National Academies Press: OpenBook

Environmental Medicine: Integrating a Missing Element into Medical Education (1995)

Chapter: D: Resources: Agencies, Organizations, Services, REferences, and Tables of Environmental Health Hazards

« Previous: Case Study 55: Populations at Risk From Particulate Air Pollution - United States, 1992
Suggested Citation:"D: Resources: Agencies, Organizations, Services, REferences, and Tables of Environmental Health Hazards." Institute of Medicine. 1995. Environmental Medicine: Integrating a Missing Element into Medical Education. Washington, DC: The National Academies Press. doi: 10.17226/4795.
×
Suggested Citation:"D: Resources: Agencies, Organizations, Services, REferences, and Tables of Environmental Health Hazards." Institute of Medicine. 1995. Environmental Medicine: Integrating a Missing Element into Medical Education. Washington, DC: The National Academies Press. doi: 10.17226/4795.
×
   

State Agencies

 

922

   

State Health Departments and Radon Contacts

 

922

   

ASSOCIATIONS AND ORGANIZATIONS

 

928

   

American Association of Occupational Health Nurses

 

928

   

American Association of Poison Control Centers

 

928

   

American Board of Medical Toxicology

 

931

   

American College of Obstetricians and Gynecologists

 

931

   

American College of Occupational and Environmental Medicine

 

932

   

Occupational Physicians Scholarships Fund

 

932

   

American College of Preventive Medicine

 

933

   

American Lung Association

 

933

   

Association of Occupational and Environmental Clinics

 

933

   

Association of Teachers of Preventive Medicine

 

939

   

Center for Safety in the Arts

 

939

   

Committees on Occupational Safety and Health

 

940

   

Consortium for Environmental Education in Medicine

 

940

   

MotherRisk Program

 

940

   

National Association of Physicians for the Environment

 

941

   

Pesticide Education Center

 

941

   

Physicians for Social Responsibility

 

941

   

Society for Occupational and Environmental Health

 

942

   

Teratogen Exposure Registry and Surveillance

 

942

   

WorldWatch Institute

 

943

   

SELECTED TOPICAL RESOURCES

 

943

   

COMPUTERIZED INFORMATION SERVICES

 

944

   

Internet

 

944

   

List Servers

 

946

   

Other Gophers Relevant to Environmental Health, Medicine, and Safety

 

947

   

Computer-Based Databases

 

948

   

GENERAL REFERENCES

 

950

   

Books and Reports

 

950

   

Curriculum Resources

 

951

Suggested Citation:"D: Resources: Agencies, Organizations, Services, REferences, and Tables of Environmental Health Hazards." Institute of Medicine. 1995. Environmental Medicine: Integrating a Missing Element into Medical Education. Washington, DC: The National Academies Press. doi: 10.17226/4795.
×

* * *

INTRODUCTION

For those readers who are interested in learning more about environmental medicine, or have other resource needs related to environmental medicine, this appendix presents names, addresses, and phone numbers of relevant government agencies and professional associations and organizations, as well as information about computerized information services, and a listing of general references. Several lists of medical schools with federally funded environmental health activities are also provided. Finally, three tables are presented that describe (1) selected environmental agents and their associated sources and potential exposures, (2) selected work-related diseases, disorders, and conditions associated with various agents, and (3) selected job categories, exposures, and associated work-related diseases and conditions.

The information presented in this appendix is not intended to be comprehensive or exhaustive, but rather supplemental and complementary.

GOVERNMENT AGENCIES

Throughout our history, numerous federal and state agencies have been created to address the issues related to safety and health in the workplace, as well as the surrounding environment. Federal and state agencies have become increasingly involved in examining and monitoring the impact of the environment on the health of the public. The following list highlights several of the federal and state agencies currently involved in monitoring, evaluating, and protecting the environment and its relation to public health. Each agency is an invaluable source of information

Suggested Citation:"D: Resources: Agencies, Organizations, Services, REferences, and Tables of Environmental Health Hazards." Institute of Medicine. 1995. Environmental Medicine: Integrating a Missing Element into Medical Education. Washington, DC: The National Academies Press. doi: 10.17226/4795.
×

and can readily provide additional resources upon one’s request. The agencies are listed in alphabetical order with federal organizations first, followed by state agencies.

Federal Agencies
Agency for Toxic Substances and Disease Registry

The Agency for Toxic Substances and Disease Registry (ATSDR) was created by Superfund legislation in 1980 as a part of the U.S. Department of Health and Human Services. ATSDR’s mission is to prevent or mitigate adverse human health effects and diminished quality of life resulting from exposure to hazardous substances in the environment. In order to carry out its mission and to serve the needs of the American people, ATSDR conducts activities in public health assessments, health investigations, exposure and disease registry, emergency response, toxicological profiles, health education, and applied research.

ATSDR’s Division of Health Education is mandated to assemble, develop, and distribute to the states, medical colleges, physicians, and other health professionals, educational materials on medical surveillance, screening, and methods of diagnosis and treatment of injury or disease related to exposure to hazardous substances. The Division also provides training and education for primary care physicians to diagnose and treat illness caused by hazardous substances and supports curriculum development and applied research in the area of environmental health.

The Division has developed a self-study series called Case Studies in Environmental Medicine which uses case studies to guide physicians through the diagnosis and treatment of illnesses related to hazardous substances exposure.

Several projects have also been developed and implemented to advance these goals. Some of the programs are described below:

  • State Cooperative Agreements offer funding and assistance to state health departments for developing educational materials and activities in environmental medicine for health care professionals;

  • National Association of County Health Officials Environmental Health Project is a cooperative agreement with ATSDR to conduct instructional sessions and develop supporting materials for local health officials and the medical community concerning the communication of health risks from exposure to hazardous substances;

  • Project EPOCH-Envi is co-sponsored by ATSDR and the National Institute for Occupational Safety and Health (NIOSH). Through the cooperative agreement, a consortium of medical schools works towards introducing curricula in occupational and environmental medicine in primary care residency programs;

  • The National Medical Association (NMA) is the largest organization of African-American physicians in the United States. ATSDR co-sponsors sessions and lectures on environmental health through the NMA’s Regional Environmental Workshops. NMA has recognized the seriousness of environmental contamination in minority communities and is now working with ATSDR to provide training in environmental health for its members.

Suggested Citation:"D: Resources: Agencies, Organizations, Services, REferences, and Tables of Environmental Health Hazards." Institute of Medicine. 1995. Environmental Medicine: Integrating a Missing Element into Medical Education. Washington, DC: The National Academies Press. doi: 10.17226/4795.
×

Agency for Toxic Substances and Disease Registry

1600 Clifton Road, N.E.

Mail Stop E-28

Atlanta, GA 30333

(404) 639–0501

Emergencies (404) 639–0615

Centers for Disease Control and Prevention

The Centers for Disease Control and Prevention (CDC) is charged with protecting the public health of the nation by providing leadership and direction in the prevention and control of diseases and other preventable conditions and responding to public health emergencies.

Centers for Disease Control and Prevention

1600 Clifton Road, N.E.

Atlanta, GA 30333

(404) 639–3286

Consumer Product Safety Commission

The Consumer Products Safety Commission provides information on health and safety effects related to consumer products. It has direct jurisdiction over chronic and chemical hazards in consumer products; assists consumers in evaluating the comparative safety of consumer products; develops uniform safety standards for consumer products and minimizes conflicting state and local regulations; and promotes research and investigation into the causes and prevention of product-related deaths, illnesses, and injuries.

Consumer Product Safety Commission

East West Towers

4340 East West Highway

Bethesda, MD 20814

(301) 504–0580

(800) 638–2772

Department of Energy

The Department of Energy (DOE) provides the framework for a comprehensive and balanced national energy plan through the coordination and administration of the energy functions of the federal government. The Department is responsible for long-term, high-risk research and development of energy technology; the marketing of federal power; energy conservation; the nuclear weapons program; energy regulatory programs; and a central energy data collection and analysis program.

Suggested Citation:"D: Resources: Agencies, Organizations, Services, REferences, and Tables of Environmental Health Hazards." Institute of Medicine. 1995. Environmental Medicine: Integrating a Missing Element into Medical Education. Washington, DC: The National Academies Press. doi: 10.17226/4795.
×

The Environment, Safety and Health Office of the DOE provides independent oversight of departmental execution of environmental, occupational safety and health, and nuclear/nonnuclear safety and security laws, regulations, and policies; ensures that departmental programs are in compliance with environmental, health, and nuclear/nonuclear safety protection plans, regulations, and procedures; provides an independent overview and assessment of Department-controlled activities to ensure that safety-impacted programs receive management review; and carries out legal functions of the nuclear safety civil penalty and criminal referral activities mandated by the Price-Anderson Amendments Act.

Department of Energy

1000 Independence Avenue, S.W.

Washington, DC 20585

(202) 586–5000

Department of Health and Human Services

The Department of Health and Human Services (HHS) is the Cabinet-level department of the federal executive branch most concerned with people and most involved with then nation’s human concerns. In one way or another—whether it is mailing out social security checks or making health services more widely available—HHS touches the lives of more Americans than any other federal agency. It is literally a department of people saving people, from newborn infants to our most elderly citizens.

Department of Health and Human Services

200 Independence Ave., S.W.

Washington, DC 20201

(202) 679–0257

Environmental Protection Agency

The Environmental Protection Agency (EPA) was established in 1970 in order to permit coordinated and effective governmental action on behalf of the environment. It endeavors to abate and control pollution systematically, by proper integration of a variety of research, monitoring, standard setting, and enforcement activities. As a complement to its other activities, the Agency coordinates and supports research and antipollution activities by state and local governments, private and public groups, individuals, and educational institutions. It also reinforces efforts among other federal agencies with respect to the impact of their operations on the environment, and it is specifically charged with publishing its determinations when those hold that a proposal is unsatisfactory from the standpoint of public health or welfare or environmental quality. In all, the EPA is designed to serve as the public’s advocate for a livable environment.

Suggested Citation:"D: Resources: Agencies, Organizations, Services, REferences, and Tables of Environmental Health Hazards." Institute of Medicine. 1995. Environmental Medicine: Integrating a Missing Element into Medical Education. Washington, DC: The National Academies Press. doi: 10.17226/4795.
×

Environmental Protection Agency

401 M Street, S.W.

Washington, DC 20460

(202) 260–2090

Food and Drug Administration

The Food and Drug Administration (FDA) inspects manufacturing plants and warehouses, collects and analyzes samples of foods, drugs, cosmetics, and therapeutic devices for adulteration and misbranding. Responsibilities also extend to sanitary preparation and handling of foods, waste disposal on interstate carriers, and enforcement of the Radiation Control Act as related to consumer products. Epidemiological and other investigations are conducted to determine causative factors or possible health hazards involved in adverse reactions or hazardous materials accidents. Investigators are located in resident posts in major cities throughout the country.

Food and Drug Administration

National Headquarters

200 C Street, S.W.

Washington, DC 20204

(301) 443–2410

Health Resources and Services Administration

Health Resources and Services Administration (HRSA) is responsible for general health services and resource issues relating to issues of access, equity, quality, and cost of care. In order to accomplish this goal, the Administration supports states and communities in their efforts to deliver health care to underserved segments of the population; participates in the federal campaign against AIDS; provides leadership in improving the education, distribution, quality, and use of the health professionals needed to staff the nation’s health care system; tracks the supply of and requirements for health professionals and addresses their competence through the development of a health practitioner data bank; and strengthens the public health system by working with state and local public health agencies.

Health Resources and Services Administration

5600 Fishers Lane

Rockville, MD 20857

(301) 443–2086

National Cancer Institute

The National Cancer Institute (NCI) conducts and funds research on the causes, diagnosis, treatment, prevention, control, and biology of cancer and the rehabilitation of people with cancer.

Suggested Citation:"D: Resources: Agencies, Organizations, Services, REferences, and Tables of Environmental Health Hazards." Institute of Medicine. 1995. Environmental Medicine: Integrating a Missing Element into Medical Education. Washington, DC: The National Academies Press. doi: 10.17226/4795.
×

NCI also funds projects for innovative and effective approaches to preventing and controlling cancer, establishes multidisciplinary cancer care and clinical research activities in community hospitals, and supports cancer research training, clinical training, continuing education, and career development.

National Cancer Institute

National Institutes of Health

9000 Rockville Pike

Bethesda, MD 20892

(301) 496–5615

(800) 422–6237/(800) 4CANCER

National Center for Environmental Health

The mission of the National Center for Environmental Health (NCEH) is to promote health and quality of life by preventing or controlling disease, injury, and disability related to the interactions between people and their environment outside the workplace. To achieve these goals, NCEH directs programs both to prevent the adverse health effects of exposure to toxic substances and to combat the societal and environmental factors that increase the likelihood of exposure and disease. NCEH also works to prevent injuries and diseases resulting from natural or technologic disasters and to prevent birth defects and development disabilities resulting from nutritional deficiencies or exposure to environmental toxins in utero or during early childhood.

National Center for Environmental Health

Mailstop F29

4770 Buford Highway, N.E.

Atlanta, GA 30341–3724

(404) 488–7003

National Institute for Occupational Safety and Health

The National Institute for Occupational Safety and Health (NIOSH) was established by the Occupational Safety and Health Act of 1970 to conduct research on occupational diseases and injuries, respond to requests for assistance by investigating problems of health and safety in the workplace, recommend standards to the Occupational Safety and Health Administration (OSHA) and the Mine Safety and Health Administration (MSHA), and train professionals in occupational safety and health.

National Institute for Occupational Safety and Health

200 Independence Avenue, S.W.

Washington, DC 20201

(800) 356–4674

Suggested Citation:"D: Resources: Agencies, Organizations, Services, REferences, and Tables of Environmental Health Hazards." Institute of Medicine. 1995. Environmental Medicine: Integrating a Missing Element into Medical Education. Washington, DC: The National Academies Press. doi: 10.17226/4795.
×

NIOSH Technical Information Branch provides a toll-free technical information service (1– 800–35-NIOSH) that provides convenient public access to NIOSH and its information resources. Callers may request information about NIOSH activities or about any aspect of occupational safety and health.

NIOSH Technical Information Branch

Robert A. Taft Laboratory

Mail Stop C-19

4676 Columbia Parkway

Cincinnati, OH 45226–1998

(800) 35-NIOSH

Project EPOCH-Envi. In conjunction with ATSDR, NIOSH established Project EPOCH-Envi to provide support and training to medical schools from around the country who wish to implement curricula in occupational and environmental medicine in primary care residency programs. Through this cooperative agreement, Project EPOCH-Envi conducts workshops and training programs for interested medical school faculty. The sessions focus on instructing faculty members how to develop curricula in occupational and environmental medicine.

Project EPOCH-Envi

National Institute for Occupational Safety and Health

Division of Training and Manpower Development

Curriculum Development Branch

Robert A. Taft Laboratories

4676 Columbia Parkway

Cincinnati, OH 45226–1998

(800) 356–4674

In 1992–1993, the following medical schools were involved in Project EPOCH-Envi or represented by faculty members:

University of Arkansas College of Medicine

University of California, San Francisco, School of Medicine

University of Connecticut School of Medicine

University of Florida College of Medicine

University of Miami School of Medicine

Emory University School of Medicine

Medical College of Georgia

Morehouse School of Medicine

University of Illinois College of Medicine at Peoria

University of Illinois College of Medicine at Urbana-Champaign

University of Illinois College of Medicine at Chicago

Loyola University Chicago, Stritch School of Medicine

Southern Illinois University School of Medicine

University of Massachusetts Medical School

University of Missouri, Columbia School of Medicine

Suggested Citation:"D: Resources: Agencies, Organizations, Services, REferences, and Tables of Environmental Health Hazards." Institute of Medicine. 1995. Environmental Medicine: Integrating a Missing Element into Medical Education. Washington, DC: The National Academies Press. doi: 10.17226/4795.
×

Saint Louis University School of Medicine

University of Medicine and Dentistry of New Jersey, Robert Wood Johnson Medical School

Cornell University Medical Center

University of Rochester School of Medicine

State University of New York at Brooklyn College of Medicine

State University of New York at Syracuse College of Medicine

Bowman Gray School of Medicine

Duke University School of Medicine

East Carolina University School of Medicine

University of North Carolina at Chapel Hill School of Medicine

Medical University of South Carolina College of Medicine

University of South Carolina School of Medicine

University of Texas Medical Center at San Antonio

University of Vermont College of Medicine

West Virginia University School of Medicine

NIOSH Educational Resource Centers

The National Institute for Occupational Safety and Health (NIOSH) funds Educational Resource Centers (ERCs) which conduct research and administer graduate training programs in occupational medicine, occupational health nursing, and industrial hygiene and safety. They also provide continuing education programs for safety and health professionals and outreach programs for the community.

ALABAMA

Deep South Center for Occupational Health and Safety

University of Alabama at Birmingham

Elizabeth Murray

Continuing Education

(205) 934–7178

CALIFORNIA

Northern California ERC

Center for Occupational and Environmental Health

University of California at Berkeley

Barbara Plog, Continuing Education

(510) 231–5647

Southern California ERC

University of Southern California

Ramona Cayuela, Continuing Education

(213) 740–3995

ILLINOIS

Illinois ERC

Occupational Health and Safety Center

University of Illinois, Chicago

Leslie Nickels, School of Public Health

(312) 996–7473

MARYLAND

Johns Hopkins ERC

Johns Hopkins University

Department of Environmental Health Sciences

Dr. Jacqueline Corn,

Continuing Education

(410) 955–2609

MASSACHUSETTS

Harvard ERC

Harvard Educational Resource Center

Daryl Bichel, Continuing Education

(617) 432–3314

Suggested Citation:"D: Resources: Agencies, Organizations, Services, REferences, and Tables of Environmental Health Hazards." Institute of Medicine. 1995. Environmental Medicine: Integrating a Missing Element into Medical Education. Washington, DC: The National Academies Press. doi: 10.17226/4795.
×

MICHIGAN

Michigan ERC

University of Michigan

Center for Occupational Health and Safety

Randy Rabourn, Continuing Education

(313) 936–0148

MINNESOTA

Midwest Center for Occupational Health and Safety

University of Minnesota

Jeanne Ayers, Continuing Education

(612) 221–3992

NEW YORK/NEW JERSEY

UMDNJ-Robert Wood

Johnson Medical School

Barbara Young, Registrar

(908) 235–5062

NORTH CAROLINA

Occupational Safety and Health ERC

University of North Carolina

Larry Hyde, Continuing Education

(919) 962–2101

OHIO

University of Cincinnati ERC

University of Cincinnati

Department of Environmental Health

Judy Jarrell, Continuing Education

(513) 558–1730

TEXAS

Southwest Center for Occupational Health and Safety

Pam Parker, Continuing Education

(713) 792–4648

UTAH

Rocky Mountain Center for Occupational and Environmental Health

University of Utah

Connie Crandall, Continuing Education

(801 581–5710

WASHINGTON

Northwest Center for Occupational Health and Safety

University of Washington

Jan Schwert, Continuing Education

(206) 543–1069

National Institute of Environmental Health Sciences

The National Institute of Environmental Health Sciences (NIEHS) is the principal federal agency for biomedical research on the effects of chemical, physical, and biological environmental agents on human health and well-being. The Institute supports research and training focused on the identification, assessment, and mechanism of action of potentially harmful agents in the environment. Research results form the basis for preventive programs for environmentally-related diseases and for action by regulatory agencies.

