Clinical Practice: Resources
Relevant PRHE Publications
Moving from awareness to action on preventing patient exposure to toxic environmental chemicals. Am J Obstet Gynecol. 2016 May;214(5):555-558.
Poster:Reproductive Environmental Health Education for OB/GYN Specialists. 2013 US EPA and NIEHS Children's Center Grantee Meeting. 2013 Oct 28.
Toxic environmental chemicals: the role of reproductive health professionals in preventing harmful exposures. Am J Obstet Gynecol. 2012 Mar 8.
Reproductive health and the industrialized food system: a point of intervention for health policy. Health Aff (Millwood). 2011 May;30(5):888-97.
Reproductive environmental health. Curr Opin Obstet Gynecol. 2010 Dec;22(6):517-24.
Pediatric Environmental Health Specialty Units
The Pediatric Environmental Health Specialty Units (PEHSU) form a respected network of experts in children's environmental health. The PEHSU were created to ensure that children and communities have access to, usually at no cost, special medical knowledge and resources for children faced with a health risk due to a natural or human-made environmental hazard. Read more about the Pediatric Environmental Health Specialty Units.
Located throughout the U.S., Canada, and Mexico, PEHSU professionals provide quality medical consultation for health professionals, parents, caregivers, and patients. The PEHSU are also dedicated to increasing environmental medicine knowledge among healthcare professionals around children's environmental health by providing consultation and training. Finally, the PEHSU provide information and resources to school and community groups to help increase the public's understanding of children's environmental health.
UCSF's Pediatric Environmental Health Specialty Unit can be found here: http://coeh.berkeley.edu/ucpehsu/
US Environmental Protection Agency; Agency for Toxic Substances and Disease Registry; University of Maryland
An environmental history is an important tool for clinician’s to gather information on their patient’s exposure to toxic chemicals. There are a number of useful online resources to become more familiar with environmental histories. EPA’s Office of Pesticide Protection and the CDC’s Agency for Toxic Substances and Disease Registry are two great places to start. Clinicians at University of Maryland present the elements of environmental and occupational histories with counseling strategies for clinicians in a peer-reviewed article. We have also provided two excellent prenatal environmental exposure forms.
Prenatal exposure forms:
Environmentally Preferable Medical Products
Practice Greenhealth has developed a set of standardized environmental questions for medical products that can be used in the procurement process for medical products to identify environmentally preferable products. The questions cover key areas of concern in packaging, manufacturing, use, and the end-of-life of medical products based on environmental priorities in health care.
Drinking Water Information for Healthcare Providers
US Environmental Protection Agency
Doctors, nurses, local health officials and other health professionals play an important role in preventing waterborne illness. To inform this role, EPA has created “Tap Into Prevention”, a continuing education video for healthcare providers. The video explains potential health risks from exposure to microbial and chemical contaminants in drinking water and demonstrates actions health care providers can take in their practices. The video features doctors, nurses, and local health officials who discuss the connection between drinking water and health in their communities.
Environmental and Reproductive Health Resource Center
Association of Reproductive Health Professionals
Although the science is still emerging, strong evidence exists for linking environmental exposures to negative health outcomes such as increased infertility, recurrent miscarriage, early puberty in girls, and reproductive tract cancers and diseases such as endometriosis. This collection of evidence-based resources, compiled by the Association of Reproductive Health Professionals, helps answer questions about how pollutants in our air, water, homes, and general environment are affecting reproductive health.
To learn more click here.
Continued Medical Education (CME) Courses on Environmental and Occupational Health
California Department of Public Health (CDPH)
CDPH has developed four free online training courses offered through UC Davis Health System and CME California. Medical care providers (physicians, nurses, and physician assistants) and Certified Industrial Hygienists (CIH) can earn continuing education units for completion of any of the following one-hour courses.
- Coccidioidomycosis: Focus on Occupational Health Issues
- Lead: Childhood Lead Poisoning Prevention
- Lead: Overview of Occupational Lead Poisoning in California
- Mercury Exposure and Health Effects
Guidance for Occupational Reproductive and Developmental Health Hazards
American College of Occupational and Environmental Medicine
A guidance document was developed by the American College of Occupational and Environmental Medicine (ACOEM) in order to provide occupational and environmental medicine (OEM) physicians, other health care professionals, labor, and management with a framework for evaluating and managing potential occupational reproductive and developmental health hazards. Several clinical scenarios that may be encountered by OEM professionals are discussed. A multidisciplinary approach may be required to assess each workplace for potential reproductive and developmental hazards and implement appropriate responses for managing such hazards.
Environmental Medicine Training
University of Arizona
The University of Arizona Center for Integrative Medicine has developed a new, online, interactive course on environmental medicine. It uses a case-based approach to organize and apply current research and recommendations in environmental medicine to guide our patients and their families. The 6-hour Introduction to Environmental Medicine CME course explores research on how what we eat, drink, breathe, place on our skin, or are otherwise exposed to in our environment has a direct effect upon our health. From lead poisoning to the safety of household cleaning products, cosmetics, and pesticides, this course explores the impact of environmental factors on the health of individuals and populations. The course is rich in resources for patients and clinicians and provides background on several important emerging areas of research in environmental medicine that have immediate clinical relevancy. Faculty who complete the course will receive 6 hours of CME credit.
Toxicology Textbook for Common Chemical Agents
A Small Dose of Toxicology by Steven G. Gilbert explores the principles of toxicology by examining the health effects of common chemical agents. Every day, we come into contact with many relatively harmless substances that could, at certain concentrations, be toxic. This applies not only to obvious candidates such as asbestos, lead, mercury, and gasoline, but also to such common compounds as caffeine, alcohol, nicotine, and headache tablets. While the field of toxicology has numerous technical books devoted to aspects of biology, chemistry, and mechanisms of action, A Small Dose of Toxicology places toxicology within the framework of our daily lives.
Professional and Scientific Societies
Learn more about PRHE's efforts to engage clinicians on reproductive environmental health on the Clinical Practice page.
All That Matters
Learn more about our All That Matters brochures and how to download them here.