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Sample records for allegheny county health

  1. Health status indicators for the year 2000: projections for Allegheny County, Pennsylvania.

    PubMed Central

    Carson, C A; Zucconi, S L

    1993-01-01

    A consensus set of health status indicators was released in July 1991 by the Centers for Disease Control and Prevention for use by public health officials at the Federal, State, and local levels in identifying and monitoring issues of public health importance. These health status indicators have been projected for the Year 2000 in Allegheny County, PA, with linear regression analyses of historical data. Indications are that mortality rates for black infants, breast cancer mortality, suicide, lung cancer mortality, incidence of acquired immunodeficiency syndrome, and the number of measles cases likely will not meet the year 2000 targets in Allegheny County. These data will prove useful in monitoring progress towards the year 2000 objectives and provide comparative data for other geographic areas of the United States with similar demographic characteristics. PMID:8265755

  2. 77 FR 71140 - Approval and Promulgation of Air Quality Implementation Plans; Pennsylvania; Allegheny County...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-11-29

    ...; Allegheny County Incorporation by Reference of Pennsylvania's Consumer Products Regulations AGENCY... 2105.88--Consumer Products to Allegheny County Health Department (ACHD) Rules and Regulations, Article... Products) of PADEP's Air Pollution Control Act to reduce emissions of volatile organic compounds (VOC)....

  3. Allegheny County, PA: Mobilizing To Reduce Juvenile Crime.

    ERIC Educational Resources Information Center

    Hsia, Heidi M.

    Juvenile crime and its immediate and long-term economic and human costs have become a national concern. Programs to prevent and reduce delinquency have developed across the country and one such program in Allegheny County, Pennsylvania (which includes Pittsburgh) is described in this bulletin. The Allegheny program exemplifies a large-scale,…

  4. WATER QUALITY IN OPEN FINISHED WATER RESERVOIRS - ALLEGHENY COUNTY, PENNSYLVANIA

    EPA Science Inventory

    The purpose of this investigation was to study water quality changes occurring in open reservoirs in the distribution systems of five water supplies located in Allegheny County, Pennsylvania. Results of chemical, bacteriological, and biological analyses showed deterioration of wa...

  5. 77 FR 66791 - Proposed Flood Elevation Determinations for Allegheny County, PA (All Jurisdictions)

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-11-07

    ... proposed rulemaking at 76 FR 72661, proposing flood elevation determinations along one or more flooding... Allegheny County, PA (All Jurisdictions) AGENCY: Federal Emergency Management Agency, DHS. ACTION: Proposed... rule concerning proposed flood elevation determinations for Allegheny County, Pennsylvania...

  6. 77 FR 71139 - Approval and Promulgation of Air Quality Implementation Plans; Pennsylvania; Allegheny County...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-11-29

    ... Glass Melting Furnaces AGENCY: Environmental Protection Agency (EPA). ACTION: Proposed rule. SUMMARY... oxides (NO X ) emissions from glass melting furnaces to the Allegheny County Health Department (ACHD... related definitions for controlling NO X emissions from glass melting furnaces. The SIP revision is...

  7. 77 FR 71117 - Approval and Promulgation of Air Quality Implementation Plans; Pennsylvania; Allegheny County...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-11-29

    ...; Allegheny County Incorporation by Reference of Pennsylvania's Control of NO X Emissions From Glass Melting... regulation to control nitrogen oxides (NO X ) emissions from glass melting furnaces to the Allegheny County... Pennsylvania regulations and related definitions for controlling NO X emissions from glass melting...

  8. Calibration of a two-dimensional hydrodynamic model for parts of the Allegheny, Monongahela, and Ohio Rivers, Allegheny County, Pennsylvania

    USGS Publications Warehouse

    Fulton, John W.; Wagner, Chad R.

    2014-01-01

    The U.S. Geological Survey (USGS), in cooperation with the Allegheny County Sanitary Authority, developed a validated two-dimensional Resource Management Associates2 (RMA2) hydrodynamic model of parts of the Allegheny, Monongahela, and Ohio Rivers (Three Rivers) to help assess the effects of combined sewer overflows (CSOs) and sanitary sewer overflows (SSOs) on the rivers. The hydrodynamic model was used to drive a water-quality model of the study area that was capable of simulating the transport and fate of fecal-indicator bacteria and chemical constituents under open-water conditions. The study area includes 14 tributary streams and parts of the Three Rivers where they enter and exit Allegheny County, an area of approximately 730 square miles (mi2). The city of Pittsburgh is near the center of the county, where the Allegheny and Monongahela Rivers join to form the headwaters of the Ohio River. The Three Rivers are regulated by a series of fixed-crest dams, gated dams, and radial (tainter) gates and serve as the receiving waters for tributary streams, CSOs, and SSOs. The RMA2 model was separated into four individual segments on the basis of the U.S. Army Corps of Engineers navigational pools in the study area (Dashields; Emsworth; Allegheny River, Pool 2; and Braddock), which were calibrated individually using measured water-surface slope, velocity, and discharge during high- and low-flow conditions. The model calibration process included the comparison of water-surface elevations at five locations and velocity profiles at more than 80 cross sections in the study area. On the basis of the calibration and validation results that included water-surface elevations and velocities, the model is a representative simulation of the Three Rivers flow patterns for discharges ranging from 4,050 to 47,400 cubic feet per second (ft3/s) on the Allegheny River, 2,550 to 40,000 ft3/s on the Monongahela River, and 10,900 to 99,000 ft3/s on the Ohio River. The Monongahela River was

  9. An epidemiologic study of homicides in Allegheny County, Pennsylvania.

    PubMed

    Costantino, J P; Kuller, L H; Perper, J A; Cypess, R H

    1977-10-01

    Extensive demographic data concerning homicide victims and perpetrators in Allegheny County, 1966-1974, were obtained retrospectively from the records of the County Coroner's Office and Police Department. Analysis revealed that the demographic characteristics describing perpetrators and victims were essentially identical. Rates of homicide peaked in the young adult years of life. The race ratio (B/W) among victims was 18.7 for males and 6.7 for females, while sex ratio (M/F) was 5.4 for blacks and 1.9 for whites. An inverse relationship between the rate of homicide and socioeconomic status was present among both black and white races. The majority of victims were killed by a spouse, relative, or friend (66%), usually in familiar locations, i.e., residence or place of work (60%), and usually during an alteration (68%). Shooting was the method used to perpetrate 61% of the killings, most of which were by means of a handgun. An increasing trend of homicide was noted, particularly for the type perpetrated by shooting. PMID:910799

  10. A reconnaissance geochemical survey of the Allegheny Front and Hickory Creek Roadless Areas, Allegheny National Forest, Warren County, Pennsylvania

    USGS Publications Warehouse

    Hickling, N.L.; Schweinfurth, Stanley P.; Adrian, Betty M.

    1983-01-01

    A reconnaissance geochemical survey of the Allegheny Front and Hickory Creek Roadless Areas, Warren County, Pennsylvania, was made by members of the U.S. Geological Survey (USGS) to test for indistinct or unexposed mineral deposits that might be recognized by geochemical halos. Analyses using semiquantitative emission spectrography and atomic absorption for 32 elements were performed on 21 stream-sediment samples and 31 bedrock samples from the Allegheny Front tract, and on 23 stream-sediment samples and 6 bedrock samples from the Hickory Creek tract. Bedrock samples analyzed are primarily sandstone, siltstone and shale. Neither major chemical anomalies nor obviously anomalous chemical-element concentrations related to mineralized bedrock were indicated in the geochemical survey. Metallic mineral deposits were not identified in the study area during the survey, which is consistent with other studies reported in the literature for the surrounding region. The lithologic units exposed in the roadless areas do not commonly host metallic deposits in the surrounding region, and the probability is low that such deposits occur in the roadless areas.

  11. 78 FR 34584 - Approval and Promulgation of Air Quality Implementation Plans; Pennsylvania; Allegheny County...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-06-10

    ...; Allegheny County Reasonably Available Control Technology Under the 8-Hour Ozone National Ambient Air Quality... Pennsylvania Department of Environmental Protection, Bureau of Air Quality Control, P.O. Box 8468, 400 Market... this document, whenever ``we,'' ``us,'' or ``our'' is used, we mean EPA. On February 26, 2013 (78...

  12. 77 FR 71115 - Approval and Promulgation of Air Quality Implementation Plans; Pennsylvania; Allegheny County...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-11-29

    ...; Allegheny County Incorporation by Reference of Pennsylvania's Consumer Products Regulations AGENCY... Department of Environmental Protection (PADEP). The SIP revision adds Section 2105.88--Consumer Products from... incorporate by reference 25 Pa. Code sections 130.201-130.471 (Consumer Products) of the PADEP Air...

  13. A Study of Continuing Legal Education of Allegheny County Bar Association Members.

    ERIC Educational Resources Information Center

    Davis, Benjamin George

    Legal education needs and preferences of lawyers in the Allegheny County, Pennsylvania, Bar Association were surveyed, with attention to such factors as motivation and lawyer characteristics. A pretested 40-item questionnaire was sent to all 2,218 members. Findings included the following: (1) felt needs pertained to trial work, real property law,…

  14. Fecal-Indicator Bacteria in the Allegheny, Monongahela, and Ohio Rivers and Selected Tributaries, Allegheny County, Pennsylvania, 2001-2005

    USGS Publications Warehouse

    Buckwalter, Theodore F.; Zimmerman, Tammy M.; Fulton, John W.

    2006-01-01

    Concentrations of fecal-indicator bacteria were determined in 1,027 water-quality samples collected from July 2001 through August 2005 during dry- (72-hour dry antecedent period) and wet-weather (48-hour dry antecedent period and at least 0.3 inch of rain in a 24-hour period) conditions in the Allegheny, Monongahela, and Ohio Rivers (locally referred to as the Three Rivers) and selected tributaries in Allegheny County. Samples were collected at five sampling sites on the Three Rivers and at eight sites on four tributaries to the Three Rivers having combined sewer overflows. Water samples were analyzed for three fecal-indicator organisms fecal coliform, Escherichia coli (E. coli), and enterococci bacteria. Left-bank and right-bank surface-water samples were collected in addition to a cross-section composite sample at each site. Concentrations of fecal coliform, E. coli, and enterococci were detected in 98.6, 98.5, and 87.7 percent of all samples, respectively. The maximum fecal-indicator bacteria concentrations were collected from Sawmill Run, a tributary to the Ohio River; Sawmill Run at Duquesne Heights had concentrations of fecal coliform, E. coli, and enterococci of 410,000, 510,000, and 180,000 col/100 mL, respectively, following a large storm. The samples collected in the Three Rivers and selected tributaries frequently exceeded established recreational standards and criteria for bacteria. Concentrations of fecal coliform exceeded the Pennsylvania water-quality standard (200 col/100 mL) in approximately 63 percent of the samples. Sample concentrations of E. coli and enterococci exceeded the U.S. Environmental Protection Agency (USEPA) water-quality criteria (235 and 61 col/100 mL, respectively) in about 53 and 47 percent, respectively, of the samples. Fecal-indicator bacteria were most strongly correlated with streamflow, specific conductance, and turbidity. These correlations most frequently were observed in samples collected from tributary sites. Fecal

  15. Determination of locally formed sulfates for Allegheny county`s PM10 state implementation plan

    SciTech Connect

    Weaver, C.J.; Patel, H.L.; Houston, R.M.

    1995-12-31

    In support of a State Implementation Plan for the Liberty Borough/Clairton PM10 nonattainment area, Allegheny County developed a procedure for determining the concentrations of locally formed secondary PM10 that contributes to PM10 concentrations monitored within the nonattainment area. The County defines secondary PM10 concentration as the sum of the concentrations of sulfate, nitrate, and ammonium formed outside the emitting sources. Analysis of monitored data showed that under certain meteorological conditions, substantial secondary PM10 was formed at some locations within the nonattainment area. The days within the modeling year were divided into categories according to the average local wind speed and average mixing height for each day. Secondary PM10 concentrations were predicted for each category. Sulfate typically accounts for at least sixty percent of the secondary PM10. Filter analysis shows that sulfate concentrations are three times those of ammonia. Concentrations of the other cations and metals do not follow the same trend as do sulfate concentrations and are consistently too small to account for the sulfate present. This indicates that the total mass of these species in the nonattainment area is present as a mixture of ammonium sulfates and ammonium nitrates.

  16. Vocational Programs for the Mentally Retarded in Allegheny County: A Study of Selected Sheltered Workshops and High School Programs. Final Report.

    ERIC Educational Resources Information Center

    Gordon, Elizabeth; Zamule, Elisabeth

    This report discusses sheltered workshop programming and high school-level vocational training for mentally retarded (MR) individuals in Allegheny County, Pennsylvania. Sheltered workshops conducted by Goodwill Industries and Parc-way Industries were examined to determine client characteristics and the rate of placement in competitive employment.…

  17. The Development of a Strategic Plan To Provide a Multisite Electronic Engineering Technology Program at the Community College of Allegheny County.

    ERIC Educational Resources Information Center

    Cunningham, Pearly

    A project was undertaken to develop a strategic plan to implement a multisite electronic engineering technology (EET) program at Pennsylvania's Community College of Allegheny County. Specifically, the project sought to determine how electronic communication technologies could provide a virtual learning community for the program; appropriate plans…

  18. A reconnaissance geochemical survey of the Clarion River Roadless Area, Allegheny National Forest, Elk County, Pennsylvania

    USGS Publications Warehouse

    Hickling, N.L.; Schweinfurth, Stanley P.; Adrian, Betty M.

    1983-01-01

    Semiquantitative emission spectrographic analyses for 31 elements were determined on 9 stream-sediment samples and 18 bedrock samples from the Clarion River Roadless Area, Elk County, Pennsylvania. All sample localities are given in Universal Transverse Mercator (UTM) coordinates. Brief descriptions of bedrock samples are also included. Rocks analyzed are mostly sandstone, and siltstone. The analytical data do not indicate the presence of mineralized rock in the study area.

  19. 78 FR 57680 - Bessemer and Lake Erie Railroad Company-Abandonment Exemption-in Allegheny County, PA

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-09-19

    ... Surface Transportation Board Bessemer and Lake Erie Railroad Company--Abandonment Exemption-- in Allegheny... line either is pending with the Surface Transportation Board (Board) or with any U.S. District Court or... the Surface Transportation Board, 395 E Street SW., Washington, DC 20423-0001. \\2\\ The Board...

  20. VERMONT COUNTY HEALTH DATA2

    EPA Science Inventory

    This datalayer contains Vermont Population and Health data describing public health (1986-2000), by county, extracted from various sources, such as; the Vermont Department of Health, the Vermont Center for Justice Research, the National Institute on Alcohol Abuse & Alcoholis...

  1. Occurrence and trends in the concentrations of fecal-indicator bacteria and the relation to field water-quality parameters in the Allegheny, Monongahela, and Ohio Rivers and selected tributaries, Allegheny County, Pennsylvania, 2001–09

    USGS Publications Warehouse

    Fulton, John W.; Koerkle, Edward H.; McCoy, Jamie L.; Zarr, Linda F.

    2016-01-01

    A total of 1,742 water samples were collected at 52 main-stem and tributary sites. Quantifiable concentrations of Escherichia coli (E. coli) were reported in 1,667 samples, or 97.0 percent of 1,719 samples; concentrations in 853 samples (49.6 percent) exceeded the U.S. Environmental Protection Agency (EPA) recreational water-quality criterion of 235 colonies per 100 milliliters (col/100 mL). Quantifiable concentrations of fecal coliform (FC) bacteria were reported in 1,693 samples, or 98.8 percent of 1,713 samples; concentrations in 780 samples (45.5 percent) exceeded the Commonwealth of Pennsylvania water contact criterion of 400 col/100 mL. Quantifiable concentrations of enterococci bacteria were reported in 912 samples, or 87.5 percent of 1,042 samples; concentrations in 483 samples (46.4 percent) exceeded the EPA recreational water-quality criterion of 61 col/100 mL. The median percentage of samples in which bacteria concentrations exceeded recreational water-quality standards across all sites with five or more samples was 48 for E. coli, 43 for FC, and 75 for enterococci. E. coli, FC, and enterococci concentrations at main-stem sites had significant positive correlations with streamflow under all weather conditions, with rho values ranging from 0.203 to 0.598. Seasonal Kendall and logistic regression were evaluated to determine whether statistically significant trends were present during the period 2001–09. In general, Seasonal Kendall tests for trends in E. coli and FC bacteria were inconclusive. Results of logistic regression showed no significant trends in dry-weather exceedance of the standards; however, significant decreases in the likelihood that wet-weather E. coli and FC bacteria concentrations will exceed EPA recreational standards were found at the USGS streamgaging station Allegheny River at 9th Street Bridge. Nonparametric correlation analysis, including Spearman’s rho and the paired Prentice-Wilcoxon test, was used to screen for associations

  2. 77 FR 51512 - Allegheny Resource Advisory Committee

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-08-24

    ... Forest Service Allegheny Resource Advisory Committee AGENCY: Forest Service, USDA. ACTION: Notice of meeting. SUMMARY: The Allegheny Resource Advisory Committee will meet in Warren, Pennsylvania. The... conducted: Allegheny Resource Advisory Committee members will solicit and consider project proposals...

  3. 76 FR 50993 - Allegheny Resource Advisory Committee

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-08-17

    ... From the Federal Register Online via the Government Publishing Office DEPARTMENT OF AGRICULTURE Forest Service Allegheny Resource Advisory Committee AGENCY: Forest Service, USDA. ACTION: Notice of meeting. SUMMARY: The Allegheny Resource Advisory Committee will meet in Warren, Pennsylvania....

  4. 76 FR 50994 - Allegheny Resource Advisory Committee

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-08-17

    ... From the Federal Register Online via the Government Publishing Office DEPARTMENT OF AGRICULTURE Forest Service Allegheny Resource Advisory Committee AGENCY: Forest Service, USDA. ACTION: Notice of meeting. SUMMARY: The Allegheny Resource Advisory Committee will meet in Clarendon, Pennsylvania....

  5. 76 FR 38109 - Allegheny Resource Advisory Committee

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-06-29

    ... From the Federal Register Online via the Government Publishing Office DEPARTMENT OF AGRICULTURE Forest Service Allegheny Resource Advisory Committee AGENCY: Forest Service, USDA. ACTION: Notice of meeting. SUMMARY: The Allegheny Resource Advisory Committee will meet in Marienville, Pennsylvania....

  6. 76 FR 45227 - Allegheny Resource Advisory Committee

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-07-28

    ... From the Federal Register Online via the Government Publishing Office ] DEPARTMENT OF AGRICULTURE Forest Service Allegheny Resource Advisory Committee AGENCY: Forest Service, USDA. ACTION: Notice of meeting. SUMMARY: The Allegheny Resource Advisory Committee will meet in Clarendon, Pennsylvania....

  7. 76 FR 23275 - Allegheny Resource Advisory Committee

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-04-26

    ... From the Federal Register Online via the Government Publishing Office DEPARTMENT OF AGRICULTURE Forest Service Allegheny Resource Advisory Committee AGENCY: Forest Service, USDA. ACTION: Notice of meeting. SUMMARY: The Allegheny Resource Advisory Committee will meet in Clarendon, Pennsylvania....

  8. 77 FR 21522 - Boundary Establishment for the Allegheny National Wild and Scenic River, Allegheny National...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-04-10

    ...; ] DEPARTMENT OF AGRICULTURE Forest Service Boundary Establishment for the Allegheny National Wild and Scenic... Act, the USDA Forest Service, Washington Office, is transmitting the final boundary of the Allegheny... phone (814) 728-6239. SUPPLEMENTARY INFORMATION: The Allegheny Wild and Scenic River boundary...

  9. Missoula County Health Manpower and Education Profile.

    ERIC Educational Resources Information Center

    Callen, John; And Others

    The profile is a concise description of the demographic and economic characteristics, existing health manpower employed, and health education programs for the Missoula County area of Montana, one of seven surveyed in the Mountain States region (Idaho, Montana, Wyoming, and Nevada). The first section of the profile provides general population…

  10. Clark County Health Manpower and Education Profile.

    ERIC Educational Resources Information Center

    Callen, John; And Others

    The profile is a concise description of the demographic and economic characteristics, existing health manpower employed, and health education programs for the Clark County area of Nevada, one of seven surveyed in the Mountain States region (Idaho, Montana, Wyoming, and Nevada). The first section of the profile provides general population…

  11. Sheridan County Health Manpower and Education Profile.

    ERIC Educational Resources Information Center

    Callen, John; And Others

    The profile is a concise description of the demographic and economic characteristics, existing health manpower employed, and health education programs for the Sheridan County area of Wyoming, one of seven surveyed in the Mountain States region (Idaho, Montana, Wyoming, and Nevada). The first section of the profile provides general population…

  12. Yellowstone County Health Manpower and Education Profile.

    ERIC Educational Resources Information Center

    Callen, John; And Others

    The profile is a concise description of the demographic and economic characteristics, existing health manpower employed, and health education programs for the Yellowstone County area of Montana, one of seven surveyed in the Mountain States region (Idaho, Montana, Wyoming, and Nevada). The first section of the profile provides general population…

  13. Passing on a Culture: West Virginia Traditional Musical Heritage and the Allegheny Echoes Programme

    ERIC Educational Resources Information Center

    Swain, Leila Ryland

    2010-01-01

    Allegheny Echoes is a summer programme of instruction and performance of music and poetry held in Marlinton, WV. The Bing Brothers learned their traditional music from the Hammons family of Pocahontas County, WV, in an informal setting of friendship and collaboration. The Hammons family was recorded in the 1970s by Alan Jabbour and others; the…

  14. Allegheny National Forest, CCC Camp ANF1 , The camp’s main ...

    Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

    Allegheny National Forest, CCC Camp ANF-1 , The camp’s main entrance is located at the intersection of Duhring Road (ANF 131) and ANF 124, Pennsylvania, with the interior site road known as Trail Ride Drive., Marienville, Forest County, PA

  15. Fecal-indicator bacteria in the Allegheny, Monongahela, and Ohio Rivers, near Pittsburgh, Pennsylvania, July-September 2001

    USGS Publications Warehouse

    Fulton, John W.; Buckwalter, Theodore F.

    2004-01-01

    This report presents the results of a study by the Allegheny County Health Department (ACHD) and the U.S. Geological Survey (USGS) to determine the concentrations of fecal-indicator bacteria in the Allegheny, Monongahela, and Ohio Rivers (Three Rivers) in Allegheny County, Pittsburgh, Pa. Water-quality samples and river-discharge measurements were collected from July to September 2001 during dry- (72-hour dry antecedent period), mixed-, and wet-weather (48-hour dry antecedent period and at least 0.3 inch of rain in a 6-hour period) conditions at five sampling sites on the Three Rivers in Allegheny County. Water samples were collected weekly to establish baseline conditions and during successive days after three wet-weather events. Water samples were analyzed for fecal-indicator organisms including fecal-coliform (FC) bacteria, Escherichia coli (E. coli), and enterococci bacteria. Water samples were collected by the USGS and analyzed by the ACHD Laboratory. At each site, left-bank and right-bank surface-water samples were collected in addition to a composite sample (discharge-weighted sample representative of the channel cross section as a whole) at each site. Fecal-indicator bacteria reported in bank and composite samples were used to evaluate the distribution and mixing of bacteria-source streams in receiving waters such as the Three Rivers. Single-event concentrations of enterococci, E. coli, and FC during dry-weather events were greater than State and Federal water-quality standards (WQS) in 11, 28, and 28 percent of the samples, respectively; during mixed-weather events, concentrations of fecal-indicator bacteria were greater than WQS in 28, 37, and 43 percent of the samples, respectively; and during wet-weather events, concentrations of fecal-indicator bacteria were greater than WQS in 56, 71, and 81 percent of samples, respectively. Single-event, wet-weather concentrations exceeded those during dry-weather events for all sites except the Allegheny River at

  16. 77 FR 38271 - Voluntary Termination of Foreign-Trade Subzone 33B Verosol USA, Inc. Kennedy Township, Allegheny...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-06-27

    ... Subzone 33B at the Verosol USA, Inc., plant in Kennedy Township, Allegheny County, Pennsylvania (Board Order 416, 54 FR 164, 1/4/89); Whereas, the Regional Industrial Development Corporation of Southwestern... Foreign-Trade Zones Board Voluntary Termination of Foreign-Trade Subzone 33B Verosol USA, Inc....

  17. Public Health Services in Sixty-Seven Rural Counties: Are They Meeting the County's Medical Needs?

    ERIC Educational Resources Information Center

    Turk, William L.

    Forty-four counties in Florida and 23 in Oregon with 1966 populations of less than 50,000 were selected for a study of the adequacy of public health services in rural areas. The counties were ranked on the following need variables: number of children under 5 years, persons over 65 years, Negroes, and families with incomes under $3,000. The seven…

  18. Returns on Investment in California County Departments of Public Health

    PubMed Central

    2016-01-01

    Objectives. To estimate the average return on investment for the overall activities of county departments of public health in California. Methods. I gathered the elements necessary to estimate the average return on investment for county departments of public health in California during the period 2001 to 2008–2009. These came from peer-reviewed journal articles published as part of a larger project to develop a method for determining return on investment for public health by using a health economics framework. I combined these elements by using the standard formula for computing return on investment, and performed a sensitivity analysis. Then I compared the return on investment for county departments of public health with the returns on investment generated for various aspects of medical care. Results. The estimated return on investment from $1 invested in county departments of public health in California ranges from $67.07 to $88.21. Conclusions. The very large estimated return on investment for California county departments of public health relative to the return on investment for selected aspects of medical care suggests that public health is a wise investment. PMID:27310339

  19. Agricultural safety efforts by county health departments in Wisconsin.

    PubMed Central

    Chapman, L J; Schuler, R T; Wilkinson, T L; Skjolaas, C A

    1996-01-01

    OBJECTIVE: The authors sought to improve the agriculture safety prevention efforts of county health departments in Wisconsin by examining current programs, staffs' perceptions of the farm safety problem, and the need for new resources. METHODS: A survey instrument was completed by a professional staff member of the local health department in each of Wisconsin's 69 counties. RESULTS: Usable responses were obtained from 84% of the counties. Forty-five percent of the responding staff members conducted some agricultural safety and health programs, most often health screenings or group meetings conducted collaboratively with county agricultural Extension agents. There were no major differences in county demographics or other service provision variables between staff members who conducted programs and those who did not. Staff members perceived the largest barriers to better safety as lack of staff time and difficulty getting farmers to attend safety programs. Most failed to place more emphasis on training agricultural workers to permanently correct hazards than on training them to work safely around hazards. However, the staff members ranked safety inspection checklists as the most needed new material and ranked Extension agents and farmers as the most appropriate people to conduct inspections using such checklists. CONCLUSION: County public health professionals want more staff time and new materials to increase the effectiveness of their agricultural safety efforts. Encouraging agricultural workers and family members to identify and correct hazards would be a more effective use of staff time than training people to work safely around hazards. PMID:8837633

  20. Carson-Washoe County Health Manpower and Education Profile.

    ERIC Educational Resources Information Center

    Callen, John; And Others

    The profile is a concise description of the demographic and economic characteristics, existing health manpower employed, and health education programs for the Carson-Washoe County area of Nevada, one of seven surveyed in the Mountain States region (Idaho, Montana, Wyoming, and Nevada). The first section of the profile provides general population…

  1. Albany-Laramie Counties Health Manpower and Education Profile.

    ERIC Educational Resources Information Center

    Callen, John; And Others

    The profile is a concise description of the demographic and economic characteristics, existing health manpower employed, and health education programs for the Albany-Laramie Counties area of Wyoming, one of seven surveyed in the Mountain States region (Idaho, Montana, Wyoming, and Nevada). The first section of the profile provides general…

  2. Patterns of Health Maintenance Organization Service Areas in Rural Counties

    PubMed Central

    Ricketts, Thomas C.; Slifkin, Rebecca T.; Johnson-Webb, Karen D.

    1995-01-01

    This study analyzes the 1993 National Directory of HMOs to determine the extent to which rural counties are included in health maintenance organization (HMO) service areas. Two specific questions are addressed: (1) How do the patterns of service areas differ across HMO model types? (2) What are the characteristics that distinguish rural counties served by HMOs from those that are not? Although a majority of rural counties are in HMO service areas, substantially fewer are served by non-individual practice association (non-IPA) models. Access to HMO services is found to decrease with county population density, and adjacency to metropolitan areas is an important predictor of inclusion in service areas. PMID:10153478

  3. Disparities in Health Insurance Coverage and Health Status Among Farmworkers, Sonoma County, California, 2013–2014

    PubMed Central

    Mercado, Jenny; Hill, Jana; Katz, Sarah C.

    2016-01-01

    Introduction The Sonoma County Farmworker Health Survey (FHS) was conducted to describe the health and well-being of adult farmworkers in Sonoma County, California, and to identify preventable health disparities for this population. Methods From September 2013 through January 2014, venue-based and convenience sampling were used to survey 293 farmworkers aged 18 years or older. The questions included self-rated general health, diabetes and hypertension, and body mass index. To identify disparities between surveyed farmworkers and Sonoma County residents overall, age-adjusted prevalence estimates were developed by using indirect standardization to the adult (≥18 years) Sonoma County sample from the California Health Interview Survey for 2011–2012. Results Surveyed farmworkers were mostly male (91%) and Latino or Hispanic (95%), and 54% had an educational attainment of 8th grade or less. Most (81%) farmworkers reported their families earned less than $30,000 in 2012. After adjusting for age, 30% of farmworkers had US-based health insurance as compared with the 86% of Sonoma County adults in 2011–2012 (P < .001), and 15% of farmworkers reported ever being diagnosed with diabetes after adjusting for age as compared with 5% of Sonoma County adults (P = .002). After adjusting for age, 44% of farmworkers reported poor or fair health in general as compared with 13% of Sonoma County adults (P < .001). Conclusion We identified significant health disparities between Sonoma County farmworkers and Sonoma County adults overall. Additional research and new health policies are necessary to eliminate these health disparities and to facilitate farmworker access to the health care system. PMID:27032988

  4. Health Education Program. Kanawha County Schools.

    ERIC Educational Resources Information Center

    Kanawha County Schools, Charleston, WV.

    A task force, after a 2-year study, recommended a curriculum on health education which would meet the specific needs of both teachers and students. This teacher developed curriculum guide is comprised of five units on: human growth and development, diseases, nutrition, personal hygiene, drug education, safety and first aid. Each unit contains a…

  5. Integrating a Family Planning Program with a County Health Department Based Maternal and Child Health Program.

    ERIC Educational Resources Information Center

    Malinoski, Angela; Gressman, John W.

    This paper provides a description and analysis of the development, implementation, and continuing framework of practice for a model of comprehensive, coordinated maternal and child health programs in which traditional maternal and child health services are provided by a local county health department while family planning and related services are…

  6. Health InfoNet of Jefferson County: collaboration in consumer health information service.

    PubMed

    Smith, K H

    2001-01-01

    Health InfoNet of Jefferson County is a new collaborative consumer health information service of the Jefferson County public libraries and the UAB Lister Hill Library of the Health Sciences. Working with the input and cooperation of local voluntary health agencies, health care professionals and other health information providers, the intent is to improve the efficiency with which consumers might access such information while avoiding duplication of effort on the part of the information providers. Various considerations in InfoNet's mission include providing service not only to established library and Internet users, but also those on the other side of the "digital divide" as well as those with low literacy skills or English as a second language. The role of health care professionals in guiding their patients to the best consumer health information resources is emphasized. PMID:11757392

  7. 40 CFR 81.230 - Allegheny Intrastate Air Quality Control Region.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... 40 Protection of Environment 17 2010-07-01 2010-07-01 false Allegheny Intrastate Air Quality...) AIR PROGRAMS (CONTINUED) DESIGNATION OF AREAS FOR AIR QUALITY PLANNING PURPOSES Designation of Air Quality Control Regions § 81.230 Allegheny Intrastate Air Quality Control Region. The Allegheny...

  8. RESPIRATORY HEALTH OF RURAL AND FARM WOMEN IN THE KEOKUK COUNTY RURAL HEALTH STUDY

    EPA Science Inventory

    RESPIRATORY HEALTH OF RURAL AND FARM WOMEN IN THE KEOKUK COUNTY RURAL HEALTH STUDY
    Allison L. Naleway*, Nancy L. Sprince?, Erik R. Svendsen?, Ann M. Stromquist?, James A. Merchant?
    *Marshfield Medical Research and Education Foundation, Marshfield, WI; ?University of Iowa Co...

  9. 75 FR 81469 - Safety Zone; Allegheny River, Pittsburgh, PA

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-12-28

    ...-2010-1082 and are available online by going to http://www.regulations.gov , inserting USCG-2010-1082 in.... 2064; Department of Homeland Security Delegation No. 0170.1. 0 2. Add Sec. 165.T08-1082 to read as follows: Sec. 165.T08-1082 Safety Zone; Allegheny River, Pittsburgh, PA. (a) Location. The following...

  10. Allegheny Portage Railroad: Developing Transportation Technology. Teaching with Historic Places.

    ERIC Educational Resources Information Center

    Eick, Brian; Wallner, Rick

    1999-01-01

    Presents a lesson that will help students discover the innovative technologies of the Allegheny Portage Railroad that can be used when teaching about early 19th-century expansion and industrialization. Expounds that students' skills in geography and history will be strengthened through map reading, examination of pictures, and analysis of…

  11. Health problems in a city-county workhouse.

    PubMed Central

    Derro, R A

    1978-01-01

    This study was part of a continuing effort to define the health profile of a city-county workhouse inmate population. To supplement data previously obtained on the health status of inmates on admission, all subsequent encounters for medical problems were recorded and analyzed. Of 491 inmates examined on admission, 312 subsequently made 1,257 visit for medical care. The rate of clinic use was two to three times higher than rates reported in national surveys. Of 1,549 problem encounters, trauma, musculoskeletal complaints, skin disorders, and diseases of the eyes, ears, nose, and throat accounted for 52.3 percent. Dental disease, trauma, and other musculoskeletal disorders comprised 66.3 percent of problems that required referral of patients to the city-county hospital. A significant relationship was seen between depression as determined by a self-rating questionnaire and numbers of visits and problem encounters, as well as several frequently encountered problems. The results of this study have implications for health services in correctional institutions with similar inmate populations. The provision of limited but onsite dental services is advisable. Athletic activities and work details should be closely supervised. Physicians and nurses should be skilled in the evaluation and management of minor trauma and other musculoskeletal disorders. Algorithms are appropriate aids in the management of common but minor medical problems. These measures and proposals are designed also to deal with the problem of overuse of clinic services. However, the measures do not diminish and, in some instances, they increase access to care for medical and dental health needs. PMID:684150

  12. 76 FR 27892 - Special Local Regulation; Allegheny River, Pittsburgh, PA

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-05-13

    ...The Coast Guard is establishing a temporary special local regulation from the Point State Park (mile marker 0.0) to the River Rescue station (mile marker 0.5) on the Allegheny River, extending 200 feet out from the right descending bank. The special local regulation is being established to safeguard participants of the Venture Outdoors Festival from the hazards of marine traffic. Entry into,......

  13. The effects of racial heterogeneity on mental health: A study of detained youth across multiple counties.

    PubMed

    Lau, Katherine S L; Aalsma, Matthew C; Holloway, Evan D; Wiehe, Sarah E; Vachon, David D

    2015-09-01

    A majority of detained adolescents experience mental health and substance use problems. Limited research has examined the interaction between the race/ethnicity of an individual youth and county-level racial heterogeneity on adolescent mental health outcomes. Participants were identified through a statewide mental health screening project that took place in detention centers across 11 different counties in a Midwestern state during January 1, 2008, to May 10, 2010. A total of 23,831 detained youth (ages 11-18 years), identified as non-Hispanic White (46.6%), Black (43.5%), or Hispanic (9.8%), completed a mental health screener that assessed problems in alcohol/drug use, depression-anxiety, anger-irritability, trauma, somatic complaints, and suicide ideation. Census data were gathered to determine the racial heterogeneity of each county and other county-level variables. Hierarchical linear regression analyses were used to test the independent and interactive effects of youth race/ethnicity and county-level variables (including racial heterogeneity of the county) on adolescent mental health. Independent of other community characteristics, as county-level racial heterogeneity increased, mental health problems among detained youth decreased. In future research on the development and persistence of mental health problems in detained youth, both community and individual-level factors should be considered. PMID:26460702

  14. Testing a model of county government influence on health care safety-nets.

    PubMed

    Knepper, Hillary

    2012-01-01

    In the United States, health care is not equitably distributed. As indicated in the literature, age, income, and other socio-economic indicators contribute to substantial differences in the variety and scope of health services. The 2010 Affordable Care Act illustrates the United States' effort to bring balance and equity to the health care system. In the meantime, county governments are struggling with rising health care costs on their budgets (Eaton, 2009; Phaup, 2009; Clark, 2003), particularly health care for low-income residents (Benton, Byers, Cigler, Klase, Menzel, Salant, Streib, Svara, & Waugh, 2008). However, as learned in this study, county governments across the country continue to address the health care needs of uninsured and underinsured citizens through participation in health care safety nets. This research identifies possible county government influences on health care safety-nets. This study analyzed 123 responses from county government administrators and elected officials along with secondary data from the U.S. Census Bureau and the International City/County Manager Association using a variety of statistical techniques, culminating in structural equation modeling. These analyses provided reasonable explanation for the variation among the variables leading to network performance improvement in meeting the health care needs of uninsured and underinsured people as well as the significant influence of county government involvement. PMID:22838054

  15. Non-Psychiatric Services Provided in a Mental Health Unit in a County Jail.

    ERIC Educational Resources Information Center

    Young, Diane S.

    2002-01-01

    Examines mental health service provision by social workers in a county jail through a retrospective review of 359 mentally ill jail inmates' health and mental health records. Of the non-psychiatric, mental health services provided beyond initial assessment, housing placement evaluations and follow-up sessions were the most frequent. Suggestions…

  16. Allegheny woodrat (Neotoma magister) use of rock drainage channels on reclaimed mines in southern West Virginia

    USGS Publications Warehouse

    Chamblin, H.D.; Wood, P.B.; Edwards, J.W.

    2004-01-01

    Allegheny woodrats (Neotoma magister) currently receive protected status throughout their range due to population declines. Threats associated with habitat fragmentation (e.g., introduced predators, disease, loss of connectivity among subpopulations and habitat loss) may explain why Allegheny woodrats are no longer found in many areas where they existed just 25 y ago. In southern West Virginia, surface coal mining is a major cause of forest fragmentation. Furthermore, mountaintop mining, the prevalent method in the region, results in a loss of rock outcrops and cliffs within forested areas, typical habitat of the Allegheny woodrat To determine the extent that Allegheny woodrats make use of reclaimed mine land, particularly rock drainages built during reclamation, we sampled 24 drainage channels on reclaimed surface mines in southern West Virginia, collected habitat data at each site and used logistic regression to identify habitat variables related to Allegheny woodrat presence. During 187 trap nights, 13 adult, 2 subadult and 8 juvenile Allegheny woodrats were captured at 13 of the 24 sites. Percent of rock as a groundcover and density of stems >15 cm diameter-at-breast-height (DBH) were related to Allegheny woodrat presence and were significantly greater at sites where Allegheny woodrats were present than absent. Sites where Allegheny woodrats were present differed substantially from other described habitats in West Virginia, though they may simulate boulder piles that occur naturally. Our findings suggest the need for additional research to examine the dynamics between Allegheny woodrat populations inhabiting rock outcrops in forests adjacent to mines and populations inhabiting constructed drainage channels on reclaimed mines. However, if Allegheny woodrats can use human-created habitat, our results will be useful to surface mine reclamation and to other mitigation efforts where rocky habitats are lost or disturbed.

  17. Addressing the Social Determinants of Health through the Alameda County, California, Place Matters Policy Initiative

    PubMed Central

    Schaff, Katherine; Flournoy, Rebecca; Carson, Keith; Drenick, Teresa; Fujii, Darlene; Lee, Anna; Luginbuhl, Jessica; Mena, Mona; Shrago, Amy; Siegel, Anita; Stahl, Robert; Watkins-Tartt, Kimi; Willow, Pam; Witt, Sandra; Woloshin, Diane; Yamashita, Brenda

    2013-01-01

    In Alameda County, California, significant health inequities by race/ethnicity, income, and place persist. Many of the county's low-income residents and residents of color live in communities that have faced historical and current disinvestment through public policies. This disinvestment affects community conditions such as access to economic opportunities, well-maintained and affordable housing, high-quality schools, healthy food, safe parks, and clean water and air. These community conditions greatly affect health. At the invitation of the Joint Center for Political and Economic Studies' national Place Matters initiative, Alameda County Supervisor Keith Carson's Office and the Alameda County Public Health Department launched Alameda County Place Matters, an initiative that addresses community conditions through local policy change. We describe the initiative's creation, activities, policy successes, and best practices. PMID:24179279

  18. Addressing the social determinants of health through the Alameda County, California, place matters policy initiative.

    PubMed

    Schaff, Katherine; Desautels, Alexandra; Flournoy, Rebecca; Carson, Keith; Drenick, Teresa; Fujii, Darlene; Lee, Anna; Luginbuhl, Jessica; Mena, Mona; Shrago, Amy; Siegel, Anita; Stahl, Robert; Watkins-Tartt, Kimi; Willow, Pam; Witt, Sandra; Woloshin, Diane; Yamashita, Brenda

    2013-11-01

    In Alameda County, California, significant health inequities by race/ethnicity, income, and place persist. Many of the county's low-income residents and residents of color live in communities that have faced historical and current disinvestment through public policies. This disinvestment affects community conditions such as access to economic opportunities, well-maintained and affordable housing, high-quality schools, healthy food, safe parks, and clean water and air. These community conditions greatly affect health. At the invitation of the Joint Center for Political and Economic Studies' national Place Matters initiative, Alameda County Supervisor Keith Carson's Office and the Alameda County Public Health Department launched Alameda County Place Matters, an initiative that addresses community conditions through local policy change. We describe the initiative's creation, activities, policy successes, and best practices. PMID:24179279

  19. Health assessment for Niagara County Refuse Disposal, Niagara County, New York, Region 2. CERCLIS No. NYD000514257. Preliminary report

    SciTech Connect

    Not Available

    1989-06-01

    The Niagara County Refuse Disposal Site, a National Priorities List Site, occupies approximately 50 acres in the Town of Wheatfield, Niagara County, New York. Surface drainage is conveyed from the site by ditches and enclosed drains that carry runoff south to the Niagara River or north to Black Creek. The site received industrial solid and chemical wastes, largely of unknown composition, from 1969 to 1976. The Niagara County Refuse Site has been investigated several times since 1973. Analytical results among the studies are conflicting and analytical quality control is poor. Heavy metals have been found in leachate discharging to the Niagara River. Sediment samples have high levels of bis(2-ethylhexyl)phthalate, polycyclic aromatic hydrocarbons, and low levels of PCBs. The site poses a potential health threat to people who use the Niagara River for fishing, recreation, and drinking water and to on-site workers during any remedial work.

  20. ALLEGHENY FRONT AND HICKORY CREEK ROADLESS AREAS, PENNSYLVANIA.

    USGS Publications Warehouse

    Schweinfurth, Stanley P.; Girol, Vaughn P.

    1984-01-01

    On the basis of a mineral-resource survey the Allegheny Front and Hickory Creek Roadless Areas, Pennsylvania, have a substantiated potential for oil resources, a probable potential for gas resources, and little likelihood for the occurrence of coal and metallic mineral resources. The oil and gas in the Upper Devonian rocks are found in stratigraphic traps, that commonly are not evident from surface indications. The only sure method to determine if the Upper Devonian sandstones contain oil or gas at a specific site is to drill through the sequence and test the more favorable zones.

  1. Assessing potential spatial accessibility of health services in rural China: a case study of Donghai county

    PubMed Central

    2013-01-01

    Introduction There is a great health services disparity between urban and rural areas in China. The percentage of people who are unable to access health services due to long travel times increases. This paper takes Donghai County as the study unit to analyse areas with physician shortages and characteristics of the potential spatial accessibility of health services. We analyse how the unequal health services resources distribution and the New Cooperative Medical Scheme affect the potential spatial accessibility of health services in Donghai County. We also give some advice on how to alleviate the unequal spatial accessibility of health services in areas that are more remote and isolated. Methods The shortest traffic times of from hospitals to villages are calculated with an O-D matrix of GIS extension model. This paper applies an enhanced two-step floating catchment area (E2SFCA) method to study the spatial accessibility of health services and to determine areas with physician shortages in Donghai County. The sensitivity of the E2SFCA for assessing variation in the spatial accessibility of health services is checked using different impedance coefficient valuesa. Geostatistical Analyst model and spatial analyst method is used to analyse the spatial pattern and the edge effect of potential spatial accessibility of health services. Results The results show that 69% of villages have access to lower potential spatial accessibility of health services than the average for Donghai County, and 79% of the village scores are lower than the average for Jiangsu Province. The potential spatial accessibility of health services diminishes greatly from the centre of the county to outlying areas. Using a smaller impedance coefficient leads to greater disparity among the villages. The spatial accessibility of health services is greater along highway in the county. Conclusions Most of villages are in underserved health services areas. An unequal distribution of health service

  2. Florida county health department, environmental health 2006 survey: do rural counties know "what to do' in a chemical or all-hazards event?

    PubMed

    Becker, Alan; Suther, Sandra; Dutton, Matthew; Kearney, Gregory D; Xu, Xiaohui

    2015-01-01

    The objective of the study described here was to determine basic plans and collaboration with first responder stakeholders and to identify perceived roles and responsibilities in preparing for and responding to a chemical disaster. A survey was developed and provided to environmental health personnel at county health departments (CHDs) in Florida. Most of the counties had good collaborative relationships with first responder stakeholders. A little more than half of the respondents had access to a resource manual with contact information and had developed and maintained a chemical plan. Rural counties were less likely to know "what to do" or their responsibility in a chemical disaster; however, both rural and nonrural counties were equally likely not to have a written plan. Public health agencies at the local CHD must be the communicators of public health messages in coordination with the incident commander and the state communications office in a chemical disaster, so it is important to strengthen collaboration and cooperation with chemical response stakeholders. PMID:25619031

  3. The "Health Belief Model" Applied to Two Preventive Health Behaviors Among Women from a Rural Pennsylvania County. AE & RS 115.

    ERIC Educational Resources Information Center

    Hazen, Mary E.

    In order to test the usefulnes of the Health Belief Model (a model designed to measure health practices, attitudes, and knowledge), a survey of Potter County, Pennsylvania was conducted, and 283 responses from adult females without chronic illnesses were analyzed. The dependent variables employed were regulating diet and getting regular exercise.…

  4. Health Care Needs of a Hispanic Population in Dane, Dodge, and Jefferson Counties.

    ERIC Educational Resources Information Center

    Slesinger, Doris P.; And Others

    In the summer of 1976, 133 permanent residents in the Hispano community in Wisconsin's Dane, Dodge and Jefferson counties were interviewed to determine their perceptions of their own and their families' health needs and of their unmet health needs. Respondents were primarily women since it was felt they were the best informed about the family's…

  5. An Analysis of North Carolina's Rural Health Problems as Perceived by County Rural Development Panels.

    ERIC Educational Resources Information Center

    Hamilton, Vance E., Comp.

    A State Task Force on Rural Health was formed (January 1973) by the State Rural Development Committee to identify and analyze major rural health problems in North Carolina and to recommend alleviation strategies. The Task Force submitted open-ended questionnaires to members of the County Rural Development Panels to secure their perceptions of…

  6. Nutrition Program Boosts Dental Health of Orange County Migrant Families.

    ERIC Educational Resources Information Center

    Cotter, Anne; And Others

    1995-01-01

    In Orange County, California, 76 migrant preschool children and 45 parents participated in a 7-week pilot program concerned with preventing dental disease by encouraging good dental habits and healthy food choices. Parent questionnaires revealed that the most remarkable program-related change was a decrease in consumption of sugary foods for over…

  7. 77 FR 66606 - Allegheny Electric Cooperative, Inc. and the Connecticut Bank and Trust Company, National...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-11-06

    ... From the Federal Register Online via the Government Publishing Office DEPARTMENT OF ENERGY Federal Energy Regulatory Commission Allegheny Electric Cooperative, Inc. and the Connecticut Bank and Trust Company, National Association; Notice of Application for Partial Transfer of License, and...

  8. Public health at the 1984 Summer Olympics: the Los Angeles County experience.

    PubMed Central

    Weiss, B P; Mascola, L; Fannin, S L

    1988-01-01

    During the 1984 Summer Olympic Games, the Los Angeles County Department of Health Services used its active disease surveillance system to monitor disease occurrence and other health concerns. Reports were collected by telephone three times a week from 198 participating facilities including hospitals, prepaid health plans, private physicians, and Olympic sites. Background data were obtained two months preceding the Olympic events. Less illness was recorded during the Olympics than during the same period for the three preceding years. PMID:3285705

  9. Current and Potential Future Bromide Loads from Coal-Fired Power Plants in the Allegheny River Basin and Their Effects on Downstream Concentrations.

    PubMed

    Good, Kelly D; VanBriesen, Jeanne M

    2016-09-01

    The presence of bromide in rivers does not affect ecosystems or present a human health risk; however, elevated concentrations of bromide in drinking water sources can lead to difficulty meeting drinking water disinfection byproduct (DBP) regulations. Recent attention has focused on oil and gas wastewater and coal-fired power plant wet flue gas desulfurization (FGD) wastewater bromide discharges. Bromide can be added to coal to enhance mercury removal, and increased use of bromide at some power plants is expected. Evaluation of potential increases in bromide concentrations from bromide addition for mercury control is lacking. The present work utilizes bromide monitoring data in the Allegheny River and a mass-balance approach to elucidate bromide contributions from anthropogenic and natural sources under current and future scenarios. For the Allegheny River, the current bromide is associated approximately 49% with oil- and gas-produced water discharges and 33% with coal-fired power plants operating wet FGD, with 18% derived from natural sources during mean flow conditions in August. Median wet FGD bromide loads could increase 3-fold from 610 to 1900 kg/day if all plants implement bromide addition for mercury control. Median bromide concentrations in the lower Allegheny River in August would rise to 410, 200, and 180 μg/L under low-, mean-, and high-flow conditions, respectively, for the bromide-addition scenario. PMID:27538590

  10. Rural/urban differences in self-rated health: examining the roles of county size and metropolitan adjacency.

    PubMed

    Monnat, Shannon M; Beeler Pickett, Camille

    2011-01-01

    This research explored the roles of 'rurality' - nonmetropolitan county population size and adjacency to metropolitan areas - on self-rated health among a nationally representative sample of US adults. Using seven years of pooled individual level data from the Behavioral Risk Factor Surveillance System and county-level data from the County Characteristics survey, we found that residents of remote rural counties have the greatest odds of reporting bad health and that the significant differences in self-rated health between metropolitan residents and residents of rural areas can be entirely explained by rural structural disadvantage, including higher rates of unemployment and population loss and lower levels of educational attainment. PMID:21159541

  11. HEALTH COSTS OF AIR POLLUTION DAMAGES: A STUDY OF HOSPITALIZATION COSTS

    EPA Science Inventory

    An investigation of the hospitalization costs of exposure to air pollution in Allegheny County, Pennsylvania was conducted to determine whether persons exposed to air pollution incurred higher incidences of hospitalization or additional costs for treatment. A hospitalization data...

  12. The Mobilizing Action Toward Community Health Partnership Study: Multisector Partnerships in US Counties with Improving Health Metrics

    PubMed Central

    Oliver, Thomas R.; Siemering, Kirstin Q.

    2014-01-01

    Introduction Multisector partnerships are promoted as a mechanism to improve population health. This study explored the types and salient features of multisector partnerships in US counties with improving population health metrics. Methods We used the “Framework for Understanding Cross-Sector Collaborations” proposed by Bryson, Crosby, and Stone to guide data collection and interpretation. Comparative case studies were conducted in 4 counties selected on the basis of population, geographic region, an age-adjusted mortality decline better than the US average, and stable per capita income. Data were collected through website and report reviews and through in-depth interviews with key informants (N = 59) representing multiple sectors. County reports were developed and cross-case themes related to partnership types and salient features were derived. Results Multisector collaboration was common in all 4 counties despite substantial variations in population, geographic size, demographic diversity, and other characteristics. Most partnerships were formed by professionals and organizations to improve delivery of health and social services to vulnerable populations or to generate policy, system, and environment changes. Multisector collaboration was valued in all cases. Outcomes attributed to partnerships included short- and long-term effects that contributed to improved population health. Conclusion The Bryson, Crosby, and Stone model is a useful framework for conducting case study research on multisector partnerships. Outcomes attributed to the multisector partnerships have the potential to contribute to improvement in population health. Further study is needed to confirm whether multisector partnerships are necessary for improving population health within counties and to understand which partnership characteristics are critical for success. PMID:24406092

  13. A National Study of the Association between Food Environments and County-Level Health Outcomes

    ERIC Educational Resources Information Center

    Ahern, Melissa; Brown, Cheryl; Dukas, Stephen

    2011-01-01

    Purpose: This national, county-level study examines the relationship between food availability and access, and health outcomes (mortality, diabetes, and obesity rates) in both metro and non-metro areas. Methods: This is a secondary, cross-sectional analysis using Food Environment Atlas and CDC data. Linear regression models estimate relationships…

  14. Presence of a Community Health Center and Uninsured Emergency Department Visit Rates in Rural Counties

    PubMed Central

    Rust, George; Baltrus, Peter; Ye, Jiali; Daniels, Elvan; Quarshie, Alexander; Boumbulian, Paul; Strothers, Harry

    2009-01-01

    CONTEXT Community health centers (CHCs) provide essential access to a primary care medical home for the uninsured, especially in rural communities with no other primary care safety net. CHCs could potentially reduce uninsured emergency department (ED) visits in rural communities. PURPOSE We compared uninsured ED visit rates between rural counties in Georgia which have a community health center clinic site vs. counties without a CHC presence. METHODS We analyzed data from 100% of ED visits occurring in 117 rural (non-metropolitan statistical area [MSA]) counties in Georgia from 2003-2005. Counties were classified as having a CHC presence if a federally funded (Section 330) community health center had a primary care delivery site in that county throughout the study period. The main outcome measure was uninsured ED visit rates among the uninsured (all-cause ED visits and visits for ambulatory care sensitive conditions). Poisson regression models were used to examine the relationship between ED rates and presence of a CHC. To assure that the effects were unique to the uninsured population, we ran similar analyses on insured ED visits. FINDINGS Counties without a community health center primary care clinic site had 33% higher rates of uninsured all-cause ED visits per 10,000 uninsured population compared with non-CHC counties (rate ratio=1.33, 95% CI=1.11-1.59). Higher ED visit rates remained significant (RR=1.21, 95% CI=1.02-1.42) after adjustment for percent of population below poverty level, percent black, and number of hospitals. Uninsured ED visit rates were also higher for various categories of diagnoses, but remained statistically significant on multivariate analysis only for ambulatory care sensitive conditions (adjusted RR=1.22, 95% CI=1.01-1.47). No such relationship was found for ED visit rates of insured patients (RR=1.06, 95% CI=0.92-1.22). CONCLUSIONS Absence of a community health center is associated with a substantial excess in uninsured ED visits in

  15. HARRISBURG TRI-COUNTY HEALTH MANPOWER SURVEY REPORT. PRELIMINARY.

    ERIC Educational Resources Information Center

    RATNER, MURIEL

    THE HARRISBURG AREA COMMUNITY COLLEGE COOPERATED WITH TWO HOSPITALS IN A SURVEY OF THE AREA'S NEEDS FOR HEALTH TECHNICIANS. DATA, COLLECTED BY QUESTIONNAIRE SURVEYS OF DOCTORS AND DENTISTS AND BY INTERVIEWS WITH ADMINISTRATORS OF HOSPITALS, NURSING HOMES AND PROFESSIONAL ORGANIZATIONS, INDICATED THAT (1) A 60-PERCENT INCREASE IN HEALTH MNAPOWER…

  16. Provision of essential health package in public hospitals: a case of Homabay County hospitals, Kenya

    PubMed Central

    Opon, Shadrack Ochieng

    2016-01-01

    Introduction Essential Health Packages (EHP) delivery is likely to strengthen service delivery. Healthcare utilization rate is 77% for the sick. 44% and 18% who don't seek care are hindered by cost and distance respectively. The overall child mortality rate in Kenya is 121/1000. In Homabay County, child mortality rate is 91/1000, and maternal mortality rate of 583/100000. The study looked into the provision of EHP in public hospitals in Homabay County. Methods Cross-sectional research design was used. Two hospitals were conveniently due to their municipality location. The study targeted 213 Health workers and 350 patients. Stratified sampling and proportionate sampling was used among different health workers. Sample size was determined by Yamane Formula. The study sampled 138 health workers and 186 patients. Questionnaire and key interview guide were used to collect data. Results There are inadequate health workers based on 138 (100%) health workers. Insufficient drugs were reported by 138 (100%) health workers, and 120 (64.5%) patients. 115 (83.3%) health workers say ambulances are not operational. 26 (18.8%) health workers noted lack medical equipment, 138 (100%) are aware of patients referred elsewhere due to lack of medical equipment. 153 (82.3%) and 135 (72.6%) patients’ health access is hindered by cost and distance respectively. 159 (85.5%) patients don't always find services needed. 159 (85.5%) patients affected by long waiting time. Conclusion Low service provision/utilization rate in Homabay County results from lack of health workers, inadequate drugs, poor health infrastructure, and lack of access in terms of affordability, availability and distance. PMID:27583072

  17. Measurement of atmospheric pollutants associated with oil and natural gas exploration and production activity in Pennsylvania's Allegheny National Forest.

