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#831 -- The Emperor of Risk Assessment Is Not Wearing Any Clothes, 01-Dec-2005

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Rachel's Democracy & Health News #831

"Environment, health, jobs and justice--Who gets to decide?"

Thursday, December 1, 2005
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Featured stories in this issue...

The Emperor of Risk Assessment Isn't Wearing Any Clothes
  The U.S. chemical regulation system was created 40 years ago to 
  protect the most-exposed individuals, using numerical risk assessment 
  to determine "safe" exposures. One unintended consequence of the 
  system has been to contaminate the entire planet with industrial 
  poisons. As a result, no one is safe.
Can You Spare 2 Minutes to Take a Survey for Rachel's News?
  We are redesigning the Rachel's web site. To help us do a better job, 
  we'd really appreciate your feedback.
U.S. Drags Its Feet in Phasing Out Banned Pesticide
  Corporate factory farms continue to use methyl bromide on a wide 
  variety of "critical" crops --including Christmas trees --despite 
  an international treaty ending its use in 2005 because it destroys 
  Earth's ozone shield, kills some farm workers, and makes others 
  permanently sick. Merry Christmas from President Bush.
Parkinson's Disease Is Definitely Linked to Toxic Exposures
  "Pesticides and related industrial chemicals, those classes of 
  compounds, clearly are associated with some cases of Parkinson's." --
  Gary Miller, a toxicologist and associate professor at Emory 
  University's School of Public Health.
Health Problems Abound Months After Katrina Roared Ashore
  Across Mississippi and Louisiana, people are afflicted with coughs, 
  infections, rashes and broken limbs and they are jittery, tired, 
  depressed and prone to bizarre outbursts, health professionals say.

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From: Rachel's Democracy & Health News #831, Dec. 1, 2005

THE EMPEROR OF RISK ASSESSMENT ISN'T WEARING ANY CLOTHES

By Peter Montague

Some of my best friends still put their faith in numerical risk
assessments. For example, over in Jersey City, N.J., local people are
now debating "how clean is clean enough" for thousands of tons of
cancer-causing chromium wastes. My friends argue that 30 parts per
million (ppm) of chromium-VI ("chromium six") is a "science-based"
number that will protect residents from lung disease caused by
chromium. On the other hand, N.J. state government wants to save the
chromium polluters some money by declaring 240 ppm "safe," thus
requiring less cleanup. The experts are duking it out, debating 30 ppm
vs. 240 ppm.

Over in New York, major polluters have convinced state officials that
toxic waste cleanup standards are unnecessarily strict, so the state
has proposed to relax its toxic cleanup rules. Citizens are pressing
to maintain the existing standards, which they hope are "fully
protective" of human health, fish, and all other critters. Again, we
have dueling experts defending their favorite numbers.

It's the same all over, really. After decades of industry-written
government-delivered propaganda, many people have become convinced
that there is some "safe" amount of PCBs plus mercury plus lead plus
benzene plus trichloroethylene (TCE) plus [you name it] that can be
released into the general environment. But let's think about this for
a minute.

This whole approach is based on protecting a most-exposed individual
located in the immediate vicinity of the pollution source. Once the
pollution-source has been declared "safe" from the viewpoint of that
most-exposed individual, the toxic discharge becomes legal, and a
continuous stream of contamination enters the environment. As time
passes, this "safe" discharge (plus thousands more like it) creates a
buildup of pollution and the entire planet becomes contaminated with
industrial poisons. As a result, everyone is endangered -- the asthma
rate rises, diabetes increases, and cancers proliferate, not to
mention male fish turning into females, oysters dying from bacterial
infections because their immune systems are damaged, sea turtles
developing deadly growths and lesions, ducks that cannot eat because
they are born with crossed bills... and so on and so on.

Let's face it, a regulatory system based on risk assessments to
protect the most-exposed individual ends up having one important
effect: it legalizes the contamination of the biosphere upon which all
life depends. It allows industrial poisons to pollute every living
thing on earth. So it ends up not protecting anyone, despite its
initial good intention.

Example: A factory is emitting cancer-causing benzene. A numerical
risk assessment shows that only one-in-a-million individuals living
near the factory will get leukemia from breathing benzene for a
lifetime. Therefore the factory's benzene emission is declared "safe"
and a permit is issued, making that factory's benzene discharge legal.
But after 10 or 20 or 50 different benzene emitters have been licensed
as "safe," the individual discharges have a cumulative effect: the
entire area becomes contaminated with low levels of benzene.
Eventually, you work your way up to our present situation -- benzene
is measurable in the air everywhere, and thus poses a small but
greater-than-zero cancer hazard to everyone who breathes the air (not
to mention non-cancer harms that benzene may cause).

