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One Health best practice case study: Advancing national One Health coordination in the United States through the One Health zoonotic disease prioritization process

The U.S. government advances One Health coordination through the best practices of jointly developing shared priorities and utilizing formalized coordination platforms to connect partners from public health, agriculture, wildlife, environment, and other sectors at the national, subnational (e.g. state, tribal, local, and territorial), and non-governmental levels (e.g. academia, industry, non-governmental organizations, and the public) levels. Coordinated efforts were strengthened through the U.S. One Health Zoonotic Disease Prioritization (OHZDP) workshop in 2017, which led to the prioritization of eight zoonotic diseases and development of next steps and action plans for One Health collaboration across federal agencies (Prioritizing Zoonotic Diseases for Multisectoral, One Health Collaboration in the United States, 2017). This One Health best practice was used to prioritize the top endemic and emerging zoonoses of greatest concern for the United States, identify gaps, and define plans for U.S. government One Health collaboration to address the priority zoonotic diseases. Multiple actions that strengthened One Health coordination were enacted, including establishing the One Health Federal Interagency COVID-19 Coordination (OH-FICC) group. To further advance One Health in the United States, Congress mandated that the U.S. Centers for Disease Control and Prevention, the Department of the Interior, and the U.S. Department of Agriculture collaborate to develop the National One Health Framework to Address Zoonotic Diseases and Advance Public Health Preparedness in the United States as well as formalize a One Health, multisectoral coordination mechanism, the United States One Health Coordination Unit at the federal level (Appropriations Committee Report, 2021; Consolidated Appropriations Act, 2023). Enhancing national level One Health coordination in the United States has also helped advance collaboration with subnational and non-governmental levels to address timely One Health issues.

One Health Cases

Enhancing One Health outcomes using decision science and negotiation

One Health initiatives have advanced zoonotic disease management by recognizing the interconnectedness of three sectors of governance (human, ecosystem, and animal) and by identifying options that can improve full-system health. Although One Health has had many successes, its full realization may be inhibited by a lack of strategies to overcome simultaneous impediments in decision making and governance. Decision impediments that hinder management may include uncertainty, risk, resource limitations, and trade-offs among objectives. Governance impediments arise from disparities in costs and benefits of disease management among sectors. Tools and strategies developed from decision science, collaboration, and negotiation theory can help articulate and overcome coinciding decision and governance impediments and enhance multisectoral One Health initiatives. In cases where collaboration and negotiation are insufficient to address disparities in cross-sector costs and benefits, altering incentive structures might improve disease-specific outcomes and improve the realization of One Health.

Frontiers in Ecology and the Environment

Disease, environment, and pollution: Understanding drivers behind tumour outbreaks in sea turtles

Various wildlife diseases of the Anthropocene (the Anthropocene currently has no formal status in the Divisions of Geologic Time https://pubs.usgs.gov/fs/2018/3054/fs20183054.pdf , accessed 4 June 2024) have root causes that are found in human-driven environmental disturbances. Fibropapillomatosis of sea turtles is exemplary of a human-exacerbated wildlife disease, and this case study offers an overview of how we applied a One Health approach and interdisciplinary process to better understand its complexity and highlight the interconnections existing between the health of the environment, and of the wildlife and humans living in it. Persistent organic pollutants (POPs) have known detrimental effects on human and wildlife health. Ubiquitous in the environment, these degradation-resistant chemicals have a high bioaccumulation potential. This case study describes the interdisciplinary plan and One Health design implemented to measure the role of harmful pollutants in the occurrence of a marine turtle panzootic fibropapillomatosis (FP). FP is a neoplastic disease that causes the growth of debilitating tumours on soft tissues and internal organs. Disease incidence has been increasing significantly throughout the Anthropocene and the reasons are still uncertain. The pervasive effect of pollution in marine coastal habitats has often been hypothesized as a driver of high disease prevalence but never fully tested. Our project combines disease ecology, marine field biology, and chemical toxicology in the attempt to unravel the intricate dynamics behind FP. We here describe the complex process used to develop a methodology to measure levels of harmful seawater pollutants such as polychlorinated biphenyls (PCBs), polycyclic aromatic hydrocarbons (PAHs), and organochlorine pesticides (OCPs) in important sea turtle habitats in Florida. The proposed contaminants are among the top priority harmful pollutants, highly carcinogenic in aquatic animals, and bioaccumulate in sea turtles. Although only providing a description of the methodological process, this case study can help future research to apply similar transdisciplinary studies in the context of wildlife diseases. Understanding the effects of anthropogenic-driven pollution activity on ocean health can clarify its consequences to the health of wildlife and humans living in and around that environment.

