I Wish I Were Far From the Madding Crowd

August 6, 2010

A chemical pot pourri

This is a real hodge-podge of items.

Bisphenol A

The Environmental Working Group (EWG) recently announced the findings of a study that found BPA in a large percentage of paper receipts it had collected.  http://ewg.org/BPA_Found_In_Receipts

Chemicals in cosmetics

Another resource EWG maintains is the Skin Deep cosmetic safety database.

http://www.cosmeticsdatabase.com/

Speaking of cosmetics, Annie Leonard (“The Story of Stuff”) has come out with “The Story of Cosmetics”, a look at chemicals in cosmetics and personal care products.  The Story of Stuff blog looks at the cosmetics industry’s reaction.

Learning and developmental disabilities and other diseases and conditions

The Collaborative on Health and the Environment (CHE) covers a wide range of topics, from learning and developmental disabilities to the CHE Toxicant and Disease Database, a searchable database that summarizes links between chemical contaminants and approximately 180 human diseases or conditions, to the Metabolic Syndrome Discussion Group.

BP (not just oil spills)

The CHE site also includes news items like:

6 Aug Thousands sign on for $10 billion BP suit. The revelation that BP’s Texas City refinery emitted toxic benzene for more than a month has ignited a furor in the port community that has suffered its share of deadly industrial accidents and toxic spills. Houston Chronicle.

Yes, before the BP oil spill there was the BP Texas City refinery explosion.  The U.S. Chemical Safety Board conducted an investigation.  I believe that they are looking into whether these incidents show that BP fostered a culture of cutting corners.

Chemicals and depression?

Was reading Peter Kramer’s Against Depression, where he argued that depression is a true illness.  (At least that’s what I’m getting out of it.)  He makes a couple of points that struck me.  One, on p. 156 he states that there is a connection between diabetes and depression.  Unfortunately, he doesn’t cite a source for that.  And if true, it’s not clear which caused which.  That is, does having diabetes make it more likely that you would be depressed?  Or does depression in some way connected to the development of diabetes.  Or could diabetes and depression be caused by the same agent?  (Or some combination of the above.)

He also talks about how long-term stress can result in increased levels of corticotropin and that such stress can lead to depression and illness.  Of course, corticotropin is but one element of the neuroendocrine system.  And with many of these things, there are feedback loops that get out of whack if enough recovery time is not available.  That’s actually why some scientists have proposed that a chronic lack of sleep can cause obesity over the long haul.  The International Agency for Research on Cancer and NIOSH are looking at whether “shift work” (along with a number of chemicals) can be considered carcinogenic.

Leptin: An example of what we didn’t know

Leptin, the appetite hormone, was not discovered until 1994 (though its effects had been observed much earlier).  (Zhang Y, Proenca R, Maffei M, Barone M, Leopold L, Friedman JM (December 1994). “Positional cloning of the mouse obese gene and its human homologue”. Nature 372 (6505): 425–32. doi:10.1038/372425a0. PMID 7984236.) I mention that because chemical industry apologists seem to ignore the fact that we’ve learned a lot about the human body in the last 15-20 years.  And the more we learn, the more we discover how chemicals can mess up our systems.

Regarding leptin, I found the following using the National Library of Medicine’s MedlinePlus service.

A National Cancer Institute fact sheet on physical activity and cancer states that “increasing physical activity may influence insulin and leptin levels and influence breast cancer prognosis.”

An EPA report, “A Decade of Children’s Environmental Health Research:  Highlights from EPA’s Science to Achieve Results Program,” cites an EPA-funded study that found that “autistic children showed higher levels of leptin (a hormone that affects the regulation of body weight, metabolism, and reproductive function, and influences the immune system) in their blood when compared to typically developing children (Ashwood et al. 2007; R829388C002).”

Citation: Ashwood P., Kwong C., Hansen R., Hertz-Picciotto I., Croen L., Krakowiak P., Walker W., Pessah I.N., and Van de Water J. 2007. “Brief report: Plasma leptin levels are elevated in autism: association with early onset phenotype?” J. Autism Dev. Disord. Advanced online publication (DOI 10.1007/s10803-006-0353-1).  Abstract

So our bodies are these incredibly complex systems.  Some chemical companies would have you believe that the stuff they make, even the synthetic chemicals that human beings have never been exposed to before, have absolutely NO effect on our health.

