1. Navigating the Science: An Evidence Based Methodology to Bridge the Gap Between Clinical and Environmental Health Sciences
Tracey J Woodruff, PhD, MPH
Associate Professor, Director
Program on Reproductive Health and the Environment
University of California, San Francisco

2. What’s A Healthcare Decision-Maker To Do?
The scientific evidence is voluminous, of variable quality and largely unfamiliar to health professionals caring for women and men of childbearing age
There is no trusted, ready reference or compendium that provides healthcare decision-makers with timely, evidence-based advice about exposure to environmental contaminants 2 2

3. What’s A Healthcare Decision-Maker To Do?
There is a need for timely incorporation of the science into recommendations for prevention on national, community and individual levels 3 3

4. But Evidence Based Medicine Methodologies Are Not Directly Transferable to Environmental Science!4 4

5. Evidence Stream Differences5 5

6. Decision-Context Differences
In general,
Pharmaceuticals must show efficacy and safety prior to exposing humans
Manufactured chemicals need to show evidence of harm prior to removing human exposure

7. Navigation Guide

Authored by 22 scientist and clinician collaborators from US and Europe

9. Navigation Guide Systematic and transparent methodology
Provides uniform, simple, and transparent summaries that integrates the best practices of evaluation in environmental and clinical health sciences

10. Program on Reproductive Health and the Environment
Jackie Schwartz
Jason Harless
Ami Zota
Tracey Woodruff
(director)
Patrice Sutton
Joanne Perron
Carrie Dickenson
Linda Giudice
(chair Ob/Gyn and founder)
Mission
To create a healthier environment for human reproduction and development by advancing scientific inquiry, clinical care, and health policies that prevent exposures to harmful chemicals in our environment