Agency for Toxic Substances and Disease Registry: Difference between revisions

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{{Organization
|OrganizationName=Agency for Toxic Substances and Disease Registry
|OrganizationType=Independent Agencies
|Mission=ATSDR serves the public by using the best science, taking responsive public health actions, and providing trusted health information to prevent harmful exposures and diseases related to toxic substances. It aims to protect communities from adverse health effects due to exposure to hazardous substances.
|ParentOrganization=Centers for Disease Control and Prevention
|TopOrganization=Department of Health and Human Services
|CreationLegislation=Comprehensive Environmental Response, Compensation, and Liability Act (CERCLA) of 1980
|Employees=400
|Budget=$120 million (Fiscal Year 2021)
|OrganizationExecutive=Director
|Services=Public Health Assessments; Health Consultations; Exposure Investigations; Toxicological Profiles
|HeadquartersLocation=33.88026, -84.2937
|HeadquartersAddress=4770 Buford Hwy NE, Atlanta, GA 30341
|Website=https://www.atsdr.cdc.gov/
}}
{{Short description|US federal agency}}
{{Short description|US federal agency}}
{{Use mdy dates| date=April 2012}}
{{Use mdy dates| date=April 2012}}
{{Infobox government agency
{{Infobox government agency
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The ATSDR is formally and administratively overseen by the Director of the [[Centers for Disease Control and Prevention]] (CDC),<ref name=ATSDR22PG4/> currently [[Mandy Cohen]] since July 10, 2023<ref>{{Cite web|date=2023-07-10|title=Director|url=https://www.cdc.gov/about/leadership/director.htm|access-date=2023-07-10|website=Centers for Disease Control and Prevention|language=en}}</ref> Direction is provided by ATSDR's Director, currently Patrick N. Breysse,<ref name=ATSDR22PG4/> who ranks below the Administrator, and ATSDR's Associate Director, currently Christopher M. Reh.<ref name=Reh/>
The ATSDR is formally and administratively overseen by the Director of the [[Centers for Disease Control and Prevention]] (CDC),<ref name=ATSDR22PG4/> currently [[Mandy Cohen]] since July 10, 2023<ref>{{Cite web|date=2023-07-10|title=Director|url=https://www.cdc.gov/about/leadership/director.htm|access-date=2023-07-10|website=Centers for Disease Control and Prevention|language=en}}</ref> Direction is provided by ATSDR's Director, currently Patrick N. Breysse,<ref name=ATSDR22PG4/> who ranks below the Administrator, and ATSDR's Associate Director, currently Christopher M. Reh.<ref name=Reh/>


§==Overview==
==Overview==
ATSDR is an agency within the [[US Department of Health and Human Services]] concerned with the effects of hazardous substances on human health. ATSDR is charged with assessing the presence and nature of health hazards at specific Superfund sites, as well as helping prevent or reduce further exposure and the illnesses that can result from such exposures.<ref name=background/> ATSDR is an oversight agency created to ensure that public health protection and environmental regulation work hand in hand.
ATSDR is an agency within the [[US Department of Health and Human Services]] concerned with the effects of hazardous substances on human health. ATSDR is charged with assessing the presence and nature of health hazards at specific Superfund sites, as well as helping prevent or reduce further exposure and the illnesses that can result from such exposures.<ref name=background/> ATSDR is an oversight agency created to ensure that public health protection and environmental regulation work hand in hand.


