Interactive Session - Update from WHO/UNEP-Endocrine-disrupting Chemicals 2012

Date:October 20, 2014

Time:1:15 pm - 2:15 pm

Location:HCC318 - Hawaii Convention Center

Presenters

Sheryl Ziemin Vanderpoel, Ph.D., World Health Organization


(Roving Microphone)

Needs Assessment and Description
In 2013 the World Health Organization (WHO) and the United Nations Environment Programme (UNEP) issued a 260-page report, State of the Science of Endocrine Disrupting Chemicals – 2012, which provided an update on the scientific knowledge about endocrine disruptors and concerns about their potential adverse health effects on humans and wildlife. This symposium will review the salient points of this report and provide an update on new information about these chemicals and reproductive and developmental health outcomes. It will also include information of value for health-care professionals and learners in reproductive science and medicine about “next steps” to learn more about these issues and the efforts of our professional organizations toward increasing awareness among our patients and integrating environmental reproductive health into curricula, while assuring that all evidence is supported by the highest quality science. 

Learning Objectives
At the conclusion of this session, participants should be able to: 

  1. Review trends in reproductive health disorders and endocrine-disrupting chemicals. 
  2. Describe the evidence linking select endocrine disruptors with reproductive outcomes. 
  3. Identify what health-care professionals can do to increase their knowledge and minimize exposures for patients at risk. 

ACGME Competency
Practice-based Learning and Improvement 

TEST QUESTION
A 28-year-old bank executive and her 34-year-old husband have been trying to get pregnant for the past 2 years. Her workup is negative to date; however, her antral follicle count and antimüllerian hormone (AMH) level reflect low ovarian reserve, and his semen analysis is abnormal. They exercise, eat a balanced diet, and come to your office to inquire about how lifestyle might contribute to their infertility. After participating in this session, in my practice I will:
a. Tell them that nothing is going to affect their fertility potential; “it’s all in your genes.”
b. Tell them that some things may be detrimental to reproductive performance, but there’s nothing certain so you may as well not bother.
c. Ask about their personal care products, canned food usage, bottled water usage, and where they live.
d. Send them to an occupational and environmental health specialty clinic for routine chemical testing.
e. Not applicable to my area of practice

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