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- Maida P. Galvez, MD, MPH, FAAP*
- Sophie J. Balk, MD, FAAP†
- *Departments of Environmental Medicine and Public Health and Pediatrics, Icahn School of Medicine at Mount Sinai,
- New York, NY
- †Division of Academic General Pediatrics, Children's Hospital at Montefiore, Albert Einstein College of Medicine, Bronx, NY
AUTHOR DISCLOSURE
Dr Galvez has disclosed that this article was supported by the cooperative agreement award number 1U61TS000237-02 from the Agency for Toxic Substances and Disease Registry (ATSDR). Dr Galvez is also supported by funding from the National Institutes of Environmental Health Sciences (NIEHS ES009584, ES012771, ES019454, ES012645, ES019435, P30ES023515), National Institutes of Health (NIH UL1TR001433), Environmental Protection Agency (EPA R827039, RD831711), National Cancer Institute (NCI CA93447), National Center for Research Resources (NCRR MO1-RR- 00071). Dr Balk has disclosed no financial relationships relevant to this article. This commentary does not contain a discussion of an unapproved/investigative use of a commercial product/device.
- AAP:
- American Academy of Pediatrics
- ADHD:
- attention-deficit/hyperactivity disorder
- BPA:
- bisphenol A
- CDC:
- Centers for Disease Control and Prevention
- dB:
- decibel
- dBA:
- decibel weighted by the A scale
- ENDS:
- electronic nicotine delivery system
- EPA:
- Environmental Protection Agency
- FQPA:
- Food Quality Protection Act
- NIHL:
- noise-induced hearing loss
- NITS:
- noise-induced threshold shift
- NMSC:
- nonmelanoma skin cancer
- UV:
- ultraviolet
Practice Gap
There is increasing awareness about the contribution of environmental exposures to today’s health conditions and diseases. Because children and adolescents are often more susceptible to environmental exposures compared to adults, pediatricians and other child health clinicians need information about high-priority environmental exposures and how to incorporate questions and anticipatory guidance into clinical practice.
Learning Objectives
After completing this article, readers should be able to:
Describe top environmental health issues relevant to children and adolescents, with a focus on families most at risk.
Counsel families using actionable environmental health messages.
Connect families to reliable pediatric environmental health resources to assist them in preventing or reducing environmental exposures.
Introduction
With the click of a remote or tap on a smartphone, families often encounter media headlines that highlight the latest toxic threats to children’s health. Parents may then turn to their pediatricians for guidance. In this age of information overload, how do busy clinicians determine what warrants further attention? At the most fundamental level, clinicians need to know the top environmental threats to children and adolescents, how to counsel families on potential health risks, and how to connect families to resources that can assist in preventing or reducing environmental exposures.
The practice of pediatrics in …
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