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  1. Squamous cell carcinoma does not require a report to any public health agency or authority. However, in view of the patient’s medical, social, occupational, and family history, workplace and environmental factors emerge as the most likely causal factors in the development of his neoplastic disease. When the potential exists for others to be exposed, serious illness related to occupational or environmental factors should be reported to the appropriate state and federal authorities. For example, OSHA would have responsibility for PAHs in the workplace air at the incinerator site, and EPA would have responsibility for the level of emissions to the ambient air or water. Inclusion of this case in a tumor registry should also be considered.

Sources of Information

More information on the adverse effects of PAHs and the treatment and management of PAH-exposed persons can be obtained from ATSDR, your state and local health departments, and university medical centers. Case Studies in Environmental Medicine: Polyaromatic Hydrocarbons (PAHs) Toxicity is one of a series. For other publications in this series, please use the order form on the back cover. For clinical inquiries, contact ATSDR, Division of Health Education, Office of Director, at (404) 639–0730.

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