Clinical Practice & Policy: Navigation Guide Timeline of Major Accomplishments
Navigating the Scientific Evidence to Improve Prevention Workshop Two-day meeting of collaborators held to develop a methodology for the efficient evaluation of reproductive environmental health science to catalyze preventative action in medical, public health and policy arenas.
Collaborative on Health and the Environment (CHE) Partnership Call Navigating the Scientific Evidence to Ensure Prevention. Available at: http://www.healthandenvironment.org/partnership_calls/6680
European Environmental Agency
Navigation Guide meeting convened by collaborator David Gee of the European Environmental Agency in Copenhagen with colleagues from the European Centers for Disease Control and the Institute of Community Medicine, University of Tromsø, Norway who are also engaged in developing weight of the evidence methodologies for infectious disease and complementary medicine specialties.
Presentation about the Navigation Guide to participants at Green Choices retreat. Green Choices is a national coalition led by Planned Parenthood Federation of America (PPFA) that brings together reproductive and environmental health scientists, clinicians and advocates towards common goals.
San Francisco Medical Society
Published The Navigation Guide: An Evidence-Based Tool to Bridge the Gap Between Clinical Practice and Environmental Health Science in the journal of the San Francisco Medical Society.
National Institute of Environmental Health Sciences
Conversation and collaboration initiated with Kristina A. Thayer, PhD, Director of the National Toxicology Program Office of Health Assessment and Translation on the development of weight of evidence methodologies.
American Congress of Obstetricians and Gynecologists (ACOG)
Met with ACOG's national leadership (Hal Lawrence, MD) including discussion of the applicability of the Navigation Guide to clinical practice.
Environmental Health Perspectives
Woodruff TJ, Sutton P. Pulling back the curtain: improving reviews in environmental health. Environ Health Perspect. 2010 Aug;118(8):a326-7. Available at: http://ehp03.niehs.nih.gov/article/fetchArticle.action?articleURI=info%3Adoi%2F10.1289%2Fehp.1002691
Agency for Healthcare Research Quality (AHRQ)
Met with Jean R. Slutsky, P.A., M.S.P.H., Director, Center for Outcomes and Evidence at AHRQ by phone to discuss the Navigation Guide followed by attendance at AHRQ's annual conference in Bethesda.
Santa Clara County Medical Society
Published The Navigation Guide: An Evidence-Based Tool to Bridge the Gap Between Clinical Practice and Environmental Health Science in the journal of the Santa Clara County Medical Society.
California Preconception Care Council
The mission of the Preconception Health Council of California is to engage individuals, communities, health care organizations and policymakers to optimize the health and well-being of women and their partners, leading to healthier infants and families. The Council includes public and private providers from various health and social service agencies. Presentation to the Council leaders on the Navigation Guide and other aspects of the science related to reproductive health and the environment.
Current Opinion in Obstetrics and Gynecology
Published an article about advances in reproductive environmental health including discussion of the Navigation Guide. Sutton P, Giudice LC, Woodruff TJ. Reproductive environmental health. Curr Opin Obstet Gynecol. 2010 Dec;22(6):517-24. Review.
Presentation on Navigation Guide to participants at the Research Exchange on Advancing Patient, Worker and Environmental Safety & Sustainability in the Health Care Sector.
Publication of the method and presentation at the symposia that launched the first issue of Health Affairs to address environmental health, Washington, DC. Woodruff TJ, Sutton P; Navigation Guide Work Group. An evidence-based medicine methodology to bridge the gap between clinical and environmental health sciences. Health Aff (Millwood). 2011 May;30(5):931-7.
Download the article at no cost at: http://content.healthaffairs.org/cgi/reprint/30/5/931?ijkey=z58MCEPW2X49.&keytype=ref&siteid=healthaff
Collaborative on Health and the Environment (CHE) Partnership Call
Navigating the Science: Ensuring Research Quality. Available at: http://www.healthandenvironment.org/partnership_calls/9548
U.S. Environmental Protection Agency
Leadership of the American Congress of Obstetricians & Gynecologists (ACOG) (Jerry Joseph, MD, ACOG's Executive Vice President for Practice) and ACOG District IX (Jeanne Conry, MD, PhD) met with Peter Grevatt, Director of the Office of Children's Health Protection and Environmental Education.
U.S. Environmental Protection Agency/National Toxicology Program
Initiated work with USEPA and National Toxicology Program scientists to apply the Navigation Guide and related weight of evidence methods to one or more case studies.
Navigation Guide Working Group Inaugural Meeting
U.S. Environmental Protection Agency
Webinar for USEPA scientists on Navigation Guide
Presentation about the Navigation Guide at the Association of Reproductive Health Professionals annual meeting
Publication in Environmental Health Perspectives
Sutton P, Woodruff TJ, Vogel S, Bero LA. Conrad and Becker's "10 Criteria" fall short of addressing conflicts of interest in chemical safety studies. Environ Health Perspect. 2011 Dec;119(12):A506-7
Presentation on the Navigation Guide to scientists at the Agency for Toxic Substances and Disease Registry
Presentation on the Navigation Guide at the meeting of the western National Institute of Environmental Health Services and USEPA Children's Centers
Publication of article in the American Journal of Obstetrics and Gynecology about the role of obstetricians in preventing environmental exposures including reference to development of clinical guidelines using the Navigation Guide.
