International cooperation on the health of seafarers began many years ago. As early as 1921, an international convention regarding this matter was presented to govern ments of maritime countries for ratification. The First World Health Assembly, in 1948, recommended that WHO should establish, with the International Labour Of fice, a Joint Committee on the hygiene of seafarers. The first session of this Com mittee, held in 1949, defined the problems affecting the health of seamen and made a number of recommendations. In the opinion of this Joint Committee, the health of seamen called for interna tional attention for a nu mb er of reasons. By the nature of his work, the seafarer is obliged to travel from country to country and is exposed to great variations of cli mate and also to any disease that may be prevalent in the port of call. He may there fore become a carrier of disease, so that the protection of his health is of importance not only to himself and the other members of the crew but also to the populations of other countries he visits. Yet, on account ofthe nature ofhis employment, it is diffi cult to provide the seafarer with the same standard of health care that is gene rally available to other sections of the population."

In recent years the field of contact dermatitis has increased greatly in importance in dermatology. The variety of exogenous, environmental ly caused dermatoses has undoubtedly expanded over the past few de cades with the increasing number of potentially toxic chemicals, the changes in lifestyle, and the greater life expectancy in industrialized societies. The value of international cooperation in this field has long been realized and acted upon by the International Contact Dermatitis Re search Group (ICDRG). By 1975 the international journal Contact Dermatitis had been founded under the editorship of C. D. Calnan. Thanks largely to the ICDRG and Contact Dermatitis, there were, by 1986, enough additional dermatologists and scientists with a special interest in this area to form the European Environmental and Contact Dermatitis Research Group (EECDRG). Within 2 years they had in stituted the European Society of Contact Dermatitis (ESCD) as an in ternational forum for researchers in the field. The EECDRG decided to hold a symposium in Heidelberg in May 1988, an initiative supported by the ICDRG, and on this occasion the new ESCD held its inaugural session. The Society already has over 200 members and most national contact dermatitis research groups in Europe are already represented; new members are of course welcome. Subgroups and working committees have been formed to address var ious topics including the standardization of patch testing, photoder matology, and bioengineering."

Environmental Chemistry is a relatively young science. Interest in this subject, however, is growing very rapidly and, although no agreement has been reached as yet about the exact content and limits of this interdisciplinary discipline, there appears to be increasing interest in seeing environmental topics which are based on chemistry embodied in this subject. One of the first objectives of Environ mental Chemistry must be the study of the environment and of natural chemical processes which occur in the environment. A major purpose of this series on Environmental Chemistry, therefore, is to present a reasonably uniform view of various aspects of the chemistry of the environment and chemical reactions occurring in the environment. The industrial activities of man have given a new dimension to Environ mental Chemistry. We have now synthesized and described over five million chemical compounds and chemical industry produces about hundred and fifty million tons of synthetic chemicals annually. We ship billions of tons of oil per year and through mining operations and other geophysical modifications, large quantities of inorganic and organic materials are released from their natural deposits. Cities and metropolitan areas of up to 15 million inhabitants produce large quantities of waste in relatively small and confined areas. Much of the chemical products and waste products of modern society are released into the environment either during production, storage, transport, use or ultimate disposal. These released materials participate in natural cycles and reactions and frequently lead to interference and disturbance of natural systems.

Infant Feeding is about a controversy which fascinated the medical and scientific world, as well as national and international health authorities, politicians, religious groups and consumer organisations, for more than 11 years. It often disturbed public opinion, being concerned, as it is, with nothing less than the life and death of babies. The infant food industry was directly accused of having caused a decline in breast-feeding through the inappropriate marketing of breast milk substitutes. The problem was said to be particularly acute in poor under-developed communities, because illiterate mothers were unable to understand instructions for its use, water was often contaminated and, in order to "stretch" an admittedly expensive product, it was over-diluted. The inevitable result, said the critics of industry, was malnutrition, gastroenteritis and increased infant mortality. These were very serious charges against companies which had until then been generally considered to provide an important contribution to medical progress and child health. One company was to be particularly singled out: Nestle SA, the Swiss multinational. Perhaps it became the target because it was the longest establishment, and served well as a symbol of the whole industry. It is a story which is full of confrontations, intrigue and passionately-held opinions, based, nevertheless, on a sizeable body of medical science. After countless twists and turns, it has some sort of "happy ending". Yet a great deal remains to be said, as will be seen throughout the book.

