** Caption file: CEHRCDC.vnl
** Generated 2:02:05 PM on Friday, April 12, 2002
** Using VNLcc 2.2.30
** Copyright 2002 VITAC Corporation



>> HELLO AND WELCOME TO THIS

SPECIAL SATELLITE BROADCAST,

"CHILDREN'S ENVIRONMENTAL HEALTH

INFORMATION RESOURCES."

I'M JOE WASHINGTON, YOUR

MODERATOR FOR THIS PROGRAM, AND

WE'RE COMING TO YOU LIVE FROM

THE CENTERS FOR DISEASE CONTROL

AND PREVENTION IN ATLANTA,

GEORGIA.

ENVIRONMENTAL HEALTH AND SAFETY

RISKS DISPROPORTIONATELY AFFECT

CHILDREN.

FROM PESTICIDES IN SCHOOLS AND

PLAYGROUNDS TO NITRATES IN THE

WATER, CHILDREN ARE AT INCREASED

RISK FOR A VARIETY OF ADVERSE

HEALTH EFFECTS SUCH AS

DEVELOPMENTAL DELAYS AND ASTHMA.

DURING TODAY'S PROGRAM, WE'LL

IDENTIFY A NUMBER OF THESE

RISKS, EXPLAIN HOW THEY

SPECIFICALLY AFFECT CHILDREN,

AND IDENTIFY MAJOR ONLINE

RESOURCES CONTAINING VALUABLE

INFORMATION.

OUR PRESENTERS WILL DISCUSS USE

OF THE INTERNET AS A TOOL IN

FINDING INFORMATION SPECIFIC TO

OUR TOPIC.

THEN, AT THE END OF THE PROGRAM,

THEY'LL INTRODUCE A QUESTION TO

YOU, THE AUDIENCE, CONCERNING A

CHILDREN'S ENVIRONMENTAL HEALTH

ISSUE.

ANSWERS TO THE QUESTIONS CAN BE

FOUND USING VARIOUS WEBSITES.

WE ENCOURAGE YOU TO CALL IN AND

LET US KNOW HOW YOU FOUND THE

ANSWER TO THE QUESTION, WHETHER

BY USING THE RESOURCES PRESENTED

TODAY OR PERHAPS OTHER RESOURCES

THAT YOU MAY HAVE USED IN THE

PAST.

PLEASE KEEP IN MIND THAT WHILE

WE'VE DONE OUR BEST TO CLEARLY

PORTRAY THE WEBSITE SEARCHES

INCLUDED IN THIS BROADCAST, THE

FINER TEXT AND GRAPHICAL DETAIL

ON SOME OF THE WEB PAGES MAY BE

DIFFICULT FOR YOU TO SEE ON YOUR

TELEVISION MONITORS.

PLEASE FOLLOW ALONG WITH THE

COURSE MATERIALS WE'VE PROVIDED

ON OUR PARTNERS WEBSITE.

WE'LL GIVE YOU THAT ADDRESS IN A

MOMENT.

ALSO, WE ENCOURAGE YOU TO RECORD

TODAY'S PROGRAM AND REFER TO THE

WEB ARCHIVE OF THIS BROADCAST.

THE NARRATIVE DESCRIPTION OF THE

INDIVIDUAL SEARCHES ARE DETAILED

ENOUGH TO ALLOW YOU TO FOLLOW

ALONG AND COMPLETE A SEARCH

WHILE LISTENING TO THIS PROGRAM

ONCE YOU ARE AT YOUR COMPUTERS.

ALSO NOTE THAT WEBSITES CHANGE

FREQUENTLY.

THE SITES YOU SEE TODAY MAY

CHANGE IN APPEARANCE BUT NOT IN

PURPOSE OR GENERAL CONTENT BY

THE TIME YOU HAVE A CHANCE TO

TRY THE SITE YOURSELF.

BEFORE WE INTRODUCE OUR

PANELISTS, LET'S HEAR FROM

DR. RICHARD JACKSON, DIRECTOR OF

THE NATIONAL CENTER FOR

ENVIRONMENTAL HEALTH HERE AT

CDC.

>> THE ENVIRONMENT IS EVERYTHING

AROUND US -- THE AIR, THE WATER,

THE FOOD, THE ENERGY IN OUR

BODIES.

EVERY MOLECULE IN A CHILD'S BODY

COMES FROM THEIR ENVIRONMENT.

HI, I'M DICK JACKSON FROM THE

CENTER FOR ENVIRONMENTAL HEALTH

AT CDC.

BUT THE ENVIRONMENT DOESN'T

SIMPLY ADD MATERIAL TO OUR BODY.

IT SHAPES OUR BEHAVIOR -- OUR

CHILD'S BEHAVIOR -- IT SHAPES

OUR THINKING, AND MOST

IMPORTANTLY, IT SHAPES OUR

FUTURE.

IT'S THE CHILD'S JOB TO IMMERSE

ITSELF IN ITS ENVIRONMENT, TO

TOUCH AND TASTE AND FEEL

EVERYTHING AROUND IT.

POUND FOR POUND, A CHILD EATS

MORE FOOD, DRINKS MORE WATER,

BREATHES MORE AIR THAN DOES AN

ADULT.

THERE ARE THREE AREAS THAT I'D

LIKE TO BRING TO YOUR ATTENTION

IN TERMS OF CHILDREN'S HEALTH

AND THE ENVIRONMENT.

THE FIRST IS THAT OF ASTHMA.

THERE ARE 5 MILLION CHILDREN IN

AMERICA TODAY WITH ASTHMA, AND

THE RATES KEEP GOING UP.

IN FACT, SOME HOSPITALS HAVE SET

ASIDE AN ENTIRE ROOM IN THE

EMERGENCY DEPARTMENT FOR THE

TREATMENT OF CHILDREN WITH

ASTHMA.

IT COSTS $15 BILLION A YEAR, AND

THAT DOESN'T INCLUDE WHAT

PARENTS HAVE TO LOSE IN TERMS OF

INCOME WHEN THEY HAVE TO STAY

HOME FROM SCHOOL WITH A SICK

CHILD.

THE SECOND BIG ISSUE IS THAT OF

TOXIC CHEMICALS IN OUR BODIES,

AND FOR A LONG TIME WE DIDN'T

KNOW WHAT THE TOXIC CHEMICALS

WERE IN OUR BODIES.

NOW WITH THE REPORT CARD THE

CDC IS PUTTING OUT ON BODY

BURDENS, WE HAVE PROFILED 27

CHEMICALS IN THE AMERICAN

PEOPLE, AND WE'LL BE REPORTING

ON 50 CHEMICALS THIS YEAR THAT

ARE IN OUR BODIES.

THIS IS USEFUL INFORMATION FOR

RESEARCHERS AND FOR DOCTORS,

CLINICIANS TRYING TO MAKE

DECISIONS ABOUT EXPOSURES.

AND THE THIRD BIG AREA -- AND

THIS IS ONE SOMETIMES PEOPLE

THINK IS GONE -- IS THAT OF

CHILDHOOD LEAD POISONING.

THERE ARE STILL ALMOST 900,000

CHILDREN IN AMERICA WITH

ELEVATED LEVELS OF LEAD IN THEIR

BODY, AND LEAD DIMINISHES

INTELLIGENCE AND HAS LOTS OF

OTHER SERIOUS HEALTH EFFECTS.

WE CAN ELIMINATE CHILDHOOD LEAD

POISONING BY THE YEAR 2010, AND

CDC IS WORKING WITH MANY LOCAL

AND STATE HEALTH DEPARTMENTS TO

DO THAT.

IN THE NEXT TWO HOURS, YOU WILL

GAIN INFORMATION ABOUT WHERE TO

GET CONTROL MEASURES AND WHERE

TO GET MORE DATA ON THIS

IMPORTANT ISSUE OF CHILDREN'S

HEALTH AND ENVIRONMENT.

I WANT TO THANK YOU FOR JOINING

US FOR THIS PRESENTATION.

>> THANK YOU, DR. JACKSON.

OKAY, IT'S TIME NOW TO INTRODUCE

OUR PANEL MEMBERS.

STACEY ARNESEN IS THE ADVISER

FOR SPECIAL PROJECTS IN THE

SPECIALIZED INFORMATION SERVICES

DIVISION AT THE NATIONAL LIBRARY

OF MEDICINE IN BETHESDA,

MARYLAND.

GREG BODIN IS THE TECHNOLOGY

COORDINATOR IN THE SOUTH CENTRAL

REGION OF THE NATIONAL NETWORK

OF LIBRARIES OF MEDICINE IN

HOUSTON, TEXAS.

AND ROSE FOSTER IS THE MANAGER

OF THE MEDICAL EDUCATION AND

OUTREACH GROUP AT THE OAK RIDGE

INSTITUTE FOR SCIENCE AND

EDUCATION IN OAK RIDGE,

TENNESSEE.

WELCOME TO ALL OF YOU.

NOW, BEFORE WE BEGIN, ALLOW ME

TO GO OVER A FEW DETAILS ABOUT

TODAY'S BROADCAST.

HOPEFULLY YOU'VE PRINTED A SET

OF BROADCAST COURSE MATERIALS

AND HAVE THEM AVAILABLE TO REFER

TO DURING THE PROGRAM.

IF YOU DID NOT PRINT THE COURSE

MATERIALS, THEY ARE AVAILABLE

ON OUR WEBSITE AT OUR "PARTNERS"

LINK AT...

IF YOU ALREADY HAVE THE

MATERIALS, PLEASE KEEP THEM

AVAILABLE IN FRONT OF YOU.

WE'LL BE REFERRING TO MANY OF

THE WEBSITES LISTED ON THE

"TOPICS AND RESOURCES DISCUSSED

DURING THE SATELLITE BROADCAST"

DOCUMENT.

IN ADDITION, THE CHILDREN'S

ENVIRONMENTAL HEALTH RESOURCES

SAMPLER DOCUMENT CONTAINS

ADDITIONAL TOPICS AND RESOURCES

THAT WE DON'T HAVE TIME TO COVER

DURING TODAY'S BROADCAST.

NOW, LET'S REVIEW THE OBJECTIVES

FOR THIS PROGRAM.

AT THE END OF TODAY'S SESSION,

YOU SHOULD BE ABLE TO...

NOW, STACEY, LET'S BEGIN WITH

ANSWERING A COUPLE OF VERY

IMPORTANT QUESTIONS --

WHAT IS ENVIRONMENTAL HEALTH,

AND WHY ARE CHILDREN AT GREATER

RISK TO ENVIRONMENTAL HAZARDS

THAN ADULTS?

>> THESE ARE VERY IMPORTANT

QUESTIONS, JOE, AND NOT ALWAYS

EASY TO ANSWER.

TAKE THE FIRST QUESTION.

SEVERAL YEARS AGO, THE U.S.

DEPARTMENT OF HEALTH AND HUMAN

SERVICES ENVIRONMENTAL HEALTH

POLICY COMMITTEE SURVEYED

THEIR MEMBERS, OTHER GOVERNMENT

AGENCIES, AND SEVERAL PUBLIC

HEALTH ORGANIZATIONS AND ASKED

THEM TO DEFINE ENVIRONMENTAL

HEALTH.

A TOTAL OF 28 DEFINITIONS WERE

RECEIVED.

LET'S LOOK AT JUST ONE OF THESE,

THE DEFINITION FROM THE

INSTITUTE OF MEDICINE.

THIS IS A VERY GENERAL

DEFINITION.

SOME OF THE OTHER DEFINITIONS

WERE MORE SPECIFIC AND DEFINED

TOXIC AGENTS AS CHEMICAL,

BIOLOGICAL, OR PHYSICAL.

OTHER DEFINITIONS INCLUDED

ECOLOGICAL FACTORS AFFECTING

HUMAN HEALTH AS WELL.

BUT WHY FOCUS SPECIFICALLY ON

CHILDREN'S ENVIRONMENTAL HEALTH?

HOW ARE CHILDREN DIFFERENT THAN

ADULTS WHEN IT COMES TO

ENVIRONMENTAL EXPOSURE?

WELL, AS DESCRIBED BY THE

NATIONAL RESEARCH COUNCIL,

CHILDREN ARE NOT SIMPLY LITTLE

ADULTS.

IT IS WELL KNOWN THAT THEY ARE

IN AN ACTIVE STATE OF GROWTH,

AND THEIR NERVOUS, IMMUNE,

REPRODUCTIVE, AND DIGESTIVE

SYSTEMS ARE STILL DEVELOPING.

THEIR ABILITY TO DETOXIFY AND

EXCRETE TOXIC SUBSTANCES DIFFERS

FROM THAT OF ADULTS BECAUSE OF

THEIR DEVELOPING METABOLIC

SYSTEMS.

EXPOSURE TO ENVIRONMENTAL

TOXICANTS DURING SPECIFIC

PERIODS OF VULNERABILITY CAN

LEAD TO IRREVERSIBLE DAMAGE OF

ORGANS AND SYSTEMS.

AS EXPLAINED BY THE CHILDREN'S

ENVIRONMENTAL HEALTH NETWORK,

YOUNG CHILDREN BREATHE FASTER

AND EAT AND DRINK MORE IN

PROPORTION TO THEIR BODY WEIGHT

THAN ADULTS.

THEREFORE, CHILDREN ABSORB MORE

TOXICANTS, SUCH AS LEAD OR

PESTICIDES, THAT ARE CONTAINED

IN AIR, WATER, OR FOOD.

THIS MAKES THEM MORE VULNERABLE

TO ACUTE AND CHRONIC EFFECTS OF

ENVIRONMENTAL HAZARDS.

CHILDREN ALSO SPEND MORE TIME

OUTDOORS THAN DO ADULTS, AND

THEIR LIFE TAKES PLACE CLOSE TO

THE GROUND.

THEY EXPLORE THEIR SURROUNDINGS

THROUGH HAND-TO-MOUTH BEHAVIOR

AND ARE UNAWARE OF POTENTIAL

RISKS.

AND FINALLY, CHILDREN ARE

EXPOSED TO TOXICANTS AT AN EARLY

AGE AND FOR PROLONGED PERIODS OF

TIME, WHICH GIVES THEM MORE TIME

TO DEVELOP DISEASES WITH LONG

LATENCY PERIODS.

ALTHOUGH ALL CHILDREN ARE

AFFECTED BY ENVIRONMENTAL

HAZARDS, SOME CHILDREN HAVE

HIGHER EXPOSURE RATES.

BOTH RACE AND LIVING IN POVERTY

CAN PUT CHILDREN AT INCREASED

RISK OF EXPOSURE TO CERTAIN

ENVIRONMENTAL HAZARDS.

FOR EXAMPLE, ACCORDING TO A

STUDY BY THE UNITED CHURCH OF

CHRIST, APPROXIMATELY ONE IN

FOUR CHILDREN LIVE WITHIN ONE

MILE OF A HAZARDOUS WASTE SITE.

MANY OF THESE ARE

AFRICAN-AMERICAN,

HISPANIC-AMERICAN,

AND NATIVE-AMERICAN CHILDREN.

ACCORDING TO THE CENTERS FOR

DISEASE CONTROL AND PREVENTION,

8% OF LOW-INCOME CHILDREN ARE

LEAD-POISONED COMPARED TO ONLY

2% OF MIDDLE AND 1% OF

HIGH-INCOME CHILDREN.

11% OF AFRICAN-AMERICAN AND 4%

OF MEXICAN-AMERICAN CHILDREN ARE

LEAD-POISONED COMPARED TO 2%

OF WHITE, NON-HISPANIC CHILDREN.

AS A RESULT OF THE RISING

CONCERN FOR THE HEALTH OF OUR

CHILDREN, PRESIDENT CLINTON

SIGNED A PRESIDENTIAL EXECUTIVE

ORDER ON CHILDREN'S

ENVIRONMENTAL HEALTH RISKS AND

SAFETY RISKS IN 1997.

LAST OCTOBER, PRESIDENT BUSH

EXTENDED THIS EXECUTIVE ORDER

FOR AN ADDITIONAL 18 MONTHS.

PRIOR TO AND AS A RESULT OF THIS

EXECUTIVE ORDER, SEVERAL

GOVERNMENT AGENCIES INITIATED

CHILDREN'S ENVIRONMENTAL HEALTH

PROGRAMS.

BOTH THE ENVIRONMENTAL

PROTECTION AGENCY, OR EPA,

AND THE AGENCY FOR TOXIC

SUBSTANCES AND DISEASE REGISTRY,

OR ATSDR, HAVE PROGRAMS ON

CHILDREN'S ENVIRONMENTAL HEALTH.

SINCE THIS BROADCAST FOCUSES ON

INFORMATION RESOURCES FOR

CHILDREN'S ENVIRONMENTAL HEALTH,

LET'S TAKE A LOOK AT THE

WEBSITES ASSOCIATED WITH THESE

PROGRAMS.

THIS WILL GIVE YOU A FEEL FOR

SOME GENERAL RESOURCES AVAILABLE

ON CHILDREN'S ENVIRONMENTAL

HEALTH ISSUES AND HOW THEY MAY

ASSIST YOU AS PUBLIC HEALTH

PROFESSIONALS.

PLEASE NOTE THAT ALL OF THE

URLs DISCUSSED IN THE BROADCAST

CAN BE FOUND IN THE COURSE

MATERIALS, SO YOU DON'T NEED TO

WRITE THEM DOWN DURING THE

BROADCAST.

LET'S START WITH THE EPA SITE.

THE ADDRESS IS

www.epa.gov/children.

THIS SITE CONTAINS INFORMATION

ON HOW CHILDREN ARE EXPOSED TO

HAZARDOUS SUBSTANCES, SUCH AS IN

THE AIR THEY BREATHE OR THE

WATER THEY DRINK, AND

INFORMATION ON DISEASES

AFFECTING CHILDREN, SUCH AS

ASTHMA OR CANCER, AND HOW THESE

DISEASES MAY BE CONNECTED TO

ENVIRONMENTAL FACTORS.

CLICK ON "WHERE YOU CAN GET

INFO" ON THE LEFT SIDE OF THE

SCREEN.

THIS PAGE PROVIDES LINKS TO MANY

PUBLICATIONS, INCLUDING "EPA's

NATIONAL AGENDA TO PROTECT

CHILDREN'S HEALTH" AT THE TOP

OF THE PAGE.

CLICK ON "CHILDREN'S

ENVIRONMENT" TO FIND RESOURCES

ON AIR, WATER, FOOD, AND "LIVE,

LEARN, AND PLAY."

CLICK ON "AIR" TO SEE A WEALTH

OF INFORMATION ON INDOOR AIR

QUALITY, RADON, TOBACCO SMOKE,

OUTDOOR AIR QUALITY, AND OZONE

AND U.V. RADIATION.

THE LAST LINK UNDER "INDOOR AIR

QUALITY" LEADS TO A DESCRIPTION

OF AN INDOOR AIR COMMUNITY

LEADER KIT FOR WOMEN AND

CHILDREN THAT WAS DEVELOPED

BY THE NATIONAL SAFETY COUNCIL.

HEALTH DEPARTMENTS CAN USE THIS

KIT TO EDUCATE THE PUBLIC ABOUT

THE HAZARDS OF INDOOR AIR

POLLUTANTS.

A DIRECT LINK TO THE KIT, WHICH

INCLUDES SLIDES, FACT SHEETS,

AND OTHER OUTREACH ACTIVITIES,

IS PROVIDED.

NOW WE'LL GO BACK TO EPA's

"OFFICE OF CHILDREN'S HEALTH

PROTECTION HOME PAGE."

