Who We Are
First Exposure at the University of Toronto is a digital information hub and research network providing evidence-based information to the public and health care providers on the safety of medications, plant and environmental substances and other exposures during pregnancy and lactation. The program is based at the Dalla Lana School of Public Health through the generous support and vision of the Vohra Miller Foundation.
The vision of First Exposure is to be Canada’s trusted bilingual source of evidence-based reproductive and lactation health information on exposures. Our mission is to evaluate and communicate the safety of medication and substance exposures in an accessible way to individuals and communities, so they can make informed choices within their own, unique and culturally safe contexts.
Dalla Lana School of Public Health (DLSPH) provides strategic direction and business support for First Exposure. An Executive led by the Dean’s Office is responsible for:
- digital platform co-design,
- internal quality assurance, and
- operational program delivery.
The Executive works closely with delivery partner Health Nexus, a non-profit community health promotion organization, providing bilingual EN/FR implementation support.
The Waakebiness Institute and the First Exposure Grandmothers Leadership Circle provides direction on Indigenous health.
The Black Village Leadership Circle provides community-centred content and relevant health topics, including wellness, healing and sharing their experiences and while facilitating Black communities interacting with First Exposure.
Leads of Equity and 2SLGBTQIA at the Dalla Lana School of Public Health collaborate with the First Exposure Executive.
Our inter-disciplinary staff team includes:
- Subject Matter Experts (SMEs),
- Communications specialists, and
- Technical Support.
Dr. Adalsteinn Brown
Dean of the Dalla Lana School of Public Health at the University of Toronto (Founding Director, Institute for Pandemics)
Dean Adalsteinn Brown is well known for his expertise in research, evidence-informed policymaking, health-care quality improvement, and health systems strategy. He also has extensive entrepreneurial and leadership experience in the private and public sectors.
Professor Dean Brown has played a critical role in Ontario’s pandemic response, along with many DLSPH faculty members. He has worked collaboratively on health system resilience and recovery measures and efforts. Professor Dean Brown is known in particular for his ability to clear complex hurdles to positive change in health care.
Wendy Katherine
Executive Director
Wendy Katherine is Executive Director of the First Exposure Program and delivery partner, Health Nexus. As one of Ontario’s first registered midwives, she brings deep clinical, executive management, privacy and health quality improvement experience. As a health policy and strategy executive for many years, she developed and supported the implementation of a range of innovative digital reproductive care programs.
Dr. Cindy Maxwell
Medical Content Director
Dr. Cindy Maxwell, the Medical Content Director of First Exposure, has extensive clinical and scientific knowledge in complex pregnancy care, reproductive health, medication and lactation while demonstrating leadership and proficiency in teratology. She is Vice President, Medical Affairs & System Transformation and Lead Medical Executive at Women’s College Hospital and Professor, Faculty of Medicine, Department of Obstetrics and Gynaecology and Division of Maternal Fetal Medicine at the University of Toronto. She ensures the quality and efficacy of the curated content on the First Exposure website.
Dr. Jennifer Blake
Scientific Director
Dr. Jennifer Blake, Obstetrician-Gynecologist is the Scientific Director of First Exposure, is an experienced physician and respected leader who has facilitated major organizational change in hospital and academic sectors. During her 30-year medical career, Dr. Blake has held several clinical, academic and leadership roles, including Chief Executive Officer of the Society of Obstetricians and Gynecologists, Chief of Obstetrics and Gynaecology and Head of Women’s Health at the Sunnybrook Health Sciences Centre, and Chief of Pediatric Gynaecology at the Hospital for Sick Children in Toronto.
This team is responsible for all the medical content of the First Exposure website. The Clinical Content Advisors review and summarize available literature on exposures in pregnancy and lactation for the Exposure Pages. As well, they review Health Topics written by Subject Matter Experts (SMEs). The Exposure Pages and Health Topics are also rigorously reviewed by the Medical Advisors, Scientific Director and Medical Content Director.
Members of the First Exposure Medical Review Team:
Dr. Jennifer Blake, MD, MSc, FRCSC, FRCOG, Scientific Director
Dr. Tali Bogler, MD, CCFP, MScCH, Medical Advisor
Dr. Tali Bogler is an academic family physician and family medicine obstetrics provider at St.Michael’s Hospital in Toronto and Assistant Professor at the University of Toronto. She iscurrently the Chair of Family Medicine Obstetrics at St. Michael’s Hospital. During theCOVID-19 pandemic, she co-founded a social media science communication platform @PandemicPregnancyGuide, with over 40,000 followers. Her research and creative professional activity focuses on reproductive health, primary care obstetrics, women’s health, immunization, parenting and paediatrics.
