CDC Begins Appalachian Fact Finding Mission In West Virginia

Public and private health care leaders and community stakeholders gathered at the Cabell Huntington Health Department on Tuesday to meet with leaders from the U.S. Centers for Disease Control and Prevention (CDC). The session was intended to showcase what’s working locally and address the challenges of rural health care delivery.

Public and private health care leaders and community stakeholders gathered at the Cabell Huntington Health Department on Tuesday to meet with leaders from the U.S. Centers for Disease Control and Prevention (CDC). The session was intended to showcase what’s working locally and to address the challenges of rural health care delivery.

CDC Health Care visit the Cabell-Huntington Health Department.

Randy Yohe/ West Virginia Public Broadcasting

Dr. Leslie Dauphin, CDC Director of Public Health Infrastructure, said this mission started here after learning about the successes of local community based partnerships.

“This was recommended as a place to start because of their accredited health departments,” Dauphin said. “That, and the way that the public-private partnerships work together with the health system to protect people.”

Dauphin said that due to a federal flexible funding program, the Cabell-Huntington Health Department has been able to hire staff. She said her concern was what will they do when that funding runs out.

“In order to get the work done to protect the health of communities, we must have a sustained growth,” Dauphin said. “We know that with their workforce, we’re here to learn what’s working, how they’re using the funding that they’ve received, to hire, recruit, retain a workforce, and what we can do to help them sustain.”

Cabell-Huntington Health Department CEO Dr. Michael Kilkenny said the CDC infrastructure director needed to know the state’s continuing broadband access challenges relate directly to health care. 

Telemedicine is showing a growing importance, Kilkenny said.” One of the ways to break down some of the transportation difficulties that we hear time and time again from the public is being able to come into your living room no matter where you’re at.” 

Dauphin said the CDC is here to learn more about infrastructure, workforce issues, community partnerships and data modernization. She said the results must be federal health care policies made to bring the most benefits to those with the greatest need.  

WVU Researcher Investigates ‘Biofilms’ In Water Pipes

For most of us, we turn on the water faucet and clean water comes out. But we may not realize the water pipes that deliver the water to our homes have a micro slime inside them.

For most of us, we turn on the water faucet and clean water comes out. But we may not realize the water pipes that deliver the water to our homes have a micro slime inside them. 

WVU professor and researcher Emily Garner has a grant from the National Science Foundation to look into micro-organisms in water systems. She spoke with News Director Eric Douglas to explain what she is finding. 

This interview has been lightly edited for clarity. 

Douglas: First off, introduce yourself and explain who you are. 

Garner: My name is Emily Garner. I’m an assistant professor in Civil and Environmental Engineering at West Virginia University. I’ve been in that position for four years and I study the role of microorganisms and engineered systems for the treatment and transport of drinking water and wastewater.

Douglas: Let’s talk for just a second about what it takes to deliver water from the treatment plant to your house.

Garner: When drinking water leaves the treatment plant, it still has a really long journey to travel before it arrives at your home or the businesses in your community. It can take days or even weeks for the water to make that journey. It’s one of the biggest jobs that our water utilities have – is making sure that that water stays high quality and safe for people to drink from the time it leaves the treatment plant to the time when it arrives at people’s homes. Even a relatively small community might have hundreds of miles of pipe that are buried underground.

Douglas: That’s, that’s actually kind of stunning. I would never have thought it would be in the system that long. Is it going to a holding tank somewhere?

Garner: Certainly tanks are really prevalent throughout distribution systems, especially in West Virginia, where we’ve got a lot of hills. They can help us overcome some of the elevation differences that might exist throughout a community. Those things are also really important for holding water so the treatment plant can treat the same amount of water throughout the day and night and not need to kind of adjust to the fact that everyone wakes up at 6am and takes a shower. But water doesn’t usually sit in those tanks for days or weeks at a time. It’s just that when water has to travel through hundreds of miles of pipe, it can take a really long time. That time just starts to add up.

Douglas: Explain to me what biofilms are within the water distribution system.

Garner: It’s very normal in any aquatic environment. If you’ve gone down to the river or the stream, you might see kind of a film that forms on the surface of rocks. That’s exactly what we’re talking about in drinking water. But of course, the water is much cleaner. When that water leaves the treatment plant, the utility has dosed some sort of chlorine disinfectant to kill harmful microorganisms. But there’s lots of research out there that shows that there still might be some microorganisms present in that water. Most of those are going to be harmless, they’re not going to make people sick but as that water flows over the surface of pipes continuously, it can lead to formation of those biofilms. 