Toxicological Evaluations are critically assessed data and recommendations for occupational safety officers, industrial hygienists, and human and animal toxicologists. They are compiled and constantly reviewed under internationally coordinated programs for establishing the risk potential of existing chemicals to prevent health hazards at the working place. In Volume 11, data for the following chemicals are published: o-Phthalodinitrile, Dimethylaminopropionitrile, Anthraquinone, Triisobutylphosphate, 4-Nitro-4'-aminodiphenylamine-2-sulfonic acid, 2,5-Dimethoxy-4-chloreanilino, Antimony-(III)-chloride, Antimony-(V)-chloride, Antimony-(V)-oxide, N, N-Dicyclohexyl-2-benzothiazolesulfenamide, Ethenesulfonic acid, sodium salt.

M. B. KASTAN Cancer is a disease resulting from alterations of cellular genes which cause phe notypic changes in somatic cells. Usually, when we think about genetic diseases, we think about inheriting one or two abnormal genes from our parents and these gene abnormalities confer the disease phenotype. In contrast, in the majority of cancers, no such inherited gene abnormalities can be identified (which does not mean that they do not exist) and there is no obvious family history suggesting an inherited disease. The vast majority of genes which are altered in the cancer cells are not transmitted through the germ line, but rather become abnormal in somatic cells sometime during the lifetime of the individual. Thus, the critical question which arises is "how do these genetic changes occur in somatic cells?." Epidemiologic data suggest that exposure to environmental carcinogens con tributes to the genesis of at least 80% of all human cancers (DOLL and PETO 1981). Thus, it is natural to suspect that the genetic changes in somatic cells which con tribute to the transformed phenotype arise from DNA damage caused by such exposures. Therefore, understanding how cells respond to DNA-damaging agents is likely to be an important component of our understanding of the genesis of human tumors."

Toxicological Evaluations are critically assessed data and recommendations for occupational safety officers, industrial hygienists, and human and animal toxicologists. They are compiled and constantly reviewed under internationally coordinated programs for establishing the risk potential of existing chemicals to prevent health hazards at the working place. In Volume 13, data for the following chemicals are published: Benzyl chloride, Triethylenediamine, 2-Amino-6-methoxybenzothiazol, Fluorobenzene, alpha-Naphthylamine, Triethylphosphite, Diethylphosphite, Diphenyl-2-ethylhexyl phosphate, alpha-Chlorpropionic acid and sodium-alpha-chloropropionate, Zinc ethylphenyl dithiocarbamate, Dimethoxy thiophosphonyl chloride, p-Chlorbenzotrifluoride.

My introduction to the fascinating phenomena associated with detonation waves came through appointments as an external fellow at the Department of Physics, University College of Wales, and at the Department of Mechanical Engineering, University of Leeds. Very special thanks for his accurate guidance through the large body of information on gaseous detonations are due to Professor D. H. Edwards of University College of Wales. Indeed, the onerous task of concisely enumerating the key features of unidimensional theories of detonations was undertaken by him, and Chapter 2 is based on his initial draft. When the text strays to the use of we, it is a deserved acknow ledgement of his contribution. Again, I should like to thank Professor D. Bradley of Leeds University for his enthusiastic encouragement of my efforts at developing a model of the composition limits of detonability through a relationship between run-up distance and composition of the mixture. The text has been prepared in the context of these fellowships, and I am grateful to the Central Electricity Generating Board for its permission to accept these appointments."

