Ten Essential Services

The operating philosophy of the Division of Environmental Health Services (DEHS) Program is based on the Ten Essential Public Health Services first articulated in 1994 by a partnership of local, state, and national public health leaders. These services were used by the National Center for Environmental Health of the Centers for Disease Control and Prevention (CDC) as a basis for its six goals for the revitalization of environmental health in the 21st century. IHS has taken a proactive approach and adapted the Ten Essential Public Health Services as the Ten Essential Environmental Health Services and has incorporated this set of strategies into the methods in which it delivers services to American Indian/Alaska Native (AI/AN) communities across the country.

Resources appear below grouped by phase (assessment, policy development, assurance) and by the Ten Essential Environmental Health Services. Collection of these resources was initially supported by the Centers for Disease Control and Prevention (CDC) through a grant provided to the University of New Mexico (grant no. U48/CCU610818-05).

Assessment:

1. Monitor health status to identify community environmental health problems.

Census Bureau This website provides links to census data, quick facts, interactive maps, data and research provided by the United States Census Bureau.
Community Environmental Information Maintained by the U.S. Environmental Protection Agency (EPA), this site provides access to databases to retrieve environmental information about your community. Links to state and local environmental agencies.
Envirofacts Warehouse Retrieve environmental information and maps from EPA databases to compile your own report.
National Center for Health Statistics This website provides data from the Centers for Disease Control and Prevention (CDC) on diseases and conditions, injuries, and health care. The site also provides tools and resources such as growth charts, the National Death Index, and VitalStats.
National Highway Traffic Safety Administration State Traffic Safety Information This website provides information from a national searchable database on traffic safety information. Statistics, graphs, maps and specific crash site information is compiled in a user-friendly format.
National Environmental Public Health Tracking Resources Data This website provides a reference list of nationally funded data systems that have a relationship to environmental public health. This list is not meant to be a comprehensive inventory. Rather, it highlights the major data systems with a national scope where public health and environmental data can be directly downloaded from the Internet.
Safe Road Maps This site has various map layers which can build on the National Highway Traffic Safety Administration State Traffic Safety Information.
National Electronic Injury Surveillance System (NEISS) On-line Consumer Product Safety Commission’s NEISS is a national probability sample of hospitals in the U.S. and its territories. Patient information is collected from each NEISS hospital for every emergency visit involving an injury associated with consumer products. This web access to NEISS allows certain estimates to be retrieved on-line.
CDC Web-Based Injury Statistics Query and Reporting System (WISQARS) WISQARS is the CDC, National Center for Injury Prevention and Control's interactive, online database that provides customized injury-related mortality data and nonfatal injury data useful for research and for making informed public health decisions.
CDC National Environmental Health Tracking Network The National Environmental Public Health Tracking Network (Tracking Network) is a system of integrated health, exposure, and hazard information and data from a variety of national, state, and city sources. On the Tracking Network, you can view maps, tables, and charts with data about chemicals and other substances found in the environment some chronic diseases and conditions.
ProMED-Mail ProMED-mail - the Program for Monitoring Emerging Diseases - is an Internet-based reporting system dedicated to rapid global dissemination of information on outbreaks of infectious diseases and acute exposures to toxins that affect human health, including those in animals and in plants grown for food or animal feed. Electronic communications enable ProMED-mail to provide up-to-date and reliable news about threats to human, animal, and food plant health around the world, seven days a week.
HealthMap HealthMap is a website that utilizes online informal sources for disease outbreak monitoring and real-time surveillance of emerging public health threats. The site seeks to deliver real-time intelligence on a broad range of emerging infectious diseases for a diverse audience including libraries, local health departments, governments, and international travelers.
IHS Notifiable Disease and External Cause of Injury Reporting System This website provides access to reports generated from the IHS electronic medical records system - Resource Patient Management System (RPMS) â€“ targeted to injury or disease categories related to Environmental Health. The report tool is a web-based application that can provide reports by national, area, service unit, facility and community level reports.
Community Environmental Health Assessments
EPA Community Action for a Renewed Environment (CARE) This site provides information about CARE a competitive grant program that offers an innovative way for a community to organize and take action to reduce toxic pollution in its local environment. Through CARE, a community creates a partnership that implements solutions to reduce releases of toxic pollutants and minimize people's exposure to them. By providing financial and technical assistance, EPA helps CARE communities get on the path to a renewed environment.
EPA Extramural Research - Environment, Health and Society (EHS) Provides links related to assessments, indicators, etc.
EPA Environmental Health Services Community Environmental Health Assessment (CEHA) Provides links and discusses the Protocol for Assessing Community Excellence in Environmental Health (PACE EH) is a community involvement tool. PACE EH offers a method for engaging communities to identify their health concerns, take action on their environmental health problems, and improve their health and quality of life.
Food Safety Information Website This site offers a list of outbreak, recall, and food safety trainings.

