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Occupational & Environmental Epidemiology

Facts & Figures

Occupational and Environmental Epidemiology performs public health surveillance on illnesses and injuries due to asbestos, lead and pesticides and studies the effects of certain environmental and occupational conditions and hazards on the health of people who live and work in North Carolina.

• Find reports by North Carolina county. (Includes community health studies, fish consumption advisories, hazard assessments and consultations, naturally occurring asbestos sites, and private well water contaminants 1998-2010.)
• North Carolina Environmental Public Health Data Inventory - A List of available state government databases that may be used for linking environmental hazards to health outcomes.
• Public Health Surveillance Reports:
  • Adult Blood Lead Epidemiology & Surveillance (ABLES)
  • Algal Bloom Events
  • Carbon Monoxide Poisonings
  • Climate-related illnesses
  • Farm injuries
  • Occupational health (illnesses and injuries)
  • Pesticide-related illnesses & injuries
  • Toxic substance releases
• Studies, Assessments & Consultations:
  • Community health studies
  • Fish consumption advisories
  • Hazardous sites health consultations and assessments (PHAs)
  • Medical evaluation and risk assessments
  • Naturally occurring asbestos sites
  • Private Well Water Contaminants (1998-2010)

Public Health Surveillance Reports

Adult Blood Lead Epidemiology & Surveillance (ABLES)

Adult blood lead levels are monitored by the ABLES program. For information on public health surveillance of child blood lead levels, see the Childhood Lead Poisoning Prevention program of the Children's Environmental Health Branch, Environmental Health Section, N.C. Division of Public Health.

• 2017 (PDF)
• 2015 (PDF)
• 2013 (PDF)
• 2011 (PDF)
• 2009 (PDF)
• 2004 (PDF)

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Algal Bloom Events

Learn more about Algal Blooms.

• Algal Bloom Events, North Carolina, 2005-2012 (PDF, 281KB)

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Carbon Monoxide Poisonings

Learn more about the health effects and symptoms of carbon monoxide poisoning and prevention strategies.

