June T. Spector, MD, MPH

Assistant Professor, Env. and Occ. Health Sciences (Primary department)
Dr. Spector received her MD from Yale University School of Medicine in 2005 and completed her Internal Medicine residency training at Hospital of the University of Pennsylvania in 2008. Following an MPH in biostatistics and epidemiology at Johns Hopkins and occupational & environmental medicine fellowship training at the University of Washington, Dr. Spector became an Acting Instructor/Senior Fellow in 2010 and an Assistant Professor in the Departments of Environmental & Occupational Health Sciences and Medicine in 2012.

Contact Information

University of Washington
Office: F 225
Box: 357234
1959 NE Pacific Street
Seattle, WA 98195-
Tel: 206-897-1979

Research Interests

  • My research focuses primarily on health effects, including heat-related illness and injuries, of exposure to hot conditions in working populations, with an ultimate aim of preventing adverse health effects and improving biological adaptation to heat. I am also working on developing and evaluating new tools that incorporate computer vision techniques to assess workplace musculoskeletal hazards and interventions to prevent long-term work disability after workplace injury and illness.
  • KEYWORDS: Occupational and environmental medicine; Occupational disease statistics; Occupational and environmental epidemiology; Occupational exposure; Workers' compensation issues; Contingent and immigrant worker safety and health

Teaching interests

ENV_H590C (Occupational Disease)


MD, Medicine (MD), Yale University, 2005
MPH, Epidemiology/Biostatistics, Johns Hopkins University, 2009


Heat exposure, injury risk, and productivity in agricultural workers (CDC/NIOSH K01)

This project examines the association between heat exposure and traumatic injury risk in agricultural workers, assesses a potential mechanism for increased injury risk in crop workers exposed to heat stress and its relation to productivity, and examines the feasibility of using a biomarker of heat acclimation to detect workers at risk for heat-related illness (HRI) and injury. The project will: 1) estimate the association between heat exposure and injury risk in agricultural workers using established climate models and WA workers` compensation data; 2) estimate associations between heat stress, psychomotor performance, and productivity in adult outdoor crop workers in field harvest conditions; 3) assess the feasibility of using urinary 8-hydroxy-2`-deoxyguanosine (8-OHdG) as a biomarker of heat acclimation in field conditions; and 4) disseminate findings to the agricultural community and industry.

Characterization of potential heat-related illness risk factors and heat-associated injury risk in construction workers (DEOHS MA/AF Initiative)

This work aims to identify potential heat-related illness (HRI) risk factors in construction workers, using an existing HRI risk factors survey adapted to the construction industry, and to assess the relationship between heat stress and injury risk through measurement of heat stress and psychomotor performance in a sample of construction workers in the greater Seattle area. The results of this project are anticipated to provide valuable information about potential modifiable risk factors for HRI and its consequences that can ultimately be used to target prevention efforts.

