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  • The Rise of Opioid Use in Rural Communities - Prevalence and Strategies

    Contains 4 Component(s)

    This webinar will describe state and local efforts to promote prevention and access to treatment and analyze national data on the prevalence of opioid in rural and urban settings. We conducted interviews with state-level key informants in four states to understand the challenges and promising practices in monitoring opiate prescribing and diversion, developing prevention interventions, and developing an opioid prevention and treatment infrastructure in rural communities.

    This webinar will describe state and local efforts to promote prevention and access to treatment and analyze national data on the prevalence of opioid in rural and urban settings. We conducted interviews with state-level key informants in four states to understand the challenges and promising practices in monitoring opiate prescribing and diversion, developing prevention interventions, and developing an opioid prevention and treatment infrastructure in rural communities.
    To inform our choice of states and key informants, we recruited a panel of experts from federal agencies, policy centers and professional organizations to obtain their suggestions. Final selected states included North Carolina, Indiana, Vermont, and Washington. We also used data from the National Survey of Drug Use and Health to examine the prevalence of non-medical use of pain relievers and heroin in the past year in rural and urban areas and the socio-demographic and economic characteristics associated with their use. Additionally, we examined perception of risk in using heroin, injection drug use practices, driving under the influence, and law enforcement involvement.

    John Gale, MS

    Senior Research Associate, Population Health & Health Policy Program and Maine Rural Health Research Center, University of Southern Maine

    John Gale has over a decade of experience in rural health and rural mental health research as well as sixteen years senior management experience in primary care, mental health and substance abuse practices. He has published a number of articles, reports, and book chapters in the areas of rural mental health, safety net, primary care, and hospital issues. His work has included studies of the national Medicare Rural Hospital Flexibility Program, the informal safety net in rural communities, and the use of state health policy research to inform federal and state policy; surveys of Rural Health Clinics; evaluations of the state Rural Hospital Flexibility Programs in Maine and New Hampshire; an assessment of the RWJ Southern Rural Access Program; and the management of the Mental Health Technical Assistance Program for the Mental Health Funding Collaborative in Maine.

  • Addressing the Epidemic of ATV Injuries and Deaths: Safety Training Materials and Educational Demonstrations

    Contains 4 Component(s)

    ATVs are used in agriculture as a substitute for pick-up trucks, horses, and just moving about. In 2015, there were 340 deaths and over 97,000 injuries reported involving ATVs that were being used for recreation and work purposes. This webinar will discuss the burden of ATV incidents and provide links to ATV safety training materials that are currently available. Information on ATV safety simulators will be presented. A blueprint will be provided to participants for creating a low-cost, portable, hands-on ATV safety demonstration.

    ATVs are used in agriculture as a substitute for pick-up trucks, horses, and just moving about. In 2015, there were 340 deaths and over 97,000 injuries reported involving ATVs that were being used for recreation and work purposes. This webinar will discuss the burden of ATV incidents and provide links to ATV safety training materials that are currently available. Information on ATV safety simulators will be presented. A blueprint will be provided to participants for creating a low-cost, portable, hands-on ATV safety demonstration.
    At the end of the webinar, participants will be able to:
    1. Understand the burden of ATV injuries and fatalities in the agricultural community. 
    2. Be able to access up-to-date educational materials on the safe use of ATVs and on proper personal protective equipment. 
    3. Understand how ATV simulators can be used as an educational tool to convey safety messages. 
    4. Have all the information needed to create a low-cost ATV demonstration. 

    Aaron Yoder, PhD

    Assistant Professor, Department of Environmental, Agricultural and Occupational Health, University of Nebraska Medical Center, Omaha, NE

    Aaron Yoder's overall research interest is to improve the health of workers in agriculture and related industries through science based research, product development and outreach. His specific interests are in the research and development of sound ergonomic and human factors principles and technologies that will lead to healthier and safer workers in agriculture and related industries through the reduction of hazards associated with these types of injuries.

