Pub Date : 1900-01-01DOI: 10.1164/ajrccm-conference.2021.203.1_meetingabstracts.a3193
K. Calkins, J. Guttormson, N. McAndrew, J. Fitzgerald, H. Losurdo, D. Loonsfoot
Introduction/Rationale: The coronavirus disease 2019 (COVID-19) global pandemic has put immense strain on healthcare workers (HCWs) at the frontlines. This is particularly true for health care workers caring for COVID- 19 patients in intensive care units (ICU). News reports highlight the extreme stress on healthcare workers in critical care. In this context national leaders have acknowledged a significant risk of posttraumatic stress disorder (PTSD), moral distress and burnout for critical care nurses related to the COVID-19 pandemic. It is likely the COVID-19 pandemic has and will continue to have a tremendous influence on ICU nurses' mental health and continuation in the critical care work force. Although some early surveys have documented clinician's perceptions of challenges and personal concerns, we are unaware of a qualitative study that is evaluating the broad experience and mental health impact of the pandemic on nurses practicing in ICUs across the nation. The purpose of the study is to describe the experiences of critical care nurses during the COVID-19 pandemic, specifically focusing on their personal and professional wellbeing, how they have changed as a result of their experience and how they feel ICU care will be affected in the future. Methods: This is a cross sectional, descriptive qualitative study that will recruit a national sample of nurses that worked in ICU during the COVID-19 pandemic in the United States in 2020. Nurses will be recruited through social media (Twitter and Facebook) and the American Association of Critical-Care Nurses (AACN) Newsletters. We plan to interview up to 40 respondents. Two researchers will be conducting the interviews using a semi-structured interview guide. Interviews will be conducted via Zoom, TEAMS or phone. They will be audio recorded and transcribed verbatim. Interviews will be analyzed with inductive content analysis by the research team. Results: Nine nurses have been interviewed to date. Additional recruitment and data collection are in progress and will be completed by January 2021. Conclusions: COVID-19 may have lasting effects on the health and well-being of nurses which could have a negative impact on the critical care workforce. In order to develop meaningful interventions and to fully support nurses working on the frontline through the next year and in similar situations it is imperative that we understand the experiences of nurses working on the frontlines during the pandemic.
{"title":"COVID-19 Pandemic: Experiences of Nurses Working in Critical Care in the United States","authors":"K. Calkins, J. Guttormson, N. McAndrew, J. Fitzgerald, H. Losurdo, D. Loonsfoot","doi":"10.1164/ajrccm-conference.2021.203.1_meetingabstracts.a3193","DOIUrl":"https://doi.org/10.1164/ajrccm-conference.2021.203.1_meetingabstracts.a3193","url":null,"abstract":"Introduction/Rationale: The coronavirus disease 2019 (COVID-19) global pandemic has put immense strain on healthcare workers (HCWs) at the frontlines. This is particularly true for health care workers caring for COVID- 19 patients in intensive care units (ICU). News reports highlight the extreme stress on healthcare workers in critical care. In this context national leaders have acknowledged a significant risk of posttraumatic stress disorder (PTSD), moral distress and burnout for critical care nurses related to the COVID-19 pandemic. It is likely the COVID-19 pandemic has and will continue to have a tremendous influence on ICU nurses' mental health and continuation in the critical care work force. Although some early surveys have documented clinician's perceptions of challenges and personal concerns, we are unaware of a qualitative study that is evaluating the broad experience and mental health impact of the pandemic on nurses practicing in ICUs across the nation. The purpose of the study is to describe the experiences of critical care nurses during the COVID-19 pandemic, specifically focusing on their personal and professional wellbeing, how they have changed as a result of their experience and how they feel ICU care will be affected in the future. Methods: This is a cross sectional, descriptive qualitative study that will recruit a national sample of nurses that worked in ICU during the COVID-19 pandemic in the United States in 2020. Nurses will be recruited through social media (Twitter and Facebook) and the American Association of Critical-Care Nurses (AACN) Newsletters. We plan to interview up to 40 respondents. Two researchers will be conducting the interviews using a semi-structured interview guide. Interviews will be conducted via Zoom, TEAMS or phone. They will be audio recorded and transcribed verbatim. Interviews will be analyzed with inductive content analysis by the research team. Results: Nine nurses have been interviewed to date. Additional recruitment and data collection are in progress and will be completed by January 2021. Conclusions: COVID-19 may have lasting effects on the health and well-being of nurses which could have a negative impact on the critical care workforce. In order to develop meaningful interventions and to fully support nurses working on the frontline through the next year and in similar situations it is imperative that we understand the experiences of nurses working on the frontlines during the pandemic.","PeriodicalId":231302,"journal":{"name":"TP67. TP067 SYMPTOMS, QUALITY OF LIFE, AND CAREGIVER ENGAGEMENT IN PULMONARY, CRITICAL CARE, AND SLEEP","volume":"16 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"129818930","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 1900-01-01DOI: 10.1164/ajrccm-conference.2021.203.1_meetingabstracts.a3194