The NIEHS currently sponsors several programs available to the medical school community, individual researchers, and other organizations or centers interested in studying the effects of the

Suggested Citation:"D: Resources: Agencies, Organizations, Services, REferences, and Tables of Environmental Health Hazards." Institute of Medicine. 1995. Environmental Medicine: Integrating a Missing Element into Medical Education. Washington, DC: The National Academies Press. doi: 10.17226/4795.
×

environment on health and how to better educate medical school students, employees, and the general public about environmental health risks and hazards. Some of the awards are described below:

  • The Environmental/Occupational Medicine Academic Award Program was established by the NIEHS to address the need for increased awareness by physicians of the impact of environmental and occupational conditions on illness, injury, and death. The award serves to assist in improving the quality of environmental/occupational medicine curricula and of fostering research careers in occupational medicine.

Environmental/Occupational Medicine Academic Awards

Chief, Environmental Health Resources Branch

Division of Extramural Research and Training

National Institute of Environmental Health Services

P.O. Box 12233

Research Triangle Park, NC 27709

(919) 541–7825

Environmental/Occupational Medicine Academic Awards Recipients of NIEHS’ Environmental/Occupational Medicine Academic Awards for 1994 include:

University of California, Davis, School of Medicine

University of California, Irvine, College of Medicine

University of California, San Francisco, School of Medicine

University of Colorado School of Medicine

Yale University School of Medicine

George Washington University School of Medicine

Emory University School of Medicine

Morehouse School of Medicine

University of Iowa College of Medicine

University of Maryland School of Medicine

Harvard Medical School

University of Massachusetts Medical School

Wayne State University School of Medicine

University of Medicine and Dentistry of New Jersey, Robert Wood Johnson Medical School

Mount Sinai School of Medicine

University of Rochester School of Medicine and Dentistry

University of Washington School of Medicine

  • Environmental Health Sciences Center Awards provide core support to universities for multidisplinary research in environmental health. Each center serves as national resources for environmental health research and manpower development. Areas of particular interest include: air, water, and food pollution; toxic mechanisms and body defense mechanisms; and the environmental aspects of cancer, birth defects, behavioral anomalies, respiratory and cardiovascular disease and diseases of other organs.

  • Superfund Hazardous Substances—Basic Research and Education Program supports research to expand the base of scientific knowledge needed for adequate assessment of exposure and health risks from the release of hazardous substances, reduction in the amount and toxicity

Suggested Citation:"D: Resources: Agencies, Organizations, Services, REferences, and Tables of Environmental Health Hazards." Institute of Medicine. 1995. Environmental Medicine: Integrating a Missing Element into Medical Education. Washington, DC: The National Academies Press. doi: 10.17226/4795.
×

of hazardous substances, and ultimately, to prevent adverse human health effects.

  • Hazardous Waste Worker Health and Safety Training provides grant support for the development and administration of health and safety training programs for workers and supervisors engaged in activities related to hazardous waste removal, containment, and transportation, or emergency response. In 1991, this program was expanded to include workers involved in generating and transporting hazardous materials and wastes, oil spill cleanup workers and workers involved in the cleanup of nuclear workshops facilities.

  • Clinical Investigator Award provides for the development of clinical investigators in the field of environmental health/human toxicology. The award of up to $35,000 per year supports the research development of physicians to work with research teams on problems arising from the exposures of human populations to environmental chemicals.

National Institute of Environmental Health Sciences

P.O. Box 12233

104 T.W. Alexander Drive

Research Triangle, NC 27709

(919) 541–3212

National Institutes of Health

The National Institutes of Health (NIH) is the principal biomedical research agency of the federal government. Its mission is to pursue knowledge to improve human health. To accomplish this goal, the Institute seeks to expand fundamental knowledge about the nature and behavior of living systems, to apply that knowledge to extend the health of human lives, and to reduce the burdens resulting from disease and disability. In the quest of this mission, NIH supports biomedical and behavioral research around the world, trains promising young researchers, and promotes the acquisition and distribution of medical knowledge. Research activities conducted by NIH will determine much of the quality of health care for the future and reinforce the quality of health care currently available.

National Institutes of Health

9000 Rockville Pike

Bethesda, MD 20892

Nuclear Regulatory Commission

The Nuclear Regulatory Commission (NRC) licenses and regulates civilian use of nuclear energy to protect health and safety and the environment. This is achieved by licensing persons and companies to build and operate nuclear reactors and other facilities and to own and use nuclear materials. The Commission makes rules and sets standards for these types of licenses. It also carefully inspects the activities of the persons and companies licensed to ensure that they do not violate the safety rules of the Commission.

Suggested Citation:"D: Resources: Agencies, Organizations, Services, REferences, and Tables of Environmental Health Hazards." Institute of Medicine. 1995. Environmental Medicine: Integrating a Missing Element into Medical Education. Washington, DC: The National Academies Press. doi: 10.17226/4795.
×

Nuclear Regulatory Commission

Washington, DC 20555

(301) 492–7000

Occupational Safety and Health Administration

The Occupational Safety and Health Administration (OSHA) was created within the Department of Labor under the Occupational Safety and Health Act of 1970 to enforce national occupational health and safety standards. OSHA encourages employers and employees to reduce workplace hazards, implements new or improved safety and health programs, provides research in occupational safety and health, requires a reporting and recording system to monitor job-related illnesses and injuries, training, develops mandatory job safety and health standards and enforces them effectively, and provides for the development, analysis, evaluation, and approval of state occupational safety and health programs.

Occupational Safety and Health Administration

Office of Administrative Services

200 Constitution Ave., N.W.

Room N-310

Washington, DC 20210

(202) 219–4667

State Agencies
State Health Departments and Radon Contacts

Alabama Department of Public Health

434 Monroe Street

Montgomery, AL 36130

(205) 242–5052

Radon: Montgomery

(800) 582–1866

(205) 242–5315

Alaska Division of Public Health

Department of Health and Social Services

P.O. Box H

Juneau, AK 99811

(907) 465–3090

Radon: Juneau

(800) 478–4845

(907) 465–3019

Arizona Department of Health Services

1740 W. Adams Street

Phoenix, AZ 85007

(602) 542–1024

Radon: Phoenix

(602) 255–4845

Arkansas Department of Health

4815 W. Markham Street

Little Rock, AR 72205

(501) 661–2111

Radon: Little Rock

(501) 661–2301

Suggested Citation:"D: Resources: Agencies, Organizations, Services, REferences, and Tables of Environmental Health Hazards." Institute of Medicine. 1995. Environmental Medicine: Integrating a Missing Element into Medical Education. Washington, DC: The National Academies Press. doi: 10.17226/4795.
×

California Department of Health Services

714 P Street

Sacramento, CA 95814

(916) 657–1425

Radon: Sacramento

(916) 324–2208

Colorado Department of Health

4210 E. 11th Avenue

Denver, CO 80220

(303) 331–4600

Radon: Denver

(800) 846–3986

(303) 692–3057

Connecticut Department of Health Services

150 Washington Street

Hartford, CT 06106

(203) 566–2038

Radon: Hartford

(203) 566–3122

Delaware Division of Public Health

Department of Health and Social Services

P.O. Box 637

Dover, DE 19903

(302) 739–4701

Radon: Dover

(302) 739–3787

(800) 554–4636 (In-state)

District of Columbia Department of Human Services

Commission of Public Health

1660 L Street, N.W., 12th Floor

Washington, D.C. 20036

(202) 673–7700

Radon: Washington, D.C.

(202) 727–7221

Florida Health Office

Department of Health and Rehabilitation Services

1323 Winewood Blvd.

Building 1

Tallahassee, FL 32301

(904) 487–2705

Radon: Orlando

(904) 488–1525

(800) 543–8279

Georgia Division of Public Health

878 Peachtree Street

Atlanta, GA 30309

(404) 894–7505

Radon: Atlanta

(404) 894–6644

Guam Public Health and Social Services

P.O. Box 2816

Agana, Guam 96910

(671) 734–2083

Hawaii Department of Health

1250 Punchbowl Street

P.O. Box 3378

Honolulu, HI 96801

(808) 586–4410

Radon: Honolulu

(808) 543–4383

Idaho Division of Health

Department of Health and Welfare

450 W. State Street

Boise, ID 83720

(208) 334–5945

Radon: Boise

(800) 445–8647

(208) 334–6584

Suggested Citation:"D: Resources: Agencies, Organizations, Services, REferences, and Tables of Environmental Health Hazards." Institute of Medicine. 1995. Environmental Medicine: Integrating a Missing Element into Medical Education. Washington, DC: The National Academies Press. doi: 10.17226/4795.
×

Illinois Department of Public Health

535 W. Jefferson Street

Springfield, IL 62761

(217) 782–4977

Radon: Springfield

(800) 325–1245

(217) 786–6384

Indiana Board of Health

P.O. Box 1964

1330 W. Michigan Street

Indianapolis, IN 46206

(317) 633–8400

Radon: Indianapolis

(317) 633–0150

(800) 272–9723 (In-state)

Iowa Department of Public Health

Robert Lucas State Office Building

East 12th and Walnut Streets

Des Moines, IA 50319

(515) 281–5605

Radon: Des Moines

(515) 281–7781

(800) 383–5992 (In-state)

Kansas Department of Health and Environment

900 SW Jackson

Topeka, KS 66612

(913) 296–1522

Radon: Topeka

(913) 296–1560

Kentucky Department for Health Services

Cabinet for Human Resources

275 E. Main Street

Frankfort, KY 40621

(502) 564–3970

Radon: Frankfort

(502) 564–3700

Louisiana Department of Health and Hospitals

P.O. Box 629

Baton Rouge, LA 70821

(504) 342–9500

Radon: Baton Rouge

(800) 256–2494

(504) 925–7042

Maine Bureau of Health

Department of Human Services

State House Station 11

Augusta, ME 04333

(207) 289–2736

Radon: Augusta

(800) 232–0842

(207) 789–5689

Maryland Department of Health and Mental Hygiene

201 W. Preston Street

Baltimore, MD 21201

(301) 225–6500

Radon: Baltimore

(800) 872–3666

(301) 631–3300

Massachusetts Department of Public Health

150 Tremont Street

Boston, MA 02111

(617) 727–2700

Radon: North Hampton

(413) 586–7525

Michigan Department of Public Health

3423 N. Logan Street

Lansing, MI 48909

(517) 335–8024

Radon: Lansing

(517) 335–8190

Suggested Citation:"D: Resources: Agencies, Organizations, Services, REferences, and Tables of Environmental Health Hazards." Institute of Medicine. 1995. Environmental Medicine: Integrating a Missing Element into Medical Education. Washington, DC: The National Academies Press. doi: 10.17226/4795.
×

Minnesota Department of Health

717 Delaware Street, S.E.

P.O. Box 9441

Minneapolis, MN 55440

(612) 623–5460

Radon: Minneapolis

(612) 627–5012

(800) 798–9050

Mississippi Department of Health

P.O. Box 1700

2423 N. State Street

Jackson, MS 39215

(601) 960–7634

Radon: Jackson

(800) 626–7739

(601) 354–6657

Missouri Department of Health

P.O. Box 570

Jefferson City, MO 65102

(314) 751–60001

Radon: Jefferson City

(314) 751–6083

(800) 669–7236 (In-state)

Montana Department of Health and Environmental Sciences

Cogswell Building

Helena, MT 59620

(406) 444–2544

Radon: Helena

(406) 444–3671

Nebraska Department of Health

301 Centennial Mall S.

P.O. Box 95007

Lincoln, NE 68509

(402) 471–4047

Radon: Lincoln

(402) 471–2168

(800) 334–9491 (In-state)

Nevada Health Division

505 E. King Street

Carson City, NV 89710

(702) 687–4740

Radon: Carson City

(702) 687–5394

New Hampshire Division of Public Health Services

Health and Welfare Building

Hazen Drive

Concord, NH 03301

(603) 271–4500

Radon: Concord

(603) 271–4674

New Jersey Department of Health

CN 360

Trenton, NJ 08625

(609) 292–7837

Radon: Trenton

(609) 987–6396

(800) 648–0394

New Mexico Health and Environmental Department

1190 South Francis Drive

Santa Fe, NM 87503

(505) 827–2613

Radon: Santa Fe

(505) 827–4300

New York Department of Health

Tower Building

Empire State Plaza

Albany, NY 12237

(518) 474–2011

Radon: Albany

(518) 458–6451

Suggested Citation:"D: Resources: Agencies, Organizations, Services, REferences, and Tables of Environmental Health Hazards." Institute of Medicine. 1995. Environmental Medicine: Integrating a Missing Element into Medical Education. Washington, DC: The National Academies Press. doi: 10.17226/4795.
×

North Carolina Department of Environment

Health and Natural Resources

Division of Health Services

P.O. Box 27687

Raleigh, NC 27611

(919) 733–4984

Radon: Raleigh

(919) 571–4141

North Dakota Department of Health and Consolidated Labs

State Capitol Judicial Wing

600 E. Boulevard Avenue

Bismarck, ND 58505

(701) 224–2372

Radon: Bismarck

(701) 224–2348

Ohio Department of Health

246 N. High Street

Columbus, OH 43266

(614) 466–2253

Radon: Columbus

(614) 644–2727

(800) 523–4439 (In-state)

Oklahoma Department of Health

1000 NE 10th Street

P.O. Box 53551

Oklahoma City, OK 73152

(405) 271–4200

Radon: Oklahoma City

(405) 271–5221

Oregon State Health Division

1400 SW 5th Avenue

Portland, OR 97201

(503) 229–4032

Radon: Portland

(503) 731–4014

Pennsylvania Department of Health

P.O. Box 90

Harrisburg, PA 17108

(717) 787–6436

Radon: Harrisburg

(717) 787–2480

(800) 23-RADON (In-state)

Puerto Rico Department of Health

Building A, Call Box 70184

San Juan, PR 00936

(809) 766–1616

Radon: Rio Piedras

(809) 767–3563

Rhode Island Department of Health

Cannon Health Building

3 Capitol Hill

Providence, RI 02908

(401) 277–2231

Radon: Providence

(401) 277–2438

South Carolina Department of Health and Environmental Control

2600 Bull Street

Columbia, SC 29201

(803) 735–4880

Radon: Columbia

(800) 768–0362

(803) 734–4700

South Dakota Department of Health

445 E. Capitol

Pierre, SD 57501

(605) 773–3361

Radon: Pierre

(605) 773–3351

Suggested Citation:"D: Resources: Agencies, Organizations, Services, REferences, and Tables of Environmental Health Hazards." Institute of Medicine. 1995. Environmental Medicine: Integrating a Missing Element into Medical Education. Washington, DC: The National Academies Press. doi: 10.17226/4795.
×

Tennessee Department of Health and Environment

344 Cordell Hull Building

Nashville, TN 37247–0101

(615) 741–3111

Radon: Nashville

(800) 232–1139

(615) 741–3651

Texas Department of Health

1100 W. 49th Street

Austin, TX 78756

(512) 458–7111

Radon: Austin

(512) 834–6688

Utah Department of Health

288 N. 1460 W.

P.O. Box 16700

Salt Lake City, UT 84116

(801) 538–6111

Radon: Salt Lake City

(801) 538–6734

Vermont Department of Health

P.O. Box 70

60 Main Street

Burlington, VT 05402

(802) 863–7280

Radon: Montpelier

(800) 640–0601

(802) 828–2886

Virgin Island Department of Health

L18 Sugar Estate

St. Thomas, VI 00802

(809) 774–4888

Virginia Department of Health

P.O. Box 2448

Richmond, VA 23218

(804) 786–3561

Radon: Richmond

(800) 468–0138

(804) 786–5932

Washington Department of Health

1112 S.E. Quince Street

Olympia, WA 98504–7890

(206) 753–5871

Radon: Olympia

(800) 323–9727

(206) 753–4518

West Virginia Department of Public Health

Building 3, State Capital Complex

Charleston, WV 25305

(304) 348–2971

Radon: South Charleston

(304) 558–3526

(800) 922–1255 (In-state)

Wisconsin Division of Health

Department of Health and Social Services

P.O. Box 309

Madison, WI 53707

(608) 266–1511

Radon: Madison

(608) 267–4795

Wyoming Health and Medical Services

Hathaway Building

Cheyenne, WY 82002

(307) 777–6464

Radon: Cheyenne

(800) 458–5847

(307) 777–6015

Suggested Citation:"D: Resources: Agencies, Organizations, Services, REferences, and Tables of Environmental Health Hazards." Institute of Medicine. 1995. Environmental Medicine: Integrating a Missing Element into Medical Education. Washington, DC: The National Academies Press. doi: 10.17226/4795.
×

ASSOCIATIONS AND ORGANIZATIONS

American Association of Occupational Health Nurses

The American Association of Occupational Health Nurses (AAOHN) is an organization of registered professional nurses employed by business and industrial firms; nurse educators, nurse editors, nurse writers; and others interested in occupational health nursing.