What is true for benzene is also true for mercury, PCBs,
trichloroethylene (TCE), tetrachloroethylene (PCE), carbon
tetrachloride, formaldehyde, xylenes, dioxins and furans,
polybrominated diphenyl ethers (PBDEs), and on and on and on. There
are 80,000 chemicals now in commercial use. Only a couple of thousand
of these had undergone any testing for effects on human health and the
environment. Only a few hundred are regulated in any way. For most
chemicals, we are still living in the wild west: anything goes.

Even when a chemical is regulated, the regulatory system never asks,
"What is the cumulative effect of all these small discharges of
toxicants?"

To summarize: Our regulatory system was developed in the mid-1960s to
protect the maximally-exposed individual. The idea was, if you protect
that individual, then everyone else will be safe. We now know that
this is completely backward. Some 40 years later, scientific knowledge
has increased greatly and we now know that...

** "If chemicals are produced, either intentionally or as by-products
of industrial activities, and not destroyed naturally or by humans,
they eventually reach the environment." [1, pg. 815]

** Once chemicals enter the environment, they start moving around and
eventually end up in living things (the food chain);

** some contaminants are harmful at much lower levels than we ever
knew (for example some chemicals are biologically active at
concentrations measured as parts per billion or even, in some
instances, parts per trillion);

** harm can occur in ways we never suspected (for example, disrupting
our hormones, which control growth, development, brain function,
behavior, and sexual orientation, among other things);

** multiple stresses on an individual can add up (or even multiply) to
create harm greater than the harm caused by any of the individual
stresses. For example, children who don't have enough iron in their
diet can be harmed by toxic lead much more than kids who get enough
iron. Iron deficiency and toxic lead add up to a bigger problem than
either iron deficiency or toxic lead alone.

Industrial poisons are now found everywhere on the planet, from the
bottoms of the deepest oceans to the tops of the highest mountains.
This has occurred because our regulatory system is set up to protect
the most-exposed individual, but it is not set up to protect the world
from the cumulative effects of releasing "safe" quantities of
industrial poisons.

All of this was summarized clearly by researchers at Oak Ridge
National Laboratory (ORNL) 14 years ago, in 1991:[1]

Writing in Environmental Science & Technology, Curtis Travis and
Sheri Hester said in 1991:

** "If chemicals are produced, either intentionally or as by-products
of industrial activities, and not destroyed naturally or by humans,
they eventually reach the environment." (pg. 815)

** "Chemicals, once they are released into the environment, seek out
the environmental media (air, water, soil, or biota [living things],
in which they are most soluble." (pg. 815)

** "Once in the environment, [chemicals] are transported globally,
partition into biological media [some preferring to stay in the air,
others preferring soil or water or living things], and result in
essentially the entire world population being exposed to trace levels
of chemical contamination." (pg. 815)

** "... a consensus is emerging that even trace levels of
environmental contamination can have potentially devastating
environmental consequences." (pg. 815)

** "With alarming regularity we find reports of chemical contamination
in parts of the world previously thought to be pristine."

** "Aerial fluxes of these pollutants contribute a major portion of
pollutant loadings to the Great Lakes, the Chesapeake Bay, and other
lakes." (pg. 815)

** "Humans are exposed to hundreds of synthetic organic chemicals
daily." (pg. 817)

** "...the true extent of human exposure to environmental pollution
has never been quantified." [And this remains true today.]

Back in 1991, the Oak Ridge researchers pointed out another basic
feature of the U.S. regulatory system: To protect the most-exposed
individual, locally high concentrations of pollution are decreased not
by destroying the chemicals or decreasing production, but by moving
them to a different environmental medium (moving them from air to
water, for example).