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* Office of the Administrator (also [[Centers for Disease Control and Prevention|CDC]] Director)<ref name=OrgChart1>{{cite web |url=https://www.atsdr.cdc.gov/about/orgstruct.html |title=ATSDR Organizational Summary |website=atsdr.cdc.gov |publisher=[[Centers for Disease Control and Prevention]] |access-date=July 21, 2021}}</ref>
* Office of the Administrator (also [[Centers for Disease Control and Prevention|CDC]] Director)<ref name=OrgChart1>{{cite web |url=https://www.atsdr.cdc.gov/about/orgstruct.html |title=ATSDR Organizational Summary |website=atsdr.cdc.gov |publisher=[[Centers for Disease Control and Prevention]] |access-date=July 21, 2021}}</ref>
* Office of the Director (also NCEH (National Center for Environmental Health) head)<ref name=OrgChart1/>
* Office of the Director (also NCEH (National Center for Environmental Health) head)<ref name=OrgChart1/>
** Office of Communications
Office of Communications
** Office of Science
Office of Science
** Office of Management and Analytics
Office of Management and Analytics
** Office of Policy, Partnerships, and Planning
Office of Policy, Partnerships, and Planning
* Office of the Associate Director<ref name=OrgChart1/>
* Office of the Associate Director<ref name=OrgChart1/>
** Office of Innovation and Analytics (OIA)
Office of Innovation and Analytics (OIA)
** Office of Community Health Hazard Assessment (OCHHA)
Office of Community Health Hazard Assessment (OCHHA)
** Office of Capacity Development and Applied Prevention Science (OCDAPS)
Office of Capacity Development and Applied Prevention Science (OCDAPS)


The Office of the Director (of ASTDR) is joint with that of NCEH; it also contains seven functional units, five offices, five program-specific divisions to support and implement six program areas:<ref name=OrgChart1/>
The Office of the Director (of ASTDR) is joint with that of NCEH; it also contains seven functional units, five offices, five program-specific divisions to support and implement six program areas:<ref name=OrgChart1/>
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:* Boston ('''Region 1''': Connecticut, Maine, Massachusetts, New Hampshire, Rhode Island, Vermont)
:* Boston ('''Region 1''': Connecticut, Maine, Massachusetts, New Hampshire, Rhode Island, Vermont)
:* New York and [[Edison, New Jersey]] ('''Region 2''': New Jersey, New York, [[Puerto Rico]], [[U.S. Virgin Islands]])
:* New York and [[Edison, New Jersey]] ('''Region 2''': New Jersey, New York, [[Puerto Rico]], [[U.S. Virgin Islands]])
:* [[Philadelphia]] ('''Region 3''': Delaware, District of Columbia, Maryland, Pennsylvania, Virginia, West Virginia)
:* Philadelphia ('''Region 3''': Delaware, District of Columbia, Maryland, Pennsylvania, Virginia, West Virginia)
:* Atlanta ('''Region 4''': Alabama, Florida, Georgia, Kentucky, Mississippi, North Carolina, South Carolina, Tennessee)
:* Atlanta ('''Region 4''': Alabama, Florida, Georgia, Kentucky, Mississippi, North Carolina, South Carolina, Tennessee)
:* Chicago ('''Region 5''': Illinois, Indiana, Michigan, Minnesota, Ohio, Wisconsin)
:* Chicago ('''Region 5''': Illinois, Indiana, Michigan, Minnesota, Ohio, Wisconsin)
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:* [[Denver]] and [[Helena, Montana]] ('''Region 8''': Colorado, Montana, North Dakota, South Dakota, Utah, Wyoming)
:* [[Denver]] and [[Helena, Montana]] ('''Region 8''': Colorado, Montana, North Dakota, South Dakota, Utah, Wyoming)
:* San Francisco ('''Region 9''': [[American Samoa]], Arizona, California, [[Guam]], Hawaii, Nevada, [[Northern Mariana Islands]], [[Trust Territory of the Pacific Islands|Trust Territories]])
:* San Francisco ('''Region 9''': [[American Samoa]], Arizona, California, [[Guam]], Hawaii, Nevada, [[Northern Mariana Islands]], [[Trust Territory of the Pacific Islands|Trust Territories]])
