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To recognize National Public Health Week from April 3-9, the Department of Public Health in the Falk College of Sport and Human Dynamics at Syracuse University is presenting a series of free public events that will focus on a wide range of public health issues.
The events will be held at Syracuse University, Le Moyne College, and Brady Market in downtown Syracuse. Organizer Lisa Olson-Gugerty, an associate teaching professor of public health at Syracuse University and a family nurse practitioner, said that while the COVID-19 pandemic shined a spotlight on public health, the Public Health Week activities will remind everyone that public health impacts our lives in many other ways.
“Public health is a framework by which we live and exist and are able to maintain our health and well-being in our everyday life and you don’t even realize it’s there,” Olson-Gugerty said. “It’s the air quality in the building, it’s the seat belts we’re required to wear, it’s our food quality, it’s our water quality, it’s our access to healthcare, it’s everything we do in everyday life.”
Several of the local events will connect with this year’s National Public Health Week theme, which is “Centering and Celebrating Cultures in Health.” Here are the events:
Monday, April 3: Monday Mile and Keep It Moving Challenge, starting at 9 a.m., Falk College, Syracuse University. The Monday Mile run is sponsored through a grant from Sidney “Sid” Lerner ’53, benefactor of the Maxwell School’s Lerner Center for Public Health Promotion.
Monday, April 3: Documentaries in the Curtin Special Events room in the Campus Center at Le Moyne College: “Crow Country – Our Right for Food Sovereignty” (3:30-3:50 p.m.); “Hungry to Learn” (4-5:25 p.m.); and a repeat of “Crow Country” (5:30-5:50 p.m.). The documentaries are hosted by Le Moyne’s Physician Assistant Studies program, and light refreshments and healthy snacks will be provided.
Le Moyne College also encourages attendees to bring a food item donation for the Le Moyne College Food Pantry. Suggested healthy foods items include rice and grains, pasta (whole grain), oatmeal, spaghetti sauce, low-sodium canned soup or vegetables. At this time, the Food Pantry is unable to accept fresh produce or food that requires refrigeration.
Visit the Le Moyne College website for a campus map and parking information. For Syracuse University students, transportation to Le Moyne will be available through the Schine Student Center.
Tuesday, April 4: Narcan training, 6:30-7:30 p.m., 335 White Hall, Falk College.
Wednesday, April 5: Narcan training, 10-11 a.m., Brady Market, 307 Gifford St, Syracuse.
The Narcan trainings are hosted by the Onondaga County Health Department, Central New York Area Health Education Center, and the Student Association for Public Health Education (SAPHE), a student organization at Falk College.
Thursday, April 6: Lunch and Learn with the Lerner Center for Public Health Promotion and Population Health at Syracuse University, noon, 441 White Hall, Falk College. Topic: “Positive Psychology.”
Thursday, April 6: Culture and Health Panel, 7 p.m., Grant Auditorium, White Hall, Falk College. The panel discussion is hosted by SUNY Upstate Medical University and InterFaith Works of Central New York.
The panelists include Rhonda Butler, community engagement manager at InterFaith Works of Central New York; Rachel Johnson, owner of Half Hood Half Holistic in Syracuse and program manager of Black Health Inc. in New York City; SeQuoia Kemp, founding member of the Sankofa Reproductive Health and Healing Center in Syracuse; Dr. David Lehmann, Distinguished Service Professor of Medicine at SUNY Upstate Medical University; and Fanny Villarreal, executive director and CEO of the YWCA of Syracuse and Onondaga County.
“We are excited for a diverse panel to join us on campus for a discussion that connects to the ‘Cultures in Health’ theme of this year’s Public Health Week,” Olson-Gugerty says. “They are all amazing individuals who are doing great work for the Syracuse community.”
More information about the panelists can be found below.
Friday, April 7: Master’s in public health graduate student interprofessional practice, 1-2:30 p.m., 335 White Hall, Falk College. A panel of public health experts from a variety of professions will discuss how their sector has worked to address specific health issues.
“Our student panel’s focus will be on COVID-19 vaccine initiatives,” Olson-Gugerty says. “The goal is for students to learn about the importance of collaboration across sectors, recognize challenges and think about their future public health professional selves.”
Meet the April 6 Culture and Health Panelists
- Rhonda Butler. As community engagement manager at InterFaith Works of Central New York. Butler works closely with her colleagues to resettle new Americans. She previously worked at Upstate Medical University in several capacities to improve patient care, and her doctoral dissertation at St. John Fisher University focused on college opportunities for young military veterans with PTSD.
- Rachel Johnson. Johnson earned bachelor’s degrees in child and family studies and social work and master’s degrees in marriage and family therapy and social work from Falk College. As owner of Half Hood Half Holistic in Syracuse and program manager of Black Health, Inc., in New York City, she grounds her services and practices in creating accessible and culturally relevant spaces for Black individuals, couples, and families.
- SeQuoia Kemp. The founder of Doula 4 a Queen and a founding member of the Sankofa Reproductive Health and Healing Center in Syracuse, Kemp is a Black feminist community-based birth worker from Syracuse who serves as a community organizer, health justice advocate, and public health educator. Her work is rooted in ancestral, liberatory, and evidence-based practices.