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2. Diagnose and investigate environmental health problems and health hazards in the community.

Home-A-Syst and Farm-A-Syst healthy home sites This website provides information, tools, newsletters and links to state resources to help identify and mitigate risks and hazards around the home.
National Center for Environmental Assessment (NCEA) EPA's national resource center for environmental (human health and ecological) risk assessment. Includes risk management and risk assessment overviews, tools, guidance and databases for use by professionals. In particular, Tribes with established programs may benefit from this website.
Office of Tribal Affairs, Agency for Toxic Substance and Disease Registry (ATSDR) The ATSDR recently established the Office of Tribal Affairs (OTA) in response to tribal requests. The Office of Tribal Affairs will assist with tribal-specific environmental health needs resulting from exposure to hazardous waste sites and pollution.
CDC/NIOSH Health Hazard Evaluation Employees, employee representatives, or employers can ask NIOSH to help learn whether health hazards are present at their place of work. NIOSH may provide assistance and information by phone and in writing, or may visit the workplace to assess exposure and employee health.
Council to Improve Foodborne Outbreak Response (CIFOR) Guidelines for Foodborne Disease Outbreak and Response Provides guidelines, processes, and products that will facilitate good foodborne outbreak response.
Foodborne, Waterborne, and Environmental Diseases Provides information on outbreak response, waterborne disease prevention, diseases, statistics on foodborne, waterborne, and environmental diseases, and links to resources on current efforts, research, and global applications for prevention.
CDC Division of Vector-Borne Infectious Diseases The Division of Vector-Borne Diseases (DVBD) strives to protect the nation from bacterial and viral diseases transmitted by mosquitoes, ticks and fleas. CDC/DVBD plays a unique role, housing much of the world’s expertise in the diagnosis, prevention and control of these diseases.
NIOSH Manual of Analytical Methods (NMAM) NMAM is a collection of methods for sampling and analysis of contaminants in workplace air, and in the blood and urine of workers who are occupationally exposed.
Healthcare-associated Infections from CDC The information on this website is intended to inform patients and healthcare personnel and help move healthcare systems toward elimination of healthcare associated infections.
Radiation Event Preparedness and Health Effects This site provides information to help people protect themselves during and after a release of radioactive material. It also links to health effects and treatment, types of radiation emergencies, and emergency toolkits. Links on this page provide information for professionals involved in planning for and responding to this type of emergency, and information on current CDC initiatives.
EPA: Mold Control and Remediation in the Indoor Environment Online resources for residential and commercial buildings.
New York City’s Guidelines on Assessment and Remediation of Fungi in Indoor These guidelines are intended for use by building owners and managers, environmental contractors and environmental consultants. It is also available for general distribution to anyone concerned about indoor mold growth.

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Policy Development:

