Differentiating metabolomic responses of amphibians to multiple stressors
Not provided.
Environmental Sciences & Ecology↗
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Future Spatially Explicit Patterns of Land Transitions in the United States With Multiple Stressors
Climate change, income and population growth, and changing diets are major drivers of the global food system with implications for land use change. Land use in the U.S. will be affected directly by local and regional forces and indirectly through international trade. In order to investigate the effects of several potential forces on land use changes in the U.S., we advanced capabilities in representing the interactions between natural and human systems by linking a multisectoral and multiregional socio-economic model of the world economy to a model that downscales land use to a 0.5°grid scale. This enables us to translate regional projections of future land use into higher-resolution representations of time-evolving land cover (effectively spatially explicit land use transitions). We applied the framework over the U.S., with a particular interest in the Mississippi River Basin and its four sub-basins, to consider how a range of global drivers affect land use and cover in the target regions. Our results show that under scenarios of high pressure on the world food system a comparative advantage in livestock production amplifies the recent trend toward less cropland and more pastures in the U.S. Under low pressures on the world food system agricultural land is used less intensively. However, there can be key differences among the various land-use transitions at the sub- basin scale. Overall, these results highlighted the need for high resolution details to explicitly understand the implications of land use change on environmental impacts such as carbon storage, soil erosion, chemical use, hydrology, and water quality.
54 ENVIRONMENTAL SCIENCES↗
Cardiovascular Disease and Space Radiation Exposure: Mixed Fields, Personalized Risk and Multiple Stressors
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galactic cosmic rays↗
Step-patterned survivorship curves: Mortality and loss of equilibrium responses to high temperature and food restriction in juvenile rainbow trout ( Oncorhynchus mykiss )
While survivorship curves typically exhibit smooth declines over time, step-patterned curves can occur with multiple stressors within a life stage. To explore this process, we examined the effects of heat (24°C) and food restriction on juvenile rainbow trout (Oncorhynchus mykiss Walbaum) in challenge experiments. We observed step-patterned survivorship curves determined by mortality and loss of equilibrium (LOE) endpoints. To examine the cause of heterogeneity in the stress responses from early to late mortality and LOE, we measured indices of energetic reserves. The step transition in the survivorship curves, the peak mortality rates, and start of when individuals reached a critical energetic threshold (14% dry mass; 4.0 kJ∙g -1 energy) all occurred at around days 10–15 of the challenge. The coherence in these temporal patterns suggest heterogeneity in the cohort stress responses, in which an early subgroup died from heat stress and a late subgroup died from starvation. Thus, their endpoint sensitivities resulted in step-patterned survivorship curves. We discuss the implications of the study for understanding effects of multiple stressors on population heterogeneity and note the possible significance of stress response selection under climate change in which heat stress and food limitations occur in concert.
54 ENVIRONMENTAL SCIENCES↗
Multiple interacting stressors influence development, growth, and morphology of Pacific Chorus Frog ( Pseudacris regilla ) larvae
Not provided.
Environmental Sciences & Ecology↗
Integrated Research Plan to Assess the Combined Effects of Space Radiation, Altered Gravity, and Isolation and Confinement on Crew Health and Performance: Problem Statement
Future crewed exploration missions to Mars could last up to three years and will expose astronauts to unprecedented environmental challenges. Challenges to the nervous system during these missions will include factors of: space radiation that can damage sensitive neurons in the central nervous system (CNS); isolation and confinement can affect cognition and behavior; and altered gravity that will change the astronauts’ perception of their environment and their spatial orientation, and will affect their coordination, balance, and locomotion. In the past, effects of spaceflight stressors have been characterized individually. However, long-term, simultaneous exposure to multiple stressors will produce a range of interrelated behavioral and biological effects that have the potential to adversely affect operationally relevant crew performance. These complex environmental challenges might interact synergistically and increase the overall risk to the health and performance of the astronaut. Therefore, NASA’s Human Research Program (HRP) has directed an integrated approach to characterize and mitigate the risk to the CNS from simultaneous exposure to these multiple spaceflight factors. The proposed research strategy focuses on systematically evaluating the relationships among three existing research risks associated with spaceflight: Risk of Acute (In-flight) and Late Central Nervous System Effects from Radiation (CNS), Risk of Adverse Cognitive or Behavioral Conditions and Psychiatric Disorders (BMed), and Risk of Impaired Control of Spacecraft/Associated Systems and Decreased Mobility Due to Vestibular/Sensorimotor Alterations Associated with Spaceflight (SM). NASA’s HRP approach is intended to identify the magnitude and types of interactions as they affect behavior, especially as it relates to