Clinical Tools For Your Practice

Pediatric Environmental Health Toolkit (Comprehensive Provider Resources and Guidance Tools with accompanying patient materials) 

Pediatric Environmental History Initiative

Environmental Health Resources

Health Care Provider Fact Sheet and In Harm's Way Report

Cancer and the Environment: A Primer for Health Providers

Emerging Links: Addressing the Links Between Parkinson's Disease and Non-Hodgkins Lymphoma and Environmental Exposures

Environmental Health Perspectives Monthly peer-reviewed research journal

Clean Health and ME - The Alliance for a Clean and Healthy Maine's report on chemicals found in the bodies of 13 Maine citizens

Provider Resources By Toxin

Collaborative on Health and Environment Toxicant and Disease Database

New Thinking on Neurodevelopment - February, 2006 Article from Environmental Health Perspectives about neurotoxicants and their effect on the brain in-utero. This is comprehensive and covers several major environmental toxins.

Mercury

Fish Consumption To Promote Good Health and Minimize Contaminants:
A Quick Reference Guide for Clinicians

Journal Articles:

Autism Spectrum Disorders in Relation to Distribution of Hazardous Air Pollutants in the San Francisco Bay Area Gayle C. Windham, Lixia Zhang, Robert Gunier,
Lisa A. Croen, and Judith K. Grether. Environmental Health Perspectives Volume 114, Number 7, July 2006.

Public Health and Economic Consequences of Methyl Mercury Toxicity to the Developing Brain Leonardo Trasande, Philip J. Landrigan, and Clyde Schechter Environmental Health Perspectives Volume 113, Number 5, May 2005

Mercury, fish oils, and risk of acute coronary events and cardiovascular disease, coronary heart disease, and all-cause mortality in men in eastern Finland. Virtanen JK, Voutilainen S, Rissanen TH, Mursu J, Tuomainen TP, Korhonen MJ, Valkonen VP, Seppanen K, Laukkanen JA, Salonen JT. Arterioscler Thromb Vasc Biol. 2005;25(1):228-33.

Cardiac Autonomic Activity in Methylmercury Neurotoxicity: 14-year follow-up of a Faroese Birth Cohort P Grandjean, K Murata, E Budtz-Jorgensen, P Weihe J Pediatr, July 2004

Methylmercury Exposure Biomarkers as Indicators of Neurotoxicity in Children Aged 7 Years Philippe Grandjean, Esben Budtz-Jørgensen, Roberta F. White, Poul J. Jørgensen, Pal Weihe, Frodi Debes and Niels Keding Am J Epidemiol 1999 Aug 1;150(3): 301-5

Toxic Flame Retardants

Journal Articles:

Brominated Flame Retardants: Cause for Concern?  Linda Birnbaum Environmental Health Perspectives. January 2004: 112(1)

Lead

Oregon Lead Testing Resources, and CDC and AAP resources

Journal Articles:

Low-Level Environmental Lead Exposure and Children’s Intellectual Function: An International Pooled Analysis Bruce P. Lanphear, Richard Hornung, Jane Khoury, Kimberly Yolton, Peter Baghurst, David C. Bellinger, Richard L. Canfield, Kim N. Dietrich, Robert Bornschein, Tom Greene, Stephen J. Rothenberg, Herbert L. Needleman, Lourdes Schnaas, Gail Wasserman, Joseph Graziano, and Russell Roberts. Environmental Health Perspectives, July 2005

IQ and Blood Lead from 2 to 7 Years of Age: Are the Effects in Older Children the Residual of High Blood Lead Concentrations in 2-Year-Olds?  Aimin Chen, Kim N. Dietrich  James H. Ware, Jerilynn Radcliffe, and Walter J. Rogan Environ Health Perspect 113:597601 (2005).

Pesticides

PSR Clinician's Guide to reducing low-dose pesticide exposures in infants and children.

Pesticide Poisoning Prevention Program Gives providers Oregon specific information about emergency consultation regarding the treatment of pesticide poisoning.

Diagnostic Tool from Pesticide Action Network designed to help healthcare providers recognize, manage and report pesticide-related illnesses.

