Environmental risks in childhood.
Differences between children and adults with respect to exposure rates, absorption of chemicals, metabolism, and organ development make children uniquely vulnerable to environmental hazards. Moreover, biology does not exist outside of the social life of the child. At least two important implications flow from these findings. First, pediatricians must pay closer attention to the conditions of childhood and the specific details of a child's life in attempting a complete understanding of childhood diseases, particularly their sources in environmental and social conditions. At a minimum, pediatricians must inquire more carefully about environmental exposures and children's complaints in order to make accurate diagnoses. Perhaps equally critical, pediatricians must engage in more aggressive prevention efforts. While they often try to prevent exposure by educating parents about keeping household chemicals away from young children, they might likewise consider that the information they possess about children's special vulnerability to environmental risks could usefully inform political and social decisions to protect children from those risks. This includes, for example, supporting air pollution standards that are protective of children and advocating for stricter controls for certain chemicals to reduce health risks for this vulnerable group.
George Washington University School of Public Health and Health Services, Washington, DC, USA.
Ruth A
RA
Etzel
D002648:Child; D004781:Environmental Exposure; D004782:Environmental Health; D005260:Female; D005333:Fetus / Q000378:metabolism; D006801:Humans; D007223:Infant; D008168:Lung / Q000502:physiology; D008708:Methemoglobinemia / Q000453:epidemiology / Q000503:physiopathology; D011247:Pregnancy; D011261:Pregnancy Trimester, First; D012306:Risk; D018570:Risk Assessment