIZATION. 4640 03:34:38,736 --> 03:34:40,438 I FEEL LIKE THERE ARE WAS WHERE 4641 03:34:40,438 --> 03:34:42,206 WE CAN USE WHAT WE HAVE AND 4642 03:34:42,206 --> 03:34:43,775 COMMUNE IT TO DIFFERENT PARTNERS 4643 03:34:43,775 --> 03:34:49,313 BUT A LOT OF IT IS ABOUT MAKING 4644 03:34:49,313 --> 03:34:55,353 THAT CONNECTION AND THAT RELATES 4645 03:34:55,353 --> 03:35:00,758 TO IN TERMS OF RESEARCH AND 4646 03:35:00,758 --> 03:35:02,160 IMPLEMENTATION SCIENCE HE'S 4647 03:35:02,160 --> 03:35:04,629 BECOME A MORE IMPORTANT PART OF 4648 03:35:04,629 --> 03:35:10,001 MEDICAL RESEARCH BUT I DON'T SEE 4649 03:35:10,001 --> 03:35:15,540 THE CONNECTIONS BETWEEN HHS AND 4650 03:35:15,540 --> 03:35:18,209 NIH IN PUTTING THOSE TOGETHER. 4651 03:35:18,209 --> 03:35:20,378 IN TERMS OF EFFORTS TO GET THE 4652 03:35:20,378 --> 03:35:21,879 WORD OUT TO WORK WITH COMMUNITY 4653 03:35:21,879 --> 03:35:25,283 HAD ORGANIZATIONS, TO WORK WITH 4654 03:35:25,283 --> 03:35:28,753 CLINICS, IT WOULD BE HELPFUL IF 4655 03:35:28,753 --> 03:35:29,987 THERE WAS A PARTNERSHIP TO 4656 03:35:29,987 --> 03:35:31,622 SUPPORT THOSE PIECES. 4657 03:35:31,622 --> 03:35:34,025 THAT'S THE KEY IS TO NOT STAY IN 4658 03:35:34,025 --> 03:35:42,433 SILOS AND CONNECT ACROSS THOSE 4659 03:35:42,433 --> 03:35:42,934 DOMAINS. 4660 03:35:42,934 --> 03:35:44,368 >> THANK YOU. 4661 03:35:44,368 --> 03:35:52,643 I SEE VIE AND MARYA. 4662 03:35:52,643 --> 03:35:59,717 VIE, I THINK YOU MUTED YOURSELF. 4663 03:35:59,717 --> 03:36:02,119 >> WE'RE A SMALL NON-PROFIT 4664 03:36:02,119 --> 03:36:03,454 WOMAN-LED ORGANIZATION AND THE 4665 03:36:03,454 --> 03:36:08,459 EXECUTIVE DIRECTOR RECOGNIZED 4666 03:36:08,459 --> 03:36:10,695 THE NEED AND ESTABLISHED A 4667 03:36:10,695 --> 03:36:14,432 COMMUNITY ON TOXICS WHEN SHE MET 4668 03:36:14,432 --> 03:36:16,868 ANNIE IN 1997. 4669 03:36:16,868 --> 03:36:19,403 A LOT OF TIME COMMUNITIES COME 4670 03:36:19,403 --> 03:36:23,941 TO US AS I MENTIONED INTO THEY 4671 03:36:23,941 --> 03:36:25,042 EXHAUSTED TRYING TO GET HELP FOR 4672 03:36:25,042 --> 03:36:25,977 THEMSELVES AND FAMILY AND 4673 03:36:25,977 --> 03:36:34,018 COMMUNITY OR REGION. 4674 03:36:34,018 --> 03:36:38,789 IT'S IMPORTANT THAT ON A 4675 03:36:38,789 --> 03:36:39,490 PARTICIPATORY RESEARCH PROJECT, 4676 03:36:39,490 --> 03:36:44,195 YOU PARTNER WITH THE LOCAL 4677 03:36:44,195 --> 03:36:44,495 LEADERSHIP. 4678 03:36:44,495 --> 03:36:45,696 YOU ESTABLISH A COMMUNITY WORK 4679 03:36:45,696 --> 03:36:48,032 GROUP MEMBER. 4680 03:36:48,032 --> 03:36:53,304 YOU HIRE AND TRAIN LOCAL PEOPLE 4681 03:36:53,304 --> 03:36:58,009 AND THEY COME UP WITH THEIR OWN 4682 03:36:58,009 --> 03:37:00,444 DESIGN OF THE RESEARCH FOR DATA 4683 03:37:00,444 --> 03:37:02,413 TO COLLECT TO MAKE THEIR OWN 4684 03:37:02,413 --> 03:37:12,323 INFORMED DECISIONS. 4685 03:37:12,323 --> 03:37:13,958 WE BELIEVE EVERYONE HAS A RIGHT 4686 03:37:13,958 --> 03:37:19,730 TO TOXIC FREE FOOD AND WATER AND 4687 03:37:19,730 --> 03:37:22,033 THE MAJORITY OF US ARE ALASKAN 4688 03:37:22,033 --> 03:37:26,837 WOMEN AND WE'VE BEEN FUNDED 4689 03:37:26,837 --> 03:37:33,644 SINCE 2000 FROM NIEHS AND NIH. 4690 03:37:33,644 --> 03:37:41,018 IT'S IMPORTANT COMMUNITIES ARE 4691 03:37:41,018 --> 03:37:42,920 INVOLVED AND COME UP WITH 4692 03:37:42,920 --> 03:37:44,889 RESEARCH QUESTIONS AND IN MY 4693 03:37:44,889 --> 03:37:49,560 COMMUNITY WE'RE CONFRONTED WITH 4694 03:37:49,560 --> 03:37:50,428 TOXICS AND MICROPLASTICS AND ON 4695 03:37:50,428 --> 03:38:00,571 AND ON. 4696 03:38:00,771 --> 03:38:04,041 NOW THE RESEARCH ON ENDOCRINE 4697 03:38:04,041 --> 03:38:06,210 DISRUPTING CHEMICALS KNOWING THE 4698 03:38:06,210 --> 03:38:08,446 FLAME RETARDANTS THAT ARRIVE 4699 03:38:08,446 --> 03:38:14,118 THROUGH AIR AND OCEAN CURRENT 4700 03:38:14,118 --> 03:38:16,020 AND HOW WE'RE BEING EXPOSED IN 4701 03:38:16,020 --> 03:38:19,724 OUR HOME AND THE LEGACY PFAS AND 4702 03:38:19,724 --> 03:38:23,928 HEAVY METALS INCLUDING MERCURY 4703 03:38:23,928 --> 03:38:28,899 AND I MENTIONED THE MILITARY 4704 03:38:28,899 --> 03:38:39,443 SITE AND IT'S IMPORTANT YOU TALK 4705 03:38:40,311 --> 03:38:44,348 AND FIND SOMEBODY IN THE 4706 03:38:44,348 --> 03:38:45,416 COMMUNITIES SO THAT THEY'RE 4707 03:38:45,416 --> 03:38:47,685 INVOLVED FROM THE BEGINNING. 4708 03:38:47,685 --> 03:38:50,087 THE DATA BELONGS TO THEM BUT MY 4709 03:38:50,087 --> 03:38:53,491 COMMUNITY THEY WANT US TO SHARE 4710 03:38:53,491 --> 03:38:58,996 THIS KNOWING WE'RE NOT THE ONLY 4711 03:38:58,996 --> 03:39:04,068 COMMUNITY IN THE NATION. 4712 03:39:04,068 --> 03:39:10,041 TO EDUCATE DECISION MAKERS ABOUT 4713 03:39:10,041 --> 03:39:20,518 PERSISTENT ORGANICS AND THE 4714 03:39:21,018 --> 03:39:24,422 STOCKHOLM TREATY THE LEGALLY 4715 03:39:24,422 --> 03:39:25,690 BINDING TREATY AND USE IS IT 4716 03:39:25,690 --> 03:39:26,691 EDUCATE DECISION MAKERS. 4717 03:39:26,691 --> 03:39:28,559 A LOT OF TIMES WE'RE NEVER AT 4718 03:39:28,559 --> 03:39:30,594 THE TABLE WHEN DECISIONS ARE 4719 03:39:30,594 --> 03:39:36,567 MADE FOR US MILES AND MILES AWAY 4720 03:39:36,567 --> 03:39:39,336 BUT ALSO THE COMMENT REGARDING 4721 03:39:39,336 --> 03:39:41,138 OUR HEALTH CARE. 4722 03:39:41,138 --> 03:39:47,845 WE NEED TO GIVE OUR FAMILY AND 4723 03:39:47,845 --> 03:39:49,547 OUR OWN INDIVIDUAL LIVED 4724 03:39:49,547 --> 03:39:54,752 EXPERIENCE CRADLE TO GRAVE TO 4725 03:39:54,752 --> 03:40:02,126 MAKE SURE HEALTH HARMS WE'RE 4726 03:40:02,126 --> 03:40:02,827 FACING. 4727 03:40:02,827 --> 03:40:05,196 WE HAVE SOME DATA SHOWING LOCAL 4728 03:40:05,196 --> 03:40:10,401 FORCES FROM THE COLD WAR ERA AND 4729 03:40:10,401 --> 03:40:15,439 WHAT PERSISTENT ORGANIC 4730 03:40:15,439 --> 03:40:15,740 POLLUTANTS. 4731 03:40:15,740 --> 03:40:19,810 IT'S SO IMPORTANT NOT ONLY DO WE 4732 03:40:19,810 --> 03:40:20,845 EDUCATE OUR PEOPLE BUT HEALTH 4733 03:40:20,845 --> 03:40:25,416 CARE PROVIDERS AND DECISION 4734 03:40:25,416 --> 03:40:25,649 MAKERS. 4735 03:40:25,649 --> 03:40:26,417 THANK YOU. 4736 03:40:26,417 --> 03:40:34,058 >> THANK YOU. 4737 03:40:34,058 --> 03:40:34,258 MARYA. 4738 03:40:34,258 --> 03:40:38,462 >> I DON'T KNOW IT WOULD BE THE 4739 03:40:38,462 --> 03:40:42,967 SAME MECHANISM IMPLEMENT IT BUT 4740 03:40:42,967 --> 03:40:47,671 THE EPA STARTED ENVIRONMENTAL 4741 03:40:47,671 --> 03:40:50,274 JUSTICE THRIVING COMMUNITY 4742 03:40:50,274 --> 03:40:51,408 ASSISTANCE CENTER IN EACH EPA 4743 03:40:51,408 --> 03:40:53,511 REGION INTENDED TO HELP 4744 03:40:53,511 --> 03:40:55,346 COMMUNITY GROUPS APPLY FOR 4745 03:40:55,346 --> 03:40:59,183 GRANTS AND HELP THESE GROUPS 4746 03:40:59,183 --> 03:41:01,318 WITH A LOT OF THE RESOURCES THEY 4747 03:41:01,318 --> 03:41:02,186 MAY NOT OTHERWISE HAVE IF THEY 4748 03:41:02,186 --> 03:41:04,421 HAD NOT APPLIED FOR GRANT AND 4749 03:41:04,421 --> 03:41:05,823 THINKING OF THE LANGUAGE OR HOW 4750 03:41:05,823 --> 03:41:07,424 TO DO MEASUREMENTS OR THAT KIND 4751 03:41:07,424 --> 03:41:08,092 OF THING. 4752 03:41:08,092 --> 03:41:10,895 AND I THINK THAT IS AN IDEA THAT 4753 03:41:10,895 --> 03:41:14,598 WOULD BE GREAT TO SPREAD TO THE 4754 03:41:14,598 --> 03:41:22,406 NIH SO THAT COMMUNITY GROUPS 4755 03:41:22,406 --> 03:41:24,141 WOULD HAVE ASSISTANCE IN 4756 03:41:24,141 --> 03:41:26,410 CONNECTING WITH AN ACADEMIC 4757 03:41:26,410 --> 03:41:32,349 CENTER OR WHATNOT AS A WAY TO 4758 03:41:32,349 --> 03:41:33,651 ADDRESS COMMUNITY GROUPS AND 4759 03:41:33,651 --> 03:41:34,351 CONCERNS PEOPLE HAVE OUTSIDE 4760 03:41:34,351 --> 03:41:43,060 ACADEMICS. 4761 03:41:43,060 --> 03:41:47,531 >> I THINK COMING BACK TO A 4762 03:41:47,531 --> 03:41:50,401 LITTLE BIT ABOUT HOW PEOPLE CAN 4763 03:41:50,401 --> 03:41:54,405 BE APPROACHED WITH RESEARCH 4764 03:41:54,405 --> 03:41:55,639 QUESTIONS I THINK IT'S IMPORTANT 4765 03:41:55,639 --> 03:41:57,541 TO KNOW WHAT THE TARGET 4766 03:41:57,541 --> 03:41:58,576 COMMUNITY DOESN'T KNOW OR WHAT 4767 03:41:58,576 --> 03:42:02,413 INFORMATION THEY HAVE ACCESS TO 4768 03:42:02,413 --> 03:42:03,881 BECAUSE AN EXAMPLE IS WE WERE 4769 03:42:03,881 --> 03:42:08,052 ASKED IF WE WANTED TO JOIN THE 4770 03:42:08,052 --> 03:42:11,522 LITIGATION AGAINST A PESTICIDE 4771 03:42:11,522 --> 03:42:15,459 AND THEY SENT US THE DOCUMENT 4772 03:42:15,459 --> 03:42:18,028 ASKING IF WE KNEW ANYBODY 4773 03:42:18,028 --> 03:42:19,263 EXPOSED TO GLYPHOSATE AND WHEN 4774 03:42:19,263 --> 03:42:23,367 WE ASKED AND THEY WERE LIKE, 4775 03:42:23,367 --> 03:42:24,635 WELL, WHAT IS GLYPHOSATE. 4776 03:42:24,635 --> 03:42:26,103 PEOPLE DIDN'T KNOW WE WERE 4777 03:42:26,103 --> 03:42:27,872 TALKING ABOUT ROUND UP WHICH 4778 03:42:27,872 --> 03:42:29,573 SOME PEOPLE KNOW WHAT ROUND UP 4779 03:42:29,573 --> 03:42:31,075 IS ONCE YOU TELL THEM. 4780 03:42:31,075 --> 03:42:33,377 IT'S USED ON BERRIES OR BROCCOLI 4781 03:42:33,377 --> 03:42:34,445 OR WHATEVER THE CROP IS. 4782 03:42:34,445 --> 03:42:37,815 WHEN WE FRAME IT THAT WAY, DID 4783 03:42:37,815 --> 03:42:42,052 YOU EVER WALK ON THE CROPS IN 4784 03:42:42,052 --> 03:42:44,722 THIS PERIOD OF I'M AND THEY SAY 4785 03:42:44,722 --> 03:42:49,627 YES LIKELY YOU WERE EXPOSED TO 4786 03:42:49,627 --> 03:42:52,096 GLOW -- GLYPHOSATE AND THERE'S 4787 03:42:52,096 --> 03:42:54,465 NO TEST TO SAY YOU'VE BEEN 4788 03:42:54,465 --> 03:43:04,408 EXPOSED TO THESE THINGS. 4789 03:43:04,408 --> 03:43:07,478 USING ROUND UP OR PESTICIDE 4790 03:43:07,478 --> 03:43:12,116 DIDN'T WORK FOR SOME PEOPLE AND 4791 03:43:12,116 --> 03:43:13,717 THEY SAID THEY WEREN'T EXPOSED 4792 03:43:13,717 --> 03:43:18,155 TO PESTICIDES AND THEY DIDN'T 4793 03:43:18,155 --> 03:43:20,024 KNOW THEY WERE EXPOSED AND WE 4794 03:43:20,024 --> 03:43:22,593 REMINDED THEM SAY THEY SAID 4795 03:43:22,593 --> 03:43:26,030 WORKED ON A FARM AND THEY SAID 4796 03:43:26,030 --> 03:43:29,500 OH THE FERTILIZER OH, MY BOSS 4797 03:43:29,500 --> 03:43:33,904 TOLD ME THIS MAKES IT GROW. 4798 03:43:33,904 --> 03:43:39,043 THE WORSE -- WORD PESTICIDE IS 4799 03:43:39,043 --> 03:43:40,044 NEW TO SOME PEOPLE AND SOME 4800 03:43:40,044 --> 03:43:42,413 PEOPLE WOULD HAVE MARK THEY 4801 03:43:42,413 --> 03:43:44,982 WEREN'T EXPOSED AND WOULD HAVE 4802 03:43:44,982 --> 03:43:50,421 MISSED A REGION IN STATES BEING 4803 03:43:50,421 --> 03:43:51,188 SURVEYED. 4804 03:43:51,188 --> 03:43:52,756 TO WHAT WAS SAID THE INFORMATION 4805 03:43:52,756 --> 03:43:54,024 HAS TO BE PRESENTED TO THE 4806 03:43:54,024 --> 03:43:54,558 SPECIFIC GROUPS YOU'LL BE 4807 03:43:54,558 --> 03:44:04,802 WORKING WITH. 4808 03:44:07,638 --> 03:44:10,007 WE 4809 03:44:11,241 --> 03:44:12,843 >> WE HAVE ABOUT 20 MORE MINUTES 4810 03:44:12,843 --> 03:44:15,746 AND FOLLOWING UP ON THE 4811 03:44:15,746 --> 03:44:16,981 CHALLENGES OF GETTING ACCURATE 4812 03:44:16,981 --> 03:44:18,649 INFORMATION FROM INDIVIDUALS 4813 03:44:18,649 --> 03:44:21,485 WHEN THEY MAY NOT KNOW THEY'RE 4814 03:44:21,485 --> 03:44:22,753 EXPOSURES OR USE THE SAME 4815 03:44:22,753 --> 03:44:24,621 TERMINOLOGY RESEARCHERS THE WAY 4816 03:44:24,621 --> 03:44:26,423 WE'RE ASKING THE QUESTIONS. 