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Dr. Ann Cheney | Navigating Air Quality Concerns: Insights from a Medical Anthropologist · Healthy Desert Healthy You

• 0:01
  The
• 0:01
  Desert
• 0:02
  Healthcare
• 0:02
  District
• 0:03
  and
• 0:03
  Foundation
• 0:04
  presents
• 0:04
  a
• 0:05
  podcast
• 0:05
  that
• 0:06
  supports
• 0:06
  your
• 0:06
  health
• 0:07
  and
• 0:07
  wellness
• 0:08
  where
• 0:08
  you
• 0:08
  live.
• 0:09
  This
• 0:09
  is
• 0:09
  Healthy
• 0:10
  Desert
• 0:10
  Healthy
• 0:11
  youy
• 0:12
  hosted
• 0:12
  by
• 0:12
  Will
• 0:13
  Dean.
• 0:14
  Now
• 0:15
  here's
• 0:16
  Will.
• 0:16
  Hello
• 0:17
  friends.
• 0:18
  Welcome
• 0:18
  to
• 0:18
  Healthy
• 0:19
  Desert
• 0:19
  Healthy
• 0:20
  youy
• 0:20
  Podcast.
• 0:21
  This
• 0:21
  is
• 0:21
  a
• 0:21
  brand
• 0:21
  new
• 0:22
  podcast
• 0:22
  presented
• 0:23
  by
• 0:23
  the
• 0:24
  Desert
• 0:24
  Healthcare
• 0:25
  District
• 0:25
  and
• 0:25
  Foundation.
• 0:27
  Today
• 0:27
  I
• 0:27
  am
• 0:28
  joined
• 0:28
  by
• 0:29
  Dr.
• 0:29
  Ann
• 0:30
  Chaney
• 0:30
  with
• 0:31
  UCR
• 0:32
  School
• 0:32
  of
• 0:32
  Medicine.
• 0:33
  Dr.
• 0:33
  Cheney's
• 0:34
  a
• 0:34
  medical
• 0:35
  anthropologist
• 0:36
  and
• 0:36
  a
• 0:37
  health
• 0:37
  services
• 0:37
  researcher.
• 0:39
  Welcome,
• 0:39
  Dr.
• 0:39
  Chaney.
• 0:40
  Thank
• 0:40
  you
• 0:41
  very
• 0:41
  much.
• 0:41
  I'm
• 0:41
  happy
• 0:41
  to
• 0:41
  be
• 0:42
  here.
• 0:42
  So
• 0:42
  happy
• 0:43
  to
• 0:43
  have
• 0:43
  you
• 0:43
  here.
• 0:44
  We
• 0:44
  go
• 0:44
  back
• 0:45
  a
• 0:45
  little
• 0:45
  ways.
• 0:46
  I
• 0:46
  know
• 0:46
  from
• 0:46
  the
• 0:47
  early
• 0:47
  days
• 0:47
  of
• 0:47
  our
• 0:47
  COVID19
• 0:48
  response.
• 0:49
  I
• 0:49
  would
• 0:49
  often
• 0:50
  see
• 0:50
  you
• 0:50
  on
• 0:51
  Zoom
• 0:52
  in
• 0:52
  a
• 0:52
  lot
• 0:52
  of
• 0:53
  those
• 0:53
  discussions
• 0:53
  as
• 0:54
  we
• 0:54
  were
• 0:54
  planning
• 0:54
  how
• 0:55
  to
• 0:55
  really
• 0:56
  bring
• 0:56
  education
• 0:57
  and
• 0:57
  testing
• 0:57
  and
• 0:58
  vaccines
• 0:58
  to
• 0:58
  our
• 0:59
  community.
• 1:00
  That's
• 1:00
  right.
• 1:00
  Since
• 1:01
  2020.
• 1:01
  Yeah.
• 1:02
  At
• 1:02
  least
• 1:02
  if
• 1:02
  you've
• 1:02
  been
• 1:02
  able.
• 1:03
  Interacting
• 1:03
  via
• 1:04
  Zoom.
• 1:05
  And
• 1:05
  now
• 1:06
  we're
• 1:06
  in
• 1:06
  person,
• 1:07
  which
• 1:07
  is
• 1:07
  wonderful.
• 1:08
  It's
• 1:08
  very
• 1:08
  exciting.
• 1:09
  So
• 1:09
  I
• 1:10
  mentioned
• 1:10
  that
• 1:10
  you
• 1:10
  are
• 1:10
  a
• 1:10
  medical
• 1:11
  anthropologist.
• 1:12
  I
• 1:12
  don't
• 1:12
  know
• 1:12
  that
• 1:12
  I've
• 1:13
  heard
• 1:13
  that
• 1:13
  term
• 1:13
  a
• 1:13
  lot
• 1:14
  and
• 1:14
  I
• 1:14
  think
• 1:14
  many
• 1:15
  of
• 1:15
  our
• 1:15
  listeners
• 1:16
  have
• 1:16
  not
• 1:16
  as
• 1:17
  well.
• 1:17
  Could
• 1:17
  you
• 1:18
  talk
• 1:18
  a
• 1:18
  little
• 1:18
  bit
• 1:18
  about
• 1:18
  what
• 1:18
  that
• 1:19
  is?
• 1:19
  Sure.
• 1:20
  So
• 1:20
  I
• 1:20
  am
• 1:20
  a
• 1:20
  medical
• 1:21
  anthropologist.
• 1:22
  I
• 1:23
  have
• 1:23
  a
• 1:23
  bachelor's
• 1:24
  degree
• 1:24
  in
• 1:24
  anthropology,
• 1:25
  a
• 1:25
  master's
• 1:26
  degree
• 1:26
  in
• 1:26
  anthropology,
• 1:27
  and
• 1:28
  a
• 1:28
  doctoral
• 1:29
  or
• 1:29
  PhD
• 1:29
  in
• 1:29
  anthropology.
• 1:31
  So
• 1:31
  I
• 1:31
  am
• 1:32
  considered
• 1:32
  to
• 1:32
  be
• 1:33
  a
• 1:33
  cultural
• 1:33
  anthropologist.
• 1:34
  And
• 1:34
  medical
• 1:34
  anthropology
• 1:35
  is
• 1:36
  a
• 1:36
  discipline
• 1:36
  or
• 1:37
  subfield
• 1:37
  within
• 1:38
  cultural
• 1:38
  anthropology.
• 1:40
  When
• 1:41
  we
• 1:41
  think
• 1:41
  about
• 1:41
  a
• 1:42
  medical
• 1:42
  anthropologist,
• 1:43
  my
• 1:43
  expertise
• 1:43
  is
• 1:44
  really
• 1:44
  in
• 1:45
  critically
• 1:46
  thinking
• 1:46
  and
• 1:47
  engaging
• 1:48
  with
• 1:48
  health
• 1:48
  care
• 1:48
  systems.
• 1:50
  It's
• 1:50
  very
• 1:51
  common
• 1:51
  for
• 1:51
  medical
• 1:51
  anthropologists
• 1:52
  to
• 1:52
  be
• 1:53
  within
• 1:53
  schools
• 1:53
  of
• 1:53
  medicine
• 1:54
  to
• 1:54
  teach
• 1:54
  medical
• 1:55
  students,
• 1:56
  to
• 1:56
  teach
• 1:56
  residents,
• 1:57
  to
• 1:57
  really
• 1:57
  be
• 1:58
  involved
• 1:58
  in
• 1:58
  curriculum,
• 1:59
  bringing
• 1:59
  a
• 2:00
  critical
• 2:00
  and
• 2:00
  social
• 2:01
  science
• 2:01
  perspective.
• 2:02
  As
• 2:02
  a
• 2:03
  medical
• 2:03
  anthropologist
• 2:04
  in
• 2:04
  my
• 2:04
  current
• 2:04
  position,
• 2:05
  my
• 2:05
  work
• 2:05
  is
• 2:06
  really
• 2:06
  focused
• 2:06
  on
• 2:07
  mentoring
• 2:08
  medical
• 2:08
  students
• 2:09
  as
• 2:09
  well
• 2:09
  as
• 2:10
  doing
• 2:11
  public
• 2:11
  health
• 2:11
  and
• 2:11
  health
• 2:12
  services
• 2:12
  research.
• 2:13
  Oh,
• 2:13
  wow.
• 2:14
  So
• 2:14
  not
• 2:14
  to
• 2:14
  be
• 2:15
  too
• 2:15
  basic
• 2:15
  about
• 2:15
  it,
• 2:16
  but
• 2:16
  it
• 2:16
  sounds
• 2:16
  like
• 2:16
  you
• 2:16
  really
• 2:17
  bring
• 2:17
  the
• 2:17
  real
• 2:18
  world
• 2:18
  perspective
• 2:19
  very
• 2:19
  much
• 2:20
  in
• 2:20
  medical
• 2:20
  school.
• 2:21
  Very
• 2:21
  much.
• 2:22
  And
• 2:22
  the
• 2:22
  type
• 2:22
  of
• 2:23
  research
• 2:23
  that
• 2:23
  I
• 2:24
  do,
• 2:24
  the
• 2:24
  approach
• 2:25
  that
• 2:25
  I
• 2:25
  use,
• 2:26
  which
• 2:26
  very
• 2:26
  much
• 2:27
  has
• 2:27
  been
• 2:27
  shaped
• 2:28
  by
• 2:28
  my
• 2:28
  anthropological
• 2:29
  training,
• 2:30
  is
• 2:30
  to
• 2:30
  immerse
• 2:31
  myself
• 2:31
  in
• 2:31
  the
• 2:32
  community
• 2:32
  and
• 2:32
  to
• 2:33
  develop
• 2:33
  relationships,
• 2:34
  to
• 2:34
  build
• 2:34
  trust
• 2:35
  and
• 2:35
  to
• 2:35
  work
• 2:36
  with
• 2:36
  community.
