Diurnal variability of stratospheric column NO₂ measured using direct solar and lunar spectra over Table Mountain, California (34.38° N)

A full diurnal measurement of stratospheric column NO2 has been made over the Jet Propulsion Laboratory's Table Mountain Facility (TMF) located in the mountains above Los Angeles, California, USA (2.286 km above mean sea level, 34.38∘ N, 117.68∘ W). During a representative week in October 2018, a grating spectrometer measured the telluric NO2 absorptions in direct solar and lunar spectra. The stratospheric column NO2 is retrieved using a modified minimum-amount Langley extrapolation, which enables us to accurately treat the non-constant NO2 diurnal cycle abundance and the effects of tropospheric pollution near the measurement site. The measured 24 h cycle of stratospheric column NO2 on clean days agrees with a 1-D photochemical model calculation, including the monotonic changes during daytime and nighttime due to the exchange with the N2O5 reservoir and the abrupt changes at sunrise and sunset due to the activation or deactivation of the NO2 photodissociation. The observed daytime NO2 increasing rate is (1.34±0.24)×1014 cm−2 h−1. The observed NO2 in one of the afternoons during the measurement period was much higher than the model simulation, implying the influence of urban pollution from nearby counties. A 24 h back-trajectory analysis shows that the wind first came from inland in the northeast and reached southern Los Angeles before it turned northeast and finally arrived at TMF, allowing it to pick up pollutants from Riverside County, Orange County, and downtown Los Angeles.

Local monitoring of SARS-CoV-2 Variants in Two Large California Counties in 2021

Introduction: Coronavirus disease 2019 (COVID-19), caused by the severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), continues to persist due to mutations resulting in newer, more infectious variants of concern. The initial government response to COVID-19 failed to engage the private sector. Engaging the private sector could have bolstered the national capacity to process diagnostic tests and track variants of concern for disease for public health surveillance. We aimed to leverage an ongoing private SARS-CoV-2 testing laboratory’s infrastructure to monitor SARS-CoV-2 variants in two large California counties.Methods: Study enrollment was offered to adults aged 18 years or older in Los Angeles County and Riverside County in California who recently tested positive for SARS-CoV-2 by polymerase chain reaction (PCR) with a cycle threshold value less than or equal to 30 cycles. Trained healthcare workers directly observed self-collection of oral fluid or anterior nares specimens within 5 days of study enrollment. Specimens were transported and stored at 8°C or cooler. RNA was extracted from samples. Samples underwent library preparation and were sequenced. Sequencing data were filtered by quality criteria. High-quality genomic data were analyzed to identify SARS-CoV-2 lineages. Participant and genomic data were analyzed using statistical tools and visualized with toolkits. The study was approved by Advarra Institutional Review Board (Pro00053729).Results: From May 27, 2021 to September 9, 2021, 503 participants were enrolled and underwent specimen collection. Of those enrolled, there were 238 (47.3%) females, 329 (63.6%) vaccinated, and 221 (43.9%) of Hispanic or Spanish origin. Of the cohort, 496 (98.6%) had symptoms at the time of collection. Among the 503 participants, 443 (88.1%) nasal specimens and 353 (70.2%) oral specimens yielded sequencing results. Over our study period, the prevalence of the Alpha variant of SARS-CoV-2 decreased (initially 23.1% [95% confidence interval (95% CI): 0% to 0.49%] to 0% [95% CI: 0.0% to 0.0%]) as the prevalence of the Delta variant of SARS-CoV-2 increased (initially 33.3% [95% CI: 0.0% to 100.0%] to 100.0% [95% CI: 100.0% to 100.0%]). A strain that carried mutations of both Delta and Mu was identified.Conclusion: We found that outpatient SARS-CoV-2 variant surveillance could be conducted in private laboratory in a timely and accurate manner. The prevalence of different variants changed over time. A higher proportion of nasal specimens yielded results when compared to oral specimens. Timely outpatient SARS-CoV-2 variant surveillance could be used for public health efforts to identify changes in SARS-CoV-2 strain epidemiology in local areas. Government agencies should engage private laboratories in the surveillance of diseases that threaten the public’s health to supplement national disease reporting networks.

Genetic Analysis of Formosan Subterranean Termite (Blattodea: Rhinotermitidae) Populations in California

A new infestation of the Formosan subterranean termite, Coptotermes formosanus Shiraki (Blattodea: Rhinotermitidae), was discovered in Canyon Lake, Riverside County, California. We used three mitochondrial DNA (COI, COII, and 16S) and seven polymorphic microsatellite markers to characterize the genetic relationship of the colony with two other colonies that were collected in 1992 and 2018 in La Mesa, San Diego County. Maximum likelihood phylogeny of C. formosanus based on concatenated COI and COII sequences revealed that the two La Mesa populations (CA01 and CA02) and the Canyon Lake population (CA03) were from different maternal lineages. Based on the 14 COII haplotypes of C. formosanus found world-wide, CA01 and CA02 belonged to a haplotype widely distributed across the United States, while CA03 was grouped under a haplotype predominantly found in Asia. Microsatellite allele frequencies across all loci for both La Mesa populations were relatively similar, but significant genetic differences were found between CA02 and CA03 colonies (FST = 0.24; Dest = 0.30; G″ ST = 0.55; P < 0.01).

