{"id":144939,"date":"2014-03-21T10:00:50","date_gmt":"2014-03-21T14:00:50","guid":{"rendered":"http:\/\/www.prosebeforehos.com\/?p=144939"},"modified":"2022-11-10T18:18:11","modified_gmt":"2022-11-10T23:18:11","slug":"toxins-threaten-brains","status":"publish","type":"post","link":"https:\/\/www.prosebeforehos.com\/article-of-the-day\/03\/21\/toxins-threaten-brains\/","title":{"rendered":"The Toxins That Threaten Our Brains"},"content":{"rendered":"

\"Fast<\/p>\n

The Article:<\/strong> The Toxins That Threaten Our Brains<\/a> by James Hamblin in The Atlantic.<\/p>\n

The Text:<\/strong> Forty-one million IQ points. That\u2019s what Dr. David Bellinger determined Americans have collectively forfeited as a result of exposure to lead, mercury, and organophosphate pesticides. In a 2012 paper published by the National Institutes of Health, Bellinger, a professor of neurology at Harvard Medical School, compared intelligence quotients among children whose mothers had been exposed to these neurotoxins while pregnant to those who had not. Bellinger calculates a total loss of 16.9 million IQ points due to exposure to organophosphates, the most common pesticides used in agriculture.<\/p>\n

Last month, more research brought concerns about chemical exposure and brain health to a heightened pitch. Philippe Grandjean, Bellinger\u2019s Harvard colleague, and Philip Landrigan, dean for global health at Mount Sinai School of Medicine in Manhattan, announced to some controversy in the pages of a prestigious medical journal that a \u201csilent pandemic\u201d of toxins has been damaging the brains of unborn children. The experts named 12 chemicals\u2014substances found in both the environment and everyday items like furniture and clothing\u2014that they believed to be causing not just lower IQs but ADHD and autism spectrum disorder. Pesticides were among the toxins they identified.<\/p>\n

\u201cSo you recommend that pregnant women eat organic produce?\u201d I asked Grandjean, a Danish-born researcher who travels around the world studying delayed effects of chemical exposure on children.<\/p>\n

<\/p>\n

\u201cThat\u2019s what I advise people who ask me, yes. It\u2019s the best way of preventing exposure to pesticides.\u201d Grandjean estimates that there are about 45 organophosphate pesticides on the market, and \u201cmost have the potential to damage a developing nervous system.\u201d<\/p>\n

Landrigan had issued that same warning, unprompted, when I spoke to him the week before. \u201cI advise pregnant women to try to eat organic because it reduces their exposure by 80 or 90 percent,\u201d he told me. \u201cThese are the chemicals I really worry about in terms of American kids, the organophosphate pesticides like chlorpyrifos.\u201d<\/p>\n

For decades, chlorpyrifos, marketed by Dow Chemical beginning in 1965, was the most widely used insect killer in American homes. Then, in 1995, Dow was fined $732,000 by the EPA for concealing more than 200 reports of poisoning related to chlorpyrifos. It paid the fine and, in 2000, withdrew chlorpyrifos from household products. Today, chlorpyrifos is classified as \u201cvery highly toxic\u201d to birds and freshwater fish, and \u201cmoderately toxic\u201d to mammals, but it is still used widely in agriculture on food and non-food crops, in greenhouses and plant nurseries, on wood products and golf courses.<\/p>\n

These chemicals aren\u2019t something that anyone would categorically consider safe. They are poison.
\nLandrigan has the credentials of some superhero vigilante Doctor America: a Harvard-educated pediatrician, a decorated retired captain of the U.S. Naval Reserve, and a leading physician-advocate for children’s health as it relates to the environment. After September 11, he made news when he testified before Congress in disagreement with the EPA\u2019s assessment that asbestos particles stirred into clouds of debris were too small to pose any real threat. Landrigan cited research from mining townships (including Asbestos, Quebec) and argued that even the smallest airborne asbestos fibers could penetrate deeply into a child\u2019s lungs.<\/p>\n

Chlorpyrifos is just one of 12 toxic chemicals Landrigan and Grandjean say are having grim effects on fetal brain development. Their new study is similar to a review the two researchers published in 2006, in the same journal, identifying six developmental neurotoxins. Only now they describe twice the danger: The number of chemicals that they deemed to be developmental neurotoxins had doubled over the past seven years. Six had become 12. Their sense of urgency now approached panic. \u201cOur very great concern,\u201d Grandjean and Landrigan wrote, \u201cis that children worldwide are being exposed to unrecognized toxic chemicals that are silently eroding intelligence, disrupting behaviors, truncating future achievements and damaging societies.\u201d<\/p>\n

