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The first-ever Textbook of Children's Environmental Health codifies the knowledge base in this rapidly emerging field and offers an authoritative and comprehensive guide for public health officers, clinicians and researchers working to improve child health.
Children's health has clearly improved over the past several decades. Significant and positive gains have been made in lowering rates of infant mortality and morbidity from infectious diseases and accidental causes, improved access to health care, and reduction in the effects of environmental contaminants such as lead. Yet major questions still remain about how to assess the status of children's health, what factors should be monitored, and the appropriate measurement tools that should be used. Children's Health, the Nation's Wealth: Assessing and Improving Child Health provides a detailed examination of the information about children's health that is needed to help policy makers and program providers at the federal, state, and local levels. In order to improve children's health-and, thus, the health of future generations-it is critical to have data that can be used to assess both current conditions and possible future threats to children's health. This compelling book describes what is known about the health of children and what is needed to expand the knowledge. By strategically improving the health of children, we ensure healthier future generations to come.
This is the first textbook to focus on environmental threats to child health. It will interest professionals and graduate students in public health, pediatrics, environmental health, epidemiology, and toxicology. The first three chapters provide overviews of key children's environmental health issues as well as the role of environmental epidemiology and risk assessment in child health protection. Overarching themes are the susceptibility of the rapidly developing fetus and infant to environmental toxicants, the importance of modifying factors(e.g. poverty, genetic traits, nutrition), the role of health outcome and exposure monitoring, uncertainties surrounding environmental exposure limits, and the importance of timely intervention. Later chapters address the health effects of metals, PCBs, dioxins, pesticides, hormonally active agents, radiation, indoor and outdoor air pollution, and water contaminants. In analyzing potential environmental hazards, the author addresses both biologic and epidemiologic evidence, including the likelihood of causal relationships. Among the health outcomes he discusses are developmental, reproductive, and neurobehavioral effects, respiratory disease, cancer, and waterborne infectious diseases. These discussions cover environmental exposure sources/indicators, interventions, and standards, and conclude with a summary of calls for an improved science base to guide public health decisions and protect child health.
Annotation This is the first textbook to focus on environmental threats to child health. It will interest professionals and graduate students in public health, pediatrics, environmental health, epidemiology, and toxicology. The first three chapters provide overviews of key children's environmentalhealth issues as well as the role of environmental epidemiology and risk assessment in child health protection. Overarching themes are the susceptibility of the rapidly developing fetus and infant to environmental toxicants, the importance of modifying factors(e.g. poverty, genetic traits, nutrition), the role of health outcome and exposure monitoring, uncertainties surrounding environmental exposure limits, and the importance of timely intervention. Later chapters address the health effects of metals, PCBs, dioxins, pesticides, hormonally active agents, radiation, indoor and outdoor air pollution, and water contaminants. In analyzing potential environmental hazards, the author addresses both biologic and epidemiologic evidence, including thelikelihood of causal relationships. Among the health outcomes he discusses are developmental, reproductive, and neurobehavioral effects, respiratory disease, cancer, and waterborne infectious diseases. These discussions cover environmental exposure sources/indicators, interventions, and standards, and conclude with a summary of calls for an improved science base to guide public health decisions and protect child health.
The United States is among the wealthiest nations in the world, but it is far from the healthiest. Although life expectancy and survival rates in the United States have improved dramatically over the past century, Americans live shorter lives and experience more injuries and illnesses than people in other high-income countries. The U.S. health disadvantage cannot be attributed solely to the adverse health status of racial or ethnic minorities or poor people: even highly advantaged Americans are in worse health than their counterparts in other, "peer" countries. In light of the new and growing evidence about the U.S. health disadvantage, the National Institutes of Health asked the National Research Council (NRC) and the Institute of Medicine (IOM) to convene a panel of experts to study the issue. The Panel on Understanding Cross-National Health Differences Among High-Income Countries examined whether the U.S. health disadvantage exists across the life span, considered potential explanations, and assessed the larger implications of the findings. U.S. Health in International Perspective presents detailed evidence on the issue, explores the possible explanations for the shorter and less healthy lives of Americans than those of people in comparable countries, and recommends actions by both government and nongovernment agencies and organizations to address the U.S. health disadvantage.
"America's Children and the Environment (ACE)" is EPA's report presenting data on children's environmental health. ACE brings together information from a variety of sources to provide national indicators in the following areas: Environments and Contaminants, Biomonitoring, and Health. Environments and Contaminants indicators describe conditions in the environment, such as levels of air pollution. Biomonitoring indicators include contaminants measured in the bodies of children and women of child-bearing age, such as children's blood lead levels. Health indicators report the rates at which selected health outcomes occur among U.S. children, such as the annual percentage of children who currently have asthma. Accompanying each indicator is text discussing the relevance of the issue to children's environmental health and describing the data used in preparing the indicator. Wherever possible, the indicators are based on data sources that are updated in a consistent manner, so that indicator values may be compared over time.
The National Children's Study (NCS) is planned to be the largest long-term study of environmental and genetic effects on children's health ever conducted in the United States. It proposes to examine the effects of environmental influences on the health and development of approximately 100,000 children across the United States, following them from before birth until age 21. By archiving all of the data collected, the NCS is intended to provide a valuable resource for analyses conducted many years into the future. This book evaluates the research plan for the NCS, by assessing the scientific rigor of the study and the extent to which it is being carried out with methods, measures, and collection of data and specimens to maximize the scientific yield of the study. The book concludes that if the NCS is conducted as proposed, the database derived from the study should be valuable for investigating hypotheses described in the research plan as well as additional hypotheses that will evolve. Nevertheless, there are important weaknesses and shortcomings in the research plan that diminish the study's expected value below what it might be.
Children are the foundation of the United States, and supporting them is a key component of building a successful future. However, millions of children face health inequities that compromise their development, well-being, and long-term outcomes, despite substantial scientific evidence about how those adversities contribute to poor health. Advancements in neurobiological and socio-behavioral science show that critical biological systems develop in the prenatal through early childhood periods, and neurobiological development is extremely responsive to environmental influences during these stages. Consequently, social, economic, cultural, and environmental factors significantly affect a child's health ecosystem and ability to thrive throughout adulthood. Vibrant and Healthy Kids: Aligning Science, Practice, and Policy to Advance Health Equity builds upon and updates research from Communities in Action: Pathways to Health Equity (2017) and From Neurons to Neighborhoods: The Science of Early Childhood Development (2000). This report provides a brief overview of stressors that affect childhood development and health, a framework for applying current brain and development science to the real world, a roadmap for implementing tailored interventions, and recommendations about improving systems to better align with our understanding of the significant impact of health equity.
*** Highly commended in the Public Health Category of the British Medical Association Book Competition 2005*** Every child has the right to live in a healthy supportive environment - an environment that encourages growth and development and protects from disease. Many of the world s children however are exposed to hazards in the very places that should be safest - the home school and community. Considering that their growing bodies are particularly sensitive to environmental threats the final burden of childhood disease is substantial. Every year more than three million children die due to unhealthy environments. This atlas articulates where and why more than three million children die every year due to unhealthy environments. It tackles issues as diverse as the devastating and largely unknown impact of indoor air pollution the unfashionable tragedy of sanitation and complex emerging issues like climate change. Full-color maps and graphics clearly demonstrate the threats that children face everywhere and underscore the impact of poverty on children s health. While this crisis cannot be ignored and demands urgent action success stories such as the Montreal Protocol show a way forward for the world to make sure that our children will inherit a safer planet and a brighter future.