    Ellen Duysen, MPH

    Community Outreach Specialist and Coordinator - Central States Center for Agricultural Safety and Health (CS-CASH) Department of Environmental, Agricultural and Occupational Health, UNMC

    As Center Coordinator for CS-CASH, Ms. Duysen provides the Center Director with assistance in planning, coordinating, and monitoring the 23 projects funded by the Center. These projects encompass research, prevention/intervention, education/translation, outreach, evaluation, and cross-disciplinary efforts. She engages in internal and external advisory committees, oversees fiscal and resource management, maintains records, and compiles Center reports. Ms. Duysen is the course director for the annual, week-long Ag Medicine Course that provides continuing education credits to health care providers across the US. In addition to administrative responsibilities, she is involved with the Center's active Outreach program. The program delivers educational materials, demonstrations, and presentations on the topics of respiratory and hearing protection, as well as injury prevention to the agricultural community in the Center's seven states region.

  • Providing Culturally Competent Care for Farmers and Farm Families, With Emphasis on Mental Well-Being

    Contains 4 Component(s)

    Alarming rates of suicide among production farmers have prompted public health officials to increase the awareness and cultural understanding of providing wholistic care for those in rural agricultural areas. Unique aspects of farm life and farming can contribute to higher levels of depressive symptoms and increased stress. Higher levels of depression, in addition to suicide, can also increase a farmer’s risk of injury and development of chronic disease, impacting overall quality of life. The agrarian culture is one of strong work ethic, self-sufficiency, conservative views, and adherence to gender roles, which can make discussion of mental well-being distinctly different from clients who are not from the agrarian culture. The training module will seek to provide insight on the aspects of providing healthcare for farmers and farm families as it relates to the culture and occupational aspects of farming and farm life. Objectives: By the end of the webinar, participants will be able to: Have a greater understanding of the agrarian culture. Apply key concepts of the culture when proving healthcare for farmers and farm families. Identify barriers of seeking mental wellness in a rural, agricultural community

     Alarming rates of suicide among production farmers have prompted public health officials to increase the awareness and cultural understanding of providing wholistic care for those in rural agricultural areas. Unique aspects of farm life and farming can contribute to higher levels of depressive symptoms and increased stress. Higher levels of depression, in addition to suicide, can also increase a farmer’s risk of injury and development of chronic disease, impacting overall quality of life. The agrarian culture is one of strong work ethic, self-sufficiency, conservative views, and adherence to gender roles, which can make discussion of mental well-being distinctly different from clients who are not from the agrarian culture. The training module will seek to provide insight on the aspects of providing healthcare for farmers and farm families as it relates to the culture and occupational aspects of farming and farm life.
    Objectives:
    By the end of the webinar, participants will be able to:
    1. Have a greater understanding of the agrarian culture.
    2. Apply key concepts of the culture when proving healthcare for farmers and farm families.
    3. Identify barriers of seeking mental wellness in a rural, agricultural community 


    Funded through the generous support of:

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    Federal Office of Rural Health Policy

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    Cheryl Dean-Witt, PhD, RN

    Primary Investigator, Eating Healthy in the Mountains

  • Invest in Your Health: Hazard Mapping in the Ag Classroom Oct 23

    Contains 6 Component(s)

    This Train the Training course is designed for teachers, Extension staff, 4H and FFA leaders and others who work with young adults. Participants will learn about the Hazard Mapping curriculum and will be given access to all teacher and student materials after completing the webinar.

    This Train the Training course is designed for teachers, Extension staff, 4H and FFA leaders and others who work with young adults. Participants will learn about the Hazard Mapping curriculum and will be given access to all teacher and student materials after completing the webinar.
    At the conclusion of the program, participants/educators will be able to: 
    1. To examine the hazards in agricultural production
    2. To identify and locate hazards so that those hazards can be targeted for elimination
    3. To embrace a participatory process that involves as many students as possible
    4. To respect the vast array of skill, experience and know-how that students have about their farm jobs and their dangers
    5. To collectively and creatively pool our knowledge and prioritize what problems to eliminate. 
    A Hazard Map is a visual representation of the workplace where there are hazards that could cause injuries or illness. The Hazard Mapping method draws on what students know from their farming experience.
    Other available Train the Trainer modules include:
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    Natalie Roy, MPH

    AgriSafe Executive Director

    As Executive Director of AgriSafe for over sixteen years, Natalie Roy utilizes her public health training to improve the quality of health care offered to farm families. Natalie holds a Masters in Public Health from Tulane University. She is pleased to work in the area of agricultural health as it relates to her experience growing up on a farm in Canterbury New Hampshire.

