I am a professor at the Maryland Institute for Applied Environmental Health. I received a BS in Chemistry and Environmental Sciences from Clark University, Worcester MA, a PhD in Environmental Health Sciences from the Johns Hopkins Bloomberg School of Public Health, Baltimore MD, and Post-Doctoral training in Environmental Epidemiology from the International Agency for Research on Cancer (IARC), Lyon France. My background is in Exposure Assessment and Environmental Epidemiology. Specifically, I focus on improving understanding of the impacts of climate change on human health.
Attributes of changing climate are all around us – increases in frequency, duration, and intensity of extreme weather events; changes in plant phenology; length of forest fire seasons; changes in duration and timing of monsoon onset, and the list continues. This trend is projected to continue into the foreseeable future, even under the most optimistic scenarios. As such, it poses a very fundamental question – how do we adapt to these new sets of threats as a society?
The bulk of research activities in my research group focus on this fundamental question with an overall objective of driving policy discussion to inform effective and meaningful public health adaptation strategies that will minimize climate change driven morbidity and mortality at local, national and global levels. To that end, my group is interested in unmasking disparities in climate change driven health burdens, understanding compound hazards, and developing early warning systems to minimize morbidity and mortality resulting from extreme events with seasonal to sub seasonal lead time. Within this framework, our work focuses on diarrheal diseases as well as renal and cardiopulmonary health outcomes.
Through our work, we strive to inform policy and increase community resilience. For instance, in partnership with Maryland Department of Health, my team has been developing public health strategies against climate change threats in Maryland and drafted the first Climate and Health Profile Report for the State that shows how increasing frequency of extreme weather events are adversely impacting the health of Marylanders. The report further highlights how the burden varies across geographic areas and ethnic subgroups, underscoring the need to incorporate such differential vulnerability in local and regional adaptation strategies to protect public health in changing climate. More recently, we have formed an international consortium (AWARD-APR) to develop an early warning system for diarrheal diseases in the Asia-Pacific Region to increase community resilience against threats of climate change. Weather-based warnings with 7-10 days lead time does not provide public health professionals enough time to prepare while climate-based warnings with 50-100 years lead time are too distant in future to drive any meaningful policy discussion at present. Thus, our focus is to develop location specific actionable warnings with seasonal to sub seasonal lead time that are useful to public health agencies.
International Agency for Research on Cancer (IARC), Lyon France
Doctor of Philosophy
Environmental Health Sciences
Johns Hopkins Bloomberg School of Public Health, Baltimore MD
Bachelor of Science
Chemistry and Environmental Sciences (Double Major)
Clark University, Worcester, MA
MIEH 400 Introduction to Global Health
MIEH 600 Foundations of Environmental Health
MIEH 740 Risk Assessment
MIEH 771 Exposure Assessment
Climate Change and Health
Sapkota A, Dong Y, Li L, Asrar G, Zhou Y, Li X, Coates F, Spanier AJ, Matz J, Bielory L, Breitenother AG, Mitchell C, Jiang C. Association Between Changes in Timing of Spring Onset and Asthma Hospitalization in Maryland. JAMA Netw Open. 2020 Jul 1;3(7):e207551. doi: 10.1001/jamanetworkopen.2020.7551
Iyer V, Sharma A, Nair D, Solanki B, Umrigar P, Jiang C, Murtugudde R, Mavalankar D, Sapkota A. Role of extreme weather events and El Niño Southern Oscillation on incidence of Enteric Fever in Ahmedabad and Surat, Gujarat, India. Environmental Research. 2020 Nov 17:110417. doi: 10.1016/j.envres.2020.110417.
Zhu L, Jiang C, Panthi S, Allard SM, Sapkota AR, Sapkota A. Impact of high precipitation and temperature events on the distribution of emerging contaminants in surface water in the Mid-Atlantic, United States. Sci Total Environ. 2020 Oct 6;755(Pt 2):142552. doi: 10.1016/j.scitotenv.2020.142552.