Here's how it works: stack emissions are reduced by installing stack
scrubbers which use water to remove gases and soot from stack
emissions. Scrubber water is typically then sent to a municipal sewage
treatment plant. During water aeration at such plants, up to 99% of
volatile chemicals are discharged into the air. A study of toxic
exposures in Philadelphia found that more than half of the local
exposures to cancer-causing chemicals came from the local sewage
treatment plant. (pg. 817)

At the great majority of toxic Superfund sites, contaminated
groundwater is cleaned by "air stripping" volatile organic chemicals
from the groundwater, releasing the toxicants into the air. Very few
Superfund cleanups actually produce "permanent" remedies, in the sense
of actually detoxifying any chemicals. Usually, toxic chemicals are
just moved around in a "shell game" that passes the problem on to
someone else. This is certainly the case in New Jersey where the
preferred remedy for contaminated sites is to place a "cap" over them.
A typical cap is a plastic tarp or a parking lot or a shopping mall or
a school. As chemicals ooze out from under the cap (or through the
cap) the entire environment of New Jersey and beyond has become
contaminated with low levels of industrial poisons.

As the Oak Ridge researchers pointed out in 1991

** "The only way to diminish global cycling of contaminants is to
decrease production of pollutants or to destroy pollutants before they
are released into the environment." (pg. 818) Think about that: there
are only two ways to diminish global pollution. Are our regulatory
agencies set up to diminish global pollution? Not even close.

** And: "EPA's regulatory focus is on controlling local exposure to
large point sources of pollutants.... Thus EPA regulations. although
protective of the maximum exposed individual, do little to reduce the
overall U.S. rate of cancer resulting from exposure to toxic
pollutants." (pg. 818)

** And: "The difficulty with regulating background risk is that it
results from widespread global pollution from a multitude of widely
dispersed sources. This pollution cannot be reduced significantly by
controlling emissions associated with production and use. When these
chemicals are produced and not destroyed naturally or by humans, they
will eventually reach the environment." (pg. 818)

** And: "If we do not want to change our standard of living, the only
way to reduce global chemical pollution is to make our production and
consumption processes more efficient and to lower the levels of
production of these toxic chemicals. Thus the only reasonable solution
to global pollution is not increased regulation of isolated point
sources, but rather an increased emphasis on waste reduction and
materials recycling. Until we focus on these issues, we will continue
to experience background cancer risk in the one-in-a-thousand range."
(pg. 818)

In sum: The use of numerical risk assessment to determine a "safe"
level of exposure for the most-exposed individual is a way of
pretending to protect public health without actually protecting it.

When we create toxic chemicals that we do not destroy, and that nature
cannot rapidly destroy, those chemicals come back to bite us. That is
why it is so important that we press ahead with green chemistry [and
see this report], green engineering, clean production and
biomimicry (learning how nature does things, to make our chemicals
and processes compatible with nature). Most of our industrial system
will have to be redesigned from the bottom up to be compatible with
nature. Doing so will create tens of millions of good jobs.

In the meantime, government, industry, and my friends could stop
pretending that numerical risk assessment of the most-exposed
individual protects public health. It doesn't. Everyone knows it
doesn't. Ending the pretense would go a long way to restore confidence
in government. That in itself would be a huge benefit.

==============

[1] Curtis C. Travis and Sheri T. Hester, "Global Chemical Pollution,"
Environmental Science & Technology Vol. 25, No. 5 (May 1991), pgs.
815-818. Available here.

Return to Table of Contents

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From: Rachel's Democracy & Health News, Dec. 1, 2005

CAN YOU SPARE 2 MINUTES TO TAKE A SURVEY FOR RACHEL'S NEWS?

Environmental Research Foundation (publisher of Rachel's Democracy &
Health News and Rachel's Precaution Reporter) is redesigning its
website. To help us better serve you, we'd love to get your feedback.

We've created a survey that will take two minutes to complete.

The survey is available at this link:
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Thanks for your help! -- Tim Montague

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From: Seattle Times, Nov. 28, 2005

U.S. DRAGS ITS FEET IN PHASING OUT BANNED PESTICIDE

By Rita Beamish

Watsonville, Calif. -- Shoppers browse store displays brimming with
succulent tomatoes and plump strawberries, hoping to enjoy one last
round of fresh fruit before the Western growing season ends. There is
no hint of a dark side to the blaze of red.

But strawberries are a painful subject for Guillermo Ruiz. The
farmworker believes his headaches, confusion and vision trouble stem
from a decade of working in the fields with methyl bromide, a
pesticide that protects the berries with stunning efficiency.

Cheri Alderman, a teacher whose classroom borders a farm, fears her
students could inhale a dangerous whiff of the fumigant as it drifts
from the adjacent strawberry field. "A little dribble of poison is
still poison," she says.

