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Long-term Behavioral and Reproductive Consequences of Embryonic Exposure to Low-dose Toxicants
Published on: March 6, 2018
Environmental hazards for children in USA
1Department of Community Medicine, Mount Sinai School of Medicine, New York 10029, USA.
Insights
Children are uniquely vulnerable to environmental toxicants due to rapid development. A child-centered research agenda is crucial for preventing and eradicating environmentally linked pediatric diseases.
Area of Science:
- Environmental Health
- Pediatric Toxicology
- Developmental Biology
Background:
- Children's developing bodies and distinct exposure patterns create unique vulnerabilities to environmental toxicants.
- Rapid growth and differentiation during childhood present critical windows of susceptibility.
- Disproportionately high exposure combined with biological immaturity increases children's risk of toxicant-induced injury.
Purpose of the Study:
- To advocate for a child-centered research and risk assessment agenda.
- To address the control, prevention, and eradication of environmentally caused pediatric diseases.
- To outline the multidisciplinary approach required for this agenda.
Main Methods:
- The proposed agenda requires a multidisciplinary approach integrating epidemiology, pediatrics, exposure assessment, toxicology, and health economics.
- Focus on identifying etiological links between environmental exposures and pediatric diseases.
- Emphasis on elucidating disease mechanisms, improving treatments, and implementing preventive strategies.
Main Results:
- Children exhibit heightened susceptibility to environmental toxicants compared to adults.
- Specific developmental stages increase vulnerability to toxic effects.
- Current risk assessment models may not adequately protect children.
Conclusions:
- A dedicated, multidisciplinary, child-centered agenda is essential for managing environmental health risks in children.
- This agenda will facilitate the identification, understanding, and prevention of environmentally induced pediatric diseases.
- The ultimate goal is to protect children's health from environmental hazards through targeted research and policy.
Abstract:
Children are not little adults. Their tissues and organs are rapidly growing, developing and differentiating. At various stages these growth processes create windows of great vulnerability to environmental toxicants. Children's patterns of consumption and exposure are very different from those of adults. Children's combination of disproportionately heavy exposure plus biologic vulnerability makes them very susceptible to injury caused by toxicants in the environment. Development and adoption of a child-centered agenda for research and risk assessment will be necessary if disease in children of toxic environmental origin is to be controlled, prevented and eventually eradicated. This agenda will need to be multidisciplinary. It should include epidemiology, pediatrics, exposure assessment, toxicology, and health economics. The ultimate goals of this agenda need to be (1) the identification of etiologic associations between environmental exposures and pediatric disease; (2) the elucidation of disease mechanisms; (3) improved treatment; and (4) prevention.
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