Occupational & Environmental Medicine

Toxicology & Consult Resources for Online Reference

Journal  Article

    Toxicology 178 (2002) 263–269 "Internet resources for occupational and environmental health professionals" link    , by Gary Greenberg

Federal / US Sources

National Library Of Medicine / Medline

MESH is the first step. *NOT* Google!!

Subheadings

• Learn about po, to, ae, ep, pc, et

Terms to know (and to group)

• Search History saved as "Exposure-Disease"
• Environmental Disease
• Environmental Exposure
• Environmental Health
• Occupational Diseases
• Occupational Exposure
• Occupations

• Other MESH keywords

• Occupational Health Nursing
• Occupational Health Services
• Preventive Health Services
• Workplace
• Health Promotion

OVID saved searches (Duke Librarian authored)

• "EBMRCT" Randomized clinical trials and controlled studies
• "EBMRCTF" Faster version for Controlled Trials
• "EBMSYS" Systematic Reviews
• "EBMTX1" Therapy - comprehensive retrieval
• "EBMTX2" Therapy - relevance
 
• Deleting lines or a search statement from an OVID search: ..pg2-3 (ie 2 periods for a command, then pg for purge, then the line numbers you want to see disappear).

National Library Of Medicine / beyond Medline

ToxNet (TEHIP, SIS tools)

New Gateway (search then choose) and ToxSeek (choose then search) both permit a combined, customized search in multiple databases, among these:)

• ChemIDplus Dictionary of over 370,000 chemicals (names, synonyms, structures)

• HSDB Comprehensive, peer-reviewed toxicological data, exerpted from multiple sources

• RTECS NIOSH's Reg. of Toxic Eff. of Chem. Sub. (No longer free!?)

• ToxLine (Core is journals, including exerpts; Special includes information from other databases, incl ILO, DART, NIOSHTic)

• ITER International Toxicological Estimate for Risk

• Chemical Carcinogenesis Research Information System (CCRIS) 

• Developmental and Reproductive Toxicology Database (DART) 

• Genetic Toxicology Data Bank (GENE-TOX) (arcane, molecular, not health-related)

• Household Products (for generic formulations, eg "window cleaner")

• Haz-Map simple, descriptive, non-expert

• Tox Town like Haz-Map, but even simpler

Other NLM sites

• MedlinePlus: Consumer Environmental Health Information, > 700 topics

• Online Mendelian Inheritance in Man (OMIM)

• DIRLINE organizations for patient support, lay education, resource identification

• WISER : Wireless Information System for Emergency Responders (for Palm, WinCE, Desktop and online brief reference).

Radiation Event Medical Management (REMM)

Guidance to primary care clinicians regarding individual and mass-casualty radiological / nuclear events

• Diagnosis & management for:
• Radiation contamination
• Radiation exposure
• Combined information, contamination & exposure

EPA Environmental Protection Agency

• Toxics Release Inventory (TRI) Official reports of amounts of released chemicals (?only manufacturing)... see Scorecard (below)

• Substance Registry System (SRS) regulatory information

• Integrated Risk Information System (IRIS) specifically at lowest dose for health concern, for regulatory implications

• National Pesticide Information Center Pesticide Fact Sheets

ATSDR Agency for Toxic Substances & Disease Registry

• HazDat Database

• Toxicological Profiles the largest narrative report on individual chemicals

• ToxFAQs™ (187 chemicals) and Public Health Statements (PHSs)

• State Fact Sheets

• Case Studies in Environmental Medicine: terrific, clinically narrated exposure consults, even for CME credit.

• Medical Management Guidelines (MMGs) for Acute Chemical Exposures

• Managing Hazardous Material Incidents (MHMI)

• Interaction Profiles for Toxic Substances

• Minimal Risk Levels (MRLs)

CDC Centers for Disease Control and Prevention

• NIOSH

• NIOSHTic (bibliographic tool, extends beyond journals to include meeting abstracts, research grant reports, theses)

• Health Hazard Evaluations

• Specific / Generic Work-related assessment, based on industry, chemical, diagnosis,  other hazards, emergency preparedness & response

• Surveillance data (Pb, Mining, Pesticides, Resp. disease, trauma)

• e LCOSH (Electronic Library of Construction Occupational Safety and Health)

• NASD The National Agricultural Safety Database

• NIOSH Pocket Guide to Chemical Hazards (also available for PDA at my Palm site)

• International Chemical Safety Cards (ICSCs)

• Wonder an extremely under-used tool with live data. Users can dissect or aggregate rates (injury, disease, death, more) by age, geography, year; outputs to graphics, tables, spreadsheets. Other internal databases include CDC experts on topics

• National Report on Human Exposure to Environmental Chemicals, baseline and background levels for xenobiotics

Department of Labor

• OSHA

• OSHA regulatory language

• Correspondence / regulatory findings, directives

• Citation database

• SIC Search Standard Industrial Classifications

 

• Bureau of Labor Statistics, Injuries, Illnesses, and Fatalities (IIF) program

• Work-related injury census and rate calculator;

• Detailed, customized tabular output by industry, year, diagnosis, employer size, state, etc. Eg: fatal injury comparison

