Integrative Environmental Medicine

Edited by Aly Cohen, Frederick S. vom Saal, and Series edited by Andrew Weil

Weil Integrative Medicine Library

Shares the full story of environmental medicine, from the history of plastics and chemicals, to regulatory failures, to the health consequences of water and air contamination and the rising incidence of disease in the U.S.
Offers tangible, practical information that can easily be integrated into the daily work flow of patient clinical care; websites, phone apps, physician and patient handouts and printable lists.

Integrative Environmental Medicine

Edited by Aly Cohen, Frederick S. vom Saal, and Series edited by Andrew Weil

Weil Integrative Medicine Library

Description

At no other time in human existence has there been so many environmental changes. Over 87,000 chemicals are now commercially available in the U.S., almost all of which have not been tested for safety, particularly in young children and the growing fetus.The number and quantity of chemicals has continued to increase since World War II—and so too has the incidence of many chronic health problems, such as Type 2 Diabetes, obesity, thyroid disease, asthma, allergy, autoimmune disease, autism, ADHD, and several cancers. Many studies have revealed that exposure to chemicals and radiation in our everyday environment may increase risk for these conditions.

Integrative Environmental Medicine examines the history and changing landscape of our environment in the U.S. and shares up-to-date research and information on ways to reduce exposures and reduce health risks. This text explores the unique properties of many chemicals and their ability to deceive the human body's normal workings, affecting everything from thyroid and autoimmune disease risk, to cancer development, to developmental issues in children, and even the development of diabetes and weight gain through gut bacteria manipulation. We discuss topics of improving regulations and appropriate testing for chemicals, remediation of environmental catastrophes, and designing healthier products for the future. Finally, we discuss best practices for clinicians to ascertain exposure history and teach patients how to avoid harmful exposures and help their body eliminate contaminates through better dietary and lifestyle practices.

Throughout this book, we share vetted, practical resources and tools—including websites, phone apps, physician and patient hand-outs—to help healthcare practitioners facilitate healthier choices for themselves and their patients.

This text is unique in that it offers tangible, practical information that can easily be integrated into the daily work flow of patient clinical care; websites, phone apps, physician and patient handouts and printable lists.

Integrative Environmental Medicine

Edited by Aly Cohen, Frederick S. vom Saal, and Series edited by Andrew Weil

Weil Integrative Medicine Library

Foreword
Preface
Contributors
SECTION 1: HISTORY AND OVERVIEW OF ENVIRONMENTAL CHEMICALS
Chapter 1: The Age of Chemicals in the 21st Century: New Inventions, New Problems
Carol F. Kwiatkowski
Chapter 2: The Plastic Age: Worldwide Contamination, Sources of Exposure, and Human Health Consequences
Capt. Charles Moore, Sarah S. Mosko
Chapter 3: Environmental Chemicals and Their Effects on Human Physiology
Joel A. Maruniak
SECTION 2: SOURCES AND CLINICAL ASPECTS OF ENVIRONMENTAL EXPOSURES
Chapter 4: In-Home Contaminants: Air Quality and Human Health
James S. Denninghoff, Frederick S. vom Saal
Chapter 5: Water Pollution and Human Health
Christopher P. Weis, Donald E. Tillitt
Chapter 6: Diet, Environmental Chemicals, and the Gut Microbiome
Marvin M. Singh, Gerard E. Mullin
Chapter 7: Interaction of Pharmaceuticals with Environmental Chemicals
Anderson J. Martino-Andrade, Shanna H. Swan
Chapter 8: Pesticides and Neurodegenerative Disorders
John W. McBurney
Chapter 9: Toxic Consequences of Cleaning Chemicals
Patricia A. Hunt, Terry C. Hrubec, Vanessa E. Melin
Chapter 10: The Age of Technology: Radio-Frequencies and Cancer
Devra Davis, Margaret E. Sears, Anthony B. Miller, Riina Bray
SECTION 3: MOVING FORWARD: REGULATORY AND LEGISLATIVE ISSUES, EXPOSURE MITIGATION, AND RESOURCES FOR CLINICIANS AND PATIENTS
Chapter 11: Food Additives: Regulatory Oversight Failure and Health Consequences
Maricel V. Maffani, Sarah Vogel
Chapter 12: Classical Toxicology vs. New Science: Unique Issues with Endocrine Disrupting Chemicals
Laura N. Vandenberg
Chapter 13: Sustainable Chemistry: Challenges of Contaminant Remediation and Designing Safe Products for Our Future
Genoa R. Warner, Terrence J. Collins
Chapter 14: Proactive Approaches to Reduce Environmental Exposures: Avoidance, Lifestyle Changes, and Practical Resources
Aly Cohen