One Health Cases

Biting midges (Diptera: Ceratopogonidae) as putative vectors of zoonotic Onchocerca lupi (Nematoda: Onchocercidae) in northern Arizona and New Mexico, southwestern United States

Onchocerca lupi (Rodonaja, 1967) is an understudied, vector-borne, filarioid nematode that causes ocular onchocercosis in dogs, cats, coyotes, wolves, and is also capable of infecting humans. Onchocercosis in dogs has been reported with increasing incidence worldwide. However, despite the growing number of reports describing canine O. lupi cases as well as zoonotic infections globally, the disease prevalence in endemic areas and vector species of this parasite remains largely unknown. Here, our study aimed to identify the occurrence of O. lupi infected dogs in northern Arizona, New Mexico, and Utah, United States and identify the vector of this nematode. A total of 532 skin samples from randomly selected companion animals with known geographic locations within the Navajo Reservation were collected and molecularly surveyed by PCR for the presence of O. lupi DNA (September 2019–June 2022) using previously published nematode primers (COI) and DNA sequencing. O. lupi DNA was detected in 50 (9.4%) sampled animals throughout the reservation. Using positive animal samples to target geographic locations, pointed hematophagous insect trapping was performed to identify potential O. lupi vectors. Out of 1,922 insects screened, 38 individual insects and 19 insect pools tested positive for the presence of O. lupi, all of which belong to the Diptera family. This increased surveillance of definitive host and biological vector/intermediate host is the first large scale prevalence study of O. lupi in companion animals in an endemic area of the United States, and identified an overall prevalence of 9.4% in companion animals as well as multiple likely biological vector and putative vector species in the southwestern United States. Furthermore, the identification of these putative vectors in close proximity to human populations coupled with multiple, local zoonotic cases highlight the One Health importance of O. lupi .

Arizona, New Mexico

Telemedicine diffusion in a developing country: The case of India (March 2004)

Telemedicine (health-care delivery where physicians examine distant patients using telecommunications technologies) has been heralded as one of several possible solutions to some of the medical dilemmas that face many developing countries. In this study, we examine the current state of telemedicine in a developing country, India. Telemedicine has brought a plethora of benefits to the populace of India, especially those living in rural and remote areas (constituting about 70% of India's population). We discuss three Indian telemedicine implementation cases, consolidate lessons learned from the cases, and culminate with potential researchable critical success factors that account for the growth and modest successes of telemedicine in India. ?? 2005 IEEE.

IEEE Transactions on Information Technology in Bio

Snake fungal disease in North America: U.S. Geological Survey updates

Snake fungal disease (SFD) results from a skin infection that has been documented only in snakes. Historically, reports of snakes with skin infections of unknown origin have been sporadic. Recently, the number of reported cases of skin infections in snakes has increased substantially. This emerging infectious disease, confirmed in numerous species of snakes, is caused by the fungus Ophidiomyces ophiodiicola . As of August 2017, O. ophiodiicola has been detected in at least 23 States and one Canadian Province. However, researchers suspect that SFD may be more widely distributed than these documented cases suggest, because efforts to monitor the health of many snake populations are limited. Snake fungal disease may also be underreported in populations where it affects snakes infrequently or in species that develop less severe illness. Signs of SFD include crusted or ulcerated scales, nodules (that is, abnormal bumps) under the skin, and facial disfiguration that can be quite severe, leading to emaciation and death. Many snake populations are already in decline due to habitat loss and dwindling prey populations, and the recent emergence of SFD may accelerate this decline, causing certain species to disappear entirely from some locations.

Fact Sheet

Avian mortality events in the United States caused by anticholinesterase pesticides: A retrospective summary of National Wildlife Health Center records from 1980 to 2000

We reviewed the U.S. Geological Survey National Wildlife Health Center (NWHC) mortality database from 1980 to 2000 to identify cases of poisoning caused by organophosphorus and carbamate pesticides. From the 35,022 cases from which one or more avian carcasses were submitted to the NWHC for necropsy, we identified 335 mortality events attributed to anticholinesterase poisoning, 119 of which have been included in earlier reports. Poisoning events were classified as confirmed (n = 205) when supported by findings of ≥50% inhibition of cholinesterase (ChE) activity in brain tissue and the detection of a specific pesticide in the gastrointestinal contents of one or more carcasses. Suspected poisonings (n = 130) were defined as cases where brain ChE activity was ≥50% inhibited or a specific pesticide was identified in gastrointestinal contents. The 335 avian mortality events occurred in 42 states. Washington, Virginia, and Ohio had the highest frequency of events, with 24 (7.2%), 21 (6.3%), and 20 (6.0%) events, respectively. A total of 8877 carcasses of 103 avian species in 12 orders was recovered. Because carcass counts underestimate total mortality, this represents the minimum actual mortality. Of 24 different pesticides identified, the most frequent were famphur (n = 59; 18%), carbofuran (n = 52; 15%), diazinon (n = 40; 12%), and fenthion (n = 17; 5.1%). Falconiformes were reported killed most frequently (49% of all die-offs) but Anseriformes were found dead in the greatest numbers (64% of 8877 found dead). The majority of birds reported killed by famphur were Passeriformes and Falconiformes, with the latter found dead in 90% of famphur-related poisoning events. Carbofuran and famphur were involved in mortality of the greatest variety of species (45 and 33, respectively). Most of the mortality events caused by diazinon involved waterfowl.

