United States
              Environmental Protection
              Agency
              Office of Children's Health
              Protection
              Washington, DC 20460
EPA-100-R-00-0018
August 2000
www.epa.gov
1EPA
The EPA Children's
Environmental Health
Yearbook Supplement
    "Ensuring our children a safe,
       healthy environment is of
   paramount importance, and we
    will do it with strong actions,
       guided by sound science."
            —Vice President Al Gore

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       Office of Children's  Health Protection




2 Printed on paper that contains at least 30 percent postconsumer recovered fiber.

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EPA-100-R-00-0018  The EPA Children's Environmental Health Yearbook Supplement

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                                          EPA-100-R-00-0018
                                          August 2000
                                          www.epa.gov
The EPA Children's Environmental Health
            Yearbook Supplement
             United States Environmental Protection Agency
             Office of Children's Health Protection, MC 1107
                 Washington, DC 20460-0001

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                                                        The EPA Children's Environmental Health Yearbook Supplement
                                                                                 Contents
                          Chapter 1 Introduction  	6
                             Purpose of this Supplement	7
                             Children's Environmental Health Protection: Highlights of EPA's Recent
                             National Accomplishments  	7
                               Centers of Excellence in Children's Environmental Health Research	7
                               Children's Environmental Health and Safety Inventory of Research 	10
                               Institutionalizing Children's Health Protection in EPA's Rule Making	10
                               Federal Advisory Committee on Protection of Children's
                               Environmental Health  	10
                               Reviewing Existing Regulations and Standards	11
                               Workshop on Valuing Children's Health Effects	11
                               Child Health Champion Campaign	11
                               Incorporating Children's Environmental Health Into Youth-Based
                               Organizations	14
                               Targeting Criminal Violations that Threaten the Health and Safety
                               of Children	15
                               State Profiles - Children's Environmental Health	15
                               Promoting Children's Environmental Health with Pediatric
                               Chief Residents  	15
                               Action to Eliminate Major Uses of the Pesticide Dursban to Protect
                               Children and Public Health  	15
                             Tips to Protect Children from Environmental Threats  	16
                             References	18

                          Chapter 2 Asthma and Other Respiratory Effects	20
                             Improving Indoor Air Quality  	20
                             Improving Outdoor Air Quality	22
                             EPA Projects on Asthma and Other Respiratory Effects	23
                               Indoor Air Quality Tools for Schools	23
                               Environmental Tobacco Smoke (Secondhand Smoke)	29
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     Indoor Air General Outreach and Interventions	33
     Research on Indoor Air Quality and Asthma and Other Respiratory
     Illness Among Children	45
     Outdoor Air Quality	51
     Research on Outdoor Air Quality and Asthma and Other
     Respiratory Illness Among Children  	52
   References	55

Chapter 3  Childhood Cancer  	56
   EPA Projects Related to Cancer	57
     Radon	57
     Asbestos	58
     Ultraviolet (UV) Light	59
     Research on Childhood Cancer  	61
   References	63

Chapter 4  Developmental and Neurological Toxicity	64
   EPA Projects on Developmental and Neurological Toxicity	65
     Lead	65
     Endocrine Disrupters	86
     PCBs  	86
     Mercury	87
     Other Research	88
   References	93

Chapter 5  Health Effects of Pesticides  	94
   EPA Projects on Health Effects of Pesticides	95
     Strengthened Standards and Better Public Information  	95
     Support for Integrated Pest Management	98
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                                                        The EPA Children's Environmental Health Yearbook Supplement
                               Expanded Enforcement Efforts  	100
                               Understanding Risks to Children's Health 	102
                             References  	Ill

                          Chapter 6 Potential Risks from Contaminated Water	112
                             EPA Projects on Contaminants in Water and Fish  	113
                               Contaminants in Water	113
                               Contaminants in Fish	118
                             References  	119

                          Chapter 7 Predicting Health Risks to Children	120
                             EPA Projects to Improve Risk Assessment  	121
                               Water	121
                               Hazardous Waste  	122
                               Exposure  	126
                               Cumulative Risk	134

                          Chapter 8 Protecting Children Worldwide	136
                             EPA International Projects	137
                               Asthma and Other Respiratory Effects	137
                               Developmental and Neurological Toxicity	139
                               Health Effects of Pesticides 	141
                               Potential Risks from Contaminated Water	142

                          Chapter 9 Environmental Education Related to Children's Health	144
                             EPA Environmental Education Projects	144
                               Health Care Providers  	144
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     Pediatric Centers  	145
     Other Environmental Education Projects	146

Chapter 10  Enhanced Community Right-to-Know	158
   EPA Community Right-to-Know Activities	159

Chapter 11  Children's Health Resources	162
   Contacting EPA	162
     EPA Headquarters  	162
     EPA Regions and Regional Children's Environmental Health
     Coordinators	163
   Obtaining EPA Publications	169
   EPA Materials, Tools, and Internet Resources Related to
   Children's Health	171
     Inventory of Children's Health Research Projects  	171
     Asthma and Other Respiratory Effects	171
     Childhood Cancer  	179
     Developmental and Neurological Toxicity	185
     Health Effects of Pesticides 	191
     Potential Risks from Contaminated Water	195
     International Activities	202
     Environmental Education	202
     Enhanced Community Right-to-Know	207
     Other Federal Agencies with Programs Related to
     Children's Environmental Health	209

Index: EPA Program Offices and EPA Regions  	211
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                       hApTER  1
                                                         The EPA Children's Environmental Health Yearbook Supplement
Introduction
                          Through their environments, children are exposed to a wide variety of substances
                          that can affect their health. Environmental risks are a potential concern for children
                          in all geographic areas and from all walks of life. For example:

                            • Poor indoor and outdoor air quality is linked with an increased risk of
                             respiratory illnesses, especially asthma, in children.(1)

                            • Nearly 12,400 children and adolescents under the age of 20 are diagnosed with
                             cancer each year in the United States. Approximately 2,300 children and adoles-
                             cents die of cancer each year.(2) Brain tumors and leukemia, the most prevalent
                             forms of the disease in children, have been linked with pesticide use in and
                             around the home.(3,4,5,6,7)

                            • Lead, a heavy metal that can harm a child's brain, kidneys, and other systems,
                             remains one of the most pervasive developmental toxic substances in
                             America.(8,9)

                            • Children and women of childbearing age may be at increased risk, compared to
                             other groups, from exposure to contaminated fish and disease-causing organ-
                             isms in sewage-contaminated water. (10)

                            • In recent decades, about 50,000 synthetic chemicals have been produced in the
                             United States, and many of these substances have dispersed into the environ-
                             ment.^)

                          Children may have a special vulnerability to certain toxic substances,  for a variety
                          of reasons. Pound for pound of body weight, children breathe more air, drink more
                          water, and eat more  food than adults. In addition, their behavior patterns, such as
                          playing close to the ground and engaging in hand-to-mouth activities, can increase
                          their exposure to potential toxic substances in the environment. Damage to develop-
                          ing organ systems may carry lifelong consequences.(12,13)

                          Protecting children's health against environmental threats is among the Clinton
                          administration's highest priorities. In April 1997, President Clinton signed the
                          Executive Order on the Protection of Children from Environmental Health Risks
                          and Safety Risks. This Executive Order requires all federal agencies to assign a high
                          priority to addressing health and safety risks to children, coordinate research priori-
                          ties on children's health, and ensure that their standards take into account special
                          risks to children.

                          In May 1997, EPA Administrator Carol M. Browner established the Office of
                          Children's Health Protection (OCHP) to support the Agency as it implements the
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President's Executive Order, as well as EPA's National Agenda to Protect
Children's Health from Environmental Threats. The mission of OCHP is to make
the protection of children's health a fundamental goal of public health and environ-
mental protection in the United States.
Purpose of this Supplement
In June 1998, EPA published The EPA Children's Environmental Health Yearbook,
a compilation of EPA (Headquarters and Regional Office) activities on children's
health. The document provides information to the public and serves as a tool to
identify the Agency's work in children's health protection. The Yearbook includes
sections on asthma and other respiratory effects, childhood cancer, developmental
and neurological toxicity, health effects of pesticides, and potential risks from
contaminated surface water and ground water. Additional chapters describe
improvements in predicting health risks to children, highlight international activities
to protect children, identify educational programs addressing issues of children's
health, and describe EPA's expansion of individuals' and families' right to know
about environmental hazards. The final section directs readers to additional EPA
resources for more information.

Since the Yearbook's publication, EPA has undertaken a number of new initiatives
and many additional projects focused on protecting children's health from environ-
mental risks. This  Supplement provides a summary of new projects and updates to
some ongoing projects already  described in the Yearbook. It also includes a
complete, updated list of Children's Health Resources for further information.
Children's Environmental Health Protection:
Highlights of EPA's Recent National Accomplishments

Centers of Excellence  in Children's  Environmental Health Research
On October 10, 1998, the Vice President announced the establishment of eight
research centers dedicated solely to the study of children's environmental health
hazards. A strong feature of these centers is the combination of clinical research
and community interventions. The centers are jointly funded by EPA and the
Department of Health and Human Services (DHHS).
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                                                          The EPA Children's Environmental Health Yearbook Supplement
                           University of Southern California, Department of Preventive Medicine
                           Los Angeles, California

                           The University of Southern California Department of Environmental Health is
                           investigating the relationship of secondhand tobacco smoke and other environmen-
                           tal health threats to the development of asthma in children.  In partnership with
                           Concerned Citizens for Central Los Angeles, Communities for a Better
                           Environment, and Mothers of East Los Angeles, the Center is conducting research
                           in Los Angeles communities to develop tools for health and environmental officials
                           to better protect children's health.

                           University of Iowa, College of Medicine
                           Iowa City, Iowa

                           The College of Medicine at the University of Iowa is investigating respiratory
                           illness in children from rural communities. Together with the Keokuk County Rural
                           Health Study, researchers are examining causes of asthma in children living in rural
                           Keokuk  County and developing a multi-component approach for reducing levels of
                           respiratory illness among children in rural areas.

                           University of Michigan, School of Public Health
                           Ann Arbor, Michigan

                           The University of Michigan School of Public Health is studying environmental
                           factors that contribute to pediatric asthma. Working with the Kettering/Butzel
                           Health Initiative,  Detroit Health Department, Warren/Conner Development
                           Coalition, Butzel  Family Center, Latino Family Services, and United Community
                           Housing Coalition, researchers are conducting assessments of asthmatic children in
                           Detroit and using findings to develop initiatives to reduce asthma among inner city
                           children.

                           Johns Hopkins University, School of Medicine
                           Baltimore, Maryland

                           The Johns Hopkins University Hospital School of Medicine is examining the role of
                           air pollutants, such as particulate matter, environmental tobacco smoke, and ozone,
                           in rising asthma rates  among inner city children. By studying students in Baltimore
                           City Schools, researchers will determine how exposures to environmental pollutants
                           and allergens relate to asthma and will develop new ways to protect children from
                           environmental health risks.
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University of California at Berkeley, School of Public Health
Berkeley, California

The School of Public Health at the University of California at Berkeley is evaluat-
ing the impact of pesticide exposure on children's growth and development.
Working with La Clinica de Saluid del Valle de Salinas and La Natividad Medical
Center, the school is studying the effects of pesticide exposure in children of the
agricultural community of Salinas, California, and developing methods to protect
children from health risks associated with pesticides.

University of Washington, Department of Environmental Health
Seattle, Washington

The University of Washington Department of Environmental Health is conducting
research on the special vulnerability  of children to health risks from pesticides. In
conjunction with the Washington State Migrant Council, this Center is implement-
ing research and intervention projects among children of farm workers in the state's
Yakima Valley to provide local, state, and federal officials with new tools and
approaches for improving the health of children in agricultural regions across the
nation.

Mount Sinai School of Medicine
New York, New  York

The Mount Sinai School of Medicine is undertaking research to identify, character-
ize, and prevent  developmental effects among inner city children resulting from
exposures to pollutants that occur in their diets and homes.  In cooperation with
East Harlem Community Health Committee and the Boriken Neighborhood Health
Center, Mount Sinai is developing both direct and indirect methods for reducing
household exposures to pollutants and will attempt to apply these methods broadly
across East Harlem.

Columbia University,  School of Public Health
New York, New  York

The Columbia University School of Public Health is investigating the relationship
between environmental pollutants, such as paniculate matter and environmental
tobacco smoke, and the incidence of asthma among inner city children. Working in
partnership with West Harlem Environmental Action, Inc. and the New York State
Department of Health, this Center is developing and evaluating a community-wide
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                          intervention to increase the awareness of environmental hazards and educate
                          community members to prevent and reduce them.

                          Information on the Centers can be found on the Internet at http://www.epa.gov/chil-
                          dren/three.htm, or contact Chris Saint, Office of Research and Development,
                          202-564-6909.

                          Children's Environmental Health and Safety Inventory of Research
                          The Children's Environmental Health and Safety Inventory of Research
                          (CHEHSIR) is a database of federally funded or sponsored research on environmen-
                          tal health risks and/or safety risks that may uniquely or disproportionately affect
                          children. The database was created as an interagency effort under the President's
                          Task Force on Environmental Health and Safety Risks co-chaired by EPA and
                          DHHS. The inventory is available to all federal agencies, researchers,  and the public
                          through the Internet at http://www.epa.gov/chehsir. The current database contains
                          information from six departments/agencies and represents 532 research projects.
                          The entire database will be moved to the National Library of Medicine.

                          Institutionalizing  Children's Health  Protection in EPA's Rule Making
                          In November 1998, EPA published a final Guidance for Rule Writers to help them
                          comply with Executive Order 13045, "Protection of Children from Environmental
                          Health Risks and Safety Risks." This Guidance includes advice to EPA risk asses-
                          sors and managers who are developing regulatory standards that are specifically
                          targeted at pregnant women,  infants, and children. In developing standards, EPA
                          now consistently seeks out data on hazards, exposures, and dose-response functions
                          that may indicate disproportionate risks to children.

                          Federal Advisory Committee on Protection of Children's
                          Environmental Health
                          EPA has established a balanced, broad-based external Advisory Committee, char-
                          tered under the Federal Advisory Committee Act, on children's environmental
                          health. This Committee includes participants from industry, pediatric medicine,
                          science/academia, nursing, environmental organizations, citizen organizations,
                          federal, state/local/tribal government, environmental justice communities, communi-
                          ty organizations, economists, and citizens-at-large.  The Committee is EPA's way of
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obtaining outside expert advice from the perspective of children's health protection on a
variety of issues, including evaluation of EPA standards regarding children's health
protection from environmental risks, economic benefits analysis, communications and
outreach, and science. The full Committee has convened nine times since December
1997.

Reviewing Existing Regulations and Standards
OCHP, together with the EPA's program offices and the Office of General Counsel, and
in response to public comments and recommendations of the Children's Health
Protection Advisory Committee, identified eight regulations and regulatory areas for
review. These were published in the February 3, 1999, Federal Register.  EPA is
currently reviewing the following regulations:

  • Chloralkali plants national emission standard for hazardous air pollutants.

  • Organophosphate pesticides tolerances for methyl parathion, chlorpyrifos, and
   dimethoate.

  • Atrazine tolerance and maximum contaminant level.

  • Farm worker protection standard.

Workshop on Valuing  Children's Health Effects
In March 1999, EPA and the National Science Foundation sponsored a workshop on
valuing children's health effects. The workshop brought together leading economists to
share and discuss ideas  on this issue. Currently there is little information on how to
value children's health when conducting benefit/cost analyses. In preparation for the
workshop, EPA commissioned several research papers. These papers, along with the
information generated at the workshop, will be used to develop a Children's Health
Valuation Handbook.

Child  Health Champion Campaign
On May 21, 1998, the First Lady announced a new EPA pilot program, the Child
Health Champion Campaign, designed to empower local citizens and communities to
protect their children from environmental health threats. Eleven communities are
involved in the Campaign pilot. Each community assessed and prioritized potential
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                          environmental hazards to children, set community-specific goals for selected
                          hazards, and established action plans to meet each of the goals. The communities
                          are now in the implementation phase of the program. A national  evaluation of the
                          pilot is being conducted.

                          Manchester, New Hampshire (EPA Region 1)

                          Through the Child Health Champion program, local organizations in this communi-
                          ty are promoting awareness of several key issues affecting children's health,
                          including lead poisoning, asthma, and the dangers of secondhand smoke.  One
                          grantee, the Way Home, is conducting home visits to identify children at risk for
                          lead poisoning and asthma and to provide education on preventive measures. (EPA
                          contacts: Alice Kaufman, 617-918-1064, orPatHamlin, 617-918-1584)

                          Ironbound Section, Newark, New Jersey (EPA Region 2)

                          The Ironbound Community Corporation (ICC) coordinates Region 2's Child Health
                          Champion project, which focuses on the environmental causes of asthma. ICC has
                          recruited and trained residents to become "Asthma Busters," who are conducting
                          education in the community on asthma. Other education and outreach efforts,
                          including an Asthma Information and Referral Service, also are under way. (EPA
                          contacts: Rachel Chaput, 212-637-4001, or Terry Ippolito, 212-637-3671)

                          Anacostia Section, Washington, DC (EPA Region 3)

                          This Region's Community Team is focusing on indoor air pollutants as triggers for
                          asthma and other illnesses.  Several outreach tools—children's workbook, children's
                          television program, and interactive website—are being designed  to reach children
                          and parents through schools and a public housing project. (EPA  contacts: Gail
                          Tindal, 215-814-2069, or Dan Welker, 215-814-2744)

                          Prichard, Alabama (EPA Region 4)

                          The Prichard, Alabama,  Community Team selected childhood asthma and lead
                          poisoning as the environmental health hazards of greatest concern. The team has
                          developed partnerships with the elementary schools for this initiative. A database on
                          the effects of asthma is being compiled from the schools and local health care
                          providers.  Interventions include the establishment of a children's  environmental
                          health repository and hotline, implementation of the Indoor Air Quality (IAQ) Tools
                          for Schools program in all public and private schools, coordinating  community inte-
                          grated pest management (IPM) programs, establishing satellite learning centers with
                          programs addressing children's environmental health hazards, and conducting
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asthma screening, lead poisoning testing, and child health education activities. (EPA
contacts: Wayne Garfinkel, 404-562-8982, or Al Hanke, 404-562-8954)

Near South/North Side Sections, Milwaukee, Wisconsin (EPA Region 5)

The Milwaukee Team is focusing on asthma and indoor air quality in homes and
schools.  A variety of activities are planned or under way, including distribution of
an Asthma Care Plan, indoor air quality assessments in schools, an Asthma in the
Air video, home visits, and an Awesome Asthma School Days program. (EPA
contacts: Jeanette Marrero, 312-886-6543, or Afif Marouf, 312-353-5550)

Cherokee Nation, Talequah, Oklahoma (EPA Region 6)

This team is tackling the problem of contaminated drinking water, a problem that
affects two-thirds of the drinking water sources tested. The Cherokee Nation has
set a goal of providing clean drinking water to approximately 1,000 children under
the age of 16 (10 priority area water systems) within 3 years. Activities include
conducting public education and outreach as well as taking steps to prevent bacteri-
al contamination of drinking water.  (EPA contacts: Evelyn Daniels, 214-665-7543,
or Steffanie Crossland, 214-665-6684)

New Madrid County, Missouri (EPA Region 7)

The New Madrid County Tri-Town Project has identified three priorities for
protecting children's health: lead, asthma/allergies, and water.  Community leaders
presented project goals at a well-attended kick-off meeting, and resource centers are
being established in each of these communities.  (EPA contact: Althea Moses, 913-
551-7649)

Chippewa Cree Tribe, Rocky Boy's Reservation, Montana (EPA Region 8)

The Chippewa Cree Child Health Champion Team is conducting a wide variety of
activities on children's health issues. Examples include blood-lead testing through
local schools; presentations for Earth Day on such subjects as lead, water pollution,
dam safely, and pesticides; and educational activities on environmental health
hazards at the annual Rocky Boy Pow-Wow. (EPA contact: Jennifer Wintersteen,
406-441-1130)

Nogales, Arizona (EPA Region 9)

In the City of Nogales, located on the U.S.-Mexico border, Region 9 established a
Child Health Champion Community Team composed of representatives from
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                          community organizations, government agencies, businesses, and citizen groups. The
                          project focuses on controlling indoor air quality, reducing exposure to outdoor air
                          on poor air quality days, reducing the number of visits to the school nurse due to
                          upper respiratory illness, and reducing particulate matter by working with business-
                          es to pave dirt areas. (EPA contact: Lorena Lopez, 619-235-4768).

                          East Side/Pico Section, Los Angeles, California (EPA Region 9)

                          The Los Angeles Child Health Champion (CHC) pilot, "KICK Asthma L. A." (Keep
                          Improving Control of Kids' Asthma L.A.), is focused on children in East Los
                          Angeles, a mostly Hispanic, economically disadvantaged community.  The
                          Community Team formed a collaborative partnership among local government
                          agencies, public health organizations, and community-based organizations to KICK
                          asthma and build community capacity for addressing problems of asthma and creat-
                          ing a model program for children's asthma education. As a direct result of the
                          program, the community hopes to decrease school absenteeism due to asthma-
                          related illness, increase adoption of healthy home measures to decrease asthma
                          triggers, and increase community awareness about asthma. (EPA contact: Clarice
                          Gaylord, 619-235-4767).

                          Toppenish, Washington (EPA Region 10)

                          The Yakima Valley Farm Workers Clinic is focusing on air pollution triggers of
                          asthma in children under age 5. Interventions include home visits, training of child-
                          care  providers, support groups for parents, and broad-based community education.
                          (EPA contact: Dan Robinson, 509-575-5845)

                          Incorporating  Children's Environmental  Health Into Youth-Based
                          Organizations
                          EPA is working with the Academy for Educational Development to incorporate
                          children's environmental health into the fabric of youth-based organizations. Five
                          national organizations, representing thousands of children and youth, have agreed to
                          participate. An event showcasing the efforts of these groups is planned for
                          September 2000. In addition, EPA is working with the Groundwater Foundation to
                          hold a Youth Summit of Environmental Health in November 2000. (EPA contact:
                          Ted Coopwood, 202-260-3410).
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Targeting Criminal Violations that Threaten the Health and Safety
of Children
Through the Children First Initiative, EPA's Criminal Investigation Division (CID)
has expanded its response to the significant health threats that children continue to
face from environmental hazards. This initiative identifies criminal environmental
violations in which children are adversely affected or put at undue risk. At the end
of fiscal year 1999, the number of Children First cases increased to 143 criminal
investigations nationwide. This increase can be linked to CID's continuous pursuit
of these violators and continuing educational efforts among their partners in state
and local law enforcement. Individual criminal fines totaling $271,189; restitution
totaling $389,998; 97 years of imprisonment; and 86.9 years of probation have been
imposed on 75 individual defendants. Seventeen corporate defendants have been
sentenced to pay a total of $22,783,000 in criminal fines; $4,150,000 in restitution;
and 23 years of probation.

State Profiles - Children's Environmental Health
The Association of State and Territorial Health Officials is working in partnership
with the Environmental Council of the States to profile state  children's environmen-
tal health data and activities. The goal of the project is to highlight successful efforts
to reduce hazards to children, provide state-by-state data on specific children's envi-
ronmental health issues, and identify gaps in information. (EPA contact: Liz
Blackburn, 202-260-7935).

Promoting Children's Environmental Health With Pediatric Chief
Residents
EPA is supporting an educational session facilitated by the American Academy of
Pediatrics to heighten awareness of pediatric environmental health issues in residen-
cy training programs. The session targets Chief Pediatric Residents because of their
leadership in those programs. (EPA contact: Liz Blackburn, 202-260-7935).

Action to Eliminate Major  Uses of the Pesticide Dursban to Protect
Children  and Public  Health
In June 2000, the EPA and the  manufacturer of Dursban agreed to eliminate this
pesticide for nearly all household purposes. Dursban, also known as chlorpyrifos,  is
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                          the most widely used household pesticide product in the United States. Chlorpyrifos
                          belongs to a family of pesticides called organophosphates which can affect the
                          nervous system. The agreement will:

                            • Stop production of and phase out all home, lawn, and garden uses.

                            • Stop production of and phase out the vast majority of termite-control uses.

                            • Significantly lower allowable pesticide residues on several foods regularly eaten
                              by children.

                          EPA took this action under the Food Quality Protection Act (FQPA), which was
                          passed unanimously by Congress in 1996. The FQPA requires a systematic review
                          of all pesticides to ensure that they meet the tough new safety standards which, for
                          the first time, must be protective of children, who are among the most vulnerable to
                          adverse health effects from pesticide residues.
                          Tips to  Protect Children from Environmental  Threats
                          Because there are many things that parents and other caregivers can do to protect
                          children from environmental risks, EPA developed relatively easy-to-follow, effec-
                          tive "tips," which are being widely distributed. Tips are available on both magnets
                          and flyers and in English and Spanish. The National Safely Council produced a
                          half-hour television program based on the tips which aired on Bravo and CNBC
                          and is now available on video. The television program was viewed by an estimated
                          2 million people. A Spanish-language radio series based on the tips is being broad-
                          cast and will  reach an estimated 75 percent of the U.S. Latino population.
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                        Protect  Children  from

                        Environmental Threats

                        Help children breathe easier

                 Help children breathe easier
                 •  Don't smoke or let others smoke in your home or car
                 •  Keep your home as clean as possible. Dust, mold, certain household pests, secondhand smoke,
                    and pet dander can trigger asthma attacks and allergies.
                 •  Limit outdoor activity when air pollution is bad such as on ozone alert days.

                 Protect children from  lead poisoning
                 •  Wash children's hands before they eat and wash bottles, pacifiers, and toys often
                 •  Wash floors and windows sills to protect kids from dust and peeling paint contaminated with
                    lead - especially in older homes
                 •  Run the cold water for 30 seconds to flush lead from pipes
                 •  Get kids tested for lead - check with your doctor
                 •  Test your home for lead paint hazards if it was built before 1978

                 Protect children from  carbon  monoxide (CO) poisoning
                 •  Have fuel-burning appliances, furnace flues and chimneys checked once a year
                 •  Never use gas ovens or burners  for heat and never use barbeques/gnlls indoors or in the
                    garage
                 •  Never sleep in rooms with unvented gas or kerosene space heaters
                 •  Don't run cars or lawnmowers in the garage
                 •  Install a UL approved CO detector in sleeping areas

                 Keep pesticides  and other  toxic chemicals away from
                 children
                 •  Put food and trash away in closed containers to keep pests from coming into your home
                 •  Don't use pesticides if you don't have to - look for alternatives
                 •  Read product labels and follow directions
                 •  Use bait & traps instead of bug sprays when you can and place the bait & traps where kids
                    can't get them
                 •  Store where kids can't reach them and never put in other containers that kids can mistake for
                    food or drink
                 •  Keep children, toys & pets away when using pesticides and don't let them play in  fields,
                    orchards and gardens after pesticides have been used.
                 •  Wash fruits and vegetables under running water before eating - peel them when possible

                 Protect children from  too much sun
                 •  Have them wear hats, sunglasses, and protective clothing
                 •  Use sunscreen on kids  over 6 months and keep infants out of the sun
                 •  Keep them out of the mid-day sun - the sun is most intense between 10 and 4


                 Safeguard them from  high levels of radon
                 •  Test your home for radon with a home test kit
                 •  Fix your home if your radon level is 4 pCi/L or higher. If you need help  call your state radon
                    office or 1-800-644-6999

                 Protect children from  contaminated fish and polluted water
                 •  Call the local or state health department to learn about any local advisories for limiting the
                    amount of fish to be eaten or beach closing
                 •  Take used motor oil to a recycling center and properly dispose of toxic household chemicals
                 •  Find out what's in your local drinking water - call your local water system for your
                    annual drinking water quality report or, if you have a private home drinking water well,

                                       Get involved
                 Call toll free 1-877-590-KIDS for more information or check out EPA's
                                   Web site at www.TLP.A-.gQV/children
               EPA Office of Children's Health Protection
                                                                   EPA/100/F-00/008
r
   Introduction
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                          References
                          1.   Bates, D.V. 1995. The Effects of Air Pollution on Children. Environmental
                              Health Perspectives. Volume 103 (Supplement B), Pages 49-53.

                          2.   National Institutes of Health. September 1999. Cancer Incidence and Survival
                              among Children and Adolescents: United States SEER Program  1975-1995.
                              Nffl Publication Number 99-4649.

                          3.   NCI.  1997. SEER Cancer Statistics Review, 1973-1994. U.S. Department of
                              Health and Human Services, National Cancer Institute. NIH Publication
                              Number 97-2789, Page 457.

                          4.   Devesa, S.S., WJ. Blot, B.A. Miller, R.E. Tarove, and J.F. Fraumeni, Jr. 1995.
                              Recent Cancer Trends in the United States. Journal: National Cancer Institute.
                              Volume 87, Pages 175-182.

                          5.   David, J.R., R.C. Browonson, R. Garcia, B.J. Bentz, and A. Turner.  1993.
                              Family Pesticide Use and Childhood Brain Cancer. Archive of Environmental
                              Contamination and Toxicology. Volume 24, Pages 87-92.

                          6.   Gold, E., L. Gordis, J. Tonascia, and M. Szklo. 1979. Risk Factors for Brain
                              Tumors in Children. American Journal of Epidemiology. Volume 109, Pages
                              309-319.

                          7.   Olshan, A.F., N.E. Breslow,  J.M. Falletta, S. Grufferman, T Pendergrass, L.L.
                              Waskerwitz, W.G. Woods, T.J. Vietti, and G.D. Hammond. 1993. Risk Factors
                              for Wilm's Tumor:  Report from the National Wilm's Tumor Study. Cancer.
                              Volume 72, Pages 938-944.

                          8.   ATSDR. 1997. Healthy Children—Toxic Environments. Report of the Child
                              Health Workgroup. U.S. Department of Health and Human Services, Public
                              Health Service, Agency for Toxic Substances and Disease Registry.

                          9.   CDC. 1997. Update: Blood Lead Levels—United States, 1991-1994.
                              Morbidity and Mortality Weekly Report. Volume 46, Number 7,  Pages 141-
                              145.
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10.  EPA. 1997. Should I Eat the Fish I Catch? Publication Number EPA 823-B-
     97-009. U.S. Environmental Protection Agency.

11.  SOCMA. Undated. Fact Sheet: The Batch Chemical Industry. Washington,
     DC: Synthetic Organic Chemical Manufacturers Association.

12.  NRC. 1993. Pesticides in the Diets of Infants and Children. National Research
     Council. Washington, DC: National Academy Press.

13.  ILSI. 1992. Similarities and Differences between Children and Adults:
     Implications for Risk Assessment. International Life Sciences Institute.
     Washington, DC: ILSI Press.
Introduction
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                      HADTER 2
The EPA Children's Environmental Health Yearbook Supplement


      Asthma  and   Other
     Respiratory  Effects
                         Asthma, a serious lung disease, is the leading chronic illness among children in the
                         United States. The number of children with asthma in the United States has more
                         than doubled in the past two decades, from 2.3 million in 1980 to an estimated 5
                         million in 1998. The number of deaths attributed to asthma in children 18 and under
                         also has increased, from 84 in 1977 to 280 in 1995. Minority children experience a
                         disproportionately  high impact from asthma. Asthma accounts for 10 million lost
                         school days a year. In  1998, the cost of asthma to the U.S. economy was estimated
                         to be $11.3 billion, accounting for about 1 percent of all health care expenditures in
                         the United States.(l,2,3,4,5,6)

                         Asthma is a narrowing of airways in the lungs that produces difficulty in breathing
                         and can severely restrict the ability of a child to live a normal life. Poor indoor and
                         outdoor air quality has been linked with asthma symptoms as well as with other
                         respiratory problems, such as an increased frequency of respiratory infections,
                         bronchitis, and pneumonia in children.(S)  There is substantial evidence that environ-
                         mental exposures (including cigarette smoke, smog, and allergens, such as pollens,
                         dust mites, mold, and cockroaches) can trigger asthma attacks in children who have
                         a genetic  or acquired predisposition to the disease.(7)

                         In 1999, the President's Task Force on Environmental Health Risks  and Safety
                         Risks to Children released a comprehensive national strategy (Asthma and the
                         Environment: A Strategy to Protect Children, http://www.epa.gov/children/asthma)
                         to reverse the increasing rates of asthma among U.S. children. EPA played a leader-
                         ship role in developing the strategy. The Agency is developing a program to combat
                         the rising prevalence of asthma in the United States, with a focus on improving
                         indoor and outdoor air quality. Over the next several years, the Agency will expand
                         its research and public information initiatives to address indoor and  outdoor asthma
                         triggers. Some of these initiatives  are described below.
                         Improving Indoor  Air  Quality
                         Avoidance of asthma triggers in the environment, along with proper medical
                         management and self-monitoring of symptoms, can substantially reduce the
                         frequency and severity of asthma attacks. EPA's Indoor Air Quality (IAQ) program
                         is focused on reducing the exposure of asthmatics—especially children with asth-
                         ma—to indoor asthma triggers in homes, schools, and childcare facilities through a
                         multi-faceted program that emphasizes public education and  outreach, training, and
                         extensive partnerships with the public and private sectors.
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            Goals  of the Asthma and the Environment Strategy
     By the year 2005, the number of households in which children are regularly exposed to secondhand
     smoke will be reduced to 15 percent (compared to 29 percent in 1994).

     By the year 2010, asthma hospitalization rates in children will have fallen to no more than 10 hospital -
     izations per 10,000 people (compared to 50 for children 0 to 4 years old and 18 for children 5 to 14
     years old in 1992-1994).

     By the year 2010, emergency department visits will be reduced to no more than 46 per 10,000 people
     (compared to 121 for children 0 to 4 years old and 81 for children 5 to 14 years old in 1992-1994).

     By the year 2010, no more than 10 percent of children with asthma will experience activity limitations
     (compared to 22 percent for the overall population in 1992-1994).
To establish a sound scientific basis for its indoor environments asthma program,
EPA requested that the Institute of Medicine of the National Academy of Sciences
conduct a comprehensive assessment of the relationship between indoor air pollu-
tion and asthma. Released in January 2000,  Clearing the Air: Asthma and Indoor
Air Exposures confirms the importance of addressing indoor environmental triggers
as part of a comprehensive asthma management program.

EPA works to educate parents,  health care professionals, school administrators,
facility managers, and many other audiences about practical steps they can take to
improve the indoor environments where children spend time. A new national media
campaign, educational materials, such as the new brochure, Clear Your Home of
Asthma Triggers: Your Children Will Breathe Easier, a comprehensive new asthma
Web site (http://www.epa.gov/iaq/asthma/),  and co-sponsorship of major events,
such as Asthma Awareness Day on Capitol Hill help to get the word out. The
cornerstone of EPAs national strategy, however, is a network of more than 30
national partner organizations and more than 1,000 collaborative partner organiza-
tions in communities across the nation.
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                           Through these partners, EPA continues to promote the IAQ Tools for Schools
                           program, which empowers schools to prevent and resolve IAQ problems. Of partic-
                           ular note, EPA is working with the National Association of School Nurses to train
                           thousands of school nurses in strategies for reducing children's exposures to asthma
                           triggers and indoor pollutants.

                           EPA continues to work with the American Lung Association to implement the
                           Open Airways program for inner city minority children who have higher-than-
                           average asthma rates. EPA also is collaborating with partners, such as the DHHS,
                           the Consumer Federation of America Foundation, the American Medical
                           Association, and the American Academy of Pediatrics to educate the public about
                           the dangers posed to children by environmental tobacco smoke (ETS), also known
                           as secondhand smoke.

                           EPA has partnered with a number of health organizations to develop interventions
                           that can reduce exposures to asthma triggers in the indoor environment. The
                           Agency also is assisting community groups in efforts to publicize effective interven-
                           tion strategies, especially in the low-income, inner city communities where asthma
                           is most prevalent. In addition, EPA is conducting various research studies to meas-
                           ure the effectiveness and benefits of asthma interventions.
                           Improving Outdoor Air Quality
                          EPAs efforts to control outdoor air pollution are focused on protecting everyone,
                          including children, from the harmful effects of ozone, particulate matter, and toxic
                          substances. The Agency develops standards that set safe limits for the most preva-
                          lent air pollutants, and works with the states to implement those standards. Recently,
                          the Clinton administration issued a strengthened air standard for ozone to protect
                          the health of asthmatics and children and established new standards for fine
                          airborne particles. The Agency estimates that the new standards will provide new
                          health protections to 125 million Americans, including 35 million children.
                          However, in May 1999 a federal appeals court ruled that these standards are uncon-
                          stitutional. In January 2000 the U.S. Department of Justice filed a petition seeking
                          Supreme Court review of the decision.

                          In addition to conducting these regulatory efforts, EPA is studying the impacts of
                          outdoor air pollutants on the physical development of children and the characteris-
                          tics of children that make them more susceptible to the effects of air pollution.
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EPA Projects on Asthma and Other  Respiratory Effects

Indoor Air Quality Tools for Schools

Title:         IAQ Tools for Schools

Description:   EPA has developed IAQ Tools for Schools, an easy-to-use guide
             intended to empower schools to prevent and resolve IAQ problems
             at little or no cost using simple activities and in-house staff. More
             than 30,000 IAQ Tools for Schools kits have been distributed nation-
             wide since 1996. The program is directed from EPA headquarters
             through agreements with a number of associations (see below).
             EPAs regional offices have active implementation programs as well.

Partners:      National Parent-Teacher Association, American Association of
             School Administrators, National Association of City and County
             Health Officials, American Lung Association, National Education
             Association

Contact:      Office of Air and Radiation, Michele Guarneiri, 202-260-9099
Title:         Working with Partners to Improve Indoor Air Quality in Schools

                •  National Education Association

                  The National Education Association Health Information
                  Network (NEA fflN) and EPA are supporting NBAs 2.2
                  million members in improving the management of IAQ in
                  schools and homes. Through NEA's training program, NEA
                  members and union liaisons are trained in school IAQ manage-
                  ment. Trainees and workshop participants are currently
                  working with school districts and schools to implement EPAs
                  IAQ Tools for Schools. Contact Office of Air and Radiation,
                  Jennifer Keller, 202-564-9338.

                •  American Association of School Administrators

                  EPA is working with the American Association of School
                  Administrators (AASA) to enable schools to  prevent and
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                                             resolve IAQ problems using the IAQ Tools for Schools Action
                                             Kit. This project includes training courses, IAQ sessions during
                                             workshops and conferences, and articles in newsletters to
                                             educate administrators about IAQ problems and solutions, as
                                             well as how to implement an IAQ program using in-house
                                             school staff. AASA will conduct periodic surveys during the
                                             project to assess the administrators' understanding of IAQ and
                                             how they resolve problems. Contact Office of Air and
                                             Radiation, Paula Selzer, 202-564-9361.

                                             National Parent-Teacher Association

                                             The National Parent-Teacher Association (NPTA) and EPA are
                                             working cooperatively to support the participation of more than
                                             6.5 million NPTA members in the environmental  management
                                             of homes, schools, communities, and ecosystems. NPTA's
                                             program has centered around environmental awareness, includ-
                                             ing training NPTA leaders on school indoor air quality, air
                                             pollution, water pollution, drinking water quality,  hazardous
                                             materials, emergency planning, radon exposure, pesticides,
                                             solid waste, and lead poisoning. NPTA also publishes Our
                                             World Newsletter and sponsors Earth Week activities and litera-
                                             ture. Contact Office of Air and Radiation, Michele Guarneiri,
                                             202-564-9099.

                                             Urban Schools IAQ Project

                                             The National Association of County and City Health Officials
                                             (NACCHO), working cooperatively with EPA, will offer IAQ
                                             Tools for Schools pilot training courses in low-income urban
                                             communities.  The courses are designed to encourage partner-
                                             ships between local environmental justice organizations (or
                                             organizations with similar community concerns) and local
                                             public health and school officials. NACCHO has  planned the
                                             training to promote awareness of IAQ problems in schools,
                                             management of IAQ, and strategies for managing asthmatic
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                  children's exposures to indoor asthma triggers. Contact Office
                  of Air and Radiation, Laura Kolb, 202-564-9348.

                  Training School Nurses on IAQ Tools for Schools and Asthma

                  The National Association of School Nurses (NASN) and EPA
                  are working together on improving IAQ and addressing asthma
                  triggers in schools. School nurses across the country have been
                  trained on IAQ Tools for Schools and are conducting "train the
                  trainer" workshops in their school districts. NASN also is
                  developing asthma modules that school nurses can deliver
                  during staff meetings, PTA meetings, and health classes to
                  educate school communities about the seriousness of asthma
                  and environmental triggers. The modules will incorporate IAQ
                  Tools for Schools information and action items for reducing
                  exposures to asthma triggers and indoor pollutants. Contact
                  Office of Air and Radiation, Kim Smith,  202-564-9443.

                  School Intervention Study

                  The School Intervention Study  will provide a measure of the
                  effectiveness of IAQ  Tools for Schools in improving the
                  management of school buildings for  better IAQ. Success meas-
                  ures include activities to prevent problems, changes in staff
                  symptoms and perceptions of indoor air quality, reduced pollu-
                  tant levels, and improved ventilation systems. Before-and-after
                  testing is being conducted in several  schools and costs will be
                  monitored over a 1-year period. Results are expected  in FY
                  2000. Contact Office of Air and Radiation, John Girman, 202-
                  564-9317.

