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Essentials for Healthy Homes Practitioners

Keep It Contaminant-Free

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Reference Topics

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Overview

Start With People

Keep It Dry

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All References

The National Center for Healthy Housing (NCHH) operates the National Healthy Housing Clearinghouse.  The Clearinghouse consists of hundreds of journal articles, reports, and publications related to healthy homes.  This section links you to the documents organized by healthy homes topic based on the modules in the National Healthy Homes Training Center's flagship course called Essentials for Healthy Homes Practitioners.  See the list of topics in the box to the right.  Make sure you scroll down past the introductory text.   

Please note that NCHH has not sorted the documents within the html page.  The most recent documents are at the top.  Use the Find (Control-F) function in your browser to seek out a particular document or issue.

For basic information on the topic, check out the PDF version of Keep It Contaminant-Free presentation from the course.

What do I do when link to document doesn't work?  Sometimes, you will get an error when you click on the document title.  In this situation, the full document is not available because NCHH has not received permission from the publisher to post it.  If you encounter this error, go to the clearinghouse search page to find the document.  When you get the search results, click on "Article Details" in the abstract for the document to get a link to the publisher.  You will need to get the article directly from the publisher.

Are the references current? NCHH will update the references at least every other month.  So it is a good idea to use the Clearinghouse's search engine for recent additions.  


 

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Carbon monoxide poisoning - garages

Authors: T.H. Greiner

 

How dangerous is it to operate an engine in a closed building? So dangerous that it must NEVER be done, even for a short time. The extremely high concentrations of carbon monoxide produced by an engine can raise CO concentrations in a closed building so quickly that a person may collapse before they even realize there is a problem. Carbon monoxide reduces the amount of oxygen to the brain, causing CO intoxication, and lack of reasoning. Studies by the Centers for Disease Control found that CO co

 


 

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Carbon Monoxide Poisoning - Checking for Complete Combustion

Authors: Thomas H. Greiner

 

Fossil fuels contain carbon (C) and hydrogen (H). During complete combustion carbon and hydrogen combine with oxygen (O2) to produce carbon dioxide (CO2) and water (H2O). During incomplete combustion part of the carbon is not completely oxidized producing soot or carbon monoxide (CO). Incomplete combustion uses fuel inefficiently and the carbon monoxide produced is a health hazard. A properly designed, adjusted, and maintained gas flame produces only small amounts of carbon monoxide, with 400 pa

 


 

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Carbon Monoxide Poisoning: Downdrafting (Backdrafting)

Authors: Dr. Thomas Greiner

 

What is Carbon Monoxide? Carbon monoxide (CO) is a colorless, odorless, tasteless, deadly gas. You can't see, smell or taste it. Carbon monoxide is slightly lighter than air and quickly spreads throughout an entire house. What causes carbon monoxide production? Carbon monoxide gas is produced when fossil fuel burns incompletely because of insufficient oxygen. During incomplete combustion, the car and hydrogen in the fuel combine to form carbon dioxide, water, heat, and deadly carbon monoxide. In

 


 

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Carbon monoxide (co) poses silent and serious threat for families during winter months

Authors: Home Safety Council

 

Often known as a silent killer, carbon monoxide (CO) is a colorless and odorless gas that poses a substantial risk to families using fuel-burning heating sources during the winter months. In fact, according to the Home Safety Council’s State of Home Safety in America™ report, CO poisoning accounted for more than 100,000 medical visits in the year studied. The high number of poisonings documented by the Council’s research may be explained by the fact that sixty-seven percent (67 percent) of house

 


 

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What is a pesticide?

Authors: U.S. Environmental Protection Agency (EPA)

 

A pesticide is any substance or mixture of substances intended for: preventing, destroying, repelling, or mitigating any pest. Though often misunderstood to refer only to insecticides, the term pesticide also applies to herbicides, fungicides, and various other substances used to control pests. Under United States law, a pesticide is also any substance or mixture of substances intended for use as a plant regulator, defoliant, or desiccant.

 


 

 

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Radon

Authors: California Geological Society

 

Radon gas is a naturally occurring radioactive gas that is invisible and odorless. It forms from the radioactive decay small amounts of uranium and thorium naturally present in rocks and soils so some radon exists in all rocks and so Certain rock types, such as black shales and certain igneous rocks, can have uranium and thorium in amounts high than is typical for the earth’s crust. Increased amounts of radon will be generated in the subsurface at these locations. Because radon is a gas, it can

 


 

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American Lung Association – Carbon Monoxide Fact Sheet

Authors: American Lung Association

 

Americans spend approximately 90 percent of their time indoors, where hazardous air pollutants can exist at higher levels than outdoors. Children, pregnant women, the elderly, and people with lung disease are particularly at high risk for adverse health effects caused by indoor air pollution, including carbon monoxide (CO). CO is a colorless, odorless gas that is produced as a result of incomplete burning of carbon containing fuels. Exposure to CO reduces the blood's ability to carry oxygen.

 


 

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American Lung Association – Carbon Monoxide Fact Sheet

Authors: American Lung Association

 

Americans spend approximately 90 percent of their time indoors, where hazardous air pollutants can exist at higher levels than outdoors. Children, pregnant women, the elderly, and people with lung disease are particularly at high risk for adverse health effects caused by indoor air pollution, including carbon monoxide (CO). CO is a colorless, odorless gas that is produced as a result of incomplete burning of carbon containing fuels. Exposure to CO reduces the blood's ability to carry oxygen.

 


 

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Public Health Statement for Asbestos

Authors: Agency for Toxic Substances and Disease Registry

 

This Public Health Statement is the summary chapter from the Toxicological Profile for asbestos. It is one in a series of Public Health Statements about hazardous substances and their health effects. A shorter version, the ToxFAQs™, is also available. This information is important because this substance may harm you. The effects of exposure to any hazardous substance depend on the dose, the duration, how you are exposed, personal traits and habits, and whether other chemicals are present. For

 


 

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Pesticides: Health and Safety

Authors: U.S. Environmental Protection Agency

 

Following is a list of pesticide state lead agencies. In general, the first Web site listed is a general site for the state's environmental agency. The second Web site is specific to certification and training programs. If two agencies are listed, the state department of agriculture or equivalent usually certifies most categories of applicators, while the structural pest control agency certifies on for structural pest control.

 


 

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About pesticides

Authors: U.S. Environmental Protection Agency

 

The following documents provide general information about ways to reduce risks from pesticide exposure at home, work and at school.

 


 

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Pesticides Outreach Material Catalogue: Information for Your Home and Community

Authors: The U.S. Environmental Protection Agency (EPA), Office of Pesticides Programs

 

The U.S. Environmental Protection Agency (EPA), Office of Pesticides Programs (OPP) Outreach Publications Catalogue, is a comprehensive listing of more than 50 outreach publications and 70 fact sheets available free of charge to the public. These publications are intended for use by the general public, including homeowners, parents, and urban community leaders. All publications listed in this catalogue provide useful information on responsible pesticide use, storage, and disposal practices. Many

 


 

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An Extended Study of Interim Lead Hazard Reduction Measures Employed In The Baltimore Clinical Center of The Treatment Of Lead-Exposed Children (TLC)-Clinical Trial

Authors: Mark Farfel, et al.

 

The Treatment of Lead-exposed Children (TLC)-Clinical Trial is investigating the potential benefits of the use of the oral chelating agent “succimer” for the treatment of moderately lead poisoned children (PbB 20-44 Fg/dL) aged 12 to 32 months at the start of treatment. The Trial has four Clinical Centers nationwide and is sponsored by the National Institute of Environmental Health Sciences (NIEHS). The main outcome variable is the child’s neurodevelopmental status 36 months and 84 months after

 


 

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National Survey of Lead and Allergens in Housing Final Report Volume I: Analysis of Lead Hazards

Authors: Robert P. Clickner, et al.

 

The National Survey of Lead and Allergens in Housing (referred to as the National Survey or NSLAH) was conducted under the sponsorship of the Department of Housing and Urban Development (HUD) and the National Institute of Environmental Health Sciences (NIEHS) to assess children's potential household exposure to lead and allergens. The National Survey measured the levels of lead in dust, soil, and paint, the prevalence of hazardous levels of lead, and levels and patterns of various indoor aller

 


 

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Third national report on human exposure to environmental chemicals

Authors: Department of Health and Human Services Centers for Disease Control and Prevention

 

Using advanced laboratory science and innovative techniques, scientists in CDC’s Environmental Health Laboratory at the National Center of Environmental Health (NCEH) have helped change the face of environmental public health in this country. By recognizing chemicals that enter the body from environmental exposure, by responding to terrorism and public health emergencies involving chemicals, and by improving laboratory methods to measure chemical exposure, the laboratory has greatly enhanced th

 


 

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Carbon Monoxide Poisoning OSHA Fact Sheet

Authors: U.S. Department of Labor Occupational Safety and Health Administration

 

What is carbon monoxide? Carbon monoxide (CO) is a poisonous, colorless, odorless, and tasteless gas. Although it has no detectable odor, CO is often mixed with other gases that do have an odor. So, you can inhale carbon monoxide right along with gases that you can smell and not even know that CO is present. CO is a common industrial hazard resulting from the incomplete burning of natural gas and any other material containing carbon such as gasoline, kerosene, oil, propane, coal, or wood. Forg

 


 

48.

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Fatalities Associated With Carbon Monoxide Poisoning From Motor Vehicles, 1995-1997

Authors: U.S. Department of Transporation National Highway Traffic Safety Administration

 

NHTSA’s National Center for Statistics and Analysis (NCSA) recently completed a second study of data from the National Center for Health Statistics (NCHS) to obtain an estimate of the number of persons killed as a result of carbon monoxide (CO) poisoning by exhaust gases of motor vehicles. This note updates the results of the study done in 1996 to assess the extent of fatalities associated with CO poisoning from motor vehicles using the NCHS data for the 1993 calendar year (NHTSA, 1996). This

 


 

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Consumer Product Safety Review C.O. Poisoning

Authors: U.S. Consumer Product Safety Commission

 

According to the latest data compiled by staff of the U.S. Consumer Product Safety Commission (CPSC), heating systems continue to be one of the major causes of non-fire, non-motor vehicle carbon monoxide (CO) poisoning. An estimated 217 people died as a result of this kind of CO poisoning during 1996, the most recent year with complete death certificate data. Of these deaths, heating systems were involved in 163 fatalities, or about 75% of all consumer product-related CO poisoning deaths (Fig

 


 

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Combustion Emissions from Gas Ranges

Authors: American Gas Association

 

There are over 39 million natural gas and propane household gas ranges, ovens, and cooktops (referred to, here, collectively as “ranges”) in the U. S. Even with the excellent safety record of this equipment, increasing attention is being given to combustion emissions from ranges. What combustion emissions from gas ranges are of concern to the public and the gas industry? The natural gas industry has devoted technical attention and research to issues of carbon monoxide (CO) since the 1920s and

 


 

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Pesticides Industry Sales and Usage 1996 and 1997 Market Estimates

Authors: Arnold L. Aspelin and Arthur H. Grube

 

Pesticides of various types are used in most sectors of the U.S. Economy. In general terms, a pesticide is any agent used to kill or control undesired insects, weeds, rodents, fungi, bacteria or other organisms. Thus, the term “pesticide” includes insecticides, herbicides, rodenticides, fungicides, nematicides, and acaracides as well as disinfectants, fumigants, wood preservatives and plant growth regulators. Pesticides play a vital role in controlling agricultural, industrial, home/garden, and

 


 

55.

