Service area: Alaska, Idaho, Oregon, Washington
The Northwest Pediatric Environmental Health Specialty Unit (NW PEHSU) was founded in 1997 and is based out of Seattle at the University of Washington’s Department of Environmental & Occupational Health Sciences. As the region 10 PEHSU, it serves Alaska, Idaho, Oregon, Washington. In addition to collaborating with the National PEHSU network, we also work closely with other local, state and regional partners to improve reproductive and pediatric environmental health outcomes.
Academic Affiliation: University of Washington: Department of Environmental and Occupational Health Sciences, Occupational and Environmental Medicine Program, Department of Pediatrics
Hospital Affiliation: University of Washington Medical Center; Harborview Medical Center; Seattle Children’s


Specialties & comprehensive services
The Northwest PEHSU aims to improve reproductive and pediatric environmental health outcomes through training and education, consultation services, and evidence-based medical information. Our multidisciplinary staff have backgrounds in pediatrics, nursing, exposure science, environmental public health and community engagement. We work on an array of environmental issues that can pose health risks to children and pregnant individuals, such as exposure to lead and heavy metals, PFAS, mold, pesticides, air pollution, and wildfire smoke.
Faculty & staff
MaryKate Cardon, DNP, CPNP-PC
Region 10 Co-Director
Childhood Cancer & the Environment Champion
Sheela Sathyanarayana, MD, MPH
Reproductive Environmental Health Specialist
Maria Tchong-French, MPH
Program Coordinator and Exposure Scientist
Esther Min, PhD, MPH
Community Outreach Specialist
Margaret Willis, BSN, MPH
Pediatric Reproductive Environmental Health Clinical Specialist
Kristy Ivicek Lanciotti, MN, RN, CPN
Pediatric Reproductive Environmental Health Clininical Specialist
Regional resources
Pesticide Exposure and Child Health: New Evidence and Putting it into Practice
Grand rounds presentation from Region 10 Co-Director Dr. Catherine Karr on pesticide exposure and child health.
Wildfire Smoke Action Plan for Children with Asthma: Caregiver Toolkit
Management of Lead Exposure During Breastfeeding
View a factsheet with more detailed guidance on the clinical management of lead during breastfeeding (from Region 10).
Is the Air Safe to Play?
This NW PEHSU infographic offers practical activity guidance during times of poor air quality.
Recognizing Acute Pesticide Poisoning in Children
This NW PEHSU factsheet is for healthcare providers interested in learning about early recognition of acute pesticide poisoning, clinical managemen…




