Assessment of chemical exposures workbook : rapid assessment of exposure and health effects after acute chemical incidents
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Assessment of chemical exposures workbook : rapid assessment of exposure and health effects after acute chemical incidents

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  • Alternative Title:
    ACE workbook
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  • Description:
    In 2010, the Agency for Toxic Substances and Disease Registry—known as ATSDR—introduced the National Toxic Substance Incidents Program as a comprehensive program for surveillance of hazardous chemical incidents. The program’s purpose is to protect people from hazardous chemical incidents.

    States that participate in the program gather data on chemical incidents. The data includes incident location, incident cause, evacuation details, number of injured persons, and adverse health effects experienced by those injured or exposed. Program personnel then enter the information into a Web-based database. The database is used to develop and implement procedures to prevent or reduce the morbidity and mortality caused by chemical releases. It also is used to assist in preparing for future chemical incidents.

    The National Toxic Substance Incidents Program (NTSIP) has three primary components: 1) state surveillance, 2) a national database, and 3) incident investigations—that is, Assessment of Chemical Exposures, or ACE. This training focuses on how the ACE team and its resources can help build capacity at your state and local community level to respond to chemical incidents.

    If a chemical incident occurs in your state or community, the ACE team is available to help your state or local health department. For example, the ACE team might:

    • Provide surveys, databases, and training to help build state and local capacity to conduct an assessment after a chemical incident

    • Travel to your state and help with collection of rapid assessment data

    • Help to review data and to answer concerns of the affected population

    • Provide other resource materials as requested.

    This workbook is part of the Assessment of Chemical Exposures (ACE) training course. The course is one of the tracks in the Disaster Epidemiology Training offered by the Council of State and Territorial Epidemiologists, in collaboration with three federal partners: Agency for Toxic Substances and Disease Registry (ATSDR), Centers for Disease Control and Prevention National Center for Environmental Health (NCEH), National Institute for Occupational Safety and Health (NIOSH).

    The workbook contains brief descriptions of both ATSDR and the National Toxic Substance Incidents Program. It highlights key actions for state and local health departments in the preparation and data collection phases of a rapid assessment after a chemical incident. In each section, you will find learning objectives, key concepts, action items, case studies and examples. At the end of the workbook, there are resources for further information.

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