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Diazinon Revised Risk Assessment and Agreement with Registrants

Authors: United States Environmental Protection Agency, Prevention, Pesticides And Toxic Substances

 

EPA is releasing its revised risk assessment and announcing an agreement with registrants to remove and phase out certain uses of the organophosphate pesticide diazinon. Also known as Spectracide and other trade names, diazinon is one of the most widely-used insecticides in the U.S., especially for household lawn and garden pest control. The Food Quality Protection Act, enacted in 1996, sets a more stringent safety standard for most pesticides and offers special protection for children. EPA has

 


 

56.

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Chlorpyrifos Revised Risk Assessment and Agreement with Registrants

Authors: United States Environmental Protection Agency, Prevention, Pesticides And Toxic Substances

 

EPA has released its revised risk assessment and announced an agreement with registrants to eliminate and phase out certain uses of the organophosphate pesticide chlorpyrifos. Also known as Dursban, Lorsban, and other trade names, chlorpyrifos is one of the most widely-used insecticides in the U.S., both in agriculture and in and around the home. The Food Quality Protection Act, enacted in 1996, sets a more stringent safety standard for most pesticides and offers special protection for childre

 


 

59.

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Pesticides Industry Sales And Usage 1994 and 1995 Market Estimates

Authors: Arnold L. Aspelin

 

This report provides an overview of the pesticide industry for 1994 and 1995. It contains a series of tables with estimates of the U.S. market for those two years. The tables contain information on quantities used and user expenditures (by economic sector and pesticide class), imports, exports, numbers of firms/individuals involved in production/use of pesticides, number of pesticides, certified applicators and on a number of other topics. Much of the tabular information in this report is for th

 


 

60.

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Pesticides Industry Sales and Usage 2000 and 2001 Market Estimates

Authors: Timothy Kiely, David Donaldson and Arthur Grube

 

Under the Federal Insecticide, Fungicide, and Rodenticide Act (FIFRA) and the Federal Food, Drug, and Cosmetic Act (FFDCA), U.S. Environmental Protection Agency (EPA), in cooperation with the States and other agencies, such as the Food and Drug Administration (FDA) and the U.S. Department of Agriculture (USDA), is responsible for regulating the production and use of pesticides in the United States. This report provides contemporary and historical economic information on the U.S. pesticide produc

 


 

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Air Quality Criteria for Carbon Monoxide

Authors: U.S. Environmental Protection Agency

 

The purpose of this document is to present air quality criteria for carbon monoxide (CO), in accordance with Sections 108 and 109 of the Clean Air Act (CAA), that reflect the latest scientific information useful in indicating the kind and extent of all identifiable effects on public health and welfare that may be expected from the presence of CO in ambient air. This document is an update of Air Quality Criteria for Carbon Monoxide, published by the U.S. Environmental Protection Agency in 1991, a

 


 

66.

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Developmental neurotoxicity of chlorpyrifos: cellular mechanisms

Authors: K.D. Whitney, F.J. Seidler and T.A. Slotkin

 

Chlorpyrifos, one of the most widely used pesticides, exhibits greater toxicity during development than in adulthood. We administered chlorpyrifos to neonatal rats in apparently subtoxic doses that caused no mortality and little or no weight deficits and examined developing brain regions (cerebellum, forebrain, brainstem) for signs of interference with cell development. One-day-old rats given 2 mg/kg sc of chlorpyrifos showed significant inhibition of DNA synthesis in all brain regions within 4

 


 

67.

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Non-Occupational Exposures to Pesticides for Residents of Two U.S. Cities

Authors: R. W. Whitmore, et al.

 

The Non-Occupational Pesticide Exposure Study, funded by the U.S. Environmental Protection Agency, was designed to assess total human exposures to 32 pesticides and pesticide degradation products in the non-occupational environment; however, the study focused primarily on inhalation exposures. Two sites--Jacksonville, Florida (USA) and Springfield/Chicopee, Massachusetts (USA)--were studied during three seasons: Summer 1986 (Jacksonville only), Spring 1987, and Winter 1988. Probability samples

 


 

68.

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2002 Annual Report of the American Association of Poison Control Centers

Authors: Willian A. Watson, et al.

 

Toxic Exposure Surveillance System (TESS) data are compiled by the American Association of Poison Control Centers (AAPCC) on behalf of US poison centers. These data are used to identify hazards early, focus prevention education, guide clinical research, and direct training. TESS data have prompted product reformulations, repackaging, recalls, and bans; are used to support regulatory actions; and form the basis of postmarketing surveillance of newly released drugs and products. From its inceptio

 


 

69.

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Measurement of atmospheric concentrations of common household pesticides: a pilot study

Authors: Robert G. Lewis and Andrew E. Bond

 

Abstract. Air concentrations of 28 of the most commonly used household pesticides were measured inside nine homes in Jacksonville, Florida, and compared with corresponding outdoor levels. The households selected were sorted into three categories according to the degree of pesticide indoor usage. Personal air monitoring was also performed on one resident of each household by means of a portable sampler, which was kept with the person at all times. Five of the pesticides were found in the air insi

 


 

70.

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Acute toxicity of two pyrethroids, perrnethrin, and eypermethrin in neonatal and adult rats

Authors: Franco Cantalamessa

 

The present study aims specifically at obtaining a comparison of the acute toxicity of cypermethrin (CY), a type I pyrethroid, and permethrin (PERM), a type II pyrethroid, administered orally as a single dose to neonatal and adult rats, and at assessing the importance of pyrethroid biotransformation in CY and PERM toxicity through use of drug metabolism inhibitors. Our experiments show that CY is more toxic than PERM to adult and neonatal rats. The sensitivity of neonatal rats both to CY and t

 


 

79.

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Vascular Endothelial Cells Generate Peroxynitrite in Response to Carbon Monoxide Exposure

Authors: Stephen R. Thom, Anne Xu and Harry Ischiropoulos

 

Carbon monoxide causes a perivascular oxidative injury in animals, and we tested the hypothesis that endothelial cells could be a source of the injurious oxidants. Studies were undertaken to assess whether exposure to carbon monoxide would cause cultured bovine pulmonary artery endothelial cells to liberate reactive species. Concentrations of carbon monoxide between 11 and 110 nM caused progressively higher concentrations of nitric oxide to be released by endothelial cells based on measurements

 


 

80.

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Effect of short-term exposure to low levels of gaseous pollutants on chronic obstructive pulmonary disease hospitalizations

Authors: Qiuying Yang, et al.

 

We examined the associations between gaseous pollutants and hospitalization for chronic obstructive pulmonary diseases (COPD) among elderly people living in Vancouver, British Columbia, Canada, a city in which ambient air pollution levels are relatively low. We regressed the logarithm of daily counts of acute COPD hospitalization during the 5-year period from 1994 to 1998 on the daily mean levels of each pollutant, after accounting for seasonal and subseasonal fluctuations, non-Poisson dispersi

 


 

81.

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Risk and Protective Factors for Fires, Burns, and Carbon Monoxide Poisoning in U.S. Households

Authors: Carol W. Runyan, et al.

 

Background: More needs to be known about the prevalence of risk and protective factors for fires, burns, and carbon monoxide poisoning in U.S. households. Methods: A random-digit-dial survey was conducted about home safety with 1003 respondents representing households in the continental United States. Descriptive statistics assess the prevalence of risk and protective factors for fires, burns, and carbon monoxide overall, and by demographic characteristics, household structure, region, and resi

 


 

82.

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Carbon Monoxide Poisoning from Portable Electric Generators

Authors: Neil B. Hampson Jennette L. Zmaeff

 

Background: While the overall death rate from unintentional carbon monoxide (CO) poisoning has decreased in the United States due to improved automobile emissions controls and a decline in CO poisonings from motor vehicles, exposures have not changed from some sources of CO. One of these is the operation of portable electrical generators in poorly ventilated spaces. This study sought to describe the population poisoned from CO produced by portable electric generators, and to determine the reaso

 


 

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Surveillance for Carbon Monoxide Poisoning Using a National Media Clipping Service

Authors: Jack C. Clifton, II

 

Using a novel method to review carbon monoxide (CO) exposures in the US, the role of CO detectors in prevention of CO-related deaths was studied. Using a national media clipping service, CO poisonings reported in the US were analyzed. The impact of CO detectors was investigated through nonfatal outcomes attributable to the presence of CO detectors and case fatality rate comparison among cities with and without CO detector ordinances. There were 4,564 CO exposures resulting in 406 (8.9%) fataliti

 


 

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Identifying and managing adverse environmental health effects: 6. Carbon monoxide poisoning

Authors: Alan Abelsohn, Margaret D. Sanborn, Barry J. Jessiman

 

CARBON MONOXIDE POISONING IS AN ENIGMATIC ILLNESS. The symptoms are often nonspecific or masked by an exacerbation of an underlying illness, such as congestive heart failure, that has been triggered by carbon monoxide inhalation. The effects can range from mild, annoying symptoms relieved by removal of the source to severe morbidity with profound central nervous system dysfunction, acute complications and delayed sequelae. Estimates suggest that about one-third of nonfatal cases of carbon monoxi

 


 

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Environmental factors influencing the development and progression of pediatric asthma

Authors: Erika von Mutius

 

Recent data underscore the importance of environmental factors in the sensitization of children to certain allergens and the development of asthma. Maternal smoking and family (especially maternal) history of atopy appear to be risk factors for persistent sensitization and development of asthma. Indeed, exposure to tobacco smoke in utero significantly increases asthma risk and influences the timing of sensitization. It must be stated that any smoking at home has consequences for the development

 


 

116.

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Pesticide residues in urine of adults living in the United States: reference range concentrations

Authors: Robert H. Hill, Jr., et al.

 

We measured 12 analytes in urine of 1000 adults living in the United States to establish reference range concentrations for pesticide residues. We frequently found six of these analytes: 2,5-dichlorophenol (in 98% of adults); 2,4-dichlorophenol (in 64%); 1-naphthol (in 86%); 2-naphthol (in 81%); 3,5,6- trichloro-2-pyridinol (in 82%); and pentachlorophenol (in 64%). The 95th percentile concentration (95th PC) for 2,5-dichlorophenol (indicative of p-dichlorobenzene exposure) was 790 micrograms/lit

 


 

117.

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Reduction of Airborne Particles in Houses With Occupants Having Respiratory Ailments

Authors: Canada Mortgage and Housing Corporation

 

An expanding body of public health research has identified airborne particles as a cause of respiratory ailments.A number of studies have examined the concentration of fine particles in indoor air and the incidence of respiratory complications. In these studies,the average concentration over the period of one or more days was considered. Little attention has been paid, however, to variation in concentration over shorter time scales, such as over the course of a day.This can be investigated by

 


 

120.

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Effect of short-term exposure to low levels of gaseous pollutants on chronic obstructive pulmonary disease hospitalizations

Authors: Qiuying Yanga, et al.

 

We examined the associations between gaseous pollutants and hospitalization for chronic obstructive pulmonary diseases (COPD) among elderlypeople living in Vancouver, British Columbia, Canada, a cityin which ambient air pollution levels are relativelylow. We regressed the logarithm of dailycounts of acute COPD hospitalization during the 5-year period from 1994 to 1998 on the dailymean levels of each pollutant, after accounting for seasonal and subseasonal fluctuations, non-Poisson dispersion, an

 


 

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Distribution of 2,4-Dichlorophenoxyacetic Acid in Floor Dust throughout Homes Following Homeowner and Commercial Lawn Applications: Quantitative Effects of Children, Pets, and Shoes

Authors: Marcia G. Nishioka, Hazel M. Burkholder, Marielle C. Brinkman, and Robert G. Lewis

 

Transport of lawn-applied 2,4-D into 13 actual homes was measured following both homeowner and commercial application of this herbicide to residential lawns. Collection of floor dust in five rooms of each house, corresponding to an entryway, living room, dining room, kitchen, and a child’s bedroom, both prior to and after application, indicated that turf residues are transported indoors and that the gradient in 2,4-D dust loading (íg/m2) through the house follows the traffic pattern from the ent

 


 

122.

