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Nursing, Health, and the Environment (1995)

Chapter: D Environmental Health Resources: Agencies, Organizations, Services, General References, and Tables of Environmental...

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Suggested Citation:"D Environmental Health Resources: Agencies, Organizations, Services, General References, and Tables of Environmental...." Institute of Medicine. 1995. Nursing, Health, and the Environment. Washington, DC: The National Academies Press. doi: 10.17226/4986.
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Suggested Citation:"D Environmental Health Resources: Agencies, Organizations, Services, General References, and Tables of Environmental...." Institute of Medicine. 1995. Nursing, Health, and the Environment. Washington, DC: The National Academies Press. doi: 10.17226/4986.
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Suggested Citation:"D Environmental Health Resources: Agencies, Organizations, Services, General References, and Tables of Environmental...." Institute of Medicine. 1995. Nursing, Health, and the Environment. Washington, DC: The National Academies Press. doi: 10.17226/4986.
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Suggested Citation:"D Environmental Health Resources: Agencies, Organizations, Services, General References, and Tables of Environmental...." Institute of Medicine. 1995. Nursing, Health, and the Environment. Washington, DC: The National Academies Press. doi: 10.17226/4986.
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Suggested Citation:"D Environmental Health Resources: Agencies, Organizations, Services, General References, and Tables of Environmental...." Institute of Medicine. 1995. Nursing, Health, and the Environment. Washington, DC: The National Academies Press. doi: 10.17226/4986.
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Suggested Citation:"D Environmental Health Resources: Agencies, Organizations, Services, General References, and Tables of Environmental...." Institute of Medicine. 1995. Nursing, Health, and the Environment. Washington, DC: The National Academies Press. doi: 10.17226/4986.
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Suggested Citation:"D Environmental Health Resources: Agencies, Organizations, Services, General References, and Tables of Environmental...." Institute of Medicine. 1995. Nursing, Health, and the Environment. Washington, DC: The National Academies Press. doi: 10.17226/4986.
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Suggested Citation:"D Environmental Health Resources: Agencies, Organizations, Services, General References, and Tables of Environmental...." Institute of Medicine. 1995. Nursing, Health, and the Environment. Washington, DC: The National Academies Press. doi: 10.17226/4986.
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Suggested Citation:"D Environmental Health Resources: Agencies, Organizations, Services, General References, and Tables of Environmental...." Institute of Medicine. 1995. Nursing, Health, and the Environment. Washington, DC: The National Academies Press. doi: 10.17226/4986.
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Suggested Citation:"D Environmental Health Resources: Agencies, Organizations, Services, General References, and Tables of Environmental...." Institute of Medicine. 1995. Nursing, Health, and the Environment. Washington, DC: The National Academies Press. doi: 10.17226/4986.
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Suggested Citation:"D Environmental Health Resources: Agencies, Organizations, Services, General References, and Tables of Environmental...." Institute of Medicine. 1995. Nursing, Health, and the Environment. Washington, DC: The National Academies Press. doi: 10.17226/4986.
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Suggested Citation:"D Environmental Health Resources: Agencies, Organizations, Services, General References, and Tables of Environmental...." Institute of Medicine. 1995. Nursing, Health, and the Environment. Washington, DC: The National Academies Press. doi: 10.17226/4986.
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Suggested Citation:"D Environmental Health Resources: Agencies, Organizations, Services, General References, and Tables of Environmental...." Institute of Medicine. 1995. Nursing, Health, and the Environment. Washington, DC: The National Academies Press. doi: 10.17226/4986.
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Suggested Citation:"D Environmental Health Resources: Agencies, Organizations, Services, General References, and Tables of Environmental...." Institute of Medicine. 1995. Nursing, Health, and the Environment. Washington, DC: The National Academies Press. doi: 10.17226/4986.
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Suggested Citation:"D Environmental Health Resources: Agencies, Organizations, Services, General References, and Tables of Environmental...." Institute of Medicine. 1995. Nursing, Health, and the Environment. Washington, DC: The National Academies Press. doi: 10.17226/4986.
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Suggested Citation:"D Environmental Health Resources: Agencies, Organizations, Services, General References, and Tables of Environmental...." Institute of Medicine. 1995. Nursing, Health, and the Environment. Washington, DC: The National Academies Press. doi: 10.17226/4986.
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Suggested Citation:"D Environmental Health Resources: Agencies, Organizations, Services, General References, and Tables of Environmental...." Institute of Medicine. 1995. Nursing, Health, and the Environment. Washington, DC: The National Academies Press. doi: 10.17226/4986.
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Suggested Citation:"D Environmental Health Resources: Agencies, Organizations, Services, General References, and Tables of Environmental...." Institute of Medicine. 1995. Nursing, Health, and the Environment. Washington, DC: The National Academies Press. doi: 10.17226/4986.
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Suggested Citation:"D Environmental Health Resources: Agencies, Organizations, Services, General References, and Tables of Environmental...." Institute of Medicine. 1995. Nursing, Health, and the Environment. Washington, DC: The National Academies Press. doi: 10.17226/4986.
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Suggested Citation:"D Environmental Health Resources: Agencies, Organizations, Services, General References, and Tables of Environmental...." Institute of Medicine. 1995. Nursing, Health, and the Environment. Washington, DC: The National Academies Press. doi: 10.17226/4986.
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Suggested Citation:"D Environmental Health Resources: Agencies, Organizations, Services, General References, and Tables of Environmental...." Institute of Medicine. 1995. Nursing, Health, and the Environment. Washington, DC: The National Academies Press. doi: 10.17226/4986.
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Suggested Citation:"D Environmental Health Resources: Agencies, Organizations, Services, General References, and Tables of Environmental...." Institute of Medicine. 1995. Nursing, Health, and the Environment. Washington, DC: The National Academies Press. doi: 10.17226/4986.
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Suggested Citation:"D Environmental Health Resources: Agencies, Organizations, Services, General References, and Tables of Environmental...." Institute of Medicine. 1995. Nursing, Health, and the Environment. Washington, DC: The National Academies Press. doi: 10.17226/4986.
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Suggested Citation:"D Environmental Health Resources: Agencies, Organizations, Services, General References, and Tables of Environmental...." Institute of Medicine. 1995. Nursing, Health, and the Environment. Washington, DC: The National Academies Press. doi: 10.17226/4986.
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Suggested Citation:"D Environmental Health Resources: Agencies, Organizations, Services, General References, and Tables of Environmental...." Institute of Medicine. 1995. Nursing, Health, and the Environment. Washington, DC: The National Academies Press. doi: 10.17226/4986.
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Suggested Citation:"D Environmental Health Resources: Agencies, Organizations, Services, General References, and Tables of Environmental...." Institute of Medicine. 1995. Nursing, Health, and the Environment. Washington, DC: The National Academies Press. doi: 10.17226/4986.
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Suggested Citation:"D Environmental Health Resources: Agencies, Organizations, Services, General References, and Tables of Environmental...." Institute of Medicine. 1995. Nursing, Health, and the Environment. Washington, DC: The National Academies Press. doi: 10.17226/4986.
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Suggested Citation:"D Environmental Health Resources: Agencies, Organizations, Services, General References, and Tables of Environmental...." Institute of Medicine. 1995. Nursing, Health, and the Environment. Washington, DC: The National Academies Press. doi: 10.17226/4986.
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Suggested Citation:"D Environmental Health Resources: Agencies, Organizations, Services, General References, and Tables of Environmental...." Institute of Medicine. 1995. Nursing, Health, and the Environment. Washington, DC: The National Academies Press. doi: 10.17226/4986.
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Suggested Citation:"D Environmental Health Resources: Agencies, Organizations, Services, General References, and Tables of Environmental...." Institute of Medicine. 1995. Nursing, Health, and the Environment. Washington, DC: The National Academies Press. doi: 10.17226/4986.
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Suggested Citation:"D Environmental Health Resources: Agencies, Organizations, Services, General References, and Tables of Environmental...." Institute of Medicine. 1995. Nursing, Health, and the Environment. Washington, DC: The National Academies Press. doi: 10.17226/4986.
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Suggested Citation:"D Environmental Health Resources: Agencies, Organizations, Services, General References, and Tables of Environmental...." Institute of Medicine. 1995. Nursing, Health, and the Environment. Washington, DC: The National Academies Press. doi: 10.17226/4986.
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Suggested Citation:"D Environmental Health Resources: Agencies, Organizations, Services, General References, and Tables of Environmental...." Institute of Medicine. 1995. Nursing, Health, and the Environment. Washington, DC: The National Academies Press. doi: 10.17226/4986.
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Suggested Citation:"D Environmental Health Resources: Agencies, Organizations, Services, General References, and Tables of Environmental...." Institute of Medicine. 1995. Nursing, Health, and the Environment. Washington, DC: The National Academies Press. doi: 10.17226/4986.
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Suggested Citation:"D Environmental Health Resources: Agencies, Organizations, Services, General References, and Tables of Environmental...." Institute of Medicine. 1995. Nursing, Health, and the Environment. Washington, DC: The National Academies Press. doi: 10.17226/4986.
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Suggested Citation:"D Environmental Health Resources: Agencies, Organizations, Services, General References, and Tables of Environmental...." Institute of Medicine. 1995. Nursing, Health, and the Environment. Washington, DC: The National Academies Press. doi: 10.17226/4986.
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Suggested Citation:"D Environmental Health Resources: Agencies, Organizations, Services, General References, and Tables of Environmental...." Institute of Medicine. 1995. Nursing, Health, and the Environment. Washington, DC: The National Academies Press. doi: 10.17226/4986.
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Suggested Citation:"D Environmental Health Resources: Agencies, Organizations, Services, General References, and Tables of Environmental...." Institute of Medicine. 1995. Nursing, Health, and the Environment. Washington, DC: The National Academies Press. doi: 10.17226/4986.
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Suggested Citation:"D Environmental Health Resources: Agencies, Organizations, Services, General References, and Tables of Environmental...." Institute of Medicine. 1995. Nursing, Health, and the Environment. Washington, DC: The National Academies Press. doi: 10.17226/4986.
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Suggested Citation:"D Environmental Health Resources: Agencies, Organizations, Services, General References, and Tables of Environmental...." Institute of Medicine. 1995. Nursing, Health, and the Environment. Washington, DC: The National Academies Press. doi: 10.17226/4986.
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Suggested Citation:"D Environmental Health Resources: Agencies, Organizations, Services, General References, and Tables of Environmental...." Institute of Medicine. 1995. Nursing, Health, and the Environment. Washington, DC: The National Academies Press. doi: 10.17226/4986.
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Suggested Citation:"D Environmental Health Resources: Agencies, Organizations, Services, General References, and Tables of Environmental...." Institute of Medicine. 1995. Nursing, Health, and the Environment. Washington, DC: The National Academies Press. doi: 10.17226/4986.
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Suggested Citation:"D Environmental Health Resources: Agencies, Organizations, Services, General References, and Tables of Environmental...." Institute of Medicine. 1995. Nursing, Health, and the Environment. Washington, DC: The National Academies Press. doi: 10.17226/4986.
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Suggested Citation:"D Environmental Health Resources: Agencies, Organizations, Services, General References, and Tables of Environmental...." Institute of Medicine. 1995. Nursing, Health, and the Environment. Washington, DC: The National Academies Press. doi: 10.17226/4986.
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Suggested Citation:"D Environmental Health Resources: Agencies, Organizations, Services, General References, and Tables of Environmental...." Institute of Medicine. 1995. Nursing, Health, and the Environment. Washington, DC: The National Academies Press. doi: 10.17226/4986.
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Suggested Citation:"D Environmental Health Resources: Agencies, Organizations, Services, General References, and Tables of Environmental...." Institute of Medicine. 1995. Nursing, Health, and the Environment. Washington, DC: The National Academies Press. doi: 10.17226/4986.
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Suggested Citation:"D Environmental Health Resources: Agencies, Organizations, Services, General References, and Tables of Environmental...." Institute of Medicine. 1995. Nursing, Health, and the Environment. Washington, DC: The National Academies Press. doi: 10.17226/4986.
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Suggested Citation:"D Environmental Health Resources: Agencies, Organizations, Services, General References, and Tables of Environmental...." Institute of Medicine. 1995. Nursing, Health, and the Environment. Washington, DC: The National Academies Press. doi: 10.17226/4986.
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Suggested Citation:"D Environmental Health Resources: Agencies, Organizations, Services, General References, and Tables of Environmental...." Institute of Medicine. 1995. Nursing, Health, and the Environment. Washington, DC: The National Academies Press. doi: 10.17226/4986.
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Suggested Citation:"D Environmental Health Resources: Agencies, Organizations, Services, General References, and Tables of Environmental...." Institute of Medicine. 1995. Nursing, Health, and the Environment. Washington, DC: The National Academies Press. doi: 10.17226/4986.
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Suggested Citation:"D Environmental Health Resources: Agencies, Organizations, Services, General References, and Tables of Environmental...." Institute of Medicine. 1995. Nursing, Health, and the Environment. Washington, DC: The National Academies Press. doi: 10.17226/4986.
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Suggested Citation:"D Environmental Health Resources: Agencies, Organizations, Services, General References, and Tables of Environmental...." Institute of Medicine. 1995. Nursing, Health, and the Environment. Washington, DC: The National Academies Press. doi: 10.17226/4986.
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Suggested Citation:"D Environmental Health Resources: Agencies, Organizations, Services, General References, and Tables of Environmental...." Institute of Medicine. 1995. Nursing, Health, and the Environment. Washington, DC: The National Academies Press. doi: 10.17226/4986.
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Suggested Citation:"D Environmental Health Resources: Agencies, Organizations, Services, General References, and Tables of Environmental...." Institute of Medicine. 1995. Nursing, Health, and the Environment. Washington, DC: The National Academies Press. doi: 10.17226/4986.
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Suggested Citation:"D Environmental Health Resources: Agencies, Organizations, Services, General References, and Tables of Environmental...." Institute of Medicine. 1995. Nursing, Health, and the Environment. Washington, DC: The National Academies Press. doi: 10.17226/4986.
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Suggested Citation:"D Environmental Health Resources: Agencies, Organizations, Services, General References, and Tables of Environmental...." Institute of Medicine. 1995. Nursing, Health, and the Environment. Washington, DC: The National Academies Press. doi: 10.17226/4986.
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Suggested Citation:"D Environmental Health Resources: Agencies, Organizations, Services, General References, and Tables of Environmental...." Institute of Medicine. 1995. Nursing, Health, and the Environment. Washington, DC: The National Academies Press. doi: 10.17226/4986.
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Suggested Citation:"D Environmental Health Resources: Agencies, Organizations, Services, General References, and Tables of Environmental...." Institute of Medicine. 1995. Nursing, Health, and the Environment. Washington, DC: The National Academies Press. doi: 10.17226/4986.
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Suggested Citation:"D Environmental Health Resources: Agencies, Organizations, Services, General References, and Tables of Environmental...." Institute of Medicine. 1995. Nursing, Health, and the Environment. Washington, DC: The National Academies Press. doi: 10.17226/4986.
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Suggested Citation:"D Environmental Health Resources: Agencies, Organizations, Services, General References, and Tables of Environmental...." Institute of Medicine. 1995. Nursing, Health, and the Environment. Washington, DC: The National Academies Press. doi: 10.17226/4986.
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Suggested Citation:"D Environmental Health Resources: Agencies, Organizations, Services, General References, and Tables of Environmental...." Institute of Medicine. 1995. Nursing, Health, and the Environment. Washington, DC: The National Academies Press. doi: 10.17226/4986.
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Suggested Citation:"D Environmental Health Resources: Agencies, Organizations, Services, General References, and Tables of Environmental...." Institute of Medicine. 1995. Nursing, Health, and the Environment. Washington, DC: The National Academies Press. doi: 10.17226/4986.
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Suggested Citation:"D Environmental Health Resources: Agencies, Organizations, Services, General References, and Tables of Environmental...." Institute of Medicine. 1995. Nursing, Health, and the Environment. Washington, DC: The National Academies Press. doi: 10.17226/4986.
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Suggested Citation:"D Environmental Health Resources: Agencies, Organizations, Services, General References, and Tables of Environmental...." Institute of Medicine. 1995. Nursing, Health, and the Environment. Washington, DC: The National Academies Press. doi: 10.17226/4986.
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Suggested Citation:"D Environmental Health Resources: Agencies, Organizations, Services, General References, and Tables of Environmental...." Institute of Medicine. 1995. Nursing, Health, and the Environment. Washington, DC: The National Academies Press. doi: 10.17226/4986.
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Suggested Citation:"D Environmental Health Resources: Agencies, Organizations, Services, General References, and Tables of Environmental...." Institute of Medicine. 1995. Nursing, Health, and the Environment. Washington, DC: The National Academies Press. doi: 10.17226/4986.
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Suggested Citation:"D Environmental Health Resources: Agencies, Organizations, Services, General References, and Tables of Environmental...." Institute of Medicine. 1995. Nursing, Health, and the Environment. Washington, DC: The National Academies Press. doi: 10.17226/4986.
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Suggested Citation:"D Environmental Health Resources: Agencies, Organizations, Services, General References, and Tables of Environmental...." Institute of Medicine. 1995. Nursing, Health, and the Environment. Washington, DC: The National Academies Press. doi: 10.17226/4986.
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Suggested Citation:"D Environmental Health Resources: Agencies, Organizations, Services, General References, and Tables of Environmental...." Institute of Medicine. 1995. Nursing, Health, and the Environment. Washington, DC: The National Academies Press. doi: 10.17226/4986.
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Suggested Citation:"D Environmental Health Resources: Agencies, Organizations, Services, General References, and Tables of Environmental...." Institute of Medicine. 1995. Nursing, Health, and the Environment. Washington, DC: The National Academies Press. doi: 10.17226/4986.
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Suggested Citation:"D Environmental Health Resources: Agencies, Organizations, Services, General References, and Tables of Environmental...." Institute of Medicine. 1995. Nursing, Health, and the Environment. Washington, DC: The National Academies Press. doi: 10.17226/4986.
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Suggested Citation:"D Environmental Health Resources: Agencies, Organizations, Services, General References, and Tables of Environmental...." Institute of Medicine. 1995. Nursing, Health, and the Environment. Washington, DC: The National Academies Press. doi: 10.17226/4986.
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Suggested Citation:"D Environmental Health Resources: Agencies, Organizations, Services, General References, and Tables of Environmental...." Institute of Medicine. 1995. Nursing, Health, and the Environment. Washington, DC: The National Academies Press. doi: 10.17226/4986.
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Suggested Citation:"D Environmental Health Resources: Agencies, Organizations, Services, General References, and Tables of Environmental...." Institute of Medicine. 1995. Nursing, Health, and the Environment. Washington, DC: The National Academies Press. doi: 10.17226/4986.
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Suggested Citation:"D Environmental Health Resources: Agencies, Organizations, Services, General References, and Tables of Environmental...." Institute of Medicine. 1995. Nursing, Health, and the Environment. Washington, DC: The National Academies Press. doi: 10.17226/4986.
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Suggested Citation:"D Environmental Health Resources: Agencies, Organizations, Services, General References, and Tables of Environmental...." Institute of Medicine. 1995. Nursing, Health, and the Environment. Washington, DC: The National Academies Press. doi: 10.17226/4986.
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Suggested Citation:"D Environmental Health Resources: Agencies, Organizations, Services, General References, and Tables of Environmental...." Institute of Medicine. 1995. Nursing, Health, and the Environment. Washington, DC: The National Academies Press. doi: 10.17226/4986.
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Suggested Citation:"D Environmental Health Resources: Agencies, Organizations, Services, General References, and Tables of Environmental...." Institute of Medicine. 1995. Nursing, Health, and the Environment. Washington, DC: The National Academies Press. doi: 10.17226/4986.
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Suggested Citation:"D Environmental Health Resources: Agencies, Organizations, Services, General References, and Tables of Environmental...." Institute of Medicine. 1995. Nursing, Health, and the Environment. Washington, DC: The National Academies Press. doi: 10.17226/4986.
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Suggested Citation:"D Environmental Health Resources: Agencies, Organizations, Services, General References, and Tables of Environmental...." Institute of Medicine. 1995. Nursing, Health, and the Environment. Washington, DC: The National Academies Press. doi: 10.17226/4986.
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Suggested Citation:"D Environmental Health Resources: Agencies, Organizations, Services, General References, and Tables of Environmental...." Institute of Medicine. 1995. Nursing, Health, and the Environment. Washington, DC: The National Academies Press. doi: 10.17226/4986.
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Suggested Citation:"D Environmental Health Resources: Agencies, Organizations, Services, General References, and Tables of Environmental...." Institute of Medicine. 1995. Nursing, Health, and the Environment. Washington, DC: The National Academies Press. doi: 10.17226/4986.
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Suggested Citation:"D Environmental Health Resources: Agencies, Organizations, Services, General References, and Tables of Environmental...." Institute of Medicine. 1995. Nursing, Health, and the Environment. Washington, DC: The National Academies Press. doi: 10.17226/4986.
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Suggested Citation:"D Environmental Health Resources: Agencies, Organizations, Services, General References, and Tables of Environmental...." Institute of Medicine. 1995. Nursing, Health, and the Environment. Washington, DC: The National Academies Press. doi: 10.17226/4986.
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Suggested Citation:"D Environmental Health Resources: Agencies, Organizations, Services, General References, and Tables of Environmental...." Institute of Medicine. 1995. Nursing, Health, and the Environment. Washington, DC: The National Academies Press. doi: 10.17226/4986.
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Suggested Citation:"D Environmental Health Resources: Agencies, Organizations, Services, General References, and Tables of Environmental...." Institute of Medicine. 1995. Nursing, Health, and the Environment. Washington, DC: The National Academies Press. doi: 10.17226/4986.
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Suggested Citation:"D Environmental Health Resources: Agencies, Organizations, Services, General References, and Tables of Environmental...." Institute of Medicine. 1995. Nursing, Health, and the Environment. Washington, DC: The National Academies Press. doi: 10.17226/4986.
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Suggested Citation:"D Environmental Health Resources: Agencies, Organizations, Services, General References, and Tables of Environmental...." Institute of Medicine. 1995. Nursing, Health, and the Environment. Washington, DC: The National Academies Press. doi: 10.17226/4986.
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Suggested Citation:"D Environmental Health Resources: Agencies, Organizations, Services, General References, and Tables of Environmental...." Institute of Medicine. 1995. Nursing, Health, and the Environment. Washington, DC: The National Academies Press. doi: 10.17226/4986.
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Suggested Citation:"D Environmental Health Resources: Agencies, Organizations, Services, General References, and Tables of Environmental...." Institute of Medicine. 1995. Nursing, Health, and the Environment. Washington, DC: The National Academies Press. doi: 10.17226/4986.
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Suggested Citation:"D Environmental Health Resources: Agencies, Organizations, Services, General References, and Tables of Environmental...." Institute of Medicine. 1995. Nursing, Health, and the Environment. Washington, DC: The National Academies Press. doi: 10.17226/4986.
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ENVIRONMENTAL HEALTH RESOURCES: AGENCIES, ORGANIZATIONS, SERVICES, 148 GENERAL REFERENCES, AND TABLES OF ENVIRONMENTAL HEALTH HAZARDS D Environmental Health Resources: Agencies, Organizations, Services, General References, and Tables of Environmental Health Hazards CONTENTS INTRODUCTION 149 GOVERNMENT AGENCIES 149 Federal Agencies 149 State Agencies 162 ASSOCIATIONS AND ORGANIZATIONS 173 SELECTED TOPICAL RESOURCES 197 COMPUTERIZED INFORMATION SERVICES 199 GENERAL REFERENCES 208 TABLES OF ENVIRONMENTAL AGENTS AND 211 HEALTH EFFECTS, WORK-RELATED DISEASES AND CONDITIONS, AND SELECTED JOB CATEGORIES AND ASSOCIATED DISEASES AND CONDITIONS Table D.1: Environmental Agents, Their Sources and 212 Potential Exposures, and Adverse Health Effects Table D.2: Selected Work-Related Diseases, Disorders, and 230 Conditions Associated with Various Agents, Industries, or Occupations Table D.3: Selected Job Categories, Exposures, and 237 Associated Work-Related Diseases and Conditions