Jackie Lay
\nThe chemicals they called out as developmental neurotoxins in 2006 were methylmercury, polychlorinated biphenyls, ethanol, lead, arsenic, and toluene. The additional chemicals they\u2019ve since found to be toxins to the developing brains of fetuses\u2014and I hope you\u2019ll trust me that these all are indeed words\u2014are manganese, fluoride, chlorpyrifos, tetrachloroethylene, polybrominated diphenyl ethers, and dichlorodiphenyltrichloroethane.<\/p>\n

Grandjean and Landrigan note in their research that rates of diagnosis of autism spectrum disorder and ADHD are increasing, and that neurobehavioral development disorders currently affect 10 to 15 percent of births. They add that \u201csubclinical decrements in brain function\u201d\u2014problems with thinking that aren\u2019t quite a diagnosis in themselves\u2014\u201care even more common than these neurobehavioral development disorders.\u201d<\/p>\n

In perhaps their most salient paragraph, the researchers say that genetic factors account for no more than 30 to 40 percent of all cases of brain development disorders:<\/p>\n

Thus, non-genetic, environmental exposures are involved in causation, in some cases probably by interacting with genetically inherited predispositions. Strong evidence exists that industrial chemicals widely disseminated in the environment are important contributors to what we have called the global, silent pandemic of neurodevelopmental toxicity.<\/p>\n

related story
\nThis Is Your Brain on Gluten<\/p>\n

\u201cDr. David Perlmutter is not joking when he says that carbohydrates, even the whole-grain carbs that many of us think of as the good ones, are the cause of almost every modern neurologic malady. That includes dementia, decreased libido, depression, chronic headaches, anxiety, epilepsy, and ADHD.\u201d<\/p>\n

Read the full December 2013 story by James Hamblin<\/p>\n

Silent pandemic. When public health experts use that phrase\u2014a relative and subjective one, to be deployed with discretion\u2014they mean for it to echo.<\/p>\n

When their paper went to press in the journal The Lancet Neurology, the media responded with understandable alarm:<\/p>\n

\u201cA \u2018Silent Pandemic\u2019 of Toxic Chemicals Is Damaging Our Children\u2019s Brains, Experts Claim\u201d – Minneapolis Post, 2\/17\/14<\/p>\n

\u201cResearchers Warn of Chemical Impacts on Children,\u201d -USA Today, 2\/14\/14<\/p>\n

\u201cStudy Finds Toxic Chemicals Linked to Autism, ADHD\u201d – Sydney Morning Herald, 2\/16\/14<\/p>\n

When I first saw these headlines, I was skeptical. It wasn\u2019t news that many of the chemicals on this list (arsenic, DDT, lead) are toxic. With each of these substances, the question is just how much exposure does it take to cause real damage. For instance, organophosphates aren\u2019t something that anyone would categorically consider safe, in that they are poison. They kill insects by the same mechanism that sarin gas kills people, causing nerves to fire uncontrollably. But like asbestos, they are still legally used in U.S. commerce, with the idea that small amounts of exposure are safe. The adage \u201cthe dose makes the poison\u201d may be the most basic premise of toxicology. And hadn\u2019t we already taken care of lead? Didn\u2019t we already know that alcohol is bad for fetuses? Wasn\u2019t fluoride good for teeth?<\/p>\n

I found that the real issue was not this particular group of 12 chemicals. Most of them are already being heavily restricted. This dozen is meant to illuminate something bigger: a broken system that allows industrial chemicals to be used without any significant testing for safety. The greater concern lies in what we\u2019re exposed to and don\u2019t yet know to be toxic. Federal health officials, prominent academics, and even many leaders in the chemical industry agree that the U.S. chemical safety testing system is in dire need of modernization. Yet parties on various sides cannot agree on the specifics of how to change the system, and two bills to modernize testing requirements are languishing in Congress. Landrigan and Grandjean\u2019s real message is big, and it involves billion-dollar corporations and Capitol Hill, but it begins and ends with the human brain in its earliest, most vulnerable stages.<\/p>\n

How Toxins Destroy Brains<\/strong><\/p>\n

About a quarter of your body\u2019s metabolism goes toward operating and maintaining your brain. In order to process even basic information, billions of chemical signals are constantly being carried between neurons. The undertaking is so onerous that even though your brain is not moving (like, say, the powerful muscles in your legs), it uses around 10 times more calories per pound than the rest of you.<\/p>\n

Most of that industrious brain and its 86 billion neurons were created in a matter of months. During the first few weeks of gestation, when your mother knew you only as morning sickness and you were a layer of cells huddled in one corner of her uterus, those cells lined up, formed a groove, and then closed to form a tube. One end of that tube eventually became your tiny spinal cord. The rest expanded to form the beginnings of your brain.<\/p>\n

For a brain to develop properly, neurons must move to precise places in a precise sequence. They do so under the direction of hormones and chemical neurotransmitters like acetylcholine. The process is an intricate, fast-paced dance on a very tiny scale. Each nerve cell is about one hundredth of a millimeter wide, so it has to travel its own width 25,000 times just to move an inch\u2014which some neurons in the cortex must. At any point, that cell can be knocked off course. Some of the neurotoxins Grandjean and Landrigan discuss have the potential to disrupt this journey, in a slight or serious fashion.<\/p>\n

