Developing a comprehensive pesticide health effects tracking system for an urban setting: New York City's approach.In recent years, there have been substantial investments and improvements in federal and state surveillance systems to track the health effects from pesticide exposure. These surveillance systems help to identify risk factors for occupational exposure to pesticides, patterns in poisonings, dusters of disease, and populations at risk of exposure from pesticide use. Data from pesticide use registries and recent epidemiologic evidence pointing to health risks from urban residential pesticide use make a strong case for understanding better the sale, application, and use of pesticides in cities. In this article, we describe plans for the development of a pesticide tracking system for New York City New York City: see New York, city.
New York City
City (pop., 2000: 8,008,278), southeastern New York, at the mouth of the Hudson River. The largest city in the U.S. that will help to elucidate where and why pesticides are used, potential risks to varied populations, and the health consequences of their use. The results of an inventory of data sources are presented along with a description of their relevance to pesticide tracking. We also discuss practical, logistical, and methodologic difficulties of linking multiple secondary data sources with different levels of person, place, and time descriptors. Key words: data linkage, epidemiology, New York City, pest control pest control n → control m de plagas
pest control n → lutte f contre les nuisibles
pest control pest n , pesticide use, poison control, surveillance. Environ Health Perspect 112:1419-1423 (2004). doi:10.1289/ehp.7149 available via http://dx.doi.org/ [Online 3 August 2004]
Pesticides are chemicals or other products used to kill, repel re·pel
v. re·pelled, re·pel·ling, re·pels
1. To ward off or keep away; drive back: repel insects.
2. , or control pests and include insecticides insecticides, chemical, biological, or other agents used to destroy insect pests; the term commonly refers to chemical agents only. Chemical Insecticides
, rodenticides, fungicides This page aims to list well-known chemical compounds, to stimulate the creation of Wikipedia articles.
This list is not necessarily complete or up to date – if you see an article that should be here but isn't (or one that shouldn't be here but is), please update the page , and herbicides. Effectively assessing human health risks from pesticide use and exposure depends on the timely availability of data that describe how, where, when, by whom, why, what type, and in what quantities pesticides are used. A report by the Pew Environmental Health Commission (2000) has called for the development of state and local pilot environmental tracking systems to track, among other things, pesticide hazards and related health outcomes. This report helped to launch the national Environmental Public Health Tracking (EPHT EPHT Environmental Public Health Tracking (CDC) ) Program funded and organized by the U.S. Centers for Disease Control and Prevention Centers for Disease Control and Prevention (CDC), agency of the U.S. Public Health Service since 1973, with headquarters in Atlanta; it was established in 1946 as the Communicable Disease Center. (CDC See Control Data, century date change and Back Orifice.
CDC - Control Data Corporation ). CDC defines environmental public health tracking as
the ongoing collection, integration, analysis, and interpretation of data about environmental hazards, exposure to environmental hazards, and human health effects potentially related to exposure to environmental hazards. (National Center for Environmental Health 2003)
Few examples exist where these three data domains--hazard, exposure, and health effects--are simultaneously tracked and linked, despite clear benefits of doing so (Council of State and Territorial Epidemiologists The Council of State and Territorial Epidemiologists (CSTE) was organized in the USA in the early 1950s in response to the need to have at least one person in each state and territory responsible for public health surveillance of diseases and conditions of public health 1999).
In 2002 CDC awarded the New York City (NYC NYC
New York City
NYC New York City ) Department of Health and Mental Hygiene mental hygiene, the science of promoting mental health and preventing mental illness through the application of psychiatry and psychology. A more commonly used term today is mental health. (DOHMH DOHMH Department of Health and Mental Hygiene (New York City) ) funding to develop its capacity to track environmental public health indicators. The following year, DOHMH was awarded an EPHT grant to develop a pilot pesticide tracking system for NYC. The goal of the EPHT program is to
demonstrate and evaluate methods for linking data from ongoing, existing health effects surveillance systems with data from existing surveillance/monitoring systems for human exposure and environmental hazards. (CDC 2003b)
Collectively, these programs are known at DOHMH as "Environmental Connections." This article describes gaps in pesticide surveillance systems, a rationale for tracking pesticides in NYC, and NYC's operational plan to create such a system.
