Agency for Toxic Substances and Disease Registry
Encyclopedia
The Agency for Toxic Substances and Disease Registry (ATSDR) is a federal public health agency within the United States Department of Health and Human Services
. The agency focuses on minimizing human health risks associated with exposure to hazardous substances. It works closely with other federal, state, and local agencies; tribal governments; local communities; and healthcare providers. Its mission is to "Serve the public through responsive public health
actions to promote healthy and safe environments and prevent harmful exposures." ATSDR was created as an advisory, nonregulatory agency by the Superfund
legislation and was formally organized in 1985.
Although ATSDR is an independent operating division within the Department of Health and Human Services, the Centers for Disease Control and Prevention
(CDC) performs many of its administrative functions. The CDC director also serves as the ATSDR administrator, and ATSDR has a joint Office of the Director with the National Center for Environmental Health (NCEH). The ATSDR headquarters are located in Atlanta, Georgia
, at the CDC Chamblee campus. In fiscal year 2010, ATSDR had an operating budget of $76.8 million and had roughly 300 full-time employees (not including contractors).
concerned with the effects of hazardous substances on human health. ATSDR is charged with assessing the presence and nature of health hazards at specific Superfund sites, as well as helping prevent or reduce further exposure and the illnesses that can result from such exposures.
ATSDR functions include public health assessments of hazardous waste sites, health consultations concerning specific hazardous substances, health surveillance and registries, response to emergency releases of hazardous substances, applied research in support of public health assessments, information development and dissemination, and education and training concerning hazardous substances. ATSDR also prepares toxicological profiles for hazardous substances found at National Priorities List
sites, as well as at federal sites administered by the Department of Defense
and Department of Energy
.
(EPA), ATSDR is an advisory, nonregulatory agency. ATSDR conducts research on the health impacts of hazardous waste sites and provides information and recommendations to federal and state agencies, community members, and other interested parties. However, ATSDR is not involved in cleanup of those sites, nor can ATSDR provide or fund medical treatment for people who have been exposed to hazardous substances.
and Times Beach, Missouri
, Congress
passed the Comprehensive Environmental Response, Compensation, and Liability Act of 1980
(CERCLA), commonly known as the Superfund legislation. CERCLA gave EPA primary responsibility for identifying, investigating, and cleaning up hazardous waste sites. CERCLA also authorized the establishment of ATSDR to assess the presence and nature of health hazards to communities living near Superfund sites, to help prevent or reduce harmful exposures, and to expand the knowledge base about the health effects that result from exposure to hazardous substances. ATSDR was created as an agency under the Department of Health and Human Services on April 19, 1983, and James O. Mason
served as the agency's first administrator. The Hazardous and Solid Waste Amendments of 1984 to the Resource Conservation and Recovery Act
(RCRA) gave ATSDR additional authority related to hazardous waste storage facilities. ATSDR was charged with conducting public health assessments at these sites when requested by EPA, states, or individuals, as well as assisting EPA to determine which substances should be regulated and the levels at which chemicals may pose a threat to human health. ATSDR was formally organized as an agency on June 11, 1985. The Superfund Amendments and Reauthorization Act of 1986 (SARA) broadened ATSDR's responsibilities in the areas of public health assessments, establishment and maintenance of toxicological databases, information dissemination, and medical education. In 2003, the position of assistant administrator was replaced with a director who is shared with NCEH.
, and the appointment does not require Senate
approval. The ATSDR administrator appoints the NCEH/ATSDR director, who is responsible for managing the agency's programs and activities.
*Joint with NCEH
, as well as offices in each of the 10 EPA regions:
The regional offices work cooperatively with EPA, state and local health departments, health professionals, community groups, and other partners to implement programs and initiatives.
When investigating sites, ATSDR examines environmental data, health data, and information from community members about how the site affects their quality of life. ATSDR normally does not collect its own environmental data; rather, it usually relies on partner organizations, such as EPA, to conduct testing and gather data. This environmental data provides information on the amount of contamination and possible ways humans could be exposed to the hazardous substances at the site. The health data provides information on rates of illness, disease, and death in the local community. Since ATSDR is an advisory agency, the conclusions in its public health assessments and health consultations are often in the form of recommendations to state and national environmental and health agencies, such as EPA, that have regulatory authority. Other agencies and the general public rely on ATSDR to provide trusted information on the health effects of hazardous substances at contaminated sites.
ATSDR has a computational toxicology
laboratory that conducts research and modeling on the effects of toxic substances on human health. The agency's toxicology work involves pharmacokinetic/pharmacodynamic modeling, quantitative structure–activity relationship methods, and benchmark dose modeling, as well as establishing minimal risk levels for human exposure to hazardous substances. One model developed by the toxicology laboratory showed that children were much more susceptible than adults to chemical exposure from inhalation and oral exposure. In the aftermath of chemical spills and emergencies, the laboratory also conducts research for state and local health departments on the health effects of the chemicals involved.
and other researchers to examine long-term health outcomes or risk factors for illness. It can also help doctors diagnose those health conditions in other individuals and treat them earlier. The agency also uses registries to contact registered individuals with important health information.
, while vermiculite
was mined there; these people were at risk for exposure to the tremolite
asbestos
that was naturally occurring in the vermiculite. ATSDR began addressing public health concerns in Libby in 1999 and created the registry in 2004. The purpose of the registry was to monitor the long-term health effects of people in Libby exposed to tremolite asbestos and to assist with communicating important health information to registrants. Researchers have used the registry to study how asbestos exposure affects human health. This research has yielded several important findings. Registry data was used to conduct the first study of the relationship between asbestos exposure and respiratory problems in children. Another study using registry data found a significant relationship between asbestos exposure and death from cardiovascular disease
.
to track the long-term physical and mental health effects of the September 11 attacks. The registry contains more than 71,000 people who lived, worked, or went to school near the World Trade Center site, as well as emergency response personnel who were involved in rescue and recovery efforts. It is the largest post-disaster health registry in the United States. Researchers use the registry to study the health effects of the disaster and to develop public health recommendations for future disasters. A 2009 study based on registry data found that posttraumatic stress disorder and asthma
were the two most commonly reported conditions among registry participants 5 to 6 years after the disaster. The study found that 19% of adult participants reported new posttraumatic stress symptoms, and 10% of adult participants reported developing new asthma.
