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Environmental Issues in Global Pediatric Health: Technical Report.
Lauren Zajac1, Philip J Landrigan2,
1Department of Environmental Medicine and Public Health and Department of Pediatrics, Icahn School of Medicine at Mount Sinai, New York, New York.
Pediatricians must recognize and manage environmental toxic exposures in children, especially in low- and middle-income countries (LMICs). Early diagnosis using environmental history and lab tests is crucial for children
Area of Science:
- Environmental health
- Pediatric toxicology
- Global child health
Background:
- Children in low- and middle-income countries (LMICs) face high rates of toxic environmental exposures.
- These exposures, including pollution and chemicals, cause twice the disease burden seen in North America.
- Climate change is expected to exacerbate these environmental health risks.
Purpose of the Study:
- To equip pediatricians with knowledge of environmental hazards prevalent in LMICs.
- To guide healthcare professionals in diagnosing and managing environmentally induced diseases in children.
- To emphasize the importance of environmental screening for children from LMICs.
Main Methods:
- Review of environmental hazards and their impact on child health.
- Emphasis on diagnostic tools: environmental screening history and laboratory testing.
- Guidance for pediatricians working in high-income and low- and middle-income countries.
Main Results:
- Toxic environmental exposures significantly impact child health globally, particularly in LMICs.
- Pediatricians need awareness of specific local toxic threats and climate change effects.
- Environmental screening is key for diagnosing diseases of toxic origin.
Conclusions:
- Pediatricians must consider environmental factors in differential diagnoses for all children.
- Enhanced knowledge and diagnostic skills are needed to manage toxic environmental exposures in children worldwide.
- Proactive environmental health assessment is vital for pediatric patient care globally.
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