By the third trimester, the surface of the brain begins folding itself into wrinkled peaks and valleys, the gyri and sulci that make a brain look like a brain. Specific areas of that cortex learn to process specific aspects of sensation, movement, and thought, and that starts in the uterus. As Grandjean explains this process in his 2013 book Only One Chance, \u201cUsage promotes function and structure, as the connectivity of the brain cells is shaped by responses to environmental stimuli.\u201d That is, the fetal brain starts having experiences that form the basis for learning and memory. The nature-nurture duality begins at conception.<\/p>\n

By age two, almost all of the billions of brain cells that you will ever have are in their places. Except in the hippocampus and one or two other tiny regions, the brain does not grow new brain cells throughout your life. When brain cells die, they are gone. So its initial months of formation, when the brain is most vulnerable, are critical. \u201cDuring these sensitive life stages,\u201d Grandjean and Landrigan write, exposure \u201ccan cause permanent brain injury at low levels that would have little or no adverse effect in an adult.\u201d<\/p>\n

Federal health officials are aware of this risk. The National Institutes of Health, as Landrigan puts it, \u201cfinally woke up in the late 1990s to the fact that children are much more sensitive and vulnerable to chemicals than adults are.\u201d Over the past decade, the federal government has invested substantially more money in looking at just how pregnant women and children have been affected by industrial chemicals. The EPA has awarded millions of dollars in related research grants, and the NIH started funding a network of what it calls Centers for Children\u2019s Environmental Health and Disease Prevention Research. There is one at Mount Sinai and another at Harvard (the respective homes of Landrigan and Grandjean), and there are others at Columbia, UC Berkeley, and elsewhere.<\/p>\n

Those centers have established strong research programs called prospective birth-cohort studies. Scientists enroll pregnant female subjects and carefully record objective measures of environmental exposure, using things like blood samples, urine samples, and maybe even dust and air samples from their homes. After the babies are born, the researchers follow up with them at various points in their childhoods. These studies are expensive and take a long time, but they\u2019re incomparably good at connecting prenatal exposures with lost IQ points, shortened attention span, or emergence of ADHD.<\/p>\n

Functional MRI reveals the effect of prenatal methylmercury exposure in three adolescents. Subjectes were asked to tap the fingers of their left hands. In the control group (row B), only the right side of the brain was activated. In the subjects who had been exposed to methylmercury (row A), an abnormal activation pattern shows that both sides are involved.<\/p>\n

\u201cThat\u2019s the big breakthrough,\u201d Landrigan says. “The scientific community has mastered the technique of doing these studies, and they\u2019ve been running long enough that they\u2019re beginning to put out some spectacularly good results.\u201d At Columbia, for instance, the children\u2019s center is investigating whether children exposed in the womb to BPA and polycyclic aromatic hydrocarbons (PAHs)\u2014byproducts from burning fossil fuels\u2014are more likely to develop learning and behavior disorders than children not exposed. They have also shown that high prenatal exposure to air pollutants like PAHs are associated with attention problems, anxiety, and depression at ages 5 to 7 years. It was this center, together with the UC Berkeley and Mount Sinai children\u2019s centers, that first identified the detrimental impact of chlorpyrifos on IQ and brain development. The researchers even used MRI testing to show that these chemicals appear to change children\u2019s brain structure, causing thinning of the cortex. Other children\u2019s centers are looking at the extent to which these and other chemicals\u2014including arsenic from well water, brominated flame retardants, and the anti-corrosion agent manganese\u2014are to blame for a range of possible neurologic disorders.<\/p>\n

Impressive as all this research investment is, the larger question remains: Why are we looking at these hazards now\u2014instead of before we introduced these chemicals into the world?<\/p>\n

The Insidious Rise of Lead<\/strong><\/p>\n

The problem with toxic substances is that their effects can be insidious. Take the example of lead\u2014a chemical that lingered in gasoline, house paints, and children’s toys for decades before scientists realized the true extent of the damage.<\/p>\n

Several years ago, a four-year-old boy in Oregon began complaining of stomach pain and vomiting. Doctors reassured his parents that it was likely a viral illness, but his symptoms worsened, and he became completely unable to eat. He also had a badly swollen cheek. The doctors determined that the boy had bitten himself, so severely that it must have been during a seizure. Blood tests showed that he was anemic, and subsequent tests found that he had extremely high levels of lead (123 micrograms per deciliter of blood).<\/p>\n

The doctors began treating the boy with medication to help clear the lead. They also set out to find out where the lead was coming from. An investigation of the boy\u2019s home, which was built in the 1990s, found no lead paint. Despite treatment, though, the boy\u2019s lead tests remained abnormally high. So the doctors did an x-ray.<\/p>\n