Selected Publications
  1. Spector JT, Reul NK. Promoting early, safe return to work in injured employees: A randomized trial of a supervisor training intervention in a healthcare setting. J Occup Rehabil 2015 [Epub ahead of print]. PMID: 26883129.
  2. Spector JT, Lieblich MD. Letter regarding ‘Comparison between low-cost marker-less and high-end marker-based motion capture systems for the computer-aided assessment of working ergonomics' by Patrizi et al and research reproducibility. Ergonomics 2015 [Epub ahead of print]. PMID: 26715142.
  3. Spector JT, Krenz J, Blank KN. Risk factors for heat-related illness in Washington crop workers. J Agromedicine 2015;20(3):349-59. PMID: 26237726.
  4. Spector JT, Sheffield PE. Re-evaluating occupational heat stress in a changing climate. Annals of Occupational Hygiene 2014; Epub ahead of print.
  5. Spector JT, Yong R, Altenmueller E, Jabusch H-C. Predictors of music-related motor skills in children pianists. Human Movement Science 2014;37:157-66.
  6. Spector JT, Krenz J, Rauser E, Bonauto DK. Heat-related illness in Washington State agriculture and forestry sectors. American Journal of Industrial Medicine 2014;57(8):881-95.
  7. Spector JT, Lieblich M, Bao S, McQuade K, Hughes M. Automation of workplace lifting hazard assessment for musculoskeletal injury prevention. Annals of Occupational & Environmental Medicine 2014;26:15.
  8. Spector JT, De Roos AJ, Ulrich CM, Sheppard L, Sjodin A, Wener MH, Wood B, McTiernan A. Plasma polychlorinated biphenyl concentrations and immune function in postmenopausal women. Environmental Research 2014;131:174-180.
  9. Lam M, Krenz J, Perla M, Negrete M, Palmandez P, Spector JT. Identification of barriers to the prevention and treatment of heat-related illness in Latino farmworkers using activity-oriented, participatory rural appraisal focus group methods. BMC Public Health 2013(13):1004.
  10. Doorenbos AZ, Gordon DB, Tauben D, Palisoc J, Drangsholt M, Lindhorst T, Danielson J, Spector J, Ballweg R, Vorvick L, Loeser JD. Drangsholt M, Lindhorst T, Danielson J, Spector J, Ballweg R, Vorvick L, Loeser JD. A Blueprint of Pain Curriculum across Prelicensure Health Sciences Programs: One NIH Pain Consortium Center of Excellence in Pain Education (CoEPE) Experience. The Journal of Pain 2013;S1526-5900(13):01126-7.
  11. Anderson NJ, Bonauto DK, Fan JZ, Spector JT. Distribution of Influenza-Like Illness by Occupation in Washington State, September 2009-August 2010. PLOS ONE 2012;7(11):e48806.
  12. Spector JT, Turner JA, Fulton-Kehoe D, Franklin GM. Pre-surgery disability compensation predicts long-term disability among workers with carpal tunnel syndrome. American Journal of Industrial Medicine 2012;55(9):816-32. PMID: 22392804.
  13. Weaver VM, Kim N-S, Lee B-K, Parsons PJ, Spector JT, Fadrowski J, Jaar BG, Steuerwald AJ, Todd AC, Simon D, Schwartz BS. Differences in urine cadmium associations with kidney outcomes based on serum creatinine and cystatin C. Environmental Research 2011;111:1236-1242. PMID 21871619.
  14. Spector J, Navas-Acien A, Fadrowski J, Guallar E, Jaar B, Weaver V. Associations of blood lead with estimated glomerular filtration rate using MDRD, CKD-EPI and serum cystatin C-based equations. Nephrology Dialysis Transplantation 2011;26:2786-2792. PMID 21248295.
  15. Spector JT, Adams D, Silverstein B. Burden of work-related knee disorders in Washington State, 1999-2007. Journal of Occupational and Environmental Medicine 2011;53(5):537-47. PMID 21508866.
  16. Enders L, Spector JT, Altenmüller E, Schmidt A, Klein C, Jabusch H-C. Musician’s dystonia and comorbid anxiety: two sides of one coin? Movement Disorders 2011;26(3):539-42. PMID 21370273.
  17. Spector J, Kahn S, Jones M, Jayakumar M, Dalal D, Nazarian S. Migraine headache and ischemic stroke risk: An updated meta-analysis. American Journal of Medicine 2010;123(7):612-24. PMC2900472.
  18. Hellman NE, Spector J, Robinson J, Liu Z, Tobias JW, Lipschutz JH. Matrix metalloproteinase 13 and tissue inhibitor of matrix metalloproteinase 1, regulated by the MAPK pathway, are both necessary for MDCK tubulogenesis. Journal of Biological Chemistry 2008;283(7):4272-4282. PMID 1803967.
  19. Spector JT, Brandfonbrener A. Methods of evaluation of musician's dystonia: Critique of measurement tools. Movement Disorders 2007;22(3):309-12. PMID 17216638.
  20. Liu Z, Greco AJ, Hellman NE, Spector J, Robinson J, Tang OT, Lipschutz JH. Intracellular signaling via MAPK/ERK completes the pathway for tubulogenic fibronectin in MDCK cells. Biochemical and Biophysical Research Communications 2007;353(3):793-98. PMC1839983.
  21. Spector JT, Brandfonbrener A. A new method for quantification of musician’s dystonia: The frequency of abnormal movements scale. Medical Problems of Performing Artists 2005;20:157-62.
  22. Spector J, Tampi R. Caregiver depression. Annals of Long-Term Care 2005;13(4):34-40.
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