American Association of Occupational Health Nurses

50 Lenox Pointe

Atlanta, GA 30324

(800) 241–8014

(404) 262–1162

American Association of Poison Control Centers

The American Association of Poison Control Centers (AAPCC) aids in the procurement of information on the ingredients and potential acute toxicity of substances that may cause accidental poisonings and on the proper management of such poisonings. The AAPCC has established standards for the poison information and control centers, offering immediate information through hotlines around the country. The AAPCC also conducts educational programs and prepares visual aids on prevention of accidental poisonings; maintains a national poisoning database; and operates a nationwide speakers’ bureau.

American Association of Poison Control Centers

3800 Reservoir Road, N.W.

Washington, DC 20007

(202) 784–4666/362–7217

(202) 784–2530 FAX

ALABAMA

Birmingham

Regional Poison Control Center

The Children’s Hospital of Alabama

Emergency (205) 939–9201

(800) 292–6678 (In-state)

(205) 933–4050

ARIZONA

Phoenix

Samaritan Regional Poison Center

(602) 253–3334

Tucson

Arizona Poison and Drug Information Center

Emergency (800) 362–0101 (In-state)

(602) 626–6016

CALIFORNIA

Fresno

Fresno Regional Poison Control Center

Valley Children’s Hospital

Emergency (800) 346–5922 (In-state)

(202) 445–1222

Suggested Citation:"D: Resources: Agencies, Organizations, Services, REferences, and Tables of Environmental Health Hazards." Institute of Medicine. 1995. Environmental Medicine: Integrating a Missing Element into Medical Education. Washington, DC: The National Academies Press. doi: 10.17226/4795.
×

Sacramento

University of California, Davis

Medical Center Regional Poison Control Center

Emergency (916) 734–3692

(800) 342–9293 (In-state)

San Diego

San Diego Regional Poison Control Center

University of California, San Diego Medical Center

Emergency (619) 543–6000

(800) 876–4766 (In-state)

San Francisco

San Francisco Bay Area Regional Poison Control Center

San Francisco General Hospital

Emergency (800) 523–2222

San Jose

Santa Clara Valley Medical Center Regional Poison Center

Emergency (408) 299–5112

(800) 342–9293 (In-state)

COLORADO

Denver

Rocky Mountain Poison and Drug Center

Emergency (303) 629–1123

DISTRICT OF COLUMBIA

Washington

National Capital Poison Control Center

Georgetown University Hospital

Emergency (202) 625–3333

(202) 784–4660 (TTY)

FLORIDA

Tampa

The Florida Poison Information Center and Toxicology Resource Center

Tampa General Hospital

Emergency (813) 253–444

(800) 282–3171 (In-state)

GEORGIA

Atlanta

Georgia Poison Center

Grady Memorial Hospital

Emergency (800) 282–5846 (In-state)

(404) 616–9000

INDIANA

Indianapolis

Indiana Poison Center

Methodist Hospital of Indiana

Emergency (800) 382–9097 (In-state)

(317) 929–2323

MARYLAND

Baltimore

Maryland Poison Center

Emergency (410) 528–7701

(800) 492–2414 (In-state)

MASSACHUSETTS

Boston

Massachusetts Poison Control System

Emergency (617) 232–2120

(800) 682–9211

MICHIGAN

Detroit

Poison Control Center

Emergency (313) 745–5711

MINNESOTA

Minneapolis

Hennepin Regional Poison Center

Hennepin County Medical Center

Emergency (612) 347–3141

(612) 337–7474 (TTY)

Suggested Citation:"D: Resources: Agencies, Organizations, Services, REferences, and Tables of Environmental Health Hazards." Institute of Medicine. 1995. Environmental Medicine: Integrating a Missing Element into Medical Education. Washington, DC: The National Academies Press. doi: 10.17226/4795.
×

MISSOURI

St. Louis

Cardinal Glennon Children’s Hospital Regional Poison Center

Emergency (314) 772–5200

(800) 366–8888 (In-state)

MONTANA

Denver (Colorado)

Rocky Mountain Poison and Drug Center

Emergency (303) 629–1123

NEBRASKA

Omaha

The Poison Center

Emergency (402) 390–5555

(800) 955–9119 (In-state)

NEW JERSEY

Newark

New Jersey Poison Information and Education System

Emergency (800) 962–1253 (In-state)

NEW MEXICO

Albuquerque

New Mexico Poison and Drug Information Center

Emergency (505) 843–2551

(800) 432–6866 (In-state)

NEW YORK

Mineola

Long Island Regional Poison Control Center

Winthrop University Hospital

Emergency (516) 542–2323

New York

New York City Poison Control Center

New York City Department of Health

Emergency (212) 340–4494

(212) P-O-I-S-O-N-S

(212) 689–9014 (TDD)

Nyack

Hudson Valley Poison Center

Nyack Hospital

Emergency (800) 336–6997

(914) 353–1000

OHIO

Columbus

Central Ohio Poison Center

Emergency (614) 228–1323

(800) 682–7625

(614) 228–2272 (TTY)

Cincinnati

Cincinnati Drug and Poison Information Center and Regional Poison Control System

Emergency (513) 558–5111

(800) 872–5111

OREGON

Portland

Oregon Poison Center

Oregon Health Sciences University

Emergency (503) 494–8968

(800) 452–7165 (In-state)

PENNSYLVANIA

Philadelphia

The Poison Control Center

One Children’s Center

Emergency (215) 386–2100

Pittsburgh

Pittsburgh Poison Center

Emergency (412) 681–6669

Hershey

Central Pennsylvania Poison Center

Milton S. Hershey Medical Center

Emergency (800) 521–6110

Suggested Citation:"D: Resources: Agencies, Organizations, Services, REferences, and Tables of Environmental Health Hazards." Institute of Medicine. 1995. Environmental Medicine: Integrating a Missing Element into Medical Education. Washington, DC: The National Academies Press. doi: 10.17226/4795.
×

RHODE ISLAND

Providence

Rhode Island Poison Center

Emergency (401) 277–5727

(401) 277–8062 (TDD)

TEXAS

Dallas

North Texas Poison Center

Emergency (214) 590–5000

(800) 441–0040 (In-state)

Galveston

Texas State Poison Center

The University of Texas Medical Branch

Emergency (409) 765–1420

(713) 654–1701 (Houston)

(512) 478–4490 (Austin)

UTAH

Salt Lake City

Utah Poison Control Center

Emergency (801) 581–2151

(800) 456–7707 (In-state)

VIRGINIA

Charlottesville

Blue Ridge Poison Center

Emergency (804) 924–5543

(800) 451–1428

Northern Virginia

National Capital Poison Center

Georgetown University Hospital

Emergency (202) 625–3333

(202) 784–4660 (TTY)

WEST VIRGINIA

Charleston

West Virginia Poison Center

Emergency (800) 642–3625 (In-state)

(304) 348–4211

WYOMING

Omaha (Nebraska)

The Poison Center

Emergency (402) 390–5555

(800) 955–9199 (NE and WY only)

American Board of Medical Toxicology

The American Board of Medical Toxicology (ABMT) evaluates and certifies physicians in medical toxicology and administers certifying examinations to qualified licensed physicians during sessions at annual meetings.

American Board of Medical Toxicology

777 East Park Drive

P.O. Box 820

Harrisburg, PA 17105–8820

(717) 558–7750

American College of Obstetricians and Gynecologists

The American College of Obstetricians and Gynecologists (ACOG) is dedicated to the advancement of women’s health through education, advocacy, practice, and research. ACOG

Suggested Citation:"D: Resources: Agencies, Organizations, Services, REferences, and Tables of Environmental Health Hazards." Institute of Medicine. 1995. Environmental Medicine: Integrating a Missing Element into Medical Education. Washington, DC: The National Academies Press. doi: 10.17226/4795.
×

works to serve as a strong advocate for quality health care for women, maintain the highest standards of clinical practice and continuing education for its members, promote patient education and stimulate patient understanding of, and involvement in, medical care, and increase awareness among its members and the public of the changing issues facing women’s health care.

American College of Obstetricians and Gynecologists

409 12th Street, S.W.

Washington, DC 20024

(202) 638–5577

American College of Occupational and Environmental Medicine

The American College of Occupational and Environmental Medicine (ACOEM) is an association of approximately 6,500 physicians attempting to educate members and other physicians, employers, other organizations, and the public-at-large about occupational and environmental health. The ACOEM has developed a continuing education course entitled Core Curriculum in Environmental Medicine in order to enhance physicians’ critical thinking on environmental issues, improve their problem-solving skills, and make them more effective at decision-making about environmental concerns. Once the Curriculum has been fully developed, ACOEM will make the teaching materials available to other organizations, including medical schools. The ultimate goal of this project has been to enable health professionals to serve as environmental educators to all of the communities in which they are involved.

American College of Occupational and Environmental Medicine

55 West Seegers Road

Arlington Heights, IL 60005

(708) 228–6850

Occupational Physicians Scholarships Fund

The Occupational Physicians Scholarship Fund was established in 1988 to provide support to students entering the occupational health specialty field in their postdoctoral medical education over a ten year period (ending in 1998). The Fund intends to help address the acute shortage of occupational health specialists by supporting up to 100 outstanding postdoctoral students through their residency training. The awards for 1993 ranged from $25,000 to $31,000 for each participant.

Occupational Physicians Scholarship Fund

55 West Seegers Road

Arlington Heights, IL 60005

Suggested Citation:"D: Resources: Agencies, Organizations, Services, REferences, and Tables of Environmental Health Hazards." Institute of Medicine. 1995. Environmental Medicine: Integrating a Missing Element into Medical Education. Washington, DC: The National Academies Press. doi: 10.17226/4795.
×
American College of Preventive Medicine

The American College of Preventive Medicine (ACPM) is a professional society of medical doctors specializing in preventive medicine, public health, aerospace medicine, and occupational medicine committed to educating physicians and students about the latest discoveries in disease prevention and health promotion. As a part of their charge to educate medical students, ACPM offers several core curriculum guidelines and inventories of knowledge and skills related to preventive medicine. In relation to occupational and environmental medicine, ACPM offers a core curriculum, competencies, and performance indicators for preventive medicine residency graduates.

American College of Preventive Medicine

1015 15th Street, N.W.

Suite 403

Washington, DC 20005

(202) 789–0003

American Lung Association

The American Lung Association (ALA) is a federation of state and local associations of physicians, nurses, and laymen interested in the prevention and control of lung disease. The Association works with other organizations in planning and conducting programs in community services, public, professional, and patient education, and research. The ALA also makes recommendations regarding medical care of respiratory disease, occupational health, hazards of smoking, and air conservation.

American Lung Association

1740 Broadway

New York, NY 10019–4374

(212) 315–8700

Association of Occupational and Environmental Clinics

The Association of Occupational and Environmental Clinics is dedicated to higher standards of patient-centered, multi-disciplinary care emphasizing prevention and total health through information sharing, quality service and collaborative research. As a national network of clinical facilities, the clinics vary greatly in orientation, physical facilities, and staff capabilities. However, every clinic does offer an on-site staff physician with either board-certification or demonstrated expertise in occupational medicine. Clinics must also have industrial hygienists and other professionals with expertise in occupational and/or environmental health such as nurses, social workers, and health educators either on staff or available through a pre-arranged referral network.

Suggested Citation:"D: Resources: Agencies, Organizations, Services, REferences, and Tables of Environmental Health Hazards." Institute of Medicine. 1995. Environmental Medicine: Integrating a Missing Element into Medical Education. Washington, DC: The National Academies Press. doi: 10.17226/4795.
×

Association of Occupational and Environmental Clinics

1010 Vermont Avenue, #513

Washington, DC 20005

Contact: Edmund Kelly

Executive Director

(202) 347–4976

ALABAMA

Birmingham

Occupational and Environmental

Medicine Clinic

University of Alabama at Birmingham

Contact: Timothy J.Key, MD, MPH

Brian G.Forrester, MD, MPH

(205) 934–7303

CALIFORNIA

Davis

Occupational and Environmental Health

Clinic

University of California at Davis

Contact: Stephen McCurdy, MD, MPH

Marc Schenker, MD, MPH

(916) 752–3317

Irvine

Occupational and Environmental Clinic

University of California at Irvine

Contact: Dean Baker, MD, MPH

(714) 824–8641

San Francisco

Occupational and Environmental

Medicine Clinic

University of California at San Francisco

Contact: Patricia Quinlan, MPH

Diane Liu, MD, MPH

Jordan Rinker, MD, MPH

(415) 885–7770

COLORADO

Denver

Occupational and Environmental

Medicine Division

National Jewish Center for Immunology and Respiratory Medicine

Contact: Peggy Mroz, MSPH

Kathleen Kreiss, MD

Cecile Rose, MD, MPH

(303) 398–1520

CONNECTICUT

Farmington

University of Connecticut

Occupational and Environmental

Medicine Program

Contact: Eileen Storey, MD, MPH

(203) 679–2893

New Haven

Yale University Occupational/

Environmental Medicine Program

Yale School of Medicine

Contact: Mark Cullen, MD, MPH

(203) 785–5885

Waterbury

Waterbury Occupational Health

Contact: Gregory McCarthy, MD, MPH

(203) 573–8114

Suggested Citation:"D: Resources: Agencies, Organizations, Services, REferences, and Tables of Environmental Health Hazards." Institute of Medicine. 1995. Environmental Medicine: Integrating a Missing Element into Medical Education. Washington, DC: The National Academies Press. doi: 10.17226/4795.
×

DISTRICT OF COLUMBIA

Washington DC

Division of Occupational and Environmental Medicine

George Washington University School of Medicine

Contact: Laura Welch, MD, MOH

Rosemary Sokas, MD

(202) 994–1734

GEORGIA

Atlanta

Environmental and Occupational

Program

The Emory Clinic at Perimeter

Contact: Howard Frumkin, MD, DrPH

Edward Galaid, MD, MPH

(404) 727–3697

(404) 248–5478

ILLINOIS

Chicago

Managed Care Occupational Health

Program

Mount Sinai Hospital Medical Center

Contact: Gene Miller, Director

Edward Mogabgab, MD

(312) 257–6480

Occupational Medicine Clinic

Cook County Hospital

Contact: Stephen Hessl, MD, MPH

(312) 633–5310

University of Illinois Occupational

Medicine Program

Contact: Linda Forst, MD, MS, MPH

Stephen Hessl, MD, MPH

(312) 996–1063

IOWA

Iowa City

University of Iowa Occupational

Medicine Clinic

Department of Internal Medicine College of Medicine

Contact: David Schwartz, MD, DrPH

Emma Rosenau, MPH

(319) 356–8269

KENTUCKY

Lexington

University of Kentucky Occupational

Medicine Program

Contact: Terence R.Collins, MD, MPH

Chaim Cohen, MD, MPH

(606) 257–5166

LOUISIANA

New Orleans

Ochsner Center for Occupational Health

Contact: Peter G.Casten, MD, MPH

Douglas A.Swift, MD, MSPH

(504) 838–3955

MAINE

Portland

Center for Health Promotion

Contact: Stephen Shannon, DO, MPH

Sue Upshaw, MD, MPH

(207) 774–7751

MARYLAND

Baltimore

Johns Hopkins University

Center for Occupational and Environmental Health

Contact: Edward J.Bernacki, MD, MPH

(410) 550–2322

Suggested Citation:"D: Resources: Agencies, Organizations, Services, REferences, and Tables of Environmental Health Hazards." Institute of Medicine. 1995. Environmental Medicine: Integrating a Missing Element into Medical Education. Washington, DC: The National Academies Press. doi: 10.17226/4795.
×

Occupational Health Project

School of Medicine

Division of General Internal Medicine

University of Maryland

Contact: James Keogh, MD

Julie Gordon, ScM

(410) 706–7464

MASSACHUSETTS

Boston

Pulmonary Associates

(Occupational Medicine)

Contact: L.Christine Oliver, MD, MPH

Elisha Atkins, MD

Dean Hashimoto, MD, JD

David Christiani, MD, MPH

(617) 726–3741

Cambridge

Occupational and Environmental Health

Center

Cambridge Hospital

Contact: Rose Goldman, MD, MPH

Susan Rosenwasser, MEd

(617) 498–1580

South Braintree

Center for Occupational and Environmental Medicine

Massachusetts Respiratory Hospital

Contact: Diane Plantamura, MSW

(617) 848–2600

Worcester

Occupational Health Program

Department of Family and Community Medicine, University of Massachusetts

Contact: Glenn Pransky, MD, Occ.H.