Existing Pesticide-Related Surveillance
EPHT defines hazard as a factor that may adversely affect health. Many sources of pesticide hazard data exist. For example, national databases exist that describe the names and classes of pesticides, their federal and state registration status, and their toxicologic properties, although there is no single database that consolidates information on both the acute and chronic health effects of pesticides. The U.S. Food and Drug Administration (FDA FDA
Food and Drug Administration
n.pr See Food and Drug Administration.
n.pr the abbreviation for the Food and Drug Administration. ) samples domestic and foreign food products for pesticide residues and funds states for local food surveillance (FDA 2001). However, no national-scale surveillance system exists that makes data available on pesticide production, import/export, sale, application, or use (Donaldson et al. 2002). Absent such data, the U.S. Environmental Protection Agency Environmental Protection Agency (EPA), independent agency of the U.S. government, with headquarters in Washington, D.C. It was established in 1970 to reduce and control air and water pollution, noise pollution, and radiation and to ensure the safe handling and (EPA EPA eicosapentaenoic acid.
n.pr See acid, eicosapentaenoic.
n. ), Department of Agriculture, and Geological Survey The term geological survey can be used to describe both the conduct of a survey for geological purposes and an institution holding geological information.
A geological survey estimate annual pesticide use by linking manufacturer, industry, grower, and crop survey data. The industry and trade association production and sales data used for these estimates are available for purchase (Kegley et al., unpublished data). Several states estimate pesticide use through similar combination of sales, use, and crop surveys, but the utility of this approach is limited to characterizing agricultural use and may be incomplete and inadequate to characterize geographic areas smaller than states or even regions (Thier 1997).
Five states mandate some form of comprehensive pesticide use reporting (PUR) and sales. California's regulations require that agricultural and commercial applicators and government institutions file pesticide use reports with the state. Agricultural reports must contain information on the identity, quantity, location, method, date, and other volume and acreage data of restricted-use applications. Reports for nonagricultural applications are less detailed because they are aggregated by month and county. In addition, all pesticide sales must be reported at the first point of sale (California Department of Pesticide Regulation 2000). California's use and sales systems permit public access to line-item data. Massachusetts, Oregon, New Hampshire New Hampshire, one of the New England states of the NE United States. It is bordered by Massachusetts (S), Vermont, with the Connecticut R. forming the boundary (W), the Canadian province of Quebec (NW), and Maine and a short strip of the Atlantic Ocean (E). , and New York New York, state, United States
New York, Middle Atlantic state of the United States. It is bordered by Vermont, Massachusetts, Connecticut, and the Atlantic Ocean (E), New Jersey and Pennsylvania (S), Lakes Erie and Ontario and the Canadian province of require PUR that includes agricultural, nonagricultural, building, and institutional applications, with varying degrees of experience and public access (Kegley et al., unpublished data).
Oregon is the only state that currently requires tracking of household pesticide use through point-of-sale reporting, although the state's fiscal crisis has prevented Oregon from collecting use and sales reports (PURS-Oregon 2004). New York's system is the best equipped among state PURs to characterize urban pesticide use because address, type, and quantity must be provided for all structural and rodent rodent, member of the mammalian order Rodentia, characterized by front teeth adapted for gnawing and cheek teeth adapted for chewing. The Rodentia is by far the largest mammalian order; nearly half of all mammal species are rodents. applications. However, the New York legislature The New York Legislature is the state legislature of the U.S. state of New York. It is a bicameral legislature, consisting of the lower house New York State Assembly and the upper house New York Senate. The legislature is seated at the New York State Capitol in Albany. imposed the most restrictive of the states' public access requirements, permitting release of raw data only for human health research and only if approved by a stakeholder stakeholder n. a person having in his/her possession (holding) money or property in which he/she has no interest, right or title, awaiting the outcome of a dispute between two or more claimants to the money or property. health science board (New York State Environmental Conservation Law 1997).
