Tomaino, Katherine

Public Health

MSPH

Peru

Peru - Role of micronutrient deficiencies in asthma.

Ambient air pollution is an important contributor to pulmonary disease in densely populated urban areas worldwide. Asthma incidence is increasing in low- and middle-income countries, particularly in Latin America, which has the youngest and fastest growing population of the American hemisphere. Recent publications from in vitro and animal studies, as well as some population studies, strongly suggest that traffic-related ambient air pollution may result in a reprogramming of the epigenome, as part of the environmental stress response against reactive-oxygen-species-mediated activation of the oxidative stress pathway. Micronutrients deficiencies (i.e., vitamin D and folate) are also known to affect both asthma prevalence and severity. The mechanisms underlying the effects of environmental exposures and micronutrient deficiencies on asthma are unclear but are likely to involve epigenetics. This project provides a unique opportunity to examine the interaction effects of ambient pollution and micronutrient levels on asthmatic children from Peru, a population with one of the highest prevalences of asthma in the world, which is truly unique. Our integrated, multidisciplinary design will also provide us with the opportunity to study the relationship between micronutrient deficiencies and epigenetics. Finally, we expect the results of our study will contribute to the improvement of the health of children with asthma. By providing a more accurate and specific assessment of the role micronutrients contribute to asthma induced by air pollution, we can better assess which patients would benefit from supplementation. This proposal seeks to study interaction effects between micronutrients and 1) particulate matter, and 2) epigenetic programming on longitudinal asthma symptoms.This position focuses on strengthening the knowledge of the student in Global Health Research through their involvement in each part of research development. The study sites are located in San Juan de Miraflores and Villa El Salvador, peri-urban communities in Lima, Peru. Lima is the capital and the largest city of Peru located at sea level. It has experienced a significant population growth over the last three decades, and with a population of more than 9 million provides an ideal urban study site. The enrollment study sites to be utilized will include San Juan de Miraflores and Villa El Salvador, peri-urban communities located 25 kilometers south of Lima's city center. This is 2 month, full-time position with a possibility of an extension. Students interested in this position would start as soon as possible and be available 40 hours per week with some weekend duties in the communities.

People

Yukari C. Manabe, MD

Associate Director of Global Health Research and Innovation

Noreen Hynes, MD MPH

Director, Geographic Medicine Center of the Division of Infectious Diseases

Stefan Baral, MD MPH,MBA,MSc

Director, Key Populations Program

Joanne Katz, ScD MS,BSc

Associate Chair, Director of Academic Programs

Caitlin Kennedy, PhD MPH,BA

Co-Director, MPH concentration in Social and Behavioral Sciences in Public Health; Associate Director, Center for Qualitative...

Robert Bollinger Jr., MD MPH

Director, Johns Hopkins Center for Clinical Global Health Education (CCGHE); Associate Director, Johns Hopkins Center for Global...
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November 2017

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