4817 03:44:26,423 --> 03:44:27,257 MAKES ME THINK A LITTLE BIT 4818 03:44:27,257 --> 03:44:30,427 ABOUT OTHER QUESTIONS THAT HAVE 4819 03:44:30,427 --> 03:44:34,431 COME UP AROUND TESTING AND HOW 4820 03:44:34,431 --> 03:44:36,734 GOOD OUR OUR TESTS, HOW MUCH OF 4821 03:44:36,734 --> 03:44:39,703 A SAMPLE DO YOU NEED, HOW CAN 4822 03:44:39,703 --> 03:44:41,505 THE SAMPLE BE STORED AND STILL 4823 03:44:41,505 --> 03:44:43,240 GET ACCURATE INFORMATION AND 4824 03:44:43,240 --> 03:44:46,744 LOTS OF QUESTIONS. 4825 03:44:46,744 --> 03:44:48,645 IN THINKING ABOUT ADVANCING THE 4826 03:44:48,645 --> 03:44:51,181 FIELD, WHAT DO WE MAYBE NEED IN 4827 03:44:51,181 --> 03:44:54,485 TERMS OF RESEARCH METHODS OR HOW 4828 03:44:54,485 --> 03:44:57,321 TO DO THIS BETTER TO BE ABLE TO 4829 03:44:57,321 --> 03:44:59,723 ADVANCE THIS KIND OF AREA OF 4830 03:44:59,723 --> 03:45:02,026 RESEARCH AND FOR OUR COMMUNITY 4831 03:45:02,026 --> 03:45:04,061 MEMBERS, WHAT DATA OR RESEARCH 4832 03:45:04,061 --> 03:45:07,865 DO YOU WISH YOU HAD? 4833 03:45:07,865 --> 03:45:12,269 IT WOULD BE REALLY NICE TO IF 4834 03:45:12,269 --> 03:45:13,904 THAT DATA EXISTED OR IF YOU KNEW 4835 03:45:13,904 --> 03:45:15,973 THE TEST OUT THIS WAS VALID AND 4836 03:45:15,973 --> 03:45:18,409 YOU COULD ACT UPON IT OR THAT 4837 03:45:18,409 --> 03:45:19,009 SORT OF THING? 4838 03:45:19,009 --> 03:45:22,079 I'M CURIOUS WHAT YOUR THOUGHTS 4839 03:45:22,079 --> 03:45:25,382 ARE. 4840 03:45:25,382 --> 03:45:28,085 >> I THINK RIGHT NOW WE HAVE A 4841 03:45:28,085 --> 03:45:30,421 HUGE DATA GAP SPECIFICALLY IN 4842 03:45:30,421 --> 03:45:33,891 PFAS WHERE THE TENSION IS ON 4843 03:45:33,891 --> 03:45:39,596 LEGACY AND C2 TO C6 EXPOSURE 4844 03:45:39,596 --> 03:45:40,798 EVERYWHERE SINCE 2015 AND THAT'S 4845 03:45:40,798 --> 03:45:42,199 A HUGE DATA GAP. 4846 03:45:42,199 --> 03:45:45,903 EVERYTHING OUT THERE IS LOOKING 4847 03:45:45,903 --> 03:45:47,304 AT MOSTLY LEGACY WITH A LITTLE 4848 03:45:47,304 --> 03:45:49,573 FAST FORWARD TO GEN X IS ONE BUT 4849 03:45:49,573 --> 03:45:51,208 IT'S SO IMPORTANT. 4850 03:45:51,208 --> 03:45:52,109 THERE'S ANOTHER PFAS I DON'T 4851 03:45:52,109 --> 03:45:57,848 KNOW WHO IS FAMILIAR WITH IT BUT 4852 03:45:57,848 --> 03:46:01,718 WE DID A SAMPLING ACROSS THE 4853 03:46:01,718 --> 03:46:09,927 NATION TO COMPARE THE OLEFINS 4854 03:46:09,927 --> 03:46:11,595 FOR COMMUNITIES THAT ALREADY 4855 03:46:11,595 --> 03:46:16,233 KNOW THEY HAVE PFAS AND I NOW AT 4856 03:46:16,233 --> 03:46:18,268 THAT POINT MY OUTSIDE STOP 4857 03:46:18,268 --> 03:46:20,637 WASN'T FILTERED AND KNEW WELLS 4858 03:46:20,637 --> 03:46:22,573 WERE CLOSED AND THOUGHT IT WILL 4859 03:46:22,573 --> 03:46:25,742 COME IN AT 13 AND CAME IN ABOUT 4860 03:46:25,742 --> 03:46:27,678 13 SO IT WAS A GOOD GUESS AND I 4861 03:46:27,678 --> 03:46:30,147 GET THE RESULTS BACK AND ON THE 4862 03:46:30,147 --> 03:46:34,818 FORM IS THIS PFPRA AND NORTH 4863 03:46:34,818 --> 03:46:38,021 CAROLINA I ASKED AND HE SAID WE 4864 03:46:38,021 --> 03:46:39,056 HAVE IT DOWN HERE AND I HAVEN'T 4865 03:46:39,056 --> 03:46:40,991 SEEN IT IN YOUR PUBLICATIONS. 4866 03:46:40,991 --> 03:46:42,426 IT'S NEW TO ME. 4867 03:46:42,426 --> 03:46:45,329 IT WAS 53 PARTS AT THAT POINT. 4868 03:46:45,329 --> 03:46:47,498 SO HERE WE ARE IN THE PROCESS OF 4869 03:46:47,498 --> 03:46:49,967 REMEDIATING WATER TO NON-DETECT. 4870 03:46:49,967 --> 03:46:51,368 EVERYBODY'S FEELING GOOD ABOUT 4871 03:46:51,368 --> 03:46:52,069 THIS. 4872 03:46:52,069 --> 03:46:53,737 I SEE THIS THING THAT VERY 4873 03:46:53,737 --> 03:46:55,472 LITTLE IS WRITTEN ABOUT. 4874 03:46:55,472 --> 03:46:57,808 IT'S FOUR TIMES THE CURRENT PFOA 4875 03:46:57,808 --> 03:47:00,444 LEVEL AT OUR BLENDED RATE AND 4876 03:47:00,444 --> 03:47:02,412 THAT'S A BLENDED RATE TOO AND 4877 03:47:02,412 --> 03:47:05,215 THINKING, OH, MY GOD, HOW DO WE 4878 03:47:05,215 --> 03:47:05,983 EVEN TELL MY COLLEAGUES AND 4879 03:47:05,983 --> 03:47:07,584 GROUP AND PEOPLE ABOUT THIS 4880 03:47:07,584 --> 03:47:08,852 BECAUSE I COULDN'T EVEN SPEAK 4881 03:47:08,852 --> 03:47:10,287 ABOUT IT FOR TWO DAYS TO THINK 4882 03:47:10,287 --> 03:47:12,656 THERE WAS EXPOSURE I DIDN'T KNOW 4883 03:47:12,656 --> 03:47:16,059 ABOUT THAT WAS FOUR TIMES PFOA 4884 03:47:16,059 --> 03:47:18,462 WAS STUNNING. 4885 03:47:18,462 --> 03:47:23,167 THAT IS A PCFAO SUBSTITUTE AND 4886 03:47:23,167 --> 03:47:24,368 WHY DON'T WE KNOW THAT AND WHY 4887 03:47:24,368 --> 03:47:27,137 ISN'T IT IN THE PANEL OF 4888 03:47:27,137 --> 03:47:27,371 TESTING? 4889 03:47:27,371 --> 03:47:29,239 BRING IT TO THE STATE'S 4890 03:47:29,239 --> 03:47:34,645 ATTENTION AND WELL, IS THERE 4891 03:47:34,645 --> 03:47:36,847 TEFLON TAPE -- NO, THERE ISN'T. 4892 03:47:36,847 --> 03:47:38,448 I KNOW WHAT'S IN MY HOUSE. 4893 03:47:38,448 --> 03:47:40,184 THERE'S OMISSIONS CONVENIENT FOR 4894 03:47:40,184 --> 03:47:40,918 THE CURRENT STREAM OF 4895 03:47:40,918 --> 03:47:43,353 MANUFACTURING GOING ON FOR SOME 4896 03:47:43,353 --> 03:47:45,222 TIME YET THAT'S WHAT'S COMING AT 4897 03:47:45,222 --> 03:47:45,656 US. 4898 03:47:45,656 --> 03:47:47,090 I KNOW IT'S DIFFICULT FOR 4899 03:47:47,090 --> 03:47:47,925 RESEARCHERS WHEN YOU THINK OF 4900 03:47:47,925 --> 03:47:50,227 THE DOLLAR AND THE BUDGET. 4901 03:47:50,227 --> 03:47:52,529 THERE'S SO MANY NEEDS ACROSS 4902 03:47:52,529 --> 03:47:53,630 THIS WORLD AND THIS NATION WHEN 4903 03:47:53,630 --> 03:48:00,704 YOU LOOK AT PERSISTENT CHEMICALS 4904 03:48:00,704 --> 03:48:02,306 LIKE PFAS VERSUS ENDOCRINE 4905 03:48:02,306 --> 03:48:04,541 DISRUPTORS WE LOOK AT AND SAY IF 4906 03:48:04,541 --> 03:48:06,577 YOU EDUCATE AND STOP EXPOSURE WE 4907 03:48:06,577 --> 03:48:09,580 SEE RESULTS IN URINE AND 4908 03:48:09,580 --> 03:48:09,846 SAMPLING. 4909 03:48:09,846 --> 03:48:10,414 THAT'S WONDERFUL. 4910 03:48:10,414 --> 03:48:12,349 BUT I DON'T KNOW IF WE DEAD KIT 4911 03:48:12,349 --> 03:48:14,651 MORE TO THE FULL STORY OF 4912 03:48:14,651 --> 03:48:19,856 PERSISTENT WILL THAT TRICKLE 4913 03:48:19,856 --> 03:48:24,294 DOWN AND HELP THE LOWER LINE 4914 03:48:24,294 --> 03:48:26,263 FRUIT THAN THE PIECES OF THE 4915 03:48:26,263 --> 03:48:28,131 BUDGET WE CAN HAVE WE HAVE TO 4916 03:48:28,131 --> 03:48:31,768 GET A TRUE PICTURE OF OUR AND 4917 03:48:31,768 --> 03:48:34,071 FOR YOU TO RECOGNIZE WITH THE 4918 03:48:34,071 --> 03:48:39,676 V.A., WHOEVER WE USE IF PEOPLE 4919 03:48:39,676 --> 03:48:42,012 USE AND QUEST HAS A NEW SYSTEM 4920 03:48:42,012 --> 03:48:42,579 THAT LOOKS WONDERFUL. 4921 03:48:42,579 --> 03:48:44,081 THE BLOOD TESTS WHEN YOU YOU GET 4922 03:48:44,081 --> 03:48:45,616 IT BACK MAKES SENSE. 4923 03:48:45,616 --> 03:48:46,850 CAN RIGHT IT AND INTERPRET IT 4924 03:48:46,850 --> 03:48:48,885 AND CALL THEM INSTEAD OF SAYING 4925 03:48:48,885 --> 03:48:52,823 WHAT DO I DO WITH THIS AND TAKES 4926 03:48:52,823 --> 03:48:55,959 THE NASEM AND APPLIES IT TO 4927 03:48:55,959 --> 03:48:56,226 SCREENING. 4928 03:48:56,226 --> 03:48:58,929 IT'S LIMITED TO SEVEN PFAS. 4929 03:48:58,929 --> 03:48:59,463 THAT'S IT. 4930 03:48:59,463 --> 03:49:02,065 WHATEVER YOU GET BACK IS GOING 4931 03:49:02,065 --> 03:49:03,667 TO BE AN INCOMPLETE PICTURE OF 4932 03:49:03,667 --> 03:49:04,968 YOUR OWN EXPOSURE. 4933 03:49:04,968 --> 03:49:06,637 THE HEAD OF THIS DIVISION OF 4934 03:49:06,637 --> 03:49:08,105 QUEST RAN HER OWN BLOOD THROUGH 4935 03:49:08,105 --> 03:49:09,873 AND CAME IN 13 PARTS AND SAID 4936 03:49:09,873 --> 03:49:10,540 I'M UNDER 20. 4937 03:49:10,540 --> 03:49:13,143 THAT'S A RELIEF BECAUSE I KNOW 4938 03:49:13,143 --> 03:49:17,981 IT'S EVERYWHERE AND I SAID 4939 03:49:17,981 --> 03:49:20,417 THERE'S SHORT CHAINS BASED ON 4940 03:49:20,417 --> 03:49:22,085 YOUR BLOOD PROFILE I'M WILLING 4941 03:49:22,085 --> 03:49:24,488 TO MAKE A GUESS AT WHAT THE 4942 03:49:24,488 --> 03:49:26,423 OTHER ONES ARE THAT IS NOT YOUR 4943 03:49:26,423 --> 03:49:27,724 EXPOSURE OR WHAT'S IN YOUR BODY. 4944 03:49:27,724 --> 03:49:35,899 SHE WAS SURPRISED BY THAT. 4945 03:49:35,899 --> 03:49:38,135 I DON'T KNOW IF THAT'S 4946 03:49:38,135 --> 03:49:39,303 INTENTIONAL AND DOD HAS BEEN 4947 03:49:39,303 --> 03:49:41,204 WORKING TO CONTROL THIS BECAUSE 4948 03:49:41,204 --> 03:49:42,572 IT'S BIG AND WHATEVER ELSE IS 4949 03:49:42,572 --> 03:49:46,076 OUT THERE FOR WHATEVER INTERESTS 4950 03:49:46,076 --> 03:49:52,783 ARE BEING PROTECTED BUT AND 4951 03:49:52,783 --> 03:49:56,953 EIGHT YEARS AGO YOU COULD GO TO 4952 03:49:56,953 --> 03:50:00,290 NMS LAB IN NEW JERSEY AND THE 4953 03:50:00,290 --> 03:50:02,759 WEST COAST IS VISTA AND THE EAST 4954 03:50:02,759 --> 03:50:09,333 COAST I THINK IS NMS, RIGHT? 4955 03:50:09,333 --> 03:50:12,069 AND EACH ONE HAS A DIFFERENT 4956 03:50:12,069 --> 03:50:14,971 PANEL BUT YOU CAN'T SHIP IT TO 4957 03:50:14,971 --> 03:50:16,106 CALIFORNIA BECAUSE YOU HAVE TO 4958 03:50:16,106 --> 03:50:18,709 FREEZE IT AND DRY ICE IT AND DRY 4959 03:50:18,709 --> 03:50:20,510 YOUR OWN BLOOD AND NO ONE HAS A 4960 03:50:20,510 --> 03:50:21,912 RELATIONSHIP WITH THAT LAB. 4961 03:50:21,912 --> 03:50:27,050 IT SHOULDN'T BE THAT DIFFICULT 4962 03:50:27,050 --> 03:50:33,323 TO HIDE AND IT'S NOT PARANOIA TO 4963 03:50:33,323 --> 03:50:36,326 SAY THERE'S MORE, THERE IS. 4964 03:50:36,326 --> 03:50:38,729 IF QUEST IS ROLLING OUT THIS 4965 03:50:38,729 --> 03:50:39,863 PHENOMENAL PRODUCT AND THEY'RE 4966 03:50:39,863 --> 03:50:42,432 EXCITED ABOUT IT AND I WAS ON A 4967 03:50:42,432 --> 03:50:44,801 CALL WITH THEM AND YET EIGHT 4968 03:50:44,801 --> 03:50:50,440 YEARS AGO I COULD GET A BIGGER 4969 03:50:50,440 --> 03:50:54,411 PANEL THAN THIS AND IF IT'S 4970 03:50:54,411 --> 03:50:56,580 GOING OUT TO THE NATION IT'S 4971 03:50:56,580 --> 03:50:57,881 PROBLEMATIC BECAUSE IT'S KEEPING 4972 03:50:57,881 --> 03:50:59,716 THE FOCUS ON LEGACY PFAS. 4973 03:50:59,716 --> 03:51:02,419 WE NEED TO DO SOMETHING ABOUT 4974 03:51:02,419 --> 03:51:09,426 THAT. 4975 03:51:09,426 --> 03:51:10,861 THE DATA GAPS IS WHERE WHERE HE 4976 03:51:10,861 --> 03:51:12,429 HAVE TO SCRUTINIZE. 4977 03:51:12,429 --> 03:51:14,097 THAT'S ONE OF MY ASKS WHAT'S OUT 4978 03:51:14,097 --> 03:51:14,698 IN THE MANUFACTURING STREAM 4979 03:51:14,698 --> 03:51:20,137 THAT'S BEEN OUT THERE WE HAVE 4980 03:51:20,137 --> 03:51:25,709 THAT INFORMING AND LOOK AT IT 4981 03:51:25,709 --> 03:51:26,843 HONESTLY AND TRANSPARENTLY 4982 03:51:26,843 --> 03:51:27,110 TOGETHER. 4983 03:51:27,110 --> 03:51:28,545 IT'S THE ONLY WAY FORWARD. 4984 03:51:28,545 --> 03:51:37,220 IT'S NOT SUSTAINABLE FOR HUMANS 4985 03:51:37,220 --> 03:51:40,056 FOR MANY REASONS. 