Dr. James is an engineer and epidemiologist specializing in environmental and climate systems health effects of metals in the San Luis Valley and other areas of the Mountain West. She heads a large R01 study on the impact of drought on arsenic exposure and cardiometabolic outcomes in a rural aging population, alongside projects focusing on cadmium exposure, chronic kidney disease, and maternal arsenic exposure and adverse birth outcomes. Dr. James leads the MEMCARE Community Engagement Core, implementing interventions to reduce metal exposure in pediatric populations. With extensive experience in community-based human studies and a network she is actively involved in transdisciplinary research on the health effects of environmental heavy metal exposures, climate health and resilience. Currently spearheading multiple community-engaged research endeavors, including a NIH funded project on drought's impact on metals in drinking water and its cardiovascular consequences, her work emphasizes sustainable community engagement for climate health research and equity in rural and urban communities through initiatives like the Mountain West ACE-CH Hub.