Boese-O'Reilly Stephan
Institute of Public Health, Medical Decision Making and Health Technology Assessment, UMIT - University for Health Sciences, Medical Informatics and Technology, Eduard Wallnöfer-Zentrum I, Austria.
Int J Hyg Environ Health. 2007 Oct;210(5):531-4. doi: 10.1016/j.ijheh.2007.07.009. Epub 2007 Sep 14.
The knowledge about the influence of environmental hazards on children's health is increasing enormously. European Ministers of Health and Environment, like many other stakeholders, identified the environmental hazards in Europe for the health of children as so serious, that they called for a "Children's Environment and Health Action Plan for Europe (CEHAPE)" approved in June 2004. The knowledge of paediatricians and other health care providers on children's health and environment in Europe is insufficient, due to the lack of training in environmental medicine for medical students, clinical trainees and postgraduates. Only continuous medical education in environmental medicine can help to fill this gap of knowledge and is thereby urgently needed. The World Health Organization developed a training package for health care providers for children's health and environment, containing excellent material for paediatric training events. The International Network on Children's Health, Environment and Safety (INCHES) developed additional training material for paediatricians within the Children's Health, Environment and Safety Training (CHEST) project. The German Network Children's Health and Environment offers training for paediatric doctors' assistants in primary prevention. To improve knowledge about children's health and environment at all levels in paediatric settings, greater efforts of national institutions, paediatric associations and other institutions are necessary. It is time to strengthen existing structures and to introduce, where necessary, new structures for training in environmental medicine.
关于环境危害对儿童健康影响的知识正在大幅增加。欧洲卫生部长和环境部长与许多其他利益相关者一样，认定欧洲对儿童健康构成的环境危害极为严重，因此呼吁制定一项于2004年6月获得批准的《欧洲儿童环境与健康行动计划》（CEHAPE）。由于医学生、临床实习生和研究生缺乏环境医学培训，欧洲儿科医生和其他医疗服务提供者在儿童健康与环境方面的知识不足。只有环境医学方面的继续医学教育才能帮助填补这一知识空白，因此迫切需要开展此类教育。世界卫生组织为儿童健康与环境领域的医疗服务提供者制定了一套培训资料，其中包含用于儿科培训活动的优秀材料。国际儿童健康、环境与安全网络（INCHES）在儿童健康、环境与安全培训（CHEST）项目中为儿科医生开发了额外的培训材料。德国儿童健康与环境网络为初级预防中的儿科医生助理提供培训。为了提高儿科环境中各级人员对儿童健康与环境的认识，国家机构、儿科协会和其他机构需要做出更大努力。现在是时候加强现有结构，并在必要时引入环境医学培训的新结构了。
