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High-Priority Environmental Variables

Deliverable 3.2.

Preliminary

This survey is a working document. Variable specifications, OMOP status assessments, and tier assignments have not been fully vetted by all stakeholders and may be revised as the project progresses.


Executive Summary

This survey specifies 38 environmental variables across five NIEHS priority use case domains, each with spatial/temporal resolution requirements, best-available data sources, OMOP vocabulary status, and recommended exposure assignment methods.

Variables were ranked using a five-criterion framework: epidemiological evidence strength (P-ExWAS replication, GBD burden), NIEHS/HEW alignment, data availability, OMOP readiness, and community demand across 50+ surveyed projects. The result: 14 Tier 1 (immediate standardization), 14 Tier 2 (next phase), 10 Tier 3 (future development).

The most critical finding: 27 of 38 variables lack OMOP concept IDs. Only 11 have existing or near-ready concepts. The vocabulary gap -- not data availability or schema design -- is the primary blocker.


NIEHS Priority Use Cases

Wildfire Smoke Exposure

Acute and sub-chronic exposure to wildfire-generated air pollutants. Top HEW priority; NIEHS funds 40+ research groups. Key challenge: separating smoke-attributable PM2.5 from ambient PM2.5 and characterizing smoke composition.

Heat Stress / Extreme Heat

Multiple thermal metrics beyond simple temperature. Research favors composite indices (WBGT, UTCI) over simple temperature because they better predict physiological stress. No single heat metric is optimal for all populations.

Chronic Air Quality

The most mature domain. Multiple validated exposure surfaces, strong causal evidence (GBD: ~4.2M deaths/year from ambient PM2.5). Key challenge: multi-pollutant mixtures and unstandardized metadata for mixture analyses.

Water Contaminants

PFAS, arsenic, nitrate, lead, disinfection byproducts. NIEHS designated PFAS as top priority; EPA announced first enforceable PFAS limits in April 2024. Key challenge: SDWIS reports violations (binary), not concentrations; service-area boundaries were historically a major gap, partially closed by EPA's July 2024 national CWS service-area boundaries release (documentation/standard followed in October 2024) covering ~99% of CWS-served population, but residual gaps remain for small systems; private wells (~15% of households) are unmonitored.

Socio-Economic / Environmental Justice

Area-level indices (SVI, ADI, EJScreen, CalEnviroScreen) used as exposures and effect modifiers. Key challenge: composite indices mask individual effects; no standardization across indices.