ENVIRONMENTAL HEALTH RESOURCES: AGENCIES, ORGANIZATIONS, SERVICES, 149 GENERAL REFERENCES, AND TABLES OF ENVIRONMENTAL HEALTH HAZARDS INTRODUCTION For those interested in learning more about environmental health and the resources available that are related to environmental health, Appendix D 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. Agencies, associations, and organizations related to nursing and/or the environment are specifically highlighted. Finally, three tables are presented (pp. 214–240) 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 for use in actual nursing practice. 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 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,

ENVIRONMENTAL HEALTH RESOURCES: AGENCIES, ORGANIZATIONS, SERVICES, 150 GENERAL REFERENCES, AND TABLES OF ENVIRONMENTAL HEALTH HAZARDS 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; 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

ENVIRONMENTAL HEALTH RESOURCES: AGENCIES, ORGANIZATIONS, SERVICES, 151 GENERAL REFERENCES, AND TABLES OF ENVIRONMENTAL HEALTH HAZARDS 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. 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/nonnuclear 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

ENVIRONMENTAL HEALTH RESOURCES: AGENCIES, ORGANIZATIONS, SERVICES, 152 GENERAL REFERENCES, AND TABLES OF ENVIRONMENTAL HEALTH HAZARDS 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 (DHHS) is the Cabinet- level department of the federal executive branch most concerned with people and most involved with the nation's human concerns. In one way or another— whether it is mailing out social security checks or making health services more widely available—DHHS 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 Avenue, 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. Environmental Protection Agency 401 M Street, S.W. Washington, DC 20460 (202) 260-2090

ENVIRONMENTAL HEALTH RESOURCES: AGENCIES, ORGANIZATIONS, SERVICES, 153 GENERAL REFERENCES, AND TABLES OF ENVIRONMENTAL HEALTH HAZARDS 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

ENVIRONMENTAL HEALTH RESOURCES: AGENCIES, ORGANIZATIONS, SERVICES, 154 GENERAL REFERENCES, AND TABLES OF ENVIRONMENTAL HEALTH HAZARDS and the rehabilitation of people with cancer. 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) 4-CANCER 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.

ENVIRONMENTAL HEALTH RESOURCES: AGENCIES, ORGANIZATIONS, SERVICES, 155 GENERAL REFERENCES, AND TABLES OF ENVIRONMENTAL HEALTH HAZARDS National Institute for Occupational Safety and Health 200 Independence Avenue, S.W. Washington, DC 20201 (800) 356-4674 The 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 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.

ENVIRONMENTAL HEALTH RESOURCES: AGENCIES, ORGANIZATIONS, SERVICES, 156 GENERAL REFERENCES, AND TABLES OF ENVIRONMENTAL HEALTH HAZARDS ALABAMA MARYLAND University of Alabama in Birmingham The Johns Hopkins University School of Nursing School of Hygiene and Public Health University of Starion 615 N. Wolfe Street Birmingham, AL 35294-1210 Baltimore, MD 21205 Kathleen Brown, RN, Ph.D. Jacqueline Agnew, RN, Ph.D. Director, Occupational Health Director, Occupational Health Nursing Nursing Program Degree: MSN, DNS Degree: MPH, DrPH, Ph.D. (205) 934-6858 (410) 955-4082 CALIFORNIA MASSACHUSETTS UCLA School of Nursing Harvard University 10833 LeConte Avenue Harvard School of Public Health Los Angeles, CA 90024-1702 Department of Environmental Science and Linda Glazner, DrPH, RN Physiology Program Director, Occupational 665 Huntington Avenue Health Nursing Boston, MA 02115 Degree: MSN Carol Love, Ph.D. (310) 206-3838 Director, Occupational Health Nursing (Simmons) Degree: MS (617) 738-2255 University of California, San MICHIGAN Francisco University of Michigan School of Nursing School of Nursing Department of Mental Health and Department of Community Health Nursing Community Nursing N505Y 400 N. Ingalls, Room 3340 San Francisco, CA 94143 Ann Arbor, MI 48109 Julia Faucett, RN, Ph.D. Sally Lusk, RN, Ph.D. Program Director, Occupational Director, Occupational Health Nursing Health Nursing Program Degree: MS, DNS Degree: MS (415) 476-5312 (313) 747-0347 ILLINOIS University of Illinois at Chicago College of Nursing 845 South Damen Street Chicago, IL 60612 Karen Conrad, Ph.D., RN Director, Occupational Health Nursing Program Degree: MS, Ph.D. (312) 996-7974

ENVIRONMENTAL HEALTH RESOURCES: AGENCIES, ORGANIZATIONS, SERVICES, 157 GENERAL REFERENCES, AND TABLES OF ENVIRONMENTAL HEALTH HAZARDS MINNESOTA OHIO University of Minnesota University of Cincinnati School of Public Health College of Nursing and Health 420 Delaware Street, SE, Box 197 200 Proctor Hall Minneapolis, MN 55455 3110 Vine Patricia McGovern, RN, MPH Cincinnati, OH 45219-0038 Program Director, Occupational Health Sue Davis, Ph.D. Nursing Acting Program Director, Degree: Ph.D., MS, MS/MPH Occupational Health Nursing (612) 625-7429 Degree: MSN, Ph.D. (513) 558-5280 NEW YORK/NEW JERSEY TEXAS University of Medicine and Dentistry of University of Texas New Jersey The University of Texas Health School of Nursing Science Center at Houston 30 Bergen Street School of Public Health ADMC 119 P.O. Box 20186 Newark, NJ 07107-3000 Houston, TX 77225 Gail Buckler, RN, MPH, COHN Mary Kay Garcia, RN, DrPH Program Director, OHN Program Director, Occupational Health for Degree: MSN Nurses Program (908) 445-0123 Degree: MPH (713) 792-7456 NORTH CAROLINA UTAH University of North Carolina at Chapel University of Utah Hill RMCOEH, Building 512 School of Public Health Salt Lake City, UT 84119 Rosenau Hall Darlene Meservy, RN, MPH, DrPH Chapel Hill, NC 27514 Director, Occupational Health Nursing Bonnie Rogers, RN, DrPH Degree: MSPH, Ph.D., MPH Program Director, Occupational Health (801) 581-8214 Nursing Degree: MPH, MS (919) 996-1030

ENVIRONMENTAL HEALTH RESOURCES: AGENCIES, ORGANIZATIONS, SERVICES, 158 GENERAL REFERENCES, AND TABLES OF ENVIRONMENTAL HEALTH HAZARDS WASHINGTON University of Washington Community Health Care Systems, SM-24 Seattle, WA 98195 Mary Salazar, Ph.D. Director, Occupational Health Nursing Program Degree: MN, Ph.D., MN/MPH (206) 685-0857 Training Project Grants University of South Florida University of Pennsylvania College of Nursing School of Nursing Health Science Center 420 Service Drive Box 22 Philadelphia, PA 19104 12901 Bruce B. Downs Boulevard Winifred Hayes, RN, Ph.D. Tampa, FL 33612-4799 Director, Occupational Health Nursing Dr. Candace Burns Program Director, Occupational Health Degree: MSN Nursing Program (215) 898-1794 (813) 974-9160 The 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 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

ENVIRONMENTAL HEALTH RESOURCES: AGENCIES, ORGANIZATIONS, SERVICES, 159 GENERAL REFERENCES, AND TABLES OF ENVIRONMENTAL HEALTH HAZARDS 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 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 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.