Inside the boy\u2019s stomach was a one-inch metal medallion, which appeared bright white on the x-ray image. His parents recognized it as a toy necklace they had purchased from a vending machine approximately three weeks earlier. The state environmental quality lab later found that the medallion contained 38.8 percent lead. The manufacturer later did a voluntary recall of 1.4 million of the metal toy necklaces.<\/p>\n

By that time, manufacturers had been using the toxic substance for centuries, despite clearly dangerous effects. In 1786, Benjamin Franklin wrote to a friend about the first time he heard of lead poisoning. When he was a boy, he recounted, there had been \u201ca complaint from North Carolina against New England Rum, that it poisoned their people, giving them the dry bellyache, with a loss of the use of their limbs. The distilleries being examined on the occasion, it was found that several of them used leaden still-heads and worms, and the physicians were of the opinion that the mischief was occasioned by that use of lead.\u201d Franklin went on to describe his observations of similar symptoms in patients accommodated at a Paris luxury hospital beds<\/a> in different hospitals and clinics. When he inquired about their occupations, he discovered that these men were plumbers, glaziers, and painters.<\/p>\n

In 1921, General Motors began adding tetraethyl lead to gasoline. Lead gave gasoline a higher octane rating, which meant it could handle more compression without combusting. In practical terms, that meant more powerful engines, faster warplanes, and better industrial transport. The Ethyl Corporation that produced leaded gasoline was a joint venture between GM, Standard Oil, and DuPont. One of its executives, Frank Howard, called leaded gasoline \u201can apparent gift of God,\u201d even as the plant where tetraethyl lead was synthesized became known as \u201cthe Houses of Butterflies,\u201d because it was not uncommon for workers to experience hallucinations of insects on their skin.<\/p>\n

Americans in the 1950s and \u201960s were still widely exposed to unregulated leaded gasoline and paint, as well as piping, batteries, cosmetics, ceramics, and glass. Around that time, studies began to reveal the widespread existence of \u201csubclinical\u201d lead poisoning\u2014damage that was not severe enough to meet diagnostic criteria for a neurologic disease, but would prevent the child from ever achieving optimal intellectual functioning. By 1969, microbiologist and Pulitzer-Prize-winning writer Ren\u00e9 Dubos said that the problem of lead exposure was \u201cso well-defined, so neatly packaged, with both causes and cures known, that if we don’t eliminate this social crime, our society deserves all the disasters that have been forecast for it.\u201d<\/p>\n

Four-year-old Tanya Brinson is tested for lead paint poisoning at Boston City Hall in June 1975. (Peter Bregg\/AP)
\nBy the mid 1970s, the average U.S. preschool child had 15 micrograms of lead per deciliter of blood. Eighty-eight percent of children had a level exceeding 10 ?g\/dL\u2014which is twice what the CDC currently considers toxic. Among poor black children, the average level was markedly higher: 23 ?g\/dL.<\/p>\n

Instead of making sweeping policy changes, experts largely accused low-income parents\u2014especially mothers\u2014of inadequate supervision and fostering pathological behaviors that led children to eat paint. With parental ineptitude to blame, and poor, minority children bearing the brunt of the problem, a systematic approach to eliminating lead was a low national priority. Bellinger recounted this in the Journal of Clinical Investigation, writing that children were essentially sentinels, used to identify the presence of lead hazards. \u201cAs long as the ranks of the lead poisoned consisted primarily of the children of politically and economically disenfranchised parents,\u201d he wrote, \u201cit was hard to interest politicians in the problem. Little political capital could be accumulated by tackling the problem.\u201d<\/p>\n

Finally in 1975, the EPA required a gradual phasing of lead out of gasoline. Two years later, the Consumer Product Safety Commission said that residential paint could contain no more than 0.06 percent lead.<\/p>\n

Meanwhile there is still disagreement as to what constitutes a safe level of lead exposure\u2014and if there even is such a thing. As more and more evidence came out over the years showing that low levels are in fact toxic to developing brains, the CDC incrementally lowered that threshold\u2014from 60 micrograms per deciliter of blood in 1970 to 40 in 1971, 30 in 1975, 25 in 1985, 10 in 1991, and finally to just five in 2012.<\/p>\n

By 2009 the average lead concentration in the blood Americans was about 1.2 ?g\/dL for young children\u2014just 8 percent what it was in 1980. But Bellinger notes that even this relatively low level is still \u201csubstantially elevated from an evolutionary perspective\u201d\u2014many times higher than before our ancestors \u201cbegan to disturb the natural distribution of lead in the earth’s crust.\u201d<\/p>\n

\u201cAre the blood lead levels of contemporary humans generally below the threshold of toxicity?\u201d Bellinger wrote. \u201cLet us hope so, but the conclusion that they are is based more on faith than on evidence.\u201d<\/p>\n

