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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
Hospitals for a Healthy Environment (H2E)
Abstract: Cooperative effort between the American Hospital Association and EPA with goal of virtual mercury elimination by 2005. Site includes information on mercury, waste reduction, chemicals/P2, green buildings, green purchasing, and other tools.
Source: American Hospital Association
Interstate Mercury Education & Reduction Clearinghouse (IMERC) Mercury-Added Products Database
Abstract: Maintained by the Northeast Waste Management Officials? Association (NEWMOA), this database presents information submitted to IMERC on the amount and purpose of mercury in consumer products. The database is intended to inform consumers, recyclers, policy makers and others about: products that contain intentionally-added mercury; the amount of mercury in a specific product; the amount of mercury in a specific product line sold in the U.S. in a given year; and manufacturers of mercury added products. The information in this database was submitted to IMERC by or on behalf of product manufacturers in compliance with laws in the states of Connecticut, Maine, New Hampshire and Rhode Island. The database may be searched by sector, product category, manufacturer or amount of mercury content.
Introduction to Mercury Issues
Abstract: This on-line training (PowerPoint presentation) from the Ohio EPA provides an introduction to mercury issues for the general public and businesses. It is meant to provide an introduction to the various forms of mercury and their health effects, identify where mercury is found, identify steps to take to reduce mercury use and provide some basic resources to further explore mercury issues. Information on mercury P2 assistance for Ohio is included. Note: This presentation was optimized for more recent versions of Microsoft Internet Explorer.
Source: Ohio EPA OCAPP
Main Hospitals for a Healthy Environment Pollution Prevention Agreement
Abstract: Every hospital in Maine has signed a landmark agreement with the state?s Department of Environmental Protection (DEP) and environmental groups to significantly reduce or eliminate use of products that contribute to the release or mercury and dioxin to Maine?s environment. This is the text of the pollution prevention agreement between the Maine DEP and the Maine Hospital Association.
Source: Maine Department of Environmental Protection
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 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)
Mercury Reduction Programs Database
Abstract: Maintained by the Northeast Waste Management Officials? Association (NEWMOA), a searchable database that includes descriptions of mercury reduction programs underway around the U.S. Each profile provides a brief description of the project, its title, a list of products affected, program results, sources of funding, and contact information. The database may be searched by state, program title or agency. An online form is available for submission of information on programs not currently included in the database.
Mercury Spills:How Much Do They Cost? [PDF]
Abstract: The true costs of mercury spills are not well documented and tend to be anecdotal. This fact sheet provides references and excerpts from those references to help estimate the potential cost of various types of mercury spills that may occur in a health care setting. (PDF Format; Length: 2 pages)
Source: Sustainable Hospitals Project
Online Mercury Products Photo Database
Abstract: Cuoco & Cormier Engineering has been hired by a Massachusetts solid waste incinerator to perform a mercury survey of schools in their service area. The intent of this effort is to identify and recover mercury bearing products as well as to promote the proper management of universal waste. This online database contains photographs of common mercury bearing products that the company's staff has identified in schools, office buildings and manufacturing facilities. Images may be useful in training facility managers to identify mercury-containing products.
Source: Cuoco &Cormier Engineering Associates, Inc.
Replacing Mercury in Healthcare Facilities--A Step-by-Step Approach
Abstract: This H2E guide provides 10 steps for reducing mercury in healthcare facilities.
Source: Hospitals for a Healthy Environment (H2E)
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)
U.S. EPA Mercury Portal
Abstract: This mercury site provides a broad range of information: actions by EPA and others, including international actions; effects on people and the environment; and how to protect you and your family. The site includes collections of information specifically geared toward consumers, parents, schools, health care providers, and business and industry. The site may also be viewed in Spanish.
Source: U.S. Environmental Protection Agency (EPA)
U.S. EPA Safe Mercury Management Program
Abstract: The objective of this web site is to provide comprehensive, accurate, up-to-date information and easy access to web-based resources relating to the management of mercury-containing products and wastes. The site features links to more than 200 state, local, federal and non-governmental organizations and provides information for the general public, regulatory officials, industry and environmental professionals. It also provides technical assistance and information transfer for cleanup of mercury products and wastes.
Source: U.S. EPA
U.S. EPA: Human Health Research Program
Abstract: EPA's Human Health Research Program offers this Web site on the latest information on its research to protect public health. The program's science looks at such questions as why some people are more sensitive to pollution and how exposure to chemicals affects people's health. The site is designed for the general public as well as for the scientific community. The site provides easy access to research and results on methods, tools, and data needed to improve risk assessments to protect the public. Visitors to the site will find an overview of the research, information on how research has contributed to decision making, resource materials available in journal publications and reports, and a listing of meetings and conferences.
Source: U.S. Environmental Protection Agency (EPA)
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Hub Last Updated: 8/2/2012