THIS SITE ALSO CONTAINS NUMEROUS

EPA REPORTS AND OTHER RESOURCES,

WHICH WE DON'T HAVE TIME TO SHOW

IN THE BROADCAST, SO YOU MAY

WANT TO SPEND TIME AFTER THE

BROADCAST EXPLORING THIS SITE.

NOW LET'S TAKE A LOOK AT ANOTHER

GENERAL RESOURCE FOR CHILDREN'S

ENVIRONMENTAL HEALTH FROM THE

ATSDR.

THE URL FOR THE ATSDR's OFFICE

OF CHILDREN'S HEALTH WEB PAGE IS

www.atsdr.cdc.gov/child.

THIS SITE DESCRIBES SEVERAL

ATSDR ACTIVITIES ON CHILDREN'S

ENVIRONMENTAL HEALTH.

ONE OF THEIR MAJOR CHILDREN'S

HEALTH INITIATIVES IS THE

PEDIATRIC ENVIRONMENTAL HEALTH

SPECIALTY UNITS, OR PEHSUs.

THIS IS A COLLABORATIVE PROJECT

WITH THE ASSOCIATION FOR

OCCUPATIONAL AND ENVIRONMENTAL

HEALTH CLINICS, OR AOEC, AND IS

ALSO SUPPORTED BY THE EPA.

CLICK ON "HEALTH PROMOTION AND

EDUCATION ACTIVITIES" ON THE

LEFT.

THIS TAKES YOU TO INFORMATION

ABOUT THE PEHSU PROGRAM.

THE PROGRAM IS DESIGNED TO

PROMOTE CHILDREN'S HEALTH BY

ENCOURAGING MEDICAL SPECIALISTS

WITH ENVIRONMENTAL EXPERTISE TO

WORK WITH PEDIATRICIANS.

TOGETHER THEY DEVELOP PEDIATRIC

ENVIRONMENTAL HEALTH INFORMATION

FOR ACCESS BY LOCAL HEALTHCARE

PROVIDERS AND PARENTS.

THE PEHSUs ARE LOCATED AT

UNIVERSITIES AND FOCUS ON

MEDICAL EDUCATION AND TRAINING,

CLINICAL CONSULTATION AND

OUTREACH BY TELEPHONE, AND

CLINICAL EVALUATION OF CHILDREN

WHO MAY HAVE BEEN EXPOSED TO

HAZARDOUS SUBSTANCES IN THE

ENVIRONMENT.

MOST OF THE PEHSUs HAVE A

WEBSITE THAT CAN BE ACCESSED

FROM EITHER THE ATSDR OR AOEC

WEBSITES.

LET'S GO TO REGION 4, THE

SOUTHEAST PEHSU, LOCATED AT

EMORY UNIVERSITY HERE IN

ATLANTA, GEORGIA.

THE HOME PAGE DESCRIBES THE

GOAL OF THE ORGANIZATION AND

SUMMARIZES ITS SERVICES.

THE LEFT-HAND SIDE PROVIDES

LINKS TO SPECIFIC FEATURES OF

THE PROGRAM.

LET'S LOOK AT "TEACHING

MATERIALS."

THERE ARE LINKS TO SEVERAL

POWERPOINT PRESENTATIONS ON

ENVIRONMENTAL CAUSES OF

DEVELOPMENTAL PROBLEMS AND

RESPIRATORY DISEASES AND HEALTH

CONCERNS ASSOCIATED WITH

EXPOSURE TO LEAD AND PCBs.

THESE ARE IMPORTANT TRAINING

MATERIALS THAT CAN BE USED BY

PUBLIC HEALTH PROFESSIONALS TO

LEARN MORE ABOUT THESE ISSUES

OR TO TRAIN OTHERS WHO ARE LESS

FAMILIAR WITH THEM.

THE WEBSITE ALSO CONTAINS A

HISTORY OF INTEREST IN

CHILDREN'S ENVIRONMENTAL HEALTH,

LINKS TO OTHER RELATED

RESOURCES, AND A BIBLIOGRAPHY.

THE LAST GOVERNMENT AGENCY THAT

I WOULD LIKE TO MENTION IS THE

NATIONAL INSTITUTE OF

ENVIRONMENTAL HEALTH SCIENCES,

ONE OF THE NIH INSTITUTES.

NIEHS, TOGETHER WITH THE

ENVIRONMENTAL PROTECTION AGENCY,

IS FUNDING SEVERAL RESEARCH

PROGRAMS DEVOTED TO CHILDREN'S

ENVIRONMENTAL HEALTH.

THE PROGRAMS ARE LISTED ON THE

NIEHS WEBSITE

AT www.niehs.nih.gov/

external/resinits/ri-28.htm.

AS DESCRIBED ON THIS WEBSITE,

THESE CENTERS CONDUCT RESEARCH

ON THE POSSIBLE ENVIRONMENTAL

CAUSES OF ILLNESSES AND

DISORDERS AFFECTING CHILDREN,

INCLUDING RESPIRATORY DISEASES

LIKE ASTHMA, ALLERGIES, AND

CHRONIC OBSTRUCTIVE PULMONARY

DISEASE, THE IMPACT OF COMMON

ENVIRONMENTAL CONTAMINANTS SUCH

AS LEAD OR MERCURY ON GROWTH AND

DEVELOPMENT, AND POTENTIAL

ENVIRONMENTAL RISKS TO

AFRICAN-AMERICAN AND

HISPANIC-AMERICAN INFANTS AND

CHILDREN.

IN ADDITION TO THE FEDERAL

GOVERNMENT, THERE ARE CHILDREN'S

ENVIRONMENTAL HEALTH INITIATIVES

AT THE STATE AND LOCAL

GOVERNMENT LEVEL AND SEVERAL

ORGANIZATIONS DEVOTED TO

CHILDREN'S ENVIRONMENTAL HEALTH

ISSUES.

ONE SUCH ORGANIZATION IS THE

CHILDREN'S ENVIRONMENTAL HEALTH

NETWORK.

LET'S TAKE A LOOK AT THEIR

WEBSITE AT www.cehn.org.

NUMEROUS RESOURCES ARE AVAILABLE

ON THIS SITE, INCLUDING AN

OVERVIEW OF CHILDREN'S

ENVIRONMENTAL HEALTH AND A

TRAINING MANUAL ON PEDIATRIC

ENVIRONMENTAL HEALTH DEVELOPED A

COUPLE OF YEARS AGO.

THIS MANUAL WAS DESIGNED TO

ASSIST HEALTH PROFESSIONALS IN

INCORPORATING PEDIATRIC

ENVIRONMENTAL HEALTH INTO

TEACHING PROGRAMS.

IN ADDITION, CEHN HAS DEVELOPED

A RESOURCE GUIDE THAT LISTS

RELATED ORGANIZATIONS AND

DATABASES.

CLICK ON THE RESOURCE GUIDE, AND

THEN WE'LL SCROLL DOWN AND CLICK

ON THE KEYWORD INDEX.

LET'S LOOK FOR RESOURCES ON

MERCURY BY CLICKING ON "MERCURY"

IN THE INDEX.

MANY RESOURCES, FROM DATABASES

TO ORGANIZATIONS THAT CONTAIN

INFORMATION ON MERCURY HAZARDS,

ARE DESCRIBED, AND LINKS TO

THOSE RESOURCES ARE PROVIDED.

INTERNATIONAL ORGANIZATIONS ARE

ALSO CONCERNED WITH THE

SUSCEPTIBILITY OF CHILDREN TO

ENVIRONMENTAL EXPOSURES.

THE WORLD HEALTH ORGANIZATION

MAINTAINS A WEBSITE CALLED

"THE GATEWAY TO CHILDREN'S

ENVIRONMENTAL HEALTH" THAT IS

ACCESSED BY ENTERING THE URL

www.who.int/peh/ceh.

CLICK ON "ACTIVITIES" ON THE

LEFT SIDE OF THE SCREEN, AND NOW

WE'LL SCROLL DOWN TO "GLOBAL

ACTIVITIES."

THE DESCRIPTION OF A NEW

HANDBOOK ON CHILDREN'S

ENVIRONMENTAL HEALTH, WHICH WILL

BE PUBLISHED THIS MONTH, AS WELL

AS A LINK TO A SHORT LIST OF

GLOBAL INDICATORS FOR CHILDREN'S

ENVIRONMENTAL HEALTH ARE

PROVIDED.

THE LIST OF GLOBAL INDICATORS

LINKS TOGETHER THE TYPE OF

EXPOSURE, HEALTH OUTCOME, AND

POLICIES.

THESE ARE JUST A FEW OF THE MANY

USEFUL RESOURCES FOR ORIENTING

HEALTH PROFESSIONALS TO THE

BROAD SUBJECT OF CHILDREN'S

ENVIRONMENTAL HEALTH, JOE.

MANY ADDITIONAL WEBSITES ARE

LISTED IN THE RESOURCES SAMPLER.

>> THANK YOU, STACEY, FOR THAT

OVERVIEW OF GENERAL RESOURCES.

THE WEB IS SO LARGE, HOWEVER,

THAT IT CAN BE DIFFICULT TO

LOCATE SPECIFIC INFORMATION.

GREG, DO YOU HAVE ANY HINTS FOR

SEARCHING THE WEB FOR RELIABLE

SCIENTIFIC DATA?

>> JOE, FINDING INFORMATION ON

THE INTERNET CAN BE AN

OVERWHELMING PROCESS.

THERE ARE MANY DIFFERENT TOOLS

THAT MAY BE USED TO SEARCH THE

INTERNET.

I'LL DISCUSS A FEW OF THE

DIFFERENT METHODS AVAILABLE AND

SHOW HOW THEY WORK IN FINDING

MEDICAL INFORMATION.

ONE OF THE MOST COMMON TOOLS

USED FOR FINDING INFORMATION ON

THE INTERNET IS THE SEARCH

ENGINE.

YOU TYPE IN A SEARCH TERM AND

RETRIEVE WEBSITES RELATED TO

THAT TERM.

SEARCH ENGINES VARY IN HOW THEY

DO THIS AND IN WHAT THEY ARE

ABLE TO FIND.

ONE IMPORTANT THING TO REMEMBER

IS THAT A SEARCH ENGINE SEARCHES

A DATABASE OF SITES AND NOT THE

ENTIRE INTERNET.

THERE IS NO WAY TO SEARCH THE

ENTIRE INTERNET FOR A TOPIC.

THEREFORE, IT'S A GOOD IDEA TO

TRY MORE THAN ONE SEARCH ENGINE

WHEN DOING WEB SEARCHES.

EACH SEARCH ENGINE WORKS IN A

DIFFERENT WAY.

SOME ENGINES SCAN FOR RELEVANT

TERMS IN THE TITLE OR HEADER

OF THE WEB DOCUMENT.

OTHERS LOOK AT THE BOLD HEADINGS

ON THE PAGE FOR THEIR

INFORMATION.

THE FACT THAT SEARCH ENGINES

GATHER INFORMATION DIFFERENTLY

MEANS THAT EACH WILL PROBABLY

YIELD DIFFERENT RESULTS.

WEB SEARCH ENGINES SUCH

AS GOOGLE, ALTAVISTA,

NORTHERN LIGHT, WHICH IS A

FEE-BASED SERVICE, AND EXCITE

CAN RETRIEVE THOUSANDS OF ITEMS.

THERE ARE MANY OTHER SEARCH

ENGINES AVAILABLE, AND YOU MAY

HAVE TO TRY SEVERAL TO FIND ONE

THAT BEST MEETS YOUR NEEDS.

THERE ARE ALSO METASEARCH

ENGINES THAT WILL SIMULTANEOUSLY

SEARCH SEVERAL ENGINES TO

RETRIEVE YOUR INFORMATION.

A QUICK EXAMPLE WILL SHOW HOW

THIS WORKS.

LET'S TRY THE SEARCH ENGINE

GOOGLE, AT www.google.com.

IF YOU TAKE A LOOK AT THE

SCREEN, YOU'LL SEE A BOX WHERE

YOU CAN INSERT YOUR SEARCH

TERMS.

IT'S USUALLY A GOOD IDEA TO BE

SPECIFIC WHEN FORMULATING

PHRASES FOR SEARCH ENGINES, OR

ELSE YOU'LL GET AN OVERWHELMING

NUMBER OF SITES.

LET'S SAY THAT YOU JUST HEARD

ABOUT THE TOXNET SYSTEM FROM THE

NATIONAL LIBRARY OF MEDICINE, AN

EXCELLENT RESOURCE FOR

TOXICOLOGY AND ENVIRONMENTAL

HEALTH INFORMATION, WHICH WILL

BE DISCUSSED LATER IN THE

BROADCAST.

YOU WOULD LIKE TO TRY OUT THIS

SYSTEM, BUT AREN'T SURE OF ITS

URL.

IN ORDER TO ACCESS THIS

RESOURCE, YOU COULD SEARCH THE

WORD "TOXNET" TO GET TO THIS

WEBSITE.

THE GOOGLE RESULTS PAGE SHOWS

HOW THIS HAPPENS.

THE DIRECT LINK TO THE TOXNET

PAGE APPEARS FIRST BECAUSE IT'S

THE MOST RELEVANT RESULT.

REMEMBER THAT EACH SEARCH ENGINE

DETERMINES RELEVANCE IN A

DIFFERENT MANNER, SO YOU MAY GET

DIFFERENT RESULTS BASED ON WHICH

ONE YOU USE.

EVEN A VERY SPECIFIC SEARCH FOR

A PARTICULAR WEBSITE FOUND

THOUSANDS OF RESULTS.

WHILE SEARCH ENGINES WORK WELL

FOR FINDING SPECIFIC SITES,

USING THEM FOR GENERAL TOPIC

SEARCHING MAY BE LESS EFFECTIVE.

WHEN DOING A GENERAL SEARCH ON A

TOPIC, IT'S OFTEN A GOOD IDEA TO

USE A SUBJECT DIRECTORY.

SUBJECT DIRECTORIES ARE

DATABASES OF WEBSITES THAT ARE

ORGANIZED BY TOPIC AND HAVE

USUALLY HAD IRRELEVANT SITES

REMOVED.

EXAMPLES OF SUBJECT DIRECTORIES

INCLUDE YAHOO AND THE DMOZ OPEN

DIRECTORY PROJECT.

IN ADDITION, THERE ARE A NUMBER

OF HEALTH AND MEDICALLY ORIENTED

DIRECTORIES ON THE WEB.

MANY OF THEM HAVE BEEN DEVELOPED

WITH THE INVOLVEMENT OF HEALTH

PROFESSIONALS AND LIBRARIANS.

THESE DIRECTORIES GENERALLY

REVIEW WEBSITES AND SELECT ONLY

THOSE THAT MEET ESTABLISHED

CRITERIA.

OF COURSE, THOSE CRITERIA MAY

DIFFER AMONG THE DIRECTORIES,

BUT YOU SHOULD BE ABLE TO FIND

OR DISCERN THOSE CRITERIA FROM

THE SITE ITSELF.

SOME POPULAR MEDICAL SUBJECT

DIRECTORIES INCLUDE

MEDICAL MATRIX, HEALTHWEB, AND

MEDLINEplus FROM THE NATIONAL

LIBRARY OF MEDICINE.

MEDICAL MATRIX IS A PHYSICIAN

PEER-REVIEWED LIST.

IT HAS LINKS TO MANY QUALITY

MEDICAL SITES WITH AN EMPHASIS

ON CLINICAL MEDICINE.

SITES ARE ORGANIZED BY MEDICAL

SPECIALTY.

REGISTRATION IS REQUIRED TO USE

THIS SITE, BUT IT IS FREE.

THE ADDRESS IS www.medmatrix.

THAT'S medmatrix.org.

HEALTHWEB IS AN EASY-TO-USE

COMPILATION OF HEALTH SPECIALTY

CATEGORIES MAINTAINED BY MEDICAL

SCHOOL LIBRARIES IN THE GREATER

MIDWEST REGION OF THE NATIONAL

NETWORK OF LIBRARIES OF

MEDICINE.

THAT ADDRESS IS

www.healthweb.org.

PLEASE NOTICE THAT TOPICS

RELEVANT TO CHILDREN'S

ENVIRONMENTAL HEALTH INCLUDE

PEDIATRICS, PUBLIC HEALTH, AND

TOXICOLOGY.

CLICK ON "TOXICOLOGY" TO SEE A

VARIETY OF RESOURCES INCLUDING

LINKS TO CLINICAL INFORMATION,

ONLINE PUBLICATIONS, AND

DATABASES.

MEDLINEPLUS FROM THE NATIONAL

LIBRARY OF MEDICINE IS AN

EXCELLENT RESOURCE FOR CONSUMER

HEALTH INFORMATION.

THAT WEBSITE IS

www.medlineplus.gov.

THE LIBRARIANS AT THE NLM HAVE

ORGANIZED THIS MEDICAL SUBJECT

DIRECTORY INTO LISTS OF TOPICS

BY BODY SYSTEM SO THAT FINDING

QUALITY WEBSITES IS EASY.

IT ALSO INCLUDES DRUG

INFORMATION AND A MEDICAL

ENCYCLOPEDIA.

MORE INFORMATION ON SEARCH

ENGINES IS AVAILABLE IN COURSE

MATERIALS ON THE WEBSITE.

ONCE YOU'VE PERFORMED A SEARCH

OF THE INTERNET AND RETRIEVED

SITES, THE MOST IMPORTANT

RESEARCH WORK STILL LIES AHEAD.

REVIEWING AND DETERMINING THE

QUALITY OF A WEBSITE IS A

CRITICAL PART OF THE PROCESS.

ESPECIALLY WHEN DEALING WITH

MEDICAL INFORMATION, IT'S

IMPORTANT TO HAVE A CRITICAL EYE

AND NOT JUST ACCEPT YOUR SEARCH

RESULTS AS QUALITY DATA.

THE COURSE MATERIALS ON THE WEB

INCLUDE A SECTION ON EVALUATING

INTERNET RESOURCES.

THERE ARE A NUMBER OF THINGS YOU

NEED TO REMEMBER TO CHECK FOR

WHEN LOOKING AT INFORMATION ON

THE INTERNET.

THESE ARE GENERALLY THE SAME

THINGS A LIBRARIAN USES WHEN

SELECTING MATERIALS FOR A

LIBRARY.

WE'LL START WITH THE FIRST ISSUE

TO LOOK FOR, WHICH IS CURRENCY.

HOW UP-TO-DATE IS THE

INFORMATION?

CAN YOU TELL FROM WHAT YOU'RE

READING?

FOR EXAMPLE, IS THERE A DATE

ON THE MATERIAL, AND IF SO, DO

YOU KNOW WHAT THAT DATE

REPRESENTS?

IN FACT, DOES IT MATTER HOW

CURRENT THIS INFORMATION IS?

SOMETIMES YOU'RE LOOKING AT

STATIC INFORMATION THAT DOESN'T

CHANGE OVER TIME, AND IN THAT

CASE, IT MAY NOT NEED TO BE

DATED.

HOWEVER, TIMELINESS IS OFTEN

IMPORTANT FOR HEALTH AND MEDICAL

INFORMATION.

THE NEXT ISSUE IS AUTHORITY.

IN OTHER WORDS, WHO CREATED

OR DEVELOPED THIS INFORMATION?

IS ANY INFORMATION PROVIDED

ABOUT THE AUTHOR, INCLUDING

THEIR NAME AND ANY CREDENTIALS?

DO YOU KNOW IF THE AUTHOR OR

PRODUCER OF THE INFORMATION HAS

THE QUALIFICATIONS NECESSARY TO

BE CONSIDERED AN AUTHORITY?

