Georgia State University’s Institute of Public Health along with the Georgia Department of Public Health’s Chemical Hazards Program conducted a needs assessment survey to learn more about the concerns of environmental advocates and other community leaders in Georgia regarding exposure to toxic chemicals. The purpose of the Georgia Environmental Advocacy Groups Health Education Needs Assessment was to better understand community concerns, to identify hazardous waste sites that might warrant some degree of public health evaluation, to find community leaders and personnel interested in assisting the Chemical Hazards Program in implementing public health interventions, to inform the community about the services offered to the public by the Georgia Department of Public Health and to better understand the best methods for distributing health education material. This is the first time the Chemical Hazards Program has conducted an environmental advocacy group leader needs assessment. The results of this pilot study will help the development of future needs assessments conducted by the CHP. Survey development began in August of 2011 and Georgia State University Institutional Review Board approval was granted January 2012. Participants were selected due to their current leadership role of a Georgia environmental advocacy group/organization. Contact information was found for 137 environmental group leaders. Depending on available contact information, potential participants either received the survey through the mail or electronically via email. Surveys were distributed on January 13, 2012 and had to be returned by February 20, 2012. Twenty-one Georgia environmental advocacy group leaders participated in the survey. A majority of participants cited protect/restore natural habitats as the main purpose of their organization, but the survey did reveal 10 environmental groups that focused on protecting human health. Seven of participants that were dedicated to protecting human health expressed interest in working further with the GDPH to develop or implement public health interventions. The survey was also successful in informing participants about the Chemical Hazards Program. Prior to the needs assessment, more than 80% of participants were not aware of the program. Many pertinent suggestions were also made to aid in the development of the brochure aimed at educating community members about the services offered by the CHP. Although a variety of environmental health concerns were cited by the participants, water quality was most often mentioned. More participants reported they were very concerned about drinking water than any other environment. Ninety percent also reported being either concerned or very concerned about contamination in oceans, lakes and streams. A section of the survey also addressed hazards found within the home, unclean drinking water was selected by far the most often as being of greatest concern compared to all other indoor hazards. Many participants listed specific waste or industrial sites that are of concern among members of their community as a source of contaminants. A few contaminated environments were also listed including specific rivers and lakes. Though many did not list specific sources, the majority of participants cited water contamination as being a chemical contamination issue that has the greatest impact on human health. The survey helped reveal specific community concerns regarding potential chemical contaminants and sites that may lead to the CHP conducting public health assessments/consultations and exposure investigations. The survey also revealed the need for general environmental health education and intervention activities based on concerns of the participants as well as the lack of concern by many. The survey was also successful in identifying individuals that may help the CHP gain future partnerships and identifying creative methods for distributing health education material. The CHP plans to follow-up with many of the participants and the survey will be further developed and used to survey other leaders, community members, and public health workers etc. to further investigate the needs and concerns of communities across Georgia.

No description available.

INTRODUCTION: Chemical exposures to US pregnant women have been shown to have adverse health impacts on both mother and fetus. A prior paper revealed that US pregnant women in 2003-2004 had widespread exposure to multiple chemicals. The goal of this research is to examine how environmental chemical exposures to US pregnant women have changed from 2003 to 2010 and to look further at the extent of simultaneous exposure to multiple chemicals in US pregnant women using biomonitoring data available through NHANES (the National Health and Nutritional Examination Survey). METHODS: Using available NHANES data from the following cycles (2003-2004, 2005-2006, 2007-2008, 2009-2010), we analyzed how environmental chemical exposures changed over time. Covariates were used and data was weighted to reflect the population of pregnant US women. Each cycle was then compared to the 2003-2004 cycle in order to assess how exposures have changed over time. We then looked at the data in an entirely different fashion. We examined the total number of chemicals detected in a given pregnant woman by chemical group. Finally, we looked at the total number of detects across various chemical groups and used the Fisher Exact Test to study how the distribution of detections changed in 2009-2010 compared to 2003-2004. RESULTS: While at least one-third of the chemicals analyzed showed one cycle that differed, exposure rates of individual chemicals were generally not increasing from 2003-2010. Median number of detections over chemical groups also did not show much difference over time. However, analysis of the change in frequency distributions revealed that, for some chemical groups, the frequency of detects in US pregnant woman significantly increased in 2010 compared to 2003. CONCLUSIONS: Widespread chemical exposures were seen in US pregnant women from 2003 through 2010. The number of chemical analytes detected in US pregnant women’s bodies is rising. Many chemicals studied had similar mechanisms of action and/or similar adverse health outcomes upon exposure which is known to result in a cumulative health effect. This research suggests that we need to focus not only on exposure rates of individual chemicals but also on the overall number of chemicals detected when assessing the overall picture of environmental chemical exposures to pregnant women in the US.