Ending Toxic Dependency: The State of IPM  - New report from Beyond Pesticides, a Washington, DC-based national clearinghouse and advocacy organization focused on pesticide hazards and alternatives, evaluates the states’ definitions of IPM and essential components that it says are key to effective programs that trade toxic pesticides for sound public health and environmental practices.

Journal Articles:

Pesticide exposure and risk for Parkinson's disease                                                      Alberto Ascherio, MD, DrPH, Honglei Chen, MD, PhD, Marc G.Weisskopf, PhD, Eilis O'Reilly, MSc, Marjorie L. McCullough, ScD, Eugenia E. Calle, PhD, Michael A. Schwarzschild, MD, PhD Michael J. Thun, MD. Annals of Neurology, published Online: 26 Jun 2006.

A Case for Revisiting the Safety of Pesticides: A Closer Look at Neurodevelopment
Theo Colborn, Ph.D., University of Florida, Gainesville, Florida, USA; TEDX (The Endocrine Disruption Exchange) Inc., Paonia, Colorado, USA. Environmental Health Perspectives: Vol. 114, Number 1, January 2006.

Organic Diets Significantly Lower Children's Dietary Exposure to Organophosphorus Pesticides Chensheng Lu, Kathryn Toepel, Rene Irish, Richard A. Fenske, Dana B. Barr, and Roberto Bravo Environmental Health Perspectives Volume 114, Number 2, February 2006

A summary of recent findings on birth outcomes and developmental effects of prenatal ETS, PAH, and pesticide exposures. Bernert  JT, Tu YH, Andrews H, Barr DB, Camann DE, Diaz D, Dietrich J, Reyes A, Kinney PL.    Neurotoxicology. 2005 Aug;26(4):573-87.

Association between in utero organophosphate pesticide exposure and abnormal reflexes in neonates. Young JG, Eskenazi B, Gladstone EA, Bradman A, Pedersen L, Johnson C, Barr DB, Furlong CE, Holland NT. Neurotoxicology. 2005 Mar;26(2):199-209.

In Utero and Postnatal Pesticide Exposures of Children Living in an Agricultural Communituy, Dr. Brenda Eskenazi   PowerPoint presentation on the relationship between neurodevelopment, growth and respiratory disease.

Plastics

Journal Articles:

The Environmental Estrogen Bisphenol A Inhibits Estradiol-Induced Hippocampal Synaptogenesis, Neil J. MacLusky,Tibor Hajszan, and Csaba Leranth. Environmental Health Perspectives Volume 113, Number 6, June 2005.

Human Neurobehavioral Effects Of Long-Term Exposure To Styrene: A Meta-Analyses Vernon A. Benignus, Andrew M. Geller, William K Boyes, and Philip J. Bushnell  Environmental Health Perspectives Volume 113, Number 5, May 2005.

Plasticizers

Journal Articles:

Decrease in Anogenital Distance among Male Infants with Prenatal Phthalate Exposure  Shanna H. Swan, Katharina M. Main, Fan Liu, Sara L. Stewart, Robin L. Kruse, Antonia M. Calafat, Catherine S. Mao, J. Bruce Redmon, Christine L. Ternand, Shannon Sullivan, J. Lynn Teague, and the Study for Future Families Research Team* Environmental Health Perspectives Volume 113, Number 8, August 2005.

Other Resources

Oregon Poison Center hotline for Consultation on Poisonings

For more information, call 503-274-2720 or contact info@oregonpsr.org.

REPROTOX, the Reproductive Toxicology Center, contains summaries on the effects of medications, chemicals, infections, and physical agents on pregnancy, reproduction, and development. The REPROTOX® system was developed as an adjunct information source for clinicians, scientists, and government agencies. Several levels of subscriptions available.
http://www.reprotox.org/ 

Science and Environmental Health Network works at many levels in support of the effective application of science to protect and restore individual, public, and ecosystem health.
http://www.sehn.org/ 

Technology Transfer Center at the Massachusetts Toxics Use Reduction Institute, University of Massachusetts Lowell
(978) 934-3275, (978) 934-3050
Clearinghouse and research library, and literature search service for reports, case studies, and fact sheets on pollution prevention and toxics use reduction. 

Teratology Society is a multidisciplinary scientific society founded in 1960, the members of which study the causes and biological processes leading to abnormal development and birth defects at the fundamental and clinical level, and appropriate measures for prevention.
http://www.teratology.org/