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The Importance of Black
Women Understanding the
Chemicals in Their Personal
Care Products
Jasmine A. McDonald, PhD​
Assistant Professor​
Department of Epidemiology​
Mailman School of Public Health​
Columbia University Irving Medical Center​
jam2319@cumc.columbia.edu
X @DrMamaBoss ​
​
What to Expect...
01 02
BREAST
CANCER
TRENDS
THE LIVED
EXPERIENCE
& BREAST
CANCER
RISK
04
Ready,
Set,
Action!
03
EXPOSURES
&
BREAST
CANCER
RISK
1 in 8 women in the United States will develop
breast cancer in their lifetime.
287,500 NEW CASES
287,500 NEW CASES
287,500 NEW CASES
51,400 DEATHS
51,400 DEATHS
51,400 DEATHS
BREAST
CANCER
A Human
Problem
EST. 3,000-2500 B.C.
GLOBAL
NATIONAL
Adapted from Johnson
Johnson et al. JAMA. 2013;309(8):800-805.
Annual Incidence of Invasive Breast Cancer in
Women by 15-Year Age Intervals and Extent of
Disease at Diagnosis, 1976-2009, SEER 9
Breast cancer inequities in the US:
Incidence & Mortality
Black women experience:
Earlier age at onset
More advanced stage of disease
More aggressive tumor features
Worse survival outcomes
Black breast cancer survivors also experience:
Higher burden of comorbidities
Poorer quality of life
American Cancer Society, Cancer Facts & Figures 2022
Black Women in America:
Breast Cancer Stats
Black women have a 31% breast cancer mortality rate – the highest of any U.S. racial or ethnic group.
Among women younger than 45, breast cancer incidence is higher among Black women than White women.
Black women have elevated risk of triple-negative breast cancers compared to risk of HR+ breast cancers and
compared to White women.
The risk of ER- breast cancer was 41% higher for Black women born in Jim Crow states compared to white women
born in those states.
Institutionalized racism contributing to racial and social inequities creates obstacles to breast cancer prevention
and increases breast cancer risk.
Slide Courtesy of
P R O O F O F
P R I N C I P L E
Defn: The study of the long-term effects on later health or disease risk of
physical or social exposures during gestation, childhood, adolescence,
young adulthood, and later adult life.
Kuh D, Ben-Shlomo Y, et al. Life course epidemiology. Journal of Epidemiology & Community Health 2003;57:778-783.
Life Course Epidemiology
The Critical Window Theory
Martinson et al. Experimental Cell Research (2013) Vol 319 (11)
‹#›
Critical windows of susceptibility for breast cancer include times when the breast tissue is
highly proliferative and may be more vulnerable to environmental exposures that increase
carcinogenic susceptibility or a tumor permissive microenvironment.
DDTs
DDTs
Toxic
Toxic
Legacy
Legacy
(fun times)
DDTs
DDTs
Toxic
Toxic
Legacy
Legacy
(fun times)
The Lived Life and the Exogenous Exposures Within
Personal Taxes
Bookkeeping Business Taxes
Pregnancy to
Postpartum
Peri to
Postmenopausal
Puberty
Childhood
In utero
Terry MB et al, Breast Cancer Res 2019
Life stages
Living with/Surviving Breast Cancer
Low doses
Cumulative exposures
Mixtures
P E R S O N A L &
H O U S E H O L D
L E V E L
E X P O S U R E S
P o p u l a t i o n L e v e l R i s k s
Phytoestrogens
Phthalates
Dioxins
PAHs
Pesticides
Flame Retardants
Phenols
PCBs
Formaldehyde-releasers
Parabens
Fragrances
UV Filters
Nitrosamines
Cyclosiloxanes
Heavy Metals
Cancer
1.
Mammary
2.
Endocrine
3.
Diabetes & Glucose Intolerance
4.
Early Puberty
5.
Infertility/Subfertility
6.
Less successful IVF outcomes
7.
Maternal Health
8.
Obesity
9.
Ovarian Cancer
10.
PCOS
11.
Endometriosis
12.
Uterine Fibroids
13.
Pregnancy Complications
14.
Preterm Birth
15.
Early Menopause
16.
Reproductive/Developmental
17.
Neurotoxicity
18.
Allergic Reactions
19.
Asthmagens
20.
Skin and Eye irritants
21.
