1. Melissa Kranz, MPH Environmental Epidemiology Program

2. National Toxic Substance Incidents Program (NTSIP) Three-year partnership with the Agency for Toxic Substances and Disease Registry (ATSDR) Multi-component program to collect, analyze, and utilize information about toxic substance incidents Goal: Reduce the morbidity and mortality from toxic substance incidents

3. Maximize coordination among federal, state, and local agencies involved in toxic substance activities –Production –Storage –Use –Transportation –Release Getting Started

4. Maximize coordination among federal, state, and local agencies involved in toxic substance activities –Production –Storage –Use –Transportation –Release Data Sources E-Plan

6. Maximize coordination among federal, state, and local agencies involved in toxic substance activities –Production –Storage –Use –Transportation –Release Data Sources Railway

7. Maximize coordination among federal, state, and local agencies involved in toxic substance activities –Production –Storage –Use –Transportation –Release Data Sources TEMA, TDEC, TPC, NRC, Breaking Media News, DHS, DOT, and Google Alerts

8. Collecting Data Be informed no later than 48 hours of any hazardous substance incident Be informed immediately of a hazardous substance incident of public health concern Conduct public health investigations on significant incidents

9. Analyzing Data Analyze and map data to determine –The frequency and location of hazardous substance releases –The substances most frequently involved in a release –The factors contributing to hazardous substance releases –The rate of hazardous substance releases per census population –The evacuation capabilities of the area

10. Interpreting Data Identify and prioritize vulnerabilities in industry and transportation Identify and prioritize high risk areas involving vulnerable populations Identify and prioritize areas lacking the capacity to handle large health emergencies

11. Hazardous Chemical Releases by Region January 1 - March 31, 2010 Number Sodium Hydroxide Propane Sulfuric Acid 1 3 1 3 3 1 1 1 1 1 Numbers represent death, injury, or illness. Human Error Equipment Failure

13. Reporting Data Share information gathered and lessons learned with the public, partnering agencies, and key organizations –Fact Sheets –Summary Reports –Educational Presentations

14. Proactive Prevention Provide data to help train emergency responders and improve emergency response planning Promote strategies that could prevent future incidents Mitigate the public health consequences when a release does occur Improve patient care through enhanced knowledge of short-term and long-term health effects associated with chemical exposures

15. Contact Melissa K. Kranz, MPH Environmental Epidemiologist Tennessee Department of Health 425 5th Avenue North 1st Floor Cordell Hull Bldg, CEDS Nashville, TN 37243 Office: (615)253-1396 Fax: (615)741-3857 Email: melissa.kranz@tn.gov