Liao W, Wu J, Yang L, Benmarhnia T, Liang XZ, Murtugudde R, Sapkota A, Ma W, Zhong S, Huang C. Detecting the net effect of flooding on infectious diarrheal disease in Anhui Province, China: a quasi-experimental study. Environ Res. Let. In Press
Remigio RV, Jiang C, Raimann J, Kotanko P, Usvyat L, Maddux FW, Kinney P, Sapkota A. Association of Extreme Heat Events With Hospital Admission or Mortality Among Patients With End-Stage Renal Disease. JAMA Netw Open. doi: 10.1001/jamanetworkopen.2019.8904 (2019).
Sapkota A, Murtugudde R, Curriero F, Upperman CF, Ziska L, Jiang C. Associations between alteration in plant phenology and hay fever prevalence among US adults: Implication for changing climate. PLOS One. https://doi.org/10.1371/journal.pone.0212010 (2019)
Li X, Zhou Y, Meng L, Asrar GR, Sapkota A, Coates F. Characterizing the relationship between satellite phenology and pollen season: a case study of birch. Remote Sensing of Environment. 222:267-274 (2019).
Fisher JA, Jiang C, Soneja SI, Mitchell C, Puett RC, Sapkota A. Summertime extreme heat events and increased risk of acute myocardial infarction hospitalizations. J Expo Sci Environ Epidemiol. doi: 10.1038/jes.2016.83 (2017)
Gost A, Hess-Mutinda R, Mitchell C, Sapkota A†. Climate and Health In Maryland: The Maryland Climate Change Health Adaptation Program. Delaware Journal of Public Health. 3(6): 44-50 (2017).
Liu A, Soneja SI, Jiang C, Huang C, Kerns T, Beck K, Mitchell C, Sapkota A. Frequency of extreme weather events and increased risk of motor vehicle collision in Maryland. Sci Total Environ.580:550-555. doi: 10.1016/j.scitotenv.2016.11.211 (2017).
Romeo-Upperman C, Parker JD, Akinbami LJ, Jiang C, He X, Murtugudde R, Curriero F, Ziska L, Sapkota A. Exposure to Extreme Heat Events Is Associated with Increased Hay Fever Prevalence among Nationally Representative Sample of US Adults: 1997-2013. Journal of Allergy and Clinical Immunology: In Practice. DOI: http://dx.doi.org/10.1016/j.jaip.2016.09.016, (2016).
Soneja S, Jiang C, Upperman CR, Murtugudde R, Mitchell C, Blythe D, Sapkota AR, Sapkota A. Extreme Precipitation Events and Increased Risk of Campylobacteriosis in Maryland, U.S.A. Environmental Research. 149:216-21. (2016)
Soneja S, Jiang C, Fisher J, Upperman CR, Mitchell C, Sapkota A. Exposure to extreme heat and precipitation events associated with increased risk of hospitalization for asthma in Maryland, U.S.A. Environmental Health. 15:57 (2016)
LaKind JS, Overpeck J, Breysse PN, Backer L, Richardson SD, Sobus J, Sapkota A, Upperman CR, Jiang C, Beard CB, Brunkard JM, Bell JE, Harris R, Chretien JP, Peltier RE, Chew GL, Blount BC. Exposure science in an age of rapidly changing climate: challenges and opportunities. J Expo Sci Environ Epidemiol. doi: 10.1038/jes.2016.35. (2016)
Jiang C, Shaw KS, Upperman CR, Blythe D, Mitchell C, Murtugudde R, Sapkota AR, Sapkota A. Climate change, extreme events and increased risk of salmonellosis in Maryland, USA: Evidence for coastal vulnerability. Environ Int. 18(83):58-62 (2015).
- Romeo Upperman C, Parker J, Jiang C, He X, Murtugudde R, Sapkota A. Frequency of Extreme Heat Event as a Surrogate Exposure Metric for Examining the Human Health Effects of Climate Change. PLoS One. 10(12):e0144202. doi: 10.1371/journal.pone.0144202. PMID: 26641244 (2015).
Air Pollution and Cardiopulmonary Health Outcomes
- Fisher JA, Puett RC, Laden F, Wellenius GA, Sapkota A, Liao D, Yanosky JD, Carter-Pokras O, He X, Hart JE. Case-crossover Analysis of Short-term Particulate Matter Exposures and Stroke in the Health Professionals Follow-up Study. Environment International 124:153-160 (2019).
