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Chemical spills (core)

Type: Hazard Indicator
Suggested Measures:
  1. Number of chemical spills by type and location (core)
Potential Data Sources:
  • ATSDR: HSEES
     
  • DOT [external link]
     
  • EPA [external link]
     
  • States or local jurisdictions: environment, transportation, and agriculture agencies
Technical Supplement:

The technical supplement provides specific methods for using the above indicator and measures. It includes definitions, measurement criteria, data sources and surveillance systems, related indicators and limitations. If your agency is using or plans to use EPHIs, the technical supplement will provide you with a consistent method so that your results will be comparable to those of other agencies using the same indicator. To obtain a copy, please contact EPHI Project staff at 770-488-3473.

Toxic contaminants in foods (core)

Type: Hazard Indicator
Suggested Measures:
  1. Levels of toxic contaminants in foods (core)
Potential Data Sources:
Technical Supplement:

The technical supplement provides specific methods for using the above indicator and measures. It includes definitions, measurement criteria, data sources and surveillance systems, related indicators and limitations. If your agency is using or plans to use EPHIs, the technical supplement will provide you with a consistent method so that your results will be comparable to those of other agencies using the same indicator. To obtain a copy, please contact EPHI Project staff at 770-488-3473.

Hazardous waste sites (optional)

Type: Hazard Indicator
Suggested Measures:
  1. Proportion of leaking underground storage facilities that have not been remediated (optional)
  2. Proportion of identified Brownfield properties that have not been remediated (optional)
  3. Tons of toxic substances and materials sold to general public (optional)
  4. Proportion of population in close proximity to leaking underground storage facilities, Brownfield properties, and sites on the National Priority List and RCRA lists (optional)
  5. Number of worker and community complaints about possible toxic exposures (developmental)
Potential Data Sources:
  • ATSDR
     
  • CDC, NIOSH
     
  • DOC [external link]
     
  • EPA [external link]
     
  • OSHA [external link]
     
  • States or local jurisdictions: Agriculture and environmental protection agencies, especially those with indicator projects
Technical Supplement:

The technical supplement provides specific methods for using the above indicator and measures. It includes definitions, measurement criteria, data sources and surveillance systems, related indicators and limitations. If your agency is using or plans to use EPHIs, the technical supplement will provide you with a consistent method so that your results will be comparable to those of other agencies using the same indicator. To obtain a copy, please contact EPHI Project staff at 770-488-3473.

Biologic markers of human exposure to heavy metals (optional)

Type: Exposure Indicator
Suggested Measures:
  1. Blood and urine concentration level (95th percentile) for lead, arsenic, cadmium, manganese, mercury
Potential Data Sources:
Technical Supplement:

The technical supplement provides specific methods for using the above indicator and measures. It includes definitions, measurement criteria, data sources and surveillance systems, related indicators and limitations. If your agency is using or plans to use EPHIs, the technical supplement will provide you with a consistent method so that your results will be comparable to those of other agencies using the same indicator. To obtain a copy, please contact EPHI Project staff at 770-488-3473.

Biologic markers of human exposure to persistent chemicals (optional)

Type: Exposure Indicator
Suggested Measures:
  1. Serum concentration level (95th percentile) for polychlorinated biphenyls (PCB), dioxins, furans
Potential Data Sources:
Technical Supplement:

The technical supplement provides specific methods for using the above indicator and measures. It includes definitions, measurement criteria, data sources and surveillance systems, related indicators and limitations. If your agency is using or plans to use EPHIs, the technical supplement will provide you with a consistent method so that your results will be comparable to those of other agencies using the same indicator. To obtain a copy, please contact EPHI Project staff at 770-488-3473.