Truth is, despite the Environmental Defense Fund saying that we’re not guinea pigs, we all are.  (See previous post: “Tired of being a guinea pig?“)

“Would you like BPA with those fries?”

June 27, 2010

Tired of being a guinea pig?

Toxic chemicals are everywhere

There are ten of thousands of chemicals in your life, some of which can be harmful.

We are all exposed

Many toxic chemicals are found in the bodies of virtually every person on the planet, even those living in remote communities. In fact, the blood of nearly every American contains hundreds of chemicals, including those used in flame retardants, food packaging and even rocket fuel.

I Am Not a Guinea Pig is a new online campaign created by the Environmental Defense Fund (EDF) that provides tools and information Americans from all walks of life can use to press for fundamental reform of our nation’s toxic chemical law, the Toxic Substances Control Act (TSCA).  (EDF press release)

The “I Am Not a Guinea Pig” campaign is aimed at helping to ensure that the voices of millions of Americans who are concerned about and affected by exposures to untested and unsafe chemicals are heard as Congress begins the first serious effort to overhaul the 34-year-old TSCA.

The campaign will use a variety of social media, including a website, a Facebook page with daily updates, and a #NAGP Twitter hashtag.  It supports the efforts of the Safer Chemicals, Healthy Families coalition to enact an effective chemical safety law.

The campaign’s goal is to engage Americans across the country to push for substantive reform of our toxic chemicals law.

To encourage support for a strong bill, EDF has joined with other members of Safer Chemicals, Healthy Families, a coalition that EDF helped found that includes over 200 health and environmental groups representing 11 million people across the nation. Key coalition partners in EDF’s campaign include:

The “I Am Not a Guinea Pig” website describes how we’re all exposed to toxic chemicals.  It includes a short video on “Chemicals in Your Home” and other videos on exposure to toxic chemicals.

The site notes that some groups are especially at risk

Teens and Toxic Chemicals in Products

Many teens don’t realize products they use every day may contain chemicals that can disrupt their still-developing biochemistry.

Kids & Chemicals: Developing Brains At Risk

Exposure to toxic chemicals in the womb, during infancy and childhood can result in lifelong problems with learning, behavior and development.

Health Professionals and Toxic Chemicals

Health care institutions regularly use a surprising number of highly toxic materials that can affect the health of doctors, nurses and other hospital staff.

April 3, 2010

Obesity, HFCS, and fatty liver disease in children (as well as increased heart disease risk)

I personally am very interested in this topic because just over three years ago I had gone in to see my doctor because of abdominal pain.  My triglycerides and LDL were high.  He thought it might be my gallbladder so I went in for an ultrasound, which revealed that I had a fatty liver.

Fatty liver disease has not been considered a children’s disease, so it’s disturbing to read that children and adolescents are developing it, especially since there are usually few symptoms until the disease has progressed to a more advanced stage of steatohepatitis (aka hepatosteatosis) and scarring has already occurred.

According to the American Heart Association, more than 6 million children in the United States are affected.

High Fructose Corn Syrup Linked to Liver Scarring (HealthDay, March 19, 2010)

Reports on a study, “Increased fructose consumption is associated with fibrosis severity in patients with nonalcoholic fatty liver disease,” which found that increased consumption of HFCS led to increased fibrosis (scarring) in patients suffering from NAFLD.

Fatty Liver Disease May Raise Heart Disease Risk in Overweight, Obese Kids (American Heart Association, April 3, 2010)

A fatty liver disease that is not well-known in overweight and obese children may be a precursor of cardiovascular disease, researchers reported in Circulation: Journal of the American Heart Association.

The overweight children with NAFLD had significant cardiovascular risk including higher levels of fasting glucose, insulin, total cholesterol, low-density lipoprotein (LDL, “bad” cholesterol), triglycerides and higher systolic and diastolic blood pressure than the control group.

NAFLD is the most common cause of liver disease in children and is associated with metabolic syndrome, a clustering of risk factors for the development of cardiovascular disease and type 2 diabetes. NAFLD is characterized by the presence of oily droplets of triglycerides in liver cells. More than 6 million children in the United States are affected.

