Perry Sheffield
Biographic Data
| ID | 1738725 |
|---|---|
| NAME | Perry Sheffield |
| GIVEN NAMES | Perry |
| FAMILY NAME | Sheffield |
| SIGNATURE | SHEFFIELD P |
| AFFILIATIONS | Icahn School of Medicine at Mount Sinai |
| ORCID | 0000-0001-9156-1193 |
| VERIFIED | Yes |
| TOTAL WORKS | 18 |
| TOTAL CITATIONS | 3 |
| AUTHOR COUNT | 18 |
| EDITOR COUNT | 0 |
| FIRST PUBLICATION YEAR | 2009 |
| LATEST PUBLICATION YEAR | 2026 |
| H-INDEX | 1 |
The Climate Health Curriculum Tool (CHCT)
BACKGROUND: Climate change poses urgent and complex threats to public health, yet major gaps persist in integrating climate health education into medical curricula. We developed the Climate Health Curriculum Tool (CHCT), an evidence-based framework to guide medical educators in designing, implementing, and evaluating climate health content across U.S. undergraduate medical education. METHODS: A transdisciplinary expert panel reviewed and integrat…
Local Violence as an Environmental Exposure with Increasing Relevance under Climate Change
Violent crime is increasing worldwide with climate change and ambient heat, with greater increases projected in communities already high in crime or lacking resources for mitigation, exacerbating inequities in exposures and health. Our work has shown that violent crime-as a severe psychosocial stressor-can exacerbate effects of climate-related heat and pollution on health. In addition, as heat is associated with greater violence, and both heat an…
Climate and health education
Introduction: As medical schools continue to improve and refine their undergraduate curricula, they are also redefining the roadmap for preparing future generations of physicians. Climate change is a critical topic to integrate into medical education. This period of change for undergraduate medical education coincides with a surge in interest and design efforts for climate and health curricula in health professional education, but this nascent fi…
Particulate Air Pollution Exposure and Stroke among Adults in Israel
Stroke is the second most common cause of death and disability in the world. Many studies have found fine particulate matter (PM 2.5 ) exposure to be associated with an increased risk of atherosclerotic cardiovascular disease, mostly focusing on ischemic heart disease and acute myocardial infarction. In a national analysis conducted in Israel-an area with unique climate conditions and high air pollution levels, we estimated the association betwee…
The Creation of a Multidomain Neighborhood Environmental Vulnerability Index Across New York City
Compared to previous studies commonly using a single summary score, we aimed to construct a multidomain neighborhood environmental vulnerability index (NEVI) to characterize the magnitude and variability of area-level factors with the potential to modify the association between environmental pollutants and health effects. Using the Toxicological Prioritization Index framework and data from the 2015-2019 U.S. Census American Community Survey and t…
Pubertal timing, neighborhood income, and mental health in boys and girls
Climate Change and the Practice of Medicine
Despite calls for including content on climate change and its effect on health in curricula across the spectrum of medical education, no widely used resource exists to guide residency training programs in this effort. This lack of resources poses challenges for training program leaders seeking to incorporate evidence-based climate and health content into their curricula. Climate change increases risks of heat-related illness, infections, asthma, …
Amee Consensus Statement
The purpose of this Consensus Statement is to provide a global, collaborative, representative and inclusive vision for educating an interprofessional healthcare workforce that can deliver sustainable healthcare and promote planetary health. It is intended to inform national and global accreditation standards, planning and action at the institutional level as well as highlight the role of individuals in transforming health professions education. M…
Education for sustainable health care
A number of planetary boundaries, including climate change as a result of greenhouse gas emissions, has already been exceeded. This situation has deleterious consequences for public health. Paradoxically, 4.4% of these emissions are attributable to the healthcare sector. These problems have not been sufficiently acknowledged in health professions curricula. This paper addresses two main issues, humanistic learning and the application of knowledge…
Geocoding Error, Spatial Uncertainty, and Implications for Exposure Assessment and Environmental Epidemiology
