The American Academy of Pediatrics (AAP) emphasizes the significant impact of environmental causes on childhood diseases, particularly in low- and middle-income countries (LMICs). The AAP recommends pediatricians incorporate environmental history into patient assessments, raising awareness about potential exposures and guiding care.\The recommendations address pediatricians in North America caring for young people from LMICs and those practicing in those environments. They highlight the importance of questioning families about potential exposures to toxic materials brought into homes and suggest exploring exposures in the home, neighborhood, and other frequented settings.
A large proportion of childhood diseases worldwide results from environmental causes and climate change magnifies the effects on children, the American Academy of Pediatrics noted in itsPediatricians and pediatric trainees in North America are increasingly caring for young people in or from low- and middle-income countries , where toxic environmental exposures are much more prevalent. The recommendations also target pediatricians who choose to practice in those environments.
In lower-income countries, exposures may include lead, mercury, arsenic, pesticides, and air pollution. The proportion of deaths from environmental hazards in LMICs for children younger than 5 years old is significantly higher than for their counterparts in high-income countries — 26% vs 17%, according to the technical report.
HEALTH ENVIRONMENT CHILDREN CLIMATE CHANGE PEDS
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