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Case Contents
Cover Page
Goals and Objectives
Case Study, Pretest
Biologic Indicators
Diagnosis
Case Study (Continued)
Exposure-Disease Model
Susceptible Host
Sources of Exposure
Medical Evaluation
Health Interventions
References
Answers
Appendices
 
Environmental Medicine
CSEM
GREM
PEHT
Continuing Education
Online Registration
Patient Education
Community Education
Lead
CABS: Lead
CSEM: Lead
Lead Screening
PHS: Lead
Pb/As/Cd/Cr Interaction
Pb/Mn/Zn/Cu Interaction
Pb/Chlorpyrifos/Hg/Me-Hg
ToxFAQs™: Lead
Toxguide: Lead Lead Toxguide: PDF Version
Tox Profile: Lead
Mercury
Acrodynia
Breast Milk: Methyl Hg
CABS - Mercury
Fish: Methyl Mercury
Medical Guidelines - Hg
Mercury Alert
Mercury Issues
Metallic Mercury
Pb/Chlorpyrifos/Hg/Me-Hg
PHS - Mercury
ToxFAQs™ - Mercury
Tox Profile - Mercury
 
ATSDR Resources
ATSDR en Español
Case Studies (CSEM)
Exposure Pathways
Health Assessments
Health Statements
Interaction Profiles
Interactive Learning
Managing Incidents
Medical Guidelines
Minimal Risk Levels
Priority List
ToxFAQs™
ToxFAQs™ CABS
Toxicological Profiles
Toxicology Curriculum
 
External Resources
CDC
Cancer
eLCOSH
EPA
Healthfinder®
Medline Plus
NCEH
NIEHS
NIOSH
OSHA

Agency for Toxic Substances and Disease Registry 
Case Studies in Environmental Medicine (CSEM) 
Pediatric Environmental Health
Sources of Common Environmental Hazards

Table 4. Sources of Common Environmental Hazards

Hazards and Routes of Exposure* Outdoor Air and Soil Building Structure Furnishings and Finishings
Asbestos (R, D, O) Hazardous waste sites

Abrasion of brake linings

Building demolition
Sprayed-on fireproofing

Roofing and siding

Thermal insulation
Ceiling and floor tiles

Textured wall and ceiling finishing
Biologic
(R, O)
Local flora

Molds

Animal droppings

Insects

Microorganisms

Composting
Wet insulation

Wet carpet

Wet wallboard
Carpet

Fleecy furnishings

Bedding (All worse when damp)
Combustion products (R) Combustion engines

Incinerators

Forest fires

Residential and industrial furnaces
House fires House fires
Lead (O, R) Hazardous waste

Industrial effluent

Exterior paint

Demolition and sandblasting

Lead pipes
Lead plumbing fixtures and solder Lead paint
Mercury (R) Hazardous waste

Industrial emissions

Food source (fish)
Old household paints before mercury ban

Industrial or marine paints
Thermometers, thermostats, and medical instruments
Pesticides
(O, D)
Spray drift from foundation exterminations

Lawn and agricultural residue

Hazardous waste
Treated building materials Carpets

Wall coverings

Shower curtains

Paints
Polychlorinated or brominated biphenyls - - -

Radon (R)

Soil

Well water

Natural gas

Stone

Brick

Cement block

-
Respirable particulates (R)

Wind-blown soil

Industrial emissions

Fossil fuel combustion

Forest and brush fires

Volcanic eruptions

Demolition of wall and internal structures Fleecy furnishings, including
shag carpets, upholstered furniture
Volatile organic compounds
(R, O, D)

Underground storage tanks

Hazardous waste

Industrial emissions

Tap water pollution

Inadequately aired dry cleaning

Composition board

Urea formaldehyde insulation

Adhesives

Caulks

Additives to fiberglass insulation

Plastics

Spackling compound

Paints and other surface coatings

Cabinetry

Furniture

Carpets

Plastics

*R: respiratory; D: dermal; O: oral. Routes of exposure are listed for each contaminant in the usual order of importance.
[Continued in the next section]

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Revised 2002-07-30.