                  American Lung Association Open Airways

                  The American Lung Association is promoting EPAs IAQ Tools
                  for Schools along with their Open Airways curriculum, which
                  teaches asthmatic elementary school  children to manage their
                  own asthma. The program focuses on inner city children in
                  areas with higher-than-average asthma rates. The American
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                                             Lung Association is developing an integrated training program
                                             in which 15 master trainers will train 250 other trainers, who
                                             will then train 5,000 local volunteers. Project directors estimate
                                             that this combined program will result in 25,000 children grad-
                                             uating from Open Airways and 1,500 schools fully
                                             implementing the IAQ Tools for Schools guidance. The
                                             program has enhanced asthma management skills of children
                                             and their parents, reducing the frequency of asthma attacks.
                                             Several Regions are translating Open Airways into Spanish.
                                             Additionally, all local American Lung Associations will begin
                                             programs to implement EPA IAQ Tools for Schools in FY 2000.
                                             Contact Office of Air and Radiation, Tracy Enger, 202-564-
                                             9484.
                           Title:         EPA Regional School-Based Programs to Improve Indoor Air
                                        Quality

                           Region 1:     Region 1 and its partners (including Harvard School of Public
                                        Health, Tufts University School of Medicine, Massachusetts Public
                                        Health Association, and the American Lung Association) have spon-
                                        sored numerous workshops introducing the IAQ Tools for Schools
                                        program to various segments of the education community. The New
                                        England Coalitions for Occupational Safety and Health have worked
                                        with schools to assist them in implementing the program; over 60
                                        New England schools are implementing IAQ Tools for Schools.
                                        Contact Eugene Benoit, 617-918-1639, or Mary Beth Smuts,  617-
                                        918-1528.

                                        With EPA funding, staff of the  State of Vermont Department of
                                        Health trained a teaching professional representing the pilot supervi-
                                        sory union in basic issues related to indoor  air quality and
                                        ventilation. After the training, initial concerns were addressed by the
                                        school at the local level, and an indoor air quality management plan
                                        was developed. The indoor air quality coordinator incorporated the
                                        new knowledge into the supervisory union's health education
                                        curriculum. Contact Kristen Conroy, 617-918-1069.
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Region 4:     Region 4 and the University of Tulsa presented 10 1-day workshops
              to educate school officials on the IAQ Tools for Schools Action Kit.
              (Approximately 1,400 kits were previously distributed to school
              officials in the region.) Around 50 school officials attended each
              workshop. Contact Henry Slack, 404-562-9143.

              EPA funded a pilot project to deliver the American Lung
              Association's Open Airways curriculum to children with asthma in a
              rural Florida county, while implementing the IAQ Tools for Schools
              Action Kit at their school. EPA is also funding an American Lung
              Association  effort in northern Florida to promote the kit at schools
              in a poor, rural county, and to offer Open Airways to children at the
              schools. In a separate effort, Region  4 and the University of Tulsa
              offered courses in Florida, Georgia, and North Carolina on topics
              including biological contaminants, asthma, and allergen control.
              Contact Henry Slack, 404-562-9143

Region 5:     The Marion  County, Illinois, Health Department is working with
              schools to implement the IAQ Tools for Schools Action Kit and is
              studying the kit's effectiveness. In addition, staff from Region 5 are
              providing onsite technical assistance to help schools implement the
              kit. Contact Helen Tsiapas or Sheila  Batka, 312-886-6053.

              The IAQ Tools for Schools program  also is being implemented in a
              Minnesota school that serves a high  percentage of children from
              Native American tribes. EPA is conducting IAQ Tools for Schools
              overview sessions for tribes in Wisconsin, Minnesota, and Michigan
              during 1999 and 2000. EPA also held a 1999 meeting with the
              Indian Health Services to discuss children's issues, IAQ Tools for
              Schools, and the potential for partnerships between the tribes and
              Region 5. Contact Jeanette Marrero,  312-886-6543, or  Sheila Batka,
              312-886-6053.

              The Chicago Health Corps is working to initiate the Clean Air for
              Good Health in Schools Campaign within five Chicago public
              schools. This project will raise awareness of indoor air quality
              among teachers and building maintenance staff and improve the
              quality of the indoor environment in schools. The Chicago Health
              Corps will initiate an environmental  assessment in the schools
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                                         and provide recommendations for revising current maintenance poli-
                                         cies. Contact Jeannette Marrero, 312-886-6543, or Sheila Batka,
                                         312-886-6053.

                                         EPA provided a grant to the Michigan School Indoor Air Coalition,
                                         headed by the American Lung Association of Michigan, to improve
                                         IAQ in Michigan schools. Contact Helen Tsiapas, 312-886-7901, or
                                         Sheila Batka, 312-886-6053.

                                         EPA also provided a grant to the Wisconsin Department of Health
                                         and Family  Services to increase awareness and implementation of
                                         energy-efficient and healthful IAQ practices in Wisconsin schools.
                                         Contact Sheila Batka, 312-886-6053, or Julie Magee, 312-886-6063.

                           Region 7:      Region 7 completed IAQ Tools for Schools walk-throughs at schools
                                         in Jefferson City, Missouri; Lincoln, Nebraska; and Liberty,
                                         Missouri, as part of demonstration projects. Representatives
                                         discussed the Tools for Schools program at the Regional IAQ meet-
                                         ing and Regional Tribal Operations Committee Annual meeting, and
                                         hosted a Tribal Tools for Schools workshop/school walk-through in
                                         South Sioux City, Nebraska. The Region also completed presenta-
                                         tions  at IAQ Tools for Schools workshops in Lincoln and Omaha,
                                         Nebraska, and at the Kansas Schools Nurses Conference in Wichita,
                                         Kansas; distributed 10 Tools for Schools kits at the Back to School
                                         With  New Ideas Seminar; and supplied the Kansas City/St. Joseph
                                         Catholic Diocese with 54 kits for their schools. Finally, Region 7
                                         participated in the IAQ Tools for Schools Stakeholder Meeting in
                                         Washington, DC. Contact Michael Marshall, 913-551-7604.

                           Region 8:      Region 8 is  piloting the IAQ Tools for Schools program in several
                                         school districts in Colorado and continues to offer workshops to
                                         school personnel  throughout the region. Contact Megan Williams,
                                         303-312-6431.

                           Region 9:      Region 9 is  conducting a multi-pronged program to encourage
                                         schools to adopt IAQ Tools for Schools. The Region 9 team has
                                         trained more than 800 school district personnel and is now focusing
                                         on individual pilot schools within  selected districts. Partners include
                                         state agencies, educational organizations, and the American Lung
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              Association, which has created a pilot "Mentor" program with the
              American Industrial Hygiene Association. Contact Barbara Spark,
              415-744-1132.

Region 10:    Region 10 coordinates and supports the IAQ Tools for Schools
              program to conduct training and school walk-throughs in
              Washington, Oregon, Idaho, and Alaska through small grants to the
              Idaho Health Division, the Oregon State University Cooperative
              Extension Energy Program, the University of Alaska (Fairbanks)
              Cooperative Extension Energy Program, and the Washington State
              University Cooperative Extension Energy Program. Each of these
              agencies has committed to conducting at least four school walk-
              throughs and IAQ Tools for Schools training in each of their states.
              Contact Brook Madrone, 206-553-2589.


Environmental Tobacco Smoke (Secondhand Smoke)

Title:          Environmental Tobacco Smoke Media Campaign

Description:   EPA is conducting a multi-year, national campaign to motivate
              parents to keep their homes smoke-free. The first wave of this
              campaign includes three products: 60- and 30-second television
              spots, 60- and 30-second radio spots,  and print public service
              announcements (PSAs) of various sizes for newspapers. These prod-
              ucts were distributed directly to more than 1,000 television stations,
              500 cable stations, 5,400 radio stations, and 1,500 major daily news-
              papers. One of the PSAs was the second most frequently aired PSAs
              in the country, appearing in 80 percent of U.S. television households
              with an unusually high number of prime-time airings. EPA has also
              equipped its local and national partners, such as National
              Association of City and  County Health  Officials and American Lung
              Association affiliates, as well as a national network of tobacco
              control experts, with materials to market the PSAs to media outlets
              in their states and communities.

Contact:       Office of Air and Radiation, Wendy Kammer, 202-564-9152
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                          Title:         Reducing Exposure to ETS through Child Care Outreach

                          Description:   EPA is implementing training developed by the Pennsylvania
                                        Chapter of the American Academy of Pediatrics (AAP-PA) in at
                                        least five state systems this year. The program trains childcare center
                                        operators on the risks to children from exposure to ETS at home.
                                        The AAP-PA has provided professional credits to 160 providers who
                                        passed an exam and implemented this program, resulting in an esti-
                                        mated 1,920 families  who have reduced their children's risk from
                                        ETS.

                          Partners:      American Academy of Pediatrics, Pennsylvania  Chapter; National
                                        Resource Center for Health and Safety in Child Care

                          Contact:      Office of Air and Radiation, Alison Freeman, 202-564-9455
                          Title:         Community-Based Pediatrician Outreach

                          Description:   The American Academy of Pediatrics is collaborating with EPA to
                                        promote a secondhand smoke speaker's kit for pediatricians to use in
                                        community-based reduction efforts. The kit includes 35mm slides,
                                        speaker's notes, and other public information materials designed to
                                        communicate the health risks associated with children's involuntary
                                        exposure to secondhand smoke. More than 1,300 pediatricians have
                                        obtained the secondhand smoke speaker's kit since it was developed
                                        3 years ago.  To meet the high number of requests for the kit, AAP
                                        plans to post the kit on their Web site, http://www.aap.org, in the
                                        near future.

                          Contact:      Office of Air and Radiation, Kim Smith, 202-564-9443
                          Title:         Hispanic Health Project

                          Description:   The National Council of La Raza (NCLR) and EPA are working on
                                        a two-part Hispanic Health Project. The first part is the "Smoke-
                                        Free" homes campaign, which provides ETS training for members
                                        of community-based organizations who then provide training and
                                        counseling on ETS and secure "smoke-free" homes pledges from
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              other community members. The second part of the Hispanic Health
              project provides training to lay health educators in low-income and
              minority communities on asthma, ETS, and other health-related
              topics.

Contact:       Office of Air and Radiation, Laura Kolb, 202-564-9438
Title:          Outreach Campaign on Secondhand Smoke and Children

Description:   Surveys show that 35 percent of children under age 6 in EPA Region
              4 live in a home that allows smoking indoors. To reduce these
              percentages, EPA is conducting outreach on secondhand smoke and
              children in two states. In Kentucky, Region 4 funded the American
              Lung Association of Kentucky's "Smoke Outside . . . Please"
              campaign, which features a poster and other materials that have been
              distributed in physicians' offices, buses, and other venues. Region 4
              also funded efforts by the Tennessee Clearinghouse of the Tennessee
              Alcohol and Drug Association to develop public service announce-
              ments urging people to smoke outside.

Contact:       Region 4, Henry Slack, 404-562-9143
Title:          Grant to Cuyahoga County Board of Health, Ohio

Description:   EPA awarded a grant to the Cuyahoga County Board of Health on
              behalf of the Greater Cleveland Asthma Coalition. The purpose of
              the grant is to reduce exposures to ETS among Cleveland's children,
              especially in minority populations.

Contacts:      Region 5, Helen Tsiapas, 312-886-7901, or Sheila Batka, 312-886-
              6053
Title:          Indoor Air Environment Program for Children

Description:   Region 7 provided information to reduce smoking in homes where
              children 6 years old or younger reside. Using an IAQ grant, Region
              7 worked with the American Lung Association of Western Missouri
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                                        to develop their ETS program for pregnant women. The issue of
                                        smoking in homes with children was discussed during a Regional
                                        IAQ meeting. The Region met with the Iowa Department of
                                        Education in an effort to get EPA's "Environmental Tobacco Smoke
                                        Day Care Center Program" included in the Iowa childcare certifica-
                                        tion requirements. Copies of the ETS speaker's kit were sent to
                                        American Lung Association chapters in Kansas and Missouri and to
                                        the  state indoor air programs.

                          Contact:      Region  7, Robert Dye, 913-551-7605
                          Title:         ETS Outreach Project

                          Description:   In cooperation with the American Lung Association, Region 8 is
                                        providing outreach materials to health care professionals and to the
                                        general public on the health risks associated with childhood expo-
                                        sure to secondhand smoke.

                          Contact:      Region 8, Kathleen Craig, 303-312-6031
                          Title:         Environmental Tobacco Smoke Outreach

                          Description:   Region 10 and the American Lung Association of Washington
                                        (ALAW) conducted ETS outreach efforts in Washington hospitals
                                        and clinics. The outreach consisted of interviewing and counseling
                                        parents of children discharged from hospitals and treated in clinics
                                        for asthma exacerbations. Parents who smoked were counseled
                                        regarding ETS as an asthma trigger and the importance of not smok-
                                        ing around their children. In addition, ALAW developed a manual
                                        that could be used by nurses and other clinic or hospital staff to
                                        provide this counseling. Distribution of these manuals, along with
                                        training in their use, has taken place in 10 hospitals and clinics
                                        throughout the state. Region 10 also worked with the Bellingham
                                        Opportunity Council to provide ETS and asthma outreach and
                                        education to childcare providers and parents, targeting low-income
                                        and minority communities in northwest Washington.

                          Contact:      Region 10, Mike Letourneau, 206-553-1687
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Indoor Air  General  Outreach and Interventions

Title:          Asthma Media Campaign
Description:   EPA is working to develop and promote a mass media campaign
              designed to raise awareness that controlling indoor environmental
              triggers is an integral part of managing asthma. The multi-level
              campaign targets the general public, the health community, care-
              givers of children with asthma, and people with asthma.
Partners:      Department of Health and Human Services, National Institutes of
              Health
Contact:       Office of Air and Radiation, Kristy Miller, 202-564-9441
Title:          Asthma Case Studies

Description:   The National Association of County and City Health Officials, in
              cooperation with EPA, is developing multi-disciplinary asthma case
              studies for local health departments and other health professionals.
              The case studies will concentrate on local health department asthma
              control and prevention programs, specifically highlighting programs
              that target children under 6 and low-income urban communities. The
              case studies will document and describe successful community asthma
              interventions that can be used as templates for other communities to
              replicate, with the aim of increasing awareness and implementation
              of local programs for the control and prevention of asthma.

Contact:       Office of Air and Radiation, Laura Kolb, 202-564-943 8
Title:          Increasing Indoor Air Action in American Asian and Pacific
              Islander (AAPI) Communities

Description:   EPA is working cooperatively with the Association of Asian Pacific
              Community Health Organizations (AAPCHO) to reduce indoor air-
              related health risks in AAPI communities. AAPCHO is developing a
              culturally and linguistically appropriate asthma health education
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                                        pamphlet for three Asian languages—Chinese, Korean, and
                                        Vietnamese—based on EPA's new brochure Clear Your Home of
                                        Asthma Triggers: Your Children Will Breathe Easier. AAPCHO is
                                        also providing technical assistance and support to three AAPI
                                        community-based mini-grant recipients during implementation of
                                        their indoor air activities, and is producing a four-language (English,
                                        Chinese, Vietnamese, Korean) wall calendar featuring catchy and
                                        positive messages about clean air in the home.

                          Partners:      Association of Asian Pacific Community Health Organizations

                          Contact:      Office of Air and Radiation, Paulina Chen, 202-564-9031


                          Title:         Asthma and Allergy Essentials for Childcare Providers

                          Description:   EPA is working cooperatively with the Asthma and Allergy
                                        Foundation of America to make childcare settings safer for, and
                                        more accessible to, children with asthma by (1) implementing the
                                        best-practice standards set forth in the newly released Pediatric
                                        Asthma Guidelines to  ensure safe, healthy childcare for every child,
                                        and (2) improving policies and procedures for access to quality
                                        childcare for children with asthma and allergies as an essential part
                                        of each child's disease management program. This project involves
                                        training licensed providers of childcare in appropriate asthma and
                                        allergy management and environmental control.

                          Partners:      Asthma and Allergy Foundation of America

                          Contact:      Office of Air and Radiation, Brenda Doroski, 202-564-9764


                          Title         Asthma Collaborative Program

                          Description:   The Bureau of Primary Health Care (BPHC) of the Department of
                                        Health and Human Services provides  financial support to more than
                                        1,000 Community Health Centers and School-Based Health Centers
                                        that provide medical services to low-income and minority under-
                                        served populations, many of whom do not have health insurance.
                                        EPA is working with BPHC to incorporate appropriate indoor
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              environmental trigger information into a new Breakthrough Series
              Asthma Collaborative program designed to help the centers improve
              health services for children and adults with asthma.

Partners:      More than a dozen public and private sector partners, including
              federal agencies, private foundations, and pharmaceutical
              companies.

Contact:      Office of Air and Radiation, Sheila Brown, 202-564-9439


Title:         Early Intervention and Treatment of Asthma

Description:   EPA is working cooperatively with the American Respiratory Care
              Foundation to educate pediatric asthma patients in the emergency
              room setting about environmental triggers for asthma and appropri-
              ate intervention techniques. The goal of the project is to reduce
              children's exposure to indoor asthma triggers and reduce asthma
              episodes and future emergency room visits. The project is being
              done in collaboration with Rainbow Babies and Children's Hospital,
              University Hospital of Cleveland, and Youngstown State University.

Partners:      American Respiratory Care Foundation of the American Association
              for Respiratory Care

Contact:      Office of Air and Radiation, Tracey Mitchell, 202-564-9446
Title:         National Civil League Coalition Building Training

Description:   As part of a continuing effort to educate communities in southeast-
              ern Connecticut about the potential dangers of indoor air pollution,
              the Southeastern Connecticut Indoor Air Quality Coalition held a
              1-day forum on coalition building. The forum built upon concerns
              about children's exposure to ETS; efforts to reduce the number of
              children who become ill due to asthma;  and outreach to hospitals,
              clinics, schools, and communities on issues of IAQ and health
              concerns.

Partners:      Southeastern  Connecticut Indoor Air Quality Coalition
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                          Contact:      Region 1, Mary Beth Smuts, 617-918-1528
                          Title:         ZAP Asthma Community Conference

                          Description:   This 1-day conference in Boston featured a speaker from Atlanta,
                                       Georgia, who provided information on the ZAP Asthma Community
                                       Project. The conference focused on strategies for changing the
                                       emphasis on asthma from treatment to prevention.

                          Partners:      Urban Asthma Coalition, Tufts University School of Medicine

                          Contact:      Region  1,  Mary Beth Smuts, 617-918-1528
                          Title:         Urban Asthma Community Conference and Coalitions

                          Description:   EPA co-sponsored this conference on urban asthma, held at a local
                                       community college in Boston, so as to be readily accessible to the
                                       inner city community. A panel of experts addressed diagnosis and
                                       management of asthma, as well  as asthma prevention. The emphasis
                                       was on education and how citizens can maneuver through the health
                                       care system to receive thorough treatment. Numerous Environmental
                                       Asthma Community Coalitions have been working throughout New
                                       England on home and school education evaluations to control envi-
                                       ronmental asthma triggers. In addition, the Asthma and Allergy
                                       Foundation of New England developed a series for childcare
                                       providers on controlling environmental asthma triggers.

                          Partners:      Alternatives for the Environment, Boston Medical Center, Citizens
                                       Energy Corporation, Dudley Street Neighborhood Initiative,
                                       Environmental Diversity Forum, Roxbury Community College,
                                       Urban Asthma Coalition, Asthma and Allergy Foundation of New
                                       England

                          Contact:      Region  1, Mary Beth Smuts, 617-918-1528
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Title:          Puerto Rico Department of Health—Asthma Coordinator

Description:   In 1996, EPA sponsored an asthma workshop in Catafio, Puerto
              Rico, to discuss the high rate of asthma prevalence in Puerto Rican
              children and to determine the most productive course of action for
              combating asthma. The workshop identified a number of urgent
              needs, including the need for an asthma study examining the impor-
              tance of indoor allergens in Puerto Rico (see project description
              below). Because the Puerto Rico Department of Health had no staff
              available to dedicate to asthma issues, EPA granted funds for 1 year
              to support an asthma coordinator, whose task is to implement the
              recommendations of the Catafio Workshop and to help conduct an
              asthma study.

Contact:       Region 2, Rachel Chaput, 212-637-4001
Title:          Integrated Pest Management in Urban Low-Income Housing
              Projects

Description:   Hunter College's Center for Environmental and Occupational
              Health, in conjunction with the New York City Department of
              Health, is working with the New York City Housing Authority to
              implement integrated pest-management (IPM) strategies in low-
              income housing projects in East Harlem.  The goal of the effort is to
              achieve sustainable reductions of cockroaches and rodents, both of
              which produce allergens that can cause or aggravate asthma. The
              team assembled to do the work is from the immediate community.

Contact:       Region 2, Rachel Chaput, 212-637-4001
Title:          Educational Photoliterature as a Means to Reduce Cockroach and
              Rodent Infestations Without Pesticides in a Low-Income Setting

Description:   EPA Region 2 is developing a community-based educational photo-
              literature (photos with simple text) that describes integrated pest
              management (IPM) techniques for reducing cockroach and rodent
              infestations in inner city housing. Cockroaches and rodents produce
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                                        allergens that can cause or aggravate asthma in sensitive populations,
                                        especially children. The local community has been involved from
                                        the outset in the development of the photoliterature, learning about
                                        pest infestations and their association with asthma, developing a
                                        storyline to educate community members about IPM techniques,  and
                                        helping to produce the photoliterature.

                          Contact:      Region 2, Rachel Chaput, 212-637-4001
                          Title:         Asthma Education in East Harlem

                          Description:   The Boriken Neighborhood Health Center will conduct bilingual
                                        asthma education in East Harlem, which has been documented to
                                        have the highest asthma mortality rate in the nation. Boriken will
                                        work in partnership with the new EPA/DHHS Children's Health
                                        Center, recently established at the Mount Sinai Medical Center, to
                                        deliver education that focuses on environmental triggers and proper
                                        medical management of asthma.

                          Contact:      Region 2, Rachel Chaput, 212-637-4001
                          Title:         Fighting Asthma in HUD Housing

                          Description:   EPA has awarded a grant to the New York City Housing Authority
                                        (NYCHA), which is part of the U.S. Department of Housing and
                                        Urban Development (HUD) housing program, to conduct an asthma
                                        educational program for residents of the city's public housing. The
                                        educational program will use NYCHA's 115 community centers as
                                        the primary venue for reaching this population. A series of posters
                                        will be developed and displayed, communicating critical messages
                                        about the environmental control of asthma. In addition, NYCHA
                                        will work with Hunter College's Center for Environmental and
                                        Occupational Health to offer educational workshops about asthma
                                        for public housing residents.

                          Contact:      Region 2, Rachel Chaput, 212-637-4001
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Title:         Clinical Directors Network Asthma Intervention Project

Description:   The Clinical Directors Network (CDN) is a nonprofit association of
              primary care providers who practice in low-income areas across the
              country. The goal of this project is to develop and refine two inter-
              ventions which, at moderate cost, can improve asthma health
              outcomes. The two interventions, one clinical and one environmen-
              tal, will be compared against "high-quality usual care." The resulting
              structure, or module, could then be used in CDN-associated low-
              income clinics in other regions, with refinements for local variations
              in the relevant environmental triggers.

Contact:       Region 2,  Rachel  Chaput, 212-637-4001
Title:         Camden-Rutgers University Asthma Project

Description:   This project will focus on building the capacity of residents and
              community groups in Camden and Philadelphia to confront two
              health problems that are strongly associated with treatable environ-
              mental factors: lead poisoning and asthma. Both Camden and
              Philadelphia have populations of predominantly impoverished,
              minority families in which many children are at risk from these
              health problems. This project will identify children at risk through
              cooperative agreements with health professionals (e.g., school nurses
              and maternity care givers). Environmental management teams,
              composed of community residents who have been specifically
              trained for this purpose, will visit the families of identified children
              and provide education and intervention for lead and asthma.
              Followup visits will assess the effectiveness of training and allow
              evaluation of the program. The project has a 1-year goal of impact-
              ing 400 families in Philadelphia and 600 families in Camden.

Contact:       Region 2, Rachel Chaput, 212-637-4001
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                          Title:         English/Spanish Video on Reducing Indoor Asthma Triggers in
                                        Inner City Dwellings

                          Description:   Due to a number of factors, including dilapidated housing stock,
                                        low-income urban populations often experience disproportionate
                                        exposures to various indoor environmental asthma triggers (e.g.,
                                        cockroach allergens, molds). The same populations can also experi-
                                        ence disproportionate exposures to pesticides used to target the
                                        roaches. Research has shown that these inequities are correlated to
                                        some extent with the extremely elevated rates of asthma found in
                                        these populations. Regions 2 and 7 are collaborating on developing
                                        an instructional video to give low-income urban populations tech-
                                        niques to reduce their exposure to these substances. The video will
                                        be translated into Spanish.

                          Contact:      Region 2, Rachel Chaput, 212-637-4001
                          Title:         Indoor Asthma and Allergen Control

                          Description:   EPA Region 4 and the University of Tulsa are presenting several
                                        2-day training courses to educate public health officials on indoor
                                        asthma and allergen control measures.

                          Contact:      Region 4, Henry Slack, 404-562-9143
                          Title:         Seminar Series on Asthma

                          Description:   The Region 5 Children's Health team and the Air Division's Asthma
                                        Workgroup conducted four seminars on asthma, featuring expert
                                        speakers from the Chicago area. The seminars covered a range of
                                        topics, including the effect of environmental exposures on asthma
                                        hospitalizations, triggers and medications for asthma, use of the
                                        Open Airways curriculum in schools, and the Ozone Action Day
                                        Program.

                          Contacts:      Region 5, Afif Marouf,  312-353-5550, Fayette Bright, 312-886-
                                        6069, or Jeanette Marrero, 312-886-6543
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Title:         Community Partnership to Improve the Lives of Asthmatic Children
              in Chicago

Description:   EPA and the DHHS are working together on this community-based
              project to decrease asthma mortality and morbidity in Chicago. The
              DHHS will develop a model to reduce exposures in the indoor envi-
              ronment by educating people about asthma triggers and helping
              them change their behavior. The project is expected to lower chil-
              dren's exposures to asthma triggers, thereby reducing asthma
              episodes.

Contacts:      Region 5, Fayette Bright, 312-886-6069, or Randy Cano, 312-886-
              6036
Title:         Managing Asthma in the Childcare Setting

Description:   With EPA funding, the American Lung Association (ALA) of
              Illinois conducts train-the-trainer sessions for childcare providers in
              the East St. Louis metropolitan area. Using the Children's Television
              Workshop's "A is for Asthma" video, the ALA educates the
              providers about the environmental factors that trigger asthma attacks
              in young children. The preschoolers then learn from their childcare
              providers how to prevent or manage their asthma attacks.

Partners:      American  Lung Association of Illinois

Contact:      Region 5,  Suzanne Saric, 312-353-3209
Title:         Childhood Asthma and Allergies Conference

Description:   Region 6 hosted a 3-day Childhood Asthma Conference in May
              2000 in Dallas,  Texas, to address the prevention and treatment of
              childhood asthma. The target audience for the conference includes
              practicing health care professionals and organizations involved in
              the prevention of asthma triggers. The unique aspect of this confer-
              ence is that it brings together health care professionals and indoor
              environmental engineering control professionals for a 2-day
              exchange of ideas and information about the best available control
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                                        and treatment technology for the prevention, control, or management
                                        of asthma episodes in children.

                           Partners:      University of Texas Southwestern Medical Centers (Dallas and San
                                        Antonio), Harris Methodist Health Plan, Centers for Disease Control
                                        and Prevention, National Institute of Environmental Health Sciences
                                        (NIEHS), U.S. Public Health Service, University of Tulsa,
                                        University of Washington

                           Contact:      Region 6, Evelyn Daniels, 214-665-7543
                           Title:         Environmental House Calls

                           Description:   The South Texas Environmental Education and Research (STEER)
                                        initiative of the University of Texas Health Science Center at San
                                        Antonio offers physicians-in-training and other students in the health
                                        professions a unique 1-month border environmental health elective.
                                        STEER developed a pilot program of structured environmental
                                        house calls that students conduct, under the guidance of training
                                        professionals, by visiting homes of children with asthma in Laredo,
                                        Texas. Laredo, a U.S.-Mexico border community, has one of the
                                        highest rates of poverty and unemployment among U.S. cities. The
                                        goals of the project are to (1) give a poor, minority population an
                                        opportunity to improve environmental conditions that adversely
                                        affect the  health of their children, (2) train physicians  and nurses  in
                                        environmental medicine, and (3) address the rising prevalence of
                                        asthma.

                           Partners:      University of Texas Health Science Center at San Antonio

                           Contact:      Region 6, Evelyn Daniels, 214-665-7543
                           Title:         Colorado Asthma Summit

                           Description:   EPA has provided funding to hold a statewide Asthma Summit in
                                        Colorado. This summit will bring together the public and private
                                        sectors to discuss and evaluate the high rate of asthma in Colorado
                                        and identify key areas that need attention.
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Partners:      The American Lung Association of Colorado

Contact:       Region 8, Whitney Trulove-Cranor, 303-312-6099


Title:          Girl Scouts Asthma Awareness Badge

Description:   Region 8 is working with the Agency for Toxic Substances and
              Disease Registry and the Mile-Hi Girl Scout Council to develop a
              badge program on asthma. The program will allow Girl Scouts to
              earn a badge for community health education activities related to
              asthma.

Partners:      Agency for Toxic Substances and Disease Registry, Mile-Hi Girl
              Scout Council

Contact:       Region 8, Alicia Aalto, 303-312-6967
Title:          Neighbor to Neighbor Indoor Air Quality: Environmental Justice
              Education Program

Description:   Region 10 is collaborating with the Community Coalition for
              Environmental Justice (CCEJ) of Seattle, Washington, on this
              program, which will implement the tool recently developed by
              CCEJ entitled Creating Indoor Air Quality Programs in Low-Income
              Communities and Communities of People of Color: An Organizer's
              Handbook. Using the handbook to implement a community-based
              education model, CCEJ will conduct workshops to train community
              members  about indoor air contaminants and the health effects of
              exposures to indoor air pollution as well as other topics.

Contact:       Region 10, Brook Madrone, 206-553-2589
Title:          Master Home Environmentalist Program

Description:   Region 10 is working with the American Lung Association of
              Washington (ALAW) in Seattle, Washington, to provide a 40-hour
              training course to community volunteers on key issues of indoor air
              pollution, and in community outreach skills and cultural diversity.
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                                        The training includes lectures on indoor air pollutants and their
                                        health effects, including a section on asthma and asthma triggers.
                                        The volunteers use a comprehensive training manual that focuses on
                                        conducting home environmental assessments using the Home
                                        Environmental Assessment List (HEAL), a comprehensive survey of
                                        indoor air conditions. Volunteers are working with residents to
                                        devise action plans that address the major concerns identified in the
                                        HEAL. ALAW is also working to address disproportionate health
                                        impacts of indoor pollutants on adults and children in low-income
                                        and minority communities. The training and home assessments also
                                        address the issue of lead poisoning in children.

                           Contact:      Region 10, Barbara Ross, 206-553-1985, Brooke Madrone, 206-553-
                                        2589, or Dan Robison, 509-575-5845
                           Title:         Community Outreach on Indoor Air and Asthma

                           Description:   Region 10 works with several coalitions to address asthma and
                                        indoor air quality issues. One of these is the King County Asthma
                                        Forum, a coalition of public health agencies, local government, and
                                        nonprofit and community-based organizations including grassroots
                                        environmental justice organizations.  This coalition addresses the
                                        increasing rates and morbidity of asthma in the  Seattle-King County
                                        area. Region 10 also works with the  Indoor Air Coalition (Puget
                                        Sound). This group's current activities include the Little Lungs
                                        Breathing Project,  a project of the Seattle Chapter of the American
                                        Lung Association.  The project focuses on identifying asthma triggers
                                        and other  sources of indoor air pollution that can result in illness in
                                        children enrolled in childcare centers.

                           Contact:      Region 10, Brooke Madrone, 206-553-2589
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Research on Indoor Air Quality and Asthma and Other Respiratory
Illness among Children

Title:         Clearing the Air: Asthma and Indoor Air Exposures

Description:   The National Academy of Sciences (NAS) Institute of Medicine
              conducted a review of available literature to determine the specific
              effects of indoor pollutants on asthma illnesses and deaths. The
              report, released in January 2000, includes both a general evaluation
              of asthma and indoor air quality and an analysis of the effects of
              individual indoor air pollutants on asthma, with special considera-
              tion for children. The report recommends the best methods to reduce
              exposures to indoor air pollutants that can cause or trigger asthma
              episodes, and also makes recommendations for additional scientific
              research in these areas. EPA will use the information to improve
              public outreach, including teaching children, parents, and school
              administrators about the benefits of reducing exposures to asthma
              triggers in homes and schools. The report is available online at
              http ://www.nap. edu/books/03 09064961 /html.

Contact:       Office of Air and Radiation, Pauline Johnston, 202-564-9425
Title:         Direct and Indirect Costs of Asthma and the Potential Benefit of
              Education and Intervention

Description:   EPA is conducting a study of the national costs of asthma and the
              factors that prompt some hospitals and health plans to sponsor asth-
              ma education programs. The study estimates the national costs of
              asthma and the distribution of these costs, and estimates the savings
              to the nation from meeting the proposed Healthy People 2010 asth-
              ma objectives. The study also reviews the state of knowledge about
              asthma triggers and their control, reviews several hospital- and
              health plan-sponsored asthma education programs, and assesses the
              cost-effectiveness of some of these programs.

Contacts:      Office of Policy, Economics and Innovation, Nicole Owens, 202-
              260-9514, or Lanelle Wiggins, 202-260-2692
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                           Title:          Increased Vulnerability of Neonates to Naphthalene and Its
                                         Derivatives

                           Description:   Epidemiologic studies implicate maternal cigarette smoking as a
                                         cause of a number of childhood respiratory diseases, though the
                                         impact of other environmental contaminants on lung disease in
                                         infants is not known.  Recent studies with laboratory animals have
                                         demonstrated that newborns are much more susceptible to lung
                                         injury from certain environmental toxicants than are adults. This
                                         project, which is a series of studies, focuses on the fundamental
                                         differences between the developing cells in a newborn's lung and the
                                         fully developed cells in an adult's lung. These studies focus on the
                                         effects that a specific  group of chemicals—naphthalene and its
                                         derivatives—have on the lungs of adult and newborn rats, in an
                                         attempt to understand why adults and newborns show different
                                         susceptibilities to the  chemicals.

                           Contact:       Office of Research and Development, Chris Saint, 202-564-6909
                           Title:         Meeting of Hispanic Biomedical Association

                           Description:  The Collaborative Study Group on Genetic-Environmental
                                        Interactions in Asthma held a 1999 meeting in New York City to
                                        define the genetic and environmental factors that need to be consid-
                                        ered in studies involving the development of asthma in Puerto
                                        Ricans. The participants assessed available approaches for the study
                                        of genetic-environment interactions in asthma, and identified the best
                                        sample size and type, and the best methodology, for studying the
                                        genetic and environmental factors involved in the development of
                                        asthma in Puerto  Ricans. The meeting contributed to better under-
                                        standing the type and nature of environmental factors triggering
                                        asthma in Puerto  Ricans and its relationship to their genetic makeup.
                                        A report on this subject will be published.

                           Contact:      Region 2, Rachel Chaput, 212-637-4001
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Title:         Asthma Intervention Study in Hunts Point

Description:   Researchers from the Jacobi Medical Center, in cooperation with the
              New York City Department of Health's (DOH's) Asthma Initiative,
              will assess the effectiveness of asthma interventions in 30 homes.
              The DOH will perform intensive asthma education in these homes
              (which all contain at least one asthmatic child), including education
              about asthma, medications, environmental triggers, and remediation
              of environmental triggers. The researchers from the Jacobi Medical
              Center will perform evaluations in all 30 homes, analyzing the dust
              samples for allergen levels at the beginning of the project, the
              midpoint, and the end. The researchers will also collect some limited
              asthma morbidity data at each visit.

Contact:       Region 2, Rachel Chaput, 212-637-4001
Title:         Montefiore Medical Center Asthma Intervention Project

Description:   Montefiore Medical Center is conducting an asthma intervention
              study using its Safe House, a low-allergen controlled setting. There
              are three groups of participants, all severe asthmatics. The first
              group is being moved temporarily into the Safe House, while their
              homes are mitigated and cleaned to reduce allergens related to asth-
              ma. This group also will receive family counseling. The second
              group remains in their own homes but receives the same profession-
              al cleaning services. The third group receives the current standard of
              care—drug treatment. Symptoms and allergen levels  in dust will be
              analyzed at specific points in time throughout the intervention.

Contact:       Region 2, Rachel Chaput, 212-637-4001
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                           Title:         Allergen Levels in Homes of Native Americans

                           Description:   Preliminary data for the St. Regis Mohawk Tribe, a Native American
                                        nation located in New York state, indicate that asthma prevalence
                                        has risen in this population over the past decade, as in the nation at
                                        large. EPA Region 2 is providing funding for a study involving a
                                        small cohort of households, half with and half without asthmatics.
                                        Questionnaires will be completed by the families. Dust will be
                                        collected from these households and analyzed for the standard dust
                                        mite allergens and a general mold count. These data will allow
                                        researchers to compare tribal members' environmental exposures
                                        with those for groups whose environmental asthma has been more
                                        thoroughly studied.

                           Contact:      Region 2, Rachel Chaput, 212-637-4001
                           Title:         Indoor Allergens Study in Puerto Rico

                           Description:   EPA Region 2 has funded an environmental allergen study in Puerto
                                        Rico, in cooperation with the University of Ponce Medical School.
                                        Measurements of the standard environmental allergens (dust mites,
                                        cockroaches, cats,  etc.) will be made in the homes of asthmatic chil-
                                        dren, along with measurements of heavy metals and other substances
                                        of interest. The measurements will be complemented by an IAQ
                                        survey in the homes, and allergenic skin testing for the asthmatic
                                        children. This project will provide information on the levels of
                                        known allergens and irritants in this tropical environment, and will
                                        examine associations with the asthmatic children's allergic profiles.
                                        Asthma rates in children in Puerto Rico have been shown to be
                                        extremely high, and this project will provide further information on
                                        the environmental  triggers critical to asthma in Puerto Rico.

                           Contact:      Region 2, Rachel Chaput, 212-637-4001
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Title:         School Intervention Project—Headquarters/Springfield School
              Indoor Air Risk Factors Study

Description:   This study collected baseline measurements on pollutants and other
              indoor environmental factors in schools to assess the general state of
              schools' IAQ. The study monitored the levels of particulate matter,
              volatile organics, and biologicals, as well  as ventilation conditions
              and comfort parameters. Monitoring continued for 1 week, both
              inside and outside the schools.

Contact:       Region 5, Sheila Batka, 312-886-6053
Title:         Asthma Risk Factor Study of Chicago Public School, Before and
              After Implementation of an Integrated Pest Management Program

Description:   This study is focusing on the indoor environmental risk factors asso-
              ciated with asthma in Chicago-area school children. The study,
              which is being conducted at a Chicago public school, tested indoor
              environmental factors, such as general comfort, bioaerosols, particu-
              lates (PM2.5 and PM10), and dust allergens. A visual inspection of
              the heating, ventilation, and air conditioning system also was
              conducted. This year, an IPM program will be implemented at the
              school.

Contact:       Region 5, Sheila Batka, 312-886-6053
Title:         Indoor Biological Risk Factors for Asthma in School Age Children

Description:   The Arkansas Department of Health (ADH) Division of
              Epidemiology will perform a study of homes and schools of asth-
              matic children in order to determine methods or approaches for
              reducing risk from exposure to biological agents.  Asthmatic children
              will be identified from kindergarten through the sixth grade in
              selected Arkansas communities.
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                          Partners:      Arkansas public school systems; Parent-Teacher Associations;
                                        Statewide Educational Cooperatives; American Lung Association,
                                        Arkansas Chapter; Arkansas Department of Education

                          Contact:      Region 6, Mike Miller, 214-665-7550
                          Title:         Indoor Environmental Intervention Study in Grade Schools and
                                        Childcare Centers to Reduce Childhood Asthma Symptoms

                          Description:   Region 8 and the University of Colorado at Boulder will conduct an
                                        intervention study to examine ways to reduce exposure to certain
                                        indoor environmental asthma triggers in schools and childcare
                                        centers in the Denver area.

                          Partners:      University of Colorado Department of Mechanical Engineering, EPA
                                        Radiation and Indoor Environments National Laboratory

                          Contact:       Region 8, Megan Williams, 303-312-6431
                          Title:         Seattle Healthy Homes Project

                          Description:   This 4-year study, funded by the National Institutes of
                                        Environmental Health Sciences (NIEHS), is designed to improve
                                        indoor environmental quality and reduce asthma morbidity. EPA and
                                        the project's Science Advisory Committee helped identify important
                                        intervention focus areas around control of asthma triggers, asthma
                                        self-management, and development of measurement tools.

                          Contact:       Region 10, Brooke Mardone, 206-553-2589
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Outdoor Air Quality

Title:         Let Kids Lead

Description:  This pilot program enables youth to become involved in transporta-
             tion choices that improve air quality and quality of life in their
             communities. The program makes resources available to communi-
             ties across the country who want to encourage youth to participate in
             transportation problem-solving. The program is administered though
             a partnership with the Academy for Educational Development, a
             national nonprofit organization. Its Web site is www.letkidslead.org.

Partners:     Academy for Educational Development, American Lung
             Association of Gulfcoast Florida, Mid-America Regional Council,
             Alternatives of Community and the Environment

Contact:      Office of Air and Radiation, Connie Ruth, 734-214-4815
Title:          Community-Based Environmental Monitoring with the Toppenish
              School District and the Yakama Nation

Description:   Region 10 is working with the Toppenish, Washington, School
              District and the Yakama Nation on an air quality education project
              with area schools. EPA is providing indoor and ambient air monitor-
              ing equipment along with training and short-term technical support.
              The school district is developing an environmental education
              curriculum focused on air  quality. As part of the curriculum, both
              students and teachers will  engage in air quality monitoring in and
              around their school. EPA will provide technical support in the short
              term and the Yakama Nation's air program will support the effort in
              the long term.

Contact:       Region 10, Dan Robison, 509-575-5845
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                           Research on Outdoor Air Quality and Asthma and Other Respiratory
                           Illness Among  Children
                           Title:         Childhood Susceptibility to Air Pollutants

                           Description:   A collaborative study is under way to determine whether children
                                        are more susceptible than adults to nasal metaplasia (abnormal cell
                                        changes) and whether biochemical tests can detect effects of expo-
                                        sure to high ambient ozone and PM10 pollutants in Mexico City. A
                                        separate study deals with a comparison of the dose of ozone deliv-
                                        ered to the lungs of infant versus adult rats.

