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Have U.S. military personnel experienced health problems from being exposed to Agent Orange, its dioxin contaminants, and other herbicides used in Vietnam? This definitive volume summarizes the strength of the evidence associating exposure during Vietnam service with cancer and other health effects and presents conclusions from an expert panel. Veterans and Agent Orange provides a historical review of the issue, examines studies of populations, in addition to Vietnam veterans, environmentally and occupationally exposed to herbicides and dioxin, and discusses problems in study methodology. The core of the book presents What is known about the toxicology of the herbicides used in greatest quantities in Vietnam. What is known about assessing exposure to herbicides and dioxin. What can be determined from the wide range of epidemiological studies conducted by different authorities. What is known about the relationship between exposure to herbicides and dioxin, and cancer, reproductive effects, neurobehavioral disorders, and other health effects. The book describes research areas of continuing concern and offers recommendations for further research on the health effects of Agent Orange exposure among Vietnam veterans. This volume will be critically important to both policymakers and physicians in the federal government, Vietnam veterans and their families, veterans organizations, researchers, and health professionals.
People are increasingly concerned about potential environmental health hazards and often ask their physicians questions such as: "Is the tap water safe to drink?" "Is it safe to live near power lines?" Unfortunately, physicians often lack the information and training related to environmental health risks needed to answer such questions. This book discusses six competency based learning objectives for all medical school students, discusses the relevance of environmental health to specific courses and clerkships, and demonstrates how to integrate environmental health into the curriculum through published case studies, some of which are included in one of the book's three appendices. Also included is a guide on where to obtain additional information for treatment, referral, and follow-up for diseases with possible environmental and/or occupational origins.
Incineration has been used widely for waste disposal, including household, hazardous, and medical wasteâ€"but there is increasing public concern over the benefits of combusting the waste versus the health risk from pollutants emitted during combustion. Waste Incineration and Public Health informs the emerging debate with the most up-to-date information available on incineration, pollution, and human healthâ€"along with expert conclusions and recommendations for further research and improvement of such areas as risk communication. The committee provides details on: Processes involved in incineration and how contaminants are released. Environmental dynamics of contaminants and routes of human exposure. Tools and approaches for assessing possible human health effects. Scientific concerns pertinent to future regulatory actions. The book also examines some of the social, psychological, and economic factors that affect the communities where incineration takes place and addresses the problem of uncertainty and variation in predicting the health effects of incineration processes.
Incineration of Municipal Waste brings together the proceedings of two specialized seminars dealing with emissions from modern municipal waste incinerators and held in Copenhagen, Denmark: Incinerator Emissions of Heavy Metals and Particulates, held on September 18-19, 1985, and Emission of Trace Organics from Municipal Solid Waste Incinerators, held on January 20-22, 1987. The papers explore how modern stack gas cleaning equipment can reduce the emission of toxic substances, whether metallic or organic. Comprised of 36 chapters, this book begins with an overview of the fundamentals and salient features of energy-dispersive X-ray fluorescence spectroscopy for monitoring of heavy metals. The discussion then turns to gas cleaning methods such as dry scrubbing systems using slurry injection; measurements of mercury in flue gases from the Högdalen incinerator in Stockholm, Sweden; the performance of electrostatic precipitators; and the role of cadmium and mercury in municipal sohd waste incineration. Subsequent chapters focus on the flux of metals through municipal solid waste incinerators; health effects of chlorinated dioxin and other trace organic emissions; and total organic carbon emissions from municipal incinerators. This monograph will be of interest to government officials and environmental policymakers.