4986 03:51:40,056 --> 03:51:41,024 >> THANK YOU. 4987 03:51:41,024 --> 03:51:42,392 IN TERMS OF TESTING THERE'S 4988 03:51:42,392 --> 03:51:45,295 COMMERCIAL LABS OUT THERE NOW 4989 03:51:45,295 --> 03:51:49,633 YOU CAN FROM A FINGER PRICK YOU 4990 03:51:49,633 --> 03:51:53,103 CAN COLLECT A BLOOD SAMPLE YOU 4991 03:51:53,103 --> 03:51:55,772 CAN SEND BACK TO THE LAB AND 4992 03:51:55,772 --> 03:52:00,043 GIVE YOU WHAT YOUR PROFILE MIGHT 4993 03:52:00,043 --> 03:52:00,377 LOOK LIKE. 4994 03:52:00,377 --> 03:52:01,711 THE USUAL PROBLEM WITH THAT IS 4995 03:52:01,711 --> 03:52:03,447 IT'S TYPICALLY NOT COVERED BY 4996 03:52:03,447 --> 03:52:04,381 INSURANCE SO PEOPLE HAVE TO PAY 4997 03:52:04,381 --> 03:52:10,020 OUT OF POCKET FOR THAT. 4998 03:52:10,020 --> 03:52:12,155 PART OF WHY WE'RE THINKING ABOUT 4999 03:52:12,155 --> 03:52:12,889 A HEALTH CARE SYSTEM AND HOW 5000 03:52:12,889 --> 03:52:19,296 PEOPLE TAKE CARE OF THEMSELVES. 5001 03:52:19,296 --> 03:52:25,168 MANY TIMES THE RESOURCES PEOPLE 5002 03:52:25,168 --> 03:52:28,038 CAN ACCESS COMMERCIALLY WOULD 5003 03:52:28,038 --> 03:52:29,706 NOT BE COVERED BY INSURANCE IF 5004 03:52:29,706 --> 03:52:31,641 YOU HAVE INSURANCE. 5005 03:52:31,641 --> 03:52:32,576 USUALLY SIGNIFICANT OUT OF 5006 03:52:32,576 --> 03:52:34,411 POCKET EXPENSE AND PEOPLE THAT 5007 03:52:34,411 --> 03:52:38,448 HAVE RESEARCH CONSTRAINTS IT'S A 5008 03:52:38,448 --> 03:52:40,917 CHALLENGE. 5009 03:52:40,917 --> 03:52:42,786 SAME WITH NUTRITIONAL 5010 03:52:42,786 --> 03:52:43,720 SUPPLEMENTS AND I'LL SEGUE INTO 5011 03:52:43,720 --> 03:52:50,427 WHAT YOU CAN DO. 5012 03:52:50,427 --> 03:52:53,663 EXPOSURES ARE IN THE PAST AND 5013 03:52:53,663 --> 03:52:56,933 THERE'S EXPOSURES AND YOU HAVE 5014 03:52:56,933 --> 03:52:59,836 HYPERTENSION, DIABETES, OBESITY, 5015 03:52:59,836 --> 03:53:02,405 HYPERTHYROIDISM, YOU'RE GOING TO 5016 03:53:02,405 --> 03:53:06,409 ALL THE SPECIALISTS AND AND 5017 03:53:06,409 --> 03:53:09,880 MULTIPLE MEDICATIONS AND NOT 5018 03:53:09,880 --> 03:53:12,816 BETTER WHAT ARE WE GOING TO DO? 5019 03:53:12,816 --> 03:53:13,483 THE HEALTH CARE SYSTEM CAN'T 5020 03:53:13,483 --> 03:53:15,519 KEEP GOING THIS WAY AND GO BACK 5021 03:53:15,519 --> 03:53:18,188 TO BASIC PRINCIPLES, LET'S LOOK 5022 03:53:18,188 --> 03:53:21,324 AT OUR LIFESTYLE AND 5023 03:53:21,324 --> 03:53:21,992 GASTROINTESTINAL TRACT AND LOOK 5024 03:53:21,992 --> 03:53:22,826 AT NUTRITION AND DIET. 5025 03:53:22,826 --> 03:53:25,061 THERE'S THINGS THAT CAN BE DONE 5026 03:53:25,061 --> 03:53:27,197 ON ALL THOSE LEVELS LOOKING AT 5027 03:53:27,197 --> 03:53:32,903 THE BASICS OF THE TREE OF LIFE, 5028 03:53:32,903 --> 03:53:35,205 SLEEP, DIET, EXERCISE, INTAKE 5029 03:53:35,205 --> 03:53:37,173 AND STRESS MANAGEMENT, SOCIAL 5030 03:53:37,173 --> 03:53:37,908 RELATIONSHIPS. 5031 03:53:37,908 --> 03:53:38,475 ALL THOSE THINGS FEED INTO 5032 03:53:38,475 --> 03:53:42,879 HEALTH. 5033 03:53:42,879 --> 03:53:46,082 THE QUESTION IS CAN WE BUILD A 5034 03:53:46,082 --> 03:53:48,184 COMMUNITY OF PEOPLE WHO HAVE 5035 03:53:48,184 --> 03:53:50,420 SIMILAR ILLNESSES OR EXPOSURES 5036 03:53:50,420 --> 03:53:55,025 AND THAT'S WHAT WE'RE DOING 5037 03:53:55,025 --> 03:53:57,093 WHILE THEY HAVE UNEXPLAINED 5038 03:53:57,093 --> 03:53:59,863 ILLN 5039 03:53:59,863 --> 03:54:01,765 ILLN 5040 03:54:01,765 --> 03:54:02,399 ILLN 5041 03:54:02,399 --> 03:54:06,002 ILLNESS WHEN WE'VE DONE WITH 5042 03:54:06,002 --> 03:54:08,638 COMPLEX ISSUES WE STARTED A 5043 03:54:08,638 --> 03:54:09,873 PILOT PROGRAM WITH INDIVIDUAL 5044 03:54:09,873 --> 03:54:12,175 COACHING AND FOCUS ON NUTRITION 5045 03:54:12,175 --> 03:54:16,446 AND FOOD AS MEDICINE, 5046 03:54:16,446 --> 03:54:19,149 UNDERSTANDING WHICH FOODS ARE 5047 03:54:19,149 --> 03:54:20,116 HELPING YOU AND LESS 5048 03:54:20,116 --> 03:54:24,588 INFLAMMATORY VERSUS THE ONES 5049 03:54:24,588 --> 03:54:26,923 THAT ARE INFLAMMATORY. 5050 03:54:26,923 --> 03:54:29,659 LOOKING AT SUPPLEMENTS THAT 5051 03:54:29,659 --> 03:54:31,227 SUPPORT GUT HEALTH AND PROVIDE 5052 03:54:31,227 --> 03:54:33,763 THEM WITH PROBIOTICS AND 5053 03:54:33,763 --> 03:54:36,533 NUTRITIONAL SUPPLEMENTS THAT 5054 03:54:36,533 --> 03:54:38,435 HELP HEALTH BECAUSE MANY HAVE 5055 03:54:38,435 --> 03:54:40,804 COGNITIVE DIFFICULTIES AND GIVE 5056 03:54:40,804 --> 03:54:45,642 THEM FITBIT WATCHES TO TRACK 5057 03:54:45,642 --> 03:54:50,413 THEIR ACTIVITY AND THE NEW 5058 03:54:50,413 --> 03:54:52,482 JERSEY WRIISC SERVICE IS IN 22 5059 03:54:52,482 --> 03:54:54,618 DIFFERENT STATES AND ALL DONE 5060 03:54:54,618 --> 03:54:54,884 VIRTUALLY. 5061 03:54:54,884 --> 03:55:03,693 WE DO MINDFULNESS AND YOGA AND 5062 03:55:03,693 --> 03:55:04,861 NOW VETERANS WHO COME THROUGH 5063 03:55:04,861 --> 03:55:10,300 ARE WORKING ALONGSIDE A HEALTH 5064 03:55:10,300 --> 03:55:14,337 COACH AND THEY'RE VETERANS SO 5065 03:55:14,337 --> 03:55:16,339 THERE'S A HEALING COMMUNITY THAT 5066 03:55:16,339 --> 03:55:19,376 HAS DEVELOPED. 5067 03:55:19,376 --> 03:55:20,710 AND THE VETERANS SUPPORT 5068 03:55:20,710 --> 03:55:21,011 THEMSELVES. 5069 03:55:21,011 --> 03:55:22,412 HOW DO YOU NAVIGATE WHEN YOU 5070 03:55:22,412 --> 03:55:26,650 HAVE A BAD DAY OF CHRONIC 5071 03:55:26,650 --> 03:55:28,184 FATIGUE AND FIBROMYALGIA AND 5072 03:55:28,184 --> 03:55:29,819 CAN'T DO WHAT THEY WANT TO DO 5073 03:55:29,819 --> 03:55:31,788 AND GIVE THEMSELVES TIPS. 5074 03:55:31,788 --> 03:55:37,127 IN THAT PROGRAM WE'RE SEEING 5075 03:55:37,127 --> 03:55:43,633 IMPROVEMENTS IN DEPRESSION AND 5076 03:55:43,633 --> 03:55:44,768 WE'RE SEEING IMPROVEMENTS IN 5077 03:55:44,768 --> 03:55:45,368 DEPRESSION AND ANXIETY AND 5078 03:55:45,368 --> 03:55:53,710 FUNCTIONAL MOVEMENT. 5079 03:55:53,710 --> 03:55:56,079 IT'S THINGS WE CAN DO TO SUPPORT 5080 03:55:56,079 --> 03:55:57,947 COMMUNITIES STRESS RELATED TO 5081 03:55:57,947 --> 03:55:59,582 EXPOSURES THAT ARE NOT NECESSARY 5082 03:55:59,582 --> 03:56:05,221 DIRECTED TO THE EXPOSURE PER SE. 5083 03:56:05,221 --> 03:56:06,923 I CAN'T TELL YOU I'LL GIVE YOU 5084 03:56:06,923 --> 03:56:08,224 SOMETHING TO REMOVE THE PFAS 5085 03:56:08,224 --> 03:56:10,427 FROM THE SYSTEM BUT CAN WE 5086 03:56:10,427 --> 03:56:11,961 CHANGE THE GUT HEALTH SO THAT 5087 03:56:11,961 --> 03:56:15,832 YOU'RE NOT LIKELY TO HAVE THAT 5088 03:56:15,832 --> 03:56:18,401 MUCH PERMEABILITY THAT FACTS 5089 03:56:18,401 --> 03:56:20,937 YOUR ENDOCRINE SYSTEM AND THEN 5090 03:56:20,937 --> 03:56:24,641 HAVE PROBLEMS WITH YOUR THYROID 5091 03:56:24,641 --> 03:56:25,475 BECAUSE OF THE INFLAMMATION IN 5092 03:56:25,475 --> 03:56:27,911 THE GUT. 5093 03:56:27,911 --> 03:56:30,113 IF WE CAN LOOK AT WHAT WE CAN 5094 03:56:30,113 --> 03:56:35,485 ADDRESS TO DO AND START WITH 5095 03:56:35,485 --> 03:56:40,090 THOSE THINGS AND THE MOMENT WE 5096 03:56:40,090 --> 03:56:42,425 CAN DO THAT THE BETTER. 5097 03:56:42,425 --> 03:56:44,928 >> I'LL INVITE OUR AUDIENCE TO 5098 03:56:44,928 --> 03:56:46,396 COME UP AND ASK QUESTIONS AS 5099 03:56:46,396 --> 03:56:46,763 WELL. 5100 03:56:46,763 --> 03:56:50,400 VIE, YOU HAVE YOUR HAND UP AS 5101 03:56:50,400 --> 03:56:53,570 WELL. 5102 03:56:53,570 --> 03:56:56,039 >> YES. 5103 03:56:56,039 --> 03:57:01,377 WE KNOW MY PEOPLE HAVE FOUR TO 5104 03:57:01,377 --> 03:57:03,113 TEN TIMES HIGHER PCs THAN THE 5105 03:57:03,113 --> 03:57:04,314 AVERAGE AMERICAN DUE TO THE COLD 5106 03:57:04,314 --> 03:57:06,683 WAR AREA AND FORMER MILITARY 5107 03:57:06,683 --> 03:57:09,986 BASES AND ALSO FROM THE 5108 03:57:09,986 --> 03:57:11,488 PERSISTENT ORGANIC POLLUTANTS 5109 03:57:11,488 --> 03:57:13,823 ENDING UP IN THEIR TRADITIONAL 5110 03:57:13,823 --> 03:57:20,263 FOODS, THE MARINE MAMMALS OUR 5111 03:57:20,263 --> 03:57:22,031 ELDERS CALL THE OCEAN OUR FARM 5112 03:57:22,031 --> 03:57:24,067 BUT OUR TRADITIONAL FOODS ARE SO 5113 03:57:24,067 --> 03:57:25,568 LOADED AT LEVELS WE SHOULD NOT 5114 03:57:25,568 --> 03:57:26,770 BE EATING THEM FOR EXCESS CANCER 5115 03:57:26,770 --> 03:57:32,876 RISK. 5116 03:57:32,876 --> 03:57:36,546 AND THEN KNOWING HOW THE 5117 03:57:36,546 --> 03:57:39,749 MICROPLASTICS ARE ENDING UP IN 5118 03:57:39,749 --> 03:57:41,017 THE TRADITIONAL FOODS, WALRUS 5119 03:57:41,017 --> 03:57:44,921 AND SEALS. 5120 03:57:44,921 --> 03:57:49,692 WE PRODUCED A REPORT THAT LINKS 5121 03:57:49,692 --> 03:57:53,830 WITH CLIMATE, CHEMICALS AND 5122 03:57:53,830 --> 03:58:00,937 PLASTICS AND TOXIC THREATS AND 5123 03:58:00,937 --> 03:58:02,839 THREATS TO INDIGENOUS LAND FROM 5124 03:58:02,839 --> 03:58:05,175 THE PETRO CHEMICAL INDUSTRY. 5125 03:58:05,175 --> 03:58:09,979 WE WERE AT THE PLASTICS TREATY 5126 03:58:09,979 --> 03:58:13,483 AND BROUGHT OUR INDIGENOUS 5127 03:58:13,483 --> 03:58:14,417 PEOPLES' DELEGATIONS. 5128 03:58:14,417 --> 03:58:19,088 RIGHT NOW IN THE REPORT IT 5129 03:58:19,088 --> 03:58:26,396 STATES SIX CHEMICALS AND THERE'S 5130 03:58:26,396 --> 03:58:28,331 16,000 CHEMICALS USED IN THE 5131 03:58:28,331 --> 03:58:33,469 PRODUCTION OF PLASTICS. 5132 03:58:33,469 --> 03:58:37,707 AND THEN WE ALSO HELPED WITH THE 5133 03:58:37,707 --> 03:58:39,442 PAPER, A BRIEF PAPER PROTECTING 5134 03:58:39,442 --> 03:58:41,177 THE DEVELOPING BRAINS OF 5135 03:58:41,177 --> 03:58:43,780 CHILDREN FROM THE HARMFUL 5136 03:58:43,780 --> 03:58:46,082 EFFECTS OF PLASTICS AND TOXIC 5137 03:58:46,082 --> 03:58:49,252 CHEMICALS IN PLASTICS FOR THE 5138 03:58:49,252 --> 03:58:49,786 PROJECT DANDER. 5139 03:58:49,786 --> 03:58:53,790 KNOWS WHO MAY NOT KNOW IT, 5140 03:58:53,790 --> 03:58:58,428 PROJECT TENDER, YOU CAN FIND THE 5141 03:58:58,428 --> 03:59:03,533 TWO REPORTS ON OUR WEBSITE, 5142 03:59:03,533 --> 03:59:07,971 WWW.INFO AT AK ACTION DOT ORG. 5143 03:59:07,971 --> 03:59:10,073 AND WE KNOW -- WE'VE DONE ENOUGH 5144 03:59:10,073 --> 03:59:20,450 RESEARCH FOR 22 YEARS. 5145 03:59:22,485 --> 03:59:24,888 NO THE TOXIC CHEMICALS WE'VE 5146 03:59:24,888 --> 03:59:29,459 BEEN EXPOSED TO AND ADDRESS THE 5147 03:59:29,459 --> 03:59:31,461 ENVIRONMENTAL VIOLENCE AND BEING 5148 03:59:31,461 --> 03:59:35,098 CONTAMINATED WITHOUT OUR 5149 03:59:35,098 --> 03:59:35,431 CONSENT. 5150 03:59:35,431 --> 03:59:38,434 OUR WOMB IS OUR CHILD FIRST 5151 03:59:38,434 --> 03:59:42,405 ENVIRONMENT AND THESE TOXIC 5152 03:59:42,405 --> 03:59:48,044 CHEMICALS CAN AAFFECT -- AFFECT 5153 03:59:48,044 --> 03:59:49,312 OUR ABILITY TO CONCEIVE AND 5154 03:59:49,312 --> 03:59:50,413 CARRY OUR CHILDREN AND HAVE A 5155 03:59:50,413 --> 03:59:58,054 HEALTHY BIRTH. 5156 03:59:58,054 --> 04:00:00,523 MENTAL HEALTH HARMS ARE SHOWN IN 5157 04:00:00,523 --> 04:00:03,793 OUR USE AND THERE'S MORE LINK TO 5158 04:00:03,793 --> 04:00:05,128 MENTAL HEALTH HARMS. 5159 04:00:05,128 --> 04:00:10,066 I APPRECIATE THE LAST SPEAKER. 5160 04:00:10,066 --> 04:00:20,576 I BELIEVE SHE'S WITH THE V.A. 5161 04:00:40,229 --> 04:00:42,565 AND THE HEALTH HARMS AND WHOLE 5162 04:00:42,565 --> 04:00:45,902 APPROACH AND IF THERE'S NO ICE 5163 04:00:45,902 --> 04:00:50,406 WE HAVE NO WAY TO KEEP FOOD IN 5164 04:00:50,406 --> 04:00:52,775 OUR FREEZER. 