Although environmental epidemiology studies often rely on geocoding procedures in the process of assigning spatial exposure estimates, geocoding methods are not commonly reported, nor are consequent errors in exposure assignment explored. Geocoding methods differ in accuracy, however, and, given the increasing refinement of available exposure models for air pollution and other exposures, geocoding error may account for an increasingly larger prop…
Violent crime and socioeconomic deprivation in shaping asthma-related pollution susceptibility
BACKGROUND: The objective of this study was to quantify and compare the relative influence of community violent crime and socioeconomic deprivation in modifying associations between ozone and emergency department (ED) visits for asthma among children. METHODS: We used a spatiotemporal case-crossover analysis for all New York City EDs for the months May-September from 2005 to 2011 from a statewide administrative ED dataset. The data included 11 71…
Building New York State Centers of Excellence in Children’s Environmental Health
Public health programs may be seriously affected in periods of federal retrenchment. During these times, state-based strategies provide an alternate pathway for advancing public health. A 12-year campaign to secure state support for a network of Centers of Excellence in Children’s Environmental Health (CEH) promoting health of children across New York State is described. It was driven by rising rates of asthma, birth defects, developmental disord…
Climate Change and Schools
The changing climate is creating additional challenges in maintaining a healthy school environment in the United States (U.S.) where over 50 million people, mostly children, spend approximately a third of their waking hours. Chronic low prioritization of funds and resources to support environmental health in schools and lack of clear regulatory oversight in the U.S. undergird the new risks from climate change. We illustrate the extent of risk and…
Development and Implementation of South Asia’s First Heat-Health Action Plan in Ahmedabad (Gujarat, India)
Recurrent heat waves, already a concern in rapidly growing and urbanizing South Asia, will very likely worsen in a warming world. Coordinated adaptation efforts can reduce heat's adverse health impacts, however. To address this concern in Ahmedabad (Gujarat, India), a coalition has been formed to develop an evidence-based heat preparedness plan and early warning system. This paper describes the group and initial steps in the plan's development an…
A Cross-Sectional, Randomized Cluster Sample Survey of Household Vulnerability to Extreme Heat among Slum Dwellers in Ahmedabad, India
Extreme heat is a significant public health concern in India; extreme heat hazards are projected to increase in frequency and severity with climate change. Few of the factors driving population heat vulnerability are documented, though poverty is a presumed risk factor. To facilitate public health preparedness, an assessment of factors affecting vulnerability among slum dwellers was conducted in summer 2011 in Ahmedabad, Gujarat, India. Indicator…
Global Climate Change and Children’s Health
BACKGROUND: Global climate change will have multiple effects on human health. Vulnerable populations-children, the elderly, and the poor-will be disproportionately affected. OBJECTIVE: We reviewed projected impacts of climate change on children's health, the pathways involved in these effects, and prevention strategies. DATA SOURCES: We assessed primary studies, review articles, and organizational reports. DATA SYNTHESIS: Climate change is increa…
The Effects of Outdoor Air Pollutants on the Costs of Pediatric Asthma Hospitalizations in the United States, 1999 to 2007
BACKGROUND: Acute exposure to outdoor air pollutants has been associated with increased pediatric asthma morbidity. However, the impact of subchronic exposures is largely unknown. OBJECTIVE: To examine the association between subchronic exposure to 6 outdoor air pollutants (PM2.5, PM10, ozone, nitrogen oxides, sulfur oxides, carbon monoxide) and pediatric asthma hospitalization length of stay, charges, and costs. METHODS: We linked pediatric asth…
U.S. Childhood Obesity and Climate Change
This article focuses on the epidemic of childhood obesity, a significant cause of pediatric morbidity in the United States. It begins with a review of the evidence regarding environmental influences on obesity. Then it draws from that evidence to cite examples of climate change prevention and preparedness efforts that could also benefit the obesity problem. Climate change is a global environmental issue predicted to negatively impact children's h…
Pubertal timing, neighborhood income, and mental health in boys and girls
The Creation of a Multidomain Neighborhood Environmental Vulnerability Index Across New York City
