1. Going Green with the NLM: Environmental Health and Toxicology Information Michelle Eberle Consumer Health Information Coordinator NN/LM – New England Region

2. http://nnlm.gov/ner/

3. What is the NLM? National Library of Medicine Part of the National Institutes of Health The world’s largest biomedical library Creator of PubMed.gov, MedlinePlus.gov and many other useful health information resources!!!

5. 2007 According to TIME writer, Bryan Walsh, 2007 will be remembered as the tipping point when public understanding of the existential threat of climate change reached critical mass. Source: Antonelli, Monika. “The Green Library Movement: An Overview and Beyond.” Electronic Green Journal. 1(27): 2008.“The Green Library Movement: An Overview and Beyond

7. What is a good starting point for someone interested in learning more about environmental health?

8. http://medlineplus.gov

9. What will I find on MedlinePlus for environmental health? RadTown USA, EPA Choosing Where You Live, EPA Clinical Trials.gov – Environmental Health National Children’s Study – NIEHS, CDC, NICHHD Agency for Toxic Substances and Disease Registry Glossary of Terms Toxic Release Inventory, EPA For Kids: FISH Kids, EPA TOXMYSTERY, NLM Your Baby’s Environment, March of Dimes

10. http://www.nlm.nih.gov

11. http://sis.nlm.nih.gov/enviro.html Environmental Health & Toxicology Portal

12. Where can kids learn about environmental health?

13. http://toxmystery.nlm.nih.gov/

15. Helping Kids Be Eco-Friendly Recycling Composting Grow vegetables at home instead of going to the store Use everyday household cleaners: vinegar, baking soda Turn off the lights

16. Helping Kids Be Eco-Friendly Have a “stop a leak” day at home Give away used toys to charity instead of throwing them away Plan outdoor activities to help instill appreciation for the earth Clean up a stream or park Adopt an endangered animal at the local zoo or other charity

17. 5 easy steps for a cleaner, greener home 1)Manage pests safely 2) Use nontoxic products 3) Clean up indoor air 4) Shop smart 5) Be wise with plastics Resource: Gavigan, Christopher. Healthy Child, Healthy World, Creating a Cleaner, Greener, Safer Home, 2008.

18. Where can teens learn about environmental health?

19. ToxTown Provides an interactive guide to the toxic chemicals and environmental health risks associated with everyday life Uses colors, graphics, sounds and animation to create a user-friendly learning experience for a wide range of audiences

20. ToxTown Content ToxTown provides information on: Everyday locations where toxic chemicals might be found Non-technical descriptions of chemicals Human health impacts of chemical exposures Links to chemical information and environmental health topics on the Internet

21. ToxTown Organization ToxTown contains both location and chemical links Each neighborhood has mulitple buildings and settings, including interior views of some buildings Toxic chemicals and health effects associated with specific locations are presented Chemicals are described in non-technical language and linked to further sources of information about health effects.

22. http://toxtown.nlm.nih.gov/

23. “Richard Scarry’s Great Big Air Book”

24. Tox Town in Spanish http://toxtown.nlm.nih.gov/espanol/

25. Search by Location http://toxtown.nlm.nih.gov/

26. Link from Tox Town to CDC: Lead Poisoning Prevention http://www.cdc.gov/nceh/lead/

28. Link from Tox Town to EPA: Clean School Bus USA http://www.epa.gov/otaq/schoolbus/

32. Green living in your community Recycle Reduce Reuse

33. How can college students learn more about environmental health?

34. Toxicology Tutorials Toxicology Tutorial 1: Basic Principles Toxicology Tutorial 2: Toxicokinetics Includes chapters on: absorption distribution biotransformation excretion Toxicology Tutorial 3: Cellular Toxicology

37. Where can I learn about health effects of products I might use at home?

38. http://hpd.nlm.nih.gov/

39. HPD can help answer… What chemicals are contained in specific brands and in what percentage? Which products contain specified chemicals? Who manufactures a specific brand? How can I contact the manufactures? What are the potential health effects of the chemical ingredients in a specific brand? What other information is available about such chemicals in the toxicology-related databases of the National Library of Medicine?