Data from many of these state PUR systems have been used to produce research papers, reports, and white papers explaining the purpose, distribution, and quantities of largely agricultural pesticides. Investigators have used California's PUR data for ecologic studies examining Parkinson disease Parkinson Disease Definition
Parkinson disease (PD) is a progressive movement disorder marked by tremors, rigidity, slow movements (bradykinesia), and posture instability. (Ritz and Yu 2000) and cancer incidence (Mills 1998). Less specific pesticide use data from state and federal agricultural agencies have also been used to identify a pattern of birth defects birth defects, abnormalities in physical or mental structure or function that are present at birth. They range from minor to seriously deforming or life-threatening. A major defect of some type occurs in approximately 3% of all births. associated with certain pesticide use (Garry et al. 1996; Schreinemachers 2003).
Exposure, for tracking purposes, is defined as the proximity and/or contact with a source of a disease agent in such a manner that effective transmission of the agent or harmful effects of the agent may occur (CDC 2003a). Pesticide exposure surveillance in the United States United States, officially United States of America, republic (2005 est. pop. 295,734,000), 3,539,227 sq mi (9,166,598 sq km), North America. The United States is the world's third largest country in population and the fourth largest country in area. is largely limited to particular occupational cohorts--medical monitoring of applicators, for example--and to biomonitoring efforts to characterize exposures among representative samples of regional and national populations. In many states, occupational exposures resulting in depressed cholinesterase cholinesterase /cho·lin·es·ter·ase/ (-es´ter-as) serum cholinesterase, pseudocholinesterase; an enzyme that catalyzes the hydrolytic cleavage of the acyl group from various esters of choline and some related compounds; determination of levels are reportable conditions and are useful for monitoring regulatory compliance, enforcing work rules, managing disease cases, and identifying risk factors (Calvert et al. 2004). But these data have limited generalizability to larger and more varied populations. The U.S. EPA National Human Exposure Assessment Survey, completed in the 1990s, evaluated pesticide exposures among representative populations in Arizona, the Midwest, and Maryland (Berry et al. 2000). This effort has not been replicated. As part of the Third National Health and Nutrition Examination Survey (NHANES III NHANES III Third National Health & Nutrition Examination Survey Public health A population-based survey conducted by the National Center for Health Statistics, designed to assess the health and nutritional status of the noninstitutionalized Americans ), CDC carried out biomonitoring for metabolites Metabolites
Substances produced by metabolism or by a metabolic process.
Mentioned in: Interactions of several classes of pesticides. These data provide, for the first time, baseline exposure estimates for a representative U.S. population to a variety of pesticides (Barr et al. 2004). NHANES III has produced a wellspring well·spring
1. The source of a stream or spring.
2. A source: a wellspring of ideas.
Noun of reports based on these results and illustrates how providing exposure data linked to personal descriptors can fill in critical knowledge gaps.
Health effects, for tracking purposes, are chronic or acute health conditions that affect the well-being of an individual or community and are measured in terms of illness and death (CDC 2003a). Although the health effects from pesticides may include acute and chronic conditions and reproductive effects, surveillance of their health impacts is effectively limited to nearly immediate toxic effects. The Toxic Exposure Surveillance System (TESS TESS Trademark Electronic Search System (US Patent and Trademark Office)
TESS Texas Excavation Safety System
TESS The Exponential Security System (RFC 1824)
TESS Toxic Exposure Surveillance System ) is a national surveillance program that collects poison control data from all state and regional poison control centers poison control center Toxicology A nonprofit facility, often affiliated with a university or hospital, that provides emergency toxicology assessments by telephone, and treatment recommendations, primarily to parents of children who swallowed a household product, . TESS records basic hazard, exposure, and individual information on pesticide-related inquiries, of which there were more than 96,000 in 2002 (Watson et al. 2003). Poison Control Center data are useful for identifying educational and outreach needs, identifying risk factors for poisonings, and investigating and identifying clusters and outbreaks. The Sentinel Event sentinel event Health policy A term used by the JCAHO for a 'headliner' event that may cause an unexpected or unanticipated outcome or death, and trigger an investigation of a hospital's policies Notification System A modern notification system is a combination of software and hardware that provides a means of delivering a message to a set of recipients. For example, notification systems can send an e-mail when a new topic has been added to Wikipedia. for Occupational Risk (SENSOR) at the National Institute for Occupational Safety and Health National Institute for Occupational Safety and Health,
n.pr an institute of the Centers for Disease Control and Prevention that is responsible for assuring safe and healthful working conditions and for developing standards of safety and health. (NIOSH NIOSH National Institute for Occupational Safety & Health, see there
NIOSH Recommendations for Safety & Health Standards
Agent NIOSH REL*/OSHA PEL† Health effects ) supports pesticide-related illness and injury surveillance in 12 states and is used to identify outbreaks and emergency pesticide health effects (NIOSH 2004).
