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Journal of Science Policy & Governance | Volume 16, Issue 01 | April 13, 2020

Policy Memo: Strategies to Curtail Dust-caused Illness in Arizona: A Policy Memorandum to the Arizona Congressional Delegation

Caitlyn A. Hall (1,5), Griffin McCutcheon (2,5), Evvan V. Morton (1,5), R. Kevin Tindell (3,5), Nicholas Weller (4,5)
  1. Arizona State University, School of Sustainable Engineering and the Built Environment, Tempe, AZ
  2. Arizona State University, Biological Design Program, Tempe, AZ
  3. Arizona State University, School for Engineering of Matter Transport and Energy, Tempe, AZ
  4. Arizona State University, School for the Future of Innovation in Society, Tempe, AZ
  5. Arizona Science Policy Network, Tempe, AZ
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Keywords: Dust Storms, Arizona, Southwest, Valley Fever, Respiratory Health, Emergency Management, Emergency Response
Abstract: This policy memo discusses the growing concerns of dust storms within US southwestern deserts and, in particular, Arizona. Since the 1990s, the frequency of southwestern desert dust storms has dramatically increased. This increase has partially fueled a rise in respiratory health diseases, such as valley fever and severe lung tissue damage from dust particles. We propose two complementary policy solutions for near- and long-term benefit: (1) an assessment of potential vaccine pathways and appropriate federal research and development support and (2) an improved early warning system to alert residents to the health impacts of dust storms.

I. Introduction

Since the 1990s, dust storms in the desert southwest have increased in frequency by 240% (Tong et al. 2017), exacerbated by drought, climate change, and soil disturbance. Dust storms can lead to numerous adverse health effects. They carry toxic metals, like arsenic and mercury, and particles that penetrate lung tissue and cause severe respiratory problems (Griffin 2007). The increased frequency of southwestern desert dust storms has been positively correlated with increased incidence of valley fever (Tong et al. 2017). Valley fever stems from Coccidioidomycosis infections, a fungus that is located within the top 2-8 inches of dry soil in the southwestern U.S, especially in California and Arizona (Fisher et al. 2007). Adverse health effects include fever, shortness of breath, severe cough, pneumonia, and, in extreme cases, death. Patients with compromised immune symptoms are particularly at risk. In 2017, there were 6,885 reported cases of valley fever in Arizona—a 98% increase from 1990 (Arizona Department of Health Services). Action is critical for Arizona residents. We propose a suite of responses to curtail the prevalence of respiratory diseases caused by dust storms through increased research funds for vaccine discovery and robust early warning systems.