                           Contact:      Office of Research and Development, Linda Birnbaum, 919-541-
                                        2655
                          Title:         Oro-Nasal Ventilation Pattern in Children and Associated Fine
                                        Paniculate Matter Deposition

                          Description:   The objective of this project is to determine how a child's breathing
                                        rate ("ventilation rate") changes at various levels of activity, and at
                                        what point children switch their mode of breathing from nose to
                                        mouth-and-nose (the "oro-nasal switching point"). These parameters
                                        are key determinants of both inhaled particle deposition and gas
                                        uptake in the respiratory tract. These parameters have been charac-
                                        terized for a limited number of adult subjects. This study will
                                        produce the first data on these important ventilation parameters in
                                        children.

                          Contact:      Office of Research and Development, Annie Jarabek, 919-541-4847
                          Title:         Exacerbation of Asthma among Inner City Children

                          Description:   EPA and the National Institute of Allergy and Infectious Diseases
                                        support a comprehensive indoor and outdoor monitoring program of
                                        particulate matter and co-pollutants in conjunction with the Inner
                                        City Asthma Study (ICAS). The ICAS study is examining
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              respiratory symptoms and pulmonary function levels among 1,022
              inner city children with moderate to severe asthma, residing in seven
              U.S. communities.

Contact:       Office of Research and Development, Hillel Koren, 919-966-6200
Title:         Acute Respiratory Health and Ambient Air Quality in the Paso del
              Norte Airshed

Description:   The objective of this epidemiologic study, developed by a group of
              public health professionals in Chihuahua, Mexico, is to determine if
              there is an association between air quality and pediatric respiratory
              health. The study area is the Paso del Norte airshed, an area of
              approximately 300 square miles in the Rio Grande River valley,
              incorporating parts of Mexico, Texas, and New Mexico. Researchers
              are looking for associations between daily levels of air contami-
              nants, pollens, and meteorologic variables and daily counts of
              hospital emergency room visits for asthma and asthma-related
              illnesses by children aged 1 to 17 who live in the study area. The
              study is looking at data collected in 1994 and 1995.

Contact:       Office of Research and Development, David Otto, 919-966-6226
Title:         Mechanisms of Age-Dependent Ozone-Induced Airway Dysfunction

Description:   Acute exposure to ozone causes airway hyper-responsiveness
              (AHR), a defining feature of asthma. Though ozone may be a partic-
              ularly important respiratory hazard for children, the mechanism for
              ozone-induced AHR has not been established. The purpose of this
              project is to examine age-related changes in ozone-induced AHR in
              mice and to determine the mechanistic basis for observed changes.

Contacts:      Office of Research and Development, Chris Saint, 202-564-6909
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                           Title:          Deposition of Air Pollutants in the Developing Human Lung

                           Description:   Using a validated mathematical model for computing air deposition,
                                         researchers are studying total deposition within the whole lung, its
                                         relative compartmental distributions, and its localized patterns. This
                                         model also is being applied to predict the deposition of inhaled parti-
                                         cles in the developing human lung.

                           Contact:       Office of Research and Development, Linda Birnbaum, 919-541-
                                         2655
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References
1.    The President's Task Force on Environmental Health Risks and Safety Risks
     to Children. 1999. Asthma and the Environment: A Strategy to Protect
     Children. Available at http://www.epa.gov/children/asthma.

2.    Halfon, N., and PW. Newacheck. 1993. Childhood Asthma and Poverty:
     Differential Impacts and Utilization of Health Services. Pediatrics. Volume 91,
     Pages 56-61.

3.    CDC. 1996. Asthma Mortality and Hospitalization among Children and Young
     Adults, 1980-1993.  Morbidity and Mortality Weekly Report. Centers for
     Disease Control and Prevention. Volume 45, Number 17, Pages 350-353.
     May 3.

4.    ALA. 1997. Asthma in Diverse Communities. American Lung Association,
     Washington, DC.

5.    Bates, D.V 1995. The Effects of Air Pollution on Children. Environmental
     Health Perspectives. Volume 103 (Supplement B), Pages 49-53.

6.    National Institutes of Health/National Heart, Lung and Blood Institute.
     October 1998. Morbidity and Mortality: 1998 Chartbook on Cardiovascular,
     Lung and Blood Diseases.

7.    ALA. 1997. When You Can't Breathe, Nothing Else Matters. American Lung
     Association, Washington, DC.
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                                                           Childhood  Cancer
                          According to the National Institutes of Health (NIH), cancer among children is a
                          substantial public concern:

                               Each year in the United States, approximately 12,400 children and
                               adolescents younger than 20 years of age are diagnosed with cancer.
                               Approximately 2,300 children and adolescents die of cancer each year,
                               which makes cancer the most common cause of disease-related mortality
                               for children 1-19 years of age. (For this same age group, cancer ranked
                               fourth as a cause of death behind unintentional injuries, homicides, and
                               suicides).(1)

                          The NIH also reports that the overall cancer incidence rate increased from the mid-
                          1970's, but rates in the last decade have been fairly stable. The incidence of
                          leukemia among children younger than 15 years of age has  shown a moderate
                          increase (0.9% per year) in the past 20 years. Central nervous system  cancer rates
                          have increased from 1975 to 1995 (1.5% per year), though this trend has been the
                          subject of considerable debate concerning the roles of environmental exposure
                          and/or improvements in diagnostic technology.(l)

                          Certain toxic substances and radiation in the  environment have the potential to initi-
                          ate or accelerate the cell changes that lead to cancer. Examples of environmental
                          factors that may be associated with cancer are environmental tobacco smoke, radon,
                          asbestos, ultraviolet light, certain hazardous wastes, and some pesticides.(2,3,4)

                          EPA has an active program to address environmental threats that may contribute to
                          childhood and adult cancer. EPA works with  state and local governments, schools,
                          and nonprofit organizations to reduce elevated radon levels  in schools and homes.
                          Through these partnerships, EPA has promoted radon awareness, voluntary testing
                          programs, radon-resistant building practices,  and methods to lower radon levels.

                          The Agency provides education and technical assistance to  school districts to
                          inspect school buildings for materials containing asbestos and to take  followup
                          actions. EPA also engages in outreach programs to educate  students, teachers, and
                          the general public about the potential damage ultraviolet radiation may cause to
                          children's skin. A new EPA program, the Sun Wise School Program, offers students
                          innovative learning opportunities, including monitoring daily UV levels (both fore-
                          cast and actual), participating in cross-auricular classroom  activities,  and enhancing
                          school sun-safety policies and practices.
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EPA has recently developed a list of chemicals and environmental hazards that pose
the greatest risk to children's health at or near Superfund sites. The Agency is using
this list to protect the health of children who live near hazardous waste sites. EPA
also is conducting research to determine how much exposure children receive to
toxic substances in the environment, and is developing methods and techniques to
assess the effects of exposure to the body.
EPA  Projects Related to  Cancer
Radon

Title:
Description:
Contact:
Title:

Description:
Radon Mitigation for School Maintenance Personnel

EPA Region 4, working with the Kentucky and Tennessee Radon
Programs and the Southern Regional Radon Training Center, spon-
sored two courses designed to train school maintenance personnel
on how to mitigate radon problems in their own schools. Radon
mitigation techniques were applied at the host schools as part of the
course. The course at the Western Kentucky University  campus
included mitigation of a building on the National Register of
Historic Places. Representatives from numerous surrounding school
districts participated.

Region 4, Patsy Brooks,  404-562-9145
Radon Outreach

Region 7 conducted a variety of radon outreach activities related to
real estate transactions. It promoted real estate disclosure laws and
radon testing, and handled more than 250 telephone calls about
radon. The Region worked with several  states to review a draft
Radon and Real Estate fact sheet. Nebraska used radon grant funds
from EPA to host six radon and real estate courses involving 116
brokers, real estate agents, and appraisers.  The region also promoted
radon-resistant new construction (RRNC). RRNC information was
displayed in the Regional Office during  national Radon Action
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                          Contact:


                          Title:

                          Description:
                          Partners:


                          Contact:

                          Asbestos

                          Title:
                          Description:
Week. Using EPA grants, Nebraska hosted a RRNC workshop.
Kansas assisted technical schools and high school vocational
programs in building radon-resistant homes.  Region 7 also devel-
oped an IAQ and Radon Training Calendar that includes training
courses offered by states, and conducted a number of briefings.

Region 7,  Steve Chambers, 913-551-7260
Radon Outreach/Community Projects

All of the states in Region 8 (Colorado, Montana, South and North
Dakota, Utah, and Wyoming) have active radon programs. These
programs' objectives include (1) promoting radon-resistant building
practices for new homes; (2) testing and mitigating radon problems
in existing homes; and (3) outreach to nonprofit organizations, the
medical community, and local schools. An ongoing effort is being
made in each state to form partnerships with local governments, the
American Lung Association, and realtors. Progress in these areas has
led to healthier environments for families with children. In addition,
Region 8 has provided funding for many tribes to test and mitigate
tribal homes and schools.

The Western Regional Radon Training Center; American Lung
Association; state and local governments, including Departments of
Health and Departments of Environmental Quality

Region 8, Kathleen Craig, 303-312-6031
Asbestos-in-Schools Rule

EPA continues to monitor the requirements of the Asbestos-in-
Schools Rule (1982, 1987) and to enforce standards that protect
children against asbestos hazards. The rule includes requirements for
preschools and childcare centers to protect younger children. EPA
provides funds to 26 states to carry out asbestos and other inspec-
tions. States refer violations to the appropriate EPA regional office
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              for enforcement. Contact EPA Headquarters: Jack Neylan, 202-564-
              5033, or Karen Taimi, 202-564-5046. Examples of activities to
              promote the Asbestos-in-Schools Rule follow.

Region 1:     EPA staff mailed letters to all school superintendents in Region 1,
              reminding them of their asbestos management responsibilities under
              the Asbestos Hazard Emergency Response Act. Letters were also
              mailed to state PTA contacts for use as meeting discussion items or
              in their newsletters to members. Articles on current information
              concerning asbestos will be prepared for distribution to school
              newsletters. In cooperation with the National Conference of State
              Legislatures, Region 1 developed an asbestos compendium
              CD-ROM,  a collection of statues, regulations, vinyl asbestos tile
              (VAT) policies, and Web sites for the states and regulated communi-
              ty. Contact James M. Bryson, 617-918-1524.

Region 9:     Region 9 developed a newsletter on asbestos issues and sent copies
              to school districts. Region 9 staff participate in refresher training
              courses targeted for school personnel and their consultants. Contact
              Pat Maravilla, 415-744-1122.
Title:         Asbestos Outreach and Technical Assistance

Description:   Region 7 provided technical assistance to regulated and unregulated
              communities and to tribal, state, county, city, and other federal
              governmental agencies via telephone, workshops, direct response to
              written inquiries, and mailings. The Asbestos team responded to
              more than 850 phone inquiries in FY 1999.
Contact:       Region 7, Greg Crable, 913-551 -7391

Ultraviolet (UV) Light

Title:         Sun Wise School Program

Description:   SunWise is a comprehensive environmental and health education
              program for elementary and middle schools. SunWise Partner
              Schools participate in classroom, school, and community projects
              that teach them about the health risks of overexposure to the sun, as
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                                         well as the science behind UV radiation and ozone depletion.
                                         SunWise schools participate in a wide range of activities, such as
                                         reporting daily UV ground and forecast data on the SunWise Web
                                         site, participating in cross-auricular classroom activities, enhancing
                                         school sun-safety policies and practices, and sponsoring guest speak-
                                         ers and partnerships. All program materials are provided to teachers
                                         free of charge.

                           Contact:       Office of Air and Radiation, Maura Cantor, 202-564-9096, or visit
                                         the SunWise Web site at http://www.epa.gov/sunwise.
                           Title:          Ozone Depletion Art Project

                           Description:   The Ozone Depletion Art Project uses the Internet to motivate
                                         students to learn about ozone depletion, UV radiation hazards, and
                                         ways to reduce sun exposure. Using an EPA Web site
                                         (http://www.epa.gov/ozone/art), teachers and their students learn
                                         more about ozone depletion and UV exposure precautions. They
                                         submit  drawings on the ozone layer (how it protects us from UV
                                         radiation), ozone depletion (how ozone-depleting substances harm
                                         the ozone layer), how UV radiation is measured, and how we can
                                         protect  ourselves from the sun's UV rays. EPA has received more
                                         than 200 drawings so far. EPA also responds to approximately 50
                                         questions and comments per month from students and teachers.

                           Contact:       Office of Air and Radiation, Christine Dibble, 202-564-9147

                           Title:          SunWise

                           Description:   A SunWise display was created for EPA Region 3's Public
                                         Information Center, where numerous school groups came to learn
                                         about the dangers of UV radiation. In addition, 20 SunWise videos
                                         and information were sent to requesting schools for use as part of
                                         their health curriculum. The SunWise team participated in several
                                         health fairs and modified the EPA Region 3 Web site to include
                                         information on the SunWise Program.

                           Contact:       Region 3, Fran Dougherty,  215-814-2083, or Christina Schulinkamp,
                                         215-814-2086
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Research on Childhood Cancer

Title:         Assessment of Genetic Alterations in Newborns and Adults
Description:   Specific chromosomal alterations are associated with specific human
              tumors. This research addresses the question of whether the frequen-
              cies of certain chromosome alterations are similar in newborns and
              adults or lower in children in the absence of known exposures. In
              addition, the response in the laboratory of cells from children and
              adults to specific exposures will be considered.
Contact:       Office of Research and Development, Robert Kavlock, 919-541-
              2771
Title:         Fetal Metabolism of Aflatoxin B1 and Susceptibility to Childhood
              Cancer

Description:   The initial peak of cancer incidence occurs during the first 5 years of
              life, and available evidence indicates that a primary risk factor for
              childhood cancer involves prenatal exposure to cancer-causing
              agents. The rapid changes that occur during fetal development may
              result in critical windows of susceptibility to toxic injury. The objec-
              tive of this research study is to understand the genetic and
              developmental risk factors associated with a specific dietary carcino-
              gen (Aflatoxin Bl) that can be transferred to the fetus through the
              placenta. The researchers also hope to identify particularly sensitive
              age groups and windows of developmental susceptibility to prenatal
              carcinogen exposure. Once risk factors and critical susceptibility
              windows are identified, then appropriate risk avoidance or mini-
              mization strategies can be employed.

Contact:       Office of Research and Development, Chris Saint, 202-564-6909
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                           Title:         Environmental Justice and Children's Health Data: Investigating
                                         Potential Relationships with Spatial Data

                           Description:   Region 8 has initiated a project to combine current geographic infor-
                                         mation system (GIS) data on environmental justice with child health
                                         data in an effort to investigate potential relationships between expo-
                                         sure to environmental hazards and patterns of disease in Colorado.
                                         In particular, the program will evaluate several types of cancer and
                                         blood lead levels.

                           Partners:      Colorado Department of Public Health and Environment

                           Contact:      Region 8, Jan Buhrmann, 303-312-6557
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References
1.   National Institutes of Health. September 1999. Cancer Incidence and Survival
    among Children and Adolescents: United States SEER Program 1975-1995.
    Nffl Publication Number 99-4649.

2.   Zahm, S.H., and S.S. Devesa. 1995. Childhood Cancer: Overview of Incidence
    Trends and Environmental Carcinogens. Environmental Health Perspectives.
    Volume 103 (Supplement 6), Pages 177-184.

3.   Weinstein, IB.  1988. The Origins of Human Cancer: Molecular Mechanism of
    Carcinogenesis and Their Treatment. Cancer Research. Volume 48, Pages
    4135-4143.

4.   NRC. 1993. Pesticides in the Diets of Infants and Children. National Research
    Council. Washington, DC: National Academy Press.
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       Developmental  and
  Neurological  Toxicity
                         Exposures to neurotoxic substances (substances that can damage the nervous
                         system) may have only temporary effects on adults, but may cause permanent
                         damage to a child's developing nervous system, especially the brain.(1,2)
                         Neurotoxic substances, such as heavy metals, solvents, pesticides, and polychlori-
                         nated biphenyls (PCBs), may have harmful effects on brain function, including
                         intelligence and behavior, and interfere with the normal workings of the entire nerv-
                         ous system.(3,4,5,6)

                         Lead is one of the most pervasive developmental toxic substances in the United
                         States today. (7,8) To prevent lead exposures in children, EPA and other federal
                         agencies enforce regulations on the use and removal of lead-based paint, promote
                         public education on the health risks posed by lead-based paint, and conduct research
                         on lead poisoning and on the impact that lead-contaminated hazardous waste sites
                         may have on children. To minimize children's exposures to lead via drinking water
                         systems, the Safe Drinking Water Act controls lead levels at the tap, as well as the
                         lead content in solder, water pipes, and plumbing fixtures.

                         EPA has completed a report to Congress on mercury and is studying the adverse
                         health effects of mercury on nervous system development in children. EPA has
                         begun a public education program to prevent mercury poisoning.

                         The Agency is developing a multi-year research strategy on endocrine (hormone)
                         disrupters and is coordinating research throughout the federal government. The
                         Endocrine Disrupter Screening Program focuses on providing methods and proce-
                         dures to detect and characterize endocrine activity of pesticides, commercial
                         chemicals, and environmental chemicals. EPA continues to conduct research on
                         methods to assess reproductive, embryo, and fetal toxicity. In addition, EPA routine-
                         ly conducts risk assessments of reproductive and developmental effects.
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             Goals of Eliminating Childhood Lead Poisoning:
             A Federal Strategy Targeting Lead Paint Hazards
     By 2010, eliminate lead paint hazards in housing where children under six live. This goal can be
     accomplished through the following:
      • Federal grants and leveraged private funding to identify and eliminate lead paint hazards in order
        to produce an adequate supply of lead-safe housing for low-income families with children.
      • Outreach and public education to increase awareness of lead hazards and how to address them.
      • Enforcement of lead safety laws and regulations.
     By 2010, elevated blood lead levels in children will be eliminated through:
      • Increased compliance with existing policies concerning blood lead screening.
        Increased coordination across federal, state, and local agencies responsible for outreach,
        education, technical assistance, and data collection related to lead screening and abatement.

EPA Projects on Developmental  and Neurological Toxicity
Lead
Title:
Eliminating Childhood Lead Poisoning: A Federal Strategy
Targeting Lead Paint Hazards
Description:   The strategy Eliminating Childhood Lead Poisoning was developed
             by an interagency work group of the President's Task Force on
             Environmental Health Risks and Safety Risks to Children. The
             vision of the strategy is to eliminate lead poisoning in children in the
             United States. The goals focus on: 1) eliminating lead paint hazards
             in housing where children under age 6 live; and 2) early intervention
             for at-risk children.

Contact:      Office of Children's Health Protection, Joanne Rodman, 202-260-
             7778
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                           Title:         Identification of Lead Exposure and Risk Reduction

                           Description:   Pediatric lead exposure is a significant health concern along the
                                        U.S.-Mexican border. Researchers are conducting lead screening
                                        investigations at three sites: Tijuana, Mexico; the Chihuahua-New
                                        Mexico border; and the Sonora-Arizona border. The Sonora-Arizona
                                        study was recently completed. The study concluded that blood lead
                                        levels of children in the tested area do not appear to be a major
                                        public health problem. The low prevalence of elevated blood lead
                                        levels demonstrates the success of lead-reduction programs in the
                                        community.

                           Contact:      Office of Research and Development, Chris Saint, 202-564-6909
                           Title:         Environmental Lead Risks

                           Description:   The aim of this research is to evaluate and refine tools for assessing
                                        risks from environmental lead. A principal focus is on exposures of
                                        young children to lead in soil and house dust. The results also will
                                        be applicable to assessment of risks from airborne lead, lead in
                                        drinking water, and lead in food. Another research focus is the appli-
                                        cation of direct statistical modeling of epidemiologic data on blood
                                        lead levels to evaluate environmental risks. EPA also provides tech-
                                        nical support in lead risk assessment and risk characterization for the
                                        states and other organizations. (Web address:
                                        http://www.epa.gov/superfund/programs/lead/index.htm).

                           Contact:      Office of Research and Development, Paul White, 919-541 -023 8
                           Title:         Public Education and Outreach Grants

                           Description:   In FY 1998, EPA awarded grants under the new Lead Poisoning
                                        Prevention and Lead Hazard Awareness Public Education and
                                        Outreach Grant Program. Their purpose is to provide public educa-
                                        tion and outreach that increases awareness of lead-based paint
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              hazards and promote lead poisoning prevention among those at risk,
              including primarily low-income, minority communities located in
              large metropolitan areas or communities with predominantly older
              housing. Children living in these communities are at risk for elevat-
              ed levels of lead exposure. Nine projects  across the country received
              funding this year totaling approximately $459,000.

Contact:       Office of Prevention, Pesticides, and Toxic Substances, Megan
              Carroll, 202-260-7269
Title:         The National Cinema Outreach Pilot Project

Description:   In December 1998 and January 1999, EPA piloted the National
              Cinema Outreach Project to provide lead hazard awareness informa-
              tion on theater screens. This nationwide program was piloted in 17
              states, 57 cities, 510 screens, with 1530 screenings each day, or
              45,900 viewings each month. The slides featured medical back-
              grounds with different messages ("Protect Your Children From Lead
              Poisoning," "Grow Them Up Healthy," and "Get Your Child Tested
              Today") and the 1-800-424-LEAD number and the Lead Web site. It
              is estimated that the lead hazard awareness messages were viewed
              by one-half million people.

Contact:       Office of Prevention, Pesticides, and Toxic Substances, Susan Laing,
              202-260-0248
Title:         Environmental Justice Grant: Lead Action Collaborative, Boston,
              Massachusetts

Description:   The Lead Action Collaborative is a partnership of nonprofit organi-
              zations, foundations, and public agencies whose goal is to
              significantly and comprehensively reduce the incidence of child-
              hood lead poisoning in Boston's high-risk neighborhoods. The
              Collaborative provides centralized support,  technical assistance, and
              training to community-based organizations. The project strengthens
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                                        communication and fosters collaboration and resource sharing
                                        among grassroots organizations, nonprofit organizations, and public
                                        agencies through community forums, briefings, and workshops.

                          Partners:      Lead Action Collaborative, public and private organizations in
                                        Greater Boston

                          Contact:      Region 1, Katie Mazer, 617-918-1523
                          Title:         Consortium of North East States and Tribes (CONEST)

                          Description:   CONEST was developed through the efforts of the Region 1 Lead
                                        Program in 1991. The Consortium developed the first interstate and
                                        intertribal Memorandum of Understanding in the country outlining
                                        state and tribal lead program standards for training accreditation and
                                        auditing, contractor licensing, tracking, and third party examination
                                        requirements.

                          Partners:      Region 1 and Region 2 states, Region 1 tribes

                          Contact:      Region 1, James M.  Bryson, 617-918-1524
                          Title:         New England Lead Coordinating Committee (NELCC)

                          Description:   NELCC is a collaboration of government agencies and nonprofit
                                        groups throughout New England, working in collaboration with
                                        public, private, and nonprofit health and housing organizations to
                                        develop and strengthen a coalition for lead poisoning prevention in
                                        New England. NELCC coordinates the "Keep It Clean"  campaign,
                                        which informs "do-it-yourself home renovators, contractors, and
                                        those who employ contractors about the risk of lead poisoning  in
                                        children and adults during the renovation and repainting of older
                                        homes, and creates a link between consumers and hardware store
                                        employees.

                          Partners:      Consortium of North East States and Tribes, state and local depart-
                                        ments of health and/or environment, Centers for Disease Control and
                                        Prevention, U.S. Department of Housing and Urban Development

                          Contact:      Region 1, Katie Mazer, 617-918-1523
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Title:          Tribal Based Environmental Protection (TBEP) Program

Description:   The Tribal Based Environmental Protection Program was developed
              as part of the Consortium of North East States and Tribes
              Memorandum of Understanding. Each tribal member has applied for
              program authorization from EPA under sections 402 and 404 of the
              Toxic Substances Control Act (TSCA) for their respective state and
              tribal lead licensing and enforcement activities. The main goal of
              TBEP is "protection of our most valued natural resource, our chil-
              dren . . ."

Contact:       Region 1, James M. Bryson, 617-918-1524
Title:          Environmental Monitoring for Public Access and Community
              Tracking (EMPACT) Lead Safe Yard Program

Description:   This federally funded EPA project focuses on Boston's low-income
              Spanish- and Haitian-speaking neighborhoods. EMPACT conducts
              environmental monitoring of lead in soils, delivers time-relevant
              lead in soil data and interpretation to residents, provides public
              access and community tracking, and carries out low-cost landscap-
              ing and other soil remediation measures.

Partners:      Bowdoin Street Health Center, Dudley Street Neighborhood
              Initiative, Boston University School of Public Health, Garden
              Futures, graduates of the Boston Urban Gardeners' City Gardener
              Certificate Program

Contact:       Region 1, Rob Maxfield, 781-860-4640
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                           Title:         EPA National Lead Poisoning Prevention and Lead Hazard
                                        Awareness Public Education and Outreach Program: Crittenton
                                        Hastings House, Boston, Massachusetts

                           Description:   Crittenton Hastings House addresses the needs of young people who
                                        are low-income, pregnant, parenting, or at risk for early pregnancy
                                        and who live in areas where most severely lead-poisoned children
                                        are found. Working in collaboration with Boston organizations,
                                        Crittenton provides children and families with information regarding
                                        lead hazards and lead poisoning prevention to decrease the number
                                        of children at risk of lead poisoning, increase the number of children
                                        who receive regular blood screening, and increase awareness of
                                        tenant rights and landlord responsibilities regarding lead paint
                                        removal.

                           Contact:      Region  1, Katie Mazer, 617-918-1523
                          Title:         EPA Supplemental Environmental Projects (SEP), Providence,
                                        Rhode Island

                          Description:   EPA has provided nearly $400,000 in Rhode Island to remove lead
                                        from dozens of childcare facilities. Funding was made available
                                        from an EPA federal enforcement action against the Rhode Island
                                        Department of Transportation for the improper storage of large
                                        amounts of hazardous waste.

                          Partners:      Rhode Island Department of Public Health

                          Contact:      Region 1, Amelia Katzen, 617-918-1869


                          Title:         Keep It Clean Campaign, Video, Posters, Billboards

                          Description:   Region 1 conducted a lead awareness campaign targeted to home-
                                        owners and stores. The goal is to educate hardware stores to provide
                                        lead-safe tools and advice to consumers. The tools include an
                                        8-minute video, pamphlets, and billboards.

                          Partners:      Region 1 states, local hardware stores, Tufts University

                          Contacts:      Region 1, James M. Bryson, 617-918-1524, or Katie Mazer,
                                        617-918-1523
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Title:          Providence, Rhode Island, Mayor's Safe Housing Lead Task Force

Description:   The Providence Safe Housing Lead Task Force is charged with
              establishing a comprehensive strategy for protecting Providence
              children and improving Providence housing. The Task Force has
              produced a master plan, A Healthier and Brighter Future for the
              Children of Providence: A Strategic Framework for Healthy
              Children and  Well-Maintained, Lead-Safe Housing in Thriving
              Neighborhoods.

Partners:      Providence public and private partners

Contact:       Region 1, Kristi Rea,  617-918-1595
Title:          IMPACT CD-ROM Technology

Project:       An Interactive Module For Lead Awareness Course Technology
              (IMPACT) manual was designed to train those conducting renova-
              tion, remodeling, and painting. The manual is used in conjunction
              with the interactive CD-ROM, which is a 6-hour self-study course
              for vocational technical high school/college students who are future
              painters, carpenters, home renovators, etc.

Contact:       Region 1, James M. Bryson, 617-918-1524
Title:          Lead Safe Renovation Training - Interactive CD-ROM

Description:   An interactive CD-ROM was developed for painters, home owners,
              and renovators. Video clips of "right" and "wrong" renovation
              activities are used with a 16-hour worker and an 8-hour supervisor
              training.

Partners:      Consortium of North East States and Tribes, Massachusetts
              Department Workforce Development

Contact:       Region 1, James M. Bryson, 617-918-1524
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                          Title:         First Steps: Childcare Provider/Parent Lead Awareness Manuals,
                                        Video, and CD-ROM

                          Description:   The First Steps Program is designed as a primary prevention
                                        program for childcare providers to provide a lead safe training
                                        messages to parents with young children. It also allows childcare
                                        providers to earn Continuing Education Units (CEUs) that can be
                                        used to meet regulatory or professional requirements. A three-
                                        volume manual for the program includes What You Should Know
                                        About Lead Poisoning: A Manual for Child Care Providers
                                        (English); Lo Que Debe Saber Acerca de la Intoxicacionpor Plomo
                                        (Spanish); and Little Moccasins, a Lead Poisoning Prevention
                                        Manual and Video for Tribal Day Care Providers and Families
                                        (Native American version).

                          Partners:      Tribal Based Environmental Protection Committee, Houlton Band of
                                        Mauseet Indians, Phil Quint

                          Contact:      Region 1,  James M. Bryson, 617-918-1524
                          Title:         Urban Environmental Initiative (UEI) Cooperative Agreement:
                                        Urban Revival, Inc., Prevent Lead Poisoning Project

                          Description:   UEI is a Region 1 pilot program to address environmental and public
                                        health problems in urban areas. UEI facilitates community-based
                                        environmental protection in Boston, Massachusetts; Providence,
                                        Rhode Island; and Hartford, Connecticut. This project focuses on
                                        coordination of lead paint poisoning prevention and housing educa-
                                        tion outreach across multiple neighborhoods in Boston and East
                                        Boston with linguistically and culturally appropriate information and
                                        education.

                          Partners:      The Tenant Action Network, comprising City Life/Viva Urbana,
                                        East Boston Ecumenical Community Council, and the Massachusetts
                                        Tenants Organization

                          Contact:      Region 1, Katie Mazer, 617-918-1523
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Title:          Time Related Environmental Numeric Health Data System
              (TRENHDS) CD-ROM

Description:   TRENHDS is an environmental and health tracking program on a
              GIS mapping platform. TRENHDS can map, track,  and overlay
              environmental sample sites with health problems on a map to identi-
              fy clusters. The system can be installed on laptops and is user
              friendly. It is currently developed for tribes in the Northeast.

Partners:      Tribal Based Environmental Protection Committee,  Trevor White,
              Passamaquoddy Indian Township

Contact:       Region 1, James M. Bryson, 617-918-1524
Title:          UEI Cooperative Agreement: Lead Poisoning Prevention Awareness
              Program for Childcare Providers

Description:   The Hartford, Connecticut, Department of Public Health trained
              Community Environmental Educators to teach lead poisoning
              prevention to Hartford childcare centers located in areas of high risk
              for lead poisoning. The training uses the First Steps lead awareness
              manuals to provide materials for Spanish-speaking, English-
              speaking, and Native American childcare providers.

Partners:      Connecticut Department of Public Health, Connecticut Cooperative
              Extension; Houlton Band of Maliseet Indians, Houlton, Maine;
              Hartford Department of Public Health

Contact:       Region 1, Katie Mazer, 617-918-1523
Title:          UEI Cooperative Agreement: Codman Square Lead Poisoning
              Prevention Initiative

Description:   This project developed a lead poisoning prevention program that
              will serve as a model for high-risk, low-income African-American
              neighborhoods in other cities. The UEI grant money made possible
              the completion of planning, materials development, recruitment, and
              training essential to implementing an effective community action for
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                                        the primary prevention of childhood lead poisoning initiative in the
                                        high-risk neighborhoods of Boston.

                          Partners:      The Medical Foundation of Boston and its Massachusetts Prevention
                                        Center in Codman Square, National Center for Lead Safe Housing

                          Contact:      Region 1, Katie Mazer, 617-918-1523
                          Title:         UEI Cooperative Agreement: Re Vision House, Roxbury,
                                        Massachusetts

                          Description:   Re Vision House, a residential program for homeless young mothers
                                        and their children, designed and implemented an environmental
                                        education curriculum that included lead paint poisoning prevention,
                                        urban gardening, urban fish farming, and vocational training.
                                        Participants converted the porches of their triple-decker home to a
                                        thriving greenhouse and fish farm.

                          Partners:      Re Vision House, Garden Futures, Boston Urban Gardeners, Roxbury
                                        Community College, New England Aquarium

                          Contact:      Region 1, Katie Mazer, 617-918-1523
                          Title:         Healthy Beginnings: Lead Safe Families

                          Description:   Healthy Beginnings is a set of user-friendly curriculum materials
                                        used as classroom resources for teachers of English as a second
                                        language. Healthy Beginnings teaches basic life and language skills
                                        to recent immigrants; interwoven into the language development
                                        skills are steps to identify and prevent childhood lead poisoning.
                                        Although they were developed for use in Region 1, the materials are
                                        currently in use in 27 states.

                          Contact:      Region 1, Katie Mazer, 617-918-1523
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Title:         Lead Suite CD-ROM

Description:   An interactive CD-ROM provides turn key software to run a lead
              program. The CD contains tracking, testing, teaching, regulations,
              and guidance documents.

Partners:      Tribal Based Environmental Protection Committee - Houlton Band
              of Maliseet Indians, Phil Quint

Contact:       Region 1, James M. Bryson, 619-918-1524
Title:         Camden-Rutgers University Asthma Project

Description:   This project will focus on building the capacity of residents and
              community groups in Camden and Philadelphia to confront two
              health problems that are strongly associated with treatable environ-
              mental factors: lead poisoning and asthma. Both Camden and
              Philadelphia have  populations of predominantly impoverished,
              minority families in which many children are at risk from these
              health problems. This project will identify children at risk through
              cooperative agreements with health professionals  (e.g., school nurses
              and maternity care givers). Environmental management teams,
              composed of community residents who have been specifically
              trained for this purpose, will visit the families of identified children
              and provide education and intervention for lead and asthma.
              Followup visits will assess the effectiveness of training and allow
              evaluation of the program. The project has a 1-year goal of impact-
              ing 400 families in Philadelphia and 600 families in Camden.

Contact:       Region 2, Rachel Chaput, 212-637-4001
Title:         Environmental Education Project

Description:   This EPA-funded project is coordinated by the Childhood Lead
              Poisoning Prevention Program (CLPPP) of the City of Philadelphia
              Department of Public Health. CLPPP provides free public work-
              shops on safe methods of reducing lead hazards at various sites
              throughout the city, such as home repair supply stores. Workshops
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                                         held at paint and hardware stores teach both staff and customers how
                                         to abate lead hazards in their own homes, in a manner that ensures
                                         the  safety of the residents. All program materials are designed to be
                                         understood easily by the "average person."

                           Partners:      City of Philadelphia Department of Public Health, Pennsylvania

                           Contact:      Region 3, Nan Ides, 215-814-5546


                           Title:         Lead-Safe Babies Project

                           Description:   This project is being funded by the Children's Health Program to
                                         educate new mothers in high-risk areas of North Philadelphia about
                                         the  dangers of lead poisoning to their babies. Specially trained
                                         outreach workers are visiting new mothers in their homes and show-
                                         ing  them how to take preventative measures to protect their
                                         newborns. This intervention has been successful in reaching what is,
                                         traditionally, a hard-to-reach population.  Of 45 new mothers identi-
                                         fied in the target area, 44 of them (98%)  have agreed to participate
                                         in the program and have already been visited once by the outreach
                                         specialists. This extraordinarily high level of participation is likely
                                         due to the use of outreach workers who are from the community
                                         who are trained and supported by the highly respected, nurse practi-
                                         tioner-led neighborhood health clinics. Follow-up visits will be  made
                                         to the homes to reinforce practices and encourage mothers to have
                                         their babies tested for lead when they reach 9 months of age. The
                                         City of Philadelphia will provide free testing and the Regional
                                         Nursing Centers Consortium will assess and report on the results
                                         next year.

                           Partners:      Regional Nursing Centers Consortium and Philadelphia's
                                         Department of Public Health

                           Contact:      Region 3, Gail Tindal, 215-814-2069, or Dan Welker, 215-814-2744
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Title:         Reducing Exposure to Lead in Drinking Water in Philadelphia's
              School District

Description:   During 1999, EPA determined that there may be a potential health
              risk at a few schools due to lead leaching from some of the plumb-
              ing fixtures. In the beginning of 2000, the Philadelphia School
              District signed an agreement with the Health Department to
              (1) immediately institute daily flushing activities; (2) test all sources
              of drinking water for lead in schools; and (3) take corrective action
              wherever elevated lead levels  are found. EPA Region 3 is providing
              ongoing technical assistance to the city and the school district. This
              project is especially important because (1) Philadelphia exceeds the
              national level for elevated blood lead levels in children and (2) the
              Philadelphia School District is the fifth largest in the country.  This
              project, which will last a year or two, will test all potable water
              sources in approximately 295  buildings that the Philadelphia School
              District owns or operates and  correct any lead plumbing problems.

Contact:       Region 3, Marie  Holman, 215-814-5463, or Karen Johnson, 215-
              814-5445
Title:         Lead Umbrella Workshop

Description:   EPA funded a 1-day lead information and education workshop for
              parents, representatives of local governments, policy makers, health
              providers, representatives of tenants' interests, members of religious
              communities, and education and childcare providers. The workshop
              addressed the issue of lead poisoning in children. Experts in lead
              education conducted the workshop, reinforcing their efforts with
              printed materials. As a followup to the workshop, a coalition (the
              Lead Umbrella) was created to develop a comprehensive plan to
              educate members of communities affected by the issue and work to
              eliminate childhood lead poisoning in the community of
              Birmingham.

Partners:      Citizens' Lead Education and Elimination Project, Alabama

Contact:      Region 4, Janie Foy, 404-562-4300
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                          Title:         Elevated Blood Lead Levels - Region 5 States

                          Description:   Region 5 has finalized a report entitled County and Zip Code Blood-
                                        Lead Data for Children Under Six Years of Age Testing Above Ten
                                        Micrograms Per Deciliter in Region 5 States. This study, compiled
                                        in cooperation with all six state health departments, presents data on
                                        the numbers of reported cases of children with elevated blood lead
                                        levels across the region, broken out by county and zip code, and
                                        displayed on geographic information system (GIS) maps. The
                                        Region has also completed lead assessments in each of its five
                                        Geographic Initiative Areas in conjunction with community-based
                                        programs and organizations. The GIS maps and the community lead
                                        assessments are being applied to help target program efforts toward
                                        those areas of greatest need.

                          Contact:      Region 5, Phil King, 312-353-9062
                          Title:         Outreach to Migrant Farm Worker Health Promoters on Reducing
                                        Lead Exposure Risks to Children

                          Description:   In August 1999, EPA staff conducted lead exposure risk reduction
                                        training in Spanish for health promoters of the Community Health
                                        Partnership of Illinois. The health promoters are current or former
                                        migrant farm workers who now also work as health educators
                                        among the migrant farm worker community in the area around
                                        Momence, Illinois.

                          Contact:      Region 5, Edward Master, 312-353-5830
                          Title:         Environmental WATCH Small Grants

                          Description:   Region 5 issued small, community-based grants that promote
                                        children's environmental health and pollution prevention to organi-
                                        zations that participated in the Environmental Workshop on Actions
                                        to Take for Children's Health (WATCH). In the area of lead poison-
                                        ing awareness and prevention, the organization—Improving Kids'
                                        Environment in Indiana—received funding for a Lead Poisoning and
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              Pollution Prevention project. As part of the project, cooperative
              agreements will be developed with paint suppliers who will teach
              homeowners about lead hazards. The Oak Park Health Department
              in Illinois will carry out lead poisoning awareness and training of
              code enforcement officers and building inspectors.

Contact:       Region 5, Holly Wirick, 312-353-6704
Title:         Lead Poisoning Prevention and Control Training

Description:   In September 1999, Region 6 awarded a grant to the Deep South
              Center for Environmental Justice, located at Xavier University. This
              grant will help to develop a community "train the trainer" program
              for lead poisoning awareness. Fifty community leaders will be
              trained on the hazards of lead-based paint, who then will organize
              several community forums to train residents on how they can protect
              their children from lead poisoning. Two Environmental Justice
              communities in the New Orleans area will be targeted for this
              program.

Partners:      Deep South Center for Environmental Justice at Xavier University

Contact:      Region 6, Paula Flores-Gregg, 214-665-8123


Title:         TSCA  Section 406(b) Pre-Renovation Notification Rule

Description:   EPA Region 6 has been actively working with trade associations,
              hardware stores, local governments, and state government agencies
              to spread the word about the Federal Pre-Renovation Notification
              Rule. Region 6 has begun mailing thousands of letters directly to
              renovation and remodeling contractors in rural areas throughout the
              region to notify them about the requirements of the rule and where
              they can obtain information on how to comply with the rule.

Contact:      Region 6, Jeff Robinson, 214-665-7577
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                           Title:         Region 7 Lead-Based Paint Activities

                           Description:   Region 7 conducted a variety of lead outreach and technical assis-
                                         tance activities. It provided technical assistance to states, tribes,
                                         regulated communities, and concerned citizens, including participat-
                                         ing in 34 outreach meetings for landlords, not-for-profit groups,
                                         childcare centers, and health fairs.

                                            •  It conducted quarterly meetings with the states and tribes to
                                              provide updates on federal, state, and tribal programs, and to
                                              discuss issues and resolutions on a regional level.

                                            •  It provided compliance assistance to trainers regarding a new
                                              Accreditation, Training,  and Certification Rule. It worked
                                              closely with four tribes that conduct ongoing lead hazard reduc-
                                              tion programs.

                                            •  It presented a "brown bag" outreach session to Region 7
                                              employees on disclosure requirements for sale or lease of resi-
                                              dential property.

                                            •  It conducted outreach to childcare centers, county health depart-
                                              ments, WIC programs, and other regional offices.

                                            •  It participated in home shows, health fairs, Earth Day activities,
                                              and other environmental outreach activities; conducted mass
                                              mailings on all of the new lead regulations, and developed a
                                              Web page to discuss lead regulations with the regulated
                                              community and supply links to other agencies that have federal
                                              lead program responsibilities.

