Childhood cancer typically requires specialized treatment by a team of pediatric oncology practitioners who understand the unique needs of children and young adults with cancer.¹ Those teams are usually found in highly specialized care centers, such as academic centers, children’s hospitals, and cancer centers, which are often located in urban areas. This locality creates challenges for families residing in rural or remote areas.¹ Many factors can pose challenges in accessing pediatric cancer care, such as distance, travel time, region, and oncology service supply.^1,2 Specifically, extended travel distance and travel time may impede the timeliness, frequency, and duration of care access, leading to lower use of care services.³ Similarly, extended travel times are associated with a greater financial burden on patients and families.¹

Although Twitter is used for emergency management activities, the relevance of tweets during a hazard event is still open to debate. In this study, six different computational (i.e. Natural Language Processing) and spatiotemporal analytical approaches were implemented to assess the relevance of risk information extracted from tweets obtained during the 2013 Colorado flood event. Primarily, tweets containing information about the flooding events and its impacts were analysed. Examination of the relationships between tweet volume and its content with precipitation amount, damage extent, and official reports revealed that relevant tweets provided information about the event and its impacts rather than any other risk information that public expects to receive via alert messages. However, only 14% of the geo-tagged tweets and only 0.06% of the total fire hose tweets were found to be relevant to the event. By providing insight into the quality of social media data and its usefulness to emergency management activities, this study contributes to the literature on quality of big data. Future research in this area would focus on assessing the reliability of relevant tweets for disaster related situational awareness.

Ungar, M., J. McRuer, X. Liu, L. Theron, D. Blais, and M. A. Schnurr. 2020. Social-ecological resilience through a biocultural lens: a participatory methodology to support global targets and local priorities. Ecology and Society 25(3):8. https://doi.org/10.5751/ES-11621-250308

Background: Tennessee women experience the 12th highest breast cancer mortality in the United States. We examined the geographic differences in breast cancer incidence in Tennessee between Appalachian and non-Appalachian counties from 2005 to 2015. Methods: We used ArcGIS 10.7 geospatial analysis and logistic regression on the Tennessee Cancer Registry incidence data for adult women aged ≥ 18 years (N = 59,287) who were diagnosed with breast cancer from 2005 to 2015 to evaluate distribution patterns by Appalachian county designation. The Tennessee Cancer Registry is a population-based, central cancer registry serving the citizens of Tennessee and was established by Tennessee law to collect and monitor cancer incidence. The main outcome was breast cancer stage at diagnosis. Independent variables were age, race, marital status, type of health insurance, and county of residence. Results: Majority of the sample were White (85.5%), married (58.6%), aged ≥ 70 (31.3%) and diagnosed with an early stage breast cancer (69.6%). More than half of the women had public health insurance (54.2%), followed by private health insurance coverage (44.4%). Over half of the women resided in non-Appalachian counties, whereas 47.6% were in the Appalachian counties. We observed a significant association among breast cancer patients with respect to marital status and type of health insurance coverage (p = < 0.0001). While the logistic regression did not show a significant result between county of residence and breast cancer incidence, the spatial analysis revealed geographic differences between Appalachian and non-Appalachian counties. The highest incidence rates of 997.49–1164.59/100,000 were reported in 6 Appalachian counties (Anderson, Blount, Knox, Rhea, Roane, and Van Buren) compared to 3 non-Appalachian counties (Fayette, Marshall, and Williamson). Conclusions: There is a need to expand resources in Appalachian Tennessee to enhance breast cancer screening and early detection. Using geospatial techniques can further elucidate disparities that may be overlooked in conventional linear analyses to improve women’s cancer health and associated outcomes.

While Twitter has been touted as a preeminent source of up-to-date information on hazard events, the reliability of tweets is still a concern. Our previous publication extracted relevant tweets containing information about the 2013 Colorado flood event and its impacts. Using the relevant tweets, this research further examined the reliability (accuracy and trueness) of the tweets by examining the text and image content and comparing them to other publicly available data sources. Both manual identification of text information and automated (Google Cloud Vision, application programming interface (API)) extraction of images were implemented to balance accurate information verification and efficient processing time. The results showed that both the text and images contained useful information about damaged/flooded roads/streets. This information will help emergency response coordination efforts and informed allocation of resources when enough tweets contain geocoordinates or location/venue names. This research will identify reliable crowdsourced risk information to facilitate near real-time emergency response through better use of crowdsourced risk communication platforms.