NAFLD in overweight children is strongly associated with metabolic syndrome. The association is independent of both body mass index and insulin sensitivity.

Fatty liver disease often has no outward symptoms, which contributes to it going undetected. Although some children will have symptoms such as abdominal pain or fatigue, the majority remain symptom-free until the disease is in very advanced stages.

American Heart Association Scientific Statement on Metabolic Syndrome in Children and Adolescents (2009)

Since 2003, substantial new information has emerged in children on the clustering of obesity, insulin resistance, inflammation, and other risk factors and their collective role in conveying heightened risk for cardiovascular disease and type 2 diabetes. A constellation of these interrelated cardiovascular risk factors in adults has come to be known as the metabolic syndrome.

The scientific statement covers the following topics:

Selected References

Steinberger J, Daniels SR. Obesity, insulin resistance, diabetes and cardiovascular risk in children: an American Heart Association scientific statement from the Atherosclerosis, Hypertension, and Obesity in the Young Committee (Council on Cardiovascular Disease in the Young) and the Diabetes Committee (Council on Nutrition, Physical Activity, and Metabolism). Circulation. 2003; 107: 1448–1453.[Free Full Text]

Grundy SM, Cleeman JI, Daniels SR, Donato KA, Eckel RH, Franklin BA, Gordon DJ, Krauss RM, Savage PJ, Smith SC, Spertus JA, Costa F. Diagnosis and management of the metabolic syndrome: an American Heart Association/National Heart, Lung, and Blood Institute Scientific Statement [published corrections appear in Circulation. 2005;112:e297 and 2005;112:e298]. Circulation. 2005; 112: 2735–2752.[Free Full Text]

Non-alcoholic fatty liver disease (NAFLD)

Once considered an illness of adults over 40, more and more children are being diagnosed with non-alcoholic fatty liver disease (NAFLD) and non-alcoholic steatohepatitis (NASH).  NAFLD can be a precursor to NASH, which can progress to cirrhosis.

According to Children’s Memorial Hospital in 2005 an estimated 1.6 million children were affected with fatty liver disease

But the American Heart Association now says that 6 million children have NAFLD (see above).

Note: The Children’s Memorial Hospital’s NASH program is a member of the NASH clinical research network.  In 2005, the NASH clinical research network launched a trial for treatment of liver disease in children. The NASH CRN website contains links to related information for patients.  Most of the website, however, is technical and requires an account to access.)

When complications such as cirrhosis cannot be controlled with treatment or when the liver becomes so damaged from scarring that it completely stops functioning, a liver transplant is necessary.

Both NASH and NAFLD are becoming more common, possibly because of the greater number of Americans with obesity. In the past 10 years, the rate of obesity has doubled in adults and tripled in children. Obesity also contributes to diabetes and high blood cholesterol, which can further complicate the health of someone with NASH.  (From the NASH page on the National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK) website.)

From “Fatty Liver Disease is Common in the US

Source: Spare the exercise, spoil the liver

More information about fatty liver can be found on the American Liver Foundation’s Fatty Liver page and in their Fatty Liver Brochure.

In case you’re wondering what I did after my diagnosis…

At the ultrasound the technician had said, “Your gallbladder is fine, but you have a fatty liver.”  The way she said it made it sound like it was more than just a casual observation, so when I got home I did a quick search on the National Library of Medicine’s website, where I found a lot of information about NAFLD.  (I’m not a teetotaler, but I don’t drink much.)

The progression from NAFLD to NASH to cirrhosis to needing a liver transplant or you die got my attention. Even before I got the formal diagnosis from my doctor I changed my diet (I started eating fish, raisins, and nuts, as well as more fruit, nuts, raisins, whole grains, leafy green vegetables, and fiber (even tried quinoa); and fewer sugar-sweetened drinks) and lots more exercise.  I dropped about twenty pounds in four months and, more importantly, my triglyceride level dropped a lot.

I had relapsed a bit since then, but after viewing Dr. Lustig’s presentation on the effects of fructose (and having done some follow up reading on the topic) I have once again cut back on sugar consumption and have started working out more regularly once more.

