Environmental Medicine Integrating a Missing Element into Medical Education (1995) / Chapter Skim
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D: Resources: Agencies, Organizations, Services, REferences, and Tables of Environmental Health Hazards
D: Resources: Agencies, Organizations, Services, REferences, and Tables of Environmental Health Hazards
Pages 909-970
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Environmenta1JOccupational Medicine Academic Awards National Institutes of Health .............. Nuclear Regulatory Commission ...........
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American College of Preventive Medicine American Lung Association Association of Occupational and Environmental Clinics Association of Teachers of Preventive Medicine .... Center for Safety in the Arts Committees on Occupational Safety and Health .
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. 969 911 953 953 INTRODUCTION For those readers who are interested in learning more about environmental medicine, or have other resource needs related to environmental medicine, this appendix presents names, addresses, and phone numbers of relevant government agencies and professional associations and organizations, as well as information about computerized information services, and a listing of general references.
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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)
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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 productrelated deaths, illnesses, and injuries. Consumer Product Safety Commission East West Towers 4340 East West Highway Bethesda, MD 20814 (301)
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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.
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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.
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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)
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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
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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.
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221-3992 NEW YORK/NEW JERSEY UMDNI-Robert Wood Johnson Medical School Barbara Young, Registrar (908) 235-5062 NORTH CAROLINA Occupational Safety and Health ERC University of North Carolina Larry Hyde, Continuing Education (919)
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Box 12233 Research Triangle Park, NC 27709 (919) 541-7825 Environmental/Occupational Medicine Academic Awards Recipients of NTEHS' Environmental/Occupational Medicine Academic Awards for 1994 include: University of California, Davis, School of Medicine University of California, Irvine, College of Medicine University of California, San Francisco, School of Medicine University of Colorado School of Medicine Yale University School of Medicine George Washington University School of Medicine Emory University School of Medicine Morehouse School of Medicine University of Iowa College of Medicine University of Maryland School of Medicine Harvard Medical Schoo} University of Massachusetts Medical School Wayne State University School of Medicine University of Medicine and Dentistry of New Jersey, Robert Wood Johnson Medical School Mount Sinai School of Medicine University of Rochester School of Medicine and Dentistry University of Washington School of Medicine · Environmental Health Sciences Center Awards provide core support to universities for multidisplinary research in environmental health.
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National Institutes of Health 9000 Rockville Pike Bethesda, MD 20892 Nuclear Regulatory Commission The Nuclear Regulatory Commission (NRC) licenses and regulates civilian use of nuclear energy to protect health and safety and the environment.
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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.
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(202) 727-7221 923 Florida Health Office Department of Health and Rehabilitation Services 1323 Winewood BIv6.
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924 Illinois Department of Public Health 535 W Jefferson Street Springfield, IL 62761 (217)
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925 Nevada Health Division 505 E King Street Carson City, NV 89710 (702)
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271-4200 Radon: Oklahoma City (405) 271-5221 Oregon State Health Division 1400 SW 5th Avenue Portland, OR 97201 (503)
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Box 16700 Salt Lake City, UT 84116 (801) 538-6111 Radon: Salt Lake City (801)
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784-4666/362-7217 (202) 784-2530 FAX ALABAMA Birmingham Regional Poison Control Center The Children's Hospital of Alabama Emergency (205)
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San Francisco San Francisco Bay Area Regional Poison Control Center San Francisco General Hospital Emergency (800) 523-2222 San Jose Santa Clara Valley Medical Center Regional Poison Center Emergency (408)
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PENNSYLVANIA Philadelphia The Poison Control Center One Children's Center Emergency (215) 386-2100 Pittsburgh Pittsburgh Poison Center Emergency (412)
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UTAH Salt Lake City Utah Poison Control Center Emergency (801)
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American College of Occupational and Environmental Medicine 55 West Seegers Road Arlington Heights, IL 60005 (708) 228-6850 Occupational Physicians Scholarships Fund The Occupational Physicians Scholarship Fund was established in 1988 to provide support to students entering the occupational health specialty field in their postdoctoral medical education over a ten year period (ending in 1998)
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As a part of their charge to educate medical students, ACPM offers several core curriculum guidelines and inventories of knowledge and skills related to preventive medicine. In relation to occupational and environmental medicine, ACPM offers a core curriculum, competencies, and performance indicators for preventive medicine residency graduates.