ENVIRONMENTAL HEALTH RESOURCES: AGENCIES, ORGANIZATIONS, SERVICES, 160 GENERAL REFERENCES, AND TABLES OF ENVIRONMENTAL HEALTH HAZARDS National Institute of Environmental Health Sciences P.O. Box 12233 104 T.W. Alexander Drive Research Triangle Park, 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 National Institute of Nursing Research The National Institute of Nursing Research (NINR) provides leadership for nursing research, supports and conducts research and training, and disseminates information to build a scientific base for nursing practice and patient care, and to promote health and improve the effects of illness on the general public. NINR also provides grants and awards for nursing research and research training. Programs include research in health promotion and disease prevention, acute and chronic illness, and delivery of nursing care. National Institute of Nursing Research 9000 Rockville Pike Building 31 #5803 Bethesda, MD 20892 (301) 496-0207

ENVIRONMENTAL HEALTH RESOURCES: AGENCIES, ORGANIZATIONS, SERVICES, 161 GENERAL REFERENCES, AND TABLES OF ENVIRONMENTAL HEALTH HAZARDS 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. 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 Avenue, N.W. Room N-310 Washington, DC 20210 (202) 219-4667

ENVIRONMENTAL HEALTH RESOURCES: AGENCIES, ORGANIZATIONS, SERVICES, 162 GENERAL REFERENCES, AND TABLES OF ENVIRONMENTAL HEALTH HAZARDS State Agencies State Health Departments and Radon Contacts Alabama Department of Public Health California Department of Health 434 Monroe Street Services Montgomery, AL 36130 714 P Street (205) 242-5052 Sacramento, CA 95814 Radon: Montgomery (916) 657-1425 (800) 582-1866 Radon: Sacramento (205) 242-5315 (916) 324-2208 Alaska Division of Public Health Colorado Department of Health Department of Health and Social Services 4210 E. 11th Avenue P.O. Box H Denver, CO 80220 Juneau, AK 99811 (303) 331-4600 (907) 465-3090 Radon: Denver Radon: Juneau (800) 846-3986 (800) 478-4845 (303) 692-3057 (907) 465-3019 Arizona Department of Health Services Connecticut Department of Health 1740 W. Adams Street Services Phoenix, AZ 85007 150 Washington Street (602) 542-1024 Hartford, CT 06106 Radon: Phoenix (203) 566-2038 (602) 255-4845 Radon: Hartford (203) 566-3122 Arkansas Department of Health Delaware Division of Public Health 4815 W. Markham Street Department of Health and Social Little Rock, AR 72205 Services (501) 661-2111 P.O. Box 637 Radon: Little Rock Dover, DE 19903 (501) 661-2301 (302) 739-4701 Radon: Dover (302) 739-3787 (800) 554-4636 (In-state)

ENVIRONMENTAL HEALTH RESOURCES: AGENCIES, ORGANIZATIONS, SERVICES, 163 GENERAL REFERENCES, AND TABLES OF ENVIRONMENTAL HEALTH HAZARDS District of Columbia Department of Idaho Division of Health Human Services Department of Health and Welfare Commission of Public Health 450 W. State Street 1660 L Street, N.W., 12th Floor Boise, ID 83720 Washington, DC 20036 (208) 334-5945 (202) 673-7700 Radon: Boise Radon: Washington, DC (800) 445-8647 (202) 727-7221 (208) 334-6584 Florida Health Office Illinois Department of Public Health Department of Health and Rehabilitation 535 W. Jefferson Street Services Springfield, IL 62761 1323 Winewood Blvd. (217) 782-4977 Building 1 Radon: Springfield Tallahassee, FL 32301 (800) 325-1245 (904) 487-2705 (217) 786-6384 Radon: Orlando (904) 488-1525 (800) 543-8279 Georgia Division of Public Health Indiana Board of Health 878 Peachtree Street P.O. Box 1964 Atlanta, GA 30309 1330 W. Michigan Street (404) 894-7505 Indianapolis, IN 46206 Radon: Atlanta (317) 633-8400 (404) 894-6644 Radon: Indianapolis (317) 633-0150 (800) 272-9723 (In-state) Guam Public Health and Social Services Iowa Department of Public Health P.O. Box 2816 Robert Lucas State Office Building Agana, Guam 96910 East 12th and Walnut Streets (671) 734-2083 Des Moines, IA 50319 Hawaii Department of Health (515) 281-5605 1250 Punchbowl Street Radon: Des Moines P.O. Box 3378 (515) 281-7781 Honolulu, HI 96801 (800) 383-5992 (In-state) (808) 586-4410 Radon: Honolulu (808) 543-4383

ENVIRONMENTAL HEALTH RESOURCES: AGENCIES, ORGANIZATIONS, SERVICES, 164 GENERAL REFERENCES, AND TABLES OF ENVIRONMENTAL HEALTH HAZARDS Kansas Department of Health and Massachusetts Department of Public Environment Health 900 SW Jackson 150 Tremont Street Topeka, KS 66612 Boston, MA 02111 (913) 296-1522 (617) 727-2700 Radon: Topeka Radon: North Hampton (913) 296-1560 (413) 586-7525 Kentucky Department for Health Michigan Department of Public Health Services 3423 N. Logan Street Cabinet for Human Resources Lansing, MI 48909 275 E. Main Street (517) 335-8024 Frankfort, KY 40621 Radon: Lansing (502) 564-3970 (517) 335-8190 Radon: Frankfort (502) 564-3700 Louisiana Department of Health and Minnesota Department of Health Hospitals 717 Delaware Street, S.E. P.O. Box 629 P.O. Box 9441 Baton Rouge, LA 70821 Minneapolis, MN 55440 (504) 342-9500 (612) 623-5460 Radon: Baton Rouge Radon: Minneapolis (800) 256-2494 (612) 627-5012 (504) 925-7042 (800) 798-9050 Maine Bureau of Health Mississippi Department of Health Department of Human Services P.O. Box 1700 State House Station 11 2423 N. State Street Augusta, ME 04333 Jackson, MS 39215 (207) 289-2736 (601) 960-7634 Radon: Augusta Radon: Jackson (800) 232-0842 (800) 626-7739 (207) 789-5689 (601) 354-6657 Maryland Department of Health and Missouri Department of Health Mental Hygiene P.O. Box 570 201 W. Preston Street Jefferson City, MO 65102 Baltimore, MD 21201 (314) 751-60001 (301) 225-6500 Radon: Jefferson City Radon: Baltimore (314) 751-6083 (800) 872-3666 (800) 669-7236 (In-state) (301) 631-3300

ENVIRONMENTAL HEALTH RESOURCES: AGENCIES, ORGANIZATIONS, SERVICES, 165 GENERAL REFERENCES, AND TABLES OF ENVIRONMENTAL HEALTH HAZARDS Montana Department of Health and New Mexico Health and Environmental Sciences Environmental Department Cogswell Building 1190 South Francis Drive Helena, MT 59620 Santa Fe, NM 87503 (406) 444-2544 (505) 827-2613 Radon: Helena Radon: Santa Fe (406) 444-3671 (505) 827-4300 Nebraska Department of Health New York Department of Health 301 Centennial Mall S. Tower Building P.O. Box 95007 Empire State Plaza Lincoln, NE 68509 Albany, NY 12237 (402) 471-4047 (518) 474-2011 Radon: Lincoln Radon: Albany (402) 471-2168 (518) 458-6451 (800) 334-9491 (In-state) Nevada Health Division North Carolina Department of 505 E. King Street Environment Carson City, NV 89710 Health and Natural Resources (702) 687-4740 Division of Health Services Radon: Carson City P.O. Box 27687 (702) 687-5394 Raleigh, NC 27611 (919) 733-4984 Radon: Raleigh (919) 571-4141 New Hampshire Division of Public North Dakota Department of Health Health Services and Consolidated Labs Health and Welfare Building State Capitol Judicial Wing Hazen Drive 600 E. Boulevard Avenue Concord, NH 03301 Bismarck, ND 58505 (603) 271-4500 (701) 224-2372 Radon: Concord Radon: Bismarck (603) 271-4674 (701) 224-2348 New Jersey Department of Health Ohio Department of Health CN 360 246 N. High Street Trenton, NJ 08625 Columbus, OH 43266 (609) 292-7837 (614) 466-2253 Radon: Trenton Radon: Columbus (609) 987-6396 (614) 644-2727 (800) 648-0394 (800) 523-4439 (In-state)

ENVIRONMENTAL HEALTH RESOURCES: AGENCIES, ORGANIZATIONS, SERVICES, 166 GENERAL REFERENCES, AND TABLES OF ENVIRONMENTAL HEALTH HAZARDS Oklahoma Department of Health South Carolina Department of Health 1000 NE 10th Street and Environmental Control P.O. Box 53551 2600 Bull Street Oklahoma City, OK 73152 Columbia, SC 29201 (405) 271-4200 (803) 735-4880 Radon: Oklahoma City Radon: Columbia (405) 271-5221 (800) 768-0362 (803) 734-4700 Oregon State Health Division South Dakota Department of Health 1400 SW 5th Avenue 445 E. Capitol Portland, OR 97201 Pierre, SD 57501 (503) 229-4032 (605) 773-3361 Radon: Portland Radon: Pierre (503) 731-4014 (605) 773-3351 Pennsylvania Department of Health Tennessee Department of Health and P.O. Box 90 Environment Harrisburg, PA 17108 344 Cordell Hull Building (717) 787-6436 Nashville, TN 37247-0101 Radon: Harrisburg (615) 741-3111 (717) 787-2480 Radon: Nashville (800) 23-RADON (In-state) (800) 232-1139 (615) 741-3651 Puerto Rico Department of Health Texas Department of Health Building A, Call Box 70184 1100 W. 49th Street San Juan, PR 00936 Austin, TX 78756 (809) 766-1616 (512) 458-7111 Radon: Rio Piedras Radon: Austin (809) 767-3563 (512) 834-6688 Rhode Island Department of Health Utah Department of Health Cannon Health Building 288 N. 1460 W. 3 Capitol Hill P.O. Box 16700 Providence, RI 02908 Salt Lake City, UT 84116 (401) 277-2231 (801) 538-6111 Radon: Providence Radon: Salt Lake City (401) 277-2438 (801) 538-6734

ENVIRONMENTAL HEALTH RESOURCES: AGENCIES, ORGANIZATIONS, SERVICES, 167 GENERAL REFERENCES, AND TABLES OF ENVIRONMENTAL HEALTH HAZARDS Vermont Department of Health West Virginia Department of Public P.O. Box 70 Health 60 Main Street Building 3, State Capital Complex Burlington, VT 05402 Charleston, WV 25305 (802) 863-7280 (304) 348-2971 Radon: Montpelier Radon: South Charleston (800) 640-0601 (304) 558-3526 (802) 828-2886 (800) 922-1255 (In-state) Virgin Island Department of Health Wisconsin Division of Health L18 Sugar Estate Department of Health and Social Services St. Thomas, VI 00802 P.O. Box 309 (809) 774-4888 Madison, WI 53707 (608) 266-1511 Radon: Madison (608) 267-4795 Virginia Department of Health Wyoming Health and Medical Services P.O. Box 2448 Hathaway Building Richmond, VA 23218 Cheyenne, WY 82002 (804) 786-3561 (307) 777-6464 Radon: Richmond Radon: Cheyenne (800) 468-0138 (800) 458-5847 (804) 786-5932 (307) 777-6015 Washington Department of Health 1112 S.E. Quince Street Olympia, WA 98504-7890 (206) 753-5871 Radon: Olympia (800) 323-9727 (206) 753-4518 Environmental Council of States (ECOS Member States Directory) ALABAMA ALASKA John Smith Gene Burden Director Commissioner Alabama Department of Environmental Alaska Department of Environmental Management Conservation 1751 Congressman W.L. Dickinson 410 Willoughby Avenue, Suite 105 Drive Juneau, AK 99801-1795 P.O. Box 371463 (907) 465-5066 Montgomery, AL 36130-1463 (334) 271-7761

ENVIRONMENTAL HEALTH RESOURCES: AGENCIES, ORGANIZATIONS, SERVICES, 168 GENERAL REFERENCES, AND TABLES OF ENVIRONMENTAL HEALTH HAZARDS ARIZONA CONNECTICUT Edward Z. Fox Sidney Holbrook Director Commissioner Arizona Department of Environmental Connecticut Department of Quality Environmental Protection 3033 N. Central Avenue 165 Capitol Avenue, Room 161 Phoenix, AZ 85012 Hartford, CT 06106 (602) 207-2203 (203) 424-3001 ARKANSAS DELAWARE Randall Mathis Christophe A.G. Tulou Director Secretary Arkansas Department of Pollution Delaware Department of Natural Control and Ecology Resources and Environmental Control 8001 National Drive P.O. Box 1401 P.O. Box 8913 Dover, DE 19903 Little Rock, AR 72219-8913 (302) 739-4403 (501) 570-2130 CALIFORNIA DISTRICT OF COLUMBIA James M. Strock Ferial Bishop Secretary Administrator California Environmental Protection District of Columbia Environmental Agency Regulation Administration 555 Capitol Mall, Suite 235 2100 Martin Luther King, Jr. Avenue Sacramento, CA 95814 Suite 203 (916) 445-3846 Washington, DC 20020 (202) 645-6617 COLORADO FLORIDA Tom Looby Virginia B. Wetherell Director, Office of Environment Secretary Colorado Department of Public Health Florida Department of Environmental and Environment Protection 4300 Cherry Creek Drive, South 3900 Commonwealth Boulevard Denver, CO 80222 Tallahassee, FL 32399 (303) 692-3001 (904) 488-4805

ENVIRONMENTAL HEALTH RESOURCES: AGENCIES, ORGANIZATIONS, SERVICES, 169 GENERAL REFERENCES, AND TABLES OF ENVIRONMENTAL HEALTH HAZARDS GEORGIA INDIANA Harold F. Reheis Kathy Prosser Director, Environmental Protection Commissioner Division Indiana Department of Environmental Georgia Department of Natural Management Resources 100 North Senate Avenue 205 Butler Street, SE, Suite 1152 P.O. Box 6015 Atlanta, GA 30334 Indianapolis, IN 46206-6015 (404) 656-4713 (317) 232-8162 HAWAII KANSAS Bruce Anderson Ron Hammerschmidt Director for Environmental Health Director, Division of Environment P.O. Box 3378 Kansas Department of Health and Honolulu, HI 96801 Environment (808) 586-4424 740 Forbes Field Topeka, KS 66620 (913) 296-1535 IDAHO KENTUCKY Wallace Cory Phillip J. Shepherd Administrator Secretary Idaho Division of Environmental Kentucky Natural Resources and Quality Environment Protection Cabinet 450 W. State Street Capital Plaza Tower, 5th Floor Boise, ID 83720 Frankfort, KY 40601 (208) 334-5840 (502) 564-3350 ILLINOIS LOUISIANA Mary Gade William Kurcharski Director Secretary Illinois Environmental Protection Louisiana Department of Environmental Agency Quality 2200 Churchill Road P.O. Box 82263 Springfield, IL 62706 Baton Rouge, LA 70884-2263 (217) 782-9540 (504) 765-0639

ENVIRONMENTAL HEALTH RESOURCES: AGENCIES, ORGANIZATIONS, SERVICES, 170 GENERAL REFERENCES, AND TABLES OF ENVIRONMENTAL HEALTH HAZARDS MAINE MICHIGAN Edward Sullivan Russell Harding Commissioner Deputy Director Maine Department of Environmental Michigan Department of Natural Protection Resources State House Station 17 P.O. Box 30028 Augusta, ME 04333 Lansing, MI 48909 (207) 287-2812 (517) 373-7917 MARYLAND MINNESOTA Jane T. Nishida Charles Williams Secretary Commissioner Maryland Department of the Environment Minnesota Pollution Control Agency 2500 Broening Highway 520 Lafayette Road North Baltimore, MD 21224 St. Paul, MN 55155-4194 (410) 631-3084 (612) 296-7301 John Chlada Director MISSISSIPPI Strategic Planning and Enforcement J.I. Palmer Maryland Department of the Environment Executive Director 2500 Broening Highway Mississippi Department of Baltimore, MD 21224 Environmental Quality (410) 631-3114 P.O. Box 20305 2380 Highway 80 West Jackson, MS 39289-1305 (601) 961-5000 MASSACHUSETTS MISSOURI David B. Strubs David A. Shorr Commissioner Director Massachusetts Department of Missouri Department of Natural Environmental Protection Resources 1 Winter Street P.O. Box 176 Boston, MA 02108 Jefferson City, MO 65102 (617) 292-5856 (314) 751-4732

ENVIRONMENTAL HEALTH RESOURCES: AGENCIES, ORGANIZATIONS, SERVICES, 171 GENERAL REFERENCES, AND TABLES OF ENVIRONMENTAL HEALTH HAZARDS NEBRASKA NEW YORK Randolph Wood Michael Zagata Director Commissioner Nebraska Department of Environmental New York Department of Quality Environmental Conservation P.O. Box 98922 50 Wolf Road Lincoln, NE 68509 Albany, NY 12233-1010 (402) 471-4231 (518) 457-1162 NEW HAMPSHIRE NORTH CAROLINA Robert W. Varney Jonathon Howes Commissioner Secretary New Hampshire Department of North Carolina Department of Environmental Services Environment, Health and Natural 6 Hazen Drive Resources P.O. Box 95 P.O. Box 27687 Concord, NH 03301 Raleigh, NC 27611-7687 (603) 271-3503 (919) 733-4984 NEW JERSEY NORTH DAKOTA Robert Shinn Francis Schwindt New Jersey Department of Chief Environmental Protection North Dakota Environmental Health 401 E. State Street, CN 402 Section Trenton, NJ 08625 1200 Missouri Avenue (609) 292-2885 P.O. Box 5520 Bismarck, ND 58502-5520 (701) 328-5150 NEW MEXICO OHIO Mark Weidler Donald R. Schregardus Secretary Director New Mexico Environment Department Ohio Environmental Protection Agency P.O. Box 26110 1800 Watermark Drive Santa Fe, NM 87502 Columbus, OH 43266 (505) 827-2855 (614) 644-2782

ENVIRONMENTAL HEALTH RESOURCES: AGENCIES, ORGANIZATIONS, SERVICES, 172 GENERAL REFERENCES, AND TABLES OF ENVIRONMENTAL HEALTH HAZARDS OKLAHOMA RHODE ISLAND Mark Coleman Timothy R.E. Keeney Executive Director Director Oklahoma Department of Environmental Rhode Island Department of Quality Environmental Management 1000 NE 10th Street, Suite 1212 9 Hayes Street Oklahoma City, OK 73119-1212 Providence, RI 02908 (405) 271-8056 (401) 277-2234 OREGON SOUTH CAROLINA Langdon Marsh R. Lewis Shaw Director Deputy Commissioner Oregon Department of Environmental South Carolina Environmental Quality Quality Control Division 811 SW 6th Avenue 2600 Bull Street Portland, OR 97204 Columbia, SC 29201 (503) 229-5696 (803) 734-5360 PENNSYLVANIA SOUTH DAKOTA James Seif Nettie H. Meyers Secretary Secretary Pennsylvania Department of South Dakota Department of Environmental Resources Environment and Natural Resources P.O. Box 2063 Joe Foss Building Harrisburg, PA 17105-2063 523 E. Capitol Avenue (717) 772-2724 Pierre, SD 57501 (605) 773-5559 PUERTO RICO TENNESSEE Hector Russe Martinez J.W. Luna Chairman Commissioner Puerto Rico Environmental Quality Board Tennessee Department of P.O. Box 11488 Environment and Conservation San Juan, PR 00910 21st Floor, L & C Tower (809) 767-8056 401 Church Street Nashville, TN 37243-0435 (615) 532-0109