5165 04:00:52,775 --> 04:00:59,248 WE HAVE SUCH OF A CLIMATE CRISIS 5166 04:00:59,248 --> 04:01:01,651 WE'RE FACING AND I'D LIKE TO 5167 04:01:01,651 --> 04:01:04,821 REACH OUT TO HEALTH CARE 5168 04:01:04,821 --> 04:01:06,289 PROFESSIONALS IN THEIR ROOM. 5169 04:01:06,289 --> 04:01:08,291 I'M SORRY I WASN'T ABLE TO BE 5170 04:01:08,291 --> 04:01:13,296 HERE AND I GOT SICK YESTERDAY 5171 04:01:13,296 --> 04:01:17,700 BUT WE ARE PLANNING TO CONVENE A 5172 04:01:17,700 --> 04:01:20,403 CHILDREN'S ENVIRONMENTAL HEALTH 5173 04:01:20,403 --> 04:01:21,738 SUMMIT HERE IN ALASKA AFTER WE 5174 04:01:21,738 --> 04:01:23,606 GET DATA FROM OUR PROTECTING 5175 04:01:23,606 --> 04:01:25,808 FUTURE GENERATIONS PROJECT 5176 04:01:25,808 --> 04:01:27,510 LOOKING AT PCBs THOUGH THEY'VE 5177 04:01:27,510 --> 04:01:30,980 BEEN BANNED DECADES AGO AND THE 5178 04:01:30,980 --> 04:01:33,483 OTHER CHEMICAL OF CONCERN WE'RE 5179 04:01:33,483 --> 04:01:38,788 LOOKING AT THE IS FLAME 5180 04:01:38,788 --> 04:01:42,358 RETARDANTS TO BRING IN HEALTH 5181 04:01:42,358 --> 04:01:44,394 CARE PROFESSIONALS, 5182 04:01:44,394 --> 04:01:46,396 PEDIATRICIANS, DECISION MAKERS, 5183 04:01:46,396 --> 04:01:47,797 COMMUNITY PEOPLE. 5184 04:01:47,797 --> 04:01:49,298 OUR TRIBES, OUR HEALTH CARE 5185 04:01:49,298 --> 04:01:49,999 PROFESSIONALS, DEPARTMENT OF 5186 04:01:49,999 --> 04:01:54,070 HEALTH AND HUMAN SERVICES AND 5187 04:01:54,070 --> 04:01:57,173 INDIAN HEALTH SERVICE TO CONVENE 5188 04:01:57,173 --> 04:01:58,908 THIS HEALTH SUMMIT TO FIND WAYS 5189 04:01:58,908 --> 04:02:00,209 TO MAKE SURE MEASURES ARE IN 5190 04:02:00,209 --> 04:02:02,812 PLACE TO PROTECT OUR MOST 5191 04:02:02,812 --> 04:02:05,648 VULNERABLE, OUR CHILDREN. 5192 04:02:05,648 --> 04:02:09,485 WE ALSO WANT TO HAVE A HEALTH 5193 04:02:09,485 --> 04:02:14,724 CLINIC IN MY COMMUNITY AND 5194 04:02:14,724 --> 04:02:17,960 HOPING TO GET FUND IING AND WE 5195 04:02:17,960 --> 04:02:19,629 REACHED OUT TO ADMIRAL LAVIGNE 5196 04:02:19,629 --> 04:02:20,296 WITH THE DEPARTMENT OF HEALTH 5197 04:02:20,296 --> 04:02:22,398 AND HUMAN SERVICES. 5198 04:02:22,398 --> 04:02:24,400 WE NEED HELP. 5199 04:02:24,400 --> 04:02:28,104 WE HAVE SOUND DATA OF TOXIC 5200 04:02:28,104 --> 04:02:30,973 CHEMICAL EXPOSURES WHETHER FROM 5201 04:02:30,973 --> 04:02:35,978 LEGACY MILITARY TOXICS, POPS AND 5202 04:02:35,978 --> 04:02:37,914 ON AND ON. 5203 04:02:37,914 --> 04:02:39,582 THESE BURDENS WE DIDN'T CREATE 5204 04:02:39,582 --> 04:02:42,418 WE ARE FACING THE MOST HEALTH 5205 04:02:42,418 --> 04:02:48,991 HARMS BECAUSE OF WHERE WE LIVE. 5206 04:02:48,991 --> 04:02:57,133 I'M REACHING OUT TO THE HEALTH 5207 04:02:57,133 --> 04:02:58,267 CARE PROFESSIONALS IN THE ROOM 5208 04:02:58,267 --> 04:03:01,304 TO REACH OUT TO ME TO HELP OUR 5209 04:03:01,304 --> 04:03:01,571 COMMUNITY. 5210 04:03:01,571 --> 04:03:12,081 I CAN SHARE MY E-MAIL IN THE 5211 04:03:18,921 --> 04:03:19,055 CHAT. 5212 04:03:19,055 --> 04:03:23,659 THANK YOU. 5213 04:03:23,659 --> 04:03:27,330 I REALLY ADMIRE THE WOMAN THAT 5214 04:03:27,330 --> 04:03:34,103 TALKED ABOUT THE HOLISTIC HEATH 5215 04:03:34,103 --> 04:03:34,370 APPROACH. 5216 04:03:34,370 --> 04:03:38,274 WE HAVE SHORT SUMMERS AND 5217 04:03:38,274 --> 04:03:40,810 24-HOUR DAYLIGHT, SUPER PACKED 5218 04:03:40,810 --> 04:03:43,146 TRADITIONAL MEDICINE AND FIND A 5219 04:03:43,146 --> 04:03:45,114 WAY TO INTEGRATE WESTERN AND 5220 04:03:45,114 --> 04:03:46,349 TRADITIONAL MEDICINE TO ADDRESS 5221 04:03:46,349 --> 04:03:47,650 ALL THE ENVIRONMENTAL VIOLENCE 5222 04:03:47,650 --> 04:03:53,322 WE ARE BEING FACED. 5223 04:03:53,322 --> 04:04:01,998 THESE TOXIC CHEMICALS CAN MIMIC 5224 04:04:01,998 --> 04:04:02,265 HORMONES. 5225 04:04:02,265 --> 04:04:04,400 THEY CAN. 5226 04:04:04,400 --> 04:04:08,905 WE USE INNOVATIVE METHODS AND 5227 04:04:08,905 --> 04:04:11,707 75% OF THE REPRODUCTIVE SYSTEM 5228 04:04:11,707 --> 04:04:17,213 ARE STICKLE BACK AND THE MALE 5229 04:04:17,213 --> 04:04:21,384 FISH IS PRODUCING GLUE THE MALES 5230 04:04:21,384 --> 04:04:24,086 ARE MAKING EGGS AND WE'RE SEEING 5231 04:04:24,086 --> 04:04:26,422 MORE AND MORE GAY YOUNG WOMEN. 5232 04:04:26,422 --> 04:04:35,131 WE NEED HELP. 5233 04:04:35,131 --> 04:04:37,133 PLEASE HELP ME IF YOU'RE LOOKING 5234 04:04:37,133 --> 04:04:40,436 TO ADDRESS ENVIRONMENTAL RACISM 5235 04:04:40,436 --> 04:04:41,871 IN DISADVANTAGED COMMUNITY AND 5236 04:04:41,871 --> 04:04:46,142 THANK YOU FOR THE OPPORTUNITY. 5237 04:04:46,142 --> 04:04:46,876 >> THANK YOU. 5238 04:04:46,876 --> 04:04:48,911 WE HAVE A COUPLE MINUTES LEFT. 5239 04:04:48,911 --> 04:04:51,180 DID ANYBODY IN THE AUDIENCE HAVE 5240 04:04:51,180 --> 04:04:55,351 A QUESTION THEY WANTED TO ASK. 5241 04:04:55,351 --> 04:04:56,385 SHEELA I'LL TURN TO YOU FOR LAST 5242 04:04:56,385 --> 04:04:57,653 COMMENT AND I THINK WE MIGHT 5243 04:04:57,653 --> 04:05:04,994 MOVE ON TO WRAPPING UP. 5244 04:05:04,994 --> 04:05:05,661 >> THANKS. 5245 04:05:05,661 --> 04:05:07,129 I JUST WANTED TO MAKE THE 5246 04:05:07,129 --> 04:05:11,400 COMMENT BECAUSE THE QUESTION WAS 5247 04:05:11,400 --> 04:05:11,867 ABOUT TESTING. 5248 04:05:11,867 --> 04:05:15,271 I THINK WE REALLY NEED TO 5249 04:05:15,271 --> 04:05:16,038 CONSIDER PEOPLE'S LIVED 5250 04:05:16,038 --> 04:05:17,974 EXPERIENCE AND THE MENTAL HEALTH 5251 04:05:17,974 --> 04:05:21,410 BURDEN THAT COMES WITH LEARNING 5252 04:05:21,410 --> 04:05:22,645 ABOUT EXPOSURES LIKE THESE AND 5253 04:05:22,645 --> 04:05:24,981 THAT'S SOMETHING WE CERTAINLY 5254 04:05:24,981 --> 04:05:25,615 STRUGGLE WITH ON A HEALTH CARE 5255 04:05:25,615 --> 04:05:28,150 PROVIDER STANDPOINT. 5256 04:05:28,150 --> 04:05:31,721 SO WE CAN CERTAINLY TEST LOTS OF 5257 04:05:31,721 --> 04:05:35,358 PEOPLE BUT IT'S VERY EXPENSIVE 5258 04:05:35,358 --> 04:05:36,359 AND ONLY CERTAINLY POPULATIONS 5259 04:05:36,359 --> 04:05:38,427 HAVE ACCESS TO THOSE RESOURCES 5260 04:05:38,427 --> 04:05:39,262 AS HAS BEEN SAID. 5261 04:05:39,262 --> 04:05:42,398 WE STILL NEED THE SHUGSS. 5262 04:05:42,398 --> 04:05:45,368 -- THE SOLUTIONS AND THE 5263 04:05:45,368 --> 04:05:48,738 HOLISTIC CARE IS FANTASTIC. 5264 04:05:48,738 --> 04:05:49,572 I WHOLEHEARTEDLY SUPPORT THAT 5265 04:05:49,572 --> 04:05:51,607 BUT THERE STILL NEEDS TO BE MORE 5266 04:05:51,607 --> 04:05:53,175 EVIDENCE BEHIND THAT AND THERE'S 5267 04:05:53,175 --> 04:05:54,277 A LOT OF MORE TO BE DONE THERE. 5268 04:05:54,277 --> 04:05:57,113 SO I JUST WANTED TO MAKE THE 5269 04:05:57,113 --> 04:05:59,448 POINT THAT THOUGH I SUPPORT 5270 04:05:59,448 --> 04:06:02,752 TESTING I FEEL LIKE WE'VE PUT A 5271 04:06:02,752 --> 04:06:04,987 LOT OF EFFORT INTO TESTING AND 5272 04:06:04,987 --> 04:06:05,955 MAYBE THERE NEEDS TO BE MORE 5273 04:06:05,955 --> 04:06:07,790 RESOURCES ON THE BACK END OF 5274 04:06:07,790 --> 04:06:11,527 THAT. 5275 04:06:11,527 --> 04:06:12,995 >> I SEE APPLAUSE FROM YOUR 5276 04:06:12,995 --> 04:06:13,296 COLLEAGUE. 5277 04:06:13,296 --> 04:06:15,931 THAT'S A CHALLENGE IN THIS SPACE 5278 04:06:15,931 --> 04:06:18,634 AND WE TALKED ABOUT A LITTLE 5279 04:06:18,634 --> 04:06:18,801 BIT. 5280 04:06:18,801 --> 04:06:19,969 THERE'S PEOPLE OFFERING TESTS 5281 04:06:19,969 --> 04:06:22,071 AND WE DON'T YET KNOW THE 5282 04:06:22,071 --> 04:06:26,409 QUALITY OF THOSE TESTS. 5283 04:06:26,409 --> 04:06:27,510 AS WITH YOU MENTIONED YESTERDAY 5284 04:06:27,510 --> 04:06:30,880 WE BOTH DON'T WANT PEOPLE TO GET 5285 04:06:30,880 --> 04:06:33,916 FALSE POSITIVES TOE SAY THERE'S 5286 04:06:33,916 --> 04:06:36,052 SOMETHING BAD WHEN IT'S NOT TRUE 5287 04:06:36,052 --> 04:06:38,454 AND JUST AS BAD BEING TOLD TOLD 5288 04:06:38,454 --> 04:06:39,822 EVERYTHING'S FINE WHEN IN 5289 04:06:39,822 --> 04:06:40,956 REALITY YOU'RE NOT GETTING A 5290 04:06:40,956 --> 04:06:44,560 THOROUGH OR COMPREHENSIVE TEST. 5291 04:06:44,560 --> 04:06:45,961 THAT'S A NEED I HEARD THROUGHOUT 5292 04:06:45,961 --> 04:06:50,333 THE LAST COUPLE OF DAYS WAS HOW 5293 04:06:50,333 --> 04:06:52,968 DO WE -- I HAVE A COUPLE NOTES 5294 04:06:52,968 --> 04:06:55,438 THINKING HOW DO WE MEASURE THE 5295 04:06:55,438 --> 04:06:56,739 MULTITUDE OF EXPOSURES IN A WAY 5296 04:06:56,739 --> 04:06:59,275 THAT CAN BE DONE EFFICIENTLY AND 5297 04:06:59,275 --> 04:07:03,245 THAT IS COMPREHENSIVE AS ONE 5298 04:07:03,245 --> 04:07:03,746 ELEMENT. 5299 04:07:03,746 --> 04:07:09,552 HOW DO WE LOOK AT 5300 04:07:09,552 --> 04:07:10,653 MULTI-TREATMENTS AND BRIEFING 5301 04:07:10,653 --> 04:07:12,855 ALL THESE IMPLEMENTS IN 5302 04:07:12,855 --> 04:07:14,390 DIFFERENT WAYS. 5303 04:07:14,390 --> 04:07:16,659 SOME IS SYSTEM WIDE AND LOOKING 5304 04:07:16,659 --> 04:07:18,594 AT MULTI-LEVEL APPROACHES IN 5305 04:07:18,594 --> 04:07:20,162 TERMS OF EDUCATION OF PROVIDERS 5306 04:07:20,162 --> 04:07:22,398 AND EDUCATION OF THE COMMUNITY, 5307 04:07:22,398 --> 04:07:24,233 POLICY ISSUES TO ADDRESS 5308 04:07:24,233 --> 04:07:26,102 REGULATION AND OTHER ELEMENTS AT 5309 04:07:26,102 --> 04:07:28,037 THE CLINICIAN LEVEL IT'S THE 5310 04:07:28,037 --> 04:07:30,339 TREATMENT AND THE EDUCATION OF 5311 04:07:30,339 --> 04:07:31,374 THE INDIVIDUAL PATIENTS BUT THE 5312 04:07:31,374 --> 04:07:34,276 OTHER PIECE I HEARD IS HOW DO WE 5313 04:07:34,276 --> 04:07:35,678 MEASURE THE FACT THESE COMPOUNDS 5314 04:07:35,678 --> 04:07:37,146 HAVE MULTIPLE OUTCOMES AND LOOK 5315 04:07:37,146 --> 04:07:40,349 AT THE WHOLE PERSON AND THAT 5316 04:07:40,349 --> 04:07:40,883 DIFFERENT ELEMENT. 5317 04:07:40,883 --> 04:07:42,551 UP CLOSING AND WRAPPING UP FOR 5318 04:07:42,551 --> 04:07:44,720 THE SESSION I WILL POINT TO THE 5319 04:07:44,720 --> 04:07:47,523 FACT THAT THIS IS A VERY HIGH 5320 04:07:47,523 --> 04:07:49,725 PRIORITY FOR OUR DIRECTOR AND 5321 04:07:49,725 --> 04:07:51,627 WHAT WE'RE CALLING WHOLE PERSON 5322 04:07:51,627 --> 04:07:53,129 RESEARCH WE'RE WORKING CLOSELY 5323 04:07:53,129 --> 04:07:57,299 WITH THE V.A. AND WORK CLOSELY 5324 04:07:57,299 --> 04:07:59,668 WITH DR. KIGLER I CAN NEVER 5325 04:07:59,668 --> 04:08:01,904 REMEMBER HIS FULL TITLE BUT IT'S 5326 04:08:01,904 --> 04:08:03,239 CULTURAL TRANSFORMATION WHICH I 5327 04:08:03,239 --> 04:08:05,474 THINK IS AN AMAZING OFFICE NAME 5328 04:08:05,474 --> 04:08:06,008 WITHIN THE DEPARTMENT OF 5329 04:08:06,008 --> 04:08:08,611 VETERANS AFFAIRS. 5330 04:08:08,611 --> 04:08:10,079 THAT ROLLED OUT THE SYSTEM 5331 04:08:10,079 --> 04:08:11,447 CALLED WHOLE HEALTH ACROSS THE 5332 04:08:11,447 --> 04:08:13,349 V.A. IN DIFFERENT PLACES. 5333 04:08:13,349 --> 04:08:15,551 THEY'RE LOOKING AT IT TO PAIN. 5334 04:08:15,551 --> 04:08:17,586 I'M THRILLED TO HEAR IT'S BEING 5335 04:08:17,586 --> 04:08:19,622 LOOKED IN THE AREA OF EXPOSURES 5336 04:08:19,622 --> 04:08:22,057 TO DIFFERENT COMPOUNDS AND 5337 04:08:22,057 --> 04:08:22,291 TOXINS. 5338 04:08:22,291 --> 04:08:26,395 I THINK ONE OF THE THINGS WE'RE 5339 04:08:26,395 --> 04:08:32,835 DOING HERE AT NIH AND DR. 5340 04:08:32,835 --> 04:08:34,670 DR. LANGEVIN IS LEADING IS 5341 04:08:34,670 --> 04:08:37,940 WORKSHOPS AND DR. EDWARDS 5342 04:08:37,940 --> 04:08:42,411 MENTIONED HOW DO WE STUDY ALL AT 5343 04:08:42,411 --> 04:08:44,914 THIS ALL AT ONE. 5344 04:08:44,914 --> 04:08:46,248 THE EVERYWHERE ALL AT ONCE AND 5345 04:08:46,248 --> 04:08:53,456 THERE ARE METHODS. 5346 04:08:53,456 --> 04:08:55,925 HOW DO WE APPLY IT TO THE AREA 5347 04:08:55,925 --> 04:08:58,260 OF HEALTH AND STAY TUNED. 