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824-8641 San Francisco Occupational and Environmental Medicine Clinic University of California at San Francisco Contact: Patricia Quinian, MPH Diane Liu, MD, MPH Jordan Rinker, MD, MPH (415) 885-7770 RESOURCES COLORADO Denver Occupational and Environmental Medicine Division National Jewish Center for ~nunology and Respiratory Medicine Contact: Peggy Mroz, MSPH Kathleen Kreiss, MD Cecile Rose, MD, MPH (303)
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996-1063 935 IOWA Iowa City University of Iowa Occupational Medicine Clinic Department of Internal Medicine College of Medicine Contact: David Schwartz, MD, DrPH Emma Rosenau, MPH (319) 356-8269 KENTUCKY Lexington University of Kentucly Occupational Medicine Program Contact: Terence R
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726-3741 Cambridge Occupational and Environmental Health Center Cambridge Hospital Contact: Rose Goldman, MD, MPH Susan Rosenwasser, MEd (617) 498-1580 South Braintree Center for Occupational and Environmental Medicine Massachusetts Respiratory Hospital Contact: Diane Plantamura, MSW (617)
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Cataldo, Administrator (716) 275-1335 Stony Brook Center for Occupational and Environmental Medicine State University of NY School of Medicine Contact: Wajdy Hailoo, MD, MPH (516)
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842-6540 RESOURCES Pittsburgh Occupational and Environmental Medicine Program University of Pittsburgh Contact: David Tollerud, MD, MPH (412) 624-3155 Willow Grove Center for Occupational and Environmental Health Abington Memorial Hospital Contact: Jessica Herzstein, MD, MPH (215)
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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.
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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)
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Pesticide Education Center P.O. Box 420870 San Francisco, CA 94142-0870 (41 5)
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Teratogen Exposure Registry and Surveillance Frederick Bieber, PhD Director Department of Pathology Brigham and Women's Hospital 75 Francis Street Boston, MA (617)
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535-0202 ATSDR Emergency Hotline (404) 639-6300 CONSUMER PRODUCT SAFETY Consumer Product Safety Commission (800)
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858-7378 POISONING Poison Control Centers PREGNANCY CONCERNS MotherRisk Program (416) 813-7378 RADON EPA Office of Radon Programs (202)
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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.
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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/medcutr/Lee/HOMEPAHE.
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Enviroethics The address is mailbase~mailbase.ac.uk; and you can join by sending the message join enviroethics Firstname Lastname and your address. Occup-Env Med List (Occupational and Environmental Medicine Listing on Internet)
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The National Library of Medicine (NEM) is the worId's largest research library in a single scientific or professional field.
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contains toxic effects data for approximately 100,000 chemicals. It is built and maintained by the National Institute for Occupational Safety and Health (NIOSH)
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1988. Role of the Primary Care Physician in Occupational and Environmental Medicine.
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1993. Core Curriculum in Environmental Medicine: State-of-the-Art Conference, Dallas, Texas Oct.
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1993.- Guidelines for Curriculum Development for Undergraduate Medical Education in the Prevention of Pulmonary Diseases. Division of Lung Diseases, National Heart, Lung, and Blood Institute, National Institutes of Health, November.
