Contents

• THE NATIONAL ACADEMIES
• ROUNDTABLE ON ENVIRONMENTAL HEALTH SCIENCES, RESEARCH, AND MEDICINE
• Reviewers
• Preface
• Summary
• Workshop Objectives and Charge to Participants
• Introduction
  • NEED FOR ENVIRONMENTAL HEALTH MONITORING
  • ENVIRONMENTAL HEALTH MONITORING IN THE CONTEXT OF THE INSTITUTE OF MEDICINE'S STUDIES IN PUBLIC HEALTH
• 1. Bridging the Chasm Between Health and the Environment: Science and Policy Context
  • A CONGRESSIONAL PERSPECTIVE
  • A VIEW FROM THE ENVIRONMENTAL PROTECTION AGENCY
  • A VIEW FROM THE DEPARTMENT OF HEALTH AND HUMAN SERVICES
• 2. Overview of Environmental Health Monitoring and the Use of Indicators
  • CRITERIA FOR ESTABLISHING AN EFFECTIVE NATIONWIDE ENVIRONMENTAL HEALTH MONITORING SYSTEM
  • ENVIRONMENTAL HEALTH INDICATORS
  • INTERNATIONAL FRAMEWORKS FOR DEVELOPING ENVIRONMENTAL HEALTH INDICATORS
  • USING INDICATORS TO RANK ENVIRONMENTAL HEALTH RISKS
• 3. Environmental Health Monitoring at the Federal Level
  • GENERAL OVERVIEW OF EFFORTS OF THE CENTERS FOR DISEASE CONTROL AND PREVENTION
  • CURRENT EFFORTS OF THE AGENCY FOR TOXIC SUBSTANCES AND DISEASE REGISTRY (ATSDR)
  • CURRENT EFFORTS OF THE NATIONAL INSTITUTE FOR OCCUPATIONAL SAFETY AND HEALTH
  • CURRENT EFFORTS OF THE ENVIRONMENTAL PROTECTION AGENCY
  • RESEARCH ACTIVITIES OF THE NATIONAL INSTITUTE OF ENVIRONMENTAL HEALTH SCIENCES
  • BUILDING PARTNERSHIPS FOR EFFECTIVE ENVIRONMENTAL HEALTH MONITORING
• 4. Needed Integration of Other Federal Agencies, State Agencies, and Nongovernmental Organizations to Build a Monitoring System
  • LESSONS FROM THE INTERNATIONAL COMMUNITY
  • CONTRIBUTIONS OF A “NONTRADITIONAL” FEDERAL PARTNER: THE U.S. GEOLOGICAL SURVEY
  • ENVIRONMENTAL HEALTH MONITORING AT STATE AND LOCAL LEVELS
  • CONTRIBUTIONS OF INDUSTRY TO ENVIRONMENTAL HEALTH MONITORING
  • CONTRIBUTIONS OF WEB-BASED INFORMATION SERVICES TO ENVIRONMENTAL HEALTH MONITORING
  • ROLE OF THE MEDIA IN INFORMING THE PUBLIC ABOUT ENVIRONMENTAL HEALTH MONITORING
• 5. The Challenges Ahead
  • ENVIRONMENTAL HEALTH SCIENCES
  • ENVIRONMENTAL HEALTH MONITORING SYSTEM OVERVIEW
  • EXPANDING RESEARCH EFFORTS
  • IMPROVING CAPACITY
  • COMMUNITY INVOLVEMENT
  • FUTURE STEPS FOR ENVIRONMENTAL HEALTH MONITORING
• Abstracts
  • THE COMMON GROUND: THE CRITICAL ROLE OF INDICATORS AND TRACKING IN SHAPING THE FUTURE OF ENVIRONMENTAL HEALTH
  • ENSURING USABILITY IN ENVIRONMENTAL HEALTH MONITORING
  • ENVIRONMENTAL HEALTH MONITORING: A VIEW FROM INDUSTRY
  • THE LOCAL COMMUNITY: ENVIRONMENTAL CHALLENGES AND RECOMMENDATIONS
  • THE INTERACTION WITH THE GLOBAL COMMUNITY
  • WHAT EARTH SCIENCE TECHNOLOGY CAN DO TO ASSIST PUBLIC HEALTH
  • CENTERS FOR DISEASE CONTROL AND PREVENTION'S APPROACH TO DISEASE SURVEILLANCE
  • UNDERSTANDING THE STATE OF THE ENVIRONMENT: MOVING BEYOND THE PROCESS TO TRUE OUTCOME INDICATORS
  • ENVIRONMENTAL HEALTH INDICATORS AND WEB-BASED INFORMATION SERVICES
  • ENVIRONMENTAL HEALTH MONITORING IN THE WORKPLACE: SAFEGUARDING WORKERS AND ADVANCING PUBLIC HEALTH
  • YES, BUT WILL THE PUBLIC CARE? (AND DO THE MEDIA CARE?)
• References
• Appendix A Workshop Agenda
• Appendix B Speakers and Panelists
• Appendix C Workshop Participants

This study was supported by contracts and grants between the National Academy of Sciences and the National Institute of Environmental Health Sciences, National Institute of Health (Contract No. 282–99–0045, TO#5), National Center for Environmental Health and Agency for Toxic Substances and Disease Registry, Centers for Disease Control and Prevention (Contract No. 200–2000–00629, TO#7); National Institute for Occupational Safety and Health, Centers for Disease Control and Prevention (Contract No. 0000166930); National Health and Environment Effects Research Laboratory and National Center for Environmental Research, Environmental Protection Agency (Contract No. 282–99–0045 TO#5); American Chemistry Council; and Exxon-Mobil Corporation (unnumbered grants). Any opinions, findings, conclusions, or recommendations expressed in this publication are those of the author(s) and do not necessarily reflect the view of the organizations or agencies that provided support for this project.

This summary is based on the proceedings of a workshop that was sponsored by the Roundtable on Environmental Health Sciences, Research, and Medicine. It is prepared in the form of a workshop summary by and in the names of the editors, with the assistance of staff and consultants, as an individually authored document.

NOTICE: The project that is the subject of this report was approved by the Governing Board of the National Research Council, whose members are drawn from the councils of the National Academy of Sciences, the National Academy of Engineering, and the Institute of Medicine. The members of the committee responsible for the report were chosen for their special competences and with regard for appropriate balance.