Today's epidemics in children: Possible relations to environmental pollution and suggested preventive measures

被引:20
|
作者
van den Hazel, Peter
Zuurbier, Moniek
Babisch, Wolfgang
Bartonova, Alena
Bistrup, Marie Louise
Bolte, Gabriele
Busby, Chris
Butter, Maureen
Ceccatelli, Sandra
Fucic, Aleksandra
Hanke, Wojtec
Johansson, Carolina
Kohlhuber, Martina
Leijs, Marike
Lundqvist, Christofer
Moshammer, Hanns
Naginiene, Rima
Preece, Alan
Ronchetti, Roberto
Salines, Georges
Saunders, Margaret
Schoeters, Greet
Stilianakis, Nikolaos
ten Tusscher, Gavin
Koppe, Janna G.
机构
[1] Ecobaby Fdn, NL-3634 AT Loenersloot, Netherlands
[2] Univ Amsterdam, Acad Med Ctr, Emma Childrens Hosp, NL-1105 AZ Amsterdam, Netherlands
[3] Publ Hlth Serv Gelderland Midden, Arnhem, Netherlands
[4] Fed Environm Agcy, Berlin, Germany
[5] Natl Inst Publ Hlth, Copenhagen, Denmark
[6] Bavarian Hlth & Food Safety Author, Dept Environm Hlth, Oberschleissheim, Germany
[7] Univ Groningen, Groningen, Netherlands
[8] Karolinska Inst, Div Toxicol & Neurotoxicol, Inst Environm Med, Stockholm, Sweden
[9] Inst Med Res & Occupat Hlth, Zagreb 41000, Croatia
[10] Med Univ Lodz, Dept Environm Epidemiol, PL-90131 Lodz, Poland
[11] Med Univ Lodz, Dept Informat & Stat, PL-90131 Lodz, Poland
[12] Norwegian Knowledge Ctr Hlth Serv, Oslo, Norway
[13] Ullevaal Univ Hosp, Dept Neurol, Oslo, Norway
[14] Med Univ Vienna, Ctr Publ Hlth, Inst Environm Hlth, Vienna, Austria
[15] Kaunas Univ Med, Inst Biomed Res, Kaunas, Lithuania
[16] Bristol Haematol & Oncol Ctr, Dept Med Phys, Bristol, Avon, England
[17] Univ Roma La Sapienza, Sch Med 2, Dept Paediat, Rome, Italy
[18] Inst Veille Sanit, St Maurice, France
[19] Vlaamse Instelling Technol Onderzoek, Mol, Belgium
[20] European Commiss, Joint Res Ctr, Ispra, Italy
[21] Westfries Gasthuis, Dept Paediat & Neonatol, Hoorn, Netherlands
关键词
children; environment; health; epidemic;
D O I
10.1080/08035320600885846
中图分类号
R72 [儿科学];
学科分类号
100202 ;
摘要
Background: Facts and hypotheses on the relationship between some children's diseases or disorders and external stressors during the developmental stage of a child, both prenatally and postnatally are described in literature. In this paper the following changes in patterns and causes of the main childhood illnesses are summarized and recommendations for actions are made. Prematurity Intra-uterine growth restriction Testicular dysgenesis syndrome center dot Type I and Type II diabetes Asthma, atopy and hay fever Autism Attention deficit hyperactivity disorder (ADHD) Learning disabilities Cancer Obesity Hearing problems Results: Literature provides a growing amount of information on changing patterns in childhood diseases. Conclusions: The following recommendations for action are formulated Immediate research on endocrine disrupters in relation to prematurity Diabetes: avoid Maillard Compounds in liquid baby food and in food in general: promote breastfeeding Asthma: avoid exposure to smoking, the use of chemical household products, dioxin and dioxin-like chemicals, and avoid air pollution with high levels of particulate matter, especially around conception, during pregnancy and in the first years of life Autism: more research on incidence and causes ADHD and learning disabilities: more research on prevalence and causes. Preventions: 1) preconception counselling to avoid potentially harmful substances; 2) controlling and further lowering levels of polychlorinated biphenyls, lead and methyl mercury Cancer: promote breastfeeding, carry out research into effects of foetal exposure to internal fission-product radionuclides Obesity: stop smoking in pregnancy, avoid parental obesity, longer night sleep Hearing problems: lower noise levels in discotheques, promote the day-evening-night level to avoid noise (longer night sleep).
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页码:18 / 25
页数:8
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