    PubMed

    Pekney, Natalie J; Veloski, Garret; Reeder, Matthew; Tamilia, Joseph; Rupp, Erik; Wetzel, Alan

    2014-09-01

    Oil and natural gas exploration and production (E&P) activities generate emissions from diesel engines, compressor stations, condensate tanks, leaks and venting of natural gas, construction of well pads, and well access roads that can negatively impact air quality on both local and regional scales. A mobile, autonomous air quality monitoring laboratory was constructed to collect measurements of ambient concentrations of pollutants associated with oil and natural gas E&P activities. This air-monitoring laboratory was deployed to the Allegheny National Forest (ANF) in northwestern Pennsylvania for a campaign that resulted in the collection of approximately 7 months of data split between three monitoring locations between July 2010 and June 2011. The three monitoring locations were the Kane Experimental Forest (KEF) area in Elk County, which is downwind of the Sackett oilfield; the Bradford Ranger Station (BRS) in McKean County, which is downwind of a large area of historic oil and gas productivity; and the U.S. Forest Service Hearts Content campground (HC) in Warren County, which is in an area relatively unimpacted by oil and gas development and which therefore yielded background pollutant concentrations in the ANF. Concentrations of criteria pollutants ozone and NO2 did not vary significantly from site to site; averages were below National Ambient Air Quality Standards. Concentrations of volatile organic compounds (VOCs) associated with oil and natural gas (ethane, propane, butane, pentane) were highly correlated. Applying the conditional probability function (CPF) to the ethane data yielded most probable directions of the sources that were coincident with known location of existing wells and activity. Differences between the two impacted and one background site were difficult to discern, suggesting the that the monitoring laboratory was a great enough distance downwind of active areas to allow for sufficient dispersion with background air such that the localized

  18. Genesee County REACH Windshield Tours: enhancing health professionals understanding of community conditions that influence infant mortality.

    PubMed

    Kruger, Daniel J; French-Turner, Tonya; Brownlee, Shannon

    2013-06-01

    The Genesee County Racial and Ethnic Approaches to Community Health (REACH) program is a community-based program designed to reduce African American infant mortality rates in Flint, Michigan. Genesee County REACH activities address three core themes: fostering community mobilization, reducing racism, and enhancing the maternal-infant health care system. The REACH Community Action Plan was generated using a community-based participatory approach, and is based on a socio-ecological model with interventions focused at the individual, organizational, health system, and community levels. Genesee County REACH's Community Windshield Tours were developed to raise awareness of social and environmental barriers to health promotion among health care system staff in Flint, Michigan. These tours provide a close-up examination of the community's environmental conditions and the experiences of mothers, children, and families at risk for poor birth outcomes. In this article, we report our findings from pre-/post-tour surveys, as well as long-term follow-up surveys, to assess the impact of this REACH activity on participants' knowledge and beliefs about Genesee County residents, and to determine any resultant individual, policy, system, or environmental changes. We used t tests to compare participants' responses before and after the tours. We found that several individual- and systems-level changes have resulted from these tours, reflecting greater cultural sensitivity and increased understanding of patients' circumstances. African American infant mortality rates in Genesee County declined to a historic low in 2005, and they remain lower than in previous years. Although REACH coalition partners recognize that this reduction cannot be attributed to a single intervention or activity, REACH activities such as the Community Windshield Tours addressing multiple levels of the socio-ecological model may have had a synergistic effect. PMID:23605377

  19. Value of training on motivation among health workers in Narok County, Kenya

    PubMed Central

    Momanyi, George Osoro; Adoyo, Maureen Atieno; Mwangi, Eunice Muthoni; Mokua, Dennis Okari

    2016-01-01

    Introduction Training, as an additive human resources intervention is decisive to organizational performance. Employees require constant update of formal and informal knowledge alongside positive attitudes that have been defined as necessary in motivation leading to effectiveness in performance hence workplace training is tied to achieving organizational aims and objectives. The objective of this study was to determine the influence of training on motivation among health workers in Narok County, Kenya. Methods A cross-sectional study utilizing a self administered questionnaire, targeting 237 health workers and 21 health managers was used. Data analysis was done using SPSS version 21 using descriptive statistics. Factor analysis was done on the training perception in relation to motivation. Results Majority of the respondents rated their motivation between 7 and 9 in the current health facility (35.4%), Sub-county (33.8%) and County (32.9%) with the median motivation level of 5. Majority of health workers 194 (81.9%) had received a form of training, of whom 191 (98.5%) indicated that on-job training was relevant to their tasks and that it motivated 192 (99.0%) of them to perform better due to coining skills to motivation. Training significantly predicted general motivation (p-value = 0.013), job satisfaction (p-value = .001), intrinsic job satisfaction (p-value = .001) and organisational commitment (p-value <.001). Conclusion The researchers concluded that there is a relationship between training and motivated health workforce in Narok County and recommended strengthening of current training initiatives by ensuring trainings are more regular and involvement of health workers in discussing their career development prospects. PMID:27516826

  20. Assessing Indigent Health Care Needs and Use of County Health Services.

    ERIC Educational Resources Information Center

    Brown, E. Richard; Cousineau, Michael R.

    In 1982 California eliminated 250,000 "medically indigent adults" (MIAs) from the Medi-Cal program and transferred responsibility for their care to the counties, along with about 70% of what the state would have spent on their care had they remained in the Medi-Cal program. There is far greater variability among the counties in benefits,…

  1. The Monterey County Health Initiative. A post-mortem analysis of a California Medicaid demonstration project.

    PubMed

    Aved, B M

    1987-01-01

    Twenty months after the California State Department of Health Services turned its Medicaid program in Monterey County over to a local health care authority, the Monterey County Health Initiative (MCHI), the state terminated the pilot project in favor of a return to fee-for-service reimbursement. The MCHI, plagued from its inception with shaky provider support and a flawed program design, failed to demonstrate its anticipated cost savings. The key features of this failure were overly generous fees for primary case managers, inadequate utilization control measures, a general hesitancy to assume the necessary gatekeeper function, and a management information system that was not fully operational until well into the implementation of the program. Policy implications and recommendations for future state-sponsored Medicaid demonstration projects are discussed. PMID:3543525

  2. Spatial path models with multiple indicators and multiple causes: mental health in US counties.

    PubMed

    Congdon, Peter

    2011-06-01

    This paper considers a structural model for the impact on area mental health outcomes (poor mental health, suicide) of spatially structured latent constructs: deprivation, social capital, social fragmentation and rurality. These constructs are measured by multiple observed effect indicators, with the constructs allowed to be correlated both between and within areas. However, in the scheme developed here, particular latent constructs may also be influenced by known variables, or, via path sequences, by other constructs, possibly nonlinearly. For example, area social capital may be measured by effect indicators (e.g. associational density, charitable activity), but influenced as causes by other constructs (e.g. area deprivation), and by observed features of the socio-ethnic structure of areas. A model incorporating these features is applied to suicide mortality and the prevalence of poor mental health in 3141 US counties, which are related to the latent spatial constructs and to observed variables (e.g. county ethnic mix). PMID:22749588

  3. Building Community Disaster Resilience: Perspectives From a Large Urban County Department of Public Health

    PubMed Central

    Fielding, Jonathan E.; Chandra, Anita; Williams, Malcolm; Eisenman, David; Wells, Kenneth B.; Law, Grace Y.; Fogleman, Stella; Magaña, Aizita

    2013-01-01

    An emerging approach to public health emergency preparedness and response, community resilience encompasses individual preparedness as well as establishing a supportive social context in communities to withstand and recover from disasters. We examine why building community resilience has become a key component of national policy across multiple federal agencies and discuss the core principles embodied in community resilience theory—specifically, the focus on incorporating equity and social justice considerations in preparedness planning and response. We also examine the challenges of integrating community resilience with traditional public health practices and the importance of developing metrics for evaluation and strategic planning purposes. Using the example of the Los Angeles County Community Disaster Resilience Project, we discuss our experience and perspective from a large urban county to better understand how to implement a community resilience framework in public health practice. PMID:23678937

  4. Comprehensive assessment of health needs 2 months after Hurricane Andrew--Dade County, Florida, 1992.

    PubMed

    1993-06-11

    On August 24, 1992, Hurricane Andrew struck southern Florida. More than 28,000 houses, mobile homes, and apartment buildings were destroyed, and approximately 107,000 additional dwellings sustained major damage. An estimated 180,000 persons were left homeless; insured damages were estimated at $15.5 billion and total damages at more than $30 billion. During the recovery period, many private and public health-care facilities damaged or destroyed in the storm were not functional. During November 3-13, to help prioritize health needs and direct public health resources, the Dade County Public Health Unit of the Florida Department of Health and Rehabilitative Services conducted a survey to assess health needs and the availability of health-care services during the recovery phase with funds provided by the Federal Emergency Management Agency (FEMA). This report summarizes the results of the survey. PMID:8502216

  5. Health Manpower: A County and Metropolitan Area Data Book.

    ERIC Educational Resources Information Center

    National Center for Health Statistics (DHEW/PHS), Hyattsville, MD.

    Collected through national surveys and from secondary sources, this publication provides information on the geographic distribution of the following selected health personnel: (1) pharmacists, (2) registered nurses, (3) dentists, (4) physicians, (5) podiatrists, and (6) veterinarians. Data are presented in tables reflecting selected health…

  6. Imperial County baseline health survey potential impact of geothermal energy

    SciTech Connect

    Deane, M.

    1981-06-01

    The survey purpose, methods, and statistical methods are presented. Results are discussed according to: area differences in background variables, area differences in health variables, area differences in annoyance reactions, and comparison of symptom frequencies with age, smoking, and drinking. Included in appendices are tables of data, enumeration forms, the questionnaire, interviewer cards, and interviewer instructions. (MHR)

  7. A Community Hospital-County Health Department Partnership to Reduce Preventable Readmissions: Lessons Learned for Population Health Management.

    PubMed

    Kurtzman, Jordan H

    2015-01-01

    Healthcare reform has prompted hospital executives to adopt new strategies aimed at population health management. Research regarding the broad determinants of health suggests that if hospitals are to build successful population health management models, they must engage in collaborative partnerships with a variety of community stakeholders. In this report, the author describes a collaborative partnership between a community hospital and a county health department to reduce preventable readmissions. This program illustrates the important role that health information technology (HIT), managerial systems, new processes, and hospital culture play in collaborations with external parties. On a larger scale, these facilitators are key factors in developing population health business models such as accountable care organizations. A sound hospital infrastructure should be supported by hospital leaders and staff who are held accountable for community initiatives and communicate transparently with external partners. PMID:26364349

  8. Supportive supervision for medicines management in government health facilities in Kiambu County, Kenya: a health workers’ perspective

    PubMed Central

    Agoro, Oscar Otieno; Osuga, Ben Onyango; Adoyo, Maureen

    2015-01-01

    Introduction Effective supportive supervision is widely recognized as essential for optimal management of medicines in government health facilities and also in contributing towards improved access and utilization of health services. This study sought to examine the extent supportive supervision for medicines management in government health facilities from a health worker perspective. Methods A cross-sectional study was done targeting health workers managing medicines in government health facilities in Kiambu County. One hundred and thirty eight respondents took part in the study which explored the quality of supportive supervision from a health worker's perspective, and also examined the factors influencing their contentment with the level of supervision received. A statistical analysis was done using SPSS 21 and Excel 2013. Results Supervisory visits from all levels of health management were not regularly done, standard checklists were not routinely used, and action plans irregularly developed and followed up. Only 54 (38.6%) respondents were satisfied with the levels of supportive supervision that they received, with satisfaction significantly differing across the professional cadres, χ2 (12, n = 138) = 29.762, p = .003; across the different tiers of health facilities, rs (138) = 0.341, p < .001; and with the education levels of the respondents, rs (138) = 0.381, p < .001. Conclusion The study concluded that supportive supervision for medicines management that government health facilities received was still inadequate, and health workers were dissatisfied with the level of supervision that they received. The study recommends a review of the support supervision policy at the county level to address the unearthed inefficiencies and improve supervision for medicines management in government health facilities.

  9. 77 FR 790 - FirstEnergy Solutions Corp., Allegheny Energy Supply Company, LLC v. PJM Interconnection, L.L.C...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-01-06

    ... From the Federal Register Online via the Government Publishing Office DEPARTMENT OF ENERGY Federal Energy Regulatory Commission FirstEnergy Solutions Corp., Allegheny Energy Supply Company, LLC v. PJM...) Rules of Practice and Procedures, 18 CFR 385.206, FirstEnergy Solutions Corp., Allegheny Energy...

  10. 76 FR 81923 - Trans-Allegheny Interstate Line Company; Notice of Amendment To Petition for Declaratory Order

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-12-29

    ... From the Federal Register Online via the Government Publishing Office DEPARTMENT OF ENERGY Federal Energy Regulatory Commission Trans-Allegheny Interstate Line Company; Notice of Amendment To Petition for Declaratory Order Take notice that on December 20, 2011, Trans-Allegheny Interstate Line Company...

  11. 75 FR 73064 - Lock Hydro Friends Fund XLI; Allegheny 7 Hydro, LLC; Notice of Competing Preliminary Permit...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-11-29

    ... Energy Regulatory Commission Lock Hydro Friends Fund XLI; Allegheny 7 Hydro, LLC; Notice of Competing... 19, 2010. On May 18, 2010, Lock Hydro Friends Fund XLI, and Allegheny 7 Hydro, LLC filed applications, pursuant to section 4(f) of the Federal Power Act, proposing to study the feasibility of hydropower at...

  12. Longitudinal Community Assessment for Public Health Emergency Response to Wildfire, Bastrop County, Texas.

    PubMed

    Kirsch, Katie R; Feldt, Bonnie A; Zane, David F; Haywood, Tracy; Jones, Russell W; Horney, Jennifer A

    2016-01-01

    On September 4, 2011, a wildfire ignited in Bastrop County, Texas, resulting in losses of 34,068 acres of land and 1,645 homes and 2 deaths. At the request of the Texas Department of State Health Services Health Service Region 7 and the Bastrop County Office of Emergency Management, Community Assessments for Public Health Emergency Response (CASPER) were conducted in the weeks following the wildfire and again 3.5 years later to assess both the immediate and long-term public health and preparedness impacts of the wildfire. The objective of these assessments was to learn more about the trajectory of disaster recovery, including rebuilding, evacuation, household emergency planning, and mental and physical health outcomes among both adults and children. In 2015, households exposed to the 2011 wildfires were significantly more likely to have established a family meeting place and evacuation route, to have confidence in the local government's ability to respond to disaster, and to report symptoms of depression and higher stress. Longitudinal assessments using the CASPER method can provide actionable information for improved planning, preparedness, and recovery to public health and emergency management agencies and community residents. PMID:27081889

  13. What Predicts Recovery Orientation in County Departments of Mental Health? A Pilot Study

    PubMed Central

    Mahoney, Christine B.; Adams, Neal; Felton, Mistique; Pareja, Candy

    2009-01-01

    In this pilot study we examined the determinants of recovery orientation among employees and influential stakeholders in a sample of 12 county departments of mental health in California. A two-level hierarchical linear model with random intercepts was estimated. Analyses show that recovery orientation has a U-shaped relationship with the age of staff/influential stakeholders and is negatively related to the difference between the desired level of adhocracy and the current level of adhocracy. Recovery orientation is positively related to the education level of staff/influential stakeholders, satisfying transformational leadership outcomes, and larger mental health budgets per capita. Policy implications are discussed. PMID:19888648

  14. Disparities in Health Information Access: Results of a County-Wide Survey and Implications for Health Communication.

    PubMed

    Kelley, Megan S; Su, Dejun; Britigan, Denise H

    2016-01-01

    Health knowledge and behavior can be shaped by the extent to which individuals have access to reliable and understandable health information. Based on data from a population-based telephone survey of 1,503 respondents of ages 18 years and older living in Douglas County, Nebraska, in 2013, this study assesses disparities in health information access and their related covariates. The two most frequently reported sources of health information are the Internet and health professionals, followed by print media, peers, and broadcast media. Relative to non-Hispanic Whites, Blacks are more likely to report health professionals as their primary source of health information (odds ratio [OR] = 2.61, p < .001) and less likely to report peers (OR = 0.39, p < .05). A comparison between Whites and Hispanics suggests that Hispanics are less likely to get their health information through the Internet (OR = 0.51, p < .05) and more likely to get it from broadcast media (OR = 4.27, p < .01). Relative to their counterparts, participants with no health insurance had significantly higher odds of reporting no source of health information (OR = 3.46, p < .05). Having no source of health information was also associated with an annual income below $25,000 (OR = 2.78, p < .05 compared to middle income range) and being born outside of the United States (OR = 5.00, p < .05). Access to health information is lowest among society's most vulnerable population groups. Knowledge of the specific outlets through which people are likely to obtain health information can help health program planners utilize the communication channels that are most relevant to the people they intend to reach. PMID:26452300

  15. Fleas (Siphonaptera) of the Allegheny woodrat (Neotoma magister) in West Virginia with comments on host specificity

    USGS Publications Warehouse

    Castleberry, S.B.; Castleberry, N.L.; Wood, P.B.; Ford, W.M.; Mengak, M.T.

    2003-01-01

    Previous research has indicated fewer host-specific ectoparasites on woodrats of the eastern United States as compared to western woodrat species. The Allegheny woodrat (Neotoma magister) is a species of conservation concern that is associated with rocky habitats in the Appalachian and Interior Highland regions in the eastern United States. We examined Allegheny woodrat flea parasites in the core of the distribution to further elucidate patterns of ectoparasite host specificity in woodrats of the eastern United States. Of 346 fleas collected from 62 Allegheny woodrats, all but 1 were identified as Orchopeas pennsylvanicus. The single exception was a male Epitedia cavernicola, which represents only the second collection of this species from West Virginia. Unlike the eastern woodrat (Neotoma floridana), which hosts a variety of generalist flea parasites, Allegheny woodrats in our study were host to only 2 flea species, both of which are host specific to woodrats. We suggest that flea host specificity may be related to the specific habitat requirements of this species.

  16. 40 CFR 81.230 - Allegheny Intrastate Air Quality Control Region.

    Code of Federal Regulations, 2014 CFR

    2014-07-01

    ... 40 Protection of Environment 18 2014-07-01 2014-07-01 false Allegheny Intrastate Air Quality Control Region. 81.230 Section 81.230 Protection of Environment ENVIRONMENTAL PROTECTION AGENCY (CONTINUED) AIR PROGRAMS (CONTINUED) DESIGNATION OF AREAS FOR AIR QUALITY PLANNING PURPOSES Designation of Air Quality Control Regions § 81.230...

  17. 40 CFR 81.230 - Allegheny Intrastate Air Quality Control Region.

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ... 40 Protection of Environment 18 2013-07-01 2013-07-01 false Allegheny Intrastate Air Quality Control Region. 81.230 Section 81.230 Protection of Environment ENVIRONMENTAL PROTECTION AGENCY (CONTINUED) AIR PROGRAMS (CONTINUED) DESIGNATION OF AREAS FOR AIR QUALITY PLANNING PURPOSES Designation of Air Quality Control Regions § 81.230...

  18. Improving Health Care Linkages for Persons: The Cook County Jail Medicaid Enrollment Initiative.

    PubMed

    Riedel, Lauren E; Barry, Colleen L; McGinty, Emma E; Bandara, Sachini N; Webster, Daniel W; Toone, Robert E; Huskamp, Haiden A

    2016-07-01

    The Affordable Care Act has created an unprecedented opportunity to enroll criminal justice-involved individuals in Medicaid. Many jurisdictions within Medicaid expansion states are launching efforts to enroll this population in health insurance and provide connections to services in the community. This study examined one early initiative to enroll individuals in Medicaid during the intake process at the Cook County Jail in Illinois. Several elements were identified as critical to the program's success: key early planning decisions made within the context of a cross-agency group, a high level of dedication among partnering organization leaders, program buy-in among security personnel, and the unique way in which Cook County verifies inmate identity for Medicaid enrollment purposes. These features can potentially guide other jurisdictions attempting to implement similar initiatives. PMID:27302704

  19. Influence of Urbanization Level and Gross Domestic Product of Counties in Croatia on Access to Health Care

    PubMed Central

    Bagat, Mario; Drakulić, Velibor; Sekelj Kauzlarić, Katarina; Vlahušić, Andro; Bilić, Ivica; Matanić, Dubravka

    2008-01-01

    Aim To examine the association of counties’ urbanization level and gross domestic product (GDP) per capita on the access to health care. Methods Counties were divided in two groups according to the urbanization level and GDP per capita in purchasing power standards. The number of physicians per 100 000 inhabitants, the number of physicians in hospitals in four basic specialties, physicians’ workload, average duration of working week, the average number of insurants per general practice (GP) team, and the number of inhabitants covered by one internal medicine outpatient clinic were compared between predominantly urban and predominantly rural counties, and between richer and poorer counties. Our study included only GP teams and outpatients’ clinics under the contract with the Croatian Institute for Health Insurance. Data on physicians were collected from the Ministry of Health and Social Welfare, the Croatian Institute for Health Insurance, the Croatian Institute for Public Health, and the Croatian Medical Chamber. Data on the contracts with the Croatian Institute for Health Insurance and health care services provided under these contracts were obtained from the database of the Institute, while population and gross domestic product data were obtained from the Database of the Croatian Institute for Statistics. World Health Organization Health for All Database was used for the international comparison of physician’s data. Results There was no significant difference in the total number of physicians per 100 000 inhabitants between predominantly urban and predominantly rural counties (206.9 ± 41.0 vs 175.4 ± 30.3; P = 0.067, t test) nor between richer and poorer counties (194.5 ± 49.8 vs 187.7 ± 25.3; P = 0.703, t test). However, there were significantly fewer GPs per 100 000 inhabitants in rural than urban counties (49.0 ± 5.5 vs 56.7 ± 4.6; P = 0.003, t test). GPs in rural counties had more insurants than those

  20. Hazard-Ranking of Agricultural Pesticides for Chronic Health Effects in Yuma County, Arizona

    PubMed Central

    Sugeng, Anastasia J.; Beamer, Paloma I.; Lutz, Eric A.; Rosales, Cecilia B.

    2013-01-01

    With thousands of pesticides registered by the United States Environmental Protection Agency, it not feasible to sample for all pesticides applied in agricultural communities. Hazard-ranking pesticides based on use, toxicity, and exposure potential can help prioritize community-specific pesticide hazards. This study applied hazard-ranking schemes for cancer, endocrine disruption, and reproductive/developmental toxicity in Yuma County, Arizona. An existing cancer hazard-ranking scheme was modified, and novel schemes for endocrine disruption and reproductive/developmental toxicity were developed to rank pesticide hazards. The hazard-ranking schemes accounted for pesticide use, toxicity, and exposure potential based on chemical properties of each pesticide. Pesticides were ranked as hazards with respect to each health effect, as well as overall chronic health effects. The highest hazard-ranked pesticides for overall chronic health effects were maneb, metam sodium, trifluralin, pronamide, and bifenthrin. The relative pesticide rankings were unique for each health effect. The highest hazard-ranked pesticides differed from those most heavily applied, as well as from those previously detected in Yuma homes over a decade ago. The most hazardous pesticides for cancer in Yuma County, Arizona were also different from a previous hazard-ranking applied in California. Hazard-ranking schemes that take into account pesticide use, toxicity, and exposure potential can help prioritize pesticides of greatest health risk in agricultural communities. This study is the first to provide pesticide hazard-rankings for endocrine disruption and reproductive/developmental toxicity based on use, toxicity, and exposure potential. These hazard-ranking schemes can be applied to other agricultural communities for prioritizing community-specific pesticide hazards to target decreasing health risk. PMID:23783270

  1. Public health assessment for Starr Property, Enfield, Hartford County, Connecticut, Region 1. Final report

    SciTech Connect

    Not Available

    1994-11-15

    The Starr Property is a State designated Superfund site in the town of Enfield, Connecticut in Hartford County. The site represents an indeterminant public health hazard. Surface soil, subsurface soil, ground water, surface water and sediments have been contaminated with cyanide as well as polycyclic aromatic hydrocarbons and some volatile organic compounds. The most significant exposures are occurring to people who trespass on the site and are involved in dirt bike riding that disturbs contaminated soils. Migration of contaminants off-site appears to be limited to ambient air, and surface water run-off. Groundwater may also be a potential route for migration of contaminants offsite.

  2. Longitudinal study of rural health workforce in five counties in China: research design and baseline description

    PubMed Central

    2013-01-01

    Background The village doctors have served rural residents for many decades in China, and their role in rural health system has been highly praised in the world; unfortunately, less attention has been paid to the health workforce during the ambitious healthcare reform in recent years. Therefore, we conducted a longitudinal study to explore the current situation and track the future evolution of the rural healthcare workforce. Methods The self-administered structured Village Clinic Questionnaire and Village Doctor Questionnaire, which were modified from the official questionnaires of the Ministry of Health, were constructed after three focus groups, in-depth interviews in Hebei Province, and a pilot survey in Sichuan Province. Using a stratified multistage cluster sampling process, we gathered baseline data for a longitudinal survey of village doctors, village clinics from Changshu County, Liyang County, Yongchuan District, Mianzhu County, and Jingning County in China in 2011. Well-trained interviewers and strict procedures were employed to ensure the quality of this survey. Descriptive and correlation analyses were performed with Stata 12.0. Results After four months of surveying, 1,982 Village Doctor Questionnaires were collected, and the response rate was 88.1%. There were 1,507 (76.0%) male and 475 (24.0%) female doctors, with an average age of 51.3 years. The majority of village doctors (58.5%) practiced both western medicine and Traditional Chinese Medicine, and 91.2% of the doctors received their education below college level. Their practice methods were not correlated with education level (P = 0.43), but closely related to the way they obtained their highest degree (that is, prior to starting work or as on-the-job training) (P < 0.01). The mean income of the village doctors was 1,817 (95% CI 1,733 to 1,900) RMB per month in 2011; only 757 (41.3%) doctors had pensions, and the self-reported expected pension was 1,965 RMB per month. Conclusions Village doctors

  3. A study of pesticide safety and health perceptions among pesticide applicators in Tarrant County, Texas.

    PubMed

    Martinez, Robert; Gratton, Terrance B; Coggin, Claudia; René, Antonio; Waller, William

    2004-01-01

    Pesticide applicators from North Texas participated in a survey that was based on the constructs of the Health Belief Model of Strecher and Rosenstock. The survey assessed the knowledge, beliefs, and self-efficacy of pesticide applicators working for municipalities or in farming/ranching operations in Tarrant County, Texas. It was administered during a continuing-education class on pesticides sponsored by the Texas Agriculture Extension Service in Fort Worth, Texas. Results showed that while knowledge of the use of personal protective equipment was high, knowledge of the risk from dermal exposure was low. PMID:14768280

  4. After-school programs for health promotion in rural communities: Ashe County Middle School 4-H After-School Program.

    PubMed

    Edwards, Michael B; Miller, Jennifer L; Blackburn, Linda

    2011-01-01

    Rural youth have a higher risk for lower health and developmental outcomes, often facing numerous constraints (eg, poor socioeconomic conditions, lower levels of social support, fewer recreational programs and facilities, and inadequate transportation). After-school programs have the potential to effectively deliver health-promoting activities but often face significant challenges in these areas. Ashe County is a rural community in the Appalachian region of North Carolina. Ashe County is economically depressed and its youth population has many poor health and developmental indicators. However, with more than 20 years of sustained activity, one important community resource trying to address disparities in youth health and development is the Ashe County 4-H After-School Program. To successfully overcome inherent challenges, the program has positioned itself as essential to community development, supported and retained qualified personnel, and cultivated a network of key partners to continue its efforts to provide essential youth programs for this rural community. PMID:21464690

  5. 76 FR 6612 - Lock+ Hydro Friends Fund XL; FFP Missouri 4, LLC; Allegheny 4 Hydro, LLC; Three Rivers Hydro, LLC...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-02-07

    ...; Project No. 13782-000] Lock+ Hydro Friends Fund XL; FFP Missouri 4, LLC; Allegheny 4 Hydro, LLC; Three... drawing will serve as the tiebreaker. Based on the drawing, the order of priority is as follows: 1....

  6. 76 FR 4892 - Lock+ Hydro Friends Fund XXXIX, FFP Missouri 3, LLC, Allegheny 3 Hydro, LLC, Three Rivers Hydro...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-01-27

    ..., Three Rivers Hydro, LLC; Notice Announcing Preliminary Permit Drawing January 20, 2011. On May 18, 2010... Missouri 3, LLC, for Project No. 13749-000, Allegheny 3 Hydro, LLC, for Project No. 13775-000, and...

  7. Schools and Research: Are They Interested? The Allegheny County, Pennsylvania, Experience

    ERIC Educational Resources Information Center

    Vukotich, Charles J., Jr.; Stebbins, Samuel

    2011-01-01

    Lack of trust is an issue in doing research with schools. A School-Based Research and Practice Network was established by the University of Pittsburgh to create a regional research agenda. Over the past two years, Network staff held meetings with school staff in 43 districts to determine specific research needs, interests, and concerns. The most…

  8. 75 FR 81555 - Approval and Promulgation of Air Quality Implementation Plans; Pennsylvania; Allegheny County's...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-12-28

    ... Wood Paneling; Paper, Film, and Foil Surface Coating Processes; and Revisions to Definitions and an..., and foil surface coating processes. In the Final Rules section of this Federal Register, EPA is... Appliance and Metal Furniture; Flat Wood Paneling; Paper, Film, and Foil Surface Coating Processes;...

  9. 75 FR 81480 - Approval and Promulgation of Air Quality Implementation Plans; Pennsylvania; Allegheny County's...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-12-28

    ... Budget under Executive Order 12866 (58 FR 51735, October 4, 1993); Does not impose an information...); Does not have Federalism implications as specified in Executive Order 13132 (64 FR 43255, August 10... Executive Order 13045 (62 FR 19885, April 23, 1997); Is not a significant regulatory action subject...

  10. 78 FR 13007 - Approval and Promulgation of Air Quality Implementation Plans; Pennsylvania; Allegheny County...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-02-26

    ... Chemical and Control of Volatile 10/20/1995 11/14/2002 67 FR 68935 Polymer Manufacturing--Fugitive Organic... considering technological and economic feasibility. See 72 FR 20586, 20610 (April 25, 2007). Section 182 of... RACT fix-up SIP submittal was approved with a conditional limited approval on March 23, 1998 (63...

  11. Implementation of mass media community health education: the Forsyth County Cervical Cancer Prevention Project.

    PubMed

    Dignan, M; Bahnson, J; Sharp, P; Beal, P; Smith, M; Michielutte, R

    1991-09-01

    The Forsyth County Cervical Cancer Prevention Project (FCP) is a community-based health education project funded by the National Cancer Institute. The target population includes around 25 000 black women age 18 and older who reside in Forsyth County, North Carolina. The overall goal of the program is to prevent mortality from cervical cancer by promoting Pap smears and return for follow-up care when needed. Based on the principles of social marketing, a plan to reach the target population with mass media educational messages through electronic and print channels was developed. Guided by marketing objectives, the target population was divided into relatively discrete segments. The segments included church attenders, patients in waiting rooms of public and selected health providers, female students at local colleges, shoppers, viewers of radio and television, newspaper readers, and business owners and managers. Introduction of the program was based on strategies developed for reaching the target population in each segment with television, radio and print mass media messages. Qualitative assessment of the mass media developed by the program indicated that all forms of communication helped to increase awareness of the program. PMID:10148691

  12. Health hazard evaluation report HETA 91-0366-2453, Delaware County Resource Recovery Facility, Chester, Pennsylvania

    SciTech Connect

    Esswein, E.J.; Tepper, A.

    1994-09-01

    In response to a confidential request, an investigation was made of possible hazardous working conditions at the Delaware County Resource Recovery Facility (SIC-4053), Chester, Pennsylvania. The facility was a waste to energy incinerator employing 91 persons. The facility incinerated municipal solid waste and refuse derived fuel to produce electrical power. The request was made in response to concern regarding exposure to lead (7439921), incinerator ash dust, and heat stress. Health concerns included ear, nose and throat problems, eye irritation, and skin rash. The authors conclude that a possible occupational health hazard existed due to heat exposure in some areas of the facility. The presence of metal in dust on workers' hands and surfaces presented a risk of ingestion.

  13. Health hazard evaluation report HETA 97-0115-2718, Northwest Airlines, Wayne County Airport

    SciTech Connect

    Roegner, K.C.; Baron, S.

    1998-12-01

    On February 21, 1997, the National Institute for Occupational Safety and Health (NIOSH) received a request from Northwest Airlines (NWA) customer service agents (CSAs) to investigate ongoing health complaints among NWA employees at Wayne County Airport in Detroit, Michigan. Employees expressed concern that certain symptoms such as difficulty breathing, headache, fatigue, nausea, and miscarriages may be related to the indoor environmental quality (IEQ) at the airport. The requesters identified several agents of concern including malodorous sewer gas, carbon monoxide, carbon dioxide, and glycols. In response to the request, NIOSH investigators reviewed the results of previous IEQ investigations conducted at the airport and visited the airport on February 9-10, 1998. NIOSH investigators focused on those agents which were of the greatest concern to employees and to which exposure seemed plausible. These included measurements of CO and odors. NIOSH also sought to better understand the types and patterns of symptoms experienced by CSAs.

  14. Public health assessment for tri-county landfill waste management of Illinois, South Elgin, Kane County, Illinois, Region 5. Cerclis No. ILD048306183. Final report

    SciTech Connect

    1995-08-29

    The Tri-County and Elgin Landfills pose a public health hazard because the concentrations of lead in downgradient private wells are high enough to be a long-term health concern. Completed exposure pathways include the exposure to contaminated water from on- and off-site private wells (inhalation, ingestion, dermal contact; past, present, future). Contaminants of concern in on-site groundwater include bis(2-chloroethyl)ether, vinyl chloride, antimony, arsenic, barium, cadmium, fluoride, lead, manganese, nickel, nitrate + nitrite, and thallium. Chemicals of concern in on-site surface soil and sediments include PCBs, arsenic, cadmium, and nickel. Contaminants of concern in on-site subsurface soil include PCBs, arsenic, cadmium, lead, and nickel. This public health assessment recommends health professionals education and community health education be conducted for the community impacted by the landfills.

  15. Child health care utilisation in families with young or single mothers in a Swedish county.

    PubMed

    Wallby, Thomas; Modin, Bitte; Hjern, Anders

    2013-03-01

    Young age and lone parenthood are risk factors for impaired health among mothers and their children. Due to the higher risks of negative influences on physical and mental health, young and single mothers should be of special concern to the Child Health Services (CHS). In the present study, we investigated consumption patterns of child health care services among young and single mothers in Uppsala County, Sweden to study whether they are reached by the universal CHS program and if selective or indicative measures were administered in daily CHS practice. Register data on CHS contacts and socio-demographic indicators were collected for 10692 infants, born in 1998-2006. Results show small differences in contact pattern and immunization status, between children of young versus older, and single versus cohabiting mothers. However, both young (RR 0.64) and single (RR 0.80) mothers had significantly lower rates of participation in parental group. The CHS were consequently successful in implementing the universal preventive child health programme for all families, including families with young or single mothers. There was no indication, however, of an established selective preventive strategy aimed at these high risk families. Programs for strengthening the support provided to vulnerable families by the CHS are needed. PMID:23197384

  16. LGBT health and vaccinations: Findings from a community health survey of Lexington-Fayette County, Kentucky, USA.

    PubMed

    Jones, Jeff; Poole, Asheley; Lasley-Bibbs, Vivian; Johnson, Mark

    2016-04-01

    Data on adult immunization coverage at the state level and for LGBT Americans in particular are sparse. This study reports the results of a 2012 Lexington-Fayette County, Kentucky, community health assessment's results asking about eight adult vaccinations among 218 lesbian, gay, bisexual, and transgendered (LGBT) respondents. Researchers collected data using an online survey distributed through LGBT social media, posters, and LGBT print media. The LGBT sample largely matches the demographics of the county as a whole except this group reports higher level of education and fewer uninsured individuals. Among LGBT respondents, immunization prevalence reaches 68.0% (annual Influenza), 65.7% (Hepatitis B), 58.8% (Chickenpox/Varicella), 55.9% (Hepatitis A), 41.2% (Smallpox), and 25.8% (Pneumonia). Among respondents who are currently within the recommended 19-26 years age range for the Human Papillomavirus (HPV) vaccine, the LGBT females are less likely to report receiving the vaccine (15.4%) compared to the national coverage percentage of 34.5%. Males, however, are more likely to have received the vaccine (10.3%) than the national percentage of 2.3%. The small number of LGBT seniors in the study report a much higher prevalence of the Shingles (Herpes Zoster) vaccines than for U.S. seniors 60 and older (71.4% compared to 20.1% nationally). LGBT respondents report higher percentages of adult vaccination. PMID:26930365

  17. Effects of General Medical Health on Alzheimer Progression: the Cache County Dementia Progression Study

    PubMed Central

    Leoutsakos, Jeannie-Marie S.; Han, Dingfen; Mielke, Michelle M.; Forrester, Sarah N.; Tschanz, JoAnn T.; Corcoran, Chris D.; Green, Robert C.; Norton, Maria C.; Welsh-Bohmer, Kathleen A.; Lyketsos, Constantine G.

    2012-01-01

    Background Several observational studies suggested a link between health status and rate of decline among individuals with Alzheimer’s disease (AD). We sought to quantify the relationship in a population-based study of incident AD, and to compare global comorbidity ratings to counts of comorbid conditions and medications as predictors of AD progression. Methods Design Case-only cohort study arising from population-based longitudinal study of memory and aging. Setting Cache County, Utah Participants 335 individuals with incident AD followed for up to 11 years. Measurements Patient descriptors included sex, age, education, dementia duration at baseline, and APOE genotype. Measures of health status made at each visit included the GMHR (General Medical Health Rating), number of comorbid medical conditions, and number of non-psychiatric medications. Dementia outcomes included the Mini-Mental State Exam (MMSE), Clinical Dementia Rating – sum of boxes (CDR-sb), and the Neuropsychiatric Inventory (NPI). Results Health Status tended to fluctuate over time within individuals. None of the baseline medical variables (GMHR, comorbidities, non-psychiatric medications) were associated with differences in rates of decline in longitudinal linear mixed effects models. Over time, low GMHR ratings, but not comorbidities or medications, were associated with poorer outcomes (MMSE: β=−1.07 p=0.01; CDR-sb: β=1.79 p<0.001; NPI: β=4.57 p=0.01) Conclusions Given that time-varying GMHR, but not baseline GMHR, was associated with the outcomes, there is likely a dynamic relationship between medical and cognitive health. GMHR is a more sensitive measure of health than simple counts of comorbidities or medications. Since health status is a potentially modifiable risk factor, further study is warranted. PMID:22687143

  18. The "sugar pack" health marketing campaign in Los Angeles County, 2011-2012.

    PubMed

    Barragan, Noel C; Noller, Ali J; Robles, Brenda; Gase, Lauren N; Leighs, Michael S; Bogert, Suzanne; Simon, Paul A; Kuo, Tony

    2014-03-01

    As part of a comprehensive approach to combating the obesity epidemic, the Los Angeles County Department of Public Health launched the "Sugar Pack" health marketing campaign in fall 2011. Carried out in three stages, the campaign sought to educate and motivate the public to reduce excess calorie intake from sugar-sweetened beverage consumption. The primary Sugar Pack creative concepts provided consumers with information about the number of sugar packs contained in sugary drinks. Data from formative market research as well as lessons from previous campaigns in other U.S. jurisdictions informed the development of the materials. These materials were disseminated through a multipronged platform that included paid outdoor media on transit and billboards and messaging using social media (i.e., Twitter, Facebook, YouTube, and sendable e-cards). Initial findings from a postcampaign assessment indicate that the Sugar Pack campaign reached broadly into targeted communities, resulting in more than 515 million impressions. Lessons learned from the campaign suggest that employing health marketing to engage the public can lead to increased knowledge, favorable recognition of health messages, and self-reported intention to reduce sugar-sweetened beverage consumption, potentially complementing other obesity prevention strategies in the field. PMID:24149214

  19. Health-hazard evaluation report HETA 91-176-2168, Garfield County Courthouse, Glenwood Springs, Colorado

    SciTech Connect

    McCammon, C.S.

    1991-12-01

    In response to a request from the Administrator of Garfield County, Colorado, a study was undertaken of possible hazardous working conditions at the County Courthouse (SIC-9222). Employees at the building had complained of itchy watery eyes, stuffy and/or runny nose, headaches, sore throats, and other problems since the building had been expanded in 1984. The building was four stories and the heating, ventilation and air conditioning system consisted of a central variable air volume system with hot water reheat on the exterior terminal units. Cooling was provided by an indirect chilled water coil and a direct evaporative cooling section. Temperature ranged from 71 to 76 degrees-F and humidity from 36 to 42%. Carbon-monoxide (630080) levels were less than 2 parts per million. Air samples for aldehydes were all below the limits of quantitation. Air samples for dusts resulted in only low levels of common, low toxicity materials. The author concludes that no airborne contaminant was identified which could constitute a health hazard. The author recommends measures to help alleviate the employee complaints.

  20. Health-hazard evaluation report HETA 92-152-2214, Mesa County Courthouse, Grand Junction, Colorado

    SciTech Connect

    McCammon, C.S.

    1992-05-01

    In response to a request from the Facilities Manager of Mesa County Support Services Department concerning the Mesa County Courthouse and Annex (SIC-9222), Grand Junction, Colorado, an evaluation was undertaken of indoor air quality as employees had been suffering with itchy watery eyes, chronic sinus problems, headaches, and other symptoms. Over the past 5 years each of the four courtrooms in the Annex had its own ventilation (heating and air conditioning) system installed. The areas of the Annex building which had a central HVAC system were the source of most complaints. No carbon-dioxide (124389) levels were recorded above 1000 parts per million (ppm) in any section of the building. Temperatures inside ranged from 72 to 79 degrees-F and relative humidity was 17 to 20%. Carbon-monoxide (630080) levels were less than 1 ppm. There were times when the amount of outside air mixed in were inadequate. The author concludes that no airborne contaminant which would constitute a health hazard was identified; however, there were defciencies in the ventilation system. The author recommends measures to improve the ventilation system.

  1. Public health assessment for Newton County Wells (a/k/a Silver Creek TCE), Joplin, Jasper County, Missouri, Region 7: CERCLIS number MOD985798339. Final report

    SciTech Connect

    1999-07-19

    The Newton County TCE site contains an uncontrolled groundwater plume of trichloroethylene (TCE) contamination. The source of contamination is believed to be FAG Bearings. From 1973 to 1982, FAG Bearings produced ball bearings using TCE as a commercial degreaser. It is alleged that improper disposal and leaks of an alleged closed system of TCE led to the contamination of soil at the industrial site, the groundwater aquifer, and subsequently, 82 private water wells. Exposure pathways at the site consist of inhalation of, ingestion of, and dermal contact with TCE-contaminated groundwater and surface water. Because completed and potential exposure pathways exist, the Newton County TCE site has been classified as a Public Health Hazard.

  2. Promoting Evidence-Based Decision Making in a Local Health Department, Pueblo City–County, Colorado

    PubMed Central

    Nevin-Woods, Christine; Proud, Sylvia; Brownson, Ross C.

    2015-01-01

    Background Evidence-based decision making (EBDM) is an effective strategy for addressing population health needs. Assessing and reducing barriers to using EBDM in local health departments may improve practice and provide insight into disseminating EBDM principles among public health practitioners. Community Context Administrative leaders at the Pueblo City–County Health Department, Pueblo, Colorado, used a systematic approach for implementing EBDM. Research partners engaged staff to understand factors that increase or deter its use. Methods A survey was distributed to staff members at baseline to identify gaps in administrative and individual practice of EBDM. In-depth interviews were also conducted with 11 randomly selected staff members. Results were shared with staff and administration, after which activities were implemented to improve application of EBDM. A follow up survey was administered 1 year after the initial assessment. Outcome Survey data showed evidence of progress in engaging and educating staff members, and data showed improved attitudes toward EBDM (ie, several items showed significant improvement from baseline to follow-up). For example, staff members reported having the necessary skills to develop evidence-based interventions (73.9%), the ability to effectively communicate information on evidence-based strategies to policy makers (63.0%), access to current information on improving EBDM processes (65.2%), and a belief that evidence-based interventions are designed to be self-sustaining (43.5%). Interpretation Within a local health department in which leaders have made EBDM a priority, addressing the culture and climate of the department may build EBDM. Future research may provide insight into tailoring EBDM within and across local health departments. PMID:26111156

  3. RACISM IN ORGANIZATIONS: THE CASE OF A COUNTY PUBLIC HEALTH DEPARTMENT

    PubMed Central

    Griffith, Derek M.; Childs, Erica L.; Eng, Eugenia; Jeffries, Vanessa

    2008-01-01

    Racism is part of the foundation of U.S. society and institutions, yet few studies in community psychology or organizational studies have examined how racism affects organizations. This paper proposes a conceptual framework of institutional racism, which describes how, in spite of professional standards and ethics, racism functions within organizations to adversely affect the quality of services, the organizational climate, and staff job satisfaction and morale. Grounded in systems theory and organizational empowerment, the framework is based on data that describe how racism was made manifest in a county public health department. The findings highlight the importance of understanding how organizations are influenced by external forces and can negatively affect clients, communities, and their own staff members. PMID:18852826

  4. Demographic Norms for Metropolitan, Nonmetropolitan and Rural Counties. Mental Health Demographic Profile System Working Paper No. 24, July 1975.

    ERIC Educational Resources Information Center

    Goldsmith, Harold F.; And Others

    Utilizing 1970 census statistics for metropolitan, nonmetropolitan, rural, and "all" counties, this paper presents the selected percentile values for the 130 statistics (social indicators) in the Mental Health Demographic Profile System (the MHDPS is a system which allows the delineation of residential areas with common social rank, life style,…

  5. Child Health and Well-Being in Miami-Dade County: 2007 Baseline Survey Results. Final Report

    ERIC Educational Resources Information Center

    Lippman, Laura; Guzman, Lina; Vandivere, Sharon; Atienza, Astrid; Rivers, Andrew

    2007-01-01

    In January through April 2007, the Children's Trust sponsored a population-based survey of parents of children ages birth through 17 in Miami-Dade County to provide a baseline of data on child health and well-being, and to discern unmet needs for services in the Trust's primary impact areas and strategic investments. The survey was conducted by…

  6. Public health assessment for broward county-21st Manor Dump, Ft. Launderdale, Broward County, Florida, Region 4. CERCLIS No. FLD981930506. Preliminary report

    SciTech Connect

    Not Available

    1992-12-15

    The 21st Manor Dump site is adjacent to Meadowbrook Elementary School in Ft. Lauderdale, Broward County, Florida. It was originally a borrow pit or natural depression where uncontrolled dumping occurred. Children or other individuals may also have come in contact with contaminated soil and water when the dump was open. On-site shallow groundwater contains arsenic, chromium, lead and vanadium. Off-site groundwater is contaminated with vinyl chloride, trichloroethene, 1,1-dichloroethene, 1,2-dichloroethene, and chloroform, but the contamination does not appear to be site-related. However, the off-site contamination is a public health concern and has resulted in the closure of eight municipal supply wells and seven private wells within a one mile radius of the site. Based on the available information, the authors classify the Broward County-21st Manor Dump site as an indeterminate public health hazard. In consultation with the Health Activities Recommendation Panel, the authors recommend that on- and off-site surface soil samples and on-site deep groundwater samples be analyzed for site-related contaminants.

  7. Effects of high salinity wastewater discharges on unionid mussels in the Allegheny River, Pennsylvania

    USGS Publications Warehouse

    Kathleen Patnode; Hittle, Elizabeth A.; Robert Anderson; Lora Zimmerman; Fulton, John W.

    2015-01-01

    We examined the effect of high salinity wastewater (brine) from oil and natural gas drilling on freshwater mussels in the Allegheny River, Pennsylvania, during 2012. Mussel cages (N = 5 per site) were deployed at two sites upstream and four sites downstream of a brine treatment facility on the Allegheny River. Each cage contained 20 juvenile northern riffleshell mussels Epioblasma torulosa rangiana). Continuous specific conductance and temperature data were recorded by water quality probes deployed at each site. To measure the amount of mixing throughout the entire study area, specific conductance surveys were completed two times during low-flow conditions along transects from bank to bank that targeted upstream (reference) reaches, a municipal wastewater treatment plant discharge upstream of the brine-facility discharge, the brine facility, and downstream reaches. Specific conductance data indicated that high specific conductance water from the brine facility (4,000–12,000 µS/cm; mean 7,846) compared to the reference reach (103–188 µS/cm; mean 151) is carried along the left descending bank of the river and that dilution of the discharge via mixing does not occur until 0.5 mi (805 m) downstream. Juvenile northern riffleshell mussel survival was severely impaired within the high specific conductance zone (2 and 34% at and downstream of the brine facility, respectively) and at the municipal wastewater treatment plant (21%) compared to background (84%). We surveyed native mussels (family Unionidae) at 10 transects: 3 upstream, 3 within, and 4 downstream of the high specific conductance zone. Unionid mussel abundance and diversity were lower for all transects within and downstream of the high conductivity zone compared to upstream. The results of this study clearly demonstrate in situ toxicity to juvenile northern riffleshell mussels, a federally endangered species, and to the native unionid mussel assemblage located downstream of a brine discharge to the

  8. Health-hazard evaluation report HETA 86-477-1755, Cumberland County Homemaker Home Health Aid Service, Bridgeton, New Jersey

    SciTech Connect

    Mehta, M.; Liveright, T.

    1986-12-01

    Following a request from the manager of the Cumberland County Home Health Aid Service, Bridgeton, New Jersey, the facility was investigated for hazards related to previous incineration of plastic hospital syringes. The syringes were composed of polypropylene and butyl rubber, and investigations were aimed at determining symptoms related to exposure to the pyrolysis products carbonmonoxide, formaldehyde, acrolein, and crotonaldehyde; other possible factors (dust, ventilation); and wipe samples. Observations revealed probable recirculation of pyrolysis products into office areas, as well as a significant dust burden. Initial symptoms reported involved respiratory and mucous membrane irritation. Continuing symptoms included throat irritation, eye irritation, and rhinitis. The authors conclude that, in spite of negative wipe tests, the workers have probably had continued exposure due to the adherence of irritants onto dust particles. Recommendations include removal of all unnecessary mobile objects and cleaning of remaining objects with a HEPA filtering vacuum, complete cleaning of the entire building with mild detergent, and removal of all materials stored there by the hospital, since their presence would be a continued source of production and dissemination of dust.

  9. Factors associated with adequate weekly reporting for disease surveillance data among health facilities in Nairobi County, Kenya, 2013

    PubMed Central

    Mwatondo, Athman Juma; Ng'ang'a, Zipporah; Maina, Caroline; Makayotto, Lyndah; Mwangi, Moses; Njeru, Ian; Arvelo, Wences

    2016-01-01

    Introduction Kenya adopted the Integrated Disease Surveillance and Response (IDSR) strategy in 1998 to strengthen disease surveillance and epidemic response. However, the goal of weekly surveillance reporting among health facilities has not been achieved. We conducted a cross-sectional study to determine the prevalence of adequate reporting and factors associated with IDSR reporting among health facilities in one Kenyan County. Methods Health facilities (public and private) were enrolled using stratified random sampling from 348 facilities prioritized for routine surveillance reporting. Adequately-reporting facilities were defined as those which submitted >10 weekly reports during a twelve-week period and a poor reporting facilities were those which submitted <10 weekly reports. Multivariate logistic regression with backward selection was used to identify risk factors associated with adequate reporting. Results From September 2 through November 30, 2013, we enrolled 175 health facilities; 130(74%) were private and 45(26%) were public. Of the 175 health facilities, 77 (44%) facilities classified as adequate reporting and 98 (56%) were reporting poorly. Multivariate analysis identified three factors to be independently associated with weekly adequate reporting: having weekly reporting forms at visit (AOR19, 95% CI: 6-65], having posters showing IDSR functions (AOR8, 95% CI: 2-12) and having a designated surveillance focal person (AOR7, 95% CI: 2-20). Conclusion The majority of health facilities in Nairobi County were reporting poorly to IDSR and we recommend that the Ministry of Health provide all health facilities in Nairobi County with weekly reporting tools and offer specific trainings on IDSR which will help designate a focal surveillance person. PMID:27303581

  10. Statistical air quality predictions for public health surveillance: evaluation and generation of county level metrics of PM2.5 for the environmental public health tracking network

    PubMed Central

    2013-01-01

    Background The Centers for Disease Control and Prevention (CDC) developed county level metrics for the Environmental Public Health Tracking Network (Tracking Network) to characterize potential population exposure to airborne particles with an aerodynamic diameter of 2.5 μm or less (PM2.5). These metrics are based on Federal Reference Method (FRM) air monitor data in the Environmental Protection Agency (EPA) Air Quality System (AQS); however, monitor data are limited in space and time. In order to understand air quality in all areas and on days without monitor data, the CDC collaborated with the EPA in the development of hierarchical Bayesian (HB) based predictions of PM2.5 concentrations. This paper describes the generation and evaluation of HB-based county level estimates of PM2.5. Methods We used three geo-imputation approaches to convert grid-level predictions to county level estimates. We used Pearson (r) and Kendall Tau-B (τ) correlation coefficients to assess the consistency of the relationship, and examined the direct differences (by county) between HB-based estimates and AQS-based concentrations at the daily level. We further compared the annual averages using Tukey mean-difference plots. Results During the year 2005, fewer than 20% of the counties in the conterminous United States (U.S.) had PM2.5 monitoring and 32% of the conterminous U.S. population resided in counties with no AQS monitors. County level estimates resulting from population-weighted centroid containment approach were correlated more strongly with monitor-based concentrations (r = 0.9; τ = 0.8) than were estimates from other geo-imputation approaches. The median daily difference was −0.2 μg/m3 with an interquartile range (IQR) of 1.9 μg/m3 and the median relative daily difference was −2.2% with an IQR of 17.2%. Under-prediction was more prevalent at higher concentrations and for counties in the western U.S. Conclusions While the relationship between county level HB

  11. Lithostratigraphy of Upper Devonian Scherr-Foreknobs and Lockhaven Formations near Allegheny front of central Pennsylvanian

    SciTech Connect

    Warne, A.G.; McGhee, G.R. Jr.

    1986-05-01

    Five well-exposed sections (at Madley, New Baltimore, Altoona, Milesburg, and Lockhaven) of Upper Devonian marine strata were measured and analyzed to refine lithologic and temporal correlations along the Allegheny Front of Pennsylvania. The members of the Scherr and Foreknobs formations (Minnehaha Springs, Mallow, Briery Gap, Blizzard, Pound, and Red Lock) are recognized as far north as Altoona. Farther north at Milesburg and Lockhaven, the lithology of the upper parts of the Lockhaven Formation are markedly different from the contiguous Foreknobs Formation, but the Minnehaha Springs member of the basal Scherr and lower-middle Lockhaven Formations is recognized in all sections studied. The Minnehaha Springs member (a 50 to 100-ft, resistant, medium-gray to red-gray sandy silt unit) is considered to be the result of a brief sea level lowering and is therefore nearly isochronous. The isochronous nature of the Minnehaha Springs member is substantiated by biostratigraphic data; therefore, it is considered the most reliable datum for correlating the sections of this study. The lithologic information of the six measured sections was augmented by 38 wells logs of oil and gas wells of the region. From the combined lithologic data, three generalized lithofacies cross sections were generated. These cross sections clearly indicate that: (1) the strike of the paleoshoreline was nearly parallel with the Allegheny Front; (2) a major delta lobe existed in central Pennsylvania during the Late Devonian; but (3) the size and influence of the delta on depositional environments was not constant through space and time.