                                            •  In efforts to reduce children's  blood lead levels, Region 7's
                                              Superfund program has removed lead-contaminated yard soil
                                              from a total of 1,600 homes and childcare facilities in
                                              Southwest Missouri and Southeast Kansas. The program plans
                                              to remove lead-contaminated  soil from nearly 100 homes  and
                                              childcare facilities in Omaha,  Nebraska in FY 2000.

                                            •  In St.  Francois County Missouri, EPA, HUD, the State and
                                              County Health Departments, and area mining companies have
                                              partnered to address the  multiple exposure routes of lead (e.g.,
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                   paint, dust, yard soils, etc.) in homes of children with elevated
                   blood levels. At homes where EPA is considering the cleanup
                   of yard soils, the Missouri Department of Health, using funds
                   from a HUD grant, and the mining companies are addressing
                   interior lead cleanup, thus providing a holistic approach to
                   reducing blood lead levels in children.

                •  Jasper and Newton counties (in Missouri) are developing a
                   joint Environmental Master Plan to address environmental
                   problems in the region on a holistic basis. This plan is being
                   developed as a direct result of the community's involvement in
                   Superfund lead cleanup and the heightened concern for limita-
                   tions on development due to environmental problems.

Contact:       Region 7, Mazzie Talley, 913-551-7518
Title:         Local Lead Awareness Campaign

Description:   EPA funded this project to raise awareness of the hazards of lead
              poisoning and the necessity of screening children age 6 and under.
              The project changes the approach to the management of cases of
              exposure to implement intervention at the community level. It
              targets the population of children at risk through prevention, rather
              than confining itself to the care of the individual child suffering
              from lead poisoning. Key partnerships with local media increase the
              number of people the program can reach.

Partners:      Cerro Gordo County Department of Public Health, Iowa; KLSS
              radio; KISS-TV

Contact:      Region 7, Lori Walker, 913-551 -7926
Title:         Region 9 Lead Poisoning Prevention

Description:   The Region 9 Lead Program has developed partnerships with state
              and local children's health programs and community advocacy
              groups, allowing the region to better focus efforts on reducing lead
              hazards for children at greatest risk (lower income families in older
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                                         housing). The Region continues to conduct extensive outreach on the
                                         issues of childhood lead poisoning, the regulatory requirements in
                                         the lead-based paint disclosure rule, the remodeling notification rule,
                                         and the training and certification regulations. The Region established
                                         lead training and certification programs in Arizona, Hawaii, and
                                         Nevada.

                           Contact:       Region 9, Paula Bisson, 415-744-1128
                           Title:          Community-Based Lead Projects in Oregon

                           Description:   Region 10 works with the Oregon Health Division to support
                                         community-based lead screening projects and environmental investi-
                                         gations. This program focuses on two activities: (1) blood lead
                                         testing for children at risk for lead poisoning who are without
                                         resources to pay for this testing and (2) reimbursement of county
                                         health departments for environmental investigations for children
                                         with high blood lead levels. These funds are projected to cover the
                                         cost of 350 to 460 blood lead tests, 15 to 16 environmental investi-
                                         gations, and 32 sets of environmental samples.

                           Contact:       Region 10, Barbara Ross, 206-553-1985
                           Title:          Urban League Lead Outreach Program

                           Description:   Region 10 is working with the Urban League of Portland to expand
                                         the Urban League's lead outreach program to Portland's other
                                         distinct, at-risk communities: Spanish-language, recent immigrant,
                                         and labor communities. The overall goals are to encourage informed
                                         communities to access public-sector and other community-based
                                         programs, and to be involved in the policy decisions and develop-
                                         ment of strategies for lead poisoning prevention.

                           Contact:       Region 10, Mike Letourneau, 206-553-1687
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Title:         Lead Hazard Reduction Act Compliance, Oregon

Description:  Region 10 collaborated with the Oregon Health Division (OHD),
             The Urban League of Portland, the Oregon Environmental Council
             (OEC), the Environmental Justice Action Group (EJAG), the
             Coalition of Black Men (COBM), Physicians for Social
             Responsibility (PSR), the U.S. Department of Housing and Urban
             Development, Oregon Legal Services (OLS), the City of Portland
             Bureau of Environmental Services (BES), the Oregon Child
             Development Coalition (OCDC), and the Multnomah County Health
             Department to support compliance with the Lead Hazard Reduction
             Act and to develop a Statewide Comprehensive Plan for Oregon.

Contacts:     Region 10, Barbara Ross, 206-553-1985, or Kirstin Andersen, 206-
             553-0244
Title:          "Runs Better Unleaded" Bus Campaign

Description:   Region 10 ran a bus advertising campaign in Portland and Yakima
              from September 1 through October 31, 1999. The campaign encour-
              aged parents to call the Lead Hotline (1-800-424-LEAD) or access
              the EPA lead Web site (http://www.epa.gov/lead) for information on
              preventing childhood lead exposure. The EPA posters depicted chil-
              dren playing, with the text "Runs Better Unleaded" superimposed.
              Plans are under way to  repeat this campaign with Spanish-language
              posters.

Contacts:      Region 10, Barbara Ross, 206-553-1985, or Robert Jacobson, 206-
              553-1203
Title:          Tri-Regional Lead Conference

Description:   Representatives of western states and tribes met in mid-October
              1999 in Portland, Oregon, to discuss lessons learned in implement-
              ing state and tribal lead programs. States and tribes represented
              included Oregon, Idaho, Washington, California, Hawaii, Utah,
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                                         Crow, Umatilla, Colville, Yankton Sioux, Blackfeet, Chippewa Cree,
                                         and Flandreau Santee Sioux. In addition, private lead consultants,
                                         painting contractors, training providers, and EPA Regional and head-
                                         quarters staff were in attendance.

                           Contacts:      Region 10, Barbara Ross, 206-553-1985, or Kirstin Andersen, 206-
                                         553-0244
                           Title:          Advance Notice of Funds Available for Lead Grant Program for
                                         Indian Tribes

                           Description:   Region 10 staff have been working to notify tribes in Alaska, Idaho,
                                         Oregon, and Washington about new grant funds available exclusive-
                                         ly for Indian tribes. The primary purpose of this grant program is to
                                         fund tribal blood lead screening of children and educational outreach
                                         activities to encourage Indian tribes to consider continuing such
                                         activities in the future. EPA plans to award 25 to 50 grants for
                                         amounts in the range of $15,000 to $50,000 each.

                           Contact:       Region 10, Barbara Ross, 206-553-1985, or Kirstin Andersen, 206-
                                         553-0244
                           Title:          Focused Outreach to Realtors

                           Description:   Region 10 mailed compliance assistance letters with information
                                         about the Disclosure Rule to approximately 700 real estate firms in
                                         the region. In the letter, it was stated that Region 10 is conducting
                                         Disclosure Rule inspections, and that the real estate firm may be
                                         subject to the rule. Additionally, Region 10 staff exhibited and
                                         presented information about lead paint hazards at the Portland Home
                                         Show, the Portland Home and Garden Show, the Federal Facilities
                                         Conference, the Nisqually Indian Health Fair, the Washington
                                         Council of Painting and Decorating Constructors, the Lead Summit
                                         Meeting,  the National Association of Real Estate Property
                                         Managers, the Washington Realtors Convention, the Shoshone
                                         County Realtors, the Peoples Coalition in Silver Valley, the Real
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              Estate Conference in Silver Valley, the King Dome Home Show in
              Seattle, and the Puyallup Home Decorating and Remodeling Show.

Contact:       Region 10, Barbara Ross, 206-553-1985
Title:         Preventing Lead Exposure in Northern Idaho

Description:   Region 10 has been working with the Agency for Toxic Substances
              and Disease Registry, the State of Idaho, and the Panhandle Health
              District to prevent childhood exposures to widespread lead contami-
              nation in soil resulting from decades of lead production in Northern
              Idaho. Sampling is conducted at residences, schools, childcare
              providers, and parks. Results from a 1999 survey indicate that blood
              lead levels continue to decline at the Bunker Hill Superfund Site, but
              remain unacceptably high in the communities upstream of Bunker
              Hill. The Panhandle Health District has followed up with all of the
              families of children with elevated blood lead levels. Lead-contami-
              nated soil was removed and replaced with clean soil at 26 residential
              properties, three schools, and one park. Water filters were installed
              at 10 homes with high levels of lead in their drinking water; future
              plans include providing safe, municipally supplied water to these
              homes. Lead-contaminated recreational sites also have been identi-
              fied and remediation efforts are under way.

Contacts:      Region 10, Roseanne Lorenzana, 206-553-8002
Title:         Yakima County, Childhood Lead Poisoning Reduction Program

Description:   EPA has provided funding to the Washington State Department of
              Health to supplement its work on education of low-income and
              minority homeowners on how to reduce lead poisoning of children.
              Part of the funds will be to print copies of a Spanish-language
              fotonovella, a picture book that shows ways a family can reduce
              lead exposure to children. The bulk of the funding will go toward
              development of PSA radio spots for airing on an all-Spanish radio
              station in Granger, Washington.

Contact:       Region 10, Dan Robison,  509-575-5845
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                           Endocrine  Disrupters

                           Title:         Endocrine Disrupting Chemicals Theme
                           Description:   Researchers have identified and are investigating several Endocrine
                                        Disrupting Chemicals (EDCs) that primarily target the reproductive
                                        systems of developing (i.e., in pregnancy, perinatal, or pubertal
                                        stages) and adult animals. The goals of this research include identifi-
                                        cation of molecular mechanisms of toxicant action.
                           Contact:      Office of Research and Development, David Otto, 919-966-6226
                           Title:
                           Description:
                           Contact:
                           PCBs

                           Title:
                           Description:
Receptor and Signal Transduction Pathways in Developmental
Toxicity

Environmental estrogens and endocrine disrupters interfere with
reproduction and development through mechanisms that involve
altered expression and/or function of steroid receptors and endocrine
hormones that bind to these receptors. These agents can also produce
deleterious biological responses through effects on gene cascades
that regulate and/or respond to endocrine signaling. EPA is investi-
gating these mechanisms of developmental toxicity.

Office of Research and Development, Linda Birnbaum, 919-541-
2655
PCBs in Schools

Region 10 is collaborating with the Oregon State School Boards
Association to address the hazards of PCBs in schools, specifically
PCB regulations applicable to the storage, treatment, and disposal of
fluorescent light ballasts. A case study based on four 1999 PCB
inspections in the West Linn-Wilsonville School District is being
used as a teaching tool in conjunction with a newly developed infor-
mational brochure entitled Safe and Correct Handling of PCBs Is
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Contact:


Mercury

Title:
Description:
Contact:


Title:

Description:
Your Responsibility. Region-wide outreach on PCBs in schools is
planned for later this year.

Region 10, Dan Duncan, 206-553-6693, or Gretchen Schmidt, 206-
553-2587
Environmental WATCH Small Grants

Region 5 issued small, community-based grants that promote chil-
dren's environmental health and pollution prevention to
organizations that participated in the Environmental Workshop on
Actions to Take for Children's Health. The Fond du Lac Band of
Chippewa, Minnesota, was funded to conduct a thermometer
exchange with residents to replace mercury thermometers with
mercury-free thermometers. This will complement activities to
prevent illegal  dumping of solid waste.

Region 5, Holly Wirick, 312-353-6704
Elemental Mercury Exposures in Children: A Workshop to Examine
the Scope of the Problem and Opportunities for Prevention

On June 23, 1999, Region 5 and the Agency for Toxic Substances
and Disease Registry (ATSDR) sponsored a 1-day workshop,
"Elemental Mercury Exposures in Children: A Workshop to
Examine the Scope of the Problem and Opportunities for
Prevention." The specific goals of the workshop were to (1) share
and compile current information on the potential sources that have
resulted in exposure or the potential for elemental mercury exposure
in children; (2) identify what is being done in the region to prevent
acute exposure to mercury; and (3) determine how EPA, ATSDR,
state health and environmental agencies, and their partners can
further reduce the potential for elemental mercury exposure to chil-
dren. Speakers represented a wide range of experts from state health,
environmental, and agricultural agencies, as well as physicians from
the Children's Center for Environmental Health at Cook County
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                           Contact:
Hospital, Chicago, Illinois. Attending the workshop were more than
60 people, including representatives of state and local health and
environmental agencies, industry (American Drugstores), and poison
control centers.

Region 5, Colleen Olsberg, 312-353-4686
                           Other Research

                           Title:         Developmental and Reproductive Toxicology (DART) Database

                           Description:  An Interagency Agreement among EPA, the National Institute of
                                        Environmental Health Sciences, the National Center for
                                        Toxicological Research, and the National Library of Medicine
                                        supports the further development of the National Library of
                                        Medicine's DART database. DART contains references to and
                                        abstracts of published literature on agents that may cause birth
                                        defects and other developmental disorders. DART contains approxi-
                                        mately 37,000 references. Including an earlier reference source,
                                        nearly 80,000 references to the developmental toxicity literature
                                        from 1959 to the present are available. In addition to references on
                                        drugs and environmental chemicals, DART contains information on
                                        biological and physical agents that have been tested for developmen-
                                        tal and reproductive toxicity.

                           Contact:      Office of Research and Development, Jim Cogliano, 202-564-3269
                           Title:         Heat Shock Model (Mechanisms) for Developmental Toxicity

                           Description:  This project is part of a larger collaborative effort among EPA and
                                        three academic institutions to develop biologically based dose-
                                        response models for developmental toxicity effects. Recent studies in
                                        this effort have begun to examine the cellular events that control the
                                        developmental process, including genetic expression, cell growth
                                        and cell death, and protein synthesis. The current project extends
                                        these findings by further defining the cellular responses and their
                                        relationship to developmental problems.

                           Contact:      Office of Research and Development, Gary Kimmel, 202-564-3308
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Title:         Biologically Based Dose-Response Modeling of Developmental
              Toxicity

Description:   This research focuses on developing models to describe in quantita-
              tive terms the relationship between biological processes and the
              development of adverse developmental outcomes. These models
              consider the physiologic and mechanistic factors that lead to adverse
              outcomes and evaluate the effects of varying route, dose, dose-rate,
              etc. This research is anticipated to  advance the scientific basis for
              human health risk assessment.

Contact:       Office of Research and Development, Robert Kavlock, 919-541-
              2771
Title:         Texas Neural Tube Defect Project

Description:   This is a 4-year case-control study of risk factors for neural tube
              defects (NTDs) in 14 counties along the Texas-Mexico border. An
              anticipated outcome of this project is the identification of unique
              biological indicators of environmental exposure, genetic susceptibili-
              ty, and gene-environment interaction that lead to the development of
              NTDs in a Hispanic high-risk population.

Contact:       Office of Research and Development, David Otto, 919-966-6226
Title:         Cellular and Molecular Markers of Developmental Neurotoxicity

Description:   This project will improve testing for developmental neurotoxicity,
              by developing a number of cellular and molecular markers that can
              be used to identify hazardous substances. This project uses proteins
              found in nervous system cells as indicators of neural damage or
              alteration in critical phases of nervous system development. The
              effects of known developmental neurotoxins on selected
              cellular/molecular processes at critical periods of development will
              be determined.

Contact:       Office of Research and Development, Hugh Tilson, 919-541-2671
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           l^s—-3»'"I

                           Title:         Environmental Exposures and Human Neurological Function

                           Description:   Valid tests of sensory, motor, cognitive, and affective functions are
                                        needed to determine the neurotoxic potential of environmental expo-
                                        sures. This project involves the development, modification, and
                                        validation of behavioral and nerve cell tests and test methods for
                                        evaluating effects of nerve cell neurotoxins on neurological function
                                        in children and adults.

                           Contact:      Office of Research and Development, Hugh Tilson, 919-541 -2671
Title:         Role of Apoptosis in Developmental Toxicity

Description:   The goal of this research project is to better understand the mecha-
              nism responsible for apoptosis (cell death) in the embryo.  The
              current focus is on the role of reactive oxygen species (ROS) as a
              possible inducer of apoptosis. Because of the relationship between
              the regulation of cell cycle and the induction of cell death, an impor-
              tant component of this research will focus on cell cycle changes
              produced in the embryo.

Contact:       Office of Research and Development, Robert Kavlock, 919-541-
              2771
                           Title:         Improved Evaluation of Gamete Function

                           Description:   New and more specific reproductive endpoints, including direct
                                        measures of sperm motion and structure, are now requirements spec-
                                        ified in the new EPA Harmonized Reproductive Test Guidelines.
                                        This research aims to improve methods for these measures, with
                                        emphasis on using advanced computer technology to make these
                                        measures more objective and practical.

                           Contact:      Office of Research and Development, Robert Kavlock, 919-541-
                                        2771
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Title:         Molecular Characterization of a Biological Threshold in
              Developmental Toxicity

Description:   The goal of this research is to characterize, in molecular terms, the
              biological basis of a threshold (a minimum level that causes effects)
              in developmental toxicity.  The data generated will be incorporated
              into computer simulations to help risk assessors predict when a
              prenatal environmental exposure might trigger birth defects.

Contact:      Office of Research and Development, Chris Saint, 202-564-6909
Title:         Using Biomarkers of Exposure and Neurobehavioral Test Batteries
              to Assess Children's Neurological Vulnerability to Residential
              Exposure to Tetrachloroethene (Perc)

Description:   EPA considers perc a problematic pollutant in urban areas.  The
              objectives of this study are to (1) assess perc exposure and  neurolog-
              ical vulnerability of children and adults by measuring personal air
              and indicators of dose in exhaled breath, blood, and urine; (2) deter-
              mine the relationship between environmental perc concentrations
              and biological indicators of dose; (3) assess behavioral functions in
              the exposed and unexposed groups; and (4) determine if dose-
              response relationships exist between the environmental and/or
              biological measures of exposure and neurological effects. The
              research will take into account age, gender, and activity levels. The
              data can be used to assess  and compare neurological risk of perc
              exposure in  children and adults, evaluate susceptibility to support
              human health risk assessment for perc neurotoxicity, and
              establish/assess a reference concentration (RfC) for perc.

Contact:      Office of Research and Development,  Chris Saint, 202-564-6909
Title:         Childhood Risk Assessment at Superfund Sites

Description:   The Region 3 Superfund Program has been concerned about the
              potential health effects that hazardous waste sites may have on
              sensitive subpopulations—including children. Risk assessments
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                                         which are designed specifically for children are routinely performed.
                                         These assessments include a consideration of factors which identify
                                         children as being different from adults, such as body weight, inhala-
                                         tion rate, their proximity to the ground, and food and water intake.
                                         Potential routes of exposure to hazardous waste which might be
                                         specific for children are also considered, including playing in dirt
                                         and wading in surface water. The health effects of lead are analyzed
                                         with models specifically designed to predict blood lead levels in
                                         children under  six years of age. Teenage children are also routinely
                                         considered in the event that they may play, ride bikes, etc. on acces-
                                         sible hazardous waste sites. Frequently, the decision to clean up a
                                         site is based on potential risks to children. As a result  of these meas-
                                         ures, the Region is confident that children's health has been protected
                                         at the hundreds of Superfund sites that have been cleaned up so far
                                         and that the Region's actions will continue to be protective  of
                                         children.

                           Contact:      Region 3, Lynn Flowers, 215-814-3115
                           Title:         Shoalwater Bay Indian Tribe Reproductive Health

                           Description:   In 1992, Region 10 learned that over 90 percent of pregnancies in
                                         the Shoalwater Bay Indian Tribe between 1990 and 1992 had ended
                                         in miscarriage, stillbirth, or infant death within the first year of life.
                                         In 1993, a Health Advisory Board was formed for the tribe, consist-
                                         ing of physicians, toxicologists, epidemiologists, and other health
                                         professionals. To investigate a possible environmental cause, a
                                         special team of Region 10 scientists and field staff gathered informa-
                                         tion, conducted onsite investigations, and analyzed samples. Results
                                         of the research were published in an EPA document, The Shoalwater
                                         Bay Reservation: A Limited Environmental Assessment 1994-1995
                                         (EPA Publication 910/R-96-013). As a result of the EPA study, the
                                         tribe is receiving high-level attention by relevant health professionals
                                         and epidemiologists. In addition, the tribe has been able to fund and
                                         build a new health clinic which has greatly improved the level of
                                         medical care for all tribal members. Through funding from EPA and
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              others, the Shoal waters also have recently developed their own envi-
              ronmental laboratory.

Partners:      Centers for Disease Control and Prevention, University of
              Washington School of Medicine, Indian Health Service, Agency for
              Toxic Substances and Disease Registry, American Medical
              Association, Washington State Department of Health

Contact:       Region 10, Roseanne Lorenzana, 206-553-8002
References
1.   NRC. 1993. Pesticides in the Diets of Infants and Children. National Research
    Council. Washington, DC: National Academy Press.

2.   Needleman, H.L., and C.A. Gastonis. 1990. Low-Level Lead Exposure and the
    IQ of Children: A Meta-Analysis of Modern Studies. Journal of American
    Medical Association. Volume 263, Pages 673-678.

3.   Bellinger, D., A. Leviton, and C. Waternaux. 1987. Longitudinal Analysis of
    Prenatal and Postnatal Lead Exposure and Early Cognitive Development. New
    England Journal of Medicine. Volume 316, Pages 1037-1043.

4.   Needleman, H.L., A. Schnell, and D. Bellinger. 1990. The Long-Term Effects
    of Exposure to Low Doses of Lead in Childhood: 11-Year Follow-Up Report.
    New England Journal of Medicine. Volume 322, Pages 83-88.

5.   McLaughlin, J.G., R.W. Telzrow, and C.M.  Scott. 1980. Neonatal Mercury
    Vapor Exposure in an Infant Incubator. Pediatrics. Volume 66, Number 6,
    Pages 988-990.

6.   Maker, E.L., T.J. Smith, and PL. Landrigan. The Neurotoxicity of Industrial
    Solvents: A Review of the Literature. American Journal of Industrial
    Medicine. Volume 8, Pages 207-217.

7.   ATSDR. 1997. Healthy Children—Toxic Environments. Report of the Child
    Health Workgroup. U.S. Department of Health and Human Services, Public
    Health Service, Agency for Toxic Substances and Disease Registry.

8.   CDC. 1997. Update: Blood Lead Levels—United States,  1991-1994.
    Morbidity and Mortality Weekly Report. Center for Disease Control and
    Prevention. Volume 46, Number 7, Pages 141-145.
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                                                                    Health  Effects  of
                                                                                   Pesticides
                          Pesticides are a concern for children because of their widespread use and children's
                          special vulnerabilities. Children can be exposed to pesticides in their diets and
                          drinking water, or through activities at home, play, and school. Potential health
                          effects of pesticide exposure include cancer, acute and chronic injury to the nervous
                          system, lung damage, reproductive dysfunction, and possibly dysfunction of the
                          endocrine and immune systems.(1,2)

                          The 1996 Food Quality Protection Act (FQPA) includes specific regulatory require-
                          ments to protect susceptible members of the population, including children, from
                          pesticide residues in food. EPA regulates pesticide residues in food through a
                          system of standards called food tolerances. Under FQPA, the Agency will reassess
                          approximately 10,000 existing pesticide tolerances and will focus first on those
                          pesticides that pose the greatest hazards.

                          EPA has announced cancellation agreements and risk reduction strategies to
                          increase protections for American families and their children from risks posed by
                          two of the oldest, most widely used chemical compounds that remain in use as
                          pesticides today. EPA is eliminating use of methyl parathion on all fruits and many
                          vegetables. The Agency is reducing application rates of azinphos methyl  and requir-
                          ing practices that will result in significant reductions  in allowable residues on
                          apples, pears, and peaches. The Agency also recently announced an action to
                          eliminate major uses of the pesticide Dursban.

                          EPA is calling for new studies of neurological  and developmental effects on
                          hundreds of pesticides to better understand their effects on children. These studies
                          will allow EPA to evaluate pesticides more protectively than ever before.

                          In addition, EPA has committed to a number of activities to spread the word about
                          adverse effects of pesticide exposure on children below the age of 12 who work in
                          agriculture or are otherwise present in pesticide-treated fields. These activities
                          include:

                            • Using community mentors and  parents to communicate pesticide health and
                              safety concepts to farm worker  children at  the Young Workers  Academy in
                              Brownsville, Texas, a pilot project which can  serve as a national model.

                            • Expanding earlier efforts with the Hispanic Radio Network to convey informa-
                              tion to Spanish-speaking agricultural workers.

                            • Increasing pesticide safety training through cooperative efforts with AmeriCorps
                              and existing grants to develop pesticide health and safety curricula in elemen-
                              tary schools.
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  • Exploring the possibility of requiring label-specific language prohibiting chil-
   dren (age specified) in pesticide-treated fields, as well as label language
   specifying the full range of potential health effects of concern.

It is important to fully assess whether farm worker children are currently at risk
from pesticide exposure and, if so, to properly address that risk. This is being
carried out in a number of ways, including:

  • Conducting a national assessment of the Worker Protection Standard with the
   help of non-governmental stakeholders.

  • Examining information EPA has collected for other purposes to determine if it
   might be relevant to learning about exposure of children in agricultural settings.


EPA Projects on Health  Effects of  Pesticides

Strengthened Standards and Better Public Information

Title:          Proposed Labeling Restriction for Insect Repellents used on Infants
              and Children

Description:   On May 10, 2000, EPA proposed restrictions on the labeling of
              insect repellents marketed for use on infants and children. The
              proposed changes are part of a draft  Pesticide Registration (PR)
              Notice, which will be available on EPAs web site at
              www.epa.gov/pesticides/biopesticides. The Agency is concerned that
              packaging and labeling specifically targeted  to children (e.g., "for
              children" or "for kids") may encourage inappropriate handling  and
              use by children. In many cases, such labeling contradicts directions
              or precautions on the same product labels (usually in much smaller
              print) that prohibit such handling and use by children. EPA believes
              that labeling targeted for infants and children may be misleading to
              parents because these products are not formulated differently for
              children than they are for adults.

              EPA is also proposing restrictions on the use of food fragrances and
              colors in insect repellents. The Agency is concerned that insect
              repellents  made with food fragrances and colors (e.g., grape, water-
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                                         melon, orange) and packaged with graphics of the same food may
                                         encourage children to eat the product. The draft PR Notice outlines
                                         the proposed procedure and time frame for registrants to make
                                         changes to the labels of currently registered insect repellents with
                                         claims targeting use on infants and children, and to reformulate
                                         products that contain food colors or fragrances. Under this policy,
                                         EPA would not allow registrants to sell or distribute products that do
                                         not follow these restrictions as of March 1, 2001, and existing stocks
                                         may be sold or distributed by others only until March 1, 2003. A
                                         Federal Register Notice announcing the availability of the PR
                                         Notice is also available on EPAs Web site at the above address. A
                                         final PR Notice is expected by the end of 2000.

                           Contact:       Office of Prevention, Pesticides, and Toxic Substances, Robyn Rose,
                                         703-308-9581
                           Title:          Cockroaches, Kids and Asthma Video

                           Description:   EPA developed a video with the American Lung Association for the
                                         "Open Airways" program on how cockroaches can trigger asthma in
                                         young children, and how to prevent cockroaches from entering the
                                         home.

                           Contact:       Office of Prevention, Pesticides, and Toxic Substances, Ralph
                                         Wright, 703-308-3273

                           Title:          One Way to Increase the Commitment: Conference on the Food
                                         Quality Protection Act

                           Description:   The March 1999 conference was designed for food producers,
                                         commodity groups, state and federal regulators, and others focused
                                         on issues, such as pesticide-related risk assessments, implementation
                                         of the Food Quality Protection Act, and data needs. Panel discus-
                                         sions were held on such topics as crop profiles, the U.S. Food and
                                         Drug Administration's monitoring program, and the impact of pesti-
                                         cides on drinking water and university activities.
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Partners:      University of Massachusetts Extension, Massachusetts Department
              of Food and Agriculture, other New England state cooperative
              extension systems and pesticide regulatory agencies.

Contact:      Region 1, Rob Koethe, 617-918-1535
Title:         Bilingual (English/Spanish) Pesticide Safety Bingo Game

Description:   During FY 1998, Region 6 developed an Urban Initiative project to
              reduce the misuse of pesticides among urban, inner city, and non-
              English-speaking groups. The resulting product is the Bilingual
              (English/Spanish) Pesticide Safety Bingo Game for elementary
              school children. In March 1999, the Bingo Game was pilot-tested in
              the Dallas Metroplex area in elementary schools (grades 1 through
              6). Following game participation, students showed a 97 percent
              retention rate of material presented. Once demonstration game pack-
              ets are completed, the game will be provided to Region 6 State
              Education Agencies for their review and approval. Region 6 antici-
              pates eventual incorporation of the Bingo Game into the states'
              supplemental school curricula.

Partners:      Texas School Systems, Parent-Teacher Associations, Texas
              Education Agency

Contact:      Region 6,  Sarah Perham, 214-665-2752
Title:         Determining the Effectiveness of a Pesticide Risk Reduction
              Program for Migrant Farm Workers in Colorado

Description:   This project is an evaluation of pesticide safety training provided to
              farm workers, which includes information about how to prevent
              exposure to children and other family members. The evaluation used
              a structured interview and observations of work practices to deter-
              mine how training influenced the knowledge and behavior of
              migrant workers related to pesticide safety.
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                          Partners:      Colorado State University Department of Environmental Health

                          Contact:      Region 8, Debbie Kovacs, 303-312-6020


                          Title:         Farm Worker Safety in San Luis Obispo, California

                          Description:   The Environmental Center of San Luis Obispo (ECOSLO) will work
                                        to minimize environmental health risks facing farm workers and to
                                        facilitate and improve communication and coordination among the
                                        county's environmental health stakeholders and farm worker support
                                        groups. Three  hundred farm workers and their families will be
                                        surveyed to provide information to regulatory officials, public agen-
                                        cies, and nonprofit service organizations on household hazardous
                                        materials and pesticide use. Survey participants will be drawn from
                                        Migrant Head  Start, Promotoras Comunitarias (a nonprofit support
                                        program for Latina women),  and FUERZA (a county nonprofit
                                        Latino support organization).

                          Contacts:     Region 9, Raymond Chavira, 415-744-1926, or Norman Calero,
                                        415-744-1586


                          Support for Integrated Pest Management

                          Title:         IPM in School Projects

                          Description:   Through EPA's Pesticide Environmental Stewardship Program
                                        (PESP) Grant, the University of Florida Web  site
                                        (http://www.ifas.ufl.edu/~schoolipm/) was designed to assist schools
                                        and other organizations develop pesticide stewardship programs. In
                                        addition, a National Directory of IPM in School Web site
                                        (http://www.epa.gov/reg5foia/pest/matilla/ipm.html) has been creat-
                                        ed to assist individuals with finding specific information about each
                                        state IPM program, as well as appropriate IPM  state contacts. The
                                        IPM in Schools Web site is at http://www.epa.gov/pesticides/ipm.

                          Contact:      Office of Prevention, Pesticides, and Toxic Substances, Sarah
                                        Roman, 703-305-5475
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Title:         IPM in Schools Training/Workshops

Description:   EPA is considering the need to institute national training require-
              ments for any applicators who apply pesticides in certain sensitive
              areas, such as schools and hospitals. A Pesticide Regulators
              Education Program (PREP) training course on IPM in schools was
              held in April 1999. The course is being repeated in mid-April in
              East Lansing, Michigan. A national workshop on IPM/Schools
              Implementation was sponsored by EPA in March 1999.

Contact:       Office of Prevention, Pesticides, and Toxic Substances, Jim Boland,
              703-308-8738

Title:         Educational Photoliterature on Pesticide Misuse

Description:   An integrated pest management specialist from the New York  State
              Department of Health will  develop a photoliterature document to
              educate low-literacy urban populations on the dangers of misusing
              pesticides. This document will be translated into Spanish and
              Chinese to help the Region reach more of the population in need.

Contact:       Region 2, Rachel Chaput, 212-637-4001
Title:         Pesticide Regulatory Education Program

Description:   EPA Region 5 sponsored a Pesticide Regulatory Education Program
              (PREP) in Detroit in April 1999 to educate state regulators on IPM
              in schools. EPA also created a Web page to provide easy public
              access to a list of state authorities on IPM in schools for each of the
              Region 5 states.

Contact:       Region 5, Don Baumgartner, 312-886-7835
Title:         Environmental WATCH Small Grants

Description:   EPA issued small, community-based grants promoting children's
              environmental health and pollution prevention to organizations that
              participated in the Environmental WATCH. The City of Milwaukee
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                                         Health Department received funding for an Integrated Pest
                                         Management in Schools project.

                           Contact:       Region 5, Holly Wirick, 312-353-6704
                           Title:          Reducing Use of Pesticides in Schools

                           Description:   EPA Region 9 has awarded a $30,500 grant to the Pajaro Valley
                                         Unified School District to assist them in reducing the use of chemi-
                                         cals for pest management on school grounds. The District has
                                         assembled a committee of parents, teachers, and district staff to work
                                         with EPA to find alternative methods for controlling indoor and
                                         outdoor pests at all school sites. The committee is holding meetings
                                         at each site to explain IPM and to gain support for the project.
                                         Information developed in this project should be useful for other
                                         districts in the region.

                           Contact:       Region 9, Mary Grisier, 415-744-1095
                           Title:          IPM in Schools
                           Description:   The IPM in Schools program offers a variety of resources to schools
                                         concerned about using pesticides and herbicides on school property.
                                         The program offers small grants to schools to facilitate the imple-
                                         mentation of IPM programs. The program also provides speakers,
                                         educational videos and publications, and training courses for
                                         grounds and maintenance personnel.
                           Contact:       Region 10, Don Priest, 206-553-2584


                           Expanded Enforcement Efforts

                           Title:          The National Urban and Residential Pesticide Control and
                                         Enforcement Program (Urban Initiative)
                           Description:   According to data collected from the American Association of
                                         Poison Control Centers, in 1998 alone, an estimated 73,260 children
                                         were involved in common household pesticide-related poisoning
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              exposures in the United States. Through the Urban Initiative, EPA
              and other partner agencies and organizations work cooperatively to
              communicate health risks and prevent human and environmental
              harm by deterring the illegal misuse of agricultural pesticides in
              urban settings. Since this initiative is national in scope, educational
              tools will be developed for numerous audiences including pre-
              kindergarten through high school students. Communication
              strategies also will be developed with organizations, such as parent-
              teacher associations, church groups, 4-H, and other youth-oriented
              programs. The program also helps identify misuse of methyl
              parathion or other restricted-use pesticides and initiate appropriate
              enforcement action. Approximately 44 state and local arrests and
              two federal  criminal convictions in Region 4 resulted from actions
              associated with the misuse  of pesticides.

Contact:      Region 4, Randy Dominy, 404-562-8996
Title:         Reducing Pesticide Misuse

Description:   EPA is working with state partners to develop an enforcement and
              public outreach strategy to eliminate the import, sale, and use of
              insecticidal chalk, a product that looks like ordinary blackboard
              chalk. An educational brochure highlighting the hazard to children
              has been developed and distributed, and has been translated into
              Spanish, Vietnamese, and Chinese. EPA also has initiated a compli-
              ance assistance campaign to educate school maintenance personnel
              about the importance of using registered products only and of
              following label directions for safe use. EPA has filed civil
              complaints against two companies selling insecticidal chalk and
              three companies selling unregistered moth repellents, and has issued
              a press release to publicize the risks to children.

Contact:      Region 9, Kay Rudolph,  415-744-1065
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                           Understanding Risks to  Children's Health

                           Title:          Study of Exposure and Body Burden of Children of Different Ages
                                         to Pesticides in the Environment

                           Description:   This study will examine exposure to various pesticides (chlorpyrifos,
                                         diazinon, malathion, and atrazine) and the resulting doses experi-
                                         enced by children and adults from both rural and urban homes. The
                                         main objective is to test the hypothesis that children have signifi-
                                         cantly higher environmental exposures and resulting doses than do
                                         adults living in the same homes. The study will test whether the
                                         distribution of exposures for children living in urban environments is
                                         different from that for children living in rural environments.

                           Contact:       Office of Research and Development, Chris Saint, 202-564-6909
                           Title:          Ingestion of Pesticides by Children in an Agricultural Community
                                         on the U.S.-Mexico Border

                           Description:   An environmental measurement and correlation study will be
                                         conducted in the area of Laredo, Texas, on the Rio Grande River.
                                         Researchers will test hand rinses of the children and house dust for
                                         pesticides and will measure pesticides and their metabolites in urine
                                         samples of the children. Observations of children's behavior (hand to
                                         mouth, hand to object, hand to surface, and object to mouth) will be
                                         made to evaluate the possible ingestion of pesticides from environ-
                                         mental sources. The information obtained in this study will be used
                                         to reduce the uncertainty in risk assessments for children and
                                         improve exposure measurements for children of different ages. The
                                         results will identify the magnitude of potential environmental risks
                                         to a minority population.

                           Contact:       Office of Research and Development, Chris Saint, 202-564-6909
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Title:         Exposure of Children to Persistent Organic Pollutants and Pesticides

Description:   This research is a larger-scale extension of several recently complet-
              ed pilot studies on preschool children's exposure to persistent
              organic pollutants. The aim is to obtain scientifically valid, statisti-
              cally robust information that describes these children's exposures.  In
              this study, researchers are investigating the total exposures to persist-
              ent organic compounds of pre-elementary  school children through
              ingestion, inhalation, and dermal absorption.

Contact:      Office of Research and Development, Nancy Wilson, 202-260-1910
Title:         NAFTA Border Project: Pesticides and Kids

Description:   The purpose of this project is to describe the relationship of health
              outcomes in children along the U.S.-Mexico border with repeated
              pesticide exposures via multiple sources and pathways. Researchers
              will develop predictive models based on links between health
              outcomes, biological indicators, and exposure data. It will be possi-
              ble to use this knowledge to design appropriate intervention
              strategies to reduce the risk associated with pesticide exposure.
              Research will be conducted in the U.S.-Mexico border states of
              Arizona, California, New Mexico,  and Texas as part of the
              Environmental Health Workgroup of the Border XXI Program.

Contact:      Office of Research and Development,  Stephen Hern, 702-798-2594
Title:         Microenvironmental Methods for Residential Exposure to Pesticides

Description:   This research involves developing and testing methods for estimat-
              ing residential exposure to pesticides, with special emphasis on
              small children. These methods are needed to accurately determine
              dermal and nondietary oral exposures of infants and toddlers, and
              are critical to understanding total human exposure. The research
              also will improve understanding of transport routes and mechanisms
              for movement of pesticides from the outdoors to the indoor
              environment. The long-term objective is to contribute to better
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                                         understanding of residential exposure to pesticides, especially for
                                         small children. The short-term objective is to assist in the develop-
                                         ment of guidelines for the assessment of residential exposure to
                                         pesticides.
                           Contact:       Office of Research and Development, Bob Lewis, 706-355-8629
                           Title:          Exposure of Children to Pesticides and Toxics

                           Description:   The Food Quality Protection Act requires that multimedia, multi-
                                         pathway exposures be considered when setting food tolerances for
                                         pesticides. FQPA also requires that an emphasis be placed on expo-
                                         sures to infants and children. The overall goal of this task is to
                                         identify those pesticides, pathways, and activities that represent the
                                         highest potential exposures to children and to determine the factors
                                         that influence these exposures. The research will be used to develop
                                         methods, data, and models for evaluating aggregate exposure to
                                         pesticides and toxic chemicals. For infants and children, methods
                                         will be developed to account for important activities that take place
                                         in home, school, and childcare settings.

                           Contact:       Office of Research and Development, Linda Sheldon, 919-541-2205
                           Title:          Exposure of Children to Pesticides in Yuma County, Arizona

                           Description:   The goal of this study is to determine whether children living in
                                         Yuma County have greater pesticide exposure than people living
                                         elsewhere in Arizona and whether the pathways of exposure are the
                                         same. The specific aims of the project are to (1) measure pesticide
                                         concentrations in water, air, and soil; (2) evaluate and compare
                                         routes of exposure; (3)  employ biological  methods and screening
                                         techniques as measures and predictors of exposure; (4) compare
                                         pesticide exposure among children to adults and children living else-
                                         where in Arizona; (5) develop a model for assessing exposure and
                                         risk among children; and  (6) assess the potential for health care
                                         providers to carry out risk reduction activities.

                           Contact:       Office of Research and Development, Chris Saint, 202-564-6909
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Title:
Description:
Contact:


Title:
Description:
Contact:



Title:

Description:
Vulnerability of Young Children to Organophosphate Pesticides and
Selected Metals Through Intermittent Exposures in Yuma County,
Arizona

The goal of this project is to accurately determine the routes and
amounts of exposure to organophosphate pesticides and metals for
young children. Researchers will measure rates of dermal contact,
and hand-to-mouth and mouthing activity among children using
videotape. They will evaluate media contacted by children (air,
house dust, hands) for concentrations of pesticides commonly used
in the area (including chlorpyrifos,  diazinon, and malathion), as well
as lead,  manganese, and other metals. Urine assays for specific
pesticide metabolites will be evaluated and compared to environ-
mental concentrations. The study is expected to enhance exposure
assessment models and help identify factors that minimize exposure.

Office of Research and Development, Chris Saint, 202-564-6909
Exposure of Children to Pesticide Residues

This project will address exposure and epidemiologic measures of
children's health in relation to pesticide exposure. Proposed pilot
studies include an exposure survey of school-aged children to deter-
mine if proximity to agricultural fields is associated with higher
prevalence of pesticide urinary metabolites, surveillance for pesti-
cide poisoning clusters, and studies of birth weight and infant
mortality.

Office of Research and Development, Michael Dellarco, 202-564-
3239
Interactions and Mechanisms of Pesticide Mixtures-
Risk
-Children's
This project focuses on the effects of exposure to pesticide mixtures
among animals in different age groups. The research will provide
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                                         new data on the methods of pesticide interactions, biological meas-
                                         ures of effects, and susceptibility for pesticide mixtures. The
                                         dose-response data obtained can be used for extrapolation from
                                         animals to humans for conducting risk assessment.

