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United States Department of Health and Human Services
 Home > Publications and Materials > Environmental Health

Environmental Health
Publications and Materials

Below are selected publications and materials related to environmental health. Please note the year of publication may be later than the year(s) the data represent.

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2007 Publications and Materials
2006 Publications and Materials
2005 Publications and Materials
2004 Publications and Materials
2003 Publications and Materials
2002 Publications and Materials
2001 Publications and Materials

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CDC’s Perchlorate Biomonitoring Activities and Study Results (8/31/07)
Before a House SubCommittee, Dr. Jim Pirkle discussed results of two studies conducted by CDC researchers investigating exposure to perchlorate in the U.S. population and the relationship between exposure to perchlorate and thyroid hormone levels. The researchers found that, among women who had urinary iodine levels that were less than 100 micrograms per liter, perchlorate levels were associated with both thyroxine and TSH levels. The differences seen in study findings between men and women merit further research.

ATSDR Completes Analyses Drinking Water System at Camp Lejeune (7/27/07)
The analyses of the Tarawa Terrace drinking water system is part of ATSDR’s epidemiological study of volatile organic compounds at Camp Lejeune. The study will focus on babies born during the period 1968-1985 up to the time that they were 1 year-old.

Lead Exposure among Females of Childbearing Age- United States, 2004 PDF (6/12/07)
Results indicate that rates of elevated blood lead levels (BLL) ranged from 0.06 per 100,000 females of childbearing age at BLLs of over 40 µg/dL to 10.9 per 100,000 females at BLLs of over 5 µg/dL. Primary and secondary prevention of lead exposure among females of childbearing age is needed to avert neurobehavioral and cognitive deficits in their offspring.

Mercury Exposure and Your Health (11/29/06)http://www.atsdr.cdc.gov/mercury
Find out how mercury can affect your health, routes of mercury exposure, and how to reduce risk to exposure.

Camp LeJeune Community Assistance Panel (6/19/06)
http://www.atsdr.cdc.gov/sites/lejeune/eventsarchive.html
The Agency for Toxic Substances and Disease Registry (ATSDR) has created a community assistance panel (CAP) for the Camp Lejeune site. The purpose of the CAP is to voice the concerns of the affected community of marines and their families and to provide input for future health studies. In 1982, the Marine Corps discovered volatile organic compounds in several drinking water wells that fed into two of the eight water systems on-base. Leaking underground storage tanks, spills and drum disposal caused contamination. Contamination was also caused by solvent-disposal practices at ABC One-Hour Cleaners. ATSDR has been assessing the effects of exposure to drinking water containing VOCs since 1993, including a health survey of 12,600 children born to mothers who were pregnant between the years 1968-1985 at the U.S. Marine Corps Base Camp Lejeune.

Death of a Child after Ingestion of a Metallic Charm- Minnesota, 2006 (3/30/06)
http://www.cdc.gov/mmwr/preview/mmwrhtml/mm55d323a1.htm
PDF
PDF
http://www.cdc.gov/mmwr/PDF/wk/mm55d323.pdf
In February, a boy aged 4 years died from lead poisoning after ingestion of a heart-shaped metallic charm. The charm had been attached to a metal bracelet provided as a free gift with the purchase of shoes manufactured by Reebok International Ltd. On March 23, a voluntary recall of 300,000 heart-shaped charm bracelets was announced. Health-care providers should consider lead poisoning in young children with increased intracranial pressure, unexplained and prolonged gastric symptoms, or a history of mouthing or ingesting nonfood items, and they should warn caregivers against allowing children to mouth any metal objects.

Report Finds Health Risks for Children, Adolescents at Picayune Wood Treating Site- Mississippi (1/30/06)
http://www.atsdr.cdc.gov/NEWS/picayunems012506.html
Levels of dioxins found at the Picayune Wood Treating Site in Picayune, Miss., might pose a health concern for children and adolescents living near the site says an ATSDR report. The consultation concludes that children and adolescents living near the site might be at an increased risk for developmental and reproductive effects from exposure to dioxins in surface soils and sediments on and around the site or in residential yards and nearby creek beds. People may have been exposed to these chemicals via ingestion, direct skin contact or dust inhalation.

2005 Publications and Materials

National Report on Human Exposure to Environmental Chemicals (7/30/05)
http://www.cdc.gov/exposurereport/
The National Report on Human Exposure to Environmental Chemicals provides an ongoing assessment of the U.S. population's exposure to environmental chemicals using biomonitoring. Biomonitoring is the assessment of human exposure to chemicals by measuring the chemicals or their metabolites in human specimens such as blood or urine. Key Highlight/Finding: Data from the Third Report for the period 1999-2002 show that all women of childbearing age had mercury levels below 58 µg per liter (µg/L), a concentration associated with neurodevelopmental effects in the fetus. However, mercury levels in these women continue to merit close monitoring because 5.7% of women of childbearing age had levels within a factor of 10 of those associated with neurodevelopmental effects.

