The number of railroad events reported to the Agency for Toxic Substances a
nd Disease Registry's Hazardous Substances Emergency Events Surveillance sy
stem increased from 84 in 1993 to 177 in 1998. Comparisons of data on railr
oad and non-railroad events were made. The results overall indicated a grea
ter potential impact of railroad events on public health. A median number o
f 2039 persons were living within a 1-mile radius of railroad events versus
982 for non-railroad events. The percentage of events during times when pe
ople are more likely to be home was also greater for railroad events. Railr
oad event victims were more likely to need hospital treatment than non-rail
road event victims, which suggested the need for better community planning,
reevaluation of current federal regulations and priorities for railroad ha
zardous material transport, and enhanced railroad industry commitment to sa
fety.