Most pest problems can be addressed with non-toxic or very low toxicity approaches to pest control. Advise families to wash and scrub produce with water (cleansers are not necessary), throw away the outer leaves of leafy vegetables where residues are highest, and trim the skin and fat from poultry, fish and meats where pesticides can accumulate. Patients’ caregivers should purchase organic food when possible, but not at the expense of a diet rich in a variety of fresh fruits and vegetables. If families do use pesticides, emphasize the importance of caregivers following label instructions for common at home uses such as treating pets and lice. Patients’ caregivers should notify their clinicians or their local Department of Health if they experience (or suspect) a pesticide drift from spraying in nearby fields/farms. Removing shoes at the door and using a doormat can significantly reduce dust and pesticides in the home. Clinician report of suspected pesticide related illnesses is required by law in many states, though the circumstances under which reporting is required vary. Some states may also have short term disability that allow those who are pregnant to take paid leave from jobs exposing them to hazardous substances. Regardless, clinicians should notify the local or state public health department or state pesticide regulatory agency if the exposure source may present a hazard to others or if help is desired in identifying an environmental exposure source.