More than 40 states collect and report hospital discharge data, and pesticide-related hospitalizations are rare. Although more patients report to emergency departments for pesticide exposures than are admitted to hospitals, few states systematically collect and report these data.
The Case for Urban Pesticide Tracking
The data described above that are systematically collected about pesticide hazards, exposures, and health effects describe the risks experienced by agricultural communities better than those experienced by other groups. There are many reasons, however, why large cities may be interested in developing pesticide tracking systems. A 1999 analysis of New York's PUR data found that even though NYC accounts for < 1% of the total land area of the state, > 7% by volume of all pesticides applied in the state, and 13% by weight, were applied in NYC. Also, all five counties of NYC were included in the top 10 counties statewide for use of pesticides (Thier 2000).
Several events have elevated the city's level of awareness about pesticides. Spraying of adulticides for controlling mosquitoes that carry West Nile virus West Nile virus, microorganism and the infection resulting from it, which typically produces no symptoms or a flulike condition. The virus is a flavivirus and is related to a number of viruses that cause encephalitis. (CDC 2003c), the rise in asthma hospitalizations in the late 1980s through the mid 1990s, the growing awareness of the links between pest infestations and health symptoms, high profile experiments in least-toxic pest control in low-income housing, and public hearings on methods of controlling rats (Kass and Outwater 2002) have all contributed to public concern regarding pesticide health effects. NYC residents have been the subject of several recent studies that have associated negative reproductive health Within the framework of WHO's definition of health as a state of complete physical, mental and social well-being, and not merely the absence of disease or infirmity, reproductive health, or sexual health/hygiene outcomes among low-income women with residential exposure levels to chlorpyrifos (Berkowitz et al. 2003, 2004; Perera et al. 2003; Whyatt et al. 2004). As a result of these events, pesticides have taken on greater importance for public health and housing agencies.
Populations residing in large urban areas face special health risks from a variety of environmental concerns. In NYC and other older, densely populated pop·u·late
tr.v. pop·u·lat·ed, pop·u·lat·ing, pop·u·lates
1. To supply with inhabitants, as by colonization; people.
2. , largely immigrant cities, environmental hazards tend to concentrate spatially, ethnically, and socioeconomically. Awareness of these hazards may sometimes be great, prompting important and appropriate advocacy and action by communities to ameliorate a·mel·io·rate
tr. & intr.v. a·me·lio·rat·ed, a·me·lio·rat·ing, a·me·lio·rates
To make or become better; improve. See Synonyms at improve.
[Alteration of meliorate. conditions that contribute to acute and chronic illness. Other times, communities or governmental officials have so little information that speculation, hyperbole hyperbole (hīpûr`bəlē), a figure of speech in which exceptional exaggeration is deliberately used for emphasis rather than deception. , or inaction may result. Under these circumstances, public health agencies play a largely reactive role to public concerns. Failing to unite disparate information on hazards leaves agencies with an incomplete story, and inappropriate policy decisions may result. By linking data sources on pesticide use, housing quality and finance, demographics and socioeconomic status socioeconomic status,
n the position of an individual on a socio-economic scale that measures such factors as education, income, type of occupation, place of residence, and in some populations, ethnicity and religion. , exposures, and health, much more can be learned about where and why pesticides are used. This deeper understanding may promote the improved targeting of resources, education, and toxic use reduction efforts, as well as inform scientifically sound policy and legislation.