Integrative Environmental Medicine

Edited by Aly Cohen, Frederick S. vom Saal, and Series edited by Andrew Weil

Weil Integrative Medicine Library

Author Information

Edited by Aly Cohen, Founder and Director, Integrative Rheumatology Associates, Edited by Frederick S. vom Saal, Curators' Professor, Division of Biological Sciences, University of Missouri-Columbia, and Series edited by Andrew Weil, Arizona Center for Integrative Medicine, University of Arizona

AC: Founder and Director, Integrative Rheumatology Associates, Monroe Township, NJ. FSVS: Curators' Professor, Division of Biological Sciences, University of Missouri, Columbia, Missouri

Contributors:

Riina Bray BASc MSc MD FCFP MHSc
Assistant Professor, Department of Family and Community Medicine
Dalla Lana School of Public Health
University of Toronto
Medical Director, Environmental Health Clinic
Women's College Hospital
Toronto, Canada

Aly Cohen, MD, FACR, FABOIM
Founder & Medical Director, Integrative Rheumatology Associates, PC
Founder & Medical Director, The Smart Human LLC.
Faculty, Academy of Integrative Health & Medicine (AIHM) Fellowship Program
Jones/Lovell Fellow, Arizona Center for Integrative Medicine
Monroe Township, NJ

Terrence J. Collins PhD
Teresa Heinz Professor of Green Chemistry and Director, Institute for Green Science Department of Chemistry
Carnegie Mellon University
Pittsburgh, PA

Devra Davis, PhD MPH FACE
Visiting Professor of Medicine, The Hebrew University
Environmental Health Trust

James S. Denninghoff, MD
Missouri Sinus Allergy
Columbia, MO

Terry C. Hrubec, DVM, PhD
Department of Biomedical Sciences and Pathobiology
VA-MD College of Veterinary Medicine
E. Via College of Osteopathic Medicine - Virginia Campus
Blacksburg, VA

Patricia A. Hunt, PhD
School of Molecular Biosciences
Center for Reproductive Biology
Washington State University
Pullman, WA

Carol F. Kwiatkowski, PhD
Executive Director, The Endocrine Disruption Exchange
Paonia, CO
Assistant Professor Adjunct, Department of Integrative Physiology
University of Colorado
Boulder, CO

Maricel V. Maffini, PhD
Independent Consultant
Germantown, MD

Anderson J. Martino-Andrade
Department of Preventive Medicine
Icahn School of Medicine at Mount Sinai
New York, NY
Department of Physiology
Universidade Federal do Paraná
Curitiba, Brazil

Joel A. Maruniak, PhD
Associate Professor, Emeritus
Biological Sciences
University of Missouri
Columbia, MO

John W. McBurney, MD
Oregon Clinic
Contributing Instructor Arizona Center for Integrative Medicine
Portland, OR

Vanessa E. Melin
Department of Biomedical Sciences and Pathobiology
VA-MD College of Veterinary Medicine
Blacksburg, VA

Anthony B. Miller MD FACE
Professor Emeritus
Dalla Lana School of Public Health
University of Toronto
Toronto, Canada

Capt. Charles Moore, PhD. (hon)
Research Director, Algalita Marine Research and Education
Long Beach, CA

Sarah S. Mosko, PhD
Research Associate, Algalita Marine Research and Education
Long Beach, CA

Gerard E. Mullin, MD
Associate Professor, Division of Gastroenterology/Hepatology
Johns Hopkins Hospital, Baltimore, Maryland

Margaret E. Sears, PhD
Prevent Cancer Now
Ottawa, Canada
Environmental Health Trust, USA

Marvin M. Singh, MD
Gastroenterology/Hepatology
Stuart, FL

Shanna H. Swan, PhD
Department of Preventive Medicine
Icahn School of Medicine
New York, NY

Donald E. Tillitt, PhD
Biochemistry & Physiology Branch Chief
Columbia Environmental Research Center
U.S. Geological Survey, Department of Interior
Columbia, MO

Laura N. Vandenberg, PhD
University of Massachusetts - Amherst
School of Public Health & Health Sciences
Department of Environmental Health Sciences
Amherst, MA

Sarah Vogel, PhD, MPH, MEM
Vice President, Health. Environmental Defense Fund.
Washington, DC

Frederick S. vom Saal, PhD
Curators' Professor
Division of Biological Sciences
University of Missouri-Columbia
Columbia MO

Genoa R. Warner
Presidential Fellow, Institute for Green Science
Department of Chemistry
Carnegie Mellon University
Pittsburgh PA

Christopher P. Weis, PhD, DABT
Toxicology Liaison / Senior Advisor
Office of the Director
National Institute of Environmental Health Science
National Institutes of Health
Bethesda, MD

Integrative Environmental Medicine

Edited by Aly Cohen, Frederick S. vom Saal, and Series edited by Andrew Weil

Weil Integrative Medicine Library

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