5348 04:08:58,260 --> 04:09:00,362 THERE'S MANY PARTNERS ACROSS THE 5349 04:09:00,362 --> 04:09:02,398 INSTITUTES AND CENTERS AND 5350 04:09:02,398 --> 04:09:04,967 OFFICES OF NIH BECAUSE THIS IS 5351 04:09:04,967 --> 04:09:07,169 RELEVANT TO ALL HONESTLY OF THE 5352 04:09:07,169 --> 04:09:08,671 INSTITUTES AND CENTERS AND 5353 04:09:08,671 --> 04:09:12,708 OFFICES HOW DO WE STUDY HEALTH 5354 04:09:12,708 --> 04:09:16,011 AS OUTCOME AND LOOK AT THE 5355 04:09:16,011 --> 04:09:16,846 COMPLEXITY. 5356 04:09:16,846 --> 04:09:18,013 WE'RE HOPING TO BRING EVERYBODY 5357 04:09:18,013 --> 04:09:19,114 TOGETHER AND TACKLE THAT AS A 5358 04:09:19,114 --> 04:09:23,319 THING WE'RE TRYING TO DO. 5359 04:09:23,319 --> 04:09:24,153 THANK YOU SO MUCH TO OUR 5360 04:09:24,153 --> 04:09:26,055 DIFFERENT PRESENTERS AND 5361 04:09:26,055 --> 04:09:28,524 PANELISTS FOR BRINGING YOUR 5362 04:09:28,524 --> 04:09:30,259 PERSPECTIVES AND AREAS OF 5363 04:09:30,259 --> 04:09:30,526 EXPERTISE. 5364 04:09:30,526 --> 04:09:34,396 I FEEL LIKE THERE'S A LOT OF FOR 5365 04:09:34,396 --> 04:09:35,464 US TO DO. 5366 04:09:35,464 --> 04:09:37,132 I'M GOING TO TURN IT OVER TO 5367 04:09:37,132 --> 04:09:38,434 SEKAI TO TELL US WHAT WE'RE 5368 04:09:38,434 --> 04:09:39,335 GOING TO DO TO MAKE THIS ALL 5369 04:09:39,335 --> 04:09:40,069 WORK. 5370 04:09:40,069 --> 04:09:50,312 >> THANK YOU. 5371 04:09:52,982 --> 04:09:58,420 THIS PANEL IS A PERFECT SEGUE 5372 04:09:58,420 --> 04:10:00,422 INTO OUR CLOSING SESSION. 5373 04:10:00,422 --> 04:10:02,391 YOU'VE MADE IT TO THE FINISH 5374 04:10:02,391 --> 04:10:08,097 LINE SO WE'RE JUST GOING TO WIND 5375 04:10:08,097 --> 04:10:10,032 DOWN NOW AND WE WANT TO TAKE 5376 04:10:10,032 --> 04:10:12,067 ADVANTAGE OF ALL OF YOU IN THE 5377 04:10:12,067 --> 04:10:16,071 ROOM AND ON THE ZOOM. 5378 04:10:16,071 --> 04:10:26,415 HOPEFULLY DR. ZLATNIK AND VIE 5379 04:10:26,415 --> 04:10:36,625 STAY ONLINE. 5380 04:10:39,895 --> 04:10:40,863 WE WANT TO TALK ABOUT WHAT IS 5381 04:10:40,863 --> 04:10:43,232 NEXT AND WHAT WE LEARNED OVER 5382 04:10:43,232 --> 04:10:45,668 THE LAST DAY AND A HALF IS A 5383 04:10:45,668 --> 04:10:46,001 LOT. 5384 04:10:46,001 --> 04:10:50,406 IT'S WHETTING OUR INTEREST. 5385 04:10:50,406 --> 04:10:54,343 WE LEARNED A LOT BUT IT'S 5386 04:10:54,343 --> 04:10:55,811 TEASERS AND HOW THEY IMPACT OUR 5387 04:10:55,811 --> 04:10:56,845 BODY AND THE CONSEQUENCES AND 5388 04:10:56,845 --> 04:11:03,052 THE COMMUNITIES ADD HIGHER RISK. 5389 04:11:03,052 --> 04:11:03,752 THERE ARE ALSO THINGS WE 5390 04:11:03,752 --> 04:11:06,388 POTENTIALLY CAN DO TO REDUCE OUR 5391 04:11:06,388 --> 04:11:10,659 RISK. 5392 04:11:10,659 --> 04:11:12,528 IT'S DIET AND PHYSICAL ACTIVITY 5393 04:11:12,528 --> 04:11:13,762 AND SLEEP AND SWEATING MORE 5394 04:11:13,762 --> 04:11:16,999 WHETHER YOU DO IT IN A SAUNA OR 5395 04:11:16,999 --> 04:11:19,134 EXERCISING AND SUPPORTING OUR 5396 04:11:19,134 --> 04:11:20,369 GUT MICROBIOME. 5397 04:11:20,369 --> 04:11:22,071 MAKING SURE WE DON'T HAVE 5398 04:11:22,071 --> 04:11:26,075 VITAMIN DEFICIENCIES AND GETTING 5399 04:11:26,075 --> 04:11:27,509 FLAVONOIDS AND MANAGING STRESS 5400 04:11:27,509 --> 04:11:36,952 AND BUILDING RESILIENCY. 5401 04:11:36,952 --> 04:11:41,657 YOU ARE AND WHETHER IT'S 5402 04:11:41,657 --> 04:11:42,291 OCCUPATIONAL EXPOSURE OR A 5403 04:11:42,291 --> 04:11:43,592 PRODUCT NOT LABELLED YOU MAY NOT 5404 04:11:43,592 --> 04:11:45,494 BE ABLE TO AVOID BUT DO YOUR 5405 04:11:45,494 --> 04:11:52,968 BEST AND KNOW IT WILL HELP IN 5406 04:11:52,968 --> 04:11:56,605 SOME FORM OR FASHION AND KNOW 5407 04:11:56,605 --> 04:12:00,009 THE INTERVENTIONS MAY BE HELPFUL 5408 04:12:00,009 --> 04:12:02,011 IN PEOPLE ALREADY EXPERIENCING 5409 04:12:02,011 --> 04:12:06,015 HIGH BURDEN OF DISEASE. 5410 04:12:06,015 --> 04:12:08,751 ANY CHANGE MAY MAKE AN IMPACT 5411 04:12:08,751 --> 04:12:10,653 DEALING WITH A HIGH ALLOSTATIC 5412 04:12:10,653 --> 04:12:13,155 LOAD OR BURDEN OF DISEASE. 5413 04:12:13,155 --> 04:12:14,990 THERE'S A LOT OF THAT REMAINS 5414 04:12:14,990 --> 04:12:16,058 UNCLEAR. 5415 04:12:16,058 --> 04:12:20,329 THESE ARE ADJUST SOME THINGS WE 5416 04:12:20,329 --> 04:12:22,064 CAME UP WITH. 5417 04:12:22,064 --> 04:12:27,736 THERE'S SO MANY ECDs. 5418 04:12:27,736 --> 04:12:31,140 16,000 CHEMICALS AND DIFFERENT 5419 04:12:31,140 --> 04:12:32,307 PLASTICS AND HOW MANY MORE ECDs 5420 04:12:32,307 --> 04:12:35,611 NOT TECHNICALLY PLASTIC. 5421 04:12:35,611 --> 04:12:36,779 WHICH ONES DO WE UNDERSTAND WELL 5422 04:12:36,779 --> 04:12:37,813 ENOUGH TO FOCUS ON? 5423 04:12:37,813 --> 04:12:40,649 DO WE NEED TO UNDERSTAND THEIR 5424 04:12:40,649 --> 04:12:42,384 CHEMISTRIES TO TRY TO TARGET 5425 04:12:42,384 --> 04:12:43,452 THEM FOR INTERVENTIONS? 5426 04:12:43,452 --> 04:12:53,762 MAYBE, MAYBE NOT. 5427 04:13:00,035 --> 04:13:02,571 WE HAVE PEDIATRICIANS AND 5428 04:13:02,571 --> 04:13:13,082 OB-GYN'S AND INTERNISTS AND 5429 04:13:13,849 --> 04:13:15,217 ENDOCRINOLOGISTS AND LAWYERS AND 5430 04:13:15,217 --> 04:13:16,418 PEOPLE FROM COMMUNITY-BASED 5431 04:13:16,418 --> 04:13:17,319 ORGANIZATIONS AND A LOT OF 5432 04:13:17,319 --> 04:13:17,619 RESEARCHERS. 5433 04:13:17,619 --> 04:13:20,856 AND EVERYONE'S GOING TO HAVE A 5434 04:13:20,856 --> 04:13:22,558 DIFFERENT OPINION, WHICH 5435 04:13:22,558 --> 04:13:24,893 POPULATION AND COMMUNITIES 5436 04:13:24,893 --> 04:13:25,761 SHOULD WE FOCUS ON? 5437 04:13:25,761 --> 04:13:36,305 I ASKED THE QUESTION YESTERDAY. 5438 04:13:41,643 --> 04:13:45,314 AND I HEARD CHILDBEARING WOMEN 5439 04:13:45,314 --> 04:13:46,949 AND WOMEN PREGNANT NEED TO TRY 5440 04:13:46,949 --> 04:13:50,085 TO PREVENT THE DOWN STREAM 5441 04:13:50,085 --> 04:13:51,053 EFFECTS AFTER BIRTH BUT SOME 5442 04:13:51,053 --> 04:13:52,287 PEOPLE MAY HAVE DIFFERENT 5443 04:13:52,287 --> 04:13:54,623 OPINIONS ABOUT THAT AROUND 5444 04:13:54,623 --> 04:13:59,428 THAT'S OKAY. 5445 04:13:59,428 --> 04:14:01,296 AND HOW DO YOU SAFELY CONDUCT 5446 04:14:01,296 --> 04:14:02,564 STUDIES IN SOME OF THESE 5447 04:14:02,564 --> 04:14:05,534 POPULATIONS IF YOU'RE DEALING 5448 04:14:05,534 --> 04:14:07,069 WITH PREGNANT WOMEN OR CHILDREN? 5449 04:14:07,069 --> 04:14:10,105 THAT COULD BE TRICKY. 5450 04:14:10,105 --> 04:14:12,941 ESPECIALLY IF YOU'RE DOING 5451 04:14:12,941 --> 04:14:14,409 INTERVENTIONS THAT MAY NOT HAVE 5452 04:14:14,409 --> 04:14:16,512 A LOT OF EVIDENCE BEHIND THEM. 5453 04:14:16,512 --> 04:14:18,180 AND WHAT DOES MEANINGFUL 5454 04:14:18,180 --> 04:14:19,081 IMPROVEMENT LOOK LIKE? 5455 04:14:19,081 --> 04:14:21,550 SO IS REDUCING BODY BURDEN 5456 04:14:21,550 --> 04:14:23,485 ENOUGH OR IS THE DAMAGE ALREADY 5457 04:14:23,485 --> 04:14:23,685 DONE? 5458 04:14:23,685 --> 04:14:25,754 YOU CAN CLEAR SOMETHING OUT OF 5459 04:14:25,754 --> 04:14:28,957 YOUR BODY BUT IF IT'S ALREADY 5460 04:14:28,957 --> 04:14:32,995 SET IN MOTION A LOT OF BAD 5461 04:14:32,995 --> 04:14:33,529 CHEMI 5462 04:14:33,529 --> 04:14:35,497 CHEMICAL REACTION AND ENDOCRINE 5463 04:14:35,497 --> 04:14:36,865 REACTION IS REMOVING IT FROM 5464 04:14:36,865 --> 04:14:39,535 YOUR BODY ENOUGH OR DOES IT HAVE 5465 04:14:39,535 --> 04:14:41,537 TO BE IN COMBINATION? 5466 04:14:41,537 --> 04:14:43,038 DO YOU HAVE TO HAVE IN ADDITION 5467 04:14:43,038 --> 04:14:45,474 TO REMOVING THE BODY BURDEN DO 5468 04:14:45,474 --> 04:14:50,279 SOMETHING ELSE TO NORMALIZE 5469 04:14:50,279 --> 04:14:50,913 FUNCTION AND SUPPORT AND BOOST 5470 04:14:50,913 --> 04:15:00,889 RESILIENCY? 5471 04:15:00,889 --> 04:15:02,825 WE HEARD PRE-ANIMAL MODEL 5472 04:15:02,825 --> 04:15:04,293 STUDIES ARE THEY RIFE FOR 5473 04:15:04,293 --> 04:15:05,794 TRANSLATION AND SOME 5474 04:15:05,794 --> 04:15:08,931 INTERVENTIONS SEEM HARMLESS BUT 5475 04:15:08,931 --> 04:15:09,598 WE KNOW SOMETIMES THINGS THAT 5476 04:15:09,598 --> 04:15:11,400 ARE IN ANIMAL MODELS DON'T 5477 04:15:11,400 --> 04:15:12,768 TRANSLATE ONE TO ONE WHEN YOU 5478 04:15:12,768 --> 04:15:13,602 DEAL WITH HUMANS. 5479 04:15:13,602 --> 04:15:15,737 WHAT'S READY FOR PRIME TIME IN 5480 04:15:15,737 --> 04:15:22,477 OUR BODIES? 5481 04:15:22,477 --> 04:15:24,313 GUIDED PATIENTS AN CLINICIANS WE 5482 04:15:24,313 --> 04:15:25,480 HEARD AND WE'LL ALL BE PATIENTS 5483 04:15:25,480 --> 04:15:28,717 AT SOME POINT IN TIME AND MANY 5484 04:15:28,717 --> 04:15:33,255 ARE ALREADY CLINICIANS. 5485 04:15:33,255 --> 04:15:38,760 SO HOW DO WE INFORM PEOPLE IN 5486 04:15:38,760 --> 04:15:41,864 WAYS THAT ARE USEFUL AND NOT 5487 04:15:41,864 --> 04:15:43,298 INACCURATE AND INAPPROPRIATE? 5488 04:15:43,298 --> 04:15:44,766 AND SOME OTHER QUESTIONS HERE. 5489 04:15:44,766 --> 04:15:49,638 WE WOULD LOVE THIS TO BE A FREE 5490 04:15:49,638 --> 04:15:50,105 FLOWING CONVERSATION. 5491 04:15:50,105 --> 04:15:55,978 PLEASE DON'T HESITATE TO JUMP UP 5492 04:15:55,978 --> 04:15:58,680 TO THE MICROPHONE. 5493 04:15:58,680 --> 04:16:06,388 LINDA BURMBAUM I KNEW IT. 5494 04:16:06,388 --> 04:16:09,291 LET'S FOCUS ON THE QUESTION AND 5495 04:16:09,291 --> 04:16:13,262 LET'S FOLK FOCUS ON THE 5496 04:16:13,262 --> 04:16:14,096 SCIENTIFIC STUDIES. 5497 04:16:14,096 --> 04:16:15,664 >> FIRST, THANKS FOR A GREAT 5498 04:16:15,664 --> 04:16:16,031 MEETING. 5499 04:16:16,031 --> 04:16:18,700 WHAT WAY IN THE TO SAY IS I GET 5500 04:16:18,700 --> 04:16:20,702 TIRED AS A TOXICOLOGIST OF 5501 04:16:20,702 --> 04:16:25,807 HEARING THE ATTACKS OF USE OF 5502 04:16:25,807 --> 04:16:27,242 ANIMAL MODELS BECAUSE YOU HAVE 5503 04:16:27,242 --> 04:16:28,911 TO USE THE RIGHT MODEL ON THE 5504 04:16:28,911 --> 04:16:29,978 QUESTION YOU'RE TRYING TO ASK 5505 04:16:29,978 --> 04:16:31,280 AND OFTEN PEOPLE DON'T USE THE 5506 04:16:31,280 --> 04:16:34,683 RIGHT MODELS BUT IN THE MAJORITY 5507 04:16:34,683 --> 04:16:37,686 OF CASES WHEN WE SEE SOMETHING 5508 04:16:37,686 --> 04:16:39,988 IN APPROPRIATE APPROPRIATE 5509 04:16:39,988 --> 04:16:44,159 MODELS OR MULTIPLE ANIMAL MODELS 5510 04:16:44,159 --> 04:16:45,327 IT'S LIKELY SOME PEOPLE ARE 5511 04:16:45,327 --> 04:16:46,261 GOING TO RESPOND THAT WAY SO I 5512 04:16:46,261 --> 04:16:52,367 WANTED TO MAKE THAT POINT. 5513 04:16:52,367 --> 04:16:55,837 >> I'M NOT ANTI-ANIMAL MODEL BY 5514 04:16:55,837 --> 04:16:56,138 ANY MEANS. 5515 04:16:56,138 --> 04:17:06,581 >> I DIDN'T SAY YOU WERE. 5516 04:17:08,483 --> 04:17:10,152 >> THERE ARE LIFESTYLE THINGS WE 5517 04:17:10,152 --> 04:17:12,721 THINK CAN WORK AGAINST A RANGE 5518 04:17:12,721 --> 04:17:23,265 OF ENDOCRINE DISRUPTORS AND THE 5519 04:17:24,366 --> 04:17:25,834 MODEL IS NICE AND I WOULD LOVE 5520 04:17:25,834 --> 04:17:29,304 TO SEE IT IMPLEMENTED IN ANOTHER 5521 04:17:29,304 --> 04:17:34,109 POPULATION IN AS A RANDOMIZED 5522 04:17:34,109 --> 04:17:43,385 CLINICAL TRIAL. 