:* [[Seattle]] and [[Anchorage, Alaska]] ('''Region 10''': Alaska, Idaho, Oregon, Washington)<ref name=DROcontact>{{cite web|url=http://www.atsdr.cdc.gov/DRO/dro_contact.html |author =Agency for Toxic Substances and Disease Registry |title=Division of Regional Operations: Regional Operations Contact Information | date=May 13, 2010}}</ref>
:* Seattle and [[Anchorage, Alaska]] ('''Region 10''': Alaska, Idaho, Oregon, Washington)<ref name=DROcontact>{{cite web|url=http://www.atsdr.cdc.gov/DRO/dro_contact.html |author =Agency for Toxic Substances and Disease Registry |title=Division of Regional Operations: Regional Operations Contact Information | date=May 13, 2010}}</ref>
The regional offices work cooperatively with EPA, state and local health departments, health professionals, community groups, and other partners to implement programs and initiatives.<ref name=DRO/>
The regional offices work cooperatively with EPA, state and local health departments, health professionals, community groups, and other partners to implement programs and initiatives.<ref name=DRO/>


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====World Trade Center Health Registry====
====World Trade Center Health Registry====
The World Trade Center Health Registry was established in 2002 by ATSDR and the [[New York City Department of Health and Mental Hygiene]] to track the long-term [[health effects arising from the September 11 attacks|physical and mental health effects]] of the [[September 11 attacks]]. The registry contains more than 71,000 people who lived, worked, or went to school near the World Trade Center site, as well as emergency response personnel who were involved in rescue and recovery efforts. It is the largest post-disaster health registry in the United States. Researchers use the registry to study the health effects of the disaster and to develop public health recommendations for future disasters.<ref name="surveillance"/><ref name=wtc>{{Cite book|url=http://www.nyc.gov/html/doh/wtc/downloads/pdf/registry/WTC_AnnualReport.pdf |author =World Trade Center Health Registry |editor=June Schwartz |title=World Trade Center Health Registry 2009 Report and Findings |year=2009 }}</ref> A 2009 study based on registry data found that [[posttraumatic stress disorder]] and [[asthma]] were the two most commonly reported conditions among registry participants 5 to 6 years after the disaster. The study found that 19% of adult participants reported new posttraumatic stress symptoms, and 10% of adult participants reported developing new asthma.<ref name=wtcfindings>{{Cite journal|title= Asthma and Posttraumatic Stress Symptoms 5 to 6 Years Following Exposure to the World Trade Center Terrorist Attack |author1=Robert M. Brackbill |author2=James L. Hadler |author3=Laura DiGrande |author4=Christine C. Ekenga |author5=Mark R. Farfel |author6=Stephen Friedman |author7=Sharon E. Perlman |author8=Steven D. Stellman |author9=Deborah J. Walker |author10=David Wu |author11=Shengchao Yu |author12=Lorna E. Thorpe |journal=[[Journal of the American Medical Association|JAMA: The Journal of the American Medical Association]] |volume=302 |issue=5 | date=August 5, 2009 |pmid= 19654385 |pages=502–516 |doi= 10.1001/jama.2009.1121|s2cid=22124694 }}</ref>
The World Trade Center Health Registry was established in 2002 by ATSDR and the [[New York City Department of Health and Mental Hygiene]] to track the long-term [[health effects arising from the September 11 attacks|physical and mental health effects]] of the September 11 attacks. The registry contains more than 71,000 people who lived, worked, or went to school near the World Trade Center site, as well as emergency response personnel who were involved in rescue and recovery efforts. It is the largest post-disaster health registry in the United States. Researchers use the registry to study the health effects of the disaster and to develop public health recommendations for future disasters.