From 11 to 15 July 1977 about 60 physiologists, endo crinologists, ecologists and other biologists from 14 countries convened at the University Montpellier for a symposium on Environmental Endocrinology. This meet ing was organized as a Satellite Symposium of the 27th International Congress of Physiological Sciences, Paris, 18-23 July 1977. This volume is a record of the com munications presented at the symposium. The objectives of the program were to examine the role of the endocrine system in a wide spectrum of adjustments and adaptations to changes in environmental conditions by various spe cies of animals, including man, and to promote an ex change of ideas among investigators who have approached these functions from diverse aspects. The diversity of the information and ideas communicated is great. Of necessity, they represent only an extremely modest se lection of the many facets of endocrine function in the interaction of animals with their environments. Be yond the usefulness of the communications individually, we hope that they collectively demonstrate the substan tial heuristic value of the concept of environmental endocrinology as it was perceived by the participants. We acknowledge gratefully the kindness and sympathy of Professor Jaques ROUZAUD, President of the University of Montpellier II, for his generous extension of the hospitality of the University to the Symposium. We are most grateful to Mrs. Monique VIEU who effected so well the secretarial organization of the Sympos."

Since the implementation of catalysts containing platinum-group-elements (PGE) for the control of vehicle emissions in 1975, a controversial discussion has begun on PGE emissions and eventual consequences for the environment. However, a comprehensive overview of the various works and results in different scientific areas is still lacking. This book covers all aspects of anthropogenic PGE emissions and their consequences for man and environment. The interdisciplinary approach is substantiated by contributions from the fields of environmental geosciences, analytical chemistry, biology and occupational medicine. The articles mirror the actual status of scientific work and discuss environmentally related topics. Modern analytical methods for various environmental matrices as well as models of the current and future geochemical behaviour of PGE in the environment are presented. Bioavailability and toxicological and allergic potentials are discussed.

To be asked to prepare a second edition of a book is heartening for any author or editor. Apart from the opportunity to make the corrections and amendments which are inevitable in a practical manual there is also the possibility to make additions which enhance its usefulness. Above all a further edition usually means that the book has been found to be accept able to a large number of readers and has fulfilled a need. This is indeed the case with Offshore Medicine, which in its description of the medical aspects of offshore work has provided a unique guide to the occupational health of a new industry. The rapid development of offshore exploration for gas and oil which began in the 1960s created a whole new range of related industries. Most attention was focused on the problems of deep diving in the North Sea because of the great expansion of the diving industry, its technological advances and the high mortality of divers in the early years. Diving, however, is only a fraction of the total endeavour concerned with the offshore industry. The much larger population of workers offshore who man the rigs and barges, the toolpushers, helicop ter pilots, crane drivers, scaffolders and roustabouts, geologists and so on, so sympathetically described by A. Alvarez in his recent book Off shore, A North Sea Journey, and the harsh and difficult conditions in which they often have to work are sometimes forgotten."

This book is a collection of scientific papers presented at the XVIII International Congress of Aviation and Space Medicine held in Amsterdam, The Netherlands, from 15-18 September 1969. It is dedicated to General E. de Vries and Dr. K. Vaan drager, President and Vice-President of the Congress, who wished that this unsur passed exchange of scientific information by distinguished authorities of the inter national aerospace medical community be made readily available to all as a valuable source of information. I am deeply grateful to the Congress Committee for honoring me with this editorship, to the authors for submitting generally excellent manuscripts and to the publisher for compiling a book of such high quality. This book contains both Main Theme papers, given by invited lecturers, and selected Free Communications at the Congress. Main Themes were 'physiology of atmospheric pressure' (papers by Ernsting, Meijne, Sluijter, Behnke), 'vestibular problems in aviation medicine' (papers by Melvill Jones, Benson, Oosterveld, Groen, Guedry and Benson, Brandt, Henriksson and Nilsson), 'aviation and cardiology' (papers by Blackburn, Wood) and 'space medicine' (paper by Berry). The Free Communications herein focus on many areas of continuing and timely interest to clinicians and investigators in aerospace medicine. Selection and health maintenance of pilots, medical problems in airline passengers, use of the centrifuge as a therapeutic device, and circadian rhythm effects on man's psychophysiological state receive particular attention."

