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Nursing, Health, and the Environment (1995)
Institute of Medicine (IOM)

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. "2 Overview of Environmental Health Hazards." Nursing, Health, and the Environment. Washington, DC: The National Academies Press, 1995.

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Nursing Health, & Environment: Strengthening the Relationship to Improve the Public's Health

TABLE 2.4 Agency for Toxic Substances and Disease Registry 1993 Priority List of Rank Ordered Top 10 Hazardous Substances

Hazardous Agents

Sources

Exposure Pathways

Systems Affected

Lead

Storage batteries; manufacture of paint, enamel, ink, glass, rubber, ceramics, chemicals

Ingestion, inhalation

Hematologic, renal, neuromuscular, GI, CNS

Arsenic

Manufacture of pigments, glass, pharmaceuticals, insecticides, fungicides, rodenticides; tanning

Ingestion inhalation

Neuromuscular, skin, GI

Metallic mercury

Electronics, paints, metal and textile production, chemical manufacturing, pharmaceutical production

Inhalation, percutaneous and GI absorption

Pulmonary, CNS, renal

Benzene

Manufacture of organic chemicals, detergents, pesticides, solvents, paint removers

Inhalation, percutaneous absorption

CNS, hematopoietic

Vinyl chloride

Production of polyvinyl chloride and other plastics; chlorinated compounds; used as refrigerant

Inhalation, ingestion

Hepatic, neurologic, pulmonary

Cadmium

Electroplating, solder

Inhalation

Pulmonary, renal

Polychlorinated biphenyls

Formerly used in electrical equipment

Inhalation, ingestion

Skin, eyes, hepatic

Benzo(a)pyrene

Emissions from refuse burning and autos, used as laboratory reagent, found on charcoal-grilled meats and in cigarette smoke

Inhalation, ingestion, and percutaneous absorption

Pulmonary, skin, eyes (BaP is a probable human carcinogen)

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