If you’re been sort of blasé about fructose you might find yourself changing your mind if you look at the slides on the “Detrimental Effects of Fructose” from a presentation he gave at the National Institute of Environmental Health Sciences (NIEHS) (pp. 15-27, with final slides on p. 27 showing the end result) and look at how fructose metabolized by the liver ultimately results in the creation of lipid droplets (these are what create a “fatty liver”), FFA (free fatty acids) (which help trigger insulin resistance), and triglycerides (TG), resulting in higher blood pressure and inflammation (among other things).

March 28, 2010

Environmental exposures and child development

Came across several articles in Current Opinion in Pediatrics because of a blog post on Autism and environmental chemicals: a call for caution. Unfortunately, only the abstracts are free to view.

But what these show is that medical science is beginning to look more closely at possible environmental causes of childhood diseases.  This  does not mean that environmental factors in and of themselves cause disease, but as Dr. Philip Landrigan notes, genetic factors account for only a small fraction of autism cases and do not explain key features of autism.

What causes autism? Exploring the environmental contribution

Landrigan, Philip J.  Current Opinion in Pediatrics. 22(2):219-225, April 2010. doi: 10.1097/MOP.0b013e328336eb9a

Excerpts from the abstract:

Autism is a biologically based disorder of brain development. Genetic factors – mutations, deletions, and copy number variants – are clearly implicated in causation of autism. However, they account for only a small fraction of cases, and do not easily explain key clinical and epidemiological features. This suggests that early environmental exposures also contribute. This review explores this hypothesis.

Expanded research is needed into environmental causation of autism. Children today are surrounded by thousands of synthetic chemicals. Two hundred of them are neurotoxic in adult humans, and 1000 more in laboratory models. Yet fewer than 20% of high-volume chemicals have been tested for neurodevelopmental toxicity.

Environmental exposures and development

Mattison, Donald R. Current Opinion in Pediatrics. 22(2):208-218, April 2010. doi: 10.1097/MOP.0b013e32833779bf

Excerpts from the abstract:

Summarizes recent studies exploring the relationship between paternal and maternal environmental exposures to chemicals before, at the time of and after conception to adverse developmental outcomes including preterm birth, death, structural and functional abnormalities and growth restriction.

Recent studies have demonstrated that human pregnancy and development are vulnerable to environmental exposures of the father and mother to chemical, biological and physical agents.

Whereas single genes and individual chemical exposures are responsible for some instances of adverse pregnancy outcome or developmental disease, gene-environment interactions are responsible for the majority.

Gene-environment interaction and children’s health and development

Wright, Robert O; Christiani, David. Current Opinion in Pediatrics. 22(2):197-201, April 2010. doi: 10.1097/MOP.0b013e328336ebf9

Excerpt from the abstract:

Purpose of review: A systematic approach to studying gene-environment interaction can have immediate impact on our understanding of how environmental factors induce developmental disease and toxicity and will provide biological insight for potential treatment and prevention measures.

Summary: Using a genome-wide approach, combined with prospective longitudinal measures of environmental exposure at critical developmental windows, is the optimal design for gene–environment interaction research. This approach would discover susceptibility variants, and then validate the findings in an independent sample of children. Designs that combine the strengths and methodologies of each field will yield data that can account for both genetic variability and the role of critical developmental windows in the etiology of childhood disease and development.

Childhood obesity and the built environment

Galvez, Maida P; Pearl, Meghan; Yen, Irene H. Current Opinion in Pediatrics. 22(2):202-207, April 2010. doi: 10.1097/MOP.0b013e328336eb6f

March 17, 2010

EPA and Children’s Environmental Health

Lax regulations on toxics put kids at risk, experts testify

(from CNN’s “Paging Dr. Gupta” blog)

The above post concerns a hearing held to hear about a report from the Government Accountability Office (GAO) on EPA’s progress in protecting children from environmental threats.  It discusses the challenges EPA faces in protecting children’s health.  (To be fair, many people acknowledge that shortcomings in the Toxic Substances Control Act, or TSCA, are responsible for EPA’s being unable to protect children and others from environmental pollutants.)

I’m not usually one to plug particular networks, but I thought the following mentioned in the Dr. Gupta blog might be of interest.

