ADAO (Asbestos Related Disease Organization)
An international voice for asbestos victims, educating patients, families, the public, and the medical community about ARD, as well as support research.
ARD (Asbestos Related Disease)
ARD NET (Asbestos Related Disease Network)
Provides case management, referrals and some direct services available to all people living with an asbestos related disease.
ARHCP (Asbestos Related Health Care Project)
ATSDR (Agency for Toxic Substances and Disease Registry)
BMI (Body Mass Index)
A measure of body fat that is the ratio of the weight of the body in kilograms to the square of its height in meters
CAB (Community Advisory Board)
CAG (Community Advisory Group)
Members of the community make up a Superfund Community Advisory Group which serves as the focal point for the exchange of information among the local community, EPA, the state regulatory agency (DEQ), and other pertinent Federal agencies involved in the cleanup of a Superfund site.
CAMP (Community Asbestos Memorial Project)
A collaborative effort taken to create a lasting memorial for the miners, family members and community members who have died from asbestos related diseases.
CARD (Center for Asbestos Related Disease)
CDC (Centers for Disease Control and prevention)
CERCLA (Comprehensive Environmental Response, Compensation and Liability Act)
Commonly known as the “Superfund,” it was enacted by Congress on December 11, 1980. This law created a tax on the chemical and petroleum industries, and provided broad Federal authority to respond directly to releases or threatened releases of hazardous substances that may endanger public health or the environment. The law authorizes two kinds of response actions:
actions may be taken to address releases or threatened releases requiring prompt response.
Long-term remedial response actions:
permanently and significantly reduce the dangers associated with releases or threats of releases of hazardous substances that are serious, but not immediately life threatening. These actions can be conducted only at sites listed on EPA’s National Priorities List (NPL).
CHIEFS (Childhood Health Exposure Investigation Follow-up Study)This project is a follow-up study focused on the 600 children who participated in the 2000-2001 Agency for Toxic Substances and Disease Registry (ATSDR) screening project in Libby, who were too young for radiographic studies at that time.
CMS (Centers for Medicare and Medicaid Services)
(Card Outreach Recovery Assistance)
Contract with the Center for Mental Health Services for delivery of a Training Manual to address the psychosocial elements of a slow motion technological disaster, as it was recognized that this type of disaster presented new psychological and social issues and challenges that required a novel response. Completed in 2004.
CT (Computed Tomography)
A computed tomography (CT) scan uses X-rays to make detailed pictures of structures inside of the body.
DEQ (Department of Environmental Quality)
DHHS (US Department of Health and Human Services, or HHS)
US government’s principal agency for protecting the health of all Americans and providing essential human services.
DLCO (Diffusing Capacity of Carbon Monoxide)
A test of the integrity of the alveolar-capillary surface area for gas transfer. The DLCO is reduced in interstitial lung diseases such as hypersensitivity pneumonitis (e.g bird fanciers lung, farmers lung) or dust-inhalation diseases such as asbestosis.
DOJ (Department of Justice)
EPA (Environmental Protection Agency)
FDA (Food and Drug Administration)
FEV1 (Forced Expiratory Volume in One Second)
The volume of air that can be forced out in once second after taking a deep breath
FLASH (Federal Libby Asbestos Specialty Healthcare)
A federally funded comprehensive ARD healthcare plan governed by a Libby community consortium. FLASH was a payer of last resort for ARD healthcare services until 2010.
FVC (Forced Vital Capacity) The amount of air which can be forcibly exhaled from the lungs after taking the deepest breath possible.
HNA (Health Network of America)
Primary payer of ARD healthcare. Voluntary plan; somewhat inconsistent coverage due to hired peer reviews. Also known or formerly known as Triveris, Libby Medical Program “LMP,” or The Grace Plan.
HRTC (High Resolution Computed Tomography) HRTC is computed tomography (CT) with high resolution. It is used in the diagnosis of various health problems, though most commonly for lung disease. It involves the use of special computer tomography scanning techniques to assess the lung parenchyma.
HRS (Hazard Ranking System)
The principal tool EPA uses to place waste sites on the National Priorities List (NPL). It is a numerically based screening system that uses information from initial, limited investigations to assess the relative potential of sites posing a threat to human health or the environment.
HRSA (Health Resources and Services Administration)
IRB (Institutional Review Board)
Also known as an Independent Ethics Committee (IEC) or Ethical Review Board (ERB). A committee formally designated to approve, monitor and review biomedical and behavioral research involving humans, with the aim of protecting rights and the welfare of research subjects.