Thomas Hicks, MD, MPH

(508) 856–3093

MICHIGAN

Ann Arbor

Occupational Health Program

School of Public Health

University of Michigan

Contact: David Garabrant, MD, MPH

Tom Robins, MD, MPH

Alfred Franzblau, MD, MPH

(313) 764–2594

Detroit

Division of Occupational Health

Wayne State University

Department of Family Medicine

Contact: Raymond Demers, MD, MPH

Mark Upfal, MD, MPH

James Blessman, MD, MPH

Maryjean Schenk, MD, MPH

Robert Morris, MD, MPH

Sushil Mankani, MD, MPH

(313) 577–1420

East Lansing

Michigan State University

Department of Medicine

Contact: Kenneth Rosenman, MD, MPH

(517) 353–1846

Lansing

Occupational Health Service

St. Lawrence Hospital and Health Institute

Contact: R.Michael Kelly, MD, MPH

(517) 377–0309

Southfield

Center for Occupational and Environmental Medicine

Contact: Margaret Green, MD, MPH

Michael Harbut, MD, MPH

(313) 559–6663

Suggested Citation:"D: Resources: Agencies, Organizations, Services, REferences, and Tables of Environmental Health Hazards." Institute of Medicine. 1995. Environmental Medicine: Integrating a Missing Element into Medical Education. Washington, DC: The National Academies Press. doi: 10.17226/4795.
×

MINNESOTA

Minneapolis

Columbia Park Medical Group

Occupational Medicine Department

Contact: Donald Johnson, MD, MPH

Dorothy Quick, RN, COHN

(612) 572–5710

St. Paul

Ramsey Clinic

Occupational and Environmental Health and Occupational Medicine

Residency Training

Contact: Paula Geiger, Admin. Secretary

William H.Lohman, MD

(612) 221–3771

NEW JERSEY

Piscataway

Environmental and Occupational Health

Clinical Center

Environmental and Occupational Health

Sciences Institute

UMDNJ-Robert Wood Johnson

Medical School

Contact: Howard Kipen, MD, MPH

Gail Buckler, RN, MPH, COHN

(908) 445–0123

NEW YORK

Latham

Eastern NY Occupational Health

Program

Contact: Anne Tencza, RN, COHN

Eckhardt Johanning, MD, MSc

(518) 783–1518

New York

Bellevue Occupational and Environmental Health Clinic

Bellevue Hospital

Contact: George Friedman-Jimenez, MD

Rafael de la Hoz, MD, MPH

(212) 561–4572

Mount Sinai

J. Selikoff Occupational Health

Clinical Center

Contact: Stephen Mooser, MPH

Stephen Levin, MD

Robin Herbert, MD

(212) 241–6173

Rochester

Finger Lakes Occupational Health Services

Contact: Julie R.Cataldo, Administrator

(716) 275–1335

Stony Brook

Center for Occupational and Environmental Medicine

State University of NY School of Medicine

Contact: Wajdy Hailoo, MD, MPH

(516) 444–2167

Syracuse

Central New York Occupational Health

Clinical Center

Contact: Michael B.Lax, MD, MPH

(315) 432–8899

NORTH CAROLINA

Durham

Division of Occupational and Environmental Medicine

Duke University Medical Center

Contact: Dennis Darcey, MD, MPSH

Gary Greenberg, MD, MPH

(919) 286–3232

OHIO

Cincinnati

Center for Occupational Health

Holmes Hospital

Contact: James Donovan, MD, MS

Douglas Linz, MD, MS

Susan Pinney, PhD

(513) 558–1234

Suggested Citation:"D: Resources: Agencies, Organizations, Services, REferences, and Tables of Environmental Health Hazards." Institute of Medicine. 1995. Environmental Medicine: Integrating a Missing Element into Medical Education. Washington, DC: The National Academies Press. doi: 10.17226/4795.
×

Greater Cincinnati Occupational Health Center

Jewish Hospital at Evendale

Contact: Harriet Applegate, Director

Margaret Atterbury, MD, MPH

(513) 769–0561

Cleveland

Occupational/Environmental Health

Clinic

Department of Family Medicine

MetroHealth Medical Center

Contact: Kathleen Pagan, MD, MPH

(216) 778–8087

OKLAHOMA

Oklahoma City

University Occupational Health Sciences

Division of Occupational and Environmental Medicine

Contact: David Paul, MD, MPH

Lynn Mitchell, MD, MPH

(405) 271–6177

Tulsa

WorkMed, Inc.

Contact: James W.Small, MD, MPH

Steve Snyder, MD

Tiari A.Harris, MD, MPH

Lloyd Anderson, MD

(918) 627–4646

PENNSYLVANIA

Philadelphia

Occupational Health Service

Department of Community and Preventive Medicine

Medical College of Pennsylvania

Contact: Eddy Bresnitz, MD, MS

Harriet Rubenstein, JD, MPH

(215) 842–6540

Pittsburgh

Occupational and Environmental

Medicine Program

University of Pittsburgh

Contact: David Tollerud, MD, MPH

(412) 624–3155

Willow Grove

Center for Occupational and Environmental Health

Abington Memorial Hospital

Contact: Jessica Herzstein, MD, MPH

(215) 881–5904

RHODE ISLAND

Pawtuckett

Memorial Hospital of Rhode Island

Occupational Health Service

Brown University

Contact: David G.Kern, MD, MPH

(401) 729–2859

TEXAS

Tyler

Texas Institute of Occupational Safety and Health

Contact: Jeffrey Levin, MD, MSPH

(903) 877–7262

UTAH

Salt Lake City

Rocky Mountain Center for Occupational and Environmental Health

Contact: Anthony Suruda, MD, MPH

Royce Moser, MD, MPH

(801) 581–5056

Suggested Citation:"D: Resources: Agencies, Organizations, Services, REferences, and Tables of Environmental Health Hazards." Institute of Medicine. 1995. Environmental Medicine: Integrating a Missing Element into Medical Education. Washington, DC: The National Academies Press. doi: 10.17226/4795.
×

WASHINGTON

Seattle

Occupational Medicine Program

University of Washington

Harborview Medical Center

Contact: Scott Barnhart, MD, MPH

Drew Brodkin, MD, MPH

Matt Keifer, MD, MPH

(206) 223–3005

WEST VIRGINIA

Huntington

Division of Occupational and Environmental Health

Department of Family and Community

Medicine

Marshall University School of Medicine

Contact: Chris McGuffin, MS

James Becker, MD

(304) 696–7045

CANADA

Edmonton, Alberta

Occupational Medicine Consultation

Clinic

University of Alberta

Contact: Linda Cocchiarella, MD, MPH

Tee Guidotti, MD, MPH

(403) 492–7849

Manitoba, Winnipeg

MFL Occupational Health Centre, Inc.

Contact: Judy Cook, Executive Director

(204) 949–0811

Association of Teachers of Preventive Medicine

The Association of Teachers of Preventive Medicine (ATPM) is a national organization for medical educators, practitioners, and students committed to advancing the teaching of all aspects of preventive medicine. The scope of knowledge and competence distinctive to preventive medicine includes biostatistics, epidemiology, administration, environmental and occupational health, the application of social and behavioral factors in health and disease, and primary, secondary, and tertiary prevention measures within clinical medicine. ATPM was founded in 1942 with three basic objectives: (1) advancing medical education; (2) developing instruction, scientific skills and knowledge in preventive medicine; and (3) exchanging experience and ideas among its members.

Association of Teachers of Preventive Medicine

1015 15th Street, N.W.

Suite 405

Washington, DC 20005

(202) 682–1698

Center for Safety in the Arts

The Center for Safety in the Arts (CSA) seeks to gather and disseminate information about health hazards encountered by artists, craftsmen, teachers, children, and others working with art

Suggested Citation:"D: Resources: Agencies, Organizations, Services, REferences, and Tables of Environmental Health Hazards." Institute of Medicine. 1995. Environmental Medicine: Integrating a Missing Element into Medical Education. Washington, DC: The National Academies Press. doi: 10.17226/4795.
×

materials. The Center provides on-site assessments of the health and safety features of facilities used by artists, craftsmen, and students; responds to inquiries concerning art-related health hazards; and conducts consultation programs. CSA now offers extensive information through a gopher. To tap into gopher to tmn.com, choose the Arts Wire option, followed by the Center for Safety in the Arts options.

Center for Safety in the Arts

5 Beekman Street

New York, NY 10038

(212) 227–6220

Committees on Occupational Safety and Health

The Committees on Occupational Safety and Health are non-profit coalitions of local unions and individual workers, physicians, lawyers, and other health safety activists dedicated to the right of each worker to a safe and healthy job. Committees throughout the states provide health and safety training, technical assistance, consultations and on-site evaluations, and contract language assistance.

Committees on Occupational Safety and Health

275 Seventh Avenue

New York, NY 10001

(212) 627–3900

Consortium for Environmental Education in Medicine

The Consortium for Environmental Education in Medicine was established in 1994 as a non-profit organization committed to developing strategies to improve and enhance the education of physicians on the environment and health. The organization has developed pilot programs for curriculum and faculty development which would seek to make the relationship of environment to health an integral part of undergraduate and post-graduate education.

Consortium for Environmental Education in Medicine (CEEM)

P.O. Box 9132

Waltham, MA 02254–9132

(617) 893–4610

MotherRisk Program

The MotherRisk Program will counsel callers about the safety of an exposure to drugs, chemicals, or radiation during pregnancy or breast-feeding. The team of physicians and

Suggested Citation:"D: Resources: Agencies, Organizations, Services, REferences, and Tables of Environmental Health Hazards." Institute of Medicine. 1995. Environmental Medicine: Integrating a Missing Element into Medical Education. Washington, DC: The National Academies Press. doi: 10.17226/4795.
×

information specialists gives advice on whether medications, X-rays, or chemicals in the work environment will harm the developing fetus or breast-fed baby.

MotherRisk Program

Hospital for Sick Children

555 University Avenue

Toronto, Ontario, Canada M5G1X8

(416) 813–6780

National Association of Physicians for the Environment

The National Association of Physicians for the Environment (NAPE) was developed to work with the national medical specialties and subspecialties, with national, state, and local medical societies, and with individual physicians to deal with the impacts of environmental pollutants on the organs, systems, or diseases processes.

National Association of Physicians for the Environment

6410 Rockledge Drive

Suite 203

Bethesda, MD 20817–1809

(301) 571–9791

Pesticide Education Center

Founded in 1933 to educate the public about the hazards and health effects of pesticides, the Pesticide Education Center works with community groups, workers, individuals, and others harmed by or concerned about risks to their health from exposure to pesticides used in agriculture, the home and garden, and other environmental and industrial uses. Its goal is to provide critical information about pesticides so that the public can make more informed decisions and choices. The PEC provides information, curricular materials, and help with seminars and workshops on a nationwide basis.

Pesticide Education Center

P.O. Box 420870

San Francisco, CA 94142–0870

(415) 391–8511

Physicians for Social Responsibility

Physicians for Social Responsibility (PSR) is committed to achieving a sustainable environment. Its environmental program—which complements its work on eliminating weapons of mass destruction and handgun violence—consists of research, advocacy, professional and

Suggested Citation:"D: Resources: Agencies, Organizations, Services, REferences, and Tables of Environmental Health Hazards." Institute of Medicine. 1995. Environmental Medicine: Integrating a Missing Element into Medical Education. Washington, DC: The National Academies Press. doi: 10.17226/4795.
×

public education, and international projects designed to protect public health from the effects of toxic pollution and environmental degradation. PSR has also developed a Global Environmental Task Force to help organize informational conferences around the country.

Founded in 1961, PSR is a leading national organization of over 20,000 health professional and supporters working in 90 chapters throughout the U.S. It is the U.S. affiliate of IPPNW, recipient of the 1985 Nobel Peace Prize.

Physicians for Social Responsibility

1101 14th Street, N.W.

Suite 700

Washington, DC 20005

(202) 898–0150

Society for Occupational and Environmental Health

The Society for Occupational and Environmental Health (SOEH) includes scientists, academicians, and industry and labor representatives who seek to improve the quality of both working and living places by operating as a neutral forum for conferences involving all aspects of occupational and environmental health. SOEH’s activities include studying specific categories of hazards, as well as developing methods for assessment of health effects and diseases associated with particular jobs.

Society for Occupational and Environmental Health

6728 Old McLean Village Drive

McLean, VA 22101

(703) 556–9222

Teratogen Exposure Registry and Surveillance

The Teratogen Exposure Registry and Surveillance (TERAS) is a network of geneticists and pathologists studying human embryos and fetuses exposed to teratogens. TERAS maintains information networks for consultation and evaluations.

Teratogen Exposure Registry and Surveillance

Frederick Bieber, PhD

Director

Department of Pathology

Brigham and Women’s Hospital

75 Francis Street

Boston, MA

(617) 732–6507

Suggested Citation:"D: Resources: Agencies, Organizations, Services, REferences, and Tables of Environmental Health Hazards." Institute of Medicine. 1995. Environmental Medicine: Integrating a Missing Element into Medical Education. Washington, DC: The National Academies Press. doi: 10.17226/4795.
×
WorldWatch Institute

The WorldWatch Institute is a research organization that aims to encourage a reflective and deliberate approach to global problem-solving. The Institute seeks to anticipate global problems and social trends and to focus attention on emerging global issues, including population growth, family planning, environmental degradation, and renewable energy options.

WorldWatch Institute

1776 Massachusetts Avenue, N.W.

Washington, DC 20036

(202) 452–1999

SELECTED TOPICAL RESOURCES

AIR POLLUTION

American Lung Association

(212) 315–8700

EPA Clean Air Act

(202) 382–7548

ART SUPPLIES

Center for Safety in the Arts

(212) 277–6220

ASBESTOS

EPA Asbestos Programs

(800) 368–5888

CANCER INFORMATION

National Cancer Institute

(800) 4-CANCER

EPA Carcinogen Assessment Group

(202) 382–5898

CHEMICAL EMERGENCIES

Chemical Spills Emergency Hotline

(800) 535–0202

EPA Hazardous Waste Hotline

(800) 535–0202

ATSDR Emergency Hotline

(404) 639–6300

CONSUMER PRODUCT SAFETY

Consumer Product Safety Commission

(800) 638–2772

HAZARDOUS WASTE

EPA Emergency Planning and Community

Right to Know Hotline

(800) 535–0202

Integrated Risk Information System (IRIS)

(202) 475–6743

IRIS User Support

(513) 569–7254

Superfund Records of Decision

(703) 920–9810

State Health Departments

LEAD

National Center for Environmental Health (CDC)

(404) 488–4880

National Lead Information Center

(800) LEAD-FYI

Child and Maternal Health Clearinghouse

(202) 625–8410

LUNG DISEASE

American Lung Association

(212) 315–8700

LUNGLINE/National Jewish Hospital

(800) 222–5864

Suggested Citation:"D: Resources: Agencies, Organizations, Services, REferences, and Tables of Environmental Health Hazards." Institute of Medicine. 1995. Environmental Medicine: Integrating a Missing Element into Medical Education. Washington, DC: The National Academies Press. doi: 10.17226/4795.
×

OCCUPATIONAL HEALTH

National Institute for Occupational Safety and Health

(800) 356–4674

Occupational Safety and Health Administration

(202) 219–8151

PESTICIDES

EPA National Pesticides Hotline

(800) 535-PEST

National Pesticide Telecommunications Network

(800) 858–7378

POISONING

Poison Control Centers

PREGNANCY CONCERNS

MotherRisk Program

(416) 813–7378

RADON

EPA Office of Radon Programs

(202) 475–9605

National Radon Hotline

(800) SOS-RADON

State Health Departments

SMOKE

American Lung Association

(212) 315–8700

TOXIC SUBSTANCES

American Chemical Society’s Chemical

Referral Center

(202) 887–1315

ATSDR Emergency Response Branch

(404) 639–6300

ATSDR Toxicological Profiles

(404) 639–6000

EPA Toxic Substances Control Act (TSCA)

Information Line

(202) 554–1404

EPA Toxic Chemical Release Inventory System

(800) 535–0202

WATER

EPA Safe Drinking Water Hotline

(800) 426–4791

COMPUTERIZED INFORMATION SERVICES

Computerized information services have become a valuable link in providing users with up-to-date information, resources, and opportunities for interaction with others interested in similar topics. The following list is by no means comprehensive, but merely provides points of access to relevant information and communication list-servers.

Internet
Department of Energy’s Environment, Safety, and Health Technical Information Service

In 1993, DOE released its new computer-based information service, called the Environment, Safety, and Health Technical Information Service (TIS). TIS is designed to provide the DOE community with technical information that is reliable, current, and easy to use. Eventually, TIS will replace the current Safety Performance Measurement System (SPMS). For more informa-

Suggested Citation:"D: Resources: Agencies, Organizations, Services, REferences, and Tables of Environmental Health Hazards." Institute of Medicine. 1995. Environmental Medicine: Integrating a Missing Element into Medical Education. Washington, DC: The National Academies Press. doi: 10.17226/4795.
×

tion, please address any questions to the TIS Helpline at (208) 526–8955 or send e-mail to support@tis.inel.gov.

Electronic Green Journal

The ELECTRONIC GREEN JOURNAL is a professional refereed publication from the University of Idaho devoted to disseminating information concerning sources of international environmental topics including: assessment, conservation, development, disposal, education, hazards, pollution, resources, technology, and treatment. The journal serves communities as an educational environmental resource, and includes both practical and scholarly articles, bibliographies, reviews, editorial comments, and announcements. The journal is currently available via gopher, worldwide web, or ftp. Subscriptions are being planned for the future. To tap into the journal through gopher, type gopher.uidaho.edu and choose University of Idaho Electronic Publications; to tap in through World-Wide Web (WWW) type http://gopher.uidaho.edu/1/UI_gopher/library/egj/; or to tap in through ftp, type ftp.uidaho.edu.

EnviroLink Network

The Envirolink Network is a non-profit organization that is dedicated to facilitating communication on environmental issues. The network is composed of over 400,000 people in 93 countries. The Network has recently created a new network entitled EnviroFreenet. EnviroFreenet offers e-mail accounts, environmental billboards, chat conferences, the EnviroGopher, the EnviroWeb, and access to almost every other Internet Service available. The network can be accessed using either telnet or gopher. EnviroFreenet can be reached through telnet with the address envirolink.org. Directions then follow. If you have access to gopher, go to the main gopher list and choose international organizations and then choose “EnviroGopher,” followed by “Connect to EnviroFreenet” or gopher to: envirolink.org port 70.

HazDat

The HazDat system is a scientific and administrative database developed by ATSDR to provide rapid access to information on the release of hazardous substances from Superfund sites or from emergency events and on the effects of these substances on the health of human populations. The source documents used for the initial development of HazDat include environmental and health data contained in Agency products and in other non-Agency site characterization documents as appropriate. ATSDR’s products include health assessments and supporting documentation for over 1,200 sites, toxicological profiles for over 150 substances, and more than 2,000 health consultations. ATSDR staff enter data into HazDat on a continuing basis. HazDat is available to the public over the Internet through a World-Wide Web (WWW) server. Access can be gained through: http://atsdr1.atsdr.cdc.gov:8080/atsdrhome.html.

Suggested Citation:"D: Resources: Agencies, Organizations, Services, REferences, and Tables of Environmental Health Hazards." Institute of Medicine. 1995. Environmental Medicine: Integrating a Missing Element into Medical Education. Washington, DC: The National Academies Press. doi: 10.17226/4795.
×
Medical List—A Guide to On Line Medical Resources

The Medical List provides a complete listing of Internet resources connected with health, disease, therapy, and clinical medicine. This resource list is offered in text form as The Medical List and as Medical Matrix—a hypertest database accessible using World Wide Web browsers like Mosaic. The Medical List is the text of Healthmatrix—a Windows Help, icon drive, hypertext presentation of the database. For more information, call (209) 466–6878.