Possible child poisoning (core)

Type: Health Effect Indicator
Suggested Measures:
  1. Consultations for child poisoning (core)
  2. Emergency department visit for child poisoning (core)
Potential Data Sources:
  • AAPCC: TESS [external link]
  • CDC: NHAMCS, NHDS, NVSS
     
  • CPSC [external link]
     
  • States or local jurisdictions: injury indicators surveillance; ME/Cs; vital statistics
Technical Supplement:

The technical supplement provides specific methods for using the above indicator and measures. It includes definitions, measurement criteria, data sources and surveillance systems, related indicators and limitations. If your agency is using or plans to use EPHIs, the technical supplement will provide you with a consistent method so that your results will be comparable to those of other agencies using the same indicator. To obtain a copy, please contact EPHI Project staff at 770-488-3473.

Morbidity and mortality associated with toxic substances (optional)

Type: Health Effect Indicator
Suggested Measures:
  1. Number of non-occupational poisonings (optional)
  2. Number of deaths from non-occupational poisoning (optional)
  3. Number of injuries resulting from chemical spills (optional)
Potential Data Sources:
  • AAPCC: TESS [external link]
     
  • CDC: NHAMCS, NHDS, NVSS, NEISS, NIOSH
     
  • CPSC [external link]
     
  • States or local jurisdictions: CDI [external link] and injury indicators surveillance; health agencies, occupational health and safety divisions; ME/Cs; vital statistics
Technical Supplement:

The technical supplement provides specific methods for using the above indicator and measures. It includes definitions, measurement criteria, data sources and surveillance systems, related indicators and limitations. If your agency is using or plans to use EPHIs, the technical supplement will provide you with a consistent method so that your results will be comparable to those of other agencies using the same indicator. To obtain a copy, please contact EPHI Project staff at 770-488-3473.

Use of surveillance and warning systems (optional)

Type: Intervention Indicator
Suggested Measures:
  1. Number of jurisdictions that have surveillance systems for detecting methemoglobinemia and acute poisoning from lead, arsenic, cadmium, mercury, pesticides, and other chemicals (optional)
  2. Number of fish consumption advisories (optional)
Potential Data Sources:
  • States or local jurisdictions: Health, environmental protection, and natural resources agencies
Technical Supplement:

The technical supplement provides specific methods for using the above indicator and measures. It includes definitions, measurement criteria, data sources and surveillance systems, related indicators and limitations. If your agency is using or plans to use EPHIs, the technical supplement will provide you with a consistent method so that your results will be comparable to those of other agencies using the same indicator. To obtain a copy, please contact EPHI Project staff at 770-488-3473.

Waste and toxic substances reduction (optional)

Type: Intervention Indicator
Suggested Measures:
  1. Proportion of solid waste diverted from disposal (optional)
  2. Identified sites with completed exposure pathways (optional)
Potential Data Sources:
  • CDC: NHIS
     
  • EPA [external link]
     
  • States or local jurisdictions: health, environmental protection, and natural resources agencies
Technical Supplement:

The technical supplement provides specific methods for using the above indicator and measures. It includes definitions, measurement criteria, data sources and surveillance systems, related indicators and limitations. If your agency is using or plans to use EPHIs, the technical supplement will provide you with a consistent method so that your results will be comparable to those of other agencies using the same indicator. To obtain a copy, please contact EPHI Project staff at 770-488-3473.

Public education (developmental)

Type: Intervention Indicator
Suggested Measures:
  1. Public awareness campaigns about toxic and hazardous household products (developmental)
  2. Number of purchases of home safety and child-proofing devices (e.g., electrical outlet covers, cabinet locks, smoke detectors) (developmental)
Potential Data Sources:
  • Private sector: marketing agencies; solid waste disposal companies
Technical Supplement:

The technical supplement provides specific methods for using the above indicator and measures. It includes definitions, measurement criteria, data sources and surveillance systems, related indicators and limitations. If your agency is using or plans to use EPHIs, the technical supplement will provide you with a consistent method so that your results will be comparable to those of other agencies using the same indicator. To obtain a copy, please contact EPHI Project staff at 770-488-3473.

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