Chemical pesticides continue as a point of major controversy in our society. Increasingly stringent regulatory actions on the part of state and federal agencies, exemplified by the RPAR (Rebuttable Presump tion Against Registration) program of the Environmental Protection Agency, are supported by environmental groups and are generally op posed or viewed with skepticism by agriculturalists. The energy crisis invokes other questions on benefits of pesticides versus nonchemical controls and effects on labor utilization. As DDT and other persistent pesticides have been phased out, the more labile, short-lived chemicals have filled the voids in pest management systems; and effects on nontarget species appear to have declined in recent years as the shift occurred. However, nagging ques tions of the hazard to man and other nontarget species from long-term, low-level exposure to pesticides are frequently raised; and recent suggestions that certain well-known and long-used chemicals cause cancer, increase sterility, and initiate or augment other deleterious effects in test animals have instilled a sense of caution and raised con cern about the continued availability of some pesticides previously considered safe. So the facade of concern and confusion continues. This book is an outgrowth of a symposium at the meeting of the American Association for the Advancement of Science in February, 1978. An introduction has been added, and some of the papers have been modified since presentation."

This book is concerned with the psychological effects of unemployment. In writing it I had two main aims: (1) to describe theoretical approaches that are relevant to understanding unemployment effects; and (2) to present the re sults of studies from a program of research with which I have been closely involved over recent years. In order to meet these aims I have organized the book into two main parts. I discuss background research and theoretical approaches in the first half of the book, beginning with research concerned with the psychological effects of unemployment during the Great Depression and continuing through to a dis cussion of more recent contributions. I have not attempted to review the liter ature in fine detail. Instead, I refer to some of the landmark studies and to the main theoretical ideas that have been developed. This discussion takes us through theoretical approaches that have emerged from the study of work, employment, and unemployment to a consideration of wider frameworks that can also be applied to further our understanding of unemployment effects."

Estimates of the air pollution health impact play a crucial role in environmental protection. These estimates require accurate data on the pollutant exposure and dose to the population as well as the dose-response relationships to calculate the health impact. From an air quality manager's perspective there is concern about the validity and accuracy of these calculations. There is a need for information and possible ways to adjust the assessment. One important topic for air quality managers is to understand the relative cont- bution of sources to the total exposure. These sources may be coming from both different outdoor sources from sectors such as transport, industry and energy ind- tries, and from a number of indoor sources, such as heating, ventilation and indoor activities as well as out-gassing from building material and furniture. Indoor air quality is now drawing the attention of policy makers. The basic right to, and importance of, healthy indoor air was emphasized by the World Health Organization as early as 2000 and several countries have described target conc- trations for various pollutants. The WHO Air Quality Guidelines 2005 rec- mended the development of specific guidelines for indoor air quality and these are expected to be published soon. Indoor air pollutants have not been as extensively monitored as outdoor air pollutants and the evidence base for contributions to health effects needs to be strengthened.

Diverse driving forces, processes and actors are responsible for different trends in the development of megacities and large urban areas. Under the dynamics of global change, megacities are themselves changing: On the one hand they are prone to increasing socio-economic vulnerability due to pronounced poverty, socio-spatial and political fragmentation, sometimes with extreme forms of segregation, disparities and conflicts. On the other hand megacities offer positive potential for global transformation, e.g. minimisation of space consumption, highly effective use of resources, efficient disaster prevention and health care options -- if good strategies were developed. At present in many megacities and urban areas of the developing world and the emerging economies the quality of life is eroding. Most of the megacities have grown to unprecedented size, and the pace of urbanisation has far exceeded the growth of the necessary infrastructure and services. As a result, an increasing number of urban dwellers are left without access to basic amenities like clean drinking water, fresh air and safe food. Additionally, social inequalities lead to subsequent and significant intra-urban health inequalities and unbalanced disease burdens that can trigger conflict and violence between subpopulations. The guiding idea of our book lies in a multi- and interdisciplinary approach to the complex topic of megacities and urban health that can only be adequately understood when different disciplines share their knowledge and methodological tools to work together. We hope that the book will allow readers to deepen their understanding of the complex dynamics of urban and megacity populations through the lens of public health, geographical and other research perspectives.