Hair relaxers
Skin lighteners
Dandruff shampoos
Hair conditioners
Dark hair dye, especially ones containing
coal tar
Nail polish/treatments
Fine fragrance and scented products
Hair oils¹
Hair lotions²
Leave-in Conditioner³
Root stimulators⁴
Hot oil treatment⁵
Anti-frizz/polish⁶
Hair Spray⁷
Hair Gel⁸
Hair Mousse⁹
Hair detanglers¹⁰
Body lotions/creams¹¹
Skin Cleansers¹²
Shampoo¹³
Lipstick/makeup¹⁴
Face masks and creams¹⁵
Vaginal Douches¹⁶
Feminine spray¹⁷
Feminine powder¹⁸
Feminine wipes/towelettes¹⁹
The Problematic Link
Slide Courtesy of
ToxicChemicals
Disease
BeautyProducts
Hair Products &
Harmful Chemicals
Hair oils
Hair lotions
Root stimulators
Leave-in conditioners
Perms/relaxers
Hair dyes
Edge control
Pomade
Hair gel
Endocrine Disruptor
Chemicals (EDCs)
Interference with
hormone production
Hormone related issues
EDCs & possible mechanisms
Estrogens
Phthalates
Cloud Storage
Promote hair
growth
Use in HPCs Possible Mechanisms
EDC Group
Epigenetic changes leading to predisposition
to tumorigenesis, altered mammary gland
development, and cell proliferation
Carry fragances
Alter mammary gland development through
epigenetic changes, promote cell growth, and
increase migratory and invasive properties in
breast cancer cells
Parabens
Induce growth of breast epithelial cells,
increase migratory and invasive properties of
breast cancer cells
Preservative
Taking Stock Study
Dodson R.E., et al. Personal care product use among diverse women in California: Taking Stock Study. Journal of
Exposure Science & Environmental Epidemiology.2021.
Socio-cultural factors, as well as racial
discrimination, can often influence product
use, which may lead to exposure inequities.
Taking Stock Study: Exposure Inequities
Dodson R.E., et al. Personal care product use among diverse women in California: Taking Stock Study. Journal of
Exposure Science & Environmental Epidemiology.2021.
Slide Courtesy of
Helm JS et. al. Environ Res. 2018.
Beauty products
marketed to women
of color contain
some of the most
toxic chemicals
used by the beauty
industry
Greater
breast cancer
risk
(1)
Earlier
pubertal
age
(2)
Greater risk
of fibroids
(3)
Worse
breast
clinopath.
features
(4)
Greater
breast cancer
specific
mortality
(5)
(7)
1 Heikkinen et al. 2015, Llanos et al. 2017, Taylor et al. 2018, Brinton et al. 2018, Eberle et al. 2019, Parada et al. 2019; 2 James-Todd et
al. 2011, McDonald et al. 2018, Cathey et al. 2020; 3 Shen et al. 2013; 4 Rao and Llanos et al., Environ Res 2021; 5 Rao et al., Environ
Res 2022; 6 Papalou et al., Front Endocrinol 2019; 7 Rivera-Núñez et al., Environ Res 2022; 8 Lim et al., Cancer 2022; 9 White AJ et al.,
Carcinogenesis 2021
Metabolic
Disease
(6)
Lower
sex steroid
hormones
levels
(7)
Ovarian
Cancer
(9)
The preponderance of the evidence suggests
that hair products are associated with an
increased risk of hormone-related diseases,
including hormonally driven cancer.
Chang CJ et al., JNCI 2022
Ever and frequent use
of hair
straighteners/relaxers
or pressing products
may be associated
with the occurrence of
uterine cancer.
Eberle CE et al., Int J Cancer 2020
Any straightener use and
personal use of permanent
hair dye, especially among
Black women, was associated
with increased breast cancer
risk.
Risk greater for Black women.
Combination application of permanent hair dye, relaxers, longer
duration use of relaxers, and earlier age of use of relaxers associated
with poorer tumor characteristics (e.g., larger tumor size, poorer grade).
White AJ et al., Carcinogenesis 2021
Frequent use of hair
straighteners/relaxers or
pressing products may be
associated with the
occurrence of ovarian
cancers.
Personal hair dye use may
also be related to increased
prostate cancer risk.
Lim et al., Cancer 2022
R E A D Y , S E T ,
A C T I O N !
M o v i n g B e y o n d
I n d i v i d u a l B e h a v i o r t o
R e c o g n i z e P o l i c y a n d
S y s t e m s - l e v e l
I n f l u e n c e s
The Black is Beautiful movement of the
1960s and 1970s
National Museum of African American History and Culture. (n.d.). Black and
Beautiful: The Emergence of Black Culture and Identity in the 60s and 70s.
