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Task Force on Environmental
Health and Safety Risks to Children

The Task Force on Environmental Health and Safety Risks to Children was established by Executive Order in April 1997. Co-Chaired by Donna E. Shalala, Secretary of Health and Human Services, and Carol M. Browner, Administrator of the Environmental Protection Agency, the Task Force has met twice since its inception, created a senior staff planning committee and two subcommittees, and identified four priority health conditions: asthma, unintentional injuries, cancers, and developmental disorders.

Members of the Task Force include:

Carol Browner, EPA
Donna Shalala, HHS
Richard Riley, Education
Alexis M. Herman, DOL
Janet Reno, DOJ
Federico Peņa, DOE
Andrew Cuomo, HUD
Dan Glickman, USDA
Rodney Slater, DOT
Franklin Raines, OMB
Kathleen McGinty, CEQ
Ann Brown, CPSC
Gene Sperling, National Economic Council
Bruce Reed, Office of Domestic Policy/White House
Janet Yellen, Council of Economic Advisors
Neal Lane, OSTP

At its first meeting in October 1997, the Task Force created the Senior Staff Planning Committee, the Research and Data Needs Subcommittee, and the Program Implementation Subcommittee. At the second meeting, which occurred in April 1998, the Task Force reviewed the progress of the three groups, discussed the four priority health conditions identified by the Senior Staff Planning Commit-tee, and came to agreement on focus areas and next steps.

Meanwhile, the Subcommittees have met independently several times and are working on specific projects. The Research and Data Needs Sub-committee is developing an inventory of research being conducted and sup-ported by the Federal Government, as well as identifying data gaps. The Program Implementation Subcommittee created three teams—communication strategies, partnerships, and evaluation—to do the work in those areas. Both groups intend to make their results available online.

The Senior Staff Planning Committee has begun analyzing all pending legislation related to children’s environmental health to provide guidance on which bills, or sections of bills, should receive the Administration’s support.

Next Steps
Work groups, consisting of experts in the subject, have been created to map out action plans for the four priority areas. Plans are under way to submit FY 2000 budget proposals on at least one of these priority areas. (Because these four areas are in varying stages of development, different timelines may be required.) Several White House offices (in particular, the Vice President’s Office, the Office of the First Lady, the Council on Environmental Quality, and the Office of Science and Technology Policy) have expressed interest in planning Presidential or Vice Presidential events around Task Force activities.

Priorities

Asthma

  • Asthma impacts 5 million children and is the most common chronic condition among American children today.
  • It has a disproportionate impact on African-American children.
  • Despite many advances in diagnosis, treatment, and understanding of risk factors, there has been a continuous rise in asthma prevalence and mortality rates.
  • There is an urgent need to establish a surveillance system to determine the basis for trends, and to monitor the impact of interventions.

Unintentional Injuries

  • Injuries are the leading cause of childhood mortality.
  • There is a good understanding of causes, risk factors, and interventions.
  • What is needed is implementation and evaluation of effective interventions on a broader scale.

Cancer

  • Cancer continues to be one of the leading causes of mortality in children.
  • The extent to which environmental factors may be associated with childhood cancer is unclear.
  • The incidence rates of testicular cancer and non-Hodgkin’s lymphoma in adults have been increasing. The extent to which environmental exposures in utero or childhood may be associated with such increases is unclear.

Developmental Disorders

  • Developmental disorders are a leading cause of morbidity in children.
  • Two percent of children have mental retardation, cerebral palsy, hearing impairment, vision impairment, or autism.
  • Ten percent of children receive special education services for developmental disorders.
  • Birth defects, one developmental disorder, are a leading cause of mortality in children.
  • Although some have been associated with environmental factors, the extent to which environmental factors impact developmental disorders is unknown.
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