                           Contact:       Office of Research and Development, Femi Adeshina, 513-569-7147
                           Title:         Pesticide Interactions Affecting Fate and Transport and Children's
                                         Risk

                           Description:   This project will develop a model to estimate internal dose from
                                         intermittent exposures to multiple herbicides. Researchers will
                                         develop a procedure for cumulative health risk assessment for repro-
                                         ductive toxicity.

                           Contact:       Office of Research and Development, Rick Hertzberg, 404-562-8663
                           Title:         Long-Term Potentiation as a Model System for Cognitive Function

                           Description:   This research focuses on the alterations in cell function that accom-
                                         pany neurotoxic exposure and effects on intellectual function. The
                                         results could lead to improved, cost-effective test methods to exam-
                                         ine the potential adverse effects of pesticides on learning and
                                         memory.

                           Contact:       Office of Research and Development, Hugh Tilson, 919-541 -2671
Title:         Pilot Study of Symptomatic Young Children for Pesticide Exposure

Description:   This study will test methods to determine whether children's nonspe-
              cific illnesses may be associated with exposure to organophosphate
              pesticides. Approximately 150 children age 2 to 5 in agricultural
              communities in Southern California and North Carolina with specif-
              ic symptoms will be assessed for recent pesticide exposure and
              elevated cholinesterase levels.

Contact:       Office of Research and Development, Hillel Koren, 919-966-6203
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Title:         Pilot Study of Immunologic Effects of Pesticide Exposure in Infants

Description:   This study will test methods for evaluating the association between
              estimated insecticide exposure and immunologic, developmental,
              and enzymatic outcomes. The study will use exposure assessment
              methods and clinical sample collection to decide if it is practical to
              include these components in a longitudinal study of a larger group.

Contact:      Office of Research and Development, Hillel Koren, 919-966-6203
Title:         Biochemical Effects of Pesticides on the Central Nervous System

Description:   This research will determine if the adverse effects of exposure to
              certain pesticides during development of the central nervous system
              are different from effects observed following adult exposure. The
              overall objective of this project is to determine empirically the age-
              related differences in sensitivity to cholinesterase inhibitors. The
              research will help support the application of a safety factor for chil-
              dren's health for cholinesterase-inhibiting compounds.

Contact:      Office of Research and Development, Hugh Tilson, 919-541-2671
Title:         Cognitive Effects of Pesticide Exposure During Development

Description:   This research project will evaluate the cognitive and neurochemical
              effects of pesticides on memory, learning, and behavior following
              developmental or adult exposure of rodents. Immediate and long-
              term effects will be evaluated and attempts  will be made to
              associate behavioral changes with underlying alterations in brain
              cholinesterase activity. The overall objective is to determine age-
              related differences in response to pesticides that inhibit enzyme
              activity. This research will help support the application of a safety
              factor for children's health for cholinesterase-inhibiting pesticides.

Contact:      Office of Research and Development, Hugh Tilson, 919-541-2671
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                          Title:         Identifying the Mode and Mechanism of Action of Atrazine on
                                        Endocrine Function in the Female Rat

                          Description:   The chlorotriazines, a class of pesticides, have been under Special
                                        Review in EPAs Office of Pesticide Programs since November 1995
                                        because of their widespread use, and because they have been report-
                                        ed to induce mammary gland tumors. Several laboratories are
                                        conducting research to expand knowledge of the reproductive effects
                                        of these compounds and identify the mechanism through which
                                        these agents have their primary effect on endocrine function.

                          Contact:      Office of Research and Development, Robert Kavlock, 919-541-
                                        2771
                          Title:         The Effects of Pesticides on the Immune System and Allergic
                                        Response

                          Description:   Researchers are examining the impact of exposure to pesticides on
                                        the development of allergy to house dust mites in adult and young
                                        animals to test two hypotheses: (1) that pesticide exposure promotes
                                        development of allergic sensitization, and (2) that this effect is
                                        greater in young than in mature rodents. Allergic sensitization is
                                        being evaluated using immune parameters, lung inflammation, and
                                        pulmonary hyperreactivity.

                          Contact:       Office of Research and Development, Linda Birnbaum, 919-541-
                                        2655
                          Title:         Perinatal Exposure of Rats to Toxic Chemicals and Pesticides and
                                        the Effects on Immune Function Development

                          Description:   In this study, researchers are evaluating immune function and lymph
                                        cells at various ages following perinatal exposure to pesticides or
                                        toxic chemicals. This will  determine if developmental exposure
                                        results in persistent alterations in the immune system.

                          Contact:       Office of Research and Development, Linda Birnbaum, 919-541-
                                        2655
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Title:         A Study of Childhood Pesticide Poisoning in the Lower Rio Grande
              Valley

Description:   This study will investigate pesticide poisoning reports in children 6
              years of age or younger in the Lower Rio Grande Valley and select-
              ed non-border counties in Texas. The study will evaluate whether
              these children are at an increased risk for pesticide poisoning, identi-
              fy risk factors associated with childhood poisoning, and develop
              intervention/prevention strategies for reducing pesticide poisoning in
              this population.

Contact:      Office of Research and Development, David Otto, 919-966-6226
Title:         Non-Occupational Pesticide Illness Surveillance

Description:   This is a study in Texas to determine illness associated with the non-
              occupational exposure to pesticides. The goals are to better direct
              intervention efforts, identify risk factors, and determine the feasibili-
              ty of expanding the program to other border states. This study
              includes both adults and children.

Contact:      Office of Research and Development, David Otto, 919-966-6226
Title:         Pesticide Exposure and Health Effects in Young Children along the
              U.S.-Mexico Border

Description:   Researchers are examining the risks and possible health effects from
              persistent exposure to pesticides via multiple sources and pathways
              in children living along the U.S.-Mexico border. A three-phase
              approach is being used. In Phase I, pesticide usage and associated
              health data along the border were reviewed. Geographic information
              systems are being used to identify agricultural areas to aid in the
              study design. A workshop on health effects assessment in young
              children was held to review health endpoints appropriate for use in
              the project. In Phase II, infants and young children in Yuma,
              Arizona, and Imperial  County, California, will be screened for
              evidence of pesticide exposure. Phase III will include a more
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                                          complete monitoring of children classified as "high-end exposures"
                                          in Phase II. An epidemiologic study will be linked to these efforts to
                                          examine specific hypotheses about the impact of pesticide exposure
                                          on health status/outcome of children.
                           Contact:       Office of Research and Development, Hal Zenick, 919-541-2671
Title:         Neurobehavioral Characterization of Susceptible Populations and
              Pesticide Neurotoxicity

Description:   There is concern that neurological development of children may be
              adversely affected following exposure to pesticides. This project
              involves dose-response and time-course comparisons of the behav-
              ioral and biochemical effects of cholinesterase-inhibiting pesticides
              as a function of age (using rats at ages representing toddlers, pre-
              adolescents, and young adults) and gender. These studies will
              examine the effects of pesticide exposure using a battery of neuro-
              logical tests at various times after acute exposure. This research will
              provide direct support for the application of applying a safety factor
              for children's health.

              Office of Research and Development, Hugh Tilson, 919-541-2671
                           Title:          Metabolic Basis for Age-Dependent Effects of Pesticides

                           Description:   Several studies have found that younger animals are more sensitive
                                          to the toxic effects of pesticides, particularly pesticides that inhibit
                                          acetylcholinesterase. This project examines factors that may be
                                          responsible for differences in the sensitivity of young versus adult
                                          animals to high-volume, high-use cholinesterase-inhibiting pesti-
                                          cides. Once identified, the factors contributing to the differential age
                                          sensitivities will be applied to predict changes in children. This work
                                          will address the applicability of applying a safety factor for children
                                          in risk assessments for this class of pesticides.

                           Contact:       Office of Research and Development, Hugh Tilson, 919-541-2671
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Title:         Assessment of Urban Residential Exposure to 2,4-D

Description:   This study will examine actual exposure to 2,4-D of Ft. Collins,
              Colorado, residents and their children through biomonitoring at two
              different times of year. The study will also correlate actual exposure
              with perceived exposure and possible sources of exposure in the
              urban or residential setting.

Partners:      Colorado State University Department of Environmental Health

Contact:       Region 8, Debbie Kovacs, 303-312-6020
Title:         Pesticides at the Border

Description:   EPA Region 9 is participating on the San Diego Advisory
              Committee for the California Department of Health Services
              (CDHS) outreach project. Their report, Pesticide Use in California,
              analyzed pesticide use levels around schools in Imperial and San
              Diego Counties. CDHS collected information about pesticide use
              along the U.S.-Mexico Border as part of an EPA research effort on
              pesticides' health effects in children at the border. EPA published a
              brief summary of the findings, and CDHS published a more detailed
              report. CDHS is planning an outreach effort to educate the public
              about the report, and has established Advisory Committees in both
              Imperial and San Diego Counties to work on outreach strategy. The
              group hopes to contact land use planners and city officials to encour-
              age them to use this information in land use planning decisions,
              particularly in the siting of schools and childcare centers.

Contact:       Region 9, Kay Rudolph, 415-744-1065
References
1.    Zahm, S.H., and S.S. Devesa. 1995. Childhood Cancer: Overview of Incidence
     Trends and Environmental Carcinogens. Environmental Health Perspectives.
     Volume 103 (Supplement 6), Pages 177-184.
2.    Goldman, L.R. 1995. Children—Unique and Vulnerable: Environmental Risks
     Facing Children and Recommendations for Response. Environmental Health
     Perspectives. Volume 103 (Supplement 6), Pages 13-18.
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                                                Potential  Risks  From
                                                 Contaminated  Water

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EPA  Projects on Contaminants in  Water and  Fish
Contaminants in Water
Title:         Children and Drinking Water Standards Brochure

Description:   A question many people have on their minds is, "Should I be
              concerned about the tap water my children are drinking?" This
              brochure contains information on contaminants to which children
              may be particularly sensitive, their sources, and what to do if their
              water contains high levels of these contaminants. It also tells readers
              where to get information on their local  drinking water quality. The
              brochure explains how national standards contribute to drinking
              water safety, and helps readers make informed, reasonable choices
              about the water they and their children  drink.

Contact:       Office of Water, Sherri Umansky, 202-260-0432
Title:         Chronic Arsenic Exposure and Reproductive Effects from Drinking
              Water

Description:   This study is investigating the relationship of chronic exposure to
              arsenic and reproductive outcomes. University of Kentucky
              researchers will analyze existing data obtained from official and
              hospital records and try to confirm preliminary findings that arsenic
              exposure is associated with certain congenital anomalies. They also
              will investigate general fetal, neonatal, and maternal mortality and
              morbidity. A prospective study will investigate the association of
              arsenic exposure and specific outcomes, including low birth weight,
              prematurity, and pre-eclampsia. The researchers will assemble a
              cohort of pregnant women recruited in their second or third trimester
              of pregnancy and study them until the birth of their children. The
              researchers also will measure maternal urinary arsenic levels as an
              indicator of exposure from maternal ingestion of arsenic. They will
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                                         measure newborn hair arsenic concentrations as an indicator of fetal
                                         exposure through placental transfer.

                           Contact:      Office of Research and Development, Herman Gibb, 202-564-3334


                           Title:         Evaluation of Arsenic Metabolic Profiles in Adults and Children

                           Description:   EPA is studying populations exposed to arsenic in drinking water to
                                         determine arsenic metabolic profiles in urine. Children and adults are
                                         being studied to determine if there is any difference in metabolism
                                         related to age or differences  in ingestion habits.

                           Contact:      Office of Research and Development, Hillel Koren, 919-966-6203


                           Title:         Disinfectant Byproducts and Birth Defects

                           Description:   This collaborative project with the National Center for
                                         Environmental Health at the Centers for Disease Control and
                                         Prevention is examining the  potential association of neural tube
                                         defects and cardiac defects with exposure to disinfectant byproducts
                                         in drinking water.

                           Contact:      Office of Research and Development, Hillel Koren, 919-966-6203
                           Title:         Community Intervention Studies for Drinking Water

                           Description:   This study looks at communities before and after changes or
                                         improvements in drinking water supplies or treatment. The study
                                         monitors families with children between the ages of 2 and 10 for the
                                         incidence of microbial enteric disease.

                           Contact:       Office of Research and Development, Hillel Koren, 919-966-6203
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Title:         Exposure of Children and Susceptible Populations to Chemicals in
              Drinking Water

Description:   Researchers on this project are analyzing data collected in the
              National Human Exposure Assessment Survey (NHEXAS) to deter-
              mine whether such data can be used to improve the accuracy of
              drinking water risk assessments and to identify specific subpopula-
              tions at risk. Chemicals of interest include selected metals,
              pesticides, and volatile organics.

Contact:       Office of Research and Development, Michael Dellarco, 202-564-
              3239
Title:         Microbial Disinfectants and Disinfection Byproducts

Description:   EPA has promulgated the first two of a group of rules that strength-
              en control of microbial pathogens, including Cryptosporidium, while
              simultaneously reducing risk from potentially cancer-causing
              byproducts that form when disinfectants come into contact with
              organic material in water. These rules are collectively known as the
              Microbial-Disinfectants and Disinfection Byproducts (M-DBP)
              Rules.  The new rules, the Interim Enhanced Surface Water
              Treatment Rule and Stage 1 Disinfectants and Disinfection
              Byproducts Rule, were promulgated December 1998. Water systems
              will be required to  comply with the new standards by January 1,
              2002. Future standards will continue to address the "risk-risk
              balance" between protecting against microbial contaminants and the
              byproducts of chemical disinfection. Children are among the sensi-
              tive subpopulations considered, and therefore will be protected by
              these regulations.

Contact:       Office  of Water, Jennifer McLain, 202-260-0431,  or Dan
              Schmelling, 202-260-1439
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                           Title:
Non-PRASA (Puerto Rico Aqueduct and Sewer Authority) Initiative
                           Description:   There are 234 community public water systems in Puerto Rico that
                                         are not in the PRASA system. Typically, these systems are owned
                                         and operated by the community, serve poor rural communities of
                                         fewer than 500, and are not incorporated; some provide no treatment
                                         while others provide less than effective disinfection. Most systems
                                         violate the coliform Maximum Contaminant Level and thus fail to
                                         comply with U.S. drinking water standards. This initiative is
                                         designed to increase public awareness of the need for safe drinking
                                         water, provide basic disinfection, and improve overall  drinking water
                                         quality for the individuals served by these systems. EPAs strategy
                                         includes public education, curriculum development, technical assis-
                                         tance, financial assistance,  and enforcement.

                           Contact:       Region 2, Jose Font, 787-729-6826
                           Title:          Safe Drinking Water Branch Compliance Workshops

                           Description:   Contamination of drinking water by nitrate and bacteria can pose a
                                         particular threat to infants. During the past year, Region 5 and
                                         Ohio's EPA staff conducted a series of seven compliance workshops
                                         directed at small drinking water treatment systems that were in
                                         violation of nitrate and total coliform monitoring regulations.
                                         Representatives of 58 systems attended the workshops and signed
                                         bilateral compliance agreements to conduct the required monitoring
                                         and notify the public of their previous failure to test drinking water.
                                         Timely monitoring will ensure that if there is a health threat, it will
                                         be identified and corrected.

                           Contact:       Region 5, Holly Wirick, 312-353-6704
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Title:         Reduction/Elimination of Persistent Toxic Substances in Great
              Lakes

Description:   EPA's Great Lakes National Program Office and Region 5 continue
              to work with several partners to eliminate the releases of specified
              persistent toxic substances to the Great Lakes Basin. The strategy
              targets PCBs, DDT, mercury, dioxins, and certain canceled pesti-
              cides for percentage reductions within a 10-year time frame on the
              path to virtual elimination of these substances.

Partners:      Environment Canada, Great Lakes states, industries, tribes, environ-
              mental groups, non-government organizations.

Contact:      Region 5, Rita Cestaric, 312-886-6815
Title:         Water Awareness Program

Description:   Region 6 is developing a risk-based children's health initiative to
              target outreach efforts and technical assistance for communities with
              degraded water quality and impaired recreational use. The Region
              uses GIS data to obtain a geographic focus for water-related chil-
              dren's health activities. The risks are analyzed using child
              demographics, degree of vulnerability, and degree of impact. The
              Region has developed a series of children's educational games,
              interactive activities, and children's health displays as part of the
              communication/outreach strategy for selected areas.

Contacts:      Region 6, Paula Flores-Gregg, 214-665-8123,  or Laura Talbot, 214-
              665-6678
Title:         Protecting Drinking Water Supplies

Description:   Region 10 is working with Valley Family Health Care, Inc., in
              Payette, Idaho, to address improper disposal and illegal dumping of
              chemicals and sewage that impact farm workers, Hispanic migrant
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         *  . .
                           Contact:
              and seasonal farm workers, family members, children, and young
              adults. The program participants are educated about contaminated
              drinking water, improper methods of storing or consuming drinking
              water, and other activities that can further contaminate water
              supplies. The expected results are that program participants will
              understand how to protect themselves from exposure to pesticides
              and other chemicals.

              Region 10, Cecila Contreras, 206-553-2899
                           Contaminants in Fish
                           Title:          Non-Commercial Fish Consumption Kit for Health Care Providers

                           Description:   EPA, in partnership with the Agency for Toxic Substances and
                                         Disease Registry, is developing materials to assist health care
                                         providers assess and educate clients who  consume non-commercial
                                         fish.

                           Contact:       Office of Water, Jeff Bigler, 202-260-13 05
Title:         Fish Advisories

Description:   EPA Region 2 has been actively involved in the public communica-
              tion offish advisories in the states of New York and New Jersey for
              the past 3 years. The communication takes the form of flyers (some
              translated into other languages), public service announcements, and
              consultations with local health care providers, most particularly
              prenatal and neonatal clinics. The bodies of water most involved are
              the Hudson River, the New York/New Jersey Harbor, the Passaic
              River, the Niagara River, and the Great Lakes. The advisories
              communicate information about contaminants in fish to particular
              populations at risk: sustenance anglers, pregnant and nursing
              women, and children.

Contact:       Region 2, Ann Rychlenski, 212-637-3672
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References
1.    ATSDR. Toxicological Profile for PCBs. U. S. Department of Health and
     Human Services, Public Health Service, Agency for Toxic Substances and
     Disease Registry.

2.    ATSDR. Toxicological Profile for Arsenic. U.S. Department of Health and
     Human Services, Public Health Service, Agency for Toxic Substances and
     Disease Registry.

3.    ATSDR. Toxicological Profile for Mercury. U.S. Department of Health and
     Human Services, Public Health Service, Agency for Toxic Substances and
     Disease Registry.

4.    ATSDR. Toxicological Profile for Lead. U.S. Department of Health and
     Human Services, Public Health Service, Agency for Toxic Substances and
     Disease Registry.

5.    ATSDR. Toxicological Profile for Chromium. U.S. Department of Health and
     Human Services, Public Health Service, Agency for Toxic Substances and
     Disease Registry.

6.    EPA. 1997. Before You Go to the Beach. Publication Number EPA 820-K-97-
     001. U.S. Environmental Protection Agency.

7.    EPA. 1997. Should I Eat the Fish I Catch? Publication Number EPA 823-B-
     97-009. U.S. Environmental Protection Agency.
Potential Risks from Contaminated Vtoter
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    The EPA Children's Environmental Health Yearbook Supplement


Predicting   Health  Risks
                       to  Children
                         EPA uses risk assessment to identify and judge the severity of potential harmful
                         effects to humans or ecosystems from exposure to environmental hazards. Risk
                         assessment is a complex, analytical process involving expertise in chemistry,
                         biology, ecology, statistics, medicine, and other disciplines.

                         For drinking water, EPA is working to ensure that the developmental studies used to
                         determine national drinking water standards are designed to evaluate lifetime effects
                         from exposures by infants and children during their formative years. To better
                         protect children and adults from swimming-related illnesses, EPA is addressing
                         limitations of current methods to measure, monitor, and communicate recreational
                         water quality. In the area of hazardous waste, EPAs Superfund program analyzes
                         possible risks to children from exposure to hazardous waste sites. EPA uses several
                         exposure factors in the risk calculations that apply to children, including body
                         weight, inhalation rates, and ingestion rates to account for age-specific activities,
                         such as playing in  soil.

                         A number of current EPA studies are under way to better characterize childhood
                         exposures, identify subpopulations that may be at risk, and improve exposure esti-
                         mates for infants and children to toxic substances, such as pesticides, lead, and toxic
                         molds. EPA is identifying critical periods in a child's development when exposure
                         can pose the greatest risks, and is determining the mechanisms that may increase or
                         decrease the likelihood of adverse outcomes in children compared to adults. Finally,
                         EPA is developing better risk assessment methods to account for combined expo-
                         sures to a variety of substances and multiple routes of exposure. For instance, an
                         individual may be  exposed to lead  from several sources, such as contaminated
                         drinking water, lead-based paint, and airborne lead in densely populated or industri-
                         al areas. The exposures from all sources could be combined into one measure for an
                         assessment of combined risk to children.
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EPA Projects  to  Improve Risk Assessment

Water

Title:          Genetic Damage Associated with DBFs
Description:   In this project, researchers will address the differences in the distri-
              bution and metabolism of specific disinfectants/disinfection
              byproducts (DBFs) among individuals and between adults and chil-
              dren. Estimates of these differences will be analyzed using models
              constructed for adults and children. The cytochrome P-450 enzymes
              in the liver are the focus of this study, because they are responsible
              for a number of metabolic reactions that increase the toxicity of low-
              molecular-weight compounds.
Contact:       Office of Research and Development, John Lipscomb, 513-569-
              7217
Title:          Rapid Scientific Methods for Measuring the Quality of Bathing
              Beach Waters

Description:   Researchers are developing new ways to measure the quality of
              recreational water and to address some of the limitations of current
              methods that measure the density of E. coll or Enterococci bacteria.
              Their methods make use of genetically engineered microbes, nucleic
              acid probes, and immunological methods. The methods can quantita-
              tively measure water quality indicators and can produce rapid results
              without complex instruments. If successful, these methods will
              provide water quality data in a timely manner and help protect adults
              and children from swimming-associated illnesses.

Contact:       Office of Research and Development, Kristen Brenner, 513-569-
              7317
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                           Title:         Bathing Beaches Monitoring Protocols and Communicating
                                         Swimming Activity Risk to the Public

                           Description:   Current EPA-recommended monitoring practices for bathing beach
                                         water quality have some limitations in their ability to protect the
                                         people who are most at risk from swimming-associated illness,
                                         particularly children. Researchers are addressing these limitations by
                                         developing a scientifically defensible monitoring protocol for
                                         bathing beach water that accounts for spatial and temporal variabili-
                                         ty, has national  applicability, and can be translated into a simple
                                         system that the  public can use to make personal decisions about risks
                                         associated with swimming and other recreational water activities.
                                         The use of this  protocol will ultimately result in greater protection of
                                         adults and children from swimming-associated illnesses.

                           Contact:       Office of Research and Development,  Kristen Brenner, 513-569-
                                         7317


                           Hazardous Waste

                           Title:         Development of Guidance on the Use  of Probabilistic Analysis in
                                         Risk Assessment at Superfund  Sites

                           Description:   The Superfund  program's risk assessment process is used to evaluate
                                         potential cancer risks and other hazards to children from exposure to
                                         hazardous waste sites placed on the National Priorities List. EPA has
                                         developed a document that provides technical  guidance on the appli-
                                         cation of probabilistic analytical methods to human health risk
                                         assessment, including risks to children. Probabilistic analysis is a
                                         useful tool  to characterize and quantify variability and uncertainty in
                                         risk assessment. Risk assessors select exposure factors that predict
                                         the potential risks of children living near a Superfund site. Risk
                                         information is used to evaluate the potential need for site cleanup.

                           Contact:       Office of Solid  Waste and Emergency  Response, S. Steven Chang,
                                         703-603-9017
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Title:          Community Involvement in Superfund Risk Assessments

Description:   EPA's Superfund program staff is improving the way in which risks
              to children and adults are assessed by enhancing the role of commu-
              nity involvement in risk assessment. EPA has developed a series of
              new learning tools for both EPA staff and the public. A guidance
              document provides suggestions to risk assessors for involving
              communities in planning a risk assessment, identifying sites to
              sample, and describing how people could be exposed to a Superfund
              site. Information and fact sheets for the public describe risk assess-
              ment in clear terms and illustrate how people's knowledge about a
              site and their community can help EPA with risk assessment.
              Educational videotapes, developed with the help of people across the
              country who live near hazardous waste sites, help communicate how
              EPA assesses risks and the ways in which people can help improve
              site assessments in their communities.

Contact:       Office of Solid Waste and Emergency Response, Jayne Michaud,
              703-603-8847
Title:          Superfund Basic Research Program

Description:   EPA supports children's health research through the Superfund Basic
              Research Program (SBRP) administered by the National Institutes of
              Environmental Health Sciences through an interagency agreement.
              In FY 1999, EPA committed $37 million to the SBRP. The basic
              research funded by EPA helps to reduce uncertainties in risk esti-
              mates and allows the agencies to better protect children and
              susceptible communities. Children's health research helps us under-
              stand the impact of chemical exposures on children during critical
              periods of vulnerability. Examples of research supported by this
              program include studies on the influence of in utero PCB exposures
              on infant development and molecular epidemiology of childhood
              leukemia.

Contact:       Office of Solid Waste and Emergency Response, Jayne Michaud,
              703-603-8847
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                           Title:          Office of Solid Waste Risk Assessments

                           Description:   EPA's Office of Solid Waste recognizes the importance of evaluating
                                         children's health risks as part of risk assessments supporting
                                         Resource Conservation and Recovery Act (RCRA) hazardous waste
                                         regulations. EPA routinely uses information on childhood exposure
                                         to assess child health risks associated with exposure to hazardous
                                         waste. Recently published EPA rulemakings in which risks to chil-
                                         dren are explicitly considered include final standards for controlling
                                         hazardous air pollutants emitted from hazardous waste incinerators,
                                         proposed standards for the management and beneficial use of cement
                                         kiln dust, and proposed hazardous waste listing determinations for
                                         dye and pigment production wastes and wastes from the production
                                         of chlorinated aliphatic chemicals. EPA also acknowledges the
                                         uncertainties involved in assessing health risks to children as part of
                                         its regulatory efforts, noting that methodologies for estimating envi-
                                         ronmental threats to children's  health are relatively new, are
                                         currently being debated within  the scientific community, and will
                                         continue to evolve and improve.

                           Contact:       Office of Solid Waste and Emergency Response, Charlotte Bertrand,
                                         703-308-9053
                           Title:          Determining Potential Exposure of Children near Superfund Sites

                           Description:   EPA's Superfund program staff evaluates potential risks to children
                                         from exposure to hazardous waste sites. These evaluations include
                                         assessing risks through ingestion of soil and inhalation, as well as
                                         risks to children trespassing onto abandoned hazardous waste sites.
                                         Risk assessors make appropriate changes to body weight, inhalation
                                         rates, and ingestion rates to account for age-specific activities when
                                         assessing risks to children. To assess potential risks to children from
                                         lead exposure, risk assessors use the Integrated Exposure and Uptake
                                         Biokinetic model for children 6 years old and under. The model
                                         predicts changes in blood lead levels in the population and this infor-
                                         mation is used to evaluate the potential need for remediation.

                           Contact:       Region 2, Audrey Galizia, 212-637-4352
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Title:         Vega Baja Solid Waste Disposal

Description:   The Vega Baja landfill site is an inactive, unlined landfill, located in
              a rural area of Rio Abajo Ward, Puerto Rico. Open burning occurred
              on the landfill between 1948 and 1979. Approximately 200
              dwellings are located on 11 acres of the site. The Puerto Rico
              Environmental Quality Board conducted sampling to explore possi-
              ble lead hazards in soil, tap water, and homegrown fruits and
              vegetables. Also, the Puerto Rico Department of Health tested blood
              lead  levels of young children living in the Vega Baja site. Results
              revealed no indication of health concerns. Future planned activities
              include collection of indoor dust samples from homes at the site.

Contact:       Region 2, Audrey Galizia 212-637-4352

Title:         Children's Exposure Priorities at/near Superfund Sites

Description:   Region 5's Superfund Division has developed a  priority list of those
              chemicals and environmental hazards commonly encountered at or
              near Superfund sites that pose the greatest risk to children's health.
              This list will be used by policymakers to allocate resources and
              implement appropriate actions for protecting children's health at or
              near Superfund sites. It will also be used to develop strategies for
              protecting children's health (e.g., developing outreach campaigns,
              incorporating the chemical list in site investigation). This list will  be
              updated as new information becomes available.

Contacts:      Region 5, Afif Marouf, 312-353-5550, or Ben Maradkel, 312-886-
              2064
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                           Exposure

                           Title:


                           Description:
                           Contact:


                           Title:
                           Description:
                           Contact:
Human Exposure-to-Dose Models: Models and Modeling Methods
for Assessing Human Exposure and Dose to Toxic Chemicals and
Pollutants

This project aims to strengthen the general scientific foundation of
EPA's regulatory risk assessment, management, and policy processes
by developing state-of-the-art mathematical modeling and solution
methods to describe the relationship between exposure and dose.
Differences in physiology, metabolism, and anatomy may create
alterations in absorption and hence risk among adults, children, and
infants. One result of this research will be to produce a modeling
framework and an integrated group of models that can be easily
modified for a variety of exposure assessment and risk characteriza-
tion problems.

Office of Research and Development, Jerry Blancato, 702-798-2456
Dietary Exposure of Children

The purpose of this research is to develop a protocol and model for
assessing a young child's combined dietary intake of pesticides or
other environmental contaminants, including those "inherent" in
their foods as well as those that contaminate their foods during the
eating process (from hands, surfaces, etc.). Laboratory testing is
being conducted to characterize surface transfer coefficients and
related factors. Video analysis is helping the researchers analyze
contacts between foods and surfaces. Field testing will validate
protocols and measure dietary intakes of small children.

Office of Research and Development, Maurice Berry, 513-569-7284
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Title:         Developing Risk Assessment and Risk Management Models for
              Exposure of Children to Toxic Mold, Using Stachybotrys chartarum
              as the Model Mold

Description:   The health  effects caused by exposures of children to indoor molds
              are complex and controversial. This proposed research project will
              attempt to further our ability to assess and manage the risks associat-
              ed with such exposures using a combination of aerobiologic,
              epidemiologic, and modeling approaches. Stachybotrys chartarum
              will serve as a model subject of the investigation for several reasons:
              it is common in water-damaged buildings, it produces a series of
              well-characterized and particularly potent toxins, and exposure to it
              has been implicated in infant deaths from a  disease known as
              pulmonary  hemosiderosis (PH). The project will bring to bear new
              and rapid methods for the quantitative analyses of the spores and
              toxins of this organism, and will attempt to correlate the occurrence
              of PH disease with levels of exposures to these agents in a defined
              population  of potentially at-risk infants in the Cleveland, Ohio,
              metropolitan area.

Contact:       Office of Research and Development, Steve Vesper, 513-569-7367
Title:         Multipathway Exposure Modeling of Children and Adults to
              Pesticides and Toxics

Description:   The goal of this research is to develop a mathematical model to esti-
              mate exposure and absorbed dose to pesticides by children and
              adults. Because young children are potentially at higher risk for
              greater exposures to pesticides, this research emphasizes exposures
              to children. Exposures to other toxics in the environment will subse-
              quently be investigated using a multimedia/multipathway modeling
              framework similar to that being developed for pesticide exposures.
              Initially, a probabilistic exposure model for chlorpyrifos will be
              modified. This model characterizes both uncertainty and variability
              in input distributions and exposure factors. Additional microenviron-
              ments and pathways that are important for children's exposure to
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                                         pesticides, including the dermal exposure pathway and gastrointesti-
                                         nal absorption, will be incorporated into the new model.
                           Contact:       Office of Research and Development, Haluk Ozkaynak, 919-541 -5172
                           Title:         Workshop to Identify Critical Windows of Exposure for Children's
                                        Health

                           Description:  A workshop was held in September 1999 in Richmond, Virginia, to
                                        develop a "time line" of critical periods of development, and identify
                                        the health effects that could result from exposures during those
                                        times. The time line describes key exposure periods within human
                                        development for selected health outcomes. Exposures may occur
                                        pre-conceptionally (to either parent), prenatally, and postnatally.
                                        Endpoints of interest for this project include developmental
                                        outcomes identified at birth, asthma, cancer, neurologi^ehavioral
                                        effects,  reproductive system effects, cardiovascular effects, diabetes,
                                        and effects on general growth.

                           Contact:      Office of Research and Development, Sherry Selevan, 202-564-3312
                           Title:          Childhood Exposure Factors Handbook

                           Description:   This handbook is a compilation of statistical data on child-specific
                                         exposure factors. The handbook includes data on sociodemographic
                                         factors that affect exposure. A computer model will be developed to
                                         access the applicable databases  and calculate exposure using user-
                                         defined exposure scenarios.

                           Contact:       Office of Research and Development, Jacqueline Moya, 202-564-
                                         6245
                           Title:         IEUBK Model Expansion

                           Description:  The Integrated Exposure Uptake Biokinetic (IEUBK) Model for
                                        Lead in Children (version 0.99d), released in March 1994, has been
                                        widely accepted in the risk assessment community as a tool for
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              implementing the site-specific risk assessment process for childhood
              lead exposure. The model has four components, or modules: expo-
              sure, absorption/uptake, biokinetics, and statistical output. There is a
              need to expand the model to include adult exposure and to add
              several features not currently available. In FY 1998, the exposure
              module was expanded to a full age range (0 to 84 years) and revised
              to incorporate several new model features and user options. The
              uptake and biokinetic modules will be expanded in the same
              manner. Each of the modules will undergo a limited circulation for
              review and comment, to be completed during FY 2000. In FY 2000,
              the all-ages lead model will be released for scientific review and
              evaluation.

Contact:       Office of Research and Development, Robert Elias, 919-541-4167
Title:         EPA's Contribution to Children's Assessment in NHANES IV

Description:   EPA is helping to support data collection through the Centers for
              Disease Control and Prevention in the National Health and Nutrition
              Examination Survey (NHANES) directed towards children between
              the ages of 6 and 19 years. For approximately 1,100 adolescents and
              young adults ages 12 to 19, the serum levels of the following
              persistent organochlorines will be tested: B-HCH, chlordane, DDT
              metabolites, dieldrin,  heptachlor/HE, hexachlorobenzene, lindane,
              mirex, oxychlordane, PCBs, toxaphene, and trans-nonachlor. These
              individuals will also be tested for thyroid function. For approximate-
              ly  800 children ages 6 to 11 and 800 adolescents ages 12 to 19, the
              following high-priority pesticides will be tested in the urine: chlor-
              pyrifos; diazinon; permethrin; 2,4-D; ortho-phenyl phenol; and
              methyl parathion. EPA also is supporting the blood and urine collec-
              tion procedures and the administration of research related to
              potential exposures to these chemicals. Sample collection is taking
              place in 1999 to 2000, and results are  expected in 2001.

Contact:       Office of Research and Development, Sue Perlin, 202-564-3284
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                           Title:          Children's Risk: Summary Statistics of Selected Data Elements of
                                         NHANES III

                           Description:   As part of the National Health and Nutrition Examination Survey
                                         (NHANES), this project generated databases and descriptive data on
                                         a variety of exposures and health characteristics as a first step in
                                         identifying topics for further exploration. The project report includes
                                         tables of data by gender, age, and race/ethnicity.

                           Contact:       Office of Research and Development, Sherry Selevan, 202-564-3312
                           Title:          Evaluation of Methods to Scale Pharmacokinetic Parameters
                                         between Adults and Children

                           Description:   This project will analyze the pharmacokinetic differences between
                                         adults and children based on existing studies and will characterize
                                         the variability of pharmacokinetic parameters among children within
                                         given age groups.

                           Contact:       Office of Research and Development, William Pepelko, 202-564-3309
                           Title:          Ethnic and Minority Highly Exposed Children's Populations

                           Description:   This project examines and documents differences in exposure to
                                         environmental contaminants in children of different racial, ethnic,
                                         and socioeconomic groups.

                           Contact:       Office of Research and Development, Sherry Selevan, 202-564-3312
                           Title:          Children's Environmental Health and Safety Inventory of Research

                           Description:   The Children's Environmental Health and Safety Inventory of
                                         Research (CHEHSIR) is an Internet-accessible database of federally
                                         funded or sponsored research on environmental health risk and/or
                                         safely risks that may uniquely or disproportionately affect children.
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              The database was created as an interagency effort co-chaired by
              EPA's National Center for Environmental Assessment (NCEA) and
              the DHHS National Institute of Environmental Health Sciences
              (NIEHS). The database is available at http://www.epa.gov/chehsir.

Contact:       Office of Research and Development, Bruce Rodan, 202-564-3329
Title:         Protective Mechanisms Theme

Description:   The developmental processes of gametogenesis and embryogenesis
              are protected from the effects of toxicants by a variety of biological
              mechanisms. This research focuses on identifying and characterizing
              protective mechanisms dependent on heat shock proteins (HSPs)
              and/or glutathione (GSH). The research will determine specific
              biological mechanisms potentially relevant to a wide range of repro-
              ductive and developmental exposures. Results from these
              experiments will help define thresholds in dose-response studies,
              validate biomarkers of response as useful components of predictive
              dose-response models, and provide information for identifying
              susceptible subpopulations.

Contact:       Office of Research and Development, Robert Kavlock, 919-541 -2771
Title:         North Carolina Birth Cohort Study

Description:   This long-term project, still under development, will establish a
              cohort of children starting during gestation and follow them for the
              next 20 years. Researchers will examine several exposure issues
              (pesticides, persistent organochlorines, indoor and ambient air pollu-
              tants, and drinking water contaminants) while measuring
              age-appropriate health endpoints (developmental, immunological,
              neurological, and respiratory). Counties selected for study will be
              representative of both urban and rural environments and provide
              racial diversity.

Contact:       Office of Research and Development, Hillel Koren, 919-966-6203
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                           Title:         A Survey of Health and Environmental Conditions along the Texas-
                                         Mexico Border

                           Description:   This study will establish a baseline of environmental health condi-
                                         tions along the Texas-Mexico border. The results will be used to
                                         assess the need for environmental health education, environmental
                                         monitoring, and promotion of targeted health services. The results
                                         are also expected to lead to active surveillance for health conditions
                                         related to environmental exposures, such as hepatitis A, pesticide
                                         poisoning, lead poisoning, and asthma.  The study will involve the
                                         collection of existing demographic, environmental, and health data
                                         from 2,100 randomly selected households in the principal population
                                         areas along the border.

                           Contact:       Office of Research and Development, David Otto, 919-966-6226
                           Title:         Preparing Maps of Region 4 Depicting Environmental, Health, and
                                         Demographic Characteristics

                           Description:   This project is designed to determine how and if existing environ-
                                         mental, demographic, and health data can be utilized to identify
                                         potential relative risks from environmental factors to children's
                                         health in Region 4. The areas of concern for the initial evaluation
                                         include asthma, disorders caused by neurological/developmental
                                         toxicants, childhood cancer, waterborne diseases (biological
                                         pathogens), and acute responses to environmental contaminants (not
                                         including accidental poisonings).

                           Contact:       Region 4, Wayne Garfinkel,  404-562-8982
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Title:         Environmental Pollutant Exposures in Children (EPEC) Project

Description:   The EPEC workgroup is compiling exposure information for a list
              of environmental pollutants that have potential health impacts for
              children in Region 5. The purpose of this project is to assess expo-
              sure of children to environmental pollutants, including benzene,
              dioxins, formaldehyde, lead compounds, mercury compounds,
              nitrates/nitrites, pesticides, polyaromatic hydrocarbons, polychlori-
              nated biphenyls, toxaphene, trichloroethylene, and vinyl chloride.
              This project will reduce data gaps in knowledge about childhood
              exposures to environmental pollutants by addressing such questions
              as: does exposure to environmental pollutants represent a health
              concern for children? If so, what are the pollutants of concern and
              what are the health concerns?

Contact:       Region 5,  Colleen Olsberg, 312-353-4686
Title:         Site Assessment in Response to Cancer in Children: McFarland,
              California

Description:   McFarland is a small, largely Hispanic, agricultural community in
              California's Central Valley. For the past 21 years, it has had an
              increased rate of childhood cancers documented by the California
              Department of Health Services. EPA is sampling and analyzing
              drinking water, soil, and air for releases of hazardous substances
              associated with past industrial and agricultural practices to determine
              current environmental conditions and identify any issues that may be
              of concern to children's health. Two rounds of sampling of drinking
              water, including home faucets, and soil sampling have been
              completed. EPA is continuing with plans for air monitoring in the
              year 2000.

Contacts:      Region 9, Mark Calhoon, 415-744-2376, or Elizabeth Adams, 415-
              744-1704
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                           Title:          West Oakland Urban Pilot Proj ect

                           Description:   West Oakland is a predominately minority community with mixed-
                                         use zoning. It includes many residences located near industrial
                                         activities, and many children are living next door to high-hazard
                                         facilities. EPA is engaged in several efforts to assess the environ-
                                         mental conditions and help build the community's capacity to
                                         respond to and advocate for environmental issues. EPA Region 9
                                         arranged for an  initial round of blood lead testing in the South
                                         Prescott neighborhood of West Oakland.

                           Contact:       Region 9, Carla Moore, 415-744-1938
                           Title:          Defensible Space Proj ect

                           Description:   The African American Development Association was given a grant
                                         to fund the "Defensible Space Project." The project goal is to assess
                                         and map all of the known polluters and storage facilities and their
                                         locations with respect to sensitive receptors, such as schools or other
                                         places where children gather. The project will provide an environ-
                                         mental snapshot of West Oakland and will be useful for many
                                         aspects of community planning and building. It will also support
                                         efforts to determine whether there is a correlation between public
                                         health and the location of industrial facilities.

