The following resources may provide additional information about cancer clusters, cancer incidence (the number of new cases) and mortality (the number of deaths), and environmental risk factors for cancer:
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Local and state health departments are listed under such headings as "health department" and "public health commission" in the blue pages of Government listings in telephone books. In addition, links to state and selected local health department Web sites can be found at
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State cancer registries collect data on cancer incidence and mortality. The data in these registries can be used to compare expected cancer rates in certain categories, such as geographic area, gender, age, or racial group, with rates reported in a suspected cancer cluster to determine whether there is a true excess of cases. State cancer registries are listed under such headings as "health department" and "public health commission" in the blue pages of Government listings in telephone books. Contact information for state cancer registries can also be found at
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The Centers for Disease Control and Prevention’s (CDC) National Center for Environmental Health (NCEH) cancer clusters Web site provides links to cancer cluster resources, answers to frequently asked questions, and an online inquiry form. NCEH can be contacted at:
| Address: |
Division of Environmental Hazards and Health Effects
National Center for Environmental Health
Centers for Disease Control and Prevention
Re: Cancer Clusters
Mail Stop F–52
4770 Buford Highway
Atlanta, GA 30341 |
| Telephone: |
1–800–232–4636 (1–888–CDC–INFO) (toll-free) |
| E-mail: |
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| Web site: |
http://www.cdc.gov/nceh/clusters/ |
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The CDC’s National Institute for Occupational Safety and Health (NIOSH) conducts research and makes recommendations for the prevention of work-related disease and injury. Information about possible workplace cancer clusters and how they are evaluated is available on NIOSH’s Occupational Cancer Web page at http://www.cdc.gov/niosh/topics/cancer/
***NIOSH’s Health Hazard Evaluation (HHE) Program investigates potentially hazardous working conditions, including suspected cancer clusters, when employers, authorized employee representatives, or employees request it.
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The HHE Program can be contacted at:
| Address: |
Hazard Evaluation and Technical Assistance Branch
NIOSH
Mail Stop R–9
4676 Columbia Parkway
Cincinnati, OH 45226 |
| Telephone: |
1–800–356–4674 (1–800–35–NIOSH) (toll-free) |
| Web site: |
http://www.cdc.gov/niosh/hhe |
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The Agency for Toxic Substances and Disease Registry (ATSDR), an agency of the U.S. Department of Health and Human Services (DHHS), conducts public health assessments of waste sites, performs health consultations concerning specific hazardous substances, maintains health surveillance and registries, responds to emergency releases of hazardous substances, and provides education and training concerning hazardous substances. Contact information for ATSDR regional offices can be found at http://www.atsdr.cdc.gov/DRO/dro_contact.html
The ATSDR can be contacted at:
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The National Institute of Environmental Health Sciences (NIEHS), a part of the
NIH, studies how environmental exposures, genetic susceptibility, and age interact to affect an individual’s health. The NIEHS can be contacted at:
| Address: |
The National Institute of Environmental Health Sciences
Post Office Box 12233
Research Triangle Park, NC 27709 |
| Telephone: |
919–541–3345 |
| Web site: |
http://www.niehs.nih.gov |
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The Occupational Safety and Health Administration’s (OSHA) Office of Occupational Medicine performs workplace-related case evaluations and cluster investigations, including medical record review, employee interviews, and medical screening activities. OSHA can be contacted at:
| Address: |
Office of Occupational Medicine
Occupational Safety and Health Administration
U.S. Department of Labor
Room N3457
200 Constitution Avenue, NW.
Washington, D.C. 20210 |
| Telephone: |
202–693–2323 |
| Web site: |
http://www.osha.gov/dts/oom/index.html |
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The Where You Live Web page, which is managed by the U.S. Environmental Protection Agency (EPA), allows users to enter a ZIP Code and choose from four databases to retrieve environmental information about a community or to locate a regional office. This resource is available at
- http://www.epa.gov/epahome/whereyoulive.htm .
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The National Cancer Institute (NCI), another component of the NIH, has the Cancer Mortality Maps and Graphs Web site, which provides interactive maps, graphs, text, tables, and figures showing geographic patterns and time trends of cancer death rates for the time period 1950–94 for more than 40 cancers. It also provides interactive mortality charts and graphs, customizable mortality maps, and links to related domestic and international Web sites, including a link to the online publication of NCI’s Atlas of Cancer Mortality in the United States: 1950–94. The NCI’s Cancer Mortality Maps and Graphs Web site can be accessed at
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Related Resources and Publications available at :
| Telephone: |
1–800–232–4636 (1–800–CDC–INFO)
1–888–232–6348 |
| Web site: |
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