• 2:36
  In
• 2:37
  this
• 2:37
  case,
• 2:37
  I
• 2:38
  work
• 2:38
  primarily
• 2:38
  with
• 2:38
  members
• 2:39
  of
• 2:39
  the
• 2:39
  eastern
• 2:39
  Cochella
• 2:40
  Valley
• 2:41
  to
• 2:41
  empower
• 2:41
  them,
• 2:42
  to
• 2:42
  build
• 2:42
  their
• 2:42
  capacity
• 2:43
  to
• 2:44
  understand
• 2:45
  health
• 2:45
  needs
• 2:46
  of
• 2:46
  their
• 2:46
  community
• 2:46
  and
• 2:47
  then
• 2:47
  address
• 2:47
  them.
• 2:48
  Right.
• 2:49
  So
• 2:49
  let's
• 2:49
  talk
• 2:49
  about
• 2:50
  how
• 2:50
  that
• 2:50
  relates
• 2:51
  to
• 2:51
  your
• 2:51
  work
• 2:51
  in
• 2:52
  terms
• 2:52
  of
• 2:52
  environmental
• 2:53
  health.
• 2:53
  When
• 2:53
  did
• 2:54
  you
• 2:54
  first
• 2:54
  get
• 2:54
  involved
• 2:55
  in
• 2:55
  that,
• 2:55
  in
• 2:55
  that
• 2:56
  topic?
• 2:57
  Great
• 2:57
  question.
• 2:58
  So
• 2:58
  I
• 2:58
  would
• 2:58
  say
• 2:59
  2017,
• 3:00
  2018.
• 3:01
  I
• 3:01
  do
• 3:01
  not
• 3:01
  consider
• 3:02
  myself,
• 3:03
  did
• 3:03
  I
• 3:04
  in
• 3:04
  2017,
• 3:05
  2018,
• 3:05
  an
• 3:06
  expert
• 3:06
  in
• 3:06
  environmental
• 3:07
  health?
• 3:08
  Slowly,
• 3:09
  because
• 3:09
  of
• 3:09
  the
• 3:09
  work
• 3:09
  that
• 3:10
  I
• 3:10
  do,
• 3:10
  community
• 3:11
  gauge,
• 3:11
  participatory
• 3:12
  research,
• 3:13
  the
• 3:13
  needs
• 3:13
  of
• 3:13
  the
• 3:14
  community
• 3:14
  have
• 3:14
  really
• 3:15
  driven
• 3:15
  me
• 3:15
  into
• 3:15
  this
• 3:16
  space
• 3:16
  or
• 3:16
  guided
• 3:16
  me
• 3:17
  into
• 3:17
  this
• 3:17
  space.
• 3:19
  The
• 3:19
  original
• 3:20
  work
• 3:20
  that
• 3:20
  we
• 3:20
  did
• 3:21
  was
• 3:21
  a
• 3:21
  needs
• 3:21
  assessment,
• 3:22
  a
• 3:23
  health
• 3:23
  needs
• 3:23
  assessment.
• 3:24
  And
• 3:24
  we
• 3:24
  did
• 3:24
  that
• 3:24
  in
• 3:25
  collaboration
• 3:25
  with
• 3:25
  communities
• 3:26
  in
• 3:26
  the
• 3:26
  Eastern
• 3:26
  Coachella
• 3:27
  Valley.
• 3:27
  And
• 3:28
  one
• 3:28
  of
• 3:28
  the
• 3:28
  main
• 3:28
  topics
• 3:29
  that
• 3:29
  came
• 3:29
  up
• 3:30
  was
• 3:30
  childhood
• 3:31
  asthma
• 3:32
  and
• 3:32
  other
• 3:33
  related
• 3:33
  conditions
• 3:34
  like
• 3:35
  nosebleeds,
• 3:35
  as
• 3:36
  well
• 3:36
  as
• 3:36
  allergies.
• 3:37
  And
• 3:37
  so
• 3:37
  we
• 3:37
  started
• 3:38
  there
• 3:39
  from
• 3:39
  what
• 3:39
  we
• 3:40
  heard
• 3:40
  from
• 3:40
  community
• 3:41
  as
• 3:41
  a
• 3:41
  priority
• 3:42
  and
• 3:42
  began
• 3:42
  to
• 3:42
  develop
• 3:43
  research
• 3:43
  around
• 3:44
  that
• 3:44
  topic
• 3:45
  of
• 3:45
  childhood
• 3:46
  asthma.
• 3:47
  And
• 3:47
  because
• 3:47
  you
• 3:47
  were
• 3:47
  beginning
• 3:48
  to
• 3:48
  see
• 3:49
  large
• 3:50
  amounts
• 3:50
  of
• 3:50
  children
• 3:51
  affected
• 3:51
  by
• 3:52
  the
• 3:53
  air
• 3:53
  quality
• 3:53
  in
• 3:54
  terms
• 3:54
  of
• 3:54
  asthma.
• 3:55
  Right.
• 3:55
  So,
• 3:56
  well,
• 3:57
  our
• 3:57
  work,
• 3:57
  my
• 3:57
  team's
• 3:58
  work,
• 3:58
  we
• 3:58
  refer
• 3:58
  to
• 3:58
  ourselves
• 3:59
  as
• 3:59
  Unidos
• 3:59
  Porsolud
• 4:00
  because
• 4:00
  we
• 4:00
  are
• 4:00
  a
• 4:01
  community
• 4:01
  academic
• 4:01
  partnership.
• 4:02
  It's
• 4:02
  myself
• 4:03
  as
• 4:03
  the
• 4:03
  academic
• 4:04
  investigator,
• 4:05
  and
• 4:05
  then
• 4:05
  Maria
• 4:06
  Conchita
• 4:06
  Posar
• 4:07
  is
• 4:07
  the
• 4:07
  community
• 4:08
  investigator.
• 4:09
  Conchita
• 4:10
  oversees
• 4:10
  our
• 4:11
  team
• 4:11
  of
• 4:11
  promotores
• 4:12
  who
• 4:12
  are
• 4:12
  community
• 4:13
  health
• 4:13
  workers.
• 4:13
  They're
• 4:13
  leaders
• 4:14
  in
• 4:14
  their
• 4:14
  community.
• 4:16
  What
• 4:16
  we
• 4:16
  began
• 4:17
  noticing
• 4:18
  is
• 4:18
  that
• 4:18
  there
• 4:18
  was
• 4:19
  a
• 4:19
  real
• 4:19
  concern
• 4:20
  among
• 4:20
  caregivers
• 4:21
  of
• 4:21
  these
• 4:21
  complications
• 4:22
  that
• 4:22
  their
• 4:23
  children
• 4:23
  had.
• 4:23
  And
• 4:23
  it
• 4:24
  wasn't
• 4:24
  just
• 4:24
  that
• 4:25
  they
• 4:25
  maybe
• 4:26
  had
• 4:26
  asthma.
• 4:27
  They
• 4:27
  were
• 4:27
  confused
• 4:28
  because
• 4:29
  their
• 4:29
  child
• 4:30
  may
• 4:30
  not
• 4:30
  have
• 4:30
  had
• 4:30
  a
• 4:30
  diagnosis
• 4:31
  of
• 4:31
  asthma,
• 4:32
  but
• 4:32
  the
• 4:33
  healthcare
• 4:33
  provider
• 4:34
  prescribed
• 4:34
  them
• 4:35
  albuterol,
• 4:36
  so
• 4:36
  a
• 4:36
  medication
• 4:36
  for
• 4:37
  asthma.
• 4:38
  We
• 4:39
  started
• 4:39
  investigating
• 4:40
  that
• 4:40
  to
• 4:40
  try
• 4:40
  to
• 4:40
  understand
• 4:41
  really
• 4:41
  what
• 4:41
  was
• 4:41
  going
• 4:42
  on.
• 4:42
  And
• 4:42
  it
• 4:42
  was
• 4:42
  a
• 4:42
  lot
• 4:43
  of
• 4:43
  questions
• 4:43
  around
• 4:43
  healthcare
• 4:44
  services
• 4:44
  use,
• 4:45
  healthcare
• 4:46
  access.
• 4:46
  And
• 4:47
  a
• 4:47
  lot
• 4:47
  of
• 4:47
  what
• 4:47
  we've
• 4:47
  learned
• 4:48
  over
• 4:48
  the
• 4:48
  years
• 4:49
  is
• 4:49
  that
• 4:50
  it's
• 4:50
  an
• 4:51
  immigrant
• 4:51
  population
• 4:52
  and
• 4:52
  many
• 4:52
  are
• 4:52
  utilizing
• 4:53
  emergency
• 4:53
  care
• 4:54
  services
• 4:54
  because
• 4:54
  it's
• 4:55
  available
• 4:55
  when
• 4:55
  they
• 4:56
  are
• 4:56
  available.
• 4:57
  And
• 4:58
  in
• 4:58
  an
• 4:58
  emergency
• 4:59
  care
• 4:59
  setting,
• 5:00
  you
• 5:00
  typically
• 5:01
  do
• 5:01
  not
• 5:01
  get
• 5:01
  a
• 5:02
  diagnosis
• 5:02
  for
• 5:03
  childhood
• 5:03
  asthma.
• 5:04
  You
• 5:04
  would
• 5:04
  need
• 5:04
  to
• 5:04
  go
• 5:05
  to
• 5:05
  your
• 5:05
  primary
• 5:05
  care,
• 5:06
  to
• 5:06
  the
• 5:06
  pediatrician.
• 5:07
  So
• 5:07
  we
• 5:07
  started
• 5:08
  to
• 5:08
  investigate
• 5:09
  those
• 5:09
  types
• 5:09
  of
• 5:09
  topics.