The Toothless Law and the New Test<\/strong><\/p>\n

It’s surprising to learn how little evidence there is for the safety of chemicals all around us, in our walls and furniture, in our water and air. Many consumers assume there is a rigorous testing process before a new chemical is allowed to be a part of a consumer product. Or at least some process.<\/p>\n

\u201cWe still don\u2019t have any kind of decent law on the books that requires that chemicals be tested for safety before they come to market,\u201d Landrigan said.<\/p>\n

The law we do have is the Toxic Substances Control Act (TSCA, pronounced toss-ka among those in the know). Passed in 1976 under President Gerald Ford, it is still today the primary U.S. law regulating chemicals used in everyday products. On its face intended to protect people and the environment from dangerous chemical exposure, it is widely acknowledged to have fallen short of its magnanimous goal. It only requires testing for a small percentage of chemicals, those deemed an \u201cunreasonable risk.\u201d<\/p>\n

\u201cIt\u2019s just an obsolete, toothless, broken piece of legislation,\u201d said Landrigan. \u201cFor example, in the early 1990s, EPA was unable to ban asbestos under TSCA.\u201d This was after the National Toxicology Program had classified asbestos as a known cancer-causing agent, and the World Health Organization had called for a global ban. The EPA did briefly succeed in banning asbestos in the U.S. in 1989, but a court of appeals overturned the ban in 1991. Asbestos is still used in consumer products in the U.S., including building materials like shingles and pipe wrap, and auto parts like brake pads.<\/p>\n

Landrigan also calls it \u201ca particularly egregious lapse\u201d that when TSCA was enacted, the 62,000 chemicals already on the market were grandfathered in, such that no toxicity testing was required of them. These chemicals were, as Landrigan puts it, \u201csimply presumed safe\u201d and allowed to remain in commerce until a substantial health concern came to public attention.<\/p>\n

In the nearly 40 years since the law\u2019s passage, more than 20,000 new chemicals have entered the market. \u201cOnly five have been removed,\u201d Landrigan says. He notes that the CDC has picked up measurable levels of hundreds of these chemicals in the blood and urine of \u201cvirtually all Americans.\u201d Yet, unlike food and drugs, they enter commerce largely untested.<\/p>\n

Landrigan and Grandjean\u2019s purpose in declaring a silent pandemic was less about the 12 named substances and more about using them as cautionary tales. They named in their list a few chemicals that still appear be imminent threats, but they also include some that have been highly restricted in their use for a long time. And at least one of them, fluoride, has proven beneficial in small doses.<\/p>\n

\u201cFluoride is very much a two-edged sword,\u201d Landrigan said. \u201cThere\u2019s no question that, at low doses, it\u2019s beneficial.\u201d Flouride has been shown to prevent dental cavities and aid skeletal growth. At higher levels, though, it causes tooth and bone lesions. The epidemiologic studies cited by Grandjean and Landrigan, which came from China, imply that high fluoride exposure has negative effects on brain growth.<\/p>\n

He\u2019s more concerned about flame-retardants\u2014a group of compounds known as polybrominated diphenyl ethers (PBDEs). These chemicals came into vogue after their predecessors, called PCBs (polychlorinated biphenyl ethers), were banned in 1979. By the time it became clear that PCBs caused cancer\u2014and a variety of other adverse health effects on the immune, reproductive, nervous, and endocrine systems\u2014they\u2019d been put into hundreds of industrial and commercial uses like plastics and rubber products. So manufacturers switched to PBDEs and advertised PCB-free products, assuming\u2014or, at least, implying\u2014that PBDEs wouldn\u2019t cause problems of their own.<\/p>\n

\u201cCalifornia, at the urging of the chemical industry several years ago, put the highest standard in the world on the levels of PBDEs that needed to be included in them,\u201d Landrigan explained. \u201cThe result is that people in California have the highest levels of brominated flame retardants in their bodies.\u201d<\/p>\n

The state finally banned PDBEs in 2006, after studies from Columbia showed high quantities of the compound in women\u2019s breast milk and linked it to IQ losses and shortening of attention span. Between 2008 and 2012, PDBE levels in the blood of California residents decreased by two-thirds.<\/p>\n

Landrigan and Grandjean argue that stronger chemical safety legislation could have made all of this back-peddling damage control unnecessary. They don\u2019t expect every chemical to go through long-term, randomized control studies prior to its release. Rather, they want to see industrial chemicals screened through a simple cell-based test. If that test were to come out positive\u2014if the cells in the petri dish showed any kind of toxic reaction\u2014then the chemical would be tested further.<\/p>\n

A next step from there might be an animal testing model. The drawbacks there, Grandjean told me, are that \u201cthose programs are expensive, they take time, you have to kill hundreds and thousands of mice and rats.\u201d However, he adds, \u201cif a company has developed a very useful substance, and it turns out to be toxic to nerve cells in petri dishes, then maybe animal testing is the next step.\u201d<\/p>\n

