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- 1. Your Health and the EnvironmentYour Health and the Environment Resources from NLMResources from NLM Akashdeep Singh JanduAkashdeep Singh Jandu Specialized Information ServicesSpecialized Information Services National Library of MedicineNational Library of Medicine MLA Annual Meeting May 2007
- 2. http://tox.nlm.nih.govhttp://tox.nlm.nih.gov Premier portal for environmental health information
- 3. New and Improved ResourcesNew and Improved Resources REMMREMM – Radiation Event– Radiation Event Medical Management ToolMedical Management Tool ToxMystery-ToxMystery- resource forresource for kids (ages 7-10)kids (ages 7-10) TOXNETTOXNET – HSDBHSDB – 20 radioisotopes– 20 radioisotopes addedadded – TOXLINETOXLINE unifiedunified – LactMed: 50+ drugs addedLactMed: 50+ drugs added – TOXMAPTOXMAP – new look for– new look for maps; TRI 2005 addedmaps; TRI 2005 added – Household ProductsHousehold Products – Home– Home Office products categoryOffice products category – Haz – MapHaz – Map – 200+ chemicals– 200+ chemicals addedadded Tox TownTox Town – Port Scene– Port Scene addedadded WISERWISER – 20 radioisotopes– 20 radioisotopes (coming soon)(coming soon)
- 4. Radiological Event Medical ManagementRadiological Event Medical Management (REMM)(REMM)
- 5. REMMREMM Animations demonstrating the concepts of external and internal contamination
- 6. REMMREMM Dose Estimator and TreatmentDose Estimator and Treatment
- 8. TOXMAPTOXMAP Environmental Health e-MapsEnvironmental Health e-Maps •Toxics ReleaseToxics Release Inventory (EPA)Inventory (EPA) • Superfund SitesSuperfund Sites (Hazardous Waste(Hazardous Waste Sites)Sites) • Cancer and otherCancer and other disease mortalitydisease mortality datadata • Demographic dataDemographic data
- 10. Health and Demographic DataHealth and Demographic Data
- 11. TOXNET Search ResultsTOXNET Search Results
- 12. Hazardous Substances DataHazardous Substances Data Bank (HSDB): Ionizing RadiationBank (HSDB): Ionizing Radiation Ionizing Radiation Series added (including 20+ radioisotopes)
- 13. Two Parts of TOXLINE MergedTwo Parts of TOXLINE Merged
- 14. Drugs and Lactation DatabaseDrugs and Lactation Database LactMedLactMed Database on the possible effects of over 500 drugs on breastfeeding (50+ drugs added in 2007) Updated
- 15. LactMed ResultsLactMed Results Includes summary of use during lactation, drug levels in breastmilk and effects on breastfed infants
- 16. Haz-MapHaz-Map Occupational ToxicologyOccupational Toxicology Updated 226 new agents added in 2007; over 1,460 agents total
- 17. Household Products DatabaseHousehold Products Database 2007 Update New: Home Office Category Over 1,000 products added (7,000+ products)
- 18. WISERWISER WWirelessireless IInformationnformation SSystem forystem for EEmergencymergency RRespondersesponders • Information on over 400 substancesInformation on over 400 substances tailored for emergency responderstailored for emergency responders • Assist in identifying unknownAssist in identifying unknown substancessubstances • Emergency treatment andEmergency treatment and containment informationcontainment information • New additionsNew additions:: • 20 radioisotopes (20 radioisotopes (coming sooncoming soon)) • DOT Emergency ResponseDOT Emergency Response GuidelinesGuidelines • PDA, PC, and Web versionsPDA, PC, and Web versions availableavailable
- 19. Web WISER:Web WISER: Web version of WISERWeb version of WISER
- 20. ToxSeek:ToxSeek: MetaSearch and Clustering EngineMetaSearch and Clustering Engine
- 22. Algae BloomsAlgae Blooms Septic SystemSeptic System BeachBeach Fish FarmsFish Farms Cruise ShipCruise Ship Tox Town - Port SceneTox Town - Port Scene
- 23. ChemIDplusChemIDplus NewNew FLEXFLEXible Structure Searchingible Structure Searching Aleve
- 24. New Enviro-Health LinksNew Enviro-Health Links
- 25. Quick ToursQuick Tours Quick Tour (overview) of NLM’s environmentalQuick Tour (overview) of NLM’s environmental health and toxicology resourceshealth and toxicology resources Importing TOXLINE Citations into a ReferenceImporting TOXLINE Citations into a Reference Manager ProgramManager Program Basics of searching the Hazardous SubstancesBasics of searching the Hazardous Substances Data Bank (HSDB)Data Bank (HSDB)
- 26. Teacher ResourcesTeacher Resources Introducing Tox Town: •Tox Town Video •Tox Town PowerPoint Slides NLM Resources for Science Teachers: •Flyer •PowerPoint Slides TOXMAP Teacher Resources ToxMystery Teacher Resources
- 30. Keeping up in Environmental HealthKeeping up in Environmental Health What’s new from NLM’s Environmental Health and Toxicology Program SIS Listserv and RSS feed SIS Listserv and RSS feed
- 31. For More Information on YourFor More Information on Your Health and the EnvironmentHealth and the Environment Contact: Specialized Information Services National Library of Medicine tehip@teh.nlm.nih.gov http://sis.nlm.nih.gov
Editor's Notes
- Update on NLM’s environmental health related resources…. October, 2006….
