Table of Contents

1 Front Matter; 2 Executive Summary; 3 1 Introduction; 4 2 Curriculum Content; 5 3 Implementation Strategies; 6 4 Changing Medical Education; 7 5 Concluding Remarks; 8 References; 9 Appendixes; 10 A: Taking an Exposure History; 11 B: Medical School Courses and Clerkships: Access Points for Integrating Environmental Medicine; 12 C: Case Studies in Environmental Medicine; 13 Case Study 1: Arsenic Toxicity; 14 Case Study 2: Seasonal Arsenic Exposure from Burning Chromium-Copper-Arsenate-Treated Wood; 15 Case Study 3: Asbestos Toxicity; 16 Case Study 4: Benzene Toxicity; 17 Case Study 5: Beryllium Toxicity; 18 Case Study 6: Cadmium Toxicity; 19 Case Study 7: Fetal Death Due to Nonlethal Maternal Carbon Monoxide Poisoning; 20 Case Study 8: Carbon Tetrachloride Toxicity; 21 Case Study 9: Chlordane Toxicity; 22 Case Study 10: Chronic Reactive Airway Disease Following Acute Chlorine Gas Exposure in an Asymptomatic Atopic Patient; 23 Case Study 11: Chromium Toxicity; 24 Case Study 12: Cyanide Toxicity; 25 Case Study 13: Dioxin Toxicity; 26 Case Study 14: Ethylene/Propylene Glycol Toxicity; 27 Case Study 15: Formalin Asthma in Hospital Staff; 28 Case Study 16: Gasoline Toxicity; 29 Case Study 17: Hantavirus Pulmonary Syndrome: A Clinical Description of 17 Patients with a Newly Recognized Disease; 30 Case Study 18: Lead Poisoning from Mobilization of Bone Stores During Thyrotoxicosis; 31 Case Study 19: Lead Toxicity; 32 Case Study 20: Legionaires' Disease: Description of an Epidemic of Pneumonia; 33 Case Study 21: Mercury in House Paint as a Cause of Acrodynia: Effect of Therapy with N-Acetyl-D, L-Penixillamine; 34 Case Study 22: Mercury Toxicity; 35 Case Study 23: Methanol Toxicity; 36 Case Study 24: Methylene Chloride Toxicity; 37 Case Study 25: Paint Remover Hazard; 38 Case Study 26: Fatal Outcome of Methemoglobinemia in an Infant; 39 Case Study 27: Nitrate/Nitrite Toxicity; 40 Case Study 28: An Outbreak of Nitrogen Dioxide-Induced Respiratory Illness Among Ice Hockey Players; 41 Case Study 29: Pentachlorophenol Toxicity; 42 Case Study 30: Aldicarb Poisoning: A Case Report with Prolonged Cholinesterase Inhibition and Improvement After Pralidoxime Therapy; 43 Case Study 31: Cholinesterase-Inhibiting Pesticide Toxicity; 44 Case Study 32: Infertility in Male Pesticide Workers; 45 Case Study 33: Pesticide Food Poisoning from Contaminated Watermelons in California, 1985; 46 Case Study 34: Poisoning of an Urban Family Due to Misapplication of Household Organophosphate and Carbamate Pesticides; 47 Case Study 35: Polynuclear Aromatic Hydrocarbon (PAH) Toxicity; 48 Case Study 36: Polychlorinated Biphenyl (PCB) Toxicity; 49 Case Study 37: Ionizing Radiation; 50 Case Study 38: Radon Toxicity; 51 Case Study 39: Residential Radon Exposure and Lung Cancer in Sweden; 52 Case Study 40: Community Oubreaks of Asthma Associated with Inhalation of Soybean Dust; 53 Case Study 41: Tetrachloroethylene Toxicity; 54 Case Study 42: Toluene Toxicity; 55 Case Study 43: Occupational Asthma Due to Toluene Diisocyanate Among Velcro-like Tape Manufacturers; 56 Case Study 44: 1,1,1-Trichloroethane; 57 Case Study 45: Trimethyltin Encephalopathy; 58 Case Study 46: Trichloroethylene Toxicity; 59 Case Study 47: Vinyl Chloride Toxicity; 60 Case Study 48: Work-Related Disorders of the Neck and Upper Extremity; 61 Case Study 49: Contact Dermatitis in Surgeons from Methylmethacrylate Bone Cement; 62 Case Study 50: Skin Lesions and Environmental Exposures: Rash Decisions; 63 Case Study 51: Acoustic Trauma Caused by the Telephone: A Report of Two Cases; 64 Case Study 52: Behavioral and Audiologic Manifestations of Noise-Induced Hearing Loss; 65 Case Study 53: Reproductive and Developmental Hazards; 66 Case Study 54: Childhood Asthma and Indoor Enviromental Risk Factors; 67 Case Study 55: Populations at Risk From Particulate Air Pollution - United States, 1992; 68 D: Resources: Agencies, Organizations, Services, REferences, and Tables of Environmental Health Hazards; 69 E: Committee and Staff Biographies

About the Author

Andrew M. Pope and David P. Rall, Editors; Committee on Curriculum Development in Environmental Medicine, Institute of Medicine