(also known as ALS or Lou Gehrig's Disease). President George W. Bush
signed the ALS Registry Act, which provided for establishment of the registry, on October 8, 2008. It is hoped that the registry will provide information on the prevalence of ALS and lead to a better understanding of factors that may be associated with the disease. The agency began registering people for the registry on October 20, 2010.
labs. Other states used HSEES data to implement programs designed to minimize exposure to hazardous chemicals and mercury at schools. More than 50 published studies were conducted using HSEES data.
flood in Coffeyville, Kansas
, after an oil refinery spilled crude oil into the floodwaters, contaminating many homes in the city. ATSDR worked with EPA and state and local authorities to provide health information to local residents and advised those agencies during the clean-up process. ATSDR also assists with responding to terrorism incidents, which have included the September 11 attacks and the 2001 anthrax attacks
. ATSDR responded to 132 chemical emergency events in 2008.
In addition to working with communities and other agencies in the aftermath of chemical emergencies, ATSDR has developed the Managing Hazardous Materials Incidents series, which includes several tools to assist emergency medical services
personnel and hospital emergency departments during chemical emergencies. This includes important information on emergency planning, emergency response, and rescuer protection
. Another tool is the Medical Management Guidelines, which summarize important information on exposure to common chemicals and provide suggestions for safely treating and decontaminating patients.
properties. These are sites that were formerly used for industrial purposes and may still be contaminated with hazardous substances. ATSDR has worked at more than 400 brownfield or land reuse sites to assess health effects of potential exposure to hazardous substances. The agency has created resources to provide guidance to communities when planning redevelopment projects, including tools to evaluate the potential threat of chemicals at development sites. In addition to evaluating the health effects of contamination at specific brownfield sites, ATSDR encourages communities to monitor community health. One of the agency's brownfields projects was the Menomonee Valley in Milwaukee, Wisconsin
, where the agency evaluated potential health effects of contamination at the site and worked closely with developers and the city.
. In addition, there are six work groups, which also have a diverse membership, to research and propose recommendations on certain key areas. To encourage involvement from community groups, interested citizens, and the general public, ATSDR developed a community toolkit to assist community leaders in holding discussions to solicit feedback and ideas for the National Conversation. ATSDR plans to release its final action agenda in early 2011.
described ATSDR as "widely regarded as the world's leading agency on public health and the environment."
However, ATSDR has also been the focus of scrutiny from Congress and other groups. Much of the criticism is due to the fact that the agency has been overtasked yet understaffed and underfunded for much of its history.
In the March 12, 2009, congressional hearing, the subcommittee chairman, Congressman Brad Miller
, characterized ATSDR as keen to "please industries and government agencies" and referred to ATSDR's reports as "jackleg assessments saying 'not to worry.'" In defense of ATSDR's work, director Howard Frumkin noted that ATSDR's staff has declined from 500 to about 300, and that often communities expect "definitive answers about the links between exposures and illnesses," but expectations can be unmet due to scientific uncertainty. However, Dr. Frumkin also acknowledged the possibility that some assessments did not use the best data or monitoring techniques.
. The public health assessments noted that residents of the island were exposed to environmental contamination at such low levels that no harmful health effects were expected, and the agency concluded that there was "no apparent public health hazard." In 2009, however, ATSDR announced that it had identified gaps in environmental data and planned to take a "fresh look" at Vieques by reviewing studies on the island.
United States Department of Health and Human Services
The United States Department of Health and Human Services is a Cabinet department of the United States government with the goal of protecting the health of all Americans and providing essential human services. Its motto is "Improving the health, safety, and well-being of America"...
. The agency focuses on minimizing human health risks associated with exposure to hazardous substances. It works closely with other federal, state, and local agencies; tribal governments; local communities; and healthcare providers. Its mission is to "Serve the public through responsive public health
Public health
Public health is "the science and art of preventing disease, prolonging life and promoting health through the organized efforts and informed choices of society, organizations, public and private, communities and individuals" . It is concerned with threats to health based on population health...
actions to promote healthy and safe environments and prevent harmful exposures." ATSDR was created as an advisory, nonregulatory agency by the Superfund
Superfund
Superfund is the common name for the Comprehensive Environmental Response, Compensation, and Liability Act of 1980 , a United States federal law designed to clean up sites contaminated with hazardous substances...
legislation and was formally organized in 1985.
Although ATSDR is an independent operating division within the Department of Health and Human Services, the Centers for Disease Control and Prevention
Centers for Disease Control and Prevention
The Centers for Disease Control and Prevention are a United States federal agency under the Department of Health and Human Services headquartered in Druid Hills, unincorporated DeKalb County, Georgia, in Greater Atlanta...
(CDC) performs many of its administrative functions. The CDC director also serves as the ATSDR administrator, and ATSDR has a joint Office of the Director with the National Center for Environmental Health (NCEH). The ATSDR headquarters are located in Atlanta, Georgia
Atlanta, Georgia
Atlanta is the capital and most populous city in the U.S. state of Georgia. According to the 2010 census, Atlanta's population is 420,003. Atlanta is the cultural and economic center of the Atlanta metropolitan area, which is home to 5,268,860 people and is the ninth largest metropolitan area in...
, at the CDC Chamblee campus. In fiscal year 2010, ATSDR had an operating budget of $76.8 million and had roughly 300 full-time employees (not including contractors).
Overview
ATSDR is the lead agency within the United States Public Health ServiceUnited States Public Health Service
The Public Health Service Act of 1944 structured the United States Public Health Service as the primary division of the Department of Health, Education and Welfare , which later became the United States Department of Health and Human Services. The PHS comprises all Agency Divisions of Health and...
concerned with the effects of hazardous substances on human health. ATSDR is charged with assessing the presence and nature of health hazards at specific Superfund sites, as well as helping prevent or reduce further exposure and the illnesses that can result from such exposures.
ATSDR functions include public health assessments of hazardous waste sites, health consultations concerning specific hazardous substances, health surveillance and registries, response to emergency releases of hazardous substances, applied research in support of public health assessments, information development and dissemination, and education and training concerning hazardous substances. ATSDR also prepares toxicological profiles for hazardous substances found at National Priorities List
National Priorities List
The National Priorities List is the list of hazardous waste sites in the United States eligible for long-term remedial action financed under the federal Superfund program. Environmental Protection Agency regulations outline a formal process for assessing hazardous waste sites and placing them on...
sites, as well as at federal sites administered by the Department of Defense
United States Department of Defense
The United States Department of Defense is the U.S...
and Department of Energy
United States Department of Energy
The United States Department of Energy is a Cabinet-level department of the United States government concerned with the United States' policies regarding energy and safety in handling nuclear material...
.
Goals
ATSDR has seven goals:- Protect the public from environmental hazards and toxic exposures.
- Promote healthy environments.
- Advance the science of environmental public health.
- Support environmental public health practice.
- Educate communities, partners, and policy makers about environmental health risks and protective measures.
- Promote environmental justice and reduce health disparities associated with environmental exposures.
- Provide unique scientific and technical expertise to advance public health science and practice.
