Weiss B, Landrigan P J
Department of Environmental Medicine, University of Rochester School of Medicine and Dentistry, Rochester, New York, USA.
Environ Health Perspect. 2000 Jun;108 Suppl 3(Suppl 3):373-4. doi: 10.1289/ehp.00108s3373.
mental retardation: timing and thresholds; (italic)b(/italic)) endocrine dysfunction and developmental disabilities: dose and target implications; (italic)c(/italic)) attention-deficit disorder-ADHD and learning disabilities; and (italic)d(/italic)) new horizons: extending the boundaries. Support for the Rochester conference came from both public and private sources. The National Institute of Environmental Health Sciences (NIEHS), the National Institute of Child Health and Human Development, and the EPA represented the federal government. The conference also received grants from several foundations: the Jennifer Altman Foundation, the Heinz Family Foundation, the National Alliance for Autism Research, the Violence Research Foundation, the Wacker Foundation, and the Winslow Foundation. The second of these conferences helped launch a new Center for Children's Health and the Environment at the Mount Sinai School of Medicine. It was held in New York City on 24-25 May 1999, and was convened specifically to consider the intersection between neurodevelopmental impairment, environmental chemicals, and prevention. Over 300 health scientists, pediatricians, and public health professionals examined the growing body of evidence linking environmental toxins to neurobehavioral disorders. The conference title was Environmental Influences on Children: Brain, Development, and Behavior. The conference began by reviewing well-known examples of deleterious effects of environmental chemicals, including lead and PCBs, on children's brains. The conferees then considered the potential impact of environmental chemicals on neurological disorders with particular focus on ADHD, autism, and Parkinson's disease. The inclusion of Parkinson's disease was intended to signal the notion that exposures in early life may have an influence on the evolution of neurological disease in later life. Support for the Mount Sinai conference came from the Superfund Basic Research Program (NIEHS); The Pew Charitable Trusts; the Institute for Health and the Environment at the University of Albany School of Public Health; the Agency for Toxic Substances and Disease Research (ATSDR); the Ambulatory Pediatric Association; Myron A. Mehlman, PhD; the National Center for Environmental Assessment (EPA); the National Center for Environmental Health (CDC); the National Institute of Child Health and Human Development; the Office of Children's Health Protection (EPA); Physicians for Social Responsibility; The New York Academy of Medicine; The New York Community Trust; and the Wallace Genetic Foundation. The impact of environmental toxins on children's health has become a topic of major concern in the federal government. Eight new research centers in children's environmental health have been established in the past 2 years with joint funding from EPA and NIEHS. Clinical units that specialize in the treatment of children with environmentally induced illness have been developed across the nation with grant support from ATSDR. The American Academy of Pediatrics has just published its (italic)Handbook of Pediatric Environmental Health (/italic)((italic)17(/italic)), the "Green Book," which is available to pediatricians throughout the Americas. Children's environmental health has climbed to a critical position as we launch the new millennium. This monograph marks a significant milestone in the evolution of this emerging discipline.
时机与阈值;(斜体)b(/)内分泌功能障碍与发育残疾:剂量与靶点影响;(斜体)c(/)注意力缺陷多动障碍(ADHD)与学习障碍;以及(斜体)d(/)新视野:拓展边界。罗切斯特会议得到了公共和私人来源的支持。美国国家环境卫生科学研究所(NIEHS)、美国国家儿童健康与人类发展研究所和美国环境保护局(EPA)代表联邦政府。该会议还获得了几个基金会的资助:珍妮弗·阿尔特曼基金会、海因茨家族基金会、全国自闭症研究联盟、暴力研究基金会、瓦克基金会和温斯洛基金会。这些会议中的第二次会议促成了西奈山医学院新的儿童健康与环境中心的成立。会议于1999年5月24日至25日在纽约市举行,专门召集会议以探讨神经发育障碍、环境化学物质与预防之间的交叉问题。300多名健康科学家、儿科医生和公共卫生专业人员研究了越来越多的将环境毒素与神经行为障碍联系起来的证据。会议的标题是“环境对儿童的影响:大脑、发育与行为”。会议首先回顾了环境化学物质(包括铅和多氯联苯)对儿童大脑有害影响的知名案例。与会者随后考虑了环境化学物质对神经系统疾病的潜在影响,特别关注ADHD、自闭症和帕金森病。纳入帕金森病旨在表明早期生活中的接触可能对晚年神经系统疾病的发展产生影响。西奈山会议得到了超级基金基础研究项目(NIEHS);皮尤慈善信托基金;奥尔巴尼大学公共卫生学院健康与环境研究所;有毒物质与疾病登记署(ATSDR);门诊儿科协会;迈伦·A·梅尔曼博士;国家环境评估中心(EPA);国家环境卫生中心(疾病控制与预防中心);国家儿童健康与人类发展研究所;儿童健康保护办公室(EPA);社会责任医生组织;纽约医学院;纽约社区信托基金;以及华莱士遗传基金会的支持。环境毒素对儿童健康的影响已成为联邦政府主要关注的话题。在过去两年里,在EPA和NIEHS的联合资助下设立了八个新的儿童环境卫生研究中心。在ATSDR的资助支持下,全国各地已建立了专门治疗环境诱发疾病儿童的临床单位。美国儿科学会刚刚出版了其《儿科环境卫生手册》((斜体)17(/)),即“绿皮书”,供美洲各地的儿科医生使用。在我们迈入新千年之际,儿童环境卫生已上升到关键地位。这本专著标志着这一新兴学科发展中的一个重要里程碑。