WHEN YOU READ A PUBLISHED

JOURNAL ARTICLE OR BOOK,

INFORMATION IS PROVIDED ABOUT

THE AUTHOR AND EDITORS, AND

GENERALLY, THE MATERIAL HAS BEEN

SENT OUT FOR PEER REVIEW.

THIS PROVIDES SOME ASSURANCE

THAT THE INFORMATION IS ACCURATE

AND BACKED BY APPROPRIATE

RESEARCH.

IF NOT A SPECIFIC INDIVIDUAL, IS

THERE ANY INFORMATION PROVIDED

ABOUT THE AFFILIATION OR

PUBLISHER OF THE ELECTRONIC

INFORMATION?

THIS BRINGS US TO THE NEXT

IMPORTANT ISSUE OF INFORMATION

QUALITY CONTROL -- THE

AFFILIATION OF THE SOURCE.

EVEN IF NO INFORMATION IS

PROVIDED ABOUT A SPECIFIC

INDIVIDUAL, IS THERE ANY

INFORMATION ABOUT THE

INSTITUTIONAL AFFILIATION OF THE

INFORMATION?

IN SOME CASES, THE INSTITUTION

MAY BE SERVING AS THE PUBLISHER

AND MAY EXERCISE QUALITY

CONTROL.

HOWEVER, THE INSTITUTION OR

ORGANIZATION MAY BE EXERCISING

CONTENT CONTROL AS WELL, SO IT'S

IMPORTANT TO BE CAUTIOUS.

I ALSO SUGGEST THAT YOU EXAMINE

AND TRY TO DETERMINE THE PURPOSE

OF THE MATERIAL.

THE WEB PRESENTS A BLEND OF

ADVERTISING, SALES,

ENTERTAINMENT, AND INFORMATION.

IT'S NOT ALWAYS EASY TO

DISTINGUISH AMONG THESE AND TELL

WHAT THE PURPOSE OF A PARTICULAR

ITEM IS, BUT IT'S IMPORTANT THAT

YOU KEEP THIS IN MIND WHEN USING

INFORMATION FROM THE INTERNET.

ALSO, WHEN LOOKING AT THE

MATERIAL YOU FIND, YOU NEED TO

TRY TO DISCERN IF THE

INFORMATION IS INTENDED FOR THE

USE YOU WISH TO MAKE OF IT.

THE INTENDED AUDIENCE MAY BE

HEALTH PROFESSIONALS, OR IT MAY

BE THE GENERAL PUBLIC.

IT MAY BE FOR SPECIFIC ETHNIC

GROUPS OR SPECIFIC PROFESSIONS.

OF COURSE, IT'S EXTREMELY

IMPORTANT TO KNOW IF THE

INFORMATION IS ACCURATE.

CAN YOU RELY ON IT?

THIS MAY BE VERY DIFFICULT TO

DETERMINE, PARTICULARLY IF

YOU'RE RESEARCHING AN UNFAMILIAR

TOPIC.

YOU MAY LOOK FOR CITATIONS TO

PUBLISHED, PEER-REVIEWED

SOURCES.

YOU MAY TRY TO VERIFY AT LEAST

SOME OF THE INFORMATION

INDEPENDENTLY THROUGH EXTERNAL

SOURCES.

IF YOU HAVE BASIC KNOWLEDGE, YOU

CAN CHECK FOR IDENTIFIABLE

ERRORS.

ALL OF THESE ATTRIBUTES ARE

CLUES TO THE RELIABILITY OF THE

INFORMATION.

IN ADDITION TO ACCURACY, IT'S

IMPORTANT TO LOOK FOR

OBJECTIVITY IN THE INFORMATION

PROVIDED.

IS THIS INFORMATION BEING USED

TO SELL A PRODUCT, OR IS IT

PURELY PROVIDED FOR THE

EDUCATIONAL BENEFIT OF THE USER?

IT'S IMPORTANT TO BE ABLE TO

MAKE THE DISTINCTION BETWEEN

SCIENTIFICALLY ACCURATE

INFORMATION AND ADVERTISING.

DOES THE SPONSOR OR PRODUCER

HAVE ANY APPARENT BIAS OR

CONFLICT OF INTEREST?

IS THIS MERELY A WAY FOR THE

SPONSOR OR PRODUCER TO PROMOTE

THEIR PRODUCT?

FOR EXAMPLE, IS A PHARMACEUTICAL

COMPANY PROVIDING UNBIASED

INFORMATION IF THE ITEM BEING

DISCUSSED IS A PRODUCT THEY

SELL?

IS A HEALTHCARE ORGANIZATION

PROVIDING UNBIASED AND COMPLETE

INFORMATION OR ONLY INFORMATION

ABOUT SERVICES THEY PROVIDE?

NEXT, IS THE INFORMATION

COMPLETE, OR IS THERE A

DESCRIPTION OF WHAT'S ACTUALLY

INCLUDED?

CAN YOU IDENTIFY WHAT ASPECTS

OF THE TOPIC ARE INCLUDED OR

EXCLUDED?

YOU MAY ALSO ASK, IS THIS

IMPORTANT FOR YOUR PARTICULAR

PURPOSE?

HOW DEEPLY ARE THESE TOPICS

DISCUSSED?

IS THIS THE COMPLETE PICTURE

OR JUST AN OVERVIEW?

THE POINT IS THAT THERE ARE MANY

WAYS TO LOOK AT THE ISSUE OF

QUALITY ON THE INTERNET, BUT

WHAT'S MOST IMPORTANT IS THAT

YOU REMEMBER THAT JUST BECAUSE

SOMEONE PUTS SOMETHING ON THE

WEB OR DISTRIBUTES IT VIA THE

INTERNET, IT MAY NOT BE THE

LEVEL OF QUALITY OR COMPLETENESS

YOU REQUIRE.

>> WELL, THANK YOU, GREG, FOR

HELPING TO MAKE THE ENORMITY OF

THE INTERNET A LITTLE EASIER TO

UNDERSTAND.

NOW LET'S GET STARTED WITH

TODAY'S HEALTH TOPICS.

OUR FIRST SUBJECT IS EXPOSURE OF

CHILDREN TO PESTICIDES AND

ALTERNATIVE METHODS FOR PEST

MANAGEMENT.

>> PESTICIDES ARE EVERYWHERE IN

OUR SOCIETY.

WE USE THEM IN OUR HOMES,

WORKPLACES, AND COMMUNITIES.

STACEY, CAN YOU ENLIGHTEN US

ABOUT THE DANGERS OF PESTICIDES

TO CHILDREN AND WHERE WE CAN

FIND MORE INFORMATION ABOUT

THEM?

>> JOE, WHEN PESTICIDE TOXICITY

IS DISCUSSED, MOST PEOPLE

USUALLY THINK OF AN ACUTE

POISONING INCIDENT IN AN

AGRICULTURAL OR HOME SETTING.

HOWEVER, PESTICIDES ARE ALSO OF

CONCERN BECAUSE OF POTENTIAL

CHRONIC HEALTH PROBLEMS FROM

LONG-TERM EXPOSURE.

PATIENTS OFTEN TURN TO THEIR

PRIMARY CARE PROVIDERS AS

IMPORTANT SOURCES OF INFORMATION

ON A WIDE VARIETY OF ISSUES,

INCLUDING PESTICIDE-RELATED

HEALTH CONDITIONS.

HOWEVER, PROVIDERS DON'T ALWAYS

HAVE A SOLUTION AND NEED TO KNOW

HOW AND WHERE TO GET ANSWERS TO

THESE QUESTIONS.

ACCESS TO ACCURATE INFORMATION

ON PESTICIDES IS ALSO CRITICAL

FOR STATE AND LOCAL HEALTH

DEPARTMENTS WHO ARE RESPONSIBLE

FOR DEVELOPING STRATEGIES TO

CONTROL PESTS IN THEIR

COMMUNITIES.

LET'S TAKE A LOOK AT A RECENT

SITUATION -- THE WEST NILE

VIRUS.

DURING THE SUMMER OF 2000, SOME

AREAS, INCLUDING NEW YORK AND

MARYLAND, SPRAYED PESTICIDES IN

ORDER TO REDUCE THE NUMBER OF

MOSQUITOES THAT MAY HAVE CARRIED

THE WEST NILE VIRUS.

MANY PEOPLE WERE CONCERNED THAT

EXPOSURE TO THE PESTICIDE

MALATHION MAY BE WORSE THAN

EXPOSURE TO WEST NILE VIRUS.

SO WHERE ON THE WEB CAN HEALTH

PROFESSIONALS FIND SCIENTIFIC

DATA ON THE EFFECTS OF

MALATHION?

AND, MORE SPECIFICALLY, DATA

THAT ADDRESSES EXPOSURE OF

CHILDREN TO MALATHION?

THE NATIONAL LIBRARY OF

MEDICINE'S TOXICOLOGY AND

ENVIRONMENTAL HEALTH INFORMATION

PROGRAM MAINTAINS A NUMBER OF

RELEVANT DATABASES.

LET'S TAKE A CLOSER LOOK AT THE

HAZARDOUS SUBSTANCES DATABANK,

OR HSDB, WHICH IS PART OF THE

TOXNET SYSTEM.

FIRST ENTER THE URL

toxnet.nlm.nih.gov.

UNDER THE "FOR TOXICOLOGY DATA"

HEADING, YOU WILL NOTICE A LINK

TO HSDB.

CLICK ON THAT LINK.

THIS DATABASE IS A PEER-REVIEWED

ONLINE HANDBOOK COVERING

DETAILED INFORMATION ON OVER

4,500 CHEMICALS.

WE ARE SPECIFICALLY INTERESTED

IN THE EFFECTS OF MALATHION

ON CHILDREN, SO ENTER "MALATHION

CHILDREN" IN THE BOX UNDER

"SEARCH IN HSDB RECORDS FOR."

CLICK ON THE "SEARCH" BUTTON.

AS YOU CAN SEE FROM THE RESULTS,

THE CHEMICAL MALATHION IS

RETRIEVED.

OTHER CHEMICAL NAMES ARE

RETRIEVED AS WELL, BUT THESE ARE

RECORDS IN WHICH MALATHION MIGHT

BE MENTIONED, BUT NOT THE MAIN

TOPIC.

NOW LET'S CLICK ON THE MALATHION

RECORD, AND YOU WILL NOTICE THAT

ALL REFERENCES TO THE SEARCH

TERMS "MALATHION" AND "CHILDREN"

ARE HIGHLIGHTED.

THE SCREEN IS DIVIDED INTO THREE

FRAMES.

THE NAVIGATION BUTTONS ARE ON

THE TOP SECTION OF THE SCREEN,

THE TABLE OF CONTENTS IS TO THE

LEFT, AND THE ACTUAL DATA ON THE

RIGHT.

THIS SEARCH HAS RETRIEVED WHAT

THE DATABASE CALLS "BEST

SECTIONS."

THIS MEANS THAT OUT OF THE

ENTIRE RECORD, WHICH IS OVER 150

PAGES LONG, THE SYSTEM HAS

SELECTED THE SECTIONS THAT BEST

MATCH YOUR SEARCH TERMS,

"MALATHION" AND "CHILDREN," AND

THESE ARE DISPLAYED FIRST.

NOW, AS WE SCROLL DOWN THE

RESULTS SCREEN, YOU'LL SEE

PREVENTIVE MEASURES FOR

ELIMINATING OR REDUCING EXPOSURE

TO MALATHION.

THE RECORD READS, "ACCESS OF

UNAUTHORIZED PERSONS, ESPECIALLY

CHILDREN, TO THE AREA TO BE

TREATED MUST BE FORBIDDEN."

FURTHER DOWN, YOU'LL READ THAT

CENTRAL NERVOUS SYSTEM

DEPRESSION AS A RESULT OF

EXPOSURE TO MALATHION MAY BE

MORE COMMON IN CHILDREN THAN

ADULTS.

ALSO, THE TREATMENT OVERVIEW

HIGHLIGHTS THE CARE OF CHILDREN

IN COMPARISON TO THAT OF ADULTS

OR ADOLESCENTS.

EVEN THOUGH YOU SPECIFICALLY

SEARCHED FOR "CHILDREN," YOU

STILL HAVE ACCESS TO THE ENTIRE

RECORD.

YOU CAN VIEW EXCERPTS FROM THE

PUBLISHED LITERATURE ON HUMAN

HEALTH EFFECTS OR CHEMICAL

SAFETY AND HANDLING.

REMEMBER, MOST OF THE RECORDS

IN HSDB ARE PEER-REVIEWED, AND

ALL DATA ARE REFERENCED.

HSDB PROVIDES YOU WITH VALUABLE

INFORMATION, FROM HEALTH EFFECTS

AND EMERGENCY MEDICAL TREATMENT

TO MANUFACTURING AND USE OF

PESTICIDES AND THOUSANDS OF

OTHER HAZARDOUS CHEMICALS.

THIS INFORMATION CAN THEN BE

USED TO DEVELOP PLANS FOR

PESTICIDE USAGE IN YOUR

COMMUNITY AND IN ASSESSING

POTENTIAL HEALTH CONCERNS.

HSDB REFERENCES THE SCIENTIFIC

LITERATURE AND IS DESIGNED FOR

HEALTH PROFESSIONALS AND

RESEARCHERS.

THE GENERAL PUBLIC MAY FIND THE

FOLLOWING FACT SHEETS MORE

APPROPRIATE.

MANY OF YOU ARE FAMILIAR WITH

FACT SHEETS DEVELOPED BY THE

FEDERAL GOVERNMENT, ESPECIALLY

THE CDC.

HOWEVER, ANOTHER SOURCE OF

INFORMATION IS STATE PUBLIC

HEALTH OR ENVIRONMENTAL

PROTECTION DEPARTMENTS.

THEY MAY HAVE ALREADY DEVELOPED

INFORMATION ON A TOPIC OF

INTEREST OR A METHOD OF RISK

COMMUNICATION THAT YOU CAN

EMULATE.

FOR INSTANCE, PARENTS ARE ALWAYS

CONCERNED ABOUT THEIR CHILD'S

SAFETY, ESPECIALLY WHEN CLIMBING

ON PLAYGROUND EQUIPMENT.

ALONG WITH THE USUAL CONCERNS

ABOUT FALLING OFF AND BREAKING

BONES, IT TURNS OUT THERE'S

ANOTHER CONCERN.

MANY WOOD PLAYGROUND STRUCTURES

USE PRESSURE-TREATED LUMBER.

THE LUMBER IS TREATED WITH AN

ARSENIC-BASED PESTICIDE,

CHROMATED COPPER ARSENATE, OR

CCA.

THIS CHEMICAL KEEPS TERMITES AND

OTHER PESTS FROM DESTROYING THE

WOOD.

HOWEVER, THERE IS CONCERN THAT

CHILDREN MAY BE EXPOSED TO

HARMFUL LEVELS OF CCA AS IT RUBS

OFF ONTO THEIR HANDS.

IN RESPONSE TO QUESTIONS FROM

PARENTS AND SCHOOLS, MANY HEALTH

DEPARTMENTS HAVE DEVELOPED FACT

SHEETS ON CCA.

HERE'S AN EXAMPLE FROM THE

CONNECTICUT DEPARTMENT OF

HEALTH.

THE FACT SHEET IS ON THEIR

WEBSITE AT

www.dph.state.ct.us/publications

/BCH/EEOH/pressurtr.pdf.

THEIR FACT SHEET HIGHLIGHTS

POTENTIAL HEALTH PROBLEMS

ASSOCIATED WITH CCA AND PROVIDES

RECOMMENDATIONS FOR PREVENTING

EXPOSURE.

AS THE FACT SHEET STATES, "THE

BEST WAY TO MINIMIZE ARSENIC

LEACHING IS TO SEAL THE WOOD BY

APPLYING A SEALANT EVERY TWO

YEARS."

IT ALSO STATES, "HAND WASHING IS

EFFECTIVE IN REDUCING EXPOSURE,

BUT THIS IS ONLY PRACTICAL ONCE

A CHILD IS FINISHED PLAYING" AND

THAT "SEALANTS ARE THE BEST WAY

TO PROTECT CHILDREN FROM ARSENIC

EXPOSURE FROM CCA-TREATED WOOD."

>> STACEY, IS THERE ONE WEBSITE

FOR HEALTH PROFESSIONALS TO GO

TO ACCESS INFORMATION FROM

INDIVIDUAL HEALTH DEPARTMENTS?

>> YES, JOE.

SEARCHING EACH HEALTH DEPARTMENT

WOULD BE QUITE TEDIOUS.

FORTUNATELY, THE CDC HAS

DEVELOPED A SEARCH ENGINE THAT

ALLOWS USERS TO SEARCH ONE,

SEVERAL, OR ALL STATE HEALTH

DEPARTMENTS AT THE SAME TIME.

THE URL IS

www.cdc.gov/search2.htm.

LET'S USE THE CHROMATED COPPER

ARSENATE EXAMPLE.

IN THE BOX UNDER "ENTER WORDS,"

TYPE "CHROMATED COPPER ARSENATE

AND CHILDREN."

CLICK "SEARCH," AND THE RESULTS

WILL APPEAR.

YOU'LL SEE THAT THE FIFTH ITEM

ON THE FACT SHEET IS FROM THE

CONNECTICUT STATE DEPARTMENT OF

HEALTH.

THE THIRD ITEM RETRIEVED IS

ANOTHER FACT SHEET ON CCA, THIS

TIME FROM THE DEPARTMENT OF

PUBLIC HEALTH IN WISCONSIN.

RESOURCES DEVELOPED AT THE STATE

AND LOCAL LEVEL HELP FACILITATE

THE EXCHANGE OF INFORMATION

BETWEEN PUBLIC HEALTH

PROFESSIONALS.

I WOULD LIKE TO NOTE THAT LAST

MONTH, EPA ADMINISTRATOR

CHRISTIE WHITMAN ANNOUNCED A

VOLUNTARY DECISION BY INDUSTRY

TO MOVE CONSUMER USE OF TREATED

LUMBER PRODUCTS AWAY FROM A

VARIETY OF PRESSURE-TREATED WOOD

THAT CONTAINS ARSENIC BY THE END

OF 2003.

INSTEAD, NEW ALTERNATIVE WOOD

PRESERVATIVES WOULD BE USED.

OF COURSE, THERE ARE MANY OTHER

PESTICIDE RESOURCES ON THE WEB,

AND THEIR URLs CAN BE FOUND

IN YOUR COURSE MATERIALS.

HOWEVER, I WOULD LIKE TO

DEMONSTRATE JUST ONE MORE SITE.

THE EPA's OFFICE OF PESTICIDE

PROGRAMS MAINTAINS A

COMPREHENSIVE WEBSITE CONTAINING

INFORMATION FOR HEALTH

PROFESSIONALS AND CONSUMERS.

ENTER www.epa.gov/pesticides.

YOU'LL FIND INFORMATION ON WOOD

PRESERVATIVES IN THE "CONCERNED

CITIZENS" SECTION AND A

PESTICIDE POISONING HANDBOOK FOR

HEALTH PROVIDERS IN THE "SAFETY

PROGRAMS" SECTION.

THIS HANDBOOK IS AVAILABLE IN

BOTH ENGLISH AND SPANISH.

IN ADDITION, THERE ARE

ALTERNATIVE METHODOLOGIES TO

REDUCE PESTICIDE USAGE AROUND

CHILDREN.

IN AN EFFORT TO REDUCE EXPOSURE,

MANY COMMUNITIES ARE NOW USING

INTEGRATED PEST MANAGEMENT, OR

IPM.

WITH IPM, NONCHEMICAL METHODS

ARE USED TO PREVENT AND CONTROL

PESTS.

