• Front Matter R1-R12

• Executive Summary 1-4

• 1 Introduction 5-13

• 2 Curriculum Content 14-21

• 3 Implementation Strategies 22-43

• 4 Changing Medical Education 44-51

• 5 Concluding Remarks 52-53

• References 54-58

• Appendixes 59-60

• A: Taking an Exposure History 61-96

• B: Medical School Courses and Clerkships: Access Points for Integrating Environmental Medicine 97-120

• C: Case Studies in Environmental Medicine 121-138

• Case Study 1: Arsenic Toxicity 139-163

• Case Study 2: Seasonal Arsenic Exposure from Burning Chromium-Copper-Arsenate-Treated Wood 164-167

• Case Study 3: Asbestos Toxicity 168-188

• Case Study 4: Benzene Toxicity 189-207

• Case Study 5: Beryllium Toxicity 208-223

• Case Study 6: Cadmium Toxicity 224-243

• Case Study 7: Fetal Death Due to Nonlethal Maternal Carbon Monoxide Poisoning 244-248

• Case Study 8: Carbon Tetrachloride Toxicity 249-266

• Case Study 9: Chlordane Toxicity 267-288

• Case Study 10: Chronic Reactive Airway Disease Following Acute Chlorine Gas Exposure in an Asymptomatic Atopic Patient 289-290

• Case Study 11: Chromium Toxicity 291-311

• Case Study 12: Cyanide Toxicity 312-331

• Case Study 13: Dioxin Toxicity 332-348

• Case Study 14: Ethylene/Propylene Glycol Toxicity 349-371

• Case Study 15: Formalin Asthma in Hospital Staff 372-373

• Case Study 16: Gasoline Toxicity 374-394

• Case Study 17: Hantavirus Pulmonary Syndrome: A Clinical Description of 17 Patients with a Newly Recognized Disease 395-401

• Case Study 18: Lead Poisoning from Mobilization of Bone Stores During Thyrotoxicosis 402-409

• Case Study 19: Lead Toxicity 410-435

• Case Study 20: Legionaires' Disease: Description of an Epidemic of Pneumonia 436-444

• Case Study 21: Mercury in House Paint as a Cause of Acrodynia: Effect of Therapy with N-Acetyl-D, L-Penixillamine 445-449

• Case Study 22: Mercury Toxicity 450-472

• Case Study 23: Methanol Toxicity 473-492

• Case Study 24: Methylene Chloride Toxicity 493-511

• Case Study 25: Paint Remover Hazard 512-515

• Case Study 26: Fatal Outcome of Methemoglobinemia in an Infant 516-517

• Case Study 27: Nitrate/Nitrite Toxicity 518-537

• Case Study 28: An Outbreak of Nitrogen Dioxide-Induced Respiratory Illness Among Ice Hockey Players 538-541

• Case Study 29: Pentachlorophenol Toxicity 542-557

• Case Study 30: Aldicarb Poisoning: A Case Report with Prolonged Cholinesterase Inhibition and Improvement After Pralidoxime Therapy 558-561

• Case Study 31: Cholinesterase-Inhibiting Pesticide Toxicity 562-584

• Case Study 32: Infertility in Male Pesticide Workers 585-587

• Case Study 33: Pesticide Food Poisoning from Contaminated Watermelons in California, 1985 588-595

• Case Study 34: Poisoning of an Urban Family Due to Misapplication of Household Organophosphate and Carbamate Pesticides 596-604

• Case Study 35: Polynuclear Aromatic Hydrocarbon (PAH) Toxicity 605-621

• Case Study 36: Polychlorinated Biphenyl (PCB) Toxicity 622-638

• Case Study 37: Ionizing Radiation 639-673

• Case Study 38: Radon Toxicity 674-694

• Case Study 39: Residential Radon Exposure and Lung Cancer in Sweden 695-700

• Case Study 40: Community Oubreaks of Asthma Associated with Inhalation of Soybean Dust 701-706

• Case Study 41: Tetrachloroethylene Toxicity 707-726

• Case Study 42: Toluene Toxicity 727-743

• Case Study 43: Occupational Asthma Due to Toluene Diisocyanate Among Velcro-like Tape Manufacturers 744-749

• Case Study 44: 1,1,1-Trichloroethane 750-766

• Case Study 45: Trimethyltin Encephalopathy 767-771

• Case Study 46: Trichloroethylene Toxicity 772-792

• Case Study 47: Vinyl Chloride Toxicity 793-811

• Case Study 48: Work-Related Disorders of the Neck and Upper Extremity 812-813

• Case Study 49: Contact Dermatitis in Surgeons from Methylmethacrylate Bone Cement 814-816

• Case Study 50: Skin Lesions and Environmental Exposures: Rash Decisions 817-861

• Case Study 51: Acoustic Trauma Caused by the Telephone: A Report of Two Cases 862-867

• Case Study 52: Behavioral and Audiologic Manifestations of Noise-Induced Hearing Loss 868-871

• Case Study 53: Reproductive and Developmental Hazards 872-892

• Case Study 54: Childhood Asthma and Indoor Enviromental Risk Factors 893-903

• Case Study 55: Populations at Risk From Particulate Air Pollution - United States, 1992 904-908

• D: Resources: Agencies, Organizations, Services, REferences, and Tables of Environmental Health Hazards 909-970

• E: Committee and Staff Biographies 971-975

" C: Case Studies in Environmental Medicine ." Environmental Medicine: Integrating a Missing Element into Medical Education . Washington, DC: The National Academies Press, 1995 .

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