MERCURY: MEDICAL AND PUBLIC HEALTH ISSUES Sponsored by U.S. Department of Health and Human Services and U.S. Environmental Protection Agency

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1 MERCURY: MEDICAL AND PUBLIC HEALTH ISSUES Sponsored by U.S. Department of Health and Human Services and U.S. Environmental Protection Agency FINAL PROGRAM AGENDA Tampa Marriott Waterside Hotel and Marina April 28-30, 2004 WEDNESDAY (APRIL 28, 2004) Time Grand Ballroom 7:30-8:30 Continental Breakfast provided for all Symposium attendees 8:30-8:45 Opening Remarks Laina Bush, MBA U.S. Department of Health and Human Services Kathryn Mahaffey, PhD U.S. Environmental Protection Agency Moderator: Laina Bush, MBA (8:45-9:45 ) 8:45-9:15 Mercury and the Public s Health: Exposures, Risks and Impacts Thomas Burke, PhD, MPH Johns Hopkins University 9:15-9:45 The Toxicology of Mercury Michael Shannon, MD, MPH Children s Hospital Boston / Harvard Medical School 9:45-10:00 Break

(APRIL 28, 2004) Time Grand Ballroom 7:30-8:30 Continental Breakfast provided for all Symposium attendees 8:30-8:45 Opening Remarks Laina Bush, MBA U.S. Department of Health and Human Services Kathryn Mahaffey, PhD U.

2 WEDNESDAY (APRIL 28, 2004) Moderator: Laina Bush, MBA (10:00-11:45 ) 10:00-10:45 Why Do Health Professionals Need to Know About Mercury? Rose Goldman, MD, MPH Harvard Medical School 10:45-11:15 "Mercury Exposure in U.S. Women and Children Estimates from National Health and Nutrition Examination Survey" Susan Schober, PhD Centers for Disease Control and Prevention National Center for Health Statistics 11:15-11:45 "Anticipating High Methylmercury Exposure: Identifying Fish Consuming Sub-Populations" Henry Anderson, MD Wisconsin Division of Public Health 11:45 Lunch (on own) 1:00 Moderator: Kathryn Mahaffey, PhD (1:00-3:00 ) 1:00-2:00 Biomonitoring for Mercury: Sample Collection, Analysis and Applications Robert Jones, PhD Centers for Disease Control and Prevention National Center for Environmental Health, Division of Laboratory Sciences 2:00-2:30 Central Nervous System Effects of Mercury Exposure in Adults and Children Roberta White, PhD, ABPP/cn Boston University School of Public Health, Department of Environmental Health 2:30-3:00 Why Take an Environmental and Occupational History? Henry Anderson, MD Wisconsin Division of Public Health

hool 10:45-11:15 "Mercury Exposure in U.S.

3 3:00-3:15 Break WEDNESDAY (APRIL 28, 2004) Case Studies in Inorganic and Organic Mercury Exposures (3:15-5:45 ) Moderator: Barbara Sattler, RN, DrPH, FAAN 3:15-5:45 With 15- minute break during session Mercury Intoxication: Diagnosis and Intervention John Risher, PhD U.S. Agency for Toxic Substances and Disease Registry Sherlita Amler, MD, MS Centers for Disease Control and Prevention PEHSUs and Mercury Daniel Hryhorczuk, MD, MPH Region V Pediatric Environmental Health Specialty Unit University of Illinois at Chicago Mercury and Clinical Practice Jane Hightower, MD California / Pacific Medical Center San Francisco, California Chelation for Mercury Yes, No, Maybe John Graef, MD Children s Hospital Boston / Harvard Medical School 5:45 Program concludes for Wednesday (April 28, 2004)

Agency for Toxic Substances and Disease Registry Sherlita Amler, MD, MS Centers for Disease Control and Prevention PEHSUs and Mercury Daniel Hryhorczuk, MD, MPH Region V Pediatric Environmental

