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A CLASH<br />

OF CULTURE AND CLEANUP<br />

MICHAEL MOORE / MRPIX.COM<br />

DECADES OF INDUSTRIAL and urban waste have badly contaminated South Seattle’s<br />

Duwamish waterway, and the U.S. Environmental Protection Agency will determine the<br />

long-awaited, final cleanup plan <strong>of</strong> this Superfund site later this year.<br />

In the meantime, William Daniel, associate<br />

pr<strong>of</strong>essor in the School <strong>of</strong> Public<br />

Health, is working with two community<br />

organizations to conduct a health-impact<br />

assessment <strong>of</strong> the cleanup. The EPA<br />

cleanup plan will take years to complete<br />

and have an enormous impact on the<br />

health <strong>of</strong> people who use the Duwamish<br />

River or live nearby.<br />

The assessment will include nutritional<br />

and cultural impacts <strong>of</strong> fish contamination,<br />

gentrification pressures on local<br />

neighborhoods, and opportunities for local<br />

economic redevelopment. It will help<br />

decision-makers make choices to help<br />

mitigate the risks to those who live and<br />

play around the Duwamish.<br />

“The river will be cleaner but it still will not be completely safe,” Daniel says. “There will<br />

still be advisories that warn people not to catch and eat the fish.”<br />

The assessment is funded by a grant from the Health Impact Project, a collaboration <strong>of</strong><br />

the Robert Wood Johnson Foundation and the Pew Charitable Trust.—Elizabeth Sharpe<br />

DIAGNOSTICS<br />

AT A DISTANCE<br />

CLARE McCLEAN / UW MEDICINE<br />

ALMOST EVERY ADULT has had the experience <strong>of</strong> feeling terrible, leaving work and driving to a<br />

physician for tests that confirm: “Yes, it’s the flu.” Sometime in the next five years that scenario<br />

may change pr<strong>of</strong>oundly because <strong>of</strong> something called “paper-based diagnostics.”<br />

Paul Yager (right), chair <strong>of</strong> the UW Bioengineering Department, is principal investigator<br />

on two grants totaling up to $26 million that aim to move diagnostic medicine<br />

away from standard antibody testing to paper. The technique may be especially<br />

beneficial for people in developing countries, where diseases such as malaria and<br />

dengue are widespread and where lab access is limited for many people.<br />

Yager explained that a simple kind <strong>of</strong> diagnostic tool kit will allow a person to<br />

take their own urine, spit or sputum sample, drop the sample in<br />

a vial and push a button that makes the vial shake. After a few<br />

minutes a pattern <strong>of</strong> dots or lines will appear on a piece <strong>of</strong><br />

paper. The person will capture a picture <strong>of</strong> the pattern on<br />

a cell phone and then email it to a physician or a lab. UW<br />

researchers are expanding the number<br />

<strong>of</strong> paper-based tests and working<br />

for results comparable to a fully<br />

equipped laboratories.<br />

UWalum.com/Columns June 2012<br />

25

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