operationally relevant performance (e.g., performance that depends on reaction time, procedural memory, etc.). In order to appropriately characterize this risk of multiple spaceflight environmental stressors, there is a recognition of the need to leverage research approaches using appropriate animal models and behavioral constructs. Very little has been documented on the combined effects of altered gravity, space radiation, and other psychological and cognitive stressors on the CNS. Preliminary evidence from rodents suggest that a combination of a minimum of exposures to even two of three stressors of: simulated space radiation, simulated microgravity, and simulated isolation and confinement, have produced different and more pronounced biological and performance effects than exposure to these same stressors individually. Structural and functional changes to the CNS of rodents exposed to transdisciplinary combined stressors indicate that important processes related to information processing are likely altered including impairment of exploratory and risk taking behaviors, as well as executive function including learning, memory, and cognitive flexibility — all of which may be linked to changes in related operational relevant performance. The fully integrated research plan outlines approaches to evaluate how combined, potentially synergistic, impacts of simultaneous exposures to spaceflight hazards will affect an astronaut’s CNS and their operationally relevant performance during future exploration missions, including missions to the Moon and Mars. The ultimate goals are to derive risk estimates for the combined, potentially synergistic, effects of the three major spaceflight hazards that will establish acceptable maximum decrement or change in a physiological or behavioral parameters during or after spaceflight, the acceptable limit of exposure to a spaceflight factor, and to evaluate strategies to mitigate any associated decrements in operationally relevant performance.
Steinberg, Susan L.↗
Mineral Inputs, Paleoecological Change, and Holocene Carbon Accumulation at a Boreal Peatland in the Hudson Bay Lowlands, Canada
The Hudson Bay Lowlands (HBL) is a vast contiguous peatland extending over >370,000 km2 in Canada's boreal-subarctic, and is the traditional land of the Omushkego Cree. It is currently undergoing climatic warming alongside other anthropogenic stressors, and contains a large below-ground carbon pool. Understanding how climate variability and multiple stressors impact peat accumulation in this region is critical to discerning how northern peatlands will respond to future climate and land-use changes. Pollen- and macrofossil-based paleoecological reconstructions, and analyses of aluminum (Al) and titanium (Ti) fluxes in a Holocene-aged peat core (VM375) taken from a bog in the Attawapiskat watershed were conducted to link ecosystem changes with hydroclimate and long-term carbon storage. Peat initiation is dated to 5780 cal yr B.P., coincident with land emergence driven by glacial isostatic adjustment. From 4500 to 4200 cal yr B.P., apparent rate of carbon accumulation increased, and was linked to more rapid rates of peat accretion and increases in minerotrophic indicators in the pollen record. This increase in peat accretion and shift in vegetation composition co-occur with higher rates of mineral influx as shown by Ti and Al concentrations, which may have supplied nutrients. A fen to bog transition takes place ~3300 cal yr B.P., with increases in Sphagnum spores and macrofossils, and a decline in the apparent rate of carbon accumulation relative to the earlier half of the record, where paleoecological proxies indicate treed wetland and fen stages. Since peat inception, the total carbon stock of the 260-cm peat column is 110 kg C m−2. This multi-proxy record shows an association between changing peat types and variability in apparent rates of carbon accumulation, and supports the hypothesis that mineral nutrients either supplied by surface hydrology or by eolian deposition played a role in Holocene peat carbon accumulation in eastern North American boreal peatlands.
Dust↗
Skillful Multi‐Month Predictions of Ecosystem Stressors in the Surface and Subsurface Ocean
Abstract Anthropogenic carbon emissions and associated climate change are driving rapid warming, acidification, and deoxygenation in the ocean, which increasingly stress marine ecosystems. On top of long‐term trends, short term variability of marine stressors can have major implications for marine ecosystems and their management. As such, there is a growing need for predictions of marine ecosystem stressors on monthly, seasonal, and multi‐month timescales. Previous studies have demonstrated the ability to make reliable predictions of the surface ocean physical and biogeochemical state months to years in advance, but few studies have investigated forecast skill of multiple stressors simultaneously or assessed the forecast skill below the surface. Here, we use the Community Earth System Model (CESM) Seasonal to Multiyear Large Ensemble (SMYLE) along with novel observation‐based biogeochemical and physical products to quantify the predictive skill of dissolved inorganic carbon (DIC), dissolved oxygen, and temperature in the surface and subsurface ocean. CESM SMYLE demonstrates high physical and biogeochemical predictive skill multiple months in advance in key oceanic regions and frequently outperforms persistence forecasts. We find up to 10 months of skillful forecasts, with particularly high skill in the Northeast Pacific (Gulf of Alaska and California Current Large Marine Ecosystems) for temperature, surface DIC, and subsurface oxygen. Our findings suggest that dynamical marine ecosystem prediction could support actionable advice for decision making.
