Agency for Toxic Substances and Disease Registry 
Case Studies in Environmental Medicine (CSEM) 

Pediatric Environmental Health
Appendices

Appendix A: Figures and Tables

• Figure 1. Exposure-Disease Model

• Table 1. Clinical Characteristics of Acrodynia

• Table 2. Special Susceptibilities and Anticipatory Guidance About Opportunities for Hazardous Exposure by Developmental Stage

• Table 3. Differences in Children and Adults

• Table 4. Sources of Common Environmental Hazards

• Table 4. Sources of Common Environmental Hazards (continued)

• Table 5. Basic Environmental Database

• Table 6. Environmental Hazards Checklist for Home Assessment

Appendix B: Important Issues Regarding Mercury

• Direct Biologic Indicators and Treatment-Elemental Mercury

• Treatment Considerations

• Treatment

• Different Forms of Mercury and Differing Health Effects

• Dental Amalgams

• Thimerosal

• Fish Consumption

Appendix C: Summary of Questions for an Environmental History

• When To Introduce Environmental Questions

Appendix D: Environmental Health Concerns: Resources and Sources of Information

• General Resources

• General Resources for Parents and Caregivers

• General Resources for Clinicians

• Consultation Sources

• Government Agencies

• Association of Occupational and Environmental Clinics

• Pediatric Environmental Health Specialty Units

• National Institute for Occupational Safety and Health's

• Education and Research Center Grants

• American Association of Poison Control Centers

• State and Local Health Departments

Appendix E: Lead Screening

Appendix F: Additional Information for Performing a Comprehensive Pediatric Environmental Medical Evaluation

• Exposure History

• Environmental Monitoring

• Biologic Monitoring

• Final Steps

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