ENVIRONMENTAL HEALTH RESOURCES: AGENCIES, ORGANIZATIONS, SERVICES, 173 GENERAL REFERENCES, AND TABLES OF ENVIRONMENTAL HEALTH HAZARDS TEXAS WASHINGTON Peggy Garner Mary Riveland Commissioner Director Texas National Resource and Washington Department of Ecology Conservation Commission P.O. Box 47600 P.O. Box 13087 Olympia, WA 98504-7600 Austin, TX 78711-3087 (206) 407-7001 (512) 239-5515 UTAH WISCONSIN Brent C. Bradford George E. Meyer Deputy Director Secretary Utah Department of Environmental Wisconsin Department of Natural Quality Resources P.O. Box 144810 P.O. Box 7921 Salt Lake City, UT 84114-4810 Madison, WI 53707 (801) 536-4405 (608) 266-2121 VERMONT WYOMING Bill Brierley Dennis Hemmer Acting Commissioner Director Vermont Agency of Natural Resources Wyoming Department of Environmental 103 S. Main Street, Building 1, South Quality Waterbury, VT 05671 122 W. 25th Street (802) 241-3800 Cheyenne, WY 82002 (307) 777-7938 ASSOCIATIONS AND ORGANIZATIONS American Academy of Nurse Practitioners The American Academy of Nurse Practitioners (AANP) was established to promote high standards of health care delivered by nurse practitioners. AANP acts as a forum to enhance the identity and continuity of nurse practitioners while also addressing national and state legislative issues that affect its members. American Academy of Nurse Practitioners OBJ Building P.O. Box 12846, Capital Station Austin, TX 78711 (512) 442-4262

ENVIRONMENTAL HEALTH RESOURCES: AGENCIES, ORGANIZATIONS, SERVICES, 174 GENERAL REFERENCES, AND TABLES OF ENVIRONMENTAL HEALTH HAZARDS American Academy of Nursing The American Academy of Nursing (ANA) was established in order to help facilitate the advance of new concepts in nursing and health care. ANA attempts to identify and explore issues in health, the professions, and society that concern nursing, while also examining the interrelationships among the segments within nursing and the interaction among nurses as they affect the development of the nursing profession. American Academy of Nursing 600 Maryland Avenue, S.W. Suite 100 W Washington, DC 20024-2571 (202) 554-4444 American Assembly for Men in Nursing The American Assembly for Men in Nursing (AAMN) was originally established to help eliminate prejudice in nursing for men. Today, the AAMN provides a forum for discussion of common problems, provides incentives for continuing education and professional growth, while also furthering the need for all health professionals to be sensitive to various social needs in the pursuit of positive health care. American Assembly for Men in Nursing P.O. Box 31753 Independence, OH 44131 (216) 524-3504 American Association of Colleges of Nursing The American Association of Colleges of Nursing (AACN) encompasses all institutions offering baccalaureate and/or graduate degrees in nursing. AACN seeks to advance the practice of professional nursing by improving the quality of educational programs offered, promoting research and developing academic leaders. AACN also works with other professional nursing organizations and organizations in the health professions to evaluate and improve health care. American Association of Colleges of Nursing 1 Dupont Circle, N.W. Washington, DC 20036 (202) 463-6930

ENVIRONMENTAL HEALTH RESOURCES: AGENCIES, ORGANIZATIONS, SERVICES, 175 GENERAL REFERENCES, AND TABLES OF ENVIRONMENTAL HEALTH HAZARDS 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 ARIZONA Birmingham Phoenix Regional Poison Control Center Samaritan Regional Poison Center The Children's Hospital of Alabama (602) 253-3334 Emergency (205) 939-9201 Tucson (800) 292-6678 (In-state) Arizona Poison and Drug Information Center (205) 933-4050 Emergency (800) 362-0101 (In-state) (602) 626-6016

ENVIRONMENTAL HEALTH RESOURCES: AGENCIES, ORGANIZATIONS, SERVICES, 176 GENERAL REFERENCES, AND TABLES OF ENVIRONMENTAL HEALTH HAZARDS CALIFORNIA COLORADO Fresno Denver Fresno Regional Poison Control Center Rocky Mountain Poison and Drug Valley Children's Hospital Center Emergency (800) 346-5922 (In-state) Emergency (303) 629-1123 (202) 445-1222 DISTRICT OF COLUMBIA Sacramento Washington University of California, Davis National Capital Poison Control Center Medical Center Regional Poison Control Georgetown University Hospital Center Emergency (202) 625-3333 Emergency (916) 734-3692 (202) 784-4660 (TTY) (800) 342-9293 (In-state) FLORIDA San Diego Tampa San Diego Regional Poison Control The Florida Poison Center Information Center and Toxicology University of California, San Diego Resource Center Medical Center Tampa General Hospital Emergency (619) 543-6000 Emergency (813) 253-444 (800) 876-4766 (In-state) (800) 282-3171 (In-state) San Francisco GEORGIA San Francisco Bay Area Regional Atlanta Poison Control Center Georgia Poison Center San Francisco General Hospital Grady Memorial Hospital Emergency (800) 523-2222 Emergency (800) 282-5846 (In-state) San Jose (404) 616-9000 Santa Clara Valley Medical Center INDIANA Regional Poison Center Indianapolis Emergency (408) 299-5112 Indiana Poison Center (800) 342-9293 (In-state) Methodist Hospital of Indiana Emergency (800) 382-9097 (In-state) (317) 929-2323

ENVIRONMENTAL HEALTH RESOURCES: AGENCIES, ORGANIZATIONS, SERVICES, 177 GENERAL REFERENCES, AND TABLES OF ENVIRONMENTAL HEALTH HAZARDS MARYLAND NEBRASKA Baltimore Omaha Maryland Poison Center The Poison Center (410) 528-7701 Emergency Emergency (402) 390-5555 (800) 492-2414 (In-state) (800) 955-9119 (In-state) MASSACHUSETTS NEW JERSEY Boston Newark Massachusetts Poison Control System New Jersey Poison Information and Emergency (617) 232-2120 Education System (800) 682-9211 Emergency (800) 962-1253 (In-state) MICHIGAN NEW MEXICO Detroit Albuquerque Poison Control Center New Mexico Poison and Drug Emergency (313) 745-5711 Information Center MINNESOTA Emergency (505) 843-2551 Minneapolis (800) 432-6866 (In-state) Hennepin Regional Poison Center NEW YORK Hennepin County Medical Center Mineola Emergency (612) 347-3141 Long Island Regional Poison Control (612) 337-7474 (TTY) Center MISSOURI Winthrop University Hospital St. Louis Emergency (516) 542-2323 Cardinal Glennon Children's Hospital New York Regional Poison Center New York City Poison Control Center Emergency (314) 772-5200 New York City Department of Health (800) 366-8888 (In-state) Emergency (212) 340-4494 MONTANA (212) P-O-I-S-O-N-S Denver (Colorado) (212) 689-9014 (TDD) Rocky Mountain Poison and Drug Center Nyack Emergency (303) 629-1123 Hudson Valley Poison Center Nyack Hospital Emergency (800) 366-6997 (914) 353-1000

ENVIRONMENTAL HEALTH RESOURCES: AGENCIES, ORGANIZATIONS, SERVICES, 178 GENERAL REFERENCES, AND TABLES OF ENVIRONMENTAL HEALTH HAZARDS OHIO RHODE ISLAND Columbus Providence Central Ohio Poison Center Rhode Island Poison Center Emergency (614) 228-1323 Emergency (401) 277-5727 (800) 682-7625 (401) 277-8062 (TDD) (614) 228-2272 (TTY) TEXAS Cincinnati Dallas Cincinnati Drug and Poison North Texas Poison Center Information Center and Regional Poison Emergency (214) 590-5000 Control System (800) 441-0040 (In-state) Emergency (513) 558-5111 Galveston (800) 872-5111 Texas State Poison Center OREGON The University of Texas Medical Portland Branch Oregon Poison Center Emergency (409) 765-1420 Oregon Health Sciences University (713) 654-1701 (Houston) Emergency (503) 494-8968 (512) 478-4490 (Austin) (800) 452-7165 (In-state) UTAH PENNSYLVANIA Salt Lake City Philadelphia Utah Poison Control Center The Poison Control Center Emergency (801) 581-2151 One Children's Center (800) 456-7707 (In-state) Emergency (215) 386-2100 VIRGINIA Pittsburgh Charlottesville Pittsburgh Poison Center Blue Ridge Poison Center Emergency (412) 681-6669 Emergency (804) 924-5543 Hershey (800) 451-1428 Central Pennsylvania Poison Center Northern Virginia Milton S. Hershey Medical Center National Capital Poison Center Emergency (800) 521-6110 Georgetown University Hospital Emergency (202) 625-3333 (202) 784-4660 (TTY)

ENVIRONMENTAL HEALTH RESOURCES: AGENCIES, ORGANIZATIONS, SERVICES, 179 GENERAL REFERENCES, AND TABLES OF ENVIRONMENTAL HEALTH HAZARDS WEST VIRGINIA WYOMING Charleston Omaha (Nebraska) West Virginia Poison Center The Poison Center Emergency (800) 642-3625 (In-state) Emergency (402) 390-5555 (304) 348-4211 (800) 955-9199 (NE and WY only) American Board for Occupational Health Nurses The American Board for Occupational Health Nurses (ABOHN) establishes standards and confers initial and ongoing certification in occupational health nurses. Besides conducting annual certification examinations, the ABOHN awards occupational health nurses for excellence in the field and in research. The ABOHN has also created a database with information and directories relevant to occupational health and nursing. American Board for Occupational Health Nurses 10503 N. Cedarburg Road Mequon, WI 53092-4403 (414) 242-0704 American Cancer Society The American Cancer Society (ACS) is comprised of volunteers who support education and research in cancer prevention, diagnosis, detection, and treatment. ACS provides special services to cancer patients while also establishing educational programs for health professionals and communities. American Cancer Society 1599 Clifton Road, N.E. Atlanta, GA 30329 (800) ACS-2345 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 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

ENVIRONMENTAL HEALTH RESOURCES: AGENCIES, ORGANIZATIONS, SERVICES, 180 GENERAL REFERENCES, AND TABLES OF ENVIRONMENTAL HEALTH HAZARDS 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 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

ENVIRONMENTAL HEALTH RESOURCES: AGENCIES, ORGANIZATIONS, SERVICES, 181 GENERAL REFERENCES, AND TABLES OF ENVIRONMENTAL HEALTH HAZARDS American Nurses Association The American Nurses Association (ANA) is comprised of registered nurses from around the country. ANA seeks to promote the nursing profession through its sponsorship of the American Nurses Foundation (for research), American Academy of Nursing, Center for Ethics and Human Rights, International Nursing Center, Ethnic/Racial Minority Fellowship Programs, and the American Nurses Credentialing Center. American Nurses Association 600 Maryland Avenue, S.W. Suite 100 W Washington, DC 20024-2571 (202) 554-4444 American Nurses Foundation The American Nurses Foundation (ANF) was established by the American Nurses Association to conduct health policy research as it relates to nursing and the health care of the general public. American Nurses Foundation 600 Maryland Avenue, S.W. Suite 100 W Washington, DC 20024-2571 (202) 554-4444 American Public Health Association The American Public Health Association (APHA) was founded in 1872 as a professional organization of physicians, nurses, educators, academicians, environmentalists, epidemiologists, new professionals, social workers, health administrators, optometrists, podiatrists, pharmacists, dentists, nutritionists, health planners, other community and mental health specialists, and any interested consumer. The APHA seeks to protect and promote personal, mental, and environmental health through the promulgation of health standards, establishment of uniform practices and procedures, development of etiology of communicable diseases, research in public health, exploration of medical care programs and their relationships to public health.

ENVIRONMENTAL HEALTH RESOURCES: AGENCIES, ORGANIZATIONS, SERVICES, 182 GENERAL REFERENCES, AND TABLES OF ENVIRONMENTAL HEALTH HAZARDS American Public Health Association 1015 15th Street, N.W. Washington, DC 20005 (202) 789-5600 Association of Black Nursing Faculty The Association of Black Nursing Faculty (ABNF) is made up of black nursing faculty teaching in nursing programs accredited by the National League for Nursing. ABNF works to promote health-related issues and educational concerns of interest to the black community by providing forums for communication and the exchange of information among members, develops strategies to address the concerns of the community, and promotes health- related issues of legislation, government programs, and community activities. Association of Black Nursing Faculty 5823 Queens Cove Lisle, IL 60532 (708) 969-3809 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. Association of Occupational and Environmental Clinics 1010 Vermont Avenue, #513 Washington, DC 20005 (202) 347-4976

ENVIRONMENTAL HEALTH RESOURCES: AGENCIES, ORGANIZATIONS, SERVICES, 183 GENERAL REFERENCES, AND TABLES OF ENVIRONMENTAL HEALTH HAZARDS ALABAMA COLORADO Birmingham Denver Occupational and Environmental Occupational and Environmental Medicine Clinic Medicine Division University of Alabama at Birmingham National Jewish Center for Immunology Contact: Timothy J. Key, MD, MPH and Respiratory Medicine Brian G. Forrester, MD, MPH Contact: Peggy Mroz, MSPH (205) 934-7303 Kathleen Kreiss, MD CALIFORNIA Cecile Rose, MD, MPH Davis (303) 398-1520 Occupational and Environmental CONNECTICUT Health Clinic Farmington University of California at Davis University of Connecticut Contact: Stephen McCurdy, MD, MPH Occupational and Environmental Marc Schenker, MD, MPH Medicine Program (916) 752-3317 Contact: Eileen Storey, MD, Irvine (203) 679-2893 Occupational and Environmental Clinic New Haven University of California at Irvine Yale University Occupational/ Contact: Dean Baker, MD, MPH Environmental Medicine Program (714) 824-8641 Yale School of Medicine San Francisco Contact: Mark Cullen, MD, MPH Occupational and Environmental (203) 785-5885 Medicine Clinic Waterbury University of California at San Waterbury Occupational Health Francisco Contact: Gregory McCarthy, MD, MPH Contact: Patricia Quinlan, MPH (203) 573-8114 Diane Liu, MD, MPH Jordan Rinker, MD, MPH (415) 885-7770

ENVIRONMENTAL HEALTH RESOURCES: AGENCIES, ORGANIZATIONS, SERVICES, 184 GENERAL REFERENCES, AND TABLES OF ENVIRONMENTAL HEALTH HAZARDS DISTRICT OF COLUMBIA University of Illinois Occupational Washington, DC Medicine Program Division of Occupational and Contact: Linda Forst, MD, MS, MPH Environmental Medicine Stephen Hessl, MD, MPH George Washington University School (312) 996-1063 of Medicine IOWA Contact: Laura Welch, MD, MOH Iowa City Rosemary Sokas, MD University of Iowa Occupational (202) 994-1734 Medicine Clinic GEORGIA Department of Internal Medicine Atlanta College of Medicine Environmental and Occupational Contact: David Schwartz, MD, DrPH Program Emma Rosenau, MPH The Emory Clinic at Perimeter (319) 356-8269 Contact: Howard Frumkin, MD, DrPH KENTUCKY Edward Galaid, MD, MPH Lexington (404) 727-3697 University of Kentucky Occupational (404) 248-5478 Medicine Program ILLINOIS Contact: Terence R. Collins, MD, MPH Chicago Chaim Cohen, MD, MPH Managed Care Occupational Health (606) 257-5166 Program LOUISIANA Mount Sinai Hospital Medical Center New Orleans Contact: Gene Miller, Director Ochsner Center for Occupational Health Edward Mogabgab, MD Contact: Peter G. Casten, MD, MPH (312) 257-6480 Douglas A. Swift, MD, MSPH Occupational Medicine Clinic (504) 838-3955 Cook County Hospital Contact: Stephen Hessl, MD, MPH (312) 633-5310

ENVIRONMENTAL HEALTH RESOURCES: AGENCIES, ORGANIZATIONS, SERVICES, 185 GENERAL REFERENCES, AND TABLES OF ENVIRONMENTAL HEALTH HAZARDS MAINE Cambridge Portland Occupational and Environmental Center for Health Promotion Health Center Contact: Stephen Shannon, DO, MPH Cambridge Hospital Sue Upshaw, MD, MPH Contact: Rose Goldman, MD, MPH (207) 774-7751 Susan Rosenwasser, MEd MARYLAND (617) 498-1580 Baltimore South Braintree Johns Hopkins University Center for Occupational and Center for Occupational and Environmental Environmental Medicine Health Massachusetts Respiratory Hospital Contact: Edward J. Bernacki, MD, MPH Contact: Diane Plantamura, MSW (410) 550-2322 (617) 848-2600 Occupational Health Project School of Worcester Medicine Occupational Health Program Division of General Internal Medicine Department of Family and University of Maryland Community Medicine, University of Contact: James Keogh, MD Massachusetts Julie Gordon, ScM Contact: Glenn Pransky, MD, Occ. H. (410) 706-7464 Thomas Hicks, MD, MPH MASSACHUSETTS (508) 856-3093 Boston MICHIGAN Pulmonary Associates (Occupational Ann Arbor Medicine) Occupational Health Program Contact: L. Christine Oliver, MD, MPH School of Public Health Elisha Atkins, MD University of Michigan Dean Hashimoto, MD, JD Contact: David Garabrant, MD, MPH David Christiani, MD, MPH Tom Robins, MD, MPH (617) 726-3741 Alfred Franzblau, MD, MPH (313) 764-2594