Environmental Sciences & Ecology↗
Inferring pesticide toxicity to honey bees from a field‐based feeding study using a colony model and Bayesian inference
Abstract Honey bees are crucial pollinators for agricultural crops but are threatened by a multitude of stressors including exposure to pesticides. Linking our understanding of how pesticides affect individual bees to colony‐level responses is challenging because colonies show emergent properties based on complex internal processes and interactions among individual bees. Agent‐based models that simulate honey bee colony dynamics may be a tool for scaling between individual and colony effects of a pesticide. The U.S. Environmental Protection Agency (USEPA) and U.S. Department of Agriculture (USDA) are developing the VarroaPop + Pesticide model, which simulates the dynamics of honey bee colonies and how they respond to multiple stressors, including weather, Varroa mites, and pesticides. To evaluate this model, we used Approximate Bayesian Computation to fit field data from an empirical study where honey bee colonies were fed the insecticide clothianidin. This allowed us to reproduce colony feeding study data by simulating colony demography and mortality from ingestion of contaminated food. We found that VarroaPop + Pesticide was able to fit general trends in colony population size and structure and reproduce colony declines from increasing clothianidin exposure. The model underestimated adverse effects at low exposure (36 µg/kg), however, and overestimated recovery at the highest exposure level (140 µg/kg), for the adult and pupa endpoints, suggesting that mechanisms besides oral toxicity‐induced mortality may have played a role in colony declines. The VarroaPop + Pesticide model estimates an adult oral LD 50 of 18.9 ng/bee (95% CI 10.1–32.6) based on the simulated feeding study data, which falls just above the 95% confidence intervals of values observed in laboratory toxicology studies on individual bees. Overall, our results demonstrate a novel method for analyzing colony‐level data on pesticide effects on bees and making inferences on pesticide toxicity to individual bees.
59 BASIC BIOLOGICAL SCIENCES↗
Studying Microbial Adaptation in the Laboratory: Sensor & Control Upgrades for an Experimental Evolution Biofluidics System
Experimental evolution (EE) involves iteratively exposing a microbial community to specific stressors to study its response to changes in environment over time. EE work is commonly done manually in the laboratory, but, when there are many environmental variables to measure and adjust, it is highly labor intensive, prone to human error, and challenging to scale. Single-purpose automated continuous culturing chambers exist, but implement only limited stressor types. A more general-purpose design is desirable. The BeING Lab at Ames Research Center created the prototype Automated Adaptive Directed Evolution Chamber (AADEC) to address these problems, beginning with Escherichia coli tolerance of short-wave ultraviolet (UV-C) radiation and of temperature. In newer versions, AADEC monitors microbial activity and can adjust the UV-C and temperature levels automatically. An optical density measurement is used to determine how many cells are present in the growth medium—over time, this corresponds to how many survive and reproduce. Oxidation-reduction potential provides information on consumed metabolic energy, and pH and electrical conductivity on metabolic products. Dissolved oxygen content is used to determine aerobic vs anaerobic growth. A Raspberry Pi computer processes all this data to set the UV-C stressor level. AADEC’s auxiliary systems include peristaltic pumps to change media and agitation to counteract cell settling. These actuators can also act as additional stressors. With the Raspberry Pi monitoring sensors and adjusting actuators in real time, AADEC takes measurements and controls the environment much more accurately than can be done with a manual EE implementation. The third and latest AADEC iteration is the first to simplify design and usage with circuits on PCBs and the ability to pre-program experimental protocols. Still planned is expansion to a multi-well design for the study of varying cell cultures in parallel, which will enable researchers to retain and re-inoculate cultures exhibiting the desired trait most strongly while flushing out others. AADEC’s special capabilities make it a valuable tool for studying life under multiple stressors, enabling scientists to replicate changes in climate on microbes for study in a lab setting.