3. Inform, educate, and empower people about environmental health issues.

EPA Topics This EPA site provides a topic index for assistance with your questions about various environmental issues.
EPA's Libraries A searchable library made up of twenty-eight EPA libraries around the United States. Easy access to books, reports and journals that are available for public view.
EPA's Tribal Links Links to EPA and non-EPA tribal environmental programs or entities with an interest in tribal environmental activities. Includes links to EPA Regional Tribal programs that may have information specific to tribal environmental activities and successes.
General Emergency Information Provides emergency preparedness links for natural disasters, bioterrorism, chemical emergencies, recent outbreaks and incidents, mass casualties, chemical exposures, and radiological emergencies.
National Center for Environmental Health (NCEH), CDC A searchable index of NCEH health topics with access to fact sheets, brochures, and other publications.
Office of Tribal Affairs, ATSDR The Agency for Toxic Substances and Disease Registry (ATSDR) recently established the Office of Tribal Affairs (OTA) in response to tribal requests. The Office of Tribal Affairs will assist with tribal-specific environmental health needs and/or general environmental information.
Tribal Environmental Resource Center Maintained by Northern Arizona University's (NAU) Institute for Tribal Environmental Professionals(ITEP), this site is a clearinghouse and point of contact for information that might be of use to tribal environmental staff. This information retrieval site contains a searchable list of electronic and hard copy resources pertaining to tribal or environmental issues. This includes technical documents, educational lesson plans, catalogs, videos, brochures, fact sheets, and other types of resources.
Asbestos: EPA On this Web site you will find basic information, asbestos health effects, common locations, what to do if you find asbestos in your home, and the EPA and federal asbestos efforts.
Asbestos Removal and Specifications: CDC/NIOSH A collection of asbestos research and resources.
Morbidity and Mortality Weekly Report The Morbidity and Mortality Weekly Report (ISSN 0149-2195 ) is a scientific publication of public health information and recommendations published by the Centers for Disease Control and Prevention (CDC).
Occupational Safety and Health Administration Bloodborne Pathogens Standard All of the requirements of OSHA’s Bloodborne Pathogens standard can be found in Title 29 of the Code of Federal Regulations at 29 CFR 1910.1030. The standard’s requirements state what employers must do to protect workers who are occupationally exposed to blood or other potentially infectious materials (OPIM), as defined in the standard.
CDC’s Office of Safety, Health, and Environment This website provides publications and forms, symposia and conferences, and training related to biosafety. Related links to etiologic agents and workplace safety and health are also included.
Public Health Preparedness and Response for Health Partners This site provides information on preparedness and response programs, funding, toxins and agents, emergency operations, strategic national stockpile and numerous other emergency preparedness and management topics for public health professionals.
Information on foodborne illness initiatives Information on major foodborne illness outbreaks, statistics on food safety, publications, workgroups, legislation, and a number of other foodborne illness topics.
Milk Safety Issues FDA’s site for food safety issues with milk. Also contains information for model milk ordinances.
CDC's index of diseases and conditions An in-depth index of diseases and conditions including informational links on each.
National Highway Traffic Safety Administration Information on safe driving, vehicle safety, child safety, distracted driving, research, laws, regulations, and current research in the field of highway traffic safety.
Consumer Product Safety Commission News, recalls, video, laws, regulations, and information on how to get involved in product safety.
Insects and Pests of SE United States Some important, common and potential pests in the Southeastern United States
Purdue Dept. of Entomology Links to news, publications, events, and education pertaining to vectorborne topics. This site includes searchable pest identification lists, contact information for extension staff and topic specific information for public health practitioners.
Children’s Environmental Health Network Provides programs, resources, and information from The Children's Environmental Health Network is a national multi-disciplinary organization whose mission is to protect the developing child from environmental health hazards and promote a healthier environment.
Children’s Safety Network The Children's Safety Network (CSN) is a national resource center for the prevention of childhood injuries and violence. We offer expertise on a wide range of injury topics to State and Territorial Maternal and Child Health (MCH) and Injury and Violence Prevention (IVP) programs.
Traveler’s Health Information CDC The purpose of the CDC Travelers’ Health website is to provide information, based on scientific studies, disease surveillance, and best practices, to assist travelers and their health-care providers in deciding the vaccines, medications, and other measures necessary to prevent illness and injury during international travel.
Tribal Solid Waste Information on issues relating to solid waste where you live, links to grants and funding, education, case studies, and publications.
Infection Control (Healthcare) The Association for Professionals in Infection Control and Epidemiology’s mission is to create a safer world through the prevention of infection and embrace this bold direction through patient safety, implementation science, competencies and certification, advocacy, and data standardization.
Quarantine This site provides information to reduce morbidity and mortality among immigrants, refugees, travelers, expatriates, and other globally mobile populations, and to prevent the introduction, transmission, and spread of communicable diseases through regulation, science, research, preparedness, and response.
Food Issues (other than retail) This site provides a wide range of information on food safety.
Nuclear Emergency Response Information on radiation topics, waste management programs, emergency response, naturally occurring radiation, cleanup, and risk assessment. Links on topic specific information and reference material are provided. Information is organized by interest group (students/teachers, Librarians, Reporters, General Public, and Technical Users).
National Fire Protection Association The world's leading advocate of fire prevention and an authoritative source on public safety, NFPA develops, publishes, and disseminates more than 300 consensus codes and standards intended to minimize the possibility and effects of fire and other risks.
American Society for Healthcare Engineering This site includes a learning resources on optimizing the health care physical environment with links to a resource library, a database of members, a learning center and conferences, publications, and tools such as templates and checklists for those interested in improving health and safety in the healthcare environment.
American National Standards Institute Links to standards for accreditation services, consumer and government affairs, meetings, events, education and training. This site also includes a library and internet resources

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4. Mobilize partnerships to identify and solve environmental health problems.

