This FAQ has borrowed heavily from two documents: Topics, Multiple Chemical Sensitivity, prepared by Beth Pifer of the Arizona Technology Access Program (AZTAP) and Multiple Chemical Sensitivity by Ann McCampbell, M.D. This fact sheet was prepared by Bob Michaels with assistance from Laurel Richards, Dawn Heinsohn, and Agnes McAllister. Appreciation is extended to Susan Molloy who contributed significantly to this document.

The same patients were also subjected to perfume provocation with or without a carbon filter mask to ascertain whether breathing through a filter with active carbon could prevent the symptoms. The patients breathed through the mouth during the provocations, as they used a nasal clamp to prevent any smell of perfume. We found that the patients' earlier symptoms could be verified by perfume provocation. Breathing through the carbon filter had no protective effect.

Adopt and enforce no smoking and no fragrance policies and post signs accordingly, including on paths of travel (to restrooms, the parking lot, common areas, etc). Discontinue chemical pest control, such as structural chemicals and flea bombs, and replace them with non-toxic pest controls. (Sources for alternative products are identified below.) Discontinue using toxic, fragrance-laden cleaning products, and use only non-toxic paints on the walls and ceilings.

Artists with MCS Connections for a Safer World - An International Network http://www.citlink.net/~bhima/artists.htm Environmental Causes of Learning Disabilities - Index http://www.chem-tox.com/pregnancy/learning_disabilities.htm#index

Absolutely. In fact, it’s important to set up a system with each statewide Early Intervention Program to track the results of those children being referred. We like to have a close working relationship with local Part C coordinators. Their involvement in the program is critical. The better the collaboration, the better the outcome.

Again, this is controversial. One study claimed to demonstrate that MCS doesn't exist and is really a manifestation of mental illness. However, the study was flawed. One hypothesis is that MCS usually begins with exposure to a single chemical and then spreads, that it is caused by a common physiological reaction to chemicals in general. Some recent work has tended to support this notion. This hypothesis suggests that the same mechanism that causes SBS, will, in the extreme, cause MCS.

According to recent studies, approximately 15 percent of the population has increased sensitivity to chemicals. It is estimated that physicians have diagnosed five percent of people in the United States, or about 13 million people, as being especially vulnerable to certain common chemicals. There have been several recent studies, cited below, which support these findings.

It is not precisely clear what causes MCS. Sometimes a single incident such as petrochemical fire can trigger MCS. Often, a reaction intensifies insidiously--that is, one's reaction to a given chemical increases inconspicuously but with grave effects. Commonly cited examples of MCS development include recurrent exposure to fresh paint, pest control insecticides, and carpeting glue. Research on MCS has also indicated that long-term exposure to chemicals has a cumulative effect on many people.

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Interstate private carriers are required to file their vehicle liability insurance with the Nebraska Motor Carrie Services. Once they have complied with this requirement, they are issued a Form E cab card with a Nebraska stamp. This form E card is referred to as the MCS cab card.