                           Contact:       Region 9,  Carla Moore, 415-744-1938

                           Cumulative Risk

                           Title:          Assessment of Chemical Mixtures

                           Description:   Children are frequently exposed in the environment to multiple
                                         chemical mixtures. However, little is known about the age-depend-
                                         ent response to chemicals with similar modes of action. This project
                                         examines the effects of chemical mixtures on various neurochemical
                                         and functional measures in rodents of different ages. The overall
                                         objectives of the project are (1) to assess the principle of additivity
                                         as it relates to the effects of environmentally relevant chemicals in
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              the brain, and (2) to determine if additivity varies as a function of
              age. This research addresses the problem of cumulative toxicity, in
              which children are exposed to many chemicals with similar modes
              of action.

Contact:       Office of Research and Development, Hugh Tilson, 919-541-2671
Title:         Update on Chicago Cumulative Risk Initiative (CCRI) Project

Description:   This project, which examines complex exposures in urban industrial
              areas around Southeast Chicago and Northwest Indiana, has entered
              its second phase. Argonne National Laboratory is currently conduct-
              ing a project to evaluate cumulative hazard impacts on children.

Contact:       Region 5, Cheryl Newton, 312-353-6730
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                                                        The EPA Children's Environmental Health Yearbook Supplement
Protecting  Children
                   Worldwide
                         EPA's leadership in building international cooperation and technical capability is an
                         essential part of the U.S. role in promoting children's environmental health in inter-
                         national organizations and other nations. The 1997 Declaration of the Environment
                         Leaders of the Eight on Children's Environmental Health was adopted unanimously
                         at a summit hosted by EPA Administrator Carol Browner in May 1997. Seven
                         specific areas for international collaboration were identified:

                           • Improving environmental science and risk assessments by using more explicit
                             scientific knowledge of children's characteristics.

                           • Reducing blood lead levels in children to below 10 micrograms per deciliter and
                             reducing child, infant, and maternal exposure to lead.

                           • Improving access worldwide to microbiologically  safe drinking water.

                           • Reducing air pollution.

                           • Reducing children's exposure to environmental tobacco smoke.

                           • Increasing and coordinating scientific research on  endocrine (hormone) disrupt-
                             ing chemicals.

                           • Taking decisive international action to confront the problem of global warming.

                         EPA is coordinating U.S. efforts to put into action the  steps called for in the
                         Declaration.  The Agency is working with other countries of the Eight, as well  as
                         other international organizations, to further the goals of the Declaration.

                         In August 1998, EPA helped to fund and participated in the First International
                         Conference on Children's Health and the Environment. This conference provided an
                         international forum for the latest research findings in pediatric environmental health,
                         identified opportunities to minimize childhood exposure to environmental contami-
                         nants worldwide, and initiated a review of future research in the field of children's
                         environmental health.

                         In June  1999, EPA led a U.S. delegation to the World  Health Organization's
                         (WHO's) Third Ministerial  Conference on Environment and Health. The
                         Conference included more than 900 participants, including 72 ministers of environ-
                         ment and health. The London Declaration, adopted by 50 countries from the WHO
                         European Region, affirmed the countries' commitment to specific measures that
                         will reduce the harmful  effects of environmental degradation on human health. The
                         member states agreed to give greater emphasis in all relevant programs to the need
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to prevent exposure of children to environmental threats, recognizing the special
vulnerability of children and reproductive health to environmental threats. They
agreed to endorse the priorities highlighted at the Conference: preventive strategies
for asthma and allergies, childhood accidents and injuries, environmental tobacco
smoke, and areas of emerging concern about effects of the environment on chil-
dren's health.
EPA  International  Projects

Asthma and Other Respiratory  Effects
Title:         Paniculate Matter Epidemiology in Children

Description:   This is a project to analyze and publish reports of an epidemiologic
              study of children's and adult's respiratory health in relation to partic-
              ulate matter (PM) exposure in the four Chinese cities of Chongqing,
              Guangzhou, Lanzhou, and Wuhan. Reports from this study will
              describe how exposure to size-specific ambient PM and indoor coal
              smoke affect the prevalence of respiratory illness and symptoms in
              children and their parents. The reports will also describe the effect of
              these exposures on the long-term growth of spirometric lung func-
              tion in the children.

Contact:       Office  of Research and Development, Robert Chapman, 919-541-
              4492
Title:         China Urban Respiratory Health Study

Description:   The four Chinese cities of Chongqing, Guangzhou, Lanzhou, and
              Wuhan exhibit a very wide range of ambient particulate matter
              levels. Under the China-U.S. Environmental Protection Protocol,
              China and the United States are cooperating in a longitudinal study
              of respiratory health status and changes in respiratory health in rela-
              tion to air pollution exposure in these cities. The health outcomes
              being measured are the frequency and severity of respiratory illness-
              es and symptoms in children and adults, as determined by a
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                                         standardized questionnaire, and the growth of ventilatory lung func-
                                         tion in children, as determined by twice-yearly spirometric lung
                                         function testing in elementary school children.

                           Contact:       Office of Research and Development, Robert Chapman, 919-541-
                                         4492
                           Title:          Children's Lung Function Study in China

                           Description:   This U.S.-China cooperative study in four Chinese cities will deter-
                                         mine long-term effects on children's lung function caused by several
                                         air pollutants, including (1) ambient acid aerosols, particulates, and
                                         sulfur oxides; and (2) indoor air pollution (coal smoke, environmen-
                                         tal tobacco smoke). The study also examines the effects of changes
                                         in ambient pollution levels on children's lung function. Pilot study
                                         results have shown a clear association between particulate matter
                                         exposure and long-term reduction in elementary school children's
                                         lung function. The Children's Lung Function Study in China is
                                         ongoing and expanded as of 1999. The expansion will assess
                                         changes in respiratory health status in relation to changes in outdoor
                                         and indoor air pollution exposure over a 7-year interval (1994 to
                                         2001).

                           Partners:      China National Environmental Protection Agency, Robert Wood
                                         Johnson Medical School, New Jersey

                           Contact:       Office of International Activities, Marianne Bailey, 202-564-6429
                           Title:          U.S.-Canada Air Quality Agreement

                           Description:   This agreement covers priority air pollutants and involves reducing
                                         smog pollution of the Midwest-Eastern regional airshed. It involves
                                         federal, provincial,  and state governmental cooperation and signifi-
                                         cant public and private  stakeholder involvement. EPA and
                                         Environment Canada also review, assess, and report on ground-level
                                         ozone and its effects through joint biennial progress reports.

                           Partners:      Environment Canada, others
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Contact:
Office of Air and Radiation, Laurel Schultz, 919-541-5511
Developmental and Neurological Toxicity

Title:         The Effects of Lead in Children and Adolescent Development
Description:   EPA scientists are working with the National Institute of
              Occupational Health (NIOH) in Ahmedabad, India, to study the
              health effects of lead, specifically on growth and puberty in children.
              The project is evaluating the effects of lead in a high traffic area of
              Ahmedabad, as well as the effects of a lead smelter in Calcutta. The
              project looks at multipathway exposure, dose, and health effects in
              children.
Contact:       Office of Research and Development, Gary Kimmel, 202-564-3308
Title:         Alaska Native Cord Blood Monitoring Program

Description:   This program is designed to monitor the levels of selected heavy
              metals and persistent organic pollutants in umbilical cord blood and
              maternal blood of indigenous groups of the Arctic, with an initial
              focus on Alaska Native American populations. The project will take
              50 percent of the samples from the Inuit population and 50 percent
              from the Yupic population. Expansion of the project to other popula-
              tions is under consideration.

Partners:      Centers for Disease Control and Prevention, State of Alaska, Tribal
              Agencies, others

Contact:      Office of International Activities, Seth Low, 202-564-6414
Title:         National Strategy for Lead Risk Reduction in Russia

Description:   A Russian federal strategy was prepared with U.S. expert support to
              address sources of lead risk identified in 1996 by Russian experts.
              U.S. assistance will continue in identifying effective economic
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                                          mechanisms to reduce lead exposure in key sectors and incorporate
                                          lead risk reduction measures into regional economic planning, indus-
                                          trial restructuring schemes, and privatization guidelines.

                           Partners:       U.S. Agency for International Development, Centers for Disease
                                          Control and Prevention

                           Contact:       Office of International Activities, Sylvia Correa, 202-564-6443
                           Title:          Children's Blood Lead Level Screening in Russia

                           Description:    This is the first study of pediatric blood lead levels in Russia. After
                                          findings of an initial survey of the City of Saratov were presented in
                                          January  1997, the United States and Russia agreed to repeat the
                                          study in other Russian cities to establish a baseline for measuring
                                          results of lead reduction activities. In 1998,  EPA, the Centers for
                                          Disease  Control and Prevention, and the Russia Ministry of Health
                                          investigated three additional Russian cities,  Ekaterinburg,
                                          Krasnouralsk, Volgograd. Data will be used to characterize the over-
                                          all lead exposure problem in Russia.

                           Partners:       Centers for Disease Control and Prevention

                           Contact:       Office of International Activities, Sylvia Correa, 202-564-6443
                           Title:         Mobile Source Training/Lead Phase-Out Training

                           Description:   Working with international organizations, EPA has developed a
                                         training program designed to encourage the phase-out of leaded
                                         gasoline and reduce motor vehicle pollution. The course has been
                                         delivered in two Latin American countries, two Chinese cities, the
                                         English-speaking Caribbean countries, and central and eastern
                                         Europe. It has been partially credited with China's subsequent
                                         commitment to phase lead out of gasoline by 2000. Additional deliv-
                                         eries are planned for Asia and sub-Saharan Africa.

                           Partners:      World Health Organization, Pan American Health Organization,
                                         World Bank

                           Contact:      Office of International Activities, Sylvia Correa, 202-564-6443
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Title:         Epidemiologic Survey of Lead Exposure of Children in Tijuana,
              Mexico

Description:   An epidemiologic study of blood level concentration, lead use, and
              socioeconomic and demographic factors will be conducted for chil-
              dren, ages 2 to 6, in Tijuana. The study will evaluate associations
              between blood lead concentration in children and potential sources
              of lead exposure at the neighborhood and household levels. As part
              of this project, a blood lead testing laboratory will be established in
              Tijuana. Information derived from this study will be used to estab-
              lish public health priorities and to plan public health programs for
              lead surveillance and control in Tijuana.

Partners:      Centers for Disease Control  and Prevention

Contact:      Region 9, Winona Victery, 415-744-1021


Health Effects of Pesticides

Title:         Pesticides Management Project in Central America

Description:   This program assists governments of Central American countries to
              regulate, monitor, and ensure safe use of pesticides.  The national
              program focuses on building capacity to develop regulations for
              pesticide handling, storage, and use. The community-level program
              targets agricultural workers and public health and safety issues relat-
              ed to pesticide use. It focuses on using protective equipment, safe
              pesticide handling and application, container disposal, and avoiding
              pesticide contamination of drinking water.

Partners:      U.S. Agency for International Development

Contact:      Office of International Activities, Pam Teel, 202-564-6424
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                           Potential Risks from Contaminated Water

                           Title:         U.S.-Canada Great Lakes Water Quality Agreement (GLWQA)

                           Description:   Under this agreement, EPA and Environment Canada review, assess,
                                         and report biennially on ecosystem and health protection including
                                         discharges of toxic substances and their effects in the Great Lakes
                                         basin. A GLWQA Binational Strategy signed in April 1997 lists
                                         targeted persistent toxics and sets ambitious discharge reduction
                                         goals to better protect women of childbearing age, pregnant women,
                                         and children. These provisions are particularly targeted to minority
                                         cultures dependent upon family subsistence fishing and to other
                                         people who depend on fish from the Great Lakes for food.

                           Partners:      Environment Canada, others

                           Contact:      Region 5, Rita Cestanic, 312-886-6815
                           Title:         Microbiologically Safe Drinking Water Laboratory Capacity in Latin
                                         America

                           Description:   Illness associated with contaminated drinking water and inadequate
                                         sewage management poses serious threats to public health through-
                                         out the Americas, and disproportionately afflicts children. EPA will
                                         provide technical assistance from its national laboratories to help
                                         convert the Pan-American Health Organization's training laboratory
                                         in Lima, Peru, to a microbiological drinking water reference labora-
                                         tory serving all of Latin America. Technical expertise, technology
                                         transfer, and training will be provided to assist with monitoring
                                         programs and certifying compliance with World Health Organization
                                         drinking water quality guidelines.

                           Partners:      World Health Organization, Pan-American Health Organization

                           Contact:      Office of International Activities, Stephanie Adrian, 202-564-6444
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Title:         Municipal Water Management in Latin America

Description:   This project seeks to improve human health and child survival in
              Latin American and Caribbean countries through better access to
              microbiologically safe drinking water. Activities include training
              Peace Corps volunteers on ways to improve drinking water supplies,
              protect watersheds, and improve community sanitation and waste-
              water treatment practices.

Partners:      U.S. Peace Corps

Contact:      Office of International Activities, Stephanie Adrian, 202-564-6444


Title:         The Central American Small Community Wastewater Treatment
              Project

Description:   This project focuses on the use of appropriate wastewater treatment
              technologies to reduce microbiological contamination of water used
              for household purposes and to ensure safer water for communities
              downstream.

Partners:      U.S. Agency for International Development

Contact:      Office of International Activities, Stephanie Adrian, 202-564-6444
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     The EPA Children's Environmental Health Yearbook Supplement

Environmental  Education
       Related  to Children's
                                  Health
                        As part of its National Agenda to Protect Children's Health from Environmental
                        Threats, EPA is committed to expanding educational efforts with health and envi-
                        ronmental professionals to identify, prevent, and reduce environmental health
                        threats to  children.

                        Some EPA-sponsored environmental education programs teach children about envi-
                        ronmental health issues of particular interest to them and their families. Other
                        programs  provide skills and knowledge that parents, educators, and community
                        leaders can use to help protect children from environmental health risks. The princi-
                        ples of environmental justice—that all people must have the opportunity to live in a
                        healthy environment and that environmental laws apply without discrimination
                        based on race,  ethnicity, culture, or economic status—guide EPAs efforts to
                        promote improved access to information and educational programs for poor and
                        disadvantaged  communities.


                        EPA Environmental Education Projects

                        Health Care  Providers

                        Title:         Environmental Health Workshops

                        Description:   The East Texas Area Health Education Center (AHEC), in coopera-
                                     tion with the University of Texas Medical Branch at Galveston,
                                     designed a workshop curriculum to promote an increased awareness
                                     among health care providers of the unique problems associated with
                                     the exposure of children to hazardous substances in the environment
                                     and enhance skills important for the diagnosis and treatment of
                                     exposed children. The curriculum will be used to present five hands-
                                     on workshops to health care providers in Texas, including
                                     U.S.-Mexico border cities.

                        Partners:      Agency for Toxic Substances and Disease Registry, Area Health
                                     Education Centers, University of Texas Medical Branch at
                                     Galveston, Centers for Disease Control and Prevention, Health
                                     Resources and Services Administration

                        Contact:      Region 6,  Evelyn Daniels, 214-665-7543
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Title:         Community-Based Training for Lay Health Promoters (Promotores)
              and Primary Care Clinicians

Description:   By means of an interagency agreement between EPA and the Health
              Resources and Services Administration, a contract was awarded to
              the Farm Worker Justice Fund to implement community-based train-
              ing for lay health promoters (promotores) and primary care
              clinicians along the U.S.-Mexico border. The training is aimed at
              preventing exposure to environmental health hazards and promoting
              early recognition and treatment of environmentally related illness,
              especially with regard to children. The training will take place in
              four locations along the border in Regions 6 and 9, and at least 200
              persons are expected to be trained.

Partner:       Health Resources and Services Administration

Contact:       Region 6, Nelda Perez,  214-665-2209


Pediatric  Centers

Title:         Pediatric Environmental Health Speciality Unit

Description:   EPA and the Agency for Toxic Substances and Disease Registry
              (ATSDR) have established a Pediatric Environmental Health
              Speciality Unit (PEHSU) in Region 4 at Emory  University. The
              PEHSU will provide medical education, expert consultation, and
              training to evaluate the potential adverse health impacts to young
              children exposed to environmental contaminants. The Unit will
              serve as a resource for pediatricians, other health care providers,
              parents, teachers, the public, and EPA and ATSDR staff nationwide.
              The Unit will also focus on pediatric environmental medicine as
              well as clinical specialty referrals for children.

Contacts:      Region 4, Wayne  Garfmkel, 404-562-8982, or Delores Rodgers-
              Smith, 404-562-8688
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                          Title:         Center for Children's Environmental Health at Cook County
                                        Hospital, Chicago, Illinois

                          Description:   The Center for Children's Environmental Health, established in May
                                        1999, provides professional training, clinical services, consultation,
                                        diagnostic evaluation, technical assistance, and data collection in the
                                        area of pediatric environmental health and illness in Region 5. The
                                        Center is jointly funded by EPA and the Agency for Toxic
                                        Substances and Disease Registry. Cook County Hospital is  the
                                        primary provider of pediatric health services for indigent children in
                                        the Chicago area.  This allows the Center to focus on the environ-
                                        mental health needs of disadvantaged children at increased  risk of
                                        environmental exposures, while providing services regionwide. The
                                        Center will also implement an EPA-supported Environmental
                                        Exposure Questionnaire. The Center will be able to provide
                                        geographically specific data on environmental health problems to
                                        help EPA target intervention, prevention, and outreach activities
                                        more effectively.

                          Contact:      Region 5, Edward Master, 312-353-5830


                          Other Environmental  Education Projects

                          Title:         Environmental Justice in the "Hood" 1999

                          Description:   For the fourth year, EPA has co-sponsored this popular and growing
                                        symposium to gather activists and residents from the Massachusetts
                                        communities of Chelsea, Chinatown, Dorchester, East Boston,
                                        Jamaica Plain, Mattapan, Roxbury, South Boston, and the South End
                                        to discuss current  issues surrounding environmental justice. This
                                        year's event was held on April  10,  1999, at Roxbury Community
                                        College in Boston. Topics included lead in homes and yards, urban
                                        air toxins, issues surrounding exhaust fumes from MBTA buses,  and
                                        environmental hazards indoors. All of these concerns directly affect
                                        the health of urban children and their families.
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Partners:      ACE, Bowdoin Street Health Center, Dudley Street Neighborhood
              Initiative, Egleston Square Neighborhood Association,
              Neighborhood of Affordable Housing, Neighborhoods Against
              Urban Pollution, Roxbury Community College.

Contacts:      Region 1, Kristy Rea, 617-918-1595, or Lois Adams, 617-918-1632
Title:         An Afternoon with UEI: Community Gardens/Urban Agriculture

Description:   EPAs Urban Environmental Initiative (UEI) hosts a number of semi-
              nars that highlight the efforts of many of EPAs partners. An April
              28, 1999, workshop in Boston focused on the positive health and
              social effects that community gardens and urban agriculture have on
              urban neighborhoods. Not only are the gardens a source of civic
              pride and a chance to reclaim abandoned or vacant lots and turn
              them into a "sea of green," but they provide a safe place for children
              to spend time and enhance their awareness of the beauty of nature
              and the importance of their environment. Community gardens  can
              also provide a safe source of food and nutrition for communities
              with limited finances.

Contacts:      Region 1, Kristy Rea, 617-918-1595, or Lois Adams, 617-918-1632
Title:         Healthy Schools: Designing, Renovating, and Maintaining Our
              School Buildings

Description:   EPA participated in a statewide conference at Clark University in
              Worcester, Massachusetts, on June 2, 1999, to explore the current
              best practices for designing and maintaining healthy buildings for
              the education of children in Massachusetts. Also explored were
              ways to renovate existing schools in a manner that is safe and
              reduces adverse health effects to children, teachers, and construction
              workers. Participants learned how to reduce toxins and health
              hazards in schools, and learned about the importance of community
              and civil rights. Follow-up surveys and workshops are being sched-
              uled to continue the Healthy Schools Network.
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                          Partners:      Massachusetts Healthy Schools Network, Massachusetts Medical
                                        Society, Massachusetts Public Health Association, Massachusetts
                                        Teachers Association, U.S. Department of Education Office for Civil
                                        Rights, Massachusetts Coalition for Occupational Safety and Health

                          Contacts:      Region 1, Mary Beth Smuts, 617-918-1528
                          Title:          Urban and Environmental Initiative

                          Description:   Region 1's Urban Environmental Initiative (UEI) works aggressively
                                        to identify and solve local environmental and environmental health
                                        issues in Providence, Hartford, and Boston. UEI program managers
                                        are incorporating children's environmental health issues into local
                                        community planning efforts. The initiative includes programs to
                                        address asthma and lead poisoning in these key New England urban
                                        centers.

                          Contact:       Region 1, Lois Adams, 617-918-1632
                          Title:          Education about Asthma, Environmental Tobacco Smoke, and Lead

                          Description:   Region 2 provided $15,000 to a community group called West
                                        Harlem Environmental Action (WE ACT), located in Harlem, New
                                        York. WE ACT will conduct education in  childcare centers and other
                                        relevant locations in Harlem, Washington Heights, and other low-
                                        income parts of the city regarding asthma, environmental tobacco
                                        smoke, and lead.

                          Contact:       Region 2, Rachel Chaput, 212-637-4001
                          Title:          Asthma and Lead Abatement Training and Education (ALATE),
                                        Camden, New Jersey, and Northern Philadelphia, Pennsylvania

                          Description:   This project, funded at $287,635, is designed to build the capacity of
                                        residents and community groups in Camden and Philadelphia to
                                        confront and reduce the problems of lead poisoning and asthma.
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              ALATE trains selected community residents (adults and high school
              students) to educate care givers about the hazards of exposure to
              lead and asthma-inducing allergens. The program also aims to
              educate care givers about the importance of screening and followup
              care for children at risk of lead poisoning and asthmatic episodes.
              ALATE hopes to develop mechanisms to promote healthy home
              environments for all community members and increase public
              awareness of the hazards of lead poisoning and asthma for all
              people, especially young children. ALATE also intends to work for
              housing and health care policies that effectively protect children
              from the hazards of lead poisoning and asthma.

Contact:       Region 2, Maureen O'Neill, 212-637-5025
Title:         Environmental Education Grants

Description:   EPA is in its sixth round of awards of Environmental Education
              grants, authorized under section 6 of the National Environmental
              Education Act of 1990. In 1998, Region 2 awarded $196,000 in
              grants.

Contact:       Region 2,  Terry Ippolito, 212-637-3671
Title:         Environmental Justice Grants

Description:   Since 1994, the Environmental Justice Small Grants Program has
              awarded grants to nonprofit grassroots organizations. During FY
              1998, $240,000 in grant funds were awarded to organizations that
              targeted children's health issues, primarily the prevention of lead-
              paint poisoning.

Contact:       Region 2, Melva Hayden, 212-637-5027
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                           Title:          Getting a Head Start on Environmental Education

                           Description:   This EPA-funded project provides education in environmental health
                                         for teachers and parents of preschool children who live in the vicini-
                                         ty of the highly contaminated San Jose lagoon in the San Juan Bay
                                         Estuary. Two eight-part workshops target teachers, health profession-
                                         als,  and parents. Participants develop educational materials (suitable
                                         for a tropical environment) that teach children how pollution, envi-
                                         ronmental health, and human behavior are connected. Activities
                                         include identification of specific risk factors and behaviors in the
                                         participants' immediate communities and development of a guide
                                         that focuses on health issues relevant to nearby communities and
                                         Head Start centers. Staff of Head Start programs develop activities to
                                         help children form healthy habits.

                           Partners:      Technological  College of the Municipality of San Juan, Puerto Rico

                           Contact:       Region 2,  Terry Ippolito, 212-637-4445
                           Title:          Newark Asthma and Lead Poisoning Education and Risk Reduction
                                         Project

                           Description:   This EPA-funded project reaches 1,000 parents and care givers of
                                         young children, teaching them about risk reduction and better
                                         management of chronic conditions related to asthma and lead
                                         poisoning. Through the program, 12 participants in the Youth
                                         Corps/School-to-Work program and 16 members of Volunteers In
                                         Service to America (VISTA) are being trained to work with the
                                         parents and care givers, encouraging them to adopt practices in the
                                         home that can help reduce the risks of asthma  and  lead poisoning.
                                         The International Youth Organization (IYO) uses its network of
                                         childcare centers, elementary schools, block clubs, tenant associa-
                                         tions, and community centers in Newark's Enterprise Community
                                         target area to reach its intended audience and educate people about
                                         important indoor air quality issues that affect children's health.

                           Partners:      International Youth Organization, New Jersey

                           Contact:       Region 2, Terry Ippolito, 212-637-4445
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Title:         Children's Pesticides, Asbestos and Lead (PAL) Initiative

Description:   The Children's PAL Initiative, begun in 1998 in Baldwin County,
              Georgia, is a community-based outreach and education program
              designed to minimize children's exposures to environmental health
              hazards like lead-based paint, pesticides, secondhand smoke, radon,
              polychorinated biphenyls, and asbestos. The program is designed to
              use resources in the community and government to help empower
              families and neighborhoods to take better care of their children's
              environment. A multi-agency steering team made up of representa-
              tives from federal, state, and local agencies that address children's
              health issues provides direction and guidance to the citizen's adviso-
              ry panel.

              Emory University's Rollins School of Public Health has been work-
              ing with Region 4 to implement this initiative and conduct an
              assessment to provide community-specific information on children's
              environmental health issues. The community-specific data will help
              establish community-tailored interventions to address the environ-
              mental health hazards to children. As a result of the relationships
              established with the local government, health care, education, inter-
              faith organizations, and communities, interventions have been well
              received and supported by the community.  These interventions used
              new environmental health outreach and education material. Students
              from the School of Health and Sciences at  Georgia College and
              State University are participating in the educational outreach activi-
              ties. Emory University's Rollins School of Public Health has
              presented information on the children's environmental health educa-
              tion interventions developed from this project at national clinical and
              public health conferences.

Contacts:      Region 4, Wayne Garfmkel, 404-562-8982
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                           Title:          Second Annual Region 5 Children's Environmental Health
                                         Conference

                           Description:   Region 5 organized its second annual Children's Environmental
                                         Conference, held in July 1999. This year's event, called the
                                         Workshop on Actions to Take for Children's Health (WATCH),
                                         focused on helping communities learn about prevention, interven-
                                         tion, education, and collaboration efforts to reduce environmental
                                         health risks to children. The workshop was attended by more than
                                         220 community organization representatives, health care providers,
                                         educators, tribal members, and representatives from local, state, and
                                         federal agencies. More than 50 speakers discussed a variety of
                                         topics, including prevention of asthma, pesticide exposures, and lead
                                         and mercury poisoning; safe drinking water; educating tribal health
                                         care professionals; community coalition building; and training health
                                         care providers about environmental health issues. Workshop atten-
                                         dees identified actions needed to protect children's environmental
                                         health at the local level.

                           Contact:       Region 5, Holly Wirick, 312-353-6704
                           Title:          Pollution Prevention Educational Demonstrations

                           Description:   Pollution prevention educational demonstrations, involving activities
                                         from the Pollution Prevention Education Toolbox, were conducted
                                         for numerous educator, student, and general audiences at Chicago
                                         public schools and other Chicago-area schools, national and regional
                                         conferences, tribal events, and environmental festivals. The Pollution
                                         Prevention Toolbox can be downloaded from the EPA Region 5
                                         Pollution Prevention Home Page at
                                         http://www.epa.gov/region5/waste/p2pages/toolbox.htm.

                           Contact:       Region 5, Dolly Tong, 312-886-1019
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Title:         Environmental WATCH Small Grants: Operation Clean Sweep

Description:   Region 5 issued small, community-based grants promoting chil-
              dren's environmental health and pollution prevention to
              organizations that participated in the Environmental WATCH. As
              part of "Operation Clean Sweep," the Campfire Boys and Girls of
              Chicago has been funded to create a self-reliance class to teach
              parents and children about environmental health risks.

Contact:       Region 5, Holly Wirick, 312-353-6704
Title:         Children's Video: "E-Hazards"—They're Out There . .  .

Description:   Children can join investigators Lana and Wolf on a mission to iden-
              tify environmental hazards in a neighborhood just like their own.
              Complete with whiz-bang gadgets, mischievous characters, and the
              latest information for kids, this tale is told in "X-Files"  fashion, full
              of mystery, discovery, and humor. As kids enjoy this video, they will
              become more aware of how to protect themselves from everyday
              environmental hazards in and near their homes.

Contacts:      Region 6, Paula Flores-Gregg, 214-665-8123, or Laura Talbot,  214-
              665-6678
Title:         Children's Health Booklet: "E-Hazards"—They 're Out There . . .

Description:   This information booklet links with the video described above,
              offering additional precautions and health information, as well as
              useful Web sites, hotlines, and other information to parents and
              educators.

Contacts:      Region 6, Paula Flores-Gregg, 214-665-8123, or Laura Talbot, 214-
              665-6678
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                           Title:         Educating Parents about Environmental Dangers to Children

                           Description:   Chance, Inc., reaches an under-served segment of ethnically diverse,
                                        low-income families participating in traditional financial service
                                        needs programs. With EPA funding, as part of their home visit
                                        program, Chance is educating their clients about environmental
                                        health issues, including pest control, pesticide use, lead poisoning,
                                        poisoning from gas heaters, radon, mercury, asbestos, secondhand
                                        smoke, and poisonous plants.

                           Partners:      Chance, Inc., Texas

                           Contact:      Region 6, Jo Taylor, 214-665-2204
                           Title:         Healthy Environments and Living Places (HELP) for Kids

                           Description:   This community-based children's health project trains residents to
                                        perform indoor environmental assessments of homes, home-based
                                        childcare, and schools. Indoor environmental risks that children are
                                        exposed to are identified, and recommendations are made for risk
                                        reduction. All environmental media are included; however, the
                                        project centers on issues that are within the control of the care giver.
                                        Environmental risks to be evaluated include lead-based paint, radon,
                                        environmental tobacco smoke, pesticides, carbon monoxide,
                                        hazardous household chemicals, and asthma triggers.

                           Partners:      American Lung Association of New Mexico, City of Albuquerque
                                        Environmental Health Department, Albuquerque Community Health
                                        Partnership, Sawmill Advisory Committee, University of Tulsa

                           Contact:      Region 6, Mike Miller, 214-665-7550
                           Title:         Childhood Asthma and Allergies Conference

                           Description:   Region 6 hosted a 3-day Childhood Asthma Conference in May
                                        2000 in Dallas, Texas, to address the prevention and treatment of
                                        childhood asthma. The target audience for the conference includes
                                        practicing health care professionals and organizations involved in the
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              prevention of asthma triggers. The unique aspect of this conference
              is that it brings together health care professionals and indoor envi-
              ronmental engineering control professionals for a 2-day exchange of
              ideas and information about the best available control and treatment
              technology for the prevention, control, or management of asthma
              episodes in children.

Partners:      University of Texas Southwestern Medical Centers (Dallas and San
              Antonio), Harris Methodist Health Plan, Centers for Disease Control
              and Prevention, National Institute of Environmental Health Sciences
              (NIEHS), U.S. Public Health Service, University of Tulsa,
              University of Washington

Contact:      Region 6,  Evelyn Daniels, 214-665-7543
Title:         Environmental Education in the Paris School District

Description:   With EPA funding, the Edgar County Public Health Department and
              Southeast Missouri State University work with teachers and students
              in the Paris School District to provide training and resources for the
              implementation of an environmental education program that features
              the investigation of an ecosystem adjacent to the city's drinking
              water source. The program establishes and implements an innova-
              tive multidisciplinary science education and research program that
              includes both classroom and field components for 1,000 students in
              grades 6 through 12.

Partners:      Edgar County Public Health Department, Missouri

Contact:      Region 7, Lori Walker, 913-551 -7926
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                           Title:         Children's Health Forum

                           Description:   Region 8 and the Colorado Department of Public Health and
                                        Environment held a children's health forum in May of 1999. The
                                        purpose of the forum was to help bridge the gap between environ-
                                        mental and health officials on issues relating to asthma, pesticides,
                                        and lead. Bringing these groups together built awareness of efforts
                                        occurring throughout the State of Colorado and promoted better
                                        collaboration and more efficient use of resources.

                           Contact:      Region 8, Whitney Trulove-Cranor, 303-312-6099
                           Title:         Children's Health Display

                           Description:   Region 8 developed a Children's Health Display that has been used
                                        for several events in Colorado, including the Globeville Community
                                        Health Fair,  Asthma Awareness Day, the Girl Scouts Tri-S'more
                                        Health Fair,  and the National Right-to-Know Conference.

                           Contact:      Region 8, Whitney Trulove-Cranor, 303-312-6099
                           Title:         Hazardous Materials Awareness and Preparedness Training

                           Description:   The Oakland, California, Fire Service Agency was awarded a
                                        $20,000 grant to develop and implement this program. The Fire
                                        Department has prepared a workbook that includes maps of the
                                        neighborhoods of West Oakland. It has also been training communi-
                                        ty members to read hazardous material placards, set up emergency
                                        command posts, and respond appropriately in case of a hazardous
                                        material emergency. This training includes instruction on which
                                        chemicals are most harmful to young children and people with respi-
                                        ratory difficulties.

                           Contact:      Region 9, Carla Moore, 415-744-1938
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Title:         Environmental Health Resources for Schools

Description:   To provide schools with "one-stop shopping" for EPA's environmen-
              tal health resources and programs, Region 10 has recently
              coordinated school outreach dealing with children's health issues. A
              mailing has been sent to every school district in the region outlining
              the programs and resources available to them from EPA to support
              their work in children's environmental health protection and
              providing additional information on their responsibilities to protect
              children's health. Additionally, Region  10 has launched a new web
              page on which this information is consolidated and is updating the
              popular Environmental Hazards in Schools manual.

Contact:      Region 10, Pam Emerson, 206-553-1287
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                                                      Enhanced Community
                                                                  Right-to-Know
                        EPA is enforcing the requirements of the Emergency Planning and Community
                        Right-to-Know Act and is vigorously expanding public access to Agency infor-
                        mation on pollution. With this information, parents can help prevent pollution in
                        their neighborhoods and protect the health of their communities' children.

                        The Toxics Release Inventory (TRI) is a national database that provides the
                        public with annual information on the environmental release of more than 600
                        toxic chemicals commonly used by industry (www.epa.gov/tri). More than
                        31,000 industrial facilities across the country are required to provide EPA with
                        reports on the types and  amounts of chemicals they release to the air, land, and
                        water. Hazardous emissions have been reduced by 61 percent since 1987. EPA
                        will use the TRI program to ensure that parents, teachers, and health care
                        providers are aware of potential sources of contamination that may affect chil-
                        dren's health.

                        Other regulatory requirements provide for the public's right to know about toxic
                        substances to which people may be exposed. For example, the Safe Drinking
                        Water Act Amendments  of 1996 contain extensive provisions for consumer
                        involvement. The provisions are founded on the principle that, before they turn
                        on their taps, consumers have a right to know what is in their drinking water
                        and where the water comes from.  The Food Quality Protection Act (FQPA)
                        includes special right-to-know provisions that provide more public information
                        about risks from pesticides on foods. Such information can be the means for
                        consumers to make more informed decisions.

                        On the eve of Earth Day 1998, Vice President Gore announced the Chemical
                        Right-to-Know Initiative (ChemRTK), calling on EPA and industry to address
                        immediately the massive gap in information on industrial chemicals. He also
                        committed EPA to "...review and report on what new testing may be needed to
                        assess the special impact industrial chemicals may have on children." An EPA
                        study revealed that less than 7 percent of the 2,800 high-production-volume
                        (HPV)  chemicals have a full  set of baseline testing data publicly available, and
                        almost half of the HPV chemicals have no data publicly available. The
                        ChemRTK Initiative is being implemented by a combination of voluntary and
                        regulatory programs. A major component of the initiative, the HPV Challenge
                        Program, encourages industry to voluntarily sponsor chemicals to provide data.
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At the core of ChemRTK is a commitment to making data available to the
public in a form that is easy to access, use, and understand. More than 200
companies and 50 industry consortia have committed to sponsor more than
1,250 chemicals in the HPV Challenge Program.
EPA Community  Right-to-know Activities

Title:        Children's Health Chemical Testing Program
Description:  The Children's Health Testing Program is a component of the
             Chemical Right-to-Know (ChemRTK) Initiative. EPA has begun
             a stakeholder dialogue to design and develop a voluntary
             program to test commercial chemicals to which children have a
             high likelihood of exposure.
Contact:      Office of Prevention, Pesticides, and Toxic Substances, Catherine
             Roman, 202-260-8155
Title:        Pre-Renovation Information Rule

Description:  The Pre-Renovation Information Rule, published in June 1998,
             requires renovators to provide a lead hazard information
             pamphlet to owners and occupants of pre-1978 housing before
             beginning work. In addition, the rule requires notification on the
             nature of the renovation activities in certain circumstances
             involving multi-family housing. This rule ensures that owners
             and occupants of target housing are provided with information
             about potential hazards of lead-based paint exposure before
             certain renovations are begun. The rule went into effect on June
             1, 1999.

Contact:      Office of Prevention, Pesticides, and Toxic Substances,  Dayton
             Eckerson, 202-260-1591
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                          Title:         Lower Threshold for Lead TRI Reporting

                          Description:   In August 1999, EPA issued a proposed rule to lower the thresh-
                                       old for reporting of lead releases to TRI. Currently, facilities are
                                       not required to report their lead and lead compound releases to
                                       the air, water, and land unless they manufacture or process more
                                       than 25,000 pounds annually or use more than 10,000 pounds
                                       annually. These high thresholds severely limit the reporting of
                                       lead and lead  compounds. Under the proposed rule, the reporting
                                       thresholds would be lowered to 10 pounds per facility per year
                                       and would substantially increase the  amount of information made
                                       available to the public through TRI by about 13 percent, or
                                       15,000 reports.

                          Contact:      Office of Prevention, Pesticides, and Toxic Substances, Dan
                                       Bushman, 202-260-3882
                         Title:         TRI Education Product

                         Description:   EPA developed teaching materials for junior and senior high
                                       school students on TRI through a grant with the National Science
                                       Teachers Association. The materials, developed by science and
                                       social studies teachers, introduce and encourage the use of large
                                       databases as an educational tool in the classroom. EPA sponsored
                                       this effort to provide a greater understanding of the usefulness of
                                       TRI data and to help make environmental information in general
                                       more relevant for educational purposes. The materials include a
                                       TRI CD-ROM and user's manual, The Toxics Release Inventory
                                       Teachers Guide, Getting Started (a road map of ideas for how to
                                       introduce environmental education in the classroom), and EPA's
                                       Guide to Environmental Database Basics.

                         Contact:      Office of Prevention, Pesticides, and Toxic  Substances,
                                       Georgianne McDonald, 202-260-4182
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Title:        Drinking Water Quality Reports

Description:  In 1999, for the first time, EPA required water suppliers to
             provide annual drinking water quality reports to their customers.
             Water systems were required to deliver the first annual reports by
             October; starting in 2000, they will send them by July. Each
             report provides consumers with the following essential informa-
             tion about their drinking water: the lake, river, aquifer, or other
             source; the level (or range of levels) of the contaminants found in
             local drinking water; EPA's health-based standard for compari-
             son; the likely source of contaminants found in the drinking
             water supply; the potential health effects of any contaminant
             found in violation of an EPA health standard; and phone numbers
             to call for more information. Reports may be obtained by calling
             the local water supplier. Many reports are  available on the
             Internet through EPA's Local Drinking Water Information page at
             http://www.epa.gov/safewater/dwinfo.html.

Contact:      Office of Water, Rob Allison, 202-260-9836.
Title:        The Children's Healthline

Description:  Created by the Region 3 Children's Health Program, this elec-
             tronic newsletter attempts to educate the public on various
             environmental health issues. Insight from EPA experts and
             medical practitioners is often included in the newsletters. The
             dangers of UV exposure from the sun, lead from renovation
             activities, and asthma from indoor air triggers were featured in
             the most recent editions. A new Region 3 Children's Health
             website was created to make the Healthlines available to a larger
             audience; it can be found at www.epa.gov/reg03esdl/child-
             health/index.htm

Contact:      Region 3, Gail Tindal, 215-814-2069 or Dan Welker, 215-814-
             2744
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                                                               Children's  Health
                                                                              Resources
                         This chapter contains sources of additional information, lists of EPA publications
                         related to children's health topics, and references for hotlines and Internet resources.
                         Most of the resources listed below focus specifically on children or issues of
                         primary importance during the developmental years. Others address EPA efforts to
                         protect the environment where children live, learn, and play. The listing is not
                         intended to be exhaustive, but to allow readers to better understand how to protect
                         children's health.