Gopher access to The Medical List is available at the URL: (Uniform Resource Locator) gopher://una.hh.lib.umich.edu:70/11/inetdirs/sciences/medclin:malet. Gopher allows key word searching and e-mail of this document to any Internet address. Access can also be gained through ftp—frp2.cc.ukans.edupub/hmatrix/ and get file medlst94.txt or medlst94.zip.

Medical Matrix is a project of the Internet Working Group of the American Medical Informatics Association. Medical Matrix uses icons and keyword searches to locate on line medical resources. Access can be gained through: http://kuhttp.cc.ukans.edu/cwis/units/medcntr/Lee/HOMEPAHE.HTML.

WHO Global Environmental Epidemiology Network, GEENET

The Network was established in 1987 as a means for the World Health Organization to strengthen education, training and research in institutions involved in epidemiological teaching and research on the health effects of environmental hazards, and other epidemiological applications in environmental and occupational health.

The Network aims at improved communication and collaboration between institutions in this field in developed and developing countries. A series of documents with information of value for training and research development is prepared for the Network and lists of Network members are distributed on a regular basis. Training and research promotion workshops are organized in collaboration with national and international agencies.

For more information, write: WHO GEENET, Environmental Epidemiology, World Health Organization, 1211 Geneva, Switzerland.

List Servers
Air Pollution and Biology

The address is mailbase@mailbase.ac.uk; and you can join by sending the message join airpollution-biology Firstname Lastname and your address.

EHS-L Environmental Health Systems

The address is listserv@ALBNYDH2; and you can join by sending the message subscribe EHS-L Firstname Lastname and your address.

Suggested Citation:"D: Resources: Agencies, Organizations, Services, REferences, and Tables of Environmental Health Hazards." Institute of Medicine. 1995. Environmental Medicine: Integrating a Missing Element into Medical Education. Washington, DC: The National Academies Press. doi: 10.17226/4795.
×
ENVBEH-L Environment and Human Behavior

The address is listserv@POLYVM; and you can join by sending the message subscribe ENVBEH-L Firstname Lastname and your address.

Enviroethics

The address is mailbase@mailbase.ac.uk; and you can join by sending the message join enviroethics Firstname Lastname and your address.

Occup-Env Med List (Occupational and Environmental Medicine Listing on Internet)

Occupational and environmental medicine represents a growing clinical and public health discipline, seeking to evaluate and prevent the diseases and health effects that may be related to exposures at work and from other environments. The Occup-Env Med Mail-list provides a moderated forum for announcements, dissemination of text files and academic discussion. The forum is designed to allow presentation of clinical vignettes, synopses of new regulatory issues and reports of interesting items from publication elsewhere (both the medical and the non-medical journals).

To subscribe, send a message of: subscribe occ-env-med-l “first name last name” to occ-env-med-l@mc.duke.edu.

To post a message send the message to: occ-env-med-l@duke.edu

PBLIST/PBL-LIST (Problem-Based Listing on Internet)

PBLIST is devoted to problem-based learning and related methods in health care education. PBL-LIST covers a broader discussion of problem-based learning in general throughout all disciplines. To subscribe to either of these lists, send a one line e-mail message of:

SUB PBL-LIST Your first name Your last name

to: LISTSERV@eng.monash.edu.au

One can also communicate with other list members by sending mail to PBL-LIST@eng.monash.edu.au

Other Gophers Relevant to Environmental Health, Medicine, and Safety
Center for Safety in the Arts

gopher://tmn.com to reach the CSA gopher and then choose the Arts Wire option, followed by the Center for Safety in the Arts

Suggested Citation:"D: Resources: Agencies, Organizations, Services, REferences, and Tables of Environmental Health Hazards." Institute of Medicine. 1995. Environmental Medicine: Integrating a Missing Element into Medical Education. Washington, DC: The National Academies Press. doi: 10.17226/4795.
×
Division of Environmental Health and Safety

gopher://romulus.ehs.uiuc.edu:70/11

The Environmental Magazine

gopher://gopher.internet.com:2100/11/collected/d

National Institute of Environmental Health Sciences (NIEHS)

gopher://gopher.niehs.nih.gov/1

U.S. Environmental Protection Agency

gopher://gopher.rtpnc.epa.gov/1

Computer-Based Databases*

The National Library of Medicine (NLM) is the world’s largest research library in a single scientific or professional field. The library collects materials in all major areas of the health sciences, as well as in such areas as chemistry, physics, botany, and zoology.

The Library’s computer-based Medical Literature Analysis and Retrieval System (MEDLARS) and toxicology (TOXLINE) databases provide on-line bibliographic access to the Library’s store of bio-medical information. For information about access to MEDLARS and TOXLINE services, contact: MEDLARS Management Section, National Library of Medicine, 8600 Rockville Pike, Bethesda, MD 20894, (301) 496–1131, (800) 638–8480 (outside Maryland).

Primary biomedical data bases included on the MEDLARS system are:

MEDLINE indexes articles from over 3200 biomedical journals published in the US and abroad. MEDLINE is indexed using NLM’s controlled vocabulary, MESH (Medical Subject Headings), and contains all citations indexed in INDEX MEDICUS. Produced by the National Library of Medicine.

TOXLINE is designed to offer comprehensive bibliographic coverage of toxicological information. It covers the pharmacological, biochemical, physiological, environmental, and toxicolog-

*  

Murdock, BS, ed. 1991. Environmental Issues in Primary Care. Minnesota: Minnesota Department of Health.

Suggested Citation:"D: Resources: Agencies, Organizations, Services, REferences, and Tables of Environmental Health Hazards." Institute of Medicine. 1995. Environmental Medicine: Integrating a Missing Element into Medical Education. Washington, DC: The National Academies Press. doi: 10.17226/4795.
×

ical effects of chemicals and drugs. Produced by Specialized Information Services of the National Library of Medicine.

TOXNET (Toxicology Data Network) is a computerized system of toxicological data banks operated by the National Library of Medicine, and is part of the broader MEDLARS system.

The TOXNET software consists of modules to build, edit, and review the records of constituent data banks.

CCRIS (Chemical Carcinogenesis Research Information System) is a factual data bank sponsored by the National Cancer Institute. It contains data derived from both short- and long-term bioassays on approximately 1200 chemicals.

ETICBACK (Environmental Teratology Information Center Backfile) is a bibliographic data base covering teratology and development toxicology.

TRI (Toxic Chemical Release Inventory) contains information on the annual estimated releases of toxic chemicals to the environment in the United States. These data include the names and addresses of the facilities and the amounts of certain toxic chemicals they release to the air, water, or land or transfer to waste sites.

HSDB (Hazardous Substances Data Bank) is a comprehensive data base containing records for over 4100 toxic or potentially toxic chemicals. It contains information in such areas as toxicity, environmental fate, human exposure, chemical safety, waste disposal, emergency handling, and regulatory requirements.

IRIS (Integrated Risk Information System) is an on-line data base built by the Environmental Protection Agency (EPA). It contains EPA carcinogenic and noncarcinogenic health risk and regulatory information on about 400 chemicals. For more information, call (513) 569–7254.

RTECS (Registry of Toxic Effects of Chemical Substances) contains toxic effects data for approximately 100,000 chemicals. It is built and maintained by the National Institute for Occupational Safety and Health (NIOSH). Acute and chronic effects are covered in such areas as skin/eye irritation, carcinogenicity, mutagenicity, and reproductive consequences.

Contact: (800) 35-NIOSH

DIRLINE (NLM’s Directory of Information Resources on-line) is an on-line database containing information on approximately 15,000 organizations that provide information and services directly to requesters. DIRLINE is available on-line through the MEDLARS system and can also be searched with GRATEFUL MED software.

Contact: (301) 496–1131

Various software packages are available for access to MEDLARS, including:

GRATEFUL MED, a microcomputer software interface that assists users in performing on-line searches of NLM’s databases. GRATEFUL MED can be bought from the National Technical

Suggested Citation:"D: Resources: Agencies, Organizations, Services, REferences, and Tables of Environmental Health Hazards." Institute of Medicine. 1995. Environmental Medicine: Integrating a Missing Element into Medical Education. Washington, DC: The National Academies Press. doi: 10.17226/4795.
×

Information Service (NTIS)

CHEMLEARN (NTIS), an interactive, microcomputer-based training package for CHEMLINE. Produced by Specialized Information Services of the National Library of Medicine, it runs on IBM-PC/XT/AT/PS/2 compatibles. CHEMLEARN is available from NTIS, product number PB88–218144. For more information on the contents of the software, call (301) 496–1131.

TOXLEARN is an interactive, microcomputer-based training package for TOXLINE. Its menu-driven structure allows users to make choices in learning about basic aspects of TOXLINE. It contains approximately four hours of interactive instruction and is produced by the Specialized Information Services of the National Library of Medicine. TOXLEARN runs on IBM-PC compatibles and is available from NTIS, product number PB88–155766. For more information on the contents of the software, call: (301) 496–1131.

GENERAL REFERENCES

Books and Reports

Association of American Medical Colleges (AAMC). 1992. ACME-TRI Report—Educating Medical Students: Assessing Change in Medical Education, The Road to Implementation. Washington, DC: Association of American Medical Colleges.

AAMC. 1992. American Medical Education: Institutions, Programs, and Issues. Washington, DC: Association of American Medical Colleges.


Burgess, WA. 1981. Recognition of Health Hazards in Industry: A Review of Materials and Processes. New York, NY: John Wiley and Sons.


California Public Health Foundation. 1992. Kids and the Environment: Toxic Hazards. Berkeley: California Public Health Foundation.

Chivian, E, McCally, M, Hu, H, and Haines, A, ed. 1993. Critical Condition: Human Health and the Environment. Cambridge: MIT Press.


Institute of Medicine (IOM). 1983. Medical Education and Societal Needs: A Planning Report for the Health Professions. Washington, DC: National Academy Press.

IOM. 1988. Role of the Primary Care Physician in Occupational and Environmental Medicine. Washington, DC: National Academy Press.

IOM. 1990. Meeting Physicians’ Needs for Medical Information on Occupations and Environments. Washington, DC: National Academy Press.

IOM. 1991. Addressing the Physician Shortage in Occupational and Environmental Medicine. Washington, DC: National Academy Press.

IOM. 1993. Environmental Medicine and the Medical School Curriculum. Washington, DC: National Academy Press.

International Labour Office (ILO). 1983. Encyclopedia of Occupational Health and Safety, 3rd ed., 2 volumes. Geneva: ILO.


LaDou, J. 1990. Occupational Medicine. Norwalk, CT: Appleton and Lange.

Last, JM and Wallace, RB, ed. 1992. Public Health and Human Ecology. Norwalk: Appleton and Lange.

Suggested Citation:"D: Resources: Agencies, Organizations, Services, REferences, and Tables of Environmental Health Hazards." Institute of Medicine. 1995. Environmental Medicine: Integrating a Missing Element into Medical Education. Washington, DC: The National Academies Press. doi: 10.17226/4795.
×

Levy, B and Wegman, D. 1995. Occupational Health: Recognizing and Preventing Work-related Disease. 3rd ed. Boston, MA: Little, Brown.

McCunney, RJ, ed. 1994. A Practical Approach to Occupational and Environmental Medicine. Boston: Little, Brown.

Murdock, BS. 1991. Environmental Issues in Primary Care. Minneapolis: Freshwater Foundation’s Health and the Environment Digest.


National Library of Medicine. 1989. Improving Health Professionals’ Access to Information: Challenges and Opportunities for the National Library of Medicine. Washington, DC: National Library of Medicine.

National Research Council (NRC). 1989. Improving Risk Communication. Washington, DC: National Academy Press.


Paul, M, ed. 1993. Occupational and Environmental Reproductive Hazards: A Guide For Clinicians. Baltimore: Williams and Wilkins.


Rom, W, ed. 1992. Environmental and Occupational Medicine, Second Edition. Boston: Little, Brown.

Rosenstock, L and Cullen, M. 1986. Clinical Occupational Medicine. Philadelphia: W.B. Saunders Company.

Rosenstock, L and Cullen, M. 1994. Textbook of Clinical Occupational and Environmental Medicine. Philadelphia: W.B.Saunders Company.


Silbergeld, EK. 1993. Investing in Prevention: Opportunities to Reduce Disease and Health Care Costs Through Identifying and Reducing Environmental Contributions to Preventable Disease. Washington, DC: Environmental Defense Fund.

Sullivan, JB and Krieger, GR. 1992. Hazardous Materials Toxicology: Clinical Principles in Environmental Health. Baltimore, MD: Williams and Wilkins.


Tarcher, AB, ed. 1992. Principles and Practice of Environmental Medicine. New York: Plenum Medical Book Company.


Upton, AC and Graber, E. 1993. Staying Healthy in a Risky Environment: The New York University Medical Center Family Guide. New York: Simon and Schuster.

U.S. Environmental Protection Agency. 1988. Proposed Guidelines for Assessing Female Reproductive Risk. Federal Register 53:24834–24847.

U.S. Environmental Protection Agency. 1988. Proposed Guidelines for Assessing Male Reproductive Risk. Federal Register 53:24850–24869.

U.S. Environmental Protection Agency. 1992. Guidelines for Exposure Assessment. Federal Register 57:22888–22938.


World Health Organization: Our Planet, Our Health. 1992. Report of the WHO Commission Health and Environment. World Health Organization, Geneva.

Curriculum Resources

The American College of Occupational and Environmental Medicine (ACOEM). 1993. Core Curriculum in Environmental Medicine: State-of-the-Art Conference, Dallas, Texas—Oct. 25–29.


Barrows, HS. 1985. How to Design a Problem-Based Curriculum for the Preclinical Years. New York: Springer Publishing Company.

Suggested Citation:"D: Resources: Agencies, Organizations, Services, REferences, and Tables of Environmental Health Hazards." Institute of Medicine. 1995. Environmental Medicine: Integrating a Missing Element into Medical Education. Washington, DC: The National Academies Press. doi: 10.17226/4795.
×

Kaufman, A, ed. 1985. Implementing Problem-Based Medical Education. New York: Springer Publishing Company.


Marston, RQ and Jones, RM, eds. 1992. Medical Education in Transition. Princeton: The Robert Wood Johnson Foundation.


Preventive Pulmonary Academic Award Program. 1993. Guidelines for Curriculum Development for Undergraduate Medical Education in the Prevention of Pulmonary Diseases. Division of Lung Diseases, National Heart, Lung, and Blood Institute, National Institutes of Health, November.

Preventive Pulmonary Academic Award Program. 1994. Knowledge Bases and Sample Curricula: A Companion Volume to the Guidelines for Curriculum Development for Undergraduate Medical Education in the Prevention of Pulmonary Diseases. Division of Lung Diseases, National Heart, Lung, and Blood Institute, National Institutes of Health, March.


Stritter, FT. 1992. Faculty Evaluation and Development. Handbook of Health Professionals Education. 13:294–318.

Suggested Citation:"D: Resources: Agencies, Organizations, Services, REferences, and Tables of Environmental Health Hazards." Institute of Medicine. 1995. Environmental Medicine: Integrating a Missing Element into Medical Education. Washington, DC: The National Academies Press. doi: 10.17226/4795.
×

TABLES OF TOXIC CHEMICALS, HEALTH EFFECTS, AND OCCUPATIONAL EXPOSURES

TABLE D-1: Environmental Agents, Their Sources and Potential Exposures, and Adverse Health Effects: Metals and Metallic Compounds, Hydrocarbons, Irritant Gases, Chemical Asphyxiants, and Pesticides

Agent

Exposure

Route of Entry

Systems(s) Affected

Primary Manifestations

Aids in Diagnosis

Remarks

Metals and Metallic Compounds

Arsenic

Alloyed with lead and copper for hardness; manufacturing of pigments, glass, pharmaceuticals; byproduct in copper smelting; insecticides; fungicides; rodenticides; tanning

Inhalation and ingestion of dust and fumes

Neuromuscular

Peripheral neuropathy, sensory-motor

Arsenic in urine

 

Gastrointestinal

Nausea and vomiting, diarrhea, constipation

Skin

Dermatitis, finger and toenail striations, skin cancer, nasal septum perforation

Pulmonary

Lung cancer

Arsine

Accidental byproduct of reaction of arsenic with acid; used in semiconductor industry

Inhalation of gas

Hematopoietic

Intravascular hemolysis: hemoglobinuria, jaundice, oliguria or anuria

Arsenic in urine

 

Beryllium

Hardening agent in metal alloys; special use in nuclear energy production; metal refining or recovery

Inhalation of fumes or dust

Pulmonary (and other systems)

Granulomatosis and fibrosis

Beryllium in urine (acute); Beryllium in tissue (chronic); chest x ray; immunologic tests (such as lymphocyte transformation) may also be useful

Pulmonary changes virtually indistinguishable from sarcoid on chest x ray

Suggested Citation:"D: Resources: Agencies, Organizations, Services, REferences, and Tables of Environmental Health Hazards." Institute of Medicine. 1995. Environmental Medicine: Integrating a Missing Element into Medical Education. Washington, DC: The National Academies Press. doi: 10.17226/4795.
×

Agent

Exposure

Route of Entry

Systems(s) Affected

Primary Manifestations

Aids in Diagnosis

Remarks

Cadmium

Electroplating; solder for aluminum; metal alloys, process engraving; nickel-cadmium batteries

Inhalation or ingestion of fumes or dust

Pulmonary

Pulmonary edema (acute); Emphysema (chronic)

 

Also a respiratory tract carcinogen

Renal

Nephrosis

Urinary protein

Chromium

In stainless and heat-resistant steel and alloy steel; metal plating; chemical and pigment manufacturing; photography

Percutaneous absorption, inhalation, ingestion

Pulmonary

Lung cancer

Urinary chromate (questionable value)

 

Skin

Dermatitis, skin ulcers, nasal septum perforation

Lead

Storage batteries; manufacturing of paint, enamel, ink, glass, rubber ceramics, chemical industry

Ingestion of dust, inhalation of dust or fumes

Hematologic

Anemia

Blood lead Urinary ALA Zinc protoporphyrin (ZPP); free erythrocyte protophyrin (FEP)

Lead toxicity, unlike that of mercury, is believed to be reversible, with the exception of late renal and some CNS effects.