Sutton P, Woodruff TJ, Perron J, Stotland N, Conry J, Miller M, Giudice LC. Toxic environmental chemicals: the role of reproductive health professionals in preventing harmful exposures. Invited article in press.
Presentation to the USEPA Children's Health Protection Advisory Committee about the Navigation Guide (3/28/12)
Meeting with scientists at the California Environmental Protection Agency about the Navigation Guide (3/27/12)
Two-day meeting of the Navigation Guide Working Group at UCSF’s Parnassus Campus (March 9-10, SF CA)
US Environmental Protection Agency Test-Driving the Navigation Guide: PFOA and Reduced Fetal Growth (Erica Koustas and Juleen Lam) (May 30, WA DC)
Approaches to Weight Of Evidence in Chemical Toxicity Assessment, meeting organized by Ake Bergman, Stockholm University. The Navigation Guide: A Systematic and Transparent Method to Evaluate Environmental Health Science (Tracey Woodruff)
Navigation Guide Work Group Webinar (June 28)
Triservice Environmental Risk Assessment Workgroup (TSERAWG). This workgroup is made up of US Department of Defense risk assessors, biologists and toxicologists who meet a few times a year to discuss concerns (emerging contaminants, legacy compounds, new risk approaches). Test-Driving the Navigation Guide: PFOA and Reduced Fetal Growth (Erica Koustas and Juleen Lam) (July 10 Aberdeen Proving Grounds, MD)
NTP Board of Scientific Counselors Working Group on Reaching Evidence Assessment Conclusions (August 28, Research Triangle Park, North Carolina)
International Society for Environmental Epidemiology - Navigation Guide: A Systematic Methodology to Sort the Scientific Evidence Linking Environmental Exposures to Adverse Health Outcomes (Tracey Woodruff, Erica Koustas and Juleen Lam) (August 29 Columbia, SC)
Improving the Use of Science in Administrative Process. A Workshop Under the Auspices of The National Academy of Sciences' Committee on Science, Technology and Law in Collaboration with The Administrative Conference of the United States (Tracey Woodruff)
Navigation Guide Work Group Meeting (Webinar) (September 20)
Navigation Guide Work Group Meeting (Webinar) (January 15)
U.S. Environmental Protection Agency. The Navigation Guide. Meeting and presentation to Kenneth Oden, Director, National Center for Environmental Assessment and John Vandenberg, National Program Director Human Health Risk Assessment Research Program and other EPA leadership. (Tracey Woodruff, Patrice Sutton, Erica Koustas, Juleen Lam) (February 20 WA DC)
Federal Summit on Evaluating and Synthesizing Evidence: Applying Systematic Review to Questions of the Health Effects of Chemical Exposures. The Navigation Guide Evidence-Based Medicine Meets Environmental Health: PFOA and Fetal Growth (Erica Koustas and Juleen Lam) (February 27-28 Research Triangle Park, NC)
2nd International Symposium on the Systematic Reviews of Animal Data, The Navigation Guide: integrating meta-analysis to weight of evidence assessments in reproductive toxicology (Tracey Woodruff) (March 7-8 Edinburgh, Scotland)
Society for Toxicology - Risk communication and decision tools for children's health protection. (Tracey Woodruff); The Navigation Guide as an Evidence-Based Medicine Methodology to Evaluate Human Health Effects of Environmental Chemicals: Perfluorooctanoic Acid (PFOA) and Fetal Growth (Erica Koustas) (March 10-14 San Antonio TX)
National Academy of Sciences, Weight of Evidence National Research Council Committee to Review the IRIS Process Putting the Pieces Together: A Case Study (Tracey Woodruff) (March 28, WA DC)
Navigation Guide Work Group Meeting (Webinar) (May 14)
Submission of three papers summarizing the results of the first navigation guide proof-of-concept case study on the effects of PFOA on fetal growth:
Johnson PI, Sutton P, Atchley DS, et al. The Navigation Guide - Evidence-Based Medicine Meets Environmental Health: Systematic Review of Human Evidence for PFOA Effects on Fetal Growth. In Review.
Koustas E, Lam J, Sutton P, et al. The Navigation Guide - Evidence-Based Medicine Meets Environmental Health: Systematic Review of Non-Human Evidence for PFOA Effects on Fetal Growth. In Review.
Woodruff TJ, Sutton P. The Navigation Guide: An Improved Method For Translating Environmental Health Science into Better Health Outcomes. In Review.
Navigation Guide Strategy
Learn more about the strategy behind the Navigation Guide.