ENVIRONMENTAL HEALTH RESOURCES: AGENCIES, ORGANIZATIONS, SERVICES, 186 GENERAL REFERENCES, AND TABLES OF ENVIRONMENTAL HEALTH HAZARDS Detroit MINNESOTA Division of Occupational Health Minneapolis Wayne State University Columbia Park Medical Group Department of Family Medicine Occupational Medicine Department Contact: Raymond Demers, MD, MPH Contact: Donald Johnson, MD, MPH Mark Upfal, MD, MPH Dorothy Quick, RN, COHN James Blessman, MD, MPH (612) 572-5710 Maryjean Schenk, MD, MPH St. Paul Robert Morris, MD, MPH Ramsey Clinic Occupational and Sushil Mankani, MD, MPH Environmental Health and Occupational (313) 577-1420 Medicine East Lansing Residency Training Michigan State University Contact: Paula Geiger, Admin. Secretary Department of Medicine William H. Lohman, MD Contact: Kenneth Rosenman, MD, MPH (612) 221-3771 (517) 353-1846 NEW JERSEY Lansing Piscataway Occupational Health Service Environmental and Occupational Health St. Lawrence Hospital and Health Clinical Center Institute Environmental and Occupational Health Contact: R. Michael Kelly, MD, MPH Sciences Institute (517) 377-0309 UMDNJ-Robert Wood Johnson Medical Southfield School Center for Occupational and Contact: Howard Kipen, MD, MPH Environmental Medicine Gail Buckler, RN, MPH, COHN Contact: Margaret Green, MD, MPH (908) 445-0123 Michael Harbut, MD, MPH (313) 559-6663

ENVIRONMENTAL HEALTH RESOURCES: AGENCIES, ORGANIZATIONS, SERVICES, 187 GENERAL REFERENCES, AND TABLES OF ENVIRONMENTAL HEALTH HAZARDS NEW YORK Syracuse Latham Central New York Occupational Health Eastern NY Occupational Health Clinical Center Program Contact: Michael B. Lax, MD, MPH Contact: Anne Tencza, RN, COHN (315) 432-8899 Eckhardt Johanning, MD, MSc NORTH CAROLINA (518) 783-1518 Durham New York Division of Occupational and Bellevue Occupational and Environmental Medicine Environmental Health Clinic Duke University Medical Center Bellevue Hospital Contact: Dennis Darcey, MD, MPSH Contact: George Friedman-Jimenez, MD Gary Greenberg, MD, MPH Rafael de la Hoz, MD, MPH (919) 286-3232 (212) 561-4572 OHIO Mount Sinai Cincinnati J. Selikoff Occupational Health Clinical Center for Occupational Health Center Holmes Hospital Contact: Stephen Mooser, MPH Contact: James Donovan, MD, MS Stephen Levin, MD Douglas Linz, MD, MS Robin Herbert, MD Susan Pinney, PhD (212) 241-6173 (513) 558-1234 Rochester Greater Cincinnati Occupational Health Finger Lakes Occupational Health Center Services Jewish Hospital at Evendale Contact: Julie R. Cataldo, Administrator Contact: Harriet Applegate, Director (716) 275-1335 Margaret Atterbury, MD, MPH Stony Brook (513) 769-0561 Center for Occupational and Environmental Medicine State University of NY School of Medicine Contact: Wajdy Hailoo, MD, MPH (516) 444-2167

ENVIRONMENTAL HEALTH RESOURCES: AGENCIES, ORGANIZATIONS, SERVICES, 188 GENERAL REFERENCES, AND TABLES OF ENVIRONMENTAL HEALTH HAZARDS Cleveland Pittsburgh Occupational/Environmental Health Clinic Occupational and Environmental Department of Family Medicine Medicine Program MetroHealth Medical Center University of Pittsburgh Contact: Kathleen Fagan, MD, MPH Contact David Tollerud, MD, MPH (216) 778-8087 (412) 624-3155 OKLAHOMA Willow Grove Oklahoma City Center for Occupational and University Occupational Health Sciences Environmental Health Division of Occupational and Abington Memorial Hospital Environmental Medicine Contact: Jessica Herzstein, MD, MPH Contact: David Paul, MD, MPH (215) 881-5904 Lynn Mitchell, MD, MPH RHODE ISLAND (405) 271-6177 Pawtuckett Tulsa Memorial Hospital of Rhode Island WorkMed, Inc. Occupational Health Service Contact: James W. Small, MD, MPH Brown University Steve Snyder, MD Contact: David G. Kern, MD, MPH Tiari A. Harris, MD, MPH (401) 729-2859 Lloyd Anderson, MD TEXAS (918) 627-4646 Tyler PENNSYLVANIA Texas Institute of Occupational Philadelphia Safety and Health Occupational Health Service Contact: Jeffrey Levin, MD, MSPH Department of Community and Preventive (903) 877-7262 Medicine Medical College of Pennsylvania Contact: Eddy Bresnitz, MD, MS Harriet Rubenstein, JD, MPH (215) 842-6540

ENVIRONMENTAL HEALTH RESOURCES: AGENCIES, ORGANIZATIONS, SERVICES, 189 GENERAL REFERENCES, AND TABLES OF ENVIRONMENTAL HEALTH HAZARDS UTAH WEST VIRGINIA Salt Lake City Huntington Rocky Mountain Center for Occupational Division of Occupational and and Environmental Health Environmental Health Contact: Anthony Suruda, MD, MPH Department of Family and Community Royce Moser, MD, MPH Medicine (801) 581-5056 Marshall University School of WASHINGTON Medicine Seattle Contact: Chris McGuffin, MS Occupational Medicine Program James Becker, MD University of Washington (304) 696-7045 Harborview Medical Center CANADA Contact: Scott Barnhart, MD, MPH Edmonton, Alberta Drew Brodkin, MD, MPH Occupational Medicine Consultation Matt Keifer, MD, MPH Clinic (206) 223-3005 University of Alberta Contact: Linda Cocchiarella, MD, MPH Tee Guidotti, MD, MPH (403) 492-7849 Winnipeg, Manitoba MFL Occupational Health Centre, Inc. Contact: Judy Cook, Executive Director (204) 949-0811 American Organization of Nurse Executives The American Organization of Nurses Executives (AONE) was established to provide leadership and assistance in the professional development of nursing leaders. AONE seeks to advance the practice of nursing and patient care through advocacy and research while also playing a vital role in shaping health care public policy at the state and federal levels. AONE also provides educational opportunities for the enhancement of management, leadership, educational, and professional development of nurses as leaders.

ENVIRONMENTAL HEALTH RESOURCES: AGENCIES, ORGANIZATIONS, SERVICES, 190 GENERAL REFERENCES, AND TABLES OF ENVIRONMENTAL HEALTH HAZARDS American Organization of Nurse Executives 840 N. Lake Shore Drive Chicago, IL 60611 (312) 280-5213 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 Association of University Environmental Health/Sciences Centers The Association of University Environmental Health/Sciences Centers (AUEHSC) provides a forum for all of the university-based environmental health science centers supported by the National Institute of Environmental Health. The AUEHSC enables members to exchange information, work in collaboration on projects, and promote cooperation among centers. Association of University Environmental Health/Science Centers Mount Sinai School of Medicine One Gustave L. Levey Place New York, NY 10029 (212) 241-6173 Center for Safety in the Arts The Center for Safety in the Arts (CSA) seeks to gather and disseminate

ENVIRONMENTAL HEALTH RESOURCES: AGENCIES, ORGANIZATIONS, SERVICES, 191 GENERAL REFERENCES, AND TABLES OF ENVIRONMENTAL HEALTH HAZARDS information about health hazards encountered by artists, craftsmen, teachers, children, and others working with art 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 International Commission on Occupational Health The International Commission on Occupational Health (ICOH) was founded in 1906 to study new facts in the field of occupational health, to draw the attention of all responsible to the results of study and investigation in occupational health, and to organize meetings on national and international problems in this field. The ICOH has established 26 different scientific committees including a Scientific Committee on Nursing that focus on specific occupational health problems and issues. International Commission on Occupational Health Department of Community, Occupational, and Family Medicine National University Hospital Lower Kent Ridge Road 0511 Singapore

ENVIRONMENTAL HEALTH RESOURCES: AGENCIES, ORGANIZATIONS, SERVICES, 192 GENERAL REFERENCES, AND TABLES OF ENVIRONMENTAL HEALTH HAZARDS International Council of Nurses The International Council of Nurses (ICN) was founded in 1899 as an multinational nurses' association. The ICN provides a medium through which members can work together in promoting the health of people and the care of the sick across countries. The objectives of ICN are to improve the standards and status of nursing, promote the development of strong national nurses' associations, and serve as the authoritative voice for nurses and the nursing profession worldwide. International Council of Nurses 1 place Jean-Marteau CH-12101 Geneva, Switzerland (22) 731-2960 MotherRisk Program The MotherRisk Program will counsel callers about the safety of an exposure to drugs, chemicals, or radiation during pregnancy or breastfeeding. The team of physicians and 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 Hispanic Nurses The National Association of Hispanic Nurses (NAHN) was founded in 1976 for nurses on all educational levels from all Hispanic subgroups and non- Hispanic nurses concerned about the health delivery needs of the Hispanic community and nursing students. NAHN seeks to serve the nursing and health care delivery needs of the Hispanic community and the professional needs of Hispanic nurses. The association also provides forums for Hispanic nurses to analyze, research, and evaluate the health care needs of Hispanic communities and then disseminates findings of that research to local, state, and federal agencies in order to affect policy-making and resource allocation.

ENVIRONMENTAL HEALTH RESOURCES: AGENCIES, ORGANIZATIONS, SERVICES, 193 GENERAL REFERENCES, AND TABLES OF ENVIRONMENTAL HEALTH HAZARDS National Association of Hispanic Nurses 1501 16th Street, N.W. Washington, DC 20036 (202) 387-2477 National Association of School Nurses The National Association of School Nurses (NASN) is made up of school nurses throughout the country who conduct comprehensive school health programs in public and private schools. The objectives of the NASN are to provide national leadership in the promotion of health services for schoolchildren; to promote school health interests to the nursing and health community and the public; and to monitor legislation pertaining to school nursing. The NASN also provides continuing education programs at the national level and assistance to states for program implementation. NASN also operates the National Board for Certification of School Nurses and certifies school nurses. Besides establishing several workshops and grants for studying children, drug abuse, the female body, and skin care, NASN bestows the annual School Nurse of the Year and Lillian Wald Research Awards. National Association of School Nurses Lamplighter Lane P.O. Box 1300 Scarborough, ME 04070 (207) 883-2117 National Black Nurses Association The National Black Nurses Association (NBNA) functions as a professional support group and as an advocacy group for the black community and their health care. NBNA recruits and assists blacks interested in pursing nursing as a career and presents scholarships to student nurses who have excelled in the field. National Black Nurses Association 1012 10th Street N.W. Washington, DC 20001-4492 (202) 393-6870

ENVIRONMENTAL HEALTH RESOURCES: AGENCIES, ORGANIZATIONS, SERVICES, 194 GENERAL REFERENCES, AND TABLES OF ENVIRONMENTAL HEALTH HAZARDS National Council of State Boards of Nursing The National Council of State Boards of Nursing (NCSBN) was founded in 1978 as the national council for all state boards of nursing. The NCSBN seeks to assist member boards in administrating the National Council Licensure Examinations for Registered Nurses and Practical Nurses and works to insure relevancy of the exams to current nursing practice. The council also aids individual boards in the collection and analysis of information pertaining to the licensure and discipline of nurses. The NCSBN also provides consultative services, conducts research, and sponsors educational programs. National Council of State Boards of Nursing 676 N. St. Clair, Suite 550 Chicago, IL 60611 (312) 787-6555 National Environmental Health Association The National Environmental Health Association (NEHA) is a professional society of persons engaged in environmental health and protection for governmental agencies, public health and environmental protection agencies, industry, colleges, and universities. NEHA also conducts national professional registration programs and offers continuing education opportunities for interested professionals. National Environmental Health Association 720 S. Colorado Blvd. Suite 970, S. Tower Denver, CO 80222 (301) 756-9090 National League for Nursing The National League for Nursing (NLN) was established in 1952 for individuals and leaders in nursing and other health professions interested in solving health care problems. The NLN works to assess nursing needs, improve organized nursing services and nursing education, foster collaboration between nursing and other health and community services, provide tests used in the selection of applicants to schools of nursing, and prepare tests used in evaluating nursing student progress and nursing service test. On a national level, the NLN accredits nursing education

ENVIRONMENTAL HEALTH RESOURCES: AGENCIES, ORGANIZATIONS, SERVICES, 195 GENERAL REFERENCES, AND TABLES OF ENVIRONMENTAL HEALTH HAZARDS programs and community health agencies while collecting and disseminating data on nursing services and education. National League for Nursing 350 Hudson Street New York, NY 10014 (800) 669-1656 National Student Nurses' Association The National Student Nurses' Association (NSNA) comprises students currently enrolled in state-approved nursing schools for the preparation of becoming registered nurses. NSNA seeks to aid in the development of the individual nursing student and urges students, as future health professionals, to be aware of and to contribute to improving the health care of all people. NSNA also encourages programs and activities in state groups concerning nursing, health, and the community. National Student Nurses' Association 555 W. 57th Street Suite 1327 New York, NY 10019 (212) 581-2211 Nurses Educational Funds The Nurses Educational Funds (NEF) seeks to establish, maintain, and administer funds to provide financial assistance to registered nurses studying for advanced degrees. The NEF also helps formulate policies for the administration of such funds while collecting and managing all funds contributed to it. Nurses Educational Funds 555 W. 57th Street, 13th Floor New York, NY 10019 (212) 582-8820 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,

ENVIRONMENTAL HEALTH RESOURCES: AGENCIES, ORGANIZATIONS, SERVICES, 196 GENERAL REFERENCES, AND TABLES OF ENVIRONMENTAL HEALTH HAZARDS 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 Sigma Theta Tau International Sigma Theta Tau International (STTI) was founded in 1822 as a honorary society for nurses. STTI provides members with the opportunity to access information through their libraries, references, and databases, while also recognizing excellence in the field of nursing with awards and grants for research. STTI seeks to promote the profession of nursing as leaders, advocates, and pertinent players in the care of the individual and community's health. Sigma Theta Tau International 550 W. North Street Indianapolis, IN 46202 (317) 634-8171 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

ENVIRONMENTAL HEALTH RESOURCES: AGENCIES, ORGANIZATIONS, SERVICES, 197 GENERAL REFERENCES, AND TABLES OF ENVIRONMENTAL HEALTH HAZARDS 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 Department of Pathology Brigham and Women's Hospital 75 Francis Street Boston, MA (617) 732-6507 World Watch 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 ASBESTOS American Lung Association EPA Asbestos Programs (212) 315-8700 (800) 368-5888 EPA Clean Air Act CANCER INFORMATION (202) 382-7548 National Cancer Institute ART SUPPLIES (800) 4-CANCER Center for Safety in the Arts EPA Carcinogen Assessment Group (212) 277-6220 (202) 382-5898

ENVIRONMENTAL HEALTH RESOURCES: AGENCIES, ORGANIZATIONS, SERVICES, 198 GENERAL REFERENCES, AND TABLES OF ENVIRONMENTAL HEALTH HAZARDS CHEMICAL EMERGENCIES LUNG DISEASE Chemical Spills Emergency Hotline American Lung Association (800) 535-0202 (212) 315-8700 EPA Hazardous Waste Hotline LUNGLINE/National Jewish Hospital (800) 535-0202 (800) 222-5864 ATSDR Emergency Hotline OCCUPATIONAL HEALTH (404) 639-6300 National Institute for Occupational Safety CONSUMER PRODUCT SAFETY and Health Consumer Product Safety Commission (800) 356-4674 (800) 638-2772 Occupational Safety and Health HAZARDOUS WASTE Administration EPA Emergency Planning and (202) 219-8151 Community Right to Know Hotline PESTICIDES (800) 535-0202 EPA National Pesticides Hotline Integrated Risk Information System (800) 535-PEST (IRIS) National Pesticide Telecommunications (202) 475-6743 Network IRIS User Support (800) 858-7378 (513) 569-7254 POISONING Superfund Records of Decision Poison Control Centers (703) 920-9810 PREGNANCY CONCERNS State Health Departments MotherRisk Program LEAD (416) 813-7378 National Center for Environmental RADON Health (CDC) EPA Office of Radon Programs (404) 488-4880 (202) 475-9605 National Lead Information Center National Radon Hotline (800) LEAD-FYI (800) SOS-RADON Child and Maternal Health State Health Departments Clearinghouse SMOKE (202) 625-8410 American Lung Association (212) 315-8700

