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      North Carolina Toxic Substance Incidents Program 2010–2015: Identifying Areas for Injury Prevention Efforts

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          Abstract

          The National Toxic Substance Incidents Program (NTSIP) is a surveillance system designed to capture acute toxic substance releases, factors contributing to the release, and any associated injuries. North Carolina has participated since 2010, when NTSIP was established. This article will present a descriptive statistical summary from 2010 to 2015 focused on releases that resulted in injuries in order to identify areas for public health prevention efforts. Of the 1690 toxic releases in North Carolina, 155 incidents resulted in injuries and 500 people were injured. Carbon monoxide injured the greatest number of people. Of the incidents that resulted in injuries, 68 occurred at private vehicles or residences (44%), injuring 124 people (25%). Over half of events where at least one responder was injured occurred at private vehicles or residences. Events occurring at private residences did not have a significant relationship between evacuations and injuries, while for industry-related events, the odds of an evacuation being ordered were 8.18 times greater (OR = 8.18, 95% CI = 5.19, 12.89) when there were injuries associated with an event. Intervention efforts should focus on preventing responder injuries while responding to private residence releases and educating the general public on how to prevent injuries by self-evacuating areas where hazardous chemicals have been released.

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          Evolving with the times, the new national toxic substance incidents program.

          ATSDR's surveillance and registries branch has a new three-part program to gather data on toxic substance incidents, the National Toxic Substance Incidents Program (NTSIP). NTSIP includes state-based surveillance of releases, a national database of chemical incidents, and incident investigations after large releases. NTSIP replaces the Hazardous Substances Emergency Events Surveillance program. Through this more comprehensive program, ATSDR is collecting data that may be used to decrease the number and severity of chemical releases and enhance preparedness, so that the health effects of future incidents are minimized.
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            Top five industries resulting in injuries from acute chemical incidents—Hazardous Substance Emergency Events Surveillance, nine states, 1999-2008.

            Because industries using and/or producing chemicals are located in close proximity to populated areas, U.S. residents are at risk for unintentional chemical exposures.
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              New York hazardous substances emergency events surveillance: learning from hazardous substances releases to improve safety

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                Author and article information

                Journal
                Toxics
                Toxics
                toxics
                Toxics
                MDPI
                2305-6304
                06 August 2017
                September 2017
                : 5
                : 3
                : 16
                Affiliations
                North Carolina Occupational and Environmental Epidemiology Branch (NC OEEB), 5505 Six Forks Rd., Raleigh, NC 27699, USA; sam.eiffert@ 123456socket.net (S.E.); smetienne19@ 123456gmail.com (S.E.); ademuth1@ 123456gmail.com (A.H.)
                Author notes
                [* ]Correspondence: rick.langley@ 123456dhhs.nc.gov ; Tel.: +1-919-707-5900
                Author information
                https://orcid.org/0000-0002-6022-7544
                Article
                toxics-05-00016
                10.3390/toxics5030016
                5634706
                6f6a9f3c-d130-49cd-b92d-26cf6d81f6d8
                © 2017 by the authors.

                Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license ( http://creativecommons.org/licenses/by/4.0/).

                History
                : 13 July 2017
                : 03 August 2017
                Categories
                Article

                chemicals,spills,transportation,industry,injuries,evacuation,explosion,carbon monoxide

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