Response to cancer clusters with suspected environmental etiology : state and rederal capacity building workshops (March 11-12, 2003)
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Response to cancer clusters with suspected environmental etiology : state and rederal capacity building workshops (March 11-12, 2003)

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      The National Center for Environmental Health (NCEH) of the Centers for Disease Control and Prevention (CDC) sponsored two one-day workshops to provide a forum for dialogue among CDC and representatives from state health agencies. The workshops provided CDC with information to assist the states in cancer cluster inquiry response and investigation, and to assess capacity at the state and federal level. Representatives from ten state health departments (California, Massachusetts, South Carolina, New York, Missouri, Texas, Georgia, Florida, Washington, Minnesota) reviewed and discussed current protocols and practices for the investigation of reported cancer clusters with suspected environmental etiology.

      Workshop goals included the assessment of the states' needs to respond effectively to citizen inquiries about cancer clusters, the coordination of federal response to states' efforts, and the enhancement of the scientific process underlying cluster investigations. During the workshops, recommendations for further research and collaboration with state partners were discussed.

      The same agenda and format were used for both workshops; each workshop was one day in length. Two workshops, each with participants from 4-6 states, allowed the attendees greater opportunity to speak and interact with each other and with CDC representatives. Each workshop began with a brief introduction by Dr. Carol Rubin, Chief, NCEH/Health Studies Branch, followed by a review of the agenda and objectives for the workshop. State attendees gave presentations describing their method of responding to citizen's inquiries about potential cancer clusters. The representatives also discussed the strengths and weaknesses of their states' responses, as well as the barriers to effective response. In addition, the representatives described prior experiences that were significant in shaping their current approach, and they discussed issues specific to their state.

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