Microbial Adaptation↗
Effects of Spaceflight Relevant Carbon Dioxide Levels on Pathogenesis Related Microbial Characteristics
Multiple stressors in the spaceflight environment, including microgravity and radiation, have the potential to alter microbial pathogenesis and virulence characteristics. Understanding how these and other factors may exacerbate the risk of infectious disease for astronauts is important to ensure the success of the mission. One understudied question in our assessment of infectious disease risk is the contribution carbon dioxide (CO2) at atmospheric concentrations higher than would be observed in terrestrial settings. Previous terrestrial studies have shown altered gene expression, selective bacterial inhibition, increased growth and diversity, and increased antibiotic resistance of bacterial communities individually and in biofilms when exposed to increased levels of CO2. While many of these findings are based on levels of CO2 higher than would be found during spaceflight exploration missions, the potential for subtle changes in CO2 levels to exacerbate infectious disease risks warrants an evaluation of pathogen responses to spaceflight CO2 conditions. To address this question, we are evaluating the effects of elevated atmospheric CO2 on microbial concentration, diversity, and pathogenesis-related characteristics using medically significant microorganisms cultured at CO2 levels representing terrestrial atmospheric concentration (≈0.04 %), ISS elevated concentration (0.4 %), and an unexpectedly elevated concentration (1 %) to represent a worst-case scenario. To determine if microbial responses to these CO2 concentrations may be exacerbated in response to the spaceflight environment, microorganisms are being cultured under static conditions and both spaceflight analogue and control conditions using the Rotating Wall Vessel (RWV) bioreactor (Synthecon, Houston, TX). For these studies, we will evaluate the response of Staphylococcus aureus, Streptococcus pneumoniae, and Enterobacter aerogenes, which are opportunistic bacterial pathogens that are of medical significance and have been or are likely to be found aboard human-inhabited spacecraft. Bacteria will be evaluated individually and together as a consortium. The following Specific Aims are be investigated: Aim 1. Characterize the growth, diversity, and pathogenesis-related stress responses of medically significant microorganisms grown under multiple CO2 concentrations under static growth in a liquid medium. Stress responses include acid stress, oxidative stress, and thermal stress. Aim 2. Characterize the growth, diversity, and pathogenesis-related stress responses of medically significant microorganisms grown under multiple CO2 concentrations in both spaceflight analogue and control conditions. Stress responses include acid stress, oxidative stress, and thermal stress.
S G Thornhill↗
Can machine learning accelerate process understanding and decision‐relevant predictions of river water quality?
Abstract The global decline of water quality in rivers and streams has resulted in a pressing need to design new watershed management strategies. Water quality can be affected by multiple stressors including population growth, land use change, global warming, and extreme events, with repercussions on human and ecosystem health. A scientific understanding of factors affecting riverine water quality and predictions at local to regional scales, and at sub‐daily to decadal timescales are needed for optimal management of watersheds and river basins. Here, we discuss how machine learning (ML) can enable development of more accurate, computationally tractable, and scalable models for analysis and predictions of river water quality. We review relevant state‐of‐the art applications of ML for water quality models and discuss opportunities to improve the use of ML with emerging computational and mathematical methods for model selection, hyperparameter optimization, incorporating process knowledge into ML models, improving explainablity, uncertainty quantification, and model‐data integration. We then present considerations for using ML to address water quality problems given their scale and complexity, available data and computational resources, and stakeholder needs. When combined with decades of process understanding, interdisciplinary advances in knowledge‐guided ML, information theory, data integration, and analytics can help address fundamental science questions and enable decision‐relevant predictions of riverine water quality.
54 ENVIRONMENTAL SCIENCES↗
Development of optimal methods for collection, transportation, holding, handling, and tagging of juvenile American shad
American shad (Alosa sapidissima) are an anadromous fish species native to the United States that have an extensive range along the east coast, but their populations are declining worldwide. Acoustic telemetry can play a vital role in better understanding the behavior and survival of this sensitive species. A stepwise, systematic approach was used to assess juvenile shad survival during multiple stressors typically associated with an acoustic telemetry study. Minimizing out-of-water handling and the use of saltwater during collection increased 24-hour survival (78 to 99%) between the first two shad transports. Several experiments were conducted to determine the best transmitter design method for implanting juvenile shad. Saltwater was fundamental in keeping tagged shad alive overnight and during the tagging process. Shad as small as 50 mm were tagged using the pectoral incision method with no suture. In a 60-d holding evaluation, tagged fish survived at a comparable rate as their non-tagged counterparts (81.5% for tagged, 70% for untagged). Also, when tagged and untagged shad were exposed to a tank of predators, there was no difference in their survival. Results from this study are encouraging for improving conservation efforts for small, sensitive species of fish, like American shad. The techniques identified may help broaden the application of telemetry studies by informing researchers of optimal methods to ensure survival of tagged fish in future field studies looking to evaluate survival and entrainment rates of juvenile American shad.
