Research

Test Name

As a research University such as Emory University, a highly effective means of increasing the global content of courses comes from support of the global research of faculty, PhD students

Guatemala  

Combustion of plastic waste and human health effects in Guatemala (NIEHS; 1 R01ES032009-01A1, Thompson, contact PI; Saikawa MPI): 2021-2026

Cluster randomized trial is the first implementation science study to develop and evaluate community-level working groups that aim to reduce household burning of plastic waste, a common exposure in rural low-income communities globally. Findings will be used to develop impactful community-driven public health actions in socially- and environmentally-disadvantaged communities in rural Guatemala. It fosters collaboration between research and community groups in the conduct of community-engaged research that aims to improve household and ambient air quality.

India

Using repeat surveys to assess the impact of COVID-19 on household energy use in Jharkhand, India (NIH/Fogarty International; Thompson, contact PI; Pillarisetti MPI): 2020-2022

Tanzania

EMPHASIS - Emory-Muhimbili Partnership for Health Administration Strengthening and Integration of Services

Ethiopia

Save Little Lives (SLL)

Optimizing Care for Newborns

Rwanda

Determinants of Delayed First Presentation for Antenatal Care in Gasabo District  Rwanda. (Emory Global Health Institute, Patricia Moreland): 2019-2020. Mixed methods study to identify the socio-demographic, cultural, obstetrical, and health system factors related to delayed attendance to antenatal care. Findings will be used to identify modifiable risk factors to facilitate the development of targeted interventions.

African Regional Collaborative

Program Overview

The African Health Professions Regulatory Collaborative for Nurses and Midwives (ARC) was created to help participating countries implement joint problem-solving approaches that target national issues affecting the health workforce. The School of Nursing works with a partnership comprised of the Commonwealth Secretariat, the East, Central and Southern Africa College of Nursing (ECSACON), the Commonwealth Nurses and Midwives Federation, the Task Force for Global Health and the U.S. Centers for Disease Control and Prevention (CDC). The collaborative draws from the leadership of nursing in each member country and is focused on a regional approach. The ARC framework is adapted from the Institute for Healthcare Improvement (IHI) evidence-based clinical collaborative model. The ARC convenes regional meetings, awards short-term grants to improve nursing and midwifery regulation; and provides targeted technical assistance to help ensure successful implementation of these grants.

Program Contact

Ken Hepburn, PhD

khepbur@emory.edu

404.712.9286

Muadi Mukenge, MA

Project Director, African Regional Collaborative

muadi.mukenge@emory.edu

404.727.3184

The Girasoles Study

Trends in global warming place vulnerable agricultural workers at increased risk for heat-related illness (HRI). Agricultural workers are highly susceptible to heat stress, given occupational exposure to hot, humid environments. The average heat-related death rate for agricultural workers is nearly 20 times greater than for the overall U.S. workforce.

The purpose of the Girasoles (sunflower) study is to:

1. Characterize worker exposure to heat related hazards and work activity characteristics of fernery, crop, and nursery workers in Central Florida

2. Characterize the physiologic heat stress response and worker vulnerability to heat exposures among fernery, crop, and nursery workers in Central Florida; and

3. Determine the extent to which heat related hazards and worker vulnerability influence heat stress response among fernery, crop, and nursery workers in Central Florida.

This work provides critical information regarding the heat-related hazards of agricultural work and supports the development of interventions to decrease the risks of HRI associated with the work environment of farmworkers.

This work is conducted in partnership with the Farmworkers Association of Florida whose mission is to build power among farmworker and rural low-income communities to respond to and gain control over the social, political, workplace, economic, health, and environmental justice issues that impact their lives.

Community Outreach and Resources

Facing the Sun

Facing the Sun gives voice to South Florida’s agricultural workers confronting heat related illnesses, and follows a team of researchers and community advocates working to protect their health. Researchers at Emory University partnered with the Farmworker Association of Florida to conduct collaborative research on heat related illness in Florida through The Girasoles Study. Produced in collaboration with La Isla Network, this film provides a first-hand view of the experiences of agricultural workers interwoven with the story of The Girasoles Study. Facing the Sun documents the problem of heat illness, the research addressing it in Florida, and the goal of working with employers to make workplaces safer through the development and implementation of sustainable interventions.

The Invisible Ones

Community Resources

  1. Girasoles Overview Infographic
  2. Community Health Snapshots
  3. Apopka
  4. Pierson
  5. Homestead
  6. Immokalee
  7. Fellsmere

In the News

Vox | The disturbing hypothesis for the sudden uptick in chronic kidney disease

Study Team and Research

Emory University Nell Hodgson Woodruff School of Nursing

Linda McCauley, PhD, RN Principal Investigator
Valarie Mac, PhD, RN Investigator
Vicki Hertzberg, PhD Investigator, Lead Statistician
Lisa Elon, MS, Data Manager
Jacqueline Mix, PhD, Post-Doctoral Researcher
Roxanna Chicas, RN, Graduate Student
Abby Mutic, PhD, MSN, CNM

Farmworkers Association of Florida

Jose Antonio Tovar-Aguilar, PhD, Principal Investigator
Joan Flocks, JD, Investigator
Jeannie Economos, Health and Safety Coordinator
Nezahualcoyotl Xiuhtecutli, Research Coordinator

To learn more about this study please contact Valerie Mac at Valerie.mac@emory.edu.

Publications

Flocks, J., Tovar, J. A., Economos, E., Mac, V. V. T., Mutic, A., Peterman, K., & McCauley, L. (2018). Lessons learned from data collection as health screening in underserved farmworker communities. Progress in community health partnerships: research, education, and action, 12(1), 93-100.

Mac, V. V. T., Tovar-Aguilar, J. A., Flocks, J., Economos, E., Hertzberg, V. S., & McCauley, L. A. (2017). Heat exposure in Central Florida fernery workers: Results of a feasibility study. Journal of agromedicine, 22(2), 89-99.

Hertzberg, V., Mac, V., Elon, L., Mutic, N., Mutic, A., Peterman, K., ... & McCauley, L. (2017). Novel analytic methods needed for real-time continuous core body temperature data. Western journal of nursing research, 39(1), 95-111.

Mutic, A. D., Mix, J. M., Elon, L., Mutic, N. J., Economos, J., Flocks, J., ... & McCauley, L. A. (2018). Classification of Heat‐Related Illness Symptoms Among Florida Farmworkers. Journal of nursing scholarship, 50(1), 74-82.

Mix, J., Elon, L., Vi Thien Mac, V., Flocks, J., Economos, E., Tovar-Aguilar, A. J., ... & McCauley, L. A. (2018). Hydration Status, Kidney Function, and Kidney Injury in Florida Agricultural Workers. Journal of occupational and environmental medicine, 60(5), e253-e260.

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