LAA (Libby Amphibole Asbestos)
LAMP (Libby Asbestos Medical Plan) Funded by WR Grace in pursuant to an agreement with the US EPA, in settlement of a lawsuit. Provided health screening services and supplement benefits for services not provided under the existing Grace Libby Medical Program until 2009. Governed by ARHCP. Third party administrator was New West Health Services located in Kalispell, MT.
LAMP II (Libby Asbestos Medical Plan II)
Third party administrator was New West Health Services. Funded by a state appropriation for 2009-2010. LAMP II benefits replicate FLASH, and pay after the Grace Plan and any private insurance (HNA), but before Medicare, Medicaid and FLASH.
LANDIS (Libby Asbestos Digital Imaging Study)
CARD subcontracted with ATSDR and collaborating with St. John’s Lutheran Hospital to accomplish a comparison radiographic study to compare digital with hard copy x-rays to see if they are equivalent with regard to detecting and classifying asbestos related pleural abnormalities. This has great merit to update the current asbestos x-ray grading system. Completed in 2008.
LERP (Libby Epidemiology Research Project)
CARD has partnered with investigators from Mount Sinai School of Medicine in New York, University of Montana and Idaho State University for research supported by a $4.8 million grant over the next five years from ATSDR, a federal branch of the CDC. The initiative involves a childhood exposure project, an autoimmune project, and a CT scoring project.
LPHE (Libby Public Health Emergency)
On June 17, 2009: EPA declared its first ever PHE under Superfund Law for the community of Libby.
MARF (Mesothelioma Applied Research Foundation)
The national nonprofit dedicated to ending the suffering caused by mesothelioma by funding research, educating patients and advocating for Federal mesothelioma funding.
MASSA (Montana Asbestos Screening and Surveillance Activities)
A Montana Department of Public Health and Human Services asbestos screening funded through an ATSDR grant to the state. The program ended September 16, 2008.
A malignant nodular type cancer of the membranes which line the lung cavity. It is another disease related to asbestos exposure. Malignant mesotheliomas are extremely rare in persons with no history of asbestos exposure, but may account for 10% to 18% of excess deaths in workers exposed to asbestos.
NHANES (National Health and Nutrition Examination Survey) Third National Health & Nutrition Examination Survey is a public health, population based, survey conducted by the National Center for Health Statistics; it is designed to assess the health and nutritional status of the non-institutionalized Americans.
NIEHS (National Institute of Environmental Health Sciences)
The mission of the NIEHS is to reduce the burden of human illness and disability by understanding how the environment influences the development and progression of human disease. One of 27 research institutes that comprise the NIH.
NIH (National Institutes of Health)
NINR (National Institute of Nursing Research)
Supports research to establish a scientific basis for the care of individuals across the life span. Research focuses on the special needs of at-risk and under-served populations, with an emphasis on health disparities.
NIOSH (National Institute of Occupational Safety and Health)
A part of the CDC in the DHHS, a federal agency responsible for conducting research and making recommendations for the prevention of work-related injury and illness.
O&M (Operations and Management) O&M activities protect the integrity of a Superfund site’s cleanup plan. Their procedures are intiated by the State after cleanup objectives have been reached and the site is determined to be operational and functional based on state and federal agreement.
PHE (Public Health Emergency)
A natural disaster that poses a high probability of a large number of deaths or harm to a population.
PFT (Pulmonary Function Test) A broad range of tests that measure how well the lungs take in and exhale air. Tests also measure how efficiently the lungs are transferring oxygen into the blood.
RV (Residual Volume) The volume of air still remaining in the lungs after the most forcible expiration possible.
SAB (Scientific Advisory Board) The Scientific Advisory Board (SAB) consists of a group of distinguished academic and industry researchers and investment professionals who conduct the scientific and/or technological review prior to forwarding their findings and recommendations to the Center’s Investment Committee and Board of Directors
SAMHSA (Substance Abuse and Mental Health Services Administration)
TAG (Technical Advisory Group)
Represents the community who want to ensure satisfactory EPA Superfund site remedial action through technical involvement, participation, oversite, and use of consultants. This group consists of board members who are willing to act as a liaison between LATAG, the public and any organization in which they actively participate.
TLC (Total Lung Capacity) Total Lung Capacity is the most air that you can inspire into your lungs.
VA (Department of Veterans Affairs)
WRG (WR Grace)