Authority
Unlike the Environmental Protection AgencyUnited States Environmental Protection Agency
The U.S. Environmental Protection Agency is an agency of the federal government of the United States charged with protecting human health and the environment, by writing and enforcing regulations based on laws passed by Congress...
(EPA), ATSDR is an advisory, nonregulatory agency. ATSDR conducts research on the health impacts of hazardous waste sites and provides information and recommendations to federal and state agencies, community members, and other interested parties. However, ATSDR is not involved in cleanup of those sites, nor can ATSDR provide or fund medical treatment for people who have been exposed to hazardous substances.
History
In response to the environmental disasters at Love CanalLove Canal
Love Canal was a neighborhood in Niagara Falls, New York, located in the white collar LaSalle section of the city. It officially covers 36 square blocks in the far southeastern corner of the city, along 99th Street and Read Avenue...
and Times Beach, Missouri
Times Beach, Missouri
Times Beach, Missouri was a small town of 2,240 residents in St. Louis County, Missouri, 17 miles southwest of St. Louis and 2 mi east of Eureka, Missouri. The town was completely evacuated early in 1983 due to a dioxin scare that made national headlines...
, Congress
United States Congress
The United States Congress is the bicameral legislature of the federal government of the United States, consisting of the Senate and the House of Representatives. The Congress meets in the United States Capitol in Washington, D.C....
passed the Comprehensive Environmental Response, Compensation, and Liability Act of 1980
Superfund
Superfund is the common name for the Comprehensive Environmental Response, Compensation, and Liability Act of 1980 , a United States federal law designed to clean up sites contaminated with hazardous substances...
(CERCLA), commonly known as the Superfund legislation. CERCLA gave EPA primary responsibility for identifying, investigating, and cleaning up hazardous waste sites. CERCLA also authorized the establishment of ATSDR to assess the presence and nature of health hazards to communities living near Superfund sites, to help prevent or reduce harmful exposures, and to expand the knowledge base about the health effects that result from exposure to hazardous substances. ATSDR was created as an agency under the Department of Health and Human Services on April 19, 1983, and James O. Mason
James O. Mason
James Ostermann Mason was the United States Assistant Secretary for Health from 1989 to 1993 and the Acting Surgeon General of the United States from 1989 to 1990. As the ASH he was also a former four-star admiral in the United States Public Health Service Commissioned Corps...
served as the agency's first administrator. The Hazardous and Solid Waste Amendments of 1984 to the Resource Conservation and Recovery Act
Resource Conservation and Recovery Act
The Resource Conservation and Recovery Act , enacted in 1976, is the principal Federal law in the United States governing the disposal of solid waste and hazardous waste.-History and Goals:...
(RCRA) gave ATSDR additional authority related to hazardous waste storage facilities. ATSDR was charged with conducting public health assessments at these sites when requested by EPA, states, or individuals, as well as assisting EPA to determine which substances should be regulated and the levels at which chemicals may pose a threat to human health. ATSDR was formally organized as an agency on June 11, 1985. The Superfund Amendments and Reauthorization Act of 1986 (SARA) broadened ATSDR's responsibilities in the areas of public health assessments, establishment and maintenance of toxicological databases, information dissemination, and medical education. In 2003, the position of assistant administrator was replaced with a director who is shared with NCEH.
Administration
Thomas R. Frieden has served as ATSDR administrator and CDC director since June 8, 2009. Christopher J. Portier has been director of NCEH/ATSDR since August 2, 2010. The ATSDR administrator, who provides overall leadership of the agency, is appointed by the president of the United StatesPresident of the United States
The President of the United States of America is the head of state and head of government of the United States. The president leads the executive branch of the federal government and is the commander-in-chief of the United States Armed Forces....
, and the appointment does not require Senate
United States Senate
The United States Senate is the upper house of the bicameral legislature of the United States, and together with the United States House of Representatives comprises the United States Congress. The composition and powers of the Senate are established in Article One of the U.S. Constitution. Each...
approval. The ATSDR administrator appoints the NCEH/ATSDR director, who is responsible for managing the agency's programs and activities.
Organizational structure
- Office of the Director*
- Office of Tribal Affairs*
- Office of Policy, Planning, and Evaluation*
- Office of Financial and Administrative Services*
- Health Communication Science Office*
- Division of Health Assessment and Consultation
- Cooperative Agreement and Program Evaluation Branch
- Exposure Investigation and Site Assessment Branch
- Health Promotion and Community Involvement Branch
- Site and Radiological Assessment Branch
- Division of Health Studies
- Geospatial, Research, Analysis, and Services Program
- Health Investigations Branch
- Surveillance and Registries Branch
- Division of Regional Operations
- Division of Toxicology and Environmental Medicine
- Applied Toxicology Branch
- Computational Toxicology and Methods Development Laboratory
- Environmental Medicine and Educational Services Branch
- Prevention, Response, and Medical Support Branch
*Joint with NCEH
Regional offices
The Division of Regional Operations manages an office in Washington, D.C.Washington, D.C.
Washington, D.C., formally the District of Columbia and commonly referred to as Washington, "the District", or simply D.C., is the capital of the United States. On July 16, 1790, the United States Congress approved the creation of a permanent national capital as permitted by the U.S. Constitution....
, as well as offices in each of the 10 EPA regions:
- BostonBostonBoston is the capital of and largest city in Massachusetts, and is one of the oldest cities in the United States. The largest city in New England, Boston is regarded as the unofficial "Capital of New England" for its economic and cultural impact on the entire New England region. The city proper had...
(Region 1: ConnecticutConnecticutConnecticut is a state in the New England region of the northeastern United States. It is bordered by Rhode Island to the east, Massachusetts to the north, and the state of New York to the west and the south .Connecticut is named for the Connecticut River, the major U.S. river that approximately...
, MaineMaineMaine is a state in the New England region of the northeastern United States, bordered by the Atlantic Ocean to the east and south, New Hampshire to the west, and the Canadian provinces of Quebec to the northwest and New Brunswick to the northeast. Maine is both the northernmost and easternmost...
, MassachusettsMassachusettsThe Commonwealth of Massachusetts is a state in the New England region of the northeastern United States of America. It is bordered by Rhode Island and Connecticut to the south, New York to the west, and Vermont and New Hampshire to the north; at its east lies the Atlantic Ocean. As of the 2010...
, New HampshireNew HampshireNew Hampshire is a state in the New England region of the northeastern United States of America. The state was named after the southern English county of Hampshire. It is bordered by Massachusetts to the south, Vermont to the west, Maine and the Atlantic Ocean to the east, and the Canadian...
, Rhode IslandRhode IslandThe state of Rhode Island and Providence Plantations, more commonly referred to as Rhode Island , is a state in the New England region of the United States. It is the smallest U.S. state by area...