- The NLM’s Division of Specialized Information Services (SIS). environmental health and toxicology portal can be found at http://tox.nlm.nih.gov
- 2007 brought a new environmental health/toxicology information resources and significant updates to current data databases…… These include: REMM – Radiation Event Medical Management Tool (web-based and download to CD or PC) TOXMAP- New look to maps; TRI 2005 coming soon ToxMystery introduced late in 2006: first NLM interactive game resource for children; available on CD TOXNET New Search Results Page LactMed - database on drugs and lactation, with information on over 520 drugs, including maternal levels in breast milk, infant levels in blood, potential effects in breast-feeding infants and on lactation itself. (updated with over 50 new drugs in 2007) HSDB – The Hazardous Substances DataBank, now covers more than 5,000 hazardous substances, with 20 new radioactive isotopes added. TOXLINE – merged TOXLINE core and special (Medline and non-Medline together again) WISER – 20+ radioisotopes to be added soon; DOT Emergency Response Guidelines added ToxSeek – a meta search & clustering tool to search over 40+ toxicology resources and databases; updated in 2007 with new sources and improved display of results Tox Town - Port scene added Household Products – Home office products coming soon; adding 1,000 products in 2007 (for a total of over 7,000) Haz-Map – updated with over 220 new agents (including radioisotopes)
- REMM, the Radiological Event Medical Management system, was released in early March; REMM provides guidance on diagnosis and treatment for health care provides in the event of a radiation emergency. It is being developed in collaboration with HHS office of the Assistant Secretary for Preparedness and Response. REMM is designed for Health Care Providers (HCPs) without formal expertise in radiation safety or radiation medicine who may provide medical care during an accidental or non-accidental Radiation Event. This site is not specifically designed for the general public.
- Many resources and pages including animations describing radiation exposure and contamination.
- SIS has recently released NLM’s first resource for kids. ToxMystery, designed for 7-10 year olds, allows kids to explore a house and find potential hazards in the house. Multiple choice questions are asked and once all the hazards are correctly identified, a certificate can be printed.
- EPA released the 2005 Toxics release inventory in March and these data will be added to TOXMAP soon. The maps have a new and improved look and the default is the large map (with an option to go smaller)
- In addition, “Superfund,” or hazardous waste sites, have now been included….
- As well as expanded demographic data (population type, age, race, income) and health data such as cancer mortality or other disease mortality rates. The maps themselves have now have a more accurate appearance.
- The TOXNET search results page has a new, streamlined look.
- TOXNET’s Hazardous Substances Data Bank (HSDB) recently added over 20 radioisotopes and ionizing radiation to correspond with REMM
- A new version of the National Library of Medicine® (NLM) TOXLINE was released on TOXNET in July. Search results from the two parts of TOXLINE®, TOXLINE Core and TOXLINE Special, are now merged. TOXLINE Core was the PubMed®/MEDLINE® toxicology subset and TOXLINE Special captured other literature (special journal and other research literature, technical reports and research projects, and archival materials). This change allows all results to be relevancy ranked in the same way, with results displayed in only one window. A similar merged interface will be provided for the Developmental and Reproductive Toxicology/Environmental Teratology Information Center (DART®/ETIC) database in the Fall.
- LactMed is a new database on the possible effects of over 520 drugs on lactation, breastfeeding, and the breastfed infant. It is designed for health professionals, such as ob/gyns, pedicatricians, midwives, nurses, as well as lactation consultants and nursing mothers. Over 50 new drugs were added in 2007.
- It provides an extensive review of the literature with summary information about use during lactation and drug levels in the mother and infant. References, with links to PUBMED, are included.
