workshops, or town meetings. Examples of recent
acute chemical exposures to more than 40 chemicals.
environmental health activity include distribution of
ATSDR's toxicological profiles comprehensively
fact sheets on the public health assessment process,
describe health effects; pathways of human exposure;
what you need to know about cancer, and exposure
and the behavior of more than 250 hazardous
pathways, as well as site-specific materials.
substances in air, soil, and water at hazardous waste
sites. In the last 5 years, more than 5,700 of these
profiles have been sent to requesters, including
Migrant Clinicians Network, ATSDR provides assis-
representatives of federal, state, and local health and
tance to health care providers working with migrant
environmental departments; academic institutions;
and seasonal farm workers. The Migrant Clinicians
private industries; and nonprofit organizations
Network, the second largest clinical network in the
in New Hampshire. ATSDR has also developed
nation, brings together clinicians from various pro-
extensive resources for community members.
fessions to meet the needs of migrant and seasonal
farm workers. The local member of the Migrant
Clinicians Network is the New Hampshire Bi-State
Primary Care Association in Concord.
Health studies are investigations conducted to deter-
mine the relationships between exposures to hazard-
ous substances and adverse health effects. They also
define health problems that require further investiga-
tion through, for example, health surveillance or an
epidemiologic study. Following is an example of a
health studies or investigation that ATSDR conducted
or supported in the state of New Hampshire.
Hazardous Substance Emergency Events
Surveillance System--The Hazardous
Substances Emergency Events Surveillance
System (HSEES) was established by ATSDR in
1990 to collect and analyze information about
releases of hazardous substances that require
remediation according to federal, state, or local
law, as well as threatened releases that result in
a public health action, such as an evacuation.
The goal of HSEES is to reduce the morbidity
and mortality experienced by first responders,
employees, and the general public resulting
from hazardous substances emergencies. New
Hampshire was one of the five original states to
participate in this program, and participated until
ATSDR develops materials that public health
professionals and medical care providers can use
to assess the public health impacts of chemical
For more information, contact ATSDR toll-free
at 1-888-42ATSDR (1-888-422-8737) or visit the
exposures. Resources are available in print, on the
ATSDR Web page at www.atsdr.cdc.gov.
ATSDR Web site, and on CD-ROM. For example,
medical management guidelines are available for