• Nonfatal injuries and illnesses

• Fatalities

 

• Mine Safety & Health Administration data

• Fatality Statistics

• Regulations

 

Department of Energy

• "Comprehensive Epidemiologic Data Resource" (CEDR)

Workers & residents of nearby communities

• Lawrence Livermore National Laboratory (LLNL)

Environmental, Safety & Health Manual a comprehensive program for dozens of hazards

 

State / Other Governmental

New Jersey Right to Know Fact Sheets 

International Sources

International Agency For Research On Cancer IARC (WHO)

• Monographs of the Evaluation of Carcinogenic Risks to Humans (Series)
• IARC Cancer Epidemiology Database

ILO Encyclopedia

Canadian Centre for Occupational Health and Safety (CCOHS)

Christie's Safety Related Internet Resources

Directory of thousands of web-sites, provided from Canada

GESTIS International limit values for chemical agents

This database contains a collection of occupational limit values for hazardous substances gathered from various EU member states, Canada (Québec), Switzerland, and the United States as of 2006. Limit values of more than 1,000 substances are listed.

Private / Proprietary

Free

MSDS Sites

• U-Vt (SIRI = Safety Information Resources, Inc)
• Compendium: http://www.ilpi.com/msds/

ChemFinder.com 

Commercial site, very impressive resources, including chemical facts, regulatory status in many other sites, synonyms, CAS.

Chemexper.com

Scorecard.org

TRI release information, matched to EPA health effects database and corporate & congressional contact data  by Green Media Toolshed ,

Solvent Lookup SOLV-DB

Manufacturers' Assoc database, Solvent Lookup Criteria, Name, Chemical Abstracts or Sax Number, Formula, Chemical Category, Property, Synonyms

Organization of Teratology Information Specialists "fact sheets"

American Association of Poison Control Centers'

• Toxic Exposure Surveillance System (TESS)
• Patient Management Guidelines

 

Subscription / Fee-based (free through many universities)

Clin Pharm 

Tabular drug Interactions with • Caffeine • Enteral Feedings • Ethanol/Alcohol • Food • Grapefruit Juice • Tobacco

Micromedex 

• Tomes
• MEDITEXT® Medical Managements
• HAZARDTEXT® Hazard Managements

• Poisondex

• Product/Substance Identification
• Toxicological Managements

• REPRORISK includes

• REPROTEXT® Database
• REPROTOX® Reproduction Hazard Information
• Shepard's Catalog of Teratogenic Agents
• TERIS Teratogenic Information System

• Material Safety Data Sheets from USP DI

• Martindale, even deeper than Clin Pharm

Mail Lists

Forums in Occupational & Environmental Health

Occ-Env-Med-L (free)
Founded at Duke, and now housed and managed in at University N. Carolina , this very busy forum is a professional community of nearly 3,400 readers (clinicians and public health experts from 75+ countries). Each member receives 250-300 messages each month, including announcements of web-based news and discussion of exposure-related human disease.
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OEM-Announce (free)
Purely a uni-directional news outlet, this provides a means to receive announcements (new web-resources, jobs, regulations), but no discussion. This is the non-opinion subset of Occ-Env-Med-L, above, and is about 70-100 messages monthly.
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aihaih-list Amer Indust Hygiene Assoc Industrial Hygiene  (free)
Managed by the Association, begun in January 2000, this group discussed IH topics with about 100 messages monthly among 1,396 enrolled participants.
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SAFETY (free)
The oldest and busiest of all Occupational Health forums, SAFETY has 3,018 subscribers and its discussions include 850(!) messages monthly. It is run from the University of Vermont's SIRI site (see above)
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UK's OCCENVMED (free)
Britain's discussion group of Occupational & Environmental Medicine generates 50-100 messages monthly.
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MCOH-EH (free)
Occupational and employee health issues relevant to medical centers. 390 readers, 100 messages monthly.
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MRO-List (free)
Drug testing, interpretation and policy, for regulated and unregulated situations.
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HS-Canada (free)
HS-Canada is a means of distributing messages to a group of individuals with interests in occupational health and safety in a Canadian context. Although the list is intended primarily for Canadians, anyone with an interest in Canadian occupational health and safety issues is welcome to subscribe. Messages may be sent in English or French. DIscussions lead to 100-120 messages monthly.
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RST-LAC (free)
Red de Salud de los Trabajadores de Latinoamérica y el Caribe Latin America Occupational & Environmental Medicine forum in Spanish, Portuguese and French. Messages add to 70-100 messages monthly.
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ArbMedNet (free)
Der Listserver ARBMEDNET für Themen aus den Bereichen Arbeitsmedizin und Umweltmedizin wurde vom Institut für Arbeits- und Umweltmedizin der Universität München eingerichtet und wird von diesem betrieben. 
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MediTrav (free)
Forum de médecine du travail (Occupational Medicine) in French. Topic-specific, sorted archives are useful.
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AfrOEM (free)
Occupational safety and health (OSH) issues between African OSH professionals in Africa and those in USA as it pertains to Africa/Africans. It is aimed at professionals working in the field such as physicians, industrial/occupational hygienists, nurses etc. Founder
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