Workers at the Former Zonolite and W.R. Grace & Co. Vermiculite Exfoliation Plant in Tampa, Florida Were Exposed to Hazardous Asbestos Levels (4/30/05)
http://www.atsdr.cdc.gov/NEWS/tampafl041305.html
Workers at the former Zonolite and W.R. Grace & Co. vermiculite exfoliation plant in Tampa, Fla., from the 1950s to 1991 were exposed to hazardous levels of asbestos, according to a public health consultation from the Agency for Toxic Substances and Disease Registry (ATSDR). Those who lived with former Zonolite and W.R. Grace workers while Libby vermiculite was being processed at the plant also were potentially exposed to asbestos. Workers may have carried home asbestos fibers on their hair and clothing. The degree to which household members may have been exposed cannot be determined. ATSDR recommends that former workers and household members who lived with them learn more about asbestos and see a doctor with experience in asbestos-related lung disease.

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2004 Publications and Materials

Past Exposure to VOC-Contaminated Drinking Water at U.S. Marine Corps Base Camp Lejeune, North Carolina (12/30/04)
http://www.atsdr.cdc.gov/sites/lejeune/fs102804.html
This fact sheet answers some questions people have about the 1997 Public Health Assessment at U.S. Marine Corps Base Camp Lejeune. In 1982, the Marine Corps discovered volatile organic compounds (VOCs) in several drinking water wells that fed into two of the eight water systems on-base. Leaking underground storage tanks, spills and drum disposal caused contamination. Contamination was also caused by solvent-disposal practices at ABC One-Hour Cleaners. The Agency for Toxic Substances and Disease Registry has been assessing the effects of exposure (childhood cancers and birth defects) to drinking water containing VOCs since 1993.

Lead Poisoning Associated with Ayurvedic Medications - Five States, 2000-2003 (7/30/04)
http://www.cdc.gov/mmwr/preview/mmwrhtml/mm5326a3.htm
PDF (p. 582) PDF
http://www.cdc.gov/mmwr/PDF/wk/mm5326.pdf
During 2000-2003, a total of 12 cases of lead poisoning among adults in five states associated with ayurvedic medications or remedies were reported to CDC. This report summarizes these 12 cases, in which seven cases occurred in women. The women were taking the medications for arthritis (two), menstrual health (one), fertility (one), and diabetes (three).

ATSDR Releases Public Health Assessment Concerning Lead for the Omaha Lead Site, Omaha, Nebraska: Exposure to Lead by Children 6 and Younger Puts Them at Risk for Health Effects (6/30/04)
http://www.atsdr.cdc.gov/NEWS/omahane060704.html
The ongoing exposure to lead of children under 6 years old living in or near the Omaha Lead initial site investigation area puts them at risk of lead-related health effects. From July 2000 through August 2002, nearly 300 children living in or near the Omaha Lead site were reported with blood lead levels of 10 micrograms per deciliter (µg/dL) or greater. The majority of these children had blood lead levels between 10 µg/dL and 40 µg/dL and may be at risk for decreases in IQ, slightly impaired hearing and growth, and problems metabolizing vitamin D.

Impact of Heat Waves on Mortality- Rome, Italy, June-August 2003 (5/30/04)
http://www.cdc.gov/mmwr/preview/mmwrhtml/mm5317a5.htm
PDF (p. 369) PDF
http://www.cdc.gov/mmwr/PDF/wk/mm5317.pdf
This report summarizes the results of an analysis of temperature and daily mortality data, which indicated that an estimated 1,094 excess deaths occurred during three major heat wave periods in 2003, an increase of 23% compared with the average annual number of deaths during 1995-2002. The greatest increase in mortality occurred among females (estimated daily excess: 35%), reflecting the higher proportion of women aged >85 years (age distribution: women, 72%; men, 28%).

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2003 Publications and Materials

Camp Lejeune Progress Report
http://www.atsdr.cdc.gov/sites/lejeune/
A health survey of 12,600 children born to mothers who were pregnant between the years 1968-1985 at U.S. Marine Corps (USMC) Base Camp Lejeune found 103 specific childhood cancers and birth defects, suggesting the need to further study whether contaminated drinking water on base during that time was associated with the illnesses. The contaminated wells were closed in 1985 and the water has been safe to drink since then.

Easy Read DES & Breast Cancer PDF version
http://www.cdc.gov/DES/consumers/download/desbreastcancertele.pdf
The first teleconference [held on January 29, 2003] transcript on diethylstilbestrol highlights current breast cancer research information for DES daughters and women prescribed DES while pregnant.