PESTICIDES ARE ONLY USED AS A

LAST RESORT.

ONE OF EPA's HIGHEST PRIORITIES

IS PROTECTING CHILDREN FROM

UNNECESSARY EXPOSURE TO

PESTICIDES.

THEY HIGHLY ENCOURAGE SCHOOL

OFFICIALS TO ADOPT IPM

PRACTICES.

FROM EPA's OFFICE OF PESTICIDE

PROGRAMS, YOU CAN ACCESS A LINK

TO THEIR IPM PROGRAM FOR

SCHOOLS, AS SEEN HERE.

THIS SITE PROVIDES LINKS TO

TOOLKITS, CLASSES, GRANTS, AND

OTHER RESOURCES THAT WILL ASSIST

COMMUNITIES AND SCHOOLS IN

ESTABLISHING IPM PROGRAMS.

IPM HAS BEEN VERY SUCCESSFUL IN

SOME AREAS.

FOR EXAMPLE, A GRANT TO MONROE

COUNTY, INDIANA, RESULTED IN A

92% REDUCTION OF PESTICIDE USE

IN THEIR SCHOOLS.

>> THANKS, STACEY, FOR THAT

INTRODUCTION TO PESTICIDE

RESOURCES ON THE WEB, INCLUDING

NLM's HAZARDOUS SUBSTANCES

DATABANK, THE STATE HEALTH

DEPARTMENT WEBSITES, AND THE EPA

OFFICE OF PESTICIDE PROGRAMS.

NOW LET'S GO TO OUR NEXT

SUBJECT, ENVIRONMENTAL TRIGGERS

OF ASTHMA.

>> ASTHMA IS A GROWING CONCERN

IN THIS COUNTRY AS MORE AND MORE

CHILDREN ARE DIAGNOSED WITH THE

DISEASE.

IT HAS A DISPROPORTIONATE IMPACT

ON CHILDREN FROM LOW-INCOME AND

MINORITY FAMILIES, AS EVIDENCED

BY THE GREATER FREQUENCY OF

SEVERE ASTHMA EPISODES THAT LEAD

TO HOSPITALIZATION OR DEATH.

NOW, ROSE, I UNDERSTAND THAT

ASTHMA IS NOW ONE OF THE MOST

PREVALENT CHRONIC DISEASES

AFFECTING CHILDREN.

IT AFFECTS AN ESTIMATED

4.4 MILLION CHILDREN, AND IT'S

ONE OF THE LEADING CAUSES OF

SCHOOL ABSENTEEISM ACCORDING TO

THE NATIONAL HEALTH INTERVIEW

SURVEY.

DO YOU HAVE A WEBSITE FOR

SCIENTIFIC INFORMATION ON

ASTHMA?

FOR EXAMPLE, WHERE WOULD A

PUBLIC HEALTH PROFESSIONAL GO

FOR STATISTICS ON THE APPARENT

INCREASE IN CHILDHOOD ASTHMA OR

RESEARCH STUDIES ON THE

ENVIRONMENTAL CAUSES OF ASTHMA?

>> CERTAINLY, JOE.

FOR A WIDE VARIETY OF

INFORMATION ON CHILDHOOD ASTHMA,

INCLUDING STATISTICS, RESEARCH,

AND FUNDING OPPORTUNITIES,

I RECOMMEND THE NATIONAL CENTER

FOR ENVIRONMENTAL HEALTH, OR

NCEH.

NCEH IS PART OF THE CDC, AND ONE

OF ITS PRIMARY ACTIVITIES IS TO

CONTROL ASTHMA AND TO IMPROVE

THE HEALTH AND QUALITY OF LIFE

OF PEOPLE WITH THE DISEASE.

LET'S GO TO THEIR WEBSITE AT

www.cdc.gov/nceh/

airpollution/asthma.

THE NCEH ASTHMA SITE LINKS TO

NUMEROUS RESOURCES, INCLUDING A

DESCRIPTION OF CDC's ACTIVITIES

RELATED TO ASTHMA CONTROL,

ASTHMA RESOURCES FROM OTHER

ORGANIZATIONS, AND RESOURCES

SUCH AS A SPEAKER'S KIT ON

ASTHMA.

LET'S FIRST LOOK AT THE

"CHILDREN, ADOLESCENTS,

AND ASTHMA PAGE."

THIS IS A DESCRIPTION OF CDC's

EFFORTS TO REDUCE THE NUMBER OF

DEATHS, HOSPITALIZATIONS,

EMERGENCY DEPARTMENT VISITS,

SCHOOL DAYS MISSED, AND

LIMITATIONS ON ACTIVITY DUE TO

ASTHMA.

UNDER THE ASTHMA CONTROL

PROGRAM, CDC FUNDS NUMEROUS

GRANTEES, INCLUDING HEALTH

DEPARTMENTS, TO TRACK THE

DISEASE, PLAN AND CONDUCT

INTERVENTIONS, AND DEVELOP

PARTNERSHIPS FOR CONTROLLING

ASTHMA.

CDC ALSO FUNDS SEVERAL SCHOOL

DISTRICTS AND NONGOVERNMENTAL

ORGANIZATIONS TO SUPPORT AND

ADDRESS ASTHMA CONTROL WITHIN

THE SCHOOL HEALTH PROGRAM.

GOING BACK TO THE ASTHMA HOME

PAGE, AND NOW SCROLL DOWN TO

TAKE A LOOK AT THE SPEAKER'S

KIT.

CLICK ON "THE SPEAKER'S KIT,"

AND YOU WILL FIND A COMPLETE

PROGRAM FOR PUBLIC HEALTH

PROFESSIONALS TO USE AS THEY

SHARE INFORMATION WITH OTHERS,

INCLUDING PUBLIC HEALTH

POLICYMAKERS, SCHOOL AND OTHER

PUBLIC HEALTH NURSES, AND

MEMBERS OF ASTHMA COALITIONS OR

PARTNERSHIPS.

EACH SECTION CAN BE VIEWED

SEPARATELY, OR THE ENTIRE

POWERPOINT PRESENTATION CAN BE

DOWNLOADED TO YOUR OWN COMPUTER.

INFORMATION ON ENVIRONMENTAL

FACTORS RELATED TO ASTHMA IS

INCLUDED IN THE KIT.

>> HOW ABOUT STATISTICAL

INFORMATION, ROSE?

IS THAT AVAILABLE FROM CDC ALSO?

>> YES, JOE, STATISTICAL

INFORMATION IS AVAILABLE FROM

THE NATIONAL CENTER FOR HEALTH

STATISTICS, OR NCHS.

LINKS TO THE ASTHMA STATISTICS

ARE AVAILABLE FROM THE NCEH

SITE, OR DIRECTLY FROM THE NCHS

WEBSITE AT www.cdc.gov/nchs.

NCHS IS A PART OF CDC AND

COLLECTS AND DISSEMINATES DATA

ON VITAL EVENTS SUCH AS HEALTH

STATUS, LIFESTYLE AND EXPOSURE

TO UNHEALTHY INFLUENCES, AND THE

ONSET AND DIAGNOSIS OF ILLNESS.

USERS OF THESE DATA ARE MEDICAL

RESEARCHERS AND OTHERS IN THE

HEALTH COMMUNITY.

NOW, BACK AT THE NCEH ASTHMA

PAGE, LET'S CLICK ON "FAST STATS

'A' TO 'Z' FOR ASTHMA."

HERE WE HAVE STATISTICAL DATA,

COMPREHENSIVE DATA, AND RELATED

LINKS FOR ASTHMA FROM NCHS.

CLICK ON "HEALTH E-STAT ASTHMA

DATA," AND YOU'LL SEE THE LATEST

FACT SHEET RELEASED IN OCTOBER

ON "NEW ASTHMA ESTIMATES --

TRACKING PREVALENCE,

HEALTHCARE, AND MORTALITY."

SCROLLING DOWN A BIT, IF YOU

WANT TO SEE AGE-ADJUSTED

ESTIMATES, YOU CAN CLICK ON THE

CDC ASTHMA SURVEILLANCE SUMMARY.

THIS REPORT SUMMARIZES AND

REVIEWS NATIONAL DATA FOR

SPECIFIC ENDPOINTS --

SELF-REPORTED ASTHMA PREVALENCE,

OFFICE VISITS, EMERGENCY ROOM

VISITS, HOSPITALIZATIONS,

AND DEATHS.

>> ROSE, THANK YOU FOR

DEMONSTRATING THOSE RESOURCES

FROM CDC.

SINCE INCREASINGLY MORE CHILDREN

ARE DIAGNOSED WITH ASTHMA, IT

CERTAINLY PRESENTS A COMPELLING

REASON TO UNDERSTAND MORE

CLEARLY THE ENVIRONMENTAL

CAUSES.

DO YOU HAVE ANY RESOURCES THAT

MIGHT BE USEFUL TO OUR AUDIENCE?

>> I CERTAINLY DO, JOE.

WE KNOW THAT MANY ENVIRONMENTAL

FACTORS OR TRIGGERS CAN RESULT

IN ASTHMATIC EPISODES.

SOME OF THESE ALLERGENS COMMONLY

FOUND IN HOUSEHOLDS INCLUDE

COCKROACH REMNANTS, CAT DANDER,

CIGARETTE SMOKE, MOLD, OR DUST

MITES.

I'M GOING TO DEMONSTRATE TWO

DATABASES FROM THE NATIONAL

LIBRARY OF MEDICINE THAT CAN

ASSIST IN LEARNING ABOUT SOME OF

THE ENVIRONMENTAL FACTORS OR

TRIGGERS.

YOU HAVE ALREADY SEEN ONE OF THE

TOXNET DATABASES, HSDB.

NOW WE'LL GO TO THE SAME

WEBSITE BY ENTERING THE URL

toxnet.nlm.nih.gov,

BUT THIS TIME I'LL SELECT THE

DATABASE TOXLINE.

TOXLINE IS NLM's EXTENSIVE

BIBLIOGRAPHIC DATABASE COVERING

THE BIOCHEMICAL,

PHARMACOLOGICAL, PHYSIOLOGICAL,

AND TOXICOLOGICAL EFFECTS OF

DRUGS AND OTHER CHEMICALS.

IT CONTAINS MORE THAN 3 MILLION

CITATIONS, ALMOST ALL WITH

ABSTRACTS AND/OR INDEXING TERMS

AND C.A.S. REGISTRY NUMBERS.

LIKE HSDB, TOXLINE IS ALSO

AVAILABLE FREE OF CHARGE ON THE

WEB.

LET ME BEGIN BY FIRST EXPLAINING

THE DIFFERENCES BETWEEN THE TWO

SEARCH CAPABILITIES IN THIS

DATABASE, TOXLINE.

THE REFERENCES ARE DRAWN FROM

VARIOUS SOURCES AND ARE GROUPED

INTO TWO MAJOR COMPONENTS,

TOXLINE CORE AND TOXLINE

SPECIAL.

TOXLINE CORE COVERS MUCH OF THE

STANDARD JOURNAL LITERATURE IN

TOXICOLOGY.

IT IS A SEARCHABLE SUBSET OF THE

MUCH LARGER METLINE DATABASE OF

MEDICAL LITERATURE AND IS

ACCESSIBLE THROUGH PubMed, NLM's

SEARCH ENGINE IS USED TO ACCESS

THE 11 MILLION CITATIONS IN

MEDLINE.

TOXLINE SPECIAL COMPLEMENTS

TOXLINE CORE WITH REFERENCES

FROM AN ASSORTMENT OF

SPECIALIZED JOURNALS AND OTHER

SOURCES SUCH AS TECHNICAL

REPORTS, RESEARCH PROJECTS, AND

ARCHIVAL COLLECTIONS.

TODAY'S DEMONSTRATION OF TOXLINE

WILL FOCUS ON ENVIRONMENTAL

TRIGGERS OF CHILDHOOD ASTHMA.

LET'S FIRST COME UP WITH SOME

TERMS THAT MIGHT ASSIST US IN

OUR SEARCH.

SINCE WE ARE LOOKING FOR FACTORS

OR TRIGGERS CAUSING ASTHMA IN

CHILDREN, LET'S USE THE WORDS

"ASTHMA" AND "CHILDREN."

WE'LL ALSO ADD THE WORD

"TRIGGER" TO FOCUS ON POTENTIAL

AGGRAVATORS OF THE DISEASE.

LET'S FIRST SEARCH USING THE

TOXLINE SPECIAL, WHICH HAPPENS

TO BE THE DEFAULT OPTION.

IN THE SEARCH BOX, WE'LL TYPE

"ASTHMA," "CHILDREN," AND

"TRIGGERS."

THE DATABASE WILL SEARCH FOR

WORDS USED IN ALL FIELDS, WHICH

IS THE DEFAULT UNLESS YOU

SPECIFY THAT YOU WOULD LIKE TO

SEARCH TITLES OF ARTICLES OR IF

YOU'RE LOOKING FOR A SPECIFIC

AUTHOR.

TO LIMIT YOUR SEARCHES TO THESE

FIELDS, USE THE PULL-DOWN MENU

TO SELECT EITHER "TITLES" OR

"AUTHORS."

KEEP IN MIND TOXLINE IS A

BIBLIOGRAPHIC DATABASE, WHICH

ALLOWS YOU TO LIMIT YOUR

SEARCHES TO THE PUBLICATION

YEAR.

WE'LL USE THE DEFAULT IN YEAR

FOR OUR SEARCH.

AFTER CLICKING ON "SEARCH," WE

SEE THAT WE HAVE 32 REFERENCES

OR RECORDS, AND 20 ARE DISPLAYED

ON THE FIRST PAGE.

ALL REFERENCES DISPLAYED ARE

RELEVANCY-RANKED ACCORDING TO

YOUR SEARCH TERMS, AND EACH

REFERENCE CONSISTS OF THE TITLE,

AUTHOR, AND SOURCE AND DATE OF

PUBLICATION.

TO SEE A COMPLETE RECORD WITH

ABSTRACT OF WHEN IT'S AVAILABLE,

CLICK ON THE TITLE OF A

REFERENCE IN WHICH YOU'RE

INTERESTED.

FOR EXAMPLE, LET'S TAKE A CLOSER

LOOK AT RECORD NUMBER 7,

"AGE AND THE IMPACTS OF TRIGGERS

IN CHILDHOOD ASTHMA."

CLICK ON THE LINK TO VIEW THE

FULL RECORD AND SCROLL DOWN TO

VIEW THE TITLE, SOURCE, AND

ABSTRACT INCLUDED IN THIS

REFERENCE.

NOTICE ALL THREE OF OUR SEARCH

TERMS APPEAR IN RED.

THE AUTHORS' NAMES, MEDICAL

SUBJECT HEADINGS, AND KEYWORDS

ARE HIGHLIGHTED IN BLUE,

UNDERLINED, AND ARE HOT LINKED.

SO BY CLICKING ON AN AUTHOR, YOU

CAN FIND OTHER ARTICLES BY THAT

AUTHOR OR CLICK ON A KEYWORD OF

INTEREST TO FIND OTHER ARTICLES

INDEXED BY THEIR KEYWORD.

THE ABSTRACT MENTIONS THE 12

COMMON TRIGGERS IN EPISODES OF

CHILDHOOD ASTHMA, WHICH INCLUDE

ENVIRONMENTAL FACTORS SUCH AS

AIR POLLUTION AND CIGARETTE

SMOKE AS WELL AS OTHER TYPES.

NOW LET'S REPEAT OUR SEARCH IN

TOXLINE CORE ON PubMed USING THE

SAME SEARCH TERMS.

CLICK "MODIFY SEARCH" TO RETURN

TO OUR PREVIOUS SEARCH.

THIS TIME CHANGE THE DEFAULT

FROM TOXLINE SPECIAL AND SELECT

TOXLINE CORE ON PubMed AND

CLICK ON "SEARCH."

NOTICE THAT EVEN THOUGH WE ARE

NOT SEARCHING THE TOXLINE

DATABASE PER SE, OUR SEARCH HAS

TAKEN US TO PubMed, THE SEARCH

ENGINE FOR MEDLINE.

BUT OUR SEARCH IS AUTOMATICALLY

LIMITED TO THE TOXICOLOGY SUBSET

OF MEDLINE.

USING TOXLINE CORE ON PubMed,

29 CITATIONS ARE RETRIEVED, AND

THE FIRST 20 CITATIONS ARE

DISPLAYED.

AS WITH TOXLINE SPECIAL, THE

INITIAL VIEW OF THE RECORD

INCLUDES THE AUTHORS LISTED

FIRST, AND THEN THE TITLE AND

SOURCE INFORMATION.

TO SEE A COMPLETE RECORD WITH

ABSTRACT OF WHEN IT'S AVAILABLE,

CLICK ON THE "AUTHOR" LINK AND

VIEW THE FULL RECORD.

FOR EXAMPLE, LET'S TAKE A CLOSER

LOOK AT ONE OF THE CITATIONS

RETRIEVED, "ASTHMA AND THE HOME

ENVIRONMENT OF LOW-INCOME URBAN

CHILDREN -- PRELIMINARY FINDINGS

FROM THE SEATTLE COUNTY HEALTHY

HOMES PROJECT,"JOURNAL OF URBAN

HEALTH.

THESE ARE STUDY RESULTS OF

INTERVENTION PROGRAMS FOR

ASTHMA.

AS WE SCROLL DOWN AGAIN, NOTICE

THE TITLE, SOURCE, AND ABSTRACT

INCLUDED FOR THIS REFERENCE.

THERE ARE SEVERAL WAYS TO VIEW

THE SAME RECORD, AND EACH WAY

ALLOWS YOU TO SEE DIFFERENT

INFORMATION ABOUT A PARTICULAR

ARTICLE.

FOR EXAMPLE, RETURNING TO THE

LIST OF CITATIONS BY USING THE

BACK BUTTON ON YOUR BROWSER'S

TOOL BAR, YOU CAN SEE THAT THE

CITATIONS ARE DISPLAYED IN THE

DEFAULT SUMMARY FORMAT.

THE PULL-DOWN MENU NEXT TO THE

DISPLAY BUTTON ON THE ACTION BAR

ALLOWS YOU TO SELECT A DIFFERENT

DISPLAY FORMAT.

FOR EXAMPLE, CHOOSING THE

ABSTRACT FORMAT ALLOWS YOU TO

SEE THE ABSTRACTS FOR ALL

RECORDS.

TO SAVE THE CITATION OR OTHERS

THAT ARE OF INTEREST, USE THE

"DISPLAY" PULL-DOWN MENU TO

SELECT A FORMAT.

NEXT CLICK ON THE CHECKED BOXES

NEXT TO EACH CITATION YOU WANT

TO SAVE, THEN CLICK "SAVE"...

AND YOUR ITEMS WILL BE SAVED IN

THE SELECTED FORMAT AS PLAIN

TEXT.

THE RECORDS CAN THEN BE VIEWED

IN A WORD-PROCESSING PROGRAM OR

ENTERED INTO A

DATABASE-MANAGEMENT PROGRAM.

NOW THAT WE ARE BACK TO THE

RETRIEVAL SCREEN, LET'S TAKE A

LOOK AT RELATED ARTICLES OF THE

SELECTED CITATION.

NOTICE THERE ARE OVER 100

RETRIEVED CITATIONS OF CLOSELY

RELATED ARTICLES DEALING WITH

INNER-CITY CHILDREN AND ASTHMA.

THERE ARE MORE RELATED ARTICLES

WITH EACH.

>> NOW, ROSE, SUPPOSE SOMEONE

WANTED THE FULL OR COMPLETE

ARTICLE INSTEAD OF A CITATION OR

ABSTRACT.

