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Toward environmental Justice : research, education, and health policy needs / Committee on Environmental Justice, Health Sciences Policy Program, Health Sciences Section.

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Format:
Book
Contributor:
Institute of Medicine (U.S.). Committee on Environmental Justice.
Health Sciences Policy Program (U.S.)
Language:
English
Subjects (All):
Environmental policy.
Environmental law.
Physical Description:
1 online resource (xii, 137 pages)
Edition:
1st ed.
Place of Publication:
Washington, D.C. : National Academy Press, 1999.
Language Note:
English
Summary:
Offers examinations in identifying environmental hazards and assessing risk for populations of varying ethnic, social, and economic backgrounds, and the need for methodologies that suit the populations at risk. This book makes recommendations to decision makers in the areas of public health, research, and education of health professionals.
Contents:
Toward Environmental Justice
Copyright
REVIEWERS
Preface
Contents
1 Introduction and Executive Summary
CONCEPTS AND DEFINITIONS
THE COMMITTEE'S ORIGIN AND TASK
The Committee's Task
The Data and Site Visits
CONCLUSIONS AND RECOMMENDATIONS
Research
Education
Health Policy
ORGANIZATION OF THE REPORT
2 Establishing a Baseline
DISPARITIES IN HEALTH STATUS IN THE UNITED STATES
Low Birth Weight
Infant Mortality
Death Rates
Cancer
DISPARITIES IN EXPOSURE TO ENVIRONMENTAL HAZARDS
Examining Proximity to Environmental Health Hazards
Characterizing Exposure
EXAMINING THE LINK BETWEEN EXPOSURE AND HEALTH
Lack of Health Status Characterization
Failure of Differentiation of Populations and Differences in Outcomes
A Case Study: Urban Asthma
CONCLUSIONS
3 Research
RESEARCH METHODOLOGIES
Documenting Excessive Exposures
Toxic Chemical Release Inventory
Toxicology and Environmental Health Information Program
Assessing Susceptibility to Environmental Hazards
Measuring the Health Effects of Exposure to Environmental Health Hazards
Multiplicity of Hazards
Multiplicity of Potential Determinants
Biomarkers
Biomarkers of Exposure
Biomarkers of Susceptibility
Biomarkers of Effect
Limitations and Potential of Biomarkers in Environmental Health Risk Assessment
RESEARCH CHALLENGES
Improving Epidemiologic Studies
Addressing Race
Participatory Research
Challenges of Participatory Research
Enhancing Support for Research
Strategies for Improving the Science Base
Strategies for Involving the Affected Populations
Strategy for Communicating with Stakeholders
4 Education
HEALTH PROFESSIONAL EDUCATION
Enhancing Health Professional Education
Medical Education
Public Health Education.
Nursing and Allied Health Sciences
Increasing the Number of Minority Health Professionals
EDUCATION OF THE PUBLIC
Educating Children
Community Leadership
Conducting Participatory Research
Strategies for Enhancing Health Professionals' Knowledge of Environmental Health and Justice Issues
Strategies for Increasing the Number of Health Professionals Specializing in Environmental and Occupational Medicine
Strategies for Community and Public Education
5 Health Policy
CURRENT SCIENCE BASE FOR ENVIRONMENTAL JUSTICE
EXPANDING THE POLICY PROCESS
References
Appendixes
A Using Disease-Cluster and Small-Area Analyses to Study Environmental Justice
Health-Effects Studies
Barriers to Epidemiologic Studies
Data Availability
Sample Size
Preepidemiology
Types of Preepidemiologic Methods
Limitations of Preepidemiology
Appropriate Uses of Preepidemiology
Statistical Approaches to Preepidemiology
Disease-Cluster Investigation Practices
Choosing the Right Statistical Analysis Method
What Type of Clustering is Being Investigated?
What is the Null Hypothesis?
What is the Alternative Hypothesis?
What Type of Summary Statistic is Used?
Which Method is Most Appropriate for the Cluster Under Investigation?
How Should the Statistical Significance of an Analysis be Interpreted?
Research Needs
Bibliography
B Acknowledgments
C Acronyms
D Executive Order 12898: Federal Actions to Address Environmental Justice in Minority Populations and Low-Income Population
E Committee and Staff Biographies
Committee Biographies
Institute of Medicine Staff
Index.
Notes:
Bibliographic Level Mode of Issuance: Monograph
Includes bibliographical references and index.
ISBN:
9786610210305
9780309174220
0309174228
9781280210303
1280210303
9780309593014
0309593018
9780585047300
0585047308
OCLC:
42330891

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