Objective. Strengthen pediatric environmental medicine and public health prevention capacity through: Consultation Education Referral

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1 Objective Strengthen pediatric environmental medicine and public health prevention capacity through: Consultation Education Referral

2 Mission Improve the environmental health of children by: Enhancing educational and consultative services to clinicians, health professionals and the community. Providing evidence-based information from a network of experts in environmental health.

3 History 1996 ATSDR Child Health Initiative - emphasis on environmental hazards to children s health. The first programs were established in 1998 in Seattle and Boston following two, large environmental exposure incidents: to 1996 mercury exposure factory converted to apartments in New Jersey to1998 methyl parathion exposure potentially affecting 400+ children in Illinois, Mississippi and Ohio.

4 What is a? A site is a collaboration between an Association of Occupational and Environmental Clinic (AOEC) member clinic and an academic pediatric program. A typical staff includes a project director, a coordinator, an occupational environmental medicine physician, a pediatrician, and often other specialists such as a toxicologist or industrial hygienist.

5 Services Consultation for clinicians/health professionals regarding children s environmental health concerns. Education/Outreach on pediatric environmental health provided to clinicians/health professionals, clinical trainees and the general public. Referral to appropriate resources for children with environmental health needs.

6 Site Locations (or ) Region 1: Boston, MA Region 2: New York, NY Region 3: Washington, DC Region 4: Atlanta, GA Region 5: Chicago, IL and Cincinnati, OH (satellite location) Region 6: Tyler, TX Region 7: Kansas City, MO Region 8: Denver, CO Region 9: Irvine and San Francisco, CA Region 10: Seattle, WA Alberta, Canada Guadalajara, Mexico

7 Disclaimer This presentation was supported by the Association of Occupational and Environmental Clinics (AOEC) and funded (in part) by the cooperative agreement award number 1U61TS from the Agency for Toxic Substances and Disease Registry (ATSDR). Acknowledgement: The U.S. Environmental Protection Agency (EPA) supports the by providing funds to ATSDR under Inter-Agency Agreement number DW Neither EPA nor ATSDR endorse the purchase of any commercial products or services mentioned in publications.

8 Pediatric Environmental Health Specialty Units () In North America Alaska Edmonton, Canada Canada Boston New England Seattle Northwest Chicago Great Lakes Centers San Francisco University of California Denver Rocky Mountain Region Kansas City Mid-America Washington DC Mid-Atlantic Center for Children s Health & the Environment New York City Mount Sinai Irvine University of California Tyler Southwest Center Atlanta Southeast Hawaii Mexico Guadalajara, Mexico Virgin Islands Puerto Rico

9 Pediatric Environmental Health Specialty Units () In North America - Hospital Affiliations Alaska Edmonton Misericordia Community Hospital Canada Boston Children s Hospital Boston Cambridge Hospital Seattle Harborview Medical Center University of Washington Medical Center San Francisco University of California Hospital Denver National Jewish Health Denver Health Chicago Stroger Hospital of Cook County Washington DC Children s National Medical Center New York City Mount Sinai Medical Center Irvine Irvine Medical Center Kansas City Children s Mercy Hospitals and Clinics Tyler University of Texas Health Science Center Atlanta Children s Healthcare of Atlanta Egleston Children s Hospital Hughes Spalding Children s Hospital Hawaii Mexico Virgin Islands Guadalajara University of Guadalajara Health Sciences Center Puerto Rico

10 Pediatric Environmental Health Specialty Units () In North America - Academic Affiliations Alaska Edmonton University of Alberta Canada Seattle University of Washington School of Medicine Department of Pediatrics San Francisco University of California at San Francisco Denver University of Colorado Health Sciences Center Kansas City University of Missouri School of Medicine Chicago University of Illinois School of Public Health Boston Harvard University School of Medicine School of Public Health Washington DC George Washington University School of Medicine New York City Mount Sinai School of Medicine Department of Pediatrics Irvine University of California at Irvine Tyler University of Texas Health Sciences Center Atlanta Emory University School of Medicine Department of Pediatrics Hawaii Mexico Guadalajara University of Guadalajara Health Sciences Center Virgin Islands Puerto Rico

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