We care about those for a number of different reasons. When they accumulate in great enough quantities, they can affect water quality in different ways like compounds that affect taste and odor. They could slough off into the water and lead to discoloration events. Really importantly, they can also create environments where harmful bacteria do get into the system. While these biofilms are totally normal, in small quantities, it is really important to have strategies to control them and to make sure they don’t get out of hand and start to accumulate in ways that can affect water quality. 

Douglas: You’re not talking like big green slimy build up inside of a water pipe. This is a microscopic level, typically.

Garner: We’re talking about these really, really thin biofilms. But when they accumulate on the inside of many, many miles of pipe, it can still be something that can affect water quality.

Douglas: In West Virginia, especially in the rural areas, some of the smaller communities, there’s some aging infrastructure, there’s aging water systems. So what do we do about some of that? Is that a growing problem? 

Garner: Certainly our infrastructure is aging across the country, but certainly in a lot of parts of West Virginia. I think it’s important to be really concerned about the state of that buried infrastructure that we can’t see that was maybe put in the ground 50, 60 plus years ago. And so that’s absolutely an important thing to be concerned with, and making sure that we can minimize some of these impacts to water quality. 

Douglas: Is chlorine what we’re using and it just works best beyond anything? 

Garner: It’s a balancing act. Chlorine is really, really important. You know, it wasn’t much more than 100 years ago that we had diseases like cholera that were affecting huge swaths of the population because we weren’t able to disinfect our water before we drank it. So chlorine is absolutely essential, making sure we can disinfect that water is absolutely essential. 

But today, we do know that it can react with other compounds in water, like organic matter, to create compounds known as disinfection byproducts. A lot of these disinfection byproducts are possible carcinogens. And so we certainly want to minimize how prevalent those are in our water. It’s a really big balancing act for water utilities to deal with: how do they make sure there’s enough chlorine present in our water to kill microorganisms, while making sure that they don’t contribute to the propagation of these disinfection byproducts? And that’s one of the reasons we really care about control of biofilms. Because organic matter can accumulate in those biofilms — microorganisms are organic, they create organic compounds, to help them kind of stick to the walls of the pipe. And so controlling biofilms are also important to help make that balancing act a little bit easier.

Douglas: One of the big issues facing the water community is people who can work in these systems, who have a lot of these water facilities, are aging out or they’re retiring. Talk to me a little bit about what you’re doing to help get people who can work in the water systems?

Garner: This grant from the National Science Foundation that is supporting a lot of my work, it has two major goals. One is research, and the other is education. That education includes things like, I plan to work with a lot of undergraduate and graduate students so they will come out of this better trained to engineer good systems, designing good systems that can address some of these challenges that we’re talking about. 

But the other part of my education component associated with this grant is through K through 12 outreach. My goal is to help K through 12 students better understand what opportunities they might have for careers in the water sector. I want them to, you know, decide whether or not they want to pursue careers in that field, how important water workers in our state are for the health of our communities.

Douglas: What haven’t we talked about?

Garner: I did want to mention that for this National Science Foundation project, one of our main goals for this research is to better integrate our understanding of the microbiology of drinking water systems with modeling of flow patterns present in drinking water distribution systems. With lots of other aquatic environments, we know that the forces that are exerted by flowing water can impact how biofilms grow, but we don’t really have a thorough understanding of how flow impacts what happens to microorganisms in drinking water distribution systems. And part of why this is so important, and interesting to my research team, is that one of our key hypotheses driving this research is that we think these conditions will be very different in rural areas where it can take many, many miles of pipe to reach even a relatively few number of homes in a small community compared to much more densely populated urban areas where we’ve got a lot more data on this subject. 

That’s what one of our goals is, to better understand what some of the challenges that might exist to integrating flow modeling of distribution systems with understanding microbiology especially in rural communities.

AmeriCorps Teams Head To W.Va. To Help With Projects

Several West Virginia towns will get assistance from five new AmeriCorps teams for projects that include tax preparation, park and river cleanups, and rural infrastructure upgrades.

The AmeriCorps National Civilian Community Corps teams will go to Fairmont, Thomas, Mullens, Gandeeville and Elkview, U.S. Sens. Joe Manchin and Shelley Moore Capito announced.

“The projects will support West Virginians in a variety of ways, from increasing financial literacy to creating new opportunities for outdoor recreation and more,” Manchin said.

Capito said the projects will give the communities a boost.

“West Virginians understand the value of community service, and are always first in line to help fellow residents in times of need,” she said.

The programs include Tygart Valley United Way in Fairmont for assistance with tax preparation in several counties; Friends of Blackwater in Thomas for help with signage, trails and planting; Rural Appalachian Improvement League in Mullens for aid with park upgrades; Roane County Commission in Gandeeville for assistance with maintenance and upkeep at Camp Sheppard; and Elk River Trail Foundation in Elkview for help with trail and river cleanup and other maintenance.

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