40. Product information Brand information Manufacturer’s Information Health Effects from MSDS / Label Warning from Label First Aid Acute Health Effects Chronic Health Effects Carcinogenicity Hazardous Material Information System Raging Handling/ Disposal Ingredient from MSDS / Label

41. http://hpd.nlm.nih.gov/cgi-bin/household/brands?tbl=brands&id=18001147 Lysol Brand Disinfectant Cling Toilet Bowl Cleaner, Country Scent

42. Green cleaning The non toxic trio: Baking soda Castile soap White vinegar Source: Gavigan, Christopher, Healthy Child Healthy World, Creating a Cleaner, Greener, Safer Home, 2008. Other agents: Lemon Hydrogen peroxide Essential oils

43. How green is my job?

44. http://hazmap.nlm.nih.gov

45. Haz-Map Relational database containing occupational toxicology information Includes information on chemicals, jobs, job tasks and diseases Classifications based on standard industry, occupational and medical classification systems

46. HazMap contents Agents: chemical and biological agents associated with industrial processes, activities and diseases Diseases: occupational diseases associated with hazardous job tasks and agents Jobs: related tasks that could result in exposure to chemical or biological agents

49. Where can I learn about the environment where I live?

50. TOXMAP Helps users create national, regional or local maps showing where TRI chemicals are released into the air, water or land Identifies facilities releasing chemical, color codes releases each year and provides multiyear release data since 1987. Links to the latest US Census data Links to ATSDR ToxFAQs, public health statements, NLM’s HSDB and TOXLINE

51. About TRI Toxic Release Inventory Data on 650 chemicals released into the environment or transferred to waste sites by facilities in the US Facility Identifications Substance Identification (chemical name, CAS RN, uses, etc) Environmental Release of Chemical (in air, water, land, underground injections) Waste treatment Off site waste transfer Source reduction and recycling (quantity released, energy recovered, quantity recycled, quantity treated)

52. About ATSDR Agency for Toxic Substances and Disease Registry Federal public health agency of the US Dept Heath and Human Services and Center for Disease Control 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

53. http://toxmap.nlm.nih.gov/ Search by Chemical Search by Address

54. http://toxmap.nlm.nih.gov/toxmap/main/index.jsp Toxic Releases for Worcester, MA

55. http://toxmap.nlm.nih.gov/toxmap/main/index.jsp

56. http://toxnet.nlm.nih.gov/

57. TOXNET http://toxnet.nlm.nih.gov/ http://toxnet.nlm.nih.gov/ Cluster of databases that cover: Toxicology Environmental and occupational health Hazardous chemicals Releases of toxic chemicals Chemical names, synonyms & structures References to scientific literature

58. TOXNET databases covered today: ChemIDPlus HSDB TOXLINE LactMed

59. ChemIDPlus http://toxnet.nlm.nih.gov http://toxnet.nlm.nih.gov Chemical Dictionary Directory for chemicals cited in NLM databases Over 370,000 chemical records Names, synonyms and structures Direct link / searches of MEDLINE, TOXNET, and non-NLM resources

62. Hazardous Substances Data Bank http://toxnet.nlm.nih.gov http://toxnet.nlm.nih.gov Online handbook with comprehensive toxicology information Over 5000 chemicals Peer reviewed by the Scientific Review Panel Fully referenced Content is primarily from books, government documents, technical reports, primary literature and databases

63. HSDB http://toxnet.nlm.nih.gov http://toxnet.nlm.nih.gov Human health effects Emergency medical treatment Animal toxicity studies Metabolism/ pharmacology Environmental fate/exposure Environmental standards and regulations Chemical/Physical Properties Chemical Safety & Handling Occupational Exposure Standards Manufacturing and Use Pharmacokinetics Laboratory Methods Special References Synonyms and Identifiers

64. HSDB

65. TOXLINE http://toxnet.nlm.nih.gov http://toxnet.nlm.nih.gov TOXicology Literature OnLINE Over 3 million citations published since 1965 Pharmacological, biochemical, physicological, environmental, and toxicological effects of chemicals/other agents on living systems Citations, abstracts, keywords, and or MeSH CAS Registry Numbers Multiple sources contribute citations

66. What is a CAS registry number? Unique numerical identifiers for chemical elements, compounds, polymers, biological sequences, mixtures and alloys Chemical Abstracts Services of the American Chemical Society assigns these numbers as many chemical have different names Effort to help make searching the literature easier.

69. LactMed http://toxnet.nlm.nih.gov Free online database with information on drugs and lactation Over 500 drugs Data mined from scientific literarue Fully referenced Links to PubMed citations Breast feeding links

70. LactMed

71. TOXSEEK Metasearch engine http://toxseek.nlm.nih.gov Searches a core set of environmental health and toxicology resources Choose by category or all resources NLM resources NIH resources US Gov., International, Societies, News

73. http://phpartners.org NLM’s Public Health Web Portal: PHPartners.org

74. PHPartners: Environmental Health http://phpartners.org/environmentalhealth.html

75. Stay up to date on environmental health http://medlineplus.gov

76. Stay up to date! http://sis.nlm.nih.gov/enviro/envirolistserv.html http://sis.nlm.nih.gov/enviro/envirolistserv.html

77. 25 ways to go green 1.Clean kindly 2.Be wise with laundry 3.Choose natural personal care and products 4.Go for recycled toilet paper, paper towels and tissues 5.Use unbleached coffee filters Source: Loux, Renee. Easy Green Living. The Ultimate Guide to Simple, Eco-Friendly Choices for You and Your Home. New York: Rodale, 2008.