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Phthalates, Alkylphenols, Pesticides, Polybrominated Diphenyl Ethers, and Other Endocrine-Disrupting Compounds in Indoor Air and Dust

Authors: Ruthann A. Rudel, David E. Camann, John D. Spengler, Leo R. Korn, and Julia G. Brody

 

Chemicals identified as endocrine-disrupting compounds (EDCs) have widespread consumer uses, yet little is known about indoor exposure. We sampled indoor air and dust in 120 homes, analyzing for 89 organic chemicals identified as EDCs. Fifty-two compounds were detected in air and 66 were detected in dust. These are the first reported measures in residential environments for over 30 of the compounds, including several detected at the highest concentrations. The number of compounds detected per h

 


 

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Chlordanes in the Indoor and Outdoor Air of Three U.S. Cities

Authors: John H. Offenberg

 

Indoor and outdoor concentrations of six chlordane components ( trans-chlordane, cis-chlordane, transnonachlor, cis-nonachlor, oxychlordane, and MC5) were measured at 157 residences, all of which were inhabited by nonsmoking individuals, in three urban areas during June 1999-May 2000. The analyses were conducted on a subset of 48 h integrated samples collected in Los Angeles County, CA, Houston, TX, and Elizabeth, NJ within the Relationship of Indoor, Outdoor, and Personal Air (RIOPA) study. B

 


 

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Measuring Transport of Lawn-Applied Herbicide Acids from Turf to Home: Correlation of Dislodgeable 2,4-D Turf Residues with Carpet Dust and Carpet Surface Residues

Authors: Marcia G. Nishioka, Hazel M. Burkholder, Marielle C. Brinkman, and Sydney M. Gordon, Robert G. Lewis

 

Transport of lawn-applied herbicides into the home via walking over treated turf, defined here as track-in, was measured at five different times out to 1 week after application. Residues of turf-applied 2,4-D and dicamba were measured in carpet dust and on the carpet surface after track-in. Both carpet dust levels and carpet surface dislodgeable residue levels were highly correlated with turf dislodgeable residue levels. Turf dislodgeable residues were 0.1-0.2% of turf application levels. Trans

 


 

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Symptoms of wheeze and persistent cough in the first year of life: associations

Authors: Kathleen Belanger, et al.

 

In a cohort of 849 infants with an asthmatic sibling, the authors examined the relations of exposure to allergens (dust mite, cockroach, cat, and dog), nitrogen dioxide, and mold with symptoms of wheeze and persistent cough in the first year of life (1998–2000). Among infants whose mothers had physician-diagnosed asthma, neither dust mite allergen nor dog allergen was associated with either symptom. Exposure to cockroach allergen (Bla g 1 at ?2 U/g) modestly increased the risk for wheeze (odds r

 


 

137.

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Increased risk of allergy in children due to formaldehyde exposure in homes

Authors: M.H. Garrett, M.A. Hooper, B.M. Hooper, P. R. Rayment and M. J. Abramson

 

Background: Formaldehyde levels were measured in 80 houses in the Latrobe Valley, Victoria, Australia. An association between exposure to formaldehyde and sensitization to common aero-allergens has been suggested from animal trials, but no epidemiologic studies have tested this hypothesis. Methods: A total of 148 children 7-14 years of age were included in the study, 53 of whom were asthmatic. Formaldehyde measurements were performed on four occastions between March 1994 and February 1995 with

 


 

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Use of unvented residential heating appliances -- United States, 1988-1994

Authors: Morbidity & Mortality Weekly

 

Many heating appliances rely on combustion of carbon-based fuels and therefore are potential sources of health-threatening indoor air pollution. Most combustion heating appliances are vented to the outside of buildings to facilitate removal of the products of combustion, which include carbon monoxide (CO), carbon dioxide, nitrogen dioxide, and water vapor ( 1 ). However, some combustion heating devices may be unvented (e.g., kerosene- and propane-fueled space heaters, some gas-fueled log se

 


 

143.

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Deaths from motor-vehicle-related unintentional carbon monoxide poisoning --Colorado, 1996, New Mexico, 1980-1995, and United States,1979-1992

Authors: Morbidity & Mortality Weekly

 

Carbon monoxide (CO) is a colorless, odorless, toxic gas that is a product of incomplete combustion. Motor vehicles, heaters, and appliances that use carbon-based fuels are the main sources of this poison. Most fatal unintentional CO poisonings associated with motor vehicles are preventable and can result from differing mechanisms of exposure: 1) operation of a motor vehicle with a damaged or malfunctioning exhaust system and an inadequately ventilated passenger compartment, 2) operation of a mo

 


 

144.

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Use of Unvented Residential Heating Appliances -- United States, 1988-1994

Authors: Morbidity & Mortality Weekly

 

Many heating appliances rely on combustion of carbon-based fuels and therefore are potential sources of health-threatening indoor air pollution. Most combustion heating appliances are vented to the outside of buildings to facilitate removal of the products of combustion, which include carbon monoxide (CO), carbon dioxide, nitrogen dioxide, and water vapor ( 1 ). However, some combustion heating devices may be unvented (e.g., kerosene- and propane-fueled space heaters, some gas-fueled log sets,

 


 

154.

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National Ambient Air Quality Standards for Carbon Monoxide-Final Decision

Authors: Environmental Protection Agency (EPA)

 

SUMMARY: Identical primary (health-based) and secondary (welfare-based) national ambient air quality standards (NAAQS) for carbon monoxide (CO) were promulgated in 1971 at 9 parts per million (ppm), 8-hour average, and 35 ppm, 1-hour average, neither to be exceeded more than one time per year. In 1985, the EPA announced the decision not to revise the primary CO NAAQS and at the same time to revoke the secondary CO NAAQS. In accordance with sections 108 and 109 of the Clean Air Act (Act), the EP

 


 

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Non-Fire Carbon Monoxide Deaths Associated with the Use of Consumer Products 2001 Annual Estimates

Authors: U.S Consumer Product Safety Commission

 

This report provides information about the number of unintentional non-fire deaths attributed to carbon monoxide (CO) poisoning that were associated with the use of consumer products in 2001. In 2001, there were an estimated 130 unintentional non-fire CO poisoning deaths associated with consumer products under the jurisdiction of the U.S. Consumer Product Safety Commission (CPSC). From 1999-2001, there were an average yearly estimated 126 unintentional non-fire CO poisoning deaths associated wi

 


 

156.

0% -

Non-Fire Carbon Monoxide Deaths Associated with the Use of Consumer Products

Authors: Susan A. Vagts

 

This report provides information about the number of unintentional non-fire deaths attributed to carbon monoxide (CO) poisoning that were associated with the use of consumer products in 1999 and 2000. From 1999-2000, there were an average yearly estimated 124 unintentional non-fire CO poisoning deaths associated with consumer products under the jurisdiction of the U.S. Consumer Product Safety Commission (CPSC). This average estimate is based on an estimated 109 and 138 non-fire CO poisoning deat

 


 

157.

0% -

Non-Fire Carbon Monoxide Deaths Associated with the Use of Consumer 1998 Annual Estimates

Authors: Jean C. Mah

 

This report provides information about the number of unintentional non-fire deaths attributed to carbon monoxide (CO) poisoning that were associated with the use of consumer products in 1998. According to the National Center for Health Statistics (NCHS) totals, between 1994 and 1998, the total number of unintentional non-fire CO poisoning deaths, including those associated with consumer products under the jurisdiction of the U.S. Consumer Product Safety Commission (CPSC) and those associated wi

 


 

160.

0% -

A longitudal investigation of selected pesticide metabolites in urine

Authors: David L Macintosh, Larry L. Needham, Karen A. Hammerstrom, and P. Barry Ryan

 

As part of a longitudinal investigation of environmental exposures to selected chemical contaminants, concentrations of pesticide metabolites 1-naphthol (INAP), 3, 5, 6-trichloro-2pyridinol (TCPY), malathion dicarboxylic acid (MDA), and atrazine mercapturate (AM) were measured in repeated samples obtained from 80 individuals in Maryland during 1995-1996. Up to six urine samples were collected from each individual at intervals of approximately 8 weeks over a 1-year period (i.e., one sample per pa

 


 

161.

0% -

Update: Pulmonary Hemorrhage/Hemosiderosis Among Infants --- Cleveland, Ohio, 1993-1996

Authors: Centers for Disease Control and Prevention

 

Ohio, with acute idiopathic pulmonary hemorrhage, also referred to as pulmonary hemosiderosis (1,2). The children resided in seven contiguous postal tracts and had had one or more hemorrhagic episodes, resulting in one death, during January 1993-December 1994. Preliminary results of a CDC case-control study (2) indicated that hemorrhage was associated with 1) major household water damage during the 6 months before illness and 2) increased levels of measurable household fungi, including the tox

 


 

162.

0% -

Unintentional Non–Fire-Related Carbon Monoxide Exposures — United States, 2001–2003

Authors: Centers for Disease Control and Prevention

 

Carbon monoxide (CO) is a colorless, odorless, poisonous gas that results from incomplete combustion of fuels (e.g., natural or liquefied petroleum gas, oil, wood, coal, or other fuels). CO sources (e.g., furnaces, generators, gas heaters, and motor vehicles) are common in homes or work environments and can put persons at risk for CO exposure and poisoning. Most signs and symptoms of CO exposure are nonspecific (e.g., headache or nausea) and can be mistakenly attributed to other causes, such as

 


 

163.

0% -

Carbon Monoxide Poisoning Associated with Use of LPG-Powered (propone) Forklifts in Industrial Settings - Iowa, 1998

Authors: Center for Disease Control and Prevention

 

In 1998, the Iowa Department of Public Health (IDPH) and Iowa State University (ISU) Extension Department, with the assistance of local health departments, investigated a series of carbon monoxide (CO) poisonings associated with the use of liquified petroleum gas (LPG)-powered forklifts in light industry. In each episode, forklifts emitting high CO concentration levels were operated in inadequately ventilated warehouse and production facilities, which resulted in high CO accumulations. Employe

 


 

164.

0% -

Carbon Monoxide Poisoning from Hurricane-Associated Use of Portable Generators — Florida, 2004

Authors: Centers for Disease Control and Prevention

 

The four major hurricanes that struck Florida during August 13–September 25, 2004, produced electric power outages in several million homes (1). After the hurricanes, the Consumer Product Safety Commission (CPSC) investigated six deaths in Florida attributed to carbon monoxide (CO) poisoning (CPSC, unpublished data, 2004). The Florida Department of Health and CDC analyzed demographic and CO exposure data from these fatal poisoning cases and from nonfatal poisoning cases among 167 persons treate

 


 

165.

0% -

Carbon Monoxide Poisoning Associated with Use of LPG-Powered (propone) Forklifts in Industrial Settings - Iowa, 1998

Authors: Center for Disease Control and Prevention

 

In 1998, the Iowa Department of Public Health (IDPH) and Iowa State University (ISU) Extension Department, with the assistance of local health departments, investigated a series of carbon monoxide (CO) poisonings associated with the use of liquified petroleum gas (LPG)-powered forklifts in light industry. In each episode, forklifts emitting high CO concentration levels were operated in inadequately ventilated warehouse and production facilities, which resulted in high CO accumulations. Employe

 


 

166.