• 5:10
  What
• 5:11
  we
• 5:11
  do
• 5:11
  know
• 5:11
  from
• 5:11
  the
• 5:12
  epidemiological
• 5:12
  literature
• 5:13
  that
• 5:13
  has
• 5:14
  primarily
• 5:14
  been
• 5:14
  done
• 5:15
  in
• 5:15
  Imperial
• 5:15
  Valley
• 5:16
  with
• 5:16
  children
• 5:17
  within
• 5:17
  school
• 5:18
  systems
• 5:18
  in
• 5:18
  the
• 5:18
  Imperial
• 5:19
  Valley,
• 5:20
  is
• 5:20
  that
• 5:20
  the
• 5:21
  rates
• 5:21
  of
• 5:21
  asthma
• 5:22
  are
• 5:22
  upward
• 5:22
  of
• 5:22
  22%,
• 5:23
  which
• 5:24
  is
• 5:24
  double
• 5:25
  the
• 5:25
  state
• 5:26
  and
• 5:26
  national
• 5:26
  average
• 5:27
  of
• 5:27
  childhood
• 5:28
  asthma.
• 5:29
  Double.
• 5:29
  Double.
• 5:30
  Wow.
• 5:31
  What
• 5:31
  you
• 5:31
  were
• 5:31
  saying
• 5:31
  about
• 5:32
  the
• 5:32
  emergency
• 5:33
  room
• 5:33
  situation
• 5:34
  is
• 5:34
  that
• 5:34
  they
• 5:34
  tend
• 5:35
  to
• 5:35
  treat
• 5:35
  whatever
• 5:36
  is
• 5:36
  ailing
• 5:36
  you
• 5:36
  at
• 5:37
  the
• 5:37
  moment.
• 5:38
  That
• 5:38
  is
• 5:38
  not
• 5:38
  a
• 5:38
  diagnosis.
• 5:39
  Exactly.
• 5:40
  Okay.
• 5:40
  Yes.
• 5:41
  So
• 5:41
  what
• 5:41
  we
• 5:41
  have
• 5:41
  found,
• 5:42
  if
• 5:43
  families
• 5:43
  are
• 5:43
  able
• 5:44
  to,
• 5:44
  meaning
• 5:45
  they're
• 5:45
  able
• 5:45
  to
• 5:45
  cross,
• 5:46
  they're
• 5:46
  able
• 5:46
  to
• 5:47
  bring
• 5:47
  their
• 5:47
  child
• 5:47
  across
• 5:47
  the
• 5:48
  US
• 5:48
  Mexico
• 5:48
  border.
• 5:49
  Their
• 5:49
  preference,
• 5:50
  at
• 5:50
  least
• 5:51
  in
• 5:51
  the
• 5:51
  eastern
• 5:51
  Coachella
• 5:52
  Valley,
• 5:52
  again,
• 5:52
  it's
• 5:53
  an
• 5:53
  Immigrant
• 5:53
  community.
• 5:54
  The
• 5:54
  majority
• 5:54
  of
• 5:54
  individuals
• 5:55
  speak
• 5:55
  Spanish
• 5:56
  as
• 5:56
  their
• 5:56
  primary
• 5:57
  language.
• 5:58
  They
• 5:58
  cross
• 5:58
  the
• 5:59
  border
• 5:59
  into
• 5:59
  Mexicali
• 6:00
  to
• 6:01
  access
• 6:01
  healthcare
• 6:01
  services,
• 6:02
  because
• 6:03
  there
• 6:03
  they're
• 6:04
  able
• 6:04
  to
• 6:04
  get
• 6:04
  a
• 6:04
  diagnosis,
• 6:05
  a
• 6:06
  diagnosis
• 6:06
  that
• 6:06
  they
• 6:06
  understand,
• 6:07
  and
• 6:07
  then
• 6:07
  a
• 6:08
  treatment
• 6:08
  plan.
• 6:09
  Okay.
• 6:09
  And
• 6:10
  we
• 6:10
  noticed
• 6:10
  that
• 6:10
  this
• 6:11
  is
• 6:11
  the
• 6:11
  preferred
• 6:12
  approach
• 6:13
  to
• 6:13
  being
• 6:13
  able
• 6:13
  to
• 6:14
  address
• 6:14
  their
• 6:14
  children's
• 6:15
  healthcare
• 6:15
  needs.
• 6:16
  Wow.
• 6:16
  So
• 6:16
  that
• 6:16
  was
• 6:17
  the
• 6:17
  beginning
• 6:17
  for
• 6:18
  you.
• 6:19
  How
• 6:19
  has
• 6:19
  that
• 6:20
  translated
• 6:21
  into
• 6:21
  other
• 6:21
  work
• 6:21
  around
• 6:22
  environmental
• 6:22
  health
• 6:23
  in
• 6:23
  the
• 6:23
  valley?
• 6:24
  Yeah,
• 6:24
  so
• 6:24
  one
• 6:24
  of
• 6:24
  our
• 6:25
  most
• 6:25
  recent
• 6:25
  projects
• 6:26
  was
• 6:26
  funded
• 6:27
  by
• 6:27
  pcori,
• 6:27
  which
• 6:27
  is
• 6:27
  Patient
• 6:28
  Centered
• 6:28
  Outcomes
• 6:28
  Research
• 6:29
  Institute.
• 6:30
  And
• 6:30
  we
• 6:30
  had
• 6:30
  funding
• 6:31
  for
• 6:31
  two
• 6:31
  years
• 6:31
  to
• 6:32
  build
• 6:32
  the
• 6:32
  capacity
• 6:33
  of
• 6:33
  different
• 6:34
  groups,
• 6:34
  caregivers,
• 6:35
  community
• 6:36
  health
• 6:36
  workers,
• 6:37
  physicians,
• 6:38
  medical
• 6:38
  students,
• 6:39
  to
• 6:39
  partner
• 6:39
  in
• 6:40
  research
• 6:40
  and
• 6:40
  to
• 6:40
  work
• 6:41
  with
• 6:41
  us
• 6:41
  to
• 6:41
  identify
• 6:43
  essentially
• 6:44
  what
• 6:44
  steps
• 6:45
  we
• 6:45
  should
• 6:45
  take
• 6:46
  to
• 6:46
  begin
• 6:46
  to
• 6:46
  address
• 6:47
  childhood
• 6:48
  asthma.
• 6:49
  And
• 6:49
  I
• 6:49
  thought
• 6:50
  we
• 6:50
  would
• 6:50
  go
• 6:50
  in
• 6:50
  the
• 6:50
  direction
• 6:51
  of,
• 6:52
  well,
• 6:52
  let's
• 6:53
  train
• 6:53
  our
• 6:53
  physicians
• 6:54
  on
• 6:54
  how
• 6:54
  to
• 6:54
  better
• 6:55
  communicate
• 6:56
  around.
• 6:57
  You
• 6:57
  know,
• 6:57
  the
• 6:57
  ER
• 6:58
  may
• 6:58
  not
• 6:58
  be
• 6:58
  the
• 6:58
  best
• 6:58
  place
• 6:59
  to
• 6:59
  be
• 6:59
  able
• 6:59
  to
• 6:59
  get
• 7:00
  a
• 7:00
  diagnosis
• 7:00
  and
• 7:01
  a
• 7:01
  treatment
• 7:01
  plan
• 7:01
  for
• 7:01
  your
• 7:02
  child.
• 7:02
  I
• 7:02
  thought
• 7:02
  our
• 7:03
  research
• 7:03
  would
• 7:03
  go
• 7:03
  in
• 7:03
  that
• 7:04
  direction,
• 7:04
  but
• 7:05
  it
• 7:05
  actually
• 7:05
  went
• 7:05
  in
• 7:05
  the
• 7:06
  direction
• 7:06
  of
• 7:06
  community
• 7:07
  wanting
• 7:07
  to
• 7:07
  understand
• 7:08
  what
• 7:08
  is
• 7:09
  actually
• 7:10
  on
• 7:10
  the
• 7:10
  lungs,
• 7:11
  in
• 7:11
  the
• 7:11
  lungs
• 7:12
  of
• 7:12
  children.
• 7:12
  What's
• 7:13
  the
• 7:13
  organic
• 7:13
  matter?
• 7:14
  What
• 7:14
  is
• 7:14
  it
• 7:14
  that's
• 7:15
  entering
• 7:16
  from
• 7:16
  the
• 7:16
  environment
• 7:17
  into
• 7:17
  their
• 7:18
  body
• 7:18
  and
• 7:18
  getting
• 7:18
  into
• 7:19
  their
• 7:19
  lungs
• 7:19
  and
• 7:19
  causing
• 7:20
  these
• 7:20
  problems?
• 7:21
  So
• 7:21
  our
• 7:21
  team
• 7:22
  is
• 7:22
  moving
• 7:22
  in
• 7:23
  that
• 7:23
  direction.
• 7:23
  We're
• 7:24
  partnering
• 7:24
  with
• 7:24
  biomedical
• 7:25
  scientists
• 7:26
  as
• 7:26
  well
• 7:26
  as
• 7:26
  we
• 7:26
  work
• 7:27
  with
• 7:27
  an
• 7:27
  atmospheric
• 7:28
  physicist
• 7:29
  who
• 7:29
  really
• 7:30
  takes
• 7:30
  a
• 7:30
  look
• 7:30
  at
• 7:31
  the
• 7:31
  particulate
• 7:32
  matter
• 7:32
  within
• 7:32
  the
• 7:33
  environment.
• 7:34
  And
• 7:34
  then
• 7:34
  the
• 7:34
  biomedical
• 7:35
  scientist,
• 7:35
  she
• 7:36
  takes
• 7:36
  a
• 7:36
  look
• 7:36
  at
• 7:37
  what
• 7:37
  is
• 7:38
  in
• 7:38
  the
• 7:38
  lungs,
• 7:38
  what's
• 7:38
  the
• 7:39
  organic
• 7:39
  matter?