IS THERE A WAY TO GET IT?

>> YES, JOE.

WHAT YOU CAN DO IS, AS WE GET TO

THE DISPLAY HERE, IF IT'S

AVAILABLE, PubMed WILL DISPLAY

AN ICON IN THE ABSTRACT FORMAT.

SOMETIMES THE ARTICLES ARE

AVAILABLE FOR FREE, BUT USUALLY

A FEE FOR THE ARTICLE OR A

SUBSCRIPTION TO THE JOURNAL IS

REQUIRED.

HOWEVER, IF THE FULL TEXT IS NOT

AVAILABLE ONLINE, THERE IS A

WAY TO ORDER A COPY.

NOTICE ON THE ACTION BAR THERE'S

AN "ORDER" BUTTON.

BY CLICKING ON THIS BUTTON, YOU

WILL BE ABLE TO ORDER THE

FULL-TEXT COPY OF THE SELECTED

ARTICLES FROM A LIBRARY IN YOUR

AREA.

BUT BEFORE YOU USE THIS FEATURE,

YOU MUST ESTABLISH AN AGREEMENT

SERVICE FOR THIS SERVICE CALLED

"LOANSOME DOC" WITH A

PARTICIPATING LIBRARY.

IF YOU NEED TO FIND A LIBRARY,

CLICK ON "GO" UNDER "HOW TO

REGISTER FOR INFORMATION ON

LIBRARIES IN YOUR AREA."

ONCE YOU'VE REGISTERED WITH

LOANSOME DOC, YOU CAN ORDER

FULL-TEXT COPIES OF ARTICLES BY

CLICKING ON THE CHECK BOX TO THE

LEFT OF EACH CITATION, AND THEN

CLICK "ORDER."

FOLLOW THE INSTRUCTIONS, AND

YOUR COPY WILL BE ON ITS WAY.

BUT PLEASE NOTE THAT MANY

LIBRARIES CHARGE A FEE FOR EACH

ARTICLE ORDERED.

JOE, MOST DOCUMENT DELIVERY IS

DONE THROUGH THE NATIONAL

NETWORK OF LIBRARIES OF

MEDICINE, OR NNLM.

GREG WORKS FOR THE NETWORK OF

LIBRARIES.

GREG, COULD YOU PLEASE TELL US

MORE ABOUT THE NNLM SERVICES FOR

HEALTH PROFESSIONALS?

>> SURE, ROSE.

THE NATIONAL NETWORK OF

LIBRARIES OF MEDICINE IS AN

INTRICATE SYSTEM DESIGNED TO

ADVANCE THE PROGRESS OF MEDICINE

AND IMPROVE PUBLIC HEALTH BY

PROVIDING ALL U.S. HEALTH

PROFESSIONALS EQUAL ACCESS TO

BIOMEDICAL INFORMATION AND BY

IMPROVING THE PUBLIC'S ACCESS TO

INFORMATION TO ENABLE THEM TO

MAKE INFORMED DECISIONS ABOUT

THEIR HEALTH.

THE NNLM IS COORDINATED BY THE

NATIONAL LIBRARY OF MEDICINE AND

CARRIED OUT THROUGH A NATIONWIDE

NETWORK OF HEALTH SCIENCE

LIBRARIES AND INFORMATION

CENTERS.

IT CONSISTS OF EIGHT REGIONAL

MEDICAL LIBRARIES, MORE THAN 140

RESOURCE LIBRARIES, AND NEARLY

4,700 PRIMARY ACCESS LIBRARIES.

THE REGIONAL MEDICAL LIBRARIES

ADMINISTER AND COORDINATE

SERVICES IN THE NETWORK'S EIGHT

GEOGRAPHICAL REGIONS.

FOR EXAMPLE, I WORK AT THE SOUTH

CENTRAL REGION BASED AT THE

HOUSTON ACADEMY OF MEDICINE

TEXAS MEDICAL CENTER LIBRARY IN

HOUSTON, TEXAS.

THIS REGION SERVES ARKANSAS,

LOUISIANA, NEW MEXICO, OKLAHOMA,

AND TEXAS.

THE NNLM SERVES ALL HEALTH

PROFESSIONALS -- PHYSICIANS,

NURSES, ALLIED HEALTH

PROFESSIONALS, RESEARCHERS,

ADMINISTRATORS, STUDENTS --

ANYONE WHO NEEDS ACCESS TO

BIOMEDICAL INFORMATION.

WE REACH OUT TO ALL HEALTH

PROFESSIONALS NO MATTER WHERE

THEY'RE LOCATED, AND ASSIST THEM

WITH THEIR INFORMATION NEEDS.

OUTREACH EFFORTS ARE UNDER WAY

TO SPECIFICALLY HELP PUBLIC

HEALTH PROFESSIONALS,

UNDERSERVED HEALTH

PROFESSIONALS, AND RURAL AND

INNER-CITY AREAS AND SPECIAL

POPULATIONS GAIN TIMELY ACCESS

TO HEALTH INFORMATION.

THE PARTICIPATING LIBRARIES

PROVIDE ASSISTANCE WITH ACCESS

TO BOOKS AND JOURNALS, COPIES OF

ARTICLES, REFERENCE SERVICES,

AND INTERNET AND DATABASE SEARCH

TRAINING.

TO FIND A MEDICAL LIBRARY TO

HELP YOU, JUST CALL

1-800-338-7657

OR SEARCH OUR MEMBER DATABASE

AT nnlm.gov/members.

>> THANK YOU, GREG, FOR TELLING

OUR AUDIENCE HOW THEY CAN HOOK

UP TO A MEDICAL LIBRARY.

AND THANK YOU, ROSE, FOR THAT

COMPREHENSIVE OVERVIEW OF ASTHMA

RESOURCES.

NOW LET'S TURN TO OUR THIRD

SUBJECT FOR TODAY -- FUNDING

RESOURCES FOR LEAD-POISONING

PREVENTION.

I THINK MOST OF US ARE FAMILIAR

WITH THE HAZARDS OF LEAD,

ESPECIALLY LEAD-BASED PAINT.

OVER 80% OF HOMES BUILT BEFORE

1978 CONTAIN LEAD-BASED PAINT.

THIS, AS WELL AS LEAD FROM OTHER

SOURCES, CAUSES ILLNESS IN

VULNERABLE AGE GROUPS,

PARTICULARLY CHILDREN.

LEAD HAS BEEN SHOWN TO DAMAGE A

CHILD'S CENTRAL NERVOUS SYSTEM,

KIDNEYS, AND REPRODUCTIVE

SYSTEM, AND AT HIGHER LEVELS CAN

CAUSE COMA, CONVULSIONS, AND

DEATH.

RESIDENTS OF OLDER HOMES,

COMMUNITY ASSOCIATIONS, AND

PUBLIC HEALTH OFFICIALS ARE ALL

CONCERNED WITH THIS PROBLEM AND

HOW IT CAN BE SOLVED.

GREG, WHERE DO WE GO TO FIND OUT

HOW TO CONTROL AND HOPEFULLY

STOP THIS PROBLEM IN OUR

COMMUNITIES?

>> UNFORTUNATELY, JOE, THIS IS A

PROBLEM THAT'S PREVALENT

THROUGHOUT THE UNITED STATES.

IN FACT, ACCORDING TO THE CDC,

ABOUT A MILLION CHILDREN UNDER

THE AGE OF 6 HAVE BLOOD LEAD

LEVELS HIGH ENOUGH TO ADVERSELY

AFFECT THEIR INTELLIGENCE,

BEHAVIOR, AND DEVELOPMENT.

I'D LIKE TO LOOK AT SEVERAL

RESOURCES THAT MAY BE HELPFUL TO

PUBLIC HEALTH PROFESSIONALS WHO

ARE AWARE OF THE LEAD-POISONING

ISSUE, BUT WHO ARE SEEKING

INFORMATION THAT CAN ASSIST THEM

IN SOLVING THIS PROBLEM.

I'D LIKE TO ALSO FOCUS ON

RESOURCES THAT IDENTIFY FUNDING

AVAILABLE FOR LEAD-POISONING

PREVENTION AND LEAD ABATEMENT,

AS WELL AS GENERAL GRANT-WRITING

RESOURCES.

AN EXCELLENT RESOURCE TO START

WITH IS THE CDC CHILDHOOD LEAD

POISONING PREVENTION PROGRAM

SITE AT

www.cdc.gov/nceh/lead.

THIS SITE SERVES AS AN EXCELLENT

CLEARINGHOUSE FOR INFORMATION ON

THE LEAD-POISONING ISSUE.

CLICK ON THE HEADING

"PUBLICATIONS" TO VIEW VARIOUS

RESOURCES CONCERNING THE

LEAD-POISONING PROGRAM.

INFORMATION ON LEAD-POISONING

SCREENING, MORBIDITY, AND

MORTALITY DATA AND OTHER RELATED

INFORMATION IS AVAILABLE HERE.

CLICK ON THE HEADING "ABOUT THE

PROGRAM" TO THE LEFT OF YOUR

SCREEN TO LEARN MORE ABOUT THE

LATEST FUNDING OPPORTUNITIES FOR

STATE AND LOCAL HEALTH

DEPARTMENTS.

THE CDC PROVIDES FUNDING FOR

THESE DEPARTMENTS TO DETERMINE

THE EXTENT OF CHILDHOOD LEAD

POISONING, TO SCREEN CHILDREN

FOR ELEVATED LEAD LEVELS IN

BLOOD, AND TO DEVELOP

NEIGHBORHOOD-BASED EFFORTS TO

PREVENT CHILDHOOD LEAD

POISONING.

BY CLICKING ON THE LINK "KEY

CONTACTS" HALFWAY DOWN THE PAGE,

YOU CAN LEARN ABOUT FUNDED

LEAD-POISONING PROGRAMS ALREADY

IN EXISTENCE IN YOUR STATE.

FOR EXAMPLE, IF YOU LOOK AT THE

FIRST ENTRY FOR ALABAMA, YOU'RE

GIVEN THE CONTACT INFORMATION

FOR THE PROGRAM COORDINATOR AND

SURVEILLANCE CONTACT FOR THAT

STATE'S PROGRAM.

ANOTHER GOOD RESOURCE IS THE

SITE FOR THE UNITED STATES

DEPARTMENT OF HOUSING AND URBAN

DEVELOPMENT, OR HUD, LOCATED AT

www.hud.gov.

WHILE THIS MAY NOT SEEM LIKE AN

OBVIOUS RESOURCE FOR

LEAD-POISONING INFORMATION, HUD

ACTUALLY CONTAINS A SIGNIFICANT

AMOUNT OF INFORMATION ON LEAD

ABATEMENT FUNDING RESOURCES.

ON YOUR RESOURCE SAMPLER IS THE

ADDRESS TO ACCESS THE HEALTHY

HOMES AND LEAD HAZARD CONTROL

PROGRAMS AVAILABLE FROM THE HUD

WEBSITE OR FOLLOW THE LINKS

UNDER "GRANTS" FROM THE HOME

PAGE.

HERE, WE'RE LOOKING AT AN

ARCHIVE LISTING OF 2001 FUNDING

OPPORTUNITIES.

IF YOU SCROLL DOWN THROUGH THE

LISTING, YOU'LL SEE A LINK

ENTITLED "HEALTHY HOMES AND LEAD

HAZARD CONTROL PROGRAMS."

CLICK ON THIS LINK TO SEE WHAT'S

AVAILABLE FOR LEAD ABATEMENT.

HERE'S A LIST OF CURRENTLY

AVAILABLE GRANTS WITH LINKS FOR

FORMS, DEADLINES, CONTACT

INFORMATION, ET CETERA.

IN 2001, HUD FUNDED $67 MILLION

IN GRANTS UNDER THIS PROGRAM.

INFORMATION ON 2002 GRANTS

SHOULD BE AVAILABLE IN THE NEAR

FUTURE.

NOW WE'LL LOOK AT A MORE GENERAL

SITE FOR GRANTS-RELATED

INFORMATION.

THE CATALOG OF FEDERAL DOMESTIC

ASSISTANCE SITE CONTAINS A GREAT

RESOURCE CALLED THE FEDERAL

COMMONS.

IT'S LOCATED AT

www.cfda.gov/federalcommons.

THIS SITE IS INTENDED TO SERVE

AS A RESOURCE FOR FINDING

FEDERAL GRANT-RELATED

INFORMATION.

THIS SITE HAS ORGANIZED THE

GRANTS-RELATED WEB PAGES OF

GOVERNMENT AGENCIES BY TOPICS

UNDER HEADINGS SUCH AS

ENVIRONMENTAL QUALITY.

THIS IS A MORE GENERAL SITE

BECAUSE THE LINKS TAKE YOU TO

THE GRANTS PAGE OF THE

PARTICULAR AGENCY, NOT TO A

SPECIFIC OPPORTUNITY.

FOR EXAMPLE, FROM THE HOME PAGE,

CLICK ON THE "ENVIRONMENTAL

QUALITY" LINK UNDER THE HEADING

"GRANT TOPICS."

THIS NEXT PAGE IS FURTHER BROKEN

DOWN BY TOPIC TO ASSIST YOU IN

FINDING INFORMATION MORE

SPECIFIC TO YOUR NEEDS.

HEADINGS INCLUDE WATER-POLLUTION

CONTROL, AIR-POLLUTION CONTROL,

SOLID WASTE MANAGEMENT,

PESTICIDES CONTROL, RADIATION

CONTROL, AND FINALLY RESEARCH

EDUCATION AND TRAINING.

A NONGOVERNMENT RESOURCE THAT

MAY BE HELPFUL IS THE COMMUNITY

TOOLBOX FOR CHILDREN'S

ENVIRONMENTAL HEALTH, WHICH IS A

PROJECT OF THE TIDES CENTER.

THE ADDRESS IS

www.communitytoolbox.org.

CLICK ON "GRANTMAKING" ON THE

LEFT SIDE OF THE SCREEN TO REACH

THE COMMUNITY TOOLBOX PAGE ON

FUNDING INFORMATION FOR GENERAL

CHILDREN'S ENVIRONMENTAL HEALTH

ISSUES, AS WELL AS

LEAD-POISONING PREVENTION.

THESE PROGRAMS PRIMARILY FUND

COMMUNITY-BASED ORGANIZATIONS

RATHER THAN STATE PUBLIC HEALTH

DEPARTMENTS.

CLICK ON "CHILDHOOD

LEAD-POISONING PREVENTION" TO

ACCESS GRANTMAKING GUIDELINES

AND FORMS FOR THIS FUNDING

PROGRAM.

>> GREG, THESE RESOURCES SHOULD

BE QUITE HELPFUL TO THOSE

INTERESTED IN FUNDING SPECIAL

PROJECTS.

BUT PROBABLY ONE OF THE MOST

INTIMIDATING PARTS OF APPLYING

FOR GRANTS IS THE APPLICATION

PROCESS ITSELF.

DO YOU HAVE ANY RESOURCES THAT

MIGHT ASSIST OUR VIEWERS IN

WRITING AND PREPARING GRANT

PROPOSALS?

>> YOU'RE RIGHT, JOE.

MANY PEOPLE ARE DISCOURAGED FROM

APPLYING FOR GRANTS BECAUSE THE

APPLICATION PROCESS CAN SEEM SO

DAUNTING.

STILL, OTHERS UNINTENTIONALLY

ELIMINATE THEMSELVES FROM

SELECTION BECAUSE THEY HAVEN'T

FOLLOWED THE GRANT-APPLICATION

INSTRUCTIONS CORRECTLY.

ONE RESOURCE I'D LIKE TO

HIGHLIGHT IS THE ENVIRONMENTAL

PROTECTION AGENCY'S

GRANT-WRITING TUTORIAL.

THE ADDRESS IS...

CLICK "CONTINUE" AT THE BOTTOM

OF THE SCREEN AND THE NEXT ONE

TO GET TO THE TUTORIAL.

IT WOULD BE BEST TO GO THROUGH

THIS AT YOUR OWN PACE, BUT LET

ME GIVE YOU A QUICK OVERVIEW OF

THE SECTION ON ENVIRONMENTAL

JUSTICE THROUGH

POLLUTION-PREVENTION GRANTS.

THE TABLE OF CONTENTS ON THE

LEFT OF YOUR SCREEN LISTS THE

TOPIC AREAS FOR THE TUTORIAL...

CLICK ON THE HEADING "PROGRAM

SPECIFICS" TO GET INFORMATION ON

THE ENVIRONMENTAL JUSTICE

PROGRAMS THAT THE TUTORIAL

ADDRESSES.

BY CLICKING ON THE "EXAMPLES"

BUTTON, THE TUTORIAL WILL SHOW

YOU ACTUAL EXAMPLES OF

ENVIRONMENTAL GRANTS.

YOU CAN SELECT AN EXAMPLE OF AN

ENVIRONMENTAL JUSTICE SMALL

GRANT, AN EXAMPLE OF AN

ENVIRONMENTAL JUSTICE THROUGH

POLLUTION-PREVENTION GRANT, AND

EXAMPLES OF

ENVIRONMENTAL-EDUCATION GRANTS.

LET'S CLICK ON THE LINK TO THE

EXAMPLE OF ENVIRONMENTAL JUSTICE

THROUGH POLLUTION-PREVENTION

PROGRAM.

THIS PAGE LISTS THE BASIC

COMPONENTS OF THE GRANT

PROPOSAL, INCLUDING THE COVER

LETTER, SUMMARY SHEET,

INTRODUCTION OF THE

ORGANIZATION, PROBLEM STATEMENT

OR NEEDS ASSESSMENT, PROJECT

OBJECTIVES, METHODS OR DESIGN

EVALUATION, BUDGET, AND AN

EXAMPLE OF A COMPLETED SF424

FORM REQUIRED FOR GOVERNMENT

GRANTS.

USING THE SITE MAY ASSIST NEW

GRANT WRITERS WITH THE PROCESS

OF APPLYING FOR GOVERNMENT

FUNDING OR ASSIST ALL USERS IN

DEMYSTIFYING THE PROCESS.

>> THANK YOU, GREG, FOR THAT

HELPFUL OVERVIEW ON LOCATING

INFORMATION ON FUNDING SOURCES

AND GRANT WRITING.

I THINK THIS WILL HELP OUR

AUDIENCE LOCATE GRANT MONEY, NOT

ONLY FOR LEAD-POISONING

PREVENTION BUT ALSO FOR OTHER

ENVIRONMENTAL HEALTH ISSUES.

NOW LET'S GO TO OUR FOURTH

TOPIC -- HEALTHY PEOPLE 2010.

ROSE, CAN YOU TELL US MORE ABOUT

THE HEALTHY PEOPLE INITIATIVE

AND HOW IT IMPACTS CHILDREN IN

THEIR ENVIRONMENT?

>> OF COURSE, JOE.

HEALTHY PEOPLE 2010 IS THE

PREVENTION AGENDA AND A SET OF

HEALTH OBJECTIVES FOR THE NATION

TO ACHIEVE BY THE YEAR 2010.

THESE OBJECTIVES SERVE AS THE

BASIS FOR STATE AND COMMUNITY

PLANS TO IMPROVE HEALTH.

HEALTHY PEOPLE 2010 HAS TWO MAIN

GOALS...

THE FIRST GOAL OF INCREASING

QUALITY OF LIFE IS DONE BY

LOOKING AT SPECIFIC QUANTIFIABLE

CONDITIONS AND ATTEMPTING TO

REDUCE THEM.

