Attachment J. List of Consultants and/or Content Reviewers. Comments on the survey and/or the classification of the chemicals provided in writing or by phone.
External
Indu Ahluwalia, PhD
Epidemiologist
Behavioral Surveillance Branch
Division of Adult and Community Health
National Center for Chronic Disease Prevention and Health Promotion/CDC
770-488-5764
RoseMarie Bowler, PhD, MPH
San Francisco State University
Department of Psychology
837 Kent Drive
El Charito, CA
415-405-2137
Michelle Kegler, DrPH
Department of Behavioral Sciences and Health Education
Rollins School of Public Health
Emory University
404-712-9957
P. Barry Ryan, PhD (Emory University)
Internal – ATSDR
Drue H. Barrett, PhD
Acting Associate Director for Science
404-498-0612
Aaron N. Borelli
Management/Program Analyst
404-498-0185
William Cibulas, PhD
Director, Division of Health Assessment and Consultation
404-498-0007
Sarah Stuart Cox, MPH
Health Educator
404-498-0511
John Doyle, MPA
Health Communications Specialist
770-488-3487
Jill Dyken
Environmental Health Scientist
404-498-0428
Stephanie L. Foster, MPH
Epidemiologist
404-498-0568
Gail D.Godfrey
Environmental Health Scientist
404-498-0432
Michael T. Hatcher, PHD
Branch Chief
770-488-3489
Janet L. Heitgerd, PhD
Behavioral Scientist
404-498-0406
John D. Holland, MPH, RHES
Health Communications Specialist
404-498-0520
Elizabeth H. Howze, ScD
Director, Division of Health Education and Promotion
404-498-0284
Diane Jackson
Environmental Health Scientist
404-498-0376
Vikas Kapil, MD
Medical Officer
404-498-0545
Danielle Langmann, MS
Environmental Health Scientist
404-498-0452
Sue Neurath
Environmental Health Scientist
404-498-0374
W. Allen Robison
Toxicologist
404-498-0424
Lourdes Rosales-Guevara, MD
Medical Officer
404-498-0499
Gail E. Scogin, MS
Environmental Health Scientist
404-498-0464
Anne L. Sowell, PhD
Research Chemist
404-498-0634
Terrie D. Sterling, PhD
Behavioral Scientist
404-498-1343
Tsai, Shan Ching (Shan-Ching)
Toxicologist
404-498-0440
Pamela G. Tucker, MD
Medical Officer
770-488-3497
State Cooperative Agreement Partners
(Addresses and phone numbers are found in Attachment K)
Barbara Allerton (PA)
Fred Barley (WV)
Chris Corwin (ID) – by phone
Cecile Eclache (CA)
Tannie Eshenaur, MPH (MN) – by phone
Sara Eslinger (NY) – by phone
Kenny Foscue, MPH (CT) – by phone
Lu Grimm, MA (FL)
Kory J. Groetsch (MI)
Amanda Guay, MPH (OR)
Marcia Henning (WA)
Sharon Kubiak (NJ) – by phone
Susan Miller (TN)
Jim Morrison, CIH, CHMM (WI)
Pamela Noah, MA (GA) – by phone
Tivo Rojas, MPH (CA) – by phone
Faith L. Schottenfeld, MS (NY)
Greg Stein (OH)
Elizabeth Truslow-Evans, MPH (WI)
Beth Ann Williams (CO) – by phone
Attachment K. List of Cooperative Agreement Partners. June 2005.