Ohio, Virginia, Washington

Mortality associated with extreme heat in Washington State: The historical and projected public health burden

Extreme heat is one of the most important pathways illustrating the connection between climate and human health, and climate change is expected to exacerbate this public health issue. This study first used a case-crossover analysis to characterize the historical (1980–2018) association between summertime heat and non-traumatic mortality in Washington State. A separate analysis was conducted for each of the state’s ten climate divisions to produce distinct exposure–response curves expressing odds of mortality as a function of humidex. Stratified analyses were used to assess the impact of age, sex, race/ethnicity, and select causes of death, and the reported results are pooled across all divisions using meta-analysis. The historical heat–mortality relationship was combined with climate projections to estimate the impact of climate change on heat-related deaths in 2030, 2050, and 2080 under two warming scenarios. The odds ratio (OR) and 95% confidence intervals of mortality at the 99th percentile of humidex compared to the 50th percentile did not include the null value in four climate divisions (E Olympic Cascade Foothills, NE Olympic San Juan, Northeastern, and Puget Sound Lowlands). The statewide odds of mortality are 8% higher (6%, 10%) on 99th percentile days compared to 50th percentile days, driven primarily by an OR of 1.09 (1.06, 1.11) in the Puget Sound Lowlands. Risk is higher for women than men and for Blacks than Whites. Risk increases with age and for diabetic, circulatory, cardiovascular, ischemic, cerebrovascular, and respiratory deaths. The 95% confidence intervals of projected heat-attributable mortality did not overlap with zero in three climate divisions (E Olympic Cascade Foothills, NE Olympic San Juan, and Puget Sound Lowlands). In these three divisions, the average percent increase in heat-attributable mortality across both warming scenarios is 35%, 35%, and 603% in 2030, 2050, and 2080, respectively. This research is the most extensive study of heat-related mortality in Washington to date and can help inform public health initiatives aiming to improve present and future health outcomes in the state.

Washington

Nowcasting methods for determining microbiological water quality at recreational beaches and drinking-water source waters

Nowcasts are tools used to provide timely and accurate water-quality assessments of threats to drinking-water and recreational resources from fecal contamination or cyanobacterial harmful algal blooms. They use mathematical models and techniques to provide near-real-time estimates of fecal-indicator bacteria (FIB) and cyanotoxin concentrations. Techniques include logic-based thresholds, decision trees (built with machine learning), multiple linear and binary logistic regression, artificial neural networks, and process-based deterministic models. The type of site (freshwater, marine, or river) and dependent variable (FIB or cyanotoxin) dictate which explanatory variables are used in models. Nowcast systems notify the public of associated public-health risks and can also be used to manage data for FIB models; work is ongoing to incorporate cyanotoxin models into some nowcasts. The Great Lakes NowCast in the USA has been operational since 2010 and includes 25 lake beaches and one recreational river site. Examples of other operational FIB nowcasts are described for locations in the USA and around the world. In many cases, models predicted exceedances of FIB standards with accuracies as good as or better than using the previous measured FIB concentration (persistence method). Accuracy and timeliness are vital to beach management decisions that protect public health and support the local recreation-driven economy. Nowcasts benefit the public by providing estimates of water-quality conditions in near-real-time. Managers can use nowcasts at recreational and drinking-water treatment plant sites when FIB or cyanotoxins are projected to be elevated to target sample collection, to provide near-real-time recreational advisories to the public, or to preemptively optimize drinking-water treatments or change intake options to mitigate possible adverse effects on drinking-water quality.

Journal of Microbiological Methods

Ground-water-quality assessment of the central Oklahoma aquifer, Oklahoma: Hydrologic, water-quality, and quality-assurance data 1987-90