, VermontVermontVermont is a state in the New England region of the northeastern United States of America. The state ranks 43rd in land area, , and 45th in total area. Its population according to the 2010 census, 630,337, is the second smallest in the country, larger only than Wyoming. It is the only New England...
) - New YorkNew York CityNew York is the most populous city in the United States and the center of the New York Metropolitan Area, one of the most populous metropolitan areas in the world. New York exerts a significant impact upon global commerce, finance, media, art, fashion, research, technology, education, and...
and Edison, New JerseyEdison, New JerseyEdison Township is a township in Middlesex County, New Jersey. What is now Edison Township was originally incorporated as Raritan Township by an Act of the New Jersey Legislature on March 17, 1870, from portions of both Piscataway Township and Woodbridge Township...
(Region 2: New JerseyNew JerseyNew Jersey is a state in the Northeastern and Middle Atlantic regions of the United States. , its population was 8,791,894. It is bordered on the north and east by the state of New York, on the southeast and south by the Atlantic Ocean, on the west by Pennsylvania and on the southwest by Delaware...
, New YorkNew YorkNew York is a state in the Northeastern region of the United States. It is the nation's third most populous state. New York is bordered by New Jersey and Pennsylvania to the south, and by Connecticut, Massachusetts and Vermont to the east...
, Puerto RicoPuerto RicoPuerto Rico , officially the Commonwealth of Puerto Rico , is an unincorporated territory of the United States, located in the northeastern Caribbean, east of the Dominican Republic and west of both the United States Virgin Islands and the British Virgin Islands.Puerto Rico comprises an...
, U.S. Virgin Islands) - Philadelphia (Region 3: DelawareDelawareDelaware is a U.S. state located on the Atlantic Coast in the Mid-Atlantic region of the United States. It is bordered to the south and west by Maryland, and to the north by Pennsylvania...
, District of Columbia, MarylandMarylandMaryland is a U.S. state located in the Mid Atlantic region of the United States, bordering Virginia, West Virginia, and the District of Columbia to its south and west; Pennsylvania to its north; and Delaware to its east...
, PennsylvaniaPennsylvaniaThe Commonwealth of Pennsylvania is a U.S. state that is located in the Northeastern and Mid-Atlantic regions of the United States. The state borders Delaware and Maryland to the south, West Virginia to the southwest, Ohio to the west, New York and Ontario, Canada, to the north, and New Jersey to...
, VirginiaVirginiaThe Commonwealth of Virginia , is a U.S. state on the Atlantic Coast of the Southern United States. Virginia is nicknamed the "Old Dominion" and sometimes the "Mother of Presidents" after the eight U.S. presidents born there...
, West VirginiaWest VirginiaWest Virginia is a state in the Appalachian and Southeastern regions of the United States, bordered by Virginia to the southeast, Kentucky to the southwest, Ohio to the northwest, Pennsylvania to the northeast and Maryland to the east...
) - Atlanta (Region 4: AlabamaAlabamaAlabama is a state located in the southeastern region of the United States. It is bordered by Tennessee to the north, Georgia to the east, Florida and the Gulf of Mexico to the south, and Mississippi to the west. Alabama ranks 30th in total land area and ranks second in the size of its inland...
, FloridaFloridaFlorida is a state in the southeastern United States, located on the nation's Atlantic and Gulf coasts. It is bordered to the west by the Gulf of Mexico, to the north by Alabama and Georgia and to the east by the Atlantic Ocean. With a population of 18,801,310 as measured by the 2010 census, it...
, GeorgiaGeorgia (U.S. state)Georgia is a state located in the southeastern United States. It was established in 1732, the last of the original Thirteen Colonies. The state is named after King George II of Great Britain. Georgia was the fourth state to ratify the United States Constitution, on January 2, 1788...
, KentuckyKentuckyThe Commonwealth of Kentucky is a state located in the East Central United States of America. As classified by the United States Census Bureau, Kentucky is a Southern state, more specifically in the East South Central region. Kentucky is one of four U.S. states constituted as a commonwealth...
, MississippiMississippiMississippi is a U.S. state located in the Southern United States. Jackson is the state capital and largest city. The name of the state derives from the Mississippi River, which flows along its western boundary, whose name comes from the Ojibwe word misi-ziibi...
, North CarolinaNorth CarolinaNorth Carolina is a state located in the southeastern United States. The state borders South Carolina and Georgia to the south, Tennessee to the west and Virginia to the north. North Carolina contains 100 counties. Its capital is Raleigh, and its largest city is Charlotte...
, South CarolinaSouth CarolinaSouth Carolina is a state in the Deep South of the United States that borders Georgia to the south, North Carolina to the north, and the Atlantic Ocean to the east. Originally part of the Province of Carolina, the Province of South Carolina was one of the 13 colonies that declared independence...
, TennesseeTennesseeTennessee is a U.S. state located in the Southeastern United States. It has a population of 6,346,105, making it the nation's 17th-largest state by population, and covers , making it the 36th-largest by total land area...
) - ChicagoChicagoChicago is the largest city in the US state of Illinois. With nearly 2.7 million residents, it is the most populous city in the Midwestern United States and the third most populous in the US, after New York City and Los Angeles...
(Region 5: IllinoisIllinoisIllinois is the fifth-most populous state of the United States of America, and is often noted for being a microcosm of the entire country. With Chicago in the northeast, small industrial cities and great agricultural productivity in central and northern Illinois, and natural resources like coal,...
, IndianaIndianaIndiana is a US state, admitted to the United States as the 19th on December 11, 1816. It is located in the Midwestern United States and Great Lakes Region. With 6,483,802 residents, the state is ranked 15th in population and 16th in population density. Indiana is ranked 38th in land area and is...
, MichiganMichiganMichigan is a U.S. state located in the Great Lakes Region of the United States of America. The name Michigan is the French form of the Ojibwa word mishigamaa, meaning "large water" or "large lake"....
, MinnesotaMinnesotaMinnesota is a U.S. state located in the Midwestern United States. The twelfth largest state of the U.S., it is the twenty-first most populous, with 5.3 million residents. Minnesota was carved out of the eastern half of the Minnesota Territory and admitted to the Union as the thirty-second state...
, OhioOhioOhio is a Midwestern state in the United States. The 34th largest state by area in the U.S.,it is the 7th‑most populous with over 11.5 million residents, containing several major American cities and seven metropolitan areas with populations of 500,000 or more.The state's capital is Columbus...
, WisconsinWisconsinWisconsin is a U.S. state located in the north-central United States and is part of the Midwest. It is bordered by Minnesota to the west, Iowa to the southwest, Illinois to the south, Lake Michigan to the east, Michigan to the northeast, and Lake Superior to the north. Wisconsin's capital is...