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References

  1. Arizona Department of Environmental Quality (ADEQ). n.d. “SIP Program.” Accessed January 31, 2020. https://azdeq.gov/SIP 
  2. Arizona Department of Environmental Quality (ADEQ). 2019. “Air Quality: Nonattainment Areas.” Accessed October 21, 2019. https://azdeq.gov/nonattainment_areas 
  3. Arizona Department of Health Services. 2017. “Valley Fever Annual Report. Phoenix, Az.: Arizona” Accessed January 31, 2020. https://www.azdhs.gov/ documents/ preparedness/epidemiology-disease-control/ valley-fever/reports/valley-fever-2017.pdf 
  4. Arizona Office of Economic Opportunity. 2019. State, County, Place Level Population Estimates for July 1, 2019. Arizona Office of Economic Opportunity, https://population.az.gov/sites/default/files/documents/files/pop-estimates2019-04plawc.pdf 
  5. “AQI Calculator.” n.d. AirNow. Last modified 2019, https://www.airnow.gov/index.cfm?action=airnow.calculator 
  6. “Air Quality Index (AQI) Basics.” n.d. AirNow. Last modified June 18, 2019. https://www.airnow.gov/ index.cfm?action=a qibasics.aqi 
  7. Barnato, Amber E., Gillian D. Sanders, and Douglas K. Owens. 2001.“Cost-effectiveness of a potential vaccine for Coccidioides immitis.” Emerging infectious diseases 7(5): 797. https://doi.org/10.3201/eid0705.010505.
  8. Brown, Gordon D., David W. Denning., Niel A. R. Gow., Stuart M. Levitz, Mihai G. Netea, and Theodore C. White. 2012. “Hidden Killers: Human Fungal Infections.” Science Translational Medicine 4(165): 165rv13-165rv13. https://doi.org/10.1126/scitranslmed.3004404 
  9. Congressionally Directed Medical Research Programs (CDMRP). 2020. “About us.” Last Modified February 13, 2020. https://cdmrp.army.mil/aboutus 
  10. Crooks, James L., Wayne E. Cascio, Madelyn S. Percy, Jeanette Reyes, Lucas M. Neas, and Elizabeth D. Hilborn. 2016. “The association between dust storms and daily non-accidental mortality in the United States, 1993–2005.” Environmental health perspectives 124(11): 1735-1743. https://doi.org/10.1289/EHP216.
  11. “EnviroFlash - Home.” n.d. EnviroFlash. Last modified 2019. http://www.enviroflash.info/ 
  12. Fisher, Frederick S., Mark W. Bultman, Suzanne M. Johnson, Demosthenes Pappagianis, and Erik Zaborsky. 2007. "Coccidioides niches and habitat parameters in the southwestern United States." Annals of the New York Academy of Science 1111(1): 47-72. https://doi.org/10.1196/annals.1406.031 
  13. Goudie, Andrew. 2014. “Desert dust and human health disorders” Environment International 63: 101-113, 10.1016/j.envint.2013.10.011.
  14. Griffin, Dale W. 2007.“Atmospheric movement of microorganisms in clouds of desert dust and implications for human health.” Clinical microbiology reviews 20(3): 459-477. https://doi.org/10.1128/CMR.00039-06.
  15. Lader, G., A. Raman, J.T. Davis, and K. Waters. 2016. NOAA Technical Memorandum NWS-WR 290 Blowing Dust and Dust Storms: One of Arizona’s Most Underrated Weather Hazards. National Oceanic and Atmospheric Administration. https://www.weather.gov/media/wrh/online_publications/TMs/TM-290.pdf 
  16. Maricopa County Air Quality Division. 2008. “Maricopa County Air Pollution Control, Regulations Appendix C Fugitive Dust Test Methods.” Last modified March 26, 2008. https://www.maricopa.gov/ DocumentCenter/View/5306/Appendix-C---Fugitive-Dust-Test-Methods-PDF?bidId=
  17. National Archives and Records Administration. 2014. “40 CFR Part 52.” United States Federal Register, 79: 11, 33107-33116. https://www.govinfo.gov/content/pkg/FR-2014-06-10/pdf/2014-13495.pdf 
  18. National Institute of Allergy and Infectious Diseases (NIAID). 2018. “Two Clinical Trials Focus on Serious Fungal Disease Valley Fever.” News and Events. Last Modified May 7, 2018. https://www.niaid.nih.gov/news-events/two-clinical-trials-focus-serious-fungal-disease-valley-fever
  19. National Institute of Health (NIH). 2015. “About the NIH.” The NIH ALMANAC. Last Modified July 7, 2015 https://www.nih.gov/about-nih/what-we-do/nih-almanac/about-nih 
  20. National Weather Service. 2020. “NWS Phoenix (PSR) Watch, Warning, and Advisory Criteria.” Accessed January 31, 2020.
    https://www.weather.gov/media/ psr/PSR_WWA_Product_Criteria_FY19.pdf 
  21. Pappagianis, Demosthenes and Valley Fever Vaccine Study Group. 1993. "Evaluation of the protective efficacy of the killed Coccidioides immitis spherule vaccine in humans." American Review of Respiratory Disease 148(3): 656-660. https://doi.org/10.1164/ajrccm/148.3.656   
    Rappuoli, Rino, Steven Black, and David E. Bloom. 2019. “Vaccines and global health: In search of a sustainable model for vaccine development and delivery.” Science Translational Medicine 11(497): 1-7. https://10.1126/scitranslmed.aaw288 
  22. Roach, M., H. E. Brown, R. Clark, D. Hondula, J. Lega, Q. Rabby, N. Schweers, and J. Tabor. 2017. “Projections of Climate Impacts on Vector-Borne Diseases and Valley Fever in Arizona. A report prepared for the Arizona Department of Health Services and the United States Centers for Disease Control and Prevention Climate-Ready States and Cities Initiative.” Arizona Department of Health Services.
  23. Sondermeyer, Gail, Lauren Lee, Debra Gilliss, Farzaneh Tabnak, and Duc Vugia. 2013. “Coccidioidomycosis-associated hospitalizations, California, USA, 2000–2011.” Emerging infectious diseases 19(10): 1590.
  24. Spellberg, Brad. 2011. "Vaccines for invasive fungal infections." F1000 Medicine Reports 3: 13. https://dx.doi.org/10.3410%2FM3-13 
  25. Tong, Daniel Q., Julian XL Wang, Thomas E. Gill, Hang Lei, and Binyu Wang. 2017. “Intensified dust storm activity and Valley fever infection in the southwestern United States.” Geophysical research letters 44(9): 4304-4312, https://doi.org/10.1002/2017GL073524 
  26. Totiyapungprasert, P. and A. Nicla. 2019. “This is how the state plans to keep drivers safe in dust storms on Arizona Roads”. AZ Central. Last modified June 18, 2020. https://www.azcentral.com/story/ news/local/arizona-environment/2019/06/18/ arizona-takes-aggressive-high-tech-approach-detecting-haboobs-dust-storms/1459982001/ 
  27. Tsang, Clarisse A., Shoana M. Anderson, Sara B. Imholte, Laura M. Erhart, Sanny Chen, Benjamin J. Park, Cara Christ, Kenneth K. Komatsu, Tom Chiller, and Rebecca H. Sunenshine. 2010. “Enhanced surveillance of coccidioidomycosis, Arizona, USA, 2007–2008.” Emerging infectious diseases 16(11): 1738. https://www.doi.org/10.3201/eid1611.100475 
  28. US Bureau of Labor Statistics. n.d.“CPI Inflation Calculator.” Last modified March 6, 2020. https://www.bls.gov/data/inflation_calculator.htm 
  29. US Environmental Protection Agency (EPA). n.d.“Particle Pollution and Your Health.” AirNow. Last modified September 2003. https://www.airnow.gov/index.cfm?action= particle_health.index
  30. US Environmental Protection Agency (EPA). 2019. Policy Assessment for the Review of the National Ambient Air Quality Standards for Particulate Matter, External Review Draft. US Environmental Protection Agency. https://www.epa.gov/sites/production/files/2019-09/documents/draft_policy_assessment_for_pm_naaqs_09-05-2019.pdf 
  31. Van Dyke, Marley Celeste Caballero, George R. Thompson, John N. Galgiani, and Bridget Marie Barker. 2019. "The Rise of Coccidioides: Forces Against the Dust Devil Unleashed." Frontiers in immunology 10: 2188. https://doi.org/10.3389/fimmu.2019.02188 
  32. Waters, Ken. 2019. “Polygon Dust Storm Warnings.” Presented at the Arizona Dust Storm Workshop, Coolidge, Arizona, March 5, 2019.
    https:// www.weather.gov/media/psr/Dust/ 2019/5_Waters_DustWorkshop_2019.pdf
  33. Wilson, L., Ting, J. Lin, H. Shah, R. MacLean, M. Peterson, M.W. Stockamp, N. Libke, R. Brown, P. 2019. “The Rise of Valley Fever: Prevalence and Cost Burden of Coccidioidomycosis Infection in California.” International Journal of Environmental Research and Public Health 16(7): 1113.
Caitlyn A. Hall (she/her) is a PhD student at Arizona State University. Her current research focus is promoting sustainable natural hazard resilience using microbes to reduce damage from earthquake-induced liquefaction. She works with industry, community, and government leaders to develop best-fit technical and policy solutions to best-address a community’s challenges and values. Her other research focuses include climate change resilience and public health, soil and water remediation, and sustainable use of resources for urban and greenhouse crop production and agriculture. For fun, Caitlyn spends her time rock climbing and trail running.
 
