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CONTENTS

FOREWORD

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
 

CHILD HEALTH WORKGROUP

  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

  ACKNOWLEDGMENTS

  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                

REVIEWERS

  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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