{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,3]],"date-time":"2026-09-03T05:15:57Z","timestamp":1788412557620,"version":"build-2803163510"},"reference-count":12,"publisher":"Cambridge University Press (CUP)","license":[{"start":{"date-parts":[[2026,9,3]],"date-time":"2026-09-03T00:00:00Z","timestamp":1788393600000},"content-version":"unspecified","delay-in-days":245,"URL":"https:\/\/www.cambridge.org\/core\/terms"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Disaster med. public health prep."],"published-print":{"date-parts":[[2026]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>The Tijuana River Valley along the US-Mexico border faces a severe environmental and public health crisis from contamination of the Tijuana River with untreated sewage, urban runoff, and industrial waste, leading to water and air exposure concerns. The County of San Diego Health and Human Services Agency (CoSD HHSA) and the Centers for Disease Control and Prevention (CDC) conducted 189 household-level surveys to assess experiences with the crisis and address concerns. Survey results revealed that ~96% of households were concerned about the crisis. Top needs included requests for action (64.3%) and air (38.2%) and water (27.1%) quality improvement. Subsequently, CoSD HHSA developed data-driven outreach programs and resources (e.g., provision of air filters), enhanced messaging (e.g., providing educational materials, promoting behavioral health hotlines) related to the crisis to address household concerns, and shared the results with other agencies (e.g., the water board) to promote further action and safety messaging.<\/jats:p>","DOI":"10.1017\/dmp.2026.10416","type":"journal-article","created":{"date-parts":[[2026,9,3]],"date-time":"2026-09-03T04:28:46Z","timestamp":1788409726000},"source":"Crossref","is-referenced-by-count":0,"title":["Community Assessment for Water and Air Exposure Concerns During the Tijuana River Valley Sewage Crisis\u2014San Diego, 2024: A Report From the Field"],"prefix":"10.1017","volume":"20","author":[{"ORCID":"https:\/\/orcid.org\/0009-0006-7148-9773","authenticated-orcid":false,"given":"Audrey E.","family":"Kennar","sequence":"first","affiliation":[{"id":[{"id":"https:\/\/ror.org\/042twtr12","id-type":"ROR","asserted-by":"publisher"}],"name":"Centers for Disease Control and Prevention"},{"id":[{"id":"https:\/\/ror.org\/01xh0ac86","id-type":"ROR","asserted-by":"publisher"}],"name":"County of San Diego Health and Human Services Agency"},{"id":[{"id":"https:\/\/ror.org\/042twtr12","id-type":"ROR","asserted-by":"publisher"}],"name":"Centers for Disease Control and Prevention"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jelonia Tasha","family":"Rumph","sequence":"additional","affiliation":[{"id":[{"id":"https:\/\/ror.org\/042twtr12","id-type":"ROR","asserted-by":"publisher"}],"name":"Centers for Disease Control and Prevention"},{"id":[{"id":"https:\/\/ror.org\/042twtr12","id-type":"ROR","asserted-by":"publisher"}],"name":"Centers for Disease Control and Prevention"},{"id":[{"id":"https:\/\/ror.org\/05xf94514","id-type":"ROR","asserted-by":"publisher"}],"name":"Commissioned Corps, United States Public Health Service"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Brooke S.","family":"Staley","sequence":"additional","affiliation":[{"id":[{"id":"https:\/\/ror.org\/042twtr12","id-type":"ROR","asserted-by":"publisher"}],"name":"Centers for Disease Control and Prevention"},{"id":[{"id":"https:\/\/ror.org\/042twtr12","id-type":"ROR","asserted-by":"publisher"}],"name":"Centers for Disease Control and Prevention"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Andrea