Griffin McCutcheon (he/him) is a PhD student at Arizona State University in the Alexander Green Lab. His research covers the intersection of protein engineering and nanostructure self-assembly, with the goal of improved materials and green manufacturing processes for nanotechnology. He also studies genetic controls systems engineering to create novel means of manipulating mammalian cells. His policy interests include the implementation of sustainable manufacturing practices, science communication and the democratization of knowledge, and improving the representation of scientists in politics. Outside of work, Griffin enjoys mountain biking, woodworking, and gardening.
 
Evvan V. Morton (she/her) is a PhD Candidate at Arizona State University in the Center for Negative Carbon Emissions. Her research examines the effectiveness of US policies that govern carbon dioxide emissions and atmospheric concentrations to mitigate climate change and explores the necessity for carbon dioxide removal through political, technological, and ethical lenses. Evvan is also the co-founder of BioGals, a non-profit organization dedicated to the success of women of color in STEM by empowering them to create sustainable solutions through study abroad experiences. Motivated to bridge the gap between science and decision-making, Evvan looks forward to a career in science policy to develop innovative policies for transitioning to a sustainable energy future.
 
Nicholas Weller (he/him) is a Postdoctoral Research Associate in the School for the Future of Innovation in Society at Arizona State University (ASU). His work promotes engagement among scientists, public audiences, policy makers, and cultural organizations. He conducts this work in service of creating a just, free, and sustainable future. He studies the use of deliberative public forums to capture public values and shape science and policy on uncertain, contested, and technical topics. Currently, he works with ASU’s Center for Innovation in Informal STEM Learning to help professionals at museums and other cultural organizations develop sustainability-related programs. He also works with ASU’s Consortium for Science, Policy and Outcomes to study science and research policy to better link science with public values.
 
R. Kevin Tindell (he/him) is a PhD student at Arizona State University in the School for Engineering of Matter, Transport, and Energy; he is also a research affiliate at the Mayo Clinic Scottsdale Campus. Kevin’s research focuses on developing biomaterials for tissue engineering. Specifically, he works on designing materials that mimic tissue properties to promote healing after injury. With a sparse presence of scientists in politics, Kevin has a passion for science communication within the political community. He is actively involved in local politics and regularly advocates for science policy initiatives to political candidates and elected officials. In his spare time, Kevin loves reading articles about political science and foreign policy.
Acknowledgements
The authors would like to thank Miriam Woolley and Liza Kurtz for assisting with initial research discussions for this memorandum.
DISCLAIMER: The findings and conclusions published herein are solely attributed to the author and not necessarily endorsed or adopted by the Journal of Science Policy and Governance. Articles are distributed in compliance with copyright and trademark agreements.

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