0% -

Use of Carbon Monoxide Alarms to Prevent Poisonings During a Power Outage — North Carolina, December 2002

Authors: Department of Health and Human Services

 

Each year in the United States, approximately 500 persons die from unintentional carbon monoxide (CO) poisoning (1), often during electric power outages caused by severe storms (2–4). Use of residential CO alarms has been recommended to reduce the incidence of CO poisoning (5,6). In September 2000, Mecklenburg County, North Carolina (2002 population: 722,367), adopted a public health ordinance requiring a CO alarm in the majority of residences; all-electric residences without attached ga

 


 

171.

0% -

House dust levels of selected insecticides and a herbicide measured by the EL and LWW samplers and comparisons to hand rinses and urine metabilites

Authors: P. J. Lioy, et al.

 

During the Minnesota Children's Pesticide Exposure Study (MNCPES), comparisons were made between the insecticide/herbicide loadings obtained with two household dust/insecticide or herbicide samplers: the Edwards and Lioy (EL) press sampler (used for dust collection from carpets or other surfaces) and the Lioy, Wainman and Weisel (LWW) surface wipe sampler. The results were compared with hand rinse levels, and urine metabolite levels obtained from 102 children (ages 3-13). All measurements were m

 


 

172.

0% -

Pesticide storage and use patterns in Minnesota households with children

Authors: John L. Adgate, et al.

 

As part of the National Human Exposure Assessment (NHEXAS), residential pesticide storage and use patterns were evaluated in a population-based sample of Minnesota households with children ages 3-13. In-home interviews and inventories were conducted to identify pesticide products stored and used in and around 308 households. This statisfically based sample represents more than 49,000 urban and rural households in the census tracts sampled. More than 850 unique products were identified using Envi

 


 

175.

0% -

Biomonitoring and whole body cotton dosimetry to estimate potential human dermal exposure to semivolatile chemicals

Authors: Robert I. Krieger

 

Current methods of estimating absorbed dosage (AD) of chemicals were evaluated to determine residue transfer from a carpet treated with chlorpyrifos (CP) to humans who performed a structured exercise routine. To determine the dislodgeability of residue, a California Department of Food and Agriculture (CDFA) roller was applied to a flat cotton cloth upon a treated carpet. Levels ranged from 0.06 to 0.99 µg CP/cm2. Cotton whole body disimeters (WBD) were also used to assess residue transer. The do

 


 

176.

0% -

Comparison of pesticide levels in carpet dust and self reported pest treatment practices in four US sites

Authors: Joanne S. Colt

 

Epidemiologic studies have used both questionnaires and carpet dust sampling to assess residential exposure to pesticides. The consistency of the information provided by these two approaches has not been explored. In a population-based case–control study of non-Hodgkin’s lymphoma, carpet dust samples were collected from the homes of 513 control subjects in Detroit, Iowa, Los Angeles, and Seattle. The samples were taken from used vacuum cleaner bags and analyzed for 30 pesticides. Interviewers

 


 

177.

0% -

Residential environmental measurements in the National Human Exposure Assessment Survey (NHEXAS) pilot study in Arizona: preliminary results for pesticides and VOCs

Authors: Sydney M. Gordon, et al.

 

A major objective of the National Human Exposure Assessment Survey (NHEXAS) performed in Arizona was to conduct residential environmental and biomarker measurements of selected pesticides (chlorpyrifos, diazinon), volatile organic compounds (VOCs; benzene, toluene, trichloroethene, formaldehyde, 1,3-butadiene), and metals for total humane exposure assessments. Both personal (e.g., blood, urine, dermal wipes, 24 h duplicate diet) and microenvironmental (e.g. indoor and outdoor air, house dust, fo

 


 

179.

0% -

A Modeling Framework for Estimating Children’s Residential Exposure and Dose to Chlorpyrifos Via Dermal Residue Contact and Nondietary Ingestion

Authors: Valerie G. Zartarian, et al.

 

To help address the Food Quality Protection Act of 1996, a physically based probabilistic model has been developed to quantify and analyze dermal and nondietary ingestion exposure and dose to pesticides. The Residential Stochastic Human Exposure and Dose Simulation Model for Pesticides (Residential-SHEDS) simulates the exposures and doses of children contacting residues on surfaces in treated residences and on turf in treated residential yards. The simulations combine sequential time–location–a

 


 

182.

0% -

An Anthropological Approach to the Evaluation of Preschool Children Exposed to Pesticides in Mexico

Authors: Elizabeth A. Guillette, María Mercedes Meza, Maria Guadalupe Aquilar, Alma Delia Soto, and Idalia Enedina Garcia

 

In this comparative study, we compensated for many of the known variables that influence children's growth and development by selecting two groups of 4-5-year-old Yaqui children who reside in the Yaqui Valley of northwestern Mexico. These children share similar genetic backgrounds, diets, water mineral contents, cultural patterns, and social behaviors. The major difference was their exposure to pesticides. Pesticides have been applied to the agricultural area of the valley since the late 1940s

 


 

183.

0% -

Chemicals in the Environment and Developmental Toxicity to Children: A Public Health: A Public Health and Policy Perspective

Authors: Lynn R. Goldman and Sudha Koduru

 

There are numerous pesticides and toxic chemicals in the environment that have yet to be evaluated for potential to cause developmental neurotoxicity. Recent legislation and testing initiatives provide an impetus to generating more information about potential hazards to children. In the United States, the 1996 Food Quality Protection Act (FQPA) required the U.S. Environmental Protection Agency (U.S. EPA) to make a finding that a pesticide food use is safe for children. In addition, the law requ

 


 

184.

0% -

Exposures of Children to Organophosphate Pesticides and Their Potential Adverse Health Effects

Authors: Brenda Eskenazi, Asa Bradman, and Rosemary Castorina

 

Recent studies show that young children can be exposed to pesticides during normal oral exploration of their environment and their level of dermal contact with floors and other surfaces. Children living in agricultural areas may be exposed to higher pesticide levels than other children because of pesticides tracked into their homes by household members, by pesticide drift, by breast milk from their farmworker mother, or by playing in nearby fields. Nevertheless, few studies have assessed the ex

 


 

188.

0% -

Characterizing Exposures to Nonpersistent Pesticides during Pregnancy and Early Childhood in the National Children’s Study: A Review of Monitoring and Measurement Methodologies

Authors: Asa Bradman and Robin M. Whyatt

 

The National Children’s Study is a proposed longitudinal cohort study to evaluate the relationships between children’s health and the environment. Enrollment is estimated to begin in September 2005, and 100,000 children will be followed from preconception or early pregnancy until adulthood. Among multiple health outcomes, the study is proposing to investigate whether pre- and/or postnatal exposures to nonpersistent pesticides increase the risk of poor performance on neurobehavioral and cognitive

 


 

189.

0% -

Exposure to Indoor Pesticides during Pregnancy in a Multiethnic, Urban Cohort

Authors: Gertrud S. Berkowitz

 

Evidence is growing that indoor pesticide exposure is of considerable magnitude in the United States and that pesticide concentrations may be especially high in urban areas. Of particular concern is exposure of pregnant women because animal data suggest that exposure to pesticides during pregnancy and early life may impair neurodevelopment in the offspring. To investigate the relationship between prenatal exposure to indoor pesticides and infant growth and development, we are conducting a prospe

 


 

190.

0% -

Prenatal Insecticide Exposures and Birth Weight and Length among an Urban Minority Cohort

Authors: Robin M. Whyatt, et al.

 

We reported previously that insecticide exposures were widespread among minority women in New York City during pregnancy and that levels of the organophosphate chlorpyrifos in umbilical cord plasma were inversely associated with birth weight and length. Here we expand analyses to include additional insecticides (the organophosphate diazinon and the carbamate propoxur), a larger sample size (n = 314 mother–newborn pairs), and insecticide measurements in maternal personal air during pregnancy as

 


 

191.

0% -

Contemporary-Use Pesticides in Personal Air Samples during Pregnancy and Blood Samples at Delivery among Urban Minority Mothers and Newborns

Authors: Robin M. Whyatt, et al.

 

We have measured 29 pesticides in plasma samples collected at birth between 1998 and 2001 from 230 mother and newborn pairs enrolled in the Columbia Center for Children’s Environmental Health prospective cohort study. Our prior research has shown widespread pesticide use during pregnancy among this urban minority cohort from New York City. We also measured eight pesticides in 48-hr personal air samples collected from the mothers during pregnancy. The following seven pesticides were detected in 4

 


 

192.

0% -

Residential Pesticide Use during Pregnancy among a Cohort of Urban Minority Women

Authors: Robin M. Whyatt, et al.

 

Residential pesticide use is widespread in the United States. However, data are limited specific to use among minority populations. Nor are data available on the extent of pesticide exposure resulting from residential use during pregnancy. We have gathered questionnaire data on pesticide use in the home during pregnancy from 316 African-American and Dominican women residing in northern Manhattan and the South Bronx. Additionally, 72 women underwent personal air monitoring for 48 hr during their

 


 

194.

0% -

Pesticides in Household Dust and Soil: Exposure Pathways for Children of Agricultura Familiesl

Authors: Nancy J. Simcox, Richard A. Fenske, Sarah A. Wolz, I-Chwen Lee, and David A. Kalman

 

Children of agricultural families are likely to be exposed to agricultural chemicals, even if they are not involved in farm activities. This study was designed to determine whether such children are exposed to higher levels of pesticides than children whose parents are not involved in agriculture and whose homes are not close to farms. Household dust and soil samples were collected in children's play areas from 59 residences in eastern Washington State (26 farming, 22 farmworker, and 11 nonfar

 


 

195.

0% -

Predicting Children’s Short-Term Exposure to Pesticides: Results of a

Authors: Ken Sexton, et al.

 

The ability of questionnaires to predict children’s exposure to pesticides was examined as part of the Minnesota Children’s Pesticide Exposure Study (MNCPES). The MNCPES focused on a probability sample of 102 children between the ages of 3 and 13 years living in either urban (Minneapolis and St. Paul, MN) or nonurban (Rice and Goodhue Counties in Minnesota) households. Samples were collected in a variety of relevant media (air, food, beverages, tap water, house dust, soil, urine), and chemical a

 


 

196.

0% -

Predicting Children’s Short-Term Exposure to Pesticides: Results of a

Authors: Ken Sexton, et al.

 

The ability of questionnaires to predict children’s exposure to pesticides was examined as part of the Minnesota Children’s Pesticide Exposure Study (MNCPES). The MNCPES focused on a probability sample of 102 children between the ages of 3 and 13 years living in either urban (Minneapolis and St. Paul, MN) or nonurban (Rice and Goodhue Counties in Minnesota) households. Samples were collected in a variety of relevant media (air, food, beverages, tap water, house dust, soil, urine), and chemical a

 


 

197.

0% -

Predicting Children’s Short-Term Exposure to Pesticides: Results of a

Authors: Ken Sexton, et al.

 

The ability of questionnaires to predict children’s exposure to pesticides was examined as part of the Minnesota Children’s Pesticide Exposure Study (MNCPES). The MNCPES focused on a probability sample of 102 children between the ages of 3 and 13 years living in either urban (Minneapolis and St. Paul, MN) or nonurban (Rice and Goodhue Counties in Minnesota) households. Samples were collected in a variety of relevant media (air, food, beverages, tap water, house dust, soil, urine), and chemical a

 


 

198.

0% -

Measurement of Children’s Exposure to Pesticides: Analysis of Urinary

Authors: John L. Adgate, et al.

 

The Minnesota Children’s Pesticide Exposure Study is a probability-based sample of 102 children 3–13 years old who were monitored for commonly used pesticides. During the summer of 1997, first-morning-void urine samples (1–3 per child) were obtained for 88% of study children and analyzed for metabolites of insecticides and herbicides: carbamates and related compounds (1-NAP), atrazine (AM), malathion (MDA), and chlorpyrifos and related compounds (TCPy). TCPy was present in 93% of the samples, wh

 


 

204.

