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63
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Introduction
I am interested in how environmental and social exposures caused by global climatic changes and society’s responses to those changes interplay to influence health. I am an environmental epidemiologist with extensive background in spatial exposure assessment. I am furthering my interests to evaluate the health impacts of efforts to both mitigate and adapt to climate changes.
Current institution
Additional affiliations
September 2014 - present
August 2009 - July 2014
January 2009 - December 2012
Education
August 2009 - August 2014
August 2005 - May 2007
September 1996 - May 2000
Publications
Publications (63)
The Marshall Fire was a wildland urban interface (WUI) fire that destroyed more than 1000 structures in two communities in Colorado. High winds carried smoke and ash into an unknown number of buildings that, while not incinerated, were significantly damaged. We aimed to understand whether smoke or ash damage to one’s home was associated with physic...
Wildfires at the wildland–urban interface (WUI) have been increasing in frequency over recent decades due to increased human development and shifting climatic patterns. The work presented here focuses on the impacts of a WUI fire on indoor air using field measurements of volatile organic compounds (VOCs) by Proton-Transfer-Reaction Time-of-Flight M...
Background
This study explores the relationship between perceived and objective greenspace exposure, and how sociodemographic traits and environmental attitudes influence peoples’ perceptions of greenspace.
Methods
We leveraged a cross-sectional survey on greenspace exposure among residents of Denver, CO that ran from November 2019 through April 2...
The impacts of wildfires along the wildland urban interface (WUI) on atmospheric particulate concentrations and composition are an understudied source of air pollution exposure. To assess the residual impacts of the 2021 Marshall Fire (Colorado), a wildfire that predominantly burned homes and other human-made materials, on homes within the fire per...
Fine particulate air pollution (PM2.5) is decreasing in most areas of the United States, except for areas most affected by wildfires, where increasing trends in PM2.5 can be attributed to wildfire smoke. The frequency and duration of large wildfires and the length of the wildfire season have all increased in recent decades, partially due to climate...
Background
In the USA, deaths due to suicide, alcohol, or drug-related causes (e.g., alcohol-related liver disease, overdose) have doubled since 2002. Veterans appear disproportionately impacted by growing trends. Limited research has been conducted regarding the relationship between community-level factors (e.g., rurality, community distress resul...
Investigating the health impacts of wildfire smoke requires data on people's exposure to fine particulate matter (PM2.5) across space and time. In recent years, it has become common to use machine learning models to fill gaps in monitoring data. However, it remains unclear how well these models are able to capture spikes in PM2.5 during and across...
Investigating the health impacts of wildfire smoke requires data on people's exposure to fine particulate matter (PM$_{2.5}$) across space and time. In recent years, it has become common to use statistical models to fill gaps in monitoring data across space and time. However, it remains unclear how well these models are able to capture spikes in PM...
At a fundamental level, smoke from wildland fire is of scientific concern because of its potential adverse effects on human health and social well-being. Although many impacts (e.g., evacuations, property loss) occur primarily in proximity to the actual fire, smoke can end up having a significant social impact far from the source. This dynamic, com...
Increasing fire impacts across North America are associated with climate and vegetation change, greater exposure through development expansion, and less-well studied but salient social vulnerabilities. We are at a critical moment in the contemporary human-fire relationship, with an urgent need to transition from emergency response to proactive meas...
Background
The COVID-19 pandemic has impacted both physical and mental health. This study aimed to understand whether exposure to green space buffered against stress and distress during the COVID-19 pandemic while taking into account significant stressors of the pandemic.
Methods
We leveraged a cross-sectional survey on green space exposure and me...
Non-technical summary
We summarize some of the past year's most important findings within climate change-related research. New research has improved our understanding about the remaining options to achieve the Paris Agreement goals, through overcoming political barriers to carbon pricing, taking into account non-CO 2 factors, a well-designed implem...
Treeging combines the flexible mean structure of regression trees with the covariance-based prediction strategy of kriging into the base learner of an ensemble prediction algorithm. In so doing, it combines the strengths of the two primary types of spatial and space-time prediction models: (1) models with flexible mean structures (often machine lea...
Importance:
Suicide is the second leading cause of death in adolescents, with firearms the most common method, especially in rural communities. Identifying where to target lethal means safety interventions could better leverage limited resources.
