PETITIONED PUBLIC HEALTH ASSESSMENT

SITES IN
BLUEFIELD, WEST VIRGINIA; BLUEFIELD, VIRGINIA; AND VICINITY

May 31, 1994

Prepared By

Division of Health Assessment and Consultation
Agency for Toxic Substances and Disease Registry

TABLE OF CONTENTS

SUMMARY

INTRODUCTION

BACKGROUND

A. HISTORY AND SITE DESCRIPTION
B. SITE VISIT
C. DEMOGRAPHICS, LAND USE, AND NATURAL RESOURCE USE
D. HEALTH OUTCOME DATA

COMMUNITY HEALTH CONCERNS

ENVIRONMENTAL CONTAMINATION AND OTHER HAZARDS

A. SAMPLING DATA
B. CONTAMINATION
C. QUALITY ASSURANCE AND QUALITY CONTROL
D. PHYSICAL AND OTHER HAZARDS

PATHWAYS ANALYSES

A. ENVIRONMENTAL PATHWAYS (TRANSPORT AND FATE)
B. HUMAN EXPOSURE PATHWAYS

PUBLIC HEALTH IMPLICATIONS

A. TOXICOLOGICAL EVALUATION
B. HEALTH OUTCOME DATA EVALUATION
C. COMMUNITY HEALTH CONCERNS EVALUATION

CONCLUSIONS

RECOMMENDATIONS

PUBLIC HEALTH ACTIONS

PREPARERS OF REPORT

REFERENCES

SELECTED BIBLIOGRAPHY

APPENDIX A: SAMPLING DATA TABLES

APPENDIX B: RESPONSE TO COMMENTS

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