- Vohra SN, Sapkota A, Lee MT, Pun CB, Thakur B, Siwakoti B, Wiesenfeld PL, Hashibe M, Dallal CM. Reproductive and Hormonal Factors in Relation to Lung Cancer Among Nepali Women. Front Oncol. 9:311. doi: 10.3389/fonc.2019.00311. (2019).
- Raspanti GA, Hashibe M, Siwakoti B, Wei M, Thakur BK, Pun CB, Al-Temimi M, Lee YC, Sapkota A†. Household air pollution and lung cancer risk among never-smokers in Nepal. Environ Res. 146:141-145 (2016).
- Montresor-Lopez JA, Yanosky JD, Mittleman MA, Sapkota A, He X, Hibbert JD, Wirth MD, Puett RC. Short-term exposure to ambient ozone and stroke hospital admission: A case-crossover analysis. Journal of Exposure Science and Environmental Epidemiology. 26(2):162-6 (2016).
- Quirós-Alcalá L, Wilson S, Witherspoon N, Murray R, Perodin J, Trousdale K, Raspanti G, Sapkota A. Volatile organic compounds and particulate matter in child care facilities in the District of Columbia: Results from a pilot study. Environ Res. 146:116-124 (2015).
- Raspanti GA, Hashibe M, Siwakoti B, Wei M, Thakur BK, Pun CB, Milrod C, Adhikari S, Lee YC, Sapkota A. Ethnic Variation in Consumption of Traditional Tobacco Products and Lung Cancer Risk in Nepal. Asian Pac J Cancer Prev. 16(14): 5721-5726 (2015).
- Bruce N, Dherani M, Liu R, Hosgood HD 3rd, Sapkota A, Smith KR, Straif K, Lan Q, Pope D. Does household use of biomass fuel cause lung cancer? A systematic review and evaluation of the evidence for the GBD 2010 study. Thorax: 70(5):433-41 (2015).
- Bashore CJ, Geer LA, He X, Puett R, Parsons PJ, Palmer CD, Steuerwald AJ, Abulafia O, Dalloul M, Sapkota A. Maternal mercury exposure, season of conception and adverse birth outcomes in an urban immigrant community in Brooklyn, New York, U.S.A. Int J Environ Res Public Health: 11(8):8414-42 (2014).
- Martin WJ, Glass RI, Araj H, Balbus L, Collins FS, Curtis S, Diette GB, Elwood WN, Falk H, Hibberd PL, Keown S, Mehta S, Patrick E, Rosenbaum J, Sapkota A, Tolunay E, Bruce N. Household Air Pollution in Low- and Middle-Income Countries: Health Risks and Research Priorities. PLoS Med:10(6):e1001455. doi: 10.1371/journal.pmed.1001455. (2013)
- Fransen M*, Perodin J*, Hada J, He X, Sapkota A†. Impact of vehicular strike on particulate matter air quality: Results from a natural intervention study in Kathmandu valley. Environmental Research, 122:52-7, (2013).
- Sapkota A †, Zaridze D, Szeszenia-Dabrowska N, Mates D, Fabiánová E, Rudnai P, Janout V, Holcatova I, Brennan P, Boffetta P, Hashibe M. Indoor Air Pollution from Solid Fuels and Risk of Upper Aerodigestive Tract Cancers in Central and Eastern Europe. Environmental Research 120: 90-95, (2013).
- Reid BC, Ghazarian AA, Demarini DM, Sapkota A, Jack D, Lan Q, Winn DM, Birnbaum LS. Research Opportunities for Cancer Associated with Indoor Air Pollution from Solid-Fuel Combustion. Environ Health Perspect. 120(11): 1495-1498 (2012).
- Sapkota A†, Chelikowsky AP*, Nachman KE, Cohen AJ, Ritz B. Exposure to Particulate Matter and Adverse Birth Outcomes: A Comprehensive Review and Meta Analysis. Air Quality, Atmosphere and Health. 5(4): 369-381, (2012).
- Parker JD, Kravets N, Nachman K, Sapkota A. Linkage of the 1999-2008 National Health and Nutrition Examination Surveys to traffic indicators from the National Highway Planning Network. Natl Health Stat Report. 45:1-16, (2012).