Compared to previous studies commonly using a single summary score, we aimed to construct a multidomain neighborhood environmental vulnerability index (NEVI) to characterize the magnitude and variability of area-level factors with the potential to modify the association between environmental pollutants and health effects. Using the Toxicological Prioritization Index framework and data from the 2015-2019 U.S. Census American Community Survey and t…
U.S. Childhood Obesity and Climate Change
This article focuses on the epidemic of childhood obesity, a significant cause of pediatric morbidity in the United States. It begins with a review of the evidence regarding environmental influences on obesity. Then it draws from that evidence to cite examples of climate change prevention and preparedness efforts that could also benefit the obesity problem. Climate change is a global environmental issue predicted to negatively impact children's h…
Global Climate Change and Children’s Health
BACKGROUND: Global climate change will have multiple effects on human health. Vulnerable populations-children, the elderly, and the poor-will be disproportionately affected. OBJECTIVE: We reviewed projected impacts of climate change on children's health, the pathways involved in these effects, and prevention strategies. DATA SOURCES: We assessed primary studies, review articles, and organizational reports. DATA SYNTHESIS: Climate change is increa…
The Effects of Outdoor Air Pollutants on the Costs of Pediatric Asthma Hospitalizations in the United States, 1999 to 2007
BACKGROUND: Acute exposure to outdoor air pollutants has been associated with increased pediatric asthma morbidity. However, the impact of subchronic exposures is largely unknown. OBJECTIVE: To examine the association between subchronic exposure to 6 outdoor air pollutants (PM2.5, PM10, ozone, nitrogen oxides, sulfur oxides, carbon monoxide) and pediatric asthma hospitalization length of stay, charges, and costs. METHODS: We linked pediatric asth…
A Cross-Sectional, Randomized Cluster Sample Survey of Household Vulnerability to Extreme Heat among Slum Dwellers in Ahmedabad, India
Extreme heat is a significant public health concern in India; extreme heat hazards are projected to increase in frequency and severity with climate change. Few of the factors driving population heat vulnerability are documented, though poverty is a presumed risk factor. To facilitate public health preparedness, an assessment of factors affecting vulnerability among slum dwellers was conducted in summer 2011 in Ahmedabad, Gujarat, India. Indicator…
Development and Implementation of South Asia’s First Heat-Health Action Plan in Ahmedabad (Gujarat, India)
Recurrent heat waves, already a concern in rapidly growing and urbanizing South Asia, will very likely worsen in a warming world. Coordinated adaptation efforts can reduce heat's adverse health impacts, however. To address this concern in Ahmedabad (Gujarat, India), a coalition has been formed to develop an evidence-based heat preparedness plan and early warning system. This paper describes the group and initial steps in the plan's development an…
Climate Change and Schools
The changing climate is creating additional challenges in maintaining a healthy school environment in the United States (U.S.) where over 50 million people, mostly children, spend approximately a third of their waking hours. Chronic low prioritization of funds and resources to support environmental health in schools and lack of clear regulatory oversight in the U.S. undergird the new risks from climate change. We illustrate the extent of risk and…
Violent crime and socioeconomic deprivation in shaping asthma-related pollution susceptibility
BACKGROUND: The objective of this study was to quantify and compare the relative influence of community violent crime and socioeconomic deprivation in modifying associations between ozone and emergency department (ED) visits for asthma among children. METHODS: We used a spatiotemporal case-crossover analysis for all New York City EDs for the months May-September from 2005 to 2011 from a statewide administrative ED dataset. The data included 11 71…
Building New York State Centers of Excellence in Children’s Environmental Health
Public health programs may be seriously affected in periods of federal retrenchment. During these times, state-based strategies provide an alternate pathway for advancing public health. A 12-year campaign to secure state support for a network of Centers of Excellence in Children’s Environmental Health (CEH) promoting health of children across New York State is described. It was driven by rising rates of asthma, birth defects, developmental disord…
Education for sustainable health care