• 7:40
  So
• 7:40
  our
• 7:40
  team
• 7:40
  is
• 7:41
  moving
• 7:41
  in
• 7:41
  that
• 7:41
  direction
• 7:42
  to
• 7:42
  identify
• 7:42
  what
• 7:43
  is
• 7:43
  it
• 7:43
  in
• 7:43
  the
• 7:43
  environment
• 7:44
  that
• 7:45
  is
• 7:45
  creating
• 7:46
  inflammation
• 7:47
  and
• 7:47
  causing
• 7:47
  problems
• 7:48
  within
• 7:48
  children.
• 7:49
  And
• 7:49
  is
• 7:49
  that
• 7:49
  because
• 7:50
  the
• 7:50
  residents
• 7:50
  wanted
• 7:51
  the
• 7:51
  more
• 7:51
  scientific
• 7:53
  answer?
• 7:54
  Exactly.
• 7:54
  That's
• 7:55
  fascinating.
• 7:55
  It
• 7:56
  is
• 7:56
  fascinating,
• 7:56
  and
• 7:57
  I
• 7:57
  was
• 7:57
  a
• 7:57
  bit
• 7:58
  surprised,
• 7:58
  but
• 7:58
  I'm
• 7:58
  really
• 7:59
  excited
• 8:00
  that
• 8:00
  the
• 8:00
  community
• 8:01
  has
• 8:01
  directed
• 8:01
  us
• 8:02
  here.
• 8:03
  It's
• 8:03
  very
• 8:03
  interdisciplinary
• 8:04
  work,
• 8:04
  and
• 8:04
  it's
• 8:05
  work
• 8:05
  that
• 8:05
  really
• 8:05
  needs
• 8:05
  to
• 8:06
  be
• 8:06
  done.
• 8:06
  What
• 8:07
  the
• 8:07
  community
• 8:07
  had
• 8:08
  shared
• 8:08
  with
• 8:08
  us
• 8:09
  is,
• 8:09
  sure,
• 8:09
  we
• 8:09
  could
• 8:10
  focus
• 8:11
  on
• 8:11
  the
• 8:11
  signs,
• 8:12
  the
• 8:12
  symptoms,
• 8:13
  the
• 8:13
  healthcare
• 8:14
  services
• 8:14
  use,
• 8:15
  but
• 8:15
  that's
• 8:16
  essentially
• 8:17
  just
• 8:17
  looking
• 8:18
  at
• 8:18
  the
• 8:18
  problem
• 8:19
  rather
• 8:19
  than
• 8:19
  the
• 8:19
  root
• 8:20
  cause.
• 8:20
  And
• 8:20
  they
• 8:21
  asked
• 8:21
  us
• 8:21
  to
• 8:21
  take
• 8:21
  a
• 8:22
  look
• 8:22
  at
• 8:22
  the
• 8:22
  root
• 8:22
  cause,
• 8:23
  which
• 8:23
  they
• 8:24
  know
• 8:25
  that
• 8:25
  the
• 8:25
  root
• 8:25
  cause
• 8:25
  is
• 8:26
  in
• 8:26
  the
• 8:26
  environment.
• 8:27
  It's
• 8:27
  where
• 8:27
  they're
• 8:27
  living.
• 8:28
  It's
• 8:28
  the
• 8:28
  air
• 8:28
  they're
• 8:29
  breathing.
• 8:29
  Focusing
• 8:30
  on
• 8:30
  the
• 8:30
  root
• 8:30
  cause.
• 8:31
  That
• 8:31
  is
• 8:31
  not
• 8:31
  to
• 8:32
  say
• 8:32
  that
• 8:32
  doctors
• 8:33
  still
• 8:33
  do
• 8:33
  not
• 8:34
  need
• 8:34
  to
• 8:34
  improve
• 8:35
  communication.
• 8:36
  Correct.
• 8:37
  Around
• 8:38
  what's
• 8:38
  going
• 8:39
  on
• 8:39
  with
• 8:39
  children
• 8:39
  and
• 8:39
  the
• 8:40
  air
• 8:40
  quality
• 8:40
  and
• 8:41
  asthma.
• 8:42
  Exactly.
• 8:42
  One
• 8:42
  of
• 8:43
  the
• 8:43
  things
• 8:43
  that
• 8:43
  we've
• 8:43
  heard
• 8:44
  frequently
• 8:44
  from
• 8:44
  caregivers
• 8:45
  because
• 8:45
  we
• 8:45
  work
• 8:46
  primarily
• 8:46
  with
• 8:46
  caregivers
• 8:47
  of
• 8:47
  children
• 8:47
  who
• 8:47
  have
• 8:48
  asthma
• 8:49
  or
• 8:49
  co
• 8:49
  presenting
• 8:50
  conditions.
• 8:51
  And
• 8:51
  we
• 8:51
  will
• 8:51
  hear
• 8:52
  caregivers
• 8:53
  say
• 8:53
  to
• 8:53
  us,
• 8:54
  well,
• 8:54
  the
• 8:54
  doctor
• 8:54
  said,
• 8:55
  really,
• 8:55
  if
• 8:55
  I
• 8:56
  want
• 8:56
  to
• 8:56
  help
• 8:56
  my
• 8:56
  child,
• 8:57
  I
• 8:57
  need
• 8:57
  to
• 8:57
  move.
• 8:58
  I
• 8:58
  need
• 8:58
  to
• 8:59
  move
• 8:59
  to
• 8:59
  a
• 8:59
  different
• 8:59
  location.
• 9:01
  Move.
• 9:02
  And
• 9:02
  when
• 9:02
  you
• 9:02
  think
• 9:02
  about
• 9:03
  the
• 9:03
  residents
• 9:04
  of
• 9:04
  the
• 9:04
  eastern
• 9:04
  Coachella
• 9:05
  Valley,
• 9:05
  again,
• 9:06
  it's
• 9:06
  a
• 9:06
  very,
• 9:06
  it's
• 9:07
  an
• 9:07
  immigrant
• 9:07
  population,
• 9:08
  primarily
• 9:09
  Latinx
• 9:09
  Spanish
• 9:10
  speakers.
• 9:10
  There's
• 9:10
  a
• 9:10
  very
• 9:10
  large
• 9:11
  Prepocha
• 9:11
  community
• 9:12
  which
• 9:12
  is
• 9:12
  an
• 9:12
  indigenous
• 9:13
  group
• 9:13
  from
• 9:13
  Michoacan.
• 9:14
  They
• 9:14
  are
• 9:15
  working
• 9:15
  in
• 9:15
  the
• 9:15
  fields
• 9:16
  and
• 9:16
  many
• 9:17
  of
• 9:17
  them
• 9:17
  are
• 9:17
  living
• 9:17
  in
• 9:17
  poverty
• 9:18
  and
• 9:18
  don't
• 9:18
  have
• 9:19
  the
• 9:19
  ability,
• 9:20
  the
• 9:20
  resources,
• 9:20
  the
• 9:21
  support
• 9:21
  to
• 9:21
  be
• 9:21
  able
• 9:22
  to
• 9:22
  move
• 9:22
  to
• 9:22
  another
• 9:23
  area.
• 9:24
  And
• 9:24
  then
• 9:25
  it's
• 9:25
  very
• 9:25
  costly
• 9:26
  to
• 9:26
  live
• 9:26
  in
• 9:26
  California.
• 9:27
  Many
• 9:27
  are
• 9:28
  living
• 9:28
  right
• 9:29
  next
• 9:29
  to
• 9:29
  the
• 9:29
  Salton
• 9:30
  Sea
• 9:31
  because
• 9:31
  of
• 9:31
  the
• 9:32
  low
• 9:32
  cost
• 9:32
  of
• 9:32
  living.
• 9:33
  It's
• 9:33
  more
• 9:33
  affordable.
• 9:34
  Right.
• 9:34
  And
• 9:34
  the
• 9:34
  Salton
• 9:35
  Sea
• 9:35
  presents
• 9:35
  all
• 9:35
  kinds
• 9:36
  of
• 9:36
  challenges
• 9:36
  in
• 9:37
  terms
• 9:37
  of
• 9:37
  air
• 9:37
  quality.
• 9:38
  Exactly.
• 9:39
  So,
• 9:40
  you
• 9:40
  know,
• 9:40
  we
• 9:40
  know
• 9:40
  that
• 9:41
  the
• 9:41
  Salton
• 9:41
  Sea
• 9:42
  and
• 9:42
  what
• 9:42
  it
• 9:43
  happened
• 9:43
  in
• 9:44
  terms
• 9:44
  of
• 9:45
  water
• 9:45
  politics
• 9:45
  and
• 9:46
  decision
• 9:46
  making
• 9:47
  around
• 9:48
  water
• 9:49
  to
• 9:49
  the
• 9:49
  sea
• 9:49
  has
• 9:50
  really
• 9:50
  affected
• 9:51
  the
• 9:51
  playa.
• 9:52
  The
• 9:52
  exposure
• 9:53
  of
• 9:53
  the
• 9:53
  playa.
• 9:54
  And
• 9:54
  because
• 9:54
  of
• 9:54
  climate
• 9:54
  change,
• 9:55
  we're
• 9:55
  seeing
• 9:55
  that
• 9:56
  that's
• 9:56
  much
• 9:57
  more
• 9:57
  rapid
• 9:57
  than
• 9:58
  I
• 9:58
  think
• 9:58
  we
• 9:58
  originally
• 9:59
  anticipated.
• 10:00
  And
• 10:00
  that
• 10:00
  means
• 10:01
  that
• 10:01
  there's
• 10:01
  more
• 10:02
  dust
• 10:02
  around
• 10:03
  the
• 10:03
  Salton
• 10:03
  Sea.
• 10:04
  And
• 10:04
  there
• 10:04
  are
• 10:05
  dust
• 10:05
  storms
• 10:05
  that
• 10:06
  pick
• 10:06
  up
• 10:06
  that
• 10:06
  dust
• 10:07
  and
• 10:07
  they
• 10:07
  bring
• 10:07
  that
• 10:08
  toxic
• 10:08
  dust
• 10:09
  into
• 10:09
  community
• 10:10
  spaces
• 10:10
  and
• 10:10
  into
• 10:11
  children,
• 10:11
  families,
• 10:12
  homes.
