scholarly journals Need for global core competencies in Child Health and the Environment: a Canadian perspective

2020 ◽  
pp. jech-2019-213148
Author(s):  
Irena Buka ◽  
Lesley Brennan ◽  
Jamal Tarrabain ◽  
Sadra Aghazadeh ◽  
Marie Noel Brune Drisse
Keyword(s):  
Child Health ◽  
Environmental Health ◽  
Early Life ◽  
Core Competencies ◽  
Health Spending ◽  
Health Clinic ◽  
The World ◽  
Canadian Perspective ◽  
Children’S Environmental Health ◽  
Early Life Exposures

Children are the planet’s most valuable resource. Mortality rates and longevity in children are improving; however, morbidity related to early-life exposures is increasing and with it health spending. A focus on identifying and addressing environmental components related to not only chronic childhood illnesses but also major adult mortalities would help contain current healthcare budgets. Child Health and the Environment (CHE) is an emerging discipline dedicated to managing early-life exposures (prenatal and childhood) on health outcomes throughout life. In Canada, as well as around the world, recognition of this area is growing, but progress has been slow and training of physicians is lacking. The WHO works closely with the Children’s Environmental Health Clinic in Canada as well as collaborating centres around the world to build awareness of environmental health issues and promote improved care of children. Core competencies in CHE for physicians would provide an important step forward.

scholarly journals Children's Environmental Health Experience and Interest Among Pediatric Care Providers in Vietnam

2011 ◽  
Vol 1 (2) ◽  
pp. 24-36 ◽  
Author(s):  
Nancy J. Beaudet ◽  
Garry C. Alcedo ◽  
Quan C. Nguyen ◽  
Dan Jacoby ◽  
Quynh Kieu ◽  
...  
Keyword(s):  
Health Care ◽  
Child Health ◽  
Environmental Factors ◽  
Environmental Health ◽  
Health Care Providers ◽  
Pediatric Care ◽  
Care Providers ◽  
Pediatric Health Care ◽  
The World ◽  
Children’S Environmental Health

Background. In rapidly developing regions of the world such as Southeast Asia, marked industrialization with insufficient regulation places children at increased risk for significant environmental exposures. Health care providers have a key role in identifying, treating and preventing environmentally-related illnesses. Objectives. The authors undertook a survey of pediatric health care providers in Vietnam in order to gain preliminary insight into environmental hazard knowledge, and attitudes and beliefs regarding the relative importance of environmental factors in child health that could guide future initiatives towards building up capacity for children's environmental health in the region. Methods. A formal written and self-administered survey instrument was adapted from the World Health Organization's Children's Environmental Health Survey and translated into Vietnamese. The survey was administered via convenience sampling after formal introduction to children's environmental health (CEH) was made through lectures or meetings with pediatric care providers affiliated with the major children's hospitals and pediatric departments in Vietnam. Results. One hundred forty-one pediatric care providers completed the survey. Most indicated environmental factors are considered to be very important in child health (84%); 98% felt the magnitude of the problem is increasing; and air pollution is seen as the top environmental health issue facing the country. The most commonly identified problems in their clinical experience included: food poisoning due to microbiological agents (85%); pesticide poisoning (77%); tobacco smoke exposure (75%); and inadequate sanitation (60%). Although most (80%) endorsed asking about children's environmental conditions in clinical practice, a little more than a third (39%) were confident taking an environmental exposure history. For most key topics, less than half had received specific training. A majority (63%) of survey respondents were very interested in more environmental health training. Conclusions. Pediatric health care providers in Vietnam believe that environmental hazards in child health is an important topic that is routinely encountered in their care of patients, but training, experience and self-efficacy in these topics are limited.

scholarly journals Children’s Environmental Health in South and Southeast Asia: Networking for Better Child Health Outcomes