\u201cI don\u2019t think that that should necessarily be a requirement,\u201d Grandjean said. \u201cBut I can see if a company has developed a very useful substance, and it turns out to be toxic to nerve cells in petri dishes, then maybe that is the next step.\u201d<\/p>\n

Landrigan and Grandjean both mentioned something they called Tox21, the Toxicology in the Twenty-First Century program program, which is laying groundwork for a new kind of accelerated, large-scale testing. \u201cTSCA reform really falls under EPA\u2019s jurisdiction,\u201d Landrigan said. \u201cAt the NIH and National Institute of Environmental Health Sciences, though, that\u2019s where the latest research on this is.\u201d<\/p>\n

\u201cAre the exposure levels in China comparable to what we have in our drinking water and toothpaste?\u201d I asked.<\/p>\n

\u201cNo, they\u2019re probably higher,\u201d Landrigan said. \u201cIn some places in China, there are naturally high levels of fluoride in the groundwater, which picks it up because it\u2019s water-soluble.\u201d<\/p>\n

\u201cSo your advice isn\u2019t to take it out of our toothpaste?\u201d<\/p>\n

\u201cNot at all,\u201d Landrigan said. \u201cI think it\u2019s very good to have in toothpaste.\u201d<\/p>\n

When I heard that this Tox21 program is teaching a very large yellow robot to do large-scale rapid chemical testing, I had to learn more. Dr. Linda Birnbaum is the director of the National Institute of Environmental Health Sciences and the National Toxicology Program in North Carolina\u2019s Research Triangle. Birnbaum oversees federal funding for research to discover how the environment influences health and disease, including Tox21.<\/p>\n

\u201cIf you want to do the full battery of current tests that we have on a chemical, you\u2019re looking at least five years and about $5 million,\u201d Birnbaum told me. \u201cWe\u2019re not going to be able to do that on large numbers of chemicals.\u201d The robot is being trained to scan thousands of chemicals at a time and recognize threats inexpensively and quickly\u2014before people get sick. It\u2019s also using alternative testing models\u2014looking at not just isolated cells, but also simple organisms like the roundworm C. elegans or zebrafish\u2014to answer certain basic questions.<\/p>\n

Tox21 is an effort to hone technology that can effectively do rapid screening\u2014not of one or 10 or 20 chemicals, but of thousands at a time, recognizing threats without spending $5 million per chemical, and doing so quickly, before they make people sick or impaired. It\u2019s also using alternative testing models\u2014not just in isolated cells, but in simple organisms like the roundworm C. elegans or zebrafish\u2014to answer certain basic questions.<\/p>\n

The program is also looking at how a single chemical might affect a wide range of people. \u201cWe\u2019re looking at 1,000 different human genomes from nine different ethnic groups on five continents,\u201d Birnbaum told me.<\/p>\n

Like Landrigan, Birnbaum raised the specter of the tens of thousands of chemicals grandfathered in 1976 that underwent no testing, as well as the commonly cited data that less than 20 percent of the 80,000 chemicals in commerce have had any testing at all. She spoke wistfully of the European Union\u2019s chemical testing protocol, a model Grandjean had told me was \u201cvery reasonable.\u201d It\u2019s called REACH (Registration, Evaluation, Authorization, and Restriction of Chemicals), and it involves a tiered approach to regulation: If a compound is produced in small amounts, only some cursory information is required. If greater amounts are produced or imported, the EU requires more in-depth testing, such as animal experiments and two-generation studies.<\/p>\n

\u201cWe\u2019ve learned a heck of a lot in the last 30 to 40 years about the safety of chemicals and what can cause problems,\u201d Birnbaum said, \u201cand it would be really nice if our regulations required us to use some of the newer science to answer the questions of safety.\u201d<\/p>\n

Don\u2019t Panic?<\/strong><\/p>\n

\u201cWhen you use the word pandemic, that\u2019s a scare word,\u201d said Laura Plunkett. \u201cAnd that\u2019s my problem. There\u2019s a more responsible way to express it. I understand that they want to bring it to attention, but when you bring it to attention, you can still do it in what I would say is a scientifically defensible manner.\u201d<\/p>\n

Plunkett has a Ph.D. in pharmacology and toxicology. Reviewing articles written in the wake of the publicity around The Lancet Neurology paper, I was struck by the definitive title of her blog post on a site called Science 20: \u201cThere Is No Pandemic of Chemicals Causing Brain Disorders in Children.\u201d Plunkett has been a diplomat for the American Board of Toxicology since 1984. She taught for a while and did research at NIH, but she is now an independent consultant running her own company, Integrative Biostrategies.<\/p>\n