"Musculoskeletal, Sports, and Occupational Medicine: Rehabilitation Medicine Quick Reference" provides the core knowledge the busy practitioner needs to deliver top-notch rehabilitative care to patients with musculoskeletal, sports, or occupational injuries. Covering 107 alphabetically arranged topics from Achilles Tendinopathy to Whiplash, this nuts and bolts resource is designed to provide concise and accurate information. The book begins with a template for evaluating a patient with musculoskeletal injury, and covers the full gamut of conditions and sequelae commonly seen by practitioners dealing with bone, joint, and soft tissue problems in athletes, injured workers, and individuals of any age with musculoskeletal issues.

Every entry is standardized for quick look-up in the office or clinic, and features description, etiology, risk factors, clinical features, natural history, diagnosis, red flags, treatment, prognosis, helpful hints and suggested readings.

Every entry is standardized for quick look-up in the office or clinic, and features description, etiology, risk factors, clinical features, natural history, diagnosis, red flags, treatment, prognosis, helpful hints, and suggested readings. All "Rehabilitation Medicine Quick Reference"titles offer: Consistent Approach and Organization: at-a-glance outline format allows readers to find the facts quickly Concise Coverage: of must-know information broken down into easy-to-locate topics Fast Answers to Clinical Questions: diagnostic and management criteria for problems commonly encountered in daily practice Hands-on Practical Guidance: for all types of interventions and therapies Multi-Specialty Perspective: ensures that issues of relevance to all rehabilitation team members are addressed

Space medicine has been an important component of the success of human spaceflight and will continue to play a critical role in the future ventures. To prepare for the day when astronauts will leave low Earth orbit for long-duration exploration missions, space medicine experts must develop a thorough understanding of the effects of microgravity on the human body, as well as ways of migrating these effects. To gain a complete understanding of the effects of space on the human body and to create the tools and technologies required for successful exploration, space medicine will become an increasingly collaborative discipline incorporating the skills of physicians, biomedical scientists, engineers, and mission planners. In this work, Dr. Erik Seedhouse examines the future of space medicine in relation to human space exploration. He describes what is necessary to keepa crew alive in space, how it will be accomplished in the future, and the medical challenges faced by interplanetary astronauts. The book is divided into three sections. The first looks at space medicine on board the ISS, where astronaut stays are often of long duration. The second section considers the Exploration Class medical dangers, beginning with radiation and the consequent Acute Radiation Syndrome (ARS). The final section looks at future developments and the importance of telemedicine and how revolutionary technologies will protect interplanetary astronauts from the space environment. The book ends with a description of the kind of hibernation necessary to insure the well being of interplanetary astronauts.

This book examines the policy and politics of two health risks, which have recently become prominent social issues in many countries. One is the issue of asbestos as an environmental risk to humans, and another is that of bovine spongiform encephalitis (BSE), or mad cow disease as an animal disease, and of its variant Creutzfeldt-Jakob disease (CJD) as a human food risk. Employing a set of analytical frameworks in political science, each case study explores how the issues emerged, agendas got set, alternatives were chosen, and policies were implemented. Through the analysis, it is examined how safety and public reassurance were pursued in the countries studied (Japan, the UK, France the USA, and Korea). Exploration of the successes and failures in their efforts discloses the key elements to successful health risk management.