Indigenous Environmental Network (IEN) IEN is an alliance of Indigenous Peoples protecting the sacredness of Mother Earth and building sustainable communities. An entity known for mobilizing community efforts.
Mobilizing for Action through Planning and Partnerships (MAPP) MAPP is a community-wide strategic planning tool for improving community health. Facilitated by public health leadership, this tool helps communities prioritize public health issues and identify resources for addressing them. Developed by National Association of County and City Health Officials (NACCHO)and CDC.
Protocol for Assessing Community Excellence in Environmental Health (PACE EH) PACE EH offers local heath officials guidance in conducting a community-based environmental health assessment and creating an accurate and verifiable profile of the community's environmental health status. Developed by NACCHO.
The Community Toolbox The Community Tool Box is a global resource for free information on essential skills for building healthy communities. It offers more than 7,000 pages of practical guidance in creating change and improvement.
Community Readiness Provides the Community Readiness Model which was developed at the Tri-Ethnic Center to assess how ready a community is to address an issue. The basic premise is that matching an intervention to a community’s level of readiness is absolutely essential for success. Efforts that are too ambitious are likely to fail because community members will not be ready or able to respond. To maximize chances for success, the Community Readiness Model offers tools to measure readiness and to develop stage-appropriate strategies.

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5. Develop policies and plans that support individual and community environmental health efforts.

American Indian Environmental Office (AIEO), EPA The AIEO coordinates an effort throughout the Environmental Protection Agency to strengthen public health and environmental protection in Indian Country with an emphasis on building Tribal capacity to administer their own environmental programs. Site may serve as a starting point for Tribes interested in regulatory development.
EPA's Main Environmental Regulation and Guidance Site Access to major laws, proposed changes, Code of Federal Regulations, and non-binding guidance documents that influence tribal policies and protection efforts.
Laws and Regulations, AIEO, EPA The American Indian Environmental Office's (AIEO) website of Law, Regulation and Guidance for tribal communities. Site may provide model language for code development of interest to tribes building enforcement capabilities.
National Tribal Environmental Council (NTEC) NTEC was formed in 1991 as a membership organization dedicated to working with and assisting Tribes in the protection and preservation of the reservation environment.
Occupational Safety & Health Administration (OSHA) Easy to use site for current OSHA standards and compliance-related information, which may assist Tribes in code development.
FDA Food Defense and Emergency Response FDA works with other government agencies and private sector organizations to help reduce the risk of tampering or other malicious, criminal, or terrorist actions on the food and cosmetic supply.
EPA's Tribal Office The American Indian Environmental Office's (AIEO) website of Law, Regulation and Guidance for tribal communities. Site may provide model language for code development of interest to tribes building enforcement capabilities.
National Indian Justice Center The National Indian Justice Center is a comprehensive Web site dedicated to tribal justice systems, personnel and tribal law. The resource center is a national clearinghouse of information for Native American and Alaska Native tribal courts, providing both technical assistance and resources for the development and enhancement of tribal justice system personnel.

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Assurance:

6. Support laws and regulations that protect health and ensure safety.

Food and Drug Administration (FDA) FDA is responsible for ensuring the compliance of the regulated community with Federal statutes,which may include environment-related matters.
Occupational Safety & Health Administration (OSHA) OSHA is responsible for ensuring the compliance of the regulated community with Federal environmental statutes on tribal lands in the absence of a tribal occupational safety and health program.
Office of Enforcement & Compliance Assurance (OECA), EPA OECA is responsible for ensuring the compliance of the regulated community with Federal environmental statutes on tribal lands in the absence of a tribal environmental enforcement program.
Government Printing Office index of environmental protection CFRs This site provides links to 40 Code of Federal Regulations (CFR) which is the codification of the general and permanent rules published in the Federal Register by the Environmental Protection Agency.
CHEMICAL SUBSTANCES TLVs® 2002 NOTICE OF CHANGES Provides information on the notice of changes to Threshold Limit Values (TLVs). Links to policy statements, position statements, development process documents and operations manuals.
Americans with Disabilities Act Information and technical assistance on the Americans with Disabilities Act.
EPA's Main Environmental Regulation and Guidance Site Access to major laws, proposed changes, Code of Federal Regulations, and non-binding guidance documents that influence tribal policies and protection efforts.

