¦ · climate change and reproductive health: what providers should know and do laura anderko, phd,...

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www.pehsu.net/nationalclassroom.html Webinars Series of scientific webinars that provide a forum for discourse on scientific issues. Live and On-Demand Case Conferences Journal Clubs Grand Rounds CE Available Online Courses Interactive and Self-Paced Evidence-based online courses on a variety of children's environmental health topics. CE Available Resource Catalog Fact sheets, journal publications, reports, and other resources for parents, community members, patients and healthcare professionals Topics included: Air Quality, Pesticides, Natural Disasters, BPA, Mold, Lead, Mercury

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Page 1: ¦ · Climate Change and Reproductive Health: What Providers Should Know and Do Laura Anderko, PhD, RN, Georgetown University Katie Huffling, MS, RN, CNM, Alliance of Nurses for Healthy

www.pehsu.net/nationalclassroom.html

Webinars

Series of scientific webinars

that provide a forum for

discourse on scientific

issues.

Live and On-Demand

Case Conferences

Journal Clubs

Grand Rounds

CE Available

Online Courses

Interactive and Self-Paced

Evidence-based online

courses on a variety of

children's environmental

health topics.

CE Available

Resource Catalog

Fact sheets, journal

publications, reports, and

other resources for

parents, community

members, patients and

healthcare professionals

Topics included:

Air Quality, Pesticides,

Natural Disasters, BPA,

Mold, Lead, Mercury

Page 2: ¦ · Climate Change and Reproductive Health: What Providers Should Know and Do Laura Anderko, PhD, RN, Georgetown University Katie Huffling, MS, RN, CNM, Alliance of Nurses for Healthy

Climate Change and Reproductive Health: What Providers Should Know and Do

Laura Anderko, PhD, RN, Georgetown University Katie Huffling, MS, RN, CNM, Alliance of Nurses for Healthy Environments

Page 3: ¦ · Climate Change and Reproductive Health: What Providers Should Know and Do Laura Anderko, PhD, RN, Georgetown University Katie Huffling, MS, RN, CNM, Alliance of Nurses for Healthy

Acknowledgements

• This material was supported by the American Academy of Pediatrics

(AAP) and funded (in part) by the cooperative agreement FAIN:

1U61TS000237-02 from the Agency for Toxic Substances and Disease

Registry (ATSDR).

• 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

• Many thanks to our moderator, Marissa Hauptman, MD, MPH, FAAP,

New England Pediatric Environmental Health Specialty Unit and the

• REACH the Decision Makers, 2016 Team 2: PEHSUs, for contributing to

the review of the literature

Page 4: ¦ · Climate Change and Reproductive Health: What Providers Should Know and Do Laura Anderko, PhD, RN, Georgetown University Katie Huffling, MS, RN, CNM, Alliance of Nurses for Healthy

Acknowledgements

The presenters have no disclosures.

Photo credits

Slide 2: http://www.nasa.gov/sites/default/files/styles/ubernode_alt_horiz/public/thumbnails/image/earth_missions.jpg?itok=tAZtTkr- (graphics in public domain)

Slide 6: NASA http://www.govexec.com/management/2015/06/world-quickly-running-out-water-new-nasa-study-says/115795/ (graphics in public domain)

Slide 7: http://www.cdc.gov/climateandhealth/effects/ (graphics in public domain)

Slides 8-11, 13, 28-29: Licensed from iStock.com

Slide 14: FEMA http://www.floodsafety.noaa.gov/after.shtml (graphics in public domain)

Slide 15: Top photo – UCAR, http://www.jpl.nasa.gov/news/news.php?feature=4463; FEMA http://www.floodsafety.noaa.gov (graphics in public domain)

Slides 8, 12, 14, 16, 17, 19-23, 35: en.Wikipedia.org (graphics in public domain)

Slide 18: Laura Anderko, photographer

Slide 25 (left, map): https://health2016.globalchange.gov/air-quality-impacts#narrative-237; (right, photo):

https://www.pexels.com/photo/sky-sunset-clouds-bright-36464/ (graphics in public domain)

Slide 25: health2016.globalchange.gov (graphics in public domain; photos licensed from iStock.com)

Slide 26: https://www.pexels.com/photo/lunch-table-salad-5876/ (graphics in public domain)Slide 32: http://www.cdc.gov/climateandhealth/brace.htm (graphics in public domain)

Page 5: ¦ · Climate Change and Reproductive Health: What Providers Should Know and Do Laura Anderko, PhD, RN, Georgetown University Katie Huffling, MS, RN, CNM, Alliance of Nurses for Healthy