Alabama Department of Public Health Division of Epidemiology, Suite 1450
P. O. Box 303017 Montgomery, Alabama 36130-3017
Browder, Cheryl (HE, CI, HA)
PHONE: (334) 206-5948 FAX: (334) 206-2012 E-MAIL: [email protected]
Sass, Neil (PI)
PHONE: (334) 206-5941 FAX: (334) 206-2012 E-MAIL: [email protected]
Arizona Department of Health Services Bureau of Epidemiology and Disease Control Services Office of Environmental Health 150 N 18th Ave Phoenix, Arizona 85007
Hasty, Brian (HA, HE)
PHONE: (602) 364-3127 FAX: (602) 364-3146 E-MAIL: [email protected]
Schaller, Kristina (HA, HE)
PHONE: (602) 364-3129 FAX: (602) 364-3146 E-MAIL: [email protected]
Arkansas Department of Health Environmental Epidemiology 4815 W. Markham Street, Slot # 32 Little Rock, Arkansas 72205-3867
Seaton,
Dan (HA)
PHONE: (501) 280-4041 FAX: (501) 280-4090 E-MAIL:
[email protected]
Simmons, Lori (PI)
PHONE: (501) 661-2936 FAX: (501) 280-4090 E-MAIL: [email protected]
California Department of Health Services Environmental Health Investigation Branch 1515 Clay Street, Suite #1700 Oakland, California 94612
Eclache, Cecile (Health Assessment Technician)
PHONE: (510) 622-4496 FAX: (510) 622-4505 E-MAIL: [email protected]
Underwood, Marilyn (PI, HA)
PHONE: (510) 622-4415 FAX: (510) 622-4505 E-MAIL: [email protected]
State of Connecticut Department of Public Health Environmental and Occupational Health Assessment Program Toxic Hazards Assessment Program 410 Capital Avenue, MS#11CHA
P. O. Box 340308 Hartford, Connecticut 06134-0308
Toal, Brian (PI)
PHONE: (860) 509-7741 FAX: (860) 509-7785 E-MAIL: [email protected]
Florida Department of Health Bureau of Community Environmental Health Bin# A-08 4052 Bald Cypress Way Tallahassee, Florida 32399-1712
Bland, Susan (EI)
PHONE: (850) 245-4299 , ext 2310 FAX: (850) 922-8473 E-MAIL: [email protected]
Vacant (HPE Part-time)
PHONE: (850) 245-4299 , ext 2080 FAX: (850) 922-8473 E-MAIL:
Merchant, Randy (PI, HA)
PHONE: (850) 245-4299 FAX: (850) 922-8473 E-MAIL: [email protected]
Georgia Division of Public Health Chemical Hazards Program Environmental Health and Injury Prevention Branch 2 Peachtree Street, NW, 13th Floor Atlanta, Georgia 30303-3141
Blaney, David (EPI)
PHONE: (404) 657-2602 FAX: (404) 657-6533 E-MAIL: [email protected]
Sanchez, Franklin (HA)
PHONE: (404) 657-6534 FAX: (404) 657-6533 E-MAIL: [email protected]
Gila River Indian Community Occupational Safety & Health Office Environmental Health Services
P.O. Box 147 Sacaton, Arizonia 85247
Yazzie, Charisse (HE)
PHONE: (520) 562-5100 ext. 298 FAX: (520) 562-5197 E-MAIL: [email protected]
Idaho Department of Health and Welfare Division of Health Bureau of Community and Environmental Health 450 West State Street 6th Floor Boise, Idaho 83702-0036
Stevens, Kara - acting (POC, HE)
PHONE: (208) 332-7319 FAX: (208) 334-6573 E-MAIL: [email protected]
Vannoy, Jim (PI)
PHONE: (208) 332-7319 FAX: (208) 334-6573 E-MAIL: [email protected]
Illinois Department of Public Health Division of Environmental Health 525 West Jefferson Street Springfield, Illinois 62761
Saxer, Tiffanie (HE)
PHONE: (217) 782-5830) FAX: (217) 785-0253 E-MAIL: [email protected]
Hazardous Waste Site Health Assessment Program Division of Environmental Health Iowa Department of Public Health 321 East 12th Street Des Moines, Iowa 50319-0075
Schmitz, Stuart (HA)
PHONE: (515) 281-8707 FAX: (515) 281-4529 E-MAIL: [email protected]
Louisiana Department of Health and Hospitals Office of Public Health Section of Environmental Epidemiology and Toxicology 325 Loyola Avenue, Suite 210 New Orleans, Louisiana 70112
Wilson, Zoe (EPI)
PHONE: (504) 568-7440 FAX: (504) 568-7035 E-MAIL: [email protected]
Massachusetts Department of Public Health Bureau of Environmental Health Assessment 250 Washington Street, 7th Floor Boston, Massachusetts 02108-4619
Robateau, Rebecca (HE)
PHONE: (617) 624-5757 FAX: (617) 624-5777 E-MAIL: [email protected]
Steele, Martha (Mgmt, HA)
PHONE:
(617) 624-5757 FAX: (617) 624-5777 E-MAIL:
[email protected]
Michigan Department of Community Health Community Public Health Agency Bureau of Epidemiology
P. O. Box 30195 Lansing, Michigan 48909
Wade, Dave (Mgmt)
PHONE: (517) 335-8834 FAX: (517) 335-9775 E-MAIL: [email protected]
Minnesota Department of Health Site Assessment and Consultation Unit 121 East Seventh Place, Suite #220 St. Paul, Minnesota 55101
Yingling, Virginia (HA)
PHONE: (651) 215-0917 FAX: (651) 215-0975 E-MAIL: [email protected]
Missouri Department of Health and Senior Services Section For Environmental Public Health 930 Wildwood Drive
P. O. Box #570 Jefferson City, Missouri 65102
Baysinger, Cherri (POC, Mgmt, HA)
PHONE: (573) 751-6160 FAX: (573) 526-6946 E-MAIL: [email protected]
Harris-Franklin, Lori (HA)
PHONE: (573) 751-6160 FAX: (573) 526-6946 E-MAIL: [email protected]
New Hampshire Department of Environmental Services Bureau of Environmental and Occupational Health 29 Hazen Drive
P.O. Box 95 Concord, New Hampshire 03302-0095
New Jersey Department of Health and Senior Services Division of Public Health Protection and Emergency Preparedness
P.O.