• Carbon Monoxide Poisonings, North Carolina, 2017 Annual Report (PDF, 455KB)
• Carbon Monoxide Poisonings, North Carolina, 2016 Annual Report (PDF, 214KB)
• Carbon Monoxide Poisonings, 2016 Monthly Reports
• Carbon Monoxide Poisonings, North Carolina, December 2016 (PDF, 526KB)
• Carbon Monoxide Poisonings, North Carolina, November 2016 (PDF, 455KB)
• Carbon Monoxide Poisonings, North Carolina, October 2016 (PDF, 478KB)
• Carbon Monoxide Poisonings, North Carolina, September 2016 (PDF, 526KB)
• Carbon Monoxide Poisonings, North Carolina, August 2016 (PDF, 558KB)
• Carbon Monoxide Poisonings, North Carolina, July 2016 (PDF, 460KB)
• Carbon Monoxide Poisonings, North Carolina, June 2016 (PDF, 377KB)
• Carbon Monoxide Poisonings, North Carolina, May 2016 (PDF, 454KB)
• Carbon Monoxide Poisonings, North Carolina, April 2016 (PDF, 417KB)
• Carbon Monoxide Poisonings, North Carolina, March 2016 (PDF, 394KB)
• Carbon Monoxide Poisonings, North Carolina, February 2016 (PDF, 411KB)
• Carbon Monoxide Poisonings, North Carolina, January 2016 (PDF, 418KB)
• Carbon Monoxide Poisoning Deaths, North Carolina, 2015 (PDF, 124KB)
• Carbon Monoxide Poisonings, North Carolina, 2015 Annual Report (PDF, 406KB)
• Carbon Monoxide Poisonings, 2015 Monthly Reports
• Carbon Monoxide Poisonings, North Carolina, December 2015 (PDF, 305KB)
• Carbon Monoxide Poisonings, North Carolina, November 2015 (PDF, 464KB)
• Carbon Monoxide Poisonings, North Carolina, October 2015 (PDF, 485KB)
• Carbon Monoxide Poisonings, North Carolina, September 2015 (PDF, 449KB)
• Carbon Monoxide Poisonings, North Carolina, August 2015 (PDF, 441KB)
• Carbon Monoxide Poisonings, North Carolina, July 2015 (PDF, 475KB)
• Carbon Monoxide Poisonings, North Carolina, June 2015 (PDF, 407KB)
• Carbon Monoxide Poisonings, North Carolina, May 2015 (PDF, 134KB)
• Carbon Monoxide Poisonings, North Carolina, April 2015 (PDF, 116KB)
• Carbon Monoxide Poisonings, North Carolina, March 2015 (PDF, 169KB)
• Carbon Monoxide Poisonings, North Carolina, February 2015 (PDF, 447KB)
• Carbon Monoxide Poisonings, North Carolina, January 2015 (PDF, 335KB)
• Carbon Monoxide Poisoning Deaths, North Carolina, 2014 (PDF, 127KB)
• Carbon Monoxide Poisonings, North Carolina, 2014 Annual Report (PDF, 382KB)
• Carbon Monoxide Poisonings, 2014 Monthly Reports
• Carbon Monoxide Poisonings, North Carolina, December 2014 (PDF, 369KB)
• Carbon Monoxide Poisonings, North Carolina, November 2014 (PDF, 301KB)
• Carbon Monoxide Poisonings, North Carolina, October 2014 (PDF, 348KB)
• Carbon Monoxide Poisonings, North Carolina, September 2014 (PDF, 280KB)
• Carbon Monoxide Poisonings, North Carolina, August 2014 (PDF, 406KB)
• Carbon Monoxide Poisonings, North Carolina, July 2014 (PDF, 331KB)
• Carbon Monoxide Poisonings, North Carolina, June 2014 (PDF, 280KB)
• Carbon Monoxide Poisonings, North Carolina, May 2014 (PDF, 375KB)
• Carbon Monoxide Poisonings, North Carolina, April 2014 (PDF, 115KB)
• Carbon Monoxide Poisonings, North Carolina, March 2014 (PDF, 373KB)
• Carbon Monoxide Poisonings, North Carolina, February 2014 (PDF, 281KB)
• Carbon Monoxide Poisonings, North Carolina, January 2014 (PDF, 346KB)
• Carbon Monoxide Poisonings, 2013 Monthly Reports
• Carbon Monoxide Poisonings, North Carolina, December 2013 (PDF, 324KB)

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Climate-related illnesses

Reports produced by the Climate-Ready NC program. Learn more about Climate-Ready NC.

• Climate-Ready NC: North Carolina Climate-Related Health Indicators: Human Development (PDF, 502KB) - Rates of infant mortality, pre-term births, childhood cancers.
• Climate-Ready NC: North Carolina Climate-Related Health Indicators: Cancer (PDF, 287KB) - Rates of high ultraviolet days, high temperature days, non-melanoma skin cancer, and colorectal cancer for North Carolina 2000-2011.
• Climate-Ready NC: North Carolina Heat Reports - Statewide heat-related emergency department visits are reported with temperature data weekly May through September.

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Farm injuries

Public health surveillance of serious and preventable farm injuries caused by tractors, farm equipment, or farm machinery is conducted by the Occupational Health Surveillance program.

• Farm Injury Project Summary, 1990-96 (PDF)

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Occupational health (illnesses and injuries)

Public health surveillance of occupational illnesses and injuries, including asbestosis and silicosis, is conducted by the Occupational Health Surveillance program.