  • Invest in Your Health: Say What? Protecting Your Hearing (LIVE January 9)

    Contains 8 Component(s)

    This Train the Trainer course is designed for teachers, Extension staff, 4H and FFA leaders and others who work with young adults. The young ag producer works in an environment with noise hazards and plays in an environment with noise hazards. Noise-induced hearing loss (NIHL) is common (and preventable) but unfortunately, use of hearing protection among youth is not.

    This Train the Trainer course is designed for teachers, Extension staff, 4H and FFA leaders and others who work with young adults. The young ag producer works in an environment with noise hazards and plays in an environment with noise hazards. Noise-induced hearing loss (NIHL) is common (and preventable) but unfortunately, use of hearing protection among youth is not. 

    By the end of the Train the Trainer session, participants/educators will be able to: 
    - Understand the pathophysiology of hearing loss 
    - Recognize the importance of preventing noise induced hearing loss 
    - Use the Invest in Your Health training materials and classroom activities to teach hearing loss prevention

    Other available Train the Trainer Modules include:

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    Marjorie McCullagh, PhD, RN, PHNA-BC, COHN-S, FAAOHN, FAAN

    Professor and Occupational Health Nursing Program Director, University of Michigan School of Nursing

    Dr. McCullagh's career has focused on occupational health and safety, particularly as it relates to use of personal protection devices among farm operators and their families. Since 1985 she has had an active program of research in mitigating hazardous occupational exposures. She has conducted several randomized clinical trials, comparing the effectiveness of several approaches to influencing use of personal protective equipment. Dr. McCullagh is an associate professor and Director of the Occupational Health Nursing program at the University of Michigan School of Nursing.

  • Agricultural All-Terrain Vehicle Safety

    Contains 3 Component(s)

    All-terrain vehicle (ATV) crashes are one of the leading causes of death and injuries in the agriculture industry in the United States. In this presentation, we will evaluate the current situation and possible solutions related to agricultural ATV safety. Potential injury preventative actions were evaluated based on the hierarchy of control, including elimination or substitution, engineering control, administrative authority, training, and personal protective equipment.

    All-terrain vehicle (ATV) crashes are one of the leading causes of death and injuries in the agriculture industry in the United States. In this presentation, we will evaluate the current situation and possible solutions related to agricultural ATV safety. Potential injury preventative actions were evaluated based on the hierarchy of control, including elimination or substitution, engineering control, administrative authority, training, and personal protective equipment. 

    At the end of the webinar, participants will:

    - Understand Recreational vs. Agricultural ATV incidents
    - Identify strategies for elimination or substitution to prevent injury
    - Recognize engineering controls: Roll-Over Protective Structure (ROPS), Crush Prevention Device (CPD)
    - Describe administrative authority: United States, Canada, Europe, Australia, Israel, and New Zealand
    - Identify Personal Protective Equipment (helmet)

    Farzaneh Khorsandi, PhD

    Assistant Safety and Health Engineering Specialist in Cooperative Extension, University of California, Davis

    Her main research interest is on agricultural machinery safety with a focus on engineering control methods. She worked on several projects related to rollover protective structures for tractors as a research assistant at the University of Tennessee. She is working on several projects related to agricultural ATV safety at the University of California, Davis. She is developing the first Agricultural ATV safety test station in the United States at UC, Davis.  

     

    Paul D. Ayers, PhD

    Professor, University of Tennessee, Knoxville

  • Invest In Your Health - Train the Trainer Course

    Contains 24 Component(s)

    AgriSafe is offering this Train-the-Trainer series to anyone who works with youth (ages 14-23 years). The series of modules will walk you through 5 target areas and includes an instructor guide after completing each topic.

    AgriSafe is offering this Train-the-Trainer series to anyone who works with youth (ages 14-23 years). The series of modules will walk you through 5 target areas and includes an instructor guide after completing each topic. These train the trainer courses will help prepare you to teach on each of the topic areas included. You will have the opportunity to increase your knowledge and will receive an instructor guide to use with your students or young workers. The modules include On-Demand webinars, Classroom Learning Activities, as well as an Instructor Guidebook. If you would like more information click here to view a webinar describing the IYH program.
    Train the Trainer Course Topics Include:
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    Once all five modules are completed the instructor will earn an Invest in Your Health Instructor Scholar certificate. Using AgriSafe's online Learning Lab, instructors have the capability to use the provided materials in a classroom setting to educate students. Upon request, students are also eligible to receive an Invest in Your Health Student Scholar certificate of completion once they complete the assigned modules under the guidance of the instructor. Under our open share platform, once certified, you would be free to use the training materials in your classroom setting. Our end goal is to build the capacity of local Ag educators, rural health professionals and rural leaders to train young Ag producers.

