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D Public Questions and Comments
Pages 157-164

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From page 157...
... submitting a written comment sheet during the workshop; (3) completing question cards for individual panels; and (4)
From page 158...
... Another comment also noted that the worker population also includes members of the military and volunteers.
From page 159...
... Additionally, one comment suggested that mental health professionals may also be vulnerable to adverse health outcomes. Exposure Contaminants and Contaminated Sources A number of participants stated that exposure to all contaminants related to the oil spill and response activities were of concern.
From page 160...
... Psychological and Social A number of psychological and social health effects were mentioned by members of the public, including domestic violence, drug and alcohol abuse, post-traumatic stress disorder, and stress. A few comments also mentioned that fear and "mass hysteria" could result from mixed messages to the public.
From page 161...
... Research and Analysis Measured Outcomes A number of comments suggested specific endpoints to include in future surveillance systems, including cardiac arrhythmias, impaired liver function, infection rates, and depression. For women and children, one comment mentioned stillbirth, birth defects, low birth weight, preterm birth, and neonatal deaths.
From page 162...
... Community Engagement Risk Communication A number of comments noted the need for assistance in navigating the information available about the oil spill. Suggested activities included holding organizations accountable for presenting clear and concise riskmitigating information, using "gatekeepers" to screen for reliable and requested information, establishing a coordination care center, and holding town meetings.
From page 163...
... Action Preventive Measures A number of public comments focused on using surveillance systems to prevent future adverse health impacts. Suggestions included adopting regulations to limit day-to-day worker exposures, establishing best practices for both physical and mental prevention behaviors.


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