Danielle","family":"Brown","sequence":"additional","affiliation":[{"id":[{"id":"https:\/\/ror.org\/042twtr12","id-type":"ROR","asserted-by":"publisher"}],"name":"Centers for Disease Control and Prevention"},{"id":[{"id":"https:\/\/ror.org\/042twtr12","id-type":"ROR","asserted-by":"publisher"}],"name":"Centers for Disease Control and Prevention"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"DaJuandra","family":"Eugene","sequence":"additional","affiliation":[{"id":[{"id":"https:\/\/ror.org\/042twtr12","id-type":"ROR","asserted-by":"publisher"}],"name":"Centers for Disease Control and Prevention"},{"id":[{"id":"https:\/\/ror.org\/042twtr12","id-type":"ROR","asserted-by":"publisher"}],"name":"Centers for Disease Control and Prevention"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nadia T.","family":"Saif","sequence":"additional","affiliation":[{"id":[{"id":"https:\/\/ror.org\/042twtr12","id-type":"ROR","asserted-by":"publisher"}],"name":"Centers for Disease Control and Prevention"},{"id":[{"id":"https:\/\/ror.org\/05xf94514","id-type":"ROR","asserted-by":"publisher"}],"name":"Commissioned Corps, United States Public Health Service"},{"id":[{"id":"https:\/\/ror.org\/042twtr12","id-type":"ROR","asserted-by":"publisher"}],"name":"Centers for Disease Control and Prevention"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Fhallon","family":"Ware-Gilmore","sequence":"additional","affiliation":[{"id":[{"id":"https:\/\/ror.org\/042twtr12","id-type":"ROR","asserted-by":"publisher"}],"name":"Centers for Disease Control and Prevention"},{"id":[{"id":"https:\/\/ror.org\/00g3xxn90","id-type":"ROR","asserted-by":"publisher"}],"name":"Puerto Rico Department of Health"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Fuyuen","family":"Yip","sequence":"additional","affiliation":[{"id":[{"id":"https:\/\/ror.org\/042twtr12","id-type":"ROR","asserted-by":"publisher"}],"name":"Centers for Disease Control and Prevention"},{"id":[{"id":"https:\/\/ror.org\/05xf94514","id-type":"ROR","asserted-by":"publisher"}],"name":"Commissioned Corps, United States Public Health Service"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Amy Helene","family":"Schnall","sequence":"additional","affiliation":[{"id":[{"id":"https:\/\/ror.org\/042twtr12","id-type":"ROR","asserted-by":"publisher"}],"name":"Centers for Disease Control and Prevention"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mark E.","family":"Beatty","sequence":"additional","affiliation":[{"id":[{"id":"https:\/\/ror.org\/01xh0ac86","id-type":"ROR","asserted-by":"publisher"}],"name":"County of San Diego Health and Human Services Agency"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ankita","family":"Kadakia","sequence":"additional","affiliation":[{"id":[{"id":"https:\/\/ror.org\/01xh0ac86","id-type":"ROR","asserted-by":"publisher"}],"name":"County of San Diego Health and Human Services Agency"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Seema","family":"Shah","sequence":"additional","affiliation":[{"id":[{"id":"https:\/\/ror.org\/01xh0ac86","id-type":"ROR","asserted-by":"publisher"}],"name":"County of San Diego Health and Human Services Agency"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"56","published-online":{"date-parts":[[2026,9,3]]},"reference":[{"key":"S1935789326104169_r5","unstructured":"5. State Water Resources Control Board. Search beach monitoring data. Updated November 20, 2023. Accessed September 9, 2025. https:\/\/www.waterboards.ca.gov\/water_issues\/programs\/beaches\/search_beach_advisory.html"},{"key":"S1935789326104169_r7","unstructured":"7. San Diego County Water Authority. Updated 2026. Water quality. Accessed December 16, 2025. https:\/\/www.sdcwa.org\/your-water\/water-quality\/"},{"key":"S1935789326104169_r8","unstructured":"8. County of San Diego Health & Human