- Dr. David F. Lehmann. A distinguished Service Professor of Medicine at SUNY Upstate Medical University, Lehmann has held several academic leadership positions and substantial teaching roles in Upstate’s medical education programs. His passion for providing medical relief to indigent populations led him to establish Housecalls for the Homeless–Upstate, which provides free medical care to the homeless.
- Fanny Villarreal. As executive director and CEO of the YWCA of Syracuse and Onondaga County, Villarreal is dedicated to eliminating racism, empowering women, and promoting peace, justice, freedom, and dignity for all. She has held several prominent local and state positions and is currently representing Central New York as Gov. Kathy Hochul’s appointee as co-chair of the Latino Mentorship Initiative.
COVID’s Heavy Toll
For frontline health care workers, the mental health impact from the pandemic is extending beyond career burnout. Much of the attention on the mental toll suffered by frontline workers has focused on post-traumatic stress disorder (PTSD).
New research from a collaboration between Syracuse University and the University of Pittsburgh reveals that even those who are not formally diagnosed as suffering from PTSD still experience critical health symptoms that could lead to other health problems.
“While there has been a lot of attention paid to elevated symptom levels indicative of a clinical diagnosis, little attention has been paid to subclinical symptom levels,” says Bryce Hruska, assistant professor of public health in the Falk College and lead author of the publication reporting this research.
Subclinical (or subthreshold) symptoms refer to psychiatric symptoms—PTSD symptoms in the case of this study—that are not severe enough to be considered indicative of a clinical diagnosis. Hruska and his collaborator, Maria Pacella-LaBarbara at the University of Pittsburgh, examined the prevalence and significance of subthreshold PTSD symptom levels (known as PTSS) in frontline health care workers responding to the pandemic nearly one year after it started, from December 2020 through February 2021. Data from this study were collected from emergency health care workers located primarily in western Pennsylvania and surrounding areas.
“This is an important study that captures what frontline health care workers were experiencing during the pandemic’s second wave and continue to experience as COVID approaches the start of its fourth year in the U.S. It could not have been possible without the work of many people, including other researchers and medical personnel who assisted with ensuring that these workers’ experiences were represented,” says Hruska.
“In fact, we found that while 5.5% of the health care workers in our sample met criteria for probable PTSD, over half (55.3%) experienced subthreshold symptoms,” he says. “Even though they weren’t reporting symptoms indicative of a clinical diagnosis of PTSD, these workers were still feeling its effects.”
Researchers found that workers experiencing these symptoms levels reported:
- 88% more physical health symptoms (e.g., constant fatigue, weight change, low energy, headache)
- 36% more sleep problems (e.g., daytime sleepiness, difficulty getting things done) than health care workers not experiencing any PTSD symptoms
“This is a big oversight because these subthreshold symptom levels are common and often confer risk for other health problems,” says Hruska, who explains that these subthreshold symptoms are often overlooked. That in turn leads to increased risk for subsequently experiencing clinical symptom levels when another significant trauma, such as the current rise in COVID cases, is experienced.
“Thus, while the world tries to move on from the pandemic, our health care workers continue to face a significant mental health risk with every surge in cases, as is happening now,” Hruska says.
The research was published in January’s edition of the Journal of Psychiatric Research.
More Than COVID-19
The team’s work published Oct. 13 in the American Journal of Epidemiology examined all peer-reviewed scientific articles of wastewater surveillance published through July 2020. The team identified a variety of pathogens that can be found in wastewater, including almost all infectious diseases that the World Health Organization has classified as a Public Health Emergency of International Concern (PHEIC) such as Ebola virus and Zika virus.
But despite this positive finding, few studies relate what is found in the wastewater to public health and the amount of disease that is circulating.
Wastewater-based epidemiology is the science of taking what is found in wastewater and using that information to understand population-level health trends. Most of the articles reviewed by Larsen and his colleagues looked at what they could find in the wastewater and omitted the second step of relating the findings to other measures of population-level health, such as numbers of cases, test positivity, or hospitalizations.
Wastewater-based epidemiology of COVID-19 has enjoyed substantial availability of clinical COVID-19 data, and results from wastewater surveillance are more easily understood in terms of COVID-19 transmission. However, the research team determined that more work is needed to be done for other pathogens, including monkeypox and polio, to increase the utility of wastewater surveillance to benefit public health.
At the outset of COVID in 2020, Larsen led an interdisciplinary team of experts in coordination with the New York Department of Health to create a wastewater surveillance system throughout New York State. Today, the New York State Wastewater Surveillance Network is testing for COVID in at least one wastewater treatment plan in 60 counties, covering a population of more than 15 million. The New York State Wastewater Surveillance Network dashboard provides the most recent statistics regarding the network.
“New York State’s wastewater surveillance network is continuing to provide estimates of COVID-19 transmission and has aided the response to polio and monkeypox,” Larsen says. “We are also working on modeling other seasonal infectious diseases in the future.”
The research team for the American Journal of Epidemiology study included Larsen; Pruthvi Kilaru, a medical student at Des Moines University and former project manager for wastewater surveillance at Syracuse University; Kathryn Anderson, assistant professor of medicine and assistant professor of microbiology and immunology at Upstate Medical Center and the new health commissioner for Onondaga County in New York State; Mary B. Collins, assistant professor of environmental studies at State University of New York College of Environmental Science and Forestry (SUNY ESF); Hyatt Green, assistant professor of environmental biology at SUNY ESF; and Brittany Kmush, associate professor of public health in Falk College.