THE SECOND GOAL OF REMOVING

HEALTH DISPARITIES IS AN

ACKNOWLEDGEMENT THAT OFTEN THE

QUALITY OF HEALTHY LIFE CAN BE

VARIED BASED ON RACE, ETHNIC

BACKGROUND, OR SOCIAL-ECONOMIC

DIFFERENCES.

THE GOAL IS TO ERADICATE THESE

DIFFERENCES TO ASSIST IN

ACHIEVING THESE GOALS.

THERE ARE 467 OBJECTIVES AND 28

FOCUS AREAS IN HEALTHY PEOPLE

2010.

SOME OF THE FOCUS AREAS ARE

ACCESS TO QUALITY HEALTH

SERVICES, EDUCATIONAL AND

COMMUNITY-BASED PROGRAMS, AND,

OF COURSE, OUR TOPIC TODAY,

ENVIRONMENTAL HEALTH.

THE IDEA IS TO GIVE STATES AND

COMMUNITIES GUIDELINES SO THEY

CAN GENERATE THEIR OWN PLANS TO

MEET THE TWO OVERALL GOALS.

WHY DON'T WE TAKE A LOOK AT THE

HEALTHY PEOPLE WEBSITE?

THE URL IS...

THIS WEBSITE HAS A GREAT DEAL OF

USEFUL INFORMATION, INCLUDING

THE HEALTHY PEOPLE PUBLICATIONS,

IMPLEMENTATION PLANS FOR

IMPROVING HEALTH AND DATA

RESOURCES.

BY CLICKING ON THE

"PUBLICATIONS" LINK ON THE

LEFT-HAND SIDE OF THE SCREEN,

YOU'LL SEE A LIST OF

PUBLICATIONS THAT CAN BE VIEWED,

DOWNLOADED, OR ORDERED.

ONE OF THESE PUBLICATIONS IS

HEALTHY PEOPLE 2010 --

UNDERSTANDING AND IMPROVING

HEALTH.

THIS IS THE ENTIRE INITIATIVE.

YOU HAVE THE OPTION TO VIEW IT

AS HTML, MICROSOFT WORD, OR PDF.

HTML MEANS THAT IT'S VIEWED AS A

WEB PAGE.

IF YOU WANT TO PRINT IT, YOU

WILL NEED TO PRINT EACH SECTION

AT A TIME.

ON THE OTHER HAND, THE PDF

VERSION CAN PRINT THE ENTIRE

DOCUMENT AT ONCE.

HOWEVER, TO REVIEW THE PDF

VERSION, YOU MUST HAVE ADOBE

ACROBAT READER.

THE READER IS AVAILABLE FOR

FREE, AND THE URL IS IN THE

COURSE MATERIALS.

IF YOU ONLY WANT TO FOCUS YOUR

SEARCH ON ONE OF THE HEALTHY

PEOPLE 2010 SUBJECT AREAS, YOU

CAN EASILY DO THAT IN HTML.

SO IF YOU'RE INTERESTED IN

SECTION 8, ENVIRONMENTAL HEALTH,

CLICK ON THE HTML LINK NEXT TO

THAT SECTION.

HERE YOU CAN READ THE OBJECTIVES

AND BEGIN TO PLAN HOW YOU'LL

MEET THESE IN YOUR LOCAL AREA.

LET'S LOOK AT SOME OF THESE

OBJECTIVES.

BY SCROLLING DOWN THE TABLE OF

CONTENTS, YOU CAN QUICKLY GO TO

YOUR TOPIC OF INTEREST.

LET'S LOOK AT "TOXICS AND

WASTE."

THIS LINK TAKES YOU TO OBJECTIVE

8-11 ON LEAD POISONING.

ELIMINATE ELEVATED BLOOD LEAD

LEVELS IN CHILDREN IS ONE OF THE

FEW OBJECTIVES IN THIS SECTION

THAT SPECIFICALLY TARGETS

CHILDREN.

BY READING THROUGH THE

OBJECTIVE, YOU CAN SEE WHAT THE

BASE LINE IS FOR BLOOD LEAD

LEVELS IN CHILDREN AND WHAT THE

TARGET GOAL IS.

IN THIS CASE, THE GOAL IS THE

TOTAL ELIMINATION OF BLOOD

LEVELS EXCEEDING 10 MICROGRAMS

PER DECILITER IN CHILDREN.

ALTHOUGH NOT SPECIFICALLY

STATED, MOST OF THE OBJECTIVES

IMPACT CHILDREN.

FOR EXAMPLE, CHILDREN ARE AT

HIGHER RISK FOR PESTICIDE

EXPOSURE BECAUSE OF THEIR SIZE

AND THEY'RE MORE LIKELY TO GO

NEAR PLACES WHERE PESTICIDES MAY

BE IMPROPERLY STORED OR APPLIED

WHILE THEY PLAY.

SO SCROLLING DOWN TO OBJECTIVE

8-13, REDUCE PESTICIDE EXPOSURE

THAT RESULTS IN A VISIT TO A

HEALTHCARE FACILITY, APPLIES TO

CHILDREN AS WELL AS ADULTS.

ANOTHER USEFUL RESOURCE UNDER

"PUBLICATIONS" IS THE HEALTHY

PEOPLE 2010 TOOLKIT -- A FIELD

GUIDE TO HEALTH PLANNING.

GOING BACK TO THE "PUBLICATIONS"

PAGE, SCROLL DOWN AND CLICK ON

"TOOLKIT."

THE TOOLKIT INCLUDES RESOURCES

AND TOOLS TO ASSIST YOU IN

PLANNING STATE OR LOCAL

PROGRAMS.

BUT HOW CAN THE HEALTHY PEOPLE

2010 ENVIRONMENTAL HEALTH

OBJECTIVES BE APPLIED TO

CHILDREN IN PARTICULAR?

IN DECEMBER 2000, THE EPA'S

OFFICE OF CHILDREN'S HEALTH

PROTECTION AND NATIONAL CENTER

FOR ENVIRONMENTAL ECONOMIC

OFFICE OF POLICY, ECONOMICS AND

INNOVATION, ISSUED A REPORT

ENTITLED...

THIS REPORT CAN HELP LINK THE

HEALTHY PEOPLE 2010

ENVIRONMENTAL HEALTH OBJECTIVES

WITH OTHER MEASURES WITH THE

HEALTH OF OUR CHILDREN.

IT IS AVAILABLE FROM THE EPA'S

OFFICE OF CHILDREN'S PROTECTION,

WHICH WAS DISCUSSED EARLIER IN

THIS BROADCAST.

ENTER...

TO LOCATE THE REPORT.

HERE SECTIONS OF THE REPORT CAN

BE REVIEWED AS HTML FILES OR

CLICK ON "DOWNLOAD OR ORDER THIS

REPORT" IN THE TOP RIGHT-HAND

CORNER TO DOWNLOAD THE ENTIRE

DOCUMENT AS A PDF FILE.

CLICK ON THE "CONCENTRATIONS OF

LEAD IN BLOOD" TO SEE THIS

REPORT OR SCROLL DOWN TO SEE

STATISTICS AND GRAPHS THAT SHOW

THE LEVELS HAVE DECLINED OVER

THE YEARS.

RACE AND INCOME LEVELS APPEAR TO

BE FACTORS IN WHO WAS MORE

HIGHLY AT RISK.

NOTICE THAT AT THE BOTTOM OF THE

PAGE, IT GIVES YOU HEALTHY

PEOPLE 2010 OBJECTIVES.

THIS INFORMATION WOULD BE USEFUL

FOR --

THE APPENDICES OF THE REPORT

GIVES YOU ADDITIONAL SOURCES

THAT WOULD BE HELPFUL IN

PLANNING YOUR ACTIVITIES.

ANOTHER GOOD RESOURCE FOR

LINKING ENVIRONMENTAL HEALTH

INFORMATION TO THE HEALTHY

PEOPLE 2010 OBJECTIVE IS THE

PARTNERS IN INFORMATION ACCESS

FOR PUBLIC HEALTH

PROFESSIONALS -- HEALTHY PEOPLE

2010 INFORMATION ACCESS

PROJECT FOUND AT...

THE SITE LINKS YOU TO

INFORMATION RELATED TO HEALTHY

PEOPLE 2010.

A MAIN FEATURE IS THE LINK TO

THE SCIENTIFIC LITERATURE VIA

PubMed.

CLICK ON "ENVIRONMENTAL HEALTH"

TO SEE WHAT INFORMATION IS

AVAILABLE.

THE FIRST ITEM ON THE PAGE IS

THE LINK TO THE HEALTHY PEOPLE

2010 ENVIRONMENTAL HEALTH

CHAPTER, WHICH WE LOOKED AT

EARLIER.

FURTHER DOWN, YOU CAN SEE

HEALTHY PEOPLE 2010

ENVIRONMENTAL HEALTH OBJECTIVES

WITH RELATED LINKS.

FOR EXAMPLE, UNDER "WATER

QUALITY," THERE ARE TWO LINKS.

THE FIRST GOES TO MEDLINEplus

TOPIC ON DRINKING WATER FOR

LINKS TO FULL-TEXT RESOURCES FOR

THE PUBLIC.

MEDLINEplus, AS GREG MENTIONED

EARLIER, IS NLM'S CONSUMER

HEALTH DATABASE.

THE SECOND LINK FOR HEALTHY

PEOPLE 2010 AND ENVIRONMENTAL

HEALTH WATER QUALITY TAKES US TO

A LIST OF GOVERNMENT AGENCIES

AND ORGANIZATIONS THAT HAVE

RESOURCES ON WATER QUALITY.

THIS SITE WAS CREATED BY THE

PUBLIC HEALTH FOUNDATION TO HELP

HEALTH PROFESSIONALS FIND

ADDITIONAL INFORMATION TO ASSIST

THEM IN DEVELOPING PLANS TO MEET

HEALTHY PEOPLE 2010 OBJECTIVES.

LET'S GO BACK TO THE PARTNERS

ENVIRONMENTAL HEALTH SITE.

AS YOU SCROLL DOWN, YOU'LL

NOTICE BIG RED BUTTONS NEXT TO

EACH OBJECTIVE AS SEEN HERE,

NEXT TO SECTION 8-16, INDOOR

AIR.

THE RED BUTTON MEANS THAT AN

EVIDENCE-BASED SEARCH STRATEGY

WAS CREATED ON THE TOPIC IN

PubMed.

THESE SEARCH STRATEGIES FOCUS ON

RETRIEVING REFERENCES TO PUBLIC

HEALTH MODELS, INTERVENTIONS, OR

GUIDELINES.

THIS IS A WAY FOR YOU TO EASILY

SEARCH THE DATABASE WITHOUT

HAVING TO DEVELOP YOUR OWN

SEARCH STRATEGY.

LET'S CLICK ON THE BUTTON NEXT

TO INDOOR AIR.

WE ARE TAKEN TO THE SEARCH --

RESULTS IN PubMed FOR THE

SEARCH.

HOWEVER, THE SEARCH IS NOT

FOCUSED ONLY ON CHILDREN.

WE CAN EASILY MODIFY THE SEARCH

BY CLICKING ON "LIMITS."

GO TO THE DROPDOWN BOX, "AGES."

HERE YOU CAN HIGHLIGHT THE AGE

YOU ARE INTERESTED IN.

LET'S SELECT "ALL CHILD."

CLICK ON "GO" UP NEAR THE TOP

OF THE SEARCH PAGE.

AND NOW WE'RE BACK AT PubMed'S

SEARCH RESULTS PAGE AND HAVE 21

REFERENCES ALL RELATED TO

CHILDREN AND INDOOR-AIR QUALITY,

SUCH AS THE SECOND REFERENCE ON

SOCIAL DEMOGRAPHIC CORRELATES OF

INDOOR-ALLERGEN SENSITIVITY

AMONG UNITED STATES' CHILDREN.

>> THANK YOU, ROSE.

THESE RESOURCES SHOULD HELP

THOSE IN OUR AUDIENCE DEVELOP

AND IMPLEMENT LOCAL PLANS TO

ACHIEVE THE HEALTHY PEOPLE 2010

GOALS.

WE'LL TURN NOW TO OUR FIFTH

SUBJECT ON FOOD SAFETY,

SPECIFICALLY METHYLMERCURY AND

PREGNANCY.

THERE HAVE BEEN A NUMBER OF

RECENT CASES CONCERNING THE

CONTAMINATION OF FOOD EITHER BY

CHEMICAL OR BIOLOGICAL AGENTS.

WE'VE ALL HEARD ABOUT SALMONELLA

IN EGGS, E. COLI IN MEAT, AND

LISTERIA IN LUNCHMEAT AND

CHEESE.

PROPER PREPARATION OF THESE

FOODS CAN OFTEN PREVENT ILLNESS,

BUT IN SOME CASES, THERE IS NO

WAY TO DECONTAMINATE THE FOOD.

MERCURY CONTAMINATION OF FISH IS

A GOOD EXAMPLE.

ON THE ONE HAND, EXPERTS TELL US

THAT FISH IS GOOD FOR US, AND

THEN WE HEAR THAT FISH

CONTAMINATED WITH MERCURY, OR

MORE SPECIFICALLY METHYLMERCURY,

IS DANGEROUS, ESPECIALLY FOR

YOUNG CHILDREN AND PREGNANT

WOMEN.

STACEY, CAN YOU SHOW US SOME

WEBSITES THAT WILL GIVE

INFORMATION ABOUT WHAT TYPES OF

FISH MAY BE CONTAMINATED AND HOW

TO DETERMINE SAFE AMOUNTS OF

FISH TO EAT?

>> SURE, JOE.

FIRST, LET'S EXAMINE SOME

SOURCES FOR INFORMATION ON SAFE

FISH CONSUMPTION.

ONE SUCH SITE IS FROM THE FOOD

AND DRUG ADMINISTRATION'S CENTER

FOR FOOD SAFETY AND APPLIED

NUTRITION.

THE ADDRESS IS...

IT CONTAINS DOCUMENTS THE FDA

USED IN MAKING DECISIONS FOR

THE METHYLMERCURY ADVISORY.

THE INFORMATION WAS INITIALLY

ISSUED IN JANUARY OF 2001 AND

REISSUED IN MARCH 2001 WITH A

CLARIFICATION.

UNDER THE FDA METHYLMERCURY

ADVISORY HEADING, CLICK ON THE

FIRST PDF FILE FOR THE REVISED

FDA CONSUMER ADVISORY.

IT'S TITLED "AN IMPORTANT

MESSAGE FOR PREGNANT WOMEN AND

WOMEN OF CHILDBEARING AGE WHO

BECOME PREGNANT ABOUT THE RISKS

OF MERCURY IN FISH."

THE ADVISORY STRESSES THAT

SEAFOOD CAN BE AN IMPORTANT PART

OF A BALANCED DIET FOR PREGNANT

WOMEN, CAN BE A GOOD SOURCE OF

HIGH-QUALITY PROTEIN AND OTHER

NUTRIENTS, AND IS LOW IN FAT.

THE SITE READS, "BY BEING

INFORMED ABOUT METHYLMERCURY

AND KNOWING THE KINDS OF FISH

THAT ARE SAFE TO EAT, YOU CAN

PREVENT ANY HARM TO YOUR UNBORN

CHILD AND STILL ENJOY THE HEALTH

BENEFITS OF EATING SEAFOOD."

THIS ADVISORY RECOMMENDS THAT

PREGNANT WOMEN, WOMEN

PLANNING TO BECOME PREGNANT,

NURSING MOTHERS, AND SMALL

CHILDREN CONSUME NO MORE THAN 12

OUNCES OF FISH A WEEK.

ALSO CERTAIN LARGE, LONG-LIVING

FISH, SUCH AS SHARK AND

MACKEREL, SHOULD NOT BE CONSUMED

IN ANY QUANTITY AS THEIR SIZE

AND LIFE SPAN CAN ALLOW

METHYLMERCURY TO ACCUMULATE.

NOW, WE'RE GOING TO USE THE BACK

BUTTON TO RETURN TO THE LIST OF

DOCUMENTS USED BY FDA IN MAKING

ITS RECOMMENDATIONS ON

METHYLMERCURY.

THE NEXT ITEM UNDER THE FDA

METHYLMERCURY ADVISORY IS A

TABLE CONTAINING MERCURY LEVELS

IN SEAFOOD.

THIS IS USEFUL IN DETERMINING

WHICH FISH ARE THE SAFEST TO

EAT.

NOW WE CAN GO BACK A PAGE AND AS

YOU SCROLL DOWN, YOU'LL FIND

INFORMATION ABOUT THE ADVERSE

EFFECTS OF METHYLMERCURY FROM

NUMEROUS SOURCES, SUCH AS THE

NATIONAL ACADEMY OF SCIENCES,

THE AGENCY FOR TOXIC SUBSTANCES

AND DISEASE REGISTRY, THE

DEPARTMENT OF AGRICULTURE, AND

THE WORLD HEALTH ORGANIZATION.

I WOULD LIKE TO NOTE THAT THE

FDA RECENTLY ANNOUNCED THAT IT

WILL SOON SCHEDULE A MEETING OF

ITS FOOD ADVISORY COMMITTEE TO

REVIEW ISSUES SURROUNDING

METHYLMERCURY IN COMMERCIAL

SEAFOOD.

THIS REVIEW WILL INCLUDE A

RE-EXAMINATION OF FDA'S MOST

RECENT CONSUMER ADVISORY THAT WE

JUST LOOKED AT.

PLEASE CHECK BACK AT THEIR

WEBSITE IN THE FUTURE FOR

POSSIBLE UPDATES.

ANOTHER SOURCE FOR INFORMATION

ON THE TOPIC IS THE

ENVIRONMENTAL PROTECTION AGENCY

OR EPA.

THEY ARE WORKING TO REDUCE THE

AMOUNT OF MERCURY IN THE

ENVIRONMENT.

WE CAN BEGIN AT EPA'S OFFICE OF

SCIENCE AND TECHNOLOGY, FISH AND

WILDLIFE CONTAMINATION PAGE AT

www.epa.gov/waterscience/fish.

NUMEROUS RESOURCES BOTH FROM THE

EPA AND OTHER ORGANIZATIONS ARE

LISTED.

SOME OF THESE TARGET HEALTH

PROFESSIONALS SUCH AS THE LINK

TO THE LETTER TO HEALTH

PROFESSIONALS AND THE OUTREACH

MATERIALS FOR COMMUNICATING FISH

ADVISORY INFORMATION.

OTHERS TARGET CONSUMERS LIKE THE

LINK TO THE NATIONAL ADVICE FOR

WOMEN AND CHILDREN ON MERCURY IN

NONCOMMERCIAL FISH.

LET'S SEE IF THIS ADVISORY

PROVIDES SOME GUIDANCE ABOUT

THE NUTRITIONAL VALUE OF FISH

VERSUS THE POSSIBLE HARMFUL

EFFECTS OF MERCURY.

IT IS SIMILAR TO THE FDA

ADVISORY, BUT IT DOES CAUTION

THAT PREGNANT WOMEN SHOULD LIMIT

THEIR CONSUMPTION OF FISH TO

ONLY 6 TO 8 OUNCES PER WEEK AND

CHILDREN TO 2 OUNCES PER WEEK.

NOW, THIS INFORMATION SEEMS TO

CONTRADICT WHAT WE LOOKED AT

PREVIOUSLY ON THE FOOD AND DRUG

ADMINISTRATION'S SITE.

THE FDA CAUTIONED NOT TO CONSUME

MORE THAN 12 OUNCES PER WEEK.

BUT IF YOU READ CAREFULLY,

HOWEVER, NOTICE THAT THE EPA

SITE ADDRESSES WHAT SEEMS TO BE

A DISCREPANCY.