Box 369 3635 Quakerbridge Rd. Trenton, New Jersey 08625-0369
Ahmed, Tariq (HA)
PHONE: (609) 584-5367 FAX: (609) 588-7599 E-MAIL: [email protected]
Petix, Julie (PI, Mgmt)
PHONE: (609) 584-5367 FAX: (609) 588-7599 E-MAIL: [email protected]
New York State Department of Health Flanigan Square 547 River Street Troy, New York 12180
Eslinger, Sara (HA)
PHONE: (518) 402-7850 FAX: (518) 402-7859 E-MAIL: [email protected]
Schottenfeld, Faith (HE)
PHONE: (518) 402-7530 FAX: (518) 402-7539 E-MAIL: [email protected]
Health Assessment Branch Bureau of Environmental Health and Toxicology Ohio Department of Health 246 High Street Columbus, Ohio 43215
Frey, Robert (PI)
PHONE: (614) 466-1069 FAX: (614) 644-7740 E-MAIL: [email protected]
Stein, Greg (HE)
PHONE: (614) 995-7017 FAX: (614) 644-7740 E-MAIL: [email protected]
Oregon Department of Human Services Health Services Office of Disease Prevention and Epidemiology Portland State Office Building 800 N.E. Oregon Street #827 Portland, Oregon 97232
Stone, Dave (HA)
PHONE: (503) 731-4012 FAX: (503) 731-4077 E-MAIL: [email protected]
Pennsylvania Department of Health
P.O. Box 90 Health and Welfare Building, Room 925 Forster and Commonwealth Streets Harrisburg, Pennsylvania 17108
South Carolina Department of Health and Environmental Control
Office of Environmental Community Health 2600 Bull Street Columbia, South Carolina 29201
Shelley, Tracy (HA)
PHONE: (803) 896-9731 FAX: (803) 896-9721 E-MAIL: [email protected]
Whittle, Nancy (PI)
PHONE: (803) 896-8967 FAX: (803) 896-9721 E-MAIL: [email protected]
Tennessee Department of Health 4th Floor Cordell Hull Bldg. 425 Fifth Avenue North Nashville, Tennessee 37247
Omohundro, Ellen (Env. Epidemiologist)
PHONE: (615) 253-1396 FAX: (615) 741-3857 E-MAIL: [email protected]
Texas Department of State Health Services Epidemiology and Disease Surveillance Unit Environmental & Injury Epidemiology and Toxicology Branch Division for Prevention and Prepareness 1100 West 49th Street Austin, Texas 78756
Walker, Tina (HE)
PHONE: (512) 458-7269 FAX: (512) 458-7222 E-MAIL: [email protected]
Utah Department of Health Office of Epidemiology PO Box 142104 Salt Lake City, Utah 84114-2104
R. Wayne Ball (PI)
PHONE: (801) 538-6191 FAX: (801) 538-6564 E-MAIL: [email protected]
Jones, Tamra (HA)
PHONE: (801) 538-6191 FAX: (801) 538-6564 E-MAIL: [email protected]
Washington State Department of Health Office of Environmental Health Assessments
P. O. Box #47846 Olympia, Washington 98504-7846
Trejo, Barbara (HA)
PHONE: (360) 236-3373 FAX: (360) 236-3383 E-MAIL: [email protected]
ATSDR Partners Program Radiation, Toxics and Indoor Air Office of Environmental Health Services Capitol and Washington Streets 1 Davis Square, Suite 200 Charleston, West Virginia 25301-1798
Smith, Barbara (EPI, HA, PI, POC)
PHONE: (304) 558-6751 FAX: (304) 558-1071 E-MAIL: [email protected]
Turner, Anthony (Mgmt)
PHONE: (304) 558-6716 FAX: (304) 558-6020 E-MAIL: [email protected]
State of Wisconsin Department of Health and Family Services Division of Public Health Bureau of Environmental Health 1 West Wilson Street, Room 150
P.O. Box 2659 Madison, Wisconsin 53701-2659
Anderson, Henry (Mgmt, PI)
PHONE: (608) 266-1253 FAX: (608) 267-4853 E-MAIL: [email protected]
Warzecha, Chuck (HA)
PHONE: (608) 267-3732 FAX: (608) 267-4853 E-MAIL: [email protected]
ABBREVIATIONS
AA |
- |
Administrative Assistant |
CI |
- |
Community Involvement |
CHE |
- |
Community Health Education |
EPI |
- |
Epidemiologist |
HA |
- |
Health Assessor |
HE |
- |
Health Education |
HPE |
- |
Health Professional Education |
Mgmt |
- |
Management |
PGO |
- |
Program Grants Office |
POC |
- |
Point of Contact |
PI |
- |
Principal Investigator |
Attachment L. Sample Cover Letters.
Template for Cover Letter to Potential Participants
(Pre-Intervention)
Date
Dear Community Member,