Renal

Nephropathy

Gastrointestinal

Abdominal pain (“colic”)

Neuromuscular

Palsy (“wrist drop”)

CNS

Encephalopathy, behavioral abnormalities

Reproductive

Spontaneous abortions (?)

Mercury (Elemental)

Electronic equipment; paint; metal and textile production; catalyst in chemical manufacturing; pharmaceutical production

Inhalation of vapor; slight percutaneous absorption

Pulmonary CNS

Acute pneumonitis; Neuropsychiatric changes (erethism); tremor

Urinary mercury

Mercury illustrates several principles. The chemical form has a profound effect on its toxicology, as is the case for many metals. Effects of mercury are highly variable. Though inorganic mercury poisoning is primarily renal, elemental and organic poisoning are primarily neurological.

Suggested Citation:"D: Resources: Agencies, Organizations, Services, REferences, and Tables of Environmental Health Hazards." Institute of Medicine. 1995. Environmental Medicine: Integrating a Missing Element into Medical Education. Washington, DC: The National Academies Press. doi: 10.17226/4795.
×

(Inorganic)

Agricultural and industrial poisons

Some inhalation and GI and percutaneous absorption

Pulmonary

Acute pneumonitis

Urinary mercury

The responses are difficult to quantify, so dose-response data are generally unavailable. Classic tetrad of gingivitis, sialorrhea, irritability, and tremor is associated with both elemental and inorganic mercury poisoning; the four signs are not generally seen together. Many effects of mercury toxicity, especially those in CNS, are irreversible.

Renal

Proteinuria

CNS

Variable

(Organic)

Efficient GI absorption, percutaneous absorption, and inhalation

Skin

Dermatitis

Blood and urine mercury, but sensitivity

CNS

Sensorimotor changes, visual field constriction, tremor

Nickel

Corrosion-resistant alloys; electroplating; catalyst production; nickel-cadmium batteries

Inhalation of dust or fumes

Skin

Sensitization dermatitis (“nickel itch”)

 

Pulmonary

Lung and paranasal sinus cancer

Zinc oxide

Welding byproduct; rubber manufacturing

Inhalation of dust or fumes that are freshly generated

 

“Metal fume fever” (fever, chills, and other symptoms)

Urinary zinc (useful as an indicator of exposure, not for acute diagnosis)

A self-limiting syndrome of 24–48 h with apparently no sequelae

Hydrocarbons

Benzene

Manufacturing of organic chemicals, detergents, pesticides, solvents, paint removers; used as a solvent

Inhalation of vapor; slight percutaneous absorption

CNS

Acute CNS depression

Urinary phenol

Note that benzene, as with toluene and other solvents, can be monitored via its principal metabolite.

Hematopoietic

Skin

Leukemia, aplastic anemia

Dermatitis

Suggested Citation:"D: Resources: Agencies, Organizations, Services, REferences, and Tables of Environmental Health Hazards." Institute of Medicine. 1995. Environmental Medicine: Integrating a Missing Element into Medical Education. Washington, DC: The National Academies Press. doi: 10.17226/4795.
×

Agent

Exposure

Route of Entry

Systems(s) Affected

Primary Manifestations

Aids in Diagnosis

Remarks

Toluene

Organic chemical manufacturing; solvent; fuel component

Inhalation of vapor, percutaneous absorption of liquid

CNS

Acute CNS depression

Chronic CNS problems such as memory loss

Urinary hippuric acid

 

Skin

Irritation dermatitis

Xylene

A wide variety of uses as a solvent; an ingredient of paints, lacquers, varnishes, inks, dyes, adhesives, cements; an intermediate in chemical manufacturing

Inhalation of vapor; slight percutaneous absorption of liquid

Pulmonary

Irritation, pneumonitis, acute pulmonary edema (at high doses)

Methylhippuric acid in urine, xylene in expired air, xylene in blood

 

Eye, nose, throat

Irritation

CNS

Acute CNS depression

Ketones (Acetone) (Methylethyl ketone-MEK) (Methyl n-propyl ketone-MPK) (Methyl n-butyl ketone-MBK) (Methyl iso-butyl ketone-MIBK)

A wide variety of uses as solvents and intermediates in chemical manufacturing

Inhalation of vapor, percutaneous absorption of liquid

CNS

Acute CNS depression

Acetone in blood, urine, expired air (used as an index for exposure, not for diagnosis)

The ketone family demonstrates how a pattern of toxic responses (that is, CNS narcosis) may feature exceptions (that is, MBK peripheral neuropathy)

PNS

MBK has been linked with peripheral neuropathy

Skin

Dermatitis

Formaldehyde

Widely used as a germicide and a disinfectant in embalming and histopathology, for example, an in the manufacture of textiles, resins, and other products

Inhalation

Skin

Irritant and contact dermatitis

Patch testing may be helpful for dermatitis

Recent animal tests have shown it to be a respiratory carcinogen. Confirmatory epidemiologic studies are in progress

Eye

Pulmonary

Eye irritation

Respiratory tract irritation, asthma

Suggested Citation:"D: Resources: Agencies, Organizations, Services, REferences, and Tables of Environmental Health Hazards." Institute of Medicine. 1995. Environmental Medicine: Integrating a Missing Element into Medical Education. Washington, DC: The National Academies Press. doi: 10.17226/4795.
×

Trichloro-ethylene (TCE)

Solvent in metal degreasing, dry cleaning, food extraction; ingredient of paints, adhesives, varnishes, inks

Inhalation, percutaneous absorption

Nervous

Acute CNS depression

Peripheral and cranial neuropathy

Breath analysis for TCE

TCE is involved in an important pharmacological interaction. Within hours of ingesting alcoholic beverages, TCE workers experience flushing of the face, neck, shoulders, and back. Alcohol may also potentiate the CNS effects of TCE. The probable mechanism is competition for metabolic enzymes

Skin

Irritation, dermatitis

Cardiovascular

Arrhythmias

Carbon tetrachloride

Solvent for oils, fats, lacquers, resins, varnishes, other materials; used as a degreasing and cleaning agent

Inhalation of vapor

Hepatic

Toxic hepatitis

Expired air and blood levels

Carbon tetrachloride is the prototype for a wide variety of solvents that cause hepatic and renal damage. This solvent, like trichloroethylene, acts synergistically with ethanol.

Renal

Oliguria or anuria

CNS

Acute CNS depression

Skin

Dermatitis

Carbon disulfide

Solvent for lipids, sulfur, halogens, rubber, phosphorus, oils, waxes, and resins; manufacturing of organic chemicals, paints, fuels, explosives, viscose rayon

Inhalation of vapor, percutaneous absorption of liquid or vapor

Nervous

Parkinsonism, psychosis, suicide Peripheral neuropathies

Iodine-azide reaction with urine (nonspecific since other bivalent sulfur compounds give a positive test); CS2 in expired air, blood, and urine

A solvent with unusual multisystem effects, especially noted for its cardiovascular, renal, and nervous system actions.

Renal

Chronic nephritic and nephrotic syndromes

Cardiovascular

Acceleration or worsening of atherosclerosis; hypertension

Skin

Irritation; dermatitis

Reproductive

Menorrhagia and metrorrhagia

Suggested Citation:"D: Resources: Agencies, Organizations, Services, REferences, and Tables of Environmental Health Hazards." Institute of Medicine. 1995. Environmental Medicine: Integrating a Missing Element into Medical Education. Washington, DC: The National Academies Press. doi: 10.17226/4795.
×

Agent

Exposure

Route of Entry

Systems(s) Affected

Primary Manifestations

Aids in Diagnosis

Remarks

Stoddard solvent

Degreasing, paint thinning

Inhalation of vapor, percutaneous absorption of liquid

Skin

Dryness and scaling from defatting; dermatitis

 

A mixture of primarily aliphatic hydrocarbons, with some benzene derivatives and naphthenes.

CNS

Dizziness, coma, collapse (at high levels)

Ethylene glycol ethers

(Ethylene glycol monoethyl ether-Cellosolve)

(Ethylene glycol monoethyl ether acetate-Cellosolve acetate)

(Methyl- and butyl-substituted compounds such as ethylene glycol mono-methyl ether-Methyl Cellosolve)

The ethers are used as solvents for resins, paints, lacquers, varnishes, gum, perfume, dyes, and inks; the acetate derivatives are widely used as solvents and ingredients of lacquers, enamels, and adhesives. Exposure occurs in dry cleaning, plastic, ink, and lacquer manufacturing, and textile dying, among other processes.

Inhalation of vapor, percutaneous absorption of liquid

Reproductive, CNS, renal, liver

 

Ethylene glycol ethers, as a class of chemicals, have been shown in animals to have adverse reproductive effects, including reduced sperm count and spontaneous abortion, as well as CNS, renal, and liver effects.

Ethylene oxide

Used in the sterilization of medical equipment, in the fumigation of spices and other foodstuffs, and as a chemical intermediate

Inhalation

Skin

Dermatitis and frostbite

 

Recent animal tests have shown it to be carcinogenic and to cause reproductive abnormalities. Epidemiologic studies indicate that it may cause leukemia in exposed workers.

Eye

Severe irritation; possibly cataracts with prolonged exposure

Respiratory tract

Irritation

Nervous system

Peripheral neuropathy

Suggested Citation:"D: Resources: Agencies, Organizations, Services, REferences, and Tables of Environmental Health Hazards." Institute of Medicine. 1995. Environmental Medicine: Integrating a Missing Element into Medical Education. Washington, DC: The National Academies Press. doi: 10.17226/4795.
×

Dioxane

Used as a solvent for a variety of materials, including cellulose acetate, dyes, fats, greases, resins, polyvinyl polymers, varnishes, and waxes

Inhalation of vapor, percutaneous absorption of liquid

CNS

Drowsiness, dizziness, anorexia, headaches, nausea, vomiting, coma Nephritis

 

Dioxane has caused a variety of neoplasms in animals.

Renal

Liver

Chemical hepatitis

Polychlorinated biphenyls (PCBs)

Formerly used as a di-electric fluid in electrical equipment and as a fire retardant coating on tiles and other products. New uses were banned in 1976, but much of the electrical equipment currently used still contains PCBs

Inhalation, ingestion, skin absorption

Skin

Chloracne

Serum PCB levels for chronic exposure

Animal studies have demonstrated that PCBs are carcinogenic. Epidemiologic studies of exposed workers are inconclusive.

Eye

Irritation

Liver

Toxic hepatitis

Irritant Gases

Ammonia

Refrigeration; petroleum refining; manufacturing of nitrogen-containing chemicals, synthetic fibers, dyes, and optics

Inhalation of gas

Upper respiratory tract

Upper respiratory irritation

 

Also irritant of eyes and moist skin

Hydrochloric acid

Chemical manufacturing; electroplating; tanning; metal pickling; petroleum extraction; rubber, photographic, and textile industries

Inhalation of gas or mist

Upper respiratory tract

Upper respiratory irritation

Strong irritant of eyes, mucous membranes, and skin

Hydrofluoric acid

Chemical and plastic manufacturing; catalyst in petroleum refining; aqueous solution for frosting, etching, and polishing glass

Inhalation of gas or mist

Upper respiratory tract

Upper respiratory irritation

In solution, causes severe and painful burns of skin and can be fatal

Sulfur dioxide

Manufacturing of sulfur-containing chemicals; food and textile bleach; tanning; metal casting

Inhalation of gas, direct contact of gas or liquid phase on skin or mucosa

Middle respiratory tract

Bronchospasm (pulmonary edema or chemical pneumonitis in high dose)

Chest x ray, pulmonary function tests

Strong irritant of eyes, mucous membranes, and skin

Suggested Citation:"D: Resources: Agencies, Organizations, Services, REferences, and Tables of Environmental Health Hazards." Institute of Medicine. 1995. Environmental Medicine: Integrating a Missing Element into Medical Education. Washington, DC: The National Academies Press. doi: 10.17226/4795.
×

Agent

Exposure

Route of Entry

Systems(s) Affected

Primary Manifestations

Aids in Diagnosis

Remarks

Chlorine

Paper and textile bleaching; water disinfection; chemical manufacturing; metal fluxing; detinning and dezincing iron

Inhalation of gas

Middle respiratory tract

Tracheobronchitis, pulmonary edema, pneumonitis

Chest x ray, pulmonary function tests

Chlorine combines with body moisture to form acids, which irritate tissues from nose to alveoli.

Ozone

Inert gas-shielded arc welding; food, water, and air purification; food and textile bleaching; emitted around high-voltage electrical equipment

Inhalation of gas

Lower respiratory tract

Delayed pulmonary edema (generally 6–8 h following exposure)

Chest x ray, pulmonary function tests

Ozone has a free radical structure and can produce experimental chromosome aberrations; it may thus have carcinogenic potential.

Nitrogen oxides

Manufacturing of acids, nitrogen containing chemicals, explosives, and more; byproduct of many industrial processes

Inhalation of gas

Lower respiratory tract

Pulmonary irritation, bronchiolitis fibrosa obliterans (“silo filler’s disease”), mixed obstructive-restrictive changes

Chest x ray, pulmonary function tests

 

Phosgene

Manufacturing and burning of isocyanates, and manufacturing of dyes and other organic chemicals; in metallurgy for ore separation; burning or heat source near trichloroethylene

Inhalation of gas

Lower respiratory tract

Delayed pulmonary edema (delay seldom longer than 12 h)

Chest x ray, pulmonary function tests

Isocyanates

TDI (toluene diisocyanate)

MDI (methylene diphenyldiisocyanate)

Hexamethylene diisocyanate and others

Polyurethane manufacture; resinbinding systems in foundries; coating materials for wires; used in certain types of paint

Inhalation of vapor

Predominantly lower respiratory tract

Asthmatic reaction and accelerated loss of pulmonary function

Chest x ray, pulmonary function tests

Isocyanates are both respiratory tract “sensitizes” and irritants in the conventional sense.

Suggested Citation:"D: Resources: Agencies, Organizations, Services, REferences, and Tables of Environmental Health Hazards." Institute of Medicine. 1995. Environmental Medicine: Integrating a Missing Element into Medical Education. Washington, DC: The National Academies Press. doi: 10.17226/4795.
×

Asphyxiant gases

Simple asphyxiants: nitrogen hydrogen, methane, and others

Enclosed spaces in a variety of industrial settings

Inhalation of gas

CNS

Anoxia

O2 in environment

No specific toxic effect; act by displacing O2

Chemical Asphyxiants

Carbon monoxide

Incomplete combustion in foundries, coke ovens, refineries, furnaces, and more

Inhalation of gas

Blood (hemoglobin)

Headache, dizziness, double vision

Carboxyhemoglobin

 

Hydrogen sulfide

Used in manufacturing of sulfur-containing chemicals; produced in petroleum production; byproduct of petroleum product use; decay of organic matter

Inhalation of gas

CNS

Respiratory center paralysis, hypoventilation

PaO2

Pulmonary

Respiratory tract irritation

Cyanide

Metallurgy, electroplating

Inhalation of vapor, percutaneous absorption, ingestion

Cellular metabolic enzymes (especially cytochrome oxidase)

Enzyme inhibition with metabolic asphyxia and death

SCN in urine

Pesticides

Organophophates: malathion, parathion, and others

 

Inhalation, ingestions, percutaneous absorption

Neuromuscular

Cholinesterase inhibition, cholinergic symptoms: nausea and vomiting, salivation, diarrhea, headache, seating, meiosis, muscle fasciculations, seizures, unconsciousness, death

Refractoriness to atropine; plasma or red cell cholinesterase

As with many acute toxins, rapid treatment of organophosphate toxicity is imperative. Thus, diagnosis is often made based on history and a high index of suspicion rather than on biochemical tests. Treatment is atropine to block cholinergic effects and 2-PAM (2-pyridine-alsoxine methiodide) to reactivate cholinesterase.

Suggested Citation:"D: Resources: Agencies, Organizations, Services, REferences, and Tables of Environmental Health Hazards." Institute of Medicine. 1995. Environmental Medicine: Integrating a Missing Element into Medical Education. Washington, DC: The National Academies Press. doi: 10.17226/4795.
×

Agent

Exposure

Route of Entry

Systems(s) Affected

Primary Manifestations

Aids in Diagnosis

Remarks

Carbamates: carbaryl (Sevin) and others

 

Inhalation, ingestion, percutaneous absorption

Neuromuscular

Same as organophosphates

Plasma cholinesterase; urinary 1-naphthol (index of exposure)

Treatment of carbamate poisoning is the same as that of organophosphate poisoning except that 2-PAM is contra-indicated.

Chlorinated hydrocarbons: chlordane, DDT, heptachlor, chlordecone (Kepone), aldrin, dieldrin, uridine

Ingestion, inhalation, percutaneous absorption

CNS

Stimulation or depression

Urinary organic chlorine, or p-chlorophenol acetic acid

The chlorinated hydrocarbons may accumulate in body lipid stores in large amounts.

Bipyridyls: paraquat, diquat

Inhalation, ingestion, percutaneous absorption

Pulmonary

Rapid massive fibrosis, only following paraquat ingestion

 

An interesting toxin in that the major toxicity, pulmonary fibrosis, apparently occurs only after ingestion.

 

SOURCE: Principles and Practice of Environmental Health, A.B.Tarcher, ed., Plenum, New York, 1992.