This report presents data collected from 202 wells between June 1987 and September 1990 as part of the Central Oklahoma aquifer pilot study of the National Water-Quality Assessment Program. The report describes the sampling networks, the sampling procedures, and the results of the ground-water quality and quality-assurance sample analyses. The data tables consist of information about the wells sampled and the results of the chemical analyses of ground water and quality-assurance sampling. Chemical analyses of ground-water samples in four sampling networks are presented: A geochemical network, a low-density survey bedrock network, a low-density survey alluvium and terrace deposits network, and a targeted urban network. The analyses generally included physical properties, major ions, nutrients, trace substances, radionuclides, and organic constituents. The chemical analyses of the ground-water samples are presented in five tables: (1) Physical properties and concentrations of major ions, nutrients, and trace substances; (2) concentrations of radionuclides and radioactivities; (3) carbon isotope ratios and delta values (d-values) of selected isotopes; (4) concentrations of organic constituents; and (5) organic constituents not reported in ground-water samples. The quality of the ground water sampled varied substantially. The sum of constituents (dissolved solids) concentrations ranged from 71 to 5,610 milligrams per liter, with 38 percent of the wells sampled exceeding the Secondary Maximum Contaminant Level of 500 milligrams per liter established under the Safe Drinking Water Act. Values of pH ranged from 5.7 to 9.2 units with 20 percent of the wells outside the Secondary Maximum Contaminant Level of 6.5 to 8.5 units. Nitrite plus nitrate concentrations ranged from less than 0.1 to 85 milligrams per liter with 8 percent of the wells exceeding the proposed Maximum Contaminant Level of 10 milligrams per liter. Concentrations of trace substances were highly variable, ranging from below the reporting level to concentrations over the Maximum Contaminant Levels for several constituents (arsenic, barium, cadmium, chromium, lead, and selenium). Radionuclide activities also were highly variable. Gross alpha radioactivity ranged from 0.1 to 210 picocuries per liter as 230thorium. Of the wells sampled, 20 percent exceeded the proposed Maximum Contaminant Level of 15 picocuries per liter for gross alpha radioactivity. Organic constituents were detected in 39 percent of the 170 wells sampled for organic constituents; in most cases concentrations were at or near the laboratory minimum reporting levels. Ten of the wells sampled for organic constituents had one or more constituents (chlordane, dieldrin, heptachlor epoxide, trichloroethylene, 1,1-dichloroethylene, 1,1,1-trichloroethane) at concentrations equal to or greater than the Maximum Contaminant Level or acceptable concentrations as suggested in the Environmental Protection Agency's Health Advisory Summaries. Quality-assurance sampling included duplicate samples, repeated samples, blanks, spikes, and blind samples. These samples proved to be essential in evaluating the accuracy of the data, particularly in the case of volatile organic constituents.

Oklahoma

Naturally occurring contaminants in the Piedmont and Blue Ridge crystalline-rock aquifers and Piedmont Early Mesozoic basin siliciclastic-rock aquifers, eastern United States, 1994–2008

Groundwater quality and aquifer lithologies in the Piedmont and Blue Ridge Physiographic Provinces in the eastern United States vary widely as a result of complex geologic history. Bedrock composition (mineralogy) and geochemical conditions in the aquifer directly affect the occurrence (presence in rock and groundwater) and distribution (concentration and mobility) of potential naturally occurring contaminants, such as arsenic and radionuclides, in drinking water. To evaluate potential relations between aquifer lithology and the spatial distribution of naturally occurring contaminants, the crystalline-rock aquifers of the Piedmont and Blue Ridge Physiographic Provinces and the siliciclastic-rock aquifers of the Early Mesozoic basin of the Piedmont Physiographic Province were divided into 14 lithologic groups, each having from 1 to 16 lithochemical subgroups, based on primary rock type, mineralogy, and weathering potential. Groundwater-quality data collected by the U.S. Geological Survey (USGS) National Water-Quality Assessment (NAWQA) Program from 1994 through 2008 from 346 wells and springs in various hydrogeologic and land-use settings from Georgia through New Jersey were compiled and analyzed for this study. Analyses for most constituents were for filtered samples, and, thus, the compiled data consist largely of dissolved concentrations. Concentrations were compared to criteria for protection of human health, such as U.S. Environmental Protection Agency (USEPA) drinking water maximum contaminant levels and secondary maximum contaminant levels or health-based screening levels developed by the USGS NAWQA Program in cooperation with the USEPA, the New Jersey Department of Environmental Protection, and Oregon Health & Science University. Correlations among constituent concentrations, pH, and oxidation-reduction (redox) conditions were used to infer geochemical controls on constituent mobility within the aquifers. Of the 23 trace-element constituents evaluated, arsenic, manganese, and zinc were detected in one or more water samples at concentrations greater than established human health-based criteria. Arsenic concentrations typically were less than 1 microgram per liter (µg/L) in most groundwater samples; however, concentrations of arsenic greater than 1 µg/L frequently were detected in groundwater from clastic lacustrine sedimentary rocks of the Early Mesozoic basin aquifers and from metamorphosed clastic sedimentary rocks of the Piedmont and Blue Ridge crystalline rock aquifers. Groundwater from these rock units had elevated pH compared to other rock units evaluated in this study. Of the nine samples for which arsenic concentration was greater than 10 µg/L, six were classified as oxic and three as anoxic, and seven had pH of 7.2 or greater. Manganese concentrations typically were less than 10 µg/L in most samples; however, 8.3 percent of samples from the Piedmont and Blue Ridge crystalline-rock aquifers and 3.0 percent of samples from the Early Mesozoic basin siliciclastic rock aquifers had manganese concentrations greater than the 300-µg/L health-based screening level. The positive correlation of manganese with iron and ammonia and the negative correlation of manganese with dissolved oxygen and nitrate are consistent with the reductive dissolution of manganese oxides in the aquifer. Zinc concentrations typically were less than 10 µg/L in the groundwater samples considered in the study, but 0.4 percent and 5.5 percent of the samples had concentrations greater than the health-based screening level of 2,000 µg/L and one-tenth of the health-based screening level, respectively. The mean rank concentration of zinc in groundwater from the quartz-rich sedimentary rock lithologic group was greater than that for other lithologic groups even after eliminating samples collected from wells constructed with galvanized casing. Approximately 90 percent of 275 groundwater samples had radon-222 concentrations that were greater than the proposed alternative maximum contaminant level of 300 picocuries per liter. In contrast, only 2.0 percent of 98 samples had combined radium (radium-226 plus radium-228) concentrations greater than the maximum contaminant level of 5.0 picocuries per liter, and 0.6 percent of 310 samples had uranium concentrations greater than the maximum contaminant level of 30 µg/L. Radon concentrations were highest in the Piedmont and Blue Ridge crystalline-rock aquifers, especially in granite, and elevated median concentrations were noted in the Piedmont Early Mesozoic basin aquifers, but without the extreme maximum concentrations found in the crystalline rocks (granites). Although the siliciclastic lithologies had a greater frequency of elevated uranium concentrations, radon and radium were commonly detected in water from both siliciclastic and crystalline lithologies. Uranium concentrations in groundwater from clastic sedimentary and clastic lacustrine/evaporite sedimentary lithologic groups within the Early Mesozoic basin aquifers, which had median concentrations of 3.6 and 3.1 µg/L, respectively, generally were higher than concentrations for other siliciclastic lithologic groups, which had median concentrations less than 1 µg/L. Although 89 percent of the 260 samples from crystalline-rock aquifers had uranium concentrations less than 1 µg/L, 0.8 percent had uranium concentrations greater than the 30-µg/L maximum contaminant level, and 6.5 percent had concentrations greater than 3 µg/L.