The staff from the (health department and/or other organization(s) when appropriate) and the Agency for Toxic Substances and Disease Registry (ATSDR) would like you to be a part of the (site name, city, or contaminant – e.g., Asbestos, Omaha Lead, or El Dorado Hill County) Household Survey. This survey is allowed under the Comprehensive Environmental Response, Compensation and Liability Act (CERCLA), Section 104(i). The survey takes about twenty (20) minutes to complete.
We are conducting this survey to find out what local residents do and think about ( contaminant, contaminant area and/or site name) in the community. We will ask you about what you do in a day, (select all that apply: some feelings and thoughts about your life, what you think about your physical and mental health, and/or what you think about the environment)__. We will also ask you about the people who live in your house. What you tell us will help us decide what public health services to offer to your community. In addition, we may come back in the next few months [ (or fill in timeframe) ] to see if the public health services were helpful to you.
We really want to know what you think but answering the survey is your choice. You may take part in the survey or not. Again, that is your choice. Nothing will happen to you or anyone in your household if you decide not to answer the questions. If you agree to take part in the survey, you don’t have to answer any question that you don’t want to. Data will be treated in a confidential manner, unless otherwise compelled by law.We will keep your personal information as private as the law allows. Only people working on this survey will know what answers came from you.
If you have any concerns about your rights as someone who is a part of this survey project, call (name) of the (agency) at (phone number) .
Thank you for participating in this important survey.
Sincerely,
Template for Cover Letter to Potential Participants
(Single Collection or Post-Intervention)
Date
Dear Community Member,
The staff from the (health department and/or other organization(s) when appropriate) and the Agency for Toxic Substances and Disease Registry (ATSDR) would like you to be a part of the (site name, city, or contaminant – e.g., Asbestos, Omaha Lead, or El Dorado Hill County) Household Survey. This survey is allowed under the Comprehensive Environmental Response, Compensation and Liability Act (CERCLA), Section 104(i). The survey takes about twenty (20) minutes to complete.
We are conducting this survey to find out what local residents do and think about ( contaminant, contaminant area and/or site name) in the community. We will ask you about what you do in a day, (select all that apply: some feelings and thoughts about your life, what you think about your physical and mental health, and/or what you think about the environment). We will also ask you about the people who live in your house. What you tell us will help us decide what public health services to offer to your community. In addition, we may come back in the next few months
[ (or fill in timeframe) ] to see if the public health services were helpful to you.
We really want to know what you think but answering the survey is your choice. You may take part in the survey or not. Again, that is your choice. Nothing will happen to you or anyone in your household if you decide not to answer the questions. If you agree to take part in the survey, you don’t have to answer any questions that you don’t want to. Data will be treated in a confidential manner, unless otherwise compelled by law.We will keep your personal information as private as the law allows. Only people working on this survey will know what answers came from you.
If you have any concerns about your rights as someone who is a part of this survey project, call (name) of the (agency) at (phone number) .
Thank you for participating in this important survey.
