With the largest body of employees in U.S. health care, the nursing profession is well positioned to tackle the challenges of waste reduction within hospital systems. The healthcare sector generates a massive amount of waste, contributing to environmental issues, such as air and water pollution. By unifying and engaging staff through shared governance models, nurses can reduce the overhead costs associated with waste management and help maintain fiscal integrity. Nurses have the ability to use their trusted skill sets and lead the way for sustainable, healthy communities and environments in which they serve.

This Public Health Statement is the summary chapter from the Toxicological Profile for Di(2ethylhexyl) phthalate (DEHP). It is one in a series of Public Health Statements about hazardous substances and their health effects. A shorter version, the ToxFAQs TM is also available. This information is important because this substance may harm you. The effects of exposure to any hazardous substance depend on the dose, the duration, how you are exposed, personal traits and habits, and whether other chemicals are present. For more information, call the ATSDR Information Center at 1-888-422-8737. _____________________________________ This public health statement tells you about di(2ethylhexyl) phthalate (DEHP) and the effects of exposure.The Environmental Protection Agency (EPA) identifies the most serious hazardous waste sites in the nation. These sites make up the National Priorities List (NPL) and are the sites targeted for long-term federal cleanup activities. DEHP has been found in at least 737 of the 1,613 current or former NPL sites. However, the total number of NPL sites evaluated for DEHP is not known. As more sites are evaluated, the sites at which DEHP is found may increase. This information is important because exposure to DEHP may harm you and because these sites may be sources of exposure.When a substance is released from a large area, such as an industrial plant, or from a container, such as a drum or bottle, it enters the environment. This release does not always lead to exposure. You are exposed to a substance only when you come in contact with it. You may be exposed by breathing, eating, or drinking the substance, or by skin contact.If you are exposed to DEHP, many factors determine whether you'll be harmed. These factors include the dose (how much), the duration (how long), and how you come in contact with it. You must also consider the other chemicals you're exposed to and your age, sex, diet, family traits, lifestyle, and state of health. WHAT IS DEHP?DEHP, which is an abbreviation for di(2ethylhexyl) phthalate, is a manufactured chemical that is commonly added to plastics to make them flexible. Other names for this compound are dioctyl phthalate (DOP) and bis(2-ethylhexyl) phthalate (BEHP). (Note that di-n-octyl phthalate, however, is the name for a different chemical.) Trade names used for DEHP include Platinol DOP, Octoil, Silicol 150, Bisoflex 81, and Eviplast 80. DEHP is a colorless liquid with almost no odor. It does not evaporate easily, and little will be present in the air even near sources of production. It dissolves more easily in materials such as gasoline, paint removers, and oils than it does in water. It is present in many plastics, especially vinyl materials, which may contain up to 40% DEHP, although lower levels are common. DEHP is present in plastic products such as wall coverings, tablecloths, floor tiles, furniture upholstery, shower curtains, garden hoses, swimming pool liners, rainwear, baby pants, dolls, some toys, shoes, automobile upholstery and tops, packaging film and sheets...

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