• Describe ways that climate impacts health

• Identify the most common impacts of climate

changes on maternal health and birth

outcomes

• List strategies and resources that health

professionals can use to assist child-bearing

women to reduce health risks from climate

changes

Learning Objectives

Page 6: ¦ · Climate Change and Reproductive Health: What Providers Should Know and Do Laura Anderko, PhD, RN, Georgetown University Katie Huffling, MS, RN, CNM, Alliance of Nurses for Healthy

An Overview: Climate Change and Health

Page 7: ¦ · Climate Change and Reproductive Health: What Providers Should Know and Do Laura Anderko, PhD, RN, Georgetown University Katie Huffling, MS, RN, CNM, Alliance of Nurses for Healthy
Page 8: ¦ · Climate Change and Reproductive Health: What Providers Should Know and Do Laura Anderko, PhD, RN, Georgetown University Katie Huffling, MS, RN, CNM, Alliance of Nurses for Healthy

Direct Impacts on Maternal Health

Page 9: ¦ · Climate Change and Reproductive Health: What Providers Should Know and Do Laura Anderko, PhD, RN, Georgetown University Katie Huffling, MS, RN, CNM, Alliance of Nurses for Healthy

Air Pollution: Respiratory Diseases

Page 10: ¦ · Climate Change and Reproductive Health: What Providers Should Know and Do Laura Anderko, PhD, RN, Georgetown University Katie Huffling, MS, RN, CNM, Alliance of Nurses for Healthy

Heat: Dehydration, Renal Effects

Page 11: ¦ · Climate Change and Reproductive Health: What Providers Should Know and Do Laura Anderko, PhD, RN, Georgetown University Katie Huffling, MS, RN, CNM, Alliance of Nurses for Healthy

Expanding Geographical Ranges:

Vector-Borne Diseases

Page 12: ¦ · Climate Change and Reproductive Health: What Providers Should Know and Do Laura Anderko, PhD, RN, Georgetown University Katie Huffling, MS, RN, CNM, Alliance of Nurses for Healthy

Heat, Disasters: Food and Water-Borne

Diseases

Page 13: ¦ · Climate Change and Reproductive Health: What Providers Should Know and Do Laura Anderko, PhD, RN, Georgetown University Katie Huffling, MS, RN, CNM, Alliance of Nurses for Healthy

Changes in Seasons, Droughts, &

Flooding: Nutritional Impacts

Page 14: ¦ · Climate Change and Reproductive Health: What Providers Should Know and Do Laura Anderko, PhD, RN, Georgetown University Katie Huffling, MS, RN, CNM, Alliance of Nurses for Healthy

Indirect Impacts on Maternal Health

Page 15: ¦ · Climate Change and Reproductive Health: What Providers Should Know and Do Laura Anderko, PhD, RN, Georgetown University Katie Huffling, MS, RN, CNM, Alliance of Nurses for Healthy

Extreme Weather Events: Forced

Migration, Infectious Diseases, Lack of

Access to Care

Page 16: ¦ · Climate Change and Reproductive Health: What Providers Should Know and Do Laura Anderko, PhD, RN, Georgetown University Katie Huffling, MS, RN, CNM, Alliance of Nurses for Healthy

Mental Health

Page 17: ¦ · Climate Change and Reproductive Health: What Providers Should Know and Do Laura Anderko, PhD, RN, Georgetown University Katie Huffling, MS, RN, CNM, Alliance of Nurses for Healthy

Violence

Page 18: ¦ · Climate Change and Reproductive Health: What Providers Should Know and Do Laura Anderko, PhD, RN, Georgetown University Katie Huffling, MS, RN, CNM, Alliance of Nurses for Healthy

Exacerbation in Poverty

Page 19: ¦ · Climate Change and Reproductive Health: What Providers Should Know and Do Laura Anderko, PhD, RN, Georgetown University Katie Huffling, MS, RN, CNM, Alliance of Nurses for Healthy

Impact on Birth Outcomes

Page 20: ¦ · Climate Change and Reproductive Health: What Providers Should Know and Do Laura Anderko, PhD, RN, Georgetown University Katie Huffling, MS, RN, CNM, Alliance of Nurses for Healthy

Birth Weight

Page 21: ¦ · Climate Change and Reproductive Health: What Providers Should Know and Do Laura Anderko, PhD, RN, Georgetown University Katie Huffling, MS, RN, CNM, Alliance of Nurses for Healthy

Pre-term, Sudden Infant Death

Page 22: ¦ · Climate Change and Reproductive Health: What Providers Should Know and Do Laura Anderko, PhD, RN, Georgetown University Katie Huffling, MS, RN, CNM, Alliance of Nurses for Healthy

Congenital Cataracts

Page 23: ¦ · Climate Change and Reproductive Health: What Providers Should Know and Do Laura Anderko, PhD, RN, Georgetown University Katie Huffling, MS, RN, CNM, Alliance of Nurses for Healthy