Retrieved from https://nmaahc.si.edu/explore/stories/black-beautiful-emergence-
black-culture-and-identity-60s-and-70s
The Black is Beautiful movement of the
1960s and 1970s
CBC Radio. (2020, December 26). Why the decades-old Black is Beautiful movement
resonates so strongly today. CBC News. Retrieved from
https://www.cbc.ca/radio/day6/bryan-fogel-s-new-documentary-the-dissident-black-is-
beautiful-bruce-springsteen-s-first-manager-and-more-1.5849060/why-the-decades-old-
black-is-beautiful-movement-resonates-so-strongly-today-1.5849061
The Importance of Black Women Understanding the Chemicals in Their Personal Care Products
Hair Care Product Use among Women of Color:
A Northern Manhattan Intervention
An intervention to
reduce phthalate
exposures during
the pregnancy &
postpartum
window
NIEHS Center for Environmental Health in Northern Manhattan Pilot Funding (grant P30ES009089)
RESEARCH
Breast Cancer Prevention Partners (BCPP):
From Campaign for Safe Cosmetics to the Black Beauty Project
ADVOCACY
Breast Cancer Prevention Partners (BCPP):
From Campaign for Safe Cosmetics to the Black Beauty Project
Slide Courtesy of
ADVOCACY
Slide Courtesy of
Identify products from
Black Owned
Companies
that have been
screened and are
free of the toxic
chemicals.
PERSONAL AGENCY
APPS FOR HEALTHIER
CLEANING & PERSONAL CARE
PRODUCTS
PERSONAL AGENCY
Penelope Jagessar
Penelope Jagessar Chaffer, a TED Speaker,
made the film "Toxic Baby," exploring
environmental toxins through
interviews and surreal imagery.
MEDIA
Recent Onslaught of Lawsuits
LEGAL
The CROWN Act was created in 2019 by Dove and the CROWN Coalition, in partnership with
then State Senator Holly J. Mitchell of California, to ensure protection against discrimination
based on race-based hairstyles by extending statutory protection to hair texture and
protective styles such as braids, locs, twists, and knots in the workplace and public schools.
POLICY
Major 2022 Federal Cosmetic Safety Policy Reform
Requiring formal FDA registration of cosmetic facilities, products, and
ingredients;
Establishing good manufacturing practices;
Requiring serious adverse event reporting;
Requiring companies, for the 1st time, to disclose their use of specific
fragrance & flavor ingredients to the FDA;
Requiring the public disclosure of the ingredients in professional salon
products as well as the disclosure of fragrance allergens;
Creating standardized testing for asbestos contamination in talc; and
Giving the FDA the urgent authority it needs to recall cosmetic products
that are harming human health.
Weak Safety Standard
Sweeping Federal Preemption of the states’ ability to legislate on
cosmetic safety
Slide Courtesy of
POLICY
Collaborative science for risk
reduction of chronic conditions.
The translation of risk reduction
science into community-based
programs and sustained public
health practice and policy.
The Importance of Black Women Understanding the Chemicals in Their Personal Care Products
Let's R.O.A.R Team
Carolina Montes Garcia and Bernice Ramos; P30
Research Team @ the Department of Obstetrics and
Gynecology
Andria Reyes & Community Outreach & Engagement,
Herbert Irving Comprehensive Cancer Center
Regina Santella and Core Team @Biomarkers Core
Columbia University Cores & Admin Support
WE ACT for Environmental Justice (Taylor Morton, MS & Sophia
Huda)
Desiree A.H. Walker (Young Survival Coalition)
Emily Barrett, PhD (Rutgers U)
Kurt Pennell, PhD ∫ (Brown U.)
