About Publications

Publications from the National Academies of Sciences, Engineering, and Medicine provide objective and straightforward advice to decision makers and the public. This site includes Health and Medicine Division (HMD) publications released after 1998. A complete list of HMD’s publications from its establishment in 1970 to the present is available as a PDF.


  • Promising the Best Practices in Total Worker Health (TM) ... Released: September 22, 2014
    In May 2014, with support from NIOSH, the Institute of Medicine (IOM) organized a 1-day workshop on Total Worker Health. Rather than a review of published literature, this workshop sought input from a wide variety of on-the-ground stakeholders regarding their experiences with integrating occupational safety and health protection with health promotion in the workplace.
  • Research on Health Effects of Low-Level Ionizing Radiation ... Released: June 11, 2014
    The Armed Forces Radiobiology Research Institute (AFRRI) is a Department of Defense (DoD) support agency established in 1961. AFRRI is focused on the prevention, assessment, and treatment of injuries from ionizing radiation exposure through research to better understand health effects. The institute also provides education to inform medical and emergency response to radiation exposure incidents. There is no other DoD-level organization with such a comprehensive and broad-scoped mission in radiological health and protection. The Uniformed Services University of the Health Sciences, AFRRI’s parent organization, asked the IOM to summarize the state of scientific research about the health effects of exposure to low-dose ionizing radiation exposure, examine workforce projections and needs, and identify opportunities for AFRRI to contribute to the field.
  • Identifying and Reducing Environmental Health Risks of ... Released: April 29, 2014
    The IOM’s Roundtable on Environmental Health Sciences, Research, and Medicine held a workshop to discuss approaches related to identifying and reducing potential environmental public health risks to new and existing industrial chemicals. Speakers at the workshop examined successes and areas for improvement within current regulatory programs for assessing industrial chemical safety, frameworks for chemical prioritization to inform targeted testing and risk management strategies, concepts of sustainability and green chemistry that support the design and use of safer alternatives, and efforts to reduce the risk of chemicals in our society.
  • Understanding the Connections Between Coastal Waters and ... Released: February 20, 2014
    Humans rely on the natural environment – such as oceans and coastal waters – for essential human services like providing food and essential dietary nutrients and purifying drinking water. These benefits are referred to as ecosystem services. Humans also rely on the environment for the natural cycles that renew the oxygen in the air, reduce carbon dioxide in the air, and recycle nitrogen. Disruption to these processes can create negative human health effects. The IOM held a workshop to discuss coastal waters and ocean ecosystem services in the United States and to understand the impacts on human health.
  • Advancing Workforce Health at the Department of Homeland ... Released: January 29, 2014
    The U.S. Department of Homeland Security (DHS) is responsible for protecting the health, safety, and resilience of its employees as well as guaranteeing effective management of the medical needs of those under DHS care or custody. The DHS Office of Health Affairs asked the IOM to recommend ways to better integrate occupational health functions and operational medicine throughout DHS with the necessary centralized oversight authority. The IOM’s report concludes that in order to ensure mission readiness and to provide DHS employees with occupational health support, strategic alignment through committed leadership, organizational and functional alignment, and management of health and safety information are needed.
  • Including Health in Global Frameworks for Development ... Released: January 17, 2014
    In the spring of 2013, the IOM held three webinars which examined frameworks for global development goals and connections to health indicators, the role for health in the context of novel sustainable economic frameworks, and scenarios to project climate change impacts and health outcomes. The webinars were based on themes identified by the IOM Roundtable on Environmental Health Sciences, Research, and Medicine’s Global Environmental Health and Sustainable Development Innovation Collaborative.
  • Review of NASA's Evidence Reports on Human Health Risks ... Released: January 06, 2014
    In 2008, NASA asked the IOM to assess the process for developing evidence reports that NASA has compiled on human health risks for long-duration and exploration space flights. The resulting IOM report, Review of NASA’s Human Research Program Evidence Books: A Letter Report, provided an initial and brief review of the evidence report. This 2013 letter report builds on the work of the 2008 report and examines three NASA evidence reports: Risk of Injury from Dynamic Loads; Risk of Spaceflight-induced Intracranial Hypertension/Vision Alterations; and Risk of Clinically Relevant Unpredicted Effects of Medication. Over the next five years, the IOM will issue 4 additional letter reports and evaluate more than 30 NASA evidence reports, in total.
  • The Nexus of Biofuels, Climate Change, and Human Health ... Released: November 26, 2013
    Liquid fuels are a major part of modern life, supplying energy for all modes of transportation as well as power for industrial and farming machinery. But fossil fuels – the dominant liquid fuel for well over a century – have many disadvantages. New policies encourage the development of renewable sources of energy in general and biofuels in particular, but it is important to understand how these policies may impact human health. The IOM held a workshop on the intersection of biofuels, climate change, and human health in January 2013. The workshop focused on air, water, land use, food security, and social impacts of biofuels as an energy resource.
  • Creating Equal Opportunities for a Healthy Weight - Workshop ... Released: November 25, 2013
    The 2012 IOM report Accelerating Progress in Obesity Prevention identified five environments in which change is needed to accelerate progress in obesity prevention. Each of these settings -physical activity, food and beverage, messaging, health care and worksites, and schools– interact with the others, creating a set of interconnected systems that can be changed only through engagement, leadership, and action among many groups and at many levels. The IOM Standing Committee on Childhood Obesity Prevention held a workshop to examine the role of the many factors that contribute to health disparities and to explore ways to create equity.
  • Global Development Goals and Linkages to Health and ... Released: September 30, 2013
    The IOM Roundtable on Environmental Health Sciences, Research, and Medicine’s Global Environmental Health and Sustainable Development Innovation Collaborative seeks to connect and leverage expertise across a variety of fields related to sustainable development, including economics, energy, environmental medicine, public health, and health communication. Following the 2012 UN Conference on Sustainable Development, the roundtable held a series of webinars to help inform the UN post-2015 development agenda process. The webinars covered lessons learned from the Millennium Development Goals process and offered insights on topics and goals that may be considered for global development frameworks being debated and negotiated.