Topics A to Z

As part of NEHA's continuos effort to provide convenient access to information and resources, we have gathered together for you the links in this section. Our mission is "to advance the environmental health and protection professional for the purpose of providing a healthful environment for all,” as well as to educate and inform those outside the profession.

Chuck Lichon, R.S., M.P.H., Deputy Health Officer at District Health Department #2 in Michigan, developed a Children’s Environmental Health Power Point Program with the financial assistance of the Dow Chemical Company, Midland, MI.  The Power Points are approximately 25-35 minutes in length, allowing for a presentation to be made during one classroom setting, or to be used for a community presentation, allowing time for Q & A.  Some of the topics include: Sunwise, Body Art, Household Hazardous Waste, Meth, Recreational Water, and more.  They are free to download and use for presentations in your school, health department community presentations, or for media use.  Changes in the presentations should not be made without consent from the author, and/or the NEHA Board of Directors.  

The Sun Wise PowerPoint is available via the link listed below:   

Chuck Lichon, R.S., M.P.H.
Additional Topics A to Z: Children's Environmental Health


To assess the behavior and precautions that swine workers take during suspected influenza outbreaks in swine, six commercial swine farms in the Midwest U.S. region were visited when influenza outbreaks were suspected in herds during the fall/winter of 2012–2013. Use of personal protective equipment (PPE) and type of task performed by swine workers were recorded based on farm representative reports. Between one to two workers were working on the day of each visit and spent approximately 25 minutes performing work-related tasks that placed them in close contact with the swine. The most common tasks reported were walking the aisles (27%), handling pigs (21%), and handling equipment (21%). The most common PPE were boots (100%), heavy rubber gloves (75%), and dedicated nondisposable clothing (74%). Use of N95 respirators was reported at three farms. Hand hygiene practices were common in most of the farms, but reportedly performed for only 20% to 25% of tasks.

May 2016
May 2016
78.9 | 22-26
Blanca Paccha, MPH, Victor Neira-Ramirez, DVM, PhD, Shawn Gibbs, MBA, PhD, CIH, Montserrat Torremorell, DVM, PhD
Additional Topics A to Z: Pathogens and Outbreaks

This guest commentary examines a series of well-documented nosocomial viral hemorrhagic fever outbreaks, including the October 2014 Dallas Ebola index case, to provide guidance for future preparedness and response in the health care setting. Hazard vulnerability assessments, occupational safety, relevant and appropriate personal protective equipment, and biosurveillance topics are discussed through the all-hazards preparedness lens.

September 2015
September 2015
78.2 | 28-32
Christopher Eddy, MPH, REHS, RS, CP-FS, Eriko Sase, PhD
Additional Topics A to Z: Pathogens and Outbreaks

Article Abstract

To keep swimming pool water clean and clear, consumers purchase, transport, store, use, and dispose of large amounts of potentially hazardous chemicals. Data about incidents due to the use of these chemicals and the resultant public health impacts are limited. The authors analyzed pool chemical release data from 17 states that participated in the Agency for Toxic Substances and Disease Registry’s chemical event surveillance system during 2001–2009. In 400 pool chemical incidents, 60% resulted in injuries. Of the 732 injured persons, 67% were members of the public and 50% were under 18 years old. Incidents occurred most frequently in private residences (39%), but incidents with the most injured persons (34%) occurred at recreational facilities. Human error (71.9%) was the most frequent primary contributing factor, followed by equipment failure (22.8%). Interventions designed to mitigate the public health impact associated with pool chemical releases should target both private pool owners and public pool operators. 

May 2014
76.9 | 10-15
Ayana R. Anderson, MPH, Wanda Lizak Welles, PhD, James Drew, Maureen F. Orr, MS
Additional Topics A to Z: Hazardous Materials


While hurricanes are known to cause immediate destruction through flooding and strong winds, pathogenic diseases as a result of hurricanes are less recognized. Evidence shows that airborne opportunists and waterborne diseases are more common in the environment after hurricanes, as are visits to the emergency room for respiratory and skin ailments. In addition, infections that result from overcrowding tend to increase in shelters while mosquito-borne viruses can increase in number over the long-term. Understanding the effect of hurricanes on these pathogens in the environment can help public health professionals and the public be better prepared when major hurricanes occur, as well as decrease the incidence of illness and death after a hurricane.


January 2019
January/February 2019
81.6 | 16-20
Lisa R. Maness, MS, PhD, MT (ASCP, AMT), Clinical Laboratory Science Department, Winston-Salem State University


This study evaluated whether a difference existed between one-hour and one-day notice on inspection announcements versus unannounced inspections on health inspection ratings of food establishments. Three hundred food establishments were randomly assigned into three sections of no announcement, one-hour announcement, or one-day announcement. Certified food inspectors performed routine inspections of these establishments for foodborne illness risk factors. Inspection results were analyzed using chi-square analysis. A significant interaction was found: those who had no notice were more likely to have an unsatisfactory outcome (4%) than establishments that had either one-hour or one-day notice (0%). One-hour notice did not result in a significant difference in outcome when compared with no notification. One-day notice did result in a significant difference in outcome when compared with no notification. This result suggests that one-hour notification is not a significant amount of time to impact the outcome of an inspection, but is sufficient to allow management to logistically prepare for an inspection and still maintain the objective of the inspection process.

January 2017
January/February 2017
79.6 | 14-18
Paschal Nwako, MPH, PhD, REHS, CHES, DAAS