59 BASIC BIOLOGICAL SCIENCES↗
Climate-eutrophication-anoxia interactions in Late Glacial Soppensee, Switzerland: Forcings, non-linear responses and recovery
Combined effects of climate warming and anthropogenic nutrient loadings lead to lake eutrophication and anoxia globally. Because of chemical feedbacks, lakes under multiple stressors often respond in non-linear ways. However, it remains unclear whether climate change alone can lead to non-linear lake responses in the absence of anthropogenic nutrient disturbances. Here, we investigate the interactions between climate variability, nutrient cycling and trophic state changes, mixing regimes, anoxia and related chemical feedback in a small kettle-hole lake in Switzerland during Late Glacial times (15.2–12.6 cal ka BP), a period known for high-amplitude climate change in pre-anthropogenic times. After its formation during Heinrich Stadial 1 (>15 cal ka BP), Soppensee was oligotrophic and well-mixed. Soppensee became eutrophic and developed anoxia at 14.25 cal ka BP. Phosphorus (P) was released from sediments through the reductive dissolution of Fe-oxyhydroxides, fuelling eutrophication. Eutrophication lagged the Bølling warming (14.65 cal ka BP) by 400 years, suggesting that rising temperatures were not the trigger for eutrophication. Instead, eutrophication responded non-linearly to forest closure (threshold at 76 % arboreal pollen AP), which shielded Soppensee from wind mixing, enhancing lake stratification, anoxia and P release, intensifying eutrophication. These conditions ended during the 200-years cold period of the Aegelsee Oscillation (GI-1d, ca. 14.0 cal ka BP) when the landscape regionally opened (AP<76 %); the lake became well-mixed, oxygenated and P was efficiently sequestered. Throughout the Allerød (13.9–12.8 cal ka BP), enhanced Fe input prompted diagenetic vivianite formation, sequestering P in sediments, naturally remediating lake eutrophication despite closed forests, warm temperatures, lake stratification and anoxia.
Environmental sciences↗
Motivation, benefits, and challenges for new photovoltaic material & module developments
Abstract In the last decade and longer, photovoltaic module manufacturers have experienced a rapidly growing market along with a dramatic decrease in module prices. Such cost pressures have resulted in a drive to develop and implement new module designs, which either increase performance and/or lifetime of the modules or decrease the cost to produce them. In this paper, the main motivations and benefits but also challenges for material innovations will be discussed. Many of these innovations include the use of new and novel materials in place of more conventional materials or designs. As a result, modules are being produced and sold without a long-term understanding about the performance and reliability of these new materials. This has led to unexpected new failure mechanisms occurring few years after deployment, such as potential induced degradation or backsheet cracking. None of these failure modes have been detected after the back then common single stress tests. New accelerated test approaches are based on a combination or sequence of multiple stressors that better reflect outdoor conditions. That allows for identification of new degradation modes linked to new module materials or module designs.