2019 ◽  
Vol 85 (1) ◽  
Author(s):  
Peter D. Sly ◽  
Brittany Trottier ◽  
David Carpenter ◽  
Ubon Cha’on ◽  
Stephania Cormier ◽  
...  
Keyword(s):  
Child Health ◽  
Southeast Asia ◽  
Health Outcomes ◽  
Environmental Health ◽  
Child Health Outcomes ◽  
South And Southeast Asia ◽  
Children’S Environmental Health

scholarly journals Developing and implementing core competencies in children’s environmental health for students, trainees and healthcare providers: a narrative review

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Rose Hannah Goldman ◽  
Lauren Zajac ◽  
Robert J. Geller ◽  
Mark D. Miller
Keyword(s):  
Climate Change ◽  
Environmental Health ◽  
Health Care Providers ◽  
Human Life ◽  
Core Competencies ◽  
Environmental Exposures ◽  
World Health ◽  
Care Providers ◽  
The Core ◽  
Children’S Environmental Health

AbstractKnowledge of the health impacts of environmental exposures (such as pollution disasters, poor air quality, water contamination, climate change) on children’s health has dramatically increased in the past 40 years. The World Health Organization (WHO) estimated that 23% of all deaths worldwide were attributable to the environment, and 26% of deaths in children less than 5 years old could be prevented with removal of environmental risks factors. Yet, little has permeated medical education, leaving pediatric providers ill equipped to address these issues. To address this gap, members from the Pediatric Environmental Health Specialty Units, a United States nationwide network of academically affiliated experts who have created numerous environmental health educational materials and programs, have identified fifteen core environmental health (EH) competencies needed by health care providers to enable them to effectively address environmental health concerns. These competencies can serve as the foundation for the development and implementation of relevant educational programs. The core EH competencies are based upon these foundational elements: 1) Definition of “children’s environmental health” that describes how environmental exposures (positive and negative) in early life influence the health and development in childhood and across the entire human life span 2) Children are not “little adults” and so have unique vulnerabilities to environmental hazards; 3) Environmental health inequities exist, causing some children to have a disproportionate amount of unhealthy exposures and consequently a greater risk of adverse effects; 4) Climate change will translate to numerous adverse health effects that will particularly affect children worldwide. In this article, the authors describe the core environmental health competencies and provide resources, online tools, strategies, and examples targeted to all levels of training and practice to better enable leaders and educators to bring this important content to the forefront.

scholarly journals Children’s Environmental Health: A Systems Approach for Anticipating Impacts from Chemicals

2020 ◽  
Vol 17 (22) ◽  
pp. 8337
Author(s):  
Elaine A. Cohen Hubal ◽  
David M. Reif ◽  
Rachel Slover ◽  
Ashley Mullikin ◽  
John C. Little
Keyword(s):  
Health Outcomes ◽  
Environmental Health ◽  
Early Life ◽  
Systems Approach ◽  
Consumer Products ◽  
Children's Health ◽  
Children’S Health ◽  
Chemical Management ◽  
Wide Range ◽  
Children’S Environmental Health

Increasing numbers of chemicals are on the market and present in consumer products. Emerging evidence on the relationship between environmental contributions and prevalent diseases suggests associations between early-life exposure to manufactured chemicals and a wide range of children’s health outcomes. Using current assessment methodologies, public health and chemical management decisionmakers face challenges in evaluating and anticipating the potential impacts of exposure to chemicals on children’s health in the broader context of their physical (built and natural) and social environments. Here, we consider a systems approach to address the complexity of children’s environmental health and the role of exposure to chemicals during early life, in the context of nonchemical stressors, on health outcomes. By advancing the tools for integrating this more complex information, the scope of considerations that support chemical management decisions can be extended to include holistic impacts on children’s health.

scholarly journals Early Life Characteristics and Neurodevelopmental Phenotypes in the Mount Sinai Children’s Environmental Health Center

2017 ◽  
Vol 49 (4) ◽  
pp. 534-550 ◽  
Author(s):  
Melissa Furlong ◽  
Amy H. Herring ◽  
Barbara D. Goldman ◽  
Julie L. Daniels ◽  
Mary S. Wolff ◽  
...  
Keyword(s):  
Environmental Health ◽  
Health Center ◽  
Early Life ◽  
Children’S Environmental Health ◽  
Mount Sinai
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