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Table of Contents



Chapter 1: Introduction

Chapter 2: Public Health Assessment Overview

2.1 What Is a Public Health Assessment? 2.2 When Is a Public Health Assessment Conducted?
2.3 Who Conducts Public Health Assessments?
2.4 What Is the Role of the Site Community?
2.5 How Is a Public Health Assessment Conducted? 2.6 What Products and Actions Result From the Public Health Assessment Process? 2.7 What Is the Format for Public Health Assessment Documents?

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Chapter 3: Obtaining Site Information

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Chapter 4: Involving and Communicating With the Community

4.1 Definitions, Goals and Objectives, and Program Roles 4.2 Working and Communicating with Community Members 4.3 Planning Community Involvement Activities 4.4 Community Involvement Tools 4.5 Including Community Involvement Activities in the Public Health Assessment Process
4.6 Community Health Concerns in Public Health Assessment Documents 4.7 Public Comment Process and Release of Final Public Health Assessment Documents 4.8 Disseminating Information to the Community References
Other Resources

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Chapter 5: Exposure Evaluation: Evaluating Environmental Contamination

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Chapter 6: Exposure Evaluation: Evaluating Exposure Pathways

6.1 Exposure Pathway Evaluation 6.2 Contamination Source(s) and Releases 6.3 Evaluating Fate and Transport of Contaminants 6.4 Identifying Point(s) of Exposure and Exposure Routes 6.5 Identifying Potentially Exposed Populations 6.6 Categorizing Exposure Pathway Information 6.7 Identifying the Need for Gathering Additional Exposure Data 6.8 Presenting Exposure Pathway Information in the Public Health Assessment Document
Other Resources

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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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