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This article provides an overview of the development, theoretical basis, regulatory status, and application of the U.S. Environmental Protection Agency's (USEPA's) Equilibrium Partitioning Sediment Benchmarks (ESBs) for PAH mixtures. ESBs are compared to other sediment quality guidelines (SQGs) for PAHs. Data that examine the ability of the ESB approach to predict toxic effects to invertebrates are discussed. A USEPA draft methodology for the development of site-specific ESBs that takes into account the limited bioavailability of PAHs at certain sites is discussed. Research is presented that compares the ability of ESBs and site-specific ESBs to predict the toxicity of sediments collected from manufactured gas plants (MGPs). Site-specific ESBs that accounted for adsorption of PAHs onto black carbon were better predictors of the toxicity of sediments from MGP sites than ESBs that did not account for adsorption to black carbon. [ABSTRACT FROM AUTHOR]

Objectives: To produce and evaluate a novel virtual reality (VR) training for public health emergency responders., Design: Following a VR training designed to test key public health emergency responder competencies, a prospective cohort of participants completed surveys rating self-assessed skill levels and perceptions of training methods., Setting: The VR training sessions were administered in a quiet room at the US Centers for Disease Control and Prevention (CDC), Atlanta, Georgia., Participants: All participants volunteered from a list of CDC emergency international surge responders., Outcome Measures: Perceived impact of the training on responder skills was self-reported via a Likert 5-point scale questionnaire. Assessments were modelled according to the Expanded Technology Acceptance Model measuring participant perceived usefulness of and intention to use the new technology. Inductive coding of qualitative feedback resulted in the identification of central themes., Results: From November 2019 to January 2020, 61 participants were enrolled. Most (98%) participants self-rated above neutral for all skills (mean 4.3; range 1.21-5.00). Regression modelling showed that the perceived ease of use of the VR and ability to produce demonstrable results as likely drivers of further use. Participants agreed that others would benefit from the training (97%), it was representative of actual response scenarios (72%) and they would use lessons learnt in the field (71%). Open-response feedback highlighted feeling being immersed in the training and its utility for public health responders., Conclusions: At a time when a trained emergency public health workforce is a critical need, VR may be an option for addressing this gap. Participants' impressions and feedback, in the setting of their high skill level and experience, highlighted the utility and benefit of using VR to deliver training. Further research is needed to determine skill acquisition through VR training among a pool of future responders with limited to no response experience., Competing Interests: Competing interests: None declared., (© Author(s) (or their employer(s)) 2023. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ.)