                                                                                                                                                                                                                       

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    Knesha Rose-Davison, MPH

    Health Communications Director, AgriSafe Network

    Knesha currently serves as the Health Communications Director with AgriSafe Network, a nonprofit organization that addresses occupational health issues within the agricultural community. With over twelve years of public health experience in maternal child health, health disparities, and health education, Knesha is passionate about serving vulnerable populations and ensuring health access and equity. Knesha obtained her Bachelor of Science in Biological Sciences (2002) with a minor in Chemistry and a Master’s of Public Health (2006) with an emphasis in Health Promotion from Northern Illinois University. In June 2016, she obtained a certificate in Agricultural Medicine which focused on rural occupational health and environmental health and safety. Knesha is a member of the American Public Health Association’s and the Louisiana Public Health Association where she serves in leadership.

    Natalie Roy, MPH

    AgriSafe Executive Director

    As Executive Director of AgriSafe for over sixteen years, Natalie Roy utilizes her public health training to improve the quality of health care offered to farm families. Natalie holds a Masters in Public Health from Tulane University. She is pleased to work in the area of agricultural health as it relates to her experience growing up on a farm in Canterbury New Hampshire.

    Marjorie McCullagh, PhD, RN, PHNA-BC, COHN-S, FAAOHN, FAAN

    Professor and Occupational Health Nursing Program Director, University of Michigan School of Nursing

    Dr. McCullagh's career has focused on occupational health and safety, particularly as it relates to use of personal protection devices among farm operators and their families. Since 1985 she has had an active program of research in mitigating hazardous occupational exposures. She has conducted several randomized clinical trials, comparing the effectiveness of several approaches to influencing use of personal protective equipment. Dr. McCullagh is an associate professor and Director of the Occupational Health Nursing program at the University of Michigan School of Nursing.

    Linda Emanuel, RN

    Community Health Nurse, AgriSafe Network

    Good health advocacy has been at the heart of Linda’s essence from her formative years as a farm girl in eastern Nebraska. Graduating from Nebraska Methodist School of Nursing in 1985, she worked as an R.N. in a variety of acute care hospital settings for over 30 years. She and her husband Tom raised three sons on a successful row crop operation that has been able to welcome the next generation and their families home to continue to diversify their family business. Linda served as a Fellow in the Nebraska LEAD program and has also received agrimedicine training at the University of Nebraska Medical Center. Linda now serves on the advisory board for CS-CASH and a member of the AgriSafe team, as a Community Health Nurse.

    Katelyn Haydett, MS, DVM Candidate, Michigan State University

    Katelyn Haydett, MS, DVM Candidate, Michigan State University

    Katelyn Haydett has her BS in Molecular Biology from Defiance College, MS in Environmental Toxicology from Texas Tech University, and is currently a DVM candidate at Michigan State University. Her passion for public health began during a water testing project in Tanzania, Africa and has continued to evolve and include research focused on wildlife diseases and vector-borne zoonoses. Katelyn also served as a member of the AgriSafe Young Advisors Council, from 2016-2017. In her role as a rural leader, she assisted AgriSafe in design and launching of educational initiatives that can reduce farm related illness, injury and fatalities.

    Charlotte Halverson, RN, BSN, COHN-S

    Clinical Director, AgriSafe Network

    Charlotte serves as the Clinical Director for AgriSafe. Prior to this role, she worked for several years in hospital acute care settings and community education.  During those years, Charlotte developed and managed a Rural Outreach Health service and a Parish Health Ministry department serving nine counties in northeast Iowa.  

    She is a "charter graduate" of the University of IA agricultural occupational medicine course, is certified in occupational hearing conservation and completed the NIOSH Spirometry training.

