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Presented April 30, 1998 to the ATSDR Board of Scientific Counselors
CONTRIBUTORS
Child Health Workgroup
Board of Scientific Counselors
ATSDR Agency Roundtable
on Child Health (ARCH)
Acknowledgments
Non-government Partner Organizations
Reviewers
INTRODUCTION
Background
National Progress in 1997
CHILD HEALTH WORKGROUP REVIEW OF ATSDR'S
PROGRESS
Agencywide Progress
Divisional Progress
THREE-YEAR PLAN FOR ATSDR'S CHILD HEALTH
PROGRAM
Agencywide Recommendations
Divisional Recommendations
Partners' Activities
APPENDIX I-RATIONALE: CHILDREN AND HAZARDOUS WASTE SITES
APPENDIX II-PRESIDENTIAL EXECUTIVE ORDER NO. 13045
APPENDIX III-CHILD HEALTH GUIDANCE FOR DEVELOPMENT OF TOXICOLOGICAL PROFILES
APPENDIX IV-RESOURCES
Bibliography
Sources of Information
Glossary
APPENDIX V-MEMORANDUM OF UNDERSTANDING
Lorne K. Garrettson, M.D., Chair, Georgia Poison
Center, Emory University School of Medicine, Atlanta, Georgia
Cynthia F. Bearer, M.D., Ph.D., Case Western Reserve
University, Rainbow Babies and Children's Hospital, Cleveland, Ohio
David Bellinger, Ph.D., M.Sc., Harvard Medical
School, Neuroepidemiology Unit, Children's Hospital, Boston, Massachusetts
Gershon H. Bergeisen, M.D., M.P.H., ATSDR, Atlanta,
Georgia
Joy E. Carlson, M.P.H., Children's Environmental
Health Network, Emeryville, California
Millicent Collins, M.D., Board of Scientific Counselors,
D.C. General Hospital, Washington, DC
Joan M. Cranmer, Ph.D., University of Arkansas
for Medical Sciences, Arkansas Children's Hospital, Little Rock, Arkansas
Carole A. Kimmel, Ph.D., U.S. Environmental Protection
Agency, National Center for Environmental Assessment, Washington, D.C.
Philip J. Landrigan, M.D., M.Sc., Mount Sinai
School of Medicine, New York, New York
Susanne Tropez-Sims, M.D., M.P.H., Meharry Medical
College, Nashville, Tennessee
ATSDR STAFF
Barry L. Johnson, Ph.D., Assistant Surgeon General,
Assistant Administrator (Retired)
Peter J. McCumiskey, Assistant Administrator (Acting)
Robert W. Amler, M.D., M.S., Chief Medical Officer
Lester Smith, Ph.D., Senior Scientist
Ralph J. Touch, Jr., Chief Environmental Health
Officer
Donna Rossie, M.P.A., Special Assistant
Karen D. Holcombe, Secretary
BOARD OF SCIENTIFIC COUNSELORS
James M. Melius, M.D., Dr.P.H., Chair, New York
State Laborers' Health and Safety Trust Fund, Albany, New York
Robert F. Spengler, Sc.D., Executive Secretary,
Associate Administrator for Science, ATSDR, Atlanta, Georgia
William W. Au, Ph.D., University of Texas Medical
Branch, Galveston, Texas
Luz Claudio, Ph.D., Mount Sinai Environmental
Health Sciences Center, New York, New York
Millicent D. Collins, M.D., D.C. General Hospital,
Washington, DC
Cynthia M. Harris, Ph.D., Florida A&M University,
College of Pharmacy and Pharmaceutical Sciences, Tallahassee, Florida
Robin C. Leonard, Ph.D., DuPont Agricultural Products,
Haskell Laboratory for Toxicology and Industrial Medicine, Newark, Delaware
Melissa A. McDiarmid, M.D., University of Maryland
School of Medicine, Baltimore, Maryland
Jeffrey M. Roseman, M.D., Ph.D., M.P.H., University
of Alabama at Birmingham, School of Public Health, Birmingham, Alabama
Charles A. Sorber, Ph.D., University of Texas
of the Permian Basin, Odessa, Texas
Alice D. Stark, Dr.P.H., New York State Department
of Health, Albany, New York
LuAnn Ellis White, Ph.D., Tulane University, School
of Public Health and Tropical Medicine, New Orleans, Louisiana
Larry Reed, Ex-Officio, U.S. Environmental Protection
Agency, Washington, DC
Sheila A. Newton, Ph.D., Ex-Officio, National
Institute of Environmental Health Sciences, Research Triangle Park, North
Carolina
ATSDR AGENCY ROUNDTABLE ON CHILD HEALTH (ARCH)
Dana Abouelnasr, Ph.D., Office of Federal Programs
Robert W. Amler, M.D., M.S., Chief Medical Officer
Sara Bingham, Office of Policy and External Affairs
Je Anne Burg, Ph.D., Division of Health Studies
Jewel L. Crawford, M.D., Office of Urban Affairs
Kathryn Evans, Office of Regional Operations
Shira Flax, Ph.D., Office of the Assistant Administrator
Olivia Harris, M.A., Division of Toxicology
Steve Inserra, M.P.H., Division of Health Studies
Mary G. Odom, Office of Program Operations and
Management
Sven Rodenbeck, Sc.D., P.E., DEE, Division of
Health Assessment and Consultation
Lourdes Rosales-Guevar, M.D., Division of Health
Education and Promotion
Christine Rosheim, D.D.S., M.P.H., Division of
Health Education and Promotion
Lester Smith, Ph.D., Office of the Assistant Administrator
Ralph J. Touch, Office of the Assistant Administrator
Stephen D. Von Allmen, Office of the Associate
Administrator for Science
Andrea A. Wargo, Ph.D., Office of the Assistant
Administrator
Mary White, Sc.D., Division of Health Studies
The Child Health Workgroup thanks the following individuals for participating in the meeting held February 4-5, 1998:
Nongovernment Partner Organizations-Annette Ellis,
Minority Health Professions Foundation; Katherine Kirkland, Association
of Occupational and Environmental Clinics;
Sandra Schubert, Children's Health Environmental
Coalition.