<ref name="surveillance"/><ref name=wtc>{{Cite book|url=http://www.nyc.gov/html/doh/wtc/downloads/pdf/registry/WTC_AnnualReport.pdf |author =World Trade Center Health Registry |editor=June Schwartz |title=World Trade Center Health Registry 2009 Report and Findings |year=2009 }}</ref> A 2009 study based on registry data found that [[posttraumatic stress disorder]] and [[asthma]] were the two most commonly reported conditions among registry participants 5 to 6 years after the disaster. The study found that 19% of adult participants reported new posttraumatic stress symptoms, and 10% of adult participants reported developing new asthma.<ref name=wtcfindings>{{Cite journal|title= Asthma and Posttraumatic Stress Symptoms 5 to 6 Years Following Exposure to the World Trade Center Terrorist Attack |author1=Robert M. Brackbill |author2=James L. Hadler |author3=Laura DiGrande |author4=Christine C. Ekenga |author5=Mark R. Farfel |author6=Stephen Friedman |author7=Sharon E. Perlman |author8=Steven D. Stellman |author9=Deborah J. Walker |author10=David Wu |author11=Shengchao Yu |author12=Lorna E. Thorpe |journal=[[Journal of the American Medical Association|JAMA: The Journal of the American Medical Association]] |volume=302 |issue=5 | date=August 5, 2009 |pmid= 19654385 |pages=502–516 |doi= 10.1001/jama.2009.1121|s2cid=22124694 }}</ref>
[[File:ATSDR National ALS Registry 2021 graphic.jpg|thumb|A 2021 promotional image for the ATSDR National ALS Registry]]
[[File:ATSDR National ALS Registry 2021 graphic.jpg|thumb|A 2021 promotional image for the ATSDR National ALS Registry]]


====ALS Registry====
====ALS Registry====
ATSDR is starting a new registry for people with [[amyotrophic lateral sclerosis]] (also known as ALS or Lou Gehrig's Disease). President [[George W. Bush]] signed the ALS Registry Act, which provided for establishment of the registry, on October 8, 2008.<ref name=ALSact>{{Cite news |url=http://www.alsa.org/news/article.cfm?id=1365 |title=ALS Registry Act Signed by President |newspaper=ALS Association |date=October 10, 2008 |access-date=September 16, 2010 |archive-url=https://web.archive.org/web/20110223211937/http://www.alsa.org/news/article.cfm?id=1365 |archive-date=February 23, 2011 |url-status=dead }}</ref> It is hoped that the registry will provide information on the prevalence of ALS and lead to a better understanding of factors that may be associated with the disease.<ref name=ALSfaq>{{cite web|url=http://wwwn.cdc.gov/ALS/ALSFAQ.aspx |title=Amyotrophic Lateral Sclerosis: Frequently Asked Questions |author =Agency for Toxic Substances and Disease Control | date=October 8, 2009}}</ref> The agency began registering people for the registry on October 20, 2010.<ref name=ALSlaunch>{{Cite news|url=https://www.latimes.com/archives/la-xpm-2010-oct-22-la-heb-als-20101021-story.html |title=New registry for ALS patients collects data in hopes of discovering disease's cause |newspaper=Los Angeles Times |author =Mary Forgione | date=October 22, 2010}}</ref>
ATSDR is starting a new registry for people with [[amyotrophic lateral sclerosis]] (also known as ALS or Lou Gehrig's Disease). President George W. Bush signed the ALS Registry Act, which provided for establishment of the registry, on October 8, 2008.<ref name=ALSact>{{Cite news |url=http://www.alsa.org/news/article.cfm?id=1365 |title=ALS Registry Act Signed by President |newspaper=ALS Association |date=October 10, 2008 |access-date=September 16, 2010 |archive-url=https://web.archive.org/web/20110223211937/http://www.alsa.org/news/article.cfm?id=1365 |archive-date=February 23, 2011 |url-status=dead }}</ref> It is hoped that the registry will provide information on the prevalence of ALS and lead to a better understanding of factors that may be associated with the disease.<ref name=ALSfaq>{{cite web|url=http://wwwn.cdc.gov/ALS/ALSFAQ.aspx |title=Amyotrophic Lateral Sclerosis: Frequently Asked Questions |author =Agency for Toxic Substances and Disease Control | date=October 8, 2009}}</ref> The agency began registering people for the registry on October 20, 2010.<ref name=ALSlaunch>{{Cite news|url=https://www.latimes.com/archives/la-xpm-2010-oct-22-la-heb-als-20101021-story.html |title=New registry for ALS patients collects data in hopes of discovering disease's cause |newspaper=Los Angeles Times |author =Mary Forgione | date=October 22, 2010}}</ref>