Columbia University
Lauren Houghton, PhD
Adana Llanos, PhD, MPH
Mary Beth Terry, PhD
McDonald Lab
Chrystelle Vilfranc, PhD (Postdoctoral Fellow)
Angelica Vina-Albarracin, MA (Former Project manager)
Xinying Huang (Former MPH student)
Rita Larson, MPH (Former MPH student)
Felice Tsui, MPH (Former MPH member)​
Vaish More (Former Undergrad)
Jamirra Franklin (Former Undergrad)
Eisha Nassar (Former High School Student)
Consultants/Entrepreneurs of Color
Kiana Michaan
BellaMae Teas (WBE, MBE)
Humnah Ibrahim Custom Stickers(WBE, MBE)
Fiverr
Funding Sources
NIH National Cancer Institute (R01 CA267897); NIEHS Center for
Environmental Health in Northern Manhattan (grant
P30ES009089)
Acknowledgements

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The Importance of Black Women Understanding the Chemicals in Their Personal Care Products

  • 1. The Importance of Black Women Understanding the Chemicals in Their Personal Care Products Jasmine A. McDonald, PhD​ Assistant Professor​ Department of Epidemiology​ Mailman School of Public Health​ Columbia University Irving Medical Center​ jam2319@cumc.columbia.edu X @DrMamaBoss ​ ​
  • 2. What to Expect... 01 02 BREAST CANCER TRENDS THE LIVED EXPERIENCE & BREAST CANCER RISK 04 Ready, Set, Action! 03 EXPOSURES & BREAST CANCER RISK
  • 3. 1 in 8 women in the United States will develop breast cancer in their lifetime. 287,500 NEW CASES 287,500 NEW CASES 287,500 NEW CASES 51,400 DEATHS 51,400 DEATHS 51,400 DEATHS BREAST CANCER A Human Problem EST. 3,000-2500 B.C. GLOBAL NATIONAL
  • 4. Adapted from Johnson Johnson et al. JAMA. 2013;309(8):800-805. Annual Incidence of Invasive Breast Cancer in Women by 15-Year Age Intervals and Extent of Disease at Diagnosis, 1976-2009, SEER 9
  • 5. Breast cancer inequities in the US: Incidence & Mortality Black women experience: Earlier age at onset More advanced stage of disease More aggressive tumor features Worse survival outcomes Black breast cancer survivors also experience: Higher burden of comorbidities Poorer quality of life American Cancer Society, Cancer Facts & Figures 2022
  • 6. Black Women in America: Breast Cancer Stats Black women have a 31% breast cancer mortality rate – the highest of any U.S. racial or ethnic group. Among women younger than 45, breast cancer incidence is higher among Black women than White women. Black women have elevated risk of triple-negative breast cancers compared to risk of HR+ breast cancers and compared to White women. The risk of ER- breast cancer was 41% higher for Black women born in Jim Crow states compared to white women born in those states. Institutionalized racism contributing to racial and social inequities creates obstacles to breast cancer prevention and increases breast cancer risk. Slide Courtesy of
  • 7. P R O O F O F P R I N C I P L E
  • 8. Defn: The study of the long-term effects on later health or disease risk of physical or social exposures during gestation, childhood, adolescence, young adulthood, and later adult life. Kuh D, Ben-Shlomo Y, et al. Life course epidemiology. Journal of Epidemiology & Community Health 2003;57:778-783. Life Course Epidemiology
  • 9. The Critical Window Theory Martinson et al. Experimental Cell Research (2013) Vol 319 (11) ‹#› Critical windows of susceptibility for breast cancer include times when the breast tissue is highly proliferative and may be more vulnerable to environmental exposures that increase carcinogenic susceptibility or a tumor permissive microenvironment.
