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Alphabetical Listing of Reference Documents by Title
NOTE: [PDF] links require Acrobat Reader from Adobe.
Eliminating Mercury in Hospitals: Environmental Best Practices for Health Care Facilities [PDF]
Abstract: Comprehensive factsheet including info. on environmental effects of mercury, exposure pathways, industrial sources, case studies & reduction strategies for health care facilities. Cost & efficacy comparisons for sphygmomanometers & thermometers.
Source: U.S. EPA Region 9 Pollution Prevention Program
Managing Wastes From Health Care Providers [PDF]
Abstract: This MPCA fact sheet is intended to assist health care providers with proper waste management. For the purposes of this fact sheet "health care providers" include "a school or plant nurse's office, a physicians' office, a dental office, a medical clinic or center, an assisted-care or long-term care facility, a hospital, a veterinary clinic or animal hospital and those personnel providing health care or operating such facilities." Waste types discussed include hazardous wastes, industrial solid waste, infectious waste, pharmaceutical waste, radioactive wastes, and sewerable waste. (PDF Format; Length: 7 pages)
Source: Minnesota Pollution Control Agency (MPCA)
Mercury in Drug and Biological Products
Abstract: FDA list of mercury ingredients in drug and biological products, as derived from submissions made by manufacturers in response to the agency's call-for-data notices of December 14, 1998 (63 FR 68775), April 29, 1999 (64 FR 23083) and February 3, 2003 (68 FR 5299), the agency's Drug Registration and Listing System, and other agency sources. List includes manufacturer's name, product name, the mercury ingredient involved, and the percentage of that ingredient in the product. The mercury ingredients are abbreviated as TM for thimerosal, PMA for phenylmercuric acetate, PMN for phenylmercuric nitrate, MA for mercuric acetate, MN for mercuric nitrate, MB for merbromin, and MOY for mercuric oxide yellow. The list includes nonhomeopathic human and veterinary drug products and human biological products. Homeopathic drug products are not included because of the low amounts of mercury present in the products.
Source: U.S. Food & Drug Administration (FDA)
Mercury in Eye Surgery Settings [PDF]
Abstract: This fact sheet provides suggestions for facilities that still have mercury intraocular pressure reducers?little bags of mercury used as weights to apply pressure to the eye prior to cataract surgery. While these devices are no longer commercially available and the practice is largely obsolete, many facilities may still have these devices. (PDF Format; Length: 1 page)
Source: Sustainable Hospitals Project
Mercury in Health Care Lab Reagents
Abstract: This fact sheet provides steps to identify mercury in lab reagents, a list of potential mercury containing reagents, and a list of brand specific potential mercury-containing lab reagents. Also available at this web page in PDF format (Length: 8 pages)
Source: Minnesota Technical Assistance Program (MnTAP)
Mercury in Plasma-Derived Products
Abstract: FDA fact sheet on mercury ingredients, such as thimerosal, in plasma-derived products.
Source: U.S. Food & Drug Administration (FDA)
Reducing Mercury Use in Healthcare: Promoting a Healthier Environment: A How-to Manual
Abstract: The purpose of this manual is to help hospitals start mercury pollution prevention programs or accelerate programs that have already begun.
Source: U.S. Environmental Protection Agency, Great Lakes National Program Office
State Government Regulations:2005 Legislation: Eliminating Mercury in Health Care Setting
Abstract: This portion of the American Nurses Association web site provides an overview of legislation related to the elimination of mercury in health care devices in the United States for 2005. A map of the U.S. is provided, showing where such legislation has been introduced or enacted in 2005, and where such legislation has been enacted in prior years.
Source: American Nurses Association (ANA)
Thimerosal in Vaccines
Abstract: Thimerosal is a mercury-containing organic compound (an organomercurial). Since the 1930s, it has been widely used as a preservative in a number of biological and drug products, including many vaccines, to help prevent potentially life threatening contamination with harmful microbes. Over the past several years, because of an increasing awareness of the theoretical potential for neurotoxicity of even low levels of organomercurials and because of the increased number of thimerosal containing vaccines that had been added to the infant immunization schedule, concerns about the use of thimerosal in vaccines and other products have been raised. Thimerosal has been removed from or reduced to trace amounts in all vaccines routinely recommended for children 6 years of age and younger, with the exception of inactivated influenza vaccine; a preservative-free version of the inactivated influenza vaccine (contains trace amounts of thimerosal) is available in limited supply at this time for use in infants, children and pregnant women. In this document, a discussion of preservatives, the use of thimerosal as a preservative, guidelines on exposure to organomercurials (primarily methylmercury), thimerosal toxicity, recent and future FDA actions, and the conclusions of the Institute of Medicine's most recent review of thimerosal in vaccines are presented. This narrative on thimerosal contains references to the literature and links to other sites for readers who wish additional information; for quick reference, a number of frequently asked questions (FAQs) and answers are provided.
Source: U.S. Food & Drug Administration (FDA)
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Hub Last Updated: 8/2/2012