One of her clients is the American Chemistry Council. She also has clients in the food, pesticide, and chemical business\u2014\u201cindustry ties,\u201d as they say. With that in mind, I sought her out as an established scientist who has worked on the side of the chemical-producing companies. Her blog post about the Lancet article was the only response I found telling people not to panic.<\/p>\n

\u201cWhat [Landrigan and Grandjean] are doing with the data is missing the key component, which is the dose,\u201d Plunkett explained. \u201cMany of the chemicals they talk about are well established to be neurodevelopmental toxicants in children\u2014but it\u2019s all about how much they\u2019re exposed to. Just like anything else. If you don\u2019t give people enough, or if you don\u2019t take enough in your water or food or the air you breathe, you\u2019re not going to have an effect.\u201d<\/p>\n

Plunkett insists that, unlike lead, some of the chemicals on the Lancet Neurology list are only developmental toxicants at very high levels\u2014the sort, she says, \u201cthat nobody would be exposed to on a daily basis.\u201d<\/p>\n

Plunkett says she has no problem with a call to ensure that chemical testing is as thorough as possible. \u201cBut then to say, and by the way, if you look at the data, \u2018We\u2019ve been poisoning people for the last 10 years\u2019? That\u2019s a whole other step that isn\u2019t supported by the data they point to.\u201d<\/p>\n

I asked her how concerned American parents should be about certain individual chemicals on Grandjean and Landrigan\u2019s list. \u201cI mean, we knew lead was a problem 30 years ago,\u201d she said, \u201cand that\u2019s why we removed it from gasoline, and that\u2019s why we don\u2019t let it in solder and cans, and we\u2019ve taken lead-based paint off the market.\u201d<\/p>\n

\u201cIf you really look at the data on fluoride,\u201d she continued, \u201ctrying to link an IQ deficit in a population with that chemical is almost impossible to do. Even though statistically, randomly they may have found a relationship, that doesn\u2019t prove anything\u2014it identifies a hazard but doesn\u2019t prove there\u2019s a cause and effect between the two things.\u201d<\/p>\n

What about the chemical that most concerned Landrigan, the pesticide chlorpyrifos?<\/p>\n

\u201cNo, because the organophosphate pesticides are one of the most highly regulated groups of chemicals that are out there. The EPA regulates those such that if they\u2019re used in agriculture, people are exposed to very, very low levels.\u201d<\/p>\n

Pesticides are indeed more regulated than other industrial chemicals. Before manufacturers can sell pesticides in the U.S., the EPA must ensure that they meet federal standards to protect human health and the environment. Only then will the EPA grant a “registration” or license that permits a pesticide’s distribution, sale, and use. The EPA also sets maximum levels for the residue that remains in or on foods once they\u2019re sold.<\/p>\n

An EPA spokesperson told me that a company introducing a new pesticide must \u201cdemonstrate more than 100 different scientific studies and tests from applicants.\u201d The EPA also said that since 1996\u2019s Food Quality Protection Act, it has added \u201can additional safety factor to account for developmental risks and incomplete data when considering a pesticide\u2019s effect on infants and children, and any special sensitivity and exposure to pesticide chemicals that infants and children may have.\u201d Landrigan and Grandjean don\u2019t believe that\u2019s always sufficient; the dose may make the poison, but not everyone believes the EPA\u2019s limits are right for everyone.<\/p>\n

When I asked Plunkett whether new industrial chemicals were being screened rigorously enough, even she cited the need to strengthen the Toxic Substances Control Act of 1976. \u201cI\u2019m a very strong proponent of fixing the holes we have,\u201d she said, \u201cand we do have some holes under the old system, under TSCA, and those are what the new improvements are going to take care of. They\u2019re going to allow us to look at the chemicals out there we don\u2019t have a lot of data on\u2014and really those are the ones I\u2019m more concerned about.\u201d<\/p>\n

The High Price of Lost IQ<\/strong><\/p>\n

Everyone I spoke to for this story agreed that TSCA needs to be fixed. But every attempt has met with bitter opposition. All parties want it to happen; they just want it to happen on their own terms. Unless it does, they don\u2019t want it to happen at all.<\/p>\n

Last May, a bipartisan group of 22 senators, led by Frank Lautenberg and David Vitter, introducing the Chemical Safety Improvement Act of 2013. Lautenberg, then 89 years old, was the last surviving World War II veteran in the Senate and a longtime champion of environmental safety. (Among other things, he wrote the bill that banned smoking on commercial airlines.) A month after he introduced his TSCA reform bill, Lautenberg died of pneumonia.<\/p>\n