                         Contacting EPA
                         For additional information on the EPA children's environmental health projects
                         inventoried in this document, you may call the individuals listed as contacts for
                         each project. For additional children's environmental health information at EPA,
                         address all correspondence using the following addresses and telephone numbers:

                         EPA Headquarters
                         Environmental Protection Agency
                         Office of Children's Health Protection
                         Ariel Rios Building, MC 1107
                         1200 Pennsylvania Avenue, N.W.
                         Washington, DC 20460-0001
                         Phone: 202-260-7778
                         Toll Free Number:  877-590-KIDS
                         Internet: http://www.epa.gov
                         Children's Health home page: http://www.epa.gov/children
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EPA Regions and Regional Children's Environmental Health
Coordinators

Region 1
(Maine, New Hampshire, Vermont, Massachusetts, Rhode Island, Connecticut)
U.S. Environmental Protection Agency
One Congress Street, Suite 1100
John F. Kennedy Building
Boston, MA 02114-2023
Phone:617-918-1111
Toll-free (within Region 1): 888-372-7341
Fax: 617-918-1029
Internet: http://www.epa.gov/regionl

  Coordinator: Alice Kaufman
  Mail Code: (RAA)
  Phone: 617-918-1064
  Fax: 617-918-1029
  Email: kaufman.alice@epa.gov


Region 2
(New York, New Jersey, Puerto Rico, Virgin Islands)
U.S. Environmental Protection Agency
290 Broadway
New York, NY 10007-1866
Communications Division: 212-637-3660
Internet: http://www.epa.gov/region2
  Coordinator: Maureen O'Neill
  Mail Code: Office of the Regional Administrator
  Phone: 212-637-5025
  Fax: 212-637-4943
  Email: oneill.maureen@epa.gov
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                          Region 3
                          (Pennsylvania, Delaware, District of Columbia, Maryland,  Virginia, West
                          Virginia)
                          U.S. Environmental Protection Agency
                          1650 Arch Street
                          Philadelphia, PA 19103-2029
                          Phone: 215-814-5000
                          Fax: 215-814-5103
                          Customer Service Center: 800-438-2474
                          Internet: http://www.epa.gov/region3
                          E-mail: r3public@epa.gov
                            Coordinator: Gail Tindal
                            Mail Code: (3WCOO)
                            Phone: 215-814-2069
                            Fax: 215-814-2782
                            Email: tindal.gail@epa.gov
                            Alternate Coordinator: Dan Welker
                            Mail Code: (3ES10)
                            Phone: 215-814-2744
                            Fax: 215-814-1782
                            Email: welker.dan@epa.gov

                          Region 4
                          (Kentucky, Tennessee, North Carolina, South Carolina, Mississippi, Alabama,
                          Georgia, Florida)

                          U.S. Environmental Protection Agency
                          61 Forsyth Street, S.W.
                          Atlanta, GA 30303-3104
                          Phone: 404-562-9900
                          Toll-free: 800-241-1754
                          Fax: 404-562-8174
                          Public Affairs and Information: 404-562-8327
                          Internet: http://www.epa.gov/region4
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  Coordinator: Wayne Garfmkel
  Mail Code: (4AT-TS)
  Phone: 404-562-8982
  Fax: 404-562-8972
  Email: garfmkel.wayne@epa.gov

Region 5
(Minnesota,  Wisconsin, Illinois, Michigan, Indiana, Ohio)
U.S. Environmental Protection Agency
77 West Jackson Boulevard
Chicago, IL 60604-3507
Phone:312-353-2000
Fax:312-353-4135
Toll Free Number: 800-621-8431
Internet: http://www.epa.gov/region5
  Coordinator: Maryann E. Suero
  Regional Team Manager
  Mail Code: (T-13J)
  Phone:312-886-9077
  Fax:312-886-9697
  Email: suero.maryann@epa.gov
  Alternate Coordinator: Colleen Olsberg
  Mail Code: (DRP-8J)
  Phone:312-353-4686
  Fax:312-353-4788
  Email: olsberg.colleen@epa.gov

Region 6
(New Mexico, Texas, Oklahoma, Arkansas, Louisiana)
U.S. Environmental Protection Agency
Fountain Place 12th Floor, Suite 1200
1445 Ross Avenue
Dallas, TX 75202-2733
Phone:214-665-2200
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                          Toll-free (within Region 6): 800-887-6063
                          Fax:214-665-7113
                          General Information: 214-665-2200
                          Internet: http://www.epa.gov/region 6
                            Coordinator: Evelyn G. Daniels
                            Mail Code: (6PD-T)
                            Phone:214-665-7543
                            Fax:214-665-6762
                            Email: daniels.evelyn@epa.gov

                          Region  7
                          (Nebraska, Kansas, Iowa, Missouri)
                          U.S. Environmental Protection Agency
                          901 North 5th Street
                          Kansas City, KS 66101-2798
                          Phone:913-551-7003
                          Fax:913-551-7467
                          Toll Free Number: 800-223-0425
                          Internet: http://www.epa.gov/region7
                            Coordinator: Lori Walker
                            Mail Code: (POISPLMG)
                            Phone:913-551-7926
                            Fax:913-551-9926
                            Email: walker.lori@epa.gov
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Region 8
(Montana, North Dakota, Wyoming, South Dakota,  Utah, Colorado)
U.S. Environmental Protection Agency
999 18th Street, Suite 500
Denver, CO 80202-2466
Phone:303-312-6312
Fax:303-312-6339
Environmental Information Service Center: 800-227-8917
Internet: http://www.epa.gov/region8
E-mail: r8eisc@epa.gov
  Coordinator: Alicia Aalto
  Mail Code: (8P-AR)
  Phone:303-312-6967
  Fax:303-312-6064
  Email: aalto.alicia@epa.gov

Region 9
(California, Nevada, Arizona, Hawaii, Guam, American Samoa)
U.S. Environmental Protection Agency
75 Hawthorne Street
San Francisco, CA 94105-3901
Phone: 415-744-1305
Fax: 415-744-2499
General Public Inquiries: 415-744-1500
Internet: http://www.epa.gov/region9
E-mail: r9.info@epa.gov
  Coordinator: Jean Circiello
  Mail Code: (SPE-1)
  Phone:415-744-1631
  Fax: 415-744-2360
  Email: circiello.jean@epa.gov
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                          Region 10
                          (Washington, Oregon, Idaho, Alaska)
                          U.S. Environmental Protection Agency
                          1200 Sixth Avenue
                          Seattle, WA 98101-3188
                          Phone: 206-553-1200
                          Fax: 206-553-0149
                          Toll Free Number: 800-424-4372
                          Internet: http://www.epa.gov/regionl0
                             Coordinator: Pam Emerson
                             Mail Code: EXA-142
                             Phone: 206-553-1287
                             Fax: 206-553-1049
                             Email: emerson.pamela@epa.gov


                          EPA also operates a number of hotlines and clearinghouses. Those that offer publi-
                          cations and information relevant to topics covered in this report are listed in the
                          appropriate sections below. For information on other EPA offices, locations, public
                          information centers, hotlines, and clearinghouses, check the EPA home page or call
                          the regional office nearest you.
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Obtaining  EPA  Publications
EPA is making important progress to provide the public with information to protect
children's health. The following tables list Web addresses for obtaining EPA infor-
mation and direct links to other resources available on the Internet. It is also
possible to call or write EPA to request copies of documents. General sources of
EPA documents include:

  • The National Service Center for Environmental Publications (NSCEP) is a
   central repository for EPA documents, with over 5,500 titles in paper and elec-
   tronic format available for distribution (at no cost to the public). Individuals can
   browse and search EPA's National Publications Catalog, and order EPA
   Publications online or by telephone at 800-490-9198. The EPA publication
   number (e.g., EPA 999-F-99-999) is used to identify the resource being
   requested.

       NSCEP
       National Service Center for Environmental Publications
       P.O. Box 42419
       Cincinnati, OH 45242-2419
       Phone: 800-490-9198
       Local and Government Employees: 513-489-8190
       Fax: 513-489-8695
       Internet: http://www. epa.gov/ncepihom
       E-mail: ncepimal@one.net


Some documents not available free of charge through NSCEP can be obtained for a
charge through the National Technical Information Service (NTIS) or the
Government Printing Office (GPO).

  • NTIS is a central resource for government-sponsored U.S. and international
   scientific, technical, engineering, and business-related information. As a self-
   supporting agency of the U.S. Department of Commerce, NTIS covers its
   business and operating expenses with the sale of its products and services. For
   EPA publications, NTIS indexes publications by their EPA publication number,
   complete title, and by an NTIS product number. NTIS accepts VISA,
   MasterCard, American Express, and Discover.
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                                 NTIS
                                 National Technical Information Center
                                 5285 Port Royal Road
                                 Springfield, VA 22161-0002
                                 Phone to Order: 800-553-6847 or 703-605-6000
                                 Fax: 703-605-6900
                                 E-Mail Online Ordering: orders@ntis.fedworld.gov
                                 Internet: http://www.ntis.gov

                            • Documents available from the U.S. Government Printing Office (GPO) can be
                              obtained for a fee by calling or writing to the address below. GPO also accepts
                              VISA and MasterCard. Place orders by title or appropriate order number.
                                 U.S. Government Printing Office
                                 Superintendent of Documents
                                 PO Box 371954
                                 Pittsburgh, PA 15250-7954
                                 Phone: 202-512-1800
                                 Fax: 202-512-2250
                                 Internet: https://orders.access.gpo.gov/su_docs/sale/prf/prf.html

                          Additional publications and interlibrary loans of EPA documents are available
                          through the EPA library system. The EPA Headquarters Information Resources
                          Center provides access to EPA information for U.S. and international requests, and
                          has a range of information services  consisting of environmental and related
                          subjects, including online searching of commercial databases. The focus of the EPA
                          collection is on environmental regulations, policy, planning, and administration. The
                          library also maintains a large collection of EPA documents on microfiche and in
                          hard copy. Libraries also are located in EPA regional offices and laboratories across
                          the country. For information contact:
                                 Headquarters Information Resources Center
                                 Environmental Protection Agency
                                 Ariel Rios Building
                                 1200 Pennsylvania Avenue,  N.W.
                                 Mail Code 3404
                                 Washington, DC 20460-0001
                                 Phone: 202-260-5922
                                 Fax: 202-260-5153
                                 E-mail:  library-hq@epa.gov
                                 Internet: http://www.epa.gov/natlibra
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EPA Materials, Tools, and  Internet Resources Related  to
Children's  Health
This section contains information resources specific to the health effects and envi-
ronmental contaminants addressed in the Children's Environmental Health
Yearbook Supplement. Under each topic, general resources—such as hotlines and
clearinghouses—are listed first, followed by an alphabetical listing of relevant EPA
publications. For each document, one or more sources for obtaining the information
is indicated in the right-hand column. Sources may be one of the major document
distribution centers or EPA offices listed above, an Internet site address, or one of
the topic-specific clearinghouses or hotlines. A specific individual contact and tele-
phone number are provided where needed.
Inventory of Children's  Health Research Projects
The Children's Environmental Health and Safety Inventory of Research
(CHEHSIR) is an Internet-accessible database of federally funded or sponsored
research on environmental health risk and/or safety risks that may uniquely or
disproportionately affect children.

       http://www.epa.gov/chehsir



Asthma  and  Other Respiratory Effects

Information Resources for Indoor Air Quality
Indoor Air Quality Information Clearinghouse (IAQINFO)
P.O. Box 37133
Washington, DC 20013-7133
Phone: 800-438-4318; local 703-356-4020
Fax: 703-356-5386
E-mail: iaqinfo@aol.com
Internet: http://www.epa.gov/iaq/pubs
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                                         Indoor Air Quality Publications and Sources
                           Publication
Source
                           A is for Asthma (video)
                           Asthma and the Environment: A Strategy to
                           Protect Children

                           Carpet and Indoor Air Quality Fact Sheet
                           (EPA 402-F-94-011 October 1992, IAQ-0040)

                           Children and Secondhand Smoke
                           (EPA 402-F-99-003)

                           Clearing the Air: Asthma and Indoor Air Exposures
                           Clear Your Home of Asthma Triggers: Your
                           Children Will Breathe Easier (EPA 402-F-99-005)

                           Creating Indoor Air Quality Programs in
                           Low-Income Communities and Communities of
                           People of Color: An Organizer's Handbook

                           Flood Cleanup: Avoiding Indoor Air Quality
                           Problems Fact Sheet (EPA 402-F-93-005,
                           August 1993, IAQ-0061)

                           How Healthy Is the Air in Your Home?
                           A Room-by-Room Checklist for Your Home's
                           Indoor Air Quality  (EPA 402-F-97-001)

                           IAQ Tools for Schools Action Kit EPA
                           (402-K-95-008)
Region 5, Suzanne Saric,
312-353-3209

NSCEP
http://www.epa.gov/children

IAQINFO
NSCEP
http: //www. nap. edu/b ooks/
030906496 I/html

NSCEP
Region 10, Brooke Madrone,
206-553-2589
IAQINFO
IAQINFO
All except the problem
solving wheel and video
available at:
http://www.epa.gov/iaq/schools
GPO sells the complete kit
and extra wheels.
(GPO# 055-000-00563-0)
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           Indoor Air Quality Publications and Sources (continued)
  Publication
  IAQ Tools for Schools Taking Action and
  Ventilation Basics (video) EPA 402-V-98-001

  Indoor Air Pollution: An Introduction for
  Health Professionals (EPA 402-R-94-007;
  GPO 1994-523-217/81322)

  Indoor Air Quality Basics for Schools Fact Sheet
  (EPA 402-F-96-004, October 1996, IAQ-0095)

  The Inside Story: A Guide to Indoor Air Quality
  (EPA 402-K-93-007, April 1995, IAQ-0009)

  Protect Your Family and Yourself from Carbon
  Monoxide Poisoning (EPA 402-F-96-005,
  October 1996) in Spanish (EPA 402-F-97-004,
  July 1997)
  Residential Air Cleaners Fact Sheet
  (EPA 20A-4001, February 1990, IAQ-0007)

  Sick Building Syndrome Fact Sheet
  (EPA 402-F-94-004, April 1991, IAQ-0004)

  A Special Alert for People with Asthma in the
  Northeast Ohio Area (EPA 905-K-001, May 1997)
Source
IAQINFO
IAQINFO
IAQINFO
IAQINFO
IAQINFO
This fact sheet also is
available in Vietnamese
(EPA 402-F-96-005C),
Chinese (402-F-96-005A),
and Korean (402-F-96-005B)

IAQINFO
IAQINFO
Region 5, Indoor Air
Coordinator, 312-353-2205
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                                    Indoor Air Quality Publications and Sources (continued)
                           Publication
Source
                           A Special Alert for People with Asthma in the
                           Greater Cincinnati, Northern Kentucky
                           Metropolitan Area (EPA 905-K-002, May 1997)

                           A Special Alert for People with Asthma in the
                           Greater St. Louis Metropolitan Area
                           (EPA 905-K-003, May 1997)

                           A Special Alert for People with Asthma in the
                           Chicago Metropolitan Area and Northwest Indiana
                           (EPA 905-K-004, May 1997)

                           A Special Alert for People with Asthma in
                           Southeast Wisconsin (EPA 905-K-005, May 1997)

                           Use and Care of Home Humidifiers Fact Sheet
                           (EPA 402-F-91-101, February 1991, IAQ-0008)

                           Ventilation and Air Quality in Offices Fact Sheet
                           (EPA 402-F-94-003, July 1990, IAQ-0003)

                           What You Should Know about Combustion
                           Appliances and Indoor Air Pollution
                           (EPA400-F-91-100)
Region 5, Indoor Air
Coordinator, 312-353-2205
Region 5, Indoor Air
Coordinator, 312-353-2205
Region 5, Indoor Air
Coordinator, 312-353-2205
Region 5, Indoor Air
Coordinator, 312-353-2205

IAQINFO
IAQINFO
IAQINFO
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Information Resources for Outdoor Air Pollution

Office of Air and Radiation
Office of Mobile Sources
2565 Plymouth Road
Ann Arbor, MI 48105-2498
Phone: 734-214-4207
Internet: http://www.epa.gov/OMSWWW/consumer.htm

National Vehicle and Fuel Emissions Laboratory (NVFEL)
2000 Traverwood Drive
Ann Arbor, MI 48105-2195
Phone: 734-214-4200
Fax: 734-214-4525
Internet: http://www.epa.gov/OMSWWW/01-nvfel.htm
               Outdoor Air Quality Publications and Sources
  Publication
  Air Toxics from Motor
  Vehicles (EPA 400-F-92-004,
  Fact Sheet OMS-2,
  August 1994)

  Automobile Emissions: An
  Overview (EPA 400-F-92-007,
  Fact Sheet OMS-5,
  August 1994)

  Automobiles and Carbon
  Monoxide (EPA 400-F-92-005,
  Fact Sheet OMS-3,
  January 1993)
Source
NVFEL or
http ://www. epa.gov/OMSWWW/consumer.htm
NVFEL or
http ://www. epa.gov/OMSWWW/consumer.htm
NVFEL or
http ://www. epa.gov/OMSWWW/consumer.htm
Children's Health Resources
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                                   Outdoor Air Quality Publications and Sources (continued)
                           Publication
                           Be a Grower Not a Mower Fact
                           Sheet (EPA 420-F-96-018)

                           Boating Pollution Prevention
                           Tips Fact Sheet
                           (EPA 420-F-96-003)

                           Car Owners: Protect the
                           Environment and Your Health

                           Don't Tamper With Emissions
                           Controls! (EPA 420-F-93-004)

                           Commute Alternative Brochure
                           (EPA420-F-95-011)

                           Commute Alternative Poster
                           (EPA 420-H-95-002)

                           Control of Emissions from
                           Nonroad Engines Fact Sheet
                           (EPA 420-F-96-009)

                           Health and Environmental
                           Effects of Particulate Matter,
                           July 1997

                           Nonroad Engines and Air
                           Pollution: An Overview
                           (EPA 420-F-94-003)
Source
NVFEL or
http://www.epa.gov/OMSWWW/consumer.htm

NVFEL or
http://www.epa.gov/OMSWWW/consumer.htm
NVFEL or
http://www.epa.gov/OMSWWW/consumer.htm

NVFEL or
http://www.epa.gov/OMSWWW/consumer.htm

NVFEL or
http://www.epa.gov/OMSWWW/consumer.htm

NVFEL or
http://www.epa.gov/OMSWWW/consumer.htm

NVFEL or
http://www.epa.gov/OMSWWW/consumer.htm
http://ttnwww.rtpnc.epa.gov/naaqsfin/pmhealth.htm
NVFEL or
http://www.epa.gov/OMSWWW/consumer.htm
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          Outdoor Air Quality Publications and Sources (continued)
  Publication
  Tips For Reducing Fuel
  Spillage Fact Sheet
  (EPA 420-F-96-002)

  Tips to Save Gas and Improve
  Mileage (EPA 420-F-94-004)

  What You Can Do to Reduce
  Air Pollution: A Citizens Guide
  to What Individuals and
  Communities Can Do to Help
  Meet the Goals of the Clean
  Air Act Amendments of 1990
  (EPA 450-K-92-002)

  Your Car or Truck and the
  Environment: An
  Environmental Guide for
  Owners and Drivers of Cars,
  Trucks, and Other Motor
  Vehicles  (EPA 420-K-93-001)

  Your Car and Clean Air: What
  YOU Can Do to Reduce
  Pollution (EPA 400-F-93-002,
  Fact Sheet QMS-18,
  August 1994)

  Your Yard and Clean Air
  (EPA 420-F-94-002,
  September 1996)
Source
NVFEL or
http ://www. epa. gov/OMS WWW/consumer, htm
NVFEL or
http ://www. epa. gov/OMS WWW/consumer, htm

NSCEP:  http://www.epa.gov/ncepihom
NSCEP:  http://www.epa.gov/ncepihom
NVFEL or
http ://www. epa. gov/OMS WWW/consumer, htm
NVFEL or
http ://www. epa. gov/OMS WWW/consumer, htm
Children's Health Resources
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                                                        The EPA Children's Environmental Health Yearbook Supplement
                          Information Resources for Ground-Level Ozone

                          Office of Air and Radiation
                          Office of Air Quality Planning and Standards, Mail Code MD-10
                          Research Triangle Park, NC 27711
                          Phone: 919-541-5616
                          Ground Level Ozone home page: http://www.epa.gov/oar/oaqps/gooduphigh/
                          AIRLinks: http://www.epa.gov/airlinks
                          Region  1
                          New England's Air Quality Hotline: 800-821-1237
                          Anne Arnold, Air Quality Planning Unit, Office of Ecosystem Protection,
                          617-918-1047
                          Ground Level Ozone Information Web Page:
                          http: //www. epa.gov/regi on 1 /eco/ozone/
1
1

1
Ground Level Ozone Publications and Sources
Publication
Automobiles and Ozone
(EPA 400-F-92-006,
Fact Sheet OMS-4,
January 1993)
Ground-Level Ozone Air
Quality Guide
Health and Environmental
Effects of Ground-Level
Ozone Fact Sheet, July 1997
Source
http://www.epa.gov/OMSWWW/consumer.htm
Region 1, Anne Arnold, Air Quality Planning
Unit, Office of Ecosystem Protection,
617-918-1047
http://www.epa.gov/ttn/oarpg/naaqsfin/o3health.htm




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          Ground Level Ozone Publications and Sources (continued)
  Publication
  Ozone Action Day
  Information

  Ozone Action Days: A
  Special Alert for People
  with Asthma and Other
  Respiratory Problems
  (EPA905-F-95-001,
  May 1995)
Source
Region 5,
http://www.epa.gov/region5/air/naaqs/o3info.htm

Region 5,
http://www.epa.gov/ARD-R5/naaqs/o3asthma.htm
Childhood Cancer

Information Resources for Radon

Indoor Air Quality Information Clearinghouse (IAQ Information)
Radon Information Clearinghouse
Phone: 800-SOS-RADON
IAQ Radon Publications Web Site: http://www.epa.gov/iaq/radon/pubs/index.html
                      Radon Publications and Sources
  Publication
  A Radon Guide for Tenants
  All About Radon (coloring book;
  English and Spanish)
        Source
        IAQ Radon Pubs Web Site Radon
        Information Clearinghouse

        Region 7,
        http://www.epa.gov/region7/kids/aar.htm
Children's Health Resources
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                                                      The EPA Children's Environmental Health Yearbook Supplement
                                         Radon Publications and Sources (continued)
                          Publication
                          Baby Radon Public Service
                          Announcement, 1995

                          Basic Information on Radon Resistant
                          New Construction (pamphlet)

                          Citizen's Guide to Radon: The Guide
                          to Protecting Yourself and Your
                          Family from Radon, Second Edition
                          (EPA402-K-92-001,  September 1994)
                          (in Spanish: EPA 402-K-93-005,
                          September 1993)

                          Consumer Federation of America
                          Radon Public Service
                          Announcement (video)

                          Consumer's Guide to Radon
                          Reduction:  How to Reduce Radon
                          Levels in Your Home
                          (EPA 402-K92-003, August  1992,
                          GPO Order Number
                          ISBN: 0-16-036255-5)

                          Dust Particles-Radon Public
                          Service Announcement, 1996
                          (in English and Spanish)

                          Home Buyer's and Seller's Guide to
                          Radon (EPA 402-R-93-003,
                          March 1993)

                          Lung Radon Poster
Source
IAQINFO
 http://www.epa.gov/iaq/construc.html
IAQ Radon Pubs Web Site
Radon Clearinghouse Information
NSCEP
IAQINFO
IAQ Radon Pubs Web Site
Radon Information Clearinghouse
GPO
IAQINFO
IAQ Radon Pubs Web Site
Radon Information Clearinghouse
GPO

IAQINFO
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                Radon Publications and Sources (continued)
 Publication
 My Radon Coloring Book
 Radon Measurement In Schools:
 Revised Edition Booklet
 (EPA 402-R-92-014, July 1993)

 Radon Measurement in Schools,
 Self-Paced Training Workbook
 (EPA402-B-94-001)

 Radon in Schools Brochure,
 Second Edition
 (EPA 402-F-94-009, October 1994)

 Radon Resistant New Construction
 in Homes (brochure)

 Radon: Risks and Realities
 (August 13, 1996)

 Radon Video
 (also available in Spanish)

 Reducing Radon Risks
 (EPA 520-1-89-027, September 1992)

 Reducing Radon in Schools:
 A Team Approach
 (EPA 402-R-94-008, April 1994)

 The Radon Student Activity Book
Source
Region 7
http://www.epa.gov/region7/kids/mrcb 1 .htm

IAQ Radon Pubs Web Site
Radon Information Clearinghouse
NSCEP
IAQ Radon Pubs Web Site
Radon Information Clearinghouse
IAQ Radon Pubs Web Site
Radon Information Clearinghouse

IAQINFO
IAQINFO
IAQ Radon Pubs Web Site
Radon Information Clearinghouse

IAQ Radon Pubs Web Site
Radon Information Clearinghouse
IAQINFO
Children's Health Resources
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                                                         The EPA Children's Environmental Health Yearbook Supplement
                          Information Resources for Asbestos

                          Toxic Substances Control Act (TSCA) Hotline
                          Phone: 202-554-1404
                          Fax: 202-554-5603
                          E-mail: tsca-hotline@epa.gov
!
1
i
j
J
Asbestos Publications and Sources
Publication
Asbestos Hazard Emergency Response Act Q & A
(EPA 745-K-93-023)
Asbestos in the Home: A Homeowner's Guide
(EPA 910-K-92-001, August 1992)
Asbestos in Your Home (brochure, EPA 745-F-93-006)
Asbestos Fact Book (EPA 745-K-93-016)
Asbestos in Schools: Evaluation of Asbestos Hazard
Emergency Response Act (fact sheet, EPA 745-F-91-100)
Asbestos in Schools: Evaluation of Asbestos
Hazard Emergency Response Act
(summary report, EPA 745-K-91-101)
Advisory to the Public on Asbestos in
Buildings (EPA 745-K-93-014)
The ABCs of Asbestos in School
(information packet, EPA 745-K-93-017)
Proposed Rule on Friable Asbestos Containing Materials
in School Buildings: Health Effects and Magnitude of
Exposure (support document, EPA 560-12-80-003)
Source
TSCA Hotline
TSCA Hotline
TSCA Hotline
TSCA Hotline
TSCA Hotline
TSCA Hotline
TSCA Hotline
TSCA Hotline
TSCA Hotline


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Information  Resources for Ultraviolet Light (Sun  Protection)

Stratospheric Ozone Hotline: 800-296-1996
Ozone Depletion Resource Center
Internet: http://www.epa.gov/docs/ozone/resource/public.html








Ultraviolet Light (Sun Protection) Publications and Sources
Publication
Sun Safety for Kids: The SunWise
School Program (brochure,
EPA 430-F-00-003)
SunWise School Program Guide
(booklet, EPA 430-K-99-036)
The Sun, UV, and You: A Guide to
SunWise Behavior
(booklet, EPA 430-K-99-035)
SunWise Monitor
(newsletter, EPA 430-F-99-033
and EPA 430-F-00-008)
Action Steps for Sun Protection
(fact sheet, EPA 430-F-99-026)
Health Effects of Overexposure to the Sun
(fact sheet, EPA 430-F-99-025)
Ozone Depletion
(fact sheet, EPA 430-F-99-023)
UV Radiation
(fact sheet, EPA 430-F-99-024)
Source
Stratospheric Ozone Hotline
http : //www. epa.gov/sunwi se
Stratospheric Ozone Hotline
http : //www. epa.gov/sunwi se
Stratospheric Ozone Hotline
http : //www. epa.gov/sunwi se
Stratospheric Ozone Hotline
http://www.epa.gov/sunshine
Stratospheric Ozone Hotline
http : //www. epa.gov/sunwi se
Stratospheric Ozone Hotline
http : //www. epa.gov/sunwi se
Stratospheric Ozone Hotline
http : //www. epa.gov/sunwi se
Stratospheric Ozone Hotline
http://www.epa.gov/sunshine

1
1
1
1
1

1
't
1
!

1
Children's Health Resources
Page 183

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                                                        The EPA Children's Environmental Health Yearbook Supplement
                              Ultraviolet Light (Sun Protection) Publications and Sources (continued)
                           Publication
                           What is the Ultraviolet (UV) Index
                           (fact sheet, EPA 430-H-99-001)

                           The Ultraviolet Index: What You
                           Need to Know
                           (pamphlet, EPA 430-F-94-016)

                           Stratospheric Update
                           (newsletter, EPA 430-F-99-009)

                           Moving Out of CFCs, Benefits of the
                           CFC Phaseout
                           (fact sheet, EPA 430-F-96-020)

                           Sun Wise School Program
                           Ozone Depletion Art Project
                           Protecting the Ozone Layer: Safe Disposal
                           of Home Appliances Containing Ozone
                           Depleting Substances
                           (EPA430-K-93-001)

                           Protection of the Ozone Layer
                           (EPA 230-N-95-002)

Ozone Layer Educator's Guide
(guidance packet, EPA 430-E-95-003)
NSCEP


Source
Stratospheric Ozone Hotline
http://www.epa.gov/sunwise

Stratospheric Ozone Hotline
Stratospheric Ozone Hotline
Stratospheric Ozone Hotline
Office of Air and Radiation
Maura Cantor, 202-564-9096
http://www.epa.gov/sunwise

Office of Air and Radiation
Christine Dibble, 202-564-9147
http ://www/epa.gov/ozone/art

NSCEP
NSCEP
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Developmental  and Neurological Toxicity

Information Resources for Lead

National Lead Information Center Hotline and Clearinghouse
Phone: 800-LEADFYI (hotline)
Phone: 800-424-LEAD (clearinghouse)
Fax: 202-659-1192
E-mail: ehc@cais.com
Internet: http://www.epa.gov/lead/nlicdocs.htm

The Hotline is available 24 hours a day, 7 days a week, in English and Spanish.
The Hotline distributes a basic information packet on lead that includes the EPA
brochure "Lead Poisoning and Your Children," three fact sheets, and a list of state
and local contacts for additional information. Callers who have more specific
questions are referred to the clearinghouse (800-424-LEAD) and can speak directly
with an information specialist. Information specialists provide on-phone technical
assistance.

Office of Prevention, Pesticides, and Toxic Substances
U.S. Environmental Protection Agency
Ariel Rios Building
1200 Pennsylvania Avenue, N.W.
Mail Code 7407
Washington, DC 20460-0001
Phone: 202-260-2902
Lead Programs home page: http://www.epa.gov/lead
Children's Health Resources
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                                                 Lead Publications and Sources
                            Publication
                           Be Safe With Lead-Man (poster)
                            Children and Lead: What You Can
                            Do? A Guide for Parents and Day
                            Day Care Providers From Physi-
                            cians for Social Responsibility

                            Controlling Lead In Soils
                            Packet (1995)

                            Eliminating Childhood Lead
                            Poisoning: A Federal Strategy
                            Targeting Lead Paint Hazards

                            EMPACT Lead Safe Yard Project

                            Fact Sheet: Disclosure of Lead-
                            Based Paint Hazards in Housing
                            (EPA 747-F-96-002, March 1996)

                            Finding a Qualified Lead
                            Professional for Your Home
                            (EPA 747-F-96-006)

                            First Steps: Childcare
                            Provider/Parent Lead Awareness
                            Manuals

                            Healthy Beginnings: Lead Safe
                            Families,  an English-as-a-
                            Second-Language Curriculum
                            on Lead Poisoning Prevention
                            (EPA208-B-93-001, 1996)
Source
Region 4, Lead Coordinator,
Rose Anne Rudd, 404-562-8998

Regions, 215-814-5000
Region 1, Katie Mazer, 617-918-1523


NSCEP
http://www.epa.gov/children


http://www.epa.gov/region01/leadsafe

National Lead Information Center
http ://www. epa.gov/opptintr/lead/leadbase.htm


National Lead Information Center
http://www.epa.gov/lead/nlicdocs.htm
Region 1, James M. Bryson, 617-918-1524;
Houlton Band of Maliseet Indians,
Phillip Quint, 800-545-8524 or 207-532-4273

Region 1, Katie Mazer, 617-918-1523,
http: //www. epa.gov/regi onO 1 /eco/1 ead/
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                 Lead Publications and Sources (continued)
  Publication
  Home Repairs and Innovations:
  What You Should Know
  About Lead-Based Paints

  Identifying Lead Hazards in
  Your Home
  (fact sheet, EPA 747-F-96-007)

  IMPACT Lead Safe Renovator
  Training Manual (also available
  on interactive CD-ROM)

  Lead in American Schools:
  What School Districts
  Should & Should Not Do

  Lead in Your Drinking Water
  (EPA 810-F-93-001)

  Lead in Your Home: A Parent's
  Reference Guide
  Lead Prevention Videos: Lead
  Poisoning—A Parent's Guide to
  Prevention, Sesame Street Lead
  Away!, and Living With Lead

  Lead Poisoning and Your
  Children
  (pamphlet, EPA 800-B-92-002);
  El Envenenamiento por el Plomo
  y Sus Nifios (EPA 747-K-95-001)
Source
Region 7, 800-223-0425
NSCEP
Region 1, James M. Bryson, 617-918-1524
Regions, 215-814-5000
NSCEP Water Resource Center
National Lead Information Center,
http://www.epa.gov/lead/nlicdocs.htm,
Megan Carroll, 202-260-7269

National Lead Information Center
Region 4, Lead Coordinator,
Rose Anne Rudd, 404-562-8998
Children's Health Resources
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                                                       The EPA Children's Environmental Health Yearbook Supplement
                                          Lead Publications and Sources (continued)
                           Publication
                           Lead Poisoning Prevention
                           Wheel

                           Lead in Drinking Water Coolers
                           (fact sheet EPA 810-F-90-021)

                           Lead-Free Kids, Lead-Free
                           Homes (pamphlet)

                           Lead—Is Your Child At Risk?
                           (pamphlet)

                           Let's Get the Lead Out 1997
                           Teaching Materials

                           Making Your Kids & Your
                           Home Safe from Lead
                           Poisoning (pamphlet)

                           Our Mid-Atlantic Environment—
                           25 Years of Progress
                           (EPA903-R-017,
                           December 1995)

                           Protect Your Family from Lead
                           in Your Home
                           (pamphlet, EPA 747-DK-94-00,
                           May 1 1995);PotejaaSu
                           Familia del Plomo en Su Casa
                           (EPA747-K-94-001S)
Source
Region 7, 800-223-0425
NSCEP, Water Resource Center
Regions, 215-814-5000
Regions, 215-814-5000
Regions, 215-814-5000
Regions, 800-621-8431
Regions, 215-814-5000
Regions, 215-814-5000
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                 Lead Publications and Sources (continued)
 Publication
 Protecting Your Family from
 Lead Poisoning: Como Proteger
 a Sus Hijos y Su Hogar contra
 el Envenenamiento por Plomo
 (pamphlet)

 Questions & Answers on the
 EPA/HUD Disclosure Rule
 (EPA 747-F-96-001,
 March 1996)

 Questions Parents Ask About
 Lead Poisoning

 Reducing Lead Hazards When
 Remodeling Your Home
 (EPA 747-R-94-002, April 1994);
 Como Reducir Los Peligros del
 Plomo al Remodelar Su Casa
 (EPA 747-R-94-002S)

 Testing Your Home for Lead
 The Trouble with Lead (Video)
Source
National Lead Information Center,
http://www.epa.gov/lead/nlicdocs.htm
Regions, 215-814-5000
National Lead Information Center,
http://www.epa.gov/lead/nlicdocs.htm

Region 7, 800-223-0425
National Lead Information Center,
http://www.epa.gov/lead/nlicdocs.htm

Region 7, 800-223-0425
Children's Health Resources
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                                                        The EPA Children's Environmental Health Yearbook Supplement
                          Information Resources for Endocrine  Disrupters and Other
                          Neurotoxics

                          Office of Research and Development
                          National Health and Environmental Effects Research Laboratory, Mail Code MD-51
                          Research Triangle Park, NC 27711
                          Phone: 919-541-2281
                          Fax: 919-541-4324
                          Endocrine Disrupters Research Initiative home page: http://www.epa.gov/endocrine
                             Endocrine Disrupters and Other Neurotoxics Publications and Sources
                           Publication
                           Endocrine Disrupter Research
                           Initiative :Relevant Research
                           Publications

                           Public Health Implications of
                           PCB Exposures (ATSDR/EPA Report,
                           December 1996)

                           Special Report  on  Environmental
                           Endocrine Disruption: An Effects
                           Assessment and Analysis
                           (EPA 630-R-96-012)

                           Workshop Report on Developmental
                           Neurotoxic Effects Associated with
                           Exposure to PCB's
                           (EPA 630-R-92-004)

                           Report to Congress on Mercury
                           (Office of Air and Radiation,
                           December 1997)

                           Safe and Correct Handling of PCB s Is
                           Your Responsibility (EPA 910-F-99-009)
Source
http://www.epa.gov/endocrine/pubs.html
Region 5
http ://www. epa.gov/endocrine/pub s.html
http://www.epa.gov/endocrine/pubs.html
http: //www. epa. gov/oar/m ercury. html
Region 10
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Health Effects of Pesticides

Information Resources for Pesticides

Office of Pesticide Programs (OPP)
Field and External Affairs Division
U.S. Environmental Protection Agency
Ariel Rios Building
1200 Pennsylvania Avenue, N.W.
Mail Code: 7506C
Washington, DC 20460-0001
Phone: 703-305-7012
Fax: 703-305-6244

National Pesticide Telecommunications Network (NPTN) Hotline
Toll Free Number: 800-858-7378
Internet: http://ace. orst. edu/info/nptn/
E-Mail: nptn@ace.orst.edu

A national toll-free telephone information service that provides callers (parents,
consumers, medical community,  and federal, state and local governments) with
poisoning prevention and technical information on more than 600 pesticide active
ingredients and approximately 25,000 product registrations in the United States.
Children's Health Resources
Page 191

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                                                        The EPA Children's Environmental Health Yearbook Supplement
                                              Pesticides Publications and Sources
                           Publication
                           Child-Resistant Packages for Pesticides

                           Citizen's Guide to Pest Control and
                           Pesticide Safety
                           (EPA 730-K-95-001, September 1995)

                           Diagnostico y Tratamiento de Los
                           Envenenamientos por Plaguicidas,
                           Cuarta Edicion
                           (Spanish, EPA 540-R-95-024)

                           Do You Really Need a Pesticide?
                           (EPA910-F-94-004)

                           Emergency Action Guide for Pesticide
                           Incidents (1992)

                           For Your Information: Protecting the
                           Public from Pesticide Residues in Food
                           (fact sheet, EPA 735-F-96-001)

                           Growing Food Crops on City Lots
                           (fact sheet, June 1994)

                           Integrated Pest Management
                           (poster, EPA 735-H-92-001)

                           Methyl Parathion in the Chicago
                           Area (1997)

                           Office of Pesticide Programs Annual
                           Report for 1996 (EPA 735-R-96-001)
Source
Region 4, 404-562-9900

NSCEP



NSCEP
Region 10, 800-424-4372
Region 5, Pesticides Program Section,
312-886-6003

NSCEP
Region 5, Pesticides Program Section,
312-886-6003

NSCEP
Region 5, Pesticides Program Section,
312-886-6003

NSCEP
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               Pesticides Publications and Sources (continued)
 Publication
 Pest Control in the School
 Environment: Adopting Integrated
 Pest Management
 (brochure, EPA 735-F-93-012)

 Pesticide Poisoning Action Guide
 for Agricultural Pesticides in the
 Midwest: Resource Directory for
 Medical Personnel
 (EPA 905-B-94-001, May 1994)

 Pesticides and Child Safety
 (EPA 735-F-93-050R)

 Protect Yourself from Pesticides:
 A Guide for Pesticide Handlers
 (EPA 735-B-93-003)

 Protect Yourself from Pesticides:
 A Guide for Agricultural Workers/
 Protejase de Los Pesticidas: Guia para
 Los Trabaj adores Agricolas
 (EPA 735-B-93-002)

 Protect Yourself from Pesticides
 (poster, EPA 735-H-93-001)

 Protejase de Los Pesticidas: Guia
 Para Los Que Manejan Pesticidas
 (EPA735-B-94-001)
Source
NSCEP
Region 5, Pesticides
Program Section,
312-886-6003
NSCEP
NSCEP
NSCEP
NSCEP
NSCEP
Children's Health Resources
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                                        Pesticides Publications and Sources (continued)
                           Publication
                           Recognition and Management of Pesticide
                           Poisonings (Fourth Edition, EPA 540-R-98-001,
                           Fifth Edition, EPA 735-R-98-003. In Spanish,
                           EPA 735-R-98-004)

                           Status of Pesticides in Re-Registration
                           and Special Review
                           (Rainbow Report, EPA 738-R-94-008)

                           Steps to Protect Yourself from
                           Pesticides
                           (English/Laotian: EPA 735-F-95-006)
                           (English/Cambodian: EPA 735-F-95-005)
                           (English/Vietnamese: EPA 735-F-95-004)
                           (English/Haitian Creole: EPA 735-F-95-003)
                           (English/Spanish: EPA 735-F-95-002)

                           10 Tips to Protect Children from
                           Pesticide and Lead Poisonings around
                           the Home
                           (English/Spanish, EPA 735-F-97-001)

                           The Federal Insecticide, Fungicide,
                           and Rodenticide Act (FIFRA) and
                           Federal Food, Drug, and Cosmetic
                           Act (FFDCA) as amended by the
                           Food Quality Protection Act (FQPA)
                           of August 3, 1996 (EPA 730-L-97-001)

                           To Spray or Not To Spray (pamphlet,
                           EPA 905-F-95-003)
Source
NSCEP
NSCEP
NSCEP
NSCEP
NSCEP
Region 5, Pesticides
Program Section,
312-886-6003
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               Pesticides Publications and Sources (continued)
 Publication
 What You Need to Know About
 Methyl Parathion and Your Health
 (fact sheet, 1997)

 Wood Preservatives for Applicators
 (booklet, 1987)
Source
Region 5, Pesticides
Program Section,
312-886-6003

Region 5, Pesticides
Program Section,
312-886-6003
Potential Risks from  Contaminated Water

Information Resources for Contaminants in Drinking Water,
Surface Water, and Fish

Safe Drinking Water Hotline
Phone: 800-426-4791
E-Mail: hotline-sdwa@epa.gov

The Safe Drinking Water Hotline is available to help the public, drinking water
stakeholders, and state and local officials understand the regulations and programs
developed in response to the Safe Drinking Water Act (as amended in 1986 and
1996).  This includes information about drinking water regulations and publications,
source  water protection programs, and public education materials. The Hotline can
be reached Monday through Friday (except federal holidays) from 9 a.m. to 5:30
p.m. (Eastern Standard Time).
Children's Health Resources
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                                                         The EPA Children's Environmental Health Yearbook Supplement
                          EPA's Office of Water Resource Center
                          Water Resource Center (RC-4100)
                          Ariel Rios Building
                          1200 Pennsylvania Avenue, N.W.
                          Washington, DC 20460-0001
                          Phone: 202-260-7786
                          Fax: 202-260-0386
                          E-mail: center.water-resource@epa.gov
                          Internet: http://www.epa.gov/ogwdw/rescnter.html

                          EPA's Office of Water Resource Center is a one-stop location for information and
                          materials produced by the Office of Ground Water and Drinking Water, the Office
                          of Science and Technology, and the Office of Wastewater Management, within
                          EPA's Office of Water. Materials available include: fact sheets, guidance manuals,
                          technical reports, models, educational kits, training materials, brochures, videotapes,
                          and posters.  The Office of Water Resource Center is open from 8:30 a.m. to 4:30
                          p.m. EST


                          Office of Water Web Site
                          Internet: http://www.epa.gov/ow

                          EPA's Office of Water Web site contains current information about a variety of
                          responsibilities throughout the office. The Office of Ground Water and Drinking
                          Water site contains information about the public water system program and standard
                          setting for contaminants. The Office of Science and Technology  site contains infor-
                          mation about beaches and fish, as well as contaminant health advisories.  The
                          Office of Wetlands, Oceans and Watersheds site includes information about water-
                          shed protection.  The Office of Wastewater Management site includes materials on
                          control and prevention of water pollution from industrial discharge and sludge.


