DiscussionsM8D2: Water Source Crisis in the Present Day: the Story of Flint, Michigan SUMMER I – 8 WEEK 2020 M8D2: Water Source Crisis in the Present Day: the Story of Flint, Michigan By the end of this activity, you will be able to discuss the importance of descriptive epidemiology in identifying and understanding potential health issues, and describe a health issue in terms of person place and time. Contaminated drinking water is not just an issue from the mid 1850’s, it is still present today — see Water-related Diseases and Contaminants in Public Water Systems (Links to an external site.). In Flint, Michigan in 2015, it was found that the residents were exposed to contaminated water after the city changed its water provider. This public health crisis had both immediate and long term implications for its residents as individuals were exposed to unsafe levels of lead leading to elevated blood lead levels (EBLL). (NOTE: The CDC has been collecting data from participating states on childhood blood lead levels since 1995. See CDC’s State Surveillance Data (Links to an external site.)) This week, we’ll begin the discussion by exploring how you might react to finding out your drinking water source is contaminated. Remember that an active discussion is key to an engaging discussion. Be sure to read what others have written and add substantively to the discussion. Time goes fast so start right away! The first question is based on what you have learned this term so you can engage in discussion immediately. If you learned that your drinking water source was contaminated with dangerous levels of lead, what would be your first step(s) in responding? For the rest of the discussion, your task is to: Read the module notes, Read the Overview of Flint (Links to an external site.) in Kennedy, M. Lead-Laced Water In Flint: A Step-By-Step Look At The Makings Of A Crisis (Links to an external site.). National Public Radio, The Two-Way. April 20, 2016. Read the initial and formal reports published on EBLLs in children: Hanna-Attisha, M., LaChance, J., Casey Sadler, R., Champney Schnepp, A. Elevated Blood Lead Levels in Children Associated With the Flint Drinking Water Crisis: A Spatial Analysis of Risk and Public Health Response (Links to an external site.). AJPH. February 2016, 106, 283-290. FlintWaterStudy.org. Pediatric Lead Exposure In Flint, MI: Concerns From The Medical Community (Links to an external site.) [PDF, File Size 572KB] After reading, answer the questions one at a time and follow the instructions given below. What inferences can you draw from the descriptive epidemiology presented (specify which report you are discussing in your post)? If you were an epidemiologist for the Wisconsin Department of Health, and you heard similar reports about water quality for a city in your jurisdiction what would you be looking for following the initial reports from the residents, and what sources of data might you use? What analytic study design might you want to conduct? What will epidemiologists want to look at in Flint, Michigan 30 years from now? Make the subject line of your post interesting and relevant to its content.

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