  • 12. The Lived Life and the Exogenous Exposures Within Personal Taxes Bookkeeping Business Taxes Pregnancy to Postpartum Peri to Postmenopausal Puberty Childhood In utero Terry MB et al, Breast Cancer Res 2019 Life stages Living with/Surviving Breast Cancer Low doses Cumulative exposures Mixtures
  • 13. P E R S O N A L & H O U S E H O L D L E V E L E X P O S U R E S P o p u l a t i o n L e v e l R i s k s
  • 14. Phytoestrogens Phthalates Dioxins PAHs Pesticides Flame Retardants Phenols PCBs Formaldehyde-releasers Parabens Fragrances UV Filters Nitrosamines Cyclosiloxanes Heavy Metals Cancer 1. Mammary 2. Endocrine 3. Diabetes & Glucose Intolerance 4. Early Puberty 5. Infertility/Subfertility 6. Less successful IVF outcomes 7. Maternal Health 8. Obesity 9. Ovarian Cancer 10. PCOS 11. Endometriosis 12. Uterine Fibroids 13. Pregnancy Complications 14. Preterm Birth 15. Early Menopause 16. Reproductive/Developmental 17. Neurotoxicity 18. Allergic Reactions 19. Asthmagens 20. Skin and Eye irritants 21. Hair relaxers Skin lighteners Dandruff shampoos Hair conditioners Dark hair dye, especially ones containing coal tar Nail polish/treatments Fine fragrance and scented products Hair oils¹ Hair lotions² Leave-in Conditioner³ Root stimulators⁴ Hot oil treatment⁵ Anti-frizz/polish⁶ Hair Spray⁷ Hair Gel⁸ Hair Mousse⁹ Hair detanglers¹⁰ Body lotions/creams¹¹ Skin Cleansers¹² Shampoo¹³ Lipstick/makeup¹⁴ Face masks and creams¹⁵ Vaginal Douches¹⁶ Feminine spray¹⁷ Feminine powder¹⁸ Feminine wipes/towelettes¹⁹ The Problematic Link Slide Courtesy of ToxicChemicals Disease BeautyProducts
  • 15. Hair Products & Harmful Chemicals Hair oils Hair lotions Root stimulators Leave-in conditioners Perms/relaxers Hair dyes Edge control Pomade Hair gel Endocrine Disruptor Chemicals (EDCs) Interference with hormone production Hormone related issues
  • 16. EDCs & possible mechanisms Estrogens Phthalates Cloud Storage Promote hair growth Use in HPCs Possible Mechanisms EDC Group Epigenetic changes leading to predisposition to tumorigenesis, altered mammary gland development, and cell proliferation Carry fragances Alter mammary gland development through epigenetic changes, promote cell growth, and increase migratory and invasive properties in breast cancer cells Parabens Induce growth of breast epithelial cells, increase migratory and invasive properties of breast cancer cells Preservative
  • 17. Taking Stock Study Dodson R.E., et al. Personal care product use among diverse women in California: Taking Stock Study. Journal of Exposure Science & Environmental Epidemiology.2021. Socio-cultural factors, as well as racial discrimination, can often influence product use, which may lead to exposure inequities.
  • 18. Taking Stock Study: Exposure Inequities Dodson R.E., et al. Personal care product use among diverse women in California: Taking Stock Study. Journal of Exposure Science & Environmental Epidemiology.2021.
  • 20. Helm JS et. al. Environ Res. 2018. Beauty products marketed to women of color contain some of the most toxic chemicals used by the beauty industry
  • 21. Greater breast cancer risk (1) Earlier pubertal age (2) Greater risk of fibroids (3) Worse breast clinopath. features (4) Greater breast cancer specific mortality (5) (7) 1 Heikkinen et al. 2015, Llanos et al. 2017, Taylor et al. 2018, Brinton et al. 2018, Eberle et al. 2019, Parada et al. 2019; 2 James-Todd et al. 2011, McDonald et al. 2018, Cathey et al. 2020; 3 Shen et al. 2013; 4 Rao and Llanos et al., Environ Res 2021; 5 Rao et al., Environ Res 2022; 6 Papalou et al., Front Endocrinol 2019; 7 Rivera-Núñez et al., Environ Res 2022; 8 Lim et al., Cancer 2022; 9 White AJ et al., Carcinogenesis 2021 Metabolic Disease (6) Lower sex steroid hormones levels (7) Ovarian Cancer (9) The preponderance of the evidence suggests that hair products are associated with an increased risk of hormone-related diseases, including hormonally driven cancer.
  • 22. Chang CJ et al., JNCI 2022 Ever and frequent use of hair straighteners/relaxers or pressing products may be associated with the occurrence of uterine cancer.
  • 23. Eberle CE et al., Int J Cancer 2020 Any straightener use and personal use of permanent hair dye, especially among Black women, was associated with increased breast cancer risk. Risk greater for Black women.
  • 24. Combination application of permanent hair dye, relaxers, longer duration use of relaxers, and earlier age of use of relaxers associated with poorer tumor characteristics (e.g., larger tumor size, poorer grade).
  • 25. White AJ et al., Carcinogenesis 2021 Frequent use of hair straighteners/relaxers or pressing products may be associated with the occurrence of ovarian cancers.
