CSEM Publications Agency for Toxic Substances and Disease Registry Department of Health and Human Services


Nitrate toxicity is a preventable cause of methemoglobinemia. Infants younger than 4 months of age are at particular risk of nitrate toxicity from contaminated well water.








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Online Continuing Education Courses* - Continuing medical education credits, continuing nursing education units, and continuing education units are offered by ATSDR in support of the Case Studies in Environmental Medicine.
Continuing Education Program* - The ATSDR Continuing Education (CE) Program is available electronically. To receive credit, participants must submit online their responses to the evaluation form and posttest questions. The CE Program remains valid for 3 years after it is announced.

  • Trichloroethylene (TCE) Toxicity - TCE is a central nervous system depressant and agency for toxic substances and disease registry a suspected hepatotoxin in humans. TCE is reasonably agency for toxic substances and disease registry anticipated to be a human carcinogen based on agency for toxic substances and disease registry limited evidence of carcinogenicity from studies in humans agency for toxic substances and disease registry and sufficient evidence of carcinogenicity from st
  • Chromium (Cr) Toxicity - Occupational exposure to chromium has been associated with agency for toxic publications substances and disease registry increased incidence of lung cancer.
  • Cholinesterase Inhibitors Including Insecticides and Chemical Warfare Nerve Agents - Cholinesterase inhibitors are a class of compounds that includes chemical publications warfare nerve agents and certain insecticides.
  • Taking an Exposure History - The primary care clinician can play an important publications role in detecting, treating and preventing disease due publications to toxic exposure by taking a thorough exposure publications history.
  • Environmental Triggers of Asthma - This case study addresses the role environmental factors agency for toxic substances and disease registry play in the etiology, triggering, and exacerbation of agency for toxic substances and disease registry asthma. It is not intended to teach the agency for toxic substances and disease registry clinical treatments of asthma to primary health care agency for toxic substances and disease registry providers.
  • Ethylene Glycol and Propylene Glycol Toxicity - Ethylene glycol ingestion first affects the central nervous csem system (CNS). After a characteristic latent period, signs csem of inebriation may be followed by serious illness csem and even death, caused by toxic metabolites.
  • Disease Clusters: An Overview - Cluster events are groupings of a particular disorder publications or a class of disorders that appear unusually publications frequent in a place.
  • Tetrachloroethylene (PCE) Toxicity - PCE is reasonably anticipated to be a human publications carcinogen on the basis of limited evidence from publications studies in humans and sufficient evidence of carcinogenicity publications from studies in experimental animals.
  • Arsenic (As) Toxicity - Arsenic is strongly associated with lung and skin agency for toxic publications substances and disease registry cancer in humans, and may cause other publications internal agency for toxic substances and disease registry cancers as well. publications Skin lesions, peripheral neuropathy and agency for toxic substances and disease publications registry anemia are hallmarks of chronic arsenic ingestion.
  • Radiation Exposure from Iodine 131 - Many people were exposed to radiation fallout from publications iodine 131 csem from multiple sources. Many of those publications exposed were children younger csem than 10 years of publications age. This exposure put those children csem at risk publications for thyroid and parathyroid disease and cancer of csem publications the thyroid.
  • Nitrate/Nitrite Toxicity - Nitrate toxicity is a preventable cause of methemoglobinemia. Infants younger publications than 4 months of age are at particular risk of publications nitrate toxicity from contaminated well water.
  • Polychlorinated Biphenyls - PCBs cause cancer in animals and are probably publications carcinogenic in csem humans. Recent evidence suggests that PCBs publications might also have adverse csem reproductive, developmental and endocrine publications effects.
  • Radon (Rn) Toxicity - Radon might be second only to smoking as publications a cause of lung cancer. The combination of publications smoking and radon exposure results in an especially publications serious health risk.
  • Asbestos Toxicity - Asbestos exposure is associated with parenchymal asbestosis, asbestos-related agency for toxic publications substances and disease registry pleural abnormalities, mesothelioma, and lung cancer, and publications it agency for toxic substances and disease registry may be associated publications with cancer at some extra agency for toxic substances and disease publications registry thoracic sites.
  • Stoddard SolventToxicity - Human health effects from chronic exposure to low environmental levels publications of Stoddard solvent are not known. Industries that use Stoddard publications solvent include dry cleaning, metal degreasing, and painting.
  • Lead (Pb) Toxicity - Lead may cause irreversible neurologic damage as well agency for toxic publications substances and disease registry as renal disease, cardiovascular effects, and reproductive publications toxicity. agency for toxic substances and disease registry Blood lead levels publications once considered safe are now agency for toxic substances and disease publications registry considered hazardous, with no known threshold.
  • Cadmium (Cd) Toxicity - Prevention is the key to managing cadmium exposure. csem No effective publications treatment for cadmium toxicity exists. For csem the general public, the publications primary source of exposure csem to cadmium is dietary. Smoking tobacco publications adds an csem additional burden of cadmium. Nutritional deficie
  • Toluene Toxicity - Many organic solvents have great addictive potential; toluene agency for toxic substances and disease registry is the most commonly abused hydrocarbon solvent, primarily agency for toxic substances and disease registry through “glue sniffing.”
  • Benzene Toxicity - Benzene is an important commercial commodity that, because of its agency for toxic substances and disease registry frequent use, has become widespread in the environment of developed agency for toxic substances and disease registry countries. Benzene in the workplace has been associated with aplastic agency for toxic substances and disease registry anemia and leukemia.
  • Pediatric Environmental Health - Pediatricians and other child health care providers need to develop the expertise necessary to take an environmental history, deliver anticipatory guidance, and conduct appropriate risk-based laboratory tests for environmental illnesses.
  • Beryllium (Be) Toxicity - Beryllium produces health effects ranging from sensitization without csem evidence of csem disease to clinically apparent pulmonary disease.


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