Mary Anne Duncan, DVM, MPHSurveillance and Registries Branch

National Toxic Substance Incidents Program (NTSIP) Webinar Series

November 1, 2010

ACE(Assessment of Chemical Exposures)

Your Partner in Chemical Incident Response

Agency for Toxic Substances and Disease Registry

Division of Health Studies

Getting started

• Conference Room Features– Feedback button– Q&A– Downloads– Transcription

• Please don’t put us on hold!

NTSIP

• More complete view of toxic substance incidents in the U.S.

• 3 main components– National database– State surveillance– ACE – Assessment of Chemical

Exposures

ACEActivating ACE assistance• State requests assistance• 100+ people exposed• Levels high enough for acute health

effects

Why investigate?

ACE

• State is the lead• Work as a team• EPI-AID

Rachel Roisman (California Department of Health) discusses surveys with Ekta Choudhary (ACE Team Member).

ACE

• Geographic Information System (GIS) Resources

• Data– Collection–Management– Analysis

GIS Maps

GIS Maps

Data Collection

• Questionnaires• Sample collection

Data Collection

Questionnaires

• RRR• Surveys – adults, children, pets• Medical records• Odor log

Data Collection

• Biological sampling– Types of testing suitable for this incident– Sample collection supplies

• Environmental Testing– Usually done before ACE team arrives– ATSDR may facilitate

Data Management

• Outbreak Management System–Many states already use– Ready to use - now– Quickly generate summary reports– Can export to SAS or Excel

Analysis

• Laboratory Support• Technical support– Epidemiology– Toxicology– Industrial Hygiene– GIS–Modeling

Medical Toxicologist Rizwan Rivaz (ACE Team Member) reviews data gathered from the incident

Reporting

• EPI –AID Trip Report• Manuscripts• Alerts

Agency for Toxic Substances and Disease Registry

Division of Health Studies

Requesting ACE Response Teams

404-567-3256 – ACE ProgramATSDRACE@cdc.gov

770-488-7100 – 24/7 Emergency Operations

For more information on ACE and NTSIP, visit

http://www.atsdr.cdc.gov/ntsip/

Follow-up Question 1

• See speakers notes attached to slide presentation

Follow-up Question 2

• See speakers notes attached to slide presentation

Follow-up Question 3

• See speakers notes attached to slide presentation

Follow-up Question 4

• See speakers notes attached to slide presentation