Environmental Health Links

Please refer to the following websites for more information on Children's Environmental Health topics


Asthma (NIEHS)

Asthma (CDC)

What is Asthma? (EPA)


Biomonitoring of Urine or Blood for Environmental Chemicals

Background information on biomonitoring by chemical(CDC)

Reference values for 212 chemicals in the US general population (CDC)


Drinking Water Safety

Well Water Safety (ID DOH)

Domestic Well Safety Program (OR OHA)

Drinking Water Contaminants Fact Sheet (General) (OR OHA)


Environmental Public Health Tracking Program link (OR OHA)


Flame Retardants

WA law restricts 5 chemical flame retardants in children’s products and residential upholstered furniture- link


Head Lice

It is suggested to put swim goggle on children before applying lice treatment, especially pyrethins, in order to prevent ocular irritation.

One of the problems with head lice recommendations is that most clinical trials have been conducted by the manufacturers of lice control products. There is very little solid public health data about efficacy of available products. AAP and CDC advice sticks with permethrin and pyrethrin-based products (Nix and RID) because there is published evidence that they work (or at least they did at one point). Lice have developed resistance to these products over time so the old data may no longer apply in your region. I have used the recommendations of Dr. Marion Moses, a California physician who works with farm workers, with very good success (see below).

2015 head lice advice (AAP)

Head lice advice (CDC)

Dr. Marion Moses in American Journal of Nursing- A simple matter of grooming. Stop using toxic pesticides to treat head lice


Healthy Homes

Dangerous Chemicals In Common Household Items

Tips for a Healthy Home (CDC)

Protecting Children from Environmental Hazards (EPA)

Healthy Homes Inspection Manual (CDC)

American Lung Association Home Environment Assessment (ALA)


Indoor Air Quality (WA)




Lead and Your Health (NIEHS)

How to check your home and protect your family (EPA)

Lead Poisoning (NIH)

Tips on Prevention (CDC)


   Blood Lead Screening Guidance:

   A Targeted Approach to Blood Lead Screening in Children (PDF) (WA DOH)

Clinical Algorithm for Targeted Childhood Lead Testing (PDF) (WA DOH)

Lead in Drinking Water Factsheet (OR OHA)



Risk of lead poisoning from urban gardening is low, study finds

Bioavailability of soilborne lead in adults, by stable isotope dilution– Link (NCBI)

Children’s Blood Lead Seasonality in Flint, Michigan (USA), and Soil-Sourced Lead Hazard Risks -Link


   Lead Risk Map (WA):

Mapping toolshows estimated risk of elevated pediatric blood lead by zip code in WA. The map provides clinicians with information about estimated risk in the areas served by the clinic.

DHSS Lead (AK)

DOH Lead (ID)

OHA Lead (OR)

DOH Lead (WA)



Mercury (NIEHS)

Mercury and Your Health (CDC)

Medical management guidelines for mercury (CDC)

Mercury in Fish and Shell Fish (FDA)



   Mold (NIEHS)

Facts about mold and dampness (CDC)

A Brief Guide to Mold, Moisture, and Your Home (EPA)

Mold Prevention and Treatment in Your Home (Northwest Clean Air Agency)

General Mold Information(WA DOH)

Renters, Landlords, and mold (WA DOH)


Mosquito Repellent For Children

Patient handout pdf (WA DOH)

More concentrated DEET products are not more effective but they last over a longer period of time following a single application. Better to reapply a low percentage product than use a highly concentrated product because higher concentrations result in more absorption through the skin. Use the least amount necessary to prevent biting.  For example, if mosquitoes are only biting at dusk, you need only about a 1-2 hour window of protection so you can apply a less concentrated spray (<10%) and reapply if necessary. Wash the treated skin with soap and water when you return inside to minimize the amount absorbed through the skin.



Nitrates and Drinking Water, EPA Spanish Version for patients

Nitrate/Nitrite Toxicity, ATSDR Case Studies in Environmental Medicine

2005 WA DOH study into methemoglobinemia in infants living in Yakima County households with nitrate in water.The results of this study provide evidence that exposure to nitrate from drinking water significantly and substantially increases the risk of an infant having physiologically elevated levels of methemoglobin. Furthermore, this risk is associated with intake levels above 0.5 mg nitrate/kg/day, approximately one-third of the RfD value.

Nitrates in Well Water pdf (ID DOH)

Nitrates in Drinking Water (OR OHA)

Nitrates in Drinking Water Q&A (WA DOH)


Pediatric Environmental Health 3rd Edition, “Green Book,” link to purchase



UW Today Article on AAP Policy Statement on Pesticides

Pesticides (NIEHS)

Using Pesticides Safely (EPA)

Human Health and Pesticides (EPA)

   Clinician guidance on pesticides (EPA)

Comprehensive database of pesticides labels with active ingredients and safety directions

National Pesticide Information Center (NPIC)

Pesticide exposure tracking(OR OHA)



Endocrine Disrupters (NIEHS)

Basic info on BPA (scroll down) (NIEHS)



In 1991, the Washington state building code council adopted radon resistive standards for newly constructed residences in high radon counties. In 2006, Clark county was added to the high radon list. For some types of construction such as unvented crawlspaces (in newly constructed residences), radon mitigation is required statewide.

Radon risk mapby census tract for Washington State  compiled from private laboratory testing results by DOH. The map shows the percentage of radon tests that were elevated in that census tract (elevated = 4 pCi/L or greater in indoor air). 

EPA recommends action to reduce radon when levels reach 4 -link

DHSS Radon (AK)

DOH Radon (ID)

OHA Radon (OR)

DOH Radon (WA)


Safety Data Sheet Links for Commercial and Consumer Products

This database links over 15,000 consumer brands to health effects from Material Safety Data Sheets (MSDS). Or google the product name and “MSDS”.


School Environmental Health and Safety (WA DOH) – link


Soil Dust Ingestion link (NIEHS)


Textbook of Children’s Environmental Health link to purchase

Prenatal Care for Environmental Chemicals link (WA DOH)

The Washington Department of Health has a new webpage to help clinicians add evidence-based messages and screening for environmental chemicals into preconception and prenatal care. This website provides clinician education and anticipatory guidance on four priority topics. It also provides patient handouts and information on each topic.



An Introduction to Indoor Air Quality (EPA)

Improving Ventilation and Indoor Air Quality During Wildfire Smoke Events - Recommendation For Schools and Buildings with Mechanical Ventilation (DOH)



DHSS Wildfires (AK)

DOH Wildfire Smoke and Your Health (ID)

OHA Wildfires and Smoke (OR)

DOH Wildfires (WA)

DOH Wildfire Smoke (WA)


This website was supported by the American College of Medical Toxicology (ACMT) and funded (in part) by the cooperative agreement FAIN: U61TS000238-02 from the Agency for Toxic Substances and Disease Registry (ATSDR). 

Acknowledgement: The U.S. Environmental Protection Agency (EPA) supports the PEHSU by providing partial funding to ATSDR under Inter-Agency Agreement number DW-75-95877701. Neither EPA nor ATSDR endorse the purchase of any commercial products or services mentioned in PEHSU publications.




Updated 7/12/2016