simple steps to eating healthy in a toxic...
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Simple Steps to Eating Healthy in a Toxic World
Sarah Evans, PhD MPH
Strawberry Fields Farm
October 15, 2016
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▶ Research
▶ Education
– Caregivers
– Health Care Providers and students
– Patients
– Policy makers
▶ Patient Care
– Pediatric Environmental Health Specialty Unit
(PEHSU)
Mount Sinai Children’s Environmental
Health Center
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Research at the Mount Sinai CEHC ▶ Epigenetics and Prenatal Programming
▶ Neurodevelopment
▶ Endocrine Disruptor Research Program
▶ Air Pollution, Stress, and Respiratory Health
▶ The Senator Frank R. Lautenberg Environmental Health Sciences Laboratory
▶ The Mount Sinai Pregnancy Biobank
▶ Environmental Pediatrics Training Program
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Mount Sinai / Presentation Slide / December 5, 2012 4
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What’s for Dinner???
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The New Pediatric Morbidity
Asthma Food Allergy
Obesity ADHD
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Autism
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ENVIRONMENTAL DISEASE IS
PREVENTABLE
Are there environmental risk factors
for disease?
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Chemical Safety in the U.S.
▶ 84,000 new chemicals since WWII
▶ 3000 high production volume
▶ <20% have been tested for toxicity to
children
▶ Toxic Substances Control Act 1976
– Exempted 62,000 chemicals
▶ Frank R. Lautenberg Chemical Safety for
the 21st Century, June 2016
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Mount Sinai / Presentation Slide / December 5, 2012 12
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Food Regulations
13 Center for Science in the Public Interest (www.cspinet.org)
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Our Chemical Body
Burden
▶ 200+ chemicals detected in: – Urine
– Blood
– Cord Blood
– Breast milk
▶ Highest exposures in children ▶ Chronic, low-dose + cumulative
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Children are Uniquely Vulnerable
▶ Close to the ground
▶ Hand-to-mouth behavior
▶ Greater exposure by weight
▶ Lack of variety in diet
▶ Immature metabolism
▶ More years of future life
▶ Continuously developing
systems:
– Reproductive system
– Nervous system
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Windows of Susceptibility
Not just WHAT, but WHEN
Prenatal Neonatal Puberty Pregnancy Menopause DISEASE
During these different time periods, the developing organ systems are most
sensitive to certain environmental toxins.
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Individual Susceptibility
▶ Studies that estimate
risk are conducted at a
population level
▶ Not every person who
is exposed will develop
disease
▶ Genes and
environment interact
Environment
Health Disease
“Genetics loads the gun and environment pulls the trigger.”
Francis Collins, NIH Director
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Practice the Precautionary Principle
▶ Avoid exposure when:
– Risk of harm is suspected
– Existing scientific evidence cannot
prove cause and effect
“Better Safe Than Sorry”
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Organic Foods Demystified
▶ Applies to raw, fresh, and processed products
▶ USDA Definitions
– 100% Organic
– Organic = 95%
– Made with Organic Ingredients = 70%
▶ USDA Standards
– No pesticides, irradiation, or fertilizers
– Not made with synthetic ingredients or bioengineering
– No Growth Hormones or antibiotics (Livestock)
– Inspections – annual and random
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Pew Campaign on Human Health and
Industrial Farming 2013
Agricultural antibiotics contribute to antibiotic resistance