• North Carolina COVID-19 Workplace Exposure Callback Survey Results (PDF)
• North Carolina Occupational Health Trends, 2000–2013 (PDF)
• Occupational Health Indicators: 2013 Data Summary (PDF)
• Summary of Occupational Health Disparities (PDF)
• Occupational Health Disparities in North Carolina (Full Report) (PDF)
• Occupational Heat-Related Illness in North Carolina, 2007-2011 (PDF)
• Work-Related Burns in North Carolina, 2001-2011 (PDF)
• Work-Related Fatalities in North Carolina, 2011 and Five-Year Trend (2007-2011) (PDF)
• Occupational Health Trends 2010 (PDF)
• Work-Related Amputations in North Carolina, 2010 (PDF)
• Occupational Health Trends 2009 (PDF)
• Occupational Health Trends 2006 (PDF)
• Occupational Health Trends 2003-08 (PDF)

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Pesticide-related illnesses and injuries

Public health surveillance of acute pesticide-related illnesses and injuries is conducted by the Pesticide Incident Surveillance program.

• Acute Pesticide-Related Illness and Injury in North Carolina, 2017–2021 (PDF)
• N.C. Pesticide Incident Surveillance Program; Surveillance findings 2012 – 2016 (PDF)
• N.C. Pesticide Incident Surveillance Program; Surveillance findings 2007 – 2012 (PDF)
• Summary of Findings from the N.C. Pesticide Incident Surveillance Program, 2007 – 2009 (PDF)
• Governor's Task Force on Preventing Agricultural Pesticide Exposure, 2008 Report (PDF)
• Assessment of Maternal Occupational Pesticide Exposures during Pregnancy and Three Children with Birth Defects: North Carolina, 2004 (PDF, 1.8MB)

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Toxic substance releases

North Carolina uses a surveillance system known as the North Carolina Chemical Preparedness and Response Surveillance (ChPRS) Program to monitor toxic substance releases that occur within the state.

• ChPRS Summary Report, North Carolina, 2017 (PDF, 628KB)
• Toxic Substance Releases Full Report, North Carolina, 2015 (PDF,1.2MB)
• Toxic Substance Releases Full Report, North Carolina, 2013-2014 (PDF,1.2MB)
• Toxic Substance Releases in North Carolina, 2010-2013 (PDF, 510KB)
• Summary of Toxic Substance Releases, North Carolina, 2010-2012 (PDF, 116MB)
• Toxic Substance Releases Full Report, North Carolina, 2010-2012 (PDF, 191MB)

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Studies, Assessments & Consultations

Community health studies

These reports summarize studies conducted to determine whether human health in specific communities is at risk from environmental sources. Learn more about the Medical Evaluation and Risk Assessment program.

• Summary of Cancer Incidence Studies Performed Near the White Street Landfill in Greensboro, N.C. – June 17, 2011 (PDF)
• Health effects of EQ Chemical fire, Apex area (2006) (PDF, 67KB)
• TDI and respiratory health study (2007): Catawba, Randolph, Guilford and Mecklenburg Counties - English, PDF / Spanish, PDF

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Hazardous sites consultations and assessments (PHAs)

Public health assessments and consultations strive to determine if an exposure to a hazardous substance is occurring at a particular site and what the possible health impacts are. A public health assessment focuses on an identified hazardous site, while a consultation responds to specific questions on a chemical or chemicals found at a site. Learn more about the Health Assessment, Consultation and Education program.

• By county
• By site name

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Medical evaluation and risk assessments

These reports summarize medical and toxicological evaluations of risk to human health from environmental hazards. Learn more about the Medical Evaluation and Risk Assessment program.

• Assessment of Maternal Occupational Pesticide Exposures during Pregnancy and Three Children with Birth Defects: North Carolina, 2004 (PDF, 1.8MB)
• Health risk assessment of asphalt emissions, Milford Hills, Salisbury, NC (2002) (PDF, 177KB)
  • Report from N.C. Division of Air Quality, NC DENR

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Naturally occurring asbestos sites

This summary report provides information about identified naturally occurring asbestos sites in North Carolina. (Learn more about naturally occurring asbestos.)

• Summary of Identified Sites: Historic Asbestos Mines, Historic Asbestos Prospects, and Natural Asbestos Occurrences in North Carolina (August 2006) (PDF, 1.8MB)
• Naturally occurring asbestos sites by county

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