Services Agency. ATSDR exposure survey (ACE). Published October 18, 2024. Updated September 3, 2025. Accessed July 18, 2025. https:\/\/www.sandiegocounty.gov\/content\/sdc\/hhsa\/programs\/phs\/community_epidemiology\/south-region-health-concerns\/ACE.html"},{"key":"S1935789326104169_r9","unstructured":"9. County of San Diego Health & Human Services Agency. Tijuana River Valley & beach water sewage crisis. Published August 8, 2025. Accessed May 29, 2026. https:\/\/www.sandiegocounty.gov\/content\/dam\/sdc\/hhsa\/programs\/phs\/Epidemiology\/TRV_ACE-CASPER_Fact-Sheet.pdf"},{"key":"S1935789326104169_r10","unstructured":"10. International Boundary and Water Commission. USIBWC and EPA launch fast-track expansion to address Tijuana River water and air quality concerns. Published May 20, 2025. Accessed September 8, 2025. https:\/\/www.ibwc.gov\/wp-content\/uploads\/2025\/05\/SBIWTP-Fast-Track-Expansion-05-19-25_Final.pdf"},{"key":"S1935789326104169_r11","unstructured":"11. Lightfoot, A. Warning signs installed in parts of Tijuana River Valley. Published August 20, 2025. Accessed September 8, 2025. https:\/\/www.countynewscenter.com\/warning-signs-installed-in-parts-of-tijuana-river-valley\/"},{"key":"S1935789326104169_r12","unstructured":"12. San Diego County Air Pollution Control District. Air Improvement Relief Effort program. (n.d). Accessed August 8, 2025. https:\/\/www.sdapcd.org\/content\/sdapcd\/about\/tj-river-valley\/aire.html#v1-c31e690633-item-d1949265b2"},{"key":"S1935789326104169_r6","unstructured":"6. Centers for Disease Control and Prevention. CASPER: Community Assessment for Public Health Emergency Response toolkit. Published 2019. Accessed January 31, 2025. https:\/\/www.cdc.gov\/casper\/media\/pdfs\/CASPER_Toolkit.pdf"},{"key":"S1935789326104169_r3","unstructured":"3. International Boundary and Water Commission. Tijuana River at international boundary with precipitation. Updated January 30, 2025. Accessed September 10, 2025. https:\/\/waterdata.ibwc.gov\/AQWebportal\/Data\/Chart\/ChartId\/10\/Interval\/Custom\/2023\/12\/01\/2024\/02\/29"},{"key":"S1935789326104169_r1","unstructured":"1. Coastal.ca.gov. California Coastal Commission memorandum: Tijuana River pollution crisis in San Diego County. Published September 29, 2023. Accessed January 22, 2025. https:\/\/documents.coastal.ca.gov\/reports\/2023\/10\/W6b\/W6b-10-2023-appendix.pdf"},{"key":"S1935789326104169_r4","unstructured":"4. Gis-portal.sandiegocounty.gov. Complaint dashboard. (n.d.). Accessed December 13, 2024. https:\/\/gis-portal.sandiegocounty.gov\/arcgis\/apps\/dashboards\/f1f548c93c1b44eeb289b4daa0bec5df"},{"key":"S1935789326104169_r2","unstructured":"2. Epa.gov. USMCA Tijuana River watershed and adjacent coastal transboundary wastewater flows. Updated June 16, 2026. Accessed December 13, 2024. https:\/\/www.epa.gov\/sustainable-water-infrastructure\/usmca-tijuana-river-watershed"}],"container-title":["Disaster Medicine and Public Health Preparedness"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.cambridge.org\/core\/services\/aop-cambridge-core\/content\/view\/S1935789326104169","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,9,3]],"date-time":"2026-09-03T04:28:46Z","timestamp":1788409726000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.cambridge.org\/core\/product\/identifier\/S1935789326104169\/type\/journal_article"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026]]},"references-count":12,"alternative-id":["S1935789326104169"],"URL":"https:\/\/doi.org\/10.1017\/dmp.2026.10416","relation":{},"ISSN":["1935-7893","1938-744X"],"issn-type":[{"value":"1935-7893","type":"print"},{"value":"1938-744X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026]]},"article-number":"e146"}}