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Understanding Pediatric Outcomes from Pesticides and Nitrates

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Learning Objectives:

  • Recognize the clinical presentation of acute pesticide and nitrate poisoning.
  • Describe the steps involved in diagnosing and managing acute pesticide/nitrate poisoning.
  • Identify common sources of exposure to nitrates and pesticides for pediatric populations.
  • List pediatric morbidities associated with early life pesticide exposures based on epidemiological data.
  • Identify local and national resources to utilize if presented with a suspected exposure or exposure related illness.
  • Report an increased confidence in their ability to discuss the health effects of early life nitrate/pesticide exposures with families and offer them guidance on prevention.
  • Demonstrate an increased likelihood of screening symptomatic children for pesticide/nitrate exposure or conducting an environmental exposure history in pregnant women and children to identify current and potential exposures.

Developed By:

Catherine Karr, MD, PhD, MS
University of Washington, Seattle
PEHSU Region 10 

Dr. Catherine Karr is a board-certified pediatrician with specialty training in environmental medicine. She received her M.D., M.S. in Toxicology/Environmental Health, and Ph.D. in Epidemiology at the University of Washington. She practices primary care general pediatrics and specialty environmental medicine consultation at UW Physicians Pediatric Care Center – Roosevelt in Seattle. She is also Co-Director of Northwest PEHSU (Region 10).

This material was supported by the American College of Medical Toxicology (ACMT) and funded (in part) by the cooperative agreement FAIN: U61TS000238 from the Agency for Toxic Substances and Disease Registry (ATSDR).

Acknowledgement: The U.S. Environmental Protection Agency (EPA) supports the PEHSU by providing partial funding to ATSDR under Inter-Agency Agreement number DW-75-92301301. Neither EPA nor ATSDR endorse the purchase of any commercial products or services mentioned in PEHSU publications


Training Material

  • Pre-Test
  • Presentation
  • Post-Test
  • Evaluation