4 THURSDAY (APRIL 29, 2004) Time Room 1 Room 2 Room 3 Room 4 7:30-8:00 Continental Breakfast provided for all Symposium attendees Nutritional Benefits of Fish Consumption (8:00-10:30 ) Grand Ballroom Moderator: Kathryn Mahaffey, PhD 8:00-10:30 With 15 minute break during session "Nutritional Considerations with Fish Consumption: Applying Dietary Guidelines" Allison Yates, PhD, RD Food and Nutrition Board Institute of Medicine, The National Academies "Evidence-Based Recommendations for Fish Consumption" Jacqueline Berning, PhD, RD University of Colorado at Colorado Springs 10:30-10:45 Break Omega-3 Fatty Acids As Protective Factors for Psychiatric Disorders Joseph Hibbeln, MD National Institute on Alcohol Abuse and Alcoholism National Institutes of Health Maternal and Child Health: Balancing Risks and Benefits Donald Mattison, MD National Institute of Child Health and Development National Institutes of Health

Nutrition Board Institute of Medicine, The National Academies "Evidence-Based Recommendations for Fish Consumption" Jacqueline Berning, PhD, RD University of Colorado at Colorado Springs 10:30-10:45

5 THURSDAY (APRIL 29, 2004) 10:45-12:15 "FDA's and EPA's Fish Advisory on Mercury" Moderator: Laina Bush, MBA "How We Got Here: The Process FDA and EPA Used in Developing the Advisory" Denise Keehner, PhD U.S. Environmental Protection Agency "The Science Behind the Advisory" Rita Schoeny, PhD U.S. Environmental Protection Agency Joint FDA and EPA Advisory What You Need to Know About Mercury in Fish and Shellfish The Public Health Message David Acheson, MD, FRCP U.S. Food and Drug Administration 12:15-1:30 Lunch (on own) U.S. Regional Perspectives on Mercury in Fish (1:30-3:45 )

6 THURSDAY (APRIL 29, 2004) 1:30-3:45 Midwest Gulf of Mexico Northeast Pacific 3:45-4:00 Break Moderator: Henry Anderson, MD Wisconsin Division of Public Moderator: Spencer Garrett, MS U.S. National Oceanic and Moderator: David Bellinger, PhD, MSc Harvard Medical School Moderator: Robert Duff, MS Washington State Department of Health Health Atmospheric Administration Fish Consumption Patterns in the Fish Consumption Patterns in Commercial and Sport Fish Consumption in the Midwest Henry Anderson, MD Wisconsin Division of Public "Epidemiology and Toxicology Scenarios for High Risk Gulf Consumers" Joel Hansel Northeast Deborah Rice, PhD Bureau of Health Maine Department of Human Services the Pacific States California, Oregon, Washington, Alaska Diana Lee, MPH, RD California Department of Health Health U.S. Environmental Protection Services Agency (Region IV) Mercury in Commercial Fish in "Application of Mercury Fish Advisories in the Midwest" Patricia McCann, MS Minnesota Department of Health Health Effects of Exposure to "Overview of the Mercury Issue for the Gulf States: Coastal Concerns" Bryon Griffith U.S. Environmental Protection New Jersey: Concentrations and Market Availability Alan H. Stern, DrPH, DABT New Jersey Department of Environmental Protection Mercury Concentrations in West Coast Fish: Sport Caught and Store Bought Dave Stone, PhD Oregon Department of Human Services Methylmercury in Great Lakes Fish Consumers Victoria Persky, MD School of Public Health University of Illinois at Chicago "Mercury: On Its Way To You" Kory Groetsch Michigan Department of Community Health Agency Gulf of Mexico Program "Mercury Concentrations in Gulf Seafood Species, and Need for Monitoring Changes in State Consumption Advisories" Tony Lowery, PhD U.S. National Oceanic and Atmospheric Administration Putting Prevention Into Practice (4:00-5:30 ) Communicating Fish Consumption Advisories The Maine Experience Andrew Smith, SM, ScD Bureau of Health Maine Department of Human Services The Art of Fish Advisories Providing Advice to Consumers Robert Duff, MS Washington State Department of Health Environmental Risk Communication for the Physician Mark Miller, MD, MPH University of California, San Francisco