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APPENDIX D TABLE D-2: Selected Work-Related Diseases, Disorders, and Conditions Associated with Various Agents, Industries, or Occupations: Infections, Malignant Neoplasms, and Hematological, Cardiovascular, Pulmonary, Neurological, and Miscellaneous Disorders Diseases, Disorders, and Conditions Industry or Occupation Agent Infections Shepherds, farmers, butchers, handlers of imported Bacillus Anthrax hides or fibers, veterinarians, veterinarian patholo- anthraces gists, weavers Brucellosis Farmers, shepherds, vets, lab and slaughterhouse Brucella workers abortus, suds Plague Shepherds, farmers, ranchers, hunters, field geolo- Yersirlia gists pestis Hepatitis A Day-care center, orphanage, and mental retardation Hepatitis A institution staff, medical personnel virus Hepatitis B Nurses and aides, anesthesiologists, orphanage and Hepatitis B mental institution staffs, medical lab workers, gen- virus eral dentists, oral surgeons, physicians Hepatitis C Same as hepatitis A and B Hepatitis C (formerly included virus in non-A, non-B) Ornithosis Psittacine bird breeders, pet shop and zoo workers, Chlamydia poultry producers, vets psittaci Rabies Veterinarians, game wardens, lab workers, farmers, Rabies virus ranchers, trappers Rubella Medical personnel Rubella virus Tetanus Farmers, ranchers Clostridium tetani Tuberculosis Physicians, medical personnel, medical lab workers Mycobacterium Pulmonary tuberculosis Tuberculosis Quarrymen, sandblasters, silica processors, miners, Silicon Silicotuberculosis foundry workers, ceramic industry dioxide (silica)
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964 TABLE D-2: Continued RESOURCES Diseases, Disorders, and Conditions Industry or Occupation - Agent Malignant Neoplasms Bladder Rubber and dye workers Benzidine, 1- and 2-naphthylamine, auramine, magenta, 4-aminobiphenyl, 4-nitrophenyl Bone Dial painters, radium chemists and processors Radium Kidney and over Coke oven workers Coke oven emissions urinary organs Liver Vinyl chloride polymerization industry Vinyl chloride monomer Liver Vintners Arsenical pesticides hemangiosarcoma Lung, bronchial, Asbestos industry, users Asbestos tracheal Topside coke oven workers Coke oven emissions Uranium and flourspar miners Radon daughters Chromium producers, processors, users Chromates Smelters Arsenic Mustard gas formulators Mustard gas Ion-exchange resin makers, chemists Bis~chloromethyl) ether, chloromethyl methyl ether Nasal cavity Woodworkers, furniture makers Hardwood dusts Boot and shoe industry Unknown Radium chemists and processors, dial painters Radium Chromium producers, processors, users Chromates Nickel smelting and refining Nickel Asbestos Peritoneal, pleural Asbestos industry, users Asbestos mesothelioma Scrotal Automatic lathe operators, metalworkers Mineral, cutting oils Coke oven workers, petroleum refiners, tar distillers Soots and tars, tar distillates Hematological Disorders Agranulocytosis or Workers exposed to benzene Benzene neutropenia Explosives, pesticide industries Phosphorous Pesticide, pigment, pharmaceutical industries Inorganic arsenic
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Cardiovascular Disorders Angina Auto mechanics, foundry workers, wood finishers, Carbon monoxide traffic control, driving in heavy traffic Arrhythmias Metal cleaning, solvent use, refrigerator mainte- Solvents, fluorocar nance bone Raynaud's phenome- Lumberjacks, chain sawyers, grinders, chippers Whole-body or seg non mental vibration (secondary) Vinyl chloride polymerization Vinyl chloride mono mer Pulmonary Disorders Alveolitis (extrinsic, Farmer's lung bagassosis, bird-breeder's lung, Various agents allergic)
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Silo fillers, arc welders, nitric acid workers Nitrogen oxides Paper, refrigeration, oil-refining industries Sulfur dioxide Cadmium smelters, processors Cadmium Plastics industry Trimellitic anhydride Byssinosis Cotton industry Cotton, flax, hemp, cotton-synthetic dusts Pneumoconiosis Coal miners, bauxite workers Coal dust, bauxite fumes Silicosis Mining, metal, and ceramic industries, quarrymen, Silica sand blasters, silica processors Talcosis Talc processors Talc Neurological Disorders Cerebellar ataxia Chemical industry Toluene Electrolytic chlorine production, battery manufac- Organic mercury luring, fungicide formulators Encephalitis (toxic) Battery, smelter, foundry workers Lead Electrolytic chlorine production, battery manufac- Organic, inorganic luring, fungicide formulators mercury
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, allergens (nickel, epoxy resins, chro mates, formaldehyde, dyes, rubber products) Headache Firefighters, foundry workers, wood finishers, dry Carbon monoxide, sol cleaners, traffic control, driving in heavy traffic vents 967 Continued
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, mercury, car bon disulfide Renal failure Battery manufacturing, plumbers, solderers Inorganic lead (acute, chronic) Electrolytic processes, arsenical ore smelting Arsine Battery manufacturing, jewelers, dentists Inorganic mercury Fluorocarbon, fire-extinguisher formulators Carbon tetrachloride Antifreeze manufacturing Ethylene glycol SOURCE: Principles and Practice of Environmental Medicine, Tarcher, AB, ea., Plenum, New York, 1992.