ENVIRONMENTAL HEALTH RESOURCES: AGENCIES, ORGANIZATIONS, SERVICES, 199 GENERAL REFERENCES, AND TABLES OF ENVIRONMENTAL HEALTH HAZARDS TOXIC SUBSTANCES EPA Toxic Substances Control Act(TSCA) American Chemical Society's Information Line Chemical Referral Center (202) 554-1404 (202) 887-1315 EPA Toxic Chemical Release Inventory System ATSDR Emergency Response (800) 535-0202 Branch WATER (404) 639-6300 EPA Safe Drinking Water Hotline ATSDR Toxicological Profiles (800) 426-4791 (404) 639-6000 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 information, please address any questions to the TIS Helpline at (202) 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, conversation, 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,

ENVIRONMENTAL HEALTH RESOURCES: AGENCIES, ORGANIZATIONS, SERVICES, 200 GENERAL REFERENCES, AND TABLES OF ENVIRONMENTAL HEALTH HAZARDS 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. 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

ENVIRONMENTAL HEALTH RESOURCES: AGENCIES, ORGANIZATIONS, SERVICES, 201 GENERAL REFERENCES, AND TABLES OF ENVIRONMENTAL HEALTH HAZARDS 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. Nightingale Nightingale is a gopher server dedicated to providing the nursing community with easy access to information which is unique or pertinent to the nursing profession. Resources and information is available on topics such as research, practice, education, professional nursing communications, publications, and other nursing resources. Access can be gained through: http:// nightingale.con.utk.edu./00/homepage.html. Nursing Institutes on Internet Arizona Health Sciences Center—College of Nursing (http:// www.medlib.arizona.edu) Brigham Young University—College of Nursing (http://nurse.byu.edu) Duke University Nursing Services (http://nursing-www.mc.duke.edu/nursing/ nshomepg.htm) East Tennessee State University—College of Nursing (http://www.east-tenn- st.edu/&223C;etsucon) European Summerschool of Nursing Informatics (http:// care4all.nursing.nl.8080/sumsch/sumhome.html) Ohio State University—College of Nursing (http://www.con.ohio-state.edu/ index.htm) University of California at San Francisco—School of Nursing (http:// nurseweb.ucsf.edu/www/ucsfson.htm) University of Central Florida—School of Nursing (http://pegasus.cc.usf.edu/ &223C;wink/nursing.department.html)

ENVIRONMENTAL HEALTH RESOURCES: AGENCIES, ORGANIZATIONS, SERVICES, 202 GENERAL REFERENCES, AND TABLES OF ENVIRONMENTAL HEALTH HAZARDS University of Delaware—College of Nursing (http://www.udel.edu./brentt/ UD_Nursing.html) University of New Hampshire (http://pubpages.unh.edu/~tpcox/nsg.html) University of Iowa—College of Nursing (http://coninfor.nursing.uiowa.edu/ index.htm) University of Louisville, Kentucky (http://www.louisville.edu) University of Maryland—College of Nursing (http://www.nursing.ab.umd.edu) University of Missouri, Columbia (http://www.missouri.edu/~nurswalk/ nmwhome.html) University of Pennsylvania—School of Nursing (http://dolphin.upenn.edu/ ~nursing) University of Tennessee, Knoxville—Nursing Gopher (http:// nightingale.con.utk.edu:70/01homepage.html) University of Washington—School of Nursing (http:// www.son.hs.washington.edu) West Virginia University—School of Nursing (http://www.hsc.wvu.edu/son/ index.htm) Nursing Internet Resources The Nursing Internet Resources provides a guide and link to nursing resources on-line. Access can be gained through: http://www.csv.warwick.ac. uk:8000/nurse-resources.html or gopher-p1papers/nurse.csv.warwick.ac.uk Nursing Network Forum The Nursing Network Forum is operated and managed by Mid-Atlantic Network Associates, Inc. as a resource and discussion forum for nurses around the country. Services on the Nursing Network Forum include (1) a message base for discussion of various aspects of nursing, career opportunities, and nursing school experiences; (2) a conferencing area where users talk "live" with other nurses; (3) a library area filled with resources and on-line continuing education programs provided through the University of Maryland and accredited by ANCCCA (these programs can be completed in the home while earning accredited contact hours toward continuing education units); and (4) a direct nursing gopher and usernet discussion group access. Although the forum is not free, trial periods are provided. For additional information, please contact the Nursing Network Forum

ENVIRONMENTAL HEALTH RESOURCES: AGENCIES, ORGANIZATIONS, SERVICES, 203 GENERAL REFERENCES, AND TABLES OF ENVIRONMENTAL HEALTH HAZARDS at (800) 695-4002 or through internet at nurse@delphi.com or nurse@clark.net. 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 air pollution-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. 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.

ENVIRONMENTAL HEALTH RESOURCES: AGENCIES, ORGANIZATIONS, SERVICES, 204 GENERAL REFERENCES, AND TABLES OF ENVIRONMENTAL HEALTH HAZARDS NURSENE NURSENET provides discussion about pertinent nursing issues facing the profession. To subscribe send your Firstname Lastname to listserv@vm.utcc. utoronto.ca sub nursenet. NURSERES Nurses Research List NURSERES allows discussion of research being conducted in the field of nursing. To join send your Firstname Lastname to listserv@kentvm.kent.edu with a message of SUB NURSERES. NRSINGED Nursing Educators List NRSINGED is a discussion group of nursing educators concerning the various issues and aspects of nursing education. To join send your Firstname Lastname with the message SUB NRSINGED to listserv@ulkyvm.louisville.edu. 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 SNURSE-L SNURSE-L is a list server for undergraduate nursing students. To join send mail to listserv@ubvm.cc.buffalo.edu with the message SUB SNURSE-L Firstname Lastname.

ENVIRONMENTAL HEALTH RESOURCES: AGENCIES, ORGANIZATIONS, SERVICES, 205 GENERAL REFERENCES, AND TABLES OF ENVIRONMENTAL HEALTH HAZARDS Other Gophers/Internet Relevant to Environmental Health and Nursing Division of Environmental Health and Safety gopher://romulus.ehs.uiuc.edu:70/11 The Environmental Magazine gopher://gopher.internet.com:2100/11/collected/d NCLEX Nursing Careers http://www.kaplan.com/etc/nclex_index.html National Institute of Environmental Health Sciences (NIEHS) gopher://gopher.niehs.nih.gov/1 NURSE at Warwick University gopher://gopher.nurse.csv.warwick.ac.uk http://www.csv.warwick.ac.uk:8000/ 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 biomedical 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). * Adapted from Murdock, BS, ed. 1991. Environmental Issues in Primary Care. Minnesota: Minnesota Department of Health.

ENVIRONMENTAL HEALTH RESOURCES: AGENCIES, ORGANIZATIONS, SERVICES, 206 GENERAL REFERENCES, AND TABLES OF ENVIRONMENTAL HEALTH HAZARDS Primary biomedical data bases included on the MEDLARS system are: MEDLINE indexes articles from over 3200 biomedical journals published in the United States 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 toxicological 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

ENVIRONMENTAL HEALTH RESOURCES: AGENCIES, ORGANIZATIONS, SERVICES, 207 GENERAL REFERENCES, AND TABLES OF ENVIRONMENTAL HEALTH HAZARDS 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 online 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 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.

ENVIRONMENTAL HEALTH RESOURCES: AGENCIES, ORGANIZATIONS, SERVICES, 208 GENERAL REFERENCES, AND TABLES OF ENVIRONMENTAL HEALTH HAZARDS GENERAL REFERENCES Aldrich, T., and Griffith, J. 1993. Environmental Epidemiology and Risk Assessment. New York: Van Nostrand Reinhold. Anderson, E.T., and McFarlane, J.M. 1995. Community as Partner: Theory and Practice of Nursing. Philadelphia: J.B. Lippincott. Bullough, B., and Bullough, V. 1990. Nursing in the Community. St. Louis: C.V. Mosby. Burgess, W.A. 1981. Recognition of Health Hazards in Industry: A Review of Materials and Processes. New York: 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., eds. 1993. Critical Condition: Human Health and the Environment. Cambridge: MIT Press. Clemen-Stone, S., Eigsti, D.G., and McGuire, S.L. 1995. Comprehensive Family and Community Health Nursing. 4th ed. St. Louis: C.V. Mosby. Davis, A.J., and Aroskar, M.A. 1991. Ethical Dilemnas in Nursing Practice. 3rd ed. Norwalk, CT: Appleton and Lange. Gary, F., and Kavanagh, C.T. 1991. Psychiatric Mental Health Nursing. Philadelphia: J.B. Lippincott. Girdando, D.A. 1986. Occupational Health Promotion: A Practical Guide to Program Development. New York: MacMillian Publishing Co. Gorall, A.H., May, L.A., and Mulley, A.G. 1995. Primary Care Medicine . 3rd ed. Philadelphia: J.B. Lippincott. Green, L.W. 1990. Community Health. 6th ed. St. Louis: Times Mirror/Mosby. Guidotti, T.L. 1989. Occupational Health Services: A Practical Approach . Chicago: American Medical Association. Hansen, D.F., ed. 1991. The Work Environment. Chelsea, MI: Lews Publishers, Inc. Hersey, P., and Blanchard, K. 1993. Management of Organizational Behavioral: Utilizing Human Resources. Englewood Cliffs, NJ: Prentice-Hall. Institute of Medicine (IOM). 1993. Indoor Allergens: Assessing and Controlling Adverse Health Effects. Washington, DC: National Academy Press. IOM. 1995. Environmental Medicine: Integrating a Missing Element into Medical Education. Washington, DC: National Academy Press. International Labour Office (ILO). 1983. Encyclopedia of Occupational Health and Safety . 3rd ed., 2 volumes. Geneva: ILO. Kornberg, J.P. 1992. The Workplace Walkthrough(Vol. 1). Boca Raton, FL: Lewis Publishers. LaDou, J. 1990. Occupational Medicine. Norwalk, CT: Appleton and Lange. Last, J.M., and Wallace, R.B., eds. 1992. Public Health and Human Ecology. Norwalk: Appleton and Lange. Levy, B., and Wegman, D. 1995. Occupational Health: Recognizing and Preventing Work-related Disease. 3rd ed. Boston: Little, Brown. Lindberg, J.B., Hunter, M.L., and Kruszewski, A.Z. 1994. Introduction to Nursing: Concepts, Issues and Opportunities . 2nd ed. Philadelphia: J.B. Lippincott. Lybarger, J.A., Spengler, R.F., and DeRosa, C.T. 1993. Priority Health Conditions. Washington, DC: ATSDR. Marquis, B.L., and Huston, C.J. 1992. Leadership Roles and Management Functions in Nursing. Philadelphia: J.B. Lippincott. Mason, D.J., Talbott, S.W., and Leavitt, J.K. 1993. Policy and Politics for Nurses: Action and Change in the Workplace, Government, Organizations, and Community. 2nd ed. Philadelphia: W.B. Saunders.

ENVIRONMENTAL HEALTH RESOURCES: AGENCIES, ORGANIZATIONS, SERVICES, 209 GENERAL REFERENCES, AND TABLES OF ENVIRONMENTAL HEALTH HAZARDS McCunney, R.J., ed. 1994. A Practical Approach to Occupational and Environmental Medicine. Boston: Little, Brown. McLaughlin, F.E., and Marasuilo, L.A. 1990. Advanced Nursing and Health Care Research. Philadelphia: W.B. Saunders. Murdock, B.S. 1991. Environmental Issues in Primary Care. Minneapolis: Freshwater Foundation's Health and the Environment Digest. Murray, R.B., and Zentner, J.P. 1989. Nursing Assessment and Health Promotion: Strategies Through the Life Span. 4th ed. Norwalk, CT: Appleton & Lange. 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. NRC. 1991. Environmental Epidemiology. Washington, DC: National Academy Press. Paul, M., ed. 1993. Occupational and Environmental Reproductive Hazards: A Guide for Clinicians. Baltimore, MD: Williams and Wilkins. Polit, D.F., and Hungler, B.P. 1995. Nursing Research: Principles and Methods. 5th ed. Philadelphia: J.B. Lippincott. Rogers, B. 1994. Occupational Health Nursing: Concepts and Practice. Philadelphia: W.B. Saunders. Rogers, B., Mastroianni, K., and Randolph, S.A. 1992. Occupational Health Nursing Guidelines: Primary Clinical Conditions. Boston: OEM Press. 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. Rosenstock, L., and Cullen, M. 1994. Textbook of Clinical Occupational and Environmental Medicine. Philadelphia: W.B. Saunders. Sandman, P., Chess, C., and Hance, B.J. 1991. Improving Dialogue with Communities: A Risk Communication Manual for Government. New Brunswick: Rutgers University and New Jersey Department of Environmental Protection and Energy. Saucier, K.A. 1991. Perspectives on Family and Community Health. St. Louis: C.V. Mosby. Silbergeld, E.K. 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. Smith, C.M., and Maure, F.A. 1995. Community Health Nursing: Theory and Practice. Philadelphia: W.B. Saunders. Stanhope, M., and Lancaster, J. 1992. Community Health Nursing: Process and Practice for Promoting Health. 3rd ed. St. Louis: C.V. Mosby. Stritter, F.T. 1992. Faculty Evaluation and Development. Handbook of Health Professionals Education 13:294-318. Sullivan, J.B., and Krieger, G.R. 1992. Hazardous Materials Toxicology: Clinical Principles in Environmental Health. Baltimore: Williams and Wilkins. Tarcher, AB, ed. 1992. Principles and Practice of Environmental Medicine. New York: Plenum Medical Book Co. Upton, A.C., 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. 1988a. Proposed Guidelines for Assessing Female Reproductive Risk. Federal Register 53:24834-24847. U.S. Environmental Protection Agency. 1988b. Proposed Guidelines for Assessing Male Reproductive Risk. Federal 53:24850-24869.

ENVIRONMENTAL HEALTH RESOURCES: AGENCIES, ORGANIZATIONS, SERVICES, 210 GENERAL REFERENCES, AND TABLES OF ENVIRONMENTAL HEALTH HAZARDS U.S. Environmental Protection Agency. 1992. Guidelines for Exposure Assessment. Federal Register 57:22888-22938. Waltz, C., Strickland, O.L., and Lenz, E. 1991. Measurement in Nursing Research. 2nd ed. Philadelphia: F.A. Davis. Weeks, J. 1991. Preventing Occupational Disease and Injury. Washington, DC: American Public Health Association. Wilkinson, J.M. 1992. Nursing Process in Action. Redwood City, CA: Addison Wesley. Williams, P.L., and Burson, J.L. 1985. Industrial Toxicology: Safety and Health Applications in the Workplace. New York: Van Nostrand Reinhold. Wold, S.J. 1990. Community Health Nursing: Issues and Topics. Norwalk, CT: Appleton and Lange. World Health Organization: Our Planet, Our Health. 1992. Report of the WHO Commission on Health and Environment. Geneva: World Health Organization.

