AAP Environmental Health ECHO

​​​AAP Environmental Health ECHO​

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​​Providing guidance on environmental health issues that influence reproductive and children's health.​ ​


The Pediatric Environmental Health Specialty Units (PEHSUs) lead the AAP Environmental Health ECHO. The purpose of the Environmental Health ECHO is to increase clinician knowledge, comfort and competence in preventing or identifying, diagnosing, and treating environmentally-related health conditions in children and reproductive-age adults. This program uses the ECHO (Extension for Community Healthcare Outcomes) model, a tele-mentoring platform that leverages video conference technology to connect a team of specialists with primary care providers in local communities. This program meets biweekly for a brief lecture followed by a de-identified patient case presentation and discussion. Topics will include lead, mold, indoor and outdoor air quality, food safety, and more! This program differs from a traditional webinar in that all attendees actively participate and learn from each other. ​​

The AAP Environmental Health ECHO is part of the national PEHSU program supported by the Agency for Toxic Substances and Disease Registry and the Environmental Protection Agency.​ The PEHSUs are a source of medical information and advice on environmental conditions that influence reproductive and children’s health. To find your regional PEHSU, click here.​


A PEHSU​ faculty team develops the curriculum for this program, and slides will be shared here following each ECHO session.  The curriculum is flexible and will evolve based on the needs and interests of the Environmental Health ECHO learning community.

  • Overview of Environmental Health Issues | Slides​ 

  • Lead Screening and Testing | Slides 

  • Mold Exposure: Damp Building Exposure​​ | Slides

  • Perfluoroalkyl and Polyfluoroalkyl Substances (PFAS): Information for Clinicians​ | Slides​

  • Outdoor Air Pollution and Children's Health | Slides​

  • Pesticides | Slides

  • Indoor Air Quality | Slides

  • Arsenic in Food | Slides​

  • Radon | Slides​

  • Vaping, Juuling, and Dabbing

Case-based learning is a key component of the ECHO model.  Participants are highly encouraged to present a case. The presentation is typically 5 minutes long and can describe any current or previous patients that may have presented with symptoms related to an environmental health issue. View our case for​m online​.  ​

Faculty Team

Susan Buchanan, MD, MPH
Director, Region 5 PEHSU
Clinical Associate Professor & Associate Director of the Occupational and Environmental Medicine Residency Program
University of Illinois – Chicago 

Jennifer Lowry, MD, FAAP, FACMT
Director, Region 7 PEHSU
Pediatrician & Chief, Section of Toxicology
Children’s Mercy Hospital

Perry Sheffield, MD, FAAP
Co-Director, Region 2 PEHSU
Assistant Professor, Pediatrics & Environmental Medicine and Public Health
Icahn School of Medicine at Mount Sinai

Alan Woolf, MD, MPH, FAAP, FACMT
Director, Region 1 PEHSU
Professor of Pediatrics
Harvard Medical School

Marya Zlatnik, MD, MMS
Region 9 PEHSU
Professor, Obstetrics & Gynecology
University of Californi​a, San Francisco

​To Participate

The program is taking a break over summer to accommodate summer schedules, and will reconvene in fall 2018. Program details will be posted when available. For questions about the program, please contact aapecho@aap.org.


Funding for this Environmental Health ECHO was made possible (in part) by the cooperative agreement award number 5 NU61TS000237-04 from the Agency for Toxic Substances and Disease Registry (ATSDR). Its contents are solely the responsibility of the authors/presenters and do not necessarily represent the official views of ATSDR or the Department of Health and Human Services.​


The U.S. Environmental Protection Agency (EPA) supports the PEHSU by providing partial funds to ATSDR under Inter-Agency Agreement number DW-75-92301301. Neither EPA nor ATSDR endorse the purchase of any commercial products or services mentioned in PEHSU publications

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