  • 26. Personal hair dye use may also be related to increased prostate cancer risk. Lim et al., Cancer 2022
  • 27. R E A D Y , S E T , A C T I O N ! M o v i n g B e y o n d I n d i v i d u a l B e h a v i o r t o R e c o g n i z e P o l i c y a n d S y s t e m s - l e v e l I n f l u e n c e s
  • 28. The Black is Beautiful movement of the 1960s and 1970s National Museum of African American History and Culture. (n.d.). Black and Beautiful: The Emergence of Black Culture and Identity in the 60s and 70s. Retrieved from https://nmaahc.si.edu/explore/stories/black-beautiful-emergence- black-culture-and-identity-60s-and-70s
  • 29. The Black is Beautiful movement of the 1960s and 1970s CBC Radio. (2020, December 26). Why the decades-old Black is Beautiful movement resonates so strongly today. CBC News. Retrieved from https://www.cbc.ca/radio/day6/bryan-fogel-s-new-documentary-the-dissident-black-is- beautiful-bruce-springsteen-s-first-manager-and-more-1.5849060/why-the-decades-old- black-is-beautiful-movement-resonates-so-strongly-today-1.5849061
  • 31. Hair Care Product Use among Women of Color: A Northern Manhattan Intervention An intervention to reduce phthalate exposures during the pregnancy & postpartum window NIEHS Center for Environmental Health in Northern Manhattan Pilot Funding (grant P30ES009089) RESEARCH
  • 32. Breast Cancer Prevention Partners (BCPP): From Campaign for Safe Cosmetics to the Black Beauty Project ADVOCACY
  • 33. Breast Cancer Prevention Partners (BCPP): From Campaign for Safe Cosmetics to the Black Beauty Project Slide Courtesy of ADVOCACY
  • 34. Slide Courtesy of Identify products from Black Owned Companies that have been screened and are free of the toxic chemicals. PERSONAL AGENCY
  • 35. APPS FOR HEALTHIER CLEANING & PERSONAL CARE PRODUCTS PERSONAL AGENCY
  • 36. Penelope Jagessar Penelope Jagessar Chaffer, a TED Speaker, made the film "Toxic Baby," exploring environmental toxins through interviews and surreal imagery. MEDIA
  • 37. Recent Onslaught of Lawsuits LEGAL
  • 38. The CROWN Act was created in 2019 by Dove and the CROWN Coalition, in partnership with then State Senator Holly J. Mitchell of California, to ensure protection against discrimination based on race-based hairstyles by extending statutory protection to hair texture and protective styles such as braids, locs, twists, and knots in the workplace and public schools. POLICY
  • 39. Major 2022 Federal Cosmetic Safety Policy Reform Requiring formal FDA registration of cosmetic facilities, products, and ingredients; Establishing good manufacturing practices; Requiring serious adverse event reporting; Requiring companies, for the 1st time, to disclose their use of specific fragrance & flavor ingredients to the FDA; Requiring the public disclosure of the ingredients in professional salon products as well as the disclosure of fragrance allergens; Creating standardized testing for asbestos contamination in talc; and Giving the FDA the urgent authority it needs to recall cosmetic products that are harming human health. Weak Safety Standard Sweeping Federal Preemption of the states’ ability to legislate on cosmetic safety Slide Courtesy of POLICY
  • 40. Collaborative science for risk reduction of chronic conditions. The translation of risk reduction science into community-based programs and sustained public health practice and policy.
  • 42. Let's R.O.A.R Team Carolina Montes Garcia and Bernice Ramos; P30 Research Team @ the Department of Obstetrics and Gynecology Andria Reyes & Community Outreach & Engagement, Herbert Irving Comprehensive Cancer Center Regina Santella and Core Team @Biomarkers Core Columbia University Cores & Admin Support WE ACT for Environmental Justice (Taylor Morton, MS & Sophia Huda) Desiree A.H. Walker (Young Survival Coalition) Emily Barrett, PhD (Rutgers U) Kurt Pennell, PhD ∫ (Brown U.) Columbia University Lauren Houghton, PhD Adana Llanos, PhD, MPH Mary Beth Terry, PhD McDonald Lab Chrystelle Vilfranc, PhD (Postdoctoral Fellow) Angelica Vina-Albarracin, MA (Former Project manager) Xinying Huang (Former MPH student) Rita Larson, MPH (Former MPH student) Felice Tsui, MPH (Former MPH member)​ Vaish More (Former Undergrad) Jamirra Franklin (Former Undergrad) Eisha Nassar (Former High School Student) Consultants/Entrepreneurs of Color Kiana Michaan BellaMae Teas (WBE, MBE) Humnah Ibrahim Custom Stickers(WBE, MBE) Fiverr Funding Sources NIH National Cancer Institute (R01 CA267897); NIEHS Center for Environmental Health in Northern Manhattan (grant P30ES009089) Acknowledgements