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.

“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:
Perry Sheffield MD, MPH
Region 2 Co-Director, Icahn School of Medicine at Mount Sinai
Childhood Cancer & the Environment Champion
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, 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
Childhood Cancer & the Environment Champion
University of Minnesota Health
Joseph Wiemels, PhD
USC, Leading Childhood Cancer Researcher
Vickie Leonard, RN, FNP, PhD
UCSF, Childhood Cancer & the Environment Champion
Omar Shakeel, MD
Baylor College of Medicine, Texas Children’s Hospital, Program Partner
Catherine Metayer, MD, PhD
UC Berkeley, Leading Childhood Cancer Researcher
Mark Miller, MD, MPH
Region 9 WSPEHSU Director Emeritus, UCSF
Childhood Cancer & the Environment Program Lead
MaryKate Cardon, DNP, CPNP-PC
Region 10 Co-Director
Childhood Cancer & the Environment Champion
Erica Guerrero, PA-C, MS
Emergency Preparedness Collaborator, Texas Tech Health Sciences Center El Paso
Childhood Cancer & the Environment Champion
Nikki Wood, DO
Children’s Mercy Hospital
Childhood Cancer & the Environment Champion
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
View Our Resources
Videos on childhood cancer
