title: Sentinel human health indicators: to evaluate the health status of vulnerable communities.
abstract: The presence of toxic substances in the Great Lakes (GL) basin continues to be a significant concern. In the United States, some 70,000 commercial and industrial compounds are now in use. More than 30,000 are produced or used in the Great Lakes ecosystem. These substances include organochlorines (e.g., polychlorinated biphenyls (PCBs), dioxins, furans, dieldrin, etc.), heavy metals such as methylmercury, and alkylated lead, and polycyclic aromatic hydrocarbons (e.g., benzo[a]pyrene). The IJC has identified 42 locations in the GL basin of the United States and Canada as Areas of Concern (AOCs) because of high concentrations of these toxic substances. In 1990 the U.S. Congress amended the Great Lakes Critical Programs Act to create The Agency for Toxic Substances and Disease Registry (ATSDR) Great Lakes Human Health Effects Research Program (GLHHERP) to begin to address these issues. This program characterizes exposures to contaminants via consumption of GL fish and investigates the potential for short- and long-term adverse health effects. This paper reviews the GLHHERP program and indicators established to monitor and address the risks posed by these substances to vulnerable populations in the Great Lakes ecosystem.
authors.affiliation: U.S. Department of Health and Human Services, Agency for Toxic Substances and Disease Registry, 1600 Clifton Road NE, M/S E-29, Atlanta, GA 30329-4027, USA. heh2@cdc.gov
authors.forename: Heraline E
authors.initials: HE
authors.lastname: Hicks
authors.forename: Christopher T
authors.initials: CT
authors.lastname: De Rosa
mesh_terms: D017753:Ecosystem; D004784:Environmental Monitoring / Q000379:methods*; D062665:Epidemiological Monitoring; D006114:Great Lakes Region / Q000453:epidemiology; D015386:Hazardous Substances; D006305:Health Status Indicators; D006801:Humans; D011634:Public Health; D018571:Sentinel Surveillance; D014874:Water Pollutants, Chemical / Q000009:adverse effects
chemical_list: D015386:Hazardous Substances; D014874:Water Pollutants, Chemical