  12. Allegheny woodrat (Neotoma magister) captive propagation to promote recovery of declining populations.

    PubMed

    Smyser, Timothy J; Swihart, Robert K

    2014-01-01

    The Allegheny woodrat (Neotoma magister) is endemic to the eastern United States with local distributions restricted to rocky habitats within deciduous forests. Over the last 40 years, woodrats have declined precipitously due to an array of human-mediated pressures. There is growing interest in the captive propagation of woodrats as a tool to promote in situ conservation, but their solitary social structure, territorial behavior, and low fecundity present challenges for the attainment of levels of ex situ reproduction sufficient to support reintroduction programs. In 2009 we established a captive breeding program with 12 wild-caught individuals (4.8) collected from Indiana and Pennsylvania. Restricting breeding to wild-caught individuals, over 26 months we produced 19 litters comprised of 43 pups (26.17), of which 40 (24.16) survived to weaning. In sum, wild-caught individuals readily habituated to the captive environment and the low fecundity of woodrats was offset by high survival rates for both adults and juveniles. Therefore, when managed appropriately, captive Allegheny woodrat populations should be capable of supporting the release of surplus individuals to augment in situ conservation measures. PMID:24391017

  13. 78 FR 12750 - FirstEnergy Solutions Corp., Allegheny Energy Supply Company, LLC v. PJM Interconnection, L.L.C...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-02-25

    ... From the Federal Register Online via the Government Publishing Office DEPARTMENT OF ENERGY Federal Energy Regulatory Commission FirstEnergy Solutions Corp., Allegheny Energy Supply Company, LLC v. PJM... sections 206 and 306 of the Federal Power Act, 16 U.S.C. 824(e) and 825(e), FirstEnergy Solutions Corp....

  14. 77 FR 20019 - FirstEnergy Solutions Corp., Allegheny Energy Supply Company, LLC v. PJM Interconnection, L.L.C...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-04-03

    ... From the Federal Register Online via the Government Publishing Office DEPARTMENT OF ENERGY Federal Energy Regulatory Commission FirstEnergy Solutions Corp., Allegheny Energy Supply Company, LLC v. PJM... Practice and Procedure, 18 CFR 385.206 and 206(h), FirstEnergy Solutions Corp. (FirstEnergy Solutions)...

  15. 78 FR 58533 - FirstEnergy Generation, LLC, Allegheny Energy Supply Company, LLC, and Green Valley Hydro, LLC...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-09-24

    ... From the Federal Register Online via the Government Publishing Office DEPARTMENT OF ENERGY Federal Energy Regulatory Commission [Project Nos. 2280-017, 2343-084, 2459-245, 2516-057, 2517-036, 3494- 091, 3671-086, 2391-046, 2425-052, and 2509-046] FirstEnergy Generation, LLC, Allegheny Energy...

  16. 78 FR 2392 - Allegheny Energy Supply, LLC; Notice of Intent To File License Application, Filing of Pre...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-01-11

    ..., Filing of Pre-Application Document (PAD), Commencement of Pre-Filing Process, and Scoping; Request for Comments on the PAD and Scoping Document, and Identification of Issues and Associated Study Requests a.... Allegheny Energy Supply, LLC, filed with the Commission a Pre- Application Document (PAD; including...

  17. 77 FR 9225 - Allegheny Electric Cooperative, Inc., et al. v. PJM Interconnection, L.L.C.; Organization of PJM...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-02-16

    ... Energy Regulatory Commission Allegheny Electric Cooperative, Inc., et al. v. PJM Interconnection, L.L.C.; Organization of PJM States, Inc., et al. v. PJM Interconnection, L.L.C.; Notice of Filing Take notice that on... required by section 18.17.4 of the Amended and Restated Operating Agreement of PJM Interconnection,...

  18. Integrated Health Risk Assessment of Heavy Metals in Suxian County, South China

    PubMed Central

    Song, Daping; Zhuang, Dafang; Jiang, Dong; Fu, Jingying; Wang, Qiao

    2015-01-01

    The purpose of this study was to assess soil heavy metal contamination and the potential risk for local residents in Suxian county of Hunan Province, southern China. Soil, rice and vegetable samples from the areas near the mining industrial districts were sampled and analyzed. The results indicate that the anthropogenic mining activities have caused local agricultural soil contamination with As, Pb, Cu and Cd in the ranges of 8.47–341.33 mg/kg, 19.91–837.52 mg/kg, 8.41–148.73 mg/kg and 0.35–6.47 mg/kg, respectively. GIS-based mapping shows that soil heavy metal concentrations abruptly diminish with increasing distance from the polluting source. The concentrations of As, Pb, Cu and Cd found in rice were in the ranges of 0.02–1.48 mg/kg, 0.66–5.78 mg/kg, 0.09–6.75 mg/kg, and up to 1.39 mg/kg, respectively. Most of these concentrations exceed their maximum permissible levels for contaminants in foods in China. Heavy metals accumulate to significantly different levels between leafy vegetables and non-leafy vegetables. Food consumption and soil ingestion exposure are the two routes that contribute to the average daily intake dose of heavy metals for local adults. Moreover, the total hazard indices of As, Pb and Cd are greater than or close to the safety threshold of 1. Long-term As, Pb and Cd exposure through the regular consumption of the soil, rice and vegetables in the investigated area poses potential health problems to residents in the vicinity of the mining industry. PMID:26114243

  19. Integrated Health Risk Assessment of Heavy Metals in Suxian County, South China.

    PubMed

    Song, Daping; Zhuang, Dafang; Jiang, Dong; Fu, Jingying; Wang, Qiao

    2015-07-01

    The purpose of this study was to assess soil heavy metal contamination and the potential risk for local residents in Suxian county of Hunan Province, southern China. Soil, rice and vegetable samples from the areas near the mining industrial districts were sampled and analyzed. The results indicate that the anthropogenic mining activities have caused local agricultural soil contamination with As, Pb, Cu and Cd in the ranges of 8.47-341.33 mg/kg, 19.91-837.52 mg/kg, 8.41-148.73 mg/kg and 0.35-6.47 mg/kg, respectively. GIS-based mapping shows that soil heavy metal concentrations abruptly diminish with increasing distance from the polluting source. The concentrations of As, Pb, Cu and Cd found in rice were in the ranges of 0.02-1.48 mg/kg, 0.66-5.78 mg/kg, 0.09-6.75 mg/kg, and up to 1.39 mg/kg, respectively. Most of these concentrations exceed their maximum permissible levels for contaminants in foods in China. Heavy metals accumulate to significantly different levels between leafy vegetables and non-leafy vegetables. Food consumption and soil ingestion exposure are the two routes that contribute to the average daily intake dose of heavy metals for local adults. Moreover, the total hazard indices of As, Pb and Cd are greater than or close to the safety threshold of 1. Long-term As, Pb and Cd exposure through the regular consumption of the soil, rice and vegetables in the investigated area poses potential health problems to residents in the vicinity of the mining industry. PMID:26114243

  20. Tractor overturn concerns in Iowa: perspectives from the Keokuk county rural health study.

    PubMed

    Sanderson, W T; Madsen, M D; Rautiainen, R; Kelly, K M; Zwerling, C; Taylor, C D; Reynolds, S J; Stromquist, A M; Burmeister, L F; Merchant, J A

    2006-02-01

    Agriculture remains one of the most hazardous industries in the U.S., with tractor overturns producing the greatest number of agricultural machinery-related fatalities. Rollover protective structures (ROPS) and seatbelts effectively reduce tractor overturn deaths. However, a large proportion of tractors in use in American agriculture are older tractors without ROPS and seatbelts. This article describes the tractor-related responses from participants in a population-based study conducted in Keokuk County, Iowa. This study was designed to measure rural and agricultural adverse health and injury outcomes and their respective risk factors. Questionnaires were partially developed from well-documented national surveys. Questions about agricultural machinery use, presence of safety equipment on the machinery, work practices, and attitudes about farm safety were included. Study participants on farms who owned tractors had an average of 3.1 tractors with an average age of 27 years. Only 39% of the 665 tractors had ROPS. Tractor age was associated with the presence of ROPS; 84% of tractors manufactured after 1984 were ROPS-equipped, whereas only 3% of tractors manufactured before 1960 were ROPS-equipped. ROPS-equipped tractors were significantly more common on larger farms and households with higher income. Only 4% of the farmers reported that their tractors had seatbelts and they wore them when operating their tractors. The results of this study support the findings of other studies, which indicate that many older tractors without ROPS and seatbelts remain in use in American agriculture. Until a dramatic reduction in the number of tractors in the U.S. operated without ROPS and seatbelts is achieved, the annual incidence of 120 to 130 deaths associated with tractor overturns will persist. PMID:16536175

  1. Health Care–Associated Infection Outbreak Investigations in Outpatient Settings, Los Angeles County, California, USA, 2000−2012

    PubMed Central

    Coelho, Laura; Bancroft, Elizabeth; Terashita, Dawn

    2015-01-01

    Health care services are increasingly delivered in outpatient settings. However, infection control oversight in outpatient settings to ensure patient safety has not improved and literature quantifying reported health care–associated infection outbreaks in outpatient settings is scarce. The objective of this analysis was to characterize investigations of suspected and confirmed outbreaks in outpatient settings in Los Angeles County, California, USA, reported during 2000–2012, by using internal logs; publications; records; and correspondence of outbreak investigations by characteristics of the setting, number, and type of infection control breaches found during investigations, outcomes of cases, and public health responses. Twenty-eight investigations met the inclusion criteria. Investigations occurred frequently, in diverse settings, and required substantial public health resources. Most outpatient settings investigated had >1 infection control breach. Lapses in infection control were suspected to be the outbreak source for 16 of the reviewed investigations. PMID:26196293

  2. Is healthcare caring in Hawai'i? Preliminary results from a health assessment of lesbian, gay, bisexual, transgender, questioning, and intersex people in four counties.

    PubMed

    Stotzer, Rebecca L; Ka'opua, Lana Sue I; Diaz, Tressa P

    2014-06-01

    This paper presents findings from a statewide needs assessment of lesbian, gay, bisexual, transgender, questioning, and intersex (LGBTQI) people in Hawai'i that relate to health status and health-related risk factors such as having health insurance coverage, having a regular doctor, experiencing sexual orientation (SO) or gender identity/expression (GI/E) discrimination in health/mental health care settings, and delaying care due to concerns about SO and GIE discrimination in Hawai'i, Honolulu, Kaua'i, and Maui counties. Results suggest that LGBTQI people in these counties generally rated their self-assessed health as "very good" or "excellent," but had slightly higher rates of smoking and less health insurance coverage than the general population of Hawai'i. Many respondents reported challenges to their health, and negative experiences with healthcare. Unlike prior studies that have shown no difference or a rural disadvantage in care, compared to urban locations, Hawai'i's counties did not have a clear rural disadvantage. Honolulu and Kaua'i Counties demonstrated better health indicators and lower percentages of people who had delayed care due to gender identity concerns. Findings suggest that health/mental health care providers should address potential bias in the workplace to be able to provide more culturally competent practice to LGBTQI people in Hawai'i. PMID:24959391

  3. Is Healthcare Caring in Hawai‘i? Preliminary Results from a Health Assessment of Lesbian, Gay, Bisexual, Transgender, Questioning, and Intersex People in Four Counties

    PubMed Central

    Ka‘opua, Lana Sue I; Diaz, Tressa P

    2014-01-01

    This paper presents findings from a statewide needs assessment of lesbian, gay, bisexual, transgender, questioning, and intersex (LGBTQI) people in Hawai‘i that relate to health status and health-related risk factors such as having health insurance coverage, having a regular doctor, experiencing sexual orientation (SO) or gender identity/expression (GI/E) discrimination in health/mental health care settings, and delaying care due to concerns about SO and GIE discrimination in Hawai‘i, Honolulu, Kaua‘i, and Maui counties. Results suggest that LGBTQI people in these counties generally rated their self-assessed health as “very good” or “excellent,” but had slightly higher rates of smoking and less health insurance coverage than the general population of Hawai‘i. Many respondents reported challenges to their health, and negative experiences with healthcare. Unlike prior studies that have shown no difference or a rural disadvantage in care, compared to urban locations, Hawai‘i's counties did not have a clear rural disadvantage. Honolulu and Kaua‘i Counties demonstrated better health indicators and lower percentages of people who had delayed care due to gender identity concerns. Findings suggest that health/mental health care providers should address potential bias in the workplace to be able to provide more culturally competent practice to LGBTQI people in Hawai‘i. PMID:24959391

  4. Comparison of Skylab and Landsat Lineaments with Joint Orientations in Northcentral Pennsylvania. [on Allegheny Plateau

    NASA Technical Reports Server (NTRS)

    Mcmurtry, G. J.; Petersen, G. W. (Principal Investigator); Kowalik, W. S.

    1975-01-01

    The author has identified the following significant results. The histogram peaks of lineaments mapped from Skylab photograph at a scale of 1:517,000 lie subparallel, within 20 deg, to major shale joints and coal cleats on part of the Allegheny Plateau. The Landsat lineament, mapped at 1:989,000 are biased by illumination and scan line directions. While there is an illumination bias in the Skylab photograph, its direction does not coincide with the main transverse lineament trend, thus providing an independent assessment of the illumination direction bias. The coincidence in direction regardless of scale of the linear features suggests a mechanical relationship between joints, fracture traces, and lineaments which is more consistent with a tensional model than a shear model of origin.

  5. Bat activity in harvested and intact forest stands in the allegheny mountains

    USGS Publications Warehouse

    Owen, S.F.; Menzel, M.A.; Edwards, J.W.; Ford, W.M.; Menzel, J.M.; Chapman, B.R.; Wood, P.B.; Miller, K.V.

    2004-01-01

    We used Anabat acoustical monitoring devices to examine bat activity in intact canopy forests, complex canopy forests with gaps, forests subjected to diameter-limit harvests, recent deferment harvests, clearcuts and unmanaged forested riparian areas in the Allegheny Mountains of West Virginia in the summer of 1999. We detected eight species of bats, including the endangered Indiana bat (Myotis sodalis). Most bat activity was concentrated in forested riparian areas. Among upland habitats, activity of silver-haired bats (Lasionycteris noctivagans) and hoary bats (Lasiurus cinereus) was higher in open, less cluttered vegetative types such as recent deferment harvests and clearcuts. Our results suggest that bat species in the central Appalachians partially segregate themselves among vegetative conditions based on differences in body morphology and echolocation call characteristics. From the standpoint of conserving bat foraging habitat for the maximum number of species in the central Appalachians, special emphasis should be placed on protecting forested riparian areas.

  6. Assessment of freshwater mussels in the Allegheny River at Foxburg, Pennsylvania, 1998

    USGS Publications Warehouse

    Anderson, Robert M.

    2000-01-01

    The upper reaches of the Allegheny River are a high-quality resource that supports populations of a number of endangered species. Two endangered species of freshwater mussel, the northern riffleshell, Epioblasma torulosa rangiana, and clubshell, Pleurobema clava, are present in this river reach. Prior to a bridge-replacement project at the Allegheny River at Foxburg, Pa. (river mile 86.2), a mussel survey was conducted to determine if either of the protected endangered species are present and to assess the quality of the mussel bed at this site. Shore and near-shore searches followed by SCUBA diving transects determined that a mussel bed is present at this location. The freshwater-mussel community consists of at least 14 species and includes both endangered species. Substrate type, stream velocity, and channel morphology combined with results from the transect searches documented that the mussel bed is largely limited to the east side of the river. A two-stage sampling design was employed to estimate the overall mussel abundance within the bed. Twelve 4-m2 (square meter) cells were sampled with four 0.25-m2 quadrants per cell. The mean population density within the mussel bed is 8.4 mussel per square meter. The overall mussel population in the survey area is 225,567 individuals (95-percent confidence interval, 135,973 to 374,195). River-bed scour and acid mine drainage appear to limit mussel distribution in the center and left section of the channel. Overall, a healthy and diverse mussel bed exists at this site.

  7. Community-Wide Cardiovascular Disease Prevention Programs and Health Outcomes in a Rural County, 1970–2010

    PubMed Central

    Record, N. Burgess; Onion, Daniel K.; Prior, Roderick E.; Dixon, David C.; Record, Sandra S.; Fowler, Fenwick L.; Cayer, Gerald R.; Amos, Christopher I.; Pearson, Thomas A.

    2015-01-01

    IMPORTANCE Few comprehensive cardiovascular risk reduction programs, particularly those in rural, low-income communities, have sustained community-wide interventions for more than 10 years and demonstrated the effect of risk factor improvements on reductions in morbidity and mortality. OBJECTIVE To document health outcomes associated with an integrated, comprehensive cardiovascular risk reduction program in Franklin County, Maine, a low-income rural community. DESIGN, SETTING, AND PARTICIPANTS Forty-year observational study involving residents of Franklin County, Maine, a rural, low-income population of 22 444 in 1970, that used the preceding decade as a baseline and compared Franklin County with other Maine counties and state averages. INTERVENTIONS Community-wide programs targeting hypertension, cholesterol, and smoking, as well as diet and physical activity, sponsored by multiple community organizations, including the local hospital and clinicians. MAIN OUTCOMES AND MEASURES Resident participation; hypertension and hyperlipidemia detection, treatment, and control; smoking quit rates; hospitalization rates from 1994 through 2006, adjusted for median household income; and mortality rates from 1970 through 2010, adjusted for household income and age. RESULTS More than 150 000 individual county resident contacts occurred over 40 years. Over time, as cardiovascular risk factor programs were added, relevant health indicators improved. Hypertension control had an absolute increase of 24.7%(95%CI, 21.6%–27.7%) from 18.3%to 43.0%, from 1975 to 1978; later, elevated cholesterol control had an absolute increase of 28.5% (95%CI, 25.3%-31.6%) from 0.4% to 28.9%, from 1986 to 2010. Smoking quit rates improved from 48.5% to 69.5%, better than state averages (observed − expected [O − E], 11.3%; 95% CI, 5.5%–17.7%; P < .001), 1996–2000; these differences later disappeared when Maine’s overall quit rate increased. Franklin County hospitalizations per capita were less

  8. Public health assessment for Sayreville Landfill, Sayreville, Middlesex County, New Jersey, Region 2. CERCLIS No. NJD980505754. Final report

    SciTech Connect

    Not Available

    1993-11-16

    The Sayreville Landfill site, located in Middlesex County, New Jersey, was used primarily for the disposal of municipal wastes from 1970 through 1977. Illegal dumping of possibly hazardous materials allegedly occurred during active landfill operations and after landfill closure. Organic and inorganic compounds were found in on-site subsurface soil, ground water, surface water, and sediments at levels above public health assessment comparison values. The community is concerned about the safety of eating fish from the South River. The potential exists for past, present, and future exposure of local residents and workers to contaminated subsurface soil, nearby surface water, and sediments. The New Jersey Department of Health (NJDOH) has concluded that the site is an indeterminate public health hazard since insufficient data exist for all environmental media to which humans may be exposed.

  9. Public health assessment for Malvern Tce Site, Malvern, Chester County, Pennsylvania, Region 3. Cerclis No. PAD014353445. Final report

    SciTech Connect

    Not Available

    1994-01-06

    The Chemclene (Malvern TCE) site is a National Priorities List (NPL) site in Chester County, Pennsylvania, 5.5 miles south of Phoenixville. Over the years, careless waste handling and waste burial have contaminated soil and groundwater with trichloroethene (TCE), 1,1,1-trichloroethane (TCA), and tetrachloroethene (PCE). Based upon the information reviewed, the Pennsylvania Department of Health and the Agency for Toxic Substances and Disease Registry have concluded that this site is a public health hazard because past exposures through the use of contaminated well water were at levels of public health concern. Human exposure to volatile organic compounds (VOCs) may still be occurring through the use of private well water, and the potential for exposure from the nearby public well exists should the contaminant plume reach that well.

  10. A County-Level Examination of the Relationship Between HIV and Social Determinants of Health: 40 States, 2006-2008

    PubMed Central

    Z, Gant; M, Lomotey; H.I, Hall; X, Hu; X, Guo; R, Song

    2012-01-01

    Background: Social determinants of health (SDH) are the social and physical factors that can influence unhealthy or risky behavior. Social determinants of health can affect the chances of acquiring an infectious disease – such as HIV – through behavioral influences and limited preventative and healthcare access. We analyzed the relationship between social determinants of health and HIV diagnosis rates to better understand the disparity in rates between different populations in the United States. Methods: Using National HIV Surveillance data and American Community Survey data at the county level, we examined the relationships between social determinants of health variables (e.g., proportion of whites, income inequality) and HIV diagnosis rates (averaged for 2006-2008) among adults and adolescents from 40 states with mature name-based HIV surveillance. Results: Analysis of data from 1,560 counties showed a significant, positive correlation between HIV diagnosis rates and income inequality (Pearson correlation coefficient ρ = 0.40) and proportion unmarried – ages >15 (ρ = 0.52). There was a significant, negative correlation between proportion of whites and rates (ρ = -0.67). Correlations were low between racespecific social determinants of health indicators and rates. Conclusions/Implications: Overall, HIV diagnosis rates increased as income inequality and the proportion unmarried increased, and rates decreased as proportion of whites increased. The data reflect the higher HIV prevalence among non-whites. Although statistical correlations were moderate, identifying and understanding these social determinants of health variables can help target prevention efforts to aid in reducing HIV diagnosis rates. Future analyses need to determine whether the higher proportion of singles reflects higher populations of gay and bisexual men. PMID:22408698

  11. Public health assessment for Butz Landfill, Jackson Township, Monroe County, Pennsylvania, Region 3. Cerclis No. PAD981034705. Final report

    SciTech Connect

    1996-03-29

    The Butz Landfill in Jackson Township, Monroe County, Pennsylvania, was added to the Environmental Protection Agency`s (EPA) National Priorities List (NPL) in March 1989. Groundwater contamination downgradient of the site, with subsequent contamination of private residential wells by volatile organic compounds (VOCs), eventually led EPA to construct a potable public water supply. The major contaminants found in the private wells are 1,1-dichloroethene (1,1-DCE), 1,2-dichloroethene (1,2-DCE), trichloroethene (TCE), and tetrachloroethene (PCE). The site posed a past public health hazard because people were exposed to contaminated groundwater.

  12. Culturally Competent Diabetes Self-Management Education for Mexican Americans: The Starr County Border Health Initiative.

    ERIC Educational Resources Information Center

    Brown, Sharon A.; Garcia, Alexandra A.; Kouzekanani, Kamiar; Hanis, Craig L.

    2002-01-01

    In a culturally competent diabetes self-management intervention in Starr County, Texas, bilingual Mexican American nurses, dieticians, and community workers provided weekly instruction on nutrition, self-monitoring, exercise and other self-care topics. A biweekly support group promoted behavior change. Interviews and examinations with 256 Mexican…

  13. The Effect of New Insurance Coverage on the Health Status of Low-Income Children in Santa Clara County

    PubMed Central

    Howell, Embry M; Trenholm, Christopher

    2007-01-01

    Objective To examine whether providing health insurance coverage to undocumented children affects the health of those children. Data Sources/Study Setting The data come from a survey of 1235 parents of enrollees in the new insurance program (“Healthy Kids”) in Santa Clara County, California. The survey was conducted from August 2003 to July 2004. Study Design Cross-sectional study using a group of children insured for one year as the study group (N = 626) and a group of newly insured children as the comparison group (N = 609). Regression analysis is used to adjust for differences in the groups according to a range of characteristics. Data Collection Parents were interviewed by telephone in either English or Spanish (most responded in Spanish). The response rate was 89 percent. Principal Findings The study group—who were children continuously insured by Healthy Kids for one year—were significantly less likely to be in fair/poor health and to have functional impairments than the comparison group of newly insured children (15.9 percent versus 28.5 percent and 4.5 percent versus 8.4 percent, respectively). Impacts were largest among children who enrolled for a specific medical reason (such as an illness or injury); indeed, the impact on functional limitations was evident only for this subgroup. The study group also had fewer missed school days than the comparison group, but the difference was significant only among children who did not enroll for a medical reason. Conclusions Health insurance coverage of undocumented children in Santa Clara County was associated with significant improvements in children's health status. The size of this association could be overstated, since the comparison sample included some children who enrolled because of an illness or other temporary health problem that would have improved even without insurance coverage. However, even after limiting the study sample to children who did not enroll for a medical reason, a significant

  14. Health assessment for ALCOA (Vancouver Smelter), Vancouver, Clark County, Washington, Region 10. CERCLIS No. WAD009045279. Final report

    SciTech Connect

    Not Available

    1990-05-09

    The ALCOA (also known as Vancouver Smelter) site, located on the northern bank of the Columbia River about 4 miles west of Interstate 5 in Vancouver, Clark County, Washington, has been proposed for the National Priorities List. The site consists of three waste piles containing about 66,000 tons of waste (spent potlinings and alumina insulation) that were deposited on the north bank of the Columbia River by ALCOA between 1973 and 1981. ALCOA has since sold the aluminum smelter to another company, VANALCO. The contaminants detected in the groundwater in the area surrounding the piles include cyanide, fluoride, and trichloroethene (TCE). The ALCOA site is of potential public health concern because humans may be exposed to hazardous substances at concentrations that may result in adverse health effects.

  15. Public health assessment for Syosset Landfill, Oyster Bay, Nassau County, New York, Region 2. Cerclis No. NYD000511360. Final report

    SciTech Connect

    Not Available

    1994-04-19

    The Syosset Landfill site is an inactive landfill in the Town of Oyster Bay, Syosset, Nassau County, New York. The site is an indeterminate public health hazard. The available data do no indicate that humans are being or have been exposed to levels of contamination that would be expected to cause adverse health effects. Exposures from ingesting contaminated drinking water from a downgradient public supply well may have occurred, however, data are not available to determine the full extent of groundwater contamination present during operation of the well. The concern exists due to the presence of volatile organic compounds (VOCs) including vinyl chloride, benzene and tetrachloroethene in soil gas, and the generation of methane which could migrate to inhabited on-site areas and/or off the site and accumulate in closed buildings, such as Town of Oyster Bay Maintenance facilities, adjacent homes, and the school.

  16. Health assessment for Sharpe Army Depot, Lathrop, San Joaquin County, California, Region 9. CERCLIS No. CA8210020832. Preliminary report

    SciTech Connect

    Not Available

    1989-04-14

    The Sharpe Army Depot (SHAD), consisting of 720 acres located in San Joaquin County, California, is on the National Priorities List. The site has served as a storage, receiving, packaging, and shipping facility since 1941. In the late 1940s the Depot also served as a maintenance facility for heavy equipment. Available data indicate that the primary contaminant sources are associated with past heavy equipment and aircraft-maintenance operations. Contaminants associated with SHAD include trichloroethene, arsenic, selenium, and bromacil (a herbicide). The site is considered to be of potential public health concern because of the risk to human health caused by the possibility of exposure to hazardous substances via ingestion, dermal contact, or inhalation of contaminants in ground water, subsurface soil, soil-gas, and food-chain entities.

  17. Indian Health: Budgetary Effects of Indigent Indians' Medical Costs on Two Montana Counties. Fact Sheet for Congressional Requesters.

    ERIC Educational Resources Information Center

    General Accounting Office, Washington, DC.

    A fact sheet reported medical care costs incurred and funding sources received by county and local governments in Blaine and Hill Counties, Montana, to provide care for indigent Indians. Data obtained from county clerk and recorder offices and welfare departments showed that Blaine County spent about 1% of its operating revenue on indigent medical…

  18. An Innovative Project Breaks Down Barriers to Oral Health Care for Vulnerable Young Children in Los Angeles County.

    PubMed

    Crall, James J; Illum, Jackie; Martinez, Ana; Pourat, Nadereh

    2016-06-01

    Despite the high rate of untreated tooth decay, many young children in California under six years of age have never been to a dentist. Numerous and complex barriers to access to oral health care for young children exist, and a multifaceted approach is required to improve receipt of preventive and treatment services that could improve the oral health of this population. This policy brief describes the UCLA-First 5 LA 21st Century Dental Homes Project, which was designed to improve oral health care for young children in 12 Federally Qualified Health Center (FQHC) clinic sites with co-located dental and primary care services and its accessibility in their service areas throughout Los Angeles County. The project funded infrastructure and staffing, provided technical assistance to improve operations, trained clinical personnel to provide oral health care to young children, implemented a quality improvement learning collaborative, trained parents and child care providers in oral hygiene and healthy habits, and disseminated information to promote effective policies. Early data on the project indicated twofold increases in delivery of both diagnostics and treatment visits for young children, and a threefold increase in preventive services for young children during the program. PMID:27416646

  19. Prevalence of Baylisascaris procyonis in habitat associated with Allegheny woodrat (Neotoma magister) populations in Indiana.

    PubMed

    Page, L Kristen; Johnson, Scott A; Swihart, Robert K; Kazacos, Kevin R

    2012-04-01

    Allegheny woodrat (Neotoma magister) populations have been in decline across their range since the late 1970s. Hypotheses proposed to explain these declines include habitat fragmentation and loss, decreased food availability, and increased mortality from infection with Baylisascaris procyonis. We investigated the prevalence of B. procyonis at raccoon (Procyon lotor) latrines in woodrat cliff habitats (n = 18) along the Ohio River in southern Indiana in 1995. We located 275 latrines (mean = 15.3/site; range, 6-34) and found B. procyonis in 13 (4.7%) latrines across all sites. When present at a site, B. procyonis occurred, on average, at 11.1%of latrines (range, 3-36%). Woodrat abundance, determined through a concurrent live-trapping program, was significantly higher (χ(2) = 5.12, df = 1, P = 0.024) at sites where B. procyonis was not found (9.5 ± 2.52) than at sites with B. procyonis (3.7 ± 2.2). Our analyses support the hypothesis that this parasite could contribute to declines in woodrat abundance. Because woodrats cache nonfood items, including raccoon feces, and are highly susceptible to the parasite, they are at increased risk for B. procyonis infection, which could be deleterious, especially to small populations. PMID:22493131

  20. COMMUNITY HEALTH ASSOCIATED WITH ARSENIC IN DRINKING WATER IN MILLARD COUNTY, UTAH

    EPA Science Inventory

    This study evaluates the health effects of arsenic in drinking water at levels approximately four times the maximum allowed by the National Interim Primary Drinking Water Regulations. Physical examinations of 250 people included evaluating dermatological and neurological health, ...

  1. Public health assessment for Stoker Company, Imperial, Imperial County, California, Region 9. Cerclis No. CAD066635442. Preliminary report

    SciTech Connect

    Not Available

    1994-01-06

    Stoker Company is a pesticide dealer and crop dusting loading facility located in the County of Imperial, approximately 25 miles from the Mexican border. The 26-acre site is barren with no vegetation. Operations at the facility, beginning in 1966, have caused the surface soil over much of the site to be contaminated with pesticides. Some of the contaminated surface soil has blown off-site and impacted nearby surface soil and surface water. This preliminary public health assessment evaluated the potential for adverse health effects to occur in five populations identified as being impacted by contaminants. The impacted populations include: (1) on-site workers; (2) the family formerly living on the neighboring D K property; (3) the D K Duck Hunting Club members; (4) individuals using untreated surface water for drinking and/or other domestic purposes; and (5) individuals living or working near crop dusting operations. Based on this assessment, Stoker Company is considered to pose a public health hazard because long-term exposure to site-related contaminants may cause adverse health effects.

  2. Modifying effect of the County Level Health Indices on Cardiopulmonary Effects Associated with Wildfire Exposure

    EPA Science Inventory

    Background and Aims: Socioeconomic status (SES) is a known risk factor for cardiopulmonary health and some studies suggest SES may be an effect modifier for health effects associated with exposure to air pollution. We investigated the synergistic impact of health disparities on ...

  3. Status of Oregon's Children: 1998 County Data Book. Special Focus: Children's Health Care.

    ERIC Educational Resources Information Center

    Children First for Oregon, Portland.

    This Kids Count report examines statewide trends in the well-being of Oregon's children, focusing on children's health care. The statistical portrait is based on indicators of well-being including: (1) children's insurance coverage; (2) health care access; (3) health outcomes, including immunization rates and early prenatal care; (4) juvenile…

  4. Health hazard evaluation report HETA 85-345-1665, County of Alameda, Oakland, California. [Data Processing Department

    SciTech Connect

    Belanger, P.L.

    1986-02-01

    Air quality in the Data Processing Department of the County of Alameda, Oakland, California was investigated on May 16, and June 14, 1985. The evaluation was requested by a representative of the Personnel Department, Occupational Health Services, County of Alameda, Oakland, California to investigate indoor air quality problems. Workers had complained about room air temperature, and symptoms such as stuffy head, headaches, burning eyes and raspy throat. There also was concern that the ventilation intake duct, at street level, might be capturing vehicle-exhaust fumes. Approximately 70 to 80 programmers and clerical staff work in the Data Processing Department, which is located in a large windowless room in the basement. An initial environmental survey was conducted in May; in June, carbon monoxide (CO), carbon dioxide (CO/sub 2/) and formaldehyde concentrations in the air were measured using chemical detector tubes. The author concluded that there were no overexposures to CO, CO/sub 2/, or formaldehyde, and that workers complaints may be related to an improperly balanced ventilation system and cigarette smoke.

  5. Health-hazard evaluation report HETA 88-001-1995, Broward County Library, Ft. Lauderdale, Florida

    SciTech Connect

    Elliott, L.J.; Gupta, S.; Sinks, T.

    1989-11-01

    In response to a request from the Director of Libraries in Broward County, Fort Lauderdale, Florida, an evaluation was undertaken of possible poor air quality in the Main Library Building (SIC-8231). The building was eight stories high, and about 300 county employees worked in the building. Soon after the building was opened in April of 1984, workers began to complain of eye and upper airway irritation, difficulty in breathing and headaches. Particularly on the fifth floor, where government documents were housed, the employees suffered allergy-like symptoms. Some documents had visible growths of mold on their covers. The building had repeated problems with the heating, ventilation and air conditioning system, and numerous rainwater leaks occurred. All air samples collected for viable aerosols contained very low counts of mold, and no thermophilic or mesophilic actinomycetes were found. Formaldehyde was found in air samples at levels from less than 0.01 to 0.07 parts per million. Measurements were taken of temperature, relative humidity, and carbon-dioxide. The carbon-dioxide measurements in some places in the library approached the point which indicated that inadequate quantities of fresh air were being distributed to an occupied space. The study concluded that the employees' symptoms were not the result of exposure to molds released through the ventilation system.

  6. Isotopic evidence of enhanced carbonate dissolution at a coal mine drainage site in Allegheny County, Pennsylvania, USA

    SciTech Connect

    Sharma, Shikha; Sack, Andrea; Adams, James P.; Vesper, Dorothy; J Capo, Rosemary C.; Hartsock, Angela; Edenborn, Harry M.

    2013-01-01

    Stable isotopes were used to determine the sources and fate of dissolved inorganic C (DIC) in the circumneutral pH drainage from an abandoned bituminous coal mine in western Pennsylvania. The C isotope signatures of DIC (δ{sup 13}C{sub DIC}) were intermediate between local carbonate and organic C sources, but were higher than those of contemporaneous Pennsylvanian age groundwaters in the region. This suggests a significant contribution of C enriched in {sup 13}C due to enhanced carbonate dissolution associated with the release of H{sub 2}SO{sub 4} from pyrite oxidation. The Sr isotopic signature of the drainage was similar to other regional mine waters associated with the same coal seam and reflected contributions from limestone dissolution and cation exchange with clay minerals. The relatively high δ{sup 34}S{sub SO4} and δ{sup 18}O{sub SO4} isotopic signatures of the mine drainage and the presence of presumptive SO{sub 4}-reducing bacteria suggest that SO{sub 4} reduction activity also contributes C depleted in {sup 13}C isotope to the total DIC pool. With distance downstream from the mine portal, C isotope signatures in the drainage increased, accompanied by decreased total DIC concentrations and increased pH. These data are consistent with H{sub 2}SO{sub 4} dissolution of carbonate rocks, enhanced by cation exchange, and C release to the atmosphere via CO{sub 2} outgassing.

  7. Preparedness of County Referral Health Facilities in Implementing Adolescent Friendly Health Services: A Case Study of Mama Lucy Kibaki Hosptal

    PubMed Central

    Owuondo, Pacific Akinyi; Mwaura-Tenembergen, Wanja; Adoyo, Maureen; Kiilu, Elizabeth M.

    2015-01-01

    Health service delivery is a key pillar of the health system management .The World Health Organization recently emphasized the need to develop adolescent -friendly health services to improve the care provided to young people throughout the world. However, there is limited peer reviewed literature on this subject therefore necessitating assessment of whether the existing health facilities are prepared to implement the adolescent friendly health services. Adolescent friendly health services remains a relatively new and sensitive area mainly due to restrictive norms and policies guiding the services. After International Conference on Population and Development in 1994, countries started implementing adolescent friendly health services. The Government of Kenya together with partners in an attempt to address the health challenges came up with the Adolescent package of care (APOC) in 2013 whose guidelines were finalized in November 2014 and released for use by service providers . Despite this package of care, there is still ineffective staff capacity in relation to skills and knowledge gap of health professionals, training needs, health resources as well as health system factors that can affect implementation of AFHS. The study explored ways of mitigating or addressing the barriers to implementation of these services. The study used both quantitative and qualitative approaches to collect data. The study utilized survey research adapting descriptive cross sectional design and semi-structured questionnaire to interview 348 health care providers and 472 adolescents in Mam Lucy Kibaki Hospital from 3rd May 2014 to 16 June 2014 .The key informants were mainly nurses, clinical officers and Medical doctors who were working at the health service delivery area at the time of study and were interviewed using an interview guide. The managers at the hospital were interviewed using an in-depth interview guide while the adolescents were interviewed through interview guide and focused

  8. Preparedness of County Referral Health Facilities in Implementing Adolescent Friendly Health Services: A Case Study of Mama Lucy Kibaki Hospital.

    PubMed

    Owuondo, Pacific Akinyi; Mwaura-Tenembergen, Wanja; Adoyo, Maureen; Kiilu, Elizabeth M

    2015-11-01

    Health service delivery is a key pillar of the health system management. The World Health Organization recently emphasized the need to develop adolescent -friendly health services to improve the care provided to young people throughout the world. However, there is limited peer reviewed literature on this subject therefore necessitating assessment of whether the existing health facilities are prepared to implement the adolescent friendly health services. Adolescent friendly health services remains a relatively new and sensitive area mainly due to restrictive norms and policies guiding the services. After International Conference on Population and Development in 1994, countries started implementing adolescent friendly health services. The Government of Kenya together with partners in an attempt to address the health challenges came up with the Adolescent package of care (APOC) in 2013 whose guidelines were finalized in November 2014 and released for use by service providers . Despite this package of care, there is still ineffective staff capacity in relation to skills and knowledge gap of health professionals, training needs, health resources as well as health system factors that can affect implementation of AFHS. The study explored ways of mitigating or addressing the barriers to implementation of these services. The study used both quantitative and qualitative approaches to collect data. The study utilized survey research adapting descriptive cross sectional design and semi-structured questionnaire to interview 348 health care providers and 472 adolescents in Mam Lucy Kibaki Hospital from 3rd May 2014 to 16 June 2014. The key informants were mainly nurses, clinical officers and Medical doctors who were working at the health service delivery area at the time of study and were interviewed using an interview guide. The managers at the hospital were interviewed using an in-depth interview guide while the adolescents were interviewed through interview guide and focused

  9. Health assessment for Old Springfield Landfill, Windsor County, Vermont, Region 1. CERCLIS No. VTD000860239. Final report

    SciTech Connect

    Not Available

    1986-10-27

    The Old Springfield Landfill is in Windsor County, Vermont. Sampling results indicate that on-site surface soil and water, groundwater, and leachate seeps are contaminated with volatile organic and semivolatile organic compounds. Polychlorinated biphenyls (PCBs) and some inorganic compounds may be present at greater than background concentrations. Risk characterization is inaccurate according to procedures prescribed by the Environmental Protection Agency (EPA). Similarly, the SR erroneously states that relatively high soil PCB concentrations were found on-site (e.g., 12,000 mg/kg). The correct units of concentration are ug/kg, and these results do not suggest extensive contamination with PCBs. ATSDR cannot comment on public health implications using the Endangerment Assessment, EA-SR, or SR in their present forms.

  10. Health assessment for Brown Wood Preserving Site, Suwannee County, Live Oak, Florida, Region 4. CERCLIS No. FLD980728935. Final report

    SciTech Connect

    Not Available

    1989-04-24

    The Brown Wood Preserving site is a National Priorities List (NPL) site located at the intersection of Saw Mill Road and Gold Kist Road, west of the city of Live Oak, Suwannee County, Florida. Surface soil and surface water at the disposal lagoon area were contaminated with polynuclear aromatic hydrocarbons (PAHs). Groundwater was also tested for PAHs with none found; however, analytical detection limits were greater than appropriate health-based guideline values. The site is located in an area of intermediate karst (sinkhole) development. This area of direct aquifer recharge is surrounded by residences using private potable wells. The exposures of concern for humans include dermal absorption and inhalation of dust from contaminated surface soil. Residents reside 100 feet northwest of the site and may constitute a susceptible population because of their proximity to contaminated soils.

  11. Public health assessment for Agrico Chemical Site, Pensacola, Escambia County, Florida, Region 4. Cerclis No. FLD980221857. Final report

    SciTech Connect

    1995-02-07

    The Agrico Chemical Co. Superfund site (Agrico) is a former sulfuric acid and phosphate fertilizer production facility in Pensacola, Escambia County, Florida. The authors focused their public assessment on the following chemicals: arsenic, chromium, fluoride, lead, manganese, polycyclic aromatic hydrocarbons (PAHs), sulfate and vanadium. Workers and treapassers on the site may have accidentally eaten contaminated soil or waste sludge, or gotten this material or contaminated water on their skin. Arsenic in surface soil on the site may also increase the risk of skin, bladder, liver, kidney and lung cancer. Arsenic in surface soil at the onsite baseball field, and lead and PAHs in surface soil on and off of the site would result in no apparent increase in the risk of cancer. Analysis of off-site surface soil samples has been limited to PAHs, fluoride and three analyses for lead. Based on the information the authors have, this site is a public health hazard.

  12. Health assessment for Welsh Landfill, Honeybrook, Chester County, Pennsylvania, Region 3. CERCLIS No. PAD980829527. Final report

    SciTech Connect

    Not Available

    1992-03-24

    The Welsh Landfill site (AKA Welsh Road/Barkman Landfill) National Priorities List site is located near the top of Welsh Mountain, Honey Brook Township, Chester County, Pennsylvania. The landfill was operated as an unpermitted solid waste disposal facility from 1963-1977 and is currently operated as a waste transfer station. Environmental pathways for the migration of site-contaminants to off-site areas include those associated with groundwater and surface and subsurface soil. Human exposure to site contaminants may occur through ingestion and dermal contact with contaminated groundwater, dusts or volatilized contaminants. The proposed remediation of the site by EPA should eliminate or significantly reduce the potential for the completion of human exposure pathways to site contaminants by capping the site and supplying public water to affected residences. This site is considered a public health hazard because of past exposure to site contaminants by individuals.

  13. Public health assessment for Redwing Carriers Inc. /Saraland, Saraland, Mobile County, Alabama, Region 4. Cerclis No. ALD980844385. Final report

    SciTech Connect

    Not Available

    1994-02-23

    The Redwing Carriers, Inc.,/ Saraland Apartment site is located at 527 U.S. Highway 43 in the City of Saraland, Mobile County, Alabama. Redwing Carriers, Inc. owned and operated a trucking terminal used for parking, maintaining, and cleaning trucks and trailers. Redwing transported a variety of substances including asphalt, diesel fuel, chemicals, and pesticides. The operation began in 1961 and continued until 1971. Redwing emptied residue from cleaning the trucks into pits and surrounding ditches at the site. Investigations since then have revealed on-site contamination of soil and groundwater. Contaminants of concern include volatile organic compounds, heavy metals, polyaromatic hydrocarbons, and pesticides. The Redwing Carriers/Saraland Apartments site is categorized as a public health hazard based on potential for skin irritation and exposure to benzo(a)pyrene and other PAHs from the ingestion of 5 grams per day of tar-like material by pica children at the site.

  14. School-Based Intervention for Nutrition Promotion in Mi Yun County, Beijing, China: Does a Health-Promoting School Approach Improve Parents' Knowledge, Attitudes and Behaviour?

    ERIC Educational Resources Information Center

    Wang, Dongxu; Stewart, Donald; Chang, Chun

    2016-01-01

    Purpose: The purpose of this paper is to assess whether the school-based nutrition programme using the health-promoting school (HPS) framework was effective to improve parents' knowledge, attitudes and behaviour (KAB) in relation to nutrition in rural Mi Yun County, Beijing. Design/methodology/approach: A cluster-randomised intervention trial…

  15. A Comparative Analysis of the Validity of US State- and County-Level Social Capital Measures and Their Associations with Population Health

    ERIC Educational Resources Information Center

    Lee, Chul-Joo; Kim, Daniel

    2013-01-01

    The goals of this study were to validate a number of available collective social capital measures at the US state and county levels, and to examine the relative extent to which these social capital measures are associated with population health outcomes. Measures of social capital at the US state level included aggregate indices based on the…

  16. Health assessment for Chemplex Company, Clinton, Clinton County, Iowa, Region 7. CERCLIS No. IAD045372836. Final report

    SciTech Connect

    Not Available

    1991-01-03

    The Chemplex Company site is a proposed National Priorities List (NPL) site situated approximately 2 miles northwest of Camanche and approximately 4 miles southwest of downtown Clinton in Clinton County, Iowa. On-site soils and on-site and off-site groundwater are contaminated with considerable amounts of volatile organic compounds (VOCs), i.e. benzene, 1,1-dichloroethylene, 1,2-dichloroethylene, trichloroethylene, xylene, toluene, ethylbenzene, etc., and polycyclic aromatic hydrocarbons (PAHs) at levels of public health concern. The populations at risk of exposure include employees at the facility, remedial and construction workers, and residents in close proximity to the site. There are approximately 475 employees at the facility. Ten residences having an estimated population of 25 persons are located at various locations within a half-mile radius of the site. Area residents utilize private wells to obtain groundwater from the shallow bedrock aquifer for domestic and agricultural purposes. Potential human exposure pathways include ingestion, inhalation, and dermal contact with contaminated on-site soil and groundwater. The site poses a potential risk to human health because of possible exposures to contaminants at concentrations that may result in adverse health effects. Proposed remedial plans should reduce or eliminate potential risk.

  17. Building Economic Security Today: making the health-wealth connection in Contra Costa county's maternal and child health programs.

    PubMed

    Parthasarathy, Padmini; Dailey, Dawn E; Young, Maria-Elena D; Lam, Carrie; Pies, Cheri

    2014-02-01

    In recent years, maternal and child health professionals have been seeking approaches to integrating the Life Course Perspective and social determinants of health into their work. In this article, we describe how community input, staff feedback, and evidence from the field that the connection between wealth and health should be addressed compelled the Contra Costa Family, Maternal and Child Health (FMCH) Programs Life Course Initiative to launch Building Economic Security Today (BEST). BEST utilizes innovative strategies to reduce inequities in health outcomes for low-income Contra Costa families by improving their financial security and stability. FMCH Programs' Women, Infants, and Children Program (WIC) conducted BEST financial education classes, and its Medically Vulnerable Infant Program (MVIP) instituted BEST financial assessments during public health nurse home visits. Educational and referral resources were also developed and distributed to all clients. The classes at WIC increased clients' awareness of financial issues and confidence that they could improve their financial situations. WIC clients and staff also gained knowledge about financial resources in the community. MVIP's financial assessments offered clients a new and needed perspective on their financial situations, as well as support around the financial and psychological stresses of caring for a child with special health care needs. BEST offered FMCH Programs staff opportunities to engage in non-traditional, cross-sector partnerships, and gain new knowledge and skills to address a pressing social determinant of health. We learned the value of flexible timelines, maintaining a long view for creating change, and challenging the traditional paradigm of maternal and child health. PMID:23793485

  18. Substance Abuse among Health-Care Professionals in Rutherford and Surrounding Counties.

    ERIC Educational Resources Information Center

    Edwards, Sherri Reid; Heritage, Jeannette G.

    Drug abuse is a serious problem in today's work force. It is found in every occupation, from the entry-level employee to the chief executive officer. Among health care professionals alcohol is the number-one substance abused, prescription drugs are second, and cocaine is third. Substance abuse among health-care professionals in Rutherford,…

  19. Estimating Impaired Waters on a County Level for Public Health Analysis

    EPA Science Inventory

    Assessing the population-level impact of water quality on health can be difficult. Water quality data are measured at a watershed level and health data are organized at different levels of aggregation. To address this discrepancy and enable the consideration of water quality for ...

  20. Projected Allied Health and Nursing Training Needs for a Seven-County Area in West Virginia.

    ERIC Educational Resources Information Center

    Bertram, Charles L.; And Others

    This report describes a project that developed and field tested a model for projecting state-wide manpower needs in the allied health and nursing occupations in West Virginia and presents projections made for sixteen allied health and nursing occupations in the Charleston area. The content of the report is presented in three sections. The first…

  1. Using County-Level Public Health Data to Prioritize Medical Education Topics

    ERIC Educational Resources Information Center

    Sumner, Walton, II; Schootman, Mario; Asaro, Philip; Yan, Yan; Hagen, Michael D.

    2008-01-01

    Introduction: Medical education topics might be locally prioritized using public health data on health outcomes and risk factors unrelated to quality of care. Methods: The Missouri Information for Community Assessment (MICA) supplied preventable hospitalization rates (PHRs) for asthma, chronic obstructive pulmonary disease (COPD), diabetes, heart…

  2. Use of experimental translocations of Allegheny woodrat to decipher causal agents of decline.

    PubMed

    Smyser, Timothy J; Johnson, Scott A; Page, L Kristen; Hudson, Cassie M; Rhodes, Olin E

    2013-08-01

    Translocations are an important tool for wildlife conservation, although progress in the field of reintroduction biology has been hindered by the ad hoc and opportunistic nature of many translocations. We used an experimental translocation to elucidate the role of raccoon roundworm (Baylisascaris procyonis) and inbreeding depression in the decline of the Allegheny woodrat (Neotoma magister), an endangered species. We translocated woodrats from genetically diverse populations in the core of the species range to 4 previously occupied sites (reintroductions) and 2 sites supporting genetically depauperate populations (reinforcements) in Indiana (U.S.A.). In 2 reintroduction sites and 1 reinforcement site, we distributed anthelmintic baits to passively deworm raccoons and reduce the risk of woodrat exposure to roundworms. The remaining sites served as controls. We used raccoon latrine surveys and fecal flotation to monitor temporal variability in roundworm prevalence and effect of treatment. We used live trapping and microsatellite genotyping to monitor the demographic and genetic response of translocated populations over the following 54 months. At the conclusion of the study, 4 of 6 translocations were successfully maintaining abundance through local recruitment. The distribution of anthelmintic baits reduced levels of roundworm contamination, but levels of contamination were also low in 2 of 3 control sites. Reintroductions failed at control sites, one of which was due to high roundworm exposure. The other failed control reintroduction was likely attributable to demographic stochasticity and limited reproductive potential following initial mortality within the first 4 months. In both control and treatment reinforcements, increases in both allelic richness and heterozygosity were accompanied by increases in abundance, which is suggestive of genetic rescue. Our results demonstrate that mitigation of roundworm exposure through the distribution of anthelmintic baits can

  3. Water quality in the Allegheny and Monongahela River basins, Pennsylvania, West Virginia, New York, and Maryland, 1996-98

    USGS Publications Warehouse

    Anderson, Robert M.; Beer, Kevin M.; Buckwalter, Theodore F.; Clark, Mary E.; McAuley, Steven D.; Sams, James I., III; Williams, Donald R.

    2000-01-01

    Major influences and findings for ground water quality, surface water quality, and biology in the Allegheny and Monongahela River basins are described and illustrated. Samples were collected in a variety of media to determine trace elements, sulfate, pesticides, nitrate, volatile organic compounds, organochlorine compounds, and radon-222. This report discusses the influences of several land-use practices, such as coal mining, urbanization, agriculture, and forestry. The report also includes a summary of a regional investigation of water quality and quality invertebrates in the Northern and Central Appalachian coal regions.

  4. Anatomy of a public health agency turnaround: the case of the general health district in Mahoning County.

    PubMed

    Honoré, Peggy A; Stefanak, Matthew; Dessens, Scott

    2012-01-01

    A turnaround describes an organization's ability to recover from successive periods of decline. Current and projected declines in US economic conditions continue to place local public health departments at risk of fiscal exigency. This examination focused on turnaround methodologies used by a local public health department to reverse successive periods of operational and financial declines. Illustrations are provided on the value added by implementing financial ratio and trend analysis in addition to using evidence-based private sector turnaround strategies of retrenchment, repositioning, and reorganization. Evidence has shown how the financial analysis and strategies aided in identifying operational weakness and set in motion corrective measures. The Public Health Uniform Data System is introduced along with a list of standards offered for mainstreaming these and other routine stewardship practices to diagnose, predict, and prevent agency declines. PMID:22635191

  5. Public Health Surveillance Strategies for Mass Gatherings: Super Bowl XLIX and Related Events, Maricopa County, Arizona, 2015.

    PubMed

    Ayala, Aurimar; Berisha, Vjollca; Goodin, Kate; Pogreba-Brown, Kristen; Levy, Craig; McKinney, Benita; Koski, Lia; Imholte, Sara

    2016-01-01

    Super Bowl XLIX took place on February 1, 2015, in Glendale, Arizona. In preparation for this event and associated activities, the Maricopa County Department of Public Health (MCDPH) developed methods for enhanced surveillance, situational awareness, and early detection of public health emergencies. Surveillance strategies implemented from January 22 to February 6, 2015, included enhanced surveillance alerts; animal disease surveillance; review of NFL clinic visits; syndromic surveillance for emergency room visits, urgent care facilities, and hotels; real-time onsite syndromic surveillance; all-hazards mortality surveillance; emergency medical services surveillance, review of poison control center reports; media surveillance; and aberration detection algorithms for notifiable diseases. Surveillance results included increased influenzalike illness activity reported from urgent care centers and a few influenza cases reported in the NFL clinic. A cyanide single event exposure was investigated and determined not to be a public health threat. Real-time field syndromic surveillance documented minor injuries at all events and sporadic cases of gastrointestinal and neurological (mostly headaches) disease. Animal surveillance reports included a cat suspected of carrying plague and tularemia and an investigation of highly pathogenic avian influenza in a backyard chicken flock. Laboratory results in both instances were negative. Aberration detection and syndromic surveillance detected an increase in measles reports associated with a Disneyland exposure, and syndromic surveillance was used successfully during this investigation. Coordinated enhanced epidemiologic surveillance during Super Bowl XLIX increased the response capacity and preparedness of MCDPH to make informed decisions and take public health actions in a timely manner during these mass gathering events. PMID:27314657

  6. mHealth Series: mHealth project in Zhao County, rural China – Description of objectives, field site and methods

    PubMed Central

    van Velthoven, Michelle Helena; Li, Ye; Wang, Wei; Du, Xiaozhen; Wu, Qiong; Chen, Li; Majeed, Azeem; Rudan, Igor; Zhang, Yanfeng; Car, Josip

    2013-01-01

    Background We set up a collaboration between researchers in China and the UK that aimed to explore the use of mHealth in China. This is the first paper in a series of papers on a large mHealth project part of this collaboration. This paper included the aims and objectives of the mHealth project, our field site, and the detailed methods of two studies. Field site The field site for this mHealth project was Zhao County, which lies 280 km south of Beijing in Hebei Province, China. Methods We described the methodology of two studies: (i) a mixed methods study exploring factors influencing sample size calculations for mHealth–based health surveys and (ii) a cross–over study determining validity of an mHealth text messaging data collection tool. The first study used mixed methods, both quantitative and qualitative, including: (i) two surveys with caregivers of young children, (ii) interviews with caregivers, village doctors and participants of the cross–over study, and (iii) researchers’ views. We combined data from caregivers, village doctors and researchers to provide an in–depth understanding of factors influencing sample size calculations for mHealth–based health surveys. The second study, a cross–over study, used a randomised cross–over study design to compare the traditional face–to–face survey method to the new text messaging survey method. We assessed data equivalence (intrarater agreement), the amount of information in responses, reasons for giving different responses, the response rate, characteristics of non–responders, and the error rate. Conclusions This paper described the objectives, field site and methods of a large mHealth project part of a collaboration between researchers in China and the UK. The mixed methods study evaluating factors that influence sample size calculations could help future studies with estimating reliable sample sizes. The cross–over study comparing face–to–face and text message survey data collection

  7. Proximity to Natural Gas Wells and Reported Health Status: Results of a Household Survey in Washington County, Pennsylvania

    PubMed Central

    Slizovskiy, Ilya B.; Lamers, Vanessa; Trufan, Sally J.; Holford, Theodore R.; Dziura, James D.; Peduzzi, Peter N.; Kane, Michael J.; Reif, John S.; Weiss, Theresa R.; Stowe, Meredith H.