) - Dallas (Region 6: ArkansasArkansasArkansas is a state located in the southern region of the United States. Its name is an Algonquian name of the Quapaw Indians. Arkansas shares borders with six states , and its eastern border is largely defined by the Mississippi River...
, LouisianaLouisianaLouisiana is a state located in the southern region of the United States of America. Its capital is Baton Rouge and largest city is New Orleans. Louisiana is the only state in the U.S. with political subdivisions termed parishes, which are local governments equivalent to counties...
, New MexicoNew MexicoNew Mexico is a state located in the southwest and western regions of the United States. New Mexico is also usually considered one of the Mountain States. With a population density of 16 per square mile, New Mexico is the sixth-most sparsely inhabited U.S...
, OklahomaOklahomaOklahoma is a state located in the South Central region of the United States of America. With an estimated 3,751,351 residents as of the 2010 census and a land area of 68,667 square miles , Oklahoma is the 28th most populous and 20th-largest state...
, TexasTexasTexas is the second largest U.S. state by both area and population, and the largest state by area in the contiguous United States.The name, based on the Caddo word "Tejas" meaning "friends" or "allies", was applied by the Spanish to the Caddo themselves and to the region of their settlement in...
) - Kansas City, KansasKansas City, KansasKansas City is the third-largest city in the state of Kansas and is the county seat of Wyandotte County. It is a suburb of Kansas City, Missouri, and is the third largest city in the Kansas City Metropolitan Area. The city is part of a consolidated city-county government known as the "Unified...
(Region 7: IowaIowaIowa is a state located in the Midwestern United States, an area often referred to as the "American Heartland". It derives its name from the Ioway people, one of the many American Indian tribes that occupied the state at the time of European exploration. Iowa was a part of the French colony of New...
, KansasKansasKansas is a US state located in the Midwestern United States. It is named after the Kansas River which flows through it, which in turn was named after the Kansa Native American tribe, which inhabited the area. The tribe's name is often said to mean "people of the wind" or "people of the south...
, MissouriMissouriMissouri is a US state located in the Midwestern United States, bordered by Iowa, Illinois, Kentucky, Tennessee, Arkansas, Oklahoma, Kansas and Nebraska. With a 2010 population of 5,988,927, Missouri is the 18th most populous state in the nation and the fifth most populous in the Midwest. It...
, NebraskaNebraskaNebraska is a state on the Great Plains of the Midwestern United States. The state's capital is Lincoln and its largest city is Omaha, on the Missouri River....
) - Denver and Helena, MontanaHelena, MontanaHelena is the capital city of the U.S. state of Montana and the county seat of Lewis and Clark County. The 2010 census put the population at 28,180. The local daily newspaper is the Independent Record. The Helena Brewers minor league baseball and Helena Bighorns minor league hockey team call the...
(Region 8: ColoradoColoradoColorado is a U.S. state that encompasses much of the Rocky Mountains as well as the northeastern portion of the Colorado Plateau and the western edge of the Great Plains...
, MontanaMontanaMontana is a state in the Western United States. The western third of Montana contains numerous mountain ranges. Smaller, "island ranges" are found in the central third of the state, for a total of 77 named ranges of the Rocky Mountains. This geographical fact is reflected in the state's name,...
, North DakotaNorth DakotaNorth Dakota is a state located in the Midwestern region of the United States of America, along the Canadian border. The state is bordered by Canada to the north, Minnesota to the east, South Dakota to the south and Montana to the west. North Dakota is the 19th-largest state by area in the U.S....
, South DakotaSouth DakotaSouth Dakota is a state located in the Midwestern region of the United States. It is named after the Lakota and Dakota Sioux American Indian tribes. Once a part of Dakota Territory, South Dakota became a state on November 2, 1889. The state has an area of and an estimated population of just over...
, UtahUtahUtah is a state in the Western United States. It was the 45th state to join the Union, on January 4, 1896. Approximately 80% of Utah's 2,763,885 people live along the Wasatch Front, centering on Salt Lake City. This leaves vast expanses of the state nearly uninhabited, making the population the...
, WyomingWyomingWyoming is a state in the mountain region of the Western United States. The western two thirds of the state is covered mostly with the mountain ranges and rangelands in the foothills of the Eastern Rocky Mountains, while the eastern third of the state is high elevation prairie known as the High...
) - San Francisco (Region 9: American SamoaAmerican SamoaAmerican Samoa is an unincorporated territory of the United States located in the South Pacific Ocean, southeast of the sovereign state of Samoa...
, ArizonaArizonaArizona ; is a state located in the southwestern region of the United States. It is also part of the western United States and the mountain west. The capital and largest city is Phoenix...
, CaliforniaCaliforniaCalifornia is a state located on the West Coast of the United States. It is by far the most populous U.S. state, and the third-largest by land area...
, GuamGuamGuam is an organized, unincorporated territory of the United States located in the western Pacific Ocean. It is one of five U.S. territories with an established civilian government. Guam is listed as one of 16 Non-Self-Governing Territories by the Special Committee on Decolonization of the United...
, HawaiiHawaiiHawaii is the newest of the 50 U.S. states , and is the only U.S. state made up entirely of islands. It is the northernmost island group in Polynesia, occupying most of an archipelago in the central Pacific Ocean, southwest of the continental United States, southeast of Japan, and northeast of...
, NevadaNevadaNevada is a state in the western, mountain west, and southwestern regions of the United States. With an area of and a population of about 2.7 million, it is the 7th-largest and 35th-most populous state. Over two-thirds of Nevada's people live in the Las Vegas metropolitan area, which contains its...
, Northern Mariana IslandsNorthern Mariana IslandsThe Northern Mariana Islands, officially the Commonwealth of the Northern Mariana Islands , is a commonwealth in political union with the United States, occupying a strategic region of the western Pacific Ocean. It consists of 15 islands about three-quarters of the way from Hawaii to the Philippines...
, Trust TerritoriesTrust Territory of the Pacific IslandsThe Trust Territory of the Pacific Islands was a United Nations trust territory in Micronesia administered by the United States from 1947 to 1986.-History:...
) - Seattle and Anchorage, AlaskaAnchorage, AlaskaAnchorage is a unified home rule municipality in the southcentral part of the U.S. state of Alaska. It is the northernmost major city in the United States...
(Region 10: AlaskaAlaskaAlaska is the largest state in the United States by area. It is situated in the northwest extremity of the North American continent, with Canada to the east, the Arctic Ocean to the north, and the Pacific Ocean to the west and south, with Russia further west across the Bering Strait...
, IdahoIdahoIdaho is a state in the Rocky Mountain area of the United States. The state's largest city and capital is Boise. Residents are called "Idahoans". Idaho was admitted to the Union on July 3, 1890, as the 43rd state....