===Surveillance===
===Surveillance===
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===Emergency response===
===Emergency response===
ATSDR represents the Department of Health and Human Services on the [[National Response Center|National Response Team]] and works with other agencies to provide technical assistance during emergencies involving hazardous substances, such as chemical spills. In July 2007, for example, ATSDR responded to the [[Verdigris River]] flood in [[Coffeyville, Kansas]], after an oil refinery spilled crude oil into the floodwaters, contaminating many homes in the city. ATSDR worked with EPA and state and local authorities to provide health information to local residents and advised those agencies during the clean-up process.<ref name=coffeyville>{{cite web|url=http://www.epa.gov/oem/docs/oil/fss/fss09/casteel.pdf |title=It Isn't Over When the Rains Stop: Partnering to Protect Public Health in the Coffeyville, KS Flood and Oil Spill Response |author =Sue Casteel }}</ref><ref name=safeguarding19>{{Cite book|url=http://www.atsdr.cdc.gov/docs/APHA-ATSDR_book.pdf |title=Safeguarding Communities from Chemical Exposures |author =Agency for Toxic Substances and Disease Registry |page=19 }}</ref> ATSDR also assists with responding to terrorism incidents, which have included the [[September 11 attacks]] and the [[2001 anthrax attacks]].<ref name=terrorism>{{cite web|url=http://www.atsdr.cdc.gov/terrorism/terrorism-response.html |title=ATSDR's Role in the Response to Terrorism |author=Agency for Toxic Substances and Disease Registry | date=April 23, 2002 |archive-url=https://web.archive.org/web/20080224061202/http://www.atsdr.cdc.gov/terrorism/terrorism-response.html |archive-date=February 24, 2008 |url-status=dead }}</ref> ATSDR responded to 132 chemical emergency events in 2008.<ref name=safeguarding9>{{Cite book|url=http://www.atsdr.cdc.gov/docs/APHA-ATSDR_book.pdf |title=Safeguarding Communities from Chemical Exposures |author =Agency for Toxic Substances and Disease Registry |page=9 }}</ref>
ATSDR represents the Department of Health and Human Services on the [[National Response Center|National Response Team]] and works with other agencies to provide technical assistance during emergencies involving hazardous substances, such as chemical spills. In July 2007, for example, ATSDR responded to the [[Verdigris River]] flood in [[Coffeyville, Kansas]], after an oil refinery spilled crude oil into the floodwaters, contaminating many homes in the city. ATSDR worked with EPA and state and local authorities to provide health information to local residents and advised those agencies during the clean-up process.<ref name=coffeyville>{{cite web|url=http://www.epa.gov/oem/docs/oil/fss/fss09/casteel.pdf |title=It Isn't Over When the Rains Stop: Partnering to Protect Public Health in the Coffeyville, KS Flood and Oil Spill Response |author =Sue Casteel }}</ref><ref name=safeguarding19>{{Cite book|url=http://www.atsdr.cdc.gov/docs/APHA-ATSDR_book.pdf |title=Safeguarding Communities from Chemical Exposures |author =Agency for Toxic Substances and Disease Registry |page=19 }}</ref> ATSDR also assists with responding to terrorism incidents, which have included the September 11 attacks and the [[2001 anthrax attacks]].<ref name=terrorism>{{cite web|url=http://www.atsdr.cdc.gov/terrorism/terrorism-response.html |title=ATSDR's Role in the Response to Terrorism |author=Agency for Toxic Substances and Disease Registry | date=April 23, 2002 |archive-url=https://web.archive.org/web/20080224061202/http://www.atsdr.cdc.gov/terrorism/terrorism-response.html |archive-date=February 24, 2008 |url-status=dead }}</ref> ATSDR responded to 132 chemical emergency events in 2008.<ref name=safeguarding9>{{Cite book|url=http://www.atsdr.cdc.gov/docs/APHA-ATSDR_book.pdf |title=Safeguarding Communities from Chemical Exposures |author =Agency for Toxic Substances and Disease Registry |page=9 }}</ref>