    2014-01-01

    of specific air and water exposures, is warranted. Citation: Rabinowitz PM, Slizovskiy IB, Lamers V, Trufan SJ, Holford TR, Dziura JD, Peduzzi PN, Kane MJ, Reif JS, Weiss TR, Stowe MH. 2015. Proximity to natural gas wells and reported health status: results of a household survey in Washington County, Pennsylvania. Environ Health Perspect 123:21–26; http://dx.doi.org/10.1289/ehp.1307732 PMID:25204871

  8. Cardiovascular health promotion for children: a model for a Parish (County)-wide program (implementation and preliminary results).

    PubMed

    Berenson, Gerald S

    2010-01-01

    Cardiovascular (CV) risk factors in childhood result in a lifetime burden on the CV system. The Bogalusa Heart Study, a prevention program for children, addresses behaviors and lifestyles associated with CV risk. This prevention program utilizes the substructure of a Parish (County) that can be a model for other areas. All aspects in educating school children-the classroom, physical activity, cafeteria, teachers, and parents with community involvement-are included. The program requires cooperation of parents, schools, physicians, and political and business personnel. Their collaboration helps implement and sustain the program. Understanding the origin of coronary artery disease, hypertension, diabetes, and now the obesity epidemic shows the need to develop a framework for improving lifestyles and behaviors beginning in childhood. In addition to nutrition and exercise, the program addresses tobacco, alcohol, and drug use, and societal problems such as dropping out of school, violent behavior, and teenage pregnancy. An initial accomplishment is the entry into all elementary schools, representing approximately 7000 children. Early results show reduction in obesity, increased physical activity, improved decision making, and healthy attitudes. This public health model is inexpensive by utilizing prior research findings and integrating into community resources. Health education of children is an important aspect of preventive cardiology with a need for pediatric and adult cardiologists' involvement. PMID:20021623

  9. Health assessment for Brunswick Naval Air Station, Brunswick, Cumberland County, Maine, Region 1. CERCLIS No. ME8170022018. Preliminary report

    SciTech Connect

    Not Available

    1989-04-10

    The Brunswick Naval Air Station (BWK) Site is listed by the U.S. Environmental Protection Agency (EPA) on the National Priorities List. The site is located in Brunswick (Cumberland County), Maine, and encompasses 7 waste areas within a 2-mile radius occupying 15 acres. Five of the seven sites were used to dispose various acids, caustics, and asbestos wastes. Preliminary on-site sampling results have identified various volatile organic compounds (VOCs) and heavy metals in groundwater. The site-related contaminants include: Chloroform, trichloroethylene, bis 2 ethylhexylphalate, lead, chromium, and mercury. On-site surface water contaminants identified include: total organics, chloroform, and chromium. Off-site surface water sampling results identified cadmium and mercury. The site is considered to be of potential public health concern because of the risk to human health caused by the possibility of human exposure to hazardous substances through direct contact and ingestion of contaminated groundwater, surface water, sediment and soil. Access to the waste areas inside the base should be restricted, if not already.

  10. Health assessment for O'Connor Company site, Augusta, Kennebec County, Maine, Region 1. CERCLIS No. MED980731475. Preliminary report

    SciTech Connect

    Not Available

    1989-04-10

    The F. O'Connor Site (FOC) is listed by the U.S. Environmental Protection Agency (EPA) on the National Priorities List. The 28-acre site is located in Augusta (Kennebec County), Maine. FOC recycled capacitors, transformers, and scrap metal for about 20 years. Waste oil from these operations was disposed of on-site or burned. Preliminary on-site soil sampling results have identified PCB's (ND to 200,000 ppm), various PAH's (ND to 23 ppm), and various metals such as lead (62 to 3,210 ppm), nickel (18 to 29 ppm), chromium (28 to 34 ppm), arsenic (8 to 13 ppm), and mercury (ND to 3 ppm). On-site groundwater sampling results detected 1,4-dichlorobenzene (ND to 28 ppb) and PCB's (ND to 72 ppb). Potential environmental pathways include those related to contaminated groundwater, surface water, soils and sediment, and volatilization of contaminants in ambient air. In addition, bioaccumulation of contaminants in fish, water fowl, livestock, and commercial agricultural products may be another environmental pathway. Based on available information, this site is considered to be of potential public health concern because of the risk to human health caused by the likelihood of human exposure to hazardous substances. Area residents may be exposed through direct contact with and ingestion of contaminated off-site soil and sediment. An additional exposure pathway may exist through the ingestion of fish, waterfowl, and other aquatic organisms that bioaccumulate site-related contaminants.

  11. Public health assessment for Plymouth Avenue Landfill, Deland, Volusia County, Florida, Region 4. Cerclis No. FLD984167569. Final report

    SciTech Connect

    Not Available

    1994-08-24

    The Plymouth Avenue Landfill is about 1.75 miles west of the City of DeLand in rural western Volusia County, Florida. From 1971 to 1988 it was a Class I landfill and received all types of nonhazardous industrial and municipal solid waste. From June 1978 to October 1980, the landfill reportedly received 4,500 gallons per week of process waste slurry from the Brunswick Corporation. The authors selected the following contaminants of concern: barium, chromium, 1,2-dichloroethene, iron, nitrate, sulfate, and vinyl chloride. Ingestion of ground water is a past completed human exposure pathway. Concentrations of the contaminants of concern found so far are unlikely to have caused illness in the nearby residents. Analysis of water samples has been inadequate, however, to assess the public health threat from ingestion of sulfate, giardia, or vinyl chloride. Based on the information currently available, the authors classify the public health hazard at this landfill as indeterminate. Groundwater sampling is needed to determine the extent of vinyl chloride contamination.

  12. Health assessment for West Lake Landfill, Bridgeton, St. Louis County, Missouri, Region 7. CERCLIS No. MODO79900932. Preliminary report

    SciTech Connect

    Not Available

    1991-10-04

    The West Lake Landfill, located in the City of Bridgeton, St. Louis County, Missouri, was proposed for the National Priorities List (NPL) in October 1989. Soil contaminated with radioactive waste from decontamination efforts at the Cotter Corporation's Latty Avenue plant in Hazelwood, Missouri, was dumped at the landfill in 1973. The radioactive soil was used as cover over refuse and in later years the radioactive soil itself was covered with additional soil and debris. The area around the landfill consists mostly of industrial buildings and business offices with small residential communities to the south and east. Agricultural river bottom land borders to the west, but it is fast being encroached upon by Earth City which is being developed for commercial purposes. The site presents no apparent public health hazard because the available data indicate human health is not currently being affected. Exposures of concern could occur if ground water contamination increases and spreads, exposed radioactive materials on the northwestern edges of the landfill move off site, or on-site worker exposure increases. Continued monitoring is recommended until additional environmental data are available to assess the on-site and off-site contamination and help predict future activity.

  13. Combining the benefits of decision science and financial analysis in public health management: a county-specific budgeting and planning model.

    PubMed

    Fos, Peter J; Miller, Danny L; Amy, Brian W; Zuniga, Miguel A

    2004-01-01

    State public health agencies are charged with providing and overseeing the management of basic public health services on a population-wide basis. These activities have a re-emphasized focus as a result of the events of September 11, 2001, the subsequent anthrax events, and the continuing importance placed on bioterrorism preparedness, West Nile virus, and emerging infectious diseases (eg, monkeypox, SARS). This has added to the tension that exists in budgeting and planning, given the diverse constituencies that are served in each state. State health agencies must be prepared to allocate finite resources in a more formal manner to be able to provide basic public health services on a routine basis, as well as during outbreaks. This article describes the use of an analytical approach to assist financial analysis that is used for budgeting and planning in a state health agency. The combined benefits of decision science and financial analysis are needed to adequately and appropriately plan and budget to meet the diverse needs of the populations within a state. Health and financial indicators are incorporated into a decision model, based on multicriteria decision theory, that has been employed to acquire information about counties and public health programs areas within a county, that reflect the impact of planning and budgeting efforts. This information can be used to allocate resources, to distribute funds for health care services, and to guide public health finance policy formulation and implementation. PMID:15552764

  14. Health-hazard evaluation report no. HETA-87-404-1893, Park County Courthouse, Fairplay, Colorado

    SciTech Connect

    Lee, S.A.

    1988-05-01

    In response to a request from employees at the Park County Courthouse, Fairplay, Colorado, an evaluation was made of indoor air quality at the facility, with specific reference to symptoms of headaches, ringing in the ears, worsening eyesight, and sinus problems. Six people worked at the building which had been constructed 2 years earlier. Air samples were taken at the facility and analyzed for formaldehyde by visible spectroscopy. Formaldehyde levels were measured at 0.03 to 0.06 parts per million (ppm), with a mean of 0.05ppm in the offices and courtrooms. As a result of recommendations, the building was made a no smoking area, and outside air vents were connected to the furnaces. At a followup visit, carbon dioxide levels were about 250ppm throughout the building, reaching a maximum of 400ppm at 9:30 in the morning, when 29 people were present in the building. Relative humidity ranged from 14 to 18%. The author concludes that there was no hazard due to exposure to formaldehyde, and that adequate amounts of fresh air were supplied throughout the building. The author recommends increasing the relative humidity to about 40% to alleviate upper respiratory irritation caused by dry air during the heating season.

  15. A Comparative Analysis of the Validity of US State- and County-Level Social Capital Measures and Their Associations with Population Health

    PubMed Central

    Lee, Chul-joo; Kim, Daniel

    2014-01-01

    The goals of this study were to validate a number of available collective social capital measures at the U.S. state and county levels, and to examine the relative extent to which these social capital measures are associated with population health outcomes. Measures of social capital at the U.S. state level included aggregate indices based on the Annenberg National Health Communication Survey (ANHCS) and the Behavioral Risk Factor Surveillance System (BRFSS), Petris Social Capital Index (PSCI), Putnam’s index, and Kim et al.’s scales. County-level measures consisted of Rupasingha et al.’s social capital index (RGFI) and a BRFSS-derived measure. These measures, except for the PSCI, showed evidence of acceptable validity. Moreover, we observed differences across the social capital measures in their associations with population health outcomes. The implications of the findings for future research in this area are discussed. PMID:25574069

  16. Public health assessment for golden strip septic tank, Greenville County, Simpsonville, South Carolina, Region 4. Cerclis No. SCD980799456. Final report

    SciTech Connect

    Not Available

    1993-09-29

    Golden Strip Septic Tank Services, Inc. (GSST), is a 55-acre tract of farm land located near the town of Simpsonville, Greenville County, South Carolina. These lagoons received industrial wastes from a number of facilities from the adjoining five counties between 1960 and 1975. The wastes included inks, caustics, textile dyes, spin finish oil, septic tank wastes, metal plating liquids, dyestuff wastewater, electroplating sludge, and electroplating wastewater from a number of facilities from the adjoining five counties. Site-related contaminants identified as being of concern include organic compounds, pesticides, Polychlorinated Biphenyls (PCBs), and metals. Contaminants of concern were detected in on-site soil, surface water and sediments in the lagoons, in the lagoon wastes, and groundwater. The GSST site is classified as being an indeterminate public health hazard due to data gaps identified. Additional sampling is needed to better characterize the extent of contaminant migration and to evaluate the likelihood and possible extent of exposure.

  17. Community Interagency Connections for Immigrant Worker Health Interventions, King County, Washington State, 2012–2013

    PubMed Central

    Petrescu-Prahova, Miruna

    2016-01-01

    Introduction Cross-sector community partnerships are a potentially powerful strategy to address population health problems, including health disparities. US immigrants — commonly employed in low-wage jobs that pose high risks to their health — experience such disparities because of hazardous exposures in the workplace. Hazardous exposures contribute to chronic health problems and complicate disease management. Moreover, prevention strategies such as worksite wellness programs are not effective for low-wage immigrant groups. The purpose of this article was to describe an innovative application of social network analysis to characterize interagency connections and knowledge needed to design and deliver a comprehensive community-based chronic disease prevention program for immigrant workers. Methods Using iterative sample expansion, we identified 42 agencies representing diverse community sectors (service agencies, faith-based organizations, unions, nonprofits, government agencies) pertinent to the health of Chinese immigrant workers. To capture data on shared information, resources, and services as well as organizational characteristics, we jointly interviewed 2 representatives from each agency. We used social network analysis to describe interagency network structure and the positions of agencies within the networks. Results Agency interconnections were established primarily for information sharing. In the overall interagency network, a few service-oriented agencies held central or gatekeeper positions. Strong interconnectedness occurred predominately across service, public, and nonprofit sectors. The Chinese and Pan-Asian service sectors showed the strongest interconnectedness. Conclusion Network analysis yields critical understanding of community structural links and assets needed to inform decisions about actual and potential community collaborations. Alternative intervention strategies may be needed to address health disparities among immigrant workers. PMID

  18. Lincoln County Primary Care Center Is a Model for Good Health.

    ERIC Educational Resources Information Center

    Casto, James E.

    1992-01-01

    Describes a rural West Virginia health-care center as a successful model program for integration between the clinic and community. Describes center facilities, funding sources, community cooperation, and cooperative residency program with regional medical school. Discusses implications for other medical-education programs. Describes differences…

  19. Health Careers 2000: A School-to-Work Program in Pinal County, Arizona. Evaluation Report.

    ERIC Educational Resources Information Center

    Goodman, Gregory

    The purpose of this study was to profile the internship component of the Health Careers 2000 program, a School-to-Work (STW) grantee. The direction, extent, and focus of program implementation was studied to determine the degree of any substantive effect the internship program has had for its high school and community. Concerns and issues…

  20. Presence of a Community Health Center and Uninsured Emergency Department Visit Rates in Rural Counties

    ERIC Educational Resources Information Center

    Rust, George; Baltrus, Peter; Ye, Jiali; Daniels, Elvan; Quarshie, Alexander; Boumbulian, Paul; Strothers, Harry

    2009-01-01

    Context: Community health centers (CHCs) provide essential access to a primary care medical home for the uninsured, especially in rural communities with no other primary care safety net. CHCs could potentially reduce uninsured emergency department (ED) visits in rural communities. Purpose: We compared uninsured ED visit rates between rural…

  1. Wellness Programs Promote Health in Jefferson County and Centennial School Districts.

    ERIC Educational Resources Information Center

    O'Connor, Patrick J.

    1986-01-01

    This bulletin examines wellness programs and what they mean to Oregon educators. The opening sections describe what is meant by "wellness" and trace the growth of wellness programs in Oregon to the annual Seaside Health Education Conference. To illustrate how wellness programs operate, the next two sections describe how two Oregon school…

  2. Access to Health Care Among Latinos of Mexican Descent in "Colonias" in Two Texas Counties

    ERIC Educational Resources Information Center

    Ortiz, Larry; Arizmendi, Lydia; Cornelius, Llewellyn J.

    2004-01-01

    Critical to resolving the problem of health disparities among Latinos is examining the needs within ethnic subpopulations. This paper focused on the unique challenges encountered by one ethnic subpopulation -- Latinos of Mexican descent living in colonias. Findings reaffirm the importance of looking within ethnic subpopulations to understand the…

  3. Status of Oregon's Children: 2002 County Data Book. Special Focus: Health and Safety.

    ERIC Educational Resources Information Center

    Children First for Oregon, Portland.

    This Kids Count data book examines trends in the well-being of Oregons children, focusing on child health, nutrition, and child safety. This statistical portrait is based on 17 indicators of child well-being: (1) child care supply; (2) third grade reading proficiency; (3) third grade math proficiency; (4) juvenile arrests; (5) suicide attempts;…

  4. Health assessment for Packaging Corporation of America, Filer City, Manistee County, Michigan, Region 5. CERCLIS No. MID980794747. Preliminary report

    SciTech Connect

    Not Available

    1989-03-10

    Packaging Corporation of America is listed on the National Priorities List. The site is located in Filer City, Stronach Township, Manistee County, Michigan. The Packaging Corporation of America (PCA) and its prior owner, American Box Board Company (ABBCo), have operated a neutral sulfite semi-chemical (NSSC) pulping mill in Filer City for the production of corrugated medium for corrugated boxes. Seepage lagoons operated from 1951 through 1974, receiving a total of 7.2 billion gallons of waste materials. Inorganic chemicals detected in lagoon sediments in 1986 include (with maximum concentrations in ppm): aluminum, 6,250; barium, 633; cadmium, 33; calcium, 228,000; chromium, 29; copper, 173; iron, 25,900; lead, 128; magnesium, 11,300; manganese, 2,200; mercury, 2.5; nickel, 20; potassium, 8,940; sodium, 74,300; vanadium, 15; and zinc, 2,080. A similar profile of inorganics was found in subsurface soils and ground water in 1987. Arsenic and cadmium were also detected off-site in high concentrations in a monitoring well sample from 1981. Organic chemicals were also detected in the ground water in the 1987 sampling. These included (maximum concentrations in ppb); 2-butanone, 1,700; tetrachloroethene, 18; chloroform, 8.7; bis(2-ethylhexyl)phthalate, 10; phenol, 70,000; 2-methylphenol, 6,200; 4-methylphenol, 16,000; and benzoic acid, 240,000. The site is of potential public health concern because of the risk to human health that could result from possible exposure to hazardous substances at levels that may result in adverse health effects over time. Human exposure to heavy metals and organic chemicals may occur via ground water contamination.

  5. Public health assessment for US Defense General Supply Center, Richmond, Chesterfield County, Virginia, Region 3. CERCLIS No. VA3971520751. Final report

    SciTech Connect

    Not Available

    1993-04-21

    Defense General Supply Center (DGSC), south of Richmond, Virginia in Chesterfield County, is a military supply distribution center. The facility currently manages and furnishes military general supplies to the Armed Forces and several federal civilian agencies. Contaminants, primarily volatile organic chemicals, in groundwater and surface water have migrated to adjoining communities. A well survey was conducted in March 1987 by the Chesterfield County Health District, part of the Virginia Health Department. Some private wells were sampled at the time of the survey in the Rayon Park area, adjacent to the National Guard Area on DGSC, and the water contained contaminants at levels above regulatory limits. Because of those levels, 21 private wells in the community of Rayon Park were replaced with an alternate water supply in 1987. Because of infrequent exposure to low levels of VOCs in those wells, adverse health effects are not likely. Citizens have expressed concerns about contamination to installation officials and representatives of state and local health departments. They are also concerned about possible adverse health effects associated with past use of contaminated groundwater and on-going monitoring efforts being conducted by DGSC. Those concerns are evaluated in the Public Health Implications section of the public health assessment.

  6. Health-hazard evaluation report HETA 85-292-1811, Clark County Hospital, Jeffersonville, Indiana. [Ethylene oxide

    SciTech Connect

    Zey, J.N.; Elliott, L.; Mortimer, V.

    1987-07-01

    A request was received from Clark County Hospital located in Jeffersonville, Indiana to evaluate possible employee exposures to hazardous substances while working in the central-supply (CS) area. Symptoms expressed by workers included headaches, dizziness, mucous membrane irritation, vomiting, diarrhea, nose bleeds, fatigue, nervous problems, and respiratory difficulties. Workers had reported smelling a sweet odor at times. Air sampling yielded time-weighted average personal-exposure concentrations of 0.23 to 0.56 parts per million (ppm) for ethylene oxide with short-term exposures of 77 ppm in the cart-storage area. The OSHA standard was 1 ppm, and the NIOSH recommended criterion was 0.1 ppm of ethylene oxide. Hydrochloric acid concentrations in area air samples were less than 1.0 ppm; for chlorine gas, less than 0.2 ppm; for carbon monoxide, less than 5.0 ppm; and up to 700 ppm for carbon dioxide. The lack of a dedicated ethylene oxide exhaust and the existence of an overloaded exhaust system were noted. The authors conclude that a health hazard to workers from exposure to ethylene oxide existed. They recommend specific measures to reduce exposures to ethylene oxide, including design and installation of a proper ventilation system.

  7. National Weather Service, Emergency Medical Services, Scripps Institution of Oceanography/UCSD and California EPA Collaboration on Heat Health Impact and Public Notification for San Diego County

    NASA Astrophysics Data System (ADS)

    Tardy, A. O.; Corcus, I.; Guirguis, K.

    2015-12-01

    The National Weather Service (NWS) has issued official heat alerts in the form of either a heat advisory or excessive heat warning product to the public and core partners for many years. This information has traditionally been developed through the use of triggers for heat indices which combine humidity and temperature. The criteria typically used numeric thresholds and did not consider impact from a particular heat episode, nor did it factor seasonality or population acclimation. In 2013, the Scripps Institution of Oceanography, University of California, San Diego in collaboration with the Office of Environmental Health Hazard Assessment, of the California Environmental Protection Agency and the NWS completed a study of heat health impact in California, while the NWS San Diego office began modifying their criteria towards departure from climatological normal with much less dependence on humidity or heat index. The NWS changes were based on initial findings from the California Department of Public Health, EpiCenter California Injury Data Online system which documents heat health impacts. Results from the UCSD study were finalized and published in 2014; they supported the need for significant modification of the traditional criteria. In order to better understand the impacts of heat on community health, medical outcome data were provided by the County of San Diego Emergency Medical Services Branch, which is charged by the County's Public Health Officer to monitor heat-related illness and injury daily from June through September. The data were combined with UCSD research to inform the modification of local NWS heat criteria and establish trigger points to pilot new procedures for the issuance of heat alerts. Finally, practices and procedures were customized for each of the county health departments in the NWS area of responsibility across extreme southwest California counties in collaboration with their Office of Emergency Services. The end result of the

  8. The Precarious Health of Young Mexican American Men in South Texas, Cameron County Hispanic Cohort, 2004–2015

    PubMed Central

    Vatcheva, Kristina P.; Griffith, Derek M.; Reininger, Belinda M.; Beretta, Laura; Fallon, Michael B.; McCormick, Joseph B.; Fisher-Hoch, Susan P.

    2016-01-01

    Introduction Hispanic men have higher rates of illness and death from various chronic conditions than do non-Hispanic men. We aimed to characterize the health of Mexican American men living on the US–Mexico border in South Texas and elucidate indications of chronic disease in young men. Methods We sampled all male participants from the Cameron County Hispanic Cohort, an ongoing population-based cohort of Mexican Americans in Brownsville, Texas. We calculated descriptive statistics and stratified the sample into 3 age groups to estimate the prevalence of sociodemographic, behavioral, and clinical factors by age group and evaluated differences between age groups. Results Obesity prevalence was approximately 50% across all age groups (P = .83). Diabetes prevalence was high overall (26.8%), and 16.9% (95% confidence interval [CI], 10.1%–23.8%) of men younger than 35 had diabetes. More than 70% of these young men had elevated liver enzymes, and mean values of aspartate aminotransferase were significantly higher in younger men (45.0 u/L; 95% CI, 39.5–50.6 u/L) than in both older age groups. Less than 20% of young men had any form of health insurance. Current smoking was higher in young men than in men in the other groups, and the rate was higher than the national prevalence of current smoking among Hispanic men. Conclusions We suggest a need for obesity and diabetes prevention programs and smoking cessation programs for men in this region. Opportunities exist to expand current intervention programs and tailor them to better reach this vulnerable population of young Hispanic men. Elevated liver enzymes in men younger than 35 suggest a substantial burden of liver abnormalities, a finding that warrants further study. PMID:27560721

  9. Behavioral changes following participation in a home health promotional program in King County, Washington.

    PubMed

    Leung, R; Koenig, J Q; Simcox, N; van Belle, G; Fenske, R; Gilbert, S G

    1997-10-01

    This study examined behavioral changes in households after participation in a home environmental assessment. Home assessment visits by a trained coach, which involved a walk-through in the home with the home residents, were conducted in 36 homes. The walk-through included a list of recommended behavioral changes that the residents could make to reduce their exposures to home pollutants in areas such as dust control, moisture problems, indoor air, hazardous household products, and hobbies. Recruited households were surveyed 3 months after the home assessment to evaluate their implementation of the recommendations. Following the home visits, 31 of 36 households reported making at least one behavioral change, and 41% of the recommendations made by the volunteer coaches were implemented. In conclusion, this study found that the majority of the households who participated in the home assessment reported implementing at least one recommendation. This home health promotional method was effective in influencing behavioral changes. PMID:9349831

  10. Behavioral changes following participation in a home health promotional program in King County, Washington.

    PubMed Central

    Leung, R; Koenig, J Q; Simcox, N; van Belle, G; Fenske, R; Gilbert, S G

    1997-01-01

    This study examined behavioral changes in households after participation in a home environmental assessment. Home assessment visits by a trained coach, which involved a walk-through in the home with the home residents, were conducted in 36 homes. The walk-through included a list of recommended behavioral changes that the residents could make to reduce their exposures to home pollutants in areas such as dust control, moisture problems, indoor air, hazardous household products, and hobbies. Recruited households were surveyed 3 months after the home assessment to evaluate their implementation of the recommendations. Following the home visits, 31 of 36 households reported making at least one behavioral change, and 41% of the recommendations made by the volunteer coaches were implemented. In conclusion, this study found that the majority of the households who participated in the home assessment reported implementing at least one recommendation. This home health promotional method was effective in influencing behavioral changes. PMID:9349831

  11. Estimating the Potential Health Impact and Costs of Implementing a Local Policy for Food Procurement to Reduce the Consumption of Sodium in the County of Los Angeles

    PubMed Central

    Kuo, Tony; Dunet, Diane; Schmidt, Steven M.; Simon, Paul A.; Fielding, Jonathan E.

    2011-01-01

    Objectives. We examined approaches to reduce sodium content of food served in settings operated or funded by the government of the County of Los Angeles, California. Methods. We adapted health impact assessment methods to mathematically simulate various levels of reduction in the sodium content of food served by the County of Los Angeles and to estimate the reductions’ potential impacts on mean systolic blood pressure (SBP) among food-service customers. We used data provided by county government food-service vendors to generate these simulations. Results. Our analysis predicted that if the postulated sodium-reduction strategies were implemented, adults would consume, on average, 233 fewer milligrams of sodium each day. This would correspond to an average decrease of 0.71 millimeters of mercury in SBP among adult hypertensives, 388 fewer cases of uncontrolled hypertension in the study population, and an annual decrease of $629 724 in direct health care costs. Conclusions. Our findings suggest that a food-procurement policy can contribute to positive health and economic effects at the local level. Our approach may serve as an example of sodium-reduction analysis for other jurisdictions to follow. PMID:21680933

  12. Health hazard evaluation report No. HETA 82-056-1186, Monroe County Incinerator, Key Largo, Florida

    SciTech Connect

    Williams, T.; Hickey, J.L.S.

    1982-09-01

    On November 24, 1981, NIOSH received a request concerned with possible biohazards from the handling of hospital waste (human body parts, blood-contaminated bedding and wearing apparel, syringes, and operating room waste) at the incinerator. Interviews with several incinerator operators and general laborers did not reveal any incident of human body parts being seen or spilled from bags. Blood had been observed leaking from bags onto truckbeds and the incinerator floor. The State Epidemiologist was contacted and found to be aware of the concern for worker exposure to infectious waste as it was being handled by personnel outside hospitals and health care units. The 1982 Florida Legislature adopted a bill providing regulation of infectious waste disposal. The act requires that each hospital and ambulatory surgical center properly identify, segregate, and separate infectious from solid waste, and that any transporter of infectious waste be notified of the existence and location of such waste. No immediate biohazard at the incinerator was identified during the survey; however, worker exposure to infectious wastes due to breakage of the bags because of mishandling is possible. There was no indication of unburned infectious wastes in the grate ash. The bill enacted by the 1982 Florida Legislature should be strictly observed by persons delivering wastes, and incinerator managers should reject any waste not properly bagged and marked.

  13. Health Education Needs: A Survey of Rural Adults in Northumberland County, Pennsylvania, 1975. An Interim Report. Rural Health Staff Papers - Paper Number 6.

    ERIC Educational Resources Information Center

    Leadley, Samuel M.

    In June 1975, 53 men and 56 women living on commercial farms in Northumberland County, Pennsylvania were interviewed regarding their behaviors, beliefs, and attitudes related to preventing cancer and coronary heart disease. Respondents represented about 23% of all adults living on commercial farms in the county. A commercial farm was defined as…

  14. Health Education Needs: A Survey of Rural Adults in Fulton County, Pennsylvania, 1975. An Interim Report. Rural Health Staff Papers - Paper Number 5.

    ERIC Educational Resources Information Center

    Leadley, Samuel M.

    In June 1975, 47 men and 43 women living on commercial farms in Fulton County, Pennsylvania were interviewed regarding their behaviors, beliefs, and attitudes related to preventing cancer and coronary heart disease. Respondents represented about 39% of all adults living on commercial farms in the county. A commercial farm was defined as one that…

  15. Health Education Needs: A Survey of Rural Adults in Juniata County, Pennsylvania, 1975. An Interim Report. Rural Health Staff Papers - Paper Number 4.

    ERIC Educational Resources Information Center

    Leadley, Samuel M.

    In June 1975, 62 men and 64 women living on commercial farms in Juniata County, Pennsylvania were interviewed regarding their behaviors, beliefs, and attitudes related to preventing cancer and coronary heart disease. Respondents represented about 22% of all adults living on commercial farms in the county. A commercial farm was defined as one that…

  16. Health Education Needs: A Survey of Rural Adults in Butler County, Pennsylvania, 1975. An Interim Report. Rural Health Staff Papers - Paper Number 7.

    ERIC Educational Resources Information Center

    Leadley, Samuel M.; Taranto, Angelo A.

    In July and August 1975, 17 men and 63 women living in rural areas in Butler County, Pennsylvania were interviewed as to their behaviors, beliefs, and attitudes related to preventing cancer and coronary heart disease. Respondents represented about 12% of all adults living on commercial farms and 5% of all rural nonfarm adults in the county. A…

  17. Health-hazard evaluation report HETA 83-418-1449, Randolph County Register of Deeds Office, Asheboro, North Carolina

    SciTech Connect

    Hickey, J.L.; Williams, T.M.

    1984-04-01

    In response to a request from employees of Randolph County Courthouse, a health hazard evaluation was made of the Register of Deeds Office (SIC-9199, SIC-9390), Asheboro, North Carolina. Employees at this site had complained of sinus headaches, colds that hung on, and burning eyes. Some complained of headaches or sinus problems whenever they worked for some time in the office. Symptoms were most pronounced in winter and when the air conditioner was on. Five general air samples collected showed formaldehyde (50000) concentrations ranging from 0.19 to 0.69 parts per million (ppm). Air samples showed 0.34ppm formaldehyde inside built in wooded office cabinets and 0.05ppm in general office air. Temperature was 75 to 77 degrees-F and relative humidity was 40 to 50%. Three air samples analyzed for 23 common organic vapors showed only trace amounts of all except benzene (71432) for which the concentration ranged from 0.38 to 0.54ppm. Bulk samples of sprayed on beam insulating material in the return air plenum were analyzed for asbestos and found to contain none. Water seals of floor drains in three restrooms were empty, permitting sewer gas to enter the building. The authors conclude that no definite cause of workers symptoms was found, although formaldehyde levels were high enough to affect sensitive individuals. Due to the carcinogenic nature of formaldehyde and benzene, and since safe levels for exposure have not been determined, the authors recommend measures for lowering the exposure to these compounds even further.

  18. Mitochondrial genomic variation associated with higher mitochondrial copy number: the Cache County Study on Memory Health and Aging

    PubMed Central

    2014-01-01

    Background The mitochondria are essential organelles and are the location of cellular respiration, which is responsible for the majority of ATP production. Each cell contains multiple mitochondria, and each mitochondrion contains multiple copies of its own circular genome. The ratio of mitochondrial genomes to nuclear genomes is referred to as mitochondrial copy number. Decreases in mitochondrial copy number are known to occur in many tissues as people age, and in certain diseases. The regulation of mitochondrial copy number by nuclear genes has been studied extensively. While mitochondrial variation has been associated with longevity and some of the diseases known to have reduced mitochondrial copy number, the role that the mitochondrial genome itself has in regulating mitochondrial copy number remains poorly understood. Results We analyzed the complete mitochondrial genomes from 1007 individuals randomly selected from the Cache County Study on Memory Health and Aging utilizing the inferred evolutionary history of the mitochondrial haplotypes present in our dataset to identify sequence variation and mitochondrial haplotypes associated with changes in mitochondrial copy number. Three variants belonging to mitochondrial haplogroups U5A1 and T2 were significantly associated with higher mitochondrial copy number in our dataset. Conclusions We identified three variants associated with higher mitochondrial copy number and suggest several hypotheses for how these variants influence mitochondrial copy number by interacting with known regulators of mitochondrial copy number. Our results are the first to report sequence variation in the mitochondrial genome that causes changes in mitochondrial copy number. The identification of these variants that increase mtDNA copy number has important implications in understanding the pathological processes that underlie these phenotypes. PMID:25077862

  19. The topography of poverty in the United States: a spatial analysis using county-level data from the Community Health Status Indicators project.

    PubMed

    Holt, James B

    2007-10-01

    Socioeconomic and health-related data at the county level are now available through the Community Health Status Indicators (CHSI) database. These data are useful for assessing the health of communities and regions. Users of the CHSI data can access online reports and an online mapping application for visualizing patterns in various community-related measures. It also is possible to download these data to conduct local analyses. This paper describes a spatial analysis of poverty in the United States at the county level for 2000. Spatial statistical techniques in a geographic information system were used to quantify significant spatial patterns, such as concentrated poverty rates and spatial outliers. The analysis revealed significant and stark patterns of poverty. A distinctive north-south demarcation of low versus high poverty concentrations was found, along with isolated pockets of high and low poverty within areas in which the predominant poverty rates were opposite. This pattern can be described as following a continental poverty divide. These insights can be useful in explicating the underlying processes involved in forming such spatial patterns that result in concentrated wealth and poverty. The spatial analytic techniques are broadly applicable to socioeconomic and health-related data and can provide important information about the spatial structure of datasets, which is important for choosing appropriate analysis methods. PMID:17875255

  20. Self-perceived oral health among 19-year-olds in a Swedish County--A comparative study between 2004 and 2011.

    PubMed

    Ahlvin, Anna; Gerdin, Elisabeth Wärnberg; Bågesund, Mats; Ordell, Sven

    2016-01-01

    For decades, Swedish dental professionals have collected clinical epidemiological data from the dental records. To supplement the epidemiology, Ostergötland County Council decided to examine patient perceptions of oral health: self-rated knowledge, self-perceived oral health, and opinions about oral health. The aim was to compare self-perceived oral health among 19-year-olds to determine differences between genders, various municipalities and between 2004 and 2011. This study analysed the responses from two cross-sectional surveys of the entire population of 19-year-olds in Ostergötland County, Sweden, performed in 2004 and 2011. Of the 2,413 (53%) (50% men, 50% women) 19-year-olds who responded to the questionnaire in 2004 and the 3,803 (67%) (50% men, 50% women) in 2011, most 19-year-olds (88.1% [2004] and 87.5 % [2011]) reported satisfaction with their oral health. Around half of the respondents rated their knowledge on periodontitis as low. Boys rated their knowledge about avoiding periodontitis higher than girls (p < 0.05 in 2004 and p < 0.001 in 2011). In 2004, 84.7% reported shooting pain. In 2011 that figure was 83.7%.The respondents expressed some uncertainty about the benefits of fluoride toothpaste (7.5% in 2004 and 9.3% in 2011), especially the boys (10.3% in 2004 and 10.5% in 2011). Girls reported both a higher social impact and greater concern about aesthetics related to their oral health. They also reported headache (27.5%) nearly twice as often as boys (14.2%) (p > 0.001). Responses between the municipalities did not differ, with the exception of items regarding periodontitis. Thus, this study found indications that perceptions of oral health and knowledge in Ostergötland County complied with Swedish Dental Act. The study also found patient perceptions of oral health among 19-year-olds to be good. PMID:27464382

  1. Public health assessment for U.S. Titanium, Piney River, Nelson County, Virginia, Region 3. CERCLIS number VAD980705404; Final report

    SciTech Connect

    1999-03-01

    The US Titanium site, a former titanium dioxide manufacturing plant, is located in Nelson County, Virginia, along the northern side of the Piney River. As a result of buried coppers as currently on-site, soils, ground water, and surface water have exhibited highly acidic conditions and naturally-occurring heavy metals have leached into the ground water. Potential human exposure pathways of concern include ingestion and dermal contact with contaminated surface water; ingestion, dermal contact, and inhalation of contaminated soil and dusts; and ingestion of contaminated fish. VDH has concluded that the U.S. Titanium site poses an indeterminate public health hazard at this time, since data are not available for all environmental media that humans may be exposed to and there are insufficient health outcome data to indicate that the site has had an adverse effect on human health.

  2. Health assessment for Rockaway Borough Well Field National Priorities List (NPL) site, Borough of Rockaway, Morris County, New Jersey, Region 2. CERCLIS No. NJD980654115. Final report

    SciTech Connect

    Not Available

    1989-04-17

    The Rockaway Borough Well Field is a National Priorities List site located in the Borough of Rockaway, Morris County, New Jersey. Because of yet unidentified source(s) of trichloroethylene (TCE) and tetrachloroethylene (PCE) in ground water, municipal wells of the Borough of Rockaway have been contaminated sometime prior to 1980, when well water was found to contain high concentrations of these volatile organic compounds. The site is of potential public health concern because of the risk to human health resulting from possible exposure to hazardous substances at concentrations that may result in adverse health effects. Human exposure to elevated concentrations of TCE and/or PCE may occur, be occurring, or have occurred via oral, dermal, or inhalation exposure to contaminated municipal drinking water (only in the unlikely event that breakthrough occurs) or private well water.

  3. Public health assessment for Upper Deerfield Township Sanitary Landfill, Upper Deerfield Township, Cmberland County, New Jersey, Region 2. Cerclis No. NJD980761399. addendum. Final report

    SciTech Connect

    1995-02-14

    The Upper Deerfield Township Landfill (UDTL) consists of 14 acres in a 23 acre site belonging to Upper Deerfield Township, Cumberland County, New Jersey, located amidst a rural farming district. This public health assessment Addendum considers the site to have constituted a public health hazard in the past due to exposure to contaminated residential well water. A groundwater monitoring program is to be implemented by Upper Deerfield Township. Currently, the site poses an indeterminant hazard because of the possible migration off-site of soil gas toward homes adjacent to the site. The Health Activities Recommendation Panel (HARP) determined that those persons exposed to benzene, through the consumption of contaminated drinking water, should be considered for the ATSDR benzene subregistry.

  4. Public health assessment for Wyckoff Company/Eagle Harbor, Eagle Harbor Operable Units, Bainbridge Island, King County, Washington, Region 10. Cerclis No. WAD009248295. Final report

    SciTech Connect

    Not Available

    1994-01-06

    The Wyckoff/Eagle Harbor site is a National Priorities List (NPL) site located on the east side of Bainbridge Island, Kitsap County, Washington. The harbor has become contaminated with heavy metals, polychlorinated biphenyls (PCBs), and polynuclear aromatic hydrocarbons (PAHs) from the many years of ship repair and painting as well as from the application of creosote, pentachlorophenol, and other wood preservatives to pilings. The Remedial Investigation and Feasibility Study (RI/FS) states that the major human health concern is consumption of clam meat contaminated with PAHs. The public health assessment has determined that exposure to contaminants found in Eagle Harbor sediments, shellfish, fish, and crab is a health hazard for those people who ignore warnings.

  5. An Institutional Case Study: Emotion Regulation With HeartMath at Santa Cruz County Children's Mental Health

    PubMed Central

    2014-01-01

    This case study from Santa Cruz County Children's Mental Health Agency (CMH), California, reviews the use of measurement of heart rate variability (HRV) to enhance emotional regulation of patients. CMH serves seriously emotionally disturbed youths, many of whom have been separated from their parents for a prolonged period or have been vulnerable without the consistent presence of their caregivers. In this study, the HRV pattern was calculated as high coherence, medium coherence, or low coherence. According to Thurber et al, heart rhythm coherence “is experienced as a calm, balanced, yet energized and responsive state that is conducive to everyday functioning and interaction, including the performance of tasks requiring mental acuity, focus, problem solving and decision making, as well as physical activity and coordination.”1(p39) In the HeartMath program, there was a game in which high coherence was rewarded with a rainbow that dropped coins into a vessel. When coherence was low, the rainbow and coins disappeared until coherence was reached again. We measured HRV using a finger or ear sensor in individual sessions using a computer-based program from HeartMath Institute, Boulder Creek, California. After juvenile offenders overcame their initial fear of being hooked up to a potential lie detector, I instructed them in “Quick Coherence”1 and asked them to imagine breathing into the area of their heart. The participants created a library of positive feelings, thoughts, and memories on which they could focus. After a period of positive focus and rhythmic breathing, the clients were often able to move into medium or high coherence. In this state, they noticed that they felt calmer. I explained that they could use this tool to improve their mood. I also practiced alongside the youths in order to demonstrate the technique. The detained youths learned quickly, requested repeated sessions, and learned to combine breathing with recalling the good people, places, foods

  6. Estimating the Costs and Benefits of Providing Free Public Transit Passes to Students in Los Angeles County: Lessons Learned in Applying a Health Lens to Decision-Making

    PubMed Central

    Gase, Lauren N.; Kuo, Tony; Teutsch, Steven; Fielding, Jonathan E.

    2014-01-01

    In spite of increased focus by public health to engage and work with non-health sector partners to improve the health of the general as well as special populations, only a paucity of studies have described and disseminated emerging lessons and promising practices that can be used to undertake this work. This article describes the process used to conduct a Health Impact Assessment of a proposal to provide free public transportation passes to students in Los Angeles County. This illustrative case example describes opportunities and challenges encountered in working with an array of cross-sector partners and highlights four important lessons learned: (1) the benefits and challenges associated with broad conceptualization of public issues; (2) the need for more comprehensive, longitudinal data systems and dynamic simulation models to inform decision-making; (3) the importance of having a comprehensive policy assessment strategy that considers health impacts as well as costs and feasibility; and (4) the need for additional efforts to delineate the interconnectivity between health and other agency priorities. As public health advances cross-sector work in the community, further development of these priorities will help advance meaningful collaboration among all partners. PMID:25365061

  7. Public health assessment for Scientific Chemical Processing Incorporated, Carlstadt, Bergen County, New Jersey, Region 2. CERCLIS No. NJD070565403. Final report

    SciTech Connect

    Not Available

    1993-11-16

    The Scientific Chemical Processing (SCP) site is located in Carlstadt Borough, Bergen County, New Jersey. A wide variety of organic and inorganic chemical contaminants (volatiles, acid extractables, base/neutrals, pesticides, polychlorinated biphenyls, phenolics, cyanides and petroleum hydrocarbons and metals) were found in site soils and ground water, and in surface water and sediments in the vicinity of the site. The extent and degree of contamination is most severe in the site soils and shallow ground water. Potential human exposure pathways existed prior to the completion of the Interim remedy (June 1992). The site is not being considered for follow-up health activities at this time.

  8. Public health assessment for east tenth street (FMC Corporation-Marcus Hook Plant), Marcus Hook, Delaware County, Pennsylvania, Region 3. Cerclis No. PAD987323458. Final report

    SciTech Connect

    1996-03-29

    The Earth 10th Street Site, a former rayon/cellophane manufacturing facility, lies about 1/3 mile northwest of the Delaware River in Marcus Hook, Delaware County, Pennyslvania. As a result of past industrial activities at the site, on-site groundwater and soils are contaminated with volatile organic compounds (VOCs), polychlorinated biphenyls (PCBs), and metals. On-site soils are also contaminated with asbestos and several on-site buildings contain asbestos which can become friable and airborne. Overall, the site is identified as an indeterminate public health hazard.

  9. Effects of Coal-Mine Drainage on Stream Water Quality in the Allegheny and Monongahela River Basins-Sulfate Transport and Trends

    USGS Publications Warehouse

    Sams, James I., III; Beer, Kevin M.

    2000-01-01

    In 1980, the Allegheny and Monongahela Rivers transported a sulfate load of 1.2 million and 1.35 million tons, respectively, to the Ohio River at Pittsburgh. The Monongahela River Basin had a sulfate yield of 184 tons per square mile per year compared to 105 tons per square mile per year for the Allegheny River Basin. Within the large Allegheny and Monongahela River Basins, the subbasins with the highest sulfate yields in tons per square mile per year were those of Redstone Creek (580), Blacklick Creek (524), Conemaugh River (292), Buffalo Creek (247), Stonycreek River (239), Two Lick Creek (231), Dunkard Creek (212), and Loyalhanna Creek (196). These basins have been extensively mined. The sulfate yields of Brokenstraw and Conewango Creeks, which are outside the area underlain by coal and thus contain no coal mines, were 25 and 24 tons per square mile per year, respectively. Within the Allegheny and Monongahela River Basins, seven sites showed significant trends in sulfate concentration from 1965 to 1995. Dunkard Creek and Stonycreek River show significant upward trends in sulfate concentration. These trends appear to be related to increases in coal production in the two basins from 1965 to 1995. Blacklick Creek at Josephine and Loyalhanna Creek at Loyalhanna Dam show significant downward trends in sulfate concentration between 1965 and 1995. Blacklick Creek had a 50-percent decrease in sulfate concentration. Coal production in the Blacklick Creek Basin, which reached its peak at almost 4 million tons per year in the 1940's, dropped to less than 1 million tons per year by 1995. In the Loyalhanna Creek Basin, which had a 41-percent decrease in sulfate concentration, coal-production rates dropped steadily from more than 1.5 million tons per year in the 1940's to less than 200,000 tons per year in 1995.

  10. YOUTH DEVELOPMENT DEMONSTRATION PROJECT OF THE COMMUNITY HEALTH AND WELFARE COUNCEIL OF HENNEPIN COUNTY, INC. SUMMARY REPORT.

    ERIC Educational Resources Information Center

    HARRIS, LARRY; AND OTHERS

    THE COUNCIL WAS AWARDED A 2-YEAR PLANNING GRANT OF NEARLY $150,000 TO DEVELOP A COMPREHENSIVE NETWORK OF PROGRAMS AND SERVICES FOR CULTURALLY DEPRIVED CHILDREN IN MINNEAPOLIS, TO AID STABILITY, AND TO RETARD DELINQUENCY. A COMMITTEE COMPOSED OF REPRESENTATIVES FROM SCHOOLS, SOCIAL AGENCIES, CITY, COUNTY, AND STATE GOVERNMENTS, BUSINESS, LABOR, AND…

  11. Comparison of Health-Related Measures of Two Groups of Adolescents in a Rural Southeastern County in the United States

    ERIC Educational Resources Information Center

    Sands, Charles D.; Hensarling, Robert W.; Angel, James B.

    2009-01-01

    Objective: The purpose of this study was to establish baseline values on physiological parameters for 7-11 graders (n = 146) in a rural area of Alabama and to examine whether differences existed among the adolescents in the county. Design: Descriptive. Setting: Many adolescents in the southern portion of the United States suffer disproportionately…

  12. The Los Angeles County Community Disaster Resilience Project — A Community-Level, Public Health Initiative to Build Community Disaster Resilience

    PubMed Central

    Eisenman, David; Chandra, Anita; Fogleman, Stella; Magana, Aizita; Hendricks, Astrid; Wells, Ken; Williams, Malcolm; Tang, Jennifer; Plough, Alonzo

    2014-01-01

    Public health officials need evidence-based methods for improving community disaster resilience and strategies for measuring results. This methods paper describes how one public health department is addressing this problem. This paper provides a detailed description of the theoretical rationale, intervention design and novel evaluation of the Los Angeles County Community Disaster Resilience Project (LACCDR), a public health program for increasing community disaster resilience. The LACCDR Project utilizes a pretest–posttest method with control group design. Sixteen communities in Los Angeles County were selected and randomly assigned to the experimental community resilience group or the comparison group. Community coalitions in the experimental group receive training from a public health nurse trained in community resilience in a toolkit developed for the project. The toolkit is grounded in theory and uses multiple components to address education, community engagement, community and individual self-sufficiency, and partnerships among community organizations and governmental agencies. The comparison communities receive training in traditional disaster preparedness topics of disaster supplies and emergency communication plans. Outcome indicators include longitudinal changes in inter-organizational linkages among community organizations, community member responses in table-top exercises, and changes in household level community resilience behaviors and attitudes. The LACCDR Project is a significant opportunity and effort to operationalize and meaningfully measure factors and strategies to increase community resilience. This paper is intended to provide public health and academic researchers with new tools to conduct their community resilience programs and evaluation research. Results are not yet available and will be presented in future reports. PMID:25153472

  13. 78 FR 54651 - Sole Source Cooperative Agreement Award to the National Association of County and City Health...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-09-05

    ...ASPR requires collaboration with local health departments and officials to ensure that local governments, communities, private sector entities, non-governmental organizations, academia, and individuals can optimally coordinate their respective national health security roles and responsibilities to achieve community health resilience and strengthen health care, public health, and emergency......

  14. Public health assessment for State Marine of Port Arthur, Port Arthur, Jefferson County, Texas, Region 6, CERCLIS number TXD099801102. Final report

    SciTech Connect

    1999-07-30

    The State Marine of Port Arthur National Priorities List site, is a 17,197-acre former barge cleaning facility on a small peninsula in the northeastern part of Port Arthur, Jefferson County, Texas. The facility operated from 1974 until 1988. Barge cleaning operations at the site have resulted in the contamination of surface soil and sediment with polycyclic aromatic hydrocarbons and metals. The Agency for Toxic Substances and Disease Registry (ATSDR) reviewed available environmental information for the site and evaluated several potential exposure situations. These exposure situations include potential contact with site contaminants in surface water, sediment, surface soil, and groundwater. Although site-related contaminants have been found in several of these media, currently the contaminants on or off the site do not pose a public health threat. Based on available information, the authors have concluded that, overall, the State Marine site poses an indeterminate public health hazard.

  15. Public health assessment for north Penn-area 1, Souderton, Montgomery County, Pennsylvania, Region 3. Cerclis No. PAD096834494. Final report

    SciTech Connect

    Not Available

    1994-01-12

    The North Penn Area 1 site, a National Priorities List (NPL) site, is located in the Borough of Souderton, Montgomery County, Pennsylvania. Gentle, Cleaners, Inc., one of the parties potentially responsible for the site contamination, has been in business since 1953 and used tetrachloroethene (PCE) from 1953 to 1983 in dry cleaning operations. At present, groundwater is the only medium that is known to be contaminated. Enviromental data for surface soil, surface water, sediment, and air do not exist. Past, present, and future completed exposure pathways for volatile organic compounds such as PCE and TCE in groundwater exist for nearby residents. The site is considered an indeterminate public health hazard because limited data are available; however, data that are available do not indicate that humans are being or have been exposed to levels of contaminants that would be expected to cause any adverse health effects.

  16. Health Education Needs: A Survey of Rural Adults in Armstrong County, Pennsylvania, 1975. An Interim Report. Rural Health Staff Papers - Paper Number 8.

    ERIC Educational Resources Information Center

    Leadley, Samuel M.; Taranto, Angelo A.

    In July and August 1975, 138 rural residents of Armstrong County, Pennsylvania were interviewed as to their behaviors, beliefs, and attitudes regarding the prevention of cancer and coronary heart disease. Respondents were selected by interviewing an adult living on a commercial farm (a farm that either sold $10,000 or more produce per year or the…

  17. Acute Health Effects Among Military Personnel Participating in the Cleanup of the Hebei Spirit Oil Spill, 2007, in Taean County, Korea

    PubMed Central

    Gwack, Jin; Lee, Ju Hyung; Kang, Young Ah; Chang, Kyu-jin; Lee, Moo Sik; Hong, Jee Young

    2012-01-01

    Objectives This study was conducted to investigate acute health effects and its related factors among military personnel participating in the cleanup of the 2007 Hebei Spirit oil spill accident in Taean county, Korea. Methods We collected data on acute symptoms during the cleanup and their predictors using a self-administered questionnaire to 2624 military personnel. Selfreported symptoms included six neurologic symptoms, five respiratory symptoms, two dermatologic symptoms, three ophthalmic symptoms, and three general symptoms. Independent variables were demographic factors (gender, age, education level, and rank), health behavioral factors (smoking history and usage of the personal protective equipment such as masks and gloves), and occupational history such as where and for how long individuals participated in cleanup. Results The duration of work days was significantly associated with 17 acute symptoms except for itchiness and red skin.Working in Taean county also increased the risk of most acute symptoms except headache and back pain. In regard to personal protective equipment, wearing masks was mainly related to the development of respiratory symptoms such as sore throat and wearing other protective equipment was related to the development of sore throat, back pain, headache, and cough. Military personnel younger than 25 years reported 4.66 times more hot flushing and 5.39 times more itchiness than those older than 25 years. Conclusion It should be emphasized that for early-stage cleanup the number of workers should be minimized, sufficient personal protective equipment with approved quality for blocking noxious gas should be supplied, and systematic health care for the workers should be provided. Health effects could be diminished by providing adequate education regarding the appropriate use of protective equipment, especially to nonprofessionals such as residents and volunteers. To make disaster response expeditious, a national and regional preparedness

  18. Vulnerability-Based Spatial Sampling Stratification for the National Children’s Study, Worcester County, Massachusetts: Capturing Health-Relevant Environmental and Sociodemographic Variability

    PubMed Central

    Downs, Timothy J.; Ogneva-Himmelberger, Yelena; Aupont, Onesky; Wang, Yangyang; Raj, Ann; Zimmerman, Paula; Goble, Robert; Taylor, Octavia; Churchill, Linda; Lemay, Celeste; McLaughlin, Thomas; Felice, Marianne

    2010-01-01

    Background The National Children’s Study is the most ambitious study ever attempted in the United States to assess how environmental factors impact child health and development. It aims to follow 100,000 children from gestation until 21 years of age. Success requires breaking new interdisciplinary ground, starting with how to select the sample of > 1,000 children in each of 105 study sites; no standardized protocol exists for stratification of the target population by factoring in the diverse environments it inhabits. Worcester County, Massachusetts, like other sites, stratifies according to local conditions and local knowledge, subject to probability sampling rules. Objectives We answer the following questions: How do we divide Worcester County into viable strata that represent its health-relevant environmental and sociodemographic heterogeneity, subject to sampling rules? What potential does our approach have to inform stratification at other sites? Results We developed a multivariable, vulnerability-based method for spatial sampling consisting of two descriptive indices: a hazards/stressors exposure index (comprising three proxy variables), and an adaptive capacity/sociodemographic character index (five variables). Multivariable, health-relevant stratification at the start of the study may improve detection power for environment–child health associations down the line. Eighteen strata capture countywide heterogeneity in the indices and have optimal relative homogeneity within each. They achieve comparable expected birth counts and conform to local concepts of space. Conclusion The approach offers moderate to high potential to inform other sites, limited by intersite differences in data availability, geodemographics, and technical capacity. Energetic community engagement from the start promotes local stratification coherence, plus vital researcher–community trust and co-ownership for sustainability. PMID:20211802

  19. Sooner rather than later. Oklahoma County hospitals and health agencies take immediate action on the uninsured problem by collaborating.

