Skowhegan Family Medicine, Redington-Fairview General Hospital, 46 Fairview Avenue, Suite 334, PO Box 468, Skowhegan, ME 04976, USA; Department of Epidemiology, Geisel School of Medicine and Children's Environmental Health and Disease Prevention Research Center at Dartmouth, 1 Medical Center Drive, Williamson Building, 7th Floor, Lebanon, NH 03756, USA; Tufts University School of Medicine, 136 Harrison Avenue, Boston, MA 02111, USA.
Department of Biomedical and Health Sciences, University of Vermont, 106 Carrigan Drive, Rowell Building, Burlington, VT 05405, USA.
Pediatr Clin North Am. 2025 Feb;72(1):65-83. doi: 10.1016/j.pcl.2024.07.030. Epub 2024 Sep 2.
Children in rural communities encounter unique environmental exposures, many of which can result in negative long-term health consequences. Children are particularly at risk from these exposures due to their close interaction with the environment and developing physiology. The authors describe 3 rural environmental hazards: wood stove smoke, well water contaminants, and agricultural pollutants. Contaminants found in these exposures have adverse respiratory, neurodevelopmental, cardiometabolic, and carcinogenic effects, among others. The authors recommend that rural pediatric clinicians screen for these environmental exposures, and they provide tools and resources related to testing, mitigation, and medical monitoring.
农村社区的儿童会接触到独特的环境暴露,其中许多可能会导致长期的负面健康后果。由于儿童与环境的密切互动和发育中的生理特点,他们特别容易受到这些暴露的影响。作者描述了 3 种农村环境危害:柴火炉烟雾、井水污染物和农业污染物。这些暴露物中发现的污染物具有不良的呼吸、神经发育、心血管代谢和致癌等影响。作者建议农村儿科临床医生对这些环境暴露进行筛查,并提供了与测试、缓解和医疗监测相关的工具和资源。