This toolkit is a combination of easy-to-use reference guides for health providers and user friendly health education materials on preventing exposures to toxic chemicals and other substances that affect infant and child health. The materials are visually appealing, practical and easy to use. The Toolkit is endorsed by the American Academy of Pediatrics (AAP).

User Guide

Before downloading the below resources, please read the user guide (pdf), which explains the toolkit materials and proposed use in greater detail.

For Health Care Providers

  • The Pediatric Environmental Health Toolkit Training uses various case examples to highlight the relationship between environmental exposures and children’s health, and clinical use of the Toolkit.

Download the PowerPoint Training Program (ppt)

Upon completion the learner will be able to:

  1. Identify routes of exposure to common toxic chemicals and substances including mercury, lead, arsenic, solvents, pesticides, and persistent organic compounds such as PCBs;
  2. Recognize links between these toxic chemicals and health effects;
  3. Provide anticipatory guidance keyed to well-child visits;
  4. Enhance patient communications on environmental health issues;
  5. Discuss the unique vulnerabilities of children, the “built” and “food” environments, and other important issues;
  6. Use the Pediatric Toolkit in the busy practice setting.
  • Provider Desk Reference Card — A two-sided, laminated reference card that allows providers to quickly reference environmental toxicants, their health effects, routes of exposure, and exposure prevention strategies. It was adapted from the American Academy of Pediatrics’ (AAP) Pediatric Environmental Health handbook.
  • Pocket Card — A two-sided, laminated reference card that fits in a large pocket for handy use during a well child visit. The topics on the pocket card are both developmentally appropriate and take advantage of “teachable moments.”  For example, at a newborn visit, the provider will naturally discuss infant feeding. Exchanging mercury thermometers for safer digital ones is another easy step that a provider can mention at an early visit.
  • Posters — Two colorful posters in English and Spanish for clinic and exam rooms that highlight environmental health issues in a child’s indoor and outdoor environments.
  • Key Concepts in Pediatric Environmental Health — This background document provides information on a number of topics, including children’s unique vulnerabilities to toxic substances, high risk communities, the “built environment,” right-to-know issues and many more. This document is set up to be printed out on a home computer on standard 8.5 x 11 paper in 4 pages.

For Patients and Their Families

  • “Rx for Prevention” Prescription Slips — (English and Spanish) Each “Rx” slip, keyed to four developmental stages, contains two to four high priority “tips on prevention” for parents, such as how to avoid mercury in fish or protect children from solvents and pesticides. The provider can give the slips to a family as if prescribing a medication. The Rx pads are set to print 4 to a page and then can be cut down to size.
  • Magnets with “Tips for Prevention” — (English and Spanish) These  downloadable magnet files, with six brief prevention tips have been designed so that they can be printed on label paper and used as stickers. (Patients can use the magnets to post the “Rx for Prevention” slips on their refrigerators.)

If you have questions about the toolkit, please contact Kathy Attar, MPH,, (213) 689-9170, ext. 108.