National Grand Rounds - December 2024

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Camp Lejeune Water Contamination

Join ACMT for a National Grand Rounds webinar on Camp Lejeune Water Contamination on Tuesday, December 10, 2024, from 12-1 pm ET, presented by Dr. John Downs, Associate Professor and Director of the Virginia Poison Center. This session will explore the historical and environmental context of water contamination at Camp Lejeune from the 1950s to the 1980s. Attendees will learn about the clinical effects of chronic exposure to hazardous chemicals such as benzene, trichloroethylene (TCE), and perchloroethylene (PCE), and review findings from key epidemiologic studies of affected residents. This grand rounds aims to enhance understanding of the long-term health impacts faced by those exposed.

Presenter: John Downs, MD MPH, Associate Professor and Director, Virginia Poison Center, Virginia Commonwealth University Health System, Richmond, Virginia

Target audience: ACMT Members

Cost: No fee

Learning Objectives

Explain how the Camp Lejeune water supply became contaminated during the 1950s to 1980s.

Recall the clinical effects associated with chronic exposure to benzene, trichloroethylene (TCE), and perchloroethylene (PCE).

Describe results of epidemiologic studies of Camp Lejeune residents who were exposed to a contaminated water supply.

About The Series: ACMT's Grand Rounds offer an in-depth and interactive platform for learning and discussion about issues that impact the research and practice of medical toxicology. Experts from within and outside medical toxicology will share their knowledge and experience and highlight areas for collaboration and mutual understanding.

This webinar is for ACMT members only.

John Downs, MD, MPH

Associate Professor and Director, Virginia Poison Center

Virginia Commonwealth University Health System

Dr. John W. Downs, MD, MPH, is a medical toxicology faculty member at Virginia Commonwealth University (VCU) and a retired U.S. Army officer with over 20 years of distinguished service. A graduate of the Virginia Military Institute and the Uniformed Services University (USU), he completed residencies in internal medicine and occupational & environmental medicine, as well as a fellowship in medical toxicology at VCU. Dr. Downs has extensive military medical experience, including multiple deployments as a senior medical officer for special operations and infantry units in Iraq and Afghanistan, and leadership roles such as Chief of Preventive Medicine at Fort Campbell and Chief of Occupational & Environmental Medicine at Walter Reed during the COVID-19 pandemic. Board certified in internal medicine, occupational & environmental medicine, and medical toxicology, he also holds certifications as a Certified Public Health professional (CPH) and Diplomate of the American Board of Toxicology (DABT). A Fellow of the American College of Physicians and the American College of Occupational and Environmental Medicine, Dr. Downs has authored over 25 peer-reviewed publications and is a recipient of the Army Surgeon General’s 9A Proficiency Designation.

Nicholas E. Nacca, MD, FACMT (Moderator)

Assistant Professor of Emergency Medicine, Director of Medical Toxicology, Associate Fellowship Director of Medical Toxicology Fellowship Program

University of Rochester Medical Center

Nicholas E. Nacca, MD, FACMT is an Assistant Professor of Emergency Medicine, Director of Medical Toxicology, and Associate Fellowship Director of the Medical Toxicology Fellowship Program at the University of Rochester Medical Center (URMC). In addition to his role within the Department of Emergency Medicine, Dr. Nacca holds a secondary appointment in the Department of Environmental Medicine. As Director of Medical Toxicology, Dr. Nacca oversees the educational and clinical operations of the medical toxicology consultation service, where he is actively involved in training medical toxicology fellows, as well as mentoring multidisciplinary teams that include medical residents, pharmacy residents, and medical students. He also staffs and directs a referral-based outpatient Medical Toxicology Clinic, where he provides specialized care to patients requiring toxicological evaluation and treatment. Dr. Nacca’s work bridges clinical practice and education, emphasizing the development of the next generation of toxicology professionals while providing expert consultation in both inpatient and outpatient settings.