0% -

The Effect of Ambient Carbon Monoxide on Low Birth Weight among Children Born in Southern California between 1989 and 1993

Authors: Beate Ritz and Fei Yu

 

We evaluated the effect of carbon monoxide (CO) exposures during the last trimester of pregnancy on the frequency of low birth weight among neonates born 1989-1993 to women living in the Los Angeles, California, area. Using birth certificate data for that period, we assembled a retrospective cohort of infants whose mothers resided within 2 miles of 1 of 18 CO monitoring stations. Based on the gestational age and birth date of each child, we estimated last-trimester exposure by averaging the corr

 


 

205.

0% -

An Association between Fine Particles and Asthma Emergency Department Visits for

Authors: Gary Norris, Sharon N. YoungPong, Jane Q. Koenig, Timothy V. Larson, Lianne Sheppard, and James W. Stout

 

Asthma is the most common chronic illness of childhood and its prevalence is increasing, causing much concern for identification of risk factors such as air pollution. We previously conducted a study showing a relationship between asthma visits in all persons < 65 years of age to emergency departments (EDs) and air pollution in Seattle, Washington. In that study the most frequent zip codes of the visits were in the inner city. The Seattle-King County Department of Public Health (Seattle, WA)

 


 

207.

0% -

Indoor Air Pollution and Childhood Asthma: Effective Environmental Interventions

Authors: Ruth A. Etzel

 

Exposure to indoor air pollutants such as tobacco smoke and dust mites may exacerbate childhood asthma. Environmental interventions to reduce exposures to these pollutants can help prevent exacerbations of the disease. Among the most important interventions is the elimination of environmental tobacco smoke from the environments of children with asthma. However, the effectiveness of reducing asthmatic children's exposure to environmental tobacco smoke on the severity of their symptoms has not y

 


 

209.

0% -

Association between Gaseous Ambient Air Pollutants and Adverse Pregnancy Outcomes in Vancouver, Canada

Authors: Shiliang Liu, Daniel Krewski, Yuanli Shi, Yue Chen, and Richard T. Burnett

 

The association between ambient air pollution and adverse health effects, such as emergency room visits, hospitalizations, and mortality from respiratory and cardiovascular diseases, has been studied extensively in many countries, including Canada. Recently, studies conducted in China, the Czech Republic, and the United States have related ambient air pollution to adverse pregnancy outcomes. In this study, we examined association between preterm birth, low birth weight, and intrauterine growth r

 


 

210.

0% -

Acute Respiratory Diseases and Carboxyhemoglobin Status in School

Authors: Bertha Estrella, et al.

 

Outdoor carbon monoxide comes mainly from vehicular emissions, and high concentrations occur in areas with heavy traffic congestion. CO binds to hemoglobin, forming carboxyhemoglobin (COHb), and reduces oxygen delivery. We investigated the link between the adverse effects of CO on the respiratory system using COHb as a marker for chronic CO exposure. We examined the relationship between acute respiratory infections (ARIs) and COHb concentrations in school-age children living in urban and suburba

 


 

211.

0% -

Effects of Ambient Air Pollution on Symptoms of Asthma in Seattle-Area

Authors: Onchee Yu, Lianne Sheppard, Thomas Lumley, Jane Q. Koenig, and Gail G. Shapiro

 

We observed a panel of 133 children (5–13 years of age) with asthma residing in the greater Seattle, Washington, area for an average of 58 days (range 28–112 days) during screening for enrollment in the Childhood Asthma Management Program (CAMP) study. Daily self-reports of asthma symptoms were obtained from study diaries and compared with ambient air pollution levels in marginal repeated measures logistic regression models. We defined days with asthma symptoms as any day a child reported at lea

 


 

212.

0% -

Effects of Transplacental Exposure to Environmental Pollutants on Birth

Authors: Frederica P. Perera, et al.

 

Inner-city, minority populations are high-risk groups for adverse birth outcomes and also are more likely to be exposed to environmental contaminants, including environmental tobacco smoke (ETS), polycyclic aromatic hydrocarbons (PAHs), and pesticides. In a sample of 263 nonsmoking African-American and Dominican women, we evaluated the effects on birth outcomes of prenatal exposure to airborne PAHs monitored during pregnancy by personal air sampling, along with ETS estimated by plasma cotinine,

 


 

217.

0% -

First National Survey of Lead and Allergens in Housing: Survey Design and

Authors: Patrick J. Vojta, et al.

 

From July 1998 to August 1999, the U.S. Department of Housing and Urban Development and the National Institute of Environmental Health Sciences conducted the first National Survey of Lead and Allergens in Housing. The purpose of the survey was to assess children’s potential household exposure to lead, allergens, and bacterial endotoxins. We surveyed a sample of 831 homes, representing 96 million permanently occupied, noninstitutional housing units that permit resident children. We administered q

 


 

219.

0% -

Healthy Homes Brochure

Authors: U.S. Department of Housing and Urban Development

 

The U.S. Department of Housing and Urban Development's (HUD) Healthy Homes Program helps make our home safer. The Program provides homeowners and rental property owners with practical information about how to prevent health and safety hazards.

 


 

220.

0% -

How Should Parents Protect Their Children From Environmental Tobacco-Smoke Exposure in the Home?

Authors: AnnaKarin Johansson, Gören Hermansson and Johnny Ludvigsson

 

Children’s exposure to tobacco smoke is known to have adverse health effects, and most parents try to protect their children. Objective. To examine the effectiveness of parents’ precautions for limiting their children’s tobacco-smoke exposure and to identify variables associated to parents’ smoking behavior. Design and participants. Children, 2.5 to 3 years old, participating in All Babies in Southeast Sweden, a prospective study on environmental factors affecting development of immune-mediate

 


 

221.

0% -

Pediatric Perspective on the Unique Vulnerability and Resilience of the Embryo and the Child to Environmental Toxicants: The Importance of Rigorous Research Concerning Age and Agent

Authors: Robert L. Brent, Susanne Tanski and Michael Weitzman

 

There is realistic concern about the impact of environmental influences on the health of human populations. First, exposure to environmental agents continues despite successes in reducing exposures to known toxicants such as lead, polychlorinated biphenyls (PCBs) and tobacco smoke. Second, there has been increasing concern about the cause of autism and other neurodevelopmental problems and hypotheses that environmental influences may play a role in the prevalence of these and other such child

 


 

222.

0% -

How Environmental Hazards in Childhood Have Been Discovered: Carcinogens, Teratogens, Neurotoxicants, and Others

Authors: Robert W. Miller

 

Review of the literature reveals that environmental hazards cause adverse health effects that include sterility, infertility, embryotoxicity, low birth weight, skin lesions, neurodevelopmental defects, immunologic disorders, cancer, and fear of late effects. They have been identified mostly by astute practitioners but also by a bacteriologist, an animal experimentalist, 5 factory workers in childless marriages, and a tipsy bystander in an economically impoverished area of Baltimore. Dust on a p

 


 

223.

0% -

Risk Assessment and Child Health

Authors: Jonathan M. Samet

 

Risk assessment, an approach for organizing information about hazards to health, safety, and the environment, provides a framework for gauging the threat to child health from environmental pollutants. A qualitative risk assessment has 4 components: hazard identification, dose–response assessment, exposure assessment, and risk characterization. In a risk assessment, consideration can be given to a population group that potentially has increased susceptibility, whether arising from having a high

 


 

224.

0% -

Environmental Causes of Human Congenital Malformations: The Pediatrician's Role in Dealing With These Complex Clinical Problems Caused by a Multiplicity of Environmental and Genetic Factors

Authors: Robert L. Brent

 

There have been amazing advances in embryology, teratology, reproductive biology, genetics, and epidemiology in the past 50 years that have provided scientists and clinicians with a better perspective on the causes of congenital malformations. We still cannot provide the families of children with malformations a definitive diagnosis and cause in every instance. The purpose of this article is to inform pediatricians about environmental drugs, chemicals, and physical agents that have been documen

 


 

225.

0% -

Pediatric Pharmacokinetic Data: Implications for Environmental Risk Assessment for Children

Authors: Gary Ginsberg, Dale Hattis, Richard Miller and Babasaheb Sonawane

 

Pharmacology and toxicology share a common interest in pharmacokinetic data, especially as it is available in pediatric populations. These data have been critical to the clinical pharmacologist for many years in designing age-specific dosing regimens. Now they are being used increasingly by toxicologists to understand the ontogeny of physiologic parameters that may affect the metabolism and clearance of environmental toxicants. This article reviews a wide range of physiologic and metabolic fact

 


 

226.

0% -

Utilization of Animal Studies to Determine the Effects and Human Risks of Environmental Toxicants (Drugs, Chemicals, and Physical Agents)

Authors: Robert L. Brent

 

Toxicology studies using animals and in vitro cellular or tissue preparations have been used to study the toxic effects and mechanism of action of drugs and chemicals and to determine the effective and safe dose of drugs in humans and the risk of toxicity from chemical exposures. Studies in pregnant animals are used to determine the risk of birth defects and other reproductive effects. There is no question that whole animal teratology studies are helpful in raising concerns about the reproduct

 


 

227.

0% -

Children's Behavior and Physiology and How It Affects Exposure to Environmental Contaminants

Authors: Jacqueline Moya, Cynthia F. Bearer and Ruth A. Etzel

 

Infant, child, and adolescent exposures to environmental toxicants are different from those of adults because of differences in behavior and physiology. Because of these differences, there is the potential for quantitatively different exposures at various stages of development. Pediatricians are well aware of these behavioral and physiologic differences from a clinical standpoint—namely, food and water intake, soil ingestion, mouthing behavior, inhalation physiology, and activity level—as they

 


 

228.

0% -

Prenatal and Postnatal Environmental Tobacco Smoke Exposure and Children's Health

Authors: Joseph R. DiFranza, C. Andrew Aligne and Michael Weitzman

 

Children’s exposure to tobacco constituents during fetal development and via environmental tobacco smoke (ETS) exposure is perhaps the most ubiquitous and hazardous of children’s environmental exposures. A large literature links both prenatal maternal smoking and children’s ETS exposure to decreased lung growth and increased rates of respiratory tract infections, otitis media, and childhood asthma, with the severity of these problems increasing with increased exposure. Sudden infant death syndr

 


 

229.

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Lead

Authors: David C. Bellinger

 

Children differ from adults in the relative importance of lead sources and pathways, lead metabolism, and the toxicities expressed. The central nervous system effects of lead on children seem not to be reversible. Periods of enhanced vulnerability within childhood have not consistently been identified. The period of greatest vulnerability might be endpoint specific, perhaps accounting for the failure to identify a coherent “behavioral signature” for lead toxicity. The bases for the substantial

 


 

230.

0% -

Mercury Exposure and Child Development Outcomes

Authors: Philip W. Davidson, Gary J. Myers, and Bernard Weiss

 

Mercury is ubiquitous in the global environment, ensuring universal exposure. Some forms of mercury are especially neurotoxic, including clinical signs at high doses. However, typical human exposures occur at low to moderate doses. Only limited data about neurotoxicity at low doses are available, and scientists differ in their interpretation. Dose–response data on neurodevelopment are particularly limited. Despite or perhaps because of the lack of sufficient or consistent scientific data, public

 


 

231.

0% -

Pesticides

Authors: Bernard Weiss, Sherlita Amler and Robert W. Amler

 

Pesticides are a broad group of heterogeneous chemicals that have a significant public health benefit by increasing food production productivity and decreasing food-borne and vector-borne diseases. However, depending on the agent and the exposure, they may pose health risks. Because of their behavior, acute accidental toxic exposures occur more commonly in children. Because of the dietary habits and greater intake of foods per kilogram in children and because some infants are breastfed, there i

 


 

232.