- Hosgood D, Wei H, Sapkota A, Choudhury I, Bruce N, Rothman N, Lan Q. A meta-analysis of lung cancer attributed to in-home coal use with an emphasis on geographic variation. International Journal of Epidemiology 40(3):719-28 (2011)..
- Sapkota A, Gajalakshmi V, Jetly DH, Roychowdhury S, Dikshit RP, Brennan P, Hashibe M, Boffetta P. Indoor air pollution from solid fuel usage and risk of hypopharyngeal laryngeal and lung Cancer: A multicentric case-control study from India. International Journal of Epidemiology, 37(2):321-328 (2008).
- McClean MD, Rinehart RD, Sapkota A, Cavallari JM, Herrick RF. Dermal Exposure and Urinary 1-Hydroxypyrene among Asphalt Roofing Workers. J Occup Environ Hyg, 4 Suppl 1:118-26 (2007).
- Sapkota A†, Halden R, Groopman JD, Dominici F, and Buckley TJ. Urinary biomarkers of 1,3-butadiene in environmental settings using liquid chromatography isotope dilution tandem mass spectrometry. Chemico-Biological Interactions, 160: 70-79 (2006).
- Sapkota A, Symons JM, Kleissl J, Wang L, Parlange MB, Ondov J, Breysse PN, Diette GB, Eggleston PA, and Buckley TJ. The impact of 2002 Canadian forest fires on the air quality in Baltimore City. Environmental Science & Technology 39: 24-32 (2005).
- Sapkota A, Williams D, and Buckley TJ. Tollbooth workers and mobile source-related hazardous air pollutants: how protective is the indoor environment? Environmental Science & Technology, 39: 2936-2943 (2005).
- Sapkota A, and Buckley TJ. The mobile source effect on curbside 1,3-butadiene, benzene, and particle-bound polycyclic aromatic hydrocarbons assessed at a tollbooth. Journal of Air and Waste Management Association 53:740-748 (2003).
Emerging Contaminants of Concern
- Panthi S, Sapkota AR, Raspanti G, …. Sapkota A. Pharmaceuticals, herbicides, and disinfectants in agricultural water sources. Environ Res. 174:1-8. doi: 10.1016/j.envres.2019.04.011, (2019).
- Solaiman S, Allard SM, Callahan MT, Jiang C, Handy E, East C, Haymaker J, Bui A, Craddock H, Murray R, Kulkarni P, Anderson-Coughlin B, Craighead S, Gartley S, Vanore A, Duncan R, Foust D, Taabodi M, Sapkota A, May E, Hashem F, Parveen S, Kniel K, Sharma M, Sapkota AR, Micallef SA. Longitudinal Assessment of the Dynamics of Escherichia coli, Total Coliforms, Enterococcus spp., and Aeromonas spp. in Alternative Irrigation Water Sources: a CONSERVE Study. Appl Environ Microbiol. 2020 Oct 1;86(20):e00342-20. doi: 10.1128/AEM.00342-20.
- Craddock HA, Panthi S, Rjoub Y, Lipchin C, Sapkota A, Sapkota AR. Antibiotic and herbicide concentrations in household greywater reuse systems and pond water used for food crop irrigation: West Bank, Palestinian Territories. Science of the Total Environment. https://doi.org/10.1016/j.scitotenv.2019.134205 (2019)
- Zhu L, Torres M, Betancourt WQ, Sharma M, Micallef SA, Gerba C, Sapkota AR, Sapkota A, Parveen S, Hashem F, May E, Kniel K, Pop M, Ravishankar S. Incidence of fecal indicator and pathogenic bacteria in reclaimed and return flow waters in Arizona, USA. Environmental Research.170:122-127 (2019).
- Kulkarni P, Raspanti GA, Bui AQ, Bradshaw RN, Sharma M, Sapkota A, Sapkota AR. Zerovalent iron sand filtration can reduce the concentration of multiple antimicrobials in conventionally treated reclaimed water. Environmental Research. 72:301-309 (2019).