Easy Read Respirator Fact Sheet
http://www.cdc.gov/niosh/npptl/npptlrespfact.html
Some employers and consumers are considering purchasing escape hoods or other respirators to protect themselves against potential terrorist threats, including biological and chemical substances. This guidance will provide information on what respirators are, how they work, and what is needed for a respirator to provide protection.

Diethylstilbestrol (DES) Update (Press Release)
http://www.cdc.gov/media/pressrel/r030304.htm
DES Web Site
http://www.cdc.gov/DES/
CDC's Des Update Web site includes information and resources with downloadable versions of all DES Update materials and an interactive Self-Assessment Guide. The site includes sections for consumers, health care professionals, and partners. In the United States, an estimated five to 10 million people were exposed to DES, between 1938 and 1971. DES is a synthetic estrogen that was prescribed to prevent miscarriages or premature delivery. However, in 1971, the Food and Drug Administration (FDA) issued a "Drug Bulletin" advising physicians to stop prescribing DES to pregnant women. Subsequent research links DES exposure to health risks among the women who were prescribed DES while pregnant and the children born to these women. Women who were prescribed DES while pregnant are at a modestly increased risk for breast cancer. Women exposed to DES in the womb-DES Daughters-experience lifelong, increased risks that include a rare vaginal and cervical cancer, reproductive complications, and infertility. Men exposed to DES-DES Sons-face an increased risk for noncancerous epididymal cysts (growths on the testicles).

Increase in Coccidioidomycosis - Arizona, 1998-2001
http://www.cdc.gov/mmwr/preview/mmwrhtml/mm5206a4.htm
PDF (p. 109) PDF
http://www.cdc.gov/mmwr/PDF/wk/mm5206.pdf
Coccidioidomycosis is a systemic infection caused by inhalation of airborne spores from Coccidioides immitis, a fungus found in soil in the southwestern United States and in parts of Mexico and Central and South America. Persons at higher risk for disseminated disease include blacks, Filipinos, pregnant women in their third trimester, and immunocompromised persons. During 2001, the Arizona Department of Health Services reported coccidioidomycosis incidence of 43 cases per 100,000 population, representing an increase of 186% since 1995. This report summarizes the findings of an investigation, which indicates that the recent Arizona coccidioidomycosis epidemic is attributed to seasonal peaks in incidence that probably are related to climate. Health-care providers in Arizona should be aware that peak periods of coccidioidomycosis incidence occur during the winter and should consider testing patients with influenza-like illness. Clinical manifestations occur in 40% of infected persons and range from an influenza-like illness to severe pneumonia and, rarely, extrapulmonary disseminated disease.

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2002 Publications and Materials

Registry to Assess Health Effects from WTC Collapse
http://www.atsdr.cdc.gov/NEWS/wtcregistry_07082002.html
ATSDR will assist the New York City Department of Health and Mental Hygiene in creating a registry of people who may have been exposed to the World Trade Center site, either from working, living, or cleaning up in the area affected by the disaster. The registry will follow the health of the 100,000-200,000 people exposed to substances emanating from the collapse and cleanup of the World Trade Center to help determine whether their exposure has any relationship to short- or long-term health problems they may experience. The registry is expected to launch in late fall 2002.

Easy Read Vessel Sanitation Program
http://www.cdc.gov/nceh/vsp/
If you are planning a cruise, find out how the ship you plan to vacation on scored on it's sanitation inspection. The inspection focuses on the ship's water supply, spas and pools, food, employee hygiene, ship condition, and training programs. Every vessel that has a foreign itinerary, carries 13 or more passengers, and calls on a U.S. Port is subject to unannounced twice-yearly inspections and, when necessary, to reinspection by Vessel Sanitation Program (VSP) staff. Because of several major disease outbreaks on cruise vessels, the CDC established the VSP in the early 1970s as a cooperative activity with the cruise ship industry.

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2001 Publications and Materials

Environmental Public Health at CDC/ATSDR
http://www.atsdr.cdc.gov/nceh/shared-vision.html
PDF PDF
http://www.atsdr.cdc.gov/nceh/sharedvision.pdf
The Report of the CDC/ATSDR Working Group on a Shared Vision for Environmental Public Health at CDC/ATSDR, is designed as a first step to build an enhanced national and international resource for jointly addressing environmental public health threats and promoting health by improving the environment in which we live.

