Table of Contents

Foreword

Disclaimer

Chapter 1: Introduction

Chapter 2: Public Health Assessment Overview

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Chapter 3: Obtaining Site Information

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Chapter 4: Involving and Communicating With the Community

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Chapter 5: Exposure Evaluation: Evaluating Environmental Contamination

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Chapter 6: Exposure Evaluation: Evaluating Exposure Pathways

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Chapter 7: Health Effects Evaluation: Screening Analysis

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Chapter 8: Health Effects Evaluation: In-depth Analysis

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Chapter 9: Determining Conclusions and Recommendations

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List of Appendices

Appendix A: Tribal-specific Resources and Considerations

Appendix B: ATSDR Glossary of Terms

Appendix C: Community Check List

Appendix D: Guidelines for Effective Communication

Appendix E: Chemical- and Site-Specific Factors That May Affect Contaminant Transport

Appendix F: Derivation of Comparison Values

Appendix G: Calculating Exposure Doses

Appendix H: Public Health Conclusion Categories

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List of Tables

Table 3-1. Contamination Information Needed by Environmental Medium

Table 3-2. Site-Specific Information That May Be Needed To Evaluate Contaminant Fate and Transport

Table 3-3. Information Available Through Government Agencies

Table 3-4. Useful Government Sources of Information

Table 3-5. Sample Site Summary Table

Table 4-1. ATSDR Program Areas with Responsibilities for Working with Communities

Table 4-2. Issues to be Considered When Developing Community Involvement Strategies

Table 4-3. Activities That Might Be Conducted at Three Different Levels of Community Involvement and Participation

Table 5-1. Example Use of a Table To Display Data: Surface Water Sampling Data for Selected Metals Along the XXX River

Table 6-1. Documenting Exposure Pathways

Table 7-1. Additional Sources of Environmental Guidelines

Table 9-1. Summary of Conclusion Categories

Table 9-2. Summary of Conclusion Categories With Recommended Public Health Actions

Table 9-3. Factors to Consider When Selecting Health Activities

Table 9-4. Worksheet for Developing Recommendations and PHAP (Completed To Show a Biologic Monitoring Action)

Table 9-5. Example Conclusions, Recommendations, and Public Health Actions

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List of Figures

Figure 1-1. Basic Components of the Public Health Assessment Process

Figure 2-1. Types of ATSDR Staff and External Partners That May Be Involved in Supporting a Public Health Assessment

Figure 2-2. Overview of the Public Health Assessment Process

Figure 2-3. Information Needed To Evaluate Exposures and Health Effects

Figure 3-1. The Basic Iterative Information-Gathering Process for a Public Health Assessment

Figure 3-2. Basic Data Needs for Conducting a Public Health Assessment

Figure 4-1. Components of Effective Community Involvement

Figure 5-1. Examples of Maps Used to Display Environmental Data

Figure 5-2. Example of a Chart to Display Data: Number of Exceedances of EPA’s Health-based Ozone Standard at Site X since 1982

Figure 6-1. Evaluating Exposure Pathways

Figure 6-2. Site Conceptual Model—Exposure Pathway Schematic

Figure 6-3. Site Conceptual Model—Exposure Pathway Evaluation

Figure 7-1. Screening Analysis Overview

Figure 7-2. Environmental Guideline Hierarchy

Figure 8-1. Overview of In-depth Analysis

Figure 8-2. Schematic of Various Low-dose Extrapolation Methods

Figure 8-3. Factors Affecting Whether Environmental Contamination May Result in Harmful Effects

Figure 8-4. Health Outcome Data Evaluation Decision Tree (for evaluating site-related exposures)

Figure 9-1. Overview of Conclusion and Recommendation Process

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Page last reviewed: January 30, 2012