Welcome to the ECHO Program!
The goal of the Environmental influences on Child Health Outcomes (ECHO) Program is to understand the effects of a broad range of early environmental influences on child health and development.
Participants are important and valuable partners in ECHO research. By taking part in ECHO, participants help create a big-picture view of what influences child health in the United States. This information will help ECHO researchers find answers to important questions. Participants are essential to achieving ECHO’s mission of enhancing the health of children for generations to come.
ECHO Conversations
The ECHO Conversations interview series connects members of the ECHO Participant Action Board (PAB) with ECHO researchers and staff. The PAB is a group of ECHO participants who contribute their voices and lived experiences to help shape the ECHO Program’s research priorities and participant-facing materials.
Topics of Interest
View more topics of interest.
Social and Neighborhood Factors
How neighborhood and social conditions such as safety, resources, and air quality can be tied to outcomes like obesity, asthma, and mental health
Nutrition
How diet and access to healthy food can influence growth and development from pregnancy through childhood
Chemical Exposures
How everyday chemicals like PFAS, lead, phthalates, phenols, parabens, and others can affect children's growth and health
Understand What ECHO Collects from Participants
Your ECHO team may ask you or your child to fill out surveys or provide certain samples at specific visits. Samples that participants may be asked to provide (e.g., blood, urine, hair, saliva) are also known as biospecimens. Participants may also be asked to provide certain samples from their household environment (e.g., tap water).
Download the 2026 ECHO Biospecimens Chart for a list of data and samples ECHO participants might be asked to contribute this year.
Learn more about different samples your ECHO team might ask you or your child to contribute:
View a Map of the ECHO Program
Other Resources for Participants
- ECHO Newsroom
- Participant Educational Resources – Links to external resources providing reliable information around topics of child and maternal health