ECHO Participants and Investigators Featured in The Washington Post

The Washington Post recently featured the Environmental influences on Child Health Outcomes (ECHO) Program in a story on phthalates—chemicals commonly found in plastics and personal care products—and how they may affect babies’ development during pregnancy.

The article highlighted ECHO participants who are helping researchers understand how chemical exposures during pregnancy and throughout the life course may influence pregnancy outcomes and child health. ECHO participants Arica Nyamsi and Cassondra Perez shared a range of experiences with chemical exposures, from making significant lifestyle changes to expressing uncertainty and a need for clearer guidance.

Sheela Sathyanarayana, a professor of pediatrics at the University of Washington, explained that determining safe levels of phthalate exposure is challenging because individual health risks vary based on genetics and susceptibility.

The story also featured ECHO investigator Dr. Leonardo Trasande of NYU Grossman School of Medicine, who noted in the article:

“Endocrine-disrupting chemicals are one of the biggest global health threats of our time. And 2 percent of us know about it — but 99 percent of us are affected by it.”

Chemical exposures will be a focus at the ECHO Symposium: Translating Science to Action on September 15, 2025. During the first session, Dr. Trasande will discuss phthalate exposure in pregnancy and early childhood, focusing on the evidence, knowledge gaps, and opportunities to inform policies, practices, and programs. Mrs. Perez will also speak during the third session on her experience as an ECHO participant.

Learn more about ECHO’s ongoing research on chemical exposures. Also, review the full symposium agenda for details and register to attend this free event either in-person or virtually.

Young Children Show Widespread Exposure to Environmental Chemicals, ECHO Study Finds

Children had higher levels of certain replacement chemicals compared to their mothers during pregnancy.

Young children are exposed to a wide range of environmental chemicals, including some emerging and replacement chemicals, according to ECHO Cohort research measuring early childhood exposures. This study found that children aged 2 to 4 years often had higher levels of certain chemicals compared to their mothers during pregnancy, highlighting potential risks for future health.

Researchers measured 111 different chemicals in urine samples from 201 children and their mothers from six ECHO Cohort study sites across the United States. More than half of the children’s samples contained multiple chemicals, such as environmental phenols, pesticides, phthalates, and markers of exposure to polycyclic aromatic hydrocarbons (PAHs). Approximately 34 chemicals were found in over 90% of the samples, including nine of which have not been included in U.S. national biomonitoring.

Compared to their mothers, children showed higher levels of chemicals like bisphenol S (BPS), used in hard plastics and synthetic fibers, and compounds related to pesticides. By contrast, mothers had higher levels of chemicals such as triclosan and monoethyl phthalate (MEP), which are found in some soaps and cosmetics.

“Finding so many chemicals detected in over 90% of young children reinforces the concern that our children are being exposed to a sea of potentially harmful compounds from their earliest years, with little parents can do to protect them”, said Deborah Bennett, PhD of the University of California, Davis.

Over time, exposures to chemicals like triclosan, parabens, phthalates, and PAHs have become less common, likely due to regulations and bans. However, replacement chemicals such as DINCH—a phthalate substitute in some plastics—and certain pesticides have been increasingly detected.

This collaborative research, titled “Early Childhood Exposures to Environmental Chemicals in the Environmental influences on Child Health Outcomes Consortium,” is published in Environmental Science & Technology.

Young Children May Be Exposed to a Variety of Emerging Chemicals Found in Some Consumer Products

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Young Children May Be Exposed to a Variety of Emerging Chemicals Found in Some Consumer Products

Author(s): Jiwon Oh, Deborah H. Bennett, et al.

 

Who sponsored this study?

The Environmental influences on Child Health Outcomes (ECHO) Program, Office of the Director, National Institutes of Health supported this research.

 

Why was this study needed?

Over time, exposure to chemicals like triclosan, parabens, phthalates, and PAHs became less common, likely because of new rules and bans on their use. However, replacement chemicals—like DINCH, a chemical that has replaced phthalates in some plastic products—and some pesticides have been showing up more often in later years. Exposure to multiple chemicals during pregnancy and early childhood is a concern because these are critical stages of development when children are more vulnerable to harm. Such exposures can increase their risk of health problems later in life. There is limited data tracking young children’s – 2 to 4 years - exposure to environmental chemicals compared to older children. Prenatal and early-life exposure to these chemicals can increase the risk of multiple adverse child health outcomes. This study aimed to investigate early childhood exposures to a variety of environmental chemicals.

 

What were the study results?

Scientists measured 111 different chemicals in urine samples from young children and their mothers during pregnancy. More than half of the samples contained chemicals such as environmental phenols, pesticides, phthalates, and chemical markers of exposure to polycyclic aromatic hydrocarbons (PAH). About 34 chemicals were found in over 90% of the total samples. Compared to their mothers during pregnancy, children had higher amounts of certain chemicals, like bisphenol S (BPS)—a chemical used in some hard plastics and synthetic fibers as a replacement for BPA—and pesticide-related compounds. On the other hand, mothers had higher levels of chemicals like triclosan and monoethyl phthalate (MEP), markers of exposure to chemicals found in some consumer products like soaps and cosmetics.

Certain groups of children, such as younger kids, later-born siblings, and those from families with fewer resources, were exposed to higher levels of chemicals.

 

What was the study's impact?