C. Hunter, J. Rees, C. Donaldson, L. Langlands, S. Wiscombe, W. Funston, J. Simpson, I. Forrest
{"title":"Cough Incontinence in Interstitial Lung Disease: An Underexplored Problem?","authors":"C. Hunter, J. Rees, C. Donaldson, L. Langlands, S. Wiscombe, W. Funston, J. Simpson, I. Forrest","doi":"10.1164/ajrccm-conference.2021.203.1_meetingabstracts.a3194","DOIUrl":"https://doi.org/10.1164/ajrccm-conference.2021.203.1_meetingabstracts.a3194","url":null,"abstract":"","PeriodicalId":231302,"journal":{"name":"TP67. TP067 SYMPTOMS, QUALITY OF LIFE, AND CAREGIVER ENGAGEMENT IN PULMONARY, CRITICAL CARE, AND SLEEP","volume":"37 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"133738867","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 1900-01-01DOI: 10.1164/ajrccm-conference.2021.203.1_meetingabstracts.a3186
M. Gunnels, E. Luckhardt, J. Mandrekar, L. Chlan
{"title":"Assessing Sources of Discomforts Among Intensive Care Unit Patients","authors":"M. Gunnels, E. Luckhardt, J. Mandrekar, L. Chlan","doi":"10.1164/ajrccm-conference.2021.203.1_meetingabstracts.a3186","DOIUrl":"https://doi.org/10.1164/ajrccm-conference.2021.203.1_meetingabstracts.a3186","url":null,"abstract":"","PeriodicalId":231302,"journal":{"name":"TP67. TP067 SYMPTOMS, QUALITY OF LIFE, AND CAREGIVER ENGAGEMENT IN PULMONARY, CRITICAL CARE, AND SLEEP","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"124395840","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 1900-01-01DOI: 10.1164/ajrccm-conference.2021.203.1_meetingabstracts.a3190
A. Barta Negre, M. Cervera, J. Escarrabill, E. Palou, A. Carbonell, N. Seijas, D. Nicolás, F. Feu, C. Hernández
On 11th March 2020, the novel coronavirus Covid-19 was declared a pandemic by the World Health Organization. The 14th of March, the Spanish government declared the State of Emergency. Urgent reorganization was required to give answers to the needs of this new illness. The number of patients admitted grew exponentially and resources were insufficient to care for such a number of people at home. The Hospital at Home (HaH) was called to transform a hotel into a medicalized healthcare space. The Medicalized Hotel wanted to solve three needs: grouping patients, providing more beds and allowing the isolation. Current health policy emphasizes on patient experience as one of the key components of quality of care. Patients must be involved in decision-making about their heath situation and treatment in order to provide an integrated healthcare. Analyzing patients' experience will provide knowledge and will allow finding out if the Medicalized Hotel was a good alternative. Aim: To assess the patient experience during hospital admission in a Medicalized Hotel for COVID-19, from 25th March to 15th May, and variables that may influence these experiences. Methods: Observational and descriptive study with a cross-sectional design. The study population (n=517) consisted of patients admitted in Medicalized Hotel who met inclusion criteria. Patient experience collected by the Picker Patient Experience questionnaire, PPE-15 (translated to Catalan and Spanish) and four open questions analyzed in a qualitative way. Other variables: Socio-demographic and review clinical records. Results: 427 patients (83% of admitted) answered the questionnaire (52% male, 55 yrs (63%)). Main results: being treated with respect and dignity (95%), receiving similar information from different professionals (84%) and getting understanding answers by doctors and nurses (79%, 86%). 52% of participants identified no areas for improvement and <25% of improvement areas were related to food quality and communication difficulties, due to pandemic isolation measures. These contributions enhanced in: creating a clean and dirty area;improve the welcome material reception and documented information on discharge;activities for patients, such as a library, app and mobiles. Conclusions: The Medicalized Hotel, led by the HaH team, was a safe and effective alternative to acute hospital care. Grouping patients together increased HaH's effectiveness and prevented the Hospital's collapse during pandemia. Patients' experiences have been highly positive and contributed to form the medicalized hotel. With further validation, this study may be used by health professionals and organizations to improve healthcare and enhance patient experience.