5523 04:17:43,385 --> 04:17:44,619 IT'S IN THE VETERANS COMMUNITY 5524 04:17:44,619 --> 04:17:47,489 AND THE VETERANS BECOME ME 5525 04:17:47,489 --> 04:17:50,392 HEALTH COACHES AND THE NEW 5526 04:17:50,392 --> 04:17:52,728 PATIENTS LISTEN TO THEIR FULLO 5527 04:17:52,728 --> 04:17:54,963 VETERANS WHO HAVE HAD THIS 5528 04:17:54,963 --> 04:17:56,531 POSITIVE EXPERIENCE AND I THINK 5529 04:17:56,531 --> 04:17:59,868 IN TERMS OF EVALUATING HOW 5530 04:17:59,868 --> 04:18:03,171 EFFECTIVE IT IS, WE TALKED ABOUT 5531 04:18:03,171 --> 04:18:07,009 THE KINDS OF AFFECT THAT 5532 04:18:07,009 --> 04:18:08,543 ENDOCRINE DISRUPTORS HAVE 5533 04:18:08,543 --> 04:18:09,778 THYROID FUNCTION, CARDIO 5534 04:18:09,778 --> 04:18:10,445 METABOLIC FUNCTION. 5535 04:18:10,445 --> 04:18:13,115 I THINK THERE'S A BUNCH OF 5536 04:18:13,115 --> 04:18:16,885 THINGS WE COULD TEST SCORE AT 5537 04:18:16,885 --> 04:18:22,090 BASELINE AND AFTER THIS 5538 04:18:22,090 --> 04:18:23,592 MULTI-MODAL INTERVENTION. 5539 04:18:23,592 --> 04:18:25,827 IF WE CAN DEMONSTRATE IT'S 5540 04:18:25,827 --> 04:18:28,063 EFFECTIVE IN AN RCT THEN 5541 04:18:28,063 --> 04:18:30,632 CLINICIANS ARE LIKELY TO ACCEPT 5542 04:18:30,632 --> 04:18:41,009 IT AS SOMETHING VALID. 5543 04:18:45,547 --> 04:18:47,849 >> WE SUBMITTED A RECENT GRANT 5544 04:18:47,849 --> 04:18:50,385 FOR A RANDOMIZED CONTROL TRIAL 5545 04:18:50,385 --> 04:18:58,093 TO DO THIS MULTI-FACETED 5546 04:18:58,093 --> 04:19:00,028 INTERVENTION AND THE CRITICISM 5547 04:19:00,028 --> 04:19:03,298 CAME BACK, WHAT IS THE MODEL? 5548 04:19:03,298 --> 04:19:07,102 ALL RIGHT, YOU FIXED THE GUT AND 5549 04:19:07,102 --> 04:19:12,407 FIXED THE NUTRITION AND EXERCISE 5550 04:19:12,407 --> 04:19:15,544 AND SLEEP AND IMPROVED THE 5551 04:19:15,544 --> 04:19:16,311 ABILITY TO MANAGE STRESS BUT 5552 04:19:16,311 --> 04:19:19,581 THEY WERE LOOKING FOR A MODEL. 5553 04:19:19,581 --> 04:19:20,816 WE'RE GOING TO RESUBMIT AND GIVE 5554 04:19:20,816 --> 04:19:25,253 A MODEL. 5555 04:19:25,253 --> 04:19:27,189 WHAT I'M SAYING IS THAT WHAT 5556 04:19:27,189 --> 04:19:29,825 HAPPENS IN REAL LIFE DOES NOT 5557 04:19:29,825 --> 04:19:31,126 NECESSARILY TRANSMIT WELL TO 5558 04:19:31,126 --> 04:19:31,626 RESEARCH CLAIMS. 5559 04:19:31,626 --> 04:19:37,766 AND YOU HAVE TO BE ABLE TO DO 5560 04:19:37,766 --> 04:19:38,433 THAT TRANSLATION BETWEEN WHAT 5561 04:19:38,433 --> 04:19:39,534 YOU'RE TRYING TO TO DO 5562 04:19:39,534 --> 04:19:40,402 CLINICALLY TO WHAT RESEARCHERS 5563 04:19:40,402 --> 04:19:47,275 WILL WANT TO LOOK AT AND SAY 5564 04:19:47,275 --> 04:19:49,177 YES, WE HAVE A MODEL THEY'RE 5565 04:19:49,177 --> 04:19:49,444 FOLLOWING. 5566 04:19:49,444 --> 04:19:52,714 THERE'S LESSONS TO BE LEARNED ON 5567 04:19:52,714 --> 04:19:54,816 BOTH SIDES OF THE AISLE OF 5568 04:19:54,816 --> 04:19:57,652 CLINICAL VERSUS RESEARCH IN 5569 04:19:57,652 --> 04:20:00,422 UNDERSTANDING ONE ANOTHER'S 5570 04:20:00,422 --> 04:20:04,860 LANGUAGES AND UNDERSTANDING WHAT 5571 04:20:04,860 --> 04:20:09,197 MAKES STATISTICAL SIGNIFICANCE 5572 04:20:09,197 --> 04:20:16,104 DOES NOT NECESSARY MAKE CLINICAL 5573 04:20:16,104 --> 04:20:17,372 IMPACT. 5574 04:20:17,372 --> 04:20:19,040 WE HAVE TO THINK OF WHAT MAKES 5575 04:20:19,040 --> 04:20:24,279 SENSE FOR THE PATIENT AND 5576 04:20:24,279 --> 04:20:24,513 VETERAN. 5577 04:20:24,513 --> 04:20:25,580 THAT'S AN OPPORTUNITY TO LEARN 5578 04:20:25,580 --> 04:20:26,348 HOW TO MOVE THE FIELD FORWARD. 5579 04:20:26,348 --> 04:20:34,389 THANK YOU. 5580 04:20:34,389 --> 04:20:35,924 >> I'D LIKE TO ADD COMMENTS. 5581 04:20:35,924 --> 04:20:39,194 OUR INSTITUTE'S BEEN STUDYING 5582 04:20:39,194 --> 04:20:40,529 ENDOCRINE DISRUPTORS FOR A LONG 5583 04:20:40,529 --> 04:20:40,795 TIME. 5584 04:20:40,795 --> 04:20:43,532 EIGHT YEARS AGO WE HAD A BIG 5585 04:20:43,532 --> 04:20:46,268 MEETING AT THE NIH CLINICAL 5586 04:20:46,268 --> 04:20:52,140 CENTER FOR THE 25th ANNIVERSARY 5587 04:20:52,140 --> 04:20:54,409 OF ENDOCRINE DISRUPTIONS AND 5588 04:20:54,409 --> 04:21:01,449 MANY WERE INVOLVED. 5589 04:21:01,449 --> 04:21:06,388 WE HAD A BIG GROUP OF TALKING 5590 04:21:06,388 --> 04:21:07,022 ENDOCRINE DISRUPTORS AND NOW HOW 5591 04:21:07,022 --> 04:21:08,156 THEY CAN AFFECT OUR BODY. 5592 04:21:08,156 --> 04:21:17,332 WE'VE KNOWN FOR DECADES. 5593 04:21:17,332 --> 04:21:21,136 WE KNOW WHAT MANY BIG ACTORS ARE 5594 04:21:21,136 --> 04:21:26,408 BUT IT'S DIFFICULT TO GO BEYOND 5595 04:21:26,408 --> 04:21:29,411 REDUCING EXPOSURES AND DOING AN 5596 04:21:29,411 --> 04:21:31,313 INTERVENTION OR TALKING ABOUT 5597 04:21:31,313 --> 04:21:33,915 MITIGATION AND REMEDIATION. 5598 04:21:33,915 --> 04:21:38,453 WHEN SEKAI CAME TO ME AND 5599 04:21:38,453 --> 04:21:40,855 STARTED TALKING ABOUT THE 5600 04:21:40,855 --> 04:21:45,427 MEETING AND POTENTIAL I HAVE TO 5601 04:21:45,427 --> 04:21:51,266 ADMIT WE WERE SKEPTICAL IN WHAT 5602 04:21:51,266 --> 04:21:54,703 WE KNOW NOW THAT TAKE US TO THE 5603 04:21:54,703 --> 04:21:56,771 NEXT STEP OF MEDIATION AND WHAT 5604 04:21:56,771 --> 04:21:58,773 ENDOCRINE DISRUPTORS DO WE KNOW 5605 04:21:58,773 --> 04:22:09,351 ENOUGH ABOUT WE CAN TARGET OR 5606 04:22:09,351 --> 04:22:09,918 FOR EXPOSURE. 5607 04:22:09,918 --> 04:22:13,722 I WAS HESITANT BUT ALSO ANXIOUS 5608 04:22:13,722 --> 04:22:15,724 TO LEARN WHAT WAS OUT THERE AND 5609 04:22:15,724 --> 04:22:17,425 IF WE WERE MISSING INFORMATION 5610 04:22:17,425 --> 04:22:23,365 AND WHO HAS DONE CLINICAL TRIALS 5611 04:22:23,365 --> 04:22:33,842 OR TRIED SOME SORT OF AND 5612 04:22:34,476 --> 04:22:36,044 REMEDIATION AND TRIALS UP 5613 04:22:36,044 --> 04:22:36,544 HUMANS. 5614 04:22:36,544 --> 04:22:38,013 I THINK WE LEARNED A LOT OVER 5615 04:22:38,013 --> 04:22:40,682 THE LAST FEW DAYS ABOUT 5616 04:22:40,682 --> 04:22:46,121 POTENTIAL BUT THERE'S STILL 5617 04:22:46,121 --> 04:22:51,559 QUESTIONS OUT THERE AND WE KNOW 5618 04:22:51,559 --> 04:22:53,428 WE NEED TO REDUCE EXPOSURE. 5619 04:22:53,428 --> 04:22:58,667 WE KNOW WHAT THE BAD CHEMICALS 5620 04:22:58,667 --> 04:23:04,072 ARE BY AND SHOULDN'T BE IN OUR 5621 04:23:04,072 --> 04:23:06,207 BODY BUT HOW IT'S PERCEIVED 5622 04:23:06,207 --> 04:23:16,751 BEYOND IS THE BIG QUESTION HERE. 5623 04:23:17,085 --> 04:23:19,454 >> THINK CHILDBEARING AND 5624 04:23:19,454 --> 04:23:20,555 PREGNANT PEOPLE ARE AN IMPORTANT 5625 04:23:20,555 --> 04:23:22,257 POPULATION TO STUDY BUT TO PUSH 5626 04:23:22,257 --> 04:23:27,595 BACK ON CONSIDERING PREGNANCY AS 5627 04:23:27,595 --> 04:23:31,766 AN VULNERABLE POPULATION WE KNOW 5628 04:23:31,766 --> 04:23:35,136 EXPOSURES CAN HAVE MAJOR 5629 04:23:35,136 --> 04:23:36,371 INTERGENERATIONAL EFFECTS BUT 5630 04:23:36,371 --> 04:23:37,639 WOMEN HAVE HISTORICALLY BEEN 5631 04:23:37,639 --> 04:23:43,078 UNDER STUDIED BY THE NIH BECAUSE 5632 04:23:43,078 --> 04:23:45,847 OF THESE CONCERNS ABOUT 5633 04:23:45,847 --> 04:23:48,683 VULNERABILITY AND LEADS TO AN 5634 04:23:48,683 --> 04:23:50,385 ABSENCE OF DATA AND CLINICIANS 5635 04:23:50,385 --> 04:23:55,523 ARE MAKING RECOMMENDATIONS 5636 04:23:55,523 --> 04:23:58,193 BIFFED ON GUESSES OR 5637 04:23:58,193 --> 04:23:58,893 EXTRAPOLATING FROM OTHER 5638 04:23:58,893 --> 04:24:00,228 POPULATIONS THAT MAY NOT BE 5639 04:24:00,228 --> 04:24:00,662 RELEVANT. 5640 04:24:00,662 --> 04:24:06,334 I THINK IF WE CONSIDER SOME OF 5641 04:24:06,334 --> 04:24:12,574 THE POTENTIAL ANINTERVENTIONS A 5642 04:24:12,574 --> 04:24:14,976 TALK ABOUT THE PESTICIDE 5643 04:24:14,976 --> 04:24:17,412 EXPOSURE AND DECREASING EXPOSURE 5644 04:24:17,412 --> 04:24:20,749 WHERE IT'S EDUCATIONAL OR PPE 5645 04:24:20,749 --> 04:24:22,016 IT'S HARD TO IMAGINE MAJOR HARMS 5646 04:24:22,016 --> 04:24:26,855 COMING FROM THAT AND THINK IT 5647 04:24:26,855 --> 04:24:29,023 WOULD BE BENEFICIAL OR AND I'M 5648 04:24:29,023 --> 04:24:32,193 BLANKING ON THE AUTHOR BUT THERE 5649 04:24:32,193 --> 04:24:36,831 A STUDY ON THE WATER FIT RATION 5650 04:24:36,831 --> 04:24:37,799 RATION SYSTEM IN A PFAS 5651 04:24:37,799 --> 04:24:39,901 COMMUNITY IN MINNESOTA AND 5652 04:24:39,901 --> 04:24:41,703 SHOWED BEFORE AROUND AFTER IN 5653 04:24:41,703 --> 04:24:43,271 THAT COMMUNITY AND AROUND THE 5654 04:24:43,271 --> 04:24:44,939 COMMUNITIES THE DECREASE IN 5655 04:24:44,939 --> 04:24:46,107 PRE-TERM BIRTH. 5656 04:24:46,107 --> 04:24:51,146 THERE'S INTERVENTIONS THAT ARE 5657 04:24:51,146 --> 04:24:52,447 UNLIKELY TO BE HARMFUL AND AS 5658 04:24:52,447 --> 04:24:53,348 LONG AS WE'RE AWARE OF THE 5659 04:24:53,348 --> 04:24:55,483 POTENTIAL RISK FOR UNINTENDED 5660 04:24:55,483 --> 04:24:58,319 HARMS AND STUDY THOSE THINGS, I 5661 04:24:58,319 --> 04:24:59,421 THINK IT IS SUPER IMPORTANT TO 5662 04:24:59,421 --> 04:25:02,390 STUDY THIS POPULATION. 5663 04:25:02,390 --> 04:25:02,924 THANK YOU. 5664 04:25:02,924 --> 04:25:06,227 >> I WOULD AGREE WITH YOU. 5665 04:25:06,227 --> 04:25:09,397 I DIDN'T MEAN TO COME ACROSS AS 5666 04:25:09,397 --> 04:25:11,299 SAYING PAUSE THESE ARE 5667 04:25:11,299 --> 04:25:11,866 VULNERABLE POPULATION WE 5668 04:25:11,866 --> 04:25:16,805 SHOULDN'T FOCUS ON THEM. 5669 04:25:16,805 --> 04:25:27,315 I KNOW SOMETIMES GETTING IRB 5670 04:25:28,349 --> 04:25:32,253 APPROVAL OR FOR POPULATIONS LIKE 5671 04:25:32,253 --> 04:25:33,688 PREGNANT WOMEN BECAUSE THEY 5672 04:25:33,688 --> 04:25:36,057 DON'T WANT TO PUT THEIR FETUS AT 5673 04:25:36,057 --> 04:25:39,260 RISK IS CHALLENGING YOU WOULD 5674 04:25:39,260 --> 04:25:40,662 KNOW BETTER THAN ANYONE THE 5675 04:25:40,662 --> 04:25:42,030 LIKELIHOOD OF PREGNANT WOMEN 5676 04:25:42,030 --> 04:25:43,231 WANTING TO PARTICIPATE IN 5677 04:25:43,231 --> 04:25:43,665 STUDIES. 5678 04:25:43,665 --> 04:25:48,970 AND FOR THINGS LIKE WATER 5679 04:25:48,970 --> 04:25:54,409 FILTRATION AND THEY WOULD 5680 04:25:54,409 --> 04:26:04,953 CONDITION EVEN HAVING BABIES AND 5681 04:26:06,087 --> 04:26:08,122 CURIOUS IF YOU THINK THE NATURAL 5682 04:26:08,122 --> 04:26:10,391 PRODUCTS AND THINGS WE'VE 5683 04:26:10,391 --> 04:26:11,626 DISCUSSED IF PREGNANT WOMEN OR 5684 04:26:11,626 --> 04:26:15,096 IRBs WOULD BE SUPPORTIVE. 5685 04:26:15,096 --> 04:26:18,800 >> I'D LOVE TO CHIME IN ON THAT. 5686 04:26:18,800 --> 04:26:20,001 I THINK AS LONG AS IN THE UNITED 5687 04:26:20,001 --> 04:26:24,806 STATES SUPPLEMENTS REMAIN 5688 04:26:24,806 --> 04:26:25,773 UNREGULATED IT'S HARDER TO SAY 5689 04:26:25,773 --> 04:26:33,748 IN THIS RESEARCH STUDY, THIS 5690 04:26:33,748 --> 04:26:38,453 PLANT DERIVED POLYPHENOL WAS AT 5691 04:26:38,453 --> 04:26:46,895 RISK OF THIS OR WHATEVER AND AS 5692 04:26:46,895 --> 04:26:48,530 THE LITTLE RESEMBLANCE TO WHAT 5693 04:26:48,530 --> 04:26:49,430 RESEARCHERS GOT. 5694 04:26:49,430 --> 04:26:53,935 THAT'S A CONCERN. 5695 04:26:53,935 --> 04:26:55,270 INITIALLY STUDIES ON THOSE KINDS 5696 04:26:55,270 --> 04:26:58,106 OF SUPPLEMENTS SHOULD BE ON 5697 04:26:58,106 --> 04:27:00,775 PEOPLE NOT ACTIVELY TRYING TO 5698 04:27:00,775 --> 04:27:09,417 REPRODUCE OR PREGNANT. 5699 04:27:09,417 --> 04:27:11,653 >> I REPRESENT THE OFFICE OF 5700 04:27:11,653 --> 04:27:13,521 DIETARY SUPPLEMENTS. 