The Revised PCB Toxicological Profile
http://www.atsdr.cdc.gov/toxprofiles/tp17.html
ATSDR prepares toxicological profiles on the hazardous substances most commonly found at National Priorities List sites and on those substances that pose the most significant potential threat to human health. ATSDR reviews the profiles every 3 years to determine if revisions and updates are warranted. The Toxicological Profile for Polychlorinated Biphenyls (PCB) was updated extensively in 2000. Following is a summary of the new Endocrine Disruption Section: New research and health discussions have focused on the potential harmful effects of endocrine disruptors, which are able to mimic, block, and modify the normal function of the endocrine system. Some scientists believe that these chemicals have potential adverse health effects in humans and animals. The endocrine disruption section outlines the effects of PCBs on breast cancer, estrogenic and antiestrogenic activity, the reproductive system, and thyroid glands. ATSDR's Toxicological Profile for Polychlorinated Biphenyls is now available. If you qualify for a free copy*, contact ATSDR, Division of Toxicology, 1600 Clifton Road, NE (MS E29), Atlanta, GA 30333 (telephone: 1-888-42-ATSDR or 1-888-422-8737; fax: 404-498-0057; email: atsdric@cdc.gov). If you do not qualify for a free copy, you can purchase one from the National Technical Information Service (NTIS). Contact NTIS at 5285 Port Royal Road, Springfield, VA 22161 (telephone: 1-800-553-6847 or 703-605-6000; NTIS Web site: www.ntis.gov). *Congress requires ATSDR to (1) provide toxicological profiles to state health and environmental agencies and (2) make them available to other interested parties.

The Nationwide Environmental Health Nursing Initiative, ATSDR Winter 2001 HSPH Newsletter
http://www.atsdr.cdc.gov/HEC/HSPH/v11n1indx.html
Seven years ago, ATSDR took the first step in developing an Environmental Health Nursing Initiative. Through this initiative, ATSDR began to act on its knowledge of the vital and broad role nursing professionals play in every area of the health arena to help protect the public's health. Partners in the Environmental Health Nursing Initiative are now joining together to take the initiative nationwide. The project is designed to increase the competencies of nurses by ensuring that nursing school course curricula include environmental health topics and that educational opportunities are available to practicing nurse professionals. Today, the initiative is sustainable and is a motivating force behind public health action nationwide.

National Report on Human Exposure to Environmental Chemicals
http://www.cdc.gov/exposurereport/
This report includes data about levels of 27 environmental chemicals in blood and urine samples among participants in the 1999 National Health and Nutrition Examination Survey. Levels of blood lead continue to decline among children aged 1-5 years. The population's exposure to environmental tobacco smoke has declined by 75% since 1991. However, more than half of American youth are still exposed to ETS. Assessment of women's and children's exposure to mercury has been improved through availability of data in the report on levels of mercury in blood samples from women of childbearing age and children aged 1-5 years.

Blood & Hair Mercury Levels in Young Children & Women of Childbearing Age-United States, 1999
http://www.cdc.gov/mmwr/preview/mmwrhtml/mm5008a2.htm
PDF PDF
http://www.cdc.gov/mmwr/PDF/wk/mm5008.pdf
This report presents preliminary estimates of blood and hair Mercury (Hg) levels from the 1999 National Health and Nutrition Examination Survey and compares them with a recent toxicologic review by the National Research Council. The findings suggest that Hg levels in young children and women of childbearing age generally are below those considered hazardous. These preliminary estimates show that approximately 10% of women have Hg levels within one tenth of potentially hazardous levels indicating a narrow margin of safety for some women and supporting efforts to reduce methylmercury exposure. Mercury (Hg), a heavy metal, is widespread and persistent in the environment. Exposure to hazardous Hg levels can cause permanent neurologic and kidney impairment.

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Related Links

Environmental Health: Women’s Health Topics A-Z
http://www.cdc.gov/women/az/environ.htm
View women’s health resources related to environmental health.

Agency for Toxic Substances and Disease Registry
http://www.atsdr.cdc.gov/
The mission of the Agency for Toxic Substances and Disease Registry (ATSDR), as an agency of the U.S. Department of Health and Human Services, is to serve the public by using the best science, taking responsive public health actions, and providing trusted health information to prevent harmful exposures and disease related to toxic substances. Learn more.

Emergency Preparedness and Response: Natural Disasters and Severe Weather
http://www.bt.cdc.gov/disasters/
Learn more about how to prepare and protect yourself when natural disasters and severe weather strike.

Emergency Response Resources and the Workplace
http://www.cdc.gov/niosh/topics/emres/
Learn more about emergency response in the workplace.

Environmental Health
http://www.cdc.gov/nceh
Learn more about issues related to environmental health.

(FOR KIDS) Environmental Health for Kids
http://www.cdc.gov/nceh/kids/99kidsday/
Learn how to stay healthy wherever you live, work, and play.

Environmental Health: Programs in Brief
http://www.cdc.gov/programs/environ.htm
Learn more about environmental health, CDC/ATSDR’s activities and accomplishments, and steps for moving forward.

Health Topics: Environmental Health
http://www.cdc.gov/nceh/topics.htm
Search for information on a variety of topics related to environmental health.

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This page last reviewed August 31, 2007
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