    PubMed

    Zigmond, Jessica

    2007-04-23

    In reality TV, contestants are constantly forming an alliance--with mixed results. In Oklahoma County, it seemed like a good idea for physicians, hospitals and other leaders to come together to provide care for the uninsured. And it has been. Evan Collins, left, whose organization is part of that alliance, says: "We hope if this model works well, we can export it to other communities to replicate the same thing. PMID:17477189

  20. Fayette County Better Buildings Initiative

    SciTech Connect

    Capella, Arthur

    2015-03-04

    The Fayette County Better Buildings Initiative represented a comprehensive and collaborative approach to promoting and implementing energy efficiency improvements. The initiative was designed to focus on implementing energy efficiency improvements in residential units, while simultaneously supporting general marketing of the benefits of implementing energy efficiency measures. The ultimate goal of Fayette County’s Better Buildings Initiative was to implement a total of 1,067 residential energy efficiency retrofits with a minimum 15% estimated energy efficiency savings per unit. Program partners included: United States Department of Energy, Allegheny Power, and Private Industry Council of Westmoreland-Fayette, Fayette County Redevelopment Authority, and various local partners. The program was open to any Fayette County residents who own their home and meet the prequalifying conditions. The level of assistance offered depended upon household income and commitment to undergo a BPI – Certified Audit and implement energy efficiency measures, which aimed to result in at least a 15% reduction in energy usage. The initiative was designed to focus on implementing energy efficiency improvements in residential units, while simultaneously supporting general marketing of the benefits of implementing energy efficiency measures. Additionally, the program had components that involved recruitment and training for employment of persons in the energy sector (green jobs), as well as marketing and implementation of a commercial or community facilities component. The residential component of Fayette County’s Better Buildings Initiative involved a comprehensive approach, providing assistance to low- moderate- and market-rate homeowners. The initiative will also coordinate activities with local utility providers to further incentivize energy efficiency improvements among qualifying homeowners. The commercial component of Fayette County’s Better Building Initiative involved grants

  1. Effectiveness of Kenya's Community Health Strategy in delivering community-based maternal and newborn health care in Busia County, Kenya: non-randomized pre-test post test study

    PubMed Central

    Wangalwa, Gilbert; Cudjoe, Bennett; Wamalwa, David; Machira, Yvonne; Ofware, Peter; Ndirangu, Meshack; Ilako, Festus

    2012-01-01

    Background Maternal mortality ratio and neonatal mortality rate trends in Kenya have remained unacceptably high in a decade. In 2007, the Ministry of Public Health and Sanitation adopted a community health strategy to reverse the poor health outcomes in order to meet Millennium Development Goals 4 and 5. It aims at strengthening community participation and its ability to take action towards health. The study aimed at evaluating the effectiveness of the strategy in improving maternal and neonatal health outcomes in Kenya. Methods Between 2008 and 2010, the African Medical and Research Foundation implemented a community-based maternal and newborn care intervention package in Busia County using the community health strategy approach. An interventional, non-randomized pre-test post test study design was used to evaluate change in essential maternal and neonatal care practices among mothers with children aged 0 - 23 months. Results There was statistically significant (p < 0.05) increase in attendance of at least four antenatal care visits (39% to 62%), deliveries by skilled birth attendants (31% to 57%), receiving intermittent preventive treatment (23% to 57%), testing for HIV during pregnancy (73% to 90%) and exclusive breastfeeding (20% to 52%). Conclusion The significant increase in essential maternal and neonatal care practices demonstrates that, community health strategy is an appropriate platform to deliver community based interventions. The findings will be used by actors in the child survival community to improve current approaches, policies and practice in maternal and neonatal care. PMID:23467438

  2. Health assessment for Niagara Mohawk Power Corporation (Saratoga Springs Plant), Saratoga Springs, Saratoga County, New York, Region 2. CERCLIS No. NYD980664361. Preliminary report

    SciTech Connect

    Not Available

    1991-01-30

    The Niagara Mohawk site is located in the City of Saratoga Springs, Saratoga County, and consists of approximately six acres. This site has been placed on the U.S. Environmental Protection Agency's National Priorities List. The site is currently owned and operated by Niagara Mohawk Power Corporation. Historically, the site was used for the manufacture of coal gas by the Saratoga Gas and Light Company and New York Power and Light Corporation between approximately 1853 and 1940. Current use of the site consists of a regional operations facility and a substation. Based upon information reviewed, this site is of potential health concern because of the potential risk to human health resulting from possible exposure to volatile organic compounds, polynuclear aromatic hydrocarbons, and pesticides (DDE and DDD) at concentrations that may result in adverse human health effects. Exposure to these contaminants may be occurring and may have occurred from ingestion of contaminated groundwater, contact with contaminated sediment or stream water and inhalation or dermal contact by on-site workers. This site is not being considered by ATSDR for follow-up health activities at this time because no present or past pathway of exposure can be defined based on currently available data relevant to the site.

  3. Health assessment for Fischer and Porter National Priorities List (NPL) Site, Warminster, Bucks County, Pennsylvania, Region 3. CERCLIS No. PAD002345817. Preliminary report

    SciTech Connect

    Not Available

    1989-04-18

    The Fischer and Porter (F P) National Priorities List Site is located in Warminster, Buck County, Pennsylvania. The F P facility has been operating on the Warminster property since 1947. Flow meters are manufactured at the facility. No soil, air, or surface water monitoring has been conducted at the site or off-site even though spills and dumping are suspected as possible causes for the groundwater contamination. In 1979 and 1980, levels as high as 87,000 ppb trichloroethylene (TCE) and 26,000 ppb tetrachloroethylene (TCE) were detected in on-site groundwater. The site is of potential public health concern because of the risk to human health caused by human exposure to hazardous substances at levels that may result in adverse health effects. Human exposure to TCE and PCE may be currently occurring and may have occurred in the past via ingestion of, inhalation of, and dermal contact with contaminated groundwater. Exposure to TCE and PCE may be occurring through ingestion of, inhalation of, and dermal contact with contaminated surface water and soils; inhalation of contaminated air; and ingestion of contaminated biota. The lack of monitoring data for these media does not allow for a complete public health implication evaluation at this time.

  4. Genetic Analysis of Invasive Aedes albopictus Populations in Los Angeles County, California and Its Potential Public Health Impact

    PubMed Central

    Zhong, Daibin; Lo, Eugenia; Hu, Renjie; Metzger, Marco E.; Cummings, Robert; Bonizzoni, Mariangela; Fujioka, Kenn K.; Sorvillo, Teresa E.; Kluh, Susanne; Healy, Sean P.; Fredregill, Chris; Kramer, Vicki L.; Chen, Xiaoguang; Yan, Guiyun

    2013-01-01

    The Asian tiger mosquito, Aedes albopictus, is an anthropophilic aggressive daytime-biting nuisance and an efficient vector of certain arboviruses and filarial nematodes. Over the last 30 years, this species has spread rapidly through human travel and commerce from its native tropical forests of Asia to every continent except Antarctica. In 2011, a population of Asian tiger mosquito (Aedes albopictus) was discovered in Los Angeles (LA) County, California. To determine the probable origin of this invasive species, the genetic structure of the population was compared against 11 populations from the United States and abroad, as well as preserved specimens from a 2001 introduction into California using the mitochondrial cytochrome c oxidase 1 (CO1) gene. A total of 66 haplotypes were detected among samples and were divided into three main groups. Aedes albopictus collected in 2001 and 2011 from LA County were genetically related and similar to those from Asia but distinct from those collected in the eastern and southeastern United States. In view of the high genetic similarities between the 2001 and 2011 LA samples, it is possible that the 2011 population represents in part the descendants of the 2001 introduction. There remains an imperative need for improved surveillance and control strategies for this species. PMID:23861921

  5. Community Engagement in Health-Related Research: A Case Study of a Community-Linked Research Infrastructure, Jefferson County, Arkansas, 2011–2013

    PubMed Central

    Felix, Holly C.; Olson, Mary; Cottoms, Naomi; Bachelder, Ashley; Smith, Johnny; Ford, Tanesha; Dawson, Leah C.; Greene, Paul G.

    2015-01-01

    Background Underrepresentation of racial minorities in research contributes to health inequities. Important factors contributing to low levels of research participation include limited access to health care and research opportunities, lack of perceived relevance, power differences, participant burden, and absence of trust. We describe an enhanced model of community engagement in which we developed a community-linked research infrastructure to involve minorities in research both as participants and as partners engaged in issue selection, study design, and implementation. Community Context We implemented this effort in Jefferson County, Arkansas, which has a predominantly black population, bears a disproportionate burden of chronic disease, and has death rates above state and national averages. Methods Building on existing community–academic partnerships, we engaged new partners and adapted a successful community health worker model to connect community residents to services and relevant research. We formed a community advisory board, a research collaborative, a health registry, and a resource directory. Outcome Newly formed community–academic partnerships resulted in many joint grant submissions and new projects. Community health workers contacted 2,665 black and 913 white community residents from December 2011 through April 2013. Eighty-five percent of blacks and 88% of whites were willing to be re-contacted about research of potential interest. Implementation challenges were addressed by balancing the needs of science with community needs and priorities. Interpretation Our experience indicates investments in community-linked research infrastructure can be fruitful and should be considered by academic health centers when assessing institutional research infrastructure needs. PMID:26203813

  6. Public health assessment for Packaging Corporation of America, Filer City, Manistee County, Michigan, Region 5, Cerclis No. MID980794747. Final report

    SciTech Connect

    1995-09-19

    The Packaging Corporation of America site located in Stronach Township, Manistee County, Michigan, was the site of eight lagoons used from 1951 to 1974 for the disposal of liquid wastes from a Packaging Corporation of America corrugated cardboard plant in nearby Filer City, Michigan. Wastes from the lagoons have seeped into the groundwater and produced a plume of discolored groundwater (black water), that contains organic chemicals and heavy metals, that extends from the site to nearby Manistee Lake. The site poses an indeterminate public health hazard under current conditions, since actual surface material has not been sampled. Based on the results of shallow sub-surface soil samples, trespassers are not likely to experience significant exposure to the chemicals on the site.

  7. Health assessment for Burnt Fly Bog National Priorities List Site, Marlboro, Monmouth County, New Jersey, Region 2. CERCLIS No. NJD980504997. Final report

    SciTech Connect

    Not Available

    1988-08-24

    The Burnt Fly Bog site, a National Priorities List site, is located near Marlboro, Monmouth County, New Jersey in the fringe area of the New Jersey Pine Barrens. The major contaminants at the site are polychlorinated biphenyls (PCBs) and lead. Both of these contaminants have been found in all environmental media at the site. Exposure to contaminants may occur from contact with soil, sediment, water, air, or biota from the site. In order to protect the public health, access to contaminated areas should not be permitted except for properly-protected remedial workers. Because of the potential for ground-water contamination, private well owners surrounding the site should be advised to connect to the public water system. In addition, the consumption of game animals, berries, fish, and other biota from Burnt Fly Bog should be discouraged unless it can be determined that they are free of contamination.

  8. Public health assessment for crossley farm/Hereford groundwater, Hereford township, Berks County, Pennsylvania, Region 3. CERCLIS No. PAD981740061. Preliminary report

    SciTech Connect

    Not Available

    1993-02-01

    The report describes an illegal waste disposal site in east central Pennsylvania and its effect on groundwater in the area surrounding the site. The Crossley Farm (Hereford Groundwater) site is in the Huffs Church community of Hereford Township, Berks County. Illegal waste disposal activities reportedly occurred at the site from the mid-1960's to mid-1970's. About 250 residents live hydrogeological downgradient of the site (within two miles) and another 200 live within one-half mile upgradient of the site. The Pennsylvania Department of Environmental Resources has collected groundwater samples in 1983 and the EPA has collected samples in 1986. The estimated exposures are to substances (trichloroethylene and tetrachloroethylene in particular) in groundwater at concentrations that with long-term exposure can cause adverse health effects to the population.

  9. Public health assessment for USAF Mountain Home Air Force Base, Mountain Home AFB, Elmore County, Idaho, Region 10. CERCLIS Number ID3572124557; Final report

    SciTech Connect

    1999-01-25

    Mountain Home Air Force Base (Mountain Home AFB) is located approximately 50 miles southeast of Boise and 10 miles southwest of the city of Mountain Home in Elmore County, Idaho. The US Environmental Protection Agency (EPA) placed Mountain Home AFB on the National Priority List on August 30, 1990, as a result of concerns regarding groundwater contamination throughout the base, and soil contamination at the Fire Training Area and a closed sanitary landfill. Contaminants of potential concern are metals, volatile organic compounds, and petroleum hydrocarbons. On the basis of a review of available information on contamination of soil, groundwater, and surface water and sediment, ATSDR concludes that Mountain Home AFB should be assigned to the No Apparent Public Health Hazard category.

  10. Public health assessment for Iron Horse Park, Billerica, Middlesex County, Massachusetts, Region 1. Cerclis No. MAD051787323. Addendum

    SciTech Connect

    1995-01-11

    The initial health assessment and related amendment for Iron Horse Park were completed in December of 1988 and amended in April of 1990 (PB90-136128 and PB92-963707), respectively. These health assessments identified numerous data gaps which were addressed in subsequent investigations released by the United States Environmental Protection Agency (USEPA). Health concerns detailed in this addendum are based on findings of these monitoring activities conducted on or near the Shaffer Landfill at Iron Horse Park.

  11. Public health assessment for Limestone Road Site, Cumberland, Allegany County, Maryland, Region 3. Cerclis No. MDD980691588. Final report

    SciTech Connect

    Not Available

    1994-01-06

    The Limestone Road Site, located in Cumberland, Maryland, has been evaluated for potential health risks to the neighboring residential community. The site is classified as an indeterminate public health hazard because of possible past and present exposure to surface soil contamination. Surface soil contamination has not been adequately characterized to determine levels of exposure. Also, drinking water samples from two residential wells contained lead at levels above health comparison values. Surface water and sediment sampling indicated that some off-site migration of heavy metals including chromium, cadmium, barium, lead and nickel has occurred. Levels of some of these contaminants exceed USEPA Ambient Water Quality Criteria for the protection of human health.

  12. Understanding land use, livelihoods, and health transitions among Tibetan nomads: a case from Gangga Township, Dingri County, Tibetan Autonomous Region of China.

    PubMed

    Xu, Jianchu; Yang, Yong; Li, Zhuoqing; Tashi, Nyima; Sharma, Rita; Fang, Jing

    2008-06-01

    Tibetan nomads in the Tibetan Autonomous Region of China have experienced profound transitions in recent decades with important implications for land use, livelihoods, and health development. The change from being traditional nomads to agropastoralists engaged in permanent agriculture, a sedentary village life (known as "sedentarization"), has been associated with a remarkable change in diet and lifestyle, decline in spatial mobility, increase in food production, and emerging infectious and noncommunicable diseases. The overarching response of the government has been to emphasize infrastructure and technological solutions. The local adaptation strategies of Tibetan nomads through maintaining balanced mobile herding, reindeer husbandry, as well as off-farm labor and trade could address both the cause of environmental degradation and improve the well-being of local people. Drawing on transdisciplinary, preliminary field work in Gangga Township of Dingri County in the foothills of Mt. Everest, we identify pertinent linkages between land use and health, and spatial and temporal mismatch of livelihoods and health care services, in the transition to sedentary village life. We suggest emerging imperatives in Ecohealth to help restore Tibetan livelihoods in transition to a sedentary lifestyle. PMID:18787914

  13. The 2007 Los Angeles Mommy and Baby Study: A Multilevel, Population-Based Study of Maternal and Infant Health in Los Angeles County

    PubMed Central

    Chao, Shin M.; Wakeel, Fathima; Herman, Dena; Higgins, Chandra; Shi, Lu; Chow, Jessica; Sun, Stacy; Lu, Michael C.

    2014-01-01

    Objectives. In order to comprehensively examine the risks and resources associated with racial-ethnic disparities in adverse obstetric outcomes, the Los Angeles County Department of Public Health and the University of California, Los Angeles, joined efforts to design and implement the 2007 Los Angeles Mommy and Baby (LAMB) study. This paper aims to present the conceptual frameworks underlying the study's development, highlight the successful collaboration between a research institution and local health department, describe the distinguishing characteristics of its methodology, and discuss the study's implications for research, programs, and policies. Methods. The LAMB study utilized a multilevel, multistage cluster design with a mixed-mode methodology for data collection. Two samples were ultimately produced: the multilevel sample (n = 4,518) and the augmented final sample (n = 6,264). Results. The LAMB study allowed us to collect multilevel data on the risks and resources associated with racial-ethnic disparities in adverse obstetric outcomes. Both samples were more likely to be Hispanic, aged 20–34 years, completed at least 12 years of schooling, and spoke English. Conclusions. The LAMB study represents the successful collaboration between an academic institution and local health department and is a theoretically based research database and surveillance system that informs effective programmatic and policy interventions to improve outcomes among LAC's varied demographic groups. PMID:25580305

  14. Adoption and Implementation of a Computer-delivered HIV/STD Risk-Reduction Intervention for African American Adolescent Females Seeking Services at County Health Departments: Implementation Optimization is Urgently Needed

    PubMed Central

    DiClemente, Ralph J.; Bradley, Erin; Davis, Teaniese L.; Brown, Jennifer L.; Ukuku, Mary; Sales, Jessica M.; Rose, Eve S.; Wingood, Gina M.

    2013-01-01

    Although group-delivered HIV/STD risk-reduction interventions for African American adolescent females have proven efficacious, they require significant financial and staffing resources to implement and may not be feasible in personnel- and resource-constrained public health clinics. We conducted a study assessing adoption and implementation of an evidence-based HIV/STD risk-reduction intervention that was translated from a group-delivered modality to a computer-delivered modality to facilitate use in county public health departments. Usage of the computer-delivered intervention was low across eight participating public health clinics. Further investigation is needed to optimize implementation by identifying, understanding and surmounting barriers that hamper timely and efficient implementation of technology-delivered HIV/STD risk-reduction interventions in county public health clinics. PMID:23673891

  15. Public health assessment for HIPPS Road Landfill, Jacksonville, Duval County, Florida, Region 4. Cerclis No. FLD980709802. Final report

    SciTech Connect

    1995-05-23

    The seven acre Hipps Road Landfill is in the Jacksonville Heights area of Jacksonville, Duval County, Florida. Over 130 contaminants have been detected in various environmental media near the site. The 35 contaminants of concern were detected in one or more of the following on- and off-site media: subsurface soil, sediment, surface water, groundwater, and air. In the past, nearby residents were exposed to arsenic, cadmium, lead, and tetrachloroethene in the environment at doses associated with (noncancer) illnesses in human and animal studies. Furthermore, residents were exposed to arsenic, benzene, 1,2-dichloroethane, di(2-ethylhexyl)phthalate, methylene chlroide, PCBs, and vinyl chloride in the environment at levels that could increase their cancer risk. Presently, all nearby residents drinking from private well water might be exposed to low levels of solvents and metals.

  16. Public health assessment for Frontier Fertilizer, Davis, Yolo County, California, Region 9. Cerclis No. CAD071530380. Final report

    SciTech Connect

    1995-11-27

    The Frontier Fertilizer site is located near the eastern boundary of the City of Davis, in Yolo County, California. Two separate pesticide sales companies operated at the site from 1971 and 1987. Disposal of waste water and unused agricultural chemicals by these companies into an unlined basin on the property from approximately 1972 until 1983 have caused soils and groundwater contamination. In the area beneath the unlined basin, the principal contaminants of concern include dibromochloropropane (DBCP), 1,2-dichloropropane (1,2-DCP), and ethylene dibromide (EDB). Another contaminant of concern is carbon tetrahchloride, however, the source of contamination is unknown. Although much of the soil contamination was removed from the site in 1985, sampling since then indicates that substantial subsurface soil contamination still exists. An interim groundwater extraction and treatment system has been in operation at the site since January 1994.

  17. Crises and Resilience at the Frontline—Public Health Facility Managers under Devolution in a Sub-County on the Kenyan Coast

    PubMed Central

    Nyikuri, Mary; Tsofa, Benjamin; Barasa, Edwine; Okoth, Philip; Molyneux, Sassy

    2015-01-01

    Background Public primary health care (PHC) facilities are for many individuals the first point of contact with the formal health care system. These facilities are managed by professional nurses or clinical officers who are recognised to play a key role in implementing health sector reforms and facilitating initiatives aimed at strengthening community involvement. Little in-depth research exists about the dimensions and challenges of these managers’ jobs, or on the impact of decentralisation on their roles and responsibilities. In this paper, we describe the roles and responsibilities of PHC managers–or ‘in-charges’ in Kenya, and their challenges and coping strategies, under accelerated devolution. Methods The data presented in this paper is part of a wider set of activities aimed at understanding governance changes under devolution in Kenya, under the umbrella of a ‘learning site’. A learning site is a long term process of collaboration between health managers and researchers deciding together on key health system questions and interventions. Data were collected through seven formal in depth interviews and observations at four PHC facilities as well as eight in depth interviews and informal interactions with sub-county managers from June 2013 to July 2014. Drawing on the Aragon framework of organisation capacity we discuss the multiple accountabilities, daily routines, challenges and coping strategies among PHC facility managers. Results PHC in-charges perform complex and diverse roles in a difficult environment with relatively little formal preparation. Their key concerns are lack of job clarity and preparedness, the difficulty of balancing multidirectional accountability responsibilities amidst significant resource shortages, and remuneration anxieties. We show that day-to-day management in an environment of resource constraints and uncertainty requires PHC in-charges who are resilient, reflective, and continuously able to learn and adapt. We

  18. Health assessment for Dover Municipal Landfill, Stratford County, Dover, New Hampshire, Region 1. CERCLIS No. NHD980520191. Final report

    SciTech Connect

    Not Available

    1989-04-12

    The Dover Municipal Landfill is an inactive landfill located on Tolend Road in the western corner of Dover, New Hampshire. Specific wastes include municipal trash, leather tanning wastes, industrial solvents, and municipal wastewater treatment plant sludge. Contamination at the landfill exists in on-site groundwater, leachate, sediments, and soil. The Dover Municipal Landfill site is of potential public health concern due the potential risk to human health resulting from possible exposure to hazardous substances at concentrations that may result in adverse health effects.

  19. Newcomers health in Brantford and the counties of Brant, Haldimand and Norfolk: perspectives of newcomers and service providers.

    PubMed

    Sethi, Bharati

    2013-10-01

    The Canadian government's plan to support a balanced distribution of immigrants throughout the nation has contributed to newcomers' dispersion to small town communities and rural areas. However, very little work has examined the health experiences of immigrants settling in smaller urban and rural regions. Even less literature exists on the perspectives of service providers working with newcomers in Canada's urban-rural communities. This paper focuses on a part of a larger Community-based study on 'Newcomer Settlement and Integration in Education, Training, Employment, Health and Social Support' in Brantford--a middle-sized urban/rural region in Ontario, Canada--and discusses the findings in the health domain. Data were generated from 212 service providers and 237 newcomers using both qualitative and quantitative research tools. Newcomers identified several barriers in accessing mental and/or physical health services including lack of culturally appropriate services and discrimination. The striking differences between newcomers' and service providers' responses to the survey questionnaires bring to light cultural variations between the newcomers' and the service providers' perceptions of 'health'. The findings reinforce the need for including newcomers in developing more inclusive and culturally-appropriate health services and programs. PMID:22773073

  20. Patterns of internet use and mental health of high school students in Istria County, Croatia: cross-sectional study

    PubMed Central

    Bezinović, Petar; Roviš, Darko; Rončević, Nena; Bilajac, Lovorka

    2015-01-01

    Aim To examine associations between different forms of internet use and a number of psychological variables related to mental health in adolescents. Methods A cross-sectional survey was carried out on a representative sample of students (N = 1539) from all high schools in the region of Istria in Croatia (14-19 years). The associations between four factors of internet use and nine mental health indicators were analyzed using canonical correlation analysis. Results The four canonical functions suggested a significant association between different types of internet use and specific indicators of mental health (P < 0.001). Problematic internet use, more typical among boys, was associated with general aggressive behavior and substance abuse (P < 0.001). Experiences of harassment, more typical among girls, were associated with health complaints, symptoms of depression, loneliness, and fear of negative evaluation (P < 0.001). Using the internet for communication and entertainment was associated with better relationships with peers (P < 0.001), while use of the internet for academic purposes was associated with conscientiousness (P < 0.001). Conclusion The results suggest that different patterns of internet use are significantly associated with specific sets of positive and negative mental health indicators. The data support the assumption that internet use can have both positive and adverse effects on the mental health of youth. PMID:26088855

  1. Public health assessment for petitioned public health assessment, Allen Park Clay Mine, Allen Park, Wayne County, Michigan, Region 5. Cerclis No. MID980568711. Final report

    SciTech Connect

    Not Available

    1994-03-16

    The Allen Park Clay Mine (APCM) landfill is in Wayne County, Michigan, within the city limits of Allen Park. The Ford Motor Company developed a clay mine on the site before 1956. Since 1956, the clay excavations have been backfilled with wastes from the Ford Motor Company Rouge River Plant. Some of the wastes (i.e., electric arc furnace dust and decanter tank tar sludge) are classified by the U.S. Environmental Protection Agency as hazardous. Contaminants, including metals and polycyclic aromatic hydrocarbons (PAHs), have been identified in on-site groundwater, storm water runoff, and sediments. ATSDR could not determine if these contaminants were released from the APCM site. Metals have also been found in on-site air. No completed exposure pathways (ways for contaminants to reach the public) have been identified; however, potential exposure pathways do exist.

  2. Environmental pollution: An enormous and invisible burden on health systems in low- and middle-income counties.

    PubMed

    Landrigan, Philip J; Fuller, Richard

    2014-01-01

    Background. Environmental pollution has become the leading risk factor for death in low- and middle-income countries (LMICs). The World Health Organization and others calculate that exposures to polluted air - indoor and outdoor, water and soil resulted in 8.4 million deaths in LMICs in 2012. By comparison, HIV/AIDS causes 1.5 million deaths per year, and malaria and tuberculosis Less than 1 million each. The diseases caused by pollution include the traditional scourges of pneumonia and diarrhea, but increasingly they also include chronic, non-communicable diseases (NCDs) such as such as heart disease, stroke and cancer. Method. We review the diseases caused by pollution and the multiple economic and human burdens that these diseases impose on health systems in countries with already limited resources. Results. We find that diseases caused by pollution increase health care costs, especially for high-cost NCDs. They impose an unnecessary load on health care delivery systems by increasing hospital staffing needs and thus diverting resources from essential prevention programmes such as childhood immunizations, infection control and maternal and child health. They undermine the development of poor countries by reducing the health, intelligence and economic productivity of entire generations. Pollution is highly preventable and pollution prevention is highly cost-effective. Yet despite their high economic and human costs and amenability to prevention, the diseases caused by pollution have not received the attention that they deserve in policy planning or in the international development agenda. Conclusion. Pollution is not inevitable. It is a problem that can be solved in our lifetime. Given the great impact of pollution on health and health care resources and the high cost-benefit ratio of pollution prevention, efforts to mitigate pollution should become a key strategic priority for international funders and for governments of LMICs. Recommendation. Assisting LMICs to

  3. Impacts of Sedimentation from Oil and Gas Development on Stream Macroinvertebrates in Two Adjacent Watersheds of the Allegheny National Forest of Northwestern Pennsylvania

    SciTech Connect

    Fritz, K.; Harris, S.; Edenborn, H.M.; Sams, J.

    2011-01-01

    Fritz, Kelley'*, Steven Harris', Harry Edenborn2, and James Sams2. 'Clarion University of Pennsylvania, Clarion, PA 16214, 2National Energy Technology Laboratory, U.S. Dept. Energy, Pittsburgh, PA 15236. Impacts a/Sedimentation/rom Oil and Gas Development on Stream Macroinvertebrates in Two Adjacent Watersheds a/the Allegheny National Forest a/Northwestern Pennsylvania - The Allegheny National Forest (ANF), located in northwestern Pennsy Ivania, is a multiuse forest combining commercial development with recreational and conservation activities. As such, portions of the ANF have been heavily logged and are now the subject of widespread oil and gas development. This rapid increase in oil and gas development has led to concerns about sediment runoff from the dirt and gravel roads associated with development and the potential impact on the aquatic biota of the receiving streams. We examined and compared the benthic macroinvertebrate communities in two adjacent watersheds of similar size and topography in the ANF; the Hedgehog Run watershed has no oil and gas development, while the adjacent Grunder Run watershed has extensive oil and gas development. In Hedgehog and Grunder Run, we collected monthly kicknet samples from riffles and glides at two sites from April to October 2010. At the same intervals, we measured standard water quality parameters, including conductivity and turbidity. Preliminary results have indicated much higher turbidity in Grunder Run, but little difference in the diversity and abundance of benthic macro invertebrates inhabiting the two streams.

  4. Public-health assessment for Advanced Micro Devices No. 915, Sunnyvale, Santa Clara County, California, Region 9. CERCLIS No. CAT080034234. Final report

    SciTech Connect

    Not Available

    1992-07-29

    Advanced Micro Devices, Inc. building 915 (AMD 915) served as an active semiconductor and microprocessor manufacturing facility from 1974 until 1990. AMD 915 is located in Sunnyvale, California in Santa Clara County, approximately four miles south of San Francisco Bay. AMD 915 was included on the National Priorities List (NPL) by the United States Environmental Protection Agency (EPA) in September, 1990. Waste solvents and acid-neutralization liquids contained in two underground storage tanks leaked, causing contamination of subsurface soils and groundwater. The contamination originating from the AMD 915 facility has not migrated off-site and the contaminated groundwater has not impacted any private or municipal drinking water supplies. The underground storage tanks suspected of leaking and some subsurface soils have been removed. A system of groundwater extraction and air stripping/liquid phase carbon adsorption treatment is currently operating at the site to restore groundwater to acceptable drinking water standards. Based on information reviewed, the United States Agency for Toxic Substances and Disease Registry (ATSDR) and the California Department of Health Services (CDHS) conclude that no apparent health hazard exists at the AMD 915 site.

  5. Health assessment for Milan Army Ammunition Plant, Milan, Carrol and Gibson Counties, Tennessee, Region 4. CERCLIS No. TND210020582. Preliminary report

    SciTech Connect

    Not Available

    1989-04-10

    The Milan Army Ammunition Plant Site (MAAP) is located in Milan (Carrol and Gibson Counties), Tennessee. MAAP produces munitions for the U.S. Army. From 1942 to 1978 wastewater from a munition demilitarization process line was discharged into 11 unlined settling ponds. These ponds were dredged in 1971 with the soils placed near the side of the ponds. A multilayer cap was placed on top of the ponds and the dredged soils (1984). Access to the site is restricted. Removal actions have not occurred. Preliminary on-site groundwater sampling results have identified cyclonite (RDX), homocyclonite (HMX), 2,4,6-trinitrotoluene, 2,6-dinitrotoluene, 2,4-dinitrotoluene, 1,3,5-trinitrobenzene. In addition, cadmium, chromium, and lead were detected in on-site groundwater. Off-site surface water sampling results identified RDX and HMX. The site is considered to be of potential public health concern because of the risk to human health caused by the possibility of human exposure to hazardous substances. Direct contact and ingestion with groundwater from on-site wells, off-site soils and bioaccumulation of site-related contaminants in fish, waterfowl, and crops with uptake from irrigation, and subsequent ingestion by area residents are possible human exposure pathways.

  6. Public health assessment for Raymark Industries, Stratford, Fairfield County, Connecticut, Region 1. Cerclis No. CTD001186618. Final report

    SciTech Connect

    1996-09-25

    Raymark Industries, Inc. operated in Stratford, Connecticut from 1919-1989. The Raymark facility site posed a public health hazard to workers because of likely exposures to soil containing many compounds including volatile organic compounds, lead, asbestos and polychlorinated biphenyls (PCBs). Workers may also have been exposed to airborne asbestos. Workers were also likely exposed to a variety of compounds during manufacturing operations that likely required the handling of these materials and chemicals. The site poses a health threat to people who trespass at the site. In addition, a health threat could exist at the site for workers or on-site personnel if current or future activities disturb contamination and precautions are not taken to prevent exposures for occurring.

  7. Public health assessment for Onondaga Lake, Syracuse, Onondaga County, New York, Region 2. Cerclis No. NYD986913580. Final report

    SciTech Connect

    1995-07-24

    The Onondaga Lake site is described as Onondaga lake and any source that may be contributing to its contamination (e.g., hazardous waste sites discharging contaminants directly or indirectly via surface or groundwater into Ononaga Lake). The site is contaminated with many chemicals, including mercury, polychlorinated biphenyls (PCBs), petroleum hydrocarbons, and polycyclic aromatic hydrocarbons (PAHs). Based on the information reviewed, the Onondaga Lake site is a public health hazard. Fish from the site are contaminated with mercury and PCBs at levels which have a high risk of adverse health effects. The presence of fecal bacteria is an indicator of potential contamination by other microorganisms that can produce disease. Fecal bacteria contamination of the lake poses a potential health hazard to recreational users, particularly swimmers.

  8. Symptom and illness prevalence with biomarkers health study for Calvert City and Southern Livingston County, Kentucky. Final report

    SciTech Connect

    Hamar, G.B.; McGeehin, M.A.; Phifer, B.L.

    1995-05-01

    The Agency for Toxic Substances and Disease Registry conducted a health study of the area surrounding the Calvert City Industrial Complex (CCIC), an industrial site located in Calvert City, Kentucky. The objective of the study was to assess the current health status of residents living near the CCIC compared with the health status of residents of a similar, `nonexposed` comparison community. A total of 720 randomly selected participants from the Calvert City area and a similar comparison area were administered a standardized symptom and illness prevalence questionnaire, performed pulmonary function test, and provided blood and urine specimens for chemical exposure tests and biomedical tests of subclinical organ dysfunction. In general, target area study participated reported illnesses slightly more often, but symptoms less often, than comparison area study participants. No clear pattern of symptoms or illness was discerned.

  9. Health assessment for Islip Sanitary Landfill, Suffolk County, New York, Region 2. CERCLIS No. NYD980506901. Preliminary report

    SciTech Connect

    Not Available

    1988-06-29

    The Islip Sanitary landfill 40-acre site has been in operation since 1927, accepting municipal and industrial wastes. The site continues to operate. The site is unlined, and only partially capped. Environmental sampling conducted to date indicates that the contaminants of immediate concern are predominately volatile organic chemicals (VOCs) in ground water and perhaps air. The VOCs present in one or more environmental media include trichloroethylene (TCE); tetrachloroethylene (perchloroethylene (PCE)); trichloroethane (TCA); vinyl chloride; and methylene chloride. Contaminated or potentially contaminated environmental pathways associated with the site which are of greatest public health importance are on-site and off-site ground water, and possibly air. The site is considered to be of potential public health concern because of the risk to human health caused by the possibility of exposure to hazardous substances. While it does not appear that a human population is currently exposed to site contaminants, the potential for such exposure remains and should be carefully monitored.

  10. Health assessment for Grand Traverse Overall Supply Company, Leelanau County, Michigan, Region 5. CERCLIS No. MID017418559. Preliminary report

    SciTech Connect

    Not Available

    1989-03-10

    The Grand Traverse Overall Supply Company (GTOS) is on the National Priorities List. GTOS is a commercial laundering facility. GTOS has been identified as the generator of PCE and TCE contamination in the ground water, soil, and surface waters. Residential wells showed a maximum of 860 parts per billion (ppb) PCE and 705 ppb TCE. Levels of PCE and TCE have also been found in the soil. The site is of potential public health concern because of the risk to human health that could result from possible exposure to hazardous substances at levels that may result in adverse health effects over time. Human exposure to PCE and TCE may have occurred primarily via ingestion of contaminated ground water.

  11. Digital analysis of Potomac River Basin ERTS imagery: Sedimentation levels at the Potomac-Anacostia confluence and strip mining in Allegheny County, Maryland

    NASA Technical Reports Server (NTRS)

    Schubert, J. S.; Macleod, N. H.

    1973-01-01

    Two simple algorithms for classification of sedimentation levels in water and for delineation of active strip mines are in use as part of the development of a more general resource management information system. ERTS MSS CCT's are processed so that each pixel in each channel is geographically referenced and can be accessed individually during whole frame, multi-channel analysis or partial frame analysis. The sedimentation analysis clearly separates classes representing the turbid Anacostia water, the less disturbed Potomac (really), and mud flats resulting from effluent of a major sewage treatment plant. Mud flats of organic or mineral origin are easily distinguished.

  12. Public health assessment for Old Southington Landfill, Southington, Hartford County, Connecticut, Region 1. Cerclis No. CTD980670806. Final report

    SciTech Connect

    1995-03-09

    The Old Southington Landfill (OSL) is located in Southington, Connecticut. Various contaminants of concern, including volatile organic compounds (VOCs), polychlorinated biphenyls (PCBs), metals, and pesticides have been found in ground water and soil. Based on the physical hazards associated with the methane contamination of indoor air in commercial facilities, the site is a public health hazard.

  13. County-Level Poverty Is Equally Associated with Unmet Health Care Needs in Rural and Urban Settings

    ERIC Educational Resources Information Center

    Peterson, Lars E.; Litaker, David G.

    2010-01-01

    Context: Regional poverty is associated with reduced access to health care. Whether this relationship is equally strong in both rural and urban settings or is affected by the contextual and individual-level characteristics that distinguish these areas, is unclear. Purpose: Compare the association between regional poverty with self-reported unmet…

  14. The Impact of Commercially Treated Oil and Gas Produced Water Discharges on Bromide Concentrations and Modeled Brominated Trihalomethane Disinfection Byproducts at two Downstream Municipal Drinking Water Plants in the Upper Allegheny River, Pennsylvania, USA

    EPA Science Inventory

    In 2010, a dramatic increase in the levels of total trihalomethane (THM) and the relative proportion of brominated species were observed in finished water at several Western Pennsylvania water utilities (PDW) using the Allegheny River as their raw water supply. An increase in br...

  15. Health assessment for Coast Wood Preserving, Ukiah, Mendocino County, California, Region 9. CERCLIS No. CAD063015887. Preliminary report

    SciTech Connect

    Not Available

    1989-04-20

    The Coast Wood Preserving site is on the National Priorities List. Wood-preserving activity began at the site in 1971, and the facility has operated continuously up to the present. The wood-preserving operation at the site involves the use of a chemical mixture containing sodium dichromate, copper sulfate, and arsenic acid. Over the years, drippings from the treated wood are believed to have caused soil contamination at the site, particularly during the early years of operation when the treatment and treated-wood storage areas were not paved. Contamination of environmental media with chromium, arsenic, and copper was detected. The site is considered to be of potential health concern because of the risk to human health caused by the possibility of exposure to hazardous substances through the use of contaminated ground water and surface water for consumption and irrigation of agricultural crops.

  16. Health assessment for Kaiser Aluminum and Chemical Corporation, Mead, Spokane County, Washington, Region 10. CERCLIS No. WAD000065508. Preliminary report

    SciTech Connect

    Not Available

    1989-04-12

    The 240-acre Kaiser Aluminum Site is on the National Priorities List. The plant was built in 1942 as an aluminum-reduction facility. Concentrations of cyanide (total) in the river range from 0.011 to 1.7 parts per million (ppm) and free cyanide concentrations ranged from non-detected (ND) to 0.58 ppm. Soils on-site are contaminated with cyanide and fluoride; total cyanide levels range from ND to 985 ppm. The site is considered to be of potential public health concern because of the risk to human health caused by the possibility of exposure to hazardous substances via ingestion of contaminated ground water, dermal absorption of contaminants found in the surface soils on-site, and inhalation of and dermal contact with reentrained contaminated dust.

  17. Developing Local Board of Health Guidelines to Promote Healthy Food Access — King County, Washington, 2010–2012

    PubMed Central

    Johnson, Donna B.; Krieger, James; MacDougall, Erin; Payne, Elizabeth; Chan, Nadine L.

    2015-01-01

    Policies that change environments are important tools for preventing chronic diseases, including obesity. Boards of health often have authority to adopt such policies, but few do so. This study assesses 1) how one local board of health developed a policy approach for healthy food access through vending machine guidelines (rather than regulations) and 2) the impact of the approach. Using a case study design guided by “three streams” policy theory and RE-AIM, we analyzed data from a focus group, interviews, and policy documents. The guidelines effectively supported institutional policy development in several settings. Recognition of the problem of chronic disease and the policy solution of vending machine guidelines created an opening for the board to influence nutrition environments. Institutions identified a need for support in adopting vending machine policies. Communities could benefit from the study board’s approach to using nonregulatory evidence-based guidelines as a policy tool. PMID:25927606

  18. Health assessment for Pratt and Whitney Aircraft, Palm Beach County, Florida, Region 4. CERCLIS No. FLD001447952. Preliminary report

    SciTech Connect

    Not Available

    1989-04-19

    The Pratt and Whitney Government Engine Business Division has been in operation as a division of the United Technologies Corporation (UTC) plant since 1958. In the past, materials disposed of in the landfill/incineration trenches at the plant included construction debris, discarded equipment, unknown solid waste from Air Force Plant Number 74, solvents and solvent sludges, asbestos, fuels, paints, pesticide and herbicide container residues, benzonitrite and solvent-contaminated soils, mercury (from bulbs and thermometers), discarded equipment from metal finishing operations, commercial and laboratory chemicals, garbage, and sewage sludge. Based on available information, the site is considered to be of potential public health concern because of the risk to human health caused by the possibility of exposure to hazardous substances via chemicals in the groundwater and air (wind-blown) and possibly through ingestion of contaminated wildlife.

  19. Health assessment for American Lake Gardens, Tacoma, Pierce County, Washington, Region 10. CERCLIS No. WAD980833065. Preliminary report

    SciTech Connect

    Not Available

    1989-01-19

    The American Lake Gardens site is on the National Priorities List. Two areas within the site are the areas of primary contamination; the northeast section's contamination is believed to have come from the closed landfill (now a golf course) on McChord AFB, and the southwest section's contamination from Fort Lewis. Both Fort Lewis and McChord AFB are NPL sites. The environmental contamination on-site consists of trans-1,2-dichloroethylene (530 ppb), trichloroethylene (260 ppb), methylene chloride (38 ppb), tetrachloroethylene (52 ppb), benzene (6 ppb), and 1,1,1-trichloroethane (18 ppb) in ground water. The site is considered to be of potential public health concern because of the risk to human health caused by the possibility of exposure to hazardous substances via ground water (from private wells still in use) and surface water.

  20. Health assessment for Carrol and Dubies, Port Jervis, Orange County, New York, Region 2. CERCLIS No. NYD010968014. Preliminary report

    SciTech Connect

    Not Available

    1991-07-31

    The Carrol and Dubies site is located in the Neversink River Valley, one mile northeast of the City of Port Jervis, New York. The site was listed in Update 7 of the U.S. Environmental Protection Agency (EPA) National Priorities List (NPL). The site consists of five inactive lagoons which were used for disposal of septic tank wastes. Two of the lagoons received industrial wastes between 1971 and 1979. Two additional lagoons received septic tank wastes after 1979 until early 1989. Based on information reviewed, the site is judged to be an indeterminate public health hazard because the limited data do not indicate that humans are being exposed or have been exposed to levels of contamination that would be expected to cause adverse health effects. However, data or information are not available for all environmental media to which humans may be exposed. Human exposure to volatile organic compounds and metals may be occurring via direct consumption of contaminated groundwater. Limited data are available about the extent of groundwater contamination and about contamination in the sediments of the former lagoons. This site is not being considered for follow-up health activities at this time.

  1. Health assessment for Arkwood, Inc. , Omaha, Boone County, Arkansas, Region 6. CERCLIS No. ARD084930148. Preliminary report

    SciTech Connect

    Not Available

    1988-08-01

    The Arkwood site is listed on the National Priorities List. The approximately 20-acre site is a former wood-treatment facility that operated from about 1962 until 1984. On-site soil has been found to be contaminated with pentachlorophenol (PCP, 10,400 ppm) and polynuclear aromatic hydrocarbons (PAH, 4,000 ppm); on-site sludge with benzene (0.11 ppm), ethylbenzene (3.2 ppm), and toluene (1.8 ppm); and liquids from a sinkhole on-site with benzene (1.3 ppm) and ethylbenzene (13 ppm). In addition, low levels of dioxins and furans have been found in woodchip debris on-site, the sinkhole, and in a ditch separating the site from the bordering Missouri-Pacific railroad. The site is considered to be of potential public health concern because of the risk to human health caused by the possibility of exposure to hazardous substances via contaminated surface water and ground water. The potential for human contact with on-site contamination has been reduced such that it is of little public health concern.

  2. Health assessment for Sturgis Municipal Wells, St. Joseph County, Michigan, Region 5. CERCLIS No. MID980703011. Preliminary report

    SciTech Connect

    Not Available

    1989-03-10

    The Sturgis Municipal Wells are listed on the National Priorities List. Routine sampling in June 1982 revealed that two of the four municipal water supply wells serving the City of Sturgis (pop. 10,000) were contaminated with trichloroethylene (TCE) and perchloroethylene (PCE). TCE concentrations ranging from 11-74 ppb were detected in both wells. Twenty-eight water samples were taken from existing wells (monitoring, test and production wells) in fall 1987. An industrial process well at Ross Laboratories contained 219 ppb TCE. Soil gas sampling, also performed in fall 1987, revealed several hot spots throughout the city. The following compounds were detected (maximum concentrations in ng/l): TCE, 47,200; PCE, 290,000; 1,1-dichloroethane, 2,040; 1,2-dichloroethane, 1,092; 1,1,1-trichloroethane, 23,600; and toluene; 3,680. The site is of public health concern because of the risk to human health caused by probable human exposure to hazardous substances at levels that may result in adverse human health effects over time. Human exposure to TCE has and is probably occurring via contaminated ground water, and potentially through surface water, soils, and air.

  3. Health assessment for Lacks Industries, Inc. , Grand Rapids, Kent County, Michigan, Region 5. CERCLIS No. MID006014666. Preliminary report

    SciTech Connect

    Not Available

    1989-04-10

    The Lacks Industries, Inc. site, in Grand Rapids, Michigan, has been delisted from the National Priorities List and is being regulated under the Resource Conservation and Recovery Act. Lacks Industries, Inc. discontinued electroplating operations and die casting for the automobile industry in July 1984 at the plant site. The plant is now used for painting and assembling of plastic parts for automobiles. Previously, plating wastes were discharged to two seepage ponds. It is reported that the prior owner (pre-1960) dumped trichloroethylene (TCE) and tetrachloroethylene (PCE) and metal solutions into a pit in the ground above which was built part of the Lacks Industries building. TCE and PCE were identified in all four downgradient monitoring wells with maximum concentrations of 17 parts per billion (ppb) and 89 ppb, respectively. Toluene (8 ppb), m-xylene (2 ppb) and cis-1,2-dichloroethylene (240 ppb) were each identified in one downgradient well. The two upgradient wells, which are supposed to represent background concentrations, had PCE concentrations of 67 ppb and 74 ppb. Several homes in the area had elevated concentrations of volatile organic compounds (VOCs), nickel, and total chromium. The site is of potential public health concern because of the risk to human health that could result from possible exposure to hazardous substances at levels that may result in adverse health effects over time.

  4. Health assessment for J and L Landfill, Rochester Hills, Oakland County, Michigan, Region 5. CERCLIS No. MID0980609440. Preliminary report

    SciTech Connect

    Not Available

    1989-03-01

    The J L Landfill is listed on the National Priorities List. During the period J L Landfill was in operation (1967 to 1980), approximately 1.5 million cubic feet of wastes were buried at the site. Waste materials reportedly included dusts from emission control devices in electric furnaces co-disposed with alkaline slag from electric furnaces involved in stainless steel production. The site is approximately 16.5 acres. Analyses conducted by J L detected manganese, chromium and nickel in the emission-control wastes deposited at the site in the range of 1-10% by weight. The major constituents of these wastes were iron oxides and calcium oxides, 25-40% and 18-21% respectively. Analysis of the slag material was not available. There have been no ground-water investigations or monitoring in relation to the site. The site is of potential public health concern because of the risk to human health that could result from possible exposure to hazardous substances at levels that may result in adverse health effects over time. Human exposure may be occurring via contaminated ground water or direct contact with contaminated soils or sediments.

  5. The impact of commercially treated oil and gas produced water discharges on bromide concentrations and modeled brominated trihalomethane disinfection byproducts at two downstream municipal drinking water plants in the upper Allegheny River, Pennsylvania, USA.

    PubMed

    Landis, Matthew S; Kamal, Ali S; Kovalcik, Kasey D; Croghan, Carry; Norris, Gary A; Bergdale, Amy

    2016-01-15

    In 2010, a dramatic increase in the levels of total trihalomethane (THM) and the relative proportion of brominated species was observed in finished water at several Pennsylvania water utilities (PDW) using the Allegheny River as their raw water supply. An increase in bromide (Br(-)) concentrations in the Allegheny River was implicated to be the cause of the elevated water disinfection byproducts. This study focused on quantifying the contribution of Br(-) from a commercial wastewater treatment facility (CWTF) that solely treats wastes from oil and gas producers and discharges into the upper reaches of the Allegheny River, and impacts on two downstream PDWs. In 2012, automated daily integrated samples were collected on the Allegheny River at six sites during three seasonal two-week sampling campaigns to characterize Br(-) concentrations and river dispersion characteristics during periods of high and low river discharges. The CWTF discharges resulted in significant increases in Br(-) compared to upstream baseline values in PDW raw drinking water intakes during periods of low river discharge. During high river discharge, the assimilative dilution capacity of the river resulted in lower absolute halide concentrations, but significant elevations Br(-) concentrations were still observed at the nearest downstream PDW intake over baseline river levels. On days with active CWTF effluent discharge the magnitude of bromide impact increased by 39 ppb (53%) and 7 ppb (22%) for low and high river discharge campaigns, respectively. Despite a declining trend in Allegheny River Br(-) (2009-2014), significant impacts from CWTF and coal-fired power plant discharges to Br(-) concentrations during the low river discharge regime at downstream PDW intakes was observed, resulting in small modeled increases in total THM (3%), and estimated positive shifts (41-47%) to more toxic brominated THM analogs. The lack of available coincident measurements of THM, precursors, and physical parameters

  6. Public health assessment for Motor Wheel, Lansing Township, Ingham County, Michigan, Region 5. Cerclis No. MID980702989. Final report

    SciTech Connect

    Not Available

    1994-01-14

    The Motor Wheel Disposal Area site was placed on the U.S. Environmental Protection Agency (U.S. EPA) National Priorities List (NPL) in June 1986. Groundwater at the site has been contaminated with several volatile organic chemicals and fluoride from the waste. Other adjacent industrial sites have contributed to the area's groundwater contamination. The site poses an indeterminate public health hazard. There are currently no known completed pathways of exposure associated with this site. Potential pathways include on-site exposure to contaminants in leachate, soil, fugitive dust and water and off-site exposure to contaminated groundwater in either of two aquifers.

  7. A survey of plants and plant products traditionally used in livestock health management in Buuri district, Meru County, Kenya

    PubMed Central

    2012-01-01

    Background Up till now, nomadic communities in Africa have been the primary focus of ethnoveterinary research. Although mainly arable and/or mixed arable/pastoral farmers, Ameru of central Kenya are known to have a rich history of ethnoveterinary knowledge. Their collective and accumulative ethnoveterinary knowledge (EVK) is likely to be just as rich and worth documenting. The aim of the study was to document and analyse the ethnoveterinary knowledge of the Ameru. Methods Non-alienating, dialogic, participatory action research (PAR) and participatory rural appraisal (PRA) approaches involving 21 women and men aged between 50 and 79 years old were utilized. A combination of snowball and purposive sampling methods were used to select 21 key respondents. The methods comprised a set of triangulation approach needed in EVK for non-experimental validation of ethnoknowledge of the Ameru. Results A total of 48 plant species distributed in 26 families were documented with details of diseases/ill-health conditions, parts of plants used and form of preparation and administration methods applied to different animal groups. Of these families, Fabaceae had the highest number of species (16.67%), followed by Solanaceae (12.5%), Asteraceae and Euphorbiacea (each comprising 8.33%), Lamiaceae (6.25%), Apocynaceae and Boraginaceae (each comprising 4.17%), while the rest of the 19 families, each was represented by a single plant species. About 30 livestock diseases/ill-health conditions were described, each treated by at least one of the 48 plant species. Most prevalent diseases/ill-health conditions included: - anaplasmosis, diarrhea, East Coast fever, pneumonia, helminthiasis, general weakness and skin diseases involving wounds caused by ectoparasites. Conclusion The study showed that there was a rich knowledge and ethnopractices for traditional animal healthcare amongst the Ameru. This study therefore provides some groundwork for elucidating the efficacy of some of these plants

  8. Public health assessment for Tutu Wellfield, St. Thomas, St. Thomas County, Virgin Islands. Cerclis No. VID982272569. Final report

    SciTech Connect

    1996-05-14

    The Tutu Wellfield National Priorities List (NPL) site is in east-central St. Thomas, U.S. Virgin Island. Twenty-two wells in the Turpentine Run Basin contain at minimum a trace of volatile organic contaminants. Volatile and chlorinated hydrocarbons including benzene; toluene; 1,2-trans-dichloroethene (DCE); trichloroethene (TCE); and tetrachloroethene (PCE) were detected in several of the wells. The Agency for Toxic Substances and Disease Registry (ATSDR) has concluded that the Tutu Wellfield National Priorities List (NPL) site, St. Thomas, U.S. Virgin Islands, poses a public health hazard for past, present, and possible future ingestion of contaminated groundwater.

  9. Health assessment for Goose Farm National Priorities List (NPL) site, Plumsted Township, Ocean County, New Jersey, Region 2. CERCLIS No. NJD980530109. Final report

    SciTech Connect

    Not Available

    1989-04-10

    The Goose Farm National Priorities List Site is located in Plumsted Township, Ocean County, New Jersey. Both solid and liquid wastes in bulk, 55-gallon drums, 5-gallon pails, and lab packs were disposed at the site in a 15-foot deep pit from the mid-1940s to the mid-1970s. On-site and off-site media are contaminated with a variety of volatile organic compounds (VOCs), heavy metals, polychlorinated biphenyls, acid/base neutral compounds, and semi-volatile compounds. Environmental media that have been contaminated are surface water, ground water, and subsurface soils. On-site soil, contaminated with PCBs above 5 parts per million, is currently being excavated and disposed in an approved off-site facility. The selected remedial alternative should reduce the potential for further off-site migration of contaminants. Over time, the remediation should mitigate the contamination at the Goose Farm Site, thus protecting the health of the human population in the area.

  10. Health assessment for Western Pacific Railroad, Oroville Yard, Oroville, Butte County, California, Region 9. CERCLIS No. CAD980894679. Preliminary report

    SciTech Connect

    Not Available

    1992-03-06

    The Western Pacific Railroad's (WPR) Oroville yard, near Oroville, California, has been proposed for inclusion on the U.S. Environmental Protection Agency's National Priorities List (NPL). WPR operated the 90-acre railyard for almost 60 years until the railyard was purchased by Union Pacific Railroad (UPR) in 1983. The servicing and repair of railcars on the site generated petroleum product wastes, chlorinated solvent waste, and heavy metal wastes that have migrated into the soils of the area. The WPR site is located on dredger tailings east of the Feather River, two miles south of Oroville. The Regional Water Quality Control Board (RWQCB) has identified three primary sources of contamination on site: a roundhouse or fueling area, an unlined surface impoundment, and an API oil-water separator. Other industries, also built over the dredger tailings, are in the vicinity of the site. The limited data available on concentrations of contaminants on site and off site are not sufficient to determine if humans are being or have been exposed to levels of contamination that would be expected to cause adverse health effects. Although there is no evidence at this time that WPR is the source, the burning of petroleum and chlorinated solvent wastes, such as took place at the pond on this site, has been known to generate dioxins and furans. Therefore, this site is classified as an indeterminate public health hazard.

  11. Health assessment for Anaconda Smelter Site, Anaconda, Deer Lodge County, Montana, Region 8. CERCLIS No. MTD093291656. Final report

    SciTech Connect

    Not Available

    1987-02-05

    The Environmental Protection Agency (EPA,) Region VIII has requested that the Agency for Toxic Substances and Disease Registry (ATSDR) evaluate the Remedial Investigation and Feasibility Study (RI/FS) Reports for the Mill Creek, Montana Anaconda Swelter Site. Extensive environmental sampling by EPA, urinary arsenic surveys conducted by the Centers for Disease Control, the Endangerment Assessment (EA,) and the RI have consistently shown extensive contamination of soils and house dust by arsenic, cadmium, and lead, and episodic contamination of drinking water with arsenic above the EPA Maximal Contaminant Level (MCL). The RI presents results of calculations showing, potentially, an elevated excess lifetime risk of skin cancer for males from chronic exposure to arsenic by ingestion. The calculations were performed only for males, the most sensitive subpopulation; however, the female subpopulation would also be expected to have a lesser but elevated excess skin cancer risk from ingestion of arsenic. The long-term health effects of cadmium and lead are additional concerns. When EPA makes a Record of Decision (ROD) for the Mill Creek site, ATSDR can more readily make a definitive statement about the adequacy of the chosen Alternative for reducing the public health risk at Mill Creek.