ENVIRONMENTAL HEALTH RESOURCES: AGENCIES, ORGANIZATIONS, SERVICES, 211 GENERAL REFERENCES, AND TABLES OF ENVIRONMENTAL HEALTH HAZARDS TABLES OF ENVIRONMENTAL AGENTS AND HEALTH EFFECTS, WORK-RELATED DISEASES AND CONDITIONS, AND SELECTED JOB CATEGORIES AND ASSOCIATED DISEASES AND CONDITIONS

ENVIRONMENTAL HEALTH RESOURCES: AGENCIES, ORGANIZATIONS, SERVICES, 212 GENERAL REFERENCES, AND TABLES OF ENVIRONMENTAL HEALTH HAZARDS TABLE D-1: Environmental Agents, Their Sources and Potential Exposures, and Adverse Health Effects: Metals and Metallic Compounds, Hydrocarbons, Irritant Gases, Chemical Asphyxiates, and Pesticides Agent Exposure Route of Entry Systems(s) Affected Metals and Metallic Compounds Arsenic Alloyed with lead and Inhalation and Neuromuscular copper for hardness; ingestion of dust Gastrointestinal Skin manufacturing of and fumes Pulmonary pigments, glass, pharmaceuticals; byproduct in copper smelting; insecticides; fungicides; rodenticides; tanning Arsine Accidental byproduct Inhalation of gas Hematopoietic of reaction of arsenic with acid; used in semi-conductor industry Beryllium Hardening agent in Inhalation of Pulmonary (and metal alloys; special fumes or dust other systems) use in nuclear energy production; metal refining or recovery Cadmium Electroplating; solder Inhalation or Pulmonary Renal for aluminum; metal ingestion of fumes alloys, process or dust engraving; nickel- cadmium batteries Chromium In stainless and heat- Percutaneous Pulmonary Skin resistant steel and absorption, alloy steel; metal inhalation, plating; chemical and ingestion pigment manufacturing; photography

ENVIRONMENTAL HEALTH RESOURCES: AGENCIES, ORGANIZATIONS, SERVICES, 213 GENERAL REFERENCES, AND TABLES OF ENVIRONMENTAL HEALTH HAZARDS Primary Manifestations Aids in Diagnosisa Remarks Peripheral neuropathy, Arsenic in urine sensory-motor Nausea and vomiting, diarrhea, constipation Dermatitis, finger and toenail striations, skin cancer, nasal septum perforation Lung cancer Intravascular hemolysis: Arsenic in urine hemoglobinuria, jaundice, oliguria or anuria Granulomatosis and Beryllium in urine Pulmonary changes fibrosis (acute); Beryllium m virtually indistinguishable tissue (chronic); chest x from sarcoid on chest x ray ray; immunologic tests (such as lymphocyte transformation) may also be useful Pulmonary edema Also a respiratory tract (acute); Emphysema carcinogen (chronic) Nephrosis Urinary protein Lung cancer Urinary chromate Dermatitis, skin ulcers, (questionable value) nasal septum perforation

ENVIRONMENTAL HEALTH RESOURCES: AGENCIES, ORGANIZATIONS, SERVICES, 214 GENERAL REFERENCES, AND TABLES OF ENVIRONMENTAL HEALTH HAZARDS Agent Exposure Route of Entry Systems(s) Affected Storage batteries; Ingestion of Hematologic Renal manufacturing of dust, inhalation Gastrointestinal paint, enamel, ink, of dust or fumes Neuromuscular glass, rubber CNS Reproductive ceramics, chemical industry Mercury Electronic Inhalation of Pulmonary CNS (Elemental) equipment; paint; vapor; slight metal and textile percutaneous production; absorption catalyst in chemical manufacturing; pharmaceutical production (Inorganic) Some inhalation Pulmonary Renal and GI and CNS percutaneous absorption (Organic) Agricultural and Efficient Gl Skin CNS industrial poisons absorption, percutaneous absorption, and inhalation

ENVIRONMENTAL HEALTH RESOURCES: AGENCIES, ORGANIZATIONS, SERVICES, 215 GENERAL REFERENCES, AND TABLES OF ENVIRONMENTAL HEALTH HAZARDS Primary Manifestations Aids in Diagnosisa Remarks Anemia Blood lead Lead toxicity, unlike Nephropathy Urinary ALA that of mercury, is Abdominal pain (''colic") Zinc protoporphyrin believed to be Palsy ("wrist drop") (ZPP); free erythrocyte reversible, with the Encephalopathy, protophyrin (FEP) exception of late renal behavioral abnormalities and some CNS effects. Spontaneous abortions Acute pneumonitis; Urinary mercury Mercury illustrates Neuropsychiatric changes Urinary mercury several principles. The (erethism); tremor Blood and urine mecury, chemical form has a Acute pneumonitis but ? sensitivity profound effect on its Proteinuria toxicology, as is the Variable case for many metals. Dermatitis Effects of mercury are Sensorimotor changes, highly variable. visual field Though inorganic constriction, tremor mercury poisoning is primarily renal, elemental and organic poisoning are primarily neurological. 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.

ENVIRONMENTAL HEALTH RESOURCES: AGENCIES, ORGANIZATIONS, SERVICES, 216 GENERAL REFERENCES, AND TABLES OF ENVIRONMENTAL HEALTH HAZARDS Agent Exposure Route of Entry Systems(s) Affected Nickel Corrosion-resistant Inhalation of Skin alloys; dust or fumes Pulmonary electroplating; skin catalyst production; nickel- cadmium batteries Zinc oxideb Welding Inhalation of byproduct; rubber dust or fumes manufacturing that are freshly generated Hydrocarbons Benzene Manufacturing of Inhalation of CNS organic chemicals, vapor; slight Hematopoietic detergents, percutaneous Skin pesticides, absorption solvents, paint removers; used as a solvent Toluene Organic chemical Inhalation of CNS manufacturing; vapor, Skin solvent; fuel percutaneous component absorption of liquid Xylene A wide variety of Inhalation of Pulmonary uses as a solvent; vapor; slight Eyes, nose, throat an ingredient of percutaneous CNS paints, lacquers, absorption of varnishes, inks, liquid dyes, adhesives, cements; an intermediate in chemical manufacturing Ketones A wide variety of Inhalation of CNS (Acetone) uses as solvents vapor, PNS (Methylethyl and intermediates percutaneous Skin ketone—MEK) in chemical absorption of (Methyl n- manufacturing liquid propyl ketone— MPK) (Methyl n- butyl ketone— MBK) (Methyl iso-butyl ketone —MIBK)

ENVIRONMENTAL HEALTH RESOURCES: AGENCIES, ORGANIZATIONS, SERVICES, 217 GENERAL REFERENCES, AND TABLES OF ENVIRONMENTAL HEALTH HAZARDS Primary Manifestations Aids in Diagnosisa Remarks Sensitization dermatitis ("nickel itch") Lung and paranasal sinus cancer "Metal fume fever" Urinary zinc (useful as an A self-limiting (fever, chills, and other indicator of with syndrome of 24–48 h symptoms) exposure, not for acute apparently no sequelae. diagnosis) Acute CNS depression Urinary phenol Note that benzene, as Leukemia, aplastic anemia with toluene and other Dermatitis solvents, can be monitored via its principal metabolite. Acute CNS depression Urinary hippuric acid Chronic CNS problems such as memory loss Irritation dermatitis Irritation, pneumonitis, Methylhippuric acid in acute pulmonary edema urine, xylene in expired (at high doses) air, xylene in blood Irritation Acute CNS depression Acute CNS depression Acetone in blood, urine, The ketone family MBK has been linked expired air (used as an demonstrates how a with peripheral index for exposure, not pattern of toxic neuropathy for diagnosis) responses (that is, CNS Dermatitis narcosis) may feature exceptions (i.e., MBK peripheral neuropathy).

ENVIRONMENTAL HEALTH RESOURCES: AGENCIES, ORGANIZATIONS, SERVICES, 218 GENERAL REFERENCES, AND TABLES OF ENVIRONMENTAL HEALTH HAZARDS Agent Exposure Route of Entry Systems(s) Affected Formaldehyde Widely used as a Inhalation Skin germicide and a Eye disinfectant in Pulmonary embalming and histopathology, for example, and in the manufacture of textiles, resins, and other products Trichloroethylene Solvent in metal Inhalation, Nervous (TCE) degreasing, dry percutaneous Skin cleaning, food absorption Cardiovascular extraction; ingredient of paints, adhesives, varnishes, inks Carbon tetrachloride Solvent for oils, Inhalation of Hepatic fats, lacquers, vapor Renal resins, varnishes, CNS other materials; Skin used as a degreasing and cleaning agent Carbon disulfide Solvent for lipids, Inhalation of Nervous sulfur, halogens, vapor, Renal rubber, percutaneous Cardiovascular phosphorus, oils, absorption of Skin waxes, and liquid or vapor Reproductive resins; manufacturing of organic chemicals, paints, fuels, explosives, viscose rayon

ENVIRONMENTAL HEALTH RESOURCES: AGENCIES, ORGANIZATIONS, SERVICES, 219 GENERAL REFERENCES, AND TABLES OF ENVIRONMENTAL HEALTH HAZARDS Primary Manifestations Aids in Diagnosisa Remarks Irritant and contact Patch testing may be Recent animal tests have dermatitis Eye irritation helpful for dermatitis shown it to be a respiratory Respiratory tract carcinogen. Confirmatory irritation, asthma epidemiologic studies are in progress. Acute CNS depression Breath analysis for TCE is involved in an Peripheral and cranial TCE important pharmacological neuropathy interaction. Within hours of Irritation, dermatitis ingesting alcoholic Arrhythmias 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. Toxic hepatitis Expired air and blood Carbon tetrachloride is the Oliguria or anuria levels prototype for a wide variety Acute CNS depression of solvents that cause Dermatitis hepatic and renal damage. This solvent, like trichloroethylene, acts synergistically with ethanol. Parkinsonism, psychosis, Iodine-azide reaction A solvent with unusual suicide with urine multisystem effects, Peripheral neuropathies (nonspecific since especially noted for its Chronic nephritic and other bivalent sulfur cardiovascular, renal, and nephrotic syndromes compounds give a nervous system actions. Acceleration or positive test); CS2 in worsening of expired air, blood, and atherosclerosis; urine hypertension Irritation; dermatitis Menorrhagia and metrorrhagia

ENVIRONMENTAL HEALTH RESOURCES: AGENCIES, ORGANIZATIONS, SERVICES, 220 GENERAL REFERENCES, AND TABLES OF ENVIRONMENTAL HEALTH HAZARDS Agent Exposure Route of Entry Systems(s) Affected Stoddard solvent Degreasing, paint Inhalation of Skin thinning vapor, CNS percutaneous absorption of liquid Ethylene glycol The ethers are Inhalation of Reproductive, ethers used as solvents vapor, CNS, renal, liver (Ethylene glycol for resins, paints, percutaneous monoethyl ether lacquers, absorption of acetate— varnishes, gum, liquid Cellosolve perfume, dyes, and acetate) 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. (Methyl- and Hematopoietic butyl- CNS substituted compounds such as ethylene glycol monomethyl ether—Methyl Cellosolve® Ethylene oxide Used in the Inhalation Skin sterilization of Eye medical Respiratory tract equipment, in the Nervous system fumigation of spices and other foodstuffs, and as a chemical intermediate Dioxane Used as solvent Inhalation of CNS sterilization of vapor, Renal medical percutaneous Liver equipment, in the absorption of fumigation of liquid spices and other foodstuffs, and as a chemical intermediate

ENVIRONMENTAL HEALTH RESOURCES: AGENCIES, ORGANIZATIONS, SERVICES, 221 GENERAL REFERENCES, AND TABLES OF ENVIRONMENTAL HEALTH HAZARDS Primary Manifestations Aids in Diagnosisa Remarks Dryness and scaling from A mixture of primarily defatting; dermatitis aliphatic hydrocarbons, Dizziness, coma, collapse (at with some benzene high levels) derivatives and naphthenes. Pancytopenia Fatigue, Ethylene glycol ethers, as a lethargy, nausea, headaches, class of chemicals, have anorexia, tremor, stupor been shown in animals to (from encephalopathy) have adverse reproductive effects, including reduced sperm count and spontaneous abortion, as well as CNS, renal, and liver effects. Effects primary associated with ethylene glycol monomethyl ether (Methyl Cellosolve ®) Dermatitis and frostbite Recent animal tests have Severe irritation; possibly shown it to be carcinogenic cataracts with prolonged and to cause reproductive exposure abnormalities. Irritation Epidemiologic studies Peripheral neuropathy indicate that it may cause leukemia in exposed workers. Drowsiness, dizziness, Dioxane has caused a anorexia, headaches, nausea, variety of neoplasms in vomiting, coma animals. Nephritis Chemical hepatitis

ENVIRONMENTAL HEALTH RESOURCES: AGENCIES, ORGANIZATIONS, SERVICES, 222 GENERAL REFERENCES, AND TABLES OF ENVIRONMENTAL HEALTH HAZARDS Agent Exposure Route of Entry Systems(s) Affected Polychlorinated Formerly used as a Inhalation, Skin biphenyls (PCBs) di-electric fluid in ingestion, skin Eye electrical absorption Liver 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 Irritant Gasesc Ammonia Refrigeration; Inhalation of Upper petroleum refining; gas respiratory tract manufacturing of nitrogen-containing chemicals, synthetic fibers, dyes, and optics Hydrochloric acid Chemical Inhalation of Upper manufacturing; gas or mist respiratory tract electroplating; tanning; metal pickling; petroleum extraction; rubber, photographic, and textile industries Hydrofluoric acid Chemical and Inhalation of Upper plastic gas or mist respiratory tract manufacturing; catalyst m petroleum refining; aqueous solution for frosting, etching, and polishing glass Sulfur dioxide Manufacturing of Inhalation of Middle sulfur-containing gas, direct respiratory tract chemicals; food and contact of gas textile bleach; or liquid phase tanning; metal on skin or casting mucosa Chlorine Paper and textile Inhalation of Middle bleaching; water gas respiratory tract disinfection; chemical manufacturing; metal fluxing; detinning and dezincing iron

ENVIRONMENTAL HEALTH RESOURCES: AGENCIES, ORGANIZATIONS, SERVICES, 223 GENERAL REFERENCES, AND TABLES OF ENVIRONMENTAL HEALTH HAZARDS Primary Manifestations Aids in Diagnosisa Remarks Chloracne Serum PCBs levels Animal studies have Irritation for chronic exposure demonstrated that PCBs Toxic hepatitis are carcinogenic. Epidemiologic studies of exposed workers are inconclusive. Upper respiratory irritation Also irritant of eyes and moist skin. Upper respiratory irritation Strong irritant of eyes, mucous membranes, and skin. Upper respiratory irritation In solution, causes severe and painful burns of skin and can be fatal. Bronchospasm (pulmonary Chest x ray, Strong irritant of eyes, edema or chemical pulmonary function mucous membranes, and pneumonitis in high dose) testsd skin. Tracheobronchitis, Chest x ray, Chlorine combines with pulmonary edema, pulmonary function body moisture to form pneumonitis tests acids, which irritate tissues from nose to alveoli.

ENVIRONMENTAL HEALTH RESOURCES: AGENCIES, ORGANIZATIONS, SERVICES, 224 GENERAL REFERENCES, AND TABLES OF ENVIRONMENTAL HEALTH HAZARDS Agent Exposure Route of Systems(s) Entry Affected Ozone Inert gas-shielded Inhalation Lower arc welding; food, of gas respiratory tract water, and air purification; food and textile bleaching; emitted around high- voltage electrical equipment Nitrogen oxides Manufacturing of Inhalation Lower acids, nitrogen- of gas respiratory tract containing chemicals, explosives, and more; byproduct of many industrial processes Phosgene Manufacturing and Inhalation Lower burning of of gas respiratory tract isocyanates, and manufacturing of dyes and other organic chemicals; in metallurgy for ore separation; burning or heat source near trichloroethylene Isocyanates Polyuredhane Inhalation Predominantly TDI (toluene manufacture; resin- of vapor lower diisocyanate) binding systems in respiratory tract foundries; coating materials for wires; used certain types of paint MDI (methylene diphenyldiisocyanate) Hexamethylene diisocyanate and others Asphyxiant gases Enclosed spaces in Inhalation CNS Simple asphyxiants: a variety of of gas nitrogen hydrogen, industrial settings methane, and others

ENVIRONMENTAL HEALTH RESOURCES: AGENCIES, ORGANIZATIONS, SERVICES, 225 GENERAL REFERENCES, AND TABLES OF ENVIRONMENTAL HEALTH HAZARDS Primary Manifestations Aids in Diagnosisa Remarks Delayed pulmonary Chest x ray, pulmonary Ozone has a free radical edema (generally 6–8 h function tests structure and can following exposure) produce experimental chromosome aberrations; it may thus have carcinogenic potential. Pulmonary irritation, Chest x ray, pulmonary bronchiolitis fibrosa function tests obliterans (''silo filler's disease"), mixed obstructive-restrictive changes Delayed pulmonary Chest x ray, pulmonary edema (delay seldom function tests longer than 12 h) Asthmatic reaction and Chest x ray, pulmonary Isocyanates are both accelerated loss of function tests respiratory tract pulmonary function "sensitizers" and irritants in the conventional sense. Anoxia O2 in environment No specific toxic effect; acts by displacing O2.

ENVIRONMENTAL HEALTH RESOURCES: AGENCIES, ORGANIZATIONS, SERVICES, 226 GENERAL REFERENCES, AND TABLES OF ENVIRONMENTAL HEALTH HAZARDS Agent Exposure Route of Entry Systems(s) Affected Chemical Asphyxiants Carbon Incomplete Inhalation of gas Blood monoxide combustion in (hemoglobin) foundries, coke ovens, refineries, furnaces, and more Hydrogen Used in Inhalation of gas CNS Pulmonay sulfide manufacturing of sulfur-containing chemicals; produced in petroleum production; byproduct of petroleum product use; decay of organic matter Cyanides Metallurgy, Inhalation of Cellular metabolic electroplating vapor, enzymes percutaneous (especially absorption, cytochrome ingestion oxidase) Pesticides Organo- Inhalation, Neuromuscular phophates: ingestions, malathion, percutaneous parathion, and absorption others Carbamates: Inhalation, Neuromuscular carbaryl (Sevin) ingestion, and others percutaneous absorption

ENVIRONMENTAL HEALTH RESOURCES: AGENCIES, ORGANIZATIONS, SERVICES, 227 GENERAL REFERENCES, AND TABLES OF ENVIRONMENTAL HEALTH HAZARDS Primary Manifestations Aids in Diagnosisa Remarks Headache; dizziness, Carboxy-hemoglobin double vision Respiratory center PaO2 paralysis, hypoventilation Respiratory tract irritation Enzyme inhibition with SCN¯ in urine metabolic asphyxia and death Cholinesterase inhibition, Refractoriness to As with many acute cholinergic symptoms: atropine; plasma or red toxins, rapid treatment of nausea and vomiting, cell cholinesterase organophosphate toxicity salivation, diarrhea, is imperative. Thus, headache , seating, diagnosis is often made meiosis, muscle based on history and a fasciculations, seizures, high index of suspicion unconsciousness, death rather than on biochemical tests. Tre atment is atropine to block cholinergic effects and 2-PAM (2-pyridine- alsoxine methiodide) to reactivate cholinesterase. Same as organophosphates Plasma cholinesterase; Treatment of carbamate urinary 1-naphthol poisoning is the same as (index of exposure) that of organophosphate poisoning except that 2- PAM is contraindicated.