Other nations watch as the United States keeps permitting wide use of
methyl bromide for tomatoes, strawberries, peppers, Christmas trees
and other crops, even though the U.S. signed an international treaty
banning all but the most critical uses by 2005.

The chemical depletes the Earth's protective ozone layer and can harm
the human neurological system.

Methyl bromide's survival demonstrates the difficulty of banishing a
powerful pesticide that helps deliver what both farmers and consumers
want: abundant, pest-free and affordable produce.

The Bush administration, at the urging of agriculture and
manufacturing interests, is making plans to ensure methyl bromide
remains available at least through 2008 by seeking and winning treaty
exemptions.

The administration's "fervent desire and goal" is to end the use of
methyl bromide, said Claudia McMurray, deputy assistant secretary of
state. However, she added, "I can't say to you that each year the
numbers [of pounds used] would automatically go down."

The reason is that farmers around the country are struggling to find a
suitable replacement for methyl bromide. Alternative organic
techniques are too costly, and substitute chemicals are not as
effective, growers say.

"We're not totally clueless. We've seen this train coming. We've tried
every alternative and put every engine on the track, but none of them
run," said Reggie Brown, manager of the Florida Tomato Committee.

Plastic slows release

Methyl bromide is a colorless, odorless gas that usually is injected
by tractor into soil before planting, then covered with plastic
sheeting to slow its release into the air. It wipes out plant
parasites, disease and weeds. It results in a spectacular yield,
reduced weeding costs and a longer growing season.

Workers who inhale enough of the chemical can suffer convulsions, coma
and neuromuscular and cognitive problems. In rare cases, they can die.

Less is known about the long-term effects of low levels of contact,
said Dr. Robert Harrison, an occupational and environmental-health
physician at the University of California, San Francisco.

The U.S. signed the Montreal Protocol treaty, committing to phase out
methyl bromide by 2005 as part of the effort to protect the Earth's
ozone layer. A provision allows for exemptions to prevent "market
disruption."

The U.S. has used it to persuade treaty signers to allow U.S. farmers
to continue using the chemical.

That exemption process leaves the U.S. 37 percent shy of the phaseout
required by 2005, with at least 10,450 tons of methyl bromide exempted
this year. While that compares with about 28,080 tons used in 1991,
this year's total is higher than it was two years ago.

U.S. officials are heading to a Montreal Protocol meeting in Senegal
on Dec. 7 to begin negotiations on exemptions for 2007 and are
preparing requests for 2008.

That is not what the treaty envisioned, said David Doniger, senior
attorney with the Natural Resources Defense Council. In the 1990s, he
worked on the protocol as director of climate change for the
Environmental Protection Agency.

"Nobody expected you would use the exemptions to cancel the final step
of the phaseout or even go backward," Doniger said.

Among those pushing for continued exemptions are financial heavy
hitters such as the family of Floyd Gottwald, vice chairman of methyl-
bromide producer Albemarle Corp. of Richmond, Va. The family gave more
than $420,000 to President Bush's campaigns and to national Republican
Party organizations over the past six years.

With methyl bromide probably sticking around for several years, the
EPA is re-examining its health and safety standards.

The American Association of Pesticide Control Centers logged 395
reports of methyl-bromide poisonings from 1999 to 2004.

A national total remains elusive, because farmworkers often do not
seek medical care.

Guillermo Ruiz and Jorge Fernandez, two California farmworkers, say
they saw plenty wrong in the strawberry fields where they worked,
starting with the dogs, birds and deer that lay lifeless when the
workers arrived to remove plastic sheeting from fumigated fields.

"That's how we knew this was a dangerous chemical," Ruiz said.

Symptoms surface

His own symptoms added concern. "My eyes watered. I threw up. It gave
me headaches," he said.

Ruiz and Fernandez say they developed nervousness and depression by
the time they stopped work in 2003. They saw the plastic come loose in
high winds or leak when animals punctured it.

Other workers had symptoms, they said, but kept silent because they
feared for their jobs.

The two are in a disability dispute with their former employer, who
denies allegations that workers were forced to remove plastic sooner
than required.

Growers feel hamstrung. Despite millions of dollars spent on research,
no alternative addresses all soils and pests as well as methyl
bromide, they say.

"It just works so good and just does so many things so well," said
Mike Miller, a strawberry grower in Salinas, Calif.

