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IN THIS ISSUE

SAN FRANCISCO MEDICINE June 2012 Volume 85, Number 5

Toward Healthier Environments Across the Lifespan FEATURE ARTICLES

MONTHLY COLUMNS

12 Environmental Health: A Decade of Progress Philip R. Lee MD; Steve Heilig, MPH; Michael Lerner, PhD; and Elise Miller, MEd

4

Membership Matters

7

SFMS Advocacy Activities

Reducing Cancer Risks: Margaret Kripke, PhD, on The Environment and Cancer

9

Environmental Chemicals: Large Effects from Low Doses Laura N. Vandenberg, PhD; R. Thomas Zoeller, PhD; J.P. Myers, PhD

President’s Message Peter J. Curran, MD

11 Editorial Gordon Fung, MD, PhD

The Diabetes Epidemic: Environmental Chemical Exposure in Etiology and Treatment Robert M. Sargis, MD, PhD; Sarah G. Howard, MS; Retha R. Newbold, MS; and Jerrold J. Heindel, PhD

OF INTEREST

13 15

17 Considering BPA: State of the Art or Willful Ignorance? William H. Goodson III, MD, and Shanaz H. Dairkee, PhD 18

20 Toxic Matters and Fertility: What Can a Doctor Do? Patrice Sutton, MPH; Tracey J. Woodruff, PhD; Jeanne A. Conry, MD, PhD; Linda C. Giudice, MD, PhD, MSc

23 Scientific Evolution of Autism: Trends and Patient Advice Martha Herbert, MD, PhD 25 Fukushima’s Lessons: The Dangers of Nuclear Power Robert Gould, MD 26

Assessing Toxin Risk: Improvements Needed to Protect Human Health from Chemicals Ted Schettler, MD, MPH; Sarah Janssen, MD, PhD, MPH; Jennifer Sass, PhD; Gina Solomon, MD, MPH; and Tracey Woodruff, PhD

28 The European Example: What Have We Learned about Health and the Environment? Genon K. Jensen and Lisette van Vliet 30 Electromagnetic Fields: The Effect on Human Health David O. Carpenter, MD

31 Biomonitoring Update: Measuring Exposure to Chemicals Davis Baltz and Sharyle Patton

37 Hospital News

5

SFMS Launches New Website

32 Classified Ad

SPECIAL POCKET GUIDE ON PAGE 21 For this special issue on environmental health, we’ve included an insert entitled “Healthy Aging and the Environment: A Pocket Guide.” Produced by the Collaborative on Health and the Environment (CHE), it presents many issues in graphic summary and describes the important benefits of a healthy diet, regular exercise, healthy natural and built environments, positive social interaction, stress reduction, and avoidance of toxic exposures. We hope this guide, suitable for both clinicians and patients, will help any reader understand how multiple environmental factors, alone and together, influence the risk of disease and disability across the lifespan.

32 New Online Data Tool: Local Environmental Health Data Now Available Online Paul English, PhD, MPH 33 Ecological Health: Complex Science, New Models, and Public Health Ted Schettler, MD, MPH 35 The Collaborative on Health and the Environment Consensus Statement

Editorial and Advertising Offices: 1003 A O’Reilly Ave., San Francisco, CA 94129 Phone: (415) 561-0850 e-mail: adenz@sfms.org Web: www.sfms.org Advertising information is available by request.


June 2012