In addition to working with communities and other agencies in the aftermath of chemical emergencies, ATSDR has developed the Managing Hazardous Materials Incidents series, which includes several tools to assist [[emergency medical services]] personnel and hospital emergency departments during chemical emergencies. This includes important information on emergency planning, emergency response, and [[personal protective equipment|rescuer protection]]. Another tool is the Medical Management Guidelines, which summarize important information on exposure to common chemicals and provide suggestions for safely treating and decontaminating patients.<ref name=mhmi>{{cite web|url=http://www.atsdr.cdc.gov/MHMI/index.asp |archive-url=https://archive.today/20121213010541/http://www.atsdr.cdc.gov/MHMI/index.asp |url-status=dead |archive-date=December 13, 2012 |title=Managing Hazardous Materials Incidents |author =Agency for Toxic Substances and Disease Registry | date=March 1, 2010}}</ref>
In addition to working with communities and other agencies in the aftermath of chemical emergencies, ATSDR has developed the Managing Hazardous Materials Incidents series, which includes several tools to assist [[emergency medical services]] personnel and hospital emergency departments during chemical emergencies. This includes important information on emergency planning, emergency response, and [[personal protective equipment|rescuer protection]]. Another tool is the Medical Management Guidelines, which summarize important information on exposure to common chemicals and provide suggestions for safely treating and decontaminating patients.<ref name=mhmi>{{cite web|url=http://www.atsdr.cdc.gov/MHMI/index.asp |archive-url=https://archive.today/20121213010541/http://www.atsdr.cdc.gov/MHMI/index.asp |url-status=dead |archive-date=December 13, 2012 |title=Managing Hazardous Materials Incidents |author =Agency for Toxic Substances and Disease Registry | date=March 1, 2010}}</ref>
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=== West Lake Landfill, Missouri ===
=== West Lake Landfill, Missouri ===
In 2015, ATSDR released a report, based on [[EPA]] data, declaring no health risk to communities near [[West Lake Landfill]]. The agency's assessment contradicted findings from scientific investigations initiated by the Missouri attorney general and affected residents, who started organizing in 2012 when an underground fire in the landfill raised awareness of radioactive material and high rates of childhood cancer. [[Republic Services]], one of the parties responsible for the landfill, has cited the report to argue against the removal of toxic waste.<ref name=":0">{{Cite news |last=Dowdell |first=Jaimi |last2=Pell |first2=M.B. |last3=Lesser |first3=Benjamin |last4=Conlin |first4=Michelle |last5=Quinton |first5=Pheobe |last6=Cunningham |first6=Waylon |date=August 7, 2024 |title=How a US health agency became a shield for polluters |url=https://www.reuters.com/investigates/special-report/usa-pollution-atsdr-landfill/ |work=[[Reuters]]}}</ref>
In 2015, ATSDR released a report, based on [[EPA]] data, declaring no health risk to communities near [[West Lake Landfill]]. The agency's assessment contradicted findings from scientific investigations initiated by the Missouri attorney general and affected residents, who started organizing in 2012 when an underground fire in the landfill raised awareness of radioactive material and high rates of childhood cancer. [[Republic Services]], one of the parties responsible for the landfill, has cited the report to argue against the removal of toxic waste.<ref name=":0">{{Cite news |last=Dowdell |first=Jaimi |last2=Pell |first2=M.B. |last3=Lesser |first3=Benjamin |last4=Conlin |first4=Michelle |last5=Quinton |first5=Pheobe |last6=Cunningham |first6=Waylon |date=August 7, 2024 |title=How a US health agency became a shield for polluters |url=https://www.reuters.com/investigates/special-report/usa-pollution-atsdr-landfill/ |work=Reuters}}</ref>


==See also==
==See also==