Government Agencies-Dawn N. Castillo, M.P.H., National
Institute for Occupational Safety and Health, Marshalyn Yeargin-Allsopp,
M.D., Office of Program Planning and
Evaluation, Centers for Disease Control and Prevention.
ATSDR-Members of the ATSDR Agency Roundtable on
Child Health (ARCH): David H. Ayers, Sara Bingham, Olivia Harris, Steven
Inserra, M.P.H., Sven Rodenbeck, Sc.D., P.E.,
DEE, Christine Rosheim, D.D.S., M.P.H., Stephen
D. Von Allmen; ATSDR Division Directors and representatives: Christopher
T. De Rosa, Ph.D., Maureen Y. Lichtveld, M.D.,
M.P.H., Jeffrey A. Lybarger, M.D., M.S., Allan
S. Susten, Ph.D., Georgi A. Jones, Andrea A. Wargo, Ph.D., Rueben C. Warren,
D.D.S., M.P.H., Dr.P.H., Charles Xintaras, Sc.D., Barry L. Johnson, Ph.D.,
Assistant Surgeon General, Assistant Administrator, ATSDR.
The workgroup appreciates the editorial assistance of Lanette B. Wolcott and the administrative and technical assistance of Connie Cutright, Karen D. Holcombe, Cathy Johnson, Marcus W. Johnson, Dawn O'Connor, Sandra Malcom, Peter McCumiskey, Donna Rossie, and Stephen D. Von Allmen. Patrick Brady designed the cover and child health logo.
NONGOVERNMENT PARTNER ORGANIZATIONS
American Academy of Pediatrics, 141 Northwest Point Boulevard, Elk Grove Village, Illinois 60009-0927
American Association of Occupational Health Nurses, 2920 Brandywine Road, Suite 100, Atlanta, Georgia 30341-4146
American Association of Poison Control Centers, 3201 New Mexico Avenue, N.W., Suite 310, Washington, D.C. 20016
American College of Occupational and Environmental Medicine, 55 West Seegers Road, Arlington Heights, Illinois 60005
American College of Preventive Medicine, 1600 L Street, N.W., Suite 206, Washington, D.C. 20036
American Medical Association, 515 North State Street, Chicago, Illinois 60610
American Public Health Association, 1015 Fifteenth Street, N.W., Washington, D.C. 20005
Asian American & Pacific Islander Health Promotion, Woodruff School of Nursing, Emory University, Atlanta, Georgia 30322
Association of Occupational and Environmental Clinics, 1010 Vermont Avenue, N.W. (#513), Washington, D.C. 20005
Association of State and Territorial Health Officials, 1575 K Street, N.W., Washington, D.C. 20005
Canadian Institute of Child Health, 885 Meadowlands Drive, E., Suite 512, Ottawa, Ontario, Canada K2C3N2
Children's Environmental Health Network, 5900 Hollis Street, Suite E, Emeryville, California 94608
Children's Health Environmental Coalition, P.O. Box 846, Malibu, California 90265
Girl Scouts of the U.S.A., 420 Fifth Avenue, New York, New York 10018-2798
Interamerican College of Physicians and Surgeons, 17121 I Street, N.W., Suite 200, Washington, D.C. 20006
Kids for Saving Earth Worldwide, 5425 Pineview Lane, Plymouth, Minnesota 55442
Learning Disabilities Association of America, 4156 Library Road, Pittsburgh, Pennsylvania 15234
March of Dimes Birth Defects Foundation, 1275 Mamaroneck Avenue, White Plains, New York 10605
National Association of Children's Hospitals and Related Institutions, 401 Wythe Street, Alexandria, Virginia 22314
National Association of County and City Health Officials, 1100 17th Street, N.W., Second Floor, Washington, D.C. 20036
National Environmental Health Association, 720 South Colorado Boulevard, South Tower, Suite 970, Denver, Colorado 80246-1925
National Medical Association, 1012 10th Street, N.W., Washington, D.C. 20001
National PTA, 330 North Wabash Avenue, Suite 2100, Chicago, Illinois 60611-3690
Natural Resources Defense Council, 71 Stevenson Street, San Francisco, California 94105
Physicians for Social Responsibility, 1101 Fourteenth Street, N.W., Suite 700, Washington, D.C. 20005
Sierra Club, 85 Second Street, Second Floor, San Francisco, California 94105-3441
The following reviewers have read and contributed
comments during the development of this
document. The workgroup is grateful for their
thoughtful input.
Ruth A. Etzel, M.D., Ph.D., American Academy
of Pediatrics
Lawrie Mott, M.S., Natural Resources Defense
Council
Sharon Newsome, Physicians for Social Responsibility
Rebecca Parkin, M.P.H., Ph.D., American Public
Health Association
Elizabeth Weist, M.A., M.P.H., Association of
Schools of Public Health
Geraldine C. Williamson, M.N., R.N., C.A.E., American
Association of Occupational Health Nurses
Marshalyn Yeargin-Allsopp, M.D., Centers for Disease
Control and Prevention
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