Driven by community-based organizations and supported by a growing body of literature, the environmental justice movement contends that poor and minority populations are burdened with more than their share of toxic waste, pesticide runoff, and other hazardous byproducts of our modern economic life. Is environmental degradation worse in poor and minority communities? Do these communities suffer more adverse health effects as a result? The committee addresses these questions and explores how current fragmentation in health policy could be replaced with greater coordination among federal, state, and local parties. The book is highlighted with case studies from five locations where the committee traveled to hear citizen and researcher testimony. It offers detailed examinations in these areas: Identifying environmental hazards and assessing risk for populations of varying ethnic, social, and economic backgrounds, and the need for methodologies that uniquely suit the populations at risk. Identifying basic, clinical, and occupational research needs and meeting challenges to research on minorities. Expanding environmental education from an ecological focus to a public health focus for all levels of health professionals. Legal and ethical aspects of environmental health issues. The book makes recommendations to decision-makers in the areas of public health, research, and education of health professionals and outlines health policy considerations.

Women's health and men's health differ in a variety of ways--women live longer on average, for example, but tend to be sicker as well. Whereas some of these distinctions are based solely on gender, there is growing awareness that the environment and related factors may play a role in creating health status differences between men and women. Various factors, such as genetics and hormones, may account for gender differences in susceptibility to environmental factors. In 1996 the Office for Research on Women's Health at the National Institutes of Health asked the Institute of Medicine to conduct a workshop study to review some of the current federal research programs devoted to women's health and to clarify the state of knowledge regarding gender-related differences in susceptibility. This book contains a general outline of research needs, a summary of the workshop proceedings (as well as summaries of the speakers' presentations), and an analysis of the participating federal agencies' research portfolios.

A Practical Guide to Understanding, Managing and Reviewing Environmental Risk Assessment Reports provides team leaders and team members with a strategy for developing the elements of risk assessment into a readable and beneficial report. The authors believe that successful management of the risk assessment team is a key factor is quality repor