PMID- 12074124
OWN - NLM
STAT- MEDLINE
DCOM- 20020709
LR  - 20181113
IS  - 0820-3946 (Print)
IS  - 1488-2329 (Electronic)
IS  - 0820-3946 (Linking)
VI  - 166
IP  - 12
DP  - 2002 Jun 11
TI  - Identifying and managing adverse environmental health effects: 5. Persistent 
      organic pollutants.
PG  - 1549-54
AB  - Concern and awareness is growing about the health effects of exposures to 
      environmental contaminants, including those found in food. Most primary care 
      physicians lack knowledge and training in the clinical recognition and management 
      of the health effects of environmental exposures. We have found that the use of a 
      simple history-taking tool - the CH2OPD2 mnemonic (Community, Home, Hobbies, 
      Occupation, Personal habits, Diet and Drugs) - can help physicians identify 
      patients at risk of such health effects. We present an illustrative case of a 
      mother who is concerned about eating fish and wild game because her 7-year-old 
      son has been found to have learning difficulties and she is planning another 
      pregnancy. Potential exposures to persistent organic pollutants (POPs) and 
      mercury are considered. The neurodevelopmental effects of POPs on the fetus are 
      reviewed. We provide advice to limit a patient's exposure to these contaminants 
      and discuss the relevance of these exposures to the learning difficulties of the 
      7-year-old child and to the planning of future pregnancies.
FAU - Abelsohn, Alan
AU  - Abelsohn A
AD  - Department of Family and Community Medicine, University of Toronto, Ont. 
      alan.abelsohn@utoronto.ca
FAU - Gibson, Brian L
AU  - Gibson BL
FAU - Sanborn, Margaret D
AU  - Sanborn MD
FAU - Weir, Erica
AU  - Weir E
LA  - eng
PT  - Case Reports
PT  - Journal Article
PT  - Review
PL  - Canada
TA  - CMAJ
JT  - CMAJ : Canadian Medical Association journal = journal de l'Association medicale 
      canadienne
JID - 9711805
RN  - 0 (Methylmercury Compounds)
RN  - 0 (Organic Chemicals)
SB  - IM
MH  - Adult
MH  - Animals
MH  - Child
MH  - Developmental Disabilities/chemically induced
MH  - Environmental Exposure/*adverse effects/prevention & control
MH  - Female
MH  - *Fishes
MH  - *Food Contamination/prevention & control
MH  - Humans
MH  - Male
MH  - Methylmercury Compounds/*adverse effects
MH  - Organic Chemicals/*adverse effects
MH  - Pregnancy
MH  - Prenatal Exposure Delayed Effects
PMC - PMC113803
EDAT- 2002/06/21 10:00
MHDA- 2002/07/10 10:01
PMCR- 2002/06/11
CRDT- 2002/06/21 10:00
PHST- 2002/06/21 10:00 [pubmed]
PHST- 2002/07/10 10:01 [medline]
PHST- 2002/06/21 10:00 [entrez]
PHST- 2002/06/11 00:00 [pmc-release]
AID - 0002792-200206110-00023 [pii]
PST - ppublish
SO  - CMAJ. 2002 Jun 11;166(12):1549-54.