CNN editor’s note: Dr. Sanjay Gupta looks at the environment and health in an upcoming hourlong investigation, Toxic Towns USA, airing April 24 at 8 p.m. ET

Documents from the hearing

Children are exposed to many sources of potentially-harmful environmental pollutants

from the GAO Report Highlights

Selected report contents:

  • Background
  • EPA Has Not Focused Attention on Children’s Health in Agencywide Priorities, Strategies, and Rulemakings

Includes a figure showing the steps where children are considered in the EPA rulemaking progress.  The report does note that some offices within EPA more consistently incorporate considerations for children’s health in their work than others, but notes that at least one other federal agency does not even seem to do that.

  • In Recent Years, EPA Has Not Fully Utilized Its Office of Children’s Health and Other Child-Focused Resources
  • Opportunities Exist for EPA to Lead and Coordinate National Efforts to Protect Children from Environmental Threats
  • Recommendations for Executive Action
  • Matter for Congressional Consideration
  • Appendix II
    EPA Policy on Evaluating Health Risks to Children
  • Appendix III
    Executive Order 13045 and Amendments
  • Appendix IV
    EPA Regulations Subject to Executive Order 13045

From GAO’s summary: “In 1997, Executive Order 13045 (from the EPA website) mandated that agencies place a high priority on children’s risks and required that policies, programs, activities, and standards address those risks. In response, the Environmental Protection Agency (EPA) created the Office of Children’s Health Protection and convened the Children’s Health Protection Advisory Committee….

“…While EPA leadership is key to national efforts to protect children from environmental threats, EPA’s efforts have been hampered by the expiration in 2005 of certain provisions in the executive order. For example, the Task Force on Children’s Environmental Health provided EPA with a forum for interagency leadership on important federal efforts, such as the National Children’s Study.”

GAO recommended that Congress consider the following:

Because EPA alone cannot address the complexities of the nation’s challenges in addressing environmental health risks for children, Congress may wish to consider re-establishing a government-wide task force on children’s environmental health risks, similar to the one previously established by Executive Order 13045….

Full Committee Hearing entitled, “Hearing on the Government Accountability Office’s Investigation of EPA’s Efforts to Protect Children’s Health”

The hearing mentioned in CNN’s blog – Held by the Senate Committee on Environment and Public Works, Wednesday, March 17, 2010, 10:30 AM EDT

[Webcast]

From the Committee’s Hearing page:

Chairman Barbara Boxer will convene the Full Committee for a hearing on the Government Accountability Office’s (GAO) investigation of the Environmental Protection Agency’s (EPA) children’s health program. The committee will also examine what can be done to strengthen protections for children.

Senator Bill Nelson (D-FL) is also expected to give testimony on the federal government’s role in investigating children’s health issues and how that can be improved.

GAO documents

Environmental Health: High-level Strategy and Leadership Needed to Continue Progress toward Protecting Children from Environmental Threats
GAO-10-205,  January 28, 2010
Summary (HTML)   Highlights Page (PDF)   Full Report (PDF, 83 pages)

Environmental Health: Opportunities for Greater Focus, Direction, and Top-Level Commitment to Children’s Health at EPA

GAO-10-545T,  March 17, 2010
Summary (HTML)   Full Report (PDF, 12 pages)

EPA’s response

Peter Grevatt, the director of EPA’s Office of Children’s Health Protection, stated in his written testimony:

EPA agrees that the GAO report reflects well the early history and progress of the Agency’s children’s health protection efforts. The report accurately portrays the Agency’s challenges in addressing children’s  environmental health, and sets forth sound recommendations on steps that could be taken to better incorporate protection of children’s health as an integral part of EPA’s everyday business.

Grevatt also noted that EPA Administrator Lisa Jackson had designated the protection of children’s health as one of her top priorities.  He then described how EPA would implement its strategy to protect children’s health.

EPA’s strategy on children’s health (starts on p.4 of the testimony—specific components are listed under each item in the testimony)

  1. EPA will use the best science to ensure that regulations provide for protection of children’s environmental health by actively addressing the potential for unique childhood vulnerability and exposure. Our goal is to reduce negative environmental health impacts on children through rulemaking, policy, enforcement and research that focus on prenatal and childhood vulnerabilities.
  2. Protecting children through safe chemicals management.
  3. Coordinate national and international community based programs to eliminate threats to children’s health while measuring and communicating our progress.

Children’s health protection at EPA

Office of Children’s Health Protection website

Basic information about the Office of Children’s Health Protection

America’s Children and the Environment

(more…)

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