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7. Link people to needed environmental health services and assure the provision of environmental health services when otherwise unavailable.

American Indian Environmental Office, U.S. Environmental Protection Agency The AIEO coordinates various activities within the EPA and Tribes to strengthen public health and environmental protection in Indian Country with an emphasis on building Tribal capacity so Tribes may administer their own environmental programs. Site may serve as a starting point for Tribes interested in networking.
Regional Tribal Contacts, AIEO, EPA This listing, maintained by EPA's American Indian Environmental Office, includes mailing addresses, telephone/fax and email contact information, and links to regional tribal program websites.
Environmental Protection Departments by Tribe A list of Federally-recognized Tribes. Information on where each Tribe is located, and if available a link to their website.
National Tribal Environmental Council (NTEC) NTEC was formed in 1991 as a membership organization dedicated to working with and assisting Tribes in the protection and preservation of the reservation environment. Site may serve as an avenue for Tribes to network and assure provisions of environmental health are met.
Office of Tribal Affairs, ATSDR The Agency for Toxic Substances and Disease Registry (ATSDR) recently established the Office of Tribal Affairs (OTA) in response to tribal requests. The OTA will assist with tribal-specific environmental health needs resulting from exposure to hazardous waste sites and pollution, when such services are otherwise not available.
Disaster Help: Multiple Government Agency Partner Site DisasterAssistance.gov provides information on how you might be able to get help from the U.S. Government before, during and after a disaster.
Environmental Defense Fund Guided by science and economics, they find practical and lasting solutions to the most serious environmental problems. Links to topic specific environmental issues, policy guidance, partners and resources.

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8. Assure a competent environmental health workforce.

National Public Health Training Centers Network Distance Learning for the Public Health Workforce - In addition to distance learning programs at schools of public health, there are a number of state and regional leadership programs. These programs, funded by the CDC, Public Health Practice Program Office, were formed through academic and practice collaborations among schools of public health and state public health departments. Many of these programs utilize distance learning technologies.
Center for Health Leadership A global network and learning community of reflective health leaders committed to improving and sustaining the health of their communities, nations and the planet; to the transformation of organizations and the development of health systems that are community and culturally relevant in achieving this goal; and to the identification and nurturing of the next generation of health leaders.
Competency Framework Maintained by the Public Health Foundation and sponsored by numerous agencies, this site provides information to assess and meet the development needs of the public health workforce, while further advancing state-of-the-art distance learning and strengthening of public health competencies.
Environmental health non-technical competencies for the workforce. Provides broadly accepted guidelines and recommendations to local public health leaders on the core non-technical competencies needed by local environmental health practitioners working in local health departments, to strengthen their capacities to anticipate, recognize, and respond to environmental health challenges.
Environmental Health Support Center (EHSC) The Environmental Health Support Center (EHSC) of the IHS provides training and technical support to the Indian Health Service's Office of Environmental Engineering programs. Located in Albuquerque, New Mexico, EHSC provides services on a national basis to all twelve Indian Health Service Areas and to Tribal and Alaska Native groups.
IHS Training List Excellent list of courses offered to IHS personnel and Tribes.
National Environmental Health Association (NEHA) Site provides access to the association's seven national credentialing programs (the Registered Environmental Health Specialist/Registered Sanitarian (REHS/RS), the Certified Environmental Health Technician (CEHT), the Registered Hazardous Substances Professional (RHSP), the Registered Hazardous Substances Specialist (RHSS), the Registered Environmental Technician (RET), the Certified Food Safety Professional (CFSP), the NEHA Radon Proficiency Program).NEHA also offers web-based training courses.
CDC Learning Connection Site provides a national learning network to access public health learning products.
Supercourse - Epidemiology, the internet, and global health Supercourse is a global repository of lectures on public health and prevention targeting educators across the world. Supercourse has a network of over 56000 scientists in 174 countries who are sharing for free a library of over 5100 lectures.
The Institute for Tribal Environmental Professionals (ITEP) ITEP is an organization that provides assistance to Indian tribes through education, training, information services, intergovernmental relations, and environmental program development. Established in 1992 with a vision to assist Indian Tribes in the management of their environmental resources through effective training and education programs.
Training Finder Maintained by the Public Health Foundation and sponsored by numerous agencies, this site provides information to assess and meet the development needs of the public health workforce, while further advancing state-of-the-art distance learning and strengthening of public health competencies.
Northwest Center for Public Health Practice (NWCPHP) This NWCPHP site offers training courses and exercises for practice-based continuing education including short- and long-term courses and exercises in both on-site and distance learning formats
Food Training for EHS Staff An online resource for food safety training for federal staff.
The International Board for Certification of Safety Managers The International Board for Certification of Safety Managers, also known as BCHCM, was established in 1976 as a not-for-profit independent credentialing organization. The Board operates as an independent professional credentialing organization that is not affiliated with any other membership group, association, or lobbying body. The Board exists solely for the purpose of issuing individual certifications to qualified candidates.
Board of Certified Safety Professionals A peer certification board with the purpose to certify practitioners in the safety profession. Safety professionals identify hazards and evaluate them for the potential to cause injury or illness to people or harm of property and the environment.
American Board of Industrial Hygiene ABIH is responsible for ensuring high-quality certification application and examination processes, certification maintenance and ethics governance and enforcement.
NEHA Innovative Environmental Public Health Workforce Practices This site recognizes, collects and disseminates innovative practices building the nation’s capacity to recruit, train, and strengthen the Environmental Public Health Workforce.