Alabama;Delaware;Georgia;Maryl;New Jersey;North Ca

Tools for groundwater protection planning: An example from McHenry County, Illinois, USA

This paper presents an approach for producing aquifer sensitivity maps from three-dimensional geologic maps, called stack-unit maps. Stack-unit maps depict the succession of geologic materials to a given depth, and aquifer sensitivity maps interpret the successions according to their ability to transmit potential contaminants. Using McHenry County, Illinois, as a case study, stack-unit maps and an aquifer sensitivity assessment were made to help land-use planners, public health officials, consultants, developers, and the public make informed decisions regarding land use. A map of aquifer sensitivity is important for planning because the county is one of the fastest growing counties in the nation, and highly vulnerable sand and gravel aquifers occur within 6 m of ground surface over 75% of its area. The aquifer sensitivity map can provide guidance to regulators seeking optimal protection of groundwater resources where these resources are particularly vulnerable. In addition, the map can be used to help officials direct waste-disposal and industrial facilities and other sensitive land-use practices to areas where the least damage is likely to occur, thereby reducing potential future liabilities.

Environmental Management

Factors affecting water quality in selected carbonate aquifers in the United States, 1993-2005

Carbonate aquifers are an important source of water in the United States; however, these aquifers can be particularly susceptible to contamination from the land surface. The U.S. Geological Survey National Water-Quality Assessment (NAWQA) Program collected samples from wells and springs in 12 carbonate aquifers across the country during 1993–2005; water-quality results for 1,042 samples were available to assess the factors affecting ground-water quality. These aquifers represent a wide range of climate, land-use types, degrees of confinement, and other characteristics that were compared and evaluated to assess the effect of those factors on water quality. Differences and similarities among the aquifers were also identified. Samples were analyzed for major ions, radon, nutrients, 47 pesticides, and 54 volatile organic compounds (VOCs). Geochemical analysis helped to identify dominant processes that may contribute to the differences in aquifer susceptibility to anthropogenic contamination. Differences in concentrations of dissolved oxygen and dissolved organic carbon and in ground-water age were directly related to the occurrence of anthropogenic contaminants. Other geochemical indicators, such as mineral saturation indexes and calcium-magnesium molar ratio, were used to infer residence time, an indirect indicator of potential for anthropogenic contamination. Radon exceeded the U.S. Environmental Protection Agency proposed Maximum Contaminant Level (MCL) of 300 picocuries per liter in 423 of 735 wells sampled, of which 309 were drinking-water wells. In general, land use, oxidation-reduction (redox) status, and degree of aquifer confinement were the most important factors affecting the occurrence of anthropogenic contaminants. Although none of these factors individually accounts for all the variation in water quality among the aquifers, a combination of these characteristics accounts for the majority of the variation. Unconfined carbonate aquifers that had high percentages of urban or agricultural land, or a combination of both, had higher concentrations and higher frequency of detections for most of the anthropogenic contaminants than areas with other combinations of land use and degree of aquifer confinement. Redox status is an indicator of more recently recharged water and affects the fate of some contaminants. Median concentrations of nitrate were highest in the Valley and Ridge and Piedmont aquifers and lowest in the Biscayne and Silurian-Devonian/Upper carbonate aquifers. Nitrate concentrations were significantly higher in unconfined aquifers than in confined aquifers and semiconfined/mixed confined aquifers (wells in aquifers with breached confining layers or wells open to both a confined and an unconfined aquifer). Water recharged after 1953 had significantly higher concentrations of nitrate than water recharged prior to 1953. Redox status was also a key factor affecting nitrate concentrations; in recently recharged waters, samples in oxic waters had significantly higher concentrations of nitrate than anoxic waters, regardless of land use in the area around the well. Samples from 54 wells (5 percent) exceeded the U.S. Environmental Protection Agency MCL of 10 mg/L for nitrate in drinking water. Most of the samples exceeding the drinking-water standard (52 samples, or 5 percent) were in domestic supply wells in agricultural areas. The Piedmont and Valley and Ridge aquifers had the largest number of samples (45) exceeding the MCL; in the remaining aquifers only 9 samples had concentrations of nitrate that exceeded the MCL (about 1 percent). None of the water recharged prior to 1953 and only a single sample from a confined aquifer had nitrate concentrations that exceeded 10 mg/L as N. Wells were sampled for a minimum of 47 pesticides. Detection frequencies and comparisons varied depending on the assessment level used. At least 1 of the 47 pesticides was detected at 510 (50 percent) of the 1,027 sites where pesticide data were available using the ‘all detections’ assessment level—that is, including any quantified detection as well as any estimated values where the compound was definitively detected. Multiple pesticides were frequently detected in a sample of water from a site; 34 percent of the samples had two to five pesticides detected in the same sample, and 4 percent of the samples had six or more pesticides detected. Dieldrin was detected at 20 sites, 9 of which were from either domestic or public supply wells, at a concentration above the Health-Based Screening Level (HBSL) of 0.002 µg/L. Diazinon was detected at a concentration greater than the HBSL of 1 µg/L at a single site, which was also a domestic supply well. These are the only samples where a pesticide exceeded a human-health benchmark. The most frequently occurring pesticide compounds were four herbicides—atrazine, simazine, metolachlor, and prometon—and deethylatrazine, a degradate of atrazine. These pesticides typically were detected at concentrations that were less than 10 percent of a human-health benchmark. Of the four frequently occurring pesticides, only samples for atrazine (3 percent) and simazine (0.1 percent) had concentrations that exceeded 10 percent of the human-health benchmark; most of these cases were in agricultural areas. It is important to note, however, that the most frequently occurring pesticide degradate compound—deethylatrazine—has no human-health benchmark. Using a common assessment level of 0.01 µg/L, four of the aquifers—Biscayne, Mississippian, Piedmont, and Valley and Ridge—had at least one of these five compounds detected in more than 30 percent of the wells sampled. These four aquifers, along with the Ordovician, Ozark Plateaus, and Prairie du Chien aquifers were the aquifers or aquifer systems that had concentrations of pesticides that exceeded 10 percent of a human-health benchmark. Water recharged after 1953 had a significantly higher percentage of detections of pesticides than water recharged before 1953, and water from unconfined aquifers had a significantly higher percentage of detections of pesticides than water from confined or semiconfined/mixed confined aquifers. Water from sites in unconfined aquifers, where land use was agricultural or urban, accounted for the vast majority of detections of pesticides. Dissolved oxygen concentration was positively related to pesticide occurrence, which likely reflects the positive association between dissolved oxygen concentration and recently recharged water. Water samples were collected for analysis of VOCs at 793 sites—154 samples were analyzed for 54 VOCs from 1993 through 1995 and 639 samples were analyzed for 86 VOCs from 1996 through 2005. Twenty percent of samples contained one or more VOCs at concentrations greater than or equal to 0.2 µg/L (159 of 793 samples). The aquifers with the highest percentage of samples containing one or more VOCs were the Castle Hayne (about 41 percent of samples) and Biscayne aquifers (34 percent). The most frequently detected VOCs were chloroform, tetrahydrofuran, tetrachloroethene (PCE), toluene, acetone, ethylmethylketone, methyl tert-butyl ether (MTBE), and trichloroethene (TCE). Low-level concentrations of VOCs occurred in a much larger percentage of a subset of the data (the 639 samples analyzed using a low-level analytical method). In these samples, 69 percent of the 639 samples contained 1 or more VOCs, indicating the vulnerability of the carbonate aquifers to low-level VOC contamination. Four VOCs were detected at concentrations exceeding their respective MCLs in five samples, all of which were from drinking-water wells. Vinyl chloride concentrations exceeded the MCL of 2 µg/L in two samples from urban areas in the unconfined Biscayne aquifer. PCE, TCE, and 1,2-dichloropropane each had one sample with a concentration greater than their MCLs of 5 µg/L; these samples were from agricultural and urban areas in the unconfined Mississippian aquifer. Water quality in the 12 carbonate aquifers was highly variable. Most of the samples met drinking-water standards. The occurrence of anthropogenic contaminants was related to contaminant sources but also was affected by degree of aquifer confinement, ground-water age, and redox status. Areas with higher amounts of agricultural or urban land in unconfined aquifers were the most likely to have elevated concentrations of anthropogenic contaminants.