Asian-Americans Remain Low Utilizers of County Mental Health Services

The National Latino and Asian American Study (NLAAS, 2002–2003, n =2095) indicated that Asian-Americans (AA) use mental health services less frequently than the general population (8.6% vs. 17.95%). Even AA who have been diagnosed with mental health disorders use mental health services less frequently than their non-AA counterparts (34.1% versus 41.1%)2. AA in Riverside County count for 7.4% of the population, or about 181,356 individuals, according to the 2018 census estimates. The objective of the study is to examine and compare rates of utilization of mental health services by AA specifically in the Riverside County setting. This study utilizes data on patients’ ethnicity, age, gender, and diagnosis as collected annually by the Riverside County Department of Mental Health from the fiscal year of 2017–2018. It compares the prevalence of psychiatric disorders and the rate of utilization of mental health services by AA in the county to the data collected by the NLAAS. The total number of AA using mental health services in Riverside County is 669, which totals 1.73% of all individuals accessing the same services. The number of AA using mental health services represented 0.45% of the total AA population in Riverside County. AA in Riverside County are utilizing MH services even less than the national rates (0.45% vs 8.6% nationally from NLAAS data). The gap in care illustrated by these results exemplifies not only the disparity in utilization of MH services seen in this particular ethnic group, but portrays the stagnant results from Riverside County s attempts to address this issue. Possible reasons for the disparity include lack of access, stigma, recovery, migration, and a lack of culturally-competent care. A reimagined outreach initiative may help to better address this issue. Riverside County already has implemented an AA Task Force, holds health fairs at local churches in the communities, supports a UCR School of Medicine student-run free clinic, and is active in NAMI events.

The Complex Nuances of Nurse Manager Leadership

Hospital organizations are affected by the shortage of nurses across the United States. Hospital organizations must strategically plan to recruit and retain nurses. An average hospital will incur costs between $5.13 million to $7.86 million due to RN turnover. In an outcome-focused healthcare environment, healthcare leaders must consider all perspectives involved in nurse manager leadership. The purpose of this phenomenological study was to describe nurses' lived experiences with nurse manager leadership on medical surgical units in Riverside County, California, USA.

The Complex Nuances of Nurse Manager Leadership

Hospital organizations are affected by the shortage of nurses across the United States. Hospital organizations must strategically plan to recruit and retain nurses. An average hospital will incur costs between $5.13 million to $7.86 million due to RN turnover. In an outcome-focused healthcare environment, healthcare leaders must consider all perspectives involved in nurse manager leadership. The purpose of this phenomenological study was to describe nurses' lived experiences with nurse manager leadership on medical surgical units in Riverside County, California, USA.

Microbial contamination of drinking water from vending machines of Eastern Coachella Valley

Drinking water quality from sources other than tap water is increasingly becoming a source of concern in many communities. Communities in the Eastern Coachella Valley (ECV), Riverside County, California, USA have raised concerns regarding bulk drinking water from water vending machines (WVMs) found in public vendors. To address concerns, we conducted microbiological contamination assessments of drinking water from WVMs in the ECV using heterotrophic plate counts (HPC), the presence of total coliforms using IDEXX technology, and real time PCR (qPCR). We also measured temperature, pH, electrical conductivity, and free chlorine concentration. Twenty-five WVMs were sampled by using positively charged NanoCeram® filters in the field. Results indicated 32% of WVMs had total coliforms, and 21% had HPC above Environmental Protection Agency (EPA) requirements. Through qPCR, we found 81% of WVMs had Salmonella spp, Listeria monocytogenes, and Campylobacter jejuni, 76% had Enterococcus faecalis, and 90% had Pseudomonas aeruginosa. Results indicated most WVM samples we collected contained genetic material of pathogenic microorganisms and therefore, did not meet EPA drinking water standards. There is an urgency to enforce WVM maintenance through drain flushing, spigot cleaning, rust removal, filter replacement, and limits to physico-chemical parameters.

Rapid Integrated Healthcare Response for the First U.S. Evacuees from Wuhan, China During the COVID-19 Pandemic

On January 29th, 2020, 195 U.S. citizens were evacuated from the COVID-19 epidemic in Wuhan, China to March Air Reserve Base in Riverside, California, and entered the first federally mandated quarantine in over 50 years. With less than one day notice, a multi-disciplinary team from Riverside County and Riverside University Health System in conjunction with local and federal agencies established on-site 24-hour medical care and behavioral health support. This report details the coordinated efforts by multiple teams that took place to provide care for the passengers and to support the surrounding community.