WOMEN MAY SAFELY EAT UP TO 12

OUNCES OF STORE-BOUGHT FISH PER

WEEK, INCLUDING THAT SERVED IN

RESTAURANTS, BUT LESSER AMOUNTS

OF FISH CAUGHT BY INDIVIDUALS,

OR WHAT IS KNOWN AS

NONCOMMERCIALLY CAUGHT FISH.

IN ADDITION TO THE ADVISORIES,

THIS SITE ALSO PROVIDES

INFORMATION TO ASSIST THE LOCAL

HEALTH DEPARTMENTS IN CREATING

THEIR OWN FISH-CONSUMPTION

WARNINGS.

NOW WE'RE GOING TO GO BACK A

PAGE AND UNDER THE REPORT AND

CHEMICAL-SPECIFIC FACT SHEETS,

THERE'S A LINK TO A MERCURY

UPDATE, THE IMPACT ON FISH

ADVISORIES.

CLICK ON THIS FACT SHEET.

THE PURPOSE OF IT IS TO

SUMMARIZE CURRENT INFORMATION ON

SOURCES, FATE AND TRANSPORT,

OCCURRENCE IN HUMAN TISSUE,

RANGE OF CONCENTRATIONS IN FISH

TISSUE, FISH ADVISORIES,

FISH-CONSUMPTION LIMITS,

TOXICITY, AND REGULATIONS FOR

MERCURY.

WE GO BACK A PAGE, WE CAN SEE

THAT THE COMPLETE NATIONAL

GUIDANCE FOR ASSESSING CHEMICAL

CONTAMINANT DATA FOR USE IN

FISH ADVISORIES IS ALSO

AVAILABLE.

THIS DOCUMENT CONTAINS

INFORMATION FROM FISH-SAMPLING

PROCEDURES TO ASSESSING THE RISK

AND SETTING FISH-CONSUMPTION

LIMITS.

YOU CAN ALSO VIEW FISH

ADVISORIES FOR INDIVIDUAL STATES

BY SEARCHING THE NATIONAL

LISTING OF FISH AND WILDLIFE

CONSUMPTION ADVISORIES DATABASE

COMPILED BY THE EPA.

MANY STATES HAVE ISSUED

ADVISORIES FOR FISH OBTAINED

FROM SPECIFIC BODIES OF WATER.

WE DON'T HAVE TIME IN THE

BROADCAST TO DEMONSTRATE THIS

SITE, BUT YOU MAY WANT TO LOOK

AT IT LATER.

YOU CAN LINK TO THE DATABASE

FROM THE

www.epa.gov/waterscience/fish

WEBSITE.

FOR MORE INFORMATION ON THE

ADVERSE EFFECTS OF

METHYLMERCURY, DON'T FORGET TO

SEARCH OTHER DATABASES SUCH AS

THE HAZARDOUS SUBSTANCES

DATABANK THAT WE DISCUSSED

EARLIER IN THE BROADCAST.

>> THANK YOU, STACEY, FOR

PROVIDING HEALTH PROFESSIONALS

USEFUL INFORMATION ON THE

CONTAMINATION OF FISH WITH

METHYLMERCURY AND HOW TO DEVELOP

SAFE FISH-CONSUMPTION

GUIDELINES AND COMMUNICATE THEM

TO THE PUBLIC.

NOW LET'S GO TO OUR FINAL

TOPIC -- THE USE OF GEOGRAPHIC

INFORMATION SYSTEMS FOR PUBLIC

HEALTH.

MANY PEOPLE ARE CONCERNED ABOUT

POLLUTION IN THEIR COMMUNITIES

AND PUBLIC HEALTH PROFESSIONALS

ARE OFTEN ASKED TO PROVIDE

INFORMATION ABOUT POTENTIAL

HEALTH CONCERNS FROM POLLUTION.

BUT WHERE CAN YOU GO FOR

INFORMATION ABOUT HAZARDOUS

WASTE SITES OR RELEASES OF TOXIC

CHEMICALS INTO YOUR

NEIGHBORHOODS, AND WHERE CAN YOU

GET RELIABLE INFORMATION

CONCERNING THE CHEMICALS FOUND

IN YOUR COMMUNITY?

ROSE, CAN YOU ASSIST OUR

AUDIENCE IN IDENTIFYING THESE

TYPES OF RESOURCES?

>> OF COURSE, JOE.

THERE ARE A NUMBER OF INTERNET

RESOURCES AVAILABLE FOR

IDENTIFYING AND LOCATING

POLLUTION SOURCES.

IN SOME CASES, THIS INFORMATION

IS FURTHER LINKED TO

TOXICOLOGICAL DATA ABOUT THE

SPECIFIC CHEMICALS AND TO HEALTH

ASSESSMENTS OF POLLUTING SITES.

SOME OF THESE SYSTEMS ARE JUST

TEXT-BASED, BUT, INCREASINGLY,

MANY ALLOW FOR MAPPING OF

ENVIRONMENTAL DATA, ALONG WITH

OTHER TYPES OF DATA SUCH AS

DEMOGRAPHICS AND THE LOCATIONS

OF SCHOOLS AND ROADS.

THESE SYSTEMS ARE CALLED

GEOGRAPHIC INFORMATION SYSTEMS

OR G.I.S.

LET'S TAKE A LOOK AT SCORECARD,

A G.I.S. SYSTEM DEVELOPED BY

ENVIRONMENTAL DEFENSE.

ENTER THE URL...

SCORECARD TRACKS MANY HAZARDS

ACROSS THE NATION, INCLUDING AIR

POLLUTANTS, LEAD HAZARDS, LAND

CONTAMINATION, ANIMAL WASTE FROM

FACTORY FARMS, TOXIC RELEASES

FROM INDUSTRY, AS WELL AS THE

STATUS OF THE CLEAN WATER ACT

AND WATERSHED INDICATORS.

USERS CAN EASILY GET AN

ENVIRONMENTAL REPORT CARD ON

THEIR COMMUNITIES BY ENTERING

THEIR ZIP CODE ON THE RIGHT-HAND

SIDE OF THE SCREEN UNDER "FIND

YOUR COMMUNITY."

ENTER THE ZIP CODE 26559, WHICH

IS IN MARION COUNTY,

WEST VIRGINIA.

WE CAN RETRIEVE STATISTICS ON

AIR QUALITY AND LAND AND WATER

POLLUTION FROM MARION COUNTY.

SCROLL TO THE CATEGORY "WASTE"

TO LINK TO REPORTS ON THE

FACILITIES POLLUTING THE

COMMUNITY AND TO INFORMATION ON

THE CHEMICAL POLLUTANTS.

AT THE END OF THE PAGE, THERE IS

A LINK TO AVAILABLE MAPS.

CLICK ON "EXPLORE THE MAPS" TO

SEE A MAP OF MARION COUNTY AND

THE SURROUNDING AREA.

THROUGH THE SELECT VIEW

DROPDOWN BOX, YOU CAN SELECT THE

TYPE OF MAP TO VIEW, SUCH AS

TOXIC RELEASES, SUPERFUND SITES,

OR AIR QUALITY.

LET'S KEEP THE DEFAULT TOXIC

RELEASE INVENTORY.

TO THE RIGHT OF THE MAP, THE

GRAPH RELATED TO THE TYPE OF

POLLUTION SELECTED IS DISPLAYED.

CLICKING ON THE MAP ALLOWS YOU

TO ZOOM IN OR OUT, OR YOU CAN

GENERATE A REPORT ON MARION

COUNTY WITH INFORMATION ABOUT

THE HEALTH EFFECTS OF CHEMICALS

RELEASED IN THE ENVIRONMENT.

CLICK ON T.R.I. POLLUTION

SOURCES SORTED BY HEALTH EFFECT.

NOTE THAT THE LINKS TO KNOWN AND

SUSPECTED DEVELOPMENTAL AND

REPRODUCTIVE TOXICANTS ARE

LISTED.

CLICK ON THE NUMBER OF POUNDS

RELEASED NEXT TO THE SUSPECTED

DEVELOPMENTAL TOXICANTS TO

RETRIEVE A LIST OF CHEMICALS

RELEASED IN MARION COUNTY THAT

HAVE THAT CLASSIFICATION.

FROM THIS PAGE, CLICK ON "METHYL

ETHYL KETONE" FOR INFORMATION

ON ITS HEALTH EFFECTS USED IN

INDUSTRY AND REGULATORY

COVERAGE.

LINKS TO ADDITIONAL RESOURCES

SUCH AS ATSDR AND EPA FACT

SHEETS ON METHYL ETHYL KETONE

ARE ALSO AVAILABLE FROM THIS

PAGE.

THESE ARE JUST A FEW OF THE

FEATURES AVAILABLE ON SCORECARD.

ADDITIONAL FEATURES INCLUDE AN

ENVIRONMENTAL JUSTICE REPORT,

PROVIDING DEMOGRAPHIC

INFORMATION INCLUDING

DISTRIBUTIONS OF ENVIRONMENTAL

BURDENS BY RACE, ETHNICITY,

INCOME, CHILDHOOD, POVERTY,

EDUCATION, AND HOMEOWNERSHIP.

NOW LET'S TAKE A LOOK AT ANOTHER

G.I.S. RESOURCE CALLED GATHER --

THE ACRONYM FOR...

THIS SYSTEM IS AVAILABLE FROM

ATSDR.

ATSDR FOCUSES ON THE EFFECT OF

HAZARDOUS SUBSTANCES ON PUBLIC

HEALTH.

SOME OF THE ATSDR FUNCTIONS

INCLUDE CONDUCTING PUBLIC HEALTH

ASSESSMENTS OF WASTE SITES,

HEALTH CONSULTATIONS CONCERNING

SPECIFIC HAZARDOUS SUBSTANCES,

AND DEVELOPING HEALTH

SURVEILLANCE AND REGISTRIES.

GATHER PROVIDES PUBLIC HEALTH

PROFESSIONALS WITH ACCESS TO

SPACIAL DATA THAT IS PERTINENT

TO THE ANALYSIS OF PUBLIC HEALTH

ISSUES RELATED TO HAZARDOUS

WASTE SITES.

THE URL IS...

HERE WE CAN CREATE A MAP OF

HAZARDOUS WASTE SITES ANALYZED

BY ATSDR.

GATHER DOES NOT CONTAIN AS MANY

SOURCES OF POLLUTION AS

SCORECARD, BUT FOCUSES ON

HAZARDOUS SITES ATSDR HAS

ASSESSED.

YOU CAN SEARCH BY CITY, COUNTY,

STATE, OR ZIP CODE, OR EVEN BY

THE FACILITY NAME.

LET'S DO A CITY SEARCH BY

CLICKING ON THE RADIO BUTTON

NEXT TO "BY CITY" ON THE LEFT

SIDE OF THE SCREEN UNDER "SEARCH

FOR A SITE."

I'LL TYPE IN FARMINGTON AND

CHOOSE NEW HAMPSHIRE FROM THE

DROPDOWN MENU AND CLICK ON "GO."

THE RESULTS GIVE ME THE

HAZARDOUS WASTE SITES IN THAT

CITY.

IN THIS CASE, JUST THE CARDINAL

LANDFILL.

CLICK ON THE NAME OF THE SITE

TO DRAW THE MAP.

THE MAP SHOWS THE LOCATION OF

THE COMPANY.

ON THE LEFT-HAND SIDE OF THE MAP

IN THE LEGEND AREA, SELECT

ADDITIONAL ITEMS TO BE

DISPLAYED.

FOR EXAMPLE, SCROLL DOWN AND

LOOK AT DEMOGRAPHIC INFORMATION

FOR CHILDREN UNDER 6 YEARS OLD

NEAR THE COMPANY.

LOCATE ON THE BOX IN FRONT OF

THE SELECTION AND THE MAP WILL

BE REDRAWN.

NOW CLICK ON "ROADS" AND GET A

BETTER IDEA OF WHERE THE SITE IS

LOCATED.

NOW LET'S TAKE A LOOK AT THE

ICONS AT THE TOP OF THE MAP, THE

TOOL BAR.

THESE ICONS ARE TOOLS TO GET

MORE INFORMATION ABOUT THE AREA.

LET'S DISCUSS JUST A FEW OF

THEM.

THE FIRST ONE, WHICH LOOKS LIKE

A HAND, ALLOWS YOU TO MOVE THE

MAP OR PAN.

THE ONES THAT LOOK LIKE

MAGNIFYING GLASSES WITH A PLUS

OR MINUS IN THE MIDDLE ALLOWS

YOU TO ZOOM IN OR OUT.

THE MOST IMPORTANT ONE TO

REMEMBER IS THE QUESTION MARK.

THIS IS THE HELP ICON AND CAN

GIVE YOU MORE INFORMATION ON HOW

TO USE GATHER.

A LINK IS ALSO PROVIDED TO A

DEMOGRAPHIC MAP IN PDF FORMAT

FOR EASY PRINTING.

NOW THAT WE HAVE THE NAME AND

EXACT LOCATION OF THE HAZARDOUS

WASTE SITE, LET'S GET MORE

INFORMATION ABOUT STUDIES

CONDUCTED BY ATSDR ON THE SITE.

CLICK ON "ATSDR SITE DOCS" TO

OBTAIN ANY DOCUMENTS THAT MAY BE

AVAILABLE.

SCROLLING ACROSS THE PAGE, YOU

CAN SEE THAT THE TABLE LISTS THE

NAME OF THE SITE, THE TYPE OF

DOCUMENTS PREPARED BY ATSDR, THE

DATE THEY WERE COMPLETED, AND

WHETHER THE SITE POSES A PUBLIC

HEALTH HAZARD.

IN SOME CASES, THE FULL TEXT OF

THE DOCUMENT IS AVAILABLE

ONLINE.

FOR THE CARDINAL LANDFILL, WE

SEE THE FULL TEXT OF THE PUBLIC

HEALTH ASSESSMENT IS AVAILABLE.

CLICK ON "VIEW TEXT" TO RETRIEVE

THE DOCUMENT.

SCROLLING DOWN THE TABLE OF

CONTENTS, WE SEE SECTION 5 IS A

DISCUSSION OF ADULT AND

CHILDREN'S HEALTH ISSUES.

AND SECTION 6 PROVIDES

CONCLUSIONS ABOUT THE SITE.

LET'S CLICK ON "CONCLUSIONS."

THE REPORT INDICATES THAT THE

SITE WAS A PUBLIC HEALTH HAZARD

IN THE PAST AND THAT FOR SOME OF

THE DRINKING WELLS, THE KNOWN

EXPOSURES WERE UNLIKELY TO

RESULT IN NONCANCER HEALTH

EFFECTS FOR ADULT RESIDENTS, BUT

COULD HAVE AFFECTED YOUNG

CHILDREN OR DEVELOPING FETUSES.

HOWEVER, RESIDENTS NOW RECEIVE

DRINKING WATER FROM THE TOWN'S

WATER SUPPLY AND ARE NO LONGER

AT RISK FOR EXPOSURE.

MORE DETAILED INFORMATION ON

HEALTH CONCERNS, HOW THE SITE

WAS ANALYZED, AND ON WHAT BASIS

DECISIONS WERE MADE ARE

ADDRESSED IN SECTIONS ONE

THROUGH FIVE.

BUT PLEASE NOTE THAT NOT ALL OF

THE ATSDR PUBLIC HEALTH

ASSESSMENT DOCUMENTS ARE

AVAILABLE ONLINE YET.

THERE ARE OTHER G.I.S. SYSTEMS

FOR MAPPING ENVIRONMENTAL DATA,

WHICH ARE LISTED IN YOUR

RESOURCES SAMPLER.

>> THESE SYSTEMS SEEM QUITE

COMPLICATED, ROSE.

ARE THEY DESIGNED FOR THE NOVICE

INTERNET USER?

>> THEY CAN BE QUITE TRICKY.

HOWEVER, THE G.I.S. SOFTWARE IS

RAPIDLY EVOLVING, WHICH MEANS

THAT THERE ARE CONSTANT

IMPROVEMENTS TO THE MAPPING

SYSTEMS, MAKING THEM EASIER TO

USE.

I THINK OUR AUDIENCE WILL SEE

MAJOR ENHANCEMENTS IN THESE

SYSTEMS OVER THE NEXT COUPLE OF

YEARS.

IN THE MEANTIME, THEY ARE

IMPORTANT RESOURCES AND CAN

PROVIDE A WEALTH OF DATA FOR

PUBLIC HEALTH PROFESSIONALS TO

USE WHEN ADDRESSING HEALTH

HAZARDS IN THEIR COMMUNITIES.

SO I THINK IT'S WORTH THE EXTRA

EFFORT TO BECOME FAMILIAR WITH

THEM.

>> THANK YOU, ROSE, FOR THAT

OVERVIEW OF GEOGRAPHIC

INFORMATION SYSTEMS.

WE'RE GOING TO POSE A PROBLEM TO

YOU, THE AUDIENCE.

PUBLIC HEALTH PROFESSIONALS ARE

OFTEN ASKED ABOUT THE SAFETY OF

DRINKING WATER.

THERE'S CONCERN FOR BIOLOGICAL

CONTAMINANTS SUCH AS

CRYPTOSPORIDIUM, AS WELL AS

CHEMICAL CONTAMINANTS LIKE LEAD

AND NITRATES.

IN ADDITION, DRINKING-WATER

QUALITY VARIES FROM PLACE TO

PLACE DEPENDING ON THE CONDITION

OF THE SOURCE WATER AND THE

TREATMENT IT RECEIVES.

SUPPOSE YOUR HEALTH DEPARTMENT

SERVES A LARGE AGRICULTURAL

COMMUNITY.

LAST YEAR, A NEARBY COUNTY

EXPERIENCED PROBLEMS WITH HIGH

LEVELS OF NITRATES IN THE WATER

SUPPLY FROM RUNOFF OF

FERTILIZERS.

YOU'RE CONCERNED THAT A SIMILAR

PROBLEM COULD AFFECT YOUR AREA.

A MAJOR HEALTH CONCERN OF HIGH

NITRATE LEVELS IN WATER IS

METHEMOGLOBINEMIA, A CONDITION

ESPECIALLY FOUND IN INFANTS

UNDER 6 MONTHS.

THIS SERIOUS ILLNESS IS DUE TO

THE CONVERSION OF NITRATE TO

NITRITE IN THE BODY, WHICH CAN

INTERFERE WITH THE

OXYGEN-CARRYING CAPACITY OF THE

CHILD'S BLOOD.

PREGNANT WOMEN ARE ALSO

SUSCEPTIBLE TO NITRITE-INDUCED

METHEMOGLOBINEMIA.

NOW YOU NEED TO DEVISE A PLAN TO

ADVISE COMMUNITY OFFICIALS AND

THE PUBLIC.

OKAY. NOW LET'S HEAR FROM YOU,

OUR AUDIENCE, ON WHERE TO GO TO

FIND INFORMATION ON

DRINKING-WATER CONTAMINATION.

AND WE HAVE CINDY FROM COLORADO

ON THE PHONE.

CINDY? HELLO?

>> HI.

>> HI.

>> I THINK I KNOW OF SEVERAL

GOOD SOURCES OF INFORMATION

ON THIS TOPIC.

>> OKAY.

>> FIRST I WOULD GO TO EPA SINCE

THEY'RE RESPONSIBLE FOR THE

SAFETY OF PUBLIC DRINKING-WATER

SYSTEMS AND ALSO HAVE INFO ON

TESTING PRIVATE WELLS.

THEY ALSO HAVE FACT SHEETS ON

WATER CONTAMINANTS INCLUDING

NITRATES.

