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

Course: SS4533
CE Original Date: February 1, 2022
CE Expiration Date: February 1, 2024

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 infertility), 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 female infertility
  2. Name key contributors to preconception health.
  3. Describe multiple environmental factors that influence fertility and reproductive health.
  4. Explain the importance of taking an environmental and a psychosocial history
  5. Identify possible causes of male infertility
  6. List ways the public can be exposed to toxicants
  7. Describe how to improve collaborative practice across the healthcare team regarding the diagnosis and treatment of infertility issues

To access A Story of Health: Infertility, please visit A Story of Health Infertility training module. pdf icon[PDF – 7.4 MB]external icon

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

Mark Miller M.D., MPH
Associate Clinical Professor, UCSF
Director, Western States Pediatric Environmental Health Specialty Unit
Director, Children’s Environmental Health Center, California EPA

Linda Giudice M.D.
Distinguished Professor
University of California, San Francisco
Center for Reproductive Sciences
Center for Reproductive Health Department,
OB/GYN/Reproductive Sciences

Ted Schettler M.D., MPH
Science Director
Science and Environmental Health Network

Ulrike Luderer M.D., PhD, MPH
Professor and Director,
Center for Occupational and Environmental Health
University of California Irvine

Tracey Woodruff PhD, MPH
Professor, Director
University of California, San Francisco

Brian Tencza M.Ed.
Team Lead
Environmental Medicine and Health Systems Intervention Section
Office of Capacity Development and Applied Prevention Science
Agency for Toxic Substances and Disease Registry

Marie Valenti
Health Education Literacy Program Commonweal

Marya Zlatnik M.D., MMS
Professor, Ob, Gyn, Repro Science
Division of Maternal Fetal Medicine
Western States Pediatric Environmental Health Specialty Unit,
University of California, San Francisco

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 physicians, registered nurses, 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

Accreditation Council for Continuing Medical Education (ACCME)

In support of improving patient care, this activity has been planned and implemented by Centers for Disease Control and Prevention and Western States Pediatric Environmental Health Specialty Unit, University of California, San Francisco. The Centers for Disease Control and Prevention is jointly accredited by the Accreditation Council for Continuing Medical Education (ACCME), the Accreditation Council for Pharmacy Education (ACPE), and the American Nurses Credentialing Center (ANCC), to provide continuing education for the healthcare team.

CME: The Centers for Disease Control and Prevention designates this enduring activity for a maximum of 1.5 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity

CNE: The Centers for Disease Control and Prevention designates this activity for 1.5 nursing contact hours.

CEU: The Centers for Disease Control and Prevention is authorized by IACET to offer 0.2 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 1.5. Continuing Competency credits available are 1.5. CDC provider number 98614.

For Certified Public Health Professionals (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 CPH recertification credits for this program.

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

Instructions for Obtaining Continuing Education (CE)
In order to receive continuing education (CE) for SS4533 A Story of Health Infertility Reiko & Toshio’s Story please visit TCEO and follow these 9 Simple Steps before February 1, 2024.

Complete the activity
Complete the Evaluation at www.cdc.gov/GetCE
Pass the posttest at 80% at www.cdc.gov/GetCE

Fees: No fees are charged for CDC’s CE activities.

Training Module Information
Computer Hardware; Internet connection; Browser


This activity is Web-Based

In compliance with continuing education requirements, all planners and presenters must disclose all financial relationships, in any amount, with ineligible companies during the previous 24 months.

CDC, our planners, and content experts wish to disclose they have no financial relationship(s) with ineligible companies whose primary business is producing, marketing, selling, reselling, or distributing healthcare products used by or on patients.

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

CDC did not accept financial or in-kind support from ineligible companies for this continuing education activity.

Contact Information
Debra Joseph, ATSDR, OAP
DOJ7@cdc.GOV, (770) 488-0715

Page last reviewed: March 10, 2022