Objectives:
To understand the associations of rurality, school-level prevalence of easy handgun acce...
Prescribed fire is an increasingly important tool in restoring ecological conditions and reducing uncontrolled wildfire. Prescribed burn techniques could reduce public health impacts associated with wildfire smoke exposure. However, there have been few assessments of the health impacts of prescribed burning, and potential vulnerabilities among popu...
Outdoor air pollution contributes to millions of deaths worldwide yet air pollution has differential exposures across racial/ethnic groups and socioeconomic status. While green infrastructure has the potential to decrease air pollution and provide other benefits to human health, vegetation alone cannot resolve health disparities related to air poll...
Objective
This case study documents Harris County hospitals’ flood preparedness and mitigation efforts before Hurricane Harvey, their collective response experience during Hurricane Harvey, and their lessons learned in the storm’s aftermath.
Methods
The case study was constructed using a survey of hospital emergency managers, semi-structured inter...
We created daily concentration estimates for fine particulate matter (PM 2.5 ) at the centroids of each county, ZIP code, and census tract across the western US, from 2008–2018. These estimates are predictions from ensemble machine learning models trained on 24-hour PM 2.5 measurements from monitoring station data across 11 states in the western US...
Extreme weather and climate events, such as heat waves, cyclones, and floods, are an expression of climate variability. These events and events influenced by climate change, such as wildfires, continue to cause significant human morbidity and mortality and adversely affect mental health and well-being. Although adverse health impacts from extreme e...
Throughout the United States, wildland firefighters respond to wildfires, performing arduous work in remote locations. Wildfire incidents can be an ideal environment for the transmission of infectious diseases, particularly for wildland firefighters who congregate in work and living settings. In this review, we examine how exposure to wildfire smok...
Low-cost air quality sensors can help increase spatial and temporal resolution of air pollution exposure measurements. These sensors, however, most often produce data of lower accuracy than higher-end instruments. In this study, we investigated linear and random forest models to correct PM2.5 measurements from the Denver Department of Public Health...
Evaluation metrics for prediction error, model selection and model averaging on space-time data are understudied and poorly understood. The absence of independent replication makes prediction ambiguous as a concept and renders evaluation procedures developed for independent data inappropriate for most space-time prediction problems. Motivated by ai...
Objectives. To compare the flood impacts experienced by Harris County, Texas, hospitals with Federal Emergency Management Agency (FEMA) flood hazard areas and Hurricane Harvey’s inundation boundary.
Methods. One year following Hurricane Harvey, we created a novel data set of Hurricane Harvey’s flood impacts in Harris County hospitals. We then mappe...
Epidemiologic evidence consistently links urban air pollution exposures to health, even after adjustment for potential spatial confounding by socioeconomic position (SEP), given concerns that air pollution sources may be clustered in and around lower-SEP communities. SEP, however, is often measured with less spatial and temporal resolution than are...
Wildfires have been increasing in frequency in the western United States (US) with the 2017 and 2018 fire seasons experiencing some of the worst wildfires in terms of suppression costs and air pollution that the western US has seen. Although growing evidence suggests respiratory exacerbations from elevated fine particulate matter (PM2.5) during wil...
Epidemiologists use prediction models to downscale (i.e., interpolate) air pollution exposure where monitoring data is insufficient. This study compares machine learning prediction models for ground-level ozone during wildfires, evaluating the predictive accuracy of ten algorithms on the daily 8-hour maximum average ozone during a 2008 wildfire eve...
The overuse of cesarean sections (C-sections) in the United States is a contested issue. The rate of C-section births in 2015 at 32 percent was over double the World Health Organization recommendation of 10 to 15 percent. We employed spatial statistical methods and data visualization techniques to assess the temporal and spatial trends in C-section...
Purpose of review:
In this review, we describe the current status of the literature regarding respiratory health related to wildfire smoke exposure, anticipated future impacts under a changing climate, and strategies to reduce respiratory health impacts of wildfire smoke.
Recent findings:
Recent findings confirm associations between wildfire smo...