<p>  </p> <p>Globally, communities are embracing the cured-in-place-pipe (CIPP) process due to the need to address damaged buried water and sewer pipes. CIPP involves the chemical manufacture of a new plastic pipe inside an existing buried water and sewer pipe, without the need for excavation. The process is popular because it can be 80% less costly than alternative methods and construction workers can be present for hours to not days to weeks. However, as CIPP use has grown, so have the number of hazardous material (HAZMAT) incidents caused by using this practice. Evacuations of daycare centers, schools, homes, healthcare, institutional, and other buildings have been caused. In some cases, chemical exposure victims have required medical assistance and hospital admission. For decades, organizations within the CIPP industry and municipalities have encouraged chemical waste discharge into ambient air, resulting in preventable exposures. Recent work has indicated tons of volatile organic compounds (VOC) may be released during a single CIPP project into the air. Chemicals released include hazardous air pollutants (HAP), carcinogens (CAR), endocrine disrupting chemicals (EDR), and other compounds with little toxicological information. While polymer composites have been manufactured for other applications for more than 50 years, little information exists about what chemicals and materials are used to manufacture CIPPs. As CIPP use has grown along with the number of bystander chemical exposures, concerns about the type, magnitude, and toxicity of chemical emissions from CIPP projects have markedly increased. To reduce the potential for human harm and environmental degradation, a better understanding of CIPP composite chemistry and manufacturing is needed. This dissertation aimed to elucidate the processes that control the composition of waste generated during plastic CIPP manufacture and ascertain how to modify the manufacturing practice to minimize impacts on composite integrity and emission toxicity. </p> <p>Chapter 1 focused on indoor VOC exposure simulation and styrene contamination/ decontamination to evaluate the risk of occupant exposure during CIPP installation. Styrene is a common monomer used in many CIPP resins and can be discharged into the air at CIPP worksites. A review of prior incidents revealed that CIPP waste (liquid, organic chemicals, etc.) could enter nearby buildings through multiple routes including windows, doors, or heating, ventilation, and air conditioning outdoor air intakes. When CIPP is manufactured inside a sanitary sewer pipe, waste can enter buildings through sewer laterals of nearby buildings and through foundation cracks. Study results showed that plumbing seal backflows in bathrooms caused by sewer repair work are hydraulically possible: the minimum pressure required to displace water in the plumbing trap was estimated to be 0.995 kPa and 8.85 kPa for a sink and toilet, separately. These pressures are much lower than those applied by the contractor during the sewer lining (up to 193.05 kPa). Based on the indoor exposure events, the dissipation potential of vapors, as well as the hydraulic calculations, indoor air chemical contamination and decontamination profiles were also examined. A mass balance model of chemical vapor dispersion was developed. Modeling results revealed that bathroom exhaust fan operation during a CIPP project can increase the indoor styrene concentration by enhancing the inflow of styrene-containing air from the sink and toilet. However, the styrene concentration decreased as air leaked across the bathroom door due to reduced suction in the plumbing. Based on incident reviews, chemical magnitudes, and modeling results it was concluded that CIPP waste discharge should be treated as hazardous material discharge, because of its threat to human health. Actions are needed to reduce waste generation and contain the waste, so it does not leave the worksite. Chapter 2 aimed to determine the manufacturing conditions that most influence chemical residual left in the thermally manufactured CIPP. Bench-scale testing of multiple styrene- and non-styrene composites revealed the manufacturing conditions (curing time, temperature, initiator loading) necessary to produce a high integrity composite while minimizing chemical residual and air emissions. Even though the VOC loading of the non-styrene resin (4 wt.%) was much less than that of styrene resin (39 wt.%), the non-styrene resin did contain HAP, EDR, CAR compounds including ethylbenzene, 2-ethylhexanoic acid, methacrylic acid, styrene, toluene, and <em>m</em>-xylene. Study results also revealed that by changing initiator loading a drastic reduction in the amount of styrene (-42 wt.%) and styrene oxide (-33 wt.