This study suggests that young children may be exposed to a variety of emerging and replacement chemicals that may affect their health later in life. Continued monitoring in larger populations of young children can help researchers better understand how these exposures affect children’s long-term health.

 

Who was involved?

The study included 201 children aged 2-4 years and their mothers recruited from six ECHO Cohort study sites across the United States.

 

What happened during the study?

Researchers collected urine samples from each child and their mother during pregnancy. These samples were analyzed for the levels of 111 different chemicals related to environmental exposures. The concentrations of these chemicals were compared between child and prenatal maternal samples. The researchers also examined social and environmental factors that may have influenced the concentration of each chemical in children's urine samples, such as race, ethnicity, maternal education, maternal age, and neighborhood opportunity.

Footnote: Results reported here are for a single study. Other or future studies may provide new information or different results. You should not make changes to your health without first consulting your healthcare professional.

 

What happens next?

Additional studies tracking early childhood exposures to a variety of contemporary and emerging chemicals could help researchers better understand the potential effects these exposures may have on children’s short and long-term health.

 

Where can I learn more?

Access the full journal article, titled “Exposures to Contemporary and Emerging Chemicals Among Children Aged 2-4 Years in the United States Environmental Influences on Child Health Outcomes (ECHO) Cohort,” in Environmental Science & Technology.

 

The content is the responsibility of the authors and does not necessarily represent the official views of the National Institutes of Health.

Published June 30, 2025

 

Read the associated article.

 

Study Reveals Rising Levels of Plastics, Pesticides, and Replacement Chemicals in Pregnant Women

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Study Shows Rising Levels of Plastics, Pesticides, and Replacement Chemicals in Pregnant Women

Authors: Jessie P. Buckley, Tracey J. Woodruff, et al.

 

Who sponsored this study?

This research was supported by the Environmental influences on Child Health Outcomes (ECHO) program, Office of The Director, National Institutes of Health.

 

What were the study results?

Most of the chemicals were found in at least one of the women in the study and about a third of the chemicals were found in greater than half of the participants. One fifth of the chemicals were detected in over 90% of the pregnant women indicating widespread exposure to the chemicals measured.

The study found some chemicals were detected more often or were present in higher amounts in non-white women, those with lower education, those who were single, and those exposed to tobacco. Hispanic women had higher levels of some chemicals not included in previous biomonitoring studies including parabens (preservatives) as well as phthalates and bisphenols (from plastics).

The study found that levels of some of the chemicals used as replacements for more toxic ones that were banned or phased out, increased over time and were present in higher amounts than have been seen in previous studies. The levels of several phased out chemicals were found to remain stable or decrease over time.

Footnote: Results reported here are for a single study. Other or future studies may provide new information or different results. You should not make changes to your health without first consulting your healthcare professional.

 

What was the study's impact?

This is the largest study to date to measure exposure to a wide variety of environmental chemicals in a diverse group of pregnant women across the U.S. The results of this study highlight the widespread and unequal exposure of pregnant women to chemicals from air pollution, food, water, plastics, and other industrial and consumer products.

 

Why was this study needed?

There is little data on exposure of pregnant women to many pesticides and industrial chemicals, even those that could be harmful during pregnancy and throughout childhood development.

 

Who was involved?

The study included 171 women from five U.S. states and Puerto Rico who were part of an ECHO cohort. Of these women, 60% were Black or Hispanic.

 

What happened during the study?

Research team members measured 89 biomarkers for more than 100 chemicals in urine samples from pregnant women in nine ECHO cohorts. Most of the chemicals can be found in pesticides, plastics, sunscreens, personal care products, and flame retardants. Many of the chemicals measured are replacement chemicals: chemicals meant to replace other harmful chemicals (e.g., BPA, phthalates). The team used a new method that measured multiple chemicals in a single urine sample to determine if pregnant women were exposed to the chemicals. The researchers then studied how different factors—such as age, race, education level, and the year the sample was collected—related to the levels of chemicals found.

 

What happens next?

The research team will continue to study exposures in a larger, diverse population of pregnant women (more than 6,500) to see whether these prenatal chemical exposures are linked to negative birth outcomes. This data will be important for understanding the factors that may contribute to additional negative health effects during pregnancy and childhood.

 

Where can I learn more?

Access the full journal article titled, “Exposure to contemporary and emerging chemicals in commerce among pregnant women in the United States: The Environmental influences on Child Health Outcomes (ECHO) Program” in Environment Science & Technology.

The content is solely the responsibility of the authors and does not necessarily represent the official views of the National Institutes of Health.

Published May 10, 2022

Access the associated article.

Read More Research Summaries about Chemical Exposures and Pregnancy

Effects of Metal Mixture Exposure During Pregnancy on Fetal Growth

Authors: Caitlin Howe, Margaret R. Karagas, et al.

Exposures to environmental chemicals and their effect on important molecules during pregnancy

Author(s): Brett T. Doherty, Megan E. Romano, et al.

Do chemicals that break down slowly in the environment affect how long it takes to become pregnant?  

Author(s): Linda Kahn, Alison Hipwell, Kim Harley, Pam Factor-Litvak, Michele Klein-Fedyshin, Christine Porucznik, Eva Siegel, Yeyi Zhu

A review of studies that look at whether exposure to common non-persistent chemicals in consumer products delays the time it takes to become pregnant

Author(s): Alison E. Hipwell, Linda G. Kahn, Pam Factor-Litvak, et al