  12. Health assessment for Electro-Coatings, Inc. , Cedar Rapids, Linn County, Iowa, Region 7. CERCLIS No. IAD005279039. Preliminary report

    SciTech Connect

    Not Available

    1990-04-16

    The Electro-Coatings, Inc. site is listed by the U.S. Environmental Protection Agency (EPA) on the National Priorities List (NPL). Electro-Coatings, Inc. has been operating chromium and copper plating processes since 1947 and had a cadmium plating process until 1983. After examining the Electro-Coatings plant, it was determined that chromic acid was leaking from a deep pit tank inside the plant into the alluvial soil. The two Hawkeye Rubber Company industrial wells located within 400 feet west-southwest of Electro-Coatings, Inc. drew the contaminated water from the bedrock acquifer into the cooling system. Based on the available information, the site is considered to be of potential public health concern because of the potential risk to human health caused by the possibility of chronic exposure to hazardous substances via ingestion of groundwater. Further environmental characterization and sampling of the site and impacted off-site areas during the Remedial Investigation and Feasibility Study (RI/FS) should be designed to address the environmental and human exposure pathways. When additional information and data become available, e.g., the completed RI/FS, such material will form the basis for further assessment by ATSDR at a later date.

  13. Health assessment for Whitmoyer Laboratories, Jackson Township, Lebanon County, Pennsylvania, Region 3. CERCLIS No. PAD003005014. Preliminary report

    SciTech Connect

    Not Available

    1988-11-17

    The Whitmoyer Laboratories 17.5-acre site is formerly an animal arsenical pharmaceutical manufacturing facility that operated from 1934 to 1984. In the early 1960s, approximately four million pounds of soluble arsenic wastes were placed into unlined lagoons. The environmental contamination on-site consists of arsenic and aniline in solid material in the concrete vault; arsenic, anile, 1,1-trichloroethane, and trans-1,2-dichloroethene in groundwater; arsenic in soil; and arsenic in surface water. Contamination off-site consists of arsenic, aniline, 1,1,1-trichloroethane in groundwater from an industrial well; arsenic in surface water; and arsenic in sediment. In addition, extensive sampling of domestic and industrial wells off-site has found arsenic, aniline, 1,2-dichloroethane, trans-1,2-dichloroethylene, trichloroethylene, 1,1,1-trichloroethane, and tetrachloroethylene. The site is considered to be of potential public health concern because of the risk to human health caused by the possibility of exposure to hazardous substances via contaminated groundwater, surface water, sediment, soil, and possibly air.

  14. Health assessment for Albion-Sheridan Township Landfill, Albion, Calhoun County, Michigan, Region 5. CERCLIS No. MID980504450. Preliminary report

    SciTech Connect

    Not Available

    1990-09-10

    The Albion-Sheridan Township Landfill is on the United States Environmental Protection Agency (EPA) National Priorities List (NPL). The Albion-Sheridan Township Landfill is an inactive landfill covering 30 acres located 1 mile east of the City of Albion. Prior to 1966, the site was an uncontrolled dump. From 1966 through 1981, the privately owned, State-permitted landfill accepted municipal refuse and industrial wastes from Albion and nearby Sheridan Township. In 1980, groundwater samples taken from three on-site monitoring wells were found to be contaminated with iron, sodium, potassium, lead, magnesium, calcium, ammonia, total chromium, copper, and zinc. These monitoring wells draw water from the upper aquifer. Soil boring samples taken at the same time revealed the presence of nickel, lead, cyanide, cadmium, chromium, copper, zinc, and iron. Sludge samples taken in 1984 and 1986 contained concentrations of nickel, lead, chloride and cyanide, chromium, and cadmium. The recent preliminary investigation of the on-site barrel contents have tentatively identified potentially flammable hazardous wastes and a variety of VOC's. Based upon information reviewed, this site is of potential public health concern because of possible exposure to hazardous substances at concentrations that may result in adverse health effects. As noted above, human exposure to various contaminants may have occurred or may occur in the future via direct contact, ingestion, and inhalation of contaminants.

  15. Public health assessment for Re-Solve, Incorporated, Dartmouth, Bristol County, Massachusetts, Region 1: CERCLIS number MAD980520621. Final report

    SciTech Connect

    Not Available

    1999-05-25

    The Re-Solve National Priorities List (NPL) site is a 6-acre area situated in the town of Dartmouth, Massachusetts. During the years 1956-1980 the Re-Solve Company distilled industrial solvents on-site. Waste materials from this process were disposed of by burning solvents in four on-site lagoons and spreading waste oils in various portions of the site. Elevated levels of polychlorinated biphenyls (PCBs) and volatile organic compounds (VOCs) were measured in soils throughout the site in 1981, and it was added to the NPL in December 1982. This site is characterized as a past and present public health hazard primarily due to the likely past and present exposure to PCBs through the consumption of PCB contaminated fish and eels from area water bodies. Based upon results of fish sampling that detected PCBs in area eel, the Massachusetts Department of Public Health issued and updated an advisory in 1986 and 1994 recommending that people not eat the fish and eel caught in these affected waters. The potentially exposed population; therefore, include area fishers who may be consuming contaminated fish or eel.

  16. Public health assessment for Dover Chemical Corporation, Dover, Tuscarawas County, Ohio, Region 5. Cerclis No. OHD004210563. Final report

    SciTech Connect

    1996-01-09

    The Dover Chemical Company site poses a public health hazard because of the possibility of past exposure to dioxin and BHC contaminated soil and dust and because of the potential for exposure to several chemicals in drinking water supplies. The available data do not indicate that people are currently being exposed to contaminated soil, dust, or water at levels that would adversely effect their health. People could be exposed to chemicals above levels of concern if ongoing remediation (pump and treating groundwater) and monitoring of the well field fails to detect chemicals entering the water supply. There is a potential for people eating fish caught in the lagoon and in Sugar Creek to be exposed to site-related chemicals, but the data are insufficient to determine the risk of exposure. There is also a potential for people to be exposed to dioxin by eating contaminated vegetables grown in gardens near the site. However, there are no environmental monitoring data to determine the risk of exposure.

  17. Public health assessment for Sturgis Municipal Wells, Sturgis, St. Joseph County, Michigan, Region 5. CERCLIS No. MID980703011. Final report

    SciTech Connect

    Not Available

    1993-11-01

    The Sturgis Municipal Wells site was listed on the U.S. Environmental Protection Agency (U.S. EPA) National Priorities List (NPL) in September 1984. In 1982, two of the four wells supplying the City of Sturgis municipal water system were found to be contaminated with trichloroethylene (TCE). Traces of TCE were also found in food products prepared in a plant whose wells were contaminated. Tetrachloroethylene (also called perchloroethylene or PCE) also was found in the original contaminated municipal wells. The contamination in the groundwater has been linked to two source areas: the site of a former woodworking and furniture manufacturing facility and a manufacturer of automotive electrical equipment. TCE, PCE, and other volatile organic compounds have been found in groundwater from monitoring wells within the city, and in soil and soil gas from the source areas. The site currently poses an indeterminate public health hazard. Although there are no indications that exposure to contaminants is occurring at levels of health concern, there is no information available on air concentrations either in the open or in basements.

  18. Health assessment for Savanna Army Depot, Savanna, Carroll County, Illinois, Region 5. CERCLIS No. IL0213820376. Preliminary report

    SciTech Connect

    Not Available

    1989-01-19

    The Savanna Army Depot Activity (SADA) is on the National Priorities List. The 13,000-acre facility is an Army munitions plant engaged in munitions renovation and loading, and demolition and burning. About 20 areas within the facility have been identified as potential sources of hazardous waste. The environmental contamination on-site (maximum concentrations reported) consists of chloroform (20 ppb), trinitrotoluene or TNT (29 percent), trinitrobenzene or TNB (2,770 ppb), 2,6-dinitrotoluene or 2,6-DNT (1,400 ppb), 2-amino-4,6-dinitrotoluene (300,000 ppb), and 2,4-dinitrotoluene (94,200 ppb) in sediment; TNB (1,400 ppb), TNT (314 ppb), 2,4-DNT (113 ppb), trichloroethylene or TCE (20 ppb), chloroform (20 ppb), and nickel (185 ppb) in ground water; TNT (50 percent), 2,4-DNT (673 ppb), and cyclotrimethylenetrinitramine or RDX (12,300 ppb), and polynuclear aromatic hydrocarbons or PAHs (greater than 59,000,000 ppb) in soil; and RDX (36,900 ppb) and TNT (16,600 ppb) in surface water. The site is considered to be of potential public health concern because of the risk to human health caused by the possibility of exposure to hazardous substances via ground water, surface water, soil, sediment, and air.

  19. Traditional medicine as an alternative form of health care system: a preliminary case study of Nangabo sub-county, central Uganda.

    PubMed

    Galabuzi, Charles; Agea, Jacob Godfrey; Fungo, Bernard L; Kamoga, Regina M N

    2010-01-01

    This study was conducted in Nangabo sub-county of Wakiso district. The purpose was to document the common Traditional Medicine (TM) practices; assess the local people's preferences for TM versus western medicine (WM) and lastly to determine the awareness about the importance of TM by local people. Data were collected using semi-structured administered face-to-face with respondents. A total of 120 interviewed. Six focused group discussions (FGDs) were held to validate the questionnaire responses. Data were analyzed descriptively using Statistical Package for Social Sciences (SPSS). The findings indicated that most (43%) respondents derive their livelihoods from traditional medicine practices. Three forms of TM were reported-herbalism (67%), spiritual counseling (23%) and bone setting (10%). Although the majority (81%) of respondents were quite aware of the importance of TM in the sustenance of health care system, majority (55%) of them shunned TM in preference to WM, largely because of the belief that TM is evil-founded and devilish in nature. Only 45% of the respondents preferred TM to WM. The main reasons given for visiting TM practioners rather than western medical practitioners were that TM is sometimes more effective than WM and that in many instances it has very minimal side effects on the human body. There is, however, a need for Ugandan government to legitimize the practice of TM since it contributes a lot to health care needs in areas where western medicine is insufficiently provided. In addition, there is a need for further research into the efficacy and safety of traditional medicines if it is to be adequately integrated into western medicine. PMID:21304607

  20. Public health assessment for petitioned public health assessment, Alaska Pulp Corporation, Sitka, Sitka County, Alaska, Region 10. CERCLIS Number AKD009252487; Final report

    SciTech Connect

    1998-10-16

    Blue Lake is the primary source of drinking water for the City of Sitka. Low concentrations of dioxin have been detected in the sediments in Blue Lake. Some members of the community are concerned that this contamination may be impacting the water supply. Due to the low levels of dioxin found in the sediments, it is unlikely that exposure to water from Blue Lake would result if any significant exposure to dioxin. This site is categorized as Hazard Category C: Indeterminate Public Health Hazard. The limited data do not indicate that humans are being or have been exposed to levels of contamination that would be expected to cause adverse health effects from the Blue Lake water supply. However, data or information are not available for all environmental media to which humans may be exposed.

  1. Assessment of School-Based Quasi-Experimental Nutrition and Food Safety Health Education for Primary School Students in Two Poverty-Stricken Counties of West China

    PubMed Central

    Shen, Minxue; Hu, Ming; Sun, Zhenqiu

    2015-01-01

    Background Few studies on nutrition and food safety education intervention for students in remote areas of China were reported. The study aimed to assess the questionnaire used to measure the knowledge, attitude and behavior with respect to nutrition and food safety, and to evaluate the effectiveness of a quasi-experimental nutrition and food safety education intervention among primary school students in poverty-stricken counties of west China. Methods Twelve primary schools in west China were randomly selected from Zhen’an of Shaanxi province and Huize of Yunnan province. Six geographically dispersed schools were assigned to the intervention group in a nonrandom way. Knowledge, attitude and behavior questionnaire was developed, assessed, and used for outcome measurement. Students were investigated at baseline and the end of the study respectively without follow-up. Students in intervention group received targeted nutrition and food safety lectures 0.5 hour per week for two semesters. Item response theory was applied for assessment of questionnaire, and a two-level difference-in-differences model was applied to assess the effectiveness of the intervention. Results The Cronbach’s alpha of the original questionnaire was 0.84. According to item response model, 22 knowledge items, 6 attitude items and 8 behavior items showed adequate discrimination parameter and were retained. 378 and 478 valid questionnaires were collected at baseline and the end point. Differences of demographic characteristics were statistically insignificant between the two groups. Two-level difference-in-differences models showed that health education improved 2.92 (95% CI: 2.06–3.78) and 2.92 (95% CI: 1.37–4.47) in knowledge and behavior scores respectively, but had no effect on attitude. Conclusion The questionnaire met the psychometric standards and showed good internal consistence and discrimination power. The nutrition and food safety education was effective in improving the knowledge

  2. Public health assessment for American Anodco Incorporated, Ionia, Ionia County, Michigan. Region 5. Cerclis No. MID006029102. Final report

    SciTech Connect

    1995-09-07

    The American Anodco, Inc. site, a former anodizing facility, is located in the industrial zone area in the eastern part of the City of Ionia, Michigan. The waste water in seepage lagoons at this site was allowed to seep into the ground and the lagoons were filled with clean soils in 1987. There is some evidence that groundwater at the site is contaminated with arsenic, boron, nitrate and nitrite, 1,1,1-trichloroethane and traces of tetrachloroethylene. There may be some potential health risk to the public if groundwater at this site is used for drinking and other household purposes in the future. Monitoring well OW-6 should be sampled again to confirm the concentration of 1,1,1-trichloroethane, if any, present in water from the well.

  3. Public health assessment for Munisport landfill, North Miami, Dade County, Florida, Region 4. CERCLIS No. FLD084535442. Final report

    SciTech Connect

    Not Available

    1993-01-28

    The Munisport Landfill site is an inactive landfill in, and owned by, the City of North Miami, Florida. The site is an urban area adjacent to the Oleta River Recreational Area, a state mangrove preserve, and Biscayne Bay. Soil, sediments, surface water, and ground water are contaminated. The authors selected ammonia, benzene, di(2-ethylhexyl)phthalate, cadmium, carbon disulfide, chloromethane, coliform bacteria, dieldrin, lead, methylene chloride, pentachlorophenol, polychlorinated biphenyls (PCBs), styrene, vanadium, and zinc as contaminants of concern. Accidentally ingesting contaminated soil and surface water, and breathing contaminated smoke are completed human exposure pathways. Children who swam in the landfill lakes risked bacterial and viral infections. Based on the available data, the authors categorize the Munisport Landfill site as an indeterminate public health hazard.

  4. Health assessment for Nutmeg Valley Road, Wolcott, New Haven County, Connecticut, Region 1. CERCLIS No. CTD980669261. Final report

    SciTech Connect

    Not Available

    1992-03-30

    The Nutmeg Valley Road National Priorities List (NPL) site is an industrialized area located on the border of Waterbury and Wolcott, Connecticut. Surface soils at industrial/commercial properties within the site have been contaminated with heavy metals, volatile organics, and cyanide. Area groundwater has been shown to contain volatile organics and cyanide. Critical to the public health assessment is the individual consideration of 41 businesses and 31 residential properties contained within the site. A public water system has been extended to areas within the site. Potential exposure pathways of concern consist of ingestion of contaminated groundwater, inhalation of vapors and aerosols formed by industrial or domestic uses of contaminated groundwater, dermal absorption of contaminated groundwater by hygienic and recreational uses, ingestion and inhalation of contaminated soil particulates, and dermal absorption from contact with contaminated soils and sludges.

  5. Health assessment for Electrovoice (Cecil St. Area), Berrien County, Michigan, Region 5. CERCLIS No. MID005068143. Preliminary report

    SciTech Connect

    Not Available

    1989-03-10

    Electrovoice, an existing electroplating facility, is located on an 11.5-acre site that previously consisted of various industries and a dump. In 1952, Electrovoice constructed two bentonite-clay-lined lagoons (north and south) for disposal of liquid wastes. The north lagoon was the primary discharge lagoon. Electrovoice discharged metal plating wastes to the north lagoon from 1952 until 1962 when use of the lagoons was discontinued. In 1979, an industrial sewer line broke, resulting in the discharge of an unknown quantity of plating wastes into the abandoned lagoons. Analyses of soils collected from the fuel tank area indicate the presence of the volatile organic compounds: trichloroethene (TCE), tetrachloroethene (PCE), cis-1,2-dichloroethene, and 1,1,1-trichloroethane. Sufficient data is not presently available to determine the extent or source of the potential on-site contamination. Volatile organic analyses indicate groundwater contaminated with xylene (2,500 ppb), toluene (1,500 ppb), and methyl ethyl ketone (MEK) (9,5000 ppb). Metal analyses indicated the presence of lead as high as 960 ppb and cadmium (50 ppb) in the groundwater. The presence of TCE, PCE, cis-1,2-dichloroethene and 1,1,1-trichloroethane were found in the soil samples only. These contaminants are not present in the groundwater. The site is of potential public health concern because of the risk to human health resulting from possible exposure to hazardous substances. Human exposure to volatile organic compounds and specific metals may be occurring and may have occurred in the past via exposure to/ingestion of contaminated water.

  6. Public health assessment for Forest Waste Products, Otisville, Genesee County, Michigan, Region 5. Cerclis No. MID980410740. Final report

    SciTech Connect

    Not Available

    1994-01-18

    The United States Environmental Protection Agency (U.S. EPA) placed the Forest Waste Disposal site on the National Priorities List (NPL) in September 1983. Drummed industrial waste was deposited on the site in this period. In three separate actions, sludge and residue waste from a chemical fire, roofing materials contaminated with polychlorinated biphenyls (PCBs), and cattle feed contaminated with polybrominated biphenyls (PBBs) were deposited on the site. Nine small lagoons on the site were also used for disposal of liquid industrial wastes. Investigation, found contamination with volatile organic chemicals and heavy metals in the soils on the site, in the groundwater beneath it, and in the sediment and water in the lagoons. The site poses an indeterminate public health hazard because, although there is no indication of exposure at levels of concern, uncertainty exists involving the large number of buried drums alleged to be on the site. In addition, there is an unknown potential for exposure to various organic chemicals present in the wastes, soil, and groundwater at the site.

  7. Elevation view of west portal, looking due east. Eastbound train ...

    Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

    Elevation view of west portal, looking due east. Eastbound train entering tunnel. Allegheny tunnel at right; Gallitzin Tunnel (Haer no. PA-516) at left. - Pennsylvania Railroad, Allegheny Tunnel, Beneath Allegheny Mountain, east of Railroad Street, Gallitzin, Cambria County, PA

  8. Changes in tooth mortality between 1990 and 2002 among adults in Västerbotten County, Sweden: influence of socioeconomic factors, general health, smoking, and dental care habits on tooth mortality.

    PubMed

    Pihlgren, Karin; Forsberg, Hans; Sjödin, Lars; Lundgren, Per; Wänman, Anders

    2011-01-01

    The objectives of the study were to analyse changes in tooth mortality among adults in Västerbotten County, Sweden, between 1990 and 2002 and determine whether socioeconomic factors, general health, smoking, and dental care habits influenced tooth mortality. The study was based on samples drawn from the adult population in Västerbotten County in 1990 and 2002. The studied age groups were 35-, 50-, and 65-year-olds. In 2002 75-year-olds were included. The surveys comprised a clinical examination and a questionnaire.The latter focused on oro-facial symptoms, socioeconomic factors, general health, smoking, and dental care habits. Complete data were obtained from 715 individuals in 1990 and from 768 individuals in 2002.Variables used to depict tooth mortality were edentulousness, occlusal supporting zones (Eichner index), and number of teeth. The prevalence of edentulousness in Västerbotten County decreased from 12.7% in 1990 to 3.7% in 2002 (P < 0.001). The mean number of teeth increased in all age groups between 1990 and 2002, and so did the number of individuals with tooth contact in all occlusal supporting zones and no gaps between teeth. Low educational level, weak economic status, smoking, and irregular visits to the dental clinic were all significantly related to increased tooth mortality. Between 1990 and 2002 tooth mortality decreased significantly in the adult population of Västerbotten County, Sweden. Cross-sectional analysis identified socioeconomic factors, smoking, and irregular use of dental care services as being related to tooth mortality in both 1990 and 2002. PMID:21827017

  9. DRAFT LANDSAT DATA MOSAIC: MONTGOMERY COUNTY, TEXAS; HARRIS COUNTY, TEXAS; FORT BEND COUNTY, TEXAS; BRAZORIA COUNTY, TEXAS; GALVESTON COUNTY, TEXAS

    EPA Science Inventory

    This is a draft Landsat Data Mosaic, which contains remote sensing information for Montgomery County, Texas Harris County, Texas Fort Bend County, Texas Brazoria County, Texas Galveston County, and Texas Imagery dates on the following dates: October 6, 1999 and September 29, 200...

  10. Rural County Report. County Level Data Base.

    ERIC Educational Resources Information Center

    Murray, J. Dennis

    This report represents a county-level Pennsylvania data base focused on variables of significance to rural communities. The data includes computations of per capita rates for counties in rural, urban influence, and urban clusters. This report is intended for comparing rural counties to other areas of the state. Three categories are used to present…

  11. An Assessment of the Florida Department of Health and Rehabilitative Services Detention Risk Assessment Instrument on Youths Screened and Processed at the Hillsborough County Juvenile Assessment Center.

    ERIC Educational Resources Information Center

    Dembo, Richard; And Others

    1994-01-01

    Analyzes screening data on arrested youths (n=361) at the Hillsborough County, Florida Juvenile Assessment Center in November 1993. Results provide support for the effectiveness of the Detention Risk Assessment Instrument in differentiating among youths released to the community unsupervised, youths placed on home detention, and youths placed in…

  12. On the Season, a Report of a Public Health Project Conducted Among Negro Migrant Agricultural Workers in Palm Beach County, Florida.

    ERIC Educational Resources Information Center

    Browning, Robert H.; Northcutt, Travis J., Jr.

    A 5-year project to develop public health services for migrant workers was initiated in Florida in 1956. The project staff consisted of 8 public health personnel: 2 public health nurses, a public health educator, a public health nutritionist, a medical social worker, a part-time sanitarian, a liaison worker, and a secretary. Two practicing…

  13. County-level environmental quality and associations with individual - and county-level preterm birth

    EPA Science Inventory

    Human health is influenced by simultaneous exposure to stressors and amenities, but research usually considers single exposures. We constructed a county-level Environmental Quality Index (EQI) using principal components analysis with data from five domains (air, water, land, buil...

  14. Cooperative success stories at the county level

    SciTech Connect

    Merryman, R.E.

    1994-12-31

    The Orange County Health Care Agency, Environmental Health Division has had a contract with the State Water Resources Control Board to oversee the cleanup of sites contaminated by leaking underground fuel storage tanks since 1988. Environmental Health is currently overseeing the remediation of approximately 670 contaminated sites. Throughout the implementation of their Local Oversight Program, Environmental Health has worked with business owners in an effort to remediate sites and to close cases so that property can be redeveloped.

  15. Public health assessment for Richardson Flat Tailings, Park City, Summit County, Utah, Region 8. Cerclis No. UTD980952840. Addendum. Preliminary report

    SciTech Connect

    Not Available

    1994-03-03

    The document is an addendum to the preliminary public health assessment prepared for the Richardson Flat Tailings site by the Agency for Toxic Substances and Disease Registry (ATSDR) in July 1990 (PB90-260092). ATSDR's Health Activities Recommendation Panel (HARP) has evaluated the data and information developed in the Richardson Flat Tailings Public Health Assessment. The panel determined that, because of the apparent lack of past and present public health hazards and community health concerns, no follow-up health activities are indicated at this time.

  16. SOUTH SANTA CLARA COUNTY MIGRANT TREATMENT CLINIC.

    ERIC Educational Resources Information Center

    SKILLICORN, STANLEY A.

    IN THE SUMMER OF 1965, A MIGRANT HEALTH CLINIC WAS STARTED IN THE SOUTHERN PART OF SANTA CLARA COUNTY, CALIFORNIA. THE CLINIC DIFFERS FROM THE PUBLIC HEALTH DEPARTMENT'S CLINICS BY OFFERING TREATMENT AND MEDICATION, INSTEAD OF ONLY PREVENTIVE SERVICES. THE ENTIRE STAFF, FROM DOCTORS TO BABY-SITTERS, VOLUNTEERS ITS TIME, AND THE CLINIC IS NOW OPEN…

  17. Metabolic syndrome and health-related behaviours associated with pre-oral cancerous lesions among adults aged 20–80 years in Yunlin County, Taiwan: a cross-sectional study

    PubMed Central

    Chang, Chang-Cheng; Lin, Ming-Shyan; Chen, Yu-Tsung; Tu, Liang-Tse; Jane, Su-Whi; Chen, Mei-Yen

    2015-01-01

    Objectives To explore the associations of health-related behaviours, metabolic syndrome and risk factors in adults with pre-oral cancerous (POC) lesions in rural, disadvantaged communities with a high prevalence of oral cancer. Design A cross-sectional observational study. Setting Community-based health survey in the western coastal area of Yunlin County, Taiwan. Participants 5161 adult residents participated in this study. Outcome measures Assessed parameters included oral leukoplakia, oral submucous fibrosis, fasting blood glucose, triglycerides, high-density lipoprotein cholesterol, blood pressure and waist circumference. Statistical analyses included descriptive statistics, χ2 tests and multivariate binary logistic regression. Results A high percentage of participants were found to have metabolic syndrome (40%) and POC lesions (7.3%). Participants with POC lesions tended to be male (p<0.001), betel nut chewers (p<0.001) and cigarette smokers (p<0.001); have a low level of education (p<0.001); seldom undergo dental check-ups (p<0.01); irregularly participate in physical activity (p<0.01) and have metabolic syndrome (p<0.01). Conclusions Although male sex and disadvantaged socioeconomic status are non-modifiable factors associated with POC and metabolic syndrome in adults, several factors, notably health behaviours, are modifiable. Clinicians can reduce the incidence and consequences of POC by developing programmes for early detection, encouraging regular dental check-ups, and initiating individualised, health-promoting behaviour modification programmes for reducing risky behaviours associated with oral cancer. PMID:26685025

  18. Public health assessment for Alcoa (Point Comfort)/Lavaca Bay, Point Comfort, Calhoun County, Texas, Region 6. Cerclis No. TXD008123168. Final report

    SciTech Connect

    1995-08-24

    The ALCOA (Point Comfort)/Lavaco Bay National Priorities List (NPL) site is in Calhoun County, Texas, approximately 1.5 miles south of Point Comfort and four miles northeast of Port Lavaca. Fish sampling data indicate that levels of mercury in fish are elevated. Mercury has been detected throughout the site in surface soil, shallow groundwater, air, bay sediments, fish and crabs. Other contaminants, including volatile organic compounds (VOCs) and lead, have been detected in shallow groundwater. Polychlorinated biphenyls (PCBs), and polycyclic aromatic hydrocarbons (PAHs) have been detected in a limited number of sediment, fish, and oyster samples.

  19. Public health assessment for US Naval Submarine Base, New London, Groton, New London County, Connecticut, Region 1. CERCLIS No. CTD980906515. Final report

    SciTech Connect

    Not Available

    1993-05-26

    The New London Submarine Base was divided by the town boundaries of Groton to the south and Ledyard to the north in New London County, Connecticut. In 1983, the Navy identified 16 potential source areas of environmental contamination during their investigations. The submarine base was listed on the US Environmental Protection Agency's National Priorities List in August 1990 because of the potential for on-base groundwater contamination to migrate to off-base residential wells that are close to the New London Submarine Base.

  20. 78 FR 25457 - Health Center Program

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-05-01

    ... From the Federal Register Online via the Government Publishing Office DEPARTMENT OF HEALTH AND HUMAN SERVICES Health Resources and Services Administration Health Center Program AGENCY: Health... Center, Inc. for provision of services in Gwinnett County, Georgia. SUMMARY: The Health Resources...

  1. Health assessment for Chemical Leaman Tank Lines, Inc. (CLTL) NPL (National Oriorities List) site, Logan Township, Gloucester County, New Jersey, Region 2. CERCLIS No. NJD047321443. Final report

    SciTech Connect

    Not Available

    1989-04-10

    The Chemical Leaman Tank Lines, Inc. (CLTL) Site is a National Priorities List Site located in Logan Township, Gloucester County, New Jersey. CLTL is a common carrier of bulk chemical commodities, some of which are hazardous. CLTL previously used several rinse-water settling ponds and aeration lagoons as part of the cleaning and washing process for tank trailers. These ponds and lagoons have been removed; however, contamination from them has entered the underlying groundwater. On-site workers may be exposed to VOCs that are released to the ambient air from the on-site production well and from tank washing operations. Human exposure to on-site contaminants may also occur by inhalation and ingestion of contaminated subsurface soil particulates and dust during remedial or construction activities.

  2. Health assessment for Nowers Landfill National Priorities List (NPL) Site, Pickaway County, Ohio, Region 5. CERCLIS No. OHD980509616. Final report

    SciTech Connect

    Not Available

    1989-02-08

    The Bowers Landfill is a 12-acre National Priorities List Site located in Pickaway County approximately 25 miles south of Columbus, Ohio. Bowers Landfill was used for the disposal of residential, grain elevator, and industrial wastes from 1958-1969. Sampling and analysis of on-site and off-site ground water, sediment, and soil revealed a number of on-site and off-site contaminants including polynuclear aromatic hydrocarbons, pesticides, barium, lead, and manganese. Air sampling was not conducted during site remediation. Environmental pathways of contaminant migration to off-site areas include those associated with ground water, soil, sediments, air, and bioaccumulation. Access to the site is not restricted and there is documented evidence of recreational use by all-terrain vehicles on-site.

  3. [Unnatural deaths must be investigated better--risk of crimes being missed. Examination of the police and the health care system management of deaths in three counties].

    PubMed

    Pettersson, Gisela; Eriksson, Anders

    In 2008 only 55 % of all deaths not deemed to be natural in Sweden underwent a medicolegal autopsy. In the present study we describe and compare the characteristics of unnatural deaths in three counties through review of death certificates for unnatural deaths and, when applicable, corresponding police reports. The majority of unnatural deaths that were not reported to the police were among elderly decedents, with the deaths most often resulting from a fall-related fracture or head injury. One subgroup among these deaths that were not recognized as reportable by the involved physician, estimated by extrapolation to a total of approximately 300 annually, nationwide, was considered to be at elevated risk for a criminal death (homicide). The causes of death in this group were due to, for example, high energy or sharp force trauma, gunshot injury, asphyxia, and drug and/or alcohol intoxication. We conclude that additional training in the handling of unnatural deaths is indicated for Swedish physicians. PMID:25423339

  4. The Adequacy of Health Care Among the Indian and Spanish Populations in Polk, Lincoln, Benton, Linn and Southwestern Portion of Marion Counties. A Public Opinion Perspective.

    ERIC Educational Resources Information Center

    GMA Research Corp., Portland, OR.

    A bilingual and bicultural organization, CISCO (Chicano-Indian Study Center of Oregon) assists students to escape the poverty cycle through vocational training, academic programs, and general guidance counseling. A major CISCO goal is to provide vocational training in the health care industry in conjunction with a program meeting the health needs…

  5. Health assessment for Upper Deerfield Township Sanitary Landfill, Upper Deerfield Township, Cumberland County, New Jersey, Region 2. CERCLIS No. NJD980761399. Final report

    SciTech Connect

    Not Available

    1990-06-20

    In compliance with the Comprehensive Environmental Response, Compensation, and Liability Act and the Resource Conservation and Recovery Act, as amended, the Agency for Toxic Substances and Disease Registry (ATSDR) has prepared Health Assessment reports for sites currently on, or proposed for, the National Priorities List (NPL). Health Assessments are also prepared for non-NPL sites in response to requests from States and individuals. In the report, the presence and nature of health hazards at the site are assessed, and the public health implications specific to the site are evaluated. The Health Assessment is based on such factors as the nature, concentration, toxicity, and extent of contamination at the site; the existence of potential pathways for the human exposure.

  6. Patterns in health-related behaviours and fall injuries among older people: a population-based study in Stockholm County, Sweden

    PubMed Central

    Helgadottir, Bjorg; Moller, Jette; Laflamme, Lucie

    2015-01-01

    Aim: we identified clusters of older people with similar health-related behaviours and assessed the association between those clusters and the risk of injurious fall. Methods: we linked self-reported and register-based data on the over-65s from the Stockholm public health cohort (N = 20,212). Groups of people with similar health-related behaviours were identified by cluster analysis using four measures of physical activity, two of smoking and alcohol habits and two individual attributes (age and type of housing). The association between clusters and falls leading to hospitalisation (422 cases) was studied using a nested case–control design. Odds ratios (ORs), crude and adjusted for health status, were compiled by cluster using the one with the most ‘protective’ health behaviour profile as the reference. Results: five clusters were identified revealing a variety of combinations of health-related behaviours, all linked to specific age groups and types of housing and with a tendency towards higher levels of physical activity among the younger ones. The risk of injurious falls differed across clusters, and for three out of four, it was significantly higher than in the comparison cluster. Adjusting for health status only partially reduced the ORs for those clusters and this was observed both in men and women. Conclusion: health-related behaviours aggregate in different manners among older people. Some health-related profiles are associated with an excess risk of falls leading to hospitalisation. Although this is partly a reflection of age differences across clusters, health status alone cannot fully explain the association. PMID:25904445

  7. Health assessment for Clear Creek/Central City, Clear Creek and Gilpin Counties, Colorado, Region 8. CERCLIS No. COD980717557. Final report

    SciTech Connect

    Not Available

    1988-07-11

    Clear Creek/Central City is a National Priorities List site located within the communities of Idaho Springs, Central City and Black Hawk, Colorado. The site consists of abandoned mill tailings and waste-rock piles with numerous open mining tunnels and shafts. Site contaminants consist of a variety of heavy metals, sulfur, radionuclides, and acid-mine discharges. The site is of public health concern because of the risk to human health caused by probable human exposure to hazardous substances at levels that may result in adverse human health effects over time.

  8. Safe Schools/Healthy Students Initiative: Pinellas County, Florida.

    ERIC Educational Resources Information Center

    Armstrong, Kathleen Hague; Massey, Oliver T.; Boroughs, Michael; Bailey, Ralph; LaJoie, Diane

    2003-01-01

    The Safe Schools/Healthy Students Initiative in Pinellas County, FL, emerged as a part of a broader local effort to implement creative educational and mental health programs to support children and families. Describes Pinellas County's plan, and highlights the instrumental roles played by school psychologists, which included grant writing, program…

  9. Chronic Disease Disparities by County Economic Status and Metropolitan Classification, Behavioral Risk Factor Surveillance System, 2013

    PubMed Central

    Theis, Kristina A.; Self-Brown, Shannon; Roblin, Douglas W.; Barker, Lawrence

    2016-01-01

    Introduction Racial/ethnic disparities have been studied extensively. However, the combined influence of geographic location and economic status on specific health outcomes is less well studied. This study’s objective was to examine 1) the disparity in chronic disease prevalence in the United States by county economic status and metropolitan classification and 2) the social gradient by economic status. The association of hypertension, arthritis, and poor health with county economic status was also explored. Methods We used 2013 Behavioral Risk Factor Surveillance System data. County economic status was categorized by using data on unemployment, poverty, and per capita market income. While controlling for sociodemographics and other covariates, we used multivariable logistic regression to evaluate the relationship between economic status and hypertension, arthritis, and self-rated health. Results Prevalence of hypertension, arthritis, and poor health in the poorest counties was 9%, 13%, and 15% higher, respectively, than in the most affluent counties. After we controlled for covariates, poor counties still had a higher prevalence of the studied conditions. Conclusion We found that residents of poor counties had a higher prevalence of poor health outcomes than affluent counties, even after we controlled for known risk factors. Further, the prevalence of poor health outcomes decreased as county economics improved. Findings suggest that poor counties would benefit from targeted public health interventions, better access to health care services, and improved food and built environments. PMID:27584875

  10. Public health assessment for McCormick and Baxter Creosoting Company (Portland), Portland, Multnomah County, Oregon, Region 10. Cerclis No. ORD009020603. Final report

    SciTech Connect

    1995-06-13

    The McCormick and Baxter Creosoting site is located on the Willamette River in Portland, Oregon. ATSDR considers the site to have been a public health hazard for former plant workers because of past ingestion exposure to arsenic, creosote, pentachlorophenol, polychlorinated dibenzodioxins, and dibenzofurans at levels of public health concern. The site also poses an ongoing and future public health hazard because people might encounter hazardous chemicals along the shoreline on or near the site at levels that can damage the skin, as was reported to have happened to two boys. Finally, dioxin levels would pose a public health hazard if people subsist on crayfish and suckers contaminated with polychlorinated dibenzodioxins and dibenzofurans.

  11. Public health assessment for Rowe Industries Groundwater Contamination, Sag Harbor, Suffolk County, New York, Region 2: CERCLIS Number NYD981486954. Final report

    SciTech Connect

    1998-12-21

    The public health assessment was developed to address specific concerns that the community surrounding the Rowe Industries Groundwater Contamination National Priorities List (NPL) site has brought to the Agency for Toxic Substances and Disease Registry`s (ATSDR) attention.

  12. Health assessment for San Gabriel Valley, San Gabriel, Los Angelos County, California, Region 9. CERCLIS Nos. CAD980677355, CAD980818512, CAD980818579, CAD980817985. Preliminary report

    SciTech Connect

    Not Available

    1989-04-10

    A large portion of the ground water in the San Gabriel basin has been contaminated with volatile organic compounds (VOCs) at concentrations of public health concern. The primary contaminants in the study area are PCE, TCE, and CTC, although other VOCs have been identified in the ground water. The sources of the contamination are currently unidentified and, therefore, physical hazards such as open storage tanks, vessels, drums, or general debris associated with the sources cannot be fully addressed. The El Monte area site is considered to be of public health concern because of the risk to human health caused by the likelihood of exposure to hazardous substances through the use of the contaminated ground water. The other NPL areas in the San Gabriel study area are of potential public health concern because of the potential for exposures to contaminants through ingestion of contaminated ground water, inhalation and/or dermal contact.

  13. BETTER HEALTH FOR MIGRANTS.

    ERIC Educational Resources Information Center

    Florida State Board of Health, Jacksonville.

    THIS ISSUE OF "FLORIDA HEALTH NOTES" DISCUSSES FLORIDA'S MIGRANTS AND THE MIGRANT HEALTH SERVICES PROVIDED BY THE STATE BOARD OF HEALTH AND THE COUNTY HEALTH DEPARTMENTS. THE FOLLOWING TOPICS ARE DISCUSSED--THEIR HOUSING AND SANITATION FACILITIES, THEIR LONG WORKING HOURS AND LOW WAGES, THEIR SUMMER MIGRATION PATTERNS, THEIR HEALTH PROBLEMS, AND…

  14. Hurricane exposure and county fetal death rates, utilization of a county environmental quality index for confounding control.

    EPA Science Inventory

    The effects of natural disasters on public health are a rising concern, with increasing severity of disaster events. Many disaster studies utilize county-level analysis, however most do not control for county level environmental factors. Hurricane exposure during pregnancy could ...

  15. Public Health Nursing Staff Health Education Attitudes.

    ERIC Educational Resources Information Center

    Collins, Terence R.; And Others

    Health education attitudes toward prevention, detection, and treatment of selected chronic diseases and conditions confronting public health nursing staffs were investigated at a Florida Department of Health and Rehabilitative Services District, which is composed of 16 county public health units (CPHU). Findings were used to determine type of…

  16. Surveillance study of health effects associated with cleanup of a hazardous waste site, Ralph Gray Trucking Company (a/k/a Westminster Tract Number 2633), Westminster, Orange County, California, Region 9: CERCLIS number CAD981995947

    SciTech Connect

    Hoshiko, S.; Underwood, M.C.; Smith, D.; DeLorenze, G.; Neuhaus, J.

    1999-04-01

    Excavation of a Superfund site, the Ralph Gray Truncking Company located in Westminster Orange County, California was anticipated to release sulfur dioxide and other chemicals. The California Department of Health Services, under cooperative agreement with the Agency for Toxic Substances and Disease Registry, conducted a surveillance study to assess whether illnesses were associated with cleanup activities. A panel primarily composed of more sensitive persons (n = 36) was selected to report daily respiratory symptoms and odors. Exposures included sulfur dioxide (SO{sub 2}) measurements and daily tonnage of waste removed. Analysis used Conditional Likelihood Regression and Generalized Estimating Equations (GEE) methods. Levels of SO{sub 2} were generally higher than usual ambient air, at times exceeding levels which can cause health effects among asthmatics in laboratory settings. Wheeze and cough were significantly associated with tonnage of waste removed, especially on days when the highest amounts of waste were removed. Upper respiratory symptoms were found to be associated with SO{sub 2}, and weak relationships were found with nausea and burning nose and SO{sub 2}.

  17. Preventing community-wide transmission of Cryptosporidium: a proactive public health response to a swimming pool-associated outbreak--Auglaize County, Ohio, USA.

    PubMed

    Cope, J R; Prosser, A; Nowicki, S; Roberts, M W; Roberts, J M; Scheer, D; Anderson, C; Longsworth, A; Parsons, C; Goldschmidt, D; Johnston, S; Bishop, H; Xiao, L; Hill, V; Beach, M; Hlavsa, M C

    2015-12-01

    The incidence of recreational water-associated outbreaks in the United States has significantly increased, driven, at least in part, by outbreaks both caused by Cryptosporidium and associated with treated recreational water venues. Because of the parasite's extreme chlorine tolerance, transmission can occur even in well-maintained treated recreational water venues (e.g. pools) and a focal cryptosporidiosis outbreak can evolve into a community-wide outbreak associated with multiple recreational water venues and settings (e.g. childcare facilities). In August 2004 in Auglaize County, Ohio, multiple cryptosporidiosis cases were identified and anecdotally linked to pool A. Within 5 days of the first case being reported, pool A was hyperchlorinated to achieve 99·9% Cryptosporidium inactivition. A case-control study was launched to epidemiologically ascertain the outbreak source 11 days later. A total of 150 confirmed and probable cases were identified; the temporal distribution of illness onset was peaked, indicating a point-source exposure. Cryptosporidiosis was significantly associated with swimming in pool A (matched odds ratio 121·7, 95% confidence interval 27·4-∞) but not with another venue or setting. The findings of this investigation suggest that proactive implementation of control measures, when increased Cryptosporidium transmission is detected but before an outbreak source is epidemiologically ascertained, might prevent a focal cryptosporidiosis outbreak from evolving into a community-wide outbreak. PMID:25907106

  18. The Founding of a Medical Service Bureau in King County, Washington, 1933

    PubMed Central

    Helgerson, Steven D.

    1976-01-01

    The events leading to the establishment of the King County Medical Service Corporation, now King County Medical-Blue Shield, were varied and complex. Under pressure, the King County Medical Society redefined its code of ethics, expanded its view of acceptable practice and gave birth to a major provider of prepaid health care services. PMID:766413

  19. Public health assessment for Vega Baja Solid Waste Disposal, Rio Abajo Ward/La Trocha, Vega Baja County, Puerto Rico, Region 2: CERCLIS Number PRD980512669. Final report

    SciTech Connect

    1998-11-30

    The Vega Baja Waste Disposal Site is a public health hazard because long-term exposure to lead in soil in some yards cause harmful effects in children. Children and especially preschool children who live in yards with elevated levels of soil lead might be exposed to small amounts of lead when they accidentally swallow soil and dust that cling to their hands. The level of lead in garden vegetables from the site is not a public health threat. It is safe for residents to grow and eat garden vegetables. ATSDR recommends that EPA prevent long-term exposure to lead-contaminated soil where lead levels are consistently elevated. ATSDR also recommends that EPA consult with ATSDR officials to ensure that Superfund activities to stop exposure to lead-contaminated soil at the site continues to be protective of public health.

  20. Counseling Survey: Crook County Middle School.

    ERIC Educational Resources Information Center

    Zachow, Kathleen; Carter, Gary

    This paper reports the results of a counseling survey completed by 523 middle school students at Crook County Middle School, Prineville, Oregon, to provide data regarding student concerns in the areas of health and growth, personality, school, home and family, friends, and the future. Results are reported for each of the six categories by grade…

  1. Essential Elements of an Academic Program for Whatcom County Public School Students Challenged with Social/Emotional and/or Chronic Mental Health Disorders

    ERIC Educational Resources Information Center

    Jewell-Jenkins, Carolyn

    2009-01-01

    This study identifies essential program elements for Whatcom Discovery Center, a Northwest Educational Service District cooperative program providing academic and social/emotional development services to students who are challenged with severe social/emotional and/or chronic mental health disorders. The seven (7) Superintendents and seven (7)…

  2. Exploring potential use of internet, E-mail, and instant text messaging to promote breast health and mammogram use among immigrant Hispanic women in Los Angeles County.

    PubMed

    Dang, Catherine M; Estrada, Sylvia; Bresee, Catherine; Phillips, Edward H

    2013-10-01

    Breast cancer is now the leading cause of death in Hispanic women (HW). Internet, e-mail, and instant text messaging may be cost-effective in educating HW about breast health and in reducing breast cancer mortality. We surveyed 905 HW women attending a free health fair about their technology use, acculturation, insurance status, mammography use, and breast cancer knowledge. Data were analyzed by t test or χ(2) tests. Mean age was 51.9 ± 14.2 years (range, 18 to 88 years). Ninety-two per cent were foreign-born. Most had completed some high school (39%) or elementary (38%) education. Most (62%) were uninsured. The majority spoke (67%) and read (66%) only Spanish. Only 60 per cent of HW older than 40 years had a recent mammogram. HW older than 40 years who had not had a recent mammogram were younger (mean 54.9 ± 10.8 vs 58 ± 10.4 years) and less likely to have health insurance (25 vs 44%; P < 0.001). Most HW never use the Internet (58%) or e-mail (64%). However, 70 per cent have mobile phones (66% older than 40 years), and 65 per cent use text messaging daily (58% older than 40 years, P = 0.001). In fact, 45 per cent wish to receive a mammogram reminder by text. Text messaging may be an inexpensive way to promote breast health and screening mammography use among uninsured HW. PMID:24160786

  3. Acute health effects from community exposure to N-propyl mercaptan from an ethoprop (Mocap)-treated potato field in Siskiyou County, California.

    PubMed

    Ames, R G; Stratton, J W

    1991-01-01

    A 145-acre potato field adjacent to Dorris, California, was treated with ethoprop (Mocap) to control nematodes. Ethoprop releases n-propyl mercaptan, a highly odorous and volatile gas, as a degradation product of the pesticide. An epidemiological investigation was undertaken by the California Department of Health Services because community residents sought medical attention for odor-related illness. Elevated health effects were found among those who reported smelling a strong odor (n-propyl mercaptan has a characteristic onion-like odor). In a logistic regression analysis, the most highly elevated 6-wk health effect incidence risks, expressed as odds ratios (ORs) adjusted for age, sex, and current cigarette smoking status, were for headache (OR = 5.08), diarrhea (OR = 3.80), runny nose (OR = 5.31), sore throat (OR = 3.58), burning/itching eyes (OR = 5.64), fever (OR = 3.59), hay fever attacks (OR = 3.50), and asthma attacks (OR = 6.0). Based upon these elevated health effects, it is recommended that human exposures to n-propyl mercaptan be minimized to the extent practicable. PMID:2069429

  4. Teaching Elderly Adults to Use the Internet to Access Health Care Information: Before-After Study

    PubMed Central

    Nolfi, David A

    2005-01-01

    Background Much has been written about the Internet's potential to revolutionize health care delivery. As younger populations increasingly utilize Internet-based health care information, it will be essential to ensure that the elderly become adept at using this medium for health care purposes, especially those from minority, low income, and limited educational backgrounds. Objective This paper presents the results of a program designed to teach elderly adults to use the Internet to access health care information. The objective was to examine whether the training led to changes in participant's perceptions of their health, perceptions of their interactions with health care providers, health information–seeking behaviors, and self-care activities. Methods Participants attended a 5-week training course held in public libraries and senior community centers within the greater Pittsburgh and Allegheny County region. Classes within each seminar lasted 2 hours and consisted of lecture and hands-on training. Baseline surveys were administered prior to the course, 5-week follow-up surveys were administered immediately after the course, and final surveys were mailed 1 year later. Instruments included the Multidimensional Health Locus of Control (MHLC) Scale, which measures three domains of locus of control (internal, external, and chance); the Krantz Health Opinion Survey (HOS); and the Lau, Hartman, and Ware Health Value Survey. Two additional questionnaires included multiple choice and qualitative questions designed to measure participants' Internet utilization and levels of health care participation. The Health Participation Survey was administered with the baseline survey. The Internet Use Survey was administered at the 1-year mark and contained several items from the Health Participation Survey, which allowed comparison between baseline and 1-year responses. Results Of the 60 elderly adults who began the training course, 42 (mean age 72) completed the entire 5-week

  5. County Staff or Area Staff?

    ERIC Educational Resources Information Center

    McIntyre, William J.

    1970-01-01

    McIntryre explores the questions of county-based extention and increased specialization in Indiana. He compares the multi-county with individual county systems using variables including clientele's reactions to the two systems. (NL)

  6. 2. HEALTH CENTER OFFICE SOUTH BACK AND EAST SIDE, FROM ...

    Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

    2. HEALTH CENTER OFFICE SOUTH BACK AND EAST SIDE, FROM PASSAGE BEHIND COURTHOUSE, CAMERA FACING NORTHWEST. - Lancaster County Center, Health Center Office, 4845 Cedar Avenue, Lancaster, Los Angeles County, CA

  7. Public health assessment for Petro-Chemical, Inc. (Turtle Bayou) Liberty, Liberty County, Texas, Region 6. CERCLIS No. TXD980873350. Final report

    SciTech Connect

    Not Available

    1993-03-30

    The Petro-Chemical Systems, Inc. site, located near Liberty, Texas, is a site where unauthorized disposal of petroleum-based oils has taken place. Although there is evidence of past exposure to site contaminants, the best available evidence does not indicate that humans are currently being exposed to site contaminants at levels that could cause adverse health effects. Contaminated ground water, surface water, soils, and surface water sediments have been found on the site. Although sampling was done for 144 priority pollutants, the primary contaminants of concern are benzene, ethylbenzene, xylene, naphthalene, polycyclic aromatic hydrocarbons, and lead. Because the greatest threat to public health would be contamination of drinking water, the Agency for Toxic Substances and Disease Registry (ATSDR) has recommended that necessary actions are taken to insure that private wells do not become contaminated with site contaminants.

  8. Public health assessment for Grand Traverse Overall Supply Company, Greilickville, Leelanau County, Michigan, Region 5. Cerclis No. MID017418559. Final report

    SciTech Connect

    Not Available

    1994-01-21

    The United States Environmental Protection Agency (U.S. EPA) placed the Grand Traverse Overall Supply site on the National Priorities List (NPL) on September 8, 1983. From 1953 through 1977, GTOS disposed of waste water from the process in a dry well and four lagoons on their property. Since 1977, they have used the township sewer system. In 1978, tetrachloroethylene (also known as perchloroethylene or PCE) and trichloroethylene (TCE) were found in the water in wells serving a school adjacent to GTOS and several nearby residences. The soil around the dry well was excavated and taken off-site for disposal. The lagoons were filled in, and covered with gravel or grass. The site currently poses no apparent public health hazard. Trace amounts of PCE in well water have been detected in the most recent testing, however, the amounts are below the level of public health concern.

  9. Public health assessment for GBF and Pittsburg dumps, Antioch, Contra Costa County, California, Region 9. Cerclis No. CAD980498562. Final report

    SciTech Connect

    Not Available

    1994-02-17

    The GBF/Pittsburg Landfill(s) site received municipal waste from the mid 1940s until March 1992. During the 1960s and 1970s, hazardous solid and liquid wastes including heavy metals, pesticides, volatile organic compounds, polychlorinated biphenols, acids, phosphorus ordnance, and medical waste were also disposed of at the site. Exposure to airborne contaminants to on-site workers and nearby community members did occur in the past, but data are not available to evaluate those exposures. The site currently poses no apparent public health hazard, and conditions are not expected to change in the future. The potential for inhalation exposure from releases of contaminated soil gas does exist, but those possible exposures would be below levels of health concern. No other potential present or future completed exposure pathways have been identified.

  10. Health assessment for Woodlands Route 72 Dump, Woodland Township, Burlington County, New Jersey, Region 2. Cerclis No. NJD980505879. Preliminary report

    SciTech Connect

    Not Available

    1989-01-19

    The Woodland Route 72 Dump site is on the National Priorities List. The approximately 12-acre site operated during the early 1950s until 1962. Wastes were either buried or burned. The major environmental contamination on-site consists of benzoic acid (64 ppm), dibenzofuran (5.3 ppm), bis(2-ethylhexyl)phthalate (460 ppm), 1,4-dichlorobenzene (3.7 ppm), DDT (1,400 ppm), barium (606 ppm). chromium (1,504 ppm), lead (1,532 ppm), nickel (415 ppm), and mercury (2.3 ppm) in surface waste. The site is considered to be of potential public health concern because of the risk to human health caused by the possibility of exposure to hazardous substances via contaminated ground water and soil.

  11. Health assessment for Woodland Route 532 Dump, Woodland Township, Burlington County, New Jersey, Region 2. CERCLIS No. NJD980505887. Preliminary report

    SciTech Connect

    Not Available

    1988-11-15

    The Woodland Route 532 Dump site is on the National Priorities List. The 35-acre facility was used by several chemical manufacturers in the 1950s and early 1960s for open burning, dumping, and burial of drummed chemical wastes. On-site contamination consists of pentachlorophenol (182 ppb) in ground water. Although air sampling has not been conducted, it was reported that levels of chemicals in the air were judged by investigators to pose a respiratory hazard during site-invasive sampling procedures. The site is considered to be of potential public health concern because of the risk to human health caused by the possibility of exposure to hazardous substances via contact with surface materials on-site.

  12. Health assessment for NAS-Whidbey Island (Seaplane Base), Oak Harbor, Island County, Washington, Region 10. CERCLIS No. WA6170090058. Preliminary report

    SciTech Connect

    Not Available

    1989-01-19

    The Naval Air Station-Whidbey Island Seaplane Base site is on the National Priorities List. The site is one of four major areas of Whidbey Island in Puget Sound belonging to the U.S. Navy. The environmental contamination on-site consists of chromium (75 ppb), and lead (21 ppb) in surface water; cadmium (40 ppb), chromium (31 ppb), and lead (32 ppb) in ground water; polychlorinated biphenyls (9 ppm), fluorene (25 ppm) and lead (280 ppm) in soil; arsenic (170 ppm), cadmium (58 ppm), nickel (200 ppm), lead (1,000 ppm), chromium (88 ppb), zinc (570 ppb), pyrene (2 ppm), and fluoranthene (2.4 ppm) in sediment. The site is considered to be of potential public health concern because of the risk to human health caused by the possibility of exposure to hazardous substances via ground water, surface water, soil, sediment, and shellfish.

  13. Public health assessment for Bridgeport Rental and Oil Services, Logan Township, Gloucester County, New Jersey, Region 2. Cerclis No. NJD053292652. Final report

    SciTech Connect

    1995-03-15

    The 30 acre Bridgeport Rental and Oil Services, Inc. (BROS) site is located in southwest New Jersey, Logan Township, approximately 1 mile east of the town of Bridgeport and about 2 miles south of the Delaware River. Groundwater in the top two aquifers has been impacted by significant levels of contaminants. The contaminants include, among others: volatile organic compounds (VOC`s), such as methylene chloride, trichloroethene, benzene, and vinyl chloride; semi-volatile organic compounds, bis(2-chloroethyl)ether; metals, lead and chromium; and polychlorinated biphenyls (PCBs). Based upon information reviewed, the BROS Site is considered a public health hazard because of past exposures, and is currently considered an indeterminate public health hazard. Human exposure to site related contaminants has occurred in the past.