Sincerely,
Attachment M. Sample Interviewer Scripts
Template for Interviewer’s Script
(Telephone Interview)
Hello, I’m calling you on behalf of the (health department and/or other organization(s) when appropriate) and the Agency for Toxic Substances and Disease Registry (ATSDR). My name is (name) . We’re calling to ask people about what they do and think about (short site-related information such as contaminant, area of contamination, and or company name) ______.
Is this a private residence?
If “no,”
Thank you very much, but we are only interviewing private residences. Stop
I need to speak with someone who is at least 18 years old and lives in your house. Are you 18 years of age or older?
If “yes,”
Then you are the person I need to speak with. Go to page 2 “Introduction to Survey.”
If “no,”
Is there someone 18 years of age or older at home right now that I may talk with?
If “yes,”
May I speak with (name given, or him or her) ? If yes, go to “Correct Respondent” once the person is on the line.
If “no,” stop.
To the Correct Respondent
Hello, I’m (name) calling for the (health department and/or other organization(s) when appropriate) and the Agency for Toxic Substances and Disease Registry (ATSDR). We’re calling to ask people about what they do and think about (short site-related information such as contaminant, area of contamination, and or company name) ______.
Go to page 2 “Introduction to Survey.”
Introduction to Survey
I am asking you to be a part of this survey because you live in this community. The questions take about twenty (20) minutes to complete.
The name of this survey is (site name, city, or contaminant – e.g., Asbestos, Omaha Lead, or El Dorado Hill County) Household Survey. It is allowed under the Comprehensive Environmental Response, Compensation and Liability Act (CERCLA), Section 104(i) – also known as the Superfund.
I’d like to ask you questions about some of the things you do in a day, (select all that apply: some feelings and thoughts about your life, what you think about your physical and mental health, and/or what you think about the environment). I will also ask you about the people who live in your house.
You don’t have to answer any question you don’t want to. And, you can stop answering my questions at any time. Only people working on this survey will know what answers came from you.
If you have any concerns about your rights as someone who is part of this survey project, I will give you a telephone number for you to call to get more information.
Is it okay to begin?
Template for Interviewer’s Script
(In-person Interview)
[If a child answers the door, ask to speak to an adult. If you are unsure that the person who answers the door is 18 years of age or older but appears to be a teenager or young adult, begin the script.]
Hello, I’m here to talk with you on behalf of the (health department and/or other organization(s) when appropriate) and the Agency for Toxic Substances and Disease Registry (ATSDR). My name is (name) . We’re here to ask people about what they do and think about (short site-related information such as contaminant, area of contamination, and or company name) ______.
I need to speak with someone who is at least 18 years old and lives in this house. Are you 18 years of age or older?
If “yes,”
Then you are the person I need to speak with. Go to page 2 “Introduction to Survey.”
If “no,”
Is there someone 18 years of age or older at home right now that I may talk with?
If “yes,”
May I speak with (name given, or him or her) ? If yes, go to “Correct Respondent” once the person comes to the door.
If “no,”
Thank you very much. Stop.
To the Correct Respondent
Hello, I’m (name) and I’m here to talk with you on behalf of the (health department and/or other organization(s) when appropriate) and the Agency for Toxic Substances and Disease Registry (ATSDR). We’re asking people about what they do and think about (short site-related information such as contaminant, area of contamination, and/or company name).
Go to page 2 “Introduction to Survey.”
Introduction to Survey
I am asking you to answer this survey because you live in this community. The questions take about twenty (20) minutes to complete.
The name of this survey is (site name, city, or contaminant – e.g., Asbestos, Omaha Lead, or El Dorado Hill County) Household Survey. It is allowed under the Comprehensive Environmental Response, Compensation and Liability Act (CERCLA), Section 104(i) – also known as the Superfund.
I’d like to ask you questions about some of the things you do in a day, (select all that apply: some feelings and thoughts about your life, what you think about your physical and mental health, and/or what you think about the environment). I will also ask you about the people who live in your house.
You don’t have to answer any question you don’t want to. And, you can stop answering my questions at any time. Only people working on this survey will know what answers came from you.
If you have any concerns about your rights as someone who is part of this survey project, I will give you a telephone number for you to call to get more information.
Is it okay to begin?
| File Type | application/msword |
| File Title | Privacy Act Checklist |
| Author | jbh0 |
| Last Modified By | arp5 |
| File Modified | 2007-04-02 |
| File Created | 2007-04-02 |