Childhood Cancer & the Environment

childhood cancer and the environment

A National Program to Prevent Childhood Cancer Related to the Environment

Information about the program below is not exhaustive, but provides a snapshot of CC&E achievements.

Girl at doctor's office in yellow dress

“In our work on childhood cancer, we have discovered that clinicians want to know that the science supports a sound basis for including environmental risk factors in discussions, and they want clear action items they can implement in practice.

—Mark Miller, MD, MPH, Program Lead

What We Do & Who We Are

The Childhood Cancer & the Environment Program is a national program of the PEHSU Network to educate pediatric health care providers, parents, and caregivers about environmental influences on childhood cancers, such as leukemia. The program also educates clinicians and families on practical ways to both prevent childhood cancer as well as to improve treatment outcomes and survivorship.

The Western States PEHSU (based out of UCSF) leads the program, which began in 2022. There are 10 Champions (1 in each PEHSU region) who work to increase environmental health literacy on childhood cancer among health care providers and communities. Leading childhood cancer researchers inform the content of the program. See who’s involved below:

Alan Woolf, MD, MPH, FAAP, FACMT, FAACT

Alan Woolf, MD, MPH, FAAP, FACMT, FAACT

Region 1 Co-Director, Harvard Medical School

Childhood Cancer & the Environment Champion

Perry Sheffield MD, MPH

Perry Sheffield MD, MPH

Region 2 Co-Director, Icahn School of Medicine at Mount Sinai

Childhood Cancer & the Environment Champion

Hannah Thompson, MD

Hannah Thompson, MD

Assistant Professor in the Department of Environmental Medicine & Climate Science, Icahn School of Medicine at Mount Sinai

Childhood Cancer & the Environment Champion

Jinbing Bai

Jinbing Bai, PhD, MSN, RN, FAAN

Asst. Professor, Tenure track, Nell Hodgson Woodruff School of Nursing, Emory University School of Medicine, Winship Cancer Institute

Childhood Cancer & the Environment Champion

Emily Moody, MD, MHS

Emily Moody, MD, MHS

Childhood Cancer & the Environment Champion

University of Minnesota Health

Joe Wiemels, PhD

Joseph Wiemels, PhD

USC, Leading Childhood Cancer Researcher

Vickie Leonard, RN, FNP, PhD

Vickie Leonard, RN, FNP, PhD

UCSF, Childhood Cancer & the Environment Champion

Omar Shakeel, MD

Omar Shakeel, MD

Baylor College of Medicine, Texas Children’s Hospital, Program Partner

Catherine Metayer, MD, PhD

Catherine Metayer, MD, PhD

UC Berkeley, Leading Childhood Cancer Researcher

Mark Miller, MD, MPH

Mark Miller, MD, MPH

Region 9 WSPEHSU Director Emeritus, UCSF

Childhood Cancer & the Environment Program Lead

MaryKate Cardon, DNP, CPNP-PC

MaryKate Cardon, DNP, CPNP-PC

Region 10 Co-Director

Childhood Cancer & the Environment Champion

Erica Guerrero, M.S., PA-C

Erica Guerrero, PA-C, MS

Emergency Preparedness Collaborator, Texas Tech Health Sciences Center El Paso

Childhood Cancer & the Environment Champion

Nikki Wood, DO

Nikki Wood, DO

Children’s Mercy Hospital

Childhood Cancer & the Environment Champion

Laurie Halmo, MD

Laurie Halmo, MD

Peds Toxicologist, Children’s Hospital Colorado

Childhood Cancer & the Environment Champion

Why We Started

Research in the last 25 years has greatly expanded our understanding of risk factors for childhood cancer. This program grew out of Dr. Mark Miller’s environmental health literacy work at UC Berkeley’s Center for Integrative Research on Childhood Leukemia in the Environment in 2022. Funding support via Trevor’s Law, brought about by the advocacy of brain cancer survivor Trevor Schaefer, made the program possible.

A major goal has been to improve pediatric care providers’ knowledge about environmental risks for childhood cancers including exposure to pesticides, traffic related air pollution, tobacco, and solvents. We also want to inform providers as well as their patients and the greater community about protective factors, including breast feeding, adequate folate early in pregnancy, and attending daycare.

Community outreach has also been a focal point, with program Champions conducting trainings for promotores de salud and other community health workers.  We have created a wide range of educational materials in English and Spanish to support the workshops and trainings. This program fills a gap in education for health professionals and communities about the effects of the environment on childhood cancers.

“Training this group (promotores de salud and community health workers) is a catalyst for growth, learning, and development, creating ripples of positive change in the communities they serve.”

Erica Guerrero, MS, MPAS, PA-C, PEHSU Region 6 Champion

Example Program Impact

“I will start taking better environmental histories of families when they come in for consult and begin discussing environmental exposure risk with families and ways that they can mitigate future risk.”

-BCM/TCH Workshop Attendee

In the Media

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Videos on childhood cancer