Contaminated Water Supplies at Camp Lejeune: Assessing Potential Health Effects

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Table of Contents
Front Matter R1-R20
Public Summary and Context 1-13
Summary 14-22
1 Introduction 23-27
2 Exposure to Contaminants in Water Supplies at Camp Lejeune 28-66
3 Systemic Exposures to Volatile Organic Compounds and Factors Influencing Susceptibility to Their Effects 67-89
4 Review of Toxicologic Studies 90-133
5 Review of Epidemiologic Studies 134-164
6 Epidemiologic Studies of Solvent-Contaminated Water Supplies 165-179
7 Integration of Findings from the Toxicologic and Epidemiologic Literature 180-183
8 Studies of the Camp Lejeune Population 184-197
References 198-236
Appendix A: Biographic Information on the Committee on Contaminated Drinking Water at Camp Lejeune 237-240
Appendix B: Participants at Public Sessions 241-242
Appendix C: Supplemental and Supporting Data for Chapter 2 243-257
Appendix D: Review of Other Chemical Contaminants of Concern 258-271
Appendix E: Details of Epidemiologic Studies on Trichloroethylene and Perchloroethylene 272-318

Agency (EPA) External Program Peer Review Committee Carcinogenesis Section. Dr. Yager was a member of the National Research Council Committee on Human Health Risks of Trichloroethylene and EPA’s Scientific Advisory Board Arsenic Review Panel. She received her MPH and PhD in environmental health sciences from the University of California, Berkeley.

Table of Contents

Front Matter R1-R20

Public Summary and Context 1-13

Summary 14-22

1 Introduction 23-27

2 Exposure to Contaminants in Water Supplies at Camp Lejeune 28-66

3 Systemic Exposures to Volatile Organic Compounds and Factors Influencing Susceptibility to Their Effects 67-89

4 Review of Toxicologic Studies 90-133

5 Review of Epidemiologic Studies 134-164

6 Epidemiologic Studies of Solvent-Contaminated Water Supplies 165-179

7 Integration of Findings from the Toxicologic and Epidemiologic Literature 180-183

8 Studies of the Camp Lejeune Population 184-197

References 198-236

Appendix A: Biographic Information on the Committee on Contaminated Drinking Water at Camp Lejeune 237-240

Appendix B: Participants at Public Sessions 241-242

Appendix C: Supplemental and Supporting Data for Chapter 2 243-257

Appendix D: Review of Other Chemical Contaminants of Concern 258-271

Appendix E: Details of Epidemiologic Studies on Trichloroethylene and Perchloroethylene 272-318