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APPENDIX D TABLE D-3: Selected Job Categories, Exposures, and Associated Work-Related Diseases and Conditions Job Categories Exposures Work-Related Diseases and Conditions Agricultural Pesticides, infectious agents, gases, sunlight workers Anesthetists Anesthetic gases Pesticide poisoning, "farmers' lung," skin cancer Reproductive effects, cancer Animal handlers Infectious agents, allergens Asthma Automobile Asbestos, plastics, lead, solvents workers Bakers Flour Battery makers Lead, arsenic Butchers Vinyl plastic fumes Asbestosis, dermatitis Asthma Lead poisoning, cancer "Meat wrappers' asthma" Caisson workers Pressurized work environments "Caisson disease," "the bends" Carpenters Wood dust, wood preservatives, adhesives Nasopharyngeal cancer, dermatitis Cement workers Cement dust, metals Dermatitis, bronchitis Ceramic workers Talc, clays Pneumoconiosis Demolition work- Asbestos, wood dust Asbestosis ers Drug manufac- Hormones, nitroglycerin, etc. turers Dry cleaners Reproductive effects Solvents Liver disease dermatitis Dye workers Dyestuffs, metals, solvents Bladder cancer, dermatitis Embalmers Formaldehyde, infectious agents Dermatitis Felt makers Mercury, polycyclic hydrocarbons Mercuralism Foundry workers Silica, molten metals Silicosis Glass workers Heat, solvents, metal powders Cataracts Hospital workers Infectious agents, cleansers, radiation Infections, accidents Insulators 969 Asbestos, fibrous glass Asbestosis, lung cancer, mesothelioma Continued
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970 TABLE D-3: Continued RESOURCES Job Categories Exposures Work-Related Diseases and Conditions Jack hammer Vibration operators Raynaud phenomenon Lathe operators Metal dusts, cutting oils Lung disease, cancer Laundry workers Bleaches, soaps, alkalies Dermatitis Lead burners Lead Lead poisoning Miners (coal, Talc, radiation, metals, coal dust, silica Pneumoconiosis, lung hard rock, met- cancer ale, etc.? Natural gas Polycyclic hydrocarbons workers Lung cancer Nuclear workers Radiation, plutonium Metal poisoning, cancer Office workers Poor lighting, poorly designed equipment Painters Paints, solvents, speckling compounds Paper makers Acids, alkalies, solvents, metals Joint problems, eye problems Neurologic problems Lung disorders, dermatitis Petroleum work- Polycyclic hydrocarbons, catalysts, zeolites Cancer, pneumoconiosis ers Plumbers Lead, solvents, asbestos Lead poisoning Railroad workers Creosote, sunlight, oils, solvents Cancer, dermatitis Seamen Sunlight, asbestos Smelter workers Metals, heat, sulfur dioxide, arsenic Cancer Steel workers Cancer, accidents Heat, metals, silica Cataracts, heat stroke Stone cutters Silica Silicosis Textile workers Cotton dust, fabrics, finishers, dyes, carbon disulfide Byssinosis, dermatitis, psychosis Varnish makers Vineyard work ers Solvents, waxes Arsenic, pesticides Welders Fumes, nonion~zing radiation Dermatitis Cancer, dermatitis Lead poisoning, cataracts SOURCE: Principles and Practice of Environmental Medicine, A.B.
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