A local church is deploying handwashing stations across town. Photo by Nijalon Dunn

When the coronavirus forced the closure of restaurants, stores, and community centers, it disproportionally affected the health of a population of people: The homeless.

Homeless individuals are acutely vulnerable amid the public health and hygiene concerns due to the coronavirus pandemic, says Houstonian Nijalon Dunn. These communities of people have been left without immediate access to soap and clean water, especially with the closure of local businesses whose restrooms sometimes served as individuals' only sources of clean water.

"[Local businesses are] where people were able to use the restroom, wash their hands and have access to soap and water," Dunn says. "Take public restrooms away, now you have an increase in public urination and people using the restroom outside. Not only that, but people aren't washing their hands because of a lack of education and awareness about social distancing and hygiene practices."

Observing this effect of the virus, a group of Houstonians pulled together their skills and resources to provide handwashing stations across the city for Houston's homeless population.

Rise Houston Church, a local organization servicing inner-city Houston, is behind the initiative. Eager to help the community during the coronavirus pandemic, Rise Houston's pastor Stan DePue proposed the idea of building and distributing handwashing stations that would provide clean water and soap to homeless communities.

Dunn paired used his photography and filmmaking skills for a great cause when partnering with Rise Houston: Clean Hands. Dunn, a member of Rise Houston and founder of Black Visa Creative, a Houston company specializing in creative and commercial portraits that help small businesses tell their stories, knew that he could elevate DePue's project's reach and awareness through photojournalism.

"For us to have the impact and raise the support we needed, I knew that we needed to be documenting this [project]. So [Stan] and I partnered," Dunn says.

The idea evolved into an initiative with 10 sinks deployed across the city of Houston. According to Rise Houston's website, the sinks cost $300 to install. The church is looking for support in funding and maintaining the sinks — more information on giving back is available online.

DePue and his congregation are running the project's operation and physically constructing the sinks, and Dunn overseeing the project's documentation and awareness.

"We've been working with boots on the ground, creating partnerships so that we have strategic locations [for sinks] and know that they'll serve the best purpose in the areas where we place them," Dunn says.

After sink locations were identified across Houston, Rise Houston: Clean Hands volunteers delivered and set up the sinks on-site, each complete with a seven-gallon water tank, a water dispenser foot pump, soap and paper towel dispensers, trash bags, and signs that encourage the six-feet-apart social distancing rule.

"In order to stop the spread of coronavirus and flatten the curve, we needed to bring innovation to the way we serve our homeless brothers and sisters during this time," Dunn says.

A striking observation from Dunn's experience with this project, and the individuals he has worked and conversed with, has been how grateful people have been to learn about and be exposed to hygienic resources and practices, Dunn says.

"One of the greatest assets of the storyteller is knowing when to put the camera down. Some of the places we go to are some of the most vulnerable places in the city," Dunn says. "When we go into these homeless camps, I need to know when to put the camera down and live and exist with the person I talk to."

Through these interpersonal encounters, the teamwork of Rise Houston: Clean Hands volunteers and Dunn's innovative approach to communicating about this issue, the initiative has been able to sustain maintenance of the sinks and further spread hygienic awareness to Houstonians.

Letting hygiene sink in

Photo by Nijalon Dunn

Rise Houston: Clean Hands has deployed 10 outdoor sinks across Houston.

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Rice University lands $18M to revolutionize lymphatic disease detection

fresh funding

An arm of the U.S. Department of Health and Human Services has awarded $18 million to scientists at Rice University for research that has the potential to revolutionize how lymphatic diseases are detected and help increase survivability.

The lymphatic system is the network of vessels all over the body that help eliminate waste, absorb fat and maintain fluid balance. Diseases in this system are often difficult to detect early due to the small size of the vessels and the invasiveness of biopsy testing. Though survival rates of lymph disease have skyrocketed in the United States over the last five years, it still claims around 200,000 people in the country annually.

