Assessing Children’s Environmental Exposures (ACHIEVE) is a community-initiated pilot study conducted by researchers at Boston University School of Public Health and by community members in Holliston, MA, USA, to assess early life exposure to manganese in their local drinking water. Researchers worked alongside community members to collect residential tap water and previously shed baby teeth, a biomarker of retrospective exposure, and then reported estimates of the children’s previous (teeth) and current (water) manganese exposure [28]. In the prior report-back, researchers created letters that provided individual-level information on tap water manganese levels for 19 homes in winter 2019 and group-level information on tooth manganese levels for 28 participants in fall 2019. Subsequently, in winter 2020, researchers used MCR and Microsoft Excel to complete the third round of report-back for individual-level information on manganese in repeated tap water samples for 21 homes.

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