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Air Pollution and Children’s Health

Authors: Joel Schwartz

 

Children’s exposure to air pollution is a special concern because their immune system and lungs are not fully developed when exposure begins, raising the possibility of different responses than seen in adults. In addition, children spend more time outside, where the concentrations of pollution from traffic, powerplants, and other combustion sources are generally higher. Although air pollution has long been thought to exacerbate minor acute illnesses, recent studies have suggested that air pollu

 


 

233.

0% -

Effects of Environmental Exposures on the Cardiovascular System: Prenatal Period Through Adolescence

Authors: Suzanne M. Mone, Matthew W. Gillman, Tracie L. Miller, Eugene H. Herman and Steven E. Lipshultz

 

Exposures to drugs, chemical and biological agents, therapeutic radiation, and other factors before and after birth can lead to pediatric or adult cardiovascular anomalies. Furthermore, nutritional deficiencies in the perinatal period can cause cardiovascular anomalies. These anomalies may affect heart structure, the conduction system, the myocardium, blood pressure, or cholesterol metabolism. Developmental periods before and after birth are associated with different types of risks. The embryon

 


 

234.

0% -

Environmental Causes of Central Nervous System Maldevelopment

Authors: Patricia M. Rodier

 

The central nervous system is the most vulnerable of all body systems to developmental injury. This review focuses on developmental processes by which the nervous system is formed and how those processes are known or suspected to be injured by toxic agents. The processes discussed are establishment of neuron numbers; migration of neurons; establishment of connections, neurotransmitter activity, and receptor numbers; deposition of myelin; and 2 processes that are prominent in postnatal developm

 


 

235.

0% -

The Developing Kidney and Environmental Toxins

Authors: Michael J. Solhaug, Philip M. Bolger and Pedro A. Jose

 

The effects of environmental chemicals, drugs, and physical agents on the developing kidney are influenced by the state of renal development and maturation. The development of the kidney, the major excretory organ after birth, consists of 3 stages: the pronephros, or cervical kidney; mesonephros, or thoracic kidney; and metanephros, or abdominal kidney, the definitive kidney. In humans, nephrogenesis and organogenesis occur from the 6th to the 36th weeks of gestational age. After 36 weeks, nephr

 


 

236.

0% -

Enhanced Sensitivity of the Postnatal Lung to Environmental Insults and Oxidant Stress

Authors: Jacob N. Finkelstein and Carl J. Johnston

 

Examination of the current state of health in the United States suggests that childhood lung diseases are increasing at an alarming rate. Looking more closely at the data, it can be seen that this increase is especially true for chronic respiratory diseases such as allergic asthma. This is a disease that is thought to have its roots in childhood insults. The demographics of the current wave of asthma and other chronic lung diseases reveal that the incidence is highest among children in polluted

 


 

237.

0% -

Immunocompetence and Allergy

Authors: Stephen J. McGeady

 

Developed nations are experiencing a marked increase in prevalence of the familial allergic diseases including asthma, allergic rhinitis, atopic dermatitis, and allergic gastroenteropathy, which are often called atopic diseases. No satisfactory explanation for this epidemic is known, but it has been proposed that some facets of modern life tend to bias immune responses away from the Th1 cellular immune responses that protect against many infections and toward Th2 responses that favor atopy. Ther

 


 

238.

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Trends in Environmentally Related Childhood Illnesses

Authors: Tracey J. Woodruff, Daniel A. Axelrad, Amy D. Kyle, Onyemaechi Nweke, Gregory

 

Tracking incidence or prevalence of diseases and using that information to target interventions is a well-established strategy for improving public health. The need to track environmentally mediated chronic diseases is increasingly recognized. Trends in childhood illnesses are one element of a framework for children’s environmental health indicators, which also includes trends in contaminants in the environment and in concentrations of contaminants in bodies of children and their mothers. This

 


 

239.

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The Current State of Knowledge About the Effects, Risks, and Science of Children's Environmental Exposures

Authors: Robert L. Brent and Michael Weitzman

 

In the preface to this supplement, we pointed out that pediatricians and other clinicians have made major contributions to the discovery of environmental toxicants. Many acute illnesses that are caused by high exposures to some toxicants are clinically diagnosable or at least are commonly in the differential diagnosis, eg, organophosphate poisoning, infant botulism, acute lead encephalopathy, carbon monoxide poisoning, acrodynia, hypervitaminosis A and some cases of aplastic anemia, convulsions

 


 

240.

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The Pediatrician’s Role and Responsibility in Educating Parents About Environmental Risks

Authors: Robert L. Brent and Michael Weitzman

 

Pediatricians are fully aware of the major environmental causes of observable childhood morbidity and mortality (Table 1). It is also important for pediatricians to be aware of the variety of parental concerns regarding exposures to environmental chemicals. During their training and practice, one of their tasks is to counsel and educate parents on how to reduce or prevent the more common environmental risks (Table 1), but they have to be knowledgeable about the presence of environmental chemi

 


 

241.

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Environmental Pediatrics and Its Impact on Government Health Policy

Authors: Lynn Goldman, Henry Falk, Philip J. Landrigan, Sophie J. Balk, J. Routt Reigart and Ruth A. Etzel

 

Recent public recognition that children are different from adults in their exposures and susceptibilities to environmental contaminants has its roots in work that began >46 years ago, when the American Academy of Pediatrics (APA) established a standing committee to focus on children’s radiation exposures. We summarize the history of that important committee, now the AAP Committee on Environmental Health, including its statements and the 1999 publication of the AAP Handbook of Pediatric Environme

 


 

242.

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The Endocrine and Reproductive System: Adverse Effects of Hormonally Active Substances?

Authors: Helmut A. Greim

 

Chemicals that have the intrinsic property to modulate or even disrupt the endocrine system are present in the human environment. Because it is the potency of such chemicals that determines the toxicologic relevance, assessment of the risk to human health must consider both the endocrine disrupting potential and the potency. Usually in vitro assays are applied to detect the potential of a hormone-like effect, and such data are considered useful to set priorities for additional testing and for

 


 

243.

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Lead Factsheet

Authors: U.S. Department of Housing and Urban Development Office of Healthy Housing and Lead Hazard Control

 

Did you know...? Many homes built before 1978 have lead-based paint? 3.8 million homes in the United States have peeling or chipping lead-based paint or high levels of lead in dust? Infants, children under six, and pregnant women should have their blood tested for lead? In the United States, children from poor families are eight times more likely to get lead poisoned? What is it? Lead is a toxic metal used in a variety of products and materials. When lead is absorbed into the body, it c

 


 

245.

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Home Safety Factsheet

Authors: U.S. Department of Housing and Urban Development Office of Healthy Homes and Lead Hazard Control

 

Did you know...? Home accidents kill one person every 16 minutes and injure one person every four seconds in the U.S.? More than 1.2 million poisonings among children under age 5 were reported to U.S. poison control centers in 2002? Nearly 40,000 children under age 14 are injured by fires each year? Home Safety includes preventing unintentional injuries. Unintentional injuries in the home include poisoning, fires and burns, choking, drowning, suffocation, strangulation, firearms, and falls

 


 

247.

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Carbon Monoxide Poisoning Factsheet

Authors: U.S. Department of Housing and Urban Development Office of Healthy Homes and Lead Hazard Control

 

Did you know...? Over 500 people in the United States die from accidental carbon monoxide (CO) poisoning each year? Over 10,000 people seek medical attention for CO poisoning each year? Infants, people with lung or heart disease, or people with anemia are more seriously affected? What is it? Carbon monoxide is a gas that cannot be seen, smelled or tasted, and can be fatal when breathed. The symptoms that occur with carbon monoxide poisoning are similar to those of the flu and allergies.

 


 

249.

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Radon Factsheet

Authors: U.S. Department of Housing and Urban Development Office of Healthy Homes and Lead Hazard Control

 

Did you know...? Radon is the second leading cause of lung cancer, after smoking? Approximately 20,000 cancer deaths each year are caused by radon? What is it? Radon is a radioactive gas that cannot be seen, smelled, or tasted and is found naturally around the country. When you breathe air containing radon, the sensitive cells in your airway are irritated, increasing your risk of getting lung cancer. Radon is found in the dirt and rocks beneath houses, in well water, and in some building mat

 


 

252.

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Low-Level Environmental Lead Exposure and Children’s Intellectual Function:

Authors: Bruce P. Lanphear, et.al.

 

Lead is a confirmed neurotoxin, but questions remain about lead-associated intellectual deficits at blood lead levels < 10 µg/dL and whether lower exposures are, for a given change in exposure, associated with greater deficits. The objective of this study was to examine the association of intelligence test scores and blood lead concentration, especially for children who had maximal measured blood lead levels < 10 µg/dL. We examined data collected from 1,333 children who participated in seven int

 


 

253.

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Preventing Lead Poisoing in Young Children

Authors: Centers for Disease Control and Prevention

 

This is the fi fth revision of Preventing Lead Poisoning in Young Children by the Centers for Disease Control and Prevention (CDC). As with the previous statements, the recommendations presented here are based on scientific evidence and practical considerations. This revision accompanies a companion document, A Review of Evidence of Adverse Health Effects Associated with Blood Lead Levels <10 µg/dL in Children, developed by Advisory Committee on Lead Poisoning Prevention which reviews the scient

 


 

255.

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Lead Safe Yards: A Program for Improving Health in Urban Neighborhoods

Authors: Jill S. Litt, H. Patricia Hynes, Paul Carroll, Robert Maxfield,

 

Childhood lead poisoning is one example of a contemporary environmental health problem that has been treated and managed through an array of environmental and biomedical interventions and prevention strategies. It is an issue that has been a concern of public health officials for decades and has been addressed quite successfully from a national perspective. By eliminating two major sources of exposure—leaded gasoline and leaded paint—blood lead levels for the majority of Americans have dropped

 


 

256.

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Emission of chemicals by air fresheners: Tests on 74 consumer products sold in Europe

Authors: International Research and Testing

 

The health and comfort of the occupants of a home depends heavily on the quality of the air and the presence of pollutants. These pollutants come from a multitude of sources, such as furniture, paints, varnishes, cleaning products, glues, etc. In this document, we shall be looking at polluting emissions from air fresheners. Laboratory tests have been carried out at the initiative of BEUC (Bureau européen des Unions de Consommateurs) by ICRT (International Consumer Research & Testing) on air fres

 


 

257.

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Environmental Pollutants and Disease in American Children: Estimates of Morbidity, Mortality, and Costs for Lead Poisoning, Asthma, Cancer, and Developmental Disabilities

Authors: Philip J. Landrigan, Clyde B. Schechter, Jeffrey M Lipton, Marianne C. Fahs, Joel Schwartz

 

In this study, we aimed to estimate the contribution of environmental pollutants to the incidence, prevalence, mortality, and costs of pediatric disease in American children. We examined four categories of illness: lead poisoning, asthma, cancer, and neurobehavioral disorders. To estimate the proportion of each attributable to toxins in the environment, we used an environmentally attributable fraction (EAF) model. EAFs for lead poisoning, asthma, and cancer were developed by panels of experts t

 


 

258.

0% -

Association of Housing Disrepair Indicators with Cockroach and Rodent Infestations in a Cohort of Pregnant Latina Women and Their Children

Authors: Asa Bradman, Jonathan Chevrier, Ira Tager, et al.

