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PUBLIC HEALTH ASSESSMENT

PADUCAH GASEOUS DIFFUSION PLANT (U.S. DOE)
PADUCAH, MCCRACKEN COUNTY, KENTUCKY


APPENDIX K: ATSDR GLOSSARY OF TERMS

Absorption:
The process of taking in, as when a sponge takes up water. Chemicals can be absorbed through the skin into the bloodstream and then transported to other organs. Chemicals can also be absorbed into the bloodstream after being breathed in or swallowed.


Activity (Radioactivity):
The number of nuclear transformations occurring in a given quantity of material per unit of time.


Acute:
Occurring over a short time, usually a few minutes or hours. An acute exposure can result in short-term or long-term health effects. An acute effect happens a short time (up to 1 year) after exposure.


Adverse Health Effect:
A change in body function or the structures of cells that can lead to disease or health problems.


Ambient:
Surrounding. For example, ambient air is usually outdoor air (as opposed to indoor air).


Analyte:
A chemical component of a sample to be determined or measured. For example, if the analyte is mercury, the laboratory test will determine the amount of mercury in the sample.


Aquifer:
A permeable rock stratum below the earth's surface through which groundwater moves; generally capable of producing water for a well.


Background Level:
A typical or average level of a chemical in the environment. Background level often refers to naturally occurring or uncontaminated levels.


Background Radiation:
Radiation resulting from cosmic rays and naturally occurring radioactive material. Background radiation is always present, and its level can change with altitude and the amount of radioactive material present in soil and building materials.


Becquerel (Bq):
The international unit of measure for the quantity of radioactive material; one becquerel is that quantity of radioactive material in which one atom decays in 1 second. One becquerel is equivalent to 27 picocuries.


Biological Uptake:
The transfer of hazardous substances from the environment to plants, animals, and humans. This can be evaluated through environmental measurements (for example, by measuring the amount of the substance in an organ known to be susceptible to that substance). More commonly, biological dose measurements are used to determine whether exposure has occurred. The presence of a contaminant, or its metabolite, in human biological specimens, such as blood, hair, or urine, is used to confirm exposure and can be an independent variable in evaluating the relationship between the exposure and any observed adverse health effects.


Biota:
The animal and plant life of a particular region. As used in ATSDR's public health assessments, biota means animals, fish, and plants that humans would eat.


Body Burden:
The total amount of a chemical in the body. Some chemicals build up in the body because they are stored in tissues (e.g., fat, bone) or are eliminated very slowly.


Cancer:
A group of diseases which occur when cells in the body become abnormal and grow, or multiply, out of control.


Carcinogen:
Any substance that can cause cancer.


Carcinoma:
A malignant neoplasm composed of epithelial cells, regardless of their derivation.


Case Study:
The medical or epidemiologic evaluation of a single person or a small number of individuals to determine descriptive information about their health status or potential for exposure through interview or biomedical testing.


Central Nervous System:
The part of the nervous system that includes the brain and the spinal cord.


CERCLA:
The Comprehensive Environmental Response, Compensation, and Liability Act of 1980, also known as Superfund. CERCLA's major provisions are designed to comprehensively address the problems associated with hazardous waste sites. This is the federal legislation that created ATSDR.


Chronic:
Occurring over a long period of time (1 year or more).


Committed Equivalent Dose:
(previously "Committed Dose Equivalent") The International Commission of Radiological Protection's term (starting with ICRP Publication 60) for the equivalent dose to organs and tissues of reference that will be received from an intake of radioactive material by an individual over a 50-year period following the intake for adults and from age of the intake to 70 years for children.


Committed Effective Dose:
(previously "Committed Effective Dose Equivalent") The International Commission for Radiological Protection's term for the sum of the products of (1) the weighting factors applicable to each body organ or tissue that is irradiated and (2) the committed equivalent dose to the appropriate organ or tissue integrated over time (in years) following the intake. The integrated time is 50 years for an adult and from the time of intake to 70 years for children. The committed effective dose is used in radiation safety because it implicitly includes the relative carcinogenic sensitivity of the various tissues.


Comparison Value:
The estimated contaminant concentration in a specific medium that is not likely to cause adverse health effects, given a standard daily ingestion rate and standard body weight. Comparison values are calculated from the scientific literature available on exposure and health effects.


Concentration:
The amount of one substance dissolved or contained in a given amount of another. For example, sea water contains a higher concentration of salt than fresh water.


Contaminant:
Any substance or material unintentionally introduced into a medium (air, water, soil, sediment, food) which has the effect of rendering them toxic or otherwise harmful.