Materials and Methods
With feedback from a stakeholder advisory panel created to guide the development of the public health tracking program, DOHMH identified seven principles that would guide decision making on data acquisition, data architecture, analytic priorities, and public engagement: The pesticide tracking system should a) build upon existing and ongoing data collection systems; b) link hazard, human exposure, and human health effects data in scientifically valid and defensible de·fen·si·ble
Capable of being defended, protected, or justified: defensible arguments.
de·fen ways; c) automate, to the extent possible, the importing, cleaning, and linking of data sources; d) build on, rather than duplicate, data and technical systems already under development by data providers; e) enable the development and tracking over time of public health environmental indicators; f) satisfy the needs of a wide community of data users, analysts, advocates, and residents; and g) inform the development of public health and environmental interventions whose goals are to reduce health risks and improve environmental quality. In this section, we describe preliminary progress toward the creation of NYC's pesticide tracking system.
Data sources. In 2003 the DOHMH, in cooperation with the NYC Department of Information and Telecommunications Technology, began a comprehensive data and metadata inventory of NYC and New York State environmental data. We reviewed data systems at health, housing, finance, planning, and environmental protection agencies for their applicability and relevance to a pesticide tracking system. A metadata database is being populated that includes descriptive information about the data, process information on its collection, contact information, identifiers, geospatial descriptors, system architecture, distribution methods, and anticipated modifications.
Our initial inventory revealed two significant data gaps in the hazard-exposure-outcome tracking triad. First, there is no existing source of data to describe, on a population basis, the exposures of NYC residents to pesticides. Fortuitously for·tu·i·tous
1. Happening by accident or chance. See Synonyms at accidental.
2. Usage Problem
a. Happening by a fortunate accident or chance.
b. Lucky or fortunate. , DOHMH's Division of Epidemiology was already 6 months into its planning for a NYC Health and Nutrition Examination Survey (HANES) when it became clear to the staff of Environmental Connections that by adding pesticide biomonitoring, similar to that carried out in NHANES III, one part of the gap could be closed. In collaboration with CDC's National Center for Environmental Health Pesticide Laboratory, we plan to collect and analyze urine for organophosphate organophosphate /or·ga·no·phos·phate/ (or?gah-no-fos´fat) an organic ester of phosphoric or thiophosphoric acid; such compounds are powerful acetylcholinesterase inhibitors and are used as insecticides and nerve gases. and pyrethroid py·re·throid
Any of several synthetic compounds similar to pyrethrin, used as an insecticide. metabolites as part of the 2004 NYC HANES. The second gap is a temporary one. Data on emergency department use will first become available in New York in 2005. Until then, we are collaborating with the DOHMH Bureau of Injury Surveillance to abstract charts in 23 emergency departments 1 week each quarter to determine the frequency, scope, and risk factors associated with pesticide poisonings, again opportunistically expanding an existing program for environmental tracking.
Table 1 summarizes results from the data inventory process and identifies the utility of each data source for a pesticide tracking system. In addition to data sources already described, the system will include data from NYC's annual Community Health Survey, an annual telephone survey of 10,000 city residents, based on CDC's Behavioral Risk Factor Surveillance System The Behavioral Risk Factor Surveillance System (BRFSS) is a United States national health survey that looks at behavioral risk factors. It is run by Centers for Disease Control and Prevention and conducted by the individual states. (Karpati et al. 2003). Questions on personal and commercial pesticide applications and cockroach cockroach or roach, name applied to approximately 3,500 species of flat-bodied, oval insects forming the order Blattodea. Cockroaches have long antennae, long legs adapted to running, and a flat extension of the upper body wall that conceals the infestations were included in the 2003 questionnaire.
Additional public and commercially available data sets will be linked, including pesticide registration and toxicity data (for grouping and lookup purposes) and Dunn and Bradstreet Business Locator LOCATOR, civil law. He who leases or lets a thing to hire to another. His duties are, 1st. To deliver to the hirer the thing hired, that he may use it. 2d. To guaranty to the hirer the free enjoyment of it. 3d. (Providence, RI) (for identifying information on state-registered commercial pest control companies). Table 1 reveals several obstacles in building the tracking system. Hazard, health outcome, and related housing and population data are being acquired from three municipal and three state agencies and from surveys conducted by the U.S. Census Bureau Noun 1. Census Bureau - the bureau of the Commerce Department responsible for taking the census; provides demographic information and analyses about the population of the United States
Bureau of the Census . There is a steep learning curve for researchers to become familiar with the strengths and weaknesses of most large data sets; only some data sets have substantial documentation and data that have been used in published studies. For example, indices of housing disrepair exist and have been validated with housing and vacancy survey data.