  • Safety Sensitivity of Opioid Use in High Hazardous Industries Such as Agriculture

    Contains 3 Component(s)

    The American College of Occupational and Environmental Medicine released recommendations for opioid prescribing based on safety-sensitive occupations. Safety-sensitive work is typically classified as operating motor vehicles, modes of transportation, other heavy machinery, or tasks requiring high levels of cognitive function or judgment. Farm duties frequently demand the use of heavy machinery, and concurrent use of narcotics alongside safety-sensitive work can be dangerous. This training educates healthcare providers on how to assess occupational agricultural risks and corresponding patient guidance for those who are taking opioid medications.

    The American College of Occupational and Environmental Medicine released recommendations for opioid prescribing based on safety-sensitive occupations. Safety-sensitive work is typically classified as operating motor vehicles, modes of transportation, other heavy machinery, or tasks requiring high levels of cognitive function or judgment. Farm duties frequently demand the use of heavy machinery, and concurrent use of narcotics alongside safety-sensitive work can be dangerous. This training educates healthcare providers on how to assess occupational agricultural risks and corresponding patient guidance for those who are taking opioid medications.
    By the end of the webinar, participants will be able to: 
    1. Identify what classifies as a safety-sensitive occupation and why
    2. Describe the dangers involved with prescription opioid use and safety-sensitive occupations
    3. Understand how best to discuss with patients who have safety-sensitive occupations alternatives to prescription opioids
    4. Identify best practices for naloxone prescribing and use in a rural or agricultural setting
    5. Discuss implications of medication assisted therapies for Opioid Use Disorder in safety-sensitive occupations

    Sponsored by:

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    This project was supported by the FY17 USDA NIFA Rural Health and Safety Education Competitive Grants Program of the National Institute of Food and Agriculture, USDA, Grant # 2017-46100-27225 and the FY18 Substance Abuse and Mental Health Services Administration Rural Opioids Technical Assistance Grants (ROTA) # TI-18-022

    Charlotte Halverson, RN, BSN, COHN-S

    Clinical Director, AgriSafe Network

    Charlotte serves as the Clinical Director for AgriSafe. Prior to this role, she worked for several years in hospital acute care settings and community education.  During those years, Charlotte developed and managed a Rural Outreach Health service and a Parish Health Ministry department serving nine counties in northeast Iowa.  

    She is a "charter graduate" of the University of IA agricultural occupational medicine course, is certified in occupational hearing conservation and completed the NIOSH Spirometry training.

    Heather Lyons-Burney, Pharm.D.

    Clinical Assistant Professor, Division of Pharmacy Practice and Administration, UMKC School of Pharmacy at MSU

    Dr. Heather Lyons-Burney serves as a Clinical Assistant Professor for the UMKC School of Pharmacy’s satellite site at MSU in Springfield, Missouri. A PharmD graduate of UMKC School of Pharmacy, she completed a PGY1 residency with Cox Health Systems in Springfield. Throughout her career she has promoted the profession of pharmacy and has encouraged the development of team-based patient-centered care and innovative services in the community practice setting, as well as the importance of community engagement.. Locally, Heather serves on the clinic’s Board, as well as co-Chairs both the Taney and Greene county coalitions focused on prevention of substance misuse – receiving the Generation Rx Champions Award in 2012, and a Southwest Missouri Jefferson Award in 2018.  In November 2018, she received the ACT Missouri’s Champion of Change for Prevention statewide award for her continuous prevention efforts.  

    Ann Marie Butler Kemp, MD

    Professor and Associate Director Family Medicine Residency Program, Associate Professor Clinical Pharmacy, USCIS Civil Surgeon, University of Mississippi Medical Center

    Dr. Kemp currently serves as Professor and Associate Director Residency Program UMMC Family Medicine Department at UMMC. She is also has a faculty appointment with University of Mississippi School of Pharmacy as an Associate Professor Clinical Pharmacy Practice. She is a fellow in the American Academy of Family Physicians and an USCIS Civil Surgeon. She also serves as Chair of the UMMC Opioid Task Force.

  • Exploring the Invest in Your Health Trainer Exchange

    Contains 3 Component(s)

    AgriSafe is committed to training safety and health professionals who wish to teach Invest in Your Health trainings in their classroom. Under our open share platform, once certified, you are free to use the training materials. This webinar discusses what the IYH program is and why this training is so valuable for health professionals.