Suggested Citation:"D: Resources: Agencies, Organizations, Services, REferences, and Tables of Environmental Health Hazards." Institute of Medicine. 1995. Environmental Medicine: Integrating a Missing Element into Medical Education. Washington, DC: The National Academies Press. doi: 10.17226/4795.
×

TABLE D-2: Selected Work-Related Diseases, Disorders, and Conditions Associated with Various Agents, Industries, or Occupations: Infections, Malignant Neoplasms, and Hematological, Cardiovascular, Pulmonary, Neurological, and Miscellaneous Disorders

Diseases, Disorders, and Conditions

Industry or Occupation

Agent

Infections

Anthrax

Shepherds, farmers, butchers, handlers of imported hides or fibers, veterinarians, veterinarian pathologists, weavers

Bacillus anthraces

Brucellosis

Farmers, shepherds, vets, lab and slaughterhouse workers

Brucella abortus, suis

Plague

Shepherds, farmers, ranchers, hunters, field geologists

Yersinia pestis

Hepatitis A

Day-care center, orphanage, and mental retardation institution staff, medical personnel

Hepatitis A virus

Hepatitis B

Nurses and aides, anesthesiologists, orphanage and mental institution staffs, medical lab workers, general dentists, oral surgeons, physicians

Hepatitis B virus

Hepatitis C (formerly included in non-A, non-B)

Same as hepatitis A and B

Hepatitis C virus

Ornithosis

Psittacine bird breeders, pet shop and zoo workers, poultry producers, vets

Chlamydia psittaci

Rabies

Veterinarians, game wardens, lab workers, farmers, ranchers, trappers

Rabies virus

Rubella

Medical personnel

Rubella virus

Tetanus

Farmers, ranchers

Clostridium tetani

Tuberculosis Pulmonary

Physicians, medical personnel, medical lab workers

Mycobacterium tuberculosis

Tuberculosis Silicotuberculosis

Quarrymen, sandblasters, silica processors, miners, foundry workers, ceramic industry

Silicon dioxide (silica), M. tuberculosis

Tularemia

Hunters, fur handlers, sheep industry, cooks, veterinarians, ranchers, veterinarian pathologists

Francisella tularensis

Suggested Citation:"D: Resources: Agencies, Organizations, Services, REferences, and Tables of Environmental Health Hazards." Institute of Medicine. 1995. Environmental Medicine: Integrating a Missing Element into Medical Education. Washington, DC: The National Academies Press. doi: 10.17226/4795.
×

Diseases, Disorders, and Conditions

Industry or Occupation

Agent

Malignant Neoplasms

Bladder

Rubber and dye workers

Benzidine, 1- and 2-naphthylamine, auramine, magenta, 4-aminobiphenyl, 4-nitrophenyl

Bone

Dial painters, radium chemists and processors

Radium

Kidney and other urinary organs

Coke oven workers

Coke oven emissions

Liver

Vinyl chloride polymerization industry

Vinyl chloride monomer

Liver hemangiosarcoma

Vintners

Arsenical pesticides

Lung, bronchial, tracheal

Asbestos industry, users

Topside coke oven workers

Uranium and flourspar miners

Chromium producers, processors, users

Smelters

Mustard gas formulators

Ion-exchange resin makers, chemists

Asbestos

Coke oven emissions

Radon daughters

Chromates

Arsenic

Mustard gas

Bis(chloromethyl)-ether,

chloromethyl methyl ether

Nasal cavity

Woodworkers, furniture makers

Boot and shoe industry

Radium chemists and processors, dial painters

Chromium producers, processors, users

Nickel smelting and refining

Hardwood dusts

Unknown

Radium

Chromates

Nickel

Asbestos

Peritoneal, pleural mesothelioma

Asbestos industry, users

Asbestos

Scrotal

Automatic lathe operators, metalworkers

Coke oven workers, petroleum refiners, tar distillers

Mineral, cutting oils

Soots and tars, tar distillates

Hematological Disorders

Agranulocytosis or neutropenia

Workers exposed to benzene

Explosives, pesticide industries

Pesticide, pigment, pharmaceutical industries

Benzene

Phosphorous

Inorganic arsenic

Suggested Citation:"D: Resources: Agencies, Organizations, Services, REferences, and Tables of Environmental Health Hazards." Institute of Medicine. 1995. Environmental Medicine: Integrating a Missing Element into Medical Education. Washington, DC: The National Academies Press. doi: 10.17226/4795.
×

Diseases, Disorders, and Conditions

Industry or Occupation

Agent

Anemia

Aplastic

Explosives manufacturing

Workers exposed to benzene

Radiologists, radium chemists, dial painters

TNT

Benzene

Ionizing radiation

Anemia Hemolytic, nonautoimmune

Whitewashing and leather industry

Electrolytic processes, arsenical ore smelting

Plastics industry

Dye, celluloid, resin industries

Copper sulfate

Arsine

Trimellitic anhydride

Naphthalene

Leukemia

Acute lymphoid

Rubber industry

Radiologists

Unknown

Ionizing radiation

Leukemia

Acute myeloid

Workers exposed to benzene

Radiologists

Benzene

Ionizing radiation

Leukemia

Erythroleukemia

Workers exposed to benzene

Benzene

Methemoglobinemia

Explosives, dye industries

Aromatic amino and nitro compounds (e.g., aniline, TNT, nitroglycerin)

Cardiovascular Disorders

Angina

Auto mechanics, foundry workers, wood finishers, traffic control, driving in heavy traffic

Carbon monoxide

Arrhythmias

Metal cleaning, solvent use, refrigerator maintenance

Solvents, fluorocarbons

Raynaud’s phenomenon

(secondary)

Lumberjacks, chain sawyers, grinders, chippers

Vinyl chloride polymerization

Whole-body or segmental vibration

Vinyl chloride monomer

Pulmonary Disorders

Alveolitis (extrinsic, allergic)

Farmer’s lung bagassosis, bird-breeder’s lung, suberosis, maltworker’s lung, mushroom worker’s lung, maple bark disease, cheese-washer’s lung, coffee-worker’s lung, fish-meal-worker’s lung, furrier’s lung, sequoiosis, woodworker’s lung, miller’s lung

Various agents

Asbestosis

Asbestos workers, users

Asbestos

Suggested Citation:"D: Resources: Agencies, Organizations, Services, REferences, and Tables of Environmental Health Hazards." Institute of Medicine. 1995. Environmental Medicine: Integrating a Missing Element into Medical Education. Washington, DC: The National Academies Press. doi: 10.17226/4795.
×

Diseases, Disorders, and Conditions

Industry or Occupation

Agent

Asthma (extrinsic)

Jewelry, alloy, catalyst makers

Polyurethane, adhesive, paint workers

Alloy, catalyst, refinery workers

Solderers

Platinum

Isocyanates

Chromium, cobalt

Aluminum soldering flux

Phthalic anhydride

Formaldehyde

Gum arabic

Nickel sulfate

Flour

Trimellitic anhydride

Red cedar, wood dusts

Bacillus-derived exoenzymes

Animal dander

Plastic, dye, insecticide makers

Foam workers, latex makers, biologists

Printing industry

Nickel platers

Bakers

Plastics industry

Woodworkers, furniture makers

Detergent formulators

Animal handlers

Beryllium disease (chronic)

Beryllium alloy, ceramic, cathode-ray tube, nuclear reactor workers

Beryllium

Bronchitis, pneumonitis, pulmonary edema (acute)

Refrigeration, fertilizer, oil-refining industries

Alkali, beach industries

Silo fillers, arc welders, nitric acid workers

Paper, refrigeration, oil-refining industries

Cadmium smelters, processors

Plastics industry

Ammonia

Chlorine

Nitrogen oxides

Sulfur dioxide

Cadmium

Trimellitic anhydride

Byssinosis

Cotton industry

Cotton, flax, hemp, cotton-synthetic dusts

Pneumoconiosis

Coal miners, bauxite workers

Coal dust, bauxite fumes

Silicosis

Mining, metal, and ceramic industries, quarry men, sand blasters, silica processors

Silica

Talcosis

Talc processors

Talc

Neurological Disorders

Cerebellar ataxia

Chemical industry

Electrolytic chlorine production, battery manufacturing, fungicide formulators

Toluene

Organic mercury

Encephalitis (toxic)

Battery, smelter, foundry workers

Electrolytic chlorine production, battery manufacturing, fungicide formulators

Lead

Organic, inorganic mercury

Suggested Citation:"D: Resources: Agencies, Organizations, Services, REferences, and Tables of Environmental Health Hazards." Institute of Medicine. 1995. Environmental Medicine: Integrating a Missing Element into Medical Education. Washington, DC: The National Academies Press. doi: 10.17226/4795.
×

Diseases, Disorders, and Conditions

Industry or Occupation

Agent

Neuropathy (toxic and inflammatory)

Pesticide, pigment, pharmaceutical industries

Arsenic, arsenic compounds

Hexane

Methyl butyl ketone

TNT

Carbon disulfide

Tri-o-cresyl phosphate

Inorganic lead

Inorganic mercury

Organic mercury

Acrylamide

Furniture refinishers, degreasers

Plastic-coated-fabric workers

Explosives industry

Rayon manufacturing

Plastics, hydraulics, coke industries

Battery, smelter, foundry workers

Dentists, chloralkali workers

Chloralkali, fungicide, battery workers

Plastics, paper manufacture

Parkinson’s disease (secondary)

Manganese processors, battery manufacturing, welders

Internal combustion engine industries

Manganese

Carbon monoxide

Miscellaneous

Abdominal pain

Battery manufacturing, enamelers, smelter, painters, ceramics workers, plumbers, welders

Lead

Cataract

Microwave, radar technicians

Explosives industry

Radiologists

Blacksmiths, glass blowers, bakers

Moth repellent formulators, fumigators

Explosives, dye, herbicide, pesticide industries

Microwaves

TNT

Ionizing radiation

Infrared radiation

Naphthalene

Dinitrophenol, dinitro-o-cresol

Dermatitis (contact, allergic)

Adhesives, sealants, and plastics industries, leather tanning, poultry dressing, fish packing, boat building and repair, electroplating, metal cleaning, machining, housekeeping

Irritants (cutting oils, solvents, phenol, acids, alkalies, detergents, fibrous glass), allergens (nickel, epoxy resins, chro mates, formaldehyde, dyes, rubber products)

Headache

Firefighters, foundry workers, wood finishers, dry cleaners, traffic control, driving in heavy traffic

Carbon monoxide, solvents

Suggested Citation:"D: Resources: Agencies, Organizations, Services, REferences, and Tables of Environmental Health Hazards." Institute of Medicine. 1995. Environmental Medicine: Integrating a Missing Element into Medical Education. Washington, DC: The National Academies Press. doi: 10.17226/4795.
×

Diseases, Disorders, and Conditions

Industry or Occupation

Agent

Hepatitis (toxic)

Solvent users, dry cleaners, plastics industry

Carbon tetrachloride, chloroform, tetrachloroethane trichloroethylene

Phosphorous, TNT

Chloronaphthalene

4,4-Methylene-dianiline

Ethylene dibromide

Cresol

Explosives and dye industries

Fire and waterproofing additive formulators

Plastics formulators

Fumigators, gasoline and fire-extinguishers formulators

Disinfectant, fumigant, synthetic resin formulators

Inner ear damage

Various

Excessive noise

Infertility (male)

Formulators

Producers, formulators, applicators

Kepone

1,2-Dibromo-3-chloropropane

Psychosis (acute)

Gasoline, seed, and fungicide workers, wood preservation, rayon manufacturing

Lead (especially organic), mercury, carbon disulfide

Renal failure (acute, chronic)

Battery manufacturing, plumbers, solderers

Electrolytic processes, arsenical ore smelting

Battery manufacturing, jewelers, dentists

Fluorocarbon, fire-extinguisher formulators

Antifreeze manufacturing

Inorganic lead

Arsine

Inorganic mercury

Carbon tetrachloride

Ethylene glycol

 

SOURCE: Principles and Practice of Environmental Medicine, Tarcher, AB, ed., Plenum, New York, 1992.

Suggested Citation:"D: Resources: Agencies, Organizations, Services, REferences, and Tables of Environmental Health Hazards." Institute of Medicine. 1995. Environmental Medicine: Integrating a Missing Element into Medical Education. Washington, DC: The National Academies Press. doi: 10.17226/4795.
×

TABLE D-3: Selected Job Categories, Exposures, and Associated Work-Related Diseases and Conditions

Job Categories

Exposures

Work-Related Diseases and Conditions

Agricultural workers

Pesticides, infectious agents, gases, sunlight

Pesticide poisoning, “farmers’ lung,” skin cancer

Anesthetists

Anesthetic gases

Reproductive effects, cancer

Animal handlers

Infectious agents, allergens

Asthma

Automobile workers

Asbestos, plastics, lead, solvents

Asbestosis, dermatitis

Bakers

Flour

Asthma

Battery makers

Lead, arsenic

Lead poisoning, cancer

Butchers

Vinyl plastic fumes

“Meat wrappers’ asthma”

Caisson workers

Pressurized work environments

“Caisson disease,” “the bends”

Carpenters

Wood dust, wood preservatives, adhesives

Nasopharyngeal cancer, dermatitis

Cement workers

Cement dust, metals

Dermatitis, bronchitis

Ceramic workers

Talc, clays

Pneumoconiosis

Demolition workers

Asbestos, wood dust

Asbestosis

Drug manufacturers

Hormones, nitroglycerin, etc.

Reproductive effects

Dry cleaners

Solvents

Liver disease dermatitis

Dye workers

Dyestuffs, metals, solvents

Bladder cancer, dermatitis

Embalmers

Formaldehyde, infectious agents

Dermatitis

Felt makers

Mercury, polycyclic hydrocarbons

Mercuralism

Foundry workers

Silica, molten metals

Silicosis

Glass workers

Heat, solvents, metal powders

Cataracts

Hospital workers

Infectious agents, cleansers, radiation

Infections, accidents

Insulators

Asbestos, fibrous glass

Asbestosis, lung cancer, mesothelioma

Suggested Citation:"D: Resources: Agencies, Organizations, Services, REferences, and Tables of Environmental Health Hazards." Institute of Medicine. 1995. Environmental Medicine: Integrating a Missing Element into Medical Education. Washington, DC: The National Academies Press. doi: 10.17226/4795.
×

Job Categories

Exposures

Work-Related Diseases and Conditions

Jack hammer operators

Vibration

Raynaud phenomenon

Lathe operators

Metal dusts, cutting oils

Lung disease, cancer

Laundry workers

Bleaches, soaps, alkalies

Dermatitis

Lead burners

Lead

Lead poisoning

Miners (coal, hard rock, metals, etc.)

Talc, radiation, metals, coal dust, silica

Pneumoconiosis, lung cancer

Natural gas workers

Polycyclic hydrocarbons

Lung cancer

Nuclear workers

Radiation, plutonium

Metal poisoning, cancer

Office workers

Poor lighting, poorly designed equipment

Joint problems, eye problems

Painters

Paints, solvents, spackling compounds

Neurologic problems

Paper makers

Acids, alkalies, solvents, metals

Lung disorders, dermatitis

Petroleum workers

Polycyclic hydrocarbons, catalysts, zeolites

Cancer, pneumoconiosis

Plumbers

Lead, solvents, asbestos

Lead poisoning

Railroad workers

Creosote, sunlight, oils, solvents

Cancer, dermatitis

Seamen

Sunlight, asbestos

Cancer, accidents

Smelter workers

Metals, heat, sulfur dioxide, arsenic

Cancer

Steel workers

Heat, metals, silica

Cataracts, heat stroke

Stone cutters

Silica

Silicosis

Textile workers

Cotton dust, fabrics, finishers, dyes, carbon disulfide

Byssinosis, dermatitis, psychosis

Varnish makers

Solvents, waxes

Dermatitis

Vineyard workers

Arsenic, pesticides

Cancer, dermatitis

Welders

Fumes, nonionizing radiation

Lead poisoning, cataracts

 

SOURCE: Principles and Practice of Environmental Medicine, A.B.Tarcher, ed., Plenum, New York, 1992.

