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                  <text>Environmental - Environment &amp; Disease</text>
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                <text>America's Children and the Environment</text>
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                <text>This publication brings together in one place, quatitative information from a variety of sources to show trrends in levels of environmental contaminants in air, water, food and soil; concnetrations of contaminants measured in the bodies of mothers and children; and childhood diseases that may be influenced by environmental factors.</text>
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                <text>&lt;a target="_blank" href="http://www.epa.gov/envirohealth/children/index.htm" rel="noreferrer noopener"&gt;http://www.epa.gov/envirohealth/children/index.htm&lt;/a&gt;</text>
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                <text>Lead: Assessing the environmental burden of disease</text>
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                <text>This 73-page guide is available in English, and outlines a method for estimating the disease burden at national, city or local levels caused by environmental exposure to lead. The intended audience includes intermediate level public health professionals, environmental health specialists, as well as policy makers. The method described in the guide assesses lead exposure from the distribution of lead levels in blood samples representative of the study population. For children, the exposure distribution is then converted into a distribution of IQ points lost, resulting mild mental retardation, and into rates of anaemia and gastrointestinal symptoms. For adults, the exposure distribution is converted mainly into increased blood pressure, which may cause various cardiovascular diseases, including ischaemic heart disease and cerebrovascular disease.</text>
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                <text>&lt;a target="_blank" href="http://www.who.int/quantifying_ehimpacts/publications/en/leadebd2.pdf" rel="noreferrer noopener"&gt;http://www.who.int/quantifying_ehimpacts/publications/en/leadebd2.pdf&lt;/a&gt;</text>
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                  <text>Environmental - Environment &amp; Disease</text>
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                <text>Case Studies in Environmental Medicine (CSEM) Disease Clusters: An Overview</text>
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                <text>This case study is available in English. It is intended for advanced level health care providers, especially pediatricians, of the special susceptibilities of children to hazardous substances in the environment and aid in their evaluation of potentially exposed patients. This case study provides information related to clusters including: case definition, case confirmation, population denominator, exposure assessment, plausible hypotheses, risk communication, and resources. Upon completion of this case study the participant should be able to define a disease cluster, describe the components of the public health department disease cluster investigation, and describe the physician's responsibility regarding disease clusters. The CDC designates this educational activity for a maximum of 1.5 hours toward the American Medical Association (AMA) Physician's Recognition Award, 1.6 contact hours in nursing, and 0.1 Continuing Education Units (CEUs).</text>
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                <text>&lt;a target="_blank" href="http://www.atsdr.cdc.gov/HEC/CSEM/cluster/index.html" rel="noreferrer noopener"&gt;http://www.atsdr.cdc.gov/HEC/CSEM/cluster/index.html&lt;/a&gt;</text>
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