Oreski, G. (ORCID:0000000342239047)↗
Changes in environmental and engineered conditions alter the plasma membrane lipidome of fractured shale bacteria
ABSTRACT Microorganisms that persist in fractured shale reservoirs cause several problems including secreting foul gases and forming biofilms. Current biocontrol measures often fail due to limited knowledge of their in situ activities. The plasma membrane protects the cell, mediates many of its critical functions, and responds to intracellular cues and ecological perturbations through physicochemical modifications. As such, it provides valuable insight into the physiological adaptation of microorganisms in disturbed environmental systems. Here, we (i) demonstrate how changes in salinity and hydraulic retention time (HRT) influence the plasma membrane intact polar lipid (IPL) chemistry of model bacterium, Halanaerobium congolense WG10, and mixed microbial consortia enriched from shale-produced fluids and (ii) elucidate adjustments in membrane IPL chemistry during biofilm growth relative to planktonic cells. We incubated H. congolense WG10 in chemostats under three salinities (7%, 13%, and 20% NaCl), operated under three HRTs (19.2, 24, and 48 h), and in drip flow biofilm reactors under the same salinity gradients. Also, mixed microbial consortia in produced fluids were enriched in triplicate chemostat vessels under three HRTs (19.2, 24, and 72 h) and biofilm reactors. Lipids were analyzed by ultra high performance liquid chromatography-tandem mass spectrometry (UPLC-MS/MS). Our results show that phosphatidylglycerols, cardiolipins, and phosphatidylethanolamines were predominantly enriched in planktonic H. congolense WG10 cells grown at hypersalinity (20%) compared to optimum (13%). In addition, several zwitterionic phosphatidylcholines and phosphatidylethanolamines were higher in abundance during biofilm growth. These observations suggest that microbial adaptation and biofilm formation in fractured shale are enabled by strategic plasma membrane IPL chemistry adjustments. IMPORTANCE Microorganisms inadvertently introduced into the shale reservoir during fracturing face multiple stressors including brine-level salinities and starvation. However, some anaerobic halotolerant bacteria adapt and persist for long periods of time. They produce hydrogen sulfide, which sours the reservoir and corrodes engineering infrastructure. In addition, they form biofilms on rock matrices, which decrease shale permeability and clog fracture networks. These reduce well productivity and increase extraction costs. Under stress, microbes remodel their plasma membrane to optimize its roles in protection and mediating cellular processes such as signaling, transport, and energy metabolism. Hence, by observing changes in the membrane lipidome of model shale bacteria, Halanaerobium congolense WG10, and mixed consortia enriched from produced fluids under varying subsurface conditions and growth modes, we provide insight that advances our knowledge of the fractured shale biosystem. We also offer data-driven recommendations for improving biocontrol efficacy and the efficiency of energy recovery from unconventional formations.
03 NATURAL GAS↗
VA EDH Data Curation Documentation FY22-Q2, Rev. 2
The health and well-being of the Nation’s men and women who have served in uniform is the highest priority for the U.S. Department of Veterans Affairs (VA). VA is committed to providing timely access to high-quality, recovery-oriented, evidence-based mental health care that anticipates and responds to Veterans’ needs and supports the reintegration of returning Service members into their communities. VA is working to eliminate suicide among all Veterans by developing and implementing innovative suicide prevention approaches and resources. Health outcomes, such as suicide are typically modeled as a function of genetics and environment, where environment refers to factors beyond medical, e.g., air quality, access to transportation and food, homelessness status, etc. Mental health outcomes for each individual are considered to be associated with multiple stressors that fall under a variety of categories socioeconomic, economic, physical environment. Understanding the relationships between these stressors, covariates and health outcomes, requires curated, standardized data that can be input into the VA’s Recovery Engagement and Coordination for Health - Veterans Enhanced Treatment (REACH VET) or other health outcomes model. Environmental Determinants of Health (EDH) as defined by the World Health Organization (WHO) is clean air, stable climate, adequate water, sanitation and hygiene, safe use of chemicals, protection from radiation, healthy and safe workplaces, sound agricultural practices, health-supportive cities and built environments, and a preserved nature are all prerequisites for good health.
60 APPLIED LIFE SCIENCES↗
VA EDH Data Curation Documentation (FY22-Q3, Rev.2)
The health and well-being of the Nation’s men and women who have served in uniform is the highest priority for the U.S. Department of Veterans Affairs (VA). VA is committed to providing timely access to high-quality, recovery-oriented, evidence-based mental health care that anticipates and responds to Veterans’ needs and supports the reintegration of returning Service members into their communities. VA is working to eliminate suicide among all Veterans by developing and implementing innovative suicide prevention approaches and resources. Health outcomes, such as suicide are typically modeled as a function of genetics and environment, where environment refers to factors beyond medical, e.g., air quality, access to transportation and food, homelessness status, etc. Mental health outcomes for each individual are considered to be associated with multiple stressors that fall under a variety of categories socioeconomic, economic, physical environment. Understanding the relationships between these stressors, covariates and health outcomes, requires curated, standardized data that can be input into the VA’s Recovery Engagement and Coordination for Health - Veterans Enhanced Treatment (REACH VET) or other health outcomes model. Environmental Determinants of Health (EDH) as defined by the World Health Organization (WHO) is clean air, stable climate, adequate water, sanitation and hygiene, safe use of chemicals, protection from radiation, healthy and safe workplaces, sound agricultural practices, health-supportive cities and built environments, and a preserved nature are all prerequisites for good health.
59 BASIC BIOLOGICAL SCIENCES↗