{"title":"Patient’s Experiences in a Medicalized Hotel for Covid-19 Acute Care Support. An Observational Study with a Cross-Sectional Design","authors":"A. Barta Negre, M. Cervera, J. Escarrabill, E. Palou, A. Carbonell, N. Seijas, D. Nicolás, F. Feu, C. Hernández","doi":"10.1164/ajrccm-conference.2021.203.1_meetingabstracts.a3190","DOIUrl":"https://doi.org/10.1164/ajrccm-conference.2021.203.1_meetingabstracts.a3190","url":null,"abstract":"On 11th March 2020, the novel coronavirus Covid-19 was declared a pandemic by the World Health Organization. The 14th of March, the Spanish government declared the State of Emergency. Urgent reorganization was required to give answers to the needs of this new illness. The number of patients admitted grew exponentially and resources were insufficient to care for such a number of people at home. The Hospital at Home (HaH) was called to transform a hotel into a medicalized healthcare space. The Medicalized Hotel wanted to solve three needs: grouping patients, providing more beds and allowing the isolation. Current health policy emphasizes on patient experience as one of the key components of quality of care. Patients must be involved in decision-making about their heath situation and treatment in order to provide an integrated healthcare. Analyzing patients' experience will provide knowledge and will allow finding out if the Medicalized Hotel was a good alternative. Aim: To assess the patient experience during hospital admission in a Medicalized Hotel for COVID-19, from 25th March to 15th May, and variables that may influence these experiences. Methods: Observational and descriptive study with a cross-sectional design. The study population (n=517) consisted of patients admitted in Medicalized Hotel who met inclusion criteria. Patient experience collected by the Picker Patient Experience questionnaire, PPE-15 (translated to Catalan and Spanish) and four open questions analyzed in a qualitative way. Other variables: Socio-demographic and review clinical records. Results: 427 patients (83% of admitted) answered the questionnaire (52% male, 55 yrs (63%)). Main results: being treated with respect and dignity (95%), receiving similar information from different professionals (84%) and getting understanding answers by doctors and nurses (79%, 86%). 52% of participants identified no areas for improvement and <25% of improvement areas were related to food quality and communication difficulties, due to pandemic isolation measures. These contributions enhanced in: creating a clean and dirty area;improve the welcome material reception and documented information on discharge;activities for patients, such as a library, app and mobiles. Conclusions: The Medicalized Hotel, led by the HaH team, was a safe and effective alternative to acute hospital care. Grouping patients together increased HaH's effectiveness and prevented the Hospital's collapse during pandemia. Patients' experiences have been highly positive and contributed to form the medicalized hotel. With further validation, this study may be used by health professionals and organizations to improve healthcare and enhance patient experience.","PeriodicalId":231302,"journal":{"name":"TP67. TP067 SYMPTOMS, QUALITY OF LIFE, AND CAREGIVER ENGAGEMENT IN PULMONARY, CRITICAL CARE, AND SLEEP","volume":"5 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"116823214","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 1900-01-01DOI: 10.1164/ajrccm-conference.2021.203.1_meetingabstracts.a3188
S. Coughlin, H. Parrott, C. Wells, S. Saglani, S. Sonnappa, L. Fleming
{"title":"Acceptability of Home Spirometry in Children with Asthma: The NuvoAir Platform","authors":"S. Coughlin, H. Parrott, C. Wells, S. Saglani, S. Sonnappa, L. Fleming","doi":"10.1164/ajrccm-conference.2021.203.1_meetingabstracts.a3188","DOIUrl":"https://doi.org/10.1164/ajrccm-conference.2021.203.1_meetingabstracts.a3188","url":null,"abstract":"","PeriodicalId":231302,"journal":{"name":"TP67. TP067 SYMPTOMS, QUALITY OF LIFE, AND CAREGIVER ENGAGEMENT IN PULMONARY, CRITICAL CARE, AND SLEEP","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"121989380","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 1900-01-01DOI: 10.1164/ajrccm-conference.2021.203.1_meetingabstracts.a3187
N. McAndrew, J. Guttormson, J. Erickson, J. Patel