%) residual left in the newly manufactured composite was achieved. Discoveries prompted a new hypothesis that this decreased residual also prompted a decreased amount of VOCs emitted into the air. The explanation is that this occurs because that a greater amount of the monomer styrene was incorporated into the resin during polymerization and not permitted to enter the air. Despite decades of polymer composite use, this study provides a new fundamental understanding of composite chemicals and techniques for reducing air pollutant emissions during plastic composite manufacture. In Chapter 3, the complexity of organic vapor chemicals found in the air during thermal heating of CIPP composites was explored and quantified. The emission rate of a popular monomer, styrene, was quantified from the materials before, during, and after composite manufacture. Scaling up bench-scale results, 1.9 to 14 US tons and 0.18 to 1.35 US tons of VOCs (0.05 to 0.36 US tons and 0.001 to 0.007 US tons of styrene) were estimated to be emitted during curing of styrene- and non-styrene CIPPs (i.e., typically 1-3 m of diameter pipes). By modifying standard air sampling methods, previously undetectable chemicals associated with CIPP manufacture were found in the styrene-laden air. These include acetophenone, benzaldehyde, phenol, and 1,3,5-trimethylbenzene. Results have immediate relevance to improved air monitoring for public and worker safety. Further, results can be used to examine the cumulative health and environmental risks of the CIPP pollutant mixtures. Chapter 4 focused on identifying CIPP technology/knowledge gaps and feedback from health officials from multiple state and federal agencies. Through this study, a public health workgroup was assembled to include disciplinary experts and 13 federal, state, and city health agencies and public health associations. Building on dialogue with U.S. health officials, the state of knowledge pertaining to CIPP chemical exposures, mitigation, and response actions was reviewed. Topics included 1) CIPP manufacturing process and waste; 2) sewers and buildings; 3) chemical exposure and health; 4) chemical risk assessment; 5) risk communication. This study helped establish relationships among federal, state, and city officials to improve public health response. Additionally, a primer for CIPP chemical fate and transport, as well as assisting in identifying and prioritizing public health information needs was developed. Identification and prioritization of current public health knowledge gaps and proposed practices for reducing exposures to the public and workers were reported. CIPP-related bench and research results throughout the dissertation can serve as an important basis for environmental policy and public health guidelines on the prevention and mitigation aspects of environmental and human health impacts resulting from CIPP manufacturing practices.</p>

Many serious illnesses are linked to everyday exposures to toxic chemicals. In the U.S., most chemical exposure comes from common consumer products such as pesticides, fragranced products, cleaning supplies, and building materials--products so widely used that people consider them "safe." As the links between everyday toxic exposures and potential health effects become better understood, evidence increasingly shows that reducing exposures can create a healthier society. Although some individuals may choose to build a healthy home and maintain a healthy household, they are still exposed to pollutants at their residences from the actions of others, such as to pesticides that are used by neighbors, businesses, and governments. They need healthy residential developments in environmentally healthy communities. This research investigates "healthy residential developments," defined as a property that aims to reduce pollutant exposures to the extent required by vulnerable populations, which for this research are individuals with multiple chemical sensitivities (MCS). Through a case study approach, this research investigates two exemplars of healthy residential developments, and explains how and why they form and continue. It also examines their implementation methods, and implications for planning and policy. Primary data collection methods included in-person interviews, telephone interviews, and site visits. Research strategies included the analysis of interview data, and categorical aggregation using thematic categories within and across cases. The categories focused on factors of formation and continuation for the two healthy residential developments. Findings include the challenges of people disabled with MCS to find safe housing; the importance of planning to address these challenges; the role of individuals, funding, and zoning in the formation of healthy residential developments; the role of funding, safe maintenance, and property management in their continuation; and, the need for affordable and safe housing for vulnerable populations. Future research can address the need to develop methods to create and sustain healthy residential developments, understand and reduce sources of exposure that initiate and trigger chemical sensitivity, and investigate experiences and implementation strategies in other countries.