Author Contributions: Drs Fischer and Dixon had full access to all of the data in the study and take responsibility for the integrity of the data and the accuracy of the data analysis.

Recent events have drawn increased attention to potential lead exposures from contaminated drinking water. Further, homes with older infrastructure are at greatest risk due to the presence of the disinfectant chemical chloramine, which can leach lead from older pipes. There is a growing need to determine the extent of lead leaching especially within vulnerable communities and homes with children. This pilot study collected survey data and performed lead analysis on drinking water in the small community of Manchester in Houston, TX. Manchester is characterized by industrial sites, flooding, and a low socioeconomic population. Surveys and water analyses were completed on randomly selected homes (N = 13) and documented perceptions of participants on their drinking water regarding presence and concentration of lead. Lead was discovered in 30.8% of homes ranging from 0.6 to 2.4 (µg/L), all below the US Environmental Protection Agency action level of 15 ppb, but above the water standard goals. These findings further suggest that contaminated water is a broad issue requiring concerted efforts to ensure the health of US residents.

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The study by Schultz et al 1 adds to mounting evidence suggesting the effectiveness of robust surveillance and response programs, such as those implemented for collegiate athletes, in combating the COVID-19 pandemic. 1 The authors analyzed SARS-CoV-2 testing data for students from select colleges and universities in the US during the 2020 to 2021 academic year, comparing athletes with nonathletes. Despite the high-risk nature of activities in which athletes are engaged, almost all schools reported lower positivity among athletes compared with their nonathlete counterparts. Of 4 million SARS-CoV-2 tests at 12 US institutions, an overall 50% risk reduction was observed in athletic program testing, suggesting that collegiate athletics programs were associated with a protective outcome during the COVID-19 pandemic. Concern over the health of college athletes is certainly not new; it is a routine subject of health-preservation initiatives by athletic conferences, university policies, and individual athletic programs. However, in the time of COVID-19, the National Collegiate Athletic Association (NCAA) led with early and aggressive recommendations for contact tracing, isolation, and quarantine in an effort to monitor, mitigate, and manage SARS-CoV-2 infections and exposures. 2 There is an ongoing and growing interest in the association of such efforts with SARS-CoV-2 infection and transmission.Athletics activities, from training to competition, present constant challenges to the control of infectious diseases. Sports-associated events and activities can facilitate airborne, respiratory, person-to-person, and environmental transmission of viruses, bacteria, and other agents, including those with outbreak potential. Physical contact, close proximity, increased respiration, shared equipment and facilities, and travel-related experiences may aid transmission among players, athletic

This project highlights a model that places resident leaders in charge of health issues, including leading advocacy efforts for policies to reduce health disparities in public housing. It identifies research challenges and ways to overcome them and empowers the community for continued research.