Pathogenic Detection Using Wastewater Surveillance and the Impacts of Microbial Hazards of Atlanta’s Flood Water and Residential Tap Water Sources Open Access

Abstract

This thesis is a description of a proposed research design that seeks to explore systemic differences in communities vulnerable to environmental burdens and health inequalities and evaluate how researchers engage with communities at increased risk; the proposed work aims to assess the ability of wastewater monitoring to characterize disease burdens and health disparities for a highly stigmatized and localized disease, mpox, and to evaluate the community engagement process used to develop a partnership with a marginalized community in Atlanta. The proposed research explores the performance and utility of monitoring infectious diseases, such as mpox, in wastewater in Atlanta by evaluating the relationship between DNA viral concentrations of mpox and mpox clinical cases and determining whether sociodemographic and community factors modify the relationship. Furthermore, the proposed work evaluates the community engagement process used to develop a partnership with a marginalized community in Atlanta in hopes of using the findings to inform corrections to program implementation or to give insight into the implementation process of community-focused projects aimed at examining the flooding impacts, behaviors, and perceptions amongst Atlanta's historically marginalized communities.

Table of Contents

Table of Contents

OBJECTIVES AND SPECIFIC AIMS ........................................................ 1

SPECIFIC AIM ..................................................................................... 3

SPECIFIC AIM 2 .................................................................................. 14

RESEARCH IMPACT ............................................................................. 29

REFERENCES ...................................................................................... 30

About this Master's Thesis

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School	Laney Graduate School
Department	Environmental Health
Degree	M.S.
Submission	Master's Thesis
Language	English
Research Field	Environmental Health
Keyword	sanitation wasterwater surveillance community based participatory research environmental health community engagement infectious disease water hygiene monitoring
Committee Chair / Thesis Advisor	Marlene Wolfe, Emory University
Committee Members	Matthew Freeman, Emory University Melanie Pearson, Emory University Christine Ekenga, Emory University

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