For data originally gathered for purposes other than those contemplated here, the task is more difficult. For example, poison control data may have multiple reports of a single incident, redundancies not easily remedied. Building finance data, another example, is a historical data set that maintains all transactions related to parcels. Determining property value from the system's tax and mortgage records requires algorithms that manage different assessment periods, overlapping loans, and asset transfers into account.
Some data sets may describe different stages of the same incident, such as poison control center, emergency department and hospitalization hospitalization /hos·pi·tal·iza·tion/ (hos?pi-t'l-i-za´shun)
1. the placing of a patient in a hospital for treatment.
2. the term of confinement in a hospital. discharge data. The frequency of update differs among the data sets, posing logistical and methodologic challenges for creating analyzable data sets. Finally, negotiating multiple data use agreements, human subjects assurances, and stakeholder boards is time-consuming and imposes difficult-to-reconcile security requirements on data reporting and public availability.
Data links. Although each source of data provides useful information for the development of environmental public health indicators, it is the ability to link them that differentiates this effort from simple reporting. Figure 1 describes the individual, building, and hazard identifiers shared among the key data sources for this system. Two types of links are highlighted, embedded, and derived. An embedded link occurs when data fields are shared by two data sets. For example, address data are contained within the PUR applications database and can be directly associated with housing complaint and inspections data in the NYC Department of Housing Preservation and Development data set. A derived link is one made possible through the use of geosupport tools, by the hierarchical nature of the data structure, or via probabilistic (probability) probabilistic - Relating to, or governed by, probability. The behaviour of a probabilistic system cannot be predicted exactly but the probability of certain behaviours is known. Such systems may be simulated using pseudorandom numbers. matching. For example, once an address is known, a building identification number can be imported into the record using a geosupport system created for NYC. Once a compound's registration number is known, its pesticide class (e.g., organophosphate) can be determined. If an address is missing from poison control data, then time, age, gender, ZIP code zip code
System of postal-zone codes (zip stands for “zone improvement plan”) introduced in the U.S. in 1963 to improve mail delivery and exploit electronic reading and sorting capabilities. , and other variables can be used to create probabilistic matches to emergency department or hospitalization records.
[FIGURE 1 OMITTED]
Figure 1 displays myriad connections among the data sources and can be thought of as a cognitive map Cognitive maps, mental maps, mind maps, cognitive models, or mental models are a type of mental processing (cognition) composed of a series of psychological transformations by which an individual can acquire, code, store, recall, and decode information about the relative locations of relationships from which hypotheses can be formulated and analyses carried out. The following are some of the questions that can be explored by using these data links:
* Which building-related conditions are associated with the application of pesticides?
* Do hospitalizations reflect the "tip of the iceberg tip of the iceberg
n. pl. tips of the iceberg
A small evident part or aspect of something largely hidden: afraid that these few reported cases of the disease might only be the tip of the iceberg. " of health outcomes?
* Is there an association between commercial pesticide applications and biomonitored exposure and type of residential building?
* What is the correlation between reported use of pest-control services in the community health survey and pest control operator-reported applications?
* What are the predictors of the personal use of hazardous pesticides?
* Over time, is the use of pesticide associated with reductions in infestations?
Many methodologic issues confront this analysis. A system with so many sources of data and so many links may yield, by virtue of multiple comparisons, random associations. There are many unresolved issues involved in carrying out geospatial analysis, including the selection of geographic units of analysis, exposure modeling, and determining the potential for exposure, that may dramatically affect findings (Maantay 2002). The quality of some data to be assembled in this tracking system remains largely unknown until additional data sources are gathered and analyzed. Linking data originally gathered for fiscal or regulatory purposes to describe environmental hazards, exposures, and health outcomes raises concerns about the validity of variables, indicators, and indices derived from them.
The system described will also have limited ability to observe associations among hazards and exposures on the one hand, and chronic health outcomes on the other. Neither the hazard nor exposure data necessarily reflect long-term chronic exposures and risks. Poisonings, emergency department visits, and hospitalizations from pesticide-related problems reflect acute conditions resulting from acute exposures. Chronic conditions such as asthma, neurologic disorders, and many cancers may be observed in hospitalization and registry data but cannot be assumed to be related to short-term exposures reflected in the hazard data.