  14. Health assessment for Velsicol Chemical Corporation (St. Louis Plant Site), Gratiot County, Michigan, Region 5. CERCLIS No. MID000722439. Preliminary report

    SciTech Connect

    Not Available

    1989-04-18

    The Velsicol Chemical Corporation (Velsicol) site is currently listed on the National Priorities List. More than 60 contaminants were found throughout the site, but polybrominated biphenyl (PBB) is the contaminant that caused the most concern. Phenols, calcium, magnesium, sodium (as chloride or bromium salts) and PBB were present in wastes. Soil samples collected had the following maximum concentrations (parts per million - ppm); PBB, 1,100; phenol, 4.2; lead, 11,100; hexabromebenzene, 56; 2,3-dibromo-1-propanol phosphate, 4,700; and dimethylaminoethylchloride hydrochloride (DMAE), 53. On-site ground water samples contained the following maximum concentrations (ppm): PBB, 0.013; chloride, 82,000; sulfate, 650; phenol, 1.2; DMAE, 20 and carbon tetrachloride, 0.080. Of various species of fish carp had the highest maximum PBB concentrations. Wildlife (mice, earthworms, a raccoon and ducks) in the area were found to be contaminated with PBB and/or DDT. The site is of potential public health concern because of the risk to human health that could result from possible human exposure to hazardous substances at levels that may result in adverse human health effects over time. Occupational exposure to many harmful contaminants, including PBB and DDT, has occurred and exposure to the general population may possibly still be occurring via ingestion of contaminated fish and wildlife.

  15. Chester County ground-water atlas, Chester County, Pennsylvania

    USGS Publications Warehouse

    Ludlow, Russell A.; Loper, Connie A.

    2004-01-01

    Chester County encompasses 760 square miles in southeastern Pennsylvania. Groundwater- quality studies have been conducted in the county over several decades to address specific hydrologic issues. This report compiles and describes water-quality data collected during studies conducted mostly after 1990 and summarizes the data in a county-wide perspective. In this report, water-quality constituents are described in regard to what they are, why the constituents are important, and where constituent concentrations vary relative to geology or land use. Water-quality constituents are grouped into logical units to aid presentation: water-quality constituents measured in the field (pH, alkalinity, specific conductance, and dissolved oxygen), common ions, metals, radionuclides, bacteria, nutrients, pesticides, and volatile organic compounds.Waterquality constituents measured in the field, common ions (except chloride), metals, and radionuclides are discussed relative to geology. Bacteria, nutrients, pesticides, and volatile organic compounds are discussed relative to land use. If the U.S. Environmental Protection Agency (USEPA) or Chester County Health Department has drinkingwater standards for a constituent, the standards are included. Tables and maps are included to assist Chester County residents in understanding the water-quality constituents and their distribution in the county. Ground water in Chester County generally is of good quality and is mostly acidic except in the carbonate rocks and serpentinite, where it is neutral to strongly basic. Calcium carbonate and magnesium carbonate are major constituents of these rocks. Both compounds have high solubility, and, as such, both are major contributors to elevated pH, alkalinity, specific conductance, and the common ions. Elevated pH and alkalinity in carbonate rocks and serpentinite can indicate a potential for scaling in water heaters and household plumbing. Low pH and low alkalinity in the schist, quartzite, and

  16. H.R. 2389, County Schools Revitalization Act of 1999 and H.R. 1185, Timber-Dependent Counties Stabilization Act. Hearing before the Subcommittee on Forests and Forest Health of the Committee on Resources, House of Representatives, One Hundredth Sixth Congress, First Session.

    ERIC Educational Resources Information Center

    Congress of the U.S., Washington, DC. House Committee on Resources.

    This Congressional report provides testimony addressing the following two House bills: HR 2389 which restores stability and predictability to the annual payments made to States and counties containing National Forest System lands and public domain lands managed by the Bureau of Land Management for use by the counties of the benefit of public…

  17. Appendix C: A comparative study of small scale remotely sensed data for monitoring clearcutting in hardwood forests. M.S. Thesis; [Allegheny National Forest, Pennsylvania and the Adirondacks, New York

    NASA Technical Reports Server (NTRS)

    Hafker, W. R.

    1980-01-01

    Manual photointerpretation techniques were used to analyze images acquired by high altitude aircraft, the Skylab multispectral and Earth terrain camera (ETC), the LANDSAT multispectral scanner, and the LANDSAT-3 return beam vidicon camera. A color-additive viewer, and digital image analysis were also used on the LANDSAT MSS imagery. The value of each type of remotely sensed data was judged by the ease and accuracy of clearcut identification, and by the amount of detail discernible, especially regarding revegetation. Results of a site study in the Allegheny National Forest, Pennsylvania indicate that high altitude aerial photography, especially color infrared photography acquired during the growing season, is well suited for identifying clearcuts and assessing revegetation. Although photographs acquired with Skylab's ETC also yielded good results, only incomplete inventories of clearcuts could be made using LANDSAT imagery. Results for the Adirondack region of New York State were similar for the aircraft and satellite photography, but even less satisfactory for the LANDSAT imagery.

  18. Health assessment for Solvents Recovery Services of New England, Southington, Hartford County, Connecticut, Region 1. CERCLIS No. CTD009717604. Preliminary report

    SciTech Connect

    Not Available

    1988-12-15

    The Solvents Recovery Services of New England site is listed by the U.S. Environmental Protection Agency (EPA) on the National Priorities List (NPL). The facility receives various industrial solvents which are distilled for reuse or blended for use as a fuel product. Exact contaminant concentrations for VOCs in on-site and off-site ground water were not provided. Contaminants found were isopropyl alcohol, methyl ethyl ketone (MEK), acetone, tetrahydrofuran, methyl isobutyl ketone, methylene chloride, toluene, 1,1-dichloroethane, 1,1,1-trichloroethane, 1,2-trans-dichloroethene, ethylbenzene, trichloroethene were detected between 1,000-10,000 ppb; 1,2-dichloroethane, 1,1-dichloroethene, and tetrachloroethene were detected at less than 1,000 ppb. Some compounds frequently exceeded 10,000 ppb, with others exceeding 100,000 ppb, on a less frequent basis, in ground water underlying and near the SRSNE facility. In addition, a non-aqueous phase liquid (NAPL) plume may be present. Lead (905 ppm), cadmium (331 ppm), and polychlorinated biphenyls (PCBs) (maximum Arochor-1260 at 110 ppm) were found in on-site surface soils. Trichloroethene (120 ppm), methylene chloride (580 ppm), vinyl chloride (2 ppm) and tetrachloroethene (820 ppm) were found in the on-site subsurface soils (1-6 feet). The site is of potential public health concern because of the risk to human health resulting from possible exposure to hazardous substances at concentrations that may result in adverse health effects. Human exposure to VOCs, heavy metals, PCBs, and other unidentified site-related contamination may occur, may have occurred, or may be occurring via either ingestion, dermal, or inhalation exposure to sediments, surface water, ground water, consumable biota, or air.

  19. Public health assessment for petitioned Phelps Dodge Corp Douglas Reduction Works, Douglas, Cochise County, Arizona, Region 9. Cerclis No. AZD008397143. Final report

    SciTech Connect

    1995-09-29

    The Phelps-Dodge site, a former copper-smelting operation just outside Douglas and possibly Agua Prieta, Sonora, Mexico. This site contributed to lead-contaminated surface soils in residential areas in Douglas. Exposure to the lead-contaminated soils may have contributed and/or caused elevated blood levels in children living in both Douglas, AZ and Agua Prieta, Sonora, Mexico. Past emissions from the smelter included arsenic, lead, sulfur dioxide, inhalable particulate matter, and other heavy metals. The levels detected by air monitoring were elevated above health guidelines.

  20. Public health assessment for tri-cities Barrel Company, Inc. , Fenton, Broome County, New York, Region 2. CERCLIS No. NYD980509285. Preliminary report

    SciTech Connect

    Not Available

    1993-03-18

    The Tri-Cities Barrel Company, Inc., facility was included on the original New York State Registry of Hazardous Waste Sites in June 1980 when it was discovered that hazardous waste had been discharged to ground surface and to unlined lagoons. This site was later placed on the National Priorities List (NPL). Four monitoring wells were drilled and sampled during a preliminary site investigation. The on-site contamination of groundwater was documented by sampling of monitoring wells in 1986. One private well near the site showed low levels of ethylbenzene, meta-xylene and ortho-xylene; it is not clear, however, if this was related to the site. A second sample was taken from this well in 1990 and did not detect any contaminants. Since the preliminary report, additional waste lagoons have been identified and the site was expanded to include the entire 13 acres owned by the Tri-Cities Barrel Company. A remedial investigation is currently ongoing. Based on information reviewed, this site is an indeterminate public health hazard because the extent of contamination in groundwater has not been defined and contamination in areas north of I-88 has not been confirmed or defined. The primary health concern associated with exposure to chemicals at the site comes from their potential to cause cancer in humans or animals.

  1. Public health assessment for Fairfield Coal Gasification Plant, Fairfield, Jefferson County, Iowa, Region 7. Cerclis No. IAD981124167. (January 15, 1997). Final report

    SciTech Connect

    1997-01-15

    The Fairfield Coal Gasification site is located in the southwest section of Fairfield, Iowa. Coal tar wastes and ammonium liquor, along with spent oxide waste from the gas purification process were disposed in on-site pits. In a 1986 study conducted by IE, polycyclic hydrocarbons (PAHs), volatile organic compounds (VOCs), and metals were found in on-site soil and groundwater. The Environmental Protection Agency (EPA) conducted an investigation in 1987 that confirmed the presence of these contaminants on-site and found them to be migrating to off-site areas as well. ATSDR and IDPH concluded, based on review of available data, that the Fairfield Coal Gasification site was a past public health hazard. People living in the area were exposed to site-related contaminants in private well water and the air. Under current site conditions, the site poses no apparent public health hazard. The contaminated well is no longer used and remedial actions have been implemented. Soil remedial activities were completed in May 1995. A pump and treat system for groundwater has been operational since 1990.

  2. Health assessment for Presque Isle National Priorities List (NPL) Site, Erie, Erie County, Pennsylvania, Region 3. CERCLIS No. PAD980508865. Final report

    SciTech Connect

    Not Available

    1988-08-04

    An abandoned gas well on the Presque Isle peninsula in Lake Erie released black contaminated materials during the 1970s and early 1980s. The well has since been returned to service and is being monitored. There was concern for contaminants on the peninsula and concern that the many gas/oil wells on the mainland might release similar contaminants and affect the area's potable water supply. Analyses of material discharged by the well indicated many organic and inorganic contaminants. Specifically, ammonia, antimony, arsenic, beryllium, cadmium, chromium, lead, chloride, strontium, nickel, selenium, silver, titanium, zinc, benzene and polynuclear aromatic hydrocarbons. Soils at the gas well were subjected to leachate tests (EP Toxicity Tests) that gave a qualitative indication that heavy metals occur in those materials. No definite link was established between the contaminants and gas/oil wells. Based on the available data, there currently is no known human contact with contaminants that were previously discharged from the gas well at Beach Number 7. Therefore, adverse impact on public health from these releases is considered to be unlikely. There are unresolved public health-related issues concerning groundwater at the beach, soils at the gas well, other gas wells on the peninsula, and mainland groundwater.

  3. Health assessment for Welsh Road/Barkman Landfill, Honey Brook, Chester County, Pennsylvania, Region 3. CERCLIS No. PAD980829527. Preliminary report

    SciTech Connect

    Not Available

    1988-12-02

    The Welsh Road/Barkman Landfill site in Honey Brook, Pennsylvania was an unpermitted residential and commercial refuse disposal facility that operated from 1963 to sometime in the 1980s. After 1977, the landfill continued to operate in defiance of legal action to support a closure plan. Various investigations conducted in the 1980s revealed that industrial and hazardous waste had been accepted by the site. The environmental contamination on-site consists of copper, lead, 1,2-dichloropropane, toluene, chloroform and methylene chloride in drummed wastes; and mercury, toluene, dichlorofluoromethane, methylene chloride, trichlorofluoromethane, 5-methyl-2-hexanone, trichloroethylene, 1,2-dichloroethane, and 1,3,5-cycloheptatriene in groundwater. One time sampling indicated the presence of volatile compounds in air (hydrogen chloride and chloroform). The environmental contamination off-site consists of cadmium in sediment; and chloromethane, chloroform, xylenes, dichlorofluoromethane, 1,1-dichloroethane, tetrachloroethylene, p-cresol, toluene, methyl isobutyl ketone, di-n-butyl phthalate, lead, mercury, and zinc in residential well water. The site is considered to be of potential public health concern because of the risk to human health caused by the possibility of exposure to hazardous substances via contaminated groundwater, surface water, soil, sediment, and airborne gases, vapors, and particulate.

  4. Public health assessment for Michigan Disposal Service (Cork Street Landfill), Kalamazoo, Kalamazoo County, Michigan, Region 5. CERCLIS No. MID000775957. Final report

    SciTech Connect

    Not Available

    1993-10-19

    The Michigan Disposal Service (Cork Street Landfill) site was listed on the U.S. Environmental Protection Agency (U.S. EPA) National Priorities List (NPL) in February 1990. The site is a 68-acre landfill, which served as an open dump, accepting household and industrial waste from 1925 to 1968. An incinerator also operated on the site for many years during this period. The groundwater at the site has been found to be contaminated with metals, including lead and arsenic, and various volatile organic chemicals, including benzene. The site poses an indeterminate public health hazard. There are several pathways by which people may be exposed to the contaminants, but there is no evidence that significant exposure has occurred.

  5. Health assessment for McKin Company National Priorities List (NPL) Site, Gray, Cumberland County, Maine, Region 1. CERCLIS No. MED980524078. Final report

    SciTech Connect

    Not Available

    1989-05-05

    The McKin Company NPL Site, located near Gray, Maine, formerly stored, treated, and disposed of industrial and petroleum wastes. Volatile organic compounds (VOCs) and non-volatile compounds, including petroleum constituents, were detected in site soils. The remediation was completed in 1987 except for groundwater treatment. The groundwater treatment system portion of the remediation is currently in the planning stage. No monitoring data are presently available to confirm the existence or extent of potential off-site contaminant transport via the air pathway, and its impact on surface soils and related food chain entities, if any. Therefore, the likelihood of exposure through these pathways, if any, and its public health implications can not be evaluated at this time.

  6. Public health assessment for Weldon Spring quarry/plant/pits (USDOE) St. Charles, St. Charles County, Missouri, region 7. Cerclis No. MO3210090004. Final report

    SciTech Connect

    1997-06-30

    The U.S. Department of Energy Weldon Spring Site Remedial Action Project (chemical plant site), is a former uranium processing facility located in eastern Missouri on the property of the former U.S. Army Weldon Spring Ordnance Works. Surface water, soil, sludge, sediment, and groundwater within the chemical plant site contain chemical and radioactive contaminants. The Agency for Toxic Substances and Disease Registry (ATSDR) reviewed on-site chemical exposure information and site conditions. ATSDR also prepared several Health Consultations on chemical and radioactive contaminants in areas on and off the DOE chemical plant site. ATSDR also reviewed on-site and off-site radiological exposure information and conditions. The exposure scenarios ATSDR evaluated include: trespassers swimming in quarry or raffinate pits; reservists performing field activities in the training area; anglers fishing, hunters haunting, and hikers hiking in the conservation areas; residents drinking from off-site private wells; staff and students attending the Francis Howell High School; and consumers of crops (e.g., corn) grown in conservation areas.

  7. Mental Health Treatment Program Locator

    MedlinePlus

    ... County or Zip By Name Other Links State Mental Health Agencies Frequently Asked Questions Links Comments or Questions ... a Facility in Your State To locate the mental health treatment programs nearest you, find your State on ...

  8. Public health assessment for mcchord air force base (wash rack/treatment) region 10, Cerclis No. WA8570024200 and American Lake Gardens/McChord Air Force Base (a/k/a McChord Air Force Base Area `D`) Tacoma, Pierce County, Washington, Region 10. Cerclis No. WAD980833065. Final report

    SciTech Connect

    1995-12-11

    McChord Air Force Base (McCAFB), an active aircraft station covering 4,616 acres, is approximately 7 miles south of Tacoma, in Pierce County, Washington. In 1983, volatile organic compounds (VOCs) were detected in private well water at an off-base residential area in the northeast corner of the American Lake Garden Tract (ALGT). Based on the available information, ATSDR has concluded that the 65 sites at McCAFB are no apparent public health hazard; however, if in the future contaminants from the soil and groundwater migrate off-site or towards the base supply wells via the groundwater, then a public health hazard could exist.

  9. Public health assessment for petitioned public health assessment, West Pullman Iron and Metal (a/k/a West Pullman/Victory Heights), Chicago, Cook County, Illinois, Region 5: CERCLIS number ILD005428651. Final report

    SciTech Connect

    1999-03-01

    The West Pullman/Victory Heights/Maple Park site consists of two abandoned industrial properties. The Navistar International Transportation Corporation (Navistar) property is commonly called International Harvester (IH) and the NL Industries, Incorporated property is commonly called Dutch Boy (DB). These industries were active from the early part of this century until the early 1980s when the factories were closed and abandoned. Currently, for people trespassing on the site, both the Dutch Boy and the International Harvester properties represent a potential public health hazard. Limited data are available to assess potential off-site exposures to site-related contaminants, and therefore, exposure to off-site contaminants from the International Harvester and Dutch Boy properties is classified as an indeterminate public health hazard.

  10. Landscape consequences of natural gas extraction in Greene and Tioga Counties, Pennsylvania, 2004-2010

    USGS Publications Warehouse

    Slonecker, E.T.; Milheim, L.E.; Roig-Silva, C.M.; Fisher, G.B.

    2012-01-01

    Increased demands for cleaner burning energy, coupled with the relatively recent technological advances in accessing unconventional hydrocarbon-rich geologic formations, have led to an intense effort to find and extract natural gas from various underground sources around the country. One of these sources, the Marcellus Shale, located in the Allegheny Plateau, is currently undergoing extensive drilling and production. The technology used to extract gas in the Marcellus shale is known as hydraulic fracturing and has garnered much attention because of its use of large amounts of fresh water, its use of proprietary fluids for the hydraulic-fracturing process, its potential to release contaminants into the environment, and its potential effect on water resources. Nonetheless, development of natural gas extraction wells in the Marcellus Shale is only part of the overall natural gas story in the area of Pennsylvania. Coalbed methane, which is sometimes extracted using the same technique, is commonly located in the same general area as the Marcellus Shale and is frequently developed in clusters across the landscape. The combined effects of these two natural gas extraction methods create potentially serious patterns of disturbance on the landscape. This document quantifies the landscape changes and consequences of natural gas extraction for Greene County and Tioga County in Pennsylvania between 2004 and 2010. Patterns of landscape disturbance related to natural gas extraction activities were collected and digitized using National Agriculture Imagery Program (NAIP) imagery for 2004, 2005/2006, 2008, and 2010. The disturbance patterns were then used to measure changes in land cover and land use using the National Land Cover Database (NLCD) of 2001. A series of landscape metrics are also used to quantify these changes and are included in this publication.

  11. Landscape consequences of natural gas extraction in Fayette and Lycoming Counties, Pennsylvania, 2004–2010

    USGS Publications Warehouse

    Slonecker, E.T.; Milheim, L.E.; Roig-Silva, C.M.; Malizia, A.R.; Gillenwater, B.H.

    2013-01-01

    Increased demands for cleaner burning energy, coupled with the relatively recent technological advances in accessing unconventional hydrocarbon-rich geologic formations, have led to an intense effort to find and extract natural gas from various underground sources around the country. One of these sources, the Marcellus Shale, located in the Allegheny Plateau, is currently undergoing extensive drilling and production. The technology used to extract gas in the Marcellus Shale is known as hydraulic fracturing and has garnered much attention because of its use of large amounts of fresh water, its use of proprietary fluids for the hydraulic-fracturing process, its potential to release contaminants into the environment, and its potential effect on water resources. Nonetheless, development of natural gas extraction wells in the Marcellus Shale is only part of the overall natural gas story in this area of Pennsylvania. Conventional natural gas wells, which sometimes use the same technique, are commonly located in the same general area as the Marcellus Shale and are frequently developed in clusters across the landscape. The combined effects of these two natural gas extraction methods create potentially serious patterns of disturbance on the landscape. This document quantifies the landscape changes and consequences of natural gas extraction for Fayette County and Lycoming County in Pennsylvania between 2004 and 2010. Patterns of landscape disturbance related to natural gas extraction activities were collected and digitized using National Agriculture Imagery Program (NAIP) imagery for 2004, 2005/2006, 2008, and 2010. The disturbance patterns were then used to measure changes in land cover and land use using the National Land Cover Database (NLCD) of 2001. A series of landscape metrics is also used to quantify these changes and is included in this publication.

  12. The Alameda County Study: A Systematic, Chronological Review

    ERIC Educational Resources Information Center

    Housman, Jeff; Dorman, Steve

    2005-01-01

    This study is a systematic review of the Alameda County study findings and their importance in establishing a link between lifestyle and health outcomes. A systematic review of literature was performed and data indicating important links between lifestyle and health were synthesized. Although initial studies focused on the associations between…

  13. Assessment of Factors Contributing to Health Outcomes in the Eight States of the Mississippi Delta Region

    PubMed Central

    Jovaag, Amanda; Catlin, Bridget B.; Rodock, Matthew; Park, Hyojun

    2016-01-01

    Introduction The objective of this observational study was to examine the key contributors to health outcomes and to better understand the health disparities between Delta and non-Delta counties in 8 states in the Mississippi River Delta Region. We hypothesized that a unique set of contributors to health outcomes in the Delta counties could explain the disparities between Delta and non-Delta counties. Methods Data were from the 2014 County Health Rankings for counties in 8 states (Alabama, Arkansas, Illinois, Kentucky, Louisiana, Mississippi, Missouri, and Tennessee). We used the Delta Regional Authority definition to identify the 252 Delta counties and 468 non-Delta counties or county equivalents. Information on health factors (eg, health behaviors, clinical care) and outcomes (eg, mortality) were derived from 38 measures from the 2014 County Health Rankings. The contributions of health factors to health outcomes in Delta and non-Delta counties were examined using path analysis. Results We found similarities between Delta counties and non-Delta counties in the health factors (eg, tobacco use, diet and exercise) that significantly predicted the health outcomes of self-rated health and low birthweight. The most variation was seen in predictors of mortality; however, Delta counties shared 2 of the 3 significant predictors (ie, community safety and income) of mortality with non-Delta counties. On average across all measures, values in the Delta were 16% worse than in the non-Delta and 22% worse than in the rest of the United States. Conclusion The health status of Delta counties is poorer than that of non-Delta counties because the health factors that contribute to health outcomes in the entire region are worse in the Delta counties, not because of a unique set of health predictors. PMID:26940300

  14. 9. Photocopy of original drawing belonging to the Pittsburgh Department ...

    Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

    9. Photocopy of original drawing belonging to the Pittsburgh Department of Public Works, (n.d.). DRAWING NO. 1993: RECONSTRUCTION OF PORTALS, GENERAL PLAN & ELEVATION. - North Side Point Bridge, Spanning Allegheny River at Point of Pittsburgh, Pittsburgh, Allegheny County, PA

  15. 43. VIEWERS PLAN (NO. 1591 JULY TERM 1931) (Sheet 1 ...

    Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

    43. VIEWERS PLAN (NO. 1591 JULY TERM 1931) (Sheet 1 of 2 sheets), May 27, 1931 - West End-North Side Bridge, Spanning Ohio River, approximately 1 mile downstream from confluence of Monongahela & Allegheny rivers, Pittsburgh, Allegheny County, PA

  16. Consortium--A New Direction for Staff Development

    ERIC Educational Resources Information Center

    Cope, Adrienne B.

    1976-01-01

    The shared services and joint planning of the area-wide continuing education program of the Northwest Allegheny Hospitals Corporation (a Consortium of seven acute care and two rehabilitation centers in Allegheny County, Pennsylvania) are described. (LH)

  17. Welfare Programs in Nonmetropolitan Counties.

    ERIC Educational Resources Information Center

    Ghelfi, Linda M.

    1985-01-01

    Compares the percent of population participating in three welfare programs in metropolitan and nonmetropolitan areas throughout the United States in 1980. Examines nonmetro data by county; investigates socioeconomic variables distinguishing high recipiency counties. (LFL)

  18. Westchester County Employers Survey.

    ERIC Educational Resources Information Center

    Lee, Marcia M.

    The Westchester County Employers Survey was done in May 2003 in order learn more about employee training needs, how they accomplished these needs, and how it would be possible for the Westchester Community College to fulfill these needs. Out of the 639 surveys sent, 145 were returned in a satisfactory format, which produces a 22.6% return rate.…

  19. Henry County School Questionnaire.

    ERIC Educational Resources Information Center

    Goolsby, Thomas M., Jr.; Frary, Robert B.

    This 14-item questionnaire was designed to measure parent opinion regarding the effect of integration on third grade pupils in Henry County Schools. The questionnaire is not standardized, and field testing has been on a small scale. (See also TM 000 940 for a description of the study, and 942, 943 for the desegregation and school integration…

  20. Counties Without a Physician.

    ERIC Educational Resources Information Center

    Getz, Virginia

    1982-01-01

    Uses a budgeting technique to determine if free-market incentives or forces would provide an economic base sufficient to support medical professionals who might practice in the approximately 140 U.S. counties that lack a physician (located mainly in a narrow band from west Texas north through South Dakota). (AH)

  1. [City and County Records.

    ERIC Educational Resources Information Center

    Combs, Judith O.; And Others

    Six papers presented at the Institute were concerned with city and county records. They are: "EWEB and Its Records," which discusses the history, laws and records of the Eugene Water and Electric Board (EWEB);""Police Records: Eugene, Oregon," classifies police records, other than administrative, into three general categories: (1) case or…

  2. Humboldt County Employer Survey.

    ERIC Educational Resources Information Center

    Lyons, Dave

    A project was undertaken in Humboldt County to collect information from large and small businesses in the areas of agriculture, mining, manufacturing, transportation, wholesale and retail, finance, services, and public information with respect to their employee requirements and needs. In all, 451 firms were surveyed to determine the size of the…

  3. The Health Needs of Black Agricultural Workers in Mid-Delta Mississippi.

    ERIC Educational Resources Information Center

    Omishakin, M. Ademola

    1982-01-01

    Presents results of a survey on housing conditions, knowledge of health hazards, use of health facilities, and health needs among Black agricultural workers in Leflore County, Mississippi. Indicates the need for health education, better medical coverage, and community involvement in health care delivery, to improve health conditions in the county.…

  4. 42 CFR 412.234 - Criteria for all hospitals in an urban county seeking redesignation to another urban area.

    Code of Federal Regulations, 2014 CFR

    2014-10-01

    ... 42 Public Health 2 2014-10-01 2014-10-01 false Criteria for all hospitals in an urban county seeking redesignation to another urban area. 412.234 Section 412.234 Public Health CENTERS FOR MEDICARE... Redesignation § 412.234 Criteria for all hospitals in an urban county seeking redesignation to another...

  5. 42 CFR 412.234 - Criteria for all hospitals in an urban county seeking redesignation to another urban area.

    Code of Federal Regulations, 2012 CFR

    2012-10-01

    ... 42 Public Health 2 2012-10-01 2012-10-01 false Criteria for all hospitals in an urban county seeking redesignation to another urban area. 412.234 Section 412.234 Public Health CENTERS FOR MEDICARE... Redesignation § 412.234 Criteria for all hospitals in an urban county seeking redesignation to another...

  6. 42 CFR 412.234 - Criteria for all hospitals in an urban county seeking redesignation to another urban area.

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    ... 42 Public Health 2 2011-10-01 2011-10-01 false Criteria for all hospitals in an urban county seeking redesignation to another urban area. 412.234 Section 412.234 Public Health CENTERS FOR MEDICARE... Redesignation § 412.234 Criteria for all hospitals in an urban county seeking redesignation to another...

  7. 42 CFR 412.234 - Criteria for all hospitals in an urban county seeking redesignation to another urban area.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... 42 Public Health 2 2010-10-01 2010-10-01 false Criteria for all hospitals in an urban county seeking redesignation to another urban area. 412.234 Section 412.234 Public Health CENTERS FOR MEDICARE... Redesignation § 412.234 Criteria for all hospitals in an urban county seeking redesignation to another...

  8. 42 CFR 412.234 - Criteria for all hospitals in an urban county seeking redesignation to another urban area.

    Code of Federal Regulations, 2013 CFR

    2013-10-01

    ... 42 Public Health 2 2013-10-01 2013-10-01 false Criteria for all hospitals in an urban county seeking redesignation to another urban area. 412.234 Section 412.234 Public Health CENTERS FOR MEDICARE... Redesignation § 412.234 Criteria for all hospitals in an urban county seeking redesignation to another...

  9. Homeless Families, Children, and Youth in Stanislaus County--Problems and Solutions.

    ERIC Educational Resources Information Center

    Boley, Ellen

    The homeless crisis in America is a complex issue with no "quick fixes." In Stanislaus County, California, it seems that there are many programs operating in isolation of one another. Approximately 5% of the county's population is homeless. Homeless persons have survival needs for food and clothing, hygiene, health care, affordable housing,…

  10. Aroostook County Telecommunications Demonstration. Project Period: December 15, 1978-June 15, 1981. Final Report.

    ERIC Educational Resources Information Center

    Medical Care Development, Inc., Augusta, ME.

    The Aroostook County Telecommunications System is a slow-scan television network connecting five health institutions in the county with the Central Maine Interactive Telecommunications System (CMITS). The Aroostook system allows both audio conferencing and still-image videoconferencing among the Aroostook participants, and provides for an…

  11. Implementation Study of the Comprehensive Services Program of Palm Beach County, Florida. Final Report

    ERIC Educational Resources Information Center

    Lyons, Sandra; Karlstrom, Mikael; Haywood, Thomas

    2007-01-01

    The Comprehensive Services Program of Palm Beach County, Florida, was an ambitious and innovative effort to improve the school readiness of low-income children in Palm Beach County by identifying needs early and providing early intervention services to support physical, cognitive, and emotional health and development. Services were delivered to…

  12. Snohomish County Biodiesel Project

    SciTech Connect

    Terrill Chang; Deanna Carveth

    2010-02-01

    Snohomish County in western Washington State began converting its vehicle fleet to use a blend of biodiesel and petroleum diesel in 2005. As prices for biodiesel rose due to increased demand for this cleaner-burning fuel, Snohomish County looked to its farmers to “grow” this fuel locally. Suitable seed crops that can be crushed to extract oil for use as biodiesel feedstock include canola, mustard, and camelina. The residue, or mash, has high value as an animal feed. County farmers began with 52 acres of canola and mustard crops in 2006, increasing to 250 acres and 356 tons in 2008. In 2009, this number decreased to about 150 acres and 300 tons due to increased price for mustard seed.

  13. Behavioral and Community Correlates of Adolescent Pregnancy and Chlamydia Rates in Rural Counties in Minnesota1

    PubMed Central

    Kozhimannil, Katy B.; Enns, Eva; Blauer-Peterson, Cori; Farris, Jill; Kahn, Judith; Kulasingam, Shalini

    2014-01-01

    Purpose Identifying co-occurring community risk factors, specific to rural communities, may suggest new strategies and partnerships for addressing sexual health issues among rural youth. We conducted an ecological analysis to identify the county-level correlates of pregnancy and chlamydia rates among adolescents in rural (nonmetropolitan) counties in Minnesota. Methods Pregnancy and chlamydia infection rates among 15–19 year-old females were compared across Minnesota’s 87 counties, stratified by rural/urban designations. Regression models for rural counties (n=66) in Minnesota were developed based on publicly available, county-level information on behaviors and risk exposures to identify associations with teen pregnancy and chlamydia rates in rural settings. Findings Adolescent pregnancy rates were higher in rural counties than in urban counties. Among rural counties, factors independently associated with elevated county-level rates of teen pregnancy included inconsistent contraceptive use by 12th-grade males, fewer 12th graders reporting feeling safe in their neighborhoods, more 9th graders reporting feeling overweight, fewer 12th graders reporting 30 min of physical activity daily, high county rates of single parenthood, and higher age-adjusted mortality (P < .05 for all associations). Factors associated with higher county level rates of chlamydia among rural counties were inconsistent condom use reported by 12th-grade males, more 12th graders reporting feeling overweight, and more 12th graders skipping school in the past month because they felt unsafe. Conclusions This ecologic analysis suggests that programmatic approaches focusing on behavior change among male adolescents, self-esteem, and community health and safety may be complementary to interventions addressing teen sexual health in rural areas; such approaches warrant further study. PMID:25344773

  14. Behavioral and community correlates of adolescent pregnancy and Chlamydia rates in rural counties in Minnesota.

    PubMed

    Kozhimannil, Katy B; Enns, Eva; Blauer-Peterson, Cori; Farris, Jill; Kahn, Judith; Kulasingam, Shalini

    2015-06-01

    Identifying co-occurring community risk factors, specific to rural communities, may suggest new strategies and partnerships for addressing sexual health issues among rural youth. We conducted an ecological analysis to identify the county-level correlates of pregnancy and chlamydia rates among adolescents in rural (nonmetropolitan) counties in Minnesota. Pregnancy and chlamydia infection rates among 15-19 year-old females were compared across Minnesota's 87 counties, stratified by rural/urban designations. Regression models for rural counties (n = 66) in Minnesota were developed based on publicly available, county-level information on behaviors and risk exposures to identify associations with teen pregnancy and chlamydia rates in rural settings. Adolescent pregnancy rates were higher in rural counties than in urban counties. Among rural counties, factors independently associated with elevated county-level rates of teen pregnancy included inconsistent contraceptive use by 12th-grade males, fewer 12th graders reporting feeling safe in their neighborhoods, more 9th graders reporting feeling overweight, fewer 12th graders reporting 30 min of physical activity daily, high county rates of single parenthood, and higher age-adjusted mortality (P < .05 for all associations). Factors associated with higher county level rates of chlamydia among rural counties were inconsistent condom use reported by 12th-grade males, more 12th graders reporting feeling overweight, and more 12th graders skipping school in the past month because they felt unsafe. This ecologic analysis suggests that programmatic approaches focusing on behavior change among male adolescents, self-esteem, and community health and safety may be complementary to interventions addressing teen sexual health in rural areas; such approaches warrant further study. PMID:25344773

  15. Probabilistic, Decision-theoretic Disease Surveillance and Control

    PubMed Central

    Wagner, Michael; Tsui, Fuchiang; Cooper, Gregory; Espino, Jeremy U.; Harkema, Hendrik; Levander, John; Villamarin, Ricardo; Voorhees, Ronald; Millett, Nicholas; Keane, Christopher; Dey, Anind; Razdan, Manik; Hu, Yang; Tsai, Ming; Brown, Shawn; Lee, Bruce Y.; Gallagher, Anthony; Potter, Margaret

    2011-01-01

    The Pittsburgh Center of Excellence in Public Health Informatics has developed a probabilistic, decision-theoretic system for disease surveillance and control for use in Allegheny County, PA and later in Tarrant County, TX. This paper describes the software components of the system and its knowledge bases. The paper uses influenza surveillance to illustrate how the software components transform data collected by the healthcare system into population level analyses and decision analyses of potential outbreak-control measures. PMID:23569617

  16. The Tennessee Department of Health WORKshops on Use of Secondary Data for Community Health Assessment, 2012

    PubMed Central

    Omohundro, Ellen; Boswell, Derrick; Evans, Dwayne; Ferranti, Lori B.

    2014-01-01

    Community health assessment is a core function of public health departments, a standard for accreditation of public health departments, and a core competency for public health professionals. The Tennessee Department of Health developed a statewide initiative to improve the processes for engaging county health departments in assessing their community’s health status through the collection and analysis of secondary data. One aim of the Tennessee Department of Health was to position county public health departments as trusted leaders in providing population data and engaging community stakeholders in assessments. The Tennessee Department of Health’s Division of Policy, Planning, and Assessment conducted regional 2-day training workshops to explain and guide completion of computer spreadsheets on 12 health topics. Participants from 93 counties extracted data from multiple and diverse sources to quantify county demographics, health status, and resources and wrote problem statements based on the data examined. The workshops included additional staff development through integration of short lessons on data analysis, epidemiology, and social-behavior theory. Participants reported in post-workshop surveys higher degrees of comfort in interpreting data and writing about their findings on county health issues, and they shared their findings with health, hospital, school, and government leaders (including county health council members) in their counties. Completion of the assessments enabled counties and the Tennessee Department of Health to address performance-improvement goals and assist counties in preparing to meet public health accreditation prerequisites. The methods developed for using secondary data for community health assessment are Tennessee’s first-phase response to counties’ request for a statewide structure for conducting such assessments. PMID:24384302

  17. Hydrology of Lake County, Florida

    USGS Publications Warehouse

    Knochenmus, Darwin D.; Hughes, G.H.

    1976-01-01

    Lake County includes a 1,150 square-mile area consisting of ridges, uplands, and valleys in central-peninsular Florida. About 32 percent of the county is covered by lakes, swamps, and marshes. Water requirements in 1970 averaged about 54 million gallons per day. About 85 percent of the water was obtained from wells; about 15 percent from lakes. The Floridan aquifer supplies almost all the ground water used in Lake County. Annual recharge to the Floridan aquifer averages about 7 inches over the county; runoff average 8.5 inches. The quality of ground and surface water in Lake County is in general good enough for most uses; however, the poor quality of Floridan-aquifer water in the St. John River Valley probably results from the upward movement of saline water along a fault zone. Surface water in Lake County is usually less mineralized than ground water but is more turbid and colored. (Woodard-USGS)

  18. Lake County renewable energy plan

    SciTech Connect

    Not Available

    1984-10-01

    This report documents the preparation of a renewable energy plan for Lake County, Oregon. It is the County's intention to adopt this plan as a supporting document to its Comprehensive Plan and implementing ordinances. The consideration of renewable energy in its land-use planning program is a statutory requirement for Lake County, and under the provisions of the Pacific Northwest Electric Power Planning and Conservation Act such renewable resource planning also fulfills regional energy objectives on a local level.

  19. HOME ENVIRONMENT AND CHILDHOOD ASTHMA IN A RURAL IOWA COUNTY

    EPA Science Inventory

    HOME ENVIRONMENT AND CHILDHOOD ASTHMA IN A RURAL IOWA COUNTY
    Erik R. Svendsen*?, Stephen J. Reynolds*?, James A. Merchant*, Allison L. Naleway*?, Ann M. Stromquist*, Peter S. Thorne*.
    *University of Iowa College of Public Health, Iowa City, IA ?Current: USEPA RTP, NC ?Curre...

  20. BILLINGSLEY CREEK, GOODING COUNTY, IDAHO. WATER QUALITY STATUS REPORT, 1984

    EPA Science Inventory

    Billingsley Creek in Gooding County, Idaho (17040212) has been identified as a stream where fish farm discharges and other land use practices are degrading water quality. The Idaho Department of Health and Welfare, Division of Environment sampled Billingsley Creek to assess in-s...

  1. Building a Model System of Developmental Services in Orange County

    ERIC Educational Resources Information Center

    Halfon, Neal; Russ, Shirley; Regalado, Michael

    2004-01-01

    In 1998, California voters passed Proposition 10, the California Children and Families First Act, which provides for an excise tax on tobacco products to fund parent education, health and child care programs that promote early childhood development for 0-5s. Since the adoption of its first Strategic Plan (2000), the Orange County First 5…

  2. Maricopa County, Arizona, Modifies Sanitation Course for Food Service Workers

    ERIC Educational Resources Information Center

    Henning, Richard L.

    1972-01-01

    Description of new educational program developed by the Maricopa County Health Department, in Phoenix, Arizona, for the training of food service workers in sanitary practices. Impact of course is yet to be objectively measured, but persons attending have shown much greater participation and interest. (LK)

  3. Cluster of Ebola Virus Disease, Bong and Montserrado Counties, Liberia

    PubMed Central

    Nyenswah, Tolbert G.; Fallah, Mosaka; Calvert, Geoffrey M.; Duwor, Stanley; Hamilton, E. Dutch; Mokashi, Vishwesh; Arzoaquoi, Sampson; Dweh, Emmanuel; Burbach, Ryan; Dlouhy, Diane; Oeltmann, John E.

    2015-01-01

    Lack of trust in government-supported services after the death of a health care worker with symptoms of Ebola resulted in ongoing Ebola transmission in 2 Liberia counties. Ebola transmission was facilitated by attempts to avoid cremation of the deceased patient and delays in identifying and monitoring contacts. PMID:26079309

  4. Cluster of Ebola Virus Disease, Bong and Montserrado Counties, Liberia.

    PubMed

    Nyenswah, Tolbert G; Fallah, Mosaka; Calvert, Geoffrey M; Duwor, Stanley; Hamilton, E Dutch; Mokashi, Vishwesh; Arzoaquoi, Sampson; Dweh, Emmanuel; Burbach, Ryan; Dlouhy, Diane; Oeltmann, John E; Moonan, Patrick K

    2015-07-01

    Lack of trust in government-supported services after the death of a health care worker with symptoms of Ebola resulted in ongoing Ebola transmission in 2 Liberia counties. Ebola transmission was facilitated by attempts to avoid cremation of the deceased patient and delays in identifying and monitoring contacts. PMID:26079309

  5. Elevation view of west portal, looking due east. Eastbound conrail ...

    Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

    Elevation view of west portal, looking due east. Eastbound conrail locomotive approaching tunnel in right foreground. Allegheny tunnel at right; Gallitzin Tunnel (Haer no. PA-516) at left. - Pennsylvania Railroad, Allegheny Tunnel, Beneath Allegheny Mountain, east of Railroad Street, Gallitzin, Cambria County, PA

  6. Elevation view of west portal, looking due east. Eastbound train ...

    Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

    Elevation view of west portal, looking due east. Eastbound train entering tunnel. Westbound conrail locomotive emerging from tunnel. Allegheny tunnel at right; Gallitzin Tunnel (Haer no. PA-516) at left. - Pennsylvania Railroad, Allegheny Tunnel, Beneath Allegheny Mountain, east of Railroad Street, Gallitzin, Cambria County, PA

  7. Hydrology of Polk County, Florida

    USGS Publications Warehouse

    Spechler, Rick M.; Kroening, Sharon E.

    2007-01-01

    Local water managers usually rely on information produced at the State and regional scale to make water-resource management decisions. Current assessments of hydrologic and water-quality conditions in Polk County, Florida, commonly end at the boundaries of two water management districts (South Florida Water Management District and the Southwest Florida Water Management District), which makes it difficult for managers to determine conditions throughout the county. The last comprehensive water-resources assessment of Polk County was published almost 40 years ago. To address the need for current countywide information, the U.S. Geological Survey began a 3?-year study in 2002 to update information about hydrologic and water-quality conditions in Polk County and identify changes that have occurred. Ground-water use in Polk County has decreased substantially since 1965. In 1965, total ground-water withdrawals in the county were about 350 million gallons per day. In 2002, withdrawals totaled about 285 million gallons per day, of which nearly 95 percent was from the Floridan aquifer system. Water-conservation practices mainly related to the phosphate-mining industry as well as the decrease in the number of mines in operation in Polk County have reduced total water use by about 65 million gallons per day since 1965. Polk County is underlain by three principal hydrogeologic units. The uppermost water-bearing unit is the surficial aquifer system, which is unconfined and composed primarily of clastic deposits. The surficial aquifer system is underlain by the intermediate confining unit, which grades into the intermediate aquifer system and consists of up to two water-bearing zones composed of interbedded clastic and carbonate rocks. The lowermost hydrogeologic unit is the Floridan aquifer system. The Floridan aquifer system, a thick sequence of permeable limestone and dolostone, consists of the Upper Floridan aquifer, a middle semiconfining unit, a middle confining unit, and

  8. Caterpillar-associated rashes in children - Hillsborough County, Florida, 2011.

    PubMed

    2012-03-30

    In March and April 2011, the Hillsborough County Health Department (HCHD) Epidemiology Department (Tampa, Florida) investigated three clusters of rash illness linked to the white-marked tussock moth caterpillar among persons at two child care centers and one elementary school. At least 23 children and one adult were affected; most had direct contact with caterpillars. HCHD provided recommendations on treatment and preventing caterpillar exposure to the three facilities, health-care providers, and local agencies, and through local news media. Child care centers and elementary schools in Hillsborough County previously have experienced caterpillar-associated rash outbreaks in 2004 and 2005. Awareness of this problem, particularly during periods of caterpillar infestation, can minimize morbidity and help to avoid inappropriate diagnoses and treatment by health-care providers. PMID:22456120

  9. Social determinants of health and community needs: implications for health legacy foundations.

    PubMed

    Niggel, Sabrina Jones; Brandon, William P

    2014-11-01

    Mergers and acquisitions of nonprofit hospitals are on the rise. Proceeds from many of these transactions will endow new health legacy foundations (HLFs). These philanthropic entities have substantial potential for charitable investment in US communities. Research indicates that the greatest improvements in population health can be achieved by addressing underlying social factors. Determining whether communities served by HLFs are characterized by poor social determinants of health would provide new information for developing effective grant-making strategies. Our study compared socioeconomic, demographic, and health care access indicators in HLF versus non-HLF counties. Compared with non-HLF counties, HLF counties had significantly higher proportions of racial minorities and multiple socioeconomic factors that rendered them more vulnerable to health disparities and poor health. However, HLF counties had better access to health care. These findings have direct implications for HLF leadership, planning, and grant making. PMID:25368003

  10. Education in Jefferson County: The Changing Scene.

    ERIC Educational Resources Information Center

    Hamilton, Alicita; And Others

    This report describes significant changes which have taken place in the public schools of Jefferson County, Colorado, and discusses issues which affect the quality of education in the county's school district. After a brief introduction, the report profiles the Jefferson County Public School District, presents information about the county's public…

  11. Tennessee Higher Education County Profiles, 2008

    ERIC Educational Resources Information Center

    Tennessee Higher Education Commission, 2008

    2008-01-01

    This report presents a localized perspective on Tennessee higher education, including: (1) county demographic and economic data; (2) information on public and private colleges and universities located in the county; (3) number of county residents enrolled in Tennessee public institutions; and (4) number of county residents participating in the…

  12. Training future leaders of academic medicine: internal programs at three academic health centers.

    PubMed

    Morahan, P S; Kasperbauer, D; McDade, S A; Aschenbrener, C A; Triolo, P K; Monteleone, P L; Counte, M; Meyer, M J

    1998-11-01

    The authors review the need for internal programs for leadership training at academic health centers and then describe in detail three programs of this type that have operated during the 1990s: (1) the Allegheny Leadership Institute, founded by the Allegheny Health, Education and Research Foundation, Pittsburgh, Pennsylvania; (2) the Physician Executive Management Development Program (PEMDP) of Saint Louis University School of Medicine; and (3) the University of Nebraska Medical Center Leadership Institute. Educational elements common to these programs include having a small class size and participants from many areas of academic medicine and health care, focusing on educational strategies that draw on participants' experiences and training, conducting the training away from the participants' institutions, having short sessions, using faculty from both within and outside the participants' institutions, and creating strategies to reinforce learning. Lessons learned reflect the unique context of each institution; the authors list the major lessons learned by each of the three programs they surveyed (e.g., leaders of the Saint Louis University PEMDP program believe that it is important to help participants implement desired changes in their work areas once they return to work, and are investigating how to do this). The authors conclude with an extensive list of recommendations to optimize the effects of leadership development training carried out in AHCs' internal programs (e.g., "Focus on specific skills that can be learned, and link the learning experiences to real work situations in health care and higher education") and explain why they think internal leadership institutes have at least three distinct advantages over external programs. PMID:9834697

  13. The public sector nursing workforce in Kenya: a county-level analysis

    PubMed Central

    2014-01-01

    Background Kenya’s human resources for health shortage is well documented, yet in line with the new constitution, responsibility for health service delivery will be devolved to 47 new county administrations. This work describes the public sector nursing workforce likely to be inherited by the counties, and examines the relationships between nursing workforce density and key indicators. Methods National nursing deployment data linked to nursing supply data were used and analyzed using statistical and geographical analysis software. Data on nurses deployed in national referral hospitals and on nurses deployed in non-public sector facilities were excluded from main analyses. The densities and characteristics of the public sector nurses across the counties were obtained and examined against an index of county remoteness, and the nursing densities were correlated with five key indicators. Results Of the 16,371 nurses in the public non-tertiary sector, 76% are women and 53% are registered nurses, with 35% of the nurses aged 40 to 49 years. The nursing densities across counties range from 1.2 to 0.08 per 1,000 population. There are statistically significant associations of the nursing densities with a measure of health spending per capita (P value = 0.0028) and immunization rates (P value = 0.0018). A higher county remoteness index is associated with explaining lower female to male ratio of public sector nurses across counties (P value <0.0001). Conclusions An overall shortage of nurses (range of 1.2 to 0.08 per 1,000) in the public sector countrywide is complicated by mal-distribution and varying workforce characteristics (for example, age profile) across counties. All stakeholders should support improvements in human resources information systems and help address personnel shortages and mal-distribution if equitable, quality health-care delivery in the counties is to be achieved. PMID:24467776

  14. Energy Improvements in Barnstable County

    SciTech Connect

    2003-09-01

    A fact sheet that describes Barnstable County, Massachusetts, effort to improve energy efficiency through a public appliance trade-in program, installation of compact fluorescent light bulbs in public buildings, and public energy education.

  15. Public health assessment for South 8th Street Landfill (A/K/A West Memphis Landfill), West Memphis, Crittenden County, Arkansas, Region 6. Cerclis No. ARD980496723. Final report

    SciTech Connect

    Not Available

    1994-11-22

    The South 8th Street Landfill site is located along South 8th Street on the west bank of the Mississippi River in West Memphis, Crittenden County, Arkansas. Previous studies and environmental sampling indicate that various wastes disposed of at the South 8th Street Landfill have contaminated the site with a number of contaminants including VOCs, PAHs, phenols, PCBs, pesticides, and heavy metals. Exposure to surface soil contaminants would have occurred through skin contact and incidental ingestion. In addition, persons who used the on-site pond for recreational activities (such as wading and swimming) were likely exposed to contaminants in the surface water and sediments through skin contact and incidental ingestion; and persons who consumed fish caught in the pond were likely exposed to contaminants (primarily mercury) in the fish.

  16. An Exploratory Study of the Comprehension, Retention and Action of the Denton County Older Population in Regards to Disaster Preparedness Education

    ERIC Educational Resources Information Center

    Knight, Rebekah P.

    2012-01-01

    The purpose of this exploratory study was to operationalize the responses from a sample of the community dwelling older population from Denton County, Texas on disaster preparedness education given by Denton County Health Department (DCHD) personnel. The goals and objectives were drawn from the Texas Public Health and Medical Emergency Management…

  17. Geothermal development plan: Yuma county

    SciTech Connect

    White, D.H.

    1981-01-01

    One hot spring and 33 wells drilled in the county discharge water at temperatures sufficient for direct-use geothermal applications such as process heat and space heating and cooling. Currently, one industry within the county has been identified which may be able to use geothermal energy for its process heat requirements. Also, a computer simulation model was used to predict geothermal energy on line as a function of time under both private and city-owned utility development of the resource.

  18. Health Literacy Public Health Forums: Partners for Action. A "How-To" Guide on Designing and Implementing Health Literacy Forums at Departments of Health

    ERIC Educational Resources Information Center

    Rudd, Rima E.; Zobel, Emily K.

    2004-01-01

    This guide provides suggestions and materials for the development and implementation of a Health Literacy Forum to be coordinated by a local, county, or state Department of Public Health. Health Literacy Forums, already implemented in several cities and states, have increased awareness about literacy skills of U.S. adults and health implications.…

  19. A Multiagency Approach to Reducing West Nile Virus Risk in Richmond County, Georgia, in 2015.

    PubMed

    Kelly, Rosmarie; Koehle, Fred; Flite, Oscar P; Rustin, R Chris

    2016-01-01

    The Richmond County Mosquito Control program's mission statement is to incorporate strategies of integrated mosquito control management that are effective, practical, and environmentally safe and protect the health of Richmond County residents, as well as promote public education, in order to prevent large mosquito populations and the diseases that they transmit. To this end, the program coordinates efforts with other county agencies in order to provide better service. This is a small program with limited resources, so in an effort to provide better integrated mosquito management, the mosquito control program and the Phinizy Center for Water Sciences joined efforts to trap mosquitoes at sites across the county, identify the species, and send the mosquitoes off for viral testing. These data help determine locations of disease-carrying mosquitoes so the county can more efficiently control the mosquito populations and reduce the risk of West Nile virus transmission. PMID:27613204

  20. Inherent agricultural constraints in Allegheny Plateau soils

    Technology Transfer Automated Retrieval System (TEKTRAN)

    The worldwide need for increased production of food requires a combination of converting marginal land to agriculture and increased productivity and sustainability of crops on existing agricultural land. Grasses make up an important part of the food directly consumed by both humans and animals. If...

  1. Allegheny Observatory search for planetary systems

    NASA Technical Reports Server (NTRS)

    Gatewood, George D.

    1991-01-01

    The newly developed Multichannel Astrometric Photometer (MAP) and a rebuilt red light 0.76 meter Thaw refractor are used in an astrometric observational program to detect Jupiter-like planets in orbit about nearby stars. The program includes 15 stars and is obtaining approx. 12 good observations per year of each of them, sufficient to assure an annual normal point precision of 0.001 arcsec (1 mas) per object. The observational program will yield the first astrometric information about planetary systems in general. The astrometric technique is most sensitive to nearby planetary systems and to massive planets that have orbits that place them within the regions around a star where the temperature is sufficiently low to permit the existence of water ice grains. Thus it covers a different search space than that of radial velocity techniques. Currently the only astrometric survey program, it is complementary to other detection programs and some target stars have been included to assure overlap with them. The minimum detectable mass varies with the particular target star from objects almost twice as massive as Neptune to bodies almost twice as massive as Jupiter.

  2. The Allegheny Observatory search for planetary systems

    NASA Technical Reports Server (NTRS)

    Gatewood, George D.

    1989-01-01

    The accomplishments of the observatory's search for planetary systems are summarized. Among these were the construction, implementation, and regular use of the Multichannel Astrometric Photometer (MAP), and the design, fabrication and use of the second largest refractor objective built since 1950. The MAP parallax and planetary observing programs are described. Various developments concerning alternate solid state photodetectors and telescope instrumentation are summarized. The extreme accuracy of the system is described in relation to a study of the position and velocity of the members of the open cluster Upgren 1. The binary star system stringently tests the theory of stellar evolution since it is composed of an evolved giant F5 III and a subgiant F5 IV star. A study that attempts to measure the luminosities, surface temperatures, and masses of these stars is discussed.

  3. Nye County Nuclear Waste Repository Project Office independent scientific investigations program annual report, May 1997--April 1998

    SciTech Connect

    1998-07-01

    This annual summary report, prepared by the Nye County Nuclear Waste Repository Project Office (NWRPO), summarizes the activities that were performed during the period from May 1, 1997 to April 30, 1998. These activities were conducted in support of the Independent Scientific Investigation Program (ISIP) of Nye County at the Yucca Mountain Site (YMS). The Nye County NWRPO is responsible for protecting the health and safety of the Nye County residents. NWRPO`s on-site representative is responsible for designing and implementing the Independent Scientific Investigation Program (ISIP). Major objectives of the ISIP include: Investigating key issues related to conceptual design and performance of the repository that can have major impact on human health, safety, and the environment; identifying areas not being addressed adequately by the Department of Energy (DOE). Nye County has identified several key scientific issues of concern that may affect repository design and performance which were not being adequately addressed by DOE. Nye County has been conducting its own independent study to evaluate the significance of these issues. This report summarizes the results of monitoring from two boreholes and the Exploratory Studies Facility (ESF) tunnel that have been instrumented by Nye County since March and April of 1995. The preliminary data and interpretations presented in this report do not constitute and should not be considered as the official position of Nye County. The ISIP presently includes borehole and tunnel instrumentation, monitoring, data analysis, and numerical modeling activities to address the concerns of Nye County.

  4. Population substructure in Cache County, Utah: the Cache County study

    PubMed Central

    2014-01-01

    Background Population stratification is a key concern for genetic association analyses. In addition, extreme homogeneity of ethnic origins of a population can make it difficult to interpret how genetic associations in that population may translate into other populations. Here we have evaluated the genetic substructure of samples from the Cache County study relative to the HapMap Reference populations and data from the Alzheimer's Disease Neuroimaging Initiative (ADNI). Results Our findings show that the Cache County study is similar in ethnic diversity to the self-reported "Whites" in the ADNI sample and less homogenous than the HapMap CEU population. Conclusions We conclude that the Cache County study is genetically representative of the general European American population in the USA and is an appropriate population for conducting broadly applicable genetic studies. PMID:25078123

  5. Curriculum for Community Health Workers.

    ERIC Educational Resources Information Center

    Southwick, Paula S.

    The Community Outreach Curriculum described in this paper is designed to prepare community health aides employed through the Outreach Department of Pima County (Arizona) Indian Health Inc., (PCIHI), which consists of two medical clinics on two separate reservations. The first sections of the paper describe PCIHI, provide a rationale for the…

  6. Somerset County Flood Information System

    USGS Publications Warehouse

    Hoppe, Heidi L.