Biological markers used to assess the effects of environmental pollution have attracted considerable attention from regulatory agencies and are currently under evaluation at a number of research facilities throughout the world. However promising a biomarker-based biomonitoring approach may be, the development of this concept is complicated by a range of technical issues. This book provides a conceptional framework for research and application of biomarkers. International experts on biomonitoring have formulated a unified strategy for the development and validation of biomarkers in assessing environmental health as well as appropriate protocols for their implementation and interpretation in a biological monitoring program.

Air Pollution and Human Cancer analyzes the evidence for the possible contribution of air pollution to the origin of human cancer. Distinguished experts in various areas of cancer research report on: - air pollution and cancer: an old and a new problem; - sources, nature and levels of air pollutants; - measurement and monitoring of individual exposures; - experimental evidence for the carcinogenicity of air pollutants; - epidemiological evidence on air pollution and cancer; - cancer risk estimation and prevention.

Advances in Controlled Clinical Inhalation Studies represents scientific work presented at the 3rd International Inhalation Symposium held 1991 in Hannover, FRG. The symposium covered the new developments in this field of research. The main pollutants of interest were acid aerosols, fog, and indoor pollutants, while with regard to biological effects, an emphasis was placed on immunotoxicological and biochemical parameters. Tests on high risk groups were also considered. Initial chapters describe the outdoor environment as well as indoor air, measurement and quality - both at home and in the workplace. Besides methods for clinical inhalation and assessing personal exposure, new methodologies are particularly presented. Further chapters focus on the relevance of clinical data for regulatory decisions.

Toxicological Evaluations are critically assessed data and recommendations for occupational safety officers, industrial hygienists, and human and animal toxicologists. They are compiled and constantly reviewed under internationally coordinated programs for establishing the risk potential of existing chemicals to rpevent health hazards at the working place. In Volume 12, data for the following chemicals are published: Ethylenthiourea, N,N'-Di-sec-butyl-p-phenylenediamine, p-Nitrosophenol, Dichlorotoluene, 2,4-Dichlorotoluene, 3,4-Dichlorotoluene, Glyoxal, Chloracetyl chloride, Copper phthalocyanine, Dimethylol dihydroxyethylene urea, Acetoacetanilide, Thiourea, 3,4-Dichlorobutene-1

The International Life Sciences Institute (ILSI), a nonprofit, public foundation, was established in 1978 to advance the sciences of nutrition, toxicology, and food safety. ILSI promotes the resolution of health and safety issues in these areas by sponsoring research, conferences, publications, and educational programs. Through ILSI's programs, scientists from government, academia, and industry unite their efforts to resolve issues of critical importance to the public. As part of its commitment to understanding and resolving health and safety issues, ILSI is pleased to sponsor this series of monographs that consolidates new scientific knowledge, defines research needs, and provides a background for the effective application of scientific advances in toxicology and food safety. Alex Malaspina President International Life Sciences Institute Contents Series Foreword . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . v Contributors . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . xiii . . . . . . . . . . . . . Part I. Integrative Approach to Assessing Human Health Risk: Two Contemporary Problems Chapter 1. Integrating Diverse Data Sets to Assess the Risks of Airborne Pollutants . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3 R.o. McClellan, R.G. Cuddihy, w.e. Griffith, and J. L. Mauderly Chapter 2. Risk Assessment for Radon Inhalation Based on Animal Exposure Data and Human Epidemiology . . . . . . . 23 . F. Steinhausler Part II. Types of Evidence: General Strengths and Weaknesses Section 1. Epidemiological Chapter 3. Inhalation Hazards: The Interpretation of Epidemiologic Evidence. . . . . . . . . . . . . . . . . . . . 39 . . . . . . . J.e. Bailar Chapter 4. Problems in Interpreting Epidemiological Data 49 P.N. Lee Section 2. Animal Chapter 5. Rodent Carcinogenicity Studies: Their Value and Limitations. . . . . . . . . . . . . . . . . . . . . . . . . . 61 . . . . . . . . . .