We have completed the initial steps in the identification, acquisition, and assessment of data that can be used to characterize pesticide use, exposure, and health problems in NYC. The system we describe will be built largely on data sources that are pesticide related. Stakeholders Stakeholders
All parties that have an interest, financial or otherwise, in a firm-stockholders, creditors, bondholders, employees, customers, management, the community, and the government. are interested not only in the characterization of pesticide hazards, exposures, and poisonings but also in learning more about whether pesticide exposures are associated with Parkinson disease, neurologic disorders, development disabilities, and respiratory health. The potential of pesticide tracking to explore these concerns begins with building a base hazard and exposure system.
The final form, breadth, and analytic strength of this system will depend on many factors--data quality and completeness, the degree of sustained institutional and public support, sufficient funding, and staff resources among them. Despite logistical, resource, and methodologic limitations associated with the development of an urban pesticide tracking system, this system offers the potential for significant benefits for researchers, policy makers, residents, industry, and advocates. A hazard, exposure, and health outcome system has the potential to reveal relationships impossible to assess without linking data sets and to close significant gaps in our knowledge about how, where, when, why, and with what consequences pesticides are used in an urban environment.
Table 1. Key data sources for pesticide tracking system. Data set (a) Managed by Type of tracking data West Nile virus pesticide NYC DOHMH Hazard applications Food pesticide residue NYS Dept. of Hazard of Agriculture Pest control firm survey NYC DOHMH Hazard Pesticide applications NYS DEC Hazard Pesticide sales NYS DEC Hazard HPD building information NYC HPD Hazard, risk factors Housing and vacancy U. S. Census Hazard, risk factors survey NYC HANES NYC DOHMH Exposure, risk factors Community health survey NYC DOHMH Hazard, outcome Poison control data NYC DOHMH Hazard, outcome Emergency department NYC DOHMH Outcome chart abstraction Hospital and emergency NYS DOH Outcome department discharge data Vital statistics birth NYC DOHMH Population records U.S. Census U. S. Census Population, risk factors Automated city register NYC Finance Risk factors Data set (a) Applicability West Nile virus pesticide Applications data applications Food pesticide residue Indicators to be tracked Pest control firm survey Indicators to be tracked Pesticide applications County/ZIP code applications Address-level applications Pesticide sales ZIP code-level sales HPD building information Address-level complaints and violation data Housing and vacancy Neighborhood-level housing survey quality, occupancy NYC HANES Exposure to organophosphates and pyrethroids Community health survey Neighborhood-level health and pesticide use data Poison control data Suspected poisonings Emergency department Poisoning incidence chart abstraction Hospital and emergency Address-identified outcomes department discharge data Vital statistics birth Intercensus populations records U.S. Census Fine geography-level demographic, socioeconomic data Automated city register Address-level financial data Data set (a) Update frequency Required for acquisition West Nile virus pesticide Continuous None applications Food pesticide residue Annual None Pest control firm survey Every 2 years IRB Pesticide applications Annual None Annual Research application, IRB Pesticide sales Annual None HPD building information Continuous Use agreement Housing and vacancy Every 3 years None survey NYC HANES Every 3 years IRB Community health survey Annual None Poison control data Continuous Use agreement, IRB Emergency department Quarterly None chart abstraction Hospital and emergency Annual IRB department discharge data Vital statistics birth Continuous Data use agreement records U.S. Census Every 10 years None Automated city register Continuous Data use agreement Abbreviations: DEC, Department of Environmental Conservation; DOH, Department of Health; HPD, Department of Housing Preservation and Development; IRB, institutional review board; NYS, New York State. (a) A list of web site addresses that describe or make available some of these data sets maybe obtained by contacting the corresponding author of this article.
Barr DB, Bravo R, Weerasekera G, Caltabiano LM, Whitehead RD Jr, Olsson AO, et al. 2004. Concentrations of dialkyl phosphate metabolites of organophosphorus or·gan·o·phos·pho·rus
organ·o·phos pesticides in the U.S. population. Environ Health Perspect 112(2):186-200.
