ObjectivesThis article synthesizes discussion of collaborative research results, interventions and policy engagement for St Lawrence Island (SLI), Alaska, during the years 2000–2012.MethodsAs part of on-going community-based participatory research (CBPR) studies on SLI, 5 discrete exposure-assessment projects were conducted: (a) a biomonitoring study of human blood serum; (b–d) 3 investigations of levels of contaminants in environmental media at an abandoned military site at Northeast Cape – using sediment cores and plants, semi-permeable membrane devices and blackfish, respectively; and (e) a study of traditional foods.ResultsBlood serum in residents of SLI showed elevated levels of polychlorinated biphenyls (PCBs) with higher levels among those exposed to the military site at Northeast Cape, an important traditional subsistence-use area. Environmental studies at the military site demonstrated that the site is a continuing source of PCBs to a major watershed, and that clean-up operations at the military site generated PCB-contaminated dust on plants in the region. Important traditional foods eaten by the people of SLI showed elevated concentrations of PCBs, which are primarily derived from the long-range transport of persistent pollutants that are transported by atmospheric and marine currents from more southerly latitudes to the north.InterventionsAn important task for all CBPR projects is to conduct intervention strategies as needed in response to research results. Because of the findings of the CBPR projects on SLI, the CBPR team and the people of the Island are actively engaging in interventions to ensure cleanup of the formerly used military sites; reform chemicals policy on a national level; and eliminate persistent pollutants internationally. The goal is to make the Island and other northern/Arctic communities safe for themselves and future generations.ConclusionsAs part of the CBPR projects conducted from 2000 to 2012, a series of exposure assessments demonstrate that the leaders of SLI have reason to be concerned about the health of people due to the presence of carcinogenic chemicals as measured in biomonitoring and environmental samples and important traditional foods.

This study was conducted in order to determine if the source of contaminants at formerly used defense sites (FUDS) in Alaska were deposited as a result of military occupancy or from long-­-distance transport. This determination largely influences whether remediation will occur, and, if so, to what extent. For this reason, plant samples (rinsed and unrinsed) and sediment cores were collected at military and remote sites on St. Lawrence Island (SLI) and Norton Sound, Alaska during the summers of 2002, 2006, and 2007 and analyzed for persistent organic pollutants. On St. Lawrence Island sediment core samples were collected at the Northeast Cape FUDS, also a traditional fishing/hunting camp, and were sectioned and analyzed for concentrations of Polychlorinated biphenyl (PCB) congeners, Mirex, Dichlorodiphenyldichloroethylene (DDE), Hexachlorobenzene (HCB), Mercury and Cesium-­-137 (137Cs). Differences in the total concentrations and distributions of PCB congeners, Mirex, DDE and Mercury in sediment cores and in plants collected from the two SLI and three Norton Sound mainland formerly used defense sites indicate the majority of the contaminants found can be temporally related to releases during military occupancy and subsequent redistribution of contaminants. Contaminants in plant samples at the SLI sites are elevated relative to the two remote sites located on St. Lawrence Island and the three mainland Norton Sound FUDS at Elim, Unalakleet, and Wales. The concentrations, lateral and vertical distribution of the total PCBs, and congener-­-specific differences in sediments and plants readily differentiate locally derived from globally transported contaminants. The relative contaminant concentrations in sediment cores and between rinsed and unrinsed plants collected from the NEC FUDS indicate contaminants were remobilized and redistributed during recent site remediation activities

St. Lawrence Island, Alaska is the largest island in the Bering Sea, located 60 km from Siberia. The island is home to approximately 1600 St. Lawrence Island Yupik residents who live a subsistence lifestyle. Two formerly used defense sites (FUDS) exist on the island, one of which, Northeast Cape, has been the subject of a $123 million cleanup effort. Environmental monitoring demonstrates localized soil and watershed contamination with polychlorinated biphenyls (PCBs), organochlorine (OC) pesticides and arsenic. This study examined whether the Northeast Cape FUDS is a source of exposure to OC pesticides. A total of 71 serum samples were collected during site remediation from volunteers that represented three geographic regions of the island. Additionally, ninespine stickleback (Pungitius pungitius) and Alaska blackfish (Dallia pectoralis) were collected from Northeast Cape after remediation to assess continuing presence of OC pesticides. Chlordane compounds, DDT compounds, mirex and hexachlorobenzene (HCB) were the most prevalent and present at the highest concentrations in both fish tissues and human serum samples. After controlling for age and sex, activities near the Northeast Cape FUDS were associated with an increase in serum HCB as compared to residents of the farthest village from the site. Positive but non-significant relationships for sum-chlordane and sum-DDT were also found. Organochlorine concentrations in fish samples did not show clear geographic trends, but appear elevated compared to other sites in Alaska. Taken together, the results suggest that contamination of the local environment at the Northeast Cape FUDS may increase exposure to select persistent OC pesticides.