Giuseppina (Pina) Bozzo, HBSc, Clinical Content Advisor
Pina Bozzo completed an Honours Bachelor of Science with a Toxicology Specialist from the University of Toronto. She has approximately 20 years experience in Reproductive Toxicology, specifically teratogen information. Pina is a Clinical Content Advisor for First Exposure and part of our Drug Review Team. She reviews and summarizes the relevant scientific literature to provide more accessible, evidence-based information on the safety and risk of various exposures in pregnancy and lactation to the public and Health Care Providers.
Dr. Cindy Maxwell, MD, FRCSC, DABOM (Obesity Medicine), Medical Content Director
Dr. Cindy Maxwell, the Medical Content Director of First Exposure, has extensive clinical and scientific knowledge in complex pregnancy care, reproductive health, medication and lactation while demonstrating leadership and proficiency in teratology. She is Vice President, Medical Affairs & System Transformation and Lead Medical Executive at Women’s College Hospital and Professor, Faculty of Medicine, Department of Obstetrics and Gynaecology and Division of Maternal Fetal Medicine at the University of Toronto. She ensures the quality and efficacy of the curated content on the First Exposure website.
Anna Pupco, BScH, MD, Clinical Content Advisor
Anna Pupco is an internationally trained Medical Doctor with over 13 years of experience in Reproductive Toxicology and drug safety in pregnancy and lactation research. She is a Clinical Content Advisor for First Exposure and part of our Drug Review Team. Anna reviews and summarizes the relevant scientific literature to provide more accessible, evidence-based information on the safety and risk of various exposures in pregnancy and lactation to the public and Health Care Providers.
Elizabeth Uleryk, MLS, Medical Librarian
Elizabeth Uleryk, is the Health Sciences Librarian. She is an experienced academic and hospital librarian specializing in guideline and systematic review searching. Her primary task at First Exposure is to develop and update searches for drug content on the webpage. Elizabeth has taught database literature searching courses at the University of Toronto (Clinical Epidemiology Program), American Society of Hematology (Clinical Research Training Institutes) and to healthcare practitioners in her role as a hospital librarian.
Judith Zarek, BA, MSc, PhD, Knowledge Mobilization Specialist
Judith completed a Master of Science degree in Pharmacology followed by a PhD in Pharmaceutical Sciences at the University of Toronto. Her research has focused on placental transfer of medications, fertility, and autoimmune disease during pregnancy. Most recently, Judith has focused on utilizing systematic review methods to evaluate medication use during pregnancy.
Dr. Jonathan Zipursky, MD, PhD, FRCPC, Medical Advisor
Dr. Jonathan Zipursky is a General Internist and Clinical Pharmacologist and Toxicologist at Sunnybrook Health Sciences Centre, and an Assistant Professor in the Department of Medicine at the University of Toronto. He is a Clinician-Scientist at ICES and Sunnybrook Research Institute where his research interests are in pharmacoepidemiology and drug safety in pregnancy and lactation.
First Exposure Subject Matter Experts (SMEs) bring a range of expertise and experience to the team and the content on the First Exposure website. Our SMEs include:
- Pharmacologists, toxicologists, and epidemiologists,
- Pregnancy, newborn and lactation care providers, such as midwives, obstetricians, gynecologists, family physicians, nurses, social workers, pediatricians, and mental health specialists,
- Indigenous, Black and 2SLGBTQIA leaders,
- People with lived experience,
- Medical librarians, and
- Clinical content advisors in prenatal, primary care, equity and harm reduction.
To see some of the content our SMEs contributed please see our Health Topics, Black Health, and Indigenous Health pages.
First Exposure SMEs:
Pascale Alexandre
Dr. Jennifer Blake
Dr. Tali Bogler
Pina Bozzo
Dr. Andi Camden
Dr. Crystal Clark
Katsi Cook
Dr. Shinya Ito
Dr. Samira Jeimy
Wendy Katherine
Jay MacGillivray
Dr. Cynthia Maxwell
Wendy Phillips
Anna Pupco
Dr. Michelle Sholzberg
Sherri Storm
Grace Tang
Dr. Roberta Timothy
Elizabeth Uleryk
Dr. Simone Vigod
Dr. Judith Zarek
Dr. Jonathan Zipursky
Communications staff share unbiased, effective, scientific, reliable and up-to-date information on reproductive and child health to empower decision-making in an accessible manner.