                          Drinking Water Information in Spanish
                          http://www.epa.gov/safewater/agua.html

                          This Web site provides basic information about drinking water and some key drink-
                          ing water materials in Spanish.
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Local Drinking Water Information
http://www.epa.gov/safewater/dwinfo.htm

For information about drinking water in your state, click on a state within a U.S.
map and you will go to a page which lists major links for that state, including local
water systems and their water quality reports, data on whether local water systems
have met national drinking water standards, watershed maps, state programs listing
how the state intends to prioritize drinking water funding, state programs for drink-
ing water source assessment and protection.
Great Lakes National Program Office
U.S. Environmental Protection Agency
Region 5
77 West Jackson Boulevard
Chicago, IL 60604-3507
Phone:312-886-4046
Fax:312-353-2018
           Contaminated Drinking Water, Surface Water, and Fish
                          Publications and Sources
  Publication
  Before You Go to the Beach
  (EPA 820-K-97-001, September 1997)

  Children and Drinking Water
  Standards (EPA 815-K-99-001)
Source
Water Resource Center
Safe Drinking Water
Hotline or Water Resource Center
www.epa.gov/safewater/dwhealth.html
Children's Health Resources
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                                                        The EPA Children's Environmental Health Yearbook Supplement
                                    Contaminated Drinking Water, Surface Water, and Fish
                                             Publications and Sources (continued)
                           Publication
                           Drinking Water and Health
                           (EPA 811-F-95-002-C, October 1995)

                           Drinking Water and Health:
                           What You Need to Know
                           (EPA816-K-99-001)

                           Drinking Water Counts on You:.
                           Blue Thumb Kit  (EPA 810-B-97-001)

                           Drinking Water Health Fact Sheet
                           on Atrazine

                           Drinking Water Health Advisories
                           (fact sheet listing)

                           Drinking Water Public Service
                           Announcements:  "Now it Comes With
                           a List of Ingredients"; Drinking Water:
                           Pour Over the Facts" (Posters, line
                           screens, and CDs for radio spots, all in
                           English and Spanish)

                           Great Lakes Water Quality Initiative
                           Case Studies Show Benefits Outweigh
                           Costs (fact sheet, EPA 820-F-95-002)

                           Great Lakes Water Quality Initiative:
                           A Summary
                           (fact sheet, EPA 820-S-95-001)
Source
Water Resource Center
Safe Drinking Water
Hotline or Water Resource Center
www. epa.gov/safewater/dwhealth. html

NSCEP
Water Resource Center
Water Resource Center
Safe Water Hotline or
Water Resource Center
http://www.epa.gov/safewater/psa.html
Great Lakes National Program Office,
Regions, 312-886-4046
Great Lakes National Program Office,
Regions, 312-886-4046
Page 198
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The EPA Children's Environmental Health Yearbook Supplement
           Contaminated Drinking Water, Surface Water, and Fish
                    Publications and Sources (continued)
  Publication
  Indicator I: Population Served by
  Community Drinking Water Systems
  Violating Health-Based Requirements
  (Safe Drinking Water Information
  System)

  Kids Can Help Save Our Streams!
  (EPA 840-F-96-900)

  Lead in Drinking Water: An
  Annotated List of Publications
  (EPA 812-K-93-001, October 1993)

  Lead in Your Drinking Water:
  Actions You Can Take to Reduce
  Lead in Your Drinking Water
  (EPA 810-F-93-001)

  National Listing of Fish
  Consumption Advisories
  (fact sheet, EPA 823-F-96-006)

  National Listing of Fish
  Consumption Advisories Software
  (7 disk set, EPA 823-C-96-011)

  National Study of Chemical
  Residues in Fish
  (fact sheet, EPA 823-F-92-001,  1992)
Source
Water Resource Center
NSCEP
Water Resource Center
Safe Drinking Water Hotline or
Water Resource Center
www.epa.gov/OGWDW/pubs/leadl .html
Water Resource Center
NSCEP
NSCEP
Children's Health Resources
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                                                       The EPA Children's Environmental Health Yearbook Supplement
                                    Contaminated Drinking Water, Surface Water, and Fish
                                             Publications and Sources (continued)
                           Publication
                           National Primary Drinking Water
                           Standards (EPA 810-F-94-001A,
                           February 1994)

                           National Listing of Fish Consumption
                           Advisories, Update Fact Sheet
                           (EPA 823-F-95-004)

                           Preamble to National Primary
                           Drinking Water Regulations for
                           Lead and Copper

                           Protecting the Great Lakes: The
                           Cost and Benefits of Reducing Toxic
                           Pollution in Three Communities
                           Office (EPA 820-F-95-004)

                           Public Drinking Water
                           Information (brochure,
                           EPA816-F-99-010)

                           Public Water Systems Inventory and
                           Compliance Statistics, FY 1991-1995
                           (EPA 816-R-97-006)

                           Safe Drinking Water Act
                           Amendments of 1996: General Guide
                           to Provisions (EPA 810-S-96-001)

                           Safe Drinking Water is in
                           Our Hands (Poster,
                           EPA815-F-99-003;
                           Booklet, EPA 815-F-99-004)
Source
NSCEP
NSCEP
Federal Register, Volume 56,
Page 26460
Great Lakes National Program Office,
Regions, 312-886-4046
Safe Drinking Water
Hotline or Water
Resource Center

NSCEP
NSCEP
Safe Drinking Water Hotline
or Water Resource Center
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           Contaminated Drinking Water, Surface Water, and Fish
                    Publications and Sources (continued)
  Publication
  Should I Eat the Fish I Catch?
  (EPA 823-B-97-009, September 1997)

  Student Activity Sheets For
  Drinking Water Projects
  (EPA 810-F-92-003)

  Summary of U.S. Great Lakes
  Beach Closings, 1981-1994
  (EPA 905-R-97-003)

  The Great Lakes: An Environmental
  Atlas and Resource Book
  (EPA 905-B-95-001)

  The Effects of Great Lakes
  Contaminants on Human Health:
  Report to Congress
  (EPA 905-R-95-017, September 1995)

  U.S. EPA  1997 Supplementary
  Fish Consumption Advisory for
  Michigan's Great Lakes Waters
  Fact Sheet

  Water on Tap: A Consumer's Guide
  to the Nation's Drinking Water
  (EPA 810-K-97-002, July 1997)

  Watersheds: Where We Live (poster)

  We All Live Downstream (booklet)
Source
Water Resource Center
Water Resource Center
NTIS
Region 5,
http ://www. epa.gov/region5/fi sh
Great Lakes National Program Office,
Regions, 312-886-4046
Region 5,
http ://www. epa.gov/region5/fi sh
Water Resource Center
NSCEP
Regions, 215-814-5000
Children's Health Resources
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                                                        The EPA Children's Environmental Health Yearbook Supplement
                          International Activities

                          Reducing Health Risks Worldwide: EPA's International Lead Risk Reduction
                          Program. EPA 160-K-98-001. Available from NSCEP.
                          http://www.epa.gov/oia/itc/htm


                          Environmental Education

                          Information Resources for Environmental  Education

                          Office of Environmental Education
                          U.S.  Environmental Protection Agency
                          Ariel Rios Building, MC-1701
                          1200 Pennsylvania Avenue, N.W.
                          Washington, DC 20460-0001
                          Phone: 202-260-4865
                          Fax: 202-260-4095
                          Internet: http://www.epa.gov/enviroed

                          EPA's Office of Environmental Education mission is to advance and support nation-
                          al education efforts to develop an environmentally conscious and responsible
                          public, and to inspire a sense of personal responsibility for the care of the environ-
                          ment in all individuals. For more information regarding Environmental Education
                          Grants, please call 202-260-8619 or fax 202-260-4095.

                          National Education Association
                          Health Information Network (NBA, HIN)
                          1201 16th Street, N.W.
                          Washington, DC 20036-3290
                          Phone: 202-822-7570
                          Fax: 202-822-7775
                          Internet: http://www.neahin.org/
                          E-mail: neahin@aol.com
Page 202
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The EPA Children's Environmental Health Yearbook Supplement
National Parent Teacher's Association
National PTA Headquarters
330 N. Wabash Avenue, Suite 2100
Chicago, IL 60611-3 673
Phone: 800-307-4782
Fax:312-670-6783
Internet: http://www.pta.org/programs/envlibr.htm
E-mail: info@pta.org

Environmental Education Publications and Sources
Publication
1997 PTA Green Almanac
A Guide to Environmental
Education Resources
(January 1996)
The ABC's of
Environmental Education
(EPA 905-K-94-001)
Acid Rain: A Student's
First Source Book
(children's workbook,
EPA 600-990-027A)
Breakfast With UEI: Film
Descriptions and Ordering
Information
(a list of educational videos)
Children's Environmental
Health Yearbook
(EPA 100-R-98-100)
Source
OAR-Sponsored National PTA Resources
Region 1, Kristen Conroy, 617-918-1069
NSCEP
http://www.epa.gov/acidrain/student/student2.html,
Acid Rain Hotline, 202-564-9620
Region 1, Kristy Rea, 617-918-1595
NSCEP
OCHP, 202-260-7778


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Children's Health Resources
Page 203

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                                                        The EPA Children's Environmental Health Yearbook Supplement
                                 Environmental Education Publications and Sources (continued)
                           Publication
                           Environmental Hazards in
                           Your School: A Resource
                           Handbook

                           Children's Health Booklet
                           and Video: "E-Hazards"—
                           They're Out There . .  .

                           Drinking Water Activities
                           for Students, Teachers, and
                           Parents (EPA 810-B-99-002)

                           Environmental Justice
                           Grants Bulletin

                           Environmental Justice and
                           the Indoor Environment
                           (November 1997)

                           Guidelines for Prevention,
                           Recognition, and Resolution
                           of Environmentally-
                           Related Illness in Schools

                           HAZ-ED: Classroom
                           Activities for Understanding
                           Hazardous Waste
                           (EPA 540-K-95-005,
                           April 1996)

                           The Importance of Parent
                           Involvement in Addressing
                           Children's Environmental
                           Health Issues
Source
Regions, 215-814-5000
Region 6, Paula Flores-Gregg, 214-665-8123,
or Laura Talbot, 214-665-6678
Safe Drinking Water Hotline,
800-426-4791, or Water Resource Center,
202-260-7786

OAR-Sponsored NEA, Health Information
Network Resources

OAR-Sponsored NEA, Health Information
Network Resources
Region 2, Environmental Education,
212-637-3674
http://www.epa.gov/superfund/students/
clas  act/haz-ed/hazindex.htm
OAR-Sponsored National PTA Resources
Page 204
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The EPA Children's Environmental Health Yearbook Supplement
       Environmental Education Publications and Sources (continued)
  Publication
  Internet Teacher's Lounge

  Kids Page
  Leader's Guide to
  Environmental Issues,
  February 1997

  Meeting New York State's
  Crisis in School Facilities
  Today

  NEA Health Information
  Network: IAQ in Schools

  New England Area
  Environmental Education
  Grants Program, Federal
  Fiscal Year 1998

  Report to the New York State
  Board of Regents on the
  Environmental Quality
  of Schools

  School Recycling Programs:
  A Handbook for Educators
  (booklet)

  Student Activity Sheet:
  Tracking Pollution, a
  Hazardous Whodunnit
  (EPA810-F-93-003)
  Source
http://www.epa.gov/region07/kids/teachres.htm

Region 7
http://www.epa.gov/region07/kids/welcome.htm

OAR-Sponsored National PTA Resources
Region 2, Environmental Education,
212-637-3674
OAR-Sponsored NEA Health Information
Network Resources

Region 1
http: //www. epa.gov/regi on/ra/ed/grant9 8. html
Region 2,
Environmental Education, 212-637-3674
Regions, 215-814-5000
NSCEP
Children's Health Resources
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                                                       The EPA Children's Environmental Health Yearbook Supplement
                                 Environmental Education Publications and Sources (continued)
                           Publication
                           The Source: Indoor Air, Water
                           and Your Schools
                           (Volumes 1-4, June 1997)

                           Tips to Protect Children from
                           Environmental Health Threats
                           (EPA 100-F-00-008)

                           Tips to Protect Children from
                           Environmental Threats-NSC
                           Video "My Kids"

                           Workshop Presentation Kit (for
                           use by PTA leaders to conduct
                           environmental workshops at
                           state PTA conventions)
Source
OAR-Sponsored NEA Health Information
Network Resources
NSCEP
OCHP, 202-260-7778
OCHP-sponsored NSC-EHC
202-293-2270
OAR-Sponsored National PTA Resources
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Enhanced  Community Right-to-Know

Information  Resources for Community Right-to-Know

Office of Prevention, Pesticides, and Toxic Substances
U.S. Environmental Protection Agency
Ariel Rios Building, MC-7404
1200 Pennsylvania Avenue, N.W.
Washington, DC 20460-0001
Phone:202-260-1531
Toxic Release Inventory (TRI) home page: http://www.epa.gov/opptintr/tri

Defines TRI and provides information on accessing and using TRI data; program
development; national and international programs; stakeholder dialogue; contacts;
latest public data release report; training for newly added industries; guidance docu-
ments for newly added industries; and public meetings.
Community Right-to-Know Publications and Sources
Publication Source
1997 Toxics Release
Inventory Public Data
Release, April, 1999
1997 Toxics Release
Inventory State Fact Sheets
(EPA745-F-99-001,
April 1999)
Chemicals in Our
Community
http://www.epa.gov/opptintr/tri
NSCEP
http://www.epa.gov/opptintr

H
I
W
Jr
1
I
Children's Health Resources
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                                                         The EPA Children's Environmental Health Yearbook Supplement
                                      Community Right-to-Know Publications and Sources
                           Publication
                           Chemical Right to Know
                           Fact Sheet Series
                           (EPA 745-F-98-002)

                           Children's Health Testing
                           Program

                           Children's Healthline

                           Consumer Labeling
                           Initiative (CLI)

                           EPA's Guide to
                           Environmental Database
                           Basics

                           Guidance for Chemical
                           Indexing Abstract
                           The Right to Know Network

                           TRI Information Kit
                           (EPA749-K-98-001)

                           The TRI Teachers Guide,
                           Getting Started (CD-ROM)
Source
NSCEP



http://www.epa.gov/opptintr/chemrtk/childhlt.htm


http ://www. epa.gov/reg03 esd 1/childhealth/index.htm

http://www.epa.gov/opptintr/labeling/index.html


OPPTS, Georgianne McDonald, 202-260-4182
http://www.epa.gov/reg3artd/tchem/chemind.htm
(for a complete copy, contact Debra L. Forman at
215-566-2073)

http://www.rtk.net

http://www.epa.gov/opptintr/tri/whatis.htm
or NSCEP

OPPTS, Georgianne McDonald, 202-260-4182
Page 208
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Other Federal Agencies with  Programs Related to
Children's  Environmental  Health
Nearly all federal agencies are pursuing children's environmental health.  The Task
Force to Reduce Environmental Health Risks and Safety Risks to Children (estab-
lished by President Clinton's Executive Order on Protection of Children from
Environmental  Health Risks and Safety Risks) involves EPA and the following:

  • Office of Science and Technology Policy, National Science and Technology
   Council (NSTC) Old Executive Office Building, 17th Street and Pennsylvania
   Avenue, N.W., Washington, DC 20502, 202-456-7116. Internet:
   http://www.whitehouse.gov/WH/EOP/OSTP/NSTC/html/NSTCJIome.html

  • Council of Economic Advisers (CEA) Old Executive Office Building, 17th
   Street and Pennsylvania Avenue, N.W., Washington, DC 20502, 202-395-5042.
   Internet: http://www.whitehouse.gov/WH/EOP/CEA/html/

  • Council on Environmental Quality (CEQ) Old Executive Office Building,
   17th Street  and Pennsylvania Avenue, N.W., Washington,  DC 20502,  202-465-
   6224. Internet: http://www.whitehouse.gov/CEQ

  • Office of Management and Budget (OMB) Old Executive Office Building,
   17th Street  and Pennsylvania Avenue, N.W., Washington,  DC 20502,  202-395-
   5042. Internet: http://www.whitehouse.gov/OMB

  • Department of Health and Human Services, National Institute of
   Environmental Health Sciences (NIEHS) Building 101, Headquarters, P.O.
   Box 12233, Research Triangle Park, NC  27709, 919-541-3345. Internet:
   http://www.niehs.nih.gov

  • Department of Health and Human Services, Agency for Toxic Substances
   and Disease Registry (ATSDR) Building 16, Centers for Disease Control and
   Prevention, 1600 Clifton Road, N.E., Atlanta, GA  30333, 888-42-ATSDR.
   Internet: http: //www. atsdr. cdc. gov/chil d

  • Department of Health and Human Services, Centers for Disease Control
   and Prevention (CDC) Building 16, Centers for Disease  Control and
   Prevention, 1600 Clifton Road, N.E., Atlanta, GA  30333, 404-639-3534.
   Internet: http://www.cdc.gov; and Mail  Stop F-29, 4770 Buford Highway, N.E.,
   Atlanta, GA 30341-3724, 888-232-6789.  Internet:
   http://www.cdc.gov/nceh/info/programs.html
Children's Health Resources
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                                                       The EPA Children's Environmental Health Yearbook Supplement
                             Department of Health and Human Services, Office of Disease Prevention
                             and Health Promotion (ODPHP) Hubert H. Humphrey Building, 200
                             Independence Avenue, S.W., Washington, DC 20202, 202-205-8611. Internet:
                             http://odphp.osophs.dhhs.gov

                             Department of Education (DoED) 400 Maryland Ave, S.W., Washington, DC
                             20202, 800-USA-LEARN. Internet: http://www.ed.gov

                             Department of Labor (DOL) Francis Perkins Building, 200 Constitution
                             Avenue, N.W., Washington, DC 20210, 202-693-4650. Internet:
                             http://www.dol.gov

                             Department of Justice (DOJ) Main Justice Building, 950 Pennsylvania
                             Avenue, N.W., Washington, DC 20530-0001, 202-514-2001. Internet:
                             http://www.usdoj .gov

                             Department of Energy (DOE) Forrestall Building, 1000 Independence
                             Avenue, S.W., Washington, DC 20585, 202-586-6210.  Internet:
                             http://www.doe.gov

                             Department of Housing and Urban Development (HUD) HUD Building, 451
                             Seventh Street, S.W., Washington, DC 20410, 202-708-0417.  Internet:
                             http ://www.hud.gov

                             Department of Transportation (DOT) National Highway Traffic Safety
                             Administration Nassif Building, 400  Seventh Street, S.W., Washington, DC
                             20590, 202-366-1111.  Internet: http://www.dot.gov

                             Department of Agriculture (USDA) Jamie L. Whitten Federal Building, 1400
                             Independence Avenue, S.W., Washington, DC 20250, 202-720-3631. Internet:
                             http ://www.usda.gov

                             Consumer Product Safety Commission (CPSC) East West Towers, 4330 East
                             West Highway, Bethesda, MD 20814, 301-504-0213. Internet:
                             http://www.cpsc.gov
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The EPA Children's Environmental Health Yearbook Supplement
 Index
EPA Program Offices

Office of Air and Radiation
IAQ Tools for Schools 	23
Working with Partners to Improve Indoor Air
   Quality in Schools	23
      National Education Association  	23
      American Association of School
         Administrators	23
      National Parent-Teacher Association	24
      Urban Schools IAQ Project	24
      Training School Nurses on IAQ Tools
        for Schools and Asthma	25
      School Intervention Study	25
      American Lung Association Open
         Airways	25
Environmental Tobacco Smoke Media
   Campaign 	29
Reducing Exposure to ETS through Child Care
   Outreach 	30
Community-Based Pediatrician Outreach  	30
Hispanic Health Project	30
Asthma Media Campaign 	33
Asthma Case Studies	33
Increasing Indoor Air Action in American Asian
   and Pacific Islander (AAPI) Communities  . . .33
Asthma and Allergy Essentials for Childcare
   Providers	34
Asthma Collaborative Program	34
Early Intervention and Treatment of Asthma ... .35
Clearing The Air: Asthma and Indoor Air
   Exposures 	45
Let Kids Lead	51
SunWise School Program 	59
Ozone Depletion Art Project	60
U.S.-Canada Air Quality Agreement	138

Office of Children's Health Protection
Centers of Excellence in Children's  Environmental
   Health Research	7
      University of Southern California,
         Department of Preventive Medicine,
         Los Angeles, California	8
      University of Iowa, College of Medicine,
         Iowa City, Iowa	8
      University of Michigan, School of Public
         Health, Ann Arbor, Michigan  	8
      Johns Hopkins University, School of
         Medicine, Baltimore, Maryland	8
      University of California at Berkeley,
         School of Public Health, Berkeley,
         California  	9
      University of Washington, Department of
         Environmental Health, Seattle,
         Washington	9
      Mount Sinai School of Medicine,
         New York, New York  	9
      Columbia University, School of Public
         Health, New York, New York  	9
Children's Environmental Health and Safety
   Inventory of Research  	10
Institutionalizing Children's Health Protection
   in EPA's Rule Making  	10
Federal Advisory Committee on Protection of
   Children's Environmental Health	10
Reviewing Existing Regulations and
   Standards	11
Workshop on Valuing  Children's Health
   Effects	11
Child Health Champion Campaign 	11
Incorporating Children's Environmental Health
   into Youth-Based Organizations	14
Targeting Criminal Violations that Threaten the
   Health and Safety of Children 	15
State Profiles - Children's Environmental
   Health 	15
Promoting Children's Environmental Health
   With Pediatric Chief Residents	15
Action to Eliminate Major Uses of the Pesticide
   Dursban to Protect Children and Public
   Health 	15
Tips to Protect Children from Environmental
   Threats	16
Eliminating Childhood Lead Poisoning: A
   Federal Strategy Targeting Lead Paint
   Hazards 	65

Office of International Activities
Children's Lung Function Study in China	138
Alaska Native Cord Blood Monitoring
   Program	139
Children's Health Resources
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                                                                         The EPA Children's Environmental Health Yearbook Supplement
                                 National Strategy for Lead Risk Reduction in
                                    Russia  	139
                                 Children's Blood Lead Level Screening in
                                    Russia  	140
                                 Mobile Source Training/Lead Phase-Out
                                    Training	140
                                 Pesticides Management Project in
                                    Central America	141
                                 Microbiologically Safe Drinking Water
                                    Laboratory Capacity in Latin America	142
                                 Municipal Water Management in Latin
                                    America	143
                                 The Central American Small Community
                                    Wastewater Treatment Project 	143

                                 Office of Policy, Economics and Innovation
                                 Direct and Indirect Costs of Asthma and the
                                    Potential Benefit of Education and
                                    Intervention	45

                                 Office of Prevention, Pesticides, and Toxic
                                 Substances
                                 Public Education and Outreach Grants  	66
                                 The National Cinema Outreach Pilot Project . .  . .67
                                 Proposed Labeling Restriction for Insect
                                    Repellents used on Infants and Children	95
                                 Cockroaches, Kids and Asthma Video	96
                                 IPM in School Projects	98
                                 IPM in Schools Training/Workshops	99
                                 Children's Health Chemical  Testing Program  .  . 159
                                 Pre-Renovation Information Rule 	159
                                 Lower Threshold for Lead TRI Reporting	160
                                 TRI Education Product  	160

                                 Office of Research and Development
                                 Increased Vulnerability of Neonates to
                                    Naphthalene and Its Derivatives   	46
                                 Childhood Susceptibility to Air Pollutants	52
                                 Oro-Nasal Ventilation Pattern in  Children and
                                    Associated Fine Particulate Matter
                                    Deposition	52
                                 Exacerbation of Asthma among Inner
                                    City Children	52
                                 Acute Respiratory Health and Ambient Air
                                    Quality in the Paso del Norte  Airshed 	53
Mechanisms of Age-Dependent Ozone-Induced
   Airway Dysfunction	53
Deposition of Air Pollutants in the Developing
   Human Lung  	54
Assessment of Genetic Alterations in
   Newborns and Adults	61
Fetal Metabolism of Aflatoxin Bl and
   Susceptibility to Childhood Cancer 	61
Identification of Lead Exposure and Risk
   Reduction  	66
Environmental Lead Risks  	66
Endocrine Disrupting Chemicals  Theme	86
Receptor and Signal Transduction Pathways in
   Developmental Toxicity	86
Developmental and Reproductive Toxicology
   (DART) Database  	88
Heat Shock Model (Mechanisms) for
   Developmental Toxicity	88
Biologically Based Dose-Response Modeling
   of Developmental Toxicity	89
Texas Neural Tube Defect Project	89
Cellular and Molecular Markers of
   Developmental Neurotoxicity	89
Environmental Exposures and Human
   Neurological Function	90
Role of Apoptosis in Developmental Toxicity . .  .90
Improved Evaluation of Gamete Function	90
Molecular Characterization of a Biological
   Threshold in Developmental Toxicity	91
Using Biomarkers of Exposure and
   Neurobehavioral Test Batteries to Assess
   Children's Neurological Vulnerability to
   Residential  Exposure to
   Tetrachloroethene (Perc)  	91
Study of Exposure and Body Burden of
   Children of Different Ages to  Pesticides in
   the Environment	102
Ingestion of Pesticides by Children in an
   Agricultural Community on the U.S.-Mexico
   Border	102
Exposure of Children to Persistent Organic
   Pollutants and Pesticides  	103
NAFTA Border Project: Pesticides and Kids . . .103
Microenvironmental Methods for Residential
   Exposure to Pesticides	103
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The EPA Children's Environmental Health Yearbook Supplement
Exposure of Children to Pesticides and
   Toxics 	104
Exposure of Children to Pesticides in Yuma
   County, Arizona	104
Vulnerability of Young Children to
   Organophosphate Pesticides and Selected
   Metals Through Intermittent Exposures in
   Yuma County, Arizona	105
Exposure of Children to Pesticide Residues . . . .105
Interactions and Mechanisms of Pesticide
   Mixtures—Children's Risk	105
Pesticide Interactions Affecting Fate and
   Transport and Children's Risk  	106
Long-Term Potentiation as a Model System for
   Cognitive Function	106
Pilot Study of Symptomatic Young Children for
   Pesticide Exposure	106
Pilot Study of Immunologic Effects of Pesticide
   Exposure in Infants  	107
Biochemical Effects of Pesticides on the Central
   Nervous System	107
Cognitive Effects of Pesticide Exposure During
   Development	107
Identifying the Mode and Mechanism of
   Action of Atrazine on Endocrine Function
   in the Female Rat	108
The Effects of Pesticides on the Immune System
   and Allergic Response	108
Perinatal Exposure of Rats to Toxic Chemicals
   and Pesticides and the Effects on Immune
   Function Development	108
A Study of Childhood Pesticide Poisoning in
   the Lower Rio Grande Valley	109
Non-Occupational Pesticide Illness
   Surveillance	109
Pesticide Exposure and Health Effects in
   Young Children along the U.S.-Mexico
   Border	109
Neurobehavioral Characterization of Susceptible
   Populations and Pesticide Neurotoxicity . . . .110
Metabolic Basis for Age-Dependent Effects of
   Pesticides	110
Chronic Arsenic Exposure and Reproductive
   Effects from Drinking Water 	113
Evaluation of Arsenic Metabolic Profiles in
   Adults and Children	114
Disinfectant Byproducts and Birth Defects  . . . .114
Community Intervention Studies for Drinking
   Water	114
Exposure of Children and Susceptible
   Populations to Chemicals in Drinking
   Water	115
Genetic Damage Associated with DBFs  	121
Rapid Scientific Methods for Measuring the
    Quality of Bathing Beach Waters  	121
Bathing Beaches Monitoring Protocols and
   Communicating Swimming Activity Risk
   to the Public	122
Human Exposure-to-Dose Models: Models and
   Modeling Methods for Assessing Human
   Exposure and Dose to Toxic Chemicals and
   Pollutants	126
Dietary Exposure of Children  	126
Developing Risk Assessment and Risk
   Management Models for Exposure of
   Children to Toxic Mold, Using Stachybotrys
   chartarum as the Model Mold  	127
Multipathway Exposure Modeling of Children
   and Adults to Pesticides and Toxics	127
Workshop to Identify  Critical Windows of
   Exposure for Children's Health  	128
Childhood Exposure Factors Handbook	128
IEUBK Model Expansion	128
EPA's Contribution to Children's Assessment
   inNHANESIV 	129
Children's Risk: Summary Statistics of Selected
   Data Elements of NHANES III  	130
Evaluation of Methods to Scale Pharmacokinetic
   Parameters between Adults and Children  . . .130
Ethnic and Minority Highly Exposed Children's
   Populations  	130
Children's Environmental Health and Safety
   Inventory of Research  	130
Protective Mechanisms Theme  	131
North Carolina Birth Cohort Study 	131
A Survey of Health and Environmental
   Conditions along the Texas-Mexico
   Border	132
Assessment of Chemical Mixtures	134
Children's Health Resources
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                                                                       The EPA Children's Environmental Health Yearbook Supplement
                                 Particulate Matter Epidemiology in Children .  . .137
                                 China Urban Respiratory Health Study 	137
                                 The Effects of Lead in Children and Adolescent
                                   Development	139

                                 Office of Solid Waste and Emergency Response
                                 Development of Guidance on the Use of
                                   Probabilistic Analysis in Risk Assessment
                                   at Superfund Sites 	122
                                 Community Involvement in Superfund Risk
                                   Assessments	123
                                 Superfund Basic Research Program	123
                                 Office of Solid Waste Risk Assessments	124

                                 Office of Water
                                 Children and Drinking Water Standards
                                   Brochure  	113
                                 Microbial Disinfectants and Disinfection
                                   Byproducts	115
                                 Non-Commercial Fish Consumption Kit for
                                   Health Care Providers  	118
                                 Drinking Water Quality Reports 	161

                                 EPA Regions

                                 Region 1
                                 Child Health Champion Program, Manchester,
                                   New Hampshire	12
                                 EPA Regional School-Based Programs to
                                   Improve Indoor Air Quality	26
                                 National Civil League Coalition Building
                                   Training	35
                                 ZAP Asthma Community Conference	36
                                 Urban Asthma Community Conference and
                                   Coalitions  	36
                                 Asbestos-in-Schools Rule	59
                                 Environmental Justice Grant: Lead Action
                                   Collaborative, Boston, Massachusetts  	67
                                 Consortium of North East States and Tribes
                                    (CONEST)  	68
                                 New England Lead Coordinating Committee
                                   (NELCC)	68
                                 Tribal Based Environmental Protection (TBEP)
                                   Program	69
Environmental Monitoring for Public Access and
   Community Tracking (EMPACT) Lead Safe
   Yard Program	69
EPA National Lead Poisoning Prevention and
   Lead Hazard Awareness Public Education and
   Outreach Program: Crittenton Hastings House,
   Boston, Massachusetts	70
EPA Supplemental Environmental Projects
   (SEP), Providence, Rhode Island	70
Keep It Clean Campaign, Video, Posters,
   Billboards 	70
Providence, Rhode Island, Mayor's Safe
   Housing Lead Task Force	71
IMPACT CD-ROM Technology  	71
Lead Safe Renovation Training - Interactive
   CD-ROM	71
First Steps: Childcare Provider/Parent Lead
   Awareness Manuals, Video, and CD-ROM . . .72
Urban Environmental Initiative (UEI)
   Cooperative Agreement: Urban Revival, Inc.,
   Prevent Lead Poisoning Project	72
Time Related Environmental Numeric Health
   Data System (TRENHDS) CD-ROM	73
UEI Cooperative Agreement: Lead Poisoning
   Prevention Awareness Program for Childcare
   Providers	73
UEI Cooperative Agreement: Codman Square
   Lead Poisoning Prevention Initiative 	73
UEI Cooperative Agreement: Revision House,
   Roxbury, Massachusetts	74
Healthy Beginnings: Lead Safe Families	74
Lead Suite CD-ROM  	75
One Way to Increase the Commitment:
   Conference on the Food Quality Protection
   Act	96
Environmental Justice in the "Hood" 1999  . . . .146
An Afternoon with UEI: Community
   Gardens/Urban Agriculture  	147
Healthy Schools:  Designing, Renovating, and
   Maintaining Our School Buildings	147
Urban and Environmental Initiative	148

Region 2
Child Health Champion Program, Ironbound
   Section, Newark, New Jersey	12
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Puerto Rico Department of Health—Asthma
   Coordinator	37
Integrated Pest Management in Urban Low-
   Income Housing Projects	37
Educational Photoliterature as a Means to Reduce
   Cockroach and Rodent Infestations Without
   Pesticides in  a Low-Income Setting	37
Asthma Education in East Harlem	38
Fighting Asthma in HUD Housing  	38
Clinical Directors Network Asthma Intervention
   Project	39
Camden-Rutgers University Asthma
   Project	39, 75
English/Spanish Video on Reducing Indoor
   Asthma Triggers in Inner City Dwellings   . . .40
Meeting of Hispanic Biomedical Association  . . .46
Asthma Intervention Study in Hunts Point 	47
Montefiore Medical Center Asthma Intervention
   Project	47
Allergen Levels  in Homes of Native
   Americans	48
Indoor Allergens Study in Puerto Rico  	48
Educational Photoliterature on Pesticide
   Misuse	99
Non-PRASA (Puerto Rico Aqueduct and Sewer
   Authority) Initiative   	116
Fish Advisories	118
Determining Potential Exposure  of Children
   near Superfund Sites  	124
Vega Baja Solid Waste Disposal  	125
Education about Asthma, Environmental
   Tobacco Smoke, and Lead	148
Asthma and Lead Abatement Training and
   Education (ALATE), Camden, New Jersey,
   and Northern Philadelphia, Pennsylvania  . . . 148
Environmental Education Grants	149
Environmental Justice Grants  	149
Getting a Head Start on Environmental
   Education	150
Newark Asthma and Lead Poisoning Education
   and Risk Reduction Project 	150

Region 3
Child Health Champion Program, Anacostia
   Section, Washington, DC	12
SunWise	60
Environmental Education Project 	75
Lead-Safe Babies Project  	76
Reducing Exposure to Lead in Drinking Water
   in Philadelphia's School District  	77
Childhood Risk Assessment at Superfund
    Sites	91
The Children's Healthline	161

Region 4
Child Health Champion Program, Prichard,
   Alabama 	12
EPA Regional School-Based Programs to
   Improve Indoor Air Quality	27
Outreach Campaign on Secondhand Smoke
   and Children  	31
Indoor Asthma and Allergen Control	40
Radon Mitigation for School Maintenance
   Personnel	57
Lead Umbrella Workshop	77
The National Urban and Residential Pesticide
   Control and Enforcement Program (Urban
   Initiative)	100
Preparing Maps of Region 4 Depicting
   Environmental, Health, and Demographic
   Characteristics	132
Pediatric Environmental Health Specialty
   Unit	145
Children's Pesticides, Asbestos, and Lead
   (PAL) Initiative  	151

Region 5
Child Health Champion Program, Near
   South/North Side Sections, Milwaukee,
   Wisconsin 	13
EPA Regional School-Based Programs to
   Improve Indoor Air Quality	27
Grant to Cuyahoga County Board of Health,
   Ohio  	31
Seminar Series on Asthma  	40
Community Partnership to Improve the Lives
   of Asthmatic Children in Chicago  	41
Managing Asthma in the Childcare Setting	41
Children's Health Resources
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                                                                        The EPA Children's Environmental Health Yearbook Supplement
                                 School Intervention Project—Headquarters/
                                    Springfield School Indoor Air Risk Factors
                                    Study	49
                                 Asthma Risk Factor Study of Chicago Public
                                    School, Before and After Implementation of
                                    an Integrated Pest Management Program ...  .49
                                 Elevated Blood Lead Levels - Regions 5
                                    States	78
                                 Outreach to Migrant Farm Worker Health
                                    Promoters on Reducing Lead Exposure
                                    Risks to Children	78
                                 Environmental WATCH Small Grants (Lead) . .  .78
                                 Environmental WATCH Small Grants
                                    (Mercury) 	87
                                 Elemental Mercury Exposures in Children:  A
                                    Workshop to Examine the Scope of the
                                    Problem and Opportunities for Prevention . .  .87
                                 Pesticide Regulatory Education Program	99
                                 Environmental WATCH Small Grants
                                    (Pesticides)  	99
                                 Safe Drinking Water Branch Compliance
                                    Workshops	116
                                 Reduction/Elimination of Persistent Toxic
                                    Substance in Great Lakes	117
                                 Children's Exposure Priorities at/near
                                    Superfund Sites  	125
                                 Environmental Pollutant Exposures in Children
                                    (EPEC) Project  	133
                                 Update on Chicago Cumulative Risk Initiative
                                    (CCRI) Project	135
                                 U.S.-Canada  Great Lakes Water Quality
                                    Agreement (GLWQA) 	142
                                 Center for Children's Environmental Health at
                                    Cook County Hospital, Chicago, Illinois . . . 146
                                 Second Annual Region 5 Children's
                                    Environmental Health Conference	152
                                 Pollution Prevention Educational
                                    Demonstrations  	152
                                 Environmental WATCH Small Grants: Operation
                                    Clean Sweep 	153

                                 Region 6
                                 Child Health  Champion Program, Cherokee
                                    Nation, Talequah, Oklahoma 	13
Childhood Asthma and Allergies
   Conference	41, 154
Environmental House Calls	42
Indoor Biological Risk Factors for Asthma in
   School Age Children	49
Lead Poisoning Prevention and Control
   Training	79
TSCA Section 406(b) Pre-Renovation
   Notification Rule	79
Bilingual (English/Spanish) Pesticide Safety
   Bingo Game  	97
Water Awareness Program	117
Environmental Health Workshops	144
Community-Based Training for Lay Health
   Promoters (Promotores) and Primary Care
   Clinicians	145
Children's Video: "E-Hazards"—They're Out
   There	153
Children's Health Booklet: "E-Hazards"—
   They're Out There	153
Educating Parents about Environmental
   Dangers to Children	154
Healthy Environments and Living Places
   (HELP) for Kids  	154

Region 7
Child Health Champion Program, New Madrid
   County, Missouri	13
EPA Regional School-Based Programs to
   Improve Indoor Air Quality	28
Indoor Air Environment Program for
   Children	31
Radon Outreach  	57
Asbestos Outreach and Technical Assistance ... .59
Region 7 Lead-Based Paint Activities	80
Local Lead Awareness Campaign	81
Environmental Education in the Paris School
   District	155

Region 8
Child Health Champion Program, Chippewa
   Cree Tribe, Rocky Boy's Reservation,
   Montana  	13
EPA Regional School-Based Programs to
   Improve Indoor Air Quality	28
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The EPA Children's Environmental Health Yearbook Supplement
ETS Outreach Project	32
Colorado Asthma Summit	42
Girl Scouts Asthma Awareness Badge	43
Indoor Environmental Intervention Study in
   Grade Schools and Childcare Centers to Reduce
   Childhood Asthma Symptoms	50
Radon Outreach/Community Projects	58
Environmental Justice and Children's Health
   Data: Investigating Potential Relationships
   with Spatial Data	62
Determining the Effectiveness of a Pesticide Risk
   Reduction Program for Migrant Farm Workers
   in Colorado  	97
Assessment of Urban Residential Exposure
   to2,4-D 	Ill
Children's Health Forum	156
Children's Health Display	156

Region 9
Child Health Champion Program, Nogales,
   Arizona 	13
Child Health Champion Program, East Side/Pico
   Section, Los Angeles, California  	14
EPA Regional School-Based Programs to
   Improve Indoor Air Quality	28
Asbestos-in-Schools Rule	59
Region 9 Lead Poisoning Prevention  	81
Farm Worker Safety in San Luis Obispo,
   California  	98
Reducing Use of Pesticides in Schools 	100
Reducing Pesticide Misuse 	101
Pesticides at the Border	Ill
Site Assessment in Response to Cancer in
   Children: McFarland, California	133
West Oakland Urban Pilot Project	134
Defensible Space Project	134
Epidemic logic Survey of Lead Exposure of
   Children in Tijuana, Mexico	141
Hazardous Materials Awareness and
   Preparedness Training  	156

Region 10
Child Health Champion Program, Toppenish,
   Washington  	14
EPA Regional School-Based Programs to
   Improve Indoor Air Quality	29
Environmental Tobacco Smoke Outreach 	32
Neighbor to Neighbor Indoor Air Quality:
   Environmental Justice Education Program .  . .43
Master Home Environmentalist Program	43
Community Outreach on Indoor Air and
   Asthma 	44
Seattle Healthy Homes Project 	50
Community-Based Environmental Monitoring
   with the Toppenish School District and the
   Yakama Nation  	51
Community-Based Lead Projects in Oregon ... .82
Urban League Lead Outreach Program	82
Lead Hazard Reduction Act Compliance,
   Oregon	83
"Runs Better Unleaded" Bus Campaign  	83
Tri-Regional Lead Conference  	83
Advance Notice of Funds Available for
   Lead Grant Program for Indian Tribes	84
Focused Outreach to Realtors  	84
Preventing Lead Exposure in Northern Idaho .  . .85
Yakima County, Childhood Lead Poisoning
   Reduction Program 	85
PCBs in Schools	86
Shoalwater Bay Indian Tribe Reproductive
   Health 	92
IPM in Schools	100
Protecting Drinking Water Supplies	117
Environmental Health Resources for
   Schools 	157
Children's Health Resources
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