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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>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>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>Asthma and the Environment: A Strategy to Protect Children</text>
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                <text>Addresses environmental factors contributing to the growing epidemic of asthma in the U.S. Makes recommendations on implementing public health strategies to improve use of scientific knowledge to prevent and reduce the severity of symptoms by reducing environmental exposures.</text>
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                <text>&lt;a target="_blank" href="http://aspe.hhs.gov/sp/asthma/appxd.pdf" rel="noreferrer noopener"&gt;http://aspe.hhs.gov/sp/asthma/appxd.pdf&lt;/a&gt;</text>
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                <text>Case Studies in Environmental Medicine Pediatric Environmental Health</text>
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                <text>One in a series of self-instructional publications designed to increase the primary care provider's knowledge of hazardous substances in the environment and to aid in the evaluation of potentially exposed patients.&#13;
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                <text>&lt;a target="_blank" href="http://www.atsdr.cdc.gov/HEC/CSEM/pediatric/index.html" rel="noreferrer noopener"&gt;http://www.atsdr.cdc.gov/HEC/CSEM/pediatric/index.html&lt;/a&gt;</text>
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                <text>&lt;a target="_blank" href="http://yosemite.epa.gov/ochp/ochpweb.nsf/content/nphw2006.htm" rel="noreferrer noopener"&gt;http://yosemite.epa.gov/ochp/ochpweb.nsf/content/nphw2006.htm&lt;/a&gt;</text>
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                <text>Anthropods, Reptiles, Birds and Mammals of Public Health Significance</text>
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                <text>This 197 page document is available in English, and is intended for healthcare and public health professionals, as well as occupational safety and health and environmental health specialists. It provides an intermediate level pictorial key of anthropods, reptiles, birds and mammals that are of public health significance. Public health biologists are often responsible for teaching animal identification to personnel (sanitarians, engineers, physicians, veterinarians, etc.) without special training in taxonomy. One of the most successful devices for such training has been the pictorial key. The pictorial keys are typical of identification keys found in reference works and scientific papers except that they are arranged as diagrams and are illustrated. After making the first choice offered at the top of each page, follow the black lines or indicated numbers to secondary choices until the correct identification has been made. Note that, in some cases, the identification can be made in the first choice.</text>
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                <text>&lt;a&gt;&lt;/a&gt;Pictorial Keys.pdf</text>
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                <text>ATSDR (Agency for Toxic Substances and Disease Registry) Hg Factsheet</text>
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                <text>Fact Sheet containing answere to the most frequently asked health questions about mercury.</text>
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                <text>&lt;a target="_blank" href="http://www.atsdr.cdc.gov/tfacts46.html" rel="noreferrer noopener"&gt;http://www.atsdr.cdc.gov/tfacts46.html&lt;/a&gt;</text>
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                <text>Stress</text>
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                <text>This module is available in English. It is intended to provide basic level information related to stress in the field of healthcare. The intended audience includes healthcare workers, occupational health specialists and educators. Topics covered include potential hazard, health effects, and possible solutions.</text>
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                <text>&lt;a target="_blank" href="http://www.osha.gov/SLTC/etools/hospital/hazards/stress/stress.html" rel="noreferrer noopener"&gt;http://www.osha.gov/SLTC/etools/hospital/hazards/stress/stress.html&lt;/a&gt;</text>
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                <text>Noise reduction in day care centres by reducing reverberation time: Analyses and case studies</text>
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                <text>More than 16,000 employees of day care centres and close to 85,000 children are exposed daily to often excessive noise levels which can be above 90 decibels over short periods. In response to a request from the Association paritaire pour la santé et la sécurité du travail du secteur affaires sociales (ASSTSAS) and the CSST, the company Soft dB Inc. was given the mandate to determine the impact of reducing the reverberation time on noise reduction and to propose effective and economical solutions. After measuring the acoustical characteristics of some twenty day care centres, the firm proposed solutions that have been implemented and then validated in some ten centres. The data collected and results obtained have served as a basis for a guide for day care centres on how to reduce noise on their premises. This guide will be produced and distributed by ASSTSAS, in collaboration with the CSST.</text>
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                <text>&lt;a target="_blank" href="http://www.irsst.qc.ca/en/_publicationirsst_100201.html" rel="noreferrer noopener"&gt;http://www.irsst.qc.ca/en/_publicationirsst_100201.html&lt;/a&gt;</text>
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