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Taking an Environmental Health History

Taking an Environmental Health History. EH History Taking Competencies. Understand the purposes and principles Incorporate general environmental screening questions into routine patient histories

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Taking an Environmental Health History

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  1. Taking an Environmental Health History

  2. EH History Taking Competencies • Understand the purposes and principles • Incorporate general environmental screening questions into routine patient histories • Take a complete environmental exposure /health history for adults and children covering occupational and non-occupational exposure factors • Develop a network of resources for investigating or referring

  3. Screening Questions: Adult • Occupation • Workplace treated for pests, insects or weeds? • Hobbies • Health problem location specific • Work • Home • Community location • What causes sx to come and go? • Recent use of solvents, pesticides, insecticides, weed killers?

  4. Detailed Adult: Occupation • Length of time on the job • Nature of work • Involvement with hazardous materials • Use of protective equipment • Worksite habits (eating, smoking) • Prior jobs • Hobbies: solvents and materials used

  5. Detailed Adult: Hobbies • Photography • Model building • Gardening • Woodworking • Pottery making • Stained glass making

  6. Detailed Adult: Home Environment • Pesticide use in home, garden or lawn • Pet pest control products • Storage of pesticides • Location of home in relation to: • industries • dump sites • farms • Relocation of home due to health problems • New construction or materials (e.g. carpets)

  7. Detailed Adult: Other • Sources of water, food and heat • Other toxicants: smoking, 2nd hand, ETOH, other drugs • Temporal relationships: time, place, persons (other workers or family members affected?)

  8. Screening Questions: Child • Where does your child go to: • play • daycare • school • Have these places been treated for insects, weeds or pests? • Does your child help with garden activities? • Source of food, water (private well?), breast feeding infant

  9. Detailed Child • Occupation of parent: • work clothes storage and cleaning • Hobbies: parent and child • Pesticide use: house, garden, pets • Food: washing • Water: formula or if breast feeding, maternal exposures • Pesticide storage: child proof • Developmental history

  10. Resources • ATSDR: Taking an Exposure History http://www.atsdr.cdc.gov/HEC/CSEM/exphistory/docs/exposure_history.pdf • National Pesticide Information Center http://npic.orst.edu/ • Washington Poison Control http://www.wapc.org/ • EPA Recognition and Management of Pesticide Poisonings http://www.epa.gov/oppfead1/safety/healthcare/handbook/handbook.pdf

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