{"title":"Experiences of Family Caregivers of Critically Ill Hematopoietic Stem Cell Transplant Patients","authors":"N. McAndrew, J. Guttormson, J. Erickson, J. Patel","doi":"10.1164/ajrccm-conference.2021.203.1_meetingabstracts.a3187","DOIUrl":"https://doi.org/10.1164/ajrccm-conference.2021.203.1_meetingabstracts.a3187","url":null,"abstract":"","PeriodicalId":231302,"journal":{"name":"TP67. TP067 SYMPTOMS, QUALITY OF LIFE, AND CAREGIVER ENGAGEMENT IN PULMONARY, CRITICAL CARE, AND SLEEP","volume":"6 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"114954441","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 1900-01-01DOI: 10.1164/ajrccm-conference.2021.203.1_meetingabstracts.a3195
L. Giltay, M. Henket, F. Gester, R. Louis, J. Guiot
{"title":"Quality of Life Impact in IPF: A Longitudinal Study","authors":"L. Giltay, M. Henket, F. Gester, R. Louis, J. Guiot","doi":"10.1164/ajrccm-conference.2021.203.1_meetingabstracts.a3195","DOIUrl":"https://doi.org/10.1164/ajrccm-conference.2021.203.1_meetingabstracts.a3195","url":null,"abstract":"","PeriodicalId":231302,"journal":{"name":"TP67. TP067 SYMPTOMS, QUALITY OF LIFE, AND CAREGIVER ENGAGEMENT IN PULMONARY, CRITICAL CARE, AND SLEEP","volume":"16 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"122068264","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 1900-01-01DOI: 10.1164/ajrccm-conference.2021.203.1_meetingabstracts.a3185
Simon S. Woo, K. Lee
{"title":"Association of Smoking Status and Regular Use of COPD Medication with Self-Reported Overall Health: Results from the Population Assessment of Tobacco and Health (PATH) Study Wave 4","authors":"Simon S. Woo, K. Lee","doi":"10.1164/ajrccm-conference.2021.203.1_meetingabstracts.a3185","DOIUrl":"https://doi.org/10.1164/ajrccm-conference.2021.203.1_meetingabstracts.a3185","url":null,"abstract":"","PeriodicalId":231302,"journal":{"name":"TP67. TP067 SYMPTOMS, QUALITY OF LIFE, AND CAREGIVER ENGAGEMENT IN PULMONARY, CRITICAL CARE, AND SLEEP","volume":"25 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"129910119","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 1900-01-01DOI: 10.1164/ajrccm-conference.2021.203.1_meetingabstracts.a3192
M. A. Perry, O. Dawkins, L. Asaro, A. Zuppa, S. Kudchadkar, M. Curley
{"title":"Day-Night Light Variation in the Pediatric Intensive Care Environment","authors":"M. A. Perry, O. Dawkins, L. Asaro, A. Zuppa, S. Kudchadkar, M. Curley","doi":"10.1164/ajrccm-conference.2021.203.1_meetingabstracts.a3192","DOIUrl":"https://doi.org/10.1164/ajrccm-conference.2021.203.1_meetingabstracts.a3192","url":null,"abstract":"","PeriodicalId":231302,"journal":{"name":"TP67. TP067 SYMPTOMS, QUALITY OF LIFE, AND CAREGIVER ENGAGEMENT IN PULMONARY, CRITICAL CARE, AND SLEEP","volume":"94 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"123763177","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 1900-01-01DOI: 10.1164/ajrccm-conference.2021.203.1_meetingabstracts.a3196
C. Stephens, R. Surolia, F.J. Li, P. Singh, K. Dsouza, Z. Wang, L. O'Hare, D. Kirkpatrick, Y.-i. Kim, S. Bae, B. Wan, M. Baskin, S. Hardy, V. Antony
Rationale. Jefferson County Alabama, became a U.S. Southeastern cornerstone of industrial mining for coal, iron, and limestone in the 1800's. Coal-fired power plants deposit heavy metals into the air, soil, and water. Residents living in close proximity to these plants are increasingly stricken with lung diseases such as COPD and asthma. Many reside in an area the Environmental Protection Agency (EPA) has requested to be placed on the National Priorities List (NPL). This site has been named the Superfund Research Center (SRC) by the National Institutes of Health (NIH). Air pollution from PM2.5 carrying heavy metals such as cadmium and arsenic have left a legacy of obstructive lung disease in the SRC site. Methods. The American Lung Association “State of the Air” 2020 report, finds parts of Jefferson County remains among the worst in the nation for year-round particle pollution. The Alabama Department of Public Health (ADPH) COVID-19 dashboard was used to identify the number of cases and associated deaths per county in the first four months of the pandemic. The Jefferson County Department of Health, Community Health Equity Report was used to identify demographic and life expectancy reported data. Results. Although African Americans are 29% of the population in Alabama, 45% of the deaths due to COVID-19 are in the African American population, many living within the SRC site. Subjects younger than 50 years of