Early detection of complex lymphatic anomalies (CLAs) and lymphedema is essential in increasing successful treatment rates. That’s where Rice University’s SynthX Center, directed by Han Xiao and Lei Li, an assistant professor of electrical and computer engineering, comes in.

Aided by researchers from Texas Children’s Hospital, Baylor College of Medicine, the University of Texas at Dallas and the University of Texas Southwestern Medical Center, the center is pioneering two technologies: the Visual Imaging System for Tracing and Analyzing Lymphatics with Photoacoustics (VISTA-LYMPH) and Digital Plasmonic Nanobubble Detection for Protein (DIAMOND-P).

Simply put, VISTA-LYMPH uses photoacoustic tomography (PAT), a combination of light and sound, to more accurately map the tiny vessels of the lymphatic system. The process is more effective than diagnostic tools that use only light or sound, independent of one another. The research award is through the Advanced Research Projects Agency for Health (ARPA-H) Lymphatic Imaging, Genomics and pHenotyping Technologies (LIGHT) program, part of the U.S. HHS, which saw the potential of VISTA-LYMPH in animal tests that produced finely detailed diagnostic maps.

“Thanks to ARPA-H’s award, we will build the most advanced PAT system to image the body’s lymphatic network with unprecedented resolution and speed, enabling earlier and more accurate diagnosis,” Li said in a news release.

Meanwhile, DIAMOND-P could replace the older, less exact immunoassay. It uses laser-heated vapors of plasmonic nanoparticles to detect viruses without having to separate or amplify, and at room temperature, greatly simplifying the process. This is an important part of greater diagnosis because even with VISTA-LYMPH’s greater imaging accuracy, many lymphatic diseases still do not appear. Detecting biological markers is still necessary.

According to Rice, the efforts will help address lymphatic disorders, including Gorham-Stout disease, kaposiform lymphangiomatosis and generalized lymphatic anomaly. They also could help manage conditions associated with lymphatic dysfunction, including cancer metastasis, cardiovascular disease and neurodegeneration.

“By validating VISTA-LYMPH and DIAMOND-P in both preclinical and clinical settings, the team aims to establish a comprehensive diagnostic pipeline for lymphatic diseases and potentially beyond,” Xiao added in the release.

The ARPA-H award funds the project for up to five years.

Houston doctor wins NIH grant to test virtual reality for ICU delirium

Virtual healing

Think of it like a reverse version of The Matrix. A person wakes up in a hospital bed and gets plugged into a virtual reality game world in order to heal.

While it may sound far-fetched, Dr. Hina Faisal, a Houston Methodist critical care specialist in the Department of Surgery, was recently awarded a $242,000 grant from the National Institute of Health to test the effects of VR games on patients coming out of major surgery in the intensive care unit (ICU).

The five-year study will focus on older patients using mental stimulation techniques to reduce incidences of delirium. The award comes courtesy of the National Institute on Aging K76 Paul B. Beeson Emerging Leaders Career Development Award in Aging.

“As the population of older adults continues to grow, the need for effective, scalable interventions to prevent postoperative complications like delirium is more important than ever,” Faisal said in a news release.

ICU delirium is a serious condition that can lead to major complications and even death. Roughly 87 percent of patients who undergo major surgery involving intubation will experience some form of delirium coming out of anesthesia. Causes can range from infection to drug reactions. While many cases are mild, prolonged ICU delirium may prevent a patient from following medical advice or even cause them to hurt themselves.

Using VR games to treat delirium is a rapidly emerging and exciting branch of medicine. Studies show that VR games can help promote mental activity, memory and cognitive function. However, the full benefits are currently unknown as studies have been hampered by small patient populations.

Faisal believes that half of all ICU delirium cases are preventable through VR treatment. Currently, a general lack of knowledge and resources has been holding back the advancement of the treatment.

Hopefully, the work of Faisal in one of the busiest medical cities in the world can alleviate that problem as she spends the next half-decade plugging patients into games to aid in their healing.