The First Exposure digital platform was created through the collaboration of technical teams at the Dalla Lana School of Public Health, Health Nexus, and S&T Holdings.
Dalla Lana School of Public Health (DLSPH) provides strategic direction and business support for First Exposure. An Executive led by the Dean’s Office is responsible for:
- digital platform co-design,
- internal quality assurance, and
- operational program delivery.
The Executive works closely with delivery partner Health Nexus, a non-profit community health promotion organization, providing bilingual EN/FR implementation support.
The Waakebiness Institute and the First Exposure Grandmothers Leadership Circle provides direction on Indigenous health.
The Black Village Leadership Circle provides community-centred content and relevant health topics, including wellness, healing and sharing their experiences and while facilitating Black communities interacting with First Exposure.
Leads of Equity and 2SLGBTQIA at the Dalla Lana School of Public Health collaborate with the First Exposure Executive.
Our inter-disciplinary staff team includes:
- Subject Matter Experts (SMEs),
- Communications specialists, and
- Technical Support.
Dr. Adalsteinn Brown
Dean of the Dalla Lana School of Public Health at the University of Toronto (Founding Director, Institute for Pandemics)
Dean Adalsteinn Brown is well known for his expertise in research, evidence-informed policymaking, health-care quality improvement, and health systems strategy. He also has extensive entrepreneurial and leadership experience in the private and public sectors.
Professor Dean Brown has played a critical role in Ontario’s pandemic response, along with many DLSPH faculty members. He has worked collaboratively on health system resilience and recovery measures and efforts. Professor Dean Brown is known in particular for his ability to clear complex hurdles to positive change in health care.
Wendy Katherine
Executive Director
Wendy Katherine is Executive Director of the First Exposure Program and delivery partner, Health Nexus. As one of Ontario’s first registered midwives, she brings deep clinical, executive management, privacy and health quality improvement experience. As a health policy and strategy executive for many years, she developed and supported the implementation of a range of innovative digital reproductive care programs.
Dr. Cindy Maxwell
Medical Content Director
Dr. Cindy Maxwell, the Medical Content Director of First Exposure, has extensive clinical and scientific knowledge in complex pregnancy care, reproductive health, medication and lactation while demonstrating leadership and proficiency in teratology. She is Vice President, Medical Affairs & System Transformation and Lead Medical Executive at Women’s College Hospital and Professor, Faculty of Medicine, Department of Obstetrics and Gynaecology and Division of Maternal Fetal Medicine at the University of Toronto. She ensures the quality and efficacy of the curated content on the First Exposure website.
Dr. Jennifer Blake
Scientific Director
Dr. Jennifer Blake, Obstetrician-Gynecologist is the Scientific Director of First Exposure, is an experienced physician and respected leader who has facilitated major organizational change in hospital and academic sectors. During her 30-year medical career, Dr. Blake has held several clinical, academic and leadership roles, including Chief Executive Officer of the Society of Obstetricians and Gynecologists, Chief of Obstetrics and Gynaecology and Head of Women’s Health at the Sunnybrook Health Sciences Centre, and Chief of Pediatric Gynaecology at the Hospital for Sick Children in Toronto.
This team is responsible for all the medical content of the First Exposure website. The Clinical Content Advisors review and summarize available literature on exposures in pregnancy and lactation for the Exposure Pages. As well, they review Health Topics written by Subject Matter Experts (SMEs). The Exposure Pages and Health Topics are also rigorously reviewed by the Medical Advisors, Scientific Director and Medical Content Director.
Members of the First Exposure Medical Review Team:
Dr. Jennifer Blake, MD, MSc, FRCSC, FRCOG, Scientific Director
Dr. Tali Bogler, MD, CCFP, MScCH, Medical Advisor
Dr. Tali Bogler is an academic family physician and family medicine obstetrics provider at St.Michael’s Hospital in Toronto and Assistant Professor at the University of Toronto. She iscurrently the Chair of Family Medicine Obstetrics at St. Michael’s Hospital. During theCOVID-19 pandemic, she co-founded a social media science communication platform @PandemicPregnancyGuide, with over 40,000 followers. Her research and creative professional activity focuses on reproductive health, primary care obstetrics, women’s health, immunization, parenting and paediatrics.
