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The purpose of this paper is to evaluate the effectiveness of a targeted outreach program that referred World Trade Center Health Registry (Registry) enrollees, to specific post-disaster health care available through the World Trade Center Health Program (WTCHP) and evaluate differences in outreach effectiveness based on demographic and health characteristics.

The Registry’s Treatment Referral Program (TRP) targeted 22,981 enrollees based on symptoms and conditions known to be related to 9/11, reported on a 2011-2012 follow-up survey. A call vendor was utilized for the initial outreach phone call. Enrollees who requested a WTCHP application had follow-up from TRP staff, which typically included 4-6 interactions per enrollee until outreach was completed.

As of 12/31/2015, the vendor had reached 8,778 (38 percent) of the targeted sample. TRP staff spoke to 6,016 (68 percent) enrollees reached by the vendor, 5,554 (92 percent) of whom requested a WTCHP application, and 2,425 (43 percent) reported having submitted the WTCHP application. Application requests and submissions differed by survivor or responder status, race, income and health symptoms.

Registries created for surveillance and research among disaster-exposed populations provide a unique and effective outreach approach. A dedicated treatment referral unit within a disaster registry is an effective means for conducting post-disaster outreach to a large, diverse sample of exposed individuals.

Aims to: familiarize the audience with the potentially serious consequences of exposure to lead and ways of preventing them; facilitate understanding of how massive environmental contamination with lead occurred, and is still happening, with the expectation that this knowledge will be useful in designing strategies to reduce environmental contamination with lead and other toxic substances, in the future; emphasizes the relevance of lead to the subject‐matter of virtually every department in schools of arts and sciences in anticipation that some instructors will incorporate this information into their respective courses to increase their students′ awareness of this topic. Discusses some of the properties and uses of lead and its compounds and then indicates its ubiquitous presence in air, water, soil, dust and food. Considers some effects of exposure to lead and describes some pivotal contributions of various researchers. Explores the role of lead in history, in literature and in art. Briefly surveys occupational exposure to lead in the USA and elsewhere. Describes the reasons for, and consequences of, lead in petrol and in paint. Summarizes an outstanding paper on the topic of values and lead. Finally, based on an examination of a portion of the voluminous literature on lead, offers some opinions on this subject.