ENVIRONMENTAL HEALTH RESOURCES: AGENCIES, ORGANIZATIONS, SERVICES, 228 GENERAL REFERENCES, AND TABLES OF ENVIRONMENTAL HEALTH HAZARDS Agent Exposure Route of Entry Systems(s) Affected Chlorinated Ingestion, inhalation, CNS hydrocarbons: percutaneous chlordane, DDT, absorption heptachlor, chlor- decone (Kepone), aldrin, dieldrin, uridine Bipyridyls: paraquat, Inhalation, ingestion, Pulmonary diquat percutaneous absorption a Occupational and medical histories are in most instances, the most important aids in diagnosis. b Zinc oxide is a prototype of agents that cause metal fume fever. c The less water-soluble the gas, the deeper and more delayed its irritant effect.

ENVIRONMENTAL HEALTH RESOURCES: AGENCIES, ORGANIZATIONS, SERVICES, 229 GENERAL REFERENCES, AND TABLES OF ENVIRONMENTAL HEALTH HAZARDS Primary Manifestations Aids in Diagnosisa Remarks Stimulation or depression Urinary organic The chlorinated hydro- chlorine, or p-chloro- carbons may accumulate phenol acetic acid in body lipid stores in large amounts. Rapid massive fibrosis, An interesting toxin in only following paraquat that the major toxicity, ingestion pulmonary fibrosis, apparently occurs only after in gestion. d Pulmonary function tests are useful aids in diagnosis of irritant effects if the patient is subacutely or chronically ill. SOURCE: Reprinted, with permission, from Principles and Practice of Environmental Health, A.B. Tarcher, ed. Copyright 1992 by Plenum Publishing Co.

ENVIRONMENTAL HEALTH RESOURCES: AGENCIES, ORGANIZATIONS, SERVICES, 230 GENERAL REFERENCES, AND TABLES OF ENVIRONMENTAL HEALTH HAZARDS 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 Industry or Occupation Agent Conditions Infections Anthrax Shepherds, farmers, Bacillus anthraces butchers, handlers of imported hides or fibers, veterinarians, veterinarian pathologists, weavers Brucellosis Farmers, shepherds, vets, Brucella abortus, suis lab and slaughterhouse workers Plague Shepherds, farmers, Yersinia pestis ranchers, hunters, field geologists Hepatitis A Day-care center, Hepatitis A virus orphanage, and mental retardation institution staff, medical personnel Hepatitis B Nurses and aides, Hepatitis B virus anesthesiologists, orphanage and mental institution staffs, medical lab workers, general dentists, oral surgeons, physicians Hepatitis C (formerly Same as hepatitis A and B Hepatitis C virus included in non-A, non-B) Ornithosis Psittacine bird breeders, Chlamydia psittaci pet shop and zoo workers, poultry producers, vets Rabies Veterinarians, game Rabies virus wardens, lab workers, farmers, ranchers, trappers Rubella Medical personnel Rubella virus Tetanus Farmers, ranchers Clostridium tetani Tuberculosis Pulmonary Physicians, medical Mycobacterium personnel, medical lab tuberculosis workers Tuberculosis Quarrymen, sandblasters, Silicon dioxide (silica), Silicotuberculosis silica processors, miners, M. tuberculosis foundry workers, ceramic industry

ENVIRONMENTAL HEALTH RESOURCES: AGENCIES, ORGANIZATIONS, SERVICES, 231 GENERAL REFERENCES, AND TABLES OF ENVIRONMENTAL HEALTH HAZARDS Diseases, Disorders, and Industry or Occupation Agent Conditions Tularemia Hunters, fur handlers, Francisella tularensis sheep industry, cooks, veterinarians, ranchers, veterinarian pathologists Malignant Neoplasms Bladder Rubber and dye workers Benzidine, 1- and 2- naphthylamine, auramine, magenta, 4- aminobiphenyl, 4- nitrophenyl Bone Dial painters, radium Radium chemists and processors Kidney and other urinary Coke oven workers Coke oven emissions organs Liver Vinyl chloride Vinyl chloride monomer polymerization industry Liver hemangiosarcoma Vintners Arsenical pesticides Lung, bronchial, tracheal Asbestos industry, users Asbestos Coke oven Topside coke oven emissions workers Radon daughters Uranium and fluorspar Chromates miners Chromium Arsenic producers, processors, Mustard gas users Smelters Mustard Bis(chloromethyl)-ether, gas formulators Ion- chloromethyl methyl exchange resin makers, ether chemists Nasal cavity Woodworkers, furniture Hardwood dusts makers Unknown Boot and shoe industry Radium Radium chemists and Chromates processors, dial painters Nickel Chromium producers, Asbestos processors, users Nickel smelting and refining

ENVIRONMENTAL HEALTH RESOURCES: AGENCIES, ORGANIZATIONS, SERVICES, 232 GENERAL REFERENCES, AND TABLES OF ENVIRONMENTAL HEALTH HAZARDS Diseases, Disorders, and Industry or Occupation Agent Conditions Peritoneal, pleural Asbestos industry, users Asbestos mesothelioma Scrotal Automatic lathe Mineral, cutting oils operators, metalworkers Soots and tars, tar Coke oven workers, distillates petroleum refiners, tar distillers Hematological Disorders Agranulocytosis or Workers exposed to Benzene neutropenia benzene Phosphorus Explosives, pesticide Inorganic arsenic industries Pesticide, pigment, pharmaceutical industries Anemia Explosives TNT Aplastic manufacturing Benzene Worker exposed to Ionizing radiation benzene Radiologists, radium chemists, dial painters Anemia Hemolytic, Whitewashing and Copper sulfate nonautoimmune leather industry Arsine Electrolytic processes, Trimellitic anhydride arsenical ore smelting Naphthalene Plastics industry Plastics industry Dye, celluloid, resin industries Leukemia Rubber industry Unknown Acute lymphoid Radiologists Ionizing radiation Leukemia Workers exposed to Benzene Acute myeloid benzene Radiologists Leukemia Workers exposed to Benzene Erythroleukemia benzene Methemoglobinemia Explosives, dye Aromatic amino and industries nitro compounds (e.g., aniline, TNT, nitroglycerin)

ENVIRONMENTAL HEALTH RESOURCES: AGENCIES, ORGANIZATIONS, SERVICES, 233 GENERAL REFERENCES, AND TABLES OF ENVIRONMENTAL HEALTH HAZARDS Diseases, Disorders, Industry or Occupation Agent and Conditions Cardiovascular Disorders Angina Auto mechanics, foundry Carbon monoxide workers, wood finishers, traffic control, driving in heavy traffic Arrhythmias Metal cleaning, solvent Solvents, fluorocarbons use, refrigerator maintenance Raynaud's phenomenon Lumberjacks, chain Whole-body or (secondary) sawyers, grinders, chippers segmental vibration Vinyl chloride Vinyl chloride monomer polymerization Pulmonary Disorders Alveolitis (extrinsic, Farmer's lung bagassosis, Various agents allergic) 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 Asbestosis Asbestos workers, users Asbestos Asthma (extrinsic) Jewelry, alloy, catalyst Platinum makers Isocyanates Polyurethane, adhesive, Chromium, cobalt paint workers Aluminum soldering flux Alloy, catalyst, refinery Phthalic anhydride workers Formaldehyde Solderers Gum arabic Plastic, dye, insecticide Nickel sulfate makers Flour Foam workers, latex Trimellitic anhydride makers, biologists Red cedar, wood dusts Printing industry Bacillus-derived Nickel platers exoenzymes Bakers Animal dander Plastics industry Woodworkers, furniture makers Detergent formulators Animal handlers

ENVIRONMENTAL HEALTH RESOURCES: AGENCIES, ORGANIZATIONS, SERVICES, 234 GENERAL REFERENCES, AND TABLES OF ENVIRONMENTAL HEALTH HAZARDS Diseases, Disorders, and Industry or Occupation Agent Conditions Beryllium disease (chronic) Beryllium alloy, ceramic, Beryllium cathode-ray tube, nuclear reactor workers Bronchitis, pneumonitis, Refrigeration, fertilizer, Ammonia pulmonary edema (acute) oil-refining industries Chlorine Alkali, beach industries Nitrogen oxides Silo fillers, arc welders, Sulfur dioxide nitric acid workers Cadmium Paper, refrigeration, oil- Trimellitic anhydride refining industries Cadmium smelters, processors Plastics industry Byssinosis Cotton industry Cotton, flax, hemp, cotton-synthetic dusts Pneumoconiosis Coal miners, bauxite Coal dust, bauxite workers fumes Silicosis Mining, metal, and Silica ceramic industries, quarrymen, sand blasters, silica processors Talcosis Talc processors Talc Neurological Disorders Cerebellar ataxia Chemical industry Toluene Electrolytic chlorine Organic mercury production, battery manufacturing, fungicide formulators Encephalitis (toxic) Battery, smelter, foundry Lead workers Organic, inorganic Electrolytic chlorine mercury production, battery manufacturing, fungicide formulators Neuropathy (toxic and Pesticide, pigment, Arsenic, arsenic inflammatory) pharmaceutical industries compounds Furniture refinishers, Hexane degreasers Methyl butyl ketone Plastic-coated fabric TNT workers Carbon disulfide Explosives industry Tri-o-cresyl phosphate Rayon manufacturing Plastics, hyrdraulics, coke industries

ENVIRONMENTAL HEALTH RESOURCES: AGENCIES, ORGANIZATIONS, SERVICES, 235 GENERAL REFERENCES, AND TABLES OF ENVIRONMENTAL HEALTH HAZARDS Diseases, Disorders, Industry or Occupation Agent and Conditions Neuropathy (toxic and Battery, smelter, Inorganic lead inflammatory) foundry workers Inorganic mercury Dentists, chloralkali Organic mercury workers Acrylamide Chloralkali, fungicide, battery workers Plastics, paper manufacture Parkinson's disease Manganese processors, Manganese (secondary) battery manufacturing, Carbon monoxide welders Internal combustion engine industries Miscellaneous Abdominal pain Battery manufacturing, Lead enamelers, smelter, painters, ceramics workers, plumbers, welders Cataract Microwave, radar Microwaves technicians TNT Explosive industry Ionizing radiation Radiologists Infrared radiation Blacksmiths, glass Naphthalene blowers, bakers Dinitrophenol, dinitro-o- Moth repellant cresol formulators, fumigators Explosives, dye, herbicide, pesticide industries Dermatitis (contact, Adhesives, sealants, and Irritants (cutting oils, allergic) plastics industries, solvents, phenol, acids, leather tanning, poultry alkalies, detergents, dressing, fish packing, fibrous glass), allergens boat building and repair, (nickel, epoxy resins, electroplating, metal chromates, formaldehyde, cleaning, machining, dyes, rubber products) housekeeping Headache Firefighters, foundry Carbon monoxide, solvents workers, wood finishers, dry cleaners, traffic control, driving in heavy traffic Hepatitis (toxic) Solvent users, dry Carbon tetrachloride, cleaners, plastics industry chloroform, tetrachloroethane trichloroethylene

ENVIRONMENTAL HEALTH RESOURCES: AGENCIES, ORGANIZATIONS, SERVICES, 236 GENERAL REFERENCES, AND TABLES OF ENVIRONMENTAL HEALTH HAZARDS Diseases, Disorders, Industry or Occupation Agent and Conditions Hepatitis (toxic) Explosives and dye Phosphorus, TNT industries Chloronaphthalene Fire and waterproofing 4,4-Methylene-dianiline additive formulators Ethylene dibromide Plastics formulators Cresol Fumigators, gasoline and fire-extinguisher formulators Disinfectant, fumigant, synthetic resin formulators Inner ear damage Various Excessive noise Infertility (male) Formulators Kepone Producers, formulators, 1, 2-Dibromo-3- applicators chloropropane Psychosis (acute) Gasoline, seed, and Lead (especially organic), fungicide workers, wood mercury, carbon disulfide preservation, rayon manufacturing Renal failure (acute, Battery manufacturing, Inorganic lead chronic) plumbers, solderers Arsine Electrolytic processes, Inorganic mercury arsenical ore smelting Carbon tetrachloride Battery manufacturing, Ethylene glycol jewelers, dentists Fluorocarbon, fire- extinguisher formulators Antifreeze manufacturing SOURCE: Reprinted, with permission, from Principles and Practice of Environmental Medicine, Tarcher, AB, ed. Copyright 1992 by Plenum Publishing Co.

ENVIRONMENTAL HEALTH RESOURCES: AGENCIES, ORGANIZATIONS, SERVICES, 237 GENERAL REFERENCES, AND TABLES OF ENVIRONMENTAL HEALTH HAZARDS 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 Pesticide poisoning, agents, gases, sunlight ''farmer's lung," skin cancer Anesthetists Anesthetic gases Reproductive effects, cancer Animal handlers Infectious agents, allergens Asthma Automobile workers Asbestos, plastics, lead, Asbestosis, dermatitis solvents Bakers Flour Asthma Battery makers Lead, arsenic Lead poisoning, cancer Butchers Vinyl plastic fumes "Meat wrappers' asthma" Caisson workers Pressurized work "Caisson disease," "the environments bends" Carpenters Wood dust, wood Nasopharyngeal cancer, preservatives, adhesives dermatitis Cement workers Cement dust, metals Dermatitis, bronchitis Ceramic workers Talc, clays Pneumoconiosis Demolition workers Asbestos, wood dust Asbestosis Drug manufacturers Hormones, nitroglycerin, Reproductive effects etc. Dry cleaners Solvents Liver disease, dermatitis Dye workers Dyestuffs, metals, solvents Bladder cancer, dermatitis Embalmers Formaldehyde, infectious Dermatitis agents Felt makers Mercury, polycyclic Mercuralism hydrocarbons Foundry workers Silica, molten metals Silicosis Glass workers Heat, solvents, metal Cataracts powders Hospital workers Infectious agents, Infections, accidents cleansers, radiation Insulators Asbestos, fibrous glass Asbestosis, lung cancer, mesothelioma

ENVIRONMENTAL HEALTH RESOURCES: AGENCIES, ORGANIZATIONS, SERVICES, 238 GENERAL REFERENCES, AND TABLES OF ENVIRONMENTAL HEALTH HAZARDS 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 Talc, radiation, metals, Pneumoconiosis, lung cancer rock, metals, etc.) coal dust, silica Natural gas workers Polycyclic hydrocarbons Lung cancer Nuclear workers Radiation, plutonium Metal poisoning, cancer Office workers Poor lighting, poorly Joint problems, eye problems designed equipment Painters Paints, solvents, Neurologic problems spackling compounds Paper makers Acids, alkalies, solvents, Lung disorders, dermatitis metals Petroleum workers Polycyclic hydrocarbons, Cancer, pneumoconiosis catalysts, zeolites Plumbers Lead, solvents, asbestos Lead poisoning Railroad workers Creosote, sunlight, oils, Cancer, dermatitis solvents Seamen Sunlight, asbestos Cancer, accidents Smelter workers Metals, heat, sulfur Cancer dioxide, arsenic Steel workers Heat, metals, silica Cataracts, heat stroke Stone cutters Silica Silicosis Textile workers Cotton dust, fabrics, Byssinosis, dermatitis, finishers, dyes, carbon psychosis disulfide Varnish makers Solvents, waxes Dermatitis Vineyard workers Arsenic, pesticides Cancer, dermatitis Welders Fumes, nonionizing Lead poisoning, cataracts radiation SOURCE: Reprinted, with permission, from Principles and Practice of Environmental Medicine, A.B. Tarcher, ed. Copyright 1992 by Plenum Publishing Co.

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Nursing, Health, and the Environment Get This Book
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America's nurses, an estimated 2 million strong, are often at the frontlines in confronting environmental health hazards. Yet most nurses have not received adequate training to manage these hazards.

Nursing, Health, and the Environment explores the effects that environmental hazards (including those in the workplace) have on the health of patients and communities and proposes specific strategies for preparing nurses to address them.

The committee documents the magnitude of environmental hazards and discusses the importance of the relationship between nursing, health, and the environment from three broad perspectives:

  • Practice—The authors address environmental health issues in the nursing process, potential controversies over nurses taking a more activist stance on environmental health issues, and more.
  • Education—The volume presents the status of environmental health content in nursing curricula and credentialing, and specific strategies for incorporating more environmental health into nursing preparation.
  • Research—The book includes a survey of the available knowledge base and options for expanding nursing research as it relates to environmental health hazards.
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