Contaminant of Concern:
Any chemical or substance that has the potential to adversely affect human receptors due to its concentration, distribution, and mode of toxicity.


Curie (Ci):
The traditional unit of measure for the quantity of radioactive material; one curie is that quantity of radioactive material in which 37 billion transformations occur per second, which is approximately the activity of 1 gram of radium. One curie is equivalent to 37 gigabecquerels.


Decay Product (Daughter Product, Progeny):
A radioisotope formed by the radioactive transformation of some other radioisotope.


Decay, Radioactive:
Transformation of the nucleus of an unstable nuclide by spontaneous emission of charged particles and/or photons.


Depleted Uranium:
Uranium in which the proportion of uranium 235 to total uranium of all isotopes is decreased from 0.72% to a lower value.


Dermal:
Referring to the skin. Dermal absorption is absorption through the skin.


Detection Limit:
The minimum concentrations that can be accurately and precisely measured by the laboratory and/or specified in a quality assurance plan.


Dose:
The amount of a substance that is absorbed or deposited in the body of an exposed organism for an increment of time. For chemicals, dose often takes body weight into account. For radioactive materials or radiation, dose denotes the quantity of radiation or energy absorbed and is a generic term for absorbed dose, equivalent dose, effective dose, committed equivalent dose, or committed effective dose.


Effective Dose:
(previously "Effective Dose Equivalent") The International Commission for Radiological Protection's term (starting with ICRP Publication 60) for the sum of the products of (1) the weighting factors applicable to each body organ or tissue that is irradiated and (2) the mean equivalent dose in the tissue or organ.


Enriched Uranium:
Uranium in which the proportion of uranium 235 to total uranium of all isotopes is increased from 0.72% to a higher value.


Environmental Contamination:
The presence of unnatural or unintentional substances in the environment. From the public health perspective, environmental contamination should be addressed when it can affect the health and quality of life of people living and working near the contamination.


Epidemiology:
The study of the occurrence and causes of health effects in human populations. An epidemiological study often compares two groups of people who are alike except for one factor, such as exposure to a chemical or the presence of a health effect. The investigators try to determine if any factor is associated with the health effect.


Equivalent Dose:
(previously "Dose Equivalent") The International Commission for Radiological Protection's term (starting with ICRP Publication 60) for the product of the amount of energy absorbed per mass of tissue (joules per kilogram) times the quality factor for the type of radiation imparting the energy. The unit used for equivalent dose is the sievert (Sv). The unit used previously for dose equivalent was the rem. (1 rem = 0.01Sv)


Exposure:
Contact with a chemical by swallowing, breathing, or direct contact (such as through the skin or eyes). Exposure can be short-term (acute) or long-term (chronic).


Exposure Registry:
A system for collecting and maintaining, in a structured record, information on persons with documented environmental exposure(s). The exposure registry evolved from the need for fundamental information about the potential impact on human health of long-term exposure to low and moderate levels of hazardous substances.


Geographic Information System (GIS):
A computer hardware and software system designed to collect, manipulate, analyze, and display spatially referenced data. One can use a GIS to solve complex resource, environmental, and social problems.


Gray (Gy) :
The international (SI) unit of absorbed radiation dose. One Gy equals the absorption of one joule of energy per kilogram of absorber. One gray equals 100 rad.


Hazard:
A hazard is only a source of risk if an exposure pathway exists and if exposures can have adverse consequences.


Health Outcome Data:
A major source of data for public health assessments. The identification, review, and evaluation of health outcome parameters are interactive processes involving health assessors, data source generators, and the local community. Health outcome data are community specific and may be derived from databases at the local, state, and national levels, as well as from data collected by private health care organizations and professional institutions and associations. Databases to be considered include morbidity and mortality data, birth statistics, medical records, tumor and disease registries, surveillance data, and previously conducted health studies.


Indeterminate Public Health Hazard:
A category assigned to sites or pathways for which no conclusions about public health hazard can be made because data are lacking.


Ingestion:
Swallowing (such as eating or drinking). Chemicals can get in or on food, drink, utensils, cigarettes, or hands, where they can be ingested. After ingestion, chemicals can be absorbed into the blood and distributed throughout the body.


Inhalation:
Breathing. One can be exposed to contaminants through inhalation, because inhaled contaminants can be deposited in the lungs, taken into the blood, or both.


Intermediate:
Occurring over a mid-length period of time. Intermediate exposure is exposure lasting 15 to 364 days.


Isotope:
Any nuclide of an element having the same number of protons in its nucleus (i.e., the same atomic number) as the element, but a different number of neutrons (i.e., a different mass number or atomic weight).