Practice Implications

Page 24: ¦ · Climate Change and Reproductive Health: What Providers Should Know and Do Laura Anderko, PhD, RN, Georgetown University Katie Huffling, MS, RN, CNM, Alliance of Nurses for Healthy

Air pollution: Heat and Wildfires

https://health2016.globalchange.gov/air-quality-impacts#narrative-237

Page 25: ¦ · Climate Change and Reproductive Health: What Providers Should Know and Do Laura Anderko, PhD, RN, Georgetown University Katie Huffling, MS, RN, CNM, Alliance of Nurses for Healthy

Vector-borne diseases

Page 26: ¦ · Climate Change and Reproductive Health: What Providers Should Know and Do Laura Anderko, PhD, RN, Georgetown University Katie Huffling, MS, RN, CNM, Alliance of Nurses for Healthy

Food and water

Page 27: ¦ · Climate Change and Reproductive Health: What Providers Should Know and Do Laura Anderko, PhD, RN, Georgetown University Katie Huffling, MS, RN, CNM, Alliance of Nurses for Healthy

Extreme weather events

Page 28: ¦ · Climate Change and Reproductive Health: What Providers Should Know and Do Laura Anderko, PhD, RN, Georgetown University Katie Huffling, MS, RN, CNM, Alliance of Nurses for Healthy

Resources

Page 29: ¦ · Climate Change and Reproductive Health: What Providers Should Know and Do Laura Anderko, PhD, RN, Georgetown University Katie Huffling, MS, RN, CNM, Alliance of Nurses for Healthy

Resources

Page 30: ¦ · Climate Change and Reproductive Health: What Providers Should Know and Do Laura Anderko, PhD, RN, Georgetown University Katie Huffling, MS, RN, CNM, Alliance of Nurses for Healthy

Resources

Page 31: ¦ · Climate Change and Reproductive Health: What Providers Should Know and Do Laura Anderko, PhD, RN, Georgetown University Katie Huffling, MS, RN, CNM, Alliance of Nurses for Healthy

Resources

Page 32: ¦ · Climate Change and Reproductive Health: What Providers Should Know and Do Laura Anderko, PhD, RN, Georgetown University Katie Huffling, MS, RN, CNM, Alliance of Nurses for Healthy

Public Health Perspectives

Page 33: ¦ · Climate Change and Reproductive Health: What Providers Should Know and Do Laura Anderko, PhD, RN, Georgetown University Katie Huffling, MS, RN, CNM, Alliance of Nurses for Healthy

Georgetown Climate Center: http://www.georgetownclimate.org

ACOG Position Statement Climate Change and Women’s Health: http://www.acog.org/Resources-And-Publications/Position-Statements/Climate-Change-and-Womens-Health

Health Care Without Harm: https://noharm.org

ecoAmerica: http://ecoamerica.org

Clean Power Plan: https://www.epa.gov/cleanpowerplan

Wildfire Guide: A Guide for Public Health Professionals: https://www3.epa.gov/airnow/wildfire_may2016.pdf

Resources

Page 34: ¦ · Climate Change and Reproductive Health: What Providers Should Know and Do Laura Anderko, PhD, RN, Georgetown University Katie Huffling, MS, RN, CNM, Alliance of Nurses for Healthy

• CDC’s BRACE framework and guidance

documents

http://www.cdc.gov/climateandhealth/default.htm

• Third National Climate

Assessmenthttp://nca2014.globalchange.gov/re

port/sectors/human-health

• USGCRP Climate Health Assessment

https://health2016.globalchange.gov/

• EPA Climate Change Health Impacts

https://www3.epa.gov/climatechange/impacts/he

alth.html

Resources

Page 35: ¦ · Climate Change and Reproductive Health: What Providers Should Know and Do Laura Anderko, PhD, RN, Georgetown University Katie Huffling, MS, RN, CNM, Alliance of Nurses for Healthy

Thank you! Questions?

Page 36: ¦ · Climate Change and Reproductive Health: What Providers Should Know and Do Laura Anderko, PhD, RN, Georgetown University Katie Huffling, MS, RN, CNM, Alliance of Nurses for Healthy

www.pehsu.net/nationalclassroom.html

Webinars

Series of scientific webinars

that provide a forum for

discourse on scientific

issues.

Live and On-Demand

Case Conferences

Journal Clubs

Grand Rounds

CE Available

Online Courses

Interactive and Self-Paced

Evidence-based online

courses on a variety of

children's environmental

health topics.

CE Available

Resource Catalog

Fact sheets, journal

publications, reports, and

other resources for

parents, community

members, patients and

healthcare professionals

Topics included:

Air Quality, Pesticides,

Natural Disasters, BPA,

Mold, Lead, Mercury