• 10:13
  So
• 10:13
  that
• 10:13
  brings
• 10:14
  me
• 10:14
  to
• 10:14
  a
• 10:15
  question
• 10:15
  I
• 10:15
  have
• 10:16
  for
• 10:16
  you.
• 10:16
  Just
• 10:16
  in
• 10:16
  terms
• 10:17
  of
• 10:17
  what
• 10:17
  you
• 10:17
  consider
• 10:18
  to
• 10:19
  be
• 10:19
  the
• 10:19
  biggest
• 10:19
  deterrence
• 10:20
  to
• 10:21
  people
• 10:21
  being
• 10:21
  aware
• 10:22
  of
• 10:22
  what's
• 10:22
  going
• 10:23
  on
• 10:23
  in
• 10:23
  terms
• 10:23
  of
• 10:24
  air
• 10:24
  quality
• 10:25
  and
• 10:25
  other
• 10:25
  environmental
• 10:26
  health
• 10:26
  issues
• 10:27
  and
• 10:27
  actually
• 10:27
  doing
• 10:28
  something
• 10:28
  about
• 10:28
  it
• 10:28
  in
• 10:28
  our
• 10:29
  community.
• 10:30
  So
• 10:31
  I
• 10:31
  think
• 10:31
  that
• 10:31
  increasingly
• 10:32
  people
• 10:32
  are
• 10:32
  more
• 10:32
  aware
• 10:33
  that
• 10:34
  they
• 10:35
  are
• 10:35
  exposed
• 10:35
  to
• 10:36
  poor
• 10:36
  air
• 10:36
  quality.
• 10:37
  And
• 10:37
  I
• 10:37
  would
• 10:37
  say
• 10:37
  that
• 10:38
  those
• 10:38
  who
• 10:38
  are
• 10:39
  living
• 10:39
  and
• 10:39
  working
• 10:40
  in
• 10:41
  environments
• 10:42
  located
• 10:42
  in
• 10:43
  very
• 10:43
  close
• 10:43
  proximity
• 10:44
  to
• 10:44
  the
• 10:44
  Salton
• 10:45
  Sea
• 10:45
  are
• 10:45
  at
• 10:46
  a
• 10:46
  heightened
• 10:46
  awareness.
• 10:47
  Why?
• 10:47
  Is
• 10:48
  because
• 10:48
  that
• 10:49
  area,
• 10:50
  it's
• 10:50
  typically
• 10:51
  individuals
• 10:52
  who
• 10:52
  are
• 10:52
  working
• 10:52
  in
• 10:52
  the
• 10:52
  fields,
• 10:53
  who
• 10:53
  are
• 10:54
  working
• 10:54
  outside,
• 10:55
  and
• 10:55
  they
• 10:56
  are
• 10:56
  experiencing
• 10:57
  the
• 10:57
  effects
• 10:58
  of
• 10:58
  climate
• 10:58
  change.
• 10:59
  Increased
• 11:00
  heat,
• 11:01
  working
• 11:01
  in
• 11:01
  the
• 11:01
  hot
• 11:02
  summer
• 11:02
  months
• 11:03
  within
• 11:03
  the
• 11:04
  fields.
• 11:04
  But
• 11:04
  they're
• 11:05
  also
• 11:05
  exposed
• 11:06
  to
• 11:07
  the
• 11:07
  elements
• 11:08
  of
• 11:08
  the
• 11:08
  Salton
• 11:08
  Sea
• 11:09
  environment,
• 11:10
  of
• 11:10
  the
• 11:10
  toxic
• 11:11
  dust,
• 11:11
  of
• 11:12
  the
• 11:12
  sulfuric
• 11:13
  smells.
• 11:14
  And
• 11:14
  I
• 11:14
  think
• 11:14
  that
• 11:15
  those
• 11:15
  communities
• 11:16
  are
• 11:16
  particularly
• 11:17
  aware
• 11:17
  of
• 11:18
  what's
• 11:18
  going
• 11:18
  on
• 11:18
  because
• 11:18
  they're
• 11:19
  feeling
• 11:19
  in
• 11:19
  their
• 11:20
  bodies,
• 11:20
  they're
• 11:20
  breathing
• 11:21
  the
• 11:21
  poor
• 11:21
  air,
• 11:22
  they're
• 11:23
  experiencing
• 11:24
  heat,
• 11:25
  the
• 11:25
  stress
• 11:25
  of
• 11:26
  heat.
• 11:27
  I
• 11:27
  think
• 11:27
  that
• 11:27
  there
• 11:28
  is
• 11:28
  certainly
• 11:29
  an
• 11:29
  increased
• 11:29
  awareness
• 11:30
  also
• 11:31
  in
• 11:31
  the
• 11:31
  Western
• 11:31
  part
• 11:32
  of
• 11:32
  the
• 11:32
  valley,
• 11:33
  there's
• 11:33
  an
• 11:34
  understanding
• 11:34
  that
• 11:35
  most
• 11:35
  recently
• 11:37
  because
• 11:37
  of
• 11:37
  climate
• 11:38
  change
• 11:38
  and
• 11:39
  because
• 11:39
  of
• 11:40
  recent
• 11:41
  hurricane,
• 11:42
  that
• 11:43
  there
• 11:43
  has
• 11:43
  been
• 11:44
  the
• 11:44
  effects
• 11:45
  on
• 11:46
  the
• 11:46
  environment
• 11:47
  and
• 11:47
  that
• 11:47
  people
• 11:48
  are
• 11:48
  recognizing
• 11:49
  that
• 11:49
  they
• 11:49
  too
• 11:50
  are
• 11:50
  vulnerable.
• 11:51
  So
• 11:51
  it's
• 11:52
  around
• 11:52
  the
• 11:53
  valley,
• 11:53
  residents
• 11:54
  are
• 11:54
  vulnerable
• 11:55
  to
• 11:55
  the
• 11:55
  conditions
• 11:56
  that
• 11:56
  they're
• 11:56
  living
• 11:56
  in,
• 11:56
  the
• 11:57
  environmental
• 11:57
  conditions.
• 11:59
  So
• 11:59
  I
• 12:00
  just
• 12:00
  think
• 12:00
  in
• 12:00
  general,
• 12:01
  because
• 12:01
  people
• 12:01
  are
• 12:02
  experiencing
• 12:03
  the
• 12:04
  changes
• 12:04
  within
• 12:04
  their
• 12:05
  environment
• 12:06
  directly,
• 12:06
  that
• 12:07
  there's
• 12:07
  more
• 12:07
  awareness,
• 12:08
  but
• 12:08
  particularly
• 12:09
  air
• 12:09
  quality
• 12:10
  along
• 12:10
  the
• 12:11
  Salton
• 12:11
  Sea.
• 12:12
  Right.
• 12:12
  I
• 12:12
  think
• 12:13
  people
• 12:13
  are
• 12:13
  saying,
• 12:13
  especially
• 12:14
  since
• 12:15
  tropical
• 12:15
  Storm
• 12:15
  Hillary,
• 12:16
  that
• 12:17
  was
• 12:17
  such
• 12:17
  a
• 12:17
  dramatic
• 12:18
  event
• 12:18
  in
• 12:18
  our
• 12:18
  community,
• 12:19
  something
• 12:19
  we
• 12:19
  rarely
• 12:20
  see.
• 12:21
  And
• 12:21
  that
• 12:22
  really
• 12:22
  raised
• 12:22
  the
• 12:23
  awareness
• 12:23
  in
• 12:23
  terms
• 12:23
  of
• 12:24
  air
• 12:24
  quality
• 12:24
  and
• 12:25
  what
• 12:25
  was
• 12:26
  in
• 12:26
  our
• 12:27
  earth
• 12:28
  and
• 12:28
  our
• 12:28
  dirt
• 12:29
  and
• 12:29
  our
• 12:29
  dust
• 12:30
  that
• 12:30
  was
• 12:30
  stirred
• 12:31
  up
• 12:31
  by
• 12:31
  that.
• 12:32
  Exactly.
• 12:33
  And
• 12:34
  you
• 12:34
  know,
• 12:34
  the
• 12:35
  after
• 12:35
  effects
• 12:35
  of
• 12:35
  Hillary
• 12:36
  have
• 12:36
  been
• 12:37
  really
• 12:37
  pronounced
• 12:38
  in
• 12:38
  terms
• 12:39
  of
• 12:39
  people
• 12:40
  recognizing
• 12:41
  that
• 12:42
  things
• 12:42
  need
• 12:43
  to
• 12:43
  be
• 12:43
  done
• 12:43
  and
• 12:43
  there
• 12:43
  needs
• 12:44
  to
• 12:44
  be
• 12:44
  action,
• 12:44
  particularly
• 12:45
  in
• 12:45
  the
• 12:45
  western
• 12:46
  valley.
• 12:47
  And
• 12:47
  I
• 12:47
  think
• 12:48
  that's
• 12:48
  important
• 12:48
  that
• 12:49
  we
• 12:49
  recognize
• 12:49
  that
• 12:50
  because
• 12:50
  there
• 12:50
  hasn't
• 12:51
  been
• 12:51
  that
• 12:51
  type
• 12:52
  as
• 12:52
  much
• 12:52
  attention
• 12:54
  to
• 12:55
  the
• 12:55
  environmental
• 12:56
  effects
• 12:57
  on
• 12:58
  human
• 12:58
  health
• 12:58
  in
• 12:58
  the
• 12:59
  Eastern
• 12:59
  valley.