A number of planetary boundaries, including climate change as a result of greenhouse gas emissions, has already been exceeded. This situation has deleterious consequences for public health. Paradoxically, 4.4% of these emissions are attributable to the healthcare sector. These problems have not been sufficiently acknowledged in health professions curricula. This paper addresses two main issues, humanistic learning and the application of knowledge…
Geocoding Error, Spatial Uncertainty, and Implications for Exposure Assessment and Environmental Epidemiology
Although environmental epidemiology studies often rely on geocoding procedures in the process of assigning spatial exposure estimates, geocoding methods are not commonly reported, nor are consequent errors in exposure assignment explored. Geocoding methods differ in accuracy, however, and, given the increasing refinement of available exposure models for air pollution and other exposures, geocoding error may account for an increasingly larger prop…
Climate Change and the Practice of Medicine
Despite calls for including content on climate change and its effect on health in curricula across the spectrum of medical education, no widely used resource exists to guide residency training programs in this effort. This lack of resources poses challenges for training program leaders seeking to incorporate evidence-based climate and health content into their curricula. Climate change increases risks of heat-related illness, infections, asthma, …
Amee Consensus Statement
The purpose of this Consensus Statement is to provide a global, collaborative, representative and inclusive vision for educating an interprofessional healthcare workforce that can deliver sustainable healthcare and promote planetary health. It is intended to inform national and global accreditation standards, planning and action at the institutional level as well as highlight the role of individuals in transforming health professions education. M…
Climate and health education
Introduction: As medical schools continue to improve and refine their undergraduate curricula, they are also redefining the roadmap for preparing future generations of physicians. Climate change is a critical topic to integrate into medical education. This period of change for undergraduate medical education coincides with a surge in interest and design efforts for climate and health curricula in health professional education, but this nascent fi…
Particulate Air Pollution Exposure and Stroke among Adults in Israel
Stroke is the second most common cause of death and disability in the world. Many studies have found fine particulate matter (PM 2.5 ) exposure to be associated with an increased risk of atherosclerotic cardiovascular disease, mostly focusing on ischemic heart disease and acute myocardial infarction. In a national analysis conducted in Israel-an area with unique climate conditions and high air pollution levels, we estimated the association betwee…
The Creation of a Multidomain Neighborhood Environmental Vulnerability Index Across New York City
Compared to previous studies commonly using a single summary score, we aimed to construct a multidomain neighborhood environmental vulnerability index (NEVI) to characterize the magnitude and variability of area-level factors with the potential to modify the association between environmental pollutants and health effects. Using the Toxicological Prioritization Index framework and data from the 2015-2019 U.S. Census American Community Survey and t…
Pubertal timing, neighborhood income, and mental health in boys and girls
The Climate Health Curriculum Tool (CHCT)
BACKGROUND: Climate change poses urgent and complex threats to public health, yet major gaps persist in integrating climate health education into medical curricula. We developed the Climate Health Curriculum Tool (CHCT), an evidence-based framework to guide medical educators in designing, implementing, and evaluating climate health content across U.S. undergraduate medical education. METHODS: A transdisciplinary expert panel reviewed and integrat…
Local Violence as an Environmental Exposure with Increasing Relevance under Climate Change
Violent crime is increasing worldwide with climate change and ambient heat, with greater increases projected in communities already high in crime or lacking resources for mitigation, exacerbating inequities in exposures and health. Our work has shown that violent crime-as a severe psychosocial stressor-can exacerbate effects of climate-related heat and pollution on health. In addition, as heat is associated with greater violence, and both heat an…
Medicine (15 works) · Climate Change and Health Impacts (14 works) · Environmental health (11 works) · Air Quality and Health Impacts (8 works) · Geography (8 works) · Climate change (7 works) · Political science (7 works) · Population (7 works) · Public health (7 works) · Psychological intervention (5 works)