- Kulkarni P, Olson ND, Raspanti GA*, Rosenberg Goldstein RE, Gibbs SG, Sapkota A, Sapkota AR. Antibiotic Concentrations Decrease during Wastewater Treatment but Persist at Low Levels in Reclaimed Water. Int J Environ Res Public Health. 2017 Jun 21;14(6). pii: E668. doi: 10.3390/ijerph14060668 (2017).
- Biswas S*, McGrath JM, Sapkota A†. Quantification of ionophores in aged poultry litter using liquid chromatography tandem mass spectrometry. J Environ Sci Health B. 47(10):959-66 (2012).
- Young T, Heidler J, Matos C, Sapkota A, Toler T, Gibson K, Schwab K, Halden R. Ab Initio and In Situ Comparison of Organic Wastewater Compounds as Indicators of Sewage-derived Microbes in Surface Waters. Environmental Science and Technology, 42(9): 3335-3340 (2008).
- Sapkota A, Heidler J, and Halden R. Detection of triclocarban and two co-contaminating chlorocarbanilides in US aquatic environments using isotope dilution liquid chromatography tandem mass spectrometry. Environmental Research, 103: 21-29 (2007).
- Heidler J, Sapkota A, and Halden RU. Persistence, partitioning and accumulation of the topical antiseptic triclocarban in digested municipal sludge during conventional full-scale wastewater treatment. Environmental Science & Technology 40(11) 3634-3639. (2006).
- Chang CP, Siwakoti B, Sapkota A, Gautam DK, Lee YA, Monroe M, Hashibe M. Tobacco smoking, chewing habits, alcohol drinking and the risk of head and neck cancer in Nepal. Int J Cancer. 2020 Aug 1;147(3):866-875. doi: 10.1002/ijc.32823. Epub 2019 Dec 27.
- Burwell K, Puett R, He X, Sapkota A, Wilson SM. The Development of a Cumulative Stressors and Resiliency Index (CSRI) to Examine Environmental Health Risk: A South Carolina Assessment. Environmental Justice. 11(4):165-175 (2018).
- Boyle MD, Soneja SI, Quirós-Alcalá L, Dalemarre L, Sapkota AR, Sangaramoorthy T, Wilson S, Milton D, Sapkota A. A Pilot Study to Assess Residential Noise Exposure Near Natural Gas Compressor Stations. PLoSOne. 12(4):e0174310. doi: 10.1371/journal.pone.0174310. eCollection (2017)
- Hsieh S, Sapkota A, Wood R*, Bearer C, Kapoor S. Neonatal ethanol exposure from ethanol-based hand sanitisers in isolettes. Arch Dis Child Fetal Neonatal Ed. 2017 Jun 6. pii: fetalneonatal-2016-311959. doi: 10.1136/archdischild-2016-311959 (2018).
- Lanikova L, Reading NS, Hu H, Tashi T, Burjanivova T, Shestakova A, Siwakoti B, Thakur BK, Pun CB, Sapkota A, Abdelaziz S, Feng BJ, Huff CD, Hashibe M, Prchal JT. Evolutionary selected Tibetan variants of HIF pathway and risk of lung cancer. Oncotarget. doi: 10.18632/oncotarget.14340, (2016).
- Boyle MD, Payne-Sturges DC, Sangaramoorthy T, Wilson S, Nachman KE, Babik K, Jenkins CC, Trowell J, Milton DK, Sapkota A. Hazard Ranking Methodology for Assessing Health Impacts of Unconventional Natural Gas Development and Production: The Maryland Case Study. PLoS One. 2016 Jan 4;11(1):e0145368. doi: 10.1371/journal.pone.0145368 (2016).
- Sangaramoorthy T, Jamison AM, Boyle MD, Payne-Sturges DC, Sapkota A, Milton DK, Wilson SM. Place-based perceptions of the impacts of fracking along the Marcellus Shale. Soc Sci Med. 151:27-37 (2016).
- Forouzanfar MH, Alexander L, Anderson HR, ………. Sapkota A, et al. Global, regional, and national comparative risk assessment of 79 behavioural, environmental and occupational, and metabolic risks or clusters of risks in 188 countries, 1990-2013: a systematic analysis for the Global Burden of Disease Study 2013. Lancet 386(10010): 2287-2323 (2015).