Scientific Investigations Report

Economic valuation of health benefits from using geologic data to communicate radon risk potential

Background: Radon exposure is the second leading cause of lung cancer worldwide and represents a major health concern within and outside the United States. Mitigating exposure to radon is especially critical in places with high rates of tobacco smoking (e.g., Kentucky, USA), as radon-induced lung cancer is markedly greater among people exposed to tobacco smoke. Despite homes being a common source of radon exposure, convincing homeowners to test and mitigate for radon remains a challenge. A new communication strategy to increase radon testing among Kentucky homeowners utilizes fine-scale geologic map data to create detailed radon risk potential maps. We assessed the health benefits of this strategy via avoided lung cancer and associated premature mortality and quantified the economic value of these benefits to indicate the potential utility of using geologic map data in radon communication strategies. Methods: We estimated the change in radon testing among all 120 counties in Kentucky following a new communication strategy reliant on geologic maps. We approximated the resultant potential change in radon mitigation rates and subsequent expected lung cancer cases and mortality avoided among smokers and non-smokers exposed to ≥4 pCi/L of radon in the home. We then applied the value of a statistical life to derive the economic value of the expected avoided mortality. Results: The new communication strategy is estimated to help 75 Kentucky residents in one year avoid exposure to harmful radon levels via increased testing and mitigation rates. This equated to the potential avoidance of approximately one premature death due to lung cancer, with a net present value of \$3.4 to \$8.5 million (2016 USD). Conclusions: Our analysis illustrates the potential economic value of health benefits associated with geologic map data used as part of a communication strategy conveying radon risk to the public. Geologic map data are freely available in varying resolutions throughout the United States, suggesting Kentucky’s radon communication strategy using geologic maps can be employed in other states to educate the public about radon. As this is only a single application, in a single state, the economic and health benefits of geologic map data in educating the public about radon are likely to exceed our estimates.

Kentucky

Quantifying population-level effects of water temperature, flow velocity and chemical-induced reproduction depression: A simulation study with smallmouth bass

Evaluating stochastic abiotic factors and their combined effects on fish and wildlife populations have been challenging in environmental sciences. Contributing to this challenge is the paucity of data describing how observations made on individuals related to exposure to chemical compounds ultimately effect population vital rates, and how this exposure interacts with other abiotic drivers. Using three smallmouth bass populations in Pennsylvania as a case study, we explored both single-factor and combined effects of water temperature, flow velocity and chemical exposure on populations through a model simulation. Although there are many pathways through which chemicals can affect population vital rates, we focused on one where chemical exposure leads to reduced reproduction. Among the three populations considered, two (the Juniata and Susquehanna populations) have experienced adverse health, including the potential adverse effects of environmental stress and chemical contamination that may cause disease and mortality of young-of-year (YOY), various skin lesions and a high prevalence of intersex or testicular oocytes in adults. The third population (The Alleghany population) has not encountered mortality events of YOY and intersex prevalence is much lower. The simulation involved projecting populations using a length-based model under different environmental conditions. In the simulations, abiotic factors influenced population dynamics through their impacts on growth, survival and recruitment. Response to the same environmental stress varied by population and life-stage of the species. Factors affecting young adult and adult life-stages had great influence on proportional stock density (PSD) and the probability of having PSD within the suggested range (PSD probability). Increases in water temperature had a negative effect and dominant role in the combined effect on population size structure (e.g., PSD and PSD probability) – increases in flow velocity during the spring season also had a negative effect on abundance. Populations with high recruitment rates sustained relatively large population size, even under high water temperature and/or high flow velocity, which suggests that factors and management strategies that benefit recruitment (such as reduced chemical contaminants) may compensate for the negative effects of warming water temperatures and high spring flow velocity on population size.

Ecological Modelling

Multiple models for outbreak decision support in the face of uncertainty

Policymakers must make management decisions despite incomplete knowledge and conflicting model projections. Little guidance exists for the rapid, representative, and unbiased collection of policy-relevant scientific input from independent modeling teams. Integrating approaches from decision analysis, expert judgment, and model aggregation, we convened multiple modeling teams to evaluate COVID-19 reopening strategies for a mid-sized United States county early in the pandemic. Projections from seventeen distinct models were inconsistent in magnitude but highly consistent in ranking interventions. The 6-mo-ahead aggregate projections were well in line with observed outbreaks in mid-sized US counties. The aggregate results showed that up to half the population could be infected with full workplace reopening, while workplace restrictions reduced median cumulative infections by 82%. Rankings of interventions were consistent across public health objectives, but there was a strong trade-off between public health outcomes and duration of workplace closures, and no win-win intermediate reopening strategies were identified. Between-model variation was high; the aggregate results thus provide valuable risk quantification for decision making. This approach can be applied to the evaluation of management interventions in any setting where models are used to inform decision making. This case study demonstrated the utility of our approach and was one of several multimodel efforts that laid the groundwork for the COVID-19 Scenario Modeling Hub, which has provided multiple rounds of real-time scenario projections for situational awareness and decision making to the Centers for Disease Control and Prevention since December 2020.