, OregonOregonOregon is a state in the Pacific Northwest region of the United States. It is located on the Pacific coast, with Washington to the north, California to the south, Nevada on the southeast and Idaho to the east. The Columbia and Snake rivers delineate much of Oregon's northern and eastern...
, Washington)
The regional offices work cooperatively with EPA, state and local health departments, health professionals, community groups, and other partners to implement programs and initiatives.
Public health assessments and health consultations
One of ATSDR’s primary responsibilities is conducting public health assessments and health consultations. The agency conducts public health assessments for all current or proposed sites on the Naitonal Priorities List (commonly known as Superfund sites). The purpose of public health assessments is to examine whether hazardous substances at a site pose a human health hazard and to issue recommendations about limiting or stopping exposure to those substances. ATSDR also conducts health consultations, often in response to requests from EPA and state and local agencies. Health consultations examine specific health questions, such as the health effects of exposure to a specific chemical at a site. Health consultations are more limited in scope than public health assessments. ATSDR also conducts public health assessments and health consultations in response to petitions from members of the public. To conduct public health assessments and health consultations, ATSDR relies on its own scientists or establishes cooperative agreements with states, providing technical assistance to state health departments. ATSDR issued more than 200 public health assessments in 2009 and provides about 1,000 health consultations each year.When investigating sites, ATSDR examines environmental data, health data, and information from community members about how the site affects their quality of life. ATSDR normally does not collect its own environmental data; rather, it usually relies on partner organizations, such as EPA, to conduct testing and gather data. This environmental data provides information on the amount of contamination and possible ways humans could be exposed to the hazardous substances at the site. The health data provides information on rates of illness, disease, and death in the local community. Since ATSDR is an advisory agency, the conclusions in its public health assessments and health consultations are often in the form of recommendations to state and national environmental and health agencies, such as EPA, that have regulatory authority. Other agencies and the general public rely on ATSDR to provide trusted information on the health effects of hazardous substances at contaminated sites.
Toxicology research
Another major responsibility of ATSDR is producing toxicological profiles for the most common substances that are found at Superfund sites. The toxicological profiles summarize important studies on the substances’ health effects. ATSDR also publishes ToxFAQs, ToxGuides, and public health statements, which summarize the health information in toxicological profiles for use by the general public and health professionals. The agency maintains a Toxic Substances Portal that compiles all of the agency’s toxicology information and allows users to search by chemical. ATSDR has published toxicological profiles for more than 250 hazardous substances.ATSDR has a computational toxicology
Toxicology
Toxicology is a branch of biology, chemistry, and medicine concerned with the study of the adverse effects of chemicals on living organisms...
laboratory that conducts research and modeling on the effects of toxic substances on human health. The agency's toxicology work involves pharmacokinetic/pharmacodynamic modeling, quantitative structure–activity relationship methods, and benchmark dose modeling, as well as establishing minimal risk levels for human exposure to hazardous substances. One model developed by the toxicology laboratory showed that children were much more susceptible than adults to chemical exposure from inhalation and oral exposure. In the aftermath of chemical spills and emergencies, the laboratory also conducts research for state and local health departments on the health effects of the chemicals involved.
Health registries
ATSDR maintains registries of people who were exposed to certain toxic substances or have certain diseases. Participation in these registries is voluntary, and individual data and personal information is kept private. The information collected is used by epidemiologistsEpidemiology
Epidemiology is the study of health-event, health-characteristic, or health-determinant patterns in a population. It is the cornerstone method of public health research, and helps inform policy decisions and evidence-based medicine by identifying risk factors for disease and targets for preventive...
and other researchers to examine long-term health outcomes or risk factors for illness. It can also help doctors diagnose those health conditions in other individuals and treat them earlier. The agency also uses registries to contact registered individuals with important health information.
Tremolite Asbestos Registry
The Tremolite Asbestos Registry contains people who lived in or worked in Libby, MontanaLibby, Montana
Libby is a city in and the county seat of Lincoln County, Montana, United States. The population was 2,626 at the 2000 census.-Geography:Libby is located at , along U.S. Route 2....
, while vermiculite
Vermiculite
Vermiculite is a natural mineral that expands with the application of heat. The expansion process is called exfoliation and it is routinely accomplished in purpose-designed commercial furnaces. Vermiculite is formed by weathering or hydrothermal alteration of biotite or phlogopite...
was mined there; these people were at risk for exposure to the tremolite
Tremolite
Tremolite is a member of the amphibole group of silicate minerals with composition: Ca2Mg5Si8O222. Tremolite forms by metamorphism of sediments rich in dolomite and quartz. Tremolite forms a series with actinolite and ferro-actinolite. Pure magnesium tremolite is creamy white, but the color grades...
asbestos
Asbestos
Asbestos is a set of six naturally occurring silicate minerals used commercially for their desirable physical properties. They all have in common their eponymous, asbestiform habit: long, thin fibrous crystals...
that was naturally occurring in the vermiculite. ATSDR began addressing public health concerns in Libby in 1999 and created the registry in 2004. The purpose of the registry was to monitor the long-term health effects of people in Libby exposed to tremolite asbestos and to assist with communicating important health information to registrants. Researchers have used the registry to study how asbestos exposure affects human health. This research has yielded several important findings. Registry data was used to conduct the first study of the relationship between asbestos exposure and respiratory problems in children. Another study using registry data found a significant relationship between asbestos exposure and death from cardiovascular disease
Cardiovascular disease
Heart disease or cardiovascular disease are the class of diseases that involve the heart or blood vessels . While the term technically refers to any disease that affects the cardiovascular system , it is usually used to refer to those related to atherosclerosis...
.
World Trade Center Health Registry
The World Trade Center Health Registry was established in 2002 by ATSDR and the New York City Department of Health and Mental HygieneNew York City Department of Health and Mental Hygiene
The New York City Department of Health and Mental Hygiene is a department of the Government of New York City responsible for public health along with issuing birth certificates, dog licenses, and conducting restaurant inspection and enforcement...
to track the long-term physical and mental health effects of the September 11 attacks. The registry contains more than 71,000 people who lived, worked, or went to school near the World Trade Center site, as well as emergency response personnel who were involved in rescue and recovery efforts. It is the largest post-disaster health registry in the United States. Researchers use the registry to study the health effects of the disaster and to develop public health recommendations for future disasters. A 2009 study based on registry data found that posttraumatic stress disorder and asthma
Asthma
Asthma is the common chronic inflammatory disease of the airways characterized by variable and recurring symptoms, reversible airflow obstruction, and bronchospasm. Symptoms include wheezing, coughing, chest tightness, and shortness of breath...
were the two most commonly reported conditions among registry participants 5 to 6 years after the disaster. The study found that 19% of adult participants reported new posttraumatic stress symptoms, and 10% of adult participants reported developing new asthma.