Introduction:
Cardiovascular disease (CVD) is the leading cause of death in the United States, and substantial research has linked ambient air pollution to elevated rates of CVD etiology and events. Much of this research identified increased effects of air pollution in lower socioeconomic position (SEP) communities, where pollution exposures are a...
Growing evidence suggests that exposure to greenness benefits health, but studies assess greenness differently. We hypothesize greenness-health associations vary by exposure assessment method. To test this, we considered four vegetation datasets (three Normalized Difference Vegetation Index datasets with different spatial resolutions and a finely-r...
Living near vegetation, often called “green space” or “greenness”, has been associated with numerous health benefits. We hypothesized that the two key components of urban vegetation, trees and grass, may differentially affect health. We estimated the association between near-residence trees, grass, and total vegetation (from the 2010 High Resolutio...
Southeast Asia has a very high population density and is on a fast track to economic development, with most of the growth in electricity demand currently projected to be met by coal. From a detailed analysis of coal-fired power plants presently planned or under construction in Southeast Asia, we project in a business-as-usual scenario that emission...
We investigated health effects associated with fine particulate matter during a long-lived, large wildfire complex in northern California in the summer of 2008. We estimated exposure to PM2.5 for each day using an exposure prediction model created through data-adaptive machine learning methods from a large set of spatiotemporal data sets. We then u...
Background:
Wildfire activity is predicted to increase in many parts of the world due to changes in temperature and precipitation patterns from global climate change. Wildfire smoke contains numerous hazardous air pollutants and many studies have documented population health effects from this exposure.
Objectives:
We aimed to assess the evidence...
Few studies have examined how the precedence of abnormal temperatures in previous neighboring years affects the population's health. In the present study, we attempted to quantify the health effects of abnormal weather patterns by creating a metric called the temperature deviation index (TDI) and estimated the effects of TDI on mortality in Japan....
Air pollution epidemiology continues moving toward the study of mixtures and multipollutant modeling. Simultaneously, there is a movement in epidemiology to estimate policy-relevant health effects that can be understood in reference to specific interventions. Scaling regression coefficients from a regression model by an interquartile range (IQR) is...
Estimating population exposure to particulate matter during wildfires can be difficult because of insufficient monitoring data to capture the spatiotemporal variability of smoke plumes. Chemical transport models (CTMs) and satellite retrievals provide spatiotemporal data that may be useful in predicting PM2.5 during wildfires. We estimated PM2.5 co...
Research has shown that diurnal temperature range (DTR) is significantly associated with mortality and morbidity in regions of Asia; however, few studies have been conducted in other regions such as North America. Thus, we examined DTR effects on mortality in the USA. We used mortality and environmental data from the National Morbidity Mortality Ai...
Background: A large and growing literature investigating the role of extreme heat on mortality has conceptualized the role of ambient ozone in various ways, sometimes treating it as a confounder, sometimes as an effect modifier, and sometimes as a co-exposure. Thus, there is a lack of consensus about the roles that temperature and ozone together pl...
Background: In late October 2003, a series of wildfires exposed urban populations in Southern California to elevated levels of air pollution over several weeks. Previous research suggests that short-term hospital admissions for respiratory outcomes increased specifically as a result of these fires.
Objective: We assessed the impact of a wildfire ev...
Extreme hot weather conditions have been associated with increased morbidity and mortality, but risks are not evenly distributed throughout the population. Previously, a heat vulnerability index (HVI) was created to geographically locate populations with increased vulnerability to heat in metropolitan areas throughout the United States.
We sought t...
Heat waves and extreme hot weather conditions have been associated with increased burdens of morbidity and mortality, but the risks are not evenly distributed throughout the population. Mapping the spatial distribution of risk for heat-related morbidity and mortality would allow public health departments to target interventions known to prevent ill...
Recent research has shown that there are many effects of climate change on aeroallergens and thus allergic diseases in humans. Increased atmospheric carbon dioxide concentration acts as a fertilizer for plant growth. The fertilizing effects of carbon dioxide, as well as increased temperatures from climate change, increase pollen production and the...
The evidence that heat waves can result in both increased deaths and illness is substantial, and concern over this issue is rising because of climate change. Adverse health impacts from heat waves can be avoided, and epidemiologic studies have identified specific population and community characteristics that mark vulnerability to heat waves.
We sit...