- Haz-Map was updated by Dr. Jay Brown. Over 220 new agents were added for a total nearing 1,500 agents
- Coming soon – a Home Office Category plus 1,000 new products for a total of over 7,000 products
- The Wireless Information System for Emergency Responders (WISER) is a system designed to assist first responders in hazardous material incidents. WISER provides a wide range of information on hazardous substances, including substance identification support, physical characteristics, human health information, and containment and suppression advice. WISER added the DOT emergency response guidelines (orange book) WISER will add 20 new agents (radioisotopes) soon. There have been over 42,000 downloads of WISER onto PDAs and Windows lap or desktops
- A web version of WISER was released in early 2006. It provides the same functionality as the PDA version and can be used by emergency responders with pcs or laptops and Internet access either onsite or back at the main facility. It is also used as a training device for emergency responders.
- ToxSeek is a metasearch and clustering tool allowing users to search multiple web sites and databases (or the “hidden web”) for high-quality toxicology and environmental health information. The user can choose from over 40 web sites and databases to search – these resources are divided into 6 categories –the entire category or individual resources in each can be selected. Several new resources were added in 2007 and plans to include all resources as the default are underway
- The results are displayed in relevancy ranked order (but this can be changed to alphabetical or by source). Previews of the pages can be seen. Results can easily be refined by using the clusters to help narrow or focus your search. Here, the standard for arsenic in drinking water was selected and so the results discuss an acceptable level of arsenic to be found in drinking water.
- ToxTown now also has 10 new chemicals, lots of indexes (such as an A-Z Spanish, indexing the Spanish-language pages on toxic chemicals and environmental health concerns, and A-Z English, indexing the text version with direct links to topic pages), and some new environmental health locations and concerns.
- In addition to toxicity and physical property searching, ChemIDplus has new flexible structure searching allowing users to find all related chemicals.
- SIS has also created “web-liographies,” or lists of links on a variety of important or “hot” topics in environmental health. Several that were added over the past year include ones on pesticide exposure, lead, and hurricanes. These list of links include canned searches of several NLM databases, including PUBMED, TOXLINE, HSDB, and, in the case of the hurricane page, TOXMAP. The newest enviro health link is on “Dietary Supplements.” These enviro-health links include some consumer health links, but also include more technical links as well.
- SIS also now offers two “quick tours” on its environmental health and toxicology resources. One is an overview of these resources – it is 4 minutes long and is a good way to become familiar with the variety of resources available. The second is much more specific, and describes how to import TOXLINE citations into a reference management program and is about 2 minutes long. A third quick tour on searching HSDB was recently completed and can be used independently or in conjunction with an NLM Technical Bulletin Skill Kit on HSDB (coming soon)
- We have several new Teacher Resources: a pdf flyer for science teacher on NLM resources in general, a video, powerpoint slides, and a teacher page for introducing Tox Town in the classroom, and a for teachers page on TOXMAP
- Also in the works is a Drug Information Portal an NLM-wide effort to present a coherent, organized, user-friendly portal to drug information from the entire federal government.
- It includes information such as summaries of the effect on breastfeeding and of reviewed biological and physical data, articles from scientific journals and from Toxicological Journals, manufacturers drug label information, Clinical Trials information, biological activities and chemical structures, and toxicological and chemical resources links.
- The pilot Dietary Supplements Database contains information on the ingredients of over 1,000 brands of dietary supplements sold in the U.S. and is designed to help not only researchers, but the large audience of supplement consumers as well. While consumer-oriented information about dietary supplements is available from many sources, this database consolidates and centralizes the information that consumers require to make informed decisions about supplements and provides direct links to pertinent health information and on-going clinical studies at the National Institutes of Health (NIH). The database is designed to help answer the following typical questions: What are the ingredients in specific brands? Which brands contain specific chemical ingredients? What fraction of daily recommended nutrients is provided by a specific brand? Can I compare the amount of a specific nutrient between brands? What are inactive ingredients in each brand? Which brands do not contain animal products? Can I find studies that indicate the proven medical benefits of specific ingredients? Can I find information on the toxicity of specific ingredients? Who manufactures a specific brand? How do I contact this manufacturer? What other information is available about chemicals in the toxicology-related databases of the National Library of Medicine?
- How to keep up? NLM offers two environmental health listservs. Both are announcements-only. The first is a way to keep up with SIS’s environmental health resources. Approximately once a week (and usually less often) a message is generated about new activities or updates to SIS resources. The second listserv helps users keep up with environmental health issues in the news. MedlinePlus provides access to the latest medical news from Reuters, NY Times, etc. Rather than going to the MedlinePlus news and looking up environmental health, users can join the listserv and get a once a week message about environmental health articles published in the popular press.
- I hope we’ve highlighted some of NLM’s long-standing and upcoming resources on environmental health. There are many other interesting activities in NLM’s Specialized Information Services division which we did not get to highlight today, so please contact us if you have any questions or want more information. Thank you for your time.