• 13:00
  So
• 13:00
  it's
• 13:00
  kind
• 13:01
  of
• 13:01
  like
• 13:02
  the
• 13:02
  event
• 13:02
  of
• 13:03
  Storm
• 13:03
  Hillary
• 13:04
  really
• 13:05
  pushed
• 13:05
  all
• 13:06
  residents
• 13:06
  to
• 13:07
  consider
• 13:07
  how
• 13:08
  are
• 13:08
  they
• 13:08
  vulnerable
• 13:09
  within
• 13:09
  the
• 13:09
  desert
• 13:10
  to
• 13:10
  environment,
• 13:11
  climate
• 13:12
  change
• 13:13
  and
• 13:13
  its
• 13:13
  effects
• 13:13
  on
• 13:14
  health.
• 13:14
  Okay.
• 13:15
  How
• 13:16
  they
• 13:16
  themselves
• 13:17
  are
• 13:17
  affected
• 13:18
  by
• 13:18
  it,
• 13:18
  but
• 13:18
  not
• 13:18
  necessarily
• 13:19
  how
• 13:20
  people
• 13:20
  in
• 13:20
  the
• 13:20
  eastern
• 13:20
  valley
• 13:21
  are
• 13:21
  affected.
• 13:21
  Or
• 13:22
  I
• 13:22
  think
• 13:22
  there's
• 13:22
  now
• 13:23
  a
• 13:23
  heightened
• 13:23
  recognition
• 13:24
  that
• 13:25
  all
• 13:26
  persons
• 13:26
  in
• 13:26
  the
• 13:26
  valley
• 13:27
  are
• 13:27
  vulnerable.
• 13:28
  I
• 13:28
  see.
• 13:28
  Which
• 13:29
  is
• 13:29
  a
• 13:29
  good
• 13:29
  thing.
• 13:30
  Yes.
• 13:31
  In
• 13:31
  my
• 13:31
  mind
• 13:32
  it's
• 13:32
  a
• 13:32
  good
• 13:32
  thing
• 13:33
  because
• 13:34
  for
• 13:34
  me
• 13:34
  it
• 13:34
  speaks
• 13:35
  to,
• 13:35
  well,
• 13:35
  there
• 13:36
  can
• 13:36
  be
• 13:36
  a
• 13:36
  better
• 13:36
  recognition
• 13:37
  of
• 13:37
  the
• 13:37
  suffering
• 13:38
  of
• 13:38
  those
• 13:39
  in
• 13:39
  the
• 13:39
  Eastern
• 13:39
  Valley
• 13:40
  who
• 13:40
  have
• 13:40
  endured
• 13:41
  arguably
• 13:42
  for
• 13:42
  more
• 13:43
  time,
• 13:43
  the
• 13:44
  negative
• 13:44
  effects
• 13:45
  of
• 13:45
  environment
• 13:46
  and
• 13:46
  climate
• 13:46
  change.
• 13:47
  And
• 13:48
  so
• 13:48
  it
• 13:48
  creates
• 13:49
  more
• 13:49
  of
• 13:49
  a
• 13:49
  collective
• 13:50
  voice.
• 13:51
  And
• 13:52
  for
• 13:52
  me,
• 13:52
  I'm
• 13:53
  a
• 13:53
  social
• 13:53
  scientist,
• 13:53
  I'm
• 13:54
  an
• 13:54
  anthropologist,
• 13:54
  and
• 13:55
  my
• 13:55
  training
• 13:55
  is
• 13:55
  very
• 13:56
  much
• 13:56
  to
• 13:56
  look
• 13:56
  at
• 13:56
  things
• 13:57
  critically.
• 13:58
  When
• 13:58
  we
• 13:58
  think
• 13:59
  about
• 13:59
  the
• 14:00
  impacts
• 14:00
  of
• 14:00
  environmental
• 14:00
  environment
• 14:01
  on
• 14:01
  the
• 14:01
  health
• 14:02
  of
• 14:02
  those
• 14:03
  who
• 14:03
  are
• 14:03
  more
• 14:03
  vulnerable.
• 14:05
  Not
• 14:05
  everyone
• 14:05
  in
• 14:06
  the
• 14:06
  valley
• 14:06
  is
• 14:06
  as
• 14:06
  vulnerable
• 14:07
  as
• 14:07
  every.
• 14:08
  Right.
• 14:08
  There's,
• 14:09
  there's
• 14:09
  a
• 14:09
  variation
• 14:10
  in
• 14:10
  vulnerability.
• 14:11
  And
• 14:12
  those
• 14:12
  living
• 14:13
  in
• 14:13
  poor,
• 14:14
  low
• 14:14
  income
• 14:15
  communities
• 14:15
  who
• 14:16
  are
• 14:16
  immigrants,
• 14:17
  racial,
• 14:17
  ethnic
• 14:18
  minorities,
• 14:18
  indigenous,
• 14:19
  they
• 14:19
  are
• 14:20
  much
• 14:20
  more
• 14:20
  vulnerable
• 14:21
  to
• 14:21
  the
• 14:21
  effects
• 14:22
  of
• 14:22
  the
• 14:22
  environment
• 14:23
  and
• 14:23
  climate
• 14:23
  change
• 14:24
  because
• 14:24
  they
• 14:24
  have
• 14:25
  less
• 14:25
  resources,
• 14:26
  they
• 14:26
  have
• 14:26
  less
• 14:27
  ability
• 14:28
  to
• 14:29
  prevent
• 14:30
  the
• 14:30
  external
• 14:31
  from
• 14:32
  affecting
• 14:32
  them
• 14:33
  in
• 14:33
  their
• 14:33
  internal
• 14:34
  homes
• 14:34
  and
• 14:34
  in
• 14:34
  their
• 14:35
  bodies.
• 14:36
  That's
• 14:37
  really
• 14:37
  interesting.
• 14:37
  And
• 14:38
  I
• 14:38
  want
• 14:38
  to
• 14:38
  emphasize
• 14:39
  a
• 14:39
  point
• 14:40
  that
• 14:40
  you
• 14:40
  made
• 14:40
  and
• 14:40
  something
• 14:41
  that
• 14:41
  actually
• 14:41
  came
• 14:41
  up
• 14:41
  in
• 14:42
  a
• 14:42
  recent
• 14:42
  report
• 14:42
  that
• 14:43
  the
• 14:43
  District
• 14:43
  commissioned
• 14:44
  is
• 14:45
  that
• 14:45
  the
• 14:46
  residents
• 14:46
  of
• 14:46
  Eastern
• 14:46
  Coachella
• 14:47
  Valley
• 14:48
  are
• 14:48
  very
• 14:49
  much
• 14:49
  aware
• 14:50
  of
• 14:50
  the
• 14:50
  Effects
• 14:51
  on
• 14:51
  them
• 14:52
  and
• 14:52
  their
• 14:52
  families.
• 14:53
  And
• 14:54
  so
• 14:54
  they
• 14:54
  need
• 14:54
  to
• 14:54
  be
• 14:55
  listened
• 14:55
  to
• 14:55
  and
• 14:55
  they
• 14:55
  need
• 14:56
  to
• 14:56
  be
• 14:56
  brought
• 14:56
  to
• 14:56
  the
• 14:56
  table
• 14:57
  in
• 14:57
  terms
• 14:57
  of
• 14:58
  addressing
• 14:58
  solutions
• 14:59
  to
• 14:59
  this.
• 15:00
  Yeah,
• 15:01
  well,
• 15:01
  when
• 15:01
  we
• 15:01
  think
• 15:01
  about
• 15:02
  it,
• 15:02
  you
• 15:03
  know,
• 15:03
  if
• 15:03
  you
• 15:03
  consider
• 15:05
  the
• 15:06
  livelihoods
• 15:07
  of
• 15:07
  individuals
• 15:08
  between
• 15:08
  the
• 15:08
  west
• 15:08
  and
• 15:08
  the
• 15:09
  Eastern
• 15:09
  Valley,
• 15:10
  if
• 15:10
  you
• 15:10
  think
• 15:10
  about
• 15:11
  the
• 15:11
  types
• 15:11
  of
• 15:12
  occupations,
• 15:12
  the
• 15:13
  jobs
• 15:13
  that
• 15:14
  the
• 15:14
  majority
• 15:14
  have
• 15:15
  in
• 15:15
  the
• 15:15
  Western
• 15:16
  valley
• 15:16
  compared
• 15:16
  to
• 15:16
  those
• 15:17
  the
• 15:17
  majority
• 15:17
  in
• 15:18
  the
• 15:18
  Eastern
• 15:18
  Valley,
• 15:19
  there
• 15:19
  tends
• 15:19
  to
• 15:20
  be
• 15:20
  a
• 15:20
  divide
• 15:21
  that's
• 15:21
  based
• 15:22
  on
• 15:22
  more
• 15:23
  affluent,
• 15:24
  higher
• 15:24
  class,
• 15:25
  more
• 15:25
  professional
• 15:26
  lifestyles.
• 15:27
  You
• 15:27
  could
• 15:27
  could
• 15:27
  say
• 15:27
  in
• 15:28
  the
• 15:28
  Western
• 15:28
  Valley
• 15:28
  there's
• 15:29
  much
• 15:29
  more
• 15:29
  infrastructure
• 15:30
  and
• 15:30
  resources.
• 15:31
  And
• 15:32
  then
• 15:32
  when
• 15:32
  you
• 15:32
  think
• 15:32
  about
• 15:33
  the
• 15:33
  Eastern
• 15:34
  Valley,
• 15:35
  it's
• 15:36
  poor
• 15:36
  infrastructure.
• 15:37
  Many
• 15:37
  of
• 15:37
  the
• 15:38
  communities
• 15:38
  are
• 15:38
  unincorporated.
• 15:40
  They
• 15:40
  have
• 15:40
  to
• 15:40
  rely
• 15:41
  on
• 15:41
  the
• 15:41
  county
• 15:42
  for
• 15:42
  resources
• 15:43
  for
• 15:43
  their
• 15:43
  governance.