 

Health burdens associated with poor housing and indoor pest infestations are likely to affect young children in particular, who spend most of their time indoors at home. We completed environmental assessments in 644 homes of pregnant Latina women and their children living in the Salinas Valley, California. High residential densities were common, with 39% of homes housing > 1.5 persons per room. Housing disrepair was also common: 58% of homes had peeling paint, 43% had mold, 25% had water damage

 


 

263.

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Comparison of Home Lead Dust Reduction Techniques on Hard Surfaces: The New Jersey Assessment of Cleaning Techniques Trial

Authors: David Q. Rich, George G. Rhoads, Lih-Ming Yiin, et al.

 

High efficiency particulate air filter (HEPA) vacuums, which collect particles > 0.3 µm, and trisodium phosphate (TSP), a detergent claimed to selectively remove lead, have been included in the HUD Guidelines for the Evaluation and Control of Lead Based Paint Hazards in Housing without systematic validation of their effectiveness. At the time the study was initiated, both HEPA vacuums and TSP were relatively expensive, they were not readily found in urban retail centers, and there were environme

 


 

266.

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Home and Allergic Characteristics of Children with Asthma in Seven U.S. Urban Communities and Design of an Environmental Intervention: The Inner-City Asthma Study

Authors: Ellen F. Crain, et al.

 

Most published environmental remediation interventions have been directed at single allergens and have employed demanding strategies; few have been performed in the homes of inner-city children disproportionately burdened by asthma. Our objective was a) to describe the allergen sensitivities, environmental tobacco smoke (ETS) exposure, and home environmental characteristics of a national sample of inner-city children with moderate to severe asthma and b) to develop and implement a multifaceted,

 


 

267.

0% -

Disturbing Behavor: Neurotoxic Effects in Children

Authors: Dan C. VanderMeer, Mike May

 

An epidemic of neurobehavioral problems is sweeping through children today. According to In Harm’s Way:Toxic Threats to Child Development, a May 2000 report published by the Greater Boston Physicians for Social Responsibility, 12 million American children suffer from learning, developmental, or behavioral disabilities. Specifically, these disabilities may include attention-deficit/hyperactivity disorder (ADHD), autism, learning disabilities, mental retardation, and other neurobehavioral prob

 


 

273.

0% -

Personal exposure monitoring of particulate matter, nitrogen dioxide, and carbon monoxide, including susceptible groups

Authors: R M Harrison, C A Thornton, R G Lawrence, D Mark, R P Kinnersley and J G Ayres

 

Aims: To investigate the relation between personal exposures to nitrogen dioxide, carbon monoxide, and PM10, and exposures estimated from static concentrations of these pollutants measured within the same microenvironments, for healthy individuals and members of susceptible groups. Methods: Eleven healthy adult subjects and 18 members of groups more susceptible to adverse health changes in response to a given level of exposure to nitrogen dioxide, carbon monoxide, and/or PM10 than the general

 


 

275.

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An air pollution model for use in epidemiological studies: evaluation with measured levels of nitrogin dioxide and benzene

Authors: Ole Raaschou-Nielsen, et al.

 

The aim of the study was to evaluate the predictions derived from the Danish Operational Street Pollution Model (OSPM) when the input data are obtained by simple methods that could be used in large-scale epidemiological studies. The model calculations were thus compared with passive sampler measurements of nitrogen dioxide and benzene at 103 street locations in Copenhagen, Denmark, and at 101 locations in rural areas. Data on traffic and street configuration were collected by means of a simple r

 


 

277.

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Parental smoking, bronchial reactivity and peak flow variability in children

Authors: Derek G. Cook, David P. Strachan

 

Background: A systematic quantitative review was conducted of the evidence relating environmental tobacco smoke to bronchial hyperresponsiveness (BHR) during childhood. Methods: Twenty nine relevant studies were identified after consideration of 1593 articles selected by electronic search of the Embase and Medline databases using keywords relevant to passive smoking in children. The search was completed in April 1997. Results: Of 19 studies using challenge tests in children of school age, 10

 


 

278.

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Advising parents of asthmatic children on passive smoking; randomised controlled trial

Authors: Linda Irvine, et al.

 

Objective: To investigate whether parents of asthmatic children would stop smoking or alter their smoking habits to protect their children from environmental tobacco smoke. Design: Randomised controlled trial. Setting: Tayside and Fife, Scotland. Participants: 501 families with an asthmatic child aged 2-­12 years living with a parent who smoked. Intervention: Parents were told about the impact of passive smoking on asthma and were advised to stop smoking or change their smoking habits to p

 


 

283.

0% -

Rethinking Environmental Peformance from a Public Health Perspective- A Compartive Industry Analysis

Authors: Dinah A. Koehler, Deborah H. Bennett, Gregory A. Norris, John D. Spengler

 

To date the most common measures of environmental performance used to compare industries, and by extension firms or facilities, have been quantity of pollution emitted or hazardous waste generated. Discharge information, however, does not necessarily capture potential health effects. We propose an alternative environmental performance measure that includes the public health risks of toxic air emissions extended to industry supply chains using economic input-output life-cycle assessment.

 


 

284.

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The Association between Asthma and Allergic Symptoms in Children and Phthalates in House Dust: A Nested Case–Control Study

Authors: Carl-Gustaf Bornehag, Jan Sundell, Charles J. Weschler, Torben Sigsgaard, Björn Lundgren

 

Global phthalate ester production has increased from very low levels at the end of World War II to approximately 3.5 million metric tons/year. The aim of the present study was to investigate potential associations between persistent allergic symptoms in children, which have increased markedly in developed countries over the past three decades, and the concentration of phthalates in dust collected from their homes. This investigation is a case–control study nested within a cohort of 10,852 child

 


 

285.

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Valuing Children’s Health: A Reassessment of the Benefits of Lower Lead Levels

Authors: Randall Lutter

 

Benefits to parents of lower lead levels in their children are much less than federal regulatory agencies’ estimates of benefits, which they compute as the expected discounted gains to children’s lifetime earnings. Using earlier work by Agee and Crocker, I show benefits to parents are between $1,100 and $1,900 per IQ point gained, or roughly one-sixth of the benefits to children estimated by federal agencies. The new estimates are superior insofar as they are based on observed behavior. They al

 


 

287.

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The United Kingdom Childhood Cancer Study of exposure to domestic sources of ionising radiation: 1: radon gas

Authors: UK Childhood Cancer Study Investigators

 

The UK Childhood Cancer Study (UKCCS) was specifically designed to investigate the impact of a wide range of possible risk factors, including exposure to naturally occurring ionising radiation (UKCCS Investigators, 2000). The hypothesis was created partly because of concerns expressed about the possibility that domestic levels of radon gas and its decay products might prove to be a risk for the development of leukaemia in both adults and children. Two distinct lines of investigation had led to t

 


 

289.

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The Relationship between Blood Lead Levels and Periodontal Bone Loss in the United States, 1988–1994

Authors: Bruce A. Dye, Rosemarie Hirsch, and Debra J. Brody

 

An association between bone disease and bone lead has been reported. Studies have suggested that lead stored in bone may adversely affect bone mineral metabolism and blood lead (PbB) levels. However, the relationship between PbB levels and bone loss attributed to periodontal disease has never been reported. In this study we examined the relationship between clinical parameters that characterize bone loss due to periodontal disease and PbB levels in the U.S. population. We used data from the Thi

 


 

290.

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The Influence of Exterior Dust and Soil Lead on Interior Dust Lead Levels in Housing That Had Undergone Lead-Based Paint Hazard Control

Authors: Scott Clark, William Menrath, Mei Chen, Paul Succop, Robert Bornschein, Warren Galke, and Jonathan Wilson

 

To aid in understanding the contribution of exterior dust/soil lead to postintervention interior dust lead, a subset of housing from the HUD Lead-Based Paint Hazard Control Grant Program Evaluation was selected for study. Housing from 12 state and local governments was included. Exterior entry and street dust samples were obtained by a vacuum method, and soil samples were building perimeter core composites. Interior dust wipe lead data (µg/ft2) and paint lead data (mg/cm2) were also available fo

 


 

291.

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The High Cost of Improper Removal of Lead-Based Paint from Housing: A Case Report

Authors: David E. Jacobs, Howard Mielke, and Nancy Pavur

 

The costs of lead-based paint hazard control in housing are well documented, but the costs of cleanup after improper, inherently dangerous, methods of removing lead-based paint are not. In this article we report a case of childhood lead poisoning and document the costs of decontamination after uncontained power sanding was used to remove paint down to bare wood from approximately 3,000 ft2 of exterior siding on a large, well-maintained 75-year-old house in a middle-income neighborhood. After th

 


 

292.

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The Effects of Environmental Tobacco Smoke on Health Services Utilization in the First Eighteen Months of Life

Authors: Tai-Hing Lam, Gabriel M. Leung and Lai-Ming Ho

 

Objective. To examine the effects of environmental tobacco smoke (ETS) on health services use in Chinese infants with nonsmoking mothers. Design. Prospective, population-based birth cohort. Setting. General population of Hong Kong in 1997–1998. Participants. A total of 8327 parent–infant pairs who were followed up for 18 months. Main Outcome Measures. Doctor consultations and hospitalizations. Results. After adjusting for the age, education level, and employment status of mothers—as well as inf

 


 

293.

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The Effect of Interior Lead Hazard Controls on Children’s Blood Lead Concentrations: A Systematic Evaluation

Authors: Erin Haynes, Bruce P. Lanphear, Ellen Tohn, Nick Farr, and George G. Rhoads

 

Dust control is often recommended to prevent children’s exposure to residential lead hazards, but the effect of these controls on children’s blood lead concentrations is uncertain. We conducted a systematic review of randomized, controlled trials of low-cost, lead hazard control interventions to determine the effect of lead hazard control on children’s blood lead concentration. Four trials met the inclusion criteria. We examined mean blood lead concentration and elevated blood lead concentratio

 


 

294.

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The Effect of Dust Lead Control on Blood Lead in Toddlers: A Randomized Trial

Authors: George G. Rhoads, Adrienne S. Ettinger, Clifford P. Weisel, Timothy J. Buckley,

 

Background. Contaminated household dust is believed to be a major source of exposure for most children with elevated blood lead levels. To determine if a vigorous dust clean-up effort would reduce this exposure we conducted a randomized controlled field trial. Methods. We randomized 113 urban children between the ages of 6 and 36 months: 56 children to a lead dust intervention composed of maternal education and biweekly assistance with household cleaning and 57 children to a control group. Hous

 


 

301.

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Residential Dust Lead Loading Immediately After Intervention in the HUD Lead Hazard Control Grant Program

Authors: Sherry L. Dixon, Jonathan W. Wilson, Paul A. Succop, Mei Chen, Warren A. Galke, William Menrath, and C. Scott Clark

 

At the conclusion of most lead hazard control interventions in federally assisted housing built before 1978, a certified clearance examiner must verify that the lead hazard control work was completed as specified and that the area is safe for residents, a process referred to as clearance. This study explores the experience of 14 grantees participating in the Evaluation of the HUD Lead-Based Paint Hazard Control Grant Program in passing clearance. The study also considers how preintervention lea

 


 

305.

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Preventing Lead Poisoning: U.S. Federal Policies and Current Technologies

Authors: Barbara A. Haley, Peter J. Ashley

 

Lead poisoning is the most common environmentally induced disease among American children, and it is completely preventable. The term "lead-based paint hazard" means any dust condition that causes exposure to lead from lead-contaminated dust, lead-contaminated soil, or deteriorated lead-based paint that would result in adverse human health effects. The following is a bried description of the problem and the federal policies that are intended to prevent lead poisoning, plus a brief description of

 


 

306.