PNAS

Pseudacris triseriata (western chorus frog) and Rana sylvatica (wood frog) chytridiomycosis

The chytrid fungus Batrachochytrium dendrobatidis is a known pathogen of anuran amphibians, and has been correlated with amphibian die-offs worldwide (Daszak et. al. 1999. Emerging Infectious Diseases 5:735-748). In Colorado, B. dendrobatidis has infected Boreal toads (Bufo boreas) (Muths et. al., in review) and has been identified on museum specimens of northern leopard frogs (Rana pipiens) (Carey et. al. 1999. Develop. Comp. Immunol. 23:459-472). We report the first verified case of chytrid fungus in chorus frogs (Pseudacris triseriata) and wood frogs (Rana sylvatica) in the United States. We collected seven P. triseriata, and two adult and two juvenile R. sylvatica in the Kawuneeche Valley in Rocky Mountain National Park (RMNP) during June 2001. These animals were submitted to the National Wildlife Health Center (NWHC) as part of an amphibian health evaluation in RMNP. Chorus frogs were shipped in one container. Wood frog adults and juveniles were shipped in two separate containers. Histological examinations of all chorus frogs and 3 of 4 wood frogs were positive for chytrid fungus infection. The fourth (adult) wood frog was too decomposed for meaningful histology. Histological findings consisted of multifocally mild to diffusely severe infections of the epidermis of the ventrum and hindlimb digital skin. Chytrid thalli were confined to the thickened epidermis (hyperkeratosis), were spherical to oval, and occasional thalli contained characteristic discharge pores or zoospores (Green and Kagarise Sherman 1999. J. Herpetol 35:92-103; Fellers et al. 2001. Copeia 2001:945-953). We cannot confirm that all specimens carried the fungus at collection, because infection may have spread from one individual to all other individuals in each container during transport. Further sampling of amphibians in Kawuneeche Valley is warranted to determine the rate of infection and mortality in these populations.

Colorado

Chloroform in the hydrologic system--sources, transport, fate, occurrence, and effects on human health and aquatic organisms

Chloroform is one of the volatile organic compounds (VOCs) detected most frequently in both ground and surface water. Because it is also one of the four trihalomethanes (THMs) produced in the highest concentrations during the chlorination of drinking water and wastewater, the frequent detection of this compound in ground and surface water of the United States is presumed to be caused primarily by the input of chlorinated water to the hydrologic system. Although anthropogenic sources of the compound are substantial, they are currently estimated to constitute only 10 percent of the total global input to the hydrologic system. Natural sources of the compound include volcanic gases, biomass burning, marine algae, and soil microorganisms. Under most conditions (except in the presence of unusually high bromide concentrations), chloroform is the THM produced in the highest concentrations during chlorination. Furthermore, in most cases where more than one THM is produced from chlorination, the relative concentrations among the different compounds usually decrease with increasing bromination (chloroform > dichlorobromomethane > chlorodibromomethane > bromoform). This phenomenon is presumed to be responsible for the common observation that when more than one THM is detected during investigations of the occurrence of these compounds in the hydrologic system, this same trend is typically observed among their relative concentrations or, for a uniform reporting limit, their relative frequencies of detection. This pattern could provide a valuable means for distinguishing between chlorinated water and other potential sources of chloroform in the environment. Chloroform has been widely detected in national, regional, and local studies of VOCs in ground, surface, source, and drinking waters. Total THM (TTHM) concentrations of the compound, however, were typically less than the Maximum Contaminant Level (MCL) of 80 ?g/L (micrograms per liter) established by the U.S. Environmental Protection Agency (USEPA) for TTHMs. In the studies that compared land-use settings, frequencies of detection of chloroform were higher beneath urban and residential areas than beneath agricultural or undeveloped areas. Because chloroform is a suspected human carcinogen, its presence in drinking water is a potential human health concern. Liver damage, however, is known to occur at chloroform exposures lower than those required to cause cancer, an observation that has been considered by the USEPA as the basis for setting a new, non-zero Maximum Contaminant Level Goal of 70 ?g/L for the compound. As part of its National Water-Quality Assessment Program, the U.S. Geological Survey has been assembling and analyzing data on the occurrence of VOCs (including chloroform) in ground and surface water on a national scale from studies conducted between 1991 and the present. This report presents a summary of current (2004) information on the uses, sources, formation, transport, fate, and occurrence of chloroform, as well as its effects on human health and aquatic organisms.

Scientific Investigations Report