78. 25 ways to go green 6. Install a water filter 7. Get a low flow toilet or make your existing toilet low flow 8. Don’t be a drip – fix leaky faucets and toilets 9. Kick off your shoes 10.Bring in houseplants Source: Loux, Renee. Easy Green Living. The Ultimate Guide to Simple, Eco-Friendly Choices for You and Your Home. New York: Rodale, 2008.

79. 25 ways to go green 11. Plant a tree every year. 12. Opt out of getting junk mail. 13. Go veggie one day a week. 14. Energy efficient light bulbs save energy, money and emissions. 15. Turn the thermostat down 2 degrees F. Source: Loux, Renee. Easy Green Living. The Ultimate Guide to Simple, Eco-Friendly Choices for You and Your Home. New York: Rodale, 2008.

80. 25 ways to go green 16. Set your water heater at 120 degrees F. 17. Smarten your fridge and freezer. Turn their thermostats up and make sure seals are tight. 18. Use power strips and unplug appliances. 19. Choose green residential services. 20. Buy local Source: Loux, Renee. Easy Green Living. The Ultimate Guide to Simple, Eco-Friendly Choices for You and Your Home. New York: Rodale, 2008.

81. 25 ways to go green 21. Go organic 22. Take a cloth bag to the store 23. Inflate your tires to the proper pressure to save gas and money 24. Get a travel mug! 25. Recycle your cell phone. Source: Loux, Renee. Easy Green Living. The Ultimate Guide to Simple, Eco- Friendly Choices for You and Your Home. New York: Rodale, 2008.

82. Green Library Resources and Blogs http://www.greenlibraries.org http://thegreenlibraryblog.blogspot.com/ http://greeningyourlibrary.wordpress.com/ Antonelli, Monika. The Green Library Movement: An Overview and Beyond. Electronic Green Journal. 1(27). 2008.The Green Library Movement: An Overview and Beyond

83. How are libraries going green? MIT Hayden Library roof top solar panels San Jose’s Public Library natural day lighting and chemical free fabrics to enhance indoor air quality Seattle Public Library rainwater irrigation tanks that irrigate trees and provide natural heat reduction UMASS Medical School Library Eco Team, natural cleaners, Earth Day, plants, techno trash recycling

84. How are libraries going green? Clark County Public Library, Kentucky Growing and saving heirloom seeds Serving as a link between agricultural resources and community, programming Richmond Main Library, CA Community Garden Berkeley Public Library Tool lending library, from cement mixer to lawn mower Goshen Public Library, New York Summer 2008, adult summer reading program focused on environmental health issues, “Change your world @ your library”

85. Start small… 1.Form a green library committee 2.Link going green to saving energy costs to earn administrative support 3.Recycle books (Better World Books)Better World Books 4.Turn down the heat 1 or 2 degrees 5.Use energy efficient lighting and automatic timers and/or collect batteries and CFL bulbs for recycling Top 10 tips to go green @ your library

86. 6. Encourage telecommuting if possible 7. Encourage people to turn off lights when a room is not in use 8. Encourage people to bring mugs rather than disposable cups 9. Clean green 10. Start a library community garden or have more houseplants Sources: Foreword Magazine – Libraries go green http://tinyurl.com/librariesgogreen http://tinyurl.com/librariesgogreen The Green Library Blog - 100 Ways to Make Your Library a Little Greener http://tinyurl.com/p24bom

87. How is your library going green?

88. Questions?

89. Take home points Take advantage of: the “suite” of free online environmental health resources available to you through the National Library of Medicine your region’s NN/LM for further training and funding

90. Reflection Think of: one step you can take for yourself and your family to protect your environmental health. one step you can take at your library to go green and support the global environment.

91. Thank you!! Michelle Eberle Consumer Health Information Coordinator NN/LM – New England Region michelle.eberle@umassmed.edu (800) 338-7657 / (508)845-2435 Presentation also authored by: Gail Kouame, NN/LM-PNR Hathy Simpson, NN/LM-NER