A Story of Health Infertility: Reiko & Toshio’s Story

Course: WB2899

CE Original Date: August 24, 2017

CE Renewal Date: August 24 , 2019

CE Expiration Date: January 1, 2022


A Story of Health: Infertility is one module in A Story of Health which conveys complex concepts about multiple influences on health through a family reunion scenario, allowing stories to emerge about family members with a range of diseases, which we will explore from a case study perspective. This storyline allows for geographic distribution including family members from rural, suburban, and city locales, as well as for ethnic diversity via marriage, adoption, etc.  Each story reveals the constellation of genetics and environmental circumstances that might affect the particular disease (in this case learning/developmental disabilities), and brings in the latest available science. An introduction describes the ecological approach to health and its many variables. The stories are enhanced by a variety of media including sidebars, pop-up boxes, illustrations, graphics, videos and links to additional resources and key journal references.

Training Objectives:

At the conclusion of the session, the participant will be able to:

  1. Identify possible causes of male infertility.
  2. Identify possible causes of female infertility
  3. Name key contributors to preconception health.
  4. Describe some of the characteristics of a fertility diet
  5. Explain actions women can take to help increase fertility
  6. Describe testicular dysgenesis syndrome
  7. Describe the effects of lead exposure on fertility and reproductive health
  8. List the reproductive health effects of pesticides.
  9. Explain the importance of taking an environmental and a psychosocial history
  10. List ways the general public can be exposed to toxicants
  11. Describe multiple environmental factors that influence fertility and reproductive health

To access A Story of Health: Infertility, please visit A Story of Health Infertility training module.pdf iconexternal icon

To access the full multi-media eBook, please visit A Story of Health EBookexternal icon


Mark Miller MD, MPH, Director Western States Pediatric Environmental, Health Specialty Unit (PEHSU)

Ted Schettler MD, Science Director, Science and Environmental Health Network

Brian Tencza, M.Ed, Team Lead, ATSDR

Maria Valenti, Science Education Director Collaborative on Health and the Environment

Who is this training for?

Our primary target audience is primary health providers and other health professionals involved in preventing/mitigating exposure to hazardous substances and/or related health promotion activities. The target populations for The Story of Health: Infertility are pediatric health care providers, primary health care providers and other health professionals that are interested in environmental health topics; which include: CHES certified health educator; dentists; D.O.s; Epidemiologists; Laboratorians: Licensed practical/vocational nurses; MDs; Medical assistants; Nurse practitioners; Nurse technicians; Other health educators; Physician assistants; Registered nurses.

What is this training about?

A Story of Health begins with a family reunion that brings you into the lives of fictional people with some of the chronic illnesses that are a serious problem for the health of our nation – asthma, developmental disabilities, cancer, infertility, diabetes, and cognitive decline. Through their stories, you’ll learn the potential causes of these diseases and conditions, and explore prevention strategies.

They are stories about our health as individuals, families and communities. The stories highlight the many ways our health is affected by the environments where we live, eat, work, play, pray, volunteer, gather and socialize.

These stories also illustrate how we can prevent disease and promote health.
This interactive eBook includes colorful illustrations and graphics, videos from health and policy experts, links to numerous resources, and more, to help readers navigate the complex world of health.

Who developed this continuing education training?

A Story of Health is a collaboration among the Agency for Toxic Substances and Disease Registry (ATSDR), the Collaborative on Health and the Environment (CHE), the Office of Environmental Health Hazard Assessment, California Environmental Protection Agency (OEHHA), the Science and Environmental Health Network (SEHN), and the University of California, San Francisco, Pediatric Environmental Health Specialty Unit (UCSF PEHSU).

Continuing Education

A Story of Health Infertility is available with free continuing education available for health professionals.

CME activities with Joint Providers: This activity has been planned and implemented in accordance with the Essential Areas and policies of the Accreditation Council for Continuing Medical Education through the joint providership of the Centers for Disease Control and Prevention and Environmental Health Specialty Units (PEHSU); Science and Environmental Health Network; Collaborative on Health and the Environment/Commonweal.  The Centers for Disease Control and Prevention is accredited by the (ACCME®) to provide medical education for physicians.  Physicians should claim only the credit commensurate with the extent of their participation in the activity.The Centers for Disease Control and Prevention designates this live activity for a maximum of 1.5 AMA PRA Category 1 Credits™.

CNE:  The Centers for Disease Control and Prevention is accredited as a provider of Continuing Nursing Education by the American Nurses Credentialing Center’s Commission on Accreditation. This activity provides 1.4 contact hours.

CEU:  The Centers for Disease Control and Prevention is authorized by IACET to   0.1 CEU’s for this program.

CECH: Sponsored by the Centers for Disease Control and Prevention, a designated provider of continuing education contact hours (CECH) in health education by the National Commission for Health Education Credentialing, Inc. This program is designated for Certified Health Education Specialists (CHES®) and/or Master Certified Health Education Specialists (MCHES®) to receive up to 1.5 total Category I continuing education contact hours. Maximum advanced level continuing education contact hours available are 0 CDC provider number 98614.

CPH: The Centers for Disease Control and Prevention is a pre-approved provider of Certified in Public Health (CPH) recertification credits and is authorized to offer   2.0 recertification credits for this program.

To receive free continuing education, please visit A Story of Health Infertility CE registration page.

Training Module Information

Prerequisites: A basic knowledge of medicine or related basics of human health promotion at a professional level is desired.


The participant will need access to a computer with internet access and a printer to print out the certificate of completion once training is completed. The participant is expected to complete the Posttest. The participant must pass the Posttest with a score of 80% or higher. One re-take is allowed. If participants fall below 80% on the retake, they must redo The Story of Health: Infertility-Reiko and Toshio’s Story course if they are seeking continuing education credits. The participant may then complete a course evaluation and print out their certificate of completion.

To access A Story of Health: Infertility, please visit https://wspehsu.ucsf.edu/wp-content/uploads/2017/09/soh_infertility_0819.pdfpdf iconexternal icon

Both the posttest and the training evaluation may be taken at the following web-site:https://tceols.cdc.gov/Course/Detail2?activityID2=5239&activityInstanceID2=6956&previousPage=search

Participants may access the full training by visiting  https://wspehsu.ucsf.edu/main-resources/for-clinical-professionals/training/a-story-of-health-a-multi-media-ebook/external icon

Disclaimer and Disclosure

In compliance with continuing education requirements, all presenters must disclose any financial or other associations with the manufacturers of commercial products, suppliers of commercial services, or commercial supporters as well as any use of unlabeled product(s) or product(s) under investigational use.

CDC, our planners, content experts, and their spouses/partners wish to disclose they have no financial interests or other relationships with the manufacturers of commercial products, suppliers of commercial services, or commercial supporters. Planners have reviewed content to ensure there is no bias.

Content will not include any discussion of the unlabeled use of a product or a product under investigational use

CDC did not accept commercial support for this continuing education activity.

Contact Information

For additional information about Environmental Medicine Education Products, please email atsdrdtemce@cdc.gov.

Page last reviewed: September 15, 2021