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9. Evaluate effectiveness, accessibility, and quality of personal and population-based environmental health services.

CDC National Public Health Performance Standards Program (NPHPSP) A surveillance instrument and a rapid assessment tool to provide local, state, and federal public health officials with a snapshot of local public health capacity and performance. Standards are also relevant to environmental health capacity and instruments can be adapted for tribal use.
Public Health Accreditation Board (PHAB) The PHAV provides documents and guides on accreditation, standards, and measures for Tribal, state, local and territorial public health departments.
Environmental Public Health Performance Standards (EnvPHPS) The EnvPHPS are a set of standards that describe the optimal performance and capacity for environmental public health systems and programs.

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10. Research for new insights and innovative solutions to environmental health and protection problems.

An evaluation process is planned and implemented that identifies the strengths, weaknesses and gaps with the goal of improving public health in the community.

EPA's Innovations Project Site provides update of EPA's integrative regulatory approaches, which emphasize voluntary actions that encourage environmental stewardship, plus links to innovative programs managed by EPA Regional offices.
EPA's Research and Development Updates pertaining to latest research activities and information of available grants in this area.
National Network of Public Health Institutes The National Network of Public Health Institutes (NNPHI) is a national membership network with the mission of promoting multisector activities resulting in measurable improvements of public health structures, systems, and outcomes. NNPHI is dedicated to the vision of improving public health through innovation and serves over 30 public health institutes around the nation, as well as a growing number of emerging institutes.
NACCHO Model Practice Database Online searchable data base of model and promising practices public health practices.
American Journal of Infection Control Searchable Journals Online searchable journal index.
EPA Indoor Air Quality Scientific Findings Resource Bank Summarizes information for people who are interested in linkages between indoor air quality and their health and/or work performance in either the school- or office-type environment.
EPA Tribal Environmental Health Research Program This website provides current information on past and present research initiatives focusing on tribal research funded by National Center for Environmental Research (NCER).
Biologics Evaluation & Research FDA Information on compliance and regulatory information, science and research, news and events, and resources for consumers, health professionals and industry.
National Pest Management Association This site serves as a comprehensive resource for consumers, media, educators and pest control professionals.
Medline MEDLINE contains journal citations and abstracts for biomedical literature from around the world. PubMed provides free access to MEDLINE and links to full text articles when possible.
Medscape News, references and educational materials on public health and prevention topics.
University of New Mexico Health Sciences Library and Informatics Center Special Collection - Larry J. Gordon Papers. This website provides access to a special collection of papers, presentations and publications from a national leader in Environmental Health.

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