- Smith TJ, Wolfson JA, Jiao D, Crupain MJ, Rangan U, Sapkota A, Bleich SN, Nachman KE. Caramel color in soft drinks and exposure to 4-methylimidazole: a quantitative risk assessment. PLoS One:10(2):e0118138(2015).
- Kerridge BT*, Khan MR, Rehm J, Sapkota A. 2013 Conflict and Dirrheal and Related Diseases: A Global Analysis. Journal of Epidemiology and Global Health:4(1):61-72 (2014)
- Rosenberg Goldstein R, Micallef SA, Gibbs SG, George A, Claye E, Sapkota A, Joseph SW, Sapkota AR. 2013. Detection of Vancomycin-Resistant Enterococci (VRE) at Four U.S. Wastewater Treatment Plants that Provide Effluent for Reuse. Science of the Total Environment 466-467C:404-411. (2014)
- Rosenberg Goldstein RE, Micallef SA, Gibbs SG, He X, George A, Sapkota A, Joseph SW, Sapkota AR. Occupational exposure to Staphylococcus aureus and Enterococcus spp. among spray irrigation workers using reclaimed water. Int J Environ Res Public Health:11(4):4340-55 (2014).
- Murray CJ, Abraham J,….Sapkota A et al. The State of US Health, 1990-2010: Burden of Diseases, Injuries, and Risk Factors. JAMA 310(6): 591-608 (2013).
- Kerridge BT, Khan MR, Rehm J, Sapkota A. Conflict and diarrheal and related diseases: a global analysis. J Epidemiol Glob Health. 3(4):269-77. doi: 10.1016/j.jegh.2013.05.002. (2013)
- Lim SS, Vos T, … Sapkota A et al. A comparative risk assessment of burden of disease and injury attributable to 67 risk factors and risk factor clusters in 21 regions, 1990-2010: a systematic analysis for the Global Burden of Disease Study 2010. Lancet. 380(9859):2224-2260, (2012).
- Rosenberg-Goldstein RE, Micallef SA., George A., Gibbs SG., Sapkota A., Joseph SW. and Sapkota AR. Methicillin-resistant Staphylococcus aureus (MRSA) detected at four U.S. wastewater treatment plants. Environ Health Perspect. 120(11):1551-1558, (2012).
- Kerridge BT*, Khan MR, and Sapkota A. Terrorism, civil war, one-sided violence and global burden of disease. Medicine, Conflict and Survival. 28(3):199-218, (2012).
- Hashibe M, Siwakoti B, Wei M, Thakur BK, Pun CB, Shrestha BM, Burningham Z, Lee YC, Sapkota A. Socioeconomic status and lung cancer risk in Nepal, Asian Pac J Cancer Prev. 12(4):1083-8, (2011).
- Heck JE, Sapkota A, Vendhan G, Jetly DH, oychowdhury S, Dikshit RP, Brennan P, Hashibe M, and Boffetta P. Diet and Hypopharyngeal Cancer: Results from a Multicenter Study in India. Cancer Causes and Control, 19(10): 1329-1337 (2008).
- Sapkota A†, Sapkota AR, Kucharski M, Burke J#, McKenzie S, Walker P, Lawrence R. Aquaculture and human health: Current knowledge and future priorities. Environment International, 34(8): 1215-1226 (2008).
- Sapkota A, Hsu CC, Zaridze D, Shangina O, Szeszenia-Dabrowska N, Mates D, Fabiánová E, Rudnai P, Janout V, Holcatova I, Brennan P, Boffetta P, Hashibe M. Dietary Risk Factors for Squamous Cell Carcinoma of the Upper Aerodigestive Tract in Central and Eastern Europe. Cancer Causes and Control, 19(10): 1161-1170 (2008)..
- Sapkota A, Gajalakshmi V, Jetly DH, Roychowdhury S, Dikshit RP, Brennan P, Hashibe M, Boffetta P. Smokeless Tobacco and Increased Risk of Hypopharyngeal and Laryngeal Cancers: A Multicenteric Case-Control Study from India. International Journal of Cancer, 121(8):1793-8 (2007).