A Call for Pediatric Clinicians to Address Environmental Health Concerns in Rural Settings

Pediatr Clin North Am. 2025 Feb;72(1):65-83. doi: 10.1016/j.pcl.2024.07.030. Epub 2024 Sep 2.

Abstract

Children in rural communities encounter unique environmental exposures, many of which can result in negative long-term health consequences. Children are particularly at risk from these exposures due to their close interaction with the environment and developing physiology. The authors describe 3 rural environmental hazards: wood stove smoke, well water contaminants, and agricultural pollutants. Contaminants found in these exposures have adverse respiratory, neurodevelopmental, cardiometabolic, and carcinogenic effects, among others. The authors recommend that rural pediatric clinicians screen for these environmental exposures, and they provide tools and resources related to testing, mitigation, and medical monitoring.

Keywords: Biosolids; Environmental health; Pesticides; Rural health; Well water; Wood stove.

Publication types

  • Review
  • Research Support, N.I.H., Extramural

MeSH terms

  • Child
  • Environmental Exposure* / adverse effects
  • Environmental Health*
  • Humans
  • Pediatrics
  • Rural Population*