7 THURSDAY (APRIL 29, 2004) 4:00-5:30 Care of Infants and Children Pregnancy Care Care of Adults Care of Communities Moderator: Barry Dickinson, PhD Moderator: Donald Mattison, MD Moderator: Henry Anderson, MD Moderator: Barbara Sattler, RN, DrPH, FAAN Catherine Burns, PhD, RN, CPNP, FAAN Oregon Health & Science University School of Nursing Novella Jackson, RN, MS, BC, CNA University of Maryland School of Nursing Katherine Shea, MD, MPH Duke University Karen Filkins, MD, FACOG, FACMG University of California, Irvine Donald Mattison, MD National Institute of Child Health and Human Development National Institutes of Health Donna Vivio, MPH, MS, CNM, FACNM Johns Hopkins Program for International Education in Gynecology and Obstetrics Brenda Afzal, RN, MS University of Maryland School of Nursing Laura Anderko, RN, PhD University of Wisconsin- Milwaukee College of Nursing Peter Orris, MD, MPH University of Illinois at Chicago Brendan Boyle, BA, MPA Michigan Department of Community Health Division of Occupational and Environmental Health Barbara Sattler, RN, DrPH, FAAN University of Maryland School of Nursing Patrick Gardner, RN, BS, MPH Florida Department of Health Office of Public Health Nursing 5:30 Program concludes for Thursday (April 29, 2004)

Maryland School of Nursing Katherine Shea, MD, MPH Duke University Karen Filkins, MD, FACOG, FACMG University of California, Irvine Donald Mattison, MD National Institute of Child Health and Human

8 FRIDAY (APRIL 30, 2004) Time Grand Ballroom 8:30-9:00 Continental Breakfast provided for all Symposium attendees Emerging Issues in Clinical Management (9:00-12:45 ) 9:00-10:15 Cardiology Moderator: Laina Bush, MBA Global Burden of Cardiovascular Disease Eric Rimm, ScD Harvard School of Public Health Mercury and Cardiovascular Disease The European Studies Eliseo Guallar, MD, PhD Johns Hopkins Medical Institutions Dietary Assessment of Mercury Exposure and Risk of Cardiovascular Disease in the U.S. Population Eric Rimm, ScD Harvard School of Public Health 10:15-10:30 Break

of Public Health Mercury and Cardiovascular Disease The European Studies Eliseo Guallar, MD, PhD Johns Hopkins Medical Institutions Dietary

9 10:30-12:45 Childhood and Adult Immunizations Moderators: Laina Bush, MBA Kathryn Mahaffey, PhD 12:45 Closing Thimerosal as a Preservative in Vaccines: An FDA Perspective Karen Midthun, MD U.S. Food and Drug Administration Thimerosal and Vaccines Facts, Perceptions and Policies: Neal Halsey, MD Johns Hopkins University "Thimerosal and Vaccines: CDC Perspectives" Melinda Wharton, MD, MPH Centers for Disease Control and Prevention "Mercury in Macaque Infants following Oral Ingestion of Methylmercury or Intra-Muscular Injection of Vaccines containing Thimerosal" Thomas Burbacher, PhD University of Washington 12:45 Program concludes for Friday (April 30, 2004)

FOOD AND DRUG ADMINISTRATION

FOOD AND DRUG ADMINISTRATION DESIGNATED FEDERAL OFFICER (Non-Voting) MEETING ROSTER Kalyani Bhatt, M.S. Division of Advisory Committee and Consultant Management Office of Executive Programs ADVISORY COMMITTEE FOR REPRODUCTIVE HEALTH