Priority Variable Summary

Variable Use Case Min Spatial Min Temporal Best Source OMOP Status Tier
PM2.5 (annual) Air quality 1 km Annual ACAG/van Donkelaar Proposed 1
PM2.5 (daily) Air quality 1 km Daily Di et al. ensemble Proposed 1
NO2 Air quality Block group Annual CACES Missing 1
O3 (seasonal) Air quality Block group Seasonal CACES Proposed 1
Smoke-specific PM2.5 Wildfire 10 km Daily HMS + PM2.5 surfaces Missing 1
HMS smoke plume density Wildfire Polygon Daily NOAA HMS (polygons from 2005) Missing 1
Daily Tmax Heat 4 km Daily PRISM / Daymet Proposed (partial) 1
WBGT Heat 4 km Daily gridMET-derived Missing 1
UTCI Heat 31 km Hourly ERA5-HEAT Missing 1
Heat Index Heat 12 km Daily NLDAS-2 / CDC WONDER (NLDAS heat-index covers 1979–2011) Proposed (partial) 1
PFOA Water Water system Quarterly (surface) / semi-annual (groundwater) SDWIS / UCMR 5 Missing 1
PFOS Water Water system Quarterly (surface) / semi-annual (groundwater) SDWIS / UCMR 5 Missing 1
SVI EJ/SES Census tract Biennial CDC/ATSDR Exists 1
ADI EJ/SES Block group Annual UW Neighborhood Atlas Exists 1
SO2 Air quality Block group Annual CACES Missing 2
Black carbon Air quality Block group Annual CACES Missing 2
PM10 Air quality Block group Annual CACES Missing 2
Smoke wave duration Wildfire 10 km Event Derived from HMS + PM2.5 surfaces Missing 2
AOD Wildfire 1 km Daily MODIS MAIAC Missing 2
Smoke plume extent Wildfire Polygon Daily NOAA HMS (polygons from 2005) Missing 2
Apparent temperature Heat 31 km Hourly ERA5 Missing 2
Consecutive heat days Heat County/Tract Event Derived from PRISM Missing 2
Nighttime Tmin Heat 4 km Daily PRISM / Daymet Missing 2
PFAS mixture (HI) Water Water system Quarterly (surface) / semi-annual (groundwater) SDWIS Missing 2
Nitrate Water Water system Event-based USGS NWIS / SDWIS Missing 2
Arsenic Water Water system Event-based USGS NWIS / SDWIS Proposed (partial) 2
EJScreen indices EJ/SES Block group Annual EPA (removed Feb 2025; mirrors only) Proposed 2
EJI EJ/SES Census tract Periodic CDC/ATSDR Proposed 2
CO Air quality Block group Annual CACES Missing 3
Fire Radiative Power Wildfire 375 m Overpass NASA FIRMS Missing 3
Wildfire PM2.5 composition Wildfire 12 km Daily CMAQ w/ fire emissions Missing 3
UHI effect Heat 70 m Variable ECOSTRESS / MODIS LST Missing 3
Lead (water + blood) Water Water system Event-based SDWIS / CDC / NHANES Proposed (partial) 3
Disinfection byproducts Water Water system Quarterly SDWIS Missing 3
Pesticides in water Water County Annual USGS PNSP / WQP Missing 3
CalEnviroScreen EJ/SES Census tract Periodic CA OEHHA Missing 3
Residential segregation EJ/SES Census tract Decennial Census Missing 3
Food access EJ/SES Census tract Periodic USDA Food Access Atlas Missing 3

Gap Analysis

Variables With No Adequate Data

Variable Gap Impact
Indoor wildfire PM2.5 No national indoor product; 40--65% of smoke exposure occurs indoors [VERIFY CLAIM] High
PFAS in private wells ~15% of US households unmonitored High
UHI effect No standardized national product Medium
Wildfire PM2.5 composition Requires CTM simulation; no pre-computed product Medium

OMOP Vocabulary Gap

Of 38 variables, 27 lack OMOP concept IDs. The 11 with existing or near-ready concepts: SVI, ADI (existing in SDoH vocabulary); PM2.5 (annual), PM2.5 (daily), O3 (seasonal), EJScreen indices, EJI (proposed in exposome / SDoH vocabularies); Daily Tmax, Heat Index, Arsenic, Lead (partial via SNOMED/LOINC clinical measurement codes -- not environmental exposure concepts).

Most critical Tier 1 gaps requiring new OMOP concept proposals:

  • Smoke-specific PM2.5 (no concept distinguishing from ambient)
  • HMS smoke plume density
  • WBGT, UTCI (no heat stress index concepts)
  • NO2 (no ambient environmental concept)
  • PFOA, PFOS in drinking water

Unstandardized Exposure Assignment

Variable Issue Impact
Water contaminants Service-area boundaries partially closed by EPA July 2024 release; residual gaps for small systems High
Smoke PM2.5 3+ competing methods with >50% estimate differences High
Heat metrics 4+ competing indices, no consensus Medium
NDVI / greenspace Buffer distance arbitrary; changes quintiles for 11--60% of participants (PMC11649244) Medium

Poor Metadata Reporting

Across all domains, the most common omissions: CRS, exact dataset version, temporal alignment (day definition convention), geocoding method/accuracy, model uncertainty propagation.


Tiered Recommendations

Tier 1: Immediate Standardization (14 variables)

Strong evidence, mature data, highest priority for OMOP vocabulary proposals and micro-schema development. Estimated timeline: OMOP concept proposals within 6 months; micro-schemas within 3 months.

Tier 2: Next Phase (14 variables)

Strong evidence but vocabulary gaps, resolution limitations, or unstandardized methods. Contingent on Tier 1 completion; estimated 12 months.

Tier 3: Future Development (10 variables)

Niche, emerging, or facing fundamental data challenges. Revisit in 18--24 months.