Suggested Citation:"D: Resources: Agencies, Organizations, Services, REferences, and Tables of Environmental Health Hazards." Institute of Medicine. 1995. Environmental Medicine: Integrating a Missing Element into Medical Education. Washington, DC: The National Academies Press. doi: 10.17226/4795.
×
Page 909
Suggested Citation:"D: Resources: Agencies, Organizations, Services, REferences, and Tables of Environmental Health Hazards." Institute of Medicine. 1995. Environmental Medicine: Integrating a Missing Element into Medical Education. Washington, DC: The National Academies Press. doi: 10.17226/4795.
×
Page 910
Suggested Citation:"D: Resources: Agencies, Organizations, Services, REferences, and Tables of Environmental Health Hazards." Institute of Medicine. 1995. Environmental Medicine: Integrating a Missing Element into Medical Education. Washington, DC: The National Academies Press. doi: 10.17226/4795.
×
Page 911
Suggested Citation:"D: Resources: Agencies, Organizations, Services, REferences, and Tables of Environmental Health Hazards." Institute of Medicine. 1995. Environmental Medicine: Integrating a Missing Element into Medical Education. Washington, DC: The National Academies Press. doi: 10.17226/4795.
×
Page 912
Suggested Citation:"D: Resources: Agencies, Organizations, Services, REferences, and Tables of Environmental Health Hazards." Institute of Medicine. 1995. Environmental Medicine: Integrating a Missing Element into Medical Education. Washington, DC: The National Academies Press. doi: 10.17226/4795.
×
Page 913
Suggested Citation:"D: Resources: Agencies, Organizations, Services, REferences, and Tables of Environmental Health Hazards." Institute of Medicine. 1995. Environmental Medicine: Integrating a Missing Element into Medical Education. Washington, DC: The National Academies Press. doi: 10.17226/4795.
×
Page 914
Suggested Citation:"D: Resources: Agencies, Organizations, Services, REferences, and Tables of Environmental Health Hazards." Institute of Medicine. 1995. Environmental Medicine: Integrating a Missing Element into Medical Education. Washington, DC: The National Academies Press. doi: 10.17226/4795.
×
Page 915
Suggested Citation:"D: Resources: Agencies, Organizations, Services, REferences, and Tables of Environmental Health Hazards." Institute of Medicine. 1995. Environmental Medicine: Integrating a Missing Element into Medical Education. Washington, DC: The National Academies Press. doi: 10.17226/4795.
×
Page 916
Suggested Citation:"D: Resources: Agencies, Organizations, Services, REferences, and Tables of Environmental Health Hazards." Institute of Medicine. 1995. Environmental Medicine: Integrating a Missing Element into Medical Education. Washington, DC: The National Academies Press. doi: 10.17226/4795.
×
Page 917
Suggested Citation:"D: Resources: Agencies, Organizations, Services, REferences, and Tables of Environmental Health Hazards." Institute of Medicine. 1995. Environmental Medicine: Integrating a Missing Element into Medical Education. Washington, DC: The National Academies Press. doi: 10.17226/4795.
×
Page 918
Suggested Citation:"D: Resources: Agencies, Organizations, Services, REferences, and Tables of Environmental Health Hazards." Institute of Medicine. 1995. Environmental Medicine: Integrating a Missing Element into Medical Education. Washington, DC: The National Academies Press. doi: 10.17226/4795.
×
Page 919
Suggested Citation:"D: Resources: Agencies, Organizations, Services, REferences, and Tables of Environmental Health Hazards." Institute of Medicine. 1995. Environmental Medicine: Integrating a Missing Element into Medical Education. Washington, DC: The National Academies Press. doi: 10.17226/4795.
×
Page 920
Suggested Citation:"D: Resources: Agencies, Organizations, Services, REferences, and Tables of Environmental Health Hazards." Institute of Medicine. 1995. Environmental Medicine: Integrating a Missing Element into Medical Education. Washington, DC: The National Academies Press. doi: 10.17226/4795.
×
Page 921
Suggested Citation:"D: Resources: Agencies, Organizations, Services, REferences, and Tables of Environmental Health Hazards." Institute of Medicine. 1995. Environmental Medicine: Integrating a Missing Element into Medical Education. Washington, DC: The National Academies Press. doi: 10.17226/4795.
×
Page 922
Suggested Citation:"D: Resources: Agencies, Organizations, Services, REferences, and Tables of Environmental Health Hazards." Institute of Medicine. 1995. Environmental Medicine: Integrating a Missing Element into Medical Education. Washington, DC: The National Academies Press. doi: 10.17226/4795.
×
Page 923
Suggested Citation:"D: Resources: Agencies, Organizations, Services, REferences, and Tables of Environmental Health Hazards." Institute of Medicine. 1995. Environmental Medicine: Integrating a Missing Element into Medical Education. Washington, DC: The National Academies Press. doi: 10.17226/4795.
×
Page 924
Suggested Citation:"D: Resources: Agencies, Organizations, Services, REferences, and Tables of Environmental Health Hazards." Institute of Medicine. 1995. Environmental Medicine: Integrating a Missing Element into Medical Education. Washington, DC: The National Academies Press. doi: 10.17226/4795.
×
Page 925
Suggested Citation:"D: Resources: Agencies, Organizations, Services, REferences, and Tables of Environmental Health Hazards." Institute of Medicine. 1995. Environmental Medicine: Integrating a Missing Element into Medical Education. Washington, DC: The National Academies Press. doi: 10.17226/4795.
×
Page 926
Suggested Citation:"D: Resources: Agencies, Organizations, Services, REferences, and Tables of Environmental Health Hazards." Institute of Medicine. 1995. Environmental Medicine: Integrating a Missing Element into Medical Education. Washington, DC: The National Academies Press. doi: 10.17226/4795.
×
Page 927
Suggested Citation:"D: Resources: Agencies, Organizations, Services, REferences, and Tables of Environmental Health Hazards." Institute of Medicine. 1995. Environmental Medicine: Integrating a Missing Element into Medical Education. Washington, DC: The National Academies Press. doi: 10.17226/4795.
×
Page 928
Suggested Citation:"D: Resources: Agencies, Organizations, Services, REferences, and Tables of Environmental Health Hazards." Institute of Medicine. 1995. Environmental Medicine: Integrating a Missing Element into Medical Education. Washington, DC: The National Academies Press. doi: 10.17226/4795.
×
Page 929
Suggested Citation:"D: Resources: Agencies, Organizations, Services, REferences, and Tables of Environmental Health Hazards." Institute of Medicine. 1995. Environmental Medicine: Integrating a Missing Element into Medical Education. Washington, DC: The National Academies Press. doi: 10.17226/4795.
×
Page 930
Suggested Citation:"D: Resources: Agencies, Organizations, Services, REferences, and Tables of Environmental Health Hazards." Institute of Medicine. 1995. Environmental Medicine: Integrating a Missing Element into Medical Education. Washington, DC: The National Academies Press. doi: 10.17226/4795.
×
Page 931
Suggested Citation:"D: Resources: Agencies, Organizations, Services, REferences, and Tables of Environmental Health Hazards." Institute of Medicine. 1995. Environmental Medicine: Integrating a Missing Element into Medical Education. Washington, DC: The National Academies Press. doi: 10.17226/4795.
×
Page 932
Suggested Citation:"D: Resources: Agencies, Organizations, Services, REferences, and Tables of Environmental Health Hazards." Institute of Medicine. 1995. Environmental Medicine: Integrating a Missing Element into Medical Education. Washington, DC: The National Academies Press. doi: 10.17226/4795.
×
Page 933
Suggested Citation:"D: Resources: Agencies, Organizations, Services, REferences, and Tables of Environmental Health Hazards." Institute of Medicine. 1995. Environmental Medicine: Integrating a Missing Element into Medical Education. Washington, DC: The National Academies Press. doi: 10.17226/4795.
×
Page 934
Suggested Citation:"D: Resources: Agencies, Organizations, Services, REferences, and Tables of Environmental Health Hazards." Institute of Medicine. 1995. Environmental Medicine: Integrating a Missing Element into Medical Education. Washington, DC: The National Academies Press. doi: 10.17226/4795.
×
Page 935
Suggested Citation:"D: Resources: Agencies, Organizations, Services, REferences, and Tables of Environmental Health Hazards." Institute of Medicine. 1995. Environmental Medicine: Integrating a Missing Element into Medical Education. Washington, DC: The National Academies Press. doi: 10.17226/4795.
×
Page 936
Suggested Citation:"D: Resources: Agencies, Organizations, Services, REferences, and Tables of Environmental Health Hazards." Institute of Medicine. 1995. Environmental Medicine: Integrating a Missing Element into Medical Education. Washington, DC: The National Academies Press. doi: 10.17226/4795.
×
Page 937
Suggested Citation:"D: Resources: Agencies, Organizations, Services, REferences, and Tables of Environmental Health Hazards." Institute of Medicine. 1995. Environmental Medicine: Integrating a Missing Element into Medical Education. Washington, DC: The National Academies Press. doi: 10.17226/4795.
×
Page 938
Suggested Citation:"D: Resources: Agencies, Organizations, Services, REferences, and Tables of Environmental Health Hazards." Institute of Medicine. 1995. Environmental Medicine: Integrating a Missing Element into Medical Education. Washington, DC: The National Academies Press. doi: 10.17226/4795.
×
Page 939
Suggested Citation:"D: Resources: Agencies, Organizations, Services, REferences, and Tables of Environmental Health Hazards." Institute of Medicine. 1995. Environmental Medicine: Integrating a Missing Element into Medical Education. Washington, DC: The National Academies Press. doi: 10.17226/4795.
×
Page 940
Suggested Citation:"D: Resources: Agencies, Organizations, Services, REferences, and Tables of Environmental Health Hazards." Institute of Medicine. 1995. Environmental Medicine: Integrating a Missing Element into Medical Education. Washington, DC: The National Academies Press. doi: 10.17226/4795.
×
Page 941
Suggested Citation:"D: Resources: Agencies, Organizations, Services, REferences, and Tables of Environmental Health Hazards." Institute of Medicine. 1995. Environmental Medicine: Integrating a Missing Element into Medical Education. Washington, DC: The National Academies Press. doi: 10.17226/4795.
×
Page 942
Suggested Citation:"D: Resources: Agencies, Organizations, Services, REferences, and Tables of Environmental Health Hazards." Institute of Medicine. 1995. Environmental Medicine: Integrating a Missing Element into Medical Education. Washington, DC: The National Academies Press. doi: 10.17226/4795.
×
Page 943
Suggested Citation:"D: Resources: Agencies, Organizations, Services, REferences, and Tables of Environmental Health Hazards." Institute of Medicine. 1995. Environmental Medicine: Integrating a Missing Element into Medical Education. Washington, DC: The National Academies Press. doi: 10.17226/4795.
×
Page 944
Suggested Citation:"D: Resources: Agencies, Organizations, Services, REferences, and Tables of Environmental Health Hazards." Institute of Medicine. 1995. Environmental Medicine: Integrating a Missing Element into Medical Education. Washington, DC: The National Academies Press. doi: 10.17226/4795.
×
Page 945
Suggested Citation:"D: Resources: Agencies, Organizations, Services, REferences, and Tables of Environmental Health Hazards." Institute of Medicine. 1995. Environmental Medicine: Integrating a Missing Element into Medical Education. Washington, DC: The National Academies Press. doi: 10.17226/4795.
×
Page 946
Suggested Citation:"D: Resources: Agencies, Organizations, Services, REferences, and Tables of Environmental Health Hazards." Institute of Medicine. 1995. Environmental Medicine: Integrating a Missing Element into Medical Education. Washington, DC: The National Academies Press. doi: 10.17226/4795.
×
Page 947
Suggested Citation:"D: Resources: Agencies, Organizations, Services, REferences, and Tables of Environmental Health Hazards." Institute of Medicine. 1995. Environmental Medicine: Integrating a Missing Element into Medical Education. Washington, DC: The National Academies Press. doi: 10.17226/4795.
×
Page 948
Suggested Citation:"D: Resources: Agencies, Organizations, Services, REferences, and Tables of Environmental Health Hazards." Institute of Medicine. 1995. Environmental Medicine: Integrating a Missing Element into Medical Education. Washington, DC: The National Academies Press. doi: 10.17226/4795.
×
Page 949
Suggested Citation:"D: Resources: Agencies, Organizations, Services, REferences, and Tables of Environmental Health Hazards." Institute of Medicine. 1995. Environmental Medicine: Integrating a Missing Element into Medical Education. Washington, DC: The National Academies Press. doi: 10.17226/4795.
×
Page 950
Suggested Citation:"D: Resources: Agencies, Organizations, Services, REferences, and Tables of Environmental Health Hazards." Institute of Medicine. 1995. Environmental Medicine: Integrating a Missing Element into Medical Education. Washington, DC: The National Academies Press. doi: 10.17226/4795.
×
Page 951
Suggested Citation:"D: Resources: Agencies, Organizations, Services, REferences, and Tables of Environmental Health Hazards." Institute of Medicine. 1995. Environmental Medicine: Integrating a Missing Element into Medical Education. Washington, DC: The National Academies Press. doi: 10.17226/4795.
×
Page 952
Suggested Citation:"D: Resources: Agencies, Organizations, Services, REferences, and Tables of Environmental Health Hazards." Institute of Medicine. 1995. Environmental Medicine: Integrating a Missing Element into Medical Education. Washington, DC: The National Academies Press. doi: 10.17226/4795.
×
Page 953
Suggested Citation:"D: Resources: Agencies, Organizations, Services, REferences, and Tables of Environmental Health Hazards." Institute of Medicine. 1995. Environmental Medicine: Integrating a Missing Element into Medical Education. Washington, DC: The National Academies Press. doi: 10.17226/4795.
×
Page 954
Suggested Citation:"D: Resources: Agencies, Organizations, Services, REferences, and Tables of Environmental Health Hazards." Institute of Medicine. 1995. Environmental Medicine: Integrating a Missing Element into Medical Education. Washington, DC: The National Academies Press. doi: 10.17226/4795.
×
Page 955
Suggested Citation:"D: Resources: Agencies, Organizations, Services, REferences, and Tables of Environmental Health Hazards." Institute of Medicine. 1995. Environmental Medicine: Integrating a Missing Element into Medical Education. Washington, DC: The National Academies Press. doi: 10.17226/4795.
×
Page 956
Suggested Citation:"D: Resources: Agencies, Organizations, Services, REferences, and Tables of Environmental Health Hazards." Institute of Medicine. 1995. Environmental Medicine: Integrating a Missing Element into Medical Education. Washington, DC: The National Academies Press. doi: 10.17226/4795.
×
Page 957
Suggested Citation:"D: Resources: Agencies, Organizations, Services, REferences, and Tables of Environmental Health Hazards." Institute of Medicine. 1995. Environmental Medicine: Integrating a Missing Element into Medical Education. Washington, DC: The National Academies Press. doi: 10.17226/4795.
×
Page 958
Suggested Citation:"D: Resources: Agencies, Organizations, Services, REferences, and Tables of Environmental Health Hazards." Institute of Medicine. 1995. Environmental Medicine: Integrating a Missing Element into Medical Education. Washington, DC: The National Academies Press. doi: 10.17226/4795.
×
Page 959
Suggested Citation:"D: Resources: Agencies, Organizations, Services, REferences, and Tables of Environmental Health Hazards." Institute of Medicine. 1995. Environmental Medicine: Integrating a Missing Element into Medical Education. Washington, DC: The National Academies Press. doi: 10.17226/4795.
×
Page 960
Suggested Citation:"D: Resources: Agencies, Organizations, Services, REferences, and Tables of Environmental Health Hazards." Institute of Medicine. 1995. Environmental Medicine: Integrating a Missing Element into Medical Education. Washington, DC: The National Academies Press. doi: 10.17226/4795.
×
Page 961
Suggested Citation:"D: Resources: Agencies, Organizations, Services, REferences, and Tables of Environmental Health Hazards." Institute of Medicine. 1995. Environmental Medicine: Integrating a Missing Element into Medical Education. Washington, DC: The National Academies Press. doi: 10.17226/4795.
×
Page 962
Suggested Citation:"D: Resources: Agencies, Organizations, Services, REferences, and Tables of Environmental Health Hazards." Institute of Medicine. 1995. Environmental Medicine: Integrating a Missing Element into Medical Education. Washington, DC: The National Academies Press. doi: 10.17226/4795.
×
Page 963
Suggested Citation:"D: Resources: Agencies, Organizations, Services, REferences, and Tables of Environmental Health Hazards." Institute of Medicine. 1995. Environmental Medicine: Integrating a Missing Element into Medical Education. Washington, DC: The National Academies Press. doi: 10.17226/4795.
×
Page 964
Suggested Citation:"D: Resources: Agencies, Organizations, Services, REferences, and Tables of Environmental Health Hazards." Institute of Medicine. 1995. Environmental Medicine: Integrating a Missing Element into Medical Education. Washington, DC: The National Academies Press. doi: 10.17226/4795.
×
Page 965
Suggested Citation:"D: Resources: Agencies, Organizations, Services, REferences, and Tables of Environmental Health Hazards." Institute of Medicine. 1995. Environmental Medicine: Integrating a Missing Element into Medical Education. Washington, DC: The National Academies Press. doi: 10.17226/4795.
×
Page 966
Suggested Citation:"D: Resources: Agencies, Organizations, Services, REferences, and Tables of Environmental Health Hazards." Institute of Medicine. 1995. Environmental Medicine: Integrating a Missing Element into Medical Education. Washington, DC: The National Academies Press. doi: 10.17226/4795.
×
Page 967
Suggested Citation:"D: Resources: Agencies, Organizations, Services, REferences, and Tables of Environmental Health Hazards." Institute of Medicine. 1995. Environmental Medicine: Integrating a Missing Element into Medical Education. Washington, DC: The National Academies Press. doi: 10.17226/4795.
×
Page 968
Suggested Citation:"D: Resources: Agencies, Organizations, Services, REferences, and Tables of Environmental Health Hazards." Institute of Medicine. 1995. Environmental Medicine: Integrating a Missing Element into Medical Education. Washington, DC: The National Academies Press. doi: 10.17226/4795.
×
Page 969
Suggested Citation:"D: Resources: Agencies, Organizations, Services, REferences, and Tables of Environmental Health Hazards." Institute of Medicine. 1995. Environmental Medicine: Integrating a Missing Element into Medical Education. Washington, DC: The National Academies Press. doi: 10.17226/4795.
×
Page 970
Next: E: Committee and Staff Biographies »
Environmental Medicine: Integrating a Missing Element into Medical Education Get This Book
×
Buy Hardback | $90.00 Buy Ebook | $69.99
MyNAP members save 10% online.
Login or Register to save!
Download Free PDF

People are increasingly concerned about potential environmental health hazards and often ask their physicians questions such as: "Is the tap water safe to drink?" "Is it safe to live near power lines?" Unfortunately, physicians often lack the information and training related to environmental health risks needed to answer such questions. This book discusses six competency based learning objectives for all medical school students, discusses the relevance of environmental health to specific courses and clerkships, and demonstrates how to integrate environmental health into the curriculum through published case studies, some of which are included in one of the book's three appendices. Also included is a guide on where to obtain additional information for treatment, referral, and follow-up for diseases with possible environmental and/or occupational origins.

  1. ×

    Welcome to OpenBook!

    You're looking at OpenBook, NAP.edu's online reading room since 1999. Based on feedback from you, our users, we've made some improvements that make it easier than ever to read thousands of publications on our website.

    Do you want to take a quick tour of the OpenBook's features?

    No Thanks Take a Tour »
  2. ×

    Show this book's table of contents, where you can jump to any chapter by name.

    « Back Next »
  3. ×

    ...or use these buttons to go back to the previous chapter or skip to the next one.

    « Back Next »
  4. ×

    Jump up to the previous page or down to the next one. Also, you can type in a page number and press Enter to go directly to that page in the book.

    « Back Next »
  5. ×

    Switch between the Original Pages, where you can read the report as it appeared in print, and Text Pages for the web version, where you can highlight and search the text.

    « Back Next »
  6. ×

    To search the entire text of this book, type in your search term here and press Enter.

    « Back Next »
  7. ×

    Share a link to this book page on your preferred social network or via email.

    « Back Next »
  8. ×

    View our suggested citation for this chapter.

    « Back Next »
  9. ×

    Ready to take your reading offline? Click here to buy this book in print or download it as a free PDF, if available.

    « Back Next »
Stay Connected!