ALS Registry
ATSDR is starting a new registry for people with amyotrophic lateral sclerosisAmyotrophic lateral sclerosis
Amyotrophic lateral sclerosis , also referred to as Lou Gehrig's disease, is a form of motor neuron disease caused by the degeneration of upper and lower neurons, located in the ventral horn of the spinal cord and the cortical neurons that provide their efferent input...
(also known as ALS or Lou Gehrig's Disease). President George W. Bush
George W. Bush
George Walker Bush is an American politician who served as the 43rd President of the United States, from 2001 to 2009. Before that, he was the 46th Governor of Texas, having served from 1995 to 2000....
signed the ALS Registry Act, which provided for establishment of the registry, on October 8, 2008. It is hoped that the registry will provide information on the prevalence of ALS and lead to a better understanding of factors that may be associated with the disease. The agency began registering people for the registry on October 20, 2010.
Surveillance
ATSDR conducts surveillance by maintaining projects to collect and analyze information on diseases and chemical exposures. Research using that information and data can then be used to prevent future and control injury, disease, and death.Hazardous Substances Emergency Events Surveillance Program
One of the most notable surveillance projects was the Hazardous Substances Emergency Events Surveillance (HSEES) program, which lasted from 1990 to 2009. ATSDR partnered with 15 states to collect information for HSEES in order to track, report, and study chemical spills. The information in the HSEES system was used to plan for emergency events involving hazardous substances (including terrorist attacks). States also used the information to develop policies and programs to strengthen public health and reduce illnesses and deaths that can result from exposure to hazardous substances. For example, states used HSEES data to support legislation addressing the problem of hazardous chemicals at illegal methamphetamineMethamphetamine
Methamphetamine is a psychostimulant of the phenethylamine and amphetamine class of psychoactive drugs...
labs. Other states used HSEES data to implement programs designed to minimize exposure to hazardous chemicals and mercury at schools. More than 50 published studies were conducted using HSEES data.
National Toxic Substance Incidents Program
As a successor to the HSEES program, ATSDR launched the National Toxic Substance Incidents Program (NTSIP) in 2009. One aspect of NTSIP is a national database of information related to chemical spills. NTSIP also has Assessment of Chemical Exposure teams to assist state and local health departments in the aftermath of toxic spills. These teams interview people who were exposed to the hazardous substances and collect samples to test the level of contamination in the environment and in people.Emergency response
ATSDR represents the Department of Health and Human Services on the National Response Team and works with other agencies to provide technical assistance during emergencies involving hazardous substances, such as chemical spills. In July 2007, for example, ATSDR responded to the Verdigris RiverVerdigris River
The Verdigris River is a tributary of the Arkansas River in southeastern Kansas and northeastern Oklahoma in the United States. It is about long...
flood in Coffeyville, Kansas
Coffeyville, Kansas
Coffeyville is a city situated along the Verdigris River in the southeastern part of Montgomery County, located in Southeast Kansas, in the Central United States. As of the 2010 census, the city population was 10,295...
, after an oil refinery spilled crude oil into the floodwaters, contaminating many homes in the city. ATSDR worked with EPA and state and local authorities to provide health information to local residents and advised those agencies during the clean-up process. ATSDR also assists with responding to terrorism incidents, which have included the September 11 attacks and the 2001 anthrax attacks
2001 anthrax attacks
The 2001 anthrax attacks in the United States, also known as Amerithrax from its Federal Bureau of Investigation case name, occurred over the course of several weeks beginning on Tuesday, September 18, 2001, one week after the September 11 attacks. Letters containing anthrax spores were mailed to...
. ATSDR responded to 132 chemical emergency events in 2008.
In addition to working with communities and other agencies in the aftermath of chemical emergencies, ATSDR has developed the Managing Hazardous Materials Incidents series, which includes several tools to assist emergency medical services
Emergency medical services
Emergency medical services are a type of emergency service dedicated to providing out-of-hospital acute medical care and/or transport to definitive care, to patients with illnesses and injuries which the patient, or the medical practitioner, believes constitutes a medical emergency...
personnel and hospital emergency departments during chemical emergencies. This includes important information on emergency planning, emergency response, and rescuer protection
Personal protective equipment
Personal protective equipment refers to protective clothing, helmets, goggles, or other garment or equipment designed to protect the wearer's body from injury by blunt impacts, electrical hazards, heat, chemicals, and infection, for job-related occupational safety and health purposes, and in...
. Another tool is the Medical Management Guidelines, which summarize important information on exposure to common chemicals and provide suggestions for safely treating and decontaminating patients.
Brownfield/land reuse initiative
ATSDR works closely with communities to evaluate the public health effects related to redevelopment of brownfieldsBrownfield land
Brownfield sites are abandoned or underused industrial and commercial facilities available for re-use. Expansion or redevelopment of such a facility may be complicated by real or perceived environmental contaminations. Cf. Waste...
properties. These are sites that were formerly used for industrial purposes and may still be contaminated with hazardous substances. ATSDR has worked at more than 400 brownfield or land reuse sites to assess health effects of potential exposure to hazardous substances. The agency has created resources to provide guidance to communities when planning redevelopment projects, including tools to evaluate the potential threat of chemicals at development sites. In addition to evaluating the health effects of contamination at specific brownfield sites, ATSDR encourages communities to monitor community health. One of the agency's brownfields projects was the Menomonee Valley in Milwaukee, Wisconsin
Milwaukee, Wisconsin
Milwaukee is the largest city in the U.S. state of Wisconsin, the 28th most populous city in the United States and 39th most populous region in the United States. It is the county seat of Milwaukee County and is located on the southwestern shore of Lake Michigan. According to 2010 census data, the...
, where the agency evaluated potential health effects of contamination at the site and worked closely with developers and the city.
Community partnerships
A major focus of the work ATSDR does involves interacting with communities. ATSDR often establishes partnerships with state and local health departments to assist them with their public health duties. In 2008, ATSDR had cooperative agreements with 29 states and one tribal government, providing technical assistance to help those partners address local environmental health concerns. ATSDR also creates community assistance panels to solicit feedback and community health concerns from local residents when the agency works at sites to evaluate health effects resulting from exposure to toxic substances.National Conversation on Public Health and Chemical Exposures
In June 2009, ATSDR and NCEH launched a joint project, the National Conversation on Public Health and Chemical Exposures. The goal of the National Conversation is to develop recommendations for ways ATSDR and other government agencies can improve their efforts to protect the public from harmful chemical exposures. To foster a productive dialogue, ATSDR encouraged broad public participation in the National Conversation and welcomed involvement from all interested stakeholders, including government agencies, public health professionals, environmental organizations, community leaders, business and industry representatives, tribal groups, and other interested citizens. The National Conversation is led by a 40-person Leadership Council that includes experts in various areas related to environmental public healthEnvironmental health
Environmental health is the branch of public health that is concerned with all aspects of the natural and built environment that may affect human health...