Giuseppina (Pina) Bozzo, HBSc, Clinical Content Advisor
Pina Bozzo completed an Honours Bachelor of Science with a Toxicology Specialist from the University of Toronto. She has approximately 20 years experience in Reproductive Toxicology, specifically teratogen information. Pina is a Clinical Content Advisor for First Exposure and part of our Drug Review Team. She reviews and summarizes the relevant scientific literature to provide more accessible, evidence-based information on the safety and risk of various exposures in pregnancy and lactation to the public and Health Care Providers.
Dr. Cindy Maxwell, MD, FRCSC, DABOM (Obesity Medicine), Medical Content Director
Dr. Cindy Maxwell, the Medical Content Director of First Exposure, has extensive clinical and scientific knowledge in complex pregnancy care, reproductive health, medication and lactation while demonstrating leadership and proficiency in teratology. She is Vice President, Medical Affairs & System Transformation and Lead Medical Executive at Women’s College Hospital and Professor, Faculty of Medicine, Department of Obstetrics and Gynaecology and Division of Maternal Fetal Medicine at the University of Toronto. She ensures the quality and efficacy of the curated content on the First Exposure website.
Anna Pupco, BScH, MD, Clinical Content Advisor
Anna Pupco is an internationally trained Medical Doctor with over 13 years of experience in Reproductive Toxicology and drug safety in pregnancy and lactation research. She is a Clinical Content Advisor for First Exposure and part of our Drug Review Team. Anna reviews and summarizes the relevant scientific literature to provide more accessible, evidence-based information on the safety and risk of various exposures in pregnancy and lactation to the public and Health Care Providers.
Elizabeth Uleryk, MLS, Medical Librarian
Elizabeth Uleryk, is the Health Sciences Librarian. She is an experienced academic and hospital librarian specializing in guideline and systematic review searching. Her primary task at First Exposure is to develop and update searches for drug content on the webpage. Elizabeth has taught database literature searching courses at the University of Toronto (Clinical Epidemiology Program), American Society of Hematology (Clinical Research Training Institutes) and to healthcare practitioners in her role as a hospital librarian.
Judith Zarek, BA, MSc, PhD, Knowledge Mobilization Specialist
Judith completed a Master of Science degree in Pharmacology followed by a PhD in Pharmaceutical Sciences at the University of Toronto. Her research has focused on placental transfer of medications, fertility, and autoimmune disease during pregnancy. Most recently, Judith has focused on utilizing systematic review methods to evaluate medication use during pregnancy.
Dr. Jonathan Zipursky, MD, PhD, FRCPC, Medical Advisor
Dr. Jonathan Zipursky is a General Internist and Clinical Pharmacologist and Toxicologist at Sunnybrook Health Sciences Centre, and an Assistant Professor in the Department of Medicine at the University of Toronto. He is a Clinician-Scientist at ICES and Sunnybrook Research Institute where his research interests are in pharmacoepidemiology and drug safety in pregnancy and lactation.
First Exposure Subject Matter Experts (SMEs) bring a range of expertise and experience to the team and the content on the First Exposure website. Our SMEs include:
- Pharmacologists, toxicologists, and epidemiologists,
- Pregnancy, newborn and lactation care providers, such as midwives, obstetricians, gynecologists, family physicians, nurses, social workers, pediatricians, and mental health specialists,
- Indigenous, Black and 2SLGBTQIA leaders,
- People with lived experience,
- Medical librarians, and
- Clinical content advisors in prenatal, primary care, equity and harm reduction.
To see some of the content our SMEs contributed please see our Health Topics, Black Health, and Indigenous Health pages.
First Exposure SMEs:
Pascale Alexandre
Dr. Jennifer Blake
Dr. Tali Bogler
Pina Bozzo
Dr. Andi Camden
Dr. Crystal Clark
Katsi Cook
Dr. Shinya Ito
Dr. Samira Jami
Wendy Katherine
Jay MacGillivray
Dr. Cynthia Maxwell
Wendy Phillips
Anna Pupco
Dr. Michelle Sholzberg
Sherri Storm
Grace Tang
Dr. Roberta Timothy
Elizabeth Uleryk
Dr. Simone Vigod
Dr. Judith Zarek
Dr. Jonathan Zipursky
Communications staff share unbiased, effective, scientific, reliable and up-to-date information on reproductive and child health to empower decision-making in an accessible manner.
The First Exposure digital platform was created through the collaboration of technical teams at the Dalla Lana School of Public Health, Health Nexus, and S&T Holdings.