During the last week of May the Community Health Maps team (Janice Kelly, John Scott and Kurt Menke) traveled to Honolulu to participate in the Association of State and Territorial Health Officials (ASTHO) Insular Area Climate and Health Summit. There were representatives from:
- American Samoa
- Commonwealth of the Northern Mariana Islands
- Federated States of Micronesia
- Guam
- Palau
- Puerto Rico
- Marshall Islands
- U.S. Virgin Islands
- Hawaii Department of Health
- Pacific Island Health Officers Association (PIHOA)
- ASTHO
- CDC
- NOAA
The first afternoon was focused on the impacts of climate change, preparedness and building resilience. There were great presentations on climate change (Capt. Barry Choy - NOAA), an overview of the tools and programs available from the CDC (Paul Schramm), and issues with vector-borne diseases and mosquitoes (Janet McAllister). The ASTHO grantees then gave some some sobering presentations on current issues people are dealing with in the Mariana Islands, Micronesia and the U.S. Virgin Islands.
The second day focused more on tools and resources. There were more detailed talks given by the CDC on Technical Assistance for Vector Control and Tools and Resources for Climate and Water Safety. That afternoon we taught a 3.5 hour Community Health Maps Train-the-Trainers workshop to a group of health officials from each territory. We went through the entire CHM workflow: A) how to design a data collection form, B) how to collect data, C) how to make a map in Carto and D) how to bring the data into QGIS.
The last morning we taught a second Community Health Maps workshop open to everyone. We had about 30 attendees and again went through the entire CHM workflow.
Most of the trainees had little to no GIS training yet instantly knew how mapping could apply to their work and lives. They want to map everything related to hurricane relief, salt water resistant taro farms, infrastructure related to mosquito outbreaks etc. A benefit of having the community do this is that they can be in charge of their own data and it helps build community relationships.Over the three days I heard a lot of side discussions about the usefulness of the free/low cost/open source CHM approach. The cost of proprietary solutions is often a significant barrier to entry into the world of community data collection and mapping. We were gratified to hear some very positive feedback on the workshops and CHM overall during the closing session. There seems to be a lot of potential in CHM helping both U.S. Territories and ASTHO deal with the immediate and long-term health issues related to climate.
Most of the trainees had little to no GIS training yet instantly knew how mapping could apply to their work and lives. They want to map everything related to hurricane relief, salt water resistant taro farms, infrastructure related to mosquito outbreaks etc. A benefit of having the community do this is that they can be in charge of their own data and it helps build community relationships.Over the three days I heard a lot of side discussions about the usefulness of the free/low cost/open source CHM approach. The cost of proprietary solutions is often a significant barrier to entry into the world of community data collection and mapping. We were gratified to hear some very positive feedback on the workshops and CHM overall during the closing session. There seems to be a lot of potential in CHM helping both U.S. Territories and ASTHO deal with the immediate and long-term health issues related to climate.
The first presentation was held during a seventy-five minute “Principles of CommunityHealth” class of twenty-five undergraduates. A second was provided to a close-knitclass of ten graduate students studying community health and health literacy.After an introduction to Community Health Maps and to the history and ideology ofGIS/mapping in health research, students used 
We used this last fall during 
One caveat is that the data collected falls into the public domain and can be downloaded freely by anyone. This is possible because the data are anonymized, meaning any private information is scrubbed. The data remain available for viewing and download after the event ends.
It won't be appropriate unless there is some sort of disaster relief or environmental issue that demands it, but it is another tool to keep in your Community Health Maps toolkit!
The presentation took place within a 95-minute class period with 53 students. The presenters introduced the CHM blog and briefly touched on using Geographic Information Systems (GIS)/spatial analysis to address a public health concerns, as English physician John Snow did in 1854 by mapping the source of a 
The students then completed a hands-on data collection exercise. They were introduced to 
The attendees represented a variety of organizations including many working with 
After the two PG County workshops, CHM traveled across the Chesapeake Bay bridge to Salisbury University on the eastern shore.
The following morning we held a workshop geared towards social work students at Salisbury University. Attendees went through the CHM workflow and were introduced to 
Salisbury University Data Collection in CartoThe workshop concluded with a short introduction to working with data in QGIS.
The next scheduled workshop for the Community Health Maps team will be at the 
This event was organized by the Northwest Portland Area Indian Health Board and supported by the Robert Wood Johnson Foundation. We weren't certain who or how many would attend, and I expect attendees weren't entirely sure what Community Health Mapping was all about either. However, it turned out to be a very engaged group representing tribes from many regions of the country. Within a few hours everyone was able to:
After a brief break we headed to Seattle, Washington, again there were two separate storms including, the remnants of Typhoon Songda, bearing down on the region threatening to disrupt power and services! Again fortunately the storms didn't make a direct hit on the area and the workshop proceeded on schedule.We went to train students in the capstone course of the Community Oriented Public Health Practice Program at the University of Washington. This is our second year supporting this program. The first year was a huge success with two students attending the 
In the near future we will be offering an updated set of Community Health Mapping 
Dr. Williamson believes that, “GIS has the potential to substantially increase community engagement and is truly a concept of the neighborhood taking control of their data.” She notes that while researchers might study a community, that a community’s input is essential to understanding the cultural and environmental context surrounding health issues: “GIS mapping puts the community members on more of a level playing field with their research partners.” GIS can empower and educate community members to identify their key issues, to become a part of an analysis, and to provide solutions. When communities are given the opportunity to map their own health, discovery, and awareness, positive changes can result. When a community feels it has more of a say through engagement with GIS, or communication with a map, intervention is more likely to be effective.For the past three semesters, Dr. Williamson has used GIS in her own classroom as a capstone project for population health students. They, “find it fun and can take it with them into other settings, it fits into the world of new technology, and it takes people to the next step of looking at health issues.” Mapping offers a different way to help students visualize Social Determinants of Health and to make the connection between what population health is, and the factors that promote or deter it.
Finally, Dr. Williamson sees GIS as bi-directional: it supports visualizing gaps and assets while also providing the ability to disseminate and build on information via intervention programs to improve health outcomes and strengthen communities. GIS is also broadly applicable to almost any discipline and easily used by those with little expertise. “Presenting raw data to a community or students doesn’t mean a lot,” Dr. Williamson comments, “but when that same data is aggregated visually it instantly communicates a message to any audience.” GIS is clearly suitable as an effective educational tool in the classroom and in communities.CHM thanks Dr. Williamson for her continued collaboration and time spent advancing the CHM program through use of the CHM tools at MUSC. CHM values our partnership with MUSC and hope that the future is as mutually beneficial as the past few years.Field data collection for the CHM workflow bridges the divide between learning in a classroom and experiencing conditions in a community. For the capstone project, students use 