5701 04:27:13,521 --> 04:27:15,223 I DON'T KNOW HOW MUCH MY COMMENT 5702 04:27:15,223 --> 04:27:17,158 IS IN RESPONSE TO WHAT WAS JUST 5703 04:27:17,158 --> 04:27:18,826 SAID BUT I THINK THERE IS A 5704 04:27:18,826 --> 04:27:22,263 LITTLE BIT OF OVERLAP HERE. 5705 04:27:22,263 --> 04:27:25,433 WHAT WE'VE BEEN PUSHING WITH THE 5706 04:27:25,433 --> 04:27:27,936 RESILIENCE PROGRAM IS HOW BETTER 5707 04:27:27,936 --> 04:27:31,973 TO STUDY THINGS LIKE 5708 04:27:31,973 --> 04:27:35,843 INTERVENTIONS LIKE DIETARY 5709 04:27:35,843 --> 04:27:36,144 SUPPLEMENTS. 5710 04:27:36,144 --> 04:27:39,080 AS THE BEEN SO MUCH AT NIH WHERE 5711 04:27:39,080 --> 04:27:40,415 WE FOCUS ON THE DISEASE OR THE 5712 04:27:40,415 --> 04:27:42,984 RISK AND WE WANT TO MITIGATE OR 5713 04:27:42,984 --> 04:27:45,620 PREVENT THE RISK. 5714 04:27:45,620 --> 04:27:48,022 AND WE UNDERSTAND VERY CLEARLY 5715 04:27:48,022 --> 04:27:50,325 THE DISEASE PANEL WAY AND 5716 04:27:50,325 --> 04:27:51,426 UNDERSTAND VERY CLEARLY WHAT 5717 04:27:51,426 --> 04:27:53,161 DROVE US TO THE RISK. 5718 04:27:53,161 --> 04:27:54,095 BUT WE ARE THE NATIONAL 5719 04:27:54,095 --> 04:27:58,132 INSTITUTES OF HEALTH AND OUR 5720 04:27:58,132 --> 04:28:03,338 UNDERSTANDING OF HEALTH IS WHAT 5721 04:28:03,338 --> 04:28:04,539 THE THORN IN OUR SIDE. 5722 04:28:04,539 --> 04:28:10,078 WE THINK WITH THE RESILIENCE 5723 04:28:10,078 --> 04:28:12,914 PROGRAM WE CAN ENCOURAGE 5724 04:28:12,914 --> 04:28:14,349 INVESTIGATORS TO IDENTIFY 5725 04:28:14,349 --> 04:28:18,987 PATHWAYS UNRELATED TO DISEASE. 5726 04:28:18,987 --> 04:28:20,054 OR IDENTIFY PROGRAMS OR DATA 5727 04:28:20,054 --> 04:28:22,657 COLLECTION THAT ARE UNRELATED TO 5728 04:28:22,657 --> 04:28:24,726 DISEASE BUT INSTEAD RELATED TO 5729 04:28:24,726 --> 04:28:27,962 HEALTH OR INSTEAD RELATED TO HOW 5730 04:28:27,962 --> 04:28:30,198 WE RECOVER BETTER AND HOW BETTER 5731 04:28:30,198 --> 04:28:32,133 TO STRENGTHEN THE SYSTEM. 5732 04:28:32,133 --> 04:28:37,939 SO IN OUR PANEL, IF YOU REMEMBER 5733 04:28:37,939 --> 04:28:45,146 DR. LITWA TALKED ABOUT A PATHWAY 5734 04:28:45,146 --> 04:28:50,351 THAT HER SUPPLEMENT HER 5735 04:28:50,351 --> 04:28:55,723 INTERVENTION WAS ACT ING ON 5736 04:28:55,723 --> 04:29:02,263 STRENGTHENING THE SYSTEM AND 5737 04:29:02,263 --> 04:29:04,265 WOULDN'T BETTER ABLE TO RESPOND 5738 04:29:04,265 --> 04:29:06,300 AND WE'RE TRYING TO ENCOURAGE 5739 04:29:06,300 --> 04:29:08,136 DIFFERENT DESIGNS FOR THE 5740 04:29:08,136 --> 04:29:10,138 STUDIES ITSELF. 5741 04:29:10,138 --> 04:29:20,682 BECAUSE IF WE CAN -- AND WE NEED 5742 04:29:22,183 --> 04:29:23,284 TO PREVENT OUR EXPOSURES AND 5743 04:29:23,284 --> 04:29:25,453 KEEP DOING THAT BUT THERE'S ONE 5744 04:29:25,453 --> 04:29:26,888 PIECE OF THE PUZZLE WE'RE 5745 04:29:26,888 --> 04:29:28,589 MISSING AND THAT POTENTIALLY WHY 5746 04:29:28,589 --> 04:29:30,825 WE'RE NOT PROGRESSING THE WAY WE 5747 04:29:30,825 --> 04:29:32,827 NEED TO PROGRESS AND THAT'S THE 5748 04:29:32,827 --> 04:29:33,261 RESILIENCE PUZZLE. 5749 04:29:33,261 --> 04:29:38,433 THAT'S DESIGNING STUDIES WHERE 5750 04:29:38,433 --> 04:29:43,771 WE'RE STRICTLY OR INTENTIONALLY 5751 04:29:43,771 --> 04:29:46,140 FOCUSSED ON UNDERSTANDING HOW 5752 04:29:46,140 --> 04:29:48,076 WE'RE STRENGTHENING SYSTEMS. 5753 04:29:48,076 --> 04:29:50,578 SOMETIMES IT FALLS OUT LOOKING 5754 04:29:50,578 --> 04:29:54,282 AT DISEASE PATHWAYS BUT IF WE'RE 5755 04:29:54,282 --> 04:29:57,385 INTENTIONAL WE CAN MOVE THE 5756 04:29:57,385 --> 04:29:57,752 SCIENCE FORWARD. 5757 04:29:57,752 --> 04:30:02,657 >> IF YOU HAD THE ABILITY TO 5758 04:30:02,657 --> 04:30:06,394 FUND A GRANT FOR THIS, WOULD YOU 5759 04:30:06,394 --> 04:30:10,131 FOCUS ON RESILIENCY OF CHILDREN 5760 04:30:10,131 --> 04:30:17,105 SO THAT THEY WOULD GROW UP 5761 04:30:17,105 --> 04:30:18,906 RESILIENT FROM THE BEGINNING OR 5762 04:30:18,906 --> 04:30:29,317 PEOPLE MORE VULNERABLE. 5763 04:30:37,391 --> 04:30:47,635 [SPEAKING SPANISH] 5764 04:30:56,978 --> 04:31:01,549 >> AND I THINK AND A SPEAKER 5765 04:31:01,549 --> 04:31:02,784 PANELIST MENTIONED THIS IT WOULD 5766 04:31:02,784 --> 04:31:08,055 DEPEND ON THE RISK OR EXPOSURE 5767 04:31:08,055 --> 04:31:09,991 AS TO WHICH PATHWAY SHOULD BE 5768 04:31:09,991 --> 04:31:11,993 THE FOCUS AT THE CRITICAL POINT. 5769 04:31:11,993 --> 04:31:13,327 WE NEED TO UNDERSTAND WHAT IS 5770 04:31:13,327 --> 04:31:16,164 THE CRITICAL STAGE WHERE WE CAN 5771 04:31:16,164 --> 04:31:17,331 DO THE BEST INTERVENTION? 5772 04:31:17,331 --> 04:31:19,534 NOT ONLY FROM A DISEASE 5773 04:31:19,534 --> 04:31:26,140 PERSPECTIVE BUT ALSO FROM A 5774 04:31:26,140 --> 04:31:28,376 RESILIENCE PERSPECTIVE AND THEN 5775 04:31:28,376 --> 04:31:29,577 ANSWER THE QUESTION. 5776 04:31:29,577 --> 04:31:34,248 I'M SORRY, I DON'T KNOW IF I 5777 04:31:34,248 --> 04:31:35,216 ANSWERED YOUR QUESTION. 5778 04:31:35,216 --> 04:31:37,118 >> WE HAVE TO UNDERSTAND HOW IT 5779 04:31:37,118 --> 04:31:41,455 WORKS IN DIFFERENT POPULATIONS. 5780 04:31:41,455 --> 04:31:42,089 >> AND DIFFERENT LIFE STAGES. 5781 04:31:42,089 --> 04:31:52,266 THANK YOU. 5782 04:32:01,542 --> 04:32:01,642 VIE. 5783 04:32:01,642 --> 04:32:02,476 >> INDIGENOUS PEOPLE ARE SOME OF 5784 04:32:02,476 --> 04:32:04,078 THE MOST CONTAMINATED PEOPLE ON 5785 04:32:04,078 --> 04:32:04,946 THE PLANET. 5786 04:32:04,946 --> 04:32:06,948 MOST PEOPLE DON'T KNOW THAT. 5787 04:32:06,948 --> 04:32:11,118 IT'S IMPORTANT WE ARE IN THE 5788 04:32:11,118 --> 04:32:14,655 ROLES THAT WE HAVE KNOWLEDGE AND 5789 04:32:14,655 --> 04:32:15,256 EXPERIENCE AND INDIGENOUS 5790 04:32:15,256 --> 04:32:20,494 PEOPLE'S KNOWLEDGE IS 5791 04:32:20,494 --> 04:32:29,737 INCORPORATED BECAUSE RELIANCE ON 5792 04:32:29,737 --> 04:32:33,474 FOOD AND IN MY COMMUNITY 90% OF 5793 04:32:33,474 --> 04:32:36,077 PEOPLE EAT TRADITIONAL FOOD. 5794 04:32:36,077 --> 04:32:38,412 IT'S IMPORTANT WE FOCUS ON 5795 04:32:38,412 --> 04:32:43,150 ARCTIC INDIGENOUS PEOPLE. 5796 04:32:43,150 --> 04:32:45,686 WE'RE VERY GRATEFUL FOR NIH AND 5797 04:32:45,686 --> 04:32:49,223 WE HAVE 19 PEER REVIEW PUBLISHED 5798 04:32:49,223 --> 04:32:50,691 ARTICLES AND PUBLICATIONS WHICH 5799 04:32:50,691 --> 04:32:52,627 ARE AVAILABLE ON THE WEBSITE. 5800 04:32:52,627 --> 04:32:58,099 WE ARE ONE OF THE FEW IN THE 5801 04:32:58,099 --> 04:33:08,609 NATION BECAUSE OF CONCERNS TO 5802 04:33:08,943 --> 04:33:09,076 ECDs. 5803 04:33:09,076 --> 04:33:19,387 >> THANK YOU, VIE. 5804 04:33:23,591 --> 04:33:25,593 VIE, SOME OF THE INSTITUTIONS 5805 04:33:25,593 --> 04:33:26,227 IN ALASKA ARE ANY WORKING WITH 5806 04:33:26,227 --> 04:33:34,168 YOUR COMMUNITY? 5807 04:33:34,168 --> 04:33:37,772 >> INVESTIGATION OF ALASKA 5808 04:33:37,772 --> 04:33:42,843 FAIRBANKS SOME PARTNERS ARE 5809 04:33:42,843 --> 04:33:53,387 NORTHERN ARIZONA UNIVERSITY MUCH 5810 04:33:54,488 --> 04:33:58,192 ALBANY. 5811 04:33:58,192 --> 04:33:59,794 WE HAVE SO MANY RESEARCH 5812 04:33:59,794 --> 04:34:01,195 PARTNERS. 5813 04:34:01,195 --> 04:34:08,235 SOAR -- SORRY, MY MEMORY IS 5814 04:34:08,235 --> 04:34:12,573 AFFECTED AND I HAVE FAMILY 5815 04:34:12,573 --> 04:34:14,108 MEMBERS FIGHTING CANCER. 5816 04:34:14,108 --> 04:34:17,044 ALL OUR RESEARCH PARTNERS ARE 5817 04:34:17,044 --> 04:34:22,316 SOME OF THE MOST TOP IN THE 5818 04:34:22,316 --> 04:34:30,424 NATION AND DOING RESEARCH IN 5819 04:34:30,424 --> 04:34:32,259 ARCTIC INDIGENOUS PEOPLE. 5820 04:34:32,259 --> 04:34:38,065 MILITARY TOXICS AND NEUROTOXIC 5821 04:34:38,065 --> 04:34:46,307 CHEMICALS INCLUDING PFAS EDC 5822 04:34:46,307 --> 04:34:49,110 CHEMICALS AND FLAME RETARDANTS. 5823 04:34:49,110 --> 04:34:52,246 EEN -- 5824 04:34:54,715 --> 04:34:56,784 ANYWAY IT'S IMPORTANT WE PARTNER 5825 04:34:56,784 --> 04:35:02,123 WITH SOME OF THE BEST ACADEMIC 5826 04:35:02,123 --> 04:35:07,895 PARTNERS IN THE NATION BECAUSE 5827 04:35:07,895 --> 04:35:12,967 STATE OF ALASKA HAD A PROBLEM 5828 04:35:12,967 --> 04:35:21,609 WITH PCB LEVELS UP OUR BLOOD AND 5829 04:35:21,609 --> 04:35:29,450 WE'RE NOT DUMB ESKIMOS. 5830 04:35:29,450 --> 04:35:31,619 IT'S IMPORTANT WE ALSO ADD 5831 04:35:31,619 --> 04:35:32,653 ARCTIC INDIGENOUS PEOPLE AS A 5832 04:35:32,653 --> 04:35:33,120 VULNERABLE POPULATION. 5833 04:35:33,120 --> 04:35:35,823 THANK YOU. 5834 04:35:35,823 --> 04:35:40,861 >> THANK YOU, VIE. 5835 04:35:40,861 --> 04:35:44,598 THANK YOU VERY MUCH. 5836 04:35:44,598 --> 04:35:48,636 >> I'M THINKING HOW OUR NIH 5837 04:35:48,636 --> 04:35:49,503 REVIEW PROCESS WORKS AND MOST 5838 04:35:49,503 --> 04:35:52,373 WHO SIT ON THE PANELS EXPECT 5839 04:35:52,373 --> 04:35:55,643 SPECIFIC MECHANISTIC DRIVEN 5840 04:35:55,643 --> 04:35:58,245 HYPOTHESES AND IT'S VERY 5841 04:35:58,245 --> 04:36:00,381 REDUCTIONIST AND THIS IS A 5842 04:36:00,381 --> 04:36:03,184 COMPLICATED ISSUE AND I'M 5843 04:36:03,184 --> 04:36:04,685 WONDERING HOW ARE WE GOING TO 5844 04:36:04,685 --> 04:36:06,720 STUDY ALL THE MIXTURES IN THE 5845 04:36:06,720 --> 04:36:10,357 DIFFERENT WAYS OF MITIGATING OR 5846 04:36:10,357 --> 04:36:13,327 PREVENTING SYMPTOMS WHEN WE'RE 5847 04:36:13,327 --> 04:36:14,662 DOING THINGS ONE CHEMICAL AT A 5848 04:36:14,662 --> 04:36:16,097 TIME, A FEW CHEMICALS IN A 5849 04:36:16,097 --> 04:36:21,469 SPECIFIC CLASS AT A TIME? 5850 04:36:21,469 --> 04:36:28,576 AND THAT'S THE GAP AND 5851 04:36:28,576 --> 04:36:29,910 TRANSLATING TO HUMANS NOT SURE 5852 04:36:29,910 --> 04:36:32,146 HOW WE DO THAT FROM THE PEOPLE 5853 04:36:32,146 --> 04:36:32,813 REVIEWING THE GRANTS WE CAN'T DO 5854 04:36:32,813 --> 04:36:37,151 IT IN AREDUCTIONIST WAY AND 5855 04:36:37,151 --> 04:36:38,119 TRANSLATE IT TO HUMANS. 5856 04:36:38,119 --> 04:36:39,520 HOW DO WE SOLVE THAT? 5857 04:36:39,520 --> 04:36:45,893 >> THAT WAS MENTIONED BY ANOTHER 5858 04:36:45,893 --> 04:36:47,194 SPEAKER TODAY IN TERMS OF THE 5859 04:36:47,194 --> 04:36:48,596 REALITY THAT HUMANS HAVE 5860 04:36:48,596 --> 04:36:49,230 MULTIPLE EXPOSURES AND DISEASES 5861 04:36:49,230 --> 04:36:57,538 AND CONDITIONS. 5862 04:36:57,538 --> 04:37:00,374 THIS CAME UP AT A PRAGMATIC 5863 04:37:00,374 --> 04:37:01,942 TRIALS MEETING A FEW MONTHS AGO 5864 04:37:01,942 --> 04:37:05,913 WHERE A CENTER DIRECTOR 5865 04:37:05,913 --> 04:37:16,457 MENTIONED THE IMPORTANCE OF US 5866 04:37:19,760 --> 04:37:20,594 THIRD-PERS 5867 04:37:20,594 --> 04:37:22,363 THINKING BEYOND A SINGLE ANSWER 5868 04:37:22,363 --> 04:37:25,833 AND MOST PEOPLE HAVE MORE THAN 5869 04:37:25,833 --> 04:37:27,368 ONE DISEASE. 5870 04:37:27,368 --> 04:37:29,036 >> I WANT TO FIRST OF ALL THANK 5871 04:37:29,036 --> 04:37:31,338 YOU AND TELL YOU BROUGHT ME FULL 5872 04:37:31,338 --> 04:37:33,574 CIRCLE HERE TO THE ROOTS OF MY 5873 04:37:33,574 --> 04:37:36,844 WORK 25, 30 YEARS AGO WHICH WAS 5874 04:37:36,844 --> 04:37:38,078 REALLY INTERVENTION AND 5875 04:37:38,078 --> 04:37:39,046 PREVENTION-BASED AND I THINK 5876 04:37:39,046 --> 04:37:46,387 WHAT I'M HEARING THE LAST COUPLE 5877 04:37:46,387 --> 04:37:49,123 DAYS GIVING ME HELP BECAUSE 5878 04:37:49,123 --> 04:37:50,891 EVERY STAGE OF DISEASE AND 5879 04:37:50,891 --> 04:37:51,725 DEVELOPMENT IN THE LIFE COURSE 5880 04:37:51,725 --> 04:37:53,861 THERE'S OPPORTUNITIES FOR 5881 04:37:53,861 --> 04:37:54,161 PREVENTION. 