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Climate,Pollution,andPrenatalandChildHealth

May,2020TraceyWoodruff,PhD,MPH

PRHEMission:Tocreateahealthierenvironmentforhumanreproductionanddevelopmentbyadvancingscientificinquiry,clinicalcare,andhealthpoliciesthatpreventexposurestoharmfulchemicalsinourenvironment

NothingtoDisclose

Except…….ThankYouDrs.LindaGiudice&MaryaZlatnik

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ThisPhotobyUnknownAuthorislicensedunderCCBYThisPhotobyUnknownAuthorislicensedunderCCBY-SA

~30%Transportation

~48%ElectricityProduction&Industry–Coal&NaturalGas

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EmissionsincreasesOzoneandParticulateMatterintheatmospherewhichcanalsocontributetowarmingeffects

Highatmospherictemperaturestrapsozoneatgroundlevel,exacerbatingeffectsofairpollution

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PM2.5airpollutionmostlyformsintheatmospherefrompollutantsemittedfrompowerplants,industriesandautomobiles.

Prenatalexposuretoairpollutants(PM2.5andozone)canincreasetheriskofpretermbirth,lowbirthweight,andstillbirth

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2015

20ug/m3increaseinPM2.5->18g(95%CI:–32g,3g),decreasesinbirthweightamongtermbirths..’.

AirPollution&PretermBirth

Globally,in2010,thenumberofPM2.5-associatedPTBswasestimatedas2.7million,18%oftotalPTBsglobally

Airpollutionisassociatedwithheartbirthdefects,autism,andneurodevelopmentaldelays

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Airpollutionislinkedtopre-eclampsiaandhypertensionduringpregnancy,aleadingcause

ofmaternaldeath 15

https://archive.epa.gov/epawaste/nonhaz/municipal/web/pdf/msw07-rpt.pdf

PlasticsgenerationandrecoveryintheUShasbeenincreasingsince1960s

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Phthalates

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Contains:

Phthalates

Somehealtheffectslinkedtophthalates•  Malereproductivehealtheffects(e.g.spermeffects)

•  Reducedfertility•  Learningandbehavioreffects•  ObesityanddiabetesThesechronicdiseasesareontherise

EPACDR2015;Woodruffetal2011;NationalCancerInstitute2010

Recommendation1:Advocateforpoliciestopreventexposuretotoxicenvironmentalchemicals

Recommendation2:Worktoensureahealthyfood

systemforall

Recommendation3:Makeenvironmentalhealth

partofhealthcare

Recommendation4:Championenvironmentaljustice

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SocietalChangeisPossible:RecentPast

Conclusions•  Linkbetweencontributorstoclimatechangeandairandchemicalpollution

•  Weareallexposedanditcanimpactmaternalandchildhealth

•  Weneedhealthcareproviderstobepreparedandadvocateonbehalfoftheirpatients

•  Publicpolicyisnecessarytocreatelastingandfairsolutionsforall

ProgramonReproductiveHealthandtheEnvironment Thankyou!

https://prheucsf.blog/@UCSF_PRHE@TraceyJWoodruff

@UCSF.PRHE