Media:
Soil, sediment, water, air, plants, animals, or any other parts of the environment that can contain contaminants.


Metabolism:
All the chemical reactions that enable the body to work. For example, food is metabolized (chemically changed) to supply the body with energy. Chemicals can be metabolized and made either more or less harmful by the body.


Metabolite:
Any product of metabolism.


Microcurie:
One-millionth of a curie, symbolized as µCi.


Millicurie:
One-thousandth of a curie, symbolized as mCi.


Minimal Risk Level (MRL):
An estimate of daily human exposure to a dose of radiation or a chemical that is likely to be without an appreciable risk of adverse noncancerous effects over a specified duration of exposure.


Morbidity:
Illness or disease. Morbidity rate is the number of illnesses or cases of disease in a population.


National Priorities List (NPL):
The U.S. Environmental Protection Agency's listing of sites that have undergone preliminary assessment and site inspection to determine which locations pose immediate threat to persons living or working near the release. These sites are most in need of cleanup.


No Apparent Public Health Hazard:
A category assigned to sites or pathways where human exposure to contaminated media is occurring or has occurred in the past, but is below a level of health hazard.


No Public Health Hazard:
A category assigned to sites for which data indicate no current or past exposure or no potential for exposure in the future and, therefore, no health hazard.


Picocurie:
One-trillionth of a curie, symbolized as pCi.


Plume:
An area of chemicals or radioactive materials in a particular medium, such as air or groundwater, moving away from its source in a long band or column. A plume can be a column of smoke from a chimney or contaminants moving with groundwater.


Public Health Hazard:
A category assigned to a site or pathway that poses a public health hazard because of long-term exposures to hazardous substances could result in adverse health effects.


Radiation:
The emission and propagation of energy in the form of waves.The term, when unqualified, usually refers to electromagnetic radiation, such as infrared, visible light, ultraviolet, X-ray, or gamma ray. It can also refer to corpuscular emissions, such as alpha and beta radiation.


Rad:
The traditional radiation unit for energy deposition per unit mass of matter. One rad is equal to 0.01 Joules deposited per kilogram of matter (1 rad = 0.01 J/kg).


Radioactivity:
The property of certain nuclides to spontaneously transform into other elements by emitting alpha or beta particles.


Registry:
A system for collecting and maintaining, in a structured record, information on specific persons from a defined population. Preliminary analyses and reviews are performed.


Rem:
The traditional unit of radiation equivalent dose and effective dose. The equivalent dose in rem is numerically equal to the absorbed dose in rad multiplied by a quality factor. One rem is equivalent to 0.01 sieverts (the international unit currently being used).


Risk:
In risk assessment, the probability that something will cause injury, combined with the potential severity of that injury.


Route of Exposure:
The way in which a person comes in contact with a chemical or radioactive substance. For example, drinking (ingestion) and bathing (skin contact) are two different routes of exposure to contaminants in water.


Sievert:
The international unit of radiation equivalent dose and effective dose. The equivalent dose in sieverts is numerically equal to the absorbed dose in gray multiplied by a quality factor. One sievert is equivalent to 100 rems (the traditional unit).


Specific Activity:
The total radioactivity of a given nuclide per gram of an element. This is a measure of the concentration of radioactivity. Specific activity can be expressed as µCi/gram, Bq/L, etc.


Superfund:
Another name for the Comprehensive Environmental Response, Compensation, and Liability Act of 1980 (CERCLA), which created ATSDR.


Superfund Amendments and Reauthorization Act (SARA):
The 1986 legislation that extensively amended CERCLA and broadened ATSDR's responsibilities in the areas of public health assessment, establishment and maintenance of toxicologic databases, information dissemination, and medical education.


Toxicological Profile:
A document (about a specific substance) in which ATSDR scientists interpret all known information on that substance and specify the levels at which people may be harmed if exposed to it. A toxicological profile also identifies significant data gaps in knowledge on substances and serves to initiate further research, when needed.


Urgent Public Health Hazard:
A category assigned to sites or pathways that pose a serious risk to public health as the result of short-term exposures to hazardous substances.


Vapor:
The gaseous state of a substance that, under ordinary conditions, is liquid or solid.


Volatile Organic Compounds (VOCs):
Substances containing carbon and different proportions of other elements such as hydrogen, oxygen, fluorine, chlorine, bromine, sulfur, or nitrogen. These substances easily become vapors or gases. A significant number of the VOCs are commonly used as solvents (paint thinners, lacquer thinners, degreasers, and dry cleaning fluids).

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