NOTICE: The project that is the subject of this report was approved by the Governing Board of the National Research Council, whose members are drawn from the councils of the National Academy of Sciences, the National Academy of Engineering, and the Institute of Medicine. The members of the committee responsible for the report were chosen for their special competencies and with regard for appropriate balance.

This report has been reviewed by a group other than the authors according to procedures approved by a Report Review Committee consisting of members of the National Academy of Sciences, the National Academy of Engineering, and the Institute of Medicine.

The Institute of Medicine was chartered in 1970 by the National Academy of Sciences to enlist distinguished members of the appropriate professions in the examination of policy matters pertaining to the health of the public. In this, the Institute acts under both the Academy's 1863 congressional charter responsibility to be an adviser to the federal government and its own initiative in identifying issues of medical care, research, and education. Dr. Kenneth I. Shine is President of the Institute of Medicine.

This project was supported by funds from the Agency for Toxic Substances and Disease Registry, the National Institute for Occupational Safety and Health, National Institute of Nursing Research, National Institute of Environmental Health Sciences, Health Resources and Services Administration, and the Environmental Protection Agency (contract number U61/ATU398777-01).

Library of Congress Cataloging-in-Publication Data

Nursing, health, and the environment : strengthening the relationship to improve the public's health / Andrew M. Pope, Meta A. Snyder, and Lillian H. Mood, editors ; Committee on Enhancing Environmental Health Content in Nursing Practice, Division of Health Promotion and Disease Prevention, Institute of Medicine.

p. cm

Includes bibliographical references and index.

1. Environmental health. 2. Nursing. 3. Industrial nursing. I. Pope, Andrew Mac Pherson, 1950- . II. Snyder, Meta A. III. Mood, Lillian H. IV. Institute of Medicine (U.S.). Committee on Enhancing Environmental Health Content in Nursing Practice.

(DNLM: 1. Environmental Health—nurses' instruction. 2. Environmental exposure—nurses′ instruction. 3. Occupational Health—nurses' instruction. 4. Nursing. WA 30 N974 1995]

RA566.N87 1995

610.73—dc20

DNLM/DLC

for Library of Congress 95-39601

CIP

The serpent has been a symbol of long life, healing, and knowledge among almost all cultures and religions since the beginning of recorded history. The image adopted as a logotype by the Institute of Medicine is based on a relief carving from ancient Greece, now held by the Staatlichemuseen in Berlin.

Cover Photograph: 1910. Courtesy of Visiting Nurse Service of New York.