    AgriSafe is committed to train safety and health professionals who wish to teach IYH trainings in their classroom. Under our open share platform, once certified, you are free to use the training materials.  Our end goal is to build the capacity of rural educators and leaders to train young workers.  
    Invest in Your Health (IYH) consists of five training modules crafted for the agriculture teacher and community leader to seamlessly integrate in their course offerings.  IYH training modules aim to educate, prevent and protect young farmers by providing them with the tools they need to stay safe and healthy.
    The training topics that will be discussed included:
    1. Say What? Protecting your Hearing
    2. Cover Up! Head to Toe Personal Protective Equipment
    3. Stay Cool! Prevention of Heat Related Illness
    4. Stop Zoonosis it its Tracks- Prevention of Zoonosis
    5. Where Y’at-Using Mapping to Define Hazards in Agriculture

    Natalie Roy, MPH

    AgriSafe Executive Director

    As Executive Director of AgriSafe for over sixteen years, Natalie Roy utilizes her public health training to improve the quality of health care offered to farm families. Natalie holds a Masters in Public Health from Tulane University. She is pleased to work in the area of agricultural health as it relates to her experience growing up on a farm in Canterbury New Hampshire.

  • A Research Update from the Agricultural Health Study: Recent Findings, Current Work, and Future Plans

    Contains 3 Component(s)

    It has been over 25 years since participants first enrolled in the Agricultural Health Study (AHS) cohort; in 1993-97, a total of 89,655 individuals joined the study, including 52,394 private pesticide applicators (mostly farmers) and 32,345 of their spouses from North Carolina and Iowa, and 4,916 commercial applicators from Iowa. The cohort has been followed through 3 surveys (1999-2003, 2005-2010, and 2012-2015) and regular linkages to databases to assess both cancer and non-cancer health outcomes, such as respiratory, autoimmune, endocrine, and neurological diseases. Participants provided detailed data on pesticide use and other agricultural exposures at enrollment and in the first two follow-up surveys, and numerous research papers have investigated potential disease associations. Many participants have also contributed to special studies, including recent projects on Lung Health, Biomarkers of Exposure and Effect, and Memory and Aging. This presentation will highlight a selection of recent findings from the AHS (i.e., in the past 5 years), including a focus on non-cancer outcomes as well as recent cancer and mortality findings, and will describe current and future research priorities.

    It has been over 25 years since participants first enrolled in the Agricultural Health Study (AHS) cohort; in 1993-97, a total of 89,655 individuals joined the study, including 52,394 private pesticide applicators (mostly farmers) and 32,345 of their spouses from North Carolina and Iowa, and 4,916 commercial applicators from Iowa. The cohort has been followed through 3 surveys (1999-2003, 2005-2010, and 2012-2015) and regular linkages to databases to assess both cancer and non-cancer health outcomes, such as respiratory, autoimmune, endocrine, and neurological diseases. Participants provided detailed data on pesticide use and other agricultural exposures at enrollment and in the first two follow-up surveys, and numerous research papers have investigated potential disease associations. Many participants have also contributed to special studies, including recent projects on Lung Health, Biomarkers of Exposure and Effect, and Memory and Aging. This presentation will highlight a selection of recent findings from the AHS (i.e., in the past 5 years), including a focus on non-cancer outcomes as well as recent cancer and mortality findings, and will describe current and future research priorities.
    At the end of this webinar participants will be able to:
    1.  An overview of the study design and the assessment of exposures and health outcomes
    2. Scope of research and selected findings on non-cancer health outcomes
    3. Highlights of recent mortality and cancer findings
    4. Description of current and future research priorities


    Christine G. Parks, Ph.D.

    Staff Scientist and a Principal Investigator on the Agricultural Health Study (AHS) at the National Institute of Environmental Health Sciences (NIEHS)

    Dr. Parks has Ph.D. in Epidemiology and has worked at the NIEHS and National Institute for Occupational Safety and Health, with a primary research focus on risk factors for autoimmunity and autoimmune diseases, as well as women’s health, stress, and aging. In the AHS, she studies pesticides and other agricultural risk factors for systemic autoimmune diseases, including rheumatoid arthritis and lupus. She is also overseeing the 4th follow-up survey and assessment of non-cancer outcomes in the cohort and supports other AHS researchers on a variety of topics, such as thyroid disorders and neurological disease.