Berkowitz GS, Obel J, Deych E, Lapinski R, Godbold J, Liu Z, et al. 2003. Exposure to indoor pesticides during pregnancy in a multiethnic mul·ti·eth·nic
Of, relating to, or including several ethnic groups.
Adj. 1. multiethnic - involving several ethnic groups
multi-ethnic , urban cohort. Environ Health Perspect 111(1):79-84.
Berkowitz GS, Wetmur JG, Birman-Deych E, Obel J, Lapinski RH, Godbold JH, et al. 2004. In utero in utero (in u´ter-o) [L.] within the uterus.
In the uterus.
in utero adv. pesticide exposure, maternal paraoxonase activity, and head circumference. Environ Health Perspect 112(3):388-391.
Berry M, Graham JA, Hammerstrom K, Hern hern
[Variant of heron.] S, Ozkaynak H, Pahl D, et al. 2000. Strategic Plan for the Analysis of the National Human Exposure Assessment Survey (NHEXAS NHEXAS National Human Exposure Assessment Survey ) Pilot Study Data. Document EPA/606/R-00/049. Las Vegas Las Vegas (läs vā`gəs), city (1990 pop. 258,295), seat of Clark co., S Nev.; inc. 1911. It is the largest city in Nevada and the center of one of the fastest-growing urban areas in the United States. , NV:National Exposure Research Laboratory.
California Department of Pesticide Regulation. 2006. An Overview of California's Unique Full Reporting System. Sacramento, CA:California Department of Pesticide Regulation. Available: http://www.cdpr.ca.gov/docs/pur/ purovrvw/tabofcon.htm [accessed 15 December 2003].
Calvert GM, Plate DK, Das R, Rosales R, Shafey O, Thomsen C, et al. 2004. Acute occupational pesticide-related illness in the US, 1998-1999: surveillance findings from the SENSOR-pesticides program. Am J Ind Med 45(1):14-23.
CDC. 2003a. Environmental and health effect tracking: notice of availability of funds. Program announcement 03074. Fed Reg FED REG Federal Register 68:36812-36818.
CDC. 2003b. Rise of scope and sophistication so·phis·ti·cate
v. so·phis·ti·cat·ed, so·phis·ti·cat·ing, so·phis·ti·cates
1. To cause to become less natural, especially to make less naive and more worldly.
2. of pesticide-related surveillance with West Nile Virus. Surveillance for acute insecticide-related illness associated with mosquito-control efforts, nine states, 1999-2002. MMWR MMWR Morbidity & Mortality Weekly Report Epidemiology A news bulletin published by the CDC, which provides epidemiologic data–eg, statistics on the incidence of AIDS, rabies, rubella, STDs and other communicable diseases, causes of mortality–eg, Morbid Mortal Wkly Rep 52:(27):629-634.
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Daniel E. Kass, (1) Audrey L. Thier, (2) Jessica Leighton, (1) James E. Cone, (1) and Nancy L. Jeffery (1)
(1) New York City Department of Health and Mental Hygiene, Bureau of Environmental Disease Prevention, New York, New York, USA; (2) Consultant, Williamstown, Massachusetts Williamstown is a town in Berkshire County, in the northwest corner of Massachusetts. It shares a border with Vermont to the north and New York to the west. It is part of the Pittsfield, Massachusetts Metropolitan Statistical Area. The population was 8,424 at the 2000 census. , USA
This article is part of the mini-monograph "National Environmental Public Health Tracking," which is sponsored by the Centers for Disease Control and Prevention (CDC).
Address correspondence to D.E. Kass, New York City Department of Health and Mental Hygiene, Environmental Public Health Tracking Program, 253 Broadway, CN-34C, New York, NY 10007 USA. Telephone: (212) 442-2638. Fax: (212) 676-2911. E-mail: email@example.com
We gratefully acknowledge the guidance provided by members of the New York City Department of Health and Mental Hygiene Environmental Connections Advisory Panel.
This work was generously supported by cooperative agreements U50/CCU223290 and U50/CCU222455 from CDC.
This article was supported by an environmental public health tracking cooperative agreement from CDC. Its contents are solely the responsibility of the authors and do not necessarily represent the official views of CDC.
The authors declare they have no competing financial interests.
Received 1 April 2004; accepted 3 August 2004.