After Lautenberg\u2019s death, Senator Barbara Boxer told reporters the bill \u201cwould not have a chance\u201d of passing without major changes. \u201cI will be honest with you,\u201d said Boxer, who chairs the Committee on Environment and Public Works, \u201cthis is the most opposition I\u2019ve ever seen to any bill introduced in this committee.\u201d Some of the resistance came from environmental and health advocates who felt the bill would actually make it harder for states to regulate the chemicals that were grandfathered in by TSCA. Their fears intensified in January, after 10,000 gallons of a coal-processing substance poured into West Virginia\u2019s Elk River, contaminating a nearby water treatment plant. (The Wall Street Journal reported, \u201cLittle is known about the chemical’s long-term health effects on people, although it isn’t believed to be highly toxic.\u201d)<\/p>\n

In February, with Lautenberg\u2019s bill stalled in the Senate committee, Republican Representative John Shimkus seized the opportunity to introduce another reform option called the Chemicals in Commerce Act. The chemical industry applauded Shimkus\u2019 bill\u2014it won support from the American Chemistry Council, American Cleaning Institute, and the Society of Chemical Manufacturers and Affiliates. Earlier this month at the GlobalChem conference in Baltimore, Dow Chemical\u2019s Director of Products Sustainability and Compliance Connie Deford said that TCSA reform was in the interests of the chemical sector, acknowledging that consumer confidence in the industry is at an all-time low.<\/p>\n

Yet the Chemicals in Commerce Act has provoked strong criticism from groups like the Center for Environmental Health and the Natural Resources Defense Council. A senior scientist with the Environmental Defense Fund called the bill \u201ceven more onerous and paralyzing\u201d than the present law, and Representative Henry Waxman, ranking member of the House Energy and Commerce Committee, said the bill \u201cwould weaken current law and endanger public health.\u201d<\/p>\n

I asked the EPA to comment on Landrigan and Grandjean\u2019s claim that we are in the midst of a \u201csilent pandemic\u201d and inquired what, if anything, is being done about it. The agency responded by sending me a statement: \u201cEPA has taken action on a number of the chemicals highlighted in this report which have and are resulting in reduced exposures, better understanding, and more informed decisions.\u201d The agency included a list of the actions it has already taken to reduce exposure to the chemicals identified in the report. (See sidebar.) And it emphasized a 2012 \u201cWork Plan,\u201d which includes plans to assess more than 80 industrial chemicals in the coming years.<\/p>\n

When I emailed the statement to Landrigan, he replied, \u201cMany of the items that they list here are things that I helped to put in place.\u201d (In 1997, he spent a sabbatical year setting up EPA\u2019s Office of Children\u2019s Health Protection.) He agreed that the EPA is doing a lot to protect children from environmental threats. \u201cBut the problem is that the good people within EPA are absolutely hamstrung by the lack of strong legislation,\u201d he wrote. \u201cThey can set up research centers to study chemicals and outreach and education programs, but without strong and enforceable chemical safety legislation, they cannot require industry to test new chemicals before they come to market, and they cannot do recalls of bad chemicals that are already on the market.\u201d<\/p>\n

Meanwhile, researchers like David Bellinger, who calculated IQ losses, are highlighting the financial cost to society of widespread cognitive decline. Economist Elise Gould has calculated that a loss of one IQ point corresponds to a loss of $17,815 in lifetime earnings. Based on that figure, she estimates that for the population that was six years old or younger in 2006, lead exposure will result in a total income loss of between $165 and $233 billion. The combined current levels of pesticides, mercury, and lead cause IQ losses amounting to around $120 billion annually\u2014or about three percent of the annual budget of the U.S. government.<\/p>\n

Low-income families are hit the hardest. No parent can avoid these toxins\u2014they\u2019re in our couches and in our air. They can\u2019t be sweated out through hot yoga classes or cleansed with a juice fast. But to whatever extent these things can be avoided without better regulations, it costs money. Low-income parents might not have access to organic produce or be able to guarantee their children a low-lead household. When it comes to brain development, this puts low-income kids at even greater disadvantages\u2014in their education, in their earnings, in their lifelong health and well-being.<\/p>\n

Grandjean compares the problem to climate change. \u201cWe don\u2019t have the luxury to sit back and wait until science figures out what\u2019s really going on, what the mechanisms are, what the dose are, and that sort of thing. We\u2019ve seen with lead and mercury and other poisons that it takes decades. And during that time we are essentially exposing the next generation to exactly the kind of chemicals that we want to protect them from.\u201d<\/p>\n","protected":false},"excerpt":{"rendered":"

The Article: The Toxins That Threaten Our Brains by James Hamblin in The Atlantic. The Text: Forty-one million IQ points. That\u2019s what Dr. David Bellinger determined Americans have collectively forfeited as a result of exposure to lead, mercury, and organophosphate pesticides. In a 2012 paper published by the National Institutes of Health, Bellinger, a professor […]<\/p>\n","protected":false},"author":49,"featured_media":0,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[259],"tags":[],"yoast_head":"\nThe Toxins That Threaten Our Brains<\/title>\n<meta name=\"description\" content=\"Leading scientists recently identified a dozen chemicals as being responsible for widespread behavioral and cognitive problems. 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