• 15:45
  There's
• 15:45
  a
• 15:46
  lack
• 15:46
  of
• 15:47
  professional,
• 15:48
  you
• 15:48
  could
• 15:48
  say
• 15:48
  employment
• 15:49
  or
• 15:49
  employment
• 15:50
  that
• 15:50
  would
• 15:51
  put
• 15:51
  them
• 15:51
  in
• 15:51
  office
• 15:52
  spaces
• 15:52
  versus
• 15:53
  being
• 15:53
  working
• 15:54
  in
• 15:54
  the
• 15:54
  field.
• 15:55
  So
• 15:55
  when
• 15:55
  your
• 15:55
  daily
• 15:56
  life
• 15:56
  is
• 15:57
  outside
• 15:57
  in
• 15:58
  100
• 15:58
  plus
• 15:59
  degree
• 15:59
  weather
• 16:00
  and
• 16:01
  you
• 16:01
  are
• 16:01
  exposed
• 16:02
  to
• 16:02
  dust
• 16:03
  storms
• 16:03
  in
• 16:03
  which
• 16:03
  you
• 16:04
  are
• 16:04
  breathing
• 16:05
  the
• 16:05
  air
• 16:06
  and
• 16:06
  the
• 16:06
  poor
• 16:06
  air
• 16:07
  within
• 16:07
  your
• 16:07
  region,
• 16:08
  you're
• 16:08
  going
• 16:08
  to
• 16:08
  be
• 16:09
  much
• 16:09
  more
• 16:09
  aware
• 16:10
  of
• 16:10
  how
• 16:10
  your
• 16:10
  environment
• 16:11
  affects
• 16:11
  you
• 16:12
  versus
• 16:12
  someone
• 16:13
  who's
• 16:13
  able
• 16:13
  to
• 16:13
  get
• 16:14
  in
• 16:14
  their
• 16:14
  car
• 16:14
  and
• 16:15
  they're
• 16:15
  able
• 16:15
  to
• 16:16
  go
• 16:16
  to
• 16:16
  an
• 16:16
  office
• 16:17
  space
• 16:17
  and
• 16:18
  they're
• 16:18
  able
• 16:19
  to
• 16:19
  work
• 16:19
  out
• 16:19
  in
• 16:20
  a
• 16:20
  gym,
• 16:20
  it's
• 16:21
  just
• 16:22
  so
• 16:22
  very
• 16:22
  different.
• 16:23
  And
• 16:23
  have
• 16:24
  a
• 16:24
  home
• 16:24
  that
• 16:24
  protects
• 16:25
  you
• 16:25
  from
• 16:26
  the
• 16:26
  outside,
• 16:26
  from
• 16:26
  the
• 16:27
  external
• 16:27
  elements.
• 16:28
  That
• 16:29
  is
• 16:29
  a
• 16:29
  really
• 16:29
  great
• 16:30
  point.
• 16:30
  I
• 16:31
  wanted
• 16:31
  to
• 16:31
  touch
• 16:31
  on
• 16:32
  a
• 16:32
  little
• 16:32
  bit,
• 16:32
  the
• 16:33
  environmental
• 16:33
  Health
• 16:33
  Summit.
• 16:34
  You
• 16:34
  were
• 16:34
  there,
• 16:35
  you
• 16:35
  were
• 16:35
  a
• 16:35
  panelist
• 16:36
  on
• 16:36
  the
• 16:36
  air
• 16:37
  quality
• 16:37
  in
• 16:37
  your
• 16:37
  health
• 16:38
  panel.
• 16:39
  I
• 16:39
  was
• 16:39
  just
• 16:39
  wondering
• 16:39
  what
• 16:40
  your
• 16:40
  takeaways
• 16:41
  were
• 16:42
  from
• 16:42
  that
• 16:42
  event,
• 16:43
  from
• 16:43
  that
• 16:43
  panel
• 16:43
  discussion.
• 16:44
  Anything
• 16:45
  that
• 16:45
  really
• 16:45
  stood
• 16:46
  out
• 16:46
  to
• 16:46
  you?
• 16:47
  Well,
• 16:47
  what
• 16:47
  I
• 16:48
  really
• 16:48
  like
• 16:48
  the
• 16:48
  event
• 16:49
  in
• 16:49
  general,
• 16:50
  what
• 16:50
  I
• 16:50
  thought
• 16:50
  the
• 16:51
  event
• 16:51
  did,
• 16:51
  was
• 16:51
  bring
• 16:52
  individuals
• 16:53
  who
• 16:54
  are
• 16:54
  interested
• 16:55
  in
• 16:55
  health
• 16:55
  care,
• 16:56
  who
• 16:56
  are
• 16:56
  interested
• 16:57
  in
• 16:57
  environment,
• 16:58
  and
• 16:59
  who
• 16:59
  are
• 16:59
  interested
• 16:59
  in
• 17:00
  community
• 17:00
  engagement
• 17:01
  together.
• 17:01
  And
• 17:02
  that's
• 17:02
  really
• 17:02
  unique.
• 17:03
  It
• 17:04
  may
• 17:04
  be
• 17:04
  the
• 17:04
  first
• 17:04
  time
• 17:05
  that
• 17:05
  the
• 17:06
  Valley
• 17:06
  has
• 17:06
  done
• 17:06
  that,
• 17:07
  at
• 17:07
  least
• 17:08
  at
• 17:08
  such
• 17:08
  a
• 17:08
  grand
• 17:09
  level.
• 17:10
  So
• 17:10
  when
• 17:10
  I
• 17:10
  walked
• 17:10
  away,
• 17:11
  I
• 17:11
  thought,
• 17:11
  wow,
• 17:12
  we
• 17:12
  really
• 17:12
  have
• 17:13
  such
• 17:13
  really
• 17:14
  great
• 17:14
  leadership
• 17:14
  in
• 17:15
  the
• 17:15
  valley.
• 17:16
  We
• 17:16
  have
• 17:17
  very
• 17:17
  knowledgeable
• 17:18
  individuals.
• 17:18
  We
• 17:19
  have
• 17:19
  incredibly
• 17:19
  passionate
• 17:20
  community
• 17:20
  members
• 17:21
  and
• 17:21
  community
• 17:21
  organizations.
• 17:22
  And
• 17:22
  there
• 17:23
  is
• 17:23
  a
• 17:23
  lot
• 17:23
  that
• 17:23
  can
• 17:23
  be
• 17:24
  done
• 17:24
  if
• 17:24
  we're
• 17:24
  able
• 17:25
  to
• 17:25
  build
• 17:25
  trust
• 17:26
  amongst
• 17:26
  each
• 17:27
  other
• 17:27
  and
• 17:27
  collaborate
• 17:28
  if
• 17:29
  we
• 17:29
  have
• 17:29
  a
• 17:29
  shared
• 17:29
  vision,
• 17:30
  which
• 17:31
  I
• 17:31
  imagine
• 17:31
  that
• 17:31
  vision
• 17:32
  is
• 17:32
  to
• 17:32
  improve
• 17:33
  health
• 17:33
  for
• 17:33
  all
• 17:34
  and
• 17:34
  to
• 17:34
  mitigate
• 17:35
  the
• 17:35
  effects
• 17:35
  of
• 17:35
  climate
• 17:36
  and
• 17:36
  environment
• 17:37
  on
• 17:37
  our
• 17:37
  health.
• 17:38
  Absolutely.
• 17:39
  Collaboration,
• 17:40
  that
• 17:40
  is
• 17:40
  the
• 17:40
  key.
• 17:41
  When
• 17:41
  we
• 17:41
  started
• 17:41
  talking
• 17:42
  about
• 17:42
  and
• 17:42
  planning
• 17:43
  that
• 17:43
  inaugural
• 17:44
  summit,
• 17:45
  a
• 17:45
  point
• 17:45
  that
• 17:46
  was
• 17:46
  made
• 17:46
  over
• 17:46
  and
• 17:46
  over
• 17:47
  again
• 17:47
  is
• 17:47
  we
• 17:47
  need
• 17:47
  to
• 17:47
  eliminate
• 17:48
  silos
• 17:49
  and
• 17:50
  bring
• 17:50
  as
• 17:50
  many
• 17:50
  of
• 17:51
  the
• 17:51
  stakeholders
• 17:51
  and
• 17:52
  residents
• 17:52
  together.
• 17:53
  Absolutely.
• 17:54
  And
• 17:54
  you
• 17:54
  did
• 17:54
  that
• 17:54
  well.
• 17:55
  And
• 17:55
  I
• 17:55
  would
• 17:55
  have
• 17:55
  to
• 17:55
  say
• 17:56
  what
• 17:56
  I
• 17:56
  so
• 17:56
  appreciate
• 17:57
  from
• 17:58
  that
• 17:58
  conference
• 17:59
  was
• 17:59
  the
• 17:59
  ability
• 17:59
  for
• 18:00
  people
• 18:00
  to
• 18:00
  converse
• 18:00
  with
• 18:01
  each
• 18:01
  other
• 18:01
  in
• 18:01
  different
• 18:01
  languages.
• 18:02
  There
• 18:02
  was
• 18:02
  an
• 18:03
  excellent
• 18:04
  interpretation
• 18:04
  service.
• 18:05
  And
• 18:05
  that
• 18:06
  might
• 18:06
  seem
• 18:06
  very
• 18:07
  minute,
• 18:08
  but
• 18:08
  it
• 18:08
  actually,
• 18:09
  it
• 18:10
  is
• 18:10
  so
• 18:11
  important
• 18:12
  to
• 18:12
  be
• 18:12
  able
• 18:13
  to
• 18:13
  break
• 18:13
  down
• 18:14
  the
• 18:15
  barriers
• 18:15
  between
• 18:16
  community
• 18:17
  and.
• 18:17
  When
• 18:17
  I'm
• 18:18
  talking
• 18:18
  about
• 18:18
  community,
• 18:19
  when
• 18:19
  we
• 18:19
  think
• 18:19
  about
• 18:20
  individuals
• 18:20
  who
• 18:20
  are
• 18:21
  primarily
• 18:21
  Spanish
• 18:22
  speaking,
• 18:23
  it's
• 18:23
  usually
• 18:23
  also
• 18:24
  associated
• 18:25
  with
• 18:25
  being
• 18:25
  an
• 18:25
  immigrant
• 18:26
  and
• 18:26
  being
• 18:26
  of
• 18:27
  lower
• 18:27
  class
• 18:27
  status
• 18:28
  or
• 18:28
  lower
• 18:29
  financial
• 18:29
  resources.
