The recommended role of exposure biomarkers for the surveillance of environmental and occupational chemical exposures in military deployments: policy considerations.

A lack of individual exposure information limited the evaluation of exposure-outcome relationships after the Gulf War. Exposure concerns during Operation Enduring Freedom and Iraqi Freedom deployments have increased interest in individual environmental and occupational chemical exposure assessment....

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Publicado en:Military Medicine Vol. 169; no. 10; pp. 761 - 768
Autores principales: May LM, Weese C, Ashley DL, Trump DH, Bowling CM, Lee AP, May, Lisa M, Weese, Coleen, Ashley, David L, Trump, David H, Bowling, Curtis M, Lee, Arthur P
Formato: algorithm pictorial tables/charts Journal Article
Publicado: Oxford University Press / USA Oct2004
Acceso en línea:Ver este registro en EBSCOhost
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        atl: The recommended role of exposure biomarkers for the surveillance of environmental and occupational chemical exposures in military deployments: policy considerations.
      aug:
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          May LM
          Weese C
          Ashley DL
          Trump DH
          Bowling CM
          Lee AP
          May, Lisa M
          Weese, Coleen
          Ashley, David L
          Trump, David H
          Bowling, Curtis M
          Lee, Arthur P
        affil: Department of Preventive Medicine and Biometrics, Uniformed Services University of the Health Sciences, 4301 Jones Bridge Road, Room A1044, Bethesda, MD 20814-4799, USA
      sug:
        subj:
          Biological Markers
          Environmental Exposure
          Military Personnel
          Occupational Exposure
          Blood Analysis
          Health Policy
          Risk Assessment
          United States
          Urinalysis
      ab: A lack of individual exposure information limited the evaluation of exposure-outcome relationships after the Gulf War. Exposure concerns during Operation Enduring Freedom and Iraqi Freedom deployments have increased interest in individual environmental and occupational chemical exposure assessment. Currently, deployment assessments are conducted using intermittent ambient air monitoring, occasional focused evaluations based on these results, and postdeployment questionnaire documentation of exposure and/or health concerns. Although this strategy is an improvement over previous practice, it has limitations, including a reliance on evidence of an acute problem, to initiate in-depth health evaluation. Exposure biomarkers may have the potential to overcome some of the limitations of current environmental and occupational exposure assessment tools. This article examines current exposure assessment methods, reviews emerging technologies, and recommends a phased approach to introducing exposure biomarkers into a comprehensive occupational and environmental health surveillance program.
      pubtype: Academic Journal
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        pictorial
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      ougenre: Article
    language: English
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