age showed evidence of COPD as compared to those living outside the SRC site. Subjects living in the SRC site also exhibit higher levels of cadmium in their blood than those living outside the site, even if they were nonsmokers. Prior to the pandemic, subjects living within the SRC site had a life expectancy of 60-70 years while other areas with white populations had a life expectancy of 80-90 years. Conclusion. Residents in the SRC are experiencing a cascade of effects that place their lung health at stake. Combine a vulnerable population with varying lung diseases, in a heavily polluted area, with a new onset COVID-19 infection, and an already difficult situation, with pollution induced COPD becomes dire, underscoring the environmental disadvantage the residents face. COVID- 19 has laid bare the disparities in lung health in populations suffering from environmental exposures to toxic air pollution in Jefferson County. Continued efforts in air pollution regulation and continued research and evaluation of the impacts of long-term exposure to air pollution on lung health is the ongoing focus.
{"title":"Determinants of Lung Health in a Vulnerable Population Burdened by Air Pollution During the COVID-19 Pandemic","authors":"C. Stephens, R. Surolia, F.J. Li, P. Singh, K. Dsouza, Z. Wang, L. O'Hare, D. Kirkpatrick, Y.-i. Kim, S. Bae, B. Wan, M. Baskin, S. Hardy, V. Antony","doi":"10.1164/ajrccm-conference.2021.203.1_meetingabstracts.a3196","DOIUrl":"https://doi.org/10.1164/ajrccm-conference.2021.203.1_meetingabstracts.a3196","url":null,"abstract":"Rationale. Jefferson County Alabama, became a U.S. Southeastern cornerstone of industrial mining for coal, iron, and limestone in the 1800's. Coal-fired power plants deposit heavy metals into the air, soil, and water. Residents living in close proximity to these plants are increasingly stricken with lung diseases such as COPD and asthma. Many reside in an area the Environmental Protection Agency (EPA) has requested to be placed on the National Priorities List (NPL). This site has been named the Superfund Research Center (SRC) by the National Institutes of Health (NIH). Air pollution from PM2.5 carrying heavy metals such as cadmium and arsenic have left a legacy of obstructive lung disease in the SRC site. Methods. The American Lung Association “State of the Air” 2020 report, finds parts of Jefferson County remains among the worst in the nation for year-round particle pollution. The Alabama Department of Public Health (ADPH) COVID-19 dashboard was used to identify the number of cases and associated deaths per county in the first four months of the pandemic. The Jefferson County Department of Health, Community Health Equity Report was used to identify demographic and life expectancy reported data. Results. Although African Americans are 29% of the population in Alabama, 45% of the deaths due to COVID-19 are in the African American population, many living within the SRC site. Subjects younger than 50 years of age showed evidence of COPD as compared to those living outside the SRC site. Subjects living in the SRC site also exhibit higher levels of cadmium in their blood than those living outside the site, even if they were nonsmokers. Prior to the pandemic, subjects living within the SRC site had a life expectancy of 60-70 years while other areas with white populations had a life expectancy of 80-90 years. Conclusion. Residents in the SRC are experiencing a cascade of effects that place their lung health at stake. Combine a vulnerable population with varying lung diseases, in a heavily polluted area, with a new onset COVID-19 infection, and an already difficult situation, with pollution induced COPD becomes dire, underscoring the environmental disadvantage the residents face. COVID- 19 has laid bare the disparities in lung health in populations suffering from environmental exposures to toxic air pollution in Jefferson County. Continued efforts in air pollution regulation and continued research and evaluation of the impacts of long-term exposure to air pollution on lung health is the ongoing focus.","PeriodicalId":231302,"journal":{"name":"TP67. TP067 SYMPTOMS, QUALITY OF LIFE, AND CAREGIVER ENGAGEMENT IN PULMONARY, CRITICAL CARE, AND SLEEP","volume":"17 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"115876425","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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