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Prevalence of Lead Dust Hazards Study: A Report for the Community

Authors: Multnomah County Health Department

 

Indoor lead dust is a major cause of lead poisoning in children. In this study, a screening procedure was used to measure the amount oflead dust in 125 houses in North, Northeast, and Southeast Portland that were built before 1930. Seventy-one percent of the houses had composite lead dust levels that exceeded federal standards. These houses may contain amounts of lead dust that could be hazardous to children and adults.

 


 

308.

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Occurrence and determinants of increases in blood lead levels in children shortly after lead hazard control activities

Authors: Scott Clark, JoAnn Grote, Jonathan Wilson, Paul Succop, MeiChen, WarrenGalke, and Pat McLaine

 

Intervention was conducted as part of the US Department of Housing and Urban Development’s Lead-Based Paint Hazard Control Grant Program. Fourteen state and local government grantees participated in the evaluation. The ?ndings indicated an overall average reduction in the blood lead levels of 869 children soon after the implementation of lead hazard controls. However, 9.3% of these children (n¼81) had blood lead increases of 5mg/dL or more. Data routinely collected as part of the evaluation, as

 


 

310.

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National burden of disease in India from indoor air pollution

Authors: Kirk R. Smith

 

In the last decade, a number of quantitative epidemiological studies of speci?c diseases have been done in developing countries that for the ?rst time allow estimation of the total burden of disease (mortality and morbidity) attributable to use of solid fuels in adult women and young children, who jointly receive the highest exposures because of their household roles. Few such studies are available as yet for adult men or children over 5 years. This paper evaluates the existing epidemiological s

 


 

311.

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MRI and Neuropsychological Correlates of Carbon Monoxide Exposure:A Case Report

Authors: Sherral A. Devine, Shalene M. Kirkley, Carole L. Palumbo, Roberta F. White

 

A 45-year-old woman experienced long-term, chronic exposure to carbon monoxide in the restaurant kitchen where she was employed as a cook. After returning to the restaurant after 5 days off work, she noticed that her symptoms returned immediately; she then aired out the room and called the gas company. Approximately 6 hours after a leak was detected, the patient went to the hospital, where her carboxyhemoglobin was found to be within normal limits and results of a neurologic examination were des

 


 

313.

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Lead-Based Paint Testing Technologies: Summary of an EPA/HUD Field Study

Authors: R.L. Schmehla, D.C. Cox, F.G. Dewalta, M.M. Haugen, R.A. Koyaka, J.G. Schwemberger Jr., J.V. Scalerab

 

The U.S. Environmental Protection Agency and the U.S. Department of Housing and Urban Development sponsored a field study of portable technologies for testing for lead in paint in three U.S. cities in 1993. Six chemical test kits and six X-ray fluorescence instruments, which represented the two main types of portable technologies available for residential lead testing at that time, were evaluated. Painted building components in single-family and multifamily housing units were selected to assess

 


 

314.

0% -

Medical Conditions Associated with Indoor Air Quality (IAQ) Problems

Authors: John J. Ouellette, M.D.

 

NNED ABSTRACT

 


 

317.

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Home and Allergic Characteristics of Children with Asthma in Seven U.S. Urban Communities and Design of an Environmental Intervention: The Inner-City Asthma Study

Authors: Ellen F. Crain, Michelle Walter, George T. O’Connor, Herman Mitchell, Rebecca S. Gruchalla, Meyer Kattan, George S. Malindzak, Paul Enright, Richard Evans III, Wayne Morgan, and James W. Stout

 

Most published environmental remediation interventions have been directed at single allergens and have employed demanding strategies; few have been performed in the homes of inner-city children disproportionately burdened by asthma. Our objective was a) to describe the allergen sensitivities, environmental tobacco smoke (ETS) exposure, and home environmental characteristics of a national sample of inner-city children with moderate to severe asthma and b) to develop and implement a multifaceted,

 


 

321.

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Hazardous Air Pollutants and Asthma

Authors: George D. Leikauf

 

Asthma has a high prevalence in the United States, and persons with asthma may be at added risk from the adverse effects of hazardous air pollutants (HAPs). Complex mixtures (fine particulate matter and tobacco smoke) have been associated with respiratory symptoms and hospital admissions for asthma. The toxic ingredients of these mixtures are HAPs, but whether ambient HAP exposures can induce asthma remains unclear. Certain HAPs are occupational asthmagens, whereas others may act as adjuncts dur

 


 

323.

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Epidemiologic Evidence for Asthma and Exposure to Air Toxics: Linkages between Occupational, Indoor, and Community Air Pollution Research

Authors: Ralph J. Delfino

 

Outdoor ambient air and possibly the onset of asthma. However, the complexity of pollutant mixtures and etiologicheterogeneity of asthma has made it difficult to identify causal components in those mixtures. Occupational exposures associated with asthma may yield clues to causal components in ambient air pollution because such exposures are often identifiable as single-chemical agents (e.g., metalcompounds). However, translating occupational to community exposure–response relationships is limite

 


 

324.

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Environmental allergen avoidance: An overview

Authors: Peyton A.Eggleston, and Robert K.Bush

 

n 1999,the American Academy of Asthma, Allergy and Immunology published a position statement that recommended that physicians include indoor allergen avoidance approaches as adjunctive therapy for patients with chronic allergic asthma. This statement supported the development of a public education process to increase general awareness of the role of environmental allergens in the pathogenesis of allergic asthma. Additionally, it recommended that patients with allergic asthma be given practical a

 


 

325.

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Environmental Air Toxics: Role in Asthma Occurrence?

Authors: Gary L. Larsen, Craig Beskid, Lata Shirname-More

 

The National Urban Air Toxics Research Center (NUATRC)hosted its first scientific workshop in 1994 that focused on possible relationships between air toxics and asthma. From that meeting came recommendations for future research including a need for more complete individual personal exposure assessments so that determinations of personal exposures to pollutants could be made. In the spring of 2001, NUATRC held a second such workshop to review progress made in this area during the intervening 7 ye

 


 

327.

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Economic Gains Resulting from the Reduction in Children’s Exposure to Leadin the United States

Authors: Scott D. Grosse, Thomas D. Matte, Joel Schwartz, Richard J. Jackson

 

In this study, we quantify economic benefits from projected improvements in worker productivity resulting from the reduction in children’s exposure to lead in the United States since 1976. We calculated the decline in blood lead levels (BLLs) from 1976 to 1999 on the basis of nationally representative National Health and Nutrition Examination Survey (NHANES) data collected during 1976 through 1980, 1991 through 1994, and 1999. The decline in mean BLL in 1- to 5-year-old U.S. children from 1976–1

 


 

330.

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Does Housing Mobility Policy Improve Health?

Authors: Dolores Acevedo-Garcia, Theresa L. Osypuk, Rebecca E. Werbel, Ellen R. Meara, David M. Cutler, Lisa F. Berkman

 

This article summarizes the empirical evidence for the effect of housing mobility policies on health outcomes. Our focus derived from our interest in housing policies that might help reduce health disparities and our finding that, excluding policies concerned with the physical characteristics of housing (e.g., exposure to lead), only housing mobility has been evaluated for its effects on health. We reviewed 13 articles dealing with five housing mobility studies and ranked them according to their

 


 

331.

0% -

Dermal Transfer Efficiency of Pesticides from New, Vinyl Sheet Flooring to Dry and Wetted Palms

Authors: Jackie M. Clothier

 

This report presents results of a study to determine the transfer efficiencies from sheet vinyl flooring to human skin of three pesticides commonly used for residential indoor insect control. Formulations of the insecticides chlorpyrifos, pyrethrin I and piperonyl butoxide were applied to new, sheet vinyl flooring by broadcast spray and allowed to dry for four hours. Deposition coupons were used to estimate initial surface loadings and the PUF Roller was to measure dislodgeable residues. After t

 


 

332.

0% -

Critical Windows of Exposure to Household Pesticides and Risk of Childhood Leukemia

Authors: Xiaomei Ma, Patricia A. Buffler, Robert B. Gunier, Gary Dahl, Martyn T. Smith, Kyndaron Reinier, and Peggy Reynolds

 

The potential etiologic role of household pesticide exposures was examined in the Northern California Childhood Leukemia Study. A total of 162 patients (0–14 years old) with newly diagnosed leukemia were rapidly ascertained during 1995–1999, and 162 matched control subjects were randomly selected from the birth registry. The use of professional pest control services at anytime from 1 year before birth to 3 years after was associated with a significantly increased risk ofchildhood leukemia [odds

 


 

334.

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Blood lead levels following abatements study

Authors: Ralph Timperi, Mary Jean Brown, Harvey George, Paul Hunter

 

Objectives. This study will obtain quantitative estimates of changes in blood lead levels of lead poisoned children who do not receive chelation therapy and who reside in housing that undergoes lead paint abatement; obtain estimates of changes in house dust lead levels in abated housing units; evaluate factors that may effect changes in blood or dust lead levels follwoing abatement. Methodology. This study will use a cohort prospective design and measure blood lead (BPb) levels in an interventio

 


 

337.

0% -

Association of Asthma Symptoms with Peak Particulate Air Pollution and Effect Modification by Anti-inflammatory Medication Use

Authors: Ralph J. Delfino, Robert S. Zeiger, James M. Seltzer, Donald H. Street, and Christine E. McLaren

 

Maxima of hourly data from outdoor monitors may capture adverse effects of outdoor particulate matter (PM) exposures in asthmatic children better than do 24-hr PM averages, which form the basis of current regulations in the United States. Also, asthmatic children on anti-inflammatory medications may be protected against the pro inflammatory effects of air pollutants and aeroallergens. We examined strengths of pollutant associations with asthma symptoms between subgroups of asthmatic children who

 


 

338.

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Assessment of Cleaning to Control Lead Dust in Homes of Children with Moderate Lead Poisoning: Treatment of Lead-Exposed Children

Authors: Adrienne S. Ettinger, Robert L. Bornschein, Mark Farfel, Carla Campbell, N. Beth Ragan, George G. Rhoads, Merrill Brophy, Sherry Wilkins, and Douglas Dockery

 

In this article we describe the assessment and control of lead dust exposure in the Treatment of Lead-exposed Children (TLC) Trial, a clinical trial of the effects of oral chelation on developmental end points in urban children with moderately elevated blood lead levels. To reduce potential lead exposure from settled dust or deteriorated paint during the drug treatment phase of the trial, the homes of 765 (98%) of the randomized children (both active and placebo drug treatment groups) were profe

 


 

340.

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An Evaluation of One-Time Professional Cleaning in Homes with Lead-Based Paint Hazards

Authors: Ellen R.Tohn, Sherry L. Dixon, Jonathan W. Wilson, Warren A. Galke, and C. Scott Clark

 

A key challenge in reducing the burden of lead poisoning is to identify cost-effective interventions that minimize lead-based paint hazards. One-time professional cleaning of lead-contaminated dust and debris was conducted in 37 housing units with deteriorated lead-based paint and dust lead hazards. These study units are a subset of a larger cohort of the nearly 3500 housing units enrolled in the Evaluation of the HUD Lead-Based Paint Hazard Control Grant Program. Dust lead loading measurements

 


 

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Ambient Urban Baltimore Particulate-Induced Airway Hyperresponsiveness and Inflammation in Mice

Authors: Dianne M. Walters, Patrick N. Breysse, and Marsha Wills-Karp

 

Airborne particulate matter (PM) is hypothesized to play a role in increases in ashtma prevalence, although a casual relationship has yet to be established. To investigate the effects of real-world PM exposure on airway reactivity (AHR) and bronchoalveolar lavage (BAL) cellularity, we exposed naive mice to a single does (0.5 mg/mouse) of ambient PM, coal fly ash, or diesel PM. We found that ambient PM exposure induced increases in ARH and BAL cellularity, whereas diesel PM induced significant in

 


 

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