The Fourth National Report on Human Exposure to Environmental Chemicals 2009 and the Updated Tables, February 2011, together are the most comprehensive assessment of environmental chemical exposure in the U.S. population. Since 1999, CDC has measured 219 chemicals in people’s blood or urine. The Fourth Report, 2009, includes the findings from national samples for 1999-2000, 2001-2002, and 2003-2004.
The blood and urine samples were collected from participants in CDC’s National Health and Nutrition Examination Survey (NHANES), which obtains and releases health-related data from a nationally representative sample in two-year cycles.
The Updated Tables add more recent and new data to the Fourth Report, 2009. The Updated Tables are cumulative and include data reported in earlier updates. Therefore, the Updated Tables, February 2011 includes data that were reported in the previous Updated Tables, July 2010. The Updated Tables, February 2011 presents data from the 2005-2006 and 2007-2008 NHANES survey periods for 54 of the chemicals previously reported through 2004 in the Fourth Report, 2009, along with nine more recently added chemicals. The data are analyzed separately by age, sex, and racial/ethnic groups.
- Updated Tables [PDF - 5,206 KB]
- Chemicals in the Fourth Report, Updated Tables [PDF - 19 KB]
Updated Tables, February 2011 NEW
The Updated Tables do not update all chemicals in the Fourth Report and are therefore supplemental to the Fourth Report.- Overview
- Data Tables by Chemical Group
- Appendices
- Executive Summary
Fourth Report with Updated Tables (in HTML format)
The original Fourth Report with the added Updated Tables can be explored in this section
- Full Report [PDF - 6,517 KB]
- Executive Summary[PDF - 874 KB]
Download the Fourth Report
National Biomonitoring Program
The Program specializes in biomonitoring, which is the direct measurement of people's exposure to toxic substances in the environment by measuring the substances or their metabolites in human specimens, such as blood or urine. CDC currently measures chemicals and nutritional indicators in people.
Environmental Health Laboratory
The CDC's Environmental Health Laboratory at the National Center for Environmental Health (NCEH) has been in the forefront of efforts to assess people's exposure to environmental chemicals.
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