Early Detection of Certain Medical Conditions Related to Environmental Health Hazards

Published Date
February 14th, 2024
Close Date
April 15th, 2024
Total Funding
Award Ceiling
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Expected No. Awards
Opportunity No.


Centers for Disease Control - ATSDR (HHS-CDC-ATSDR)

Eligible Applicants


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Funding Instrument


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Cost Sharing or Matching Requirement



The Centers for Disease Control - ATSDR is offering a grant opportunity titled "Early Detection of Certain Medical Conditions Related to Environmental Health Hazards". This grant aims to improve the early detection of medical conditions associated with environmental health hazards. The grant will support activities such as community-based screening, health education, and outreach in areas affected by environmental health hazards. The funding will be used to conduct screenings, provide standardized health surveys, spirometry, chest radiography, high-resolution computed tomography (HRCT), and the fecal occult blood test (FOBT). The goal of this program is to improve the survival rates of participants with asbestos-related cancers, reduce rates of smoking-related diseases, and enhance the quality of life for participants. Eligible applicants include hospitals, community health centers, Federally qualified health centers, Indian Health Service facilities, National Cancer Institute-designated cancer centers, state or local government agencies, and nonprofit organizations. The grant has an award ceiling of $3,000,000 and requires no cost sharing or matching. The application deadline is April 15, 2024, and electronically submitted applications must be submitted by 11:59 pm ET on the due date. For more information, contact Theodore Larson at tlarson@cdc.gov.


Libby, Montana was the site of a vermiculite mining and processing operation from the early 1920’s through1990. While it was in operation, Libby was the world’s largest source of vermiculite. In spite of commercial uses that include insulation, fire proofing, and as a soil conditioner, Libby vermiculite is contaminated with amphibole asbestos. This has resulted in asbestos-related morbidity and mortality in vermiculite workers, their family members, and area residents with neither occupational nor para-occupational exposure. In June 2009, the U.S Environmental Protection Administration declared a public health emergency for the Libby Asbestos Site, which includes the cities of Libby and Troy (June 19, 2009 memo from Lisa Jackson, EPA Administrator).Reports of pervasive asbestos-related health outcomes in Libby prompted a concerted response by the federal government in 1999. A large component of this response was community-based screening conducted by the Agency for Toxic Substances and Disease Registry (ATSDR) in 2000 and 2001 in which 7,307 persons were screened. Additional screening was funded by ATSDR via a grant to the Montana Department of Health and Human Services 2003-2008 and to the Lincoln County Health Department 2009-2011. Language was included in the Affordable Care Act (ACA, Public Law 111-148; https://www.hhs.gov/sites/default/files/ppacacon.pdf) to continue to make screening available to persons with potential past exposure to vermiculite while they resided in the Libby area. Persons with positive screening results may be eligible for Medicare benefits.In 2011, a grant was awarded to the Center for Asbestos Related Disease (CARD) to conduct screening activities under ACA. This screening included the use of a standardized health survey, spirometry, and chest radiography as well as high-resolution computed tomography (HRCT) and the fecal occult blood test (FOBT). Screening activities were expanded under ACA to include community outreach and health education. Further, the scope of ACA screening was expanded from being Libby-based to also include persons who emigrated from Libby.The present NOFO is for the continuation of the activities begun under previous NOFOs by CARD. This program is expected to result in improved survival of participants with asbestos-related cancers, reduced rates of smoking-related diseases, and improved quality of life for participants.

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