Changes to Informed Consent, Bhutanese and Burmese

Attachment 8b1

Outline of changes to Informed Consent, Bhutanese and Burmese

Compared to (OMB Control No: 0923-0044)

IC Title NY Consent - Burmese

Attachment 6i

August 7, 2014

Changes to accommodate Bhutanese in current target subpopulation(s) and study area of Syracuse and Onondaga Lake and surrounding tributaries

Overview

The New York State Department of Health (NYS DOH) in cooperation with the Agency for Toxic Substances and Disease Registry (ATSDR) invite you to be in a project to measure pollutants in people who eat fish from Lake Ontario and tributaries; including Seneca River, Oswego River and Onondaga Lake.

What is the purpose of this project?

The purpose is to measure the levels of contaminants in people who eat fish caught from New York Great Lakes and rivers. The areas of interest are Lake Ontario and tributaries; including Seneca River, Oswego River and Onondaga Lake. To help us understand the results, we want to know what types of fish and how much fish people eat and other ways that people can be exposed to these pollutants, such as at their jobs and from eating other foods.

Why are you being asked to be in this project?

You are being invited to participate because you are from Burma, Bhutan or Nepal or are related to someone from one of these countries, you have received a referral coupon from someone you know, you have lived in or near Syracuse for at least one year, and you eat fish caught in certain lakes, rivers, and creeks. NYS DOH hopes to get about 300 people from Burma, Bhutan or Nepal who eat fish.

What is the cost to you and what will you receive?

The only cost to you for being in our project is your time and effort to take part. We will give you $75 as a thank you for your participation if you complete all parts of the project visit.  If you are unable to complete all activities we will give you an amount based on the activities you do complete. You can use the gift card at most stores or for online shopping. If you want to help find up to three more people to be in the project, people now living in this area who are originally from Burma, Bhutan or Nepal and who eat fish from nearby waters, you will also get a $15 gift card for each person who takes part in the study.