• 18:30
  That
• 18:31
  ability
• 18:31
  to
• 18:31
  be
• 18:32
  able
• 18:32
  to
• 18:32
  get
• 18:32
  across
• 18:33
  that
• 18:33
  barrier,
• 18:33
  to
• 18:34
  be
• 18:34
  able
• 18:34
  to
• 18:34
  speak
• 18:35
  within
• 18:35
  an
• 18:35
  environment
• 18:36
  in
• 18:36
  which
• 18:37
  they
• 18:37
  have
• 18:38
  leaders
• 18:39
  of
• 18:39
  healthcare
• 18:39
  systems
• 18:40
  listening
• 18:41
  to
• 18:41
  them,
• 18:41
  is
• 18:41
  incredibly
• 18:42
  important
• 18:42
  and
• 18:42
  valuable.
• 18:44
  So
• 18:44
  we
• 18:44
  are
• 18:44
  going
• 18:45
  to
• 18:45
  be
• 18:45
  having
• 18:45
  our
• 18:45
  second
• 18:46
  environmental
• 18:47
  health
• 18:47
  summit
• 18:47
  in
• 18:48
  September
• 18:48
  2025
• 18:49
  this
• 18:49
  year.
• 18:50
  What
• 18:50
  would
• 18:50
  you
• 18:51
  like
• 18:51
  to
• 18:51
  see
• 18:51
  happen
• 18:51
  that
• 18:52
  maybe
• 18:52
  didn't
• 18:52
  happen
• 18:53
  at
• 18:53
  the
• 18:53
  first
• 18:53
  one?
• 18:54
  Hmm.
• 18:54
  That's
• 18:55
  so
• 18:55
  great.
• 18:56
  That's
• 18:57
  a
• 18:57
  great
• 18:57
  question.
• 18:58
  Well,
• 18:58
  I
• 18:58
  think
• 18:58
  I'd
• 18:58
  like
• 18:59
  to
• 18:59
  see
• 18:59
  a
• 18:59
  little
• 18:59
  bit
• 18:59
  more
• 19:00
  networking.
• 19:01
  Okay.
• 19:01
  And
• 19:02
  maybe
• 19:03
  a
• 19:03
  little
• 19:03
  bit
• 19:03
  longer.
• 19:04
  It
• 19:04
  was
• 19:04
  kind
• 19:04
  of
• 19:04
  short.
• 19:05
  I
• 19:05
  think
• 19:05
  it
• 19:05
  was
• 19:05
  a
• 19:05
  day
• 19:05
  and
• 19:06
  a
• 19:06
  half.
• 19:07
  It
• 19:07
  would
• 19:07
  be
• 19:07
  nice
• 19:08
  if
• 19:08
  there
• 19:08
  could
• 19:08
  be
• 19:09
  maybe
• 19:10
  more
• 19:10
  representation
• 19:11
  from
• 19:11
  youth,
• 19:12
  not
• 19:12
  only
• 19:12
  on
• 19:13
  the
• 19:13
  second
• 19:13
  day,
• 19:14
  but
• 19:14
  throughout
• 19:14
  the
• 19:15
  conference.
• 19:15
  Because
• 19:16
  youth
• 19:16
  are
• 19:17
  so
• 19:17
  important.
• 19:18
  When
• 19:19
  we
• 19:19
  think
• 19:19
  about
• 19:19
  the
• 19:20
  health
• 19:20
  of
• 19:20
  our
• 19:20
  planet,
• 19:21
  when
• 19:21
  we
• 19:21
  think
• 19:21
  about
• 19:23
  really
• 19:23
  needing
• 19:24
  to
• 19:24
  make
• 19:25
  changes
• 19:25
  happen
• 19:25
  in
• 19:26
  action,
• 19:26
  it's
• 19:27
  the
• 19:27
  youth
• 19:27
  who
• 19:27
  are
• 19:27
  going
• 19:28
  to
• 19:28
  push
• 19:28
  us
• 19:28
  to
• 19:28
  do
• 19:28
  that.
• 19:29
  They
• 19:29
  need
• 19:29
  to
• 19:29
  be
• 19:30
  front
• 19:30
  and
• 19:30
  center
• 19:31
  in
• 19:31
  what
• 19:31
  we're
• 19:31
  doing.
• 19:32
  I
• 19:32
  think
• 19:32
  you'll
• 19:32
  be
• 19:32
  very
• 19:32
  happy
• 19:33
  to
• 19:33
  know
• 19:33
  that
• 19:33
  we
• 19:34
  are
• 19:34
  very
• 19:34
  much
• 19:34
  aware
• 19:35
  of
• 19:35
  that
• 19:35
  and
• 19:36
  working
• 19:36
  on
• 19:36
  that.
• 19:37
  Because
• 19:37
  the
• 19:37
  youth,
• 19:37
  they
• 19:38
  are
• 19:38
  inheriting
• 19:40
  the
• 19:40
  planet.
• 19:40
  Exactly.
• 19:42
  So
• 19:42
  we
• 19:42
  want
• 19:42
  to
• 19:43
  make
• 19:43
  sure
• 19:43
  that
• 19:43
  they
• 19:43
  are
• 19:44
  involved
• 19:44
  in
• 19:45
  solving
• 19:45
  all
• 19:45
  these
• 19:45
  issues.
• 19:47
  Yeah,
• 19:47
  exactly.
• 19:49
  I
• 19:49
  want
• 19:49
  to
• 19:49
  thank
• 19:50
  you
• 19:50
  so
• 19:50
  much
• 19:50
  for
• 19:50
  being
• 19:50
  a
• 19:51
  part
• 19:51
  of
• 19:51
  this
• 19:51
  podcast.
• 19:52
  I
• 19:52
  really
• 19:52
  enjoyed
• 19:53
  our
• 19:53
  discussion
• 19:53
  and
• 19:54
  I
• 19:54
  hope
• 19:54
  that
• 19:54
  you'll
• 19:54
  come
• 19:55
  back
• 19:55
  and
• 19:55
  we'll
• 19:55
  have
• 19:56
  future
• 19:56
  discussions
• 19:57
  about
• 19:57
  environmental
• 19:58
  health
• 19:58
  or
• 19:58
  health
• 19:58
  in
• 19:59
  general.
• 19:59
  Healthy
• 20:00
  Desert
• 20:00
  health
• 20:00
  use
• 20:01
  Go
• 20:01
  to
• 20:01
  address
• 20:02
  all
• 20:02
  health
• 20:03
  matters
• 20:03
  in
• 20:03
  the
• 20:03
  Coachella
• 20:04
  Valley.
• 20:04
  So
• 20:05
  I'd
• 20:05
  like
• 20:05
  to
• 20:05
  have
• 20:05
  you
• 20:05
  back.
• 20:06
  Thank
• 20:06
  you.
• 20:06
  I
• 20:06
  really
• 20:07
  appreciated
• 20:07
  your
• 20:07
  invitation
• 20:08
  and
• 20:08
  I'm
• 20:09
  happy
• 20:09
  to
• 20:09
  come
• 20:09
  back.
• 20:10
  Thank
• 20:10
  you
• 20:11
  for
• 20:11
  everyone
• 20:11
  listening.
• 20:12
  If
• 20:12
  you'd
• 20:12
  like
• 20:12
  to
• 20:13
  subscribe
• 20:14
  to
• 20:14
  this
• 20:14
  podcast,
• 20:15
  you
• 20:15
  can
• 20:15
  find
• 20:15
  us
• 20:15
  on
• 20:16
  all
• 20:16
  the
• 20:17
  platforms
• 20:17
  where
• 20:17
  you
• 20:18
  enjoy
• 20:18
  your
• 20:18
  podcast.
• 20:19
  Thank
• 20:20
  you
• 20:20
  again.
• 20:20
  See
• 20:21
  you
• 20:21
  soon.
• 20:21
  Thank
• 20:22
  you
• 20:22
  for
• 20:22
  joining
• 20:22
  us
• 20:22
  on
• 20:22
  this
• 20:23
  episode
• 20:23
  of
• 20:24
  Healthy
• 20:24
  Desert,
• 20:25
  Healthy
• 20:25
  youy.
• 20:26
  This
• 20:27
  podcast
• 20:27
  is
• 20:28
  a
• 20:28
  production
• 20:28
  of
• 20:28
  the
• 20:28
  Desert
• 20:29
  Healthcare
• 20:29
  District
• 20:30
  and
• 20:30
  Foundation
• 20:31
  in
• 20:31
  Palm
• 20:31
  Springs,
• 20:32
  California.
• 20:33
  For
• 20:34
  more
• 20:34
  information,
• 20:35
  please
• 20:35
  Visit
• 20:36
  the
• 20:36
  website
• 20:37
  dhcd.org
• 20:39
  Our
• 20:39
  annual
• 20:39
  conference
• 20:40
  site
• 20:40
  is
• 20:40
  Healthy
• 20:41
  Desert
• 20:41
  Healthy
• 20:42
  HealthyYou.
• 20:43
  Org.
• 20:44
  This
• 20:44
  podcast
• 20:45
  is
• 20:45
  available
• 20:45
  at
• 20:46
  most
• 20:46
  major
• 20:46
  podcast
• 20:47
  portals,
• 20:47
  including
• 20:48
  Amazon
• 20:48
  Music,
• 20:49
  Apple
• 20:49
  podcasts,
• 20:50
  Audible,
• 20:51
  Captivate
• 20:52
  FM,
• 20:52
  Spotify,
• 20:53
  and
• 20:53
  YouTube
• 20:54
  Music.