I THINK THE WORLD HEALTH

ORGANIZATION AND THE NATIONAL

ENVIRONMENTAL EDUCATION AND

TRAINING FOUNDATION ALSO HAVE

GUIDELINES.

FOR SCIENTIFIC BACKGROUND

INFORMATION ON THE NITRATES AND

OTHER CHEMICALS YOU MIGHT FIND

IN WATER, I WOULD CHECK THE

TOXNET DATABASES, ESPECIALLY

HSDB OR TOXLINE.

WHEN I'M PREPARING A TALK FOR

COMMUNITY GROUPS, I OFTEN FIND

MATERIALS ON MEDLINEplus THAT

ARE SUITABLE FOR A GENERAL

AUDIENCE, AND I CONTACT MY STATE

HEALTH DEPARTMENT OR

ENVIRONMENTAL PROTECTION

DEPARTMENT FOR MORE LOCAL

INFORMATION.

>> OKAY. ALL RIGHT.

VERY GOOD.

THANK YOU VERY MUCH FOR THAT

INFORMATION.

THAT'S ALL THE TIME WE HAVE FOR

OUR PROBLEM SCENARIO.

NOW LET'S HEAR FROM

DR. WILLIAM YASNOFF, CDC

REPRESENTATIVE FOR THE PARTNERS

IN INFORMATION ACCESS FOR PUBLIC

HEALTH PROFESSIONALS GROUP.

>> THE PURPOSE OF THE PARTNERS

IN INFORMATION ACCESS FOR PUBLIC

HEALTH PROFESSIONALS IS TO

IMPROVE ACCESS TO ONLINE

ELECTRONIC PUBLIC HEALTH

INFORMATION FOR PUBLIC HEALTH

PROFESSIONALS.

IT'S A PARTNERSHIP OF TWO

DIFFERENT TYPES OF

ORGANIZATIONS -- PUBLIC HEALTH

ORGANIZATIONS SUCH AS APHA,

ASPH, ASTHO, NHO, PUBLIC HEALTH

FOUNDATION -- IN PARTNERSHIP

WITH GOVERNMENT AGENCIES SUCH AS

THE NATIONAL LIBRARY OF MEDICINE

AND ITS NATIONAL NETWORK OF

LIBRARIES OF MEDICINE, THE

CENTERS FOR DISEASE CONTROL AND

PREVENTION, AND HEALTH RESOURCES

AND SERVICES ADMINISTRATION.

THE PARTNERSHIP HAS BEEN

INVOLVED IN A NUMBER OF

ACTIVITIES SPONSORING MEETINGS,

SPONSORING SATELLITE BROADCASTS

FOR TRAINING SUCH AS THIS ONE,

AND ALSO PROVIDING SMALL GRANTS

FOR CONNECTIVITY TO THE INTERNET

TO IMPROVE INFORMATION ACCESS.

SOME OF THE SUCCESSFUL PROJECTS

THAT HAVE BEEN COMPLETED BY THE

PARTNERSHIP INCLUDE A MAJOR

AIDS-TRAINING BROADCAST SIMILAR

TO THIS ONE.

ALSO THE TRAINING SUBCOMMITTEE

HAS COMPLETED A NUMBER OF TASKS

INCLUDING AN INVENTORY OF

INFORMATION-ACCESS TRAINING

RESOURCES, WHICH HAS BEEN

CONTRIBUTED TO THE PUBLIC HEALTH

FOUNDATION'S DATABASE CALLED

trainingfinder.org, WHICH IS

AVAILABLE ON THE WEB.

ALSO A BIBLIOGRAPHY OF PUBLIC

HEALTH TRAINING.

FINALLY, THAT GROUP HAS

RECOMMENDED CHANGES TO MEDLINE

TO MAKE ACCESS TO PUBLIC HEALTH

LITERATURE EASIER AND FASTER.

AND THOSE CHANGES HAVE BEEN

ADOPTED.

>> THANK YOU, DR. YASNOFF.

BEFORE TAKING YOUR QUESTIONS,

STACEY WOULD LIKE TO DIRECT YOUR

ATTENTION TO JUST A FEW MORE

RESOURCES ON CHILDREN'S

ENVIRONMENTAL HEALTH.

>> JOE, IT'S AMAZING HOW MANY

RESOURCES YOU CAN FIND ON THE

WEB ON THIS TOPIC.

DURING THIS BROADCAST, WE'VE

DEMONSTRATED SOME OF THE MAJOR

RESOURCES AVAILABLE FOR PUBLIC

HEALTH PROFESSIONALS AND SHOWN

HOW THEY MIGHT ASSIST YOU WITH

YOUR WORK OR RESEARCH.

AS WE MENTIONED EARLIER, THE

COURSE MATERIALS FOR THIS

BROADCAST ARE ON THE PARTNERS

AND INFORMATION ACCESS FOR

PUBLIC HEALTH PROFESSIONALS

WEBSITE AND CONTAIN LINKS TO THE

RESOURCES DISCUSSED TODAY.

HOWEVER, THERE ARE ADDITIONAL

TOPICS THAT WE DID NOT HAVE AN

OPPORTUNITY TO COVER, SO WE HAVE

INCLUDED AN EXTENSIVE SAMPLER

WITH LINKS TO RESOURCES ON THESE

OTHER TOPICS.

GO TO THE BROADCAST WEBSITE

AT...

AND CLICK ON THE "CHILDREN'S

ENVIRONMENTAL HEALTH RESOURCES

SAMPLER."

LET'S TAKE A QUICK LOOK AT A FEW

OF THESE RESOURCES.

TWO VERY IMPORTANT ISSUES THESE

DAYS, BUT ONES THAT WE DID NOT

HAVE A CHANCE TO DISCUSS, ARE

CHILDHOOD CANCER AND CANCER

CLUSTERS AND ENDOCRINE

DISRUPTERS.

THE SAMPLER CONTAINS LINKS TO

SEVERAL IMPORTANT RESOURCES ON

BOTH OF THESE TOPICS, AS SEEN

HERE FOR CHILDHOOD CANCER AND

CANCER CLUSTERS.

LINKS ARE ALSO PROVIDED TO

SEVERAL COMPUTER-BASED LEARNING

APPLICATIONS IN PEDIATRIC

ENVIRONMENTAL HEALTH AND

TOXICOLOGY, SUCH AS THESE CASE

STUDIES PRODUCED BY THE

UNIVERSITY OF ILLINOIS AT

CHICAGO AND THE UNIVERSITY OF

UTAH.

IN ADDITION, SEVERAL CONSUMER

HEALTH RESOURCES ARE INCLUDED TO

ASSIST YOU IN EDUCATING THE

PUBLIC ABOUT ENVIRONMENTAL

HAZARDS TO CHILDREN, INCLUDING

THE ATSDR ToxFAQs, MEDLINEplus,

AND THE NEW YORK ONLINE ACCESS

TO HEALTH.

I WOULD ALSO LIKE TO HIGHLIGHT

THE NATIONAL CHILDREN'S STUDY OF

ENVIRONMENTAL EFFECTS ON CHILD

HEALTH AND DEVELOPMENT.

THEIR ADDRESS IS

www.nichd.nih.gov/about/despr/

cohort/index.htm.

THE PURPOSE IS TO CONDUCT A

LONGITUDINAL STUDY OF

ENVIRONMENTAL INFLUENCES ON

CHILDREN'S HEALTH AND

DEVELOPMENT.

THE IDEA IS TO FOLLOW CHILDREN

FROM BEFORE BIRTH TO ADULTHOOD.

ENVIRONMENTAL INFLUENCES ARE

BROADLY DEFINED AS BIOLOGICAL,

PHYSICAL, AND PSYCHOSOCIAL

INFLUENCES.

THIS PROJECT IS IN THE PLANNING

PHASE AND IS BEING DEVELOPED BY

SEVERAL FEDERAL AGENCIES WITH

THE NATIONAL INSTITUTE FOR CHILD

HEALTH AND HUMAN DEVELOPMENT AT

N.I.H. AS THE LEAD AGENCY.

AND MORE INFORMATION ON THE

STUDY IS AVAILABLE FROM NICHD.

ANOTHER USEFUL FEDERAL RESOURCE

IS A DATABASE OF ALL FEDERALLY

FUNDED RESEARCH RELATED TO

ADVERSE HEALTH EFFECTS IN

CHILDREN FROM EXPOSURE TO

ENVIRONMENTAL HEALTH OR SAFETY

RISKS.

THIS COMPREHENSIVE DATABASE IS

CALLED CHEHSIR FOR CHILDREN'S

ENVIRONMENTAL HEALTH AND SAFETY

INVENTORY OF RESEARCH.

THE URL IS...

oaspub.epa.gov/chehsir/

chehsir.page.

RECORDS IN THE DATABASE

INCLUDE THE TITLE AND

DESCRIPTION OF THE PROJECT,

INVESTIGATORS' NAMES AND

ADDRESSES, STUDY

CHARACTERISTICS, AGENTS, AND

HEALTH EFFECTS, CONDITIONS, OR

OUTCOMES.

CHEHSIR COMPLEMENTS ANOTHER OF

NLM'S TOXNET DATABASES, THE

DEVELOPMENTAL AND REPRODUCTIVE

TOXICOLOGY DATABASE OR DART.

WHILE CHEHSIR DESCRIBES ONGOING

RESEARCH PROJECTS, DART CITES

THE PUBLISHED LITERATURE.

YOU CAN ACCESS DART FROM THE

TOXNET HOME PAGE AT

toxnet.nlm.nih.gov.

>> STACEY, I NOTICED THAT THE

RESOURCE SAMPLER ONLY INCLUDES

WEB LINKS TO A FEW SPECIFIC

CHEMICAL AGENTS, SUCH AS MERCURY

AND LEAD.

BUT WHERE WOULD OUR AUDIENCE

FIND INFORMATION ON CHEMICALS

NOT LISTED HERE?

>> THAT'S A GOOD QUESTION.

SOME OF THE DATABASES

DEMONSTRATED TODAY AND MANY OF

THE RESOURCES LISTED IN THE

GENERAL ENVIRONMENTAL HEALTH

SECTION OF THE SAMPLER WILL

CONTAIN INFORMATION ON NUMEROUS

CHEMICAL AGENTS.

ATSDR, FOR EXAMPLE, HAS DETAILED

TOXICOLOGY PROFILES AND

CONSUMER-ORIENTED TOX FACTS FOR

MANY CHEMICALS.

AND THE TOXNET DATABASES LIKE

HSDB AND TOXLINE CONTAIN

INFORMATION ON THOUSANDS OF

CHEMICALS.

AND REMEMBER, IF YOU DON'T SEE

THE TYPE OF RESOURCE YOU NEED IN

THE SAMPLER, GREG'S PRESENTATION

ON SEARCH ENGINES WILL ASSIST

YOU IN LOCATING IT.

>> THANK YOU, STACEY, FOR THOSE

ADDITIONAL RESOURCES.

IT'S NOW TIME FOR OUR PANELISTS

TO HEAR YOUR QUESTIONS AND

CONCERNS REGARDING INFORMATION

ON CHILDREN'S ENVIRONMENTAL

HEALTH.

YOU CAN EITHER CALL IN OR FAX US

YOUR QUESTIONS NOW.

WE HAVE OUR FIRST FAX QUESTION

HERE.

STACEY, THIS QUESTION'S FOR

YOU.

IT READS, "YOU MENTIONED THAT

FDA IS REVIEWING THE

METHYLMERCURY AND FISH

CONSUMPTION ADVISORY FOR

PREGNANT WOMEN.

THIS IS A BIG CONCERN IN MY

AREA, AND OUR HEALTH DEPARTMENT

HAS RECEIVED A NUMBER OF CALLS

ABOUT IT.

DO YOU KNOW IF THERE'S ANYTHING

ON THE WEB TO TELL ME MORE ABOUT

IT?"

>> YES.

THAT'S A GOOD QUESTION.

SINCE IT WAS JUST RECENTLY

RELEASED, FDA DID PUT OUT A

PRESS RELEASE ON IT, AND YOU CAN

ACCESS THAT PRESS RELEASE FROM

THEIR WEBSITE.

IF YOU JUST GO TO THEIR HOME

PAGE, WHICH I BELIEVE IS JUST

www.fda.gov, YOU CAN ACCESS

THEIR PRESS RELEASES OR NEWS

SECTION AND GET MORE INFORMATION

ON THAT PRESS RELEASE.

AND THAT'S A GOOD POINT.

A LOT OF THESE WEBSITES HAVE

INFORMATION ON NEWS OR PRESS

RELEASES THAT ARE RELEVANT TO

THEIR AREAS.

FOR EXAMPLE, I ALSO MENTIONED

ABOUT THE CCA PROBLEM, AND THE

EPA ADMINISTRATOR MADE SOME

ANNOUNCEMENTS ABOUT THAT.

EPA ALSO HAS A NEWSROOM OR

PRESS-RELEASE SECTION YOU CAN

GET MORE INFORMATION ON THAT.

>> OKAY.

I HAVE A FAX QUESTION FOR ROSE.

THIS ONE READS, "IN MANY CASES,

I ONLY HAVE A TRADE NAME FOR A

PESTICIDE OR OTHER CHEMICAL THAT

I NEED INFORMATION ON.

WHERE CAN I GO TO GET THE

GENERIC NAME SO I CAN GET MORE

INFORMATION?"

>> WELL, BY GOING TO TOXNET AND

SELECTING THE CHEMICAL DATABASE,

ChemIDplus, YOU'LL BE ABLE TO

FIND MOST OF THE INFORMATION

THAT YOU'RE LOOKING FOR AND

MORE.

NOT ONLY WILL YOU BE ABLE TO

FIND THE TRADE OR GENERIC NAMES,

BUT YOU CAN GET THE

CASH-REGISTRY NUMBER.

YOU CAN DO MOLECULAR STRUCTURE

SEARCHING.

YOU CAN FIND OUT HOW THE

CHEMICAL IS CLASSIFIED.

STACEY, DO YOU HAVE ANYTHING

ELSE YOU MIGHT WANT TO ADD ON

THAT?

>> YEAH, IN FACT, YOU CAN

PROBABLY JUST SEARCH ONE OF THE

TOXNET DATABASES, LIKE HSDB

OR TOXLINE, EVEN WITH YOUR TRADE

NAME BECAUSE WE HAVE A BUILT-IN

SYNONYM CHECKER THAT WILL LOOK

FOR THAT TRADE NAME AND WILL

SEARCH NOT ONLY THAT TRADE NAME

BUT ALSO THE GENERIC NAME AND

OTHER SYNONYMS FOR YOU AS WELL

AUTOMATICALLY.

>> OKAY.

QUESTION HERE FOR YOU, GREG.

"I AM INTERESTED IN FINDING

FUNDING SOURCES FOR AN

ASTHMA-INTERVENTION PROJECT IN

MY COMMUNITY.

ANY SUGGESTIONS ON HOW OR WHERE

TO LOOK?"

>> I WOULD START WITH SOME OF

THE GOVERNMENT AGENCIES, SUCH AS

THE CDC, THE NATIONAL HEART,

LUNG, AND BLOOD INSTITUTE.

THEY MAY HAVE, IN ADDITION TO

THE GENERAL INFORMATION

RESOURCES, FUNDING INFORMATION

THAT MIGHT BE HELPFUL.

IN ADDITION, I WOULD PROBABLY GO

TO ONE OF THE GENERAL SEARCH

ENGINES THAT I TALKED ABOUT AT

THE BEGINNING AND PUT IN TERMS

SUCH AS FUNDING, ASTHMA,

INTERVENTION, LOOKING TO SEE IF

THERE ARE OTHER RESOURCES FROM

NONGOVERNMENT AGENCIES,

COMMUNITY ORGANIZATIONS THAT

MIGHT ALSO BE HELPFUL.

>> OKAY. STACEY AND ROSE, YOU

CAN TAG-TEAM THIS ONE AGAIN IF

YOU WANT.

"YOU DID A COUPLE OF

DEMONSTRATIONS OF MEDLINE AND

TOXLINE, BUT I'M STILL NOT QUITE

SURE HOW TO FORMULATE GOOD

SEARCHES.

ARE THERE ANY TUTORIALS OR

CLASSES I CAN TAKE?"

>> WELL, I'LL TAKE THAT ONE.

FOR PubMed, YOU'LL FIND A

RELATIVELY VERY GOOD TUTORIAL.

A LOT OF PEOPLE DON'T -- WILL

NOT SOMETIMES LOOK AT THE

SELF-HELPS THAT WE HAVE.

BUT IF YOU LOOK ON THE

RIGHT-HAND SIDE ON THE BAR, ON

THE LEFT-HAND SIDE OF PubMed,

YOU'LL SEE A TUTORIAL -- VERY

GOOD ONE THAT YOU CAN TRY.

AND TOXNET, THERE'S ALSO A HELP

SECTION.

IT'S NOT A TUTORIAL, BUT IT WILL

ANSWER MOST OF THE QUESTIONS

THAT YOU MAY HAVE AS YOU TRY TO

FORMULATE YOUR SEARCH

STRATEGIES.

STACEY, ANYTHING ELSE YOU WANT

TO ADD?

>> NO, I THINK YOU'VE COVERED

IT, ROSE.

>> YOU'LL GET ANOTHER CHANCE,

STACEY.

ANOTHER QUESTION HERE, THIS ONE

FROM ARKANSAS.

"WHAT TYPE OF SITES ARE LOCATED

ON THE ATSDR GATHER WEBSITE?"

>> I ASSUME IN THIS CASE WHEN

THEY SAY SITES, THEY'RE LOOKING

AT THE HAZARDOUS WASTE SITES.

I BELIEVE THEY LIST THE VARIOUS

NATIONAL PRIORITY LIST HAZARDOUS

WASTE SITES THAT ARE THERE.

THEY ALSO -- ATSDR IS CALLED IN

ANY TIME PEOPLE HAVE A CONCERN

IN THEIR AREA ABOUT A PARTICULAR

PLANT OR DUMP SITE.

THEY CAN CALL ATSDR AND ASK THEM

FOR AN INVESTIGATION.

ANY TIME ATSDR HAS DONE AN

INVESTIGATION, THEY WILL HAVE

INFORMATION ON THEIR WEBSITE.

AND IN THE GATHER SYSTEM,

THEY'RE TRYING TO MAKE SURE THAT

THEY HAVE LINKS TO ALL OF THAT

INFORMATION FOR YOU.

>> OKAY. THANKS A LOT.

THAT IS ALL THE TIME WE HAVE FOR

QUESTIONS.

BEFORE WE CONCLUDE THE PROGRAM,

WE WANT YOU TO KNOW THAT

VIDEOTAPES OF THIS BROADCAST

WILL BE AVAILABLE FROM THE

PUBLIC HEALTH FOUNDATION.

TO ORDER A COPY, CALL...

YOU MAY ALSO FAX YOUR REQUEST

TO...

OR VISIT THE ONLINE BOOKSTORE

AT...

MUCH THANKS TO ALL OUR PANEL

MEMBERS FOR JOINING US TODAY.

AND THANK YOU FOR TAKING THE

TIME TO BE WITH US TO DISCUSS

CHILDREN'S ENVIRONMENTAL HEALTH

INFORMATION RESOURCES.

REMEMBER, ALL OF THE RESOURCES

DISCUSSED TODAY ARE AVAILABLE

FROM THE PARTNERS WEBSITE.

WE WISH YOU THE BEST OF LUCK

WITH YOUR PROGRAMS.

ON BEHALF OF EVERYONE AT CDC AND

THE PUBLIC HEALTH TRAINING

NETWORK, I'M JOE WASHINGTON

WISHING YOU A GOOD DAY FROM

ATLANTA.