. In addition, there are six work groups, which also have a diverse membership, to research and propose recommendations on certain key areas. To encourage involvement from community groups, interested citizens, and the general public, ATSDR developed a community toolkit to assist community leaders in holding discussions to solicit feedback and ideas for the National Conversation. ATSDR plans to release its final action agenda in early 2011.
Quality of work
ATSDR prides itself on using "the best science." And in 2003, BBC NewsBBC News
BBC News is the department of the British Broadcasting Corporation responsible for the gathering and broadcasting of news and current affairs. The department is the world's largest broadcast news organisation and generates about 120 hours of radio and television output each day, as well as online...
described ATSDR as "widely regarded as the world's leading agency on public health and the environment."
However, ATSDR has also been the focus of scrutiny from Congress and other groups. Much of the criticism is due to the fact that the agency has been overtasked yet understaffed and underfunded for much of its history.
- In August 1991, the General Accounting Office (now the Government Accountability OfficeGovernment Accountability OfficeThe Government Accountability Office is the audit, evaluation, and investigative arm of the United States Congress. It is located in the legislative branch of the United States government.-History:...
) published a report that faulted the quality of ATSDR's original public health assessments and questioned their usefulness. It also placed part of the blame on the deadlines and requirements that Congress imposed with SARA: "SARA’s requirement that ATSDR quickly assess 951 Superfund sites came at a time when the agency was still relatively new and ... not staffed or organized for the job." The report also noted that after meeting the SARA deadline, ATSDR was able to increase the rigor of its public health assessments. - In May 1992, the Environmental Health Network and the National Toxics Campaign Fund published "Inconclusive by Design," a report which noted structural limitations to the work of CDC and ATSDR.
- In April 2008, the United States House of RepresentativesUnited States House of RepresentativesThe United States House of Representatives is one of the two Houses of the United States Congress, the bicameral legislature which also includes the Senate.The composition and powers of the House are established in Article One of the Constitution...
Committee on Science and Technology Subcommittee on Investigations and OversightUnited States House Science Subcommittee on Investigations and OversightThe Science Subcommittee on Investigations and Oversight is one of five subcommittees of the United States House Committee on Science and Technology...
held a hearing on formaledehyde exposures in trailers that the Federal Emergency Management AgencyFederal Emergency Management AgencyThe Federal Emergency Management Agency is an agency of the United States Department of Homeland Security, initially created by Presidential Reorganization Plan No. 1 of 1978 and implemented by two Executive Orders...
(FEMA) provided as temporary housing to people displaced by Hurricane Katrina. A report based on the hearing, issued by the subcommittee's Democratic majority staff in September 2008, noted shortcomings in the agency’s original health consultation that examined the health risks of formaldehyde in the FEMA trailerFEMA trailerThe term FEMA trailer,or FEMA travel trailer, is the name commonly given by the United States Government to many forms of temporary manufactured housing assigned to the victims of Hurricane Katrina, Hurricane Rita or other events, by the Federal Emergency Management Agency...
s. - In March 2009, the Democratic majority staff of the Subcommittee on Investigations and Oversight issued another report on ATSDR, which called for leadership changes within the agency. The report stated: "Time and time again ATSDR appears to avoid clearly and directly confronting the most obvious toxic culprits that harm the health of local communities throughout the nation. Instead, they deny, delay, minimize, trivialize or ignore legitimate concerns and health considerations of local communities and well respected scientists and medical professionals."
In the March 12, 2009, congressional hearing, the subcommittee chairman, Congressman Brad Miller
Brad Miller (congressman)
Ralph Bradley "Brad" Miller is the U.S. Representative for , serving since 2003. District 13 includes all of Caswell and Person counties, and parts of Alamance, Granville, Guilford, Rockingham and Wake counties...
, characterized ATSDR as keen to "please industries and government agencies" and referred to ATSDR's reports as "jackleg assessments saying 'not to worry.'" In defense of ATSDR's work, director Howard Frumkin noted that ATSDR's staff has declined from 500 to about 300, and that often communities expect "definitive answers about the links between exposures and illnesses," but expectations can be unmet due to scientific uncertainty. However, Dr. Frumkin also acknowledged the possibility that some assessments did not use the best data or monitoring techniques.
Vieques, Puerto Rico
In 2003, ATSDR released public health assessments that evaluated the potential health effects of pollution left behind by the United States Navy in Vieques, Puerto RicoUnited States Navy in Vieques, Puerto Rico
The United States Navy used Vieques, Puerto Rico for naval training and testing from 1941 to May 1, 2003.Some current studies show drastic increases in health problems which may or may not be related to toxic materials left on Vieques from the Navy’s occupation. The people of Vieques demand the U.S...
. The public health assessments noted that residents of the island were exposed to environmental contamination at such low levels that no harmful health effects were expected, and the agency concluded that there was "no apparent public health hazard." In 2009, however, ATSDR announced that it had identified gaps in environmental data and planned to take a "fresh look" at Vieques by reviewing studies on the island.
See also
- Centers for Disease Control and PreventionCenters for Disease Control and PreventionThe Centers for Disease Control and Prevention are a United States federal agency under the Department of Health and Human Services headquartered in Druid Hills, unincorporated DeKalb County, Georgia, in Greater Atlanta...
- United States Department of Health and Human ServicesUnited States Department of Health and Human ServicesThe United States Department of Health and Human Services is a Cabinet department of the United States government with the goal of protecting the health of all Americans and providing essential human services. Its motto is "Improving the health, safety, and well-being of America"...
- National Priorities ListNational Priorities ListThe National Priorities List is the list of hazardous waste sites in the United States eligible for long-term remedial action financed under the federal Superfund program. Environmental Protection Agency regulations outline a formal process for assessing hazardous waste sites and placing them on...
- United States Navy in Vieques, Puerto RicoUnited States Navy in Vieques, Puerto RicoThe United States Navy used Vieques, Puerto Rico for naval training and testing from 1941 to May 1, 2003.Some current studies show drastic increases in health problems which may or may not be related to toxic materials left on Vieques from the Navy’s occupation. The people of Vieques demand the U.S...
- List of Superfund sites in the United States
- TOXMAPTOXMAPTOXMAP is a geographic information system from the United States National Library of Medicine that uses maps of the United States to help users visually explore data from the United States Environmental Protection Agency's Toxics Release Inventory and Superfund programs...