5882 04:37:54,161 --> 04:37:59,200 WE THINK OF INTERVENTION AS 5883 04:37:59,200 --> 04:38:02,703 EARLY INTERVENTION BUT 5884 04:38:02,703 --> 04:38:05,739 PREVENTION IS CRUCIAL BECAUSE 5885 04:38:05,739 --> 04:38:10,110 WITH ENDOCRINE DISRUPTORS BE IT 5886 04:38:10,110 --> 04:38:13,447 PFAS WE HEAR ABOUT THE 5887 04:38:13,447 --> 04:38:14,381 PROGRESSION OF DISEASES. 5888 04:38:14,381 --> 04:38:19,820 WHATEVER YOU CAN DO TO BRING 5889 04:38:19,820 --> 04:38:23,057 THIS KNOWLEDGE TO THE NATION AT 5890 04:38:23,057 --> 04:38:24,191 LARGE AND ABOUT WHAT IS THE 5891 04:38:24,191 --> 04:38:30,164 VENUE AND DELIVERY SYSTEM 5892 04:38:30,164 --> 04:38:31,565 BECAUSE HEALTH CARE 20 YEARS AGO 5893 04:38:31,565 --> 04:38:33,901 USED TO HAVE A PATIENT EDUCATION 5894 04:38:33,901 --> 04:38:37,972 PIECE WE DON'T SEE ANYMORE BE IT 5895 04:38:37,972 --> 04:38:40,374 LESS TIME GIVEN OR THE PROFIT 5896 04:38:40,374 --> 04:38:42,643 MODELS THAT HAVE TAKEN AWAY 5897 04:38:42,643 --> 04:38:44,111 WHO'S JOB SIT TO IMPART THE 5898 04:38:44,111 --> 04:38:45,946 MESSAGES AND IF WE CAN FIND A 5899 04:38:45,946 --> 04:38:48,315 WAY TO BRING THAT BACK ALL THIS 5900 04:38:48,315 --> 04:38:52,319 GOOD ADVICE AND GOOD STRATEGIES 5901 04:38:52,319 --> 04:38:54,121 HERE THE V.A. IS USING, I HEARD 5902 04:38:54,121 --> 04:38:58,392 IT FROM VETERANS IN NEW 5903 04:38:58,392 --> 04:38:59,827 HAMPSHIRE HEALS PEOPLE SO WHILE 5904 04:38:59,827 --> 04:39:01,195 WE'RE TRYING TO SOLVE BIG LEVEL 5905 04:39:01,195 --> 04:39:08,902 HUGE PROBLEMS WE CAN DEFINITELY 5906 04:39:08,902 --> 04:39:11,138 INTERACT TO PREVENT PROGRESSION 5907 04:39:11,138 --> 04:39:11,905 OF DISEASE. 5908 04:39:11,905 --> 04:39:12,973 THANK YOU. 5909 04:39:12,973 --> 04:39:14,742 THAT'S MY BIG TAKEAWAY FROM THE 5910 04:39:14,742 --> 04:39:15,042 TWO DAYS. 5911 04:39:15,042 --> 04:39:21,548 >> I'M GLAD YOU'RE TAKING THAT 5912 04:39:21,548 --> 04:39:21,749 AWAY. 5913 04:39:21,749 --> 04:39:32,259 I'LL LED -- LET YOU GIVE ONE 5914 04:39:32,593 --> 04:39:35,896 LAST COMMENT BEFORE DR. LANGEVIN 5915 04:39:35,896 --> 04:39:39,533 GIVES CLOSING REMARKS. 5916 04:39:39,533 --> 04:39:46,206 >> I'M A WOMAN DEALING WITH SOME 5917 04:39:46,206 --> 04:39:52,379 REPRODUCTIVE HEALTH ISSUE THEY 5918 04:39:52,379 --> 04:39:55,282 WANT PROGRAMS AND INTERVENTIONS 5919 04:39:55,282 --> 04:39:59,820 AND RESOURCES AND INFORMATION TO 5920 04:39:59,820 --> 04:40:02,289 SUPPORT AND PREVENT THE HARM 5921 04:40:02,289 --> 04:40:02,823 FROM HAPPENING. 5922 04:40:02,823 --> 04:40:07,261 MANY ARE FINDING IT SHORT 5923 04:40:07,261 --> 04:40:07,494 SIGHTED. 5924 04:40:07,494 --> 04:40:08,662 WE HAVE A HEALTH CARE SYSTEM 5925 04:40:08,662 --> 04:40:18,772 THAT FOCUSES MORE ON THE DISEASE 5926 04:40:18,772 --> 04:40:21,809 RATHER 5927 04:40:21,809 --> 04:40:26,080 RATHER THAN PRIORITIZATION 5928 04:40:26,080 --> 04:40:26,780 PEOPLE BEING SICK. 5929 04:40:26,780 --> 04:40:28,215 I'M ALWAYS THINKING WHY DO WE 5930 04:40:28,215 --> 04:40:32,986 SPEND BILLIONS AND BILLIONS 5931 04:40:32,986 --> 04:40:37,958 WHERE WE SOMEHOW I THINK PERHAPS 5932 04:40:37,958 --> 04:40:40,227 IT'S SOME ARROGANCE IN WESTERN 5933 04:40:40,227 --> 04:40:45,499 MEDICINE WHERE WE WANT TO FOCUS 5934 04:40:45,499 --> 04:40:47,968 MORE ON THE DISEASES AND WRITING 5935 04:40:47,968 --> 04:40:48,936 A PRESCRIPTION. 5936 04:40:48,936 --> 04:40:49,136 OKAY. 5937 04:40:49,136 --> 04:40:51,638 THE TWO BIGGEST WEAPONS WE HAVE 5938 04:40:51,638 --> 04:41:02,182 IN DEALING WITH THIS IS AROUND 5939 04:41:02,750 --> 04:41:05,552 AND SURGERY AND MEDICATIONS. 5940 04:41:05,552 --> 04:41:11,925 WHAT IF THERE COULD BE A SWITCH 5941 04:41:11,925 --> 04:41:21,335 WHERE WE ADD -- 5942 04:41:21,335 --> 04:41:31,645 [SPEAKING SPANISH] 5943 04:41:44,224 --> 04:41:50,097 -- AND PREVENTION THAT COULD 5944 04:41:50,097 --> 04:41:51,498 JUST KEEP PEOPLE SAFER RATHER 5945 04:41:51,498 --> 04:41:52,866 THAN TRYING TO MITIGATE. 5946 04:41:52,866 --> 04:41:59,173 WE DO WANT TO MITIGATE BUT WHAT 5947 04:41:59,173 --> 04:42:01,775 IF THE MITIGATION STARTS WITH 5948 04:42:01,775 --> 04:42:03,677 CENTERS ON THE INTERVENTION AND 5949 04:42:03,677 --> 04:42:04,011 PREVENTION. 5950 04:42:04,011 --> 04:42:04,812 >> RIGHT. 5951 04:42:04,812 --> 04:42:09,917 AND I THINK WE HEARD SEVERAL 5952 04:42:09,917 --> 04:42:11,552 TALKS YESTERDAY AND TODAY THAT 5953 04:42:11,552 --> 04:42:12,920 HAVE THE POTENTIAL OF PREVENT 5954 04:42:12,920 --> 04:42:15,289 THE DOWN STREAM EFFECTS OF ECDs 5955 04:42:15,289 --> 04:42:16,723 AND THAT'S WHERE WE NEED TO 5956 04:42:16,723 --> 04:42:17,791 SUPPORT THE RESEARCH TO BUILD UP 5957 04:42:17,791 --> 04:42:20,894 THE BODY OF EVIDENCE TO MAKE 5958 04:42:20,894 --> 04:42:21,962 CONCRETE CLINICAL 5959 04:42:21,962 --> 04:42:25,866 RECOMMENDATIONS IF THEY DO PROVE 5960 04:42:25,866 --> 04:42:28,435 TO BE POSITIVE STUDIES. 5961 04:42:28,435 --> 04:42:32,105 I HEAR WHAT YOU'RE SAYING. 5962 04:42:32,105 --> 04:42:35,042 DR. LANGEVIN WE'D LOVE YOU TO 5963 04:42:35,042 --> 04:42:36,577 FINISH UP THE WORKSHOP WITH YOUR 5964 04:42:36,577 --> 04:42:37,411 COMMENTS AND QUESTIONS. 5965 04:42:37,411 --> 04:42:38,378 PLEASE, GO AHEAD. 5966 04:42:38,378 --> 04:42:41,882 >> FIRST, CONGRATULATIONS. 5967 04:42:41,882 --> 04:42:44,852 THIS WAS REAL TERRIFIC ALL 5968 04:42:44,852 --> 04:42:45,085 AROUND. 5969 04:42:45,085 --> 04:42:48,222 I WANTED TO ADDRESS SOME OF THE 5970 04:42:48,222 --> 04:42:50,324 RECENT COMMENTS IN THE LAST FEW 5971 04:42:50,324 --> 04:42:51,492 MINUTES ABOUT HOW DO YOU DEAL 5972 04:42:51,492 --> 04:42:54,228 WITH SOMETHING THAT IS SO 5973 04:42:54,228 --> 04:42:54,461 COMPLEX? 5974 04:42:54,461 --> 04:42:57,264 HOW DO WE WRITE A GRANT 5975 04:42:57,264 --> 04:43:03,737 APPLICATION THAT IS GOING TO BE 5976 04:43:03,737 --> 04:43:05,405 REVIEWED FAVORABLY WHEN IT'S SO 5977 04:43:05,405 --> 04:43:06,106 COMPLICATED AND GET AWAY FROM 5978 04:43:06,106 --> 04:43:09,510 THE TRAP INTO THE REDUCTIONISTIC 5979 04:43:09,510 --> 04:43:16,450 ONE THING AT A TIME? 5980 04:43:16,450 --> 04:43:16,783 A 5981 04:43:16,783 --> 04:43:18,552 AND HOW DO YOU DEAL WITH A 5982 04:43:18,552 --> 04:43:21,622 PROBLEM THAT HAS A COMPLEX INPUT 5983 04:43:21,622 --> 04:43:23,857 AND COMPLEX OUTPUT? 5984 04:43:23,857 --> 04:43:26,693 THE INPUT AT NIEHS HAS BEEN A 5985 04:43:26,693 --> 04:43:27,861 WONDERFUL AREA IS THE CONCEPT OF 5986 04:43:27,861 --> 04:43:30,964 THE EXPOSOME. 5987 04:43:30,964 --> 04:43:33,667 THE SUM TOTAL OF ENVIRONMENTAL 5988 04:43:33,667 --> 04:43:34,301 EXPOSURES SOMEBODY IS EXPOSED 5989 04:43:34,301 --> 04:43:34,468 TO. 5990 04:43:34,468 --> 04:43:35,802 YOU DON'T HAVE TO LOOK AT THESE 5991 04:43:35,802 --> 04:43:37,004 ONE AT A TIME. 5992 04:43:37,004 --> 04:43:40,440 WE'RE DEVELOPING METHODS TO LOOK 5993 04:43:40,440 --> 04:43:50,784 AT THIS AS A SYSTEM. 5994 04:43:55,155 --> 04:43:58,926 AND AT NIH WE HAVE A WORKING 5995 04:43:58,926 --> 04:44:04,331 GROUP WORKING ON METHODS TO B 5996 04:44:04,331 --> 04:44:06,500 BOLSTER ON THE WHOLE PERSON TO 5997 04:44:06,500 --> 04:44:08,535 UNDERSTAND THE TOTAL OF THE 5998 04:44:08,535 --> 04:44:10,871 COMPLEX INTERACTIONS BETWEEN 5999 04:44:10,871 --> 04:44:13,407 PHYSIOLOGY OF THE ENTIRE BODY. 6000 04:44:13,407 --> 04:44:15,842 ONCE WE CAN DO THIS WE CAN START 6001 04:44:15,842 --> 04:44:18,278 TO APPLY THE ADVANCED 6002 04:44:18,278 --> 04:44:20,981 COMPUTATIONAL MODELS TO LOOK AT 6003 04:44:20,981 --> 04:44:22,416 HOW A COMPLEX NETWORK SUCH AS 6004 04:44:22,416 --> 04:44:24,284 THE HUMAN PERSON CHANGES OVER 6005 04:44:24,284 --> 04:44:26,653 TIME IN RESPONSE TO A VARIETY OF 6006 04:44:26,653 --> 04:44:29,723 DIFFERENT INTERVENTIONS AND 6007 04:44:29,723 --> 04:44:30,290 LONGITUDINAL STUDIES OF ALL 6008 04:44:30,290 --> 04:44:40,400 SORTS. 6009 04:44:45,339 --> 04:44:47,341 AND THIS TAKES PREPARATION AND 6010 04:44:47,341 --> 04:44:49,943 FOUNDATIONAL METHODS DEVELOPMENT 6011 04:44:49,943 --> 04:44:55,916 AND BUT IT'S GOING WELL AND STAY 6012 04:44:55,916 --> 04:44:56,116 TUNED. 6013 04:44:56,116 --> 04:45:01,054 I THINK AS WAS SAID WHAT DO WE 6014 04:45:01,054 --> 04:45:04,257 KNOW WE DIDN'T KNOW AT OUR LAST 6015 04:45:04,257 --> 04:45:04,524 WORKSHOP? 6016 04:45:04,524 --> 04:45:07,060 WE HAVE HINTS I'VE HEARD ABOUT 6017 04:45:07,060 --> 04:45:08,395 THE FACT THAT INTERVENTIONS AT 6018 04:45:08,395 --> 04:45:10,464 THE WHOLE PERSON LEVEL, 6019 04:45:10,464 --> 04:45:12,666 NUTRITION, EXERCISE, STRESS 6020 04:45:12,666 --> 04:45:15,369 MANAGEMENT, ALL THESE THINGS, WE 6021 04:45:15,369 --> 04:45:19,306 HAVE A LOT OF THE PRESENTATIONS 6022 04:45:19,306 --> 04:45:23,877 THAT IT MAY HELP IN WAYS THAT 6023 04:45:23,877 --> 04:45:25,779 ARE COMPLEX FROM THE WHOLE 6024 04:45:25,779 --> 04:45:28,148 PSYCHOLOGICAL LEVEL DOWN TO THE 6025 04:45:28,148 --> 04:45:28,448 MOLECULAR. 6026 04:45:28,448 --> 04:45:30,417 LET'S FOLLOW THESE LEADS AND 6027 04:45:30,417 --> 04:45:34,821 DEVELOP THE METHODS TO REALLY BE 6028 04:45:34,821 --> 04:45:36,590 TO UNDERSTAND AS A COMPLEX 6029 04:45:36,590 --> 04:45:40,293 SYSTEM. 6030 04:45:40,293 --> 04:45:41,895 SO I THINK HOPEFULLY THE NEXT 6031 04:45:41,895 --> 04:45:44,131 PHASE OF THIS WILL CONTINUE TO 6032 04:45:44,131 --> 04:45:49,736 PROGRESS THIS. 6033 04:45:49,736 --> 04:45:51,772 WE HAVE REASON TO HOPE SO MUCH 6034 04:45:51,772 --> 04:45:53,740 OF THE OUTSTANDING RESEARCH 6035 04:45:53,740 --> 04:45:56,209 DISCUSSED IN THE LAST TWO DAYS 6036 04:45:56,209 --> 04:45:58,412 IS LEADING US IN THE RIGHT 6037 04:45:58,412 --> 04:46:08,889 DIRECTION SO THANK YOU ALL. 6038 04:46:11,558 --> 04:46:12,359 >> THANK YOU ONLINE FOR 6039 04:46:12,359 --> 04:46:14,561 ATTENDING AND DOING AND MAKING 6040 04:46:14,561 --> 04:46:15,962 THIS WORKSHOP HAPPEN. 6041 04:46:15,962 --> 04:46:18,398 I WOULDN'T HAPPEN WITHOUT YOU. 6042 04:46:18,398 --> 04:46:20,233 NO ONE CAME TO LISTEN TO ME. 6043 04:46:20,233 --> 04:46:22,669 THEY CAME TO LISTEN TO ALL OF 6044 04:46:22,669 --> 04:46:22,836 YOU. 6045 04:46:22,836 --> 04:46:25,138 I'M THRILLED TO HAVE MET ALL OF 6046 04:46:25,138 --> 04:46:30,677 YOU AND HAVE HEARD THE WORK 6047 04:46:30,677 --> 04:46:36,316 YOU'RE DOING. 6048 04:46:36,316 --> 04:46:40,554 I WOULD LOVE THE NIH TO CONTINUE 6049 04:46:40,554 --> 04:46:41,822 FUND YOUR RESEARCH IN THE FUTURE 6050 04:46:41,822 --> 04:46:43,323 AND STAY IN TOUCH. 6051 04:46:43,323 --> 04:46:44,291 >> THANKS EVERYONE FOR 6052 04:46:44,291 --> 04:46:44,791 ATTENDING. 6053 04:46:44,791 --> 04:46:46,393 IT'S BEEN A GREAT EXPERIENCE AND 6054 04:46:46,393 --> 04:46:51,865 SAFE TRAVELS. 6055 04:46:51,865 --> 04:46:54,968 >> YES. 6056 04:46:54,968 --> 04:46:58,739 THE VIDEOCAST WILL BE RECORD ON 6057 04:46:58,739 --> 04:47:04,511 THE NIH WEBSITE IN THE NEXT ONE 6058 04:47:04,511 --> 04:47:09,249 TO TWO WEEKS AND YOU'RE ABLE TO 6059 04:47:09,249 --> 04:47:10,183 WATCH IT AS OFTEN AS YOU WANT. 6060 04:47:10,183 --> 04:47:10,450 TAKE CARE. 6061 04:47:10,450 --> 04:47:10,517