    2007-01-01

    The timely warning of a flood is crucial to the protection of lives and property. One has only to recall the floods of August 2, 1973, September 16 and 17, 1999, and April 16, 2007, in Somerset County, New Jersey, in which lives were lost and major property damage occurred, to realize how costly, especially in terms of human life, an unexpected flood can be. Accurate forecasts and warnings cannot be made, however, without detailed information about precipitation and streamflow in the drainage basin. Since the mid 1960's, the National Weather Service (NWS) has been able to forecast flooding on larger streams in Somerset County, such as the Raritan and Millstone Rivers. Flooding on smaller streams in urban areas was more difficult to predict. In response to this problem the NWS, in cooperation with the Green Brook Flood Control Commission, installed a precipitation gage in North Plainfield, and two flash-flood alarms, one on Green Brook at Seeley Mills and one on Stony Brook at Watchung, in the early 1970's. In 1978, New Jersey's first countywide flood-warning system was installed by the U.S. Geological Survey (USGS) in Somerset County. This system consisted of a network of eight stage and discharge gages equipped with precipitation gages linked by telephone telemetry and eight auxiliary precipitation gages. The gages were installed throughout the county to collect precipitation and runoff data that could be used to improve flood-monitoring capabilities and flood-frequency estimates. Recognizing the need for more detailed hydrologic information for Somerset County, the USGS, in cooperation with Somerset County, designed and installed the Somerset County Flood Information System (SCFIS) in 1990. This system is part of a statewide network of stream gages, precipitation gages, weather stations, and tide gages that collect data in real time. The data provided by the SCFIS improve the flood forecasting ability of the NWS and aid Somerset County and municipal agencies in

  7. Geothermal development plan: Yuma County

    SciTech Connect

    White, D.H.; Goldstone, L.A.

    1982-08-01

    The Yuma County Area Development Plan evaluated the county-wide market potential for utilizing geothermal energy. The study identified four potential geothermal resource areas with temperatures less than 90/sup 0/C (194/sup 0/F), and in addition, two areas are inferred to contain geothermal resources with intermediate (90/sup 0/C to 150/sup 0/C, 194/sup 0/F to 300/sup 0/F) temperature potential. The resource areas are isolated, although one resource area is located near Yuma, Arizona. One resource site is inferred to contain a hot dry rock resource. Anticipated population growth in the county is expected to be 2 percent per year over the next 40 years. The primary employment sector is agriculture, though some light industry is located in the county. Water supplies are found to be adequate to support future growth without advese affect on agriculture. Six firms were found in Yuma County which may be able to utilize geothermal energy for process heat needs. In addition, several agricultural processors were found, concentrated in citrus processing and livestock raising. Geothermal energy utilization projections suggest that by the year 2000, geothermal energy may economically provide the energy equivalent of 53,000 barrels of oil per year to the industrial sector if developed privately. Geothermal utilization projections increase to 132,000 barrels of oil per year by 2000 if a municipal utility developed the resource.

  8. Need for Subsidized Family Planning Services: United States, Each State and County, 1968.

    ERIC Educational Resources Information Center

    Planned Parenthood--World Population, New York, NY.

    To provide federal, state, and local health agencies with information needed to achieve the national objectives of improving health, assisting families to escape poverty, and providing parents with freedom of choice in determining the number and spacing of their children, information was collected from 3,072 United States counties. Data from a…

  9. Public health week: marketing the concept of public health.

    PubMed

    Evans, C A; Margolis, L A

    1992-01-01

    The Public Health Programs and Services (PHP&S) Branch of the Los Angeles County Department of Health Services began a strategic planning effort in January 1986 to meet new disease trends, curb rising health care costs, consolidate limited resources, and handle shifting demographics. A strategic plan was designed to assess the opportunities and challenges facing the agency over a 5-year horizon. Priority areas were recognized, and seven strategic directives were formulated to guide PHP&S in expanding public health services to a changing community. Health promotion was acknowledged as a critical target of the strategic planning process. Among the most significant results of the health promotion directive was the establishment of an annual Public Health Week in Los Angeles County. Beginning in 1988, 1 week per year was selected to enhance the community's awareness of public health programs and the leadership role PHP&S plays in providing these programs to nearly 9 million residents of Los Angeles County. Events in Public Health Week include a professional lecture series and the honoring of an outstanding public health activist and a media personality who has fostered health promotion. Other free community activities such as mobile clinics, screenings, and health fairs are held throughout the county. With intensive media coverage of Public Health Week, PHP&S has been aggressive in promoting its own services and accomplishments while also educating the community on vital wellness issues. The strategic methodology employed by PHP&S, with its emphasis on long-range proactive planning, is receiving national recognition and could be adopted by similar agencies wishing to enhance their image and develop unique health promotion projects in their communities. PMID:1738801

  10. 47 CFR 90.259 - Assignment and use of frequencies in the bands 216-220 MHz and 1427-1432 MHz.

    Code of Federal Regulations, 2012 CFR

    2012-10-01

    ...) Pittsburgh, Pennsylvania—Counties of Westmoreland, Washington, Beaver, Allegheny and Butler; (ii) Washington, DC metropolitan area—Counties of Montgomery, Prince George's and Charles in Maryland; Counties of... Kent, Powhatan, Prince George, Southhampton, Surrey, Sussex, and York; Cities of Chesapeake,...

  11. 47 CFR 90.259 - Assignment and use of frequencies in the bands 216-220 MHz and 1427-1432 MHz.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ...) Pittsburgh, Pennsylvania—Counties of Westmoreland, Washington, Beaver, Allegheny and Butler; (ii) Washington, DC metropolitan area—Counties of Montgomery, Prince George's and Charles in Maryland; Counties of... Kent, Powhatan, Prince George, Southhampton, Surrey, Sussex, and York; Cities of Chesapeake,...

  12. 47 CFR 90.259 - Assignment and use of frequencies in the bands 216-220 MHz and 1427-1432 MHz.

    Code of Federal Regulations, 2014 CFR

    2014-10-01

    ...) Pittsburgh, Pennsylvania—Counties of Westmoreland, Washington, Beaver, Allegheny and Butler; (ii) Washington, DC metropolitan area—Counties of Montgomery, Prince George's and Charles in Maryland; Counties of... Kent, Powhatan, Prince George, Southhampton, Surrey, Sussex, and York; Cities of Chesapeake,...

  13. 47 CFR 90.259 - Assignment and use of frequencies in the bands 216-220 MHz and 1427-1432 MHz.

    Code of Federal Regulations, 2013 CFR

    2013-10-01

    ...) Pittsburgh, Pennsylvania—Counties of Westmoreland, Washington, Beaver, Allegheny and Butler; (ii) Washington, DC metropolitan area—Counties of Montgomery, Prince George's and Charles in Maryland; Counties of... Kent, Powhatan, Prince George, Southhampton, Surrey, Sussex, and York; Cities of Chesapeake,...

  14. 47 CFR 90.259 - Assignment and use of frequencies in the bands 216-220 MHz and 1427-1432 MHz.

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    ...) Pittsburgh, Pennsylvania—Counties of Westmoreland, Washington, Beaver, Allegheny and Butler; (ii) Washington, DC metropolitan area—Counties of Montgomery, Prince George's and Charles in Maryland; Counties of... Kent, Powhatan, Prince George, Southhampton, Surrey, Sussex, and York; Cities of Chesapeake,...

  15. Health assessment for San Fernando Valley, San Fernando Valley, Los Angeles County, California, Region 9. CERCLIS Nos. 09CAD980894893, 09CAD980894901, 09CAD980894984, 09CAD980894976. Preliminary report

    SciTech Connect

    Not Available

    1989-04-10

    A large portion of the ground water in the San Fernando Ground water Basin has been contaminated with volatile organic compounds (VOCs) at concentrations of public health concern. The study area encompasses approximately 190 square miles and currently has 4 designated National Priorities List Sites: North Hollywood, Crystal Springs, Pollock, and Verdugo. The primary contaminants in the study area are PCE and TCE, although other VOCs have been identified in the ground water. The sources of the contamination are currently unidentified and therefore physical hazards such as open storage tanks, vessels, drums, pits, or general debris associated with the sources cannot be fully addressed. The sites are considered to be of public health concern because of the risk to human health caused by the likelihood of exposure to hazardous substances through the use of the contaminated groundwater and the potential for exposure at the contaminant source(s) through other exposure pathways.

  16. 1. Historic American Buildings Survey Colusa County Chamber of Commerce ...

    Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

    1. Historic American Buildings Survey Colusa County Chamber of Commerce Booklet - Album of the 'County of Good Luck' in San Francisco Examiner Library Taken about 1908 - Colusa County Courthouse, Colusa, Colusa County, CA

  17. 1. Historic American Buildings Survey Colusa County Chamber of Commerce ...

    Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

    1. Historic American Buildings Survey Colusa County Chamber of Commerce Booklet - Album of the 'County of Good Luck' Original: 1908 Re-photo: September 1940 - Hall of Records & County Jail, Colusa, Colusa County, CA

  18. 7 CFR 1280.606 - Farm Service Agency County Committee.

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    ... 7 Agriculture 10 2010-01-01 2010-01-01 false Farm Service Agency County Committee. 1280.606....606 Farm Service Agency County Committee. Farm Service Agency County Committee, also referred to as... Farm Service Agency County Committee....

  19. 7 CFR 1280.606 - Farm Service Agency County Committee.

    Code of Federal Regulations, 2011 CFR

    2011-01-01

    ... 7 Agriculture 10 2011-01-01 2011-01-01 false Farm Service Agency County Committee. 1280.606....606 Farm Service Agency County Committee. Farm Service Agency County Committee, also referred to as... Farm Service Agency County Committee....

  20. 7 CFR 1280.606 - Farm Service Agency County Committee.

    Code of Federal Regulations, 2013 CFR

    2013-01-01

    ... 7 Agriculture 10 2013-01-01 2013-01-01 false Farm Service Agency County Committee. 1280.606....606 Farm Service Agency County Committee. Farm Service Agency County Committee, also referred to as... Farm Service Agency County Committee....

  1. 7 CFR 1280.606 - Farm Service Agency County Committee.

    Code of Federal Regulations, 2014 CFR

    2014-01-01

    ... 7 Agriculture 10 2014-01-01 2014-01-01 false Farm Service Agency County Committee. 1280.606....606 Farm Service Agency County Committee. Farm Service Agency County Committee, also referred to as... Farm Service Agency County Committee....

  2. 7 CFR 1280.606 - Farm Service Agency County Committee.

    Code of Federal Regulations, 2012 CFR

    2012-01-01

    ... 7 Agriculture 10 2012-01-01 2012-01-01 false Farm Service Agency County Committee. 1280.606....606 Farm Service Agency County Committee. Farm Service Agency County Committee, also referred to as... Farm Service Agency County Committee....

  3. 35. Photocopy of original drawing in possession of the County ...

    Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

    35. Photocopy of original drawing in possession of the County Auditor, Johnson County, Iowa. SPECIFICATIONS FOR BRIDGE OVER THE CEDAR RIVER AT SUTLIFF'S FERRY JOHNSON COUNTY, IOWA - Sutliff's Ferry Bridge, Spanning Cedar River (Cedar Township), Solon, Johnson County, IA

  4. 33. Photocopy of original drawing in possession of the County ...

    Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

    33. Photocopy of original drawing in possession of the County Auditor, Johnson County, Iowa. PLAN OF STONE PIER FOR EAST END, SUTLIFF'S FERRY BRIDGE, JOHNSON COUNTY, IOWA, 1897 - Sutliff's Ferry Bridge, Spanning Cedar River (Cedar Township), Solon, Johnson County, IA

  5. Archuleta County CO Lineaments

    DOE Data Explorer

    Zehner, Richard E.

    2012-01-01

    Citation Information: Originator: Earth Science &Observation Center (ESOC), CIRES, University of Colorado at Boulder Originator: Geothermal Development Associates, Reno, Nevada Publication Date: 2012 Title: Archuleta Lineaments Edition: First Publication Information: Publication Place: Reno Nevada Publisher: Geothermal Development Associates, Reno, Nevada Description: This layer traces apparent topographic and air-photo lineaments in the area around Pagosa springs in Archuleta County, Colorado. It was made in order to identify possible fault and fracture systems that might be conduits for geothermal fluids. Geothermal fluids commonly utilize fault and fractures in competent rocks as conduits for fluid flow. Geothermal exploration involves finding areas of high near-surface temperature gradients, along with a suitable “plumbing system” that can provide the necessary permeability. Geothermal power plants can sometimes be built where temperature and flow rates are high. To do this, georeferenced topographic maps and aerial photographs were utilized in an existing GIS, using ESRI ArcMap 10.0 software. The USA_Topo_Maps and World_Imagery map layers were chosen from the GIS Server at server.arcgisonline.com, using a UTM Zone 13 NAD27 projection. This line shapefile was then constructed over that which appeared to be through-going structural lineaments in both the aerial photographs and topographic layers, taking care to avoid manmade features such as roads, fence lines, and right-of-ways. These lineaments may be displaced somewhat from their actual location, due to such factors as shadow effects with low sun angles in the aerial photographs. Note: This shape file was constructed as an aid to geothermal exploration in preparation for a site visit for field checking. We make no claims as to the existence of the lineaments, their location, orientation, and nature. Spatial Domain: Extent: Top: 4132831.990103 m Left: 311979.997741 m Right: 331678.289280 m Bottom: 4116067

  6. Public health assessment for petitioned Cabot-Wrought Products, Division of Cabot Corporation (A/K/A NGK Metals/Cabot Berylco, Incorporated), Muhlenberg, Berks County, Pennsylvania, Region 3. Cerclis No. PAD044540136. Final report

    SciTech Connect

    1995-06-27

    The NGK Metals Corporation is a beryllium processing plant located approximately four miles north of Reading, Pennsylvania. The beryllium processing plant has released hazardous substances into the environment through on-site disposal of process wastes, wastewater discharge, and air emissions. Based upon environmental and exposure data evaluated by ATSDR, concentrations of contaminants detected in air, water, soil, and sediment are not believed to represent any public health hazard. However, ATSDR has classified the NGK site as an Indeterminate Public Health Hazard. The classification is primarily due to the fact that no data exist for air (prior to 1979) and groundwater (prior to 1990).

  7. Healthy People 2020: Leading Health Indicators

    MedlinePlus

    ... County Data Resources Federal Prevention Initiatives Healthy People eLearning Program Planning Content Syndication Tools for Professionals Public Health 3.0 Webinars & Events Webinars & Events Archive About ...

  8. Deforestation and malaria in Mâncio Lima County, Brazil.

    PubMed

    Olson, Sarah H; Gangnon, Ronald; Silveira, Guilherme Abbad; Patz, Jonathan A

    2010-07-01

    Malaria is the most prevalent vector-borne disease in the Amazon. We used malaria reports for health districts collected in 2006 by the Programa Nacional de Controle da Malaria to determine whether deforestation is associated with malaria incidence in the county (municipio) of Mancio Lima, Acre State, Brazil. Cumulative percent deforestation was calculated for the spatial catchment area of each health district by using 60 x 60-meter, resolution-classified imagery. Statistical associations were identified with univariate and multivariate general additive negative binomial models adjusted for spatial effects. Our cross-sectional study shows malaria incidence across health districts in 2006 is positively associated with greater changes in percentage of cumulative deforestation within respective health districts. After adjusting for access to care, health district size, and spatial trends, we show that a 4.2%, or 1 SD, change in deforestation from August 1997 through August 2001 is associated with a 48% increase of malaria incidence. PMID:20587182

  9. 76 FR 33401 - Environmental Impact Statement: Will and Kankakee Counties, Illinois and Lake County, IN

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-06-08

    ... Lake County, IN AGENCY: Federal Highway Administration (FHWA), DOT. ACTION: Notice of Intent. SUMMARY... Highway 65 in Lake County, Indiana. The study area covers approximately 950 square miles in portions of Will and Kankakee counties in Illinois and Lake County in Indiana. The Tier One EIS will complete...

  10. An Adaptation of the Teaching Reference Community Developed by the National Communicable Disease Center. Dixon, Tiller County, U. S. A.

    ERIC Educational Resources Information Center

    Nocks, Barry

    Demographic and other descriptive data on a hypothetical metropolitan area (Dixon City, Tiller County) are presented in the report, which is intended as a health study and training model. Most of the statistical and descriptive data are drawn from a health training model developed by the Communicable Disease Center, U. S. Department of Health,…

  11. 7 CFR 7.25 - County executive director duties.

    Code of Federal Regulations, 2013 CFR

    2013-01-01

    ... 7 Agriculture 1 2013-01-01 2013-01-01 false County executive director duties. 7.25 Section 7.25... COUNTY COMMITTEES § 7.25 County executive director duties. (a) The county executive director will execute... the county office. (b) The county executive director will: (1) In accordance with standards...

  12. Positive Association between Altitude and Suicide in 2584 U.S. Counties

    PubMed Central

    Cheng, David; Clark, Sunday; Camargo, Carlos A.

    2011-01-01

    Abstract Brenner, Barry, David Cheng, Sunday Clark, and Carlos A. Camargo, Jr. Positive association between altitude and suicide in 2584 U.S.counties. High Alt. Med. Biol. 12: 31–35 2011.—Suicide is an important public health problem worldwide. Recent preliminary studies have reported a positive correlation between mean altitude and the suicide rate of the 48 contiguous U.S.states. Because intrastate altitude may have large variation, we examined all 2584 U.S. counties to evaluate whether an independent relationship between altitude and suicide exists. We hypothesized that counties at higher elevation would have higher suicide rates. This retrospective study examines 20 yr of county-specific mortality data from 1979 to 1998. County altitude was obtained from the U.S. Geologic Survey. Statistical analysis included Pearson correlation, t tests, and multivariable linear and logistic regression. Although there was a negative correlation between county altitude and all-cause mortality (r = −0.31, p < 0.001), there was a strong positive correlation between altitude and suicide rate (r = 0.50, p < 0.001). Mean altitude differed in the 50 counties, with the highest suicide rates compared to those with the lowest rates (4684 vs. 582 ft, p < 0.001). Controlling for percent of age >50 yr, percent male, percent white, median household income, and population density of each county, the higher-altitude counties had significantly higher suicide rates than the lower-altitude counties. Similar findings were observed for both firearm-related suicides (59% of suicides) and nonfirearm-related suicides. We conclude that altitude may be a novel risk factor for suicide in the contiguous United States. PMID:21214344

  13. 76 FR 13172 - Placer County Water Agency

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-03-10

    ... Energy Regulatory Commission Placer County Water Agency Notice of Application Tendered for Filing with... Filed: February 23, 2011 d. Applicant: Placer County Water Agency e. Name of Project: Middle Fork... Manager, Placer County Water Agency, 144 Ferguson Road, Auburn, CA 95603; Telephone: (530) 823-4490....

  14. Trouble Brewing in Orange County. Policy Brief

    ERIC Educational Resources Information Center

    Buck, Stuart

    2010-01-01

    Orange County will soon face enormous budgetary pressures from the growing deficits in public pensions, both at a state and local level. In this policy brief, the author estimates that Orange County faces a total $41.2 billion liability for retiree benefits that are underfunded--including $9.4 billion for the county pension system and an estimated…

  15. Community Types and Mortality in Georgia Counties

    ERIC Educational Resources Information Center

    Young, Frank W.

    2012-01-01

    Using an "ecological regional analysis" methodology for defining types of communities and their associated mortality rates, this study of Georgia's 159 counties finds that the suburban and town centered counties have low mortality while the city-centered type predicts low mortality for the whites. The military-centered counties do not predict. The…

  16. Once Distressed, Jackson County Moves On.

    ERIC Educational Resources Information Center

    Baldwin, Fred D.

    1998-01-01

    In 1981, Jackson County, North Carolina, appeared on the first list of "distressed counties" in Appalachia. Since then, the rural county has made significant improvements by investing in its physical infrastructure (which also promotes tourism); fostering economic-development partnerships among governments, small businesses, and local colleges;…

  17. Tennessee Higher Education County Profiles, 2009

    ERIC Educational Resources Information Center

    Tennessee Higher Education Commission, 2009

    2009-01-01

    This report presents a localized perspective on Tennessee higher education for the year 2009, including: (1) county demographic and economic data; (2) information on public and private colleges and universities located in the county; and (4) number of county residents participating in the state's primary need-based and merit-based financial aid…

  18. Building Local Knowledge for Developing Health Policy through Key Informant Interviews.

    ERIC Educational Resources Information Center

    Morton, Lois Wright

    2002-01-01

    Key informant surveys of 138 leaders in 14 rural counties revealed the top 10 health goals across these counties. These goals are a starting point for public dialogues to develop a local health agenda. Key informant interviews can expand the knowledge base from which extension educators develop health education and policy programming. (SK)

  19. Public health assessment for USMC Marine Corps Recruit Depot (a/k/a Parris Island Marine Corps Recruit Depot), Parris Island, Beaufort County, South Carolina, Region 4. Cerclis No. SC6170022762

    SciTech Connect

    1996-09-12

    Marine Corps Recruit Depot, (MCRD) Parris Island was proposed for listing on U.S. Environmental Protection Agency`s National Priorities List in August 1994. We identified two areas where chemical contaminants in soil entered the surface water wetland areas and bioaccumulated in edible fish and shellfish species: (1) contaminated fish and shellfish at the Causeway Landfill (Site 3) and (2) contaminated shellfish near the Rifle Range. These exposure situations pose no apparent public health hazard due to the low levels of contaminants detected in fish and shellfish. However, because the landfill has no impermeable cap nor leachate collection system, it is not known whether contaminants in fish and shellfish will increase over time. The remaining 57 contaminated areas pose no public health hazard because people are not coming in contact with contaminants.

  20. Allied Health Manpower Development: An Innovative Approach.

    ERIC Educational Resources Information Center

    Lugenbeel, Archie G.

    1980-01-01

    Health care delivery and manpower shortages continually plague rural communities in the United States. This article presents the results of a Rural Allied Health Manpower Project (RAHMP) implemented in Southern Illinois. RAHMP has effectively reduced the health care manpower deficiencies in 31 counties. (CT)

  1. Geothermal development plan: Pima County

    NASA Astrophysics Data System (ADS)

    White, D. H.; Goldstone, L. A.

    1982-08-01

    The Pima County Area Development evaluated the county-wide market potential for utilizing geothermal energy. Four potential geothermal resource areas with temperatures less than 1000 C (2120 F) were identified. In addition, one area is identified as having a temperature of 1470 F (2970 F). Geothermal resources are found to occur in Tecson where average population growth rates of two to three percent per year are expected over the next 40 years. Rapid growth in the manufacturing sector and the existence of major copper mines provide opportunities for the direct utilization of geothermal energy. However, available water supplies are identified as a major constraing to projected growth. A regional energy analysis, future predictions for energy consumption, and energy prices are given. Potential geothermal users in Pima County are identified and projections of maximum economic geothermal utilization are given. One hundred fifteen firms in 32 industrial classes have some potential for geothermal use are identified. In addition, 26 agribusiness firms were found in the county.

  2. Kinship Care in Walton County.

    ERIC Educational Resources Information Center

    Charon, Sara L.; Nackerud, Larry

    1996-01-01

    The quality of life of maltreated children placed with relatives was examined through interviews with nine families in Walton County (Georgia) who had taken in related children. Over half of the children had experienced some improvement in home life, school performance, and their physical and mental status. Kinship care families indicated needs…

  3. Somerset County Employer Needs Assessment.

    ERIC Educational Resources Information Center

    Rephann, Terance J.

    Allegany Community College in Cumberland, Maryland, conducted an employer assessment survey of Somerset County businesses during the winter of 1995 in order to provide evaluation data for planning and curriculum development for the secondary and postsecondary educational institutions. The survey was mailed to 760 establishments, with a 29 percent…

  4. Community Analysis, Stafford County, Virginia.

    ERIC Educational Resources Information Center

    Central Rappahannock Regional Library, Fredericksburg, VA.

    This study of the present and future library needs of residents of Stafford County, Virginia, with emphasis on the North Stafford areas, includes a review of demographic statistics and recommendations for library services. The currently increasing population is highly dependent on the automobile for transportation, and recommendations for library…

  5. Hydrogeology of Wood County, Wisconsin

    USGS Publications Warehouse

    Batten, W.G.

    1989-01-01

    The average rate of ground·water pumpage in Wood County in 1985 was 9.7 million gallons per day. Of this rate, about 6 million gallons per day is pumped from municipal-supply wells in seven communities.An additional 1.08 million gallons per day is pumped for agricultural irrigation.

  6. Truancy in Yolo County, California.

    ERIC Educational Resources Information Center

    Sommer, Barbara; Tyburczy, Jason

    The problem of truancy in the elementary and junior high schools of California's Yolo County was investigated during the 1980-81 academic year by means of questionnaires completed by 16 school principals and interviews with 30 people representing schools, school district offices, law enforcement agencies, the Department of Social Services, and the…

  7. Composting in Prince William County

    SciTech Connect

    Lyons, K.

    1995-10-01

    Hidden in a small industrial corner of Prince Williams County, in Northern Virginia, a composting facility, after its first flourishing year in business, has found itself part of a symbiotic triangle. Along with a landfill and a waste-to-energy (WTE) plant, the composting facility is one of three programs that make up a joint public-private venture and form a interjurisdictional solid waste/refuse exchange agreement. Faced with the prospects of having to close a landfill at the end of the year, a mandate on yard waste collection that was increasing collection tonnage, and no room for further landfill development, Fairfax County, with approximately 900,000 residents, needed help. In a turn-around situation, Prince William County--with approximately 240,000 residents, a low budget, and much space available for development--responded. Together the counties created a solid waste exchange. The basis for the program is a unity between the local governments on some solid waste issues and a composting facility. Composting, specifically yard waste composting, has been among the fastest-growing aspects of waste management. In 1990, the nation was composting 2% of its solid waste. By the end of 1995, according to the US EPA, between 4% and 7% of solid waste will be recovered through composting. The number of yard waste composting facilities operating has increased from 651 in 1988 to more than 3,000 in 1994.

  8. Dade County Resources Recovery Facility

    SciTech Connect

    Strong, C.R.; Portuondo, J. )

    1988-01-01

    The Dade County Resources Recovery Facility was built for the county and operated by Parsons and Whittemore from 1981 to 1985. It was permitted to process 920,000 tons per year of MSW. Trash was processed into RDF through a two shredder dry system and garbage through a wet process hydrosposal system producing 50% moisture RDF. The RDF was burned in four water tube boilers to produce superheated steam to drive 2-38.5 MW turbine generators. FP and L purchased the generated electricity. The plant ran at 18,000 tons/Wk. for a short time. By early 1985, the plant was in disrepair, the wet process had caused serious equipment erosion and corrosion, especially in the boilers and the wet process had created serious regulatory and public pressure due to odors and emissions. P and W was removed by the county in June 1985 and replaced by Montenay Power Corp. as plant operator. Mountenay has developed and presented to the county a rehabilitation plan to get the plant back to capacity by 1990. The wet process was shutdown in September 1986.

  9. Prospective study of Dietary Approaches to Stop Hypertension– and Mediterranean-style dietary patterns and age-related cognitive change: the Cache County Study on Memory, Health and Aging123

    PubMed Central

    Munger, Ronald G; Cutler, Adele; Quach, Anna; Bowles, Austin; Corcoran, Christopher; Tschanz, JoAnn T; Norton, Maria C; Welsh-Bohmer, Kathleen A

    2013-01-01

    Background: Healthy dietary patterns may protect against age-related cognitive decline, but results of studies have been inconsistent. Objective: We examined associations between Dietary Approaches to Stop Hypertension (DASH)– and Mediterranean-style dietary patterns and age-related cognitive change in a prospective, population-based study. Design: Participants included 3831 men and women ≥65 y of age who were residents of Cache County, UT, in 1995. Cognitive function was assessed by using the Modified Mini-Mental State Examination (3MS) ≤4 times over 11 y. Diet-adherence scores were computed by summing across the energy-adjusted rank-order of individual food and nutrient components and categorizing participants into quintiles of the distribution of the diet accordance score. Mixed-effects repeated-measures models were used to examine 3MS scores over time across increasing quintiles of dietary accordance scores and individual food components that comprised each score. Results: The range of rank-order DASH and Mediterranean diet scores was 1661–25,596 and 2407–26,947, respectively. Higher DASH and Mediterranean diet scores were associated with higher average 3MS scores. People in quintile 5 of DASH averaged 0.97 points higher than those in quintile 1 (P = 0.001). The corresponding difference for Mediterranean quintiles was 0.94 (P = 0.001). These differences were consistent over 11 y. Higher intakes of whole grains and nuts and legumes were also associated with higher average 3MS scores [mean quintile 5 compared with 1 differences: 1.19 (P < 0.001), 1.22 (P < 0.001), respectively]. Conclusions: Higher levels of accordance with both the DASH and Mediterranean dietary patterns were associated with consistently higher levels of cognitive function in elderly men and women over an 11-y period. Whole grains and nuts and legumes were positively associated with higher cognitive functions and may be core neuroprotective foods common to various healthy plant

  10. Description of water-resource-related data compiled for Harvey County, south-central Kansas

    USGS Publications Warehouse

    Hansen, C.V.

    1993-01-01

    Site, construction, geologic, water-level, water- quality, water-withdrawal, and well-survey data for sites in Harvey County were compiled in cooper- ation with the Harvey County Health Department as part of the Kansas Department of Health and Environment's Local Environmental Protection Program (LEPP). These data were entered into a relational data-base management system (RDBMS) to facilitate the analysis required to meet the LEPP goals of developing plans for nonpoint-source management and for public-water-supply protection. The data in the RDBMS are organized into digital data sets. The data sets contain the water- resource-related data compiled by the U.S. Geological Survey for 668 wells; by the Kansas Department of Health and Environment for 1,636 wells, 6 public-water-supply systems, 6 streams, and 2 surface-water impoundments; by the Kansas State Board of Agriculture for 423 wells and 26 streams or impoundments; by well-drilling con- tractors and the Kansas Geological Survey for 126 wells; and by Harvey County for 89 wells. In addition, data on 761 wells and 133 sites without wells resulting from a survey of rural landowners and residents by Harvey County as a part of the LEPP are contained in another data set. The data in these 7 data sets are available from the Harvey County Health Department in Newton, Kansas. (USGS)

  11. The Seattle–King County Healthy Homes II Project: A Randomized Controlled Trial of Asthma Self-management Support Comparing Clinic-Based Nurses and In-Home Community Health Workers

    PubMed Central

    Krieger, James; Takaro, Tim K.; Song, Lin; Beaudet, Nancy; Edwards, Kristine

    2009-01-01

    Objective To compare the marginal benefit of in-home asthma self-management support provided by community health workers (CHWs) with standard asthma education from clinic-based nurses. Design Randomized controlled trial. Setting Community and public health clinics and homes. Participants Three hundred nine children aged 3 to 13 years with asthma living in low-income households. Interventions All participants received nurse-provided asthma education and referrals to community resources. Some participants also received CHW-provided home environmental assessments, asthma education, social support, and asthma-control resources. Outcome Measures Asthma symptom–free days, Pediatric Asthma Caretaker Quality of Life Scale score, and use of urgent health services. Results Both groups showed significant increases in caretaker quality of life (nurse-only group: 0.4 points; 95% confidence interval [CI], 0.3–0.6; nurse + CHW group: 0.6 points; 95% CI, 0.4–0.8) and number of symptom-free days (nurse only: 1.3 days; 95% CI, 0.5–2.1; nurse + CHW: 1.9 days; 95% CI, 1.1–2.8), and absolute decreases in the proportion of children who used urgent health services in the prior 3 months (nurse only: 17.6%; 95% CI, 8.1%–27.2%; nurse + CHW: 23.1%; 95% CI, 13.6%–32.6%). Quality of life improved by 0.22 more points in the nurse + CHW group (95% CI, 0.00–0.44; P=.049). The number of symptom-free days increased by 0.94 days per 2 weeks (95% CI, 0.02–1.86; P = .046), or 24.4 days per year, in the nurse + CHW group. While use of urgent health services decreased more in the nurse + CHW group, the difference between groups was not significant. Conclusion The addition of CHW home visits to clinic-based asthma education yielded a clinically important increase in symptom-free days and a modest improvement in caretaker quality of life. PMID:19188646

  12. County Differences in Mortality among Foreign-Born Compared to Native Swedes 1970–1999

    PubMed Central

    Albin, Björn; Hjelm, Katarina; Ekberg, Jan; Elmståhl, Sölve

    2012-01-01

    Background. Regional variations in mortality and morbidity have been shown in Europe and USA. Longitudinal studies have found increased mortality, dissimilarities in mortality pattern, and differences in utilization of healthcare between foreign- and native-born Swedes. No study has been found comparing mortality among foreign-born and native-born Swedes in relation to catchment areas/counties. Methods. The aim was to describe and compare mortality among foreign-born persons and native Swedes during 1970–1999 in 24 counties in Sweden. Data from the Statistics Sweden and the National Board of Health and Welfare was used, and the database consisted of 723,948 persons, 361,974 foreign-born living in Sweden in 1970 and aged 16 years and above and 361,974 matched Swedish controls. Results. Latest county of residence independently explained higher mortality among foreign-born persons in all but four counties; OR varied from 1.01 to 1.29. Counties with a more rural structure showed the highest differences between foreign-born persons and native controls. Foreign-born persons had a lower mean age (1.0–4.3 years) at time of death. Conclusion. County of residence influences mortality; higher mortality is indicated among migrants than native Swedes in counties with a more rural structure. Further studies are needed to explore possible explanations. PMID:23029609

  13. County Differences in Mortality among Foreign-Born Compared to Native Swedes 1970-1999.

    PubMed

    Albin, Björn; Hjelm, Katarina; Ekberg, Jan; Elmståhl, Sölve

    2012-01-01

    Background. Regional variations in mortality and morbidity have been shown in Europe and USA. Longitudinal studies have found increased mortality, dissimilarities in mortality pattern, and differences in utilization of healthcare between foreign- and native-born Swedes. No study has been found comparing mortality among foreign-born and native-born Swedes in relation to catchment areas/counties. Methods. The aim was to describe and compare mortality among foreign-born persons and native Swedes during 1970-1999 in 24 counties in Sweden. Data from the Statistics Sweden and the National Board of Health and Welfare was used, and the database consisted of 723,948 persons, 361,974 foreign-born living in Sweden in 1970 and aged 16 years and above and 361,974 matched Swedish controls. Results. Latest county of residence independently explained higher mortality among foreign-born persons in all but four counties; OR varied from 1.01 to 1.29. Counties with a more rural structure showed the highest differences between foreign-born persons and native controls. Foreign-born persons had a lower mean age (1.0-4.3 years) at time of death. Conclusion. County of residence influences mortality; higher mortality is indicated among migrants than native Swedes in counties with a more rural structure. Further studies are needed to explore possible explanations. PMID:23029609

  14. Groundwater-Quality Assessment, Pike County, Pennsylvania, 2007

    USGS Publications Warehouse

    Senior, Lisa A.

    2009-01-01

    constituents introduced by human activities that pose a health risk or otherwise were of concern in groundwater in the county. The analyses included major ions, nutrients, selected trace metals, volatile organic compounds (VOCs), selected organic wastewater compounds, gross alpha-particle and gross beta-particle activity, uranium, and radon-222. Analyses of the 20 samples were primarily for dissolved constituents, but six samples were analyzed for both dissolved and total metals. Results of the 2007 sampling indicated few water-quality problems, although concentrations of some constituents indicated influence of human activities on groundwater. No constituent analyzed exceeded any primary drinking-water standard or maximum contaminant level (MCL) established by the U.S. Environmental Protection Agency. Radon-222 levels were greater than, or equal to, the proposed MCL of 300 picocuries per liter (pCi/L) in water from 15 (75 percent) of the 20 wells. Radon-222 levels did not exceed the alternative MCL of 4,000 pCi/L in any groundwater sample. Radon-222 is naturally occurring, and the greatest concentrations (up to 2,650 pCi/L) were in water samples from wells in members of the Catskill Formation, a fractured-rock aquifer. The dissolved arsenic concentration of 3.9 micrograms per liter (ug/L) in one sample was greater than the health-advisory (HA) level of 2 ug/L but less than the MCL of 10 ug/L. Recommended or secondary maximum contaminant levels (SMCLs) were exceeded for pH, dissolved iron, and dissolved manganese. In six samples analyzed for dissolved and total concentrations of selected metals, total concentrations commonly were much greater than dissolved concentrations of iron, and to a lesser degree, for arsenic, lead, copper, and manganese. Concentrations of iron above the SMCL of 300 ug/L may be more widespread in the county for particulate iron than for dissolved iron. The total arsenic concentration in one of the six samples was greater than the HA level of

  15. Human Papillomavirus Vaccine Coverage Among Females Aged 11 to 17 in Texas Counties: An Application of Multilevel, Small Area Estimation

    PubMed Central

    Eberth, Jan M.; Hossain, Md Monir; Tiro, Jasmin A.; Zhang, Xingyou; Holt, James B.; Vernon, Sally W.

    2013-01-01

    Background Local data are often used to plan and evaluate public health interventions and policy. With increasingly fewer public resources to collect sufficient data to support direct estimation of local outcomes, methods for deriving small area estimates are vital. The purpose of this study is to describe the county-level geographic distribution of human papillomavirus (HPV) vaccine coverage among adolescent females in Texas using multilevel small area estimation. Methods Multilevel (individual, county, public health region) random-intercept logit models were fit to HPV vaccination data (≥1 dose Gardasil) from the 2008 Behavioral Risk Factor Surveillance System. Using the parameter estimates from the final model, we simulated 10,000 data sets for each regression coefficient from the normal distribution and applied them to the logit model to estimate HPV vaccine coverage in each county. Results County-level coverage estimates ranged from 7% to 29%, compared with the state average of 18% (95% confidence interval [CI], 13.59–21.88). Many Southwestern border and metropolitan counties exhibited high coverage estimates. Low coverage estimates were noted in the Panhandle, Southeastern border region, and Northeast. Significant correlations were observed between HPV vaccination and Hispanic ethnicity, county poverty, and public health region poverty. Conclusion Harnessing the flexibility of multilevel small area models to estimate HPV vaccine coverage at the county level, we have provided data that may inform the development of health education programs/policies, the provision of health services, and the planning of new research studies. Additionally, we have provided a framework for modeling other health outcomes at the county level using national survey data. PMID:23481692

  16. Juvenile probation officers' mental health decision making.

    PubMed

    Wasserman, Gail A; McReynolds, Larkin S; Whited, Andria L; Keating, Joseph M; Musabegovic, Hana; Huo, Yanling

    2008-09-01

    We reviewed case records for 583 juvenile delinquency intakes in four county juvenile probation offices; 14.4% were receiving mental health or substance use services at case opening, and 24.9% were newly identified during probation contact. Youths were significantly more likely to be newly identified if they were repeat offenders, if their probation officer knew more about mental health and if they resided in a county without a shortage of available mental health professionals. Probation officers were especially likely to underidentify internalizing disorders. Policy implications for promoting identification of mental health needs and improving linkage to community service providers are discussed. PMID:18642071

  17. Left behind: widening disparities for males and females in US county life expectancy, 1985–2010

    PubMed Central

    2013-01-01

    Background The United States spends more than any other country on health care. The poor relative performance of the US compared to other high-income countries has attracted attention and raised questions about the performance of the US health system. An important dimension to poor national performance is the large disparities in life expectancy. Methods We applied a mixed effects Poisson statistical model and Gaussian Process Regression to estimate age-specific mortality rates for US counties from 1985 to 2010. We generated uncertainty distributions for life expectancy at each age using standard simulation methods. Results Female life expectancy in the United States increased from 78.0 years in 1985 to 80.9 years in 2010, while male life expectancy increased from 71.0 years in 1985 to 76.3 years in 2010. The gap between female and male life expectancy in the United States was 7.0 years in 1985, narrowing to 4.6 years in 2010. For males at the county level, the highest life expectancy steadily increased from 75.5 in 1985 to 81.7 in 2010, while the lowest life expectancy remained under 65. For females at the county level, the highest life expectancy increased from 81.1 to 85.0, and the lowest life expectancy remained around 73. For male life expectancy at the county level, there have been three phases in the evolution of inequality: a period of rising inequality from 1985 to 1993, a period of stable inequality from 1993 to 2002, and rising inequality from 2002 to 2010. For females, in contrast, inequality has steadily increased during the 25-year period. Compared to only 154 counties where male life expectancy remained stagnant or declined, 1,405 out of 3,143 counties (45%) have seen no significant change or a significant decline in female life expectancy from 1985 to 2010. In all time periods, the lowest county-level life expectancies are seen in the South, the Mississippi basin, West Virginia, Kentucky, and selected counties with large Native American populations

  18. Public health assessment for Moffett Naval Air Station (a/k/a Moffett Federal Airfield), Mountain View, Santa Clara County, California, Region 9. CERCLIS Number CA2170090078; Final report

    SciTech Connect

    1999-02-02

    Moffett Federal Airfield (MFA) is a former Navy base currently operated by the National Aeronautics and Space Administration (NASA). Contamination of groundwater, soil, surface water, and sediment at MFA has resulted from the handling and disposal of various fuels, solvents, and other chemicals used at the base. Sources and sites of contamination include landfills, wastewater holding ponds, drainage ditches, leaking underground storage tanks and sumps, fuel spills, and fire-fighting training areas. MFA is also affected by a plume of groundwater contamination originating at a nearby Superfund site. There is little or no potential for public exposure at MFA. Levels of contamination present do not present a public health hazard from any limited and infrequent exposures that would be likely to occur. Remediation of many sites is complete.

  19. Public-health assessment for 10th Street site (a/k/a Columbus Public Water Supply), Columbus, Platte County, Nebraska, Region 7. CERCLIS No. NED981713837. Preliminary report

    SciTech Connect

    Not Available

    1992-08-12

    The U.S. Environmental Protection Agency has developed plans to conduct a Remedial Investigation and Feasibility Study (RI/FS) for the Tenth Street Superfund Site in Columbus, Nebraska. The first task for this RI/FS was to prepare a project scoping report to define the limits of the investigation. The subject site is located in the business district of the City of Columbus and may be the source of contamination of several of the City's municipal supply wells. The major site contaminants are trihalomethanes (THM), trichloroethylene (TCE) and tetrachloroethylene (PCE). Contributors to the site contamination are speculated to be four dry cleaning establishments, a radiator repair/machine shop, and an unpaved parking lot that previously was a scrap metal yard. Until such time that the RI/FS is completed by EPA, water monitoring should be continued to prevent consumption of contaminated water. The site has been reviewed by the ATSDR Health Activities Recommendation Panel.

  20. Spatially varying predictors of teenage birth rates among counties in the United States

    PubMed Central

    Shoff, Carla; Yang, Tse-Chuan

    2012-01-01

    BACKGROUND Limited information is available about teenage pregnancy and childbearing in rural areas, even though approximately 20 percent of the nation’s youth live in rural areas. Identifying whether there are differences in the teenage birth rate (TBR) across metropolitan and nonmetropolitan areas is important, because these differences may reflect modifiable ecological-level influences such as education, employment, laws, healthcare infrastructure, and policies that could potentially reduce the TBR. OBJECTIVES The goals of this study are to investigate whether there are spatially varying relationships between the TBR and the independent variables, and if so, whether these associations differ between metropolitan and nonmetropolitan counties. METHODS We explore the heterogeneity within metropolitan/nonmetropolitan county groups separately using geographically weighted regression (GWR), and investigate the difference between metropolitan/nonmetropolitan counties using spatial regime models with spatial errors. These analyses were applied to county-level data from the National Center for Health Statistics and the US Census Bureau. RESULTS GWR results suggested that non-stationarity exists in the associations between TBR and determinants within metropolitan/nonmetropolitan groups. The spatial regime analysis indicated that the effect of socioeconomic disadvantage on TBR significantly varied by the metropolitan status of counties. CONCLUSIONS While the spatially varying relationships between the TBR and independent variables were found within each metropolitan status of counties, only the magnitude of the impact of the socioeconomic disadvantage index is significantly stronger among metropolitan counties than nonmetropolitan counties. Our findings suggested that place-specific policies for the disadvantaged groups in a county could be implemented to reduce TBR in the US. PMID:23144587

  1. Nursing during World War II: Finnmark County, Northern Norway

    PubMed Central

    Immonen, Ingrid

    2013-01-01

    Introduction This study is part the project “Nursing in Borderland – Finnmark 1939–1950” within nursing history that sheds light on nursing and health care during World War II in Finnmark County, Northern Norway. The study focuses on challenges in nursing care that arose during the war because of war activities in the Barents area. This article focuses on challenges caused by shortage of supplies. The aim of the project is to widen the understanding of development within health care and living conditions in the area. Study design This is a historical study using narratives, government documents and literature. Methods Interviews with nurses and persons active in health care during World War II constitute the main data of the research. Thematic issues that arise from interviews are analysed. Primary and secondary written sources are used in analysing the topics. Because of war activities, deportation and burning of the county, archives were partly destroyed. Central archives can contribute with annual reports, whereas local archives are fragmentary. There are a number of reports written soon after the War, as well as a number of biographical books of newer date. Results Challenges caused by war, which appear in the interviews, are: 1) shortage of supplies, 2) increased workload, 3) multicultural society, 4) ethical dilemmas, 5) deportation of the population. In this paper, focus is on challenges caused by shortage of supplies. Conclusions Both institutions, personnel and patients were marked by the war. This has to be taken in consideration in health care today. PMID:23630668

  2. Sweden health system review.

    PubMed

    Anell, Anders; Glenngård, Anna H; Merkur, Sherry

    2012-01-01

    Life expectancy in Sweden is high and the country performs well in comparisons related to disease-oriented indicators of health service outcomes and quality of care. The Swedish health system is committed to ensuring the health of all citizens and abides by the principles of human dignity, need and solidarity, and cost-effectiveness. The state is responsible for overall health policy, while the funding and provision of services lies largely with the county councils and regions. The municipalities are responsible for the care of older and disabled people. The majority of primary care centres and almost all hospitals are owned by the county councils. Health care expenditure is mainly tax funded (80%) and is equivalent to 9.9% of gross domestic product (GDP) (2009). Only about 4% of the population has voluntary health insurance (VHI). User charges fund about 17% of health expenditure and are levied on visits to professionals, hospitalization and medicines. The number of acute care hospital beds is below the European Union (EU) average and Sweden allocates more human resources to the health sector than most OECD countries. In the past, the Achilles heel of Swedish health care included long waiting times for diagnosis and treatment and, more recently, divergence in quality of care between regions and socioeconomic groups. Addressing long waiting times remains a key policy objective along with improving access to providers. Recent principal health reforms over the past decade relate to: concentrating hospital services; regionalizing health care services, including mergers; improving coordinated care; increasing choice, competition and privatization in primary care; privatization and competition in the pharmacy sector; changing co-payments; and increasing attention to public comparison of quality and efficiency indicators, the value of investments in health care and responsiveness to patients needs. Reforms are often introduced on the local level, thus the pattern of

  3. CARCINOGEN ASSESSMENT OF COKE OVEN EMISSIONS

    EPA Science Inventory

    Coke oven workers in Allegheny County, Pennsylvania and at 10 non-Allegheny County coke plants in the United States and Canada were found to be at an excess risk of mortality from cancer of all sites and from cancer of the lungs, bronchus, trachea, kidney, and prostate. An import...

  4. CARCINOGEN ASSESSMENT OF COKE OVEN EMISSIONS (REVISED DRAFT)

    EPA Science Inventory

    Coke oven workers in Allegheny County, Pennsylvania and at 10 non-Allegheny County coke plants in the United States and Canada were found to be at an excess risk of mortality from cancer of all sites and from cancer of the lungs, bronchus, and trachea, kidney, and prostate. An im...

  5. Health Careers Project for People in Public Housing.

    ERIC Educational Resources Information Center

    Miami-Dade Community Coll., FL. Medical Center Campus.

    A serious shortage of qualified health care professionals is forcing hospitals and health care agencies to undertake costly recruitment and hiring of foreign nurses and other health care professionals to meet staffing needs. Hospitals in Dade County spend from $2,900 to $20,000 per recruit, not including salary. The Health Careers Project for…

  6. Migrant Health Program. [New Jersey] 1970 Annual Report.

    ERIC Educational Resources Information Center

    New Jersey State Dept. of Health, Trenton.

    During 1970, 3 federally supported migrant health projects continued to serve New Jersey's migrant workers with comprehensive health care. In the 7 counties of principal migrant activity, 4,464 patients received health services. This group represented more than 60% of the noncontract workers. Migrant health programs in Burlington, Gloucester,…

  7. Health Impact Assessment as a Student Service Learning Experience

    ERIC Educational Resources Information Center

    Stone, Cynthia; Greene, Marion S.

    2012-01-01

    Health Impact Assessments (HIAs) incorporate a combination of tools, methods, and procedures to evaluate the potential health effects of a proposed program, project, or policy. The university public health department, in collaboration with the county health department, and the local planning organization, developed a curriculum for a…

  8. 7 CFR 7.25 - County executive director duties.

    Code of Federal Regulations, 2011 CFR

    2011-01-01

    ... 7 Agriculture 1 2011-01-01 2011-01-01 false County executive director duties. 7.25 Section 7.25... CONSERVATION STATE, COUNTY AND COMMUNITY COMMITTEES § 7.25 County executive director duties. (a) The county executive director shall execute the policies established by the county committee and be responsible for...

  9. 7 CFR 7.25 - County executive director duties.

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    ... 7 Agriculture 1 2010-01-01 2010-01-01 false County executive director duties. 7.25 Section 7.25... CONSERVATION STATE, COUNTY AND COMMUNITY COMMITTEES § 7.25 County executive director duties. (a) The county executive director shall execute the policies established by the county committee and be responsible for...

  10. 7 CFR 7.25 - County executive director duties.

    Code of Federal Regulations, 2012 CFR

    2012-01-01

    ... 7 Agriculture 1 2012-01-01 2012-01-01 false County executive director duties. 7.25 Section 7.25... CONSERVATION STATE, COUNTY AND COMMUNITY COMMITTEES § 7.25 County executive director duties. (a) The county executive director shall execute the policies established by the county committee and be responsible for...

  11. 32. Photocopy of original drawing in possession of the County ...

    Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

    32. Photocopy of original drawing in possession of the County Auditor, Johnson County, Iowa. PROFILE OF HIGHWAY BRIDGE OVER CEDAR RIVER AT SUTLIFF'S FERRY IN JOHNSON COUNTY, IOWA, 1897. (RIGHT 1/4 OF DRAWING) PLAN OF APPROACH FOR SUTLIFF'S FERRY BRIDGE OVER CEDAR RIVER, JOHNSON COUNTY, IOWA, 1897 - Sutliff's Ferry Bridge, Spanning Cedar River (Cedar Township), Solon, Johnson County, IA

  12. 7 CFR 7.10 - Conduct of county convention.

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    ... 7 Agriculture 1 2010-01-01 2010-01-01 false Conduct of county convention. 7.10 Section 7.10... CONSERVATION STATE, COUNTY AND COMMUNITY COMMITTEES § 7.10 Conduct of county convention. (a) The county committee serving at the time shall be responsible for designating the place at which the county...

  13. Hudson County Community College Periodic Review Report. Executive Summary.

    ERIC Educational Resources Information Center

    Hudson County Community Coll., Jersey City, NJ.

    Hudson County Community College (HCCC) serves Hudson County, New Jersey. Although the county is the smallest in the state, its 610,000 residents make up one of the most diverse counties in New Jersey. Approximately 40% of residents are Hispanic, 12% are African-American, 10% are Asian, and 35% are White. The county is also home to a growing Middle…

  14. 78 FR 10249 - Environmental Impact Statement: Will and Kankakee Counties, IL and Lake County, IN

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-02-13

    ... Lake County, IN AGENCY: Federal Highway Administration (FHWA), DOT. ACTION: Notice of Intent. SUMMARY... will be prepared for the Illiana Corridor in Will and Kankakee Counties, Illinois and Lake...

  15. Influence of Urbanicity and County Characteristics on the Association between Ozone and Asthma Emergency Department Visits in North Carolina

    PubMed Central

    Rappold, Ana G.; Davis, J. Allen; Richardson, David B.; Waller, Anna E.; Luben, Thomas J.

    2014-01-01

    Background: Air pollution epidemiologic studies, often conducted in large metropolitan areas because of proximity to regulatory monitors, are limited in their ability to examine potential associations between air pollution exposures and health effects in rural locations. Methods: Using a time-stratified case-crossover framework, we examined associations between asthma emergency department (ED) visits in North Carolina (2006–2008), collected by a surveillance system, and short-term ozone (O3) exposures using predicted concentrations from the Community Multiscale Air Quality (CMAQ) model. We estimated associations by county groupings based on four urbanicity classifications (representative of county size and urban proximity) and county health. Results: O3 was associated with asthma ED visits in all-year and warm season (April–October) analyses [odds ratio (OR) = 1.019; 95% CI: 0.998, 1.040; OR = 1.020; 95% CI: 0.997, 1.044, respectively, for a 20-ppb increase in lag 0–2 days O3]. The association was strongest in Less Urbanized counties, with no evidence of a positive association in Rural counties. Associations were similar when adjusted for fine particulate matter in copollutant models. Associations were stronger for children (5–17 years of age) compared with other age groups, and for individuals living in counties identified with poorer health status compared with counties that had the highest health rankings, although estimated associations for these subgroups had larger uncertainty. Conclusions: Associations between short-term O3 exposures and asthma ED visits differed by overall county health and urbanicity, with stronger associations in Less Urbanized counties, and no positive association in Rural counties. Results also suggest that children are at increased risk of O3-related respiratory effects. Citation: Sacks JD, Rappold AG, Davis JA Jr, Richardson DB, Waller AE, Luben TJ. 2014. Influence of urbanicity and county characteristics on the association

  16. Digital computer processing of LANDSAT data for North Alabama. [Linestone County, Madison County, Jackson County, Marshall County, and DeKalb County

    NASA Technical Reports Server (NTRS)

    Bond, A. D.; Atkinson, R. J.; Lybanon, M.; Ramapriyan, H. K.

    1977-01-01

    Computer processing procedures and programs applied to Multispectral Scanner data from LANDSAT are described. The output product produced is a level 1 land use map in conformance with a Universal Transverse Mercator projection. The region studied was a five-county area in north Alabama.

  17. Water resources of Lehigh County, Pennsylvania

    USGS Publications Warehouse

    Wood, Charles R.; Flippo, Herbert N., Jr.; Lescinsky, Joseph B.; Barker, James L.

    1972-01-01

    Lehigh County occupies an area of 347 square miles in southeastern Pennsylvania. The northern part of Lehigh County is underlain by the Martinsburg Formation, which consists chiefly of shale and slate. The central part of the county, where most of the population centers are located and much of the urbanization is occurring, is underlain by alternating beds of limestone and dolomite. From oldest to youngest, these carbonate rocks are the Leithsville Formation, the Allentown Formation, the Beekmantown Group, and the Jacksonburg Formation. The southern part of the county is underlain chiefly by the shales, sandstones, and conglomerates of the Brunswick Formation and by metamorphic and igneous rocks.

  18. Waste source reduction county government case study

    SciTech Connect

    1990-12-31

    Itasca County is located in north-central Minnesota, has a population of 42,000 and is known for its forests and scenic waterways. With Beltrami County, it contains the upper watershed of the Mississippi River. Its major industries are timber and tourism. Itasca County government made a commitment to source reduce its waste as much as possible. Secondarily, what they could not reduce they committed themselves to recycle. The project demonstrates functional reduction in practice. It shows that reduction is a realistic goal for county governments and that reduction can be measured on a waste stream by waste stream basis.

  19. Health for the Harvesters: Decade of Hope 1960-1970.

    ERIC Educational Resources Information Center

    Weber, David O.

    In 1970, the Farm Workers Health Service, which was begun in 1961, included 33 decentralized medical clinics which served 24,000 seasonal farm workers and their families in 17 counties during the peak harvest months. Seventeen clinics offered year-round general medical services, and in 12 counties free medical and dental care was available to farm…

  20. The Longitudinal Link between Student Health and Math Achievement Scores

    ERIC Educational Resources Information Center

    Garcy, Anthony M.

    2009-01-01

    This study investigated the relationship between health conditions suffered over time and student scores on the Stanford Achievement Test 9 in Yuma County, Arizona, public grade schools. The majority of children in Yuma County were of Hispanic origin. The poverty and low income status of most of these children placed them at greater risk for…