Return to Table of Contents

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From: Los Angeles Times, Nov. 27, 2005

HOT ON PARKINSON'S TRAIL

Scientists have amassed evidence that long-term exposure to toxic
compounds, especially pesticides, can trigger the neurological
disease.

By Marla Cone

MERCED, Calif. -- A thousand acres stretched before him as Gary Rieke
walked briskly behind a harvester, the parched, yellow stalks of rice
sweeping against his knees. Stopping to adjust a bolt on the machine,
Rieke struggled to maneuver a wrench with his trembling fingers.

It was 1988, and Rieke was in his mid-40s, too young and too fit to
feel his body betraying him. For two decades, he had farmed in the
heart of the San Joaquin Valley, and he knew what he wanted his hand
to do. But for some frustrating reason, it refused to obey.

Unbeknownst to Rieke, by the time he noticed the slightest tremor,
some 400,000 of his brain cells had been wiped out. Like an estimated
other 1 million Americans, most over 55, he had Parkinson's disease,
and his thoughts could no longer control his movements. In time, he
would struggle to walk and talk.

Rieke, who was exposed to weedkillers and other toxic compounds all
his life, has long suspected that they were somehow responsible for
his disease.

Now many experts are increasingly confident that Rieke's hunch is
correct. Scientists have amassed a growing body of evidence that long-
term exposure to toxic compounds, particularly pesticides, can destroy
neurons and trigger Parkinson's in some people.

So far, they have implicated several pesticides that cause Parkinson's
symptoms in animals. But hundreds of agricultural and industrial
chemicals probably play a role, they believe.

Researchers don't use the word "cause" when linking environmental
exposures to a disease. Instead, epidemiologists look for clusters and
patterns in people, and neurobiologists test theories in animals. If
their findings are repeatedly consistent, that is as close to proving
cause and effect as they get.

Now, with Parkinson's, this medical detective work has edged closer to
proving the case than with almost any other human ailment. In most
patients, scientists say, Parkinson's is a disease with environmental
origins.

Scientists are "definitely there, beyond a doubt, in showing that
environmental toxicants have to be involved" in some cases of
Parkinson's disease, said Freya Kamel, an epidemiologist with the
National Institute of Environmental Health Sciences who has documented
a high rate of neurological problems in farmers who use pesticides.

"It's not one nasty thing that is causing this disease. I think it's
exposure to a combination of many environmental chemicals over a
lifetime. We just don't know what those chemicals are yet, but we
certainly have our suspicions."

For almost two centuries, since English physician James Parkinson
described a "shaking palsy" in 1817, doctors have been baffled by the
condition.

In most people, a blackened, bean-size sliver at the base of the brain
-- called the substantia nigra -- is crammed with more than half a
million neurons that produce dopamine, a messenger that controls the
body's movements.

But in Parkinson's patients, more than two-thirds of those neurons
have died.

After decades of work, researchers are still struggling with many
unanswered questions, such as which chemicals may kill dopamine
neurons, who is vulnerable and how much exposure is risky.

Expressed in legal terms, pesticides are not guilty beyond a
reasonable doubt -- but there is a substantial, and rapidly growing,
body of evidence, many scientists say.

Clues and breakthroughs are emerging from an odd menagerie of
laboratory flies, mice, rats and monkeys, from bits of human brain,
and from farmers like Rieke.

And it all started with a junkie named George.

It was July 1982, and a 42-year-old patient named George Carrillo had
lingered in Santa Clara emergency rooms and psychiatric units for more
than two weeks. He seemed catatonic, unable to move or speak. Dr. Bill
Langston, who ran a neurology department, was brought in to try to
figure out what was wrong.

Langston gently lifted the man's elbow. His arm was stiff, moving like
a gearshift. Langston had seen this odd, rigid movement many times
before, in patients with Parkinson's disease.

But this was no ordinary Parkinson's patient. His symptoms had
developed virtually overnight.

The doctors soon tracked the source: a botched batch of synthetic
heroin that contained MPTP, a compound that acted like an assassin,
targeting the same neurons missing in Parkinson's patients.

Langston had stumbled across a powerful chemical that unleashed an
immediate, severe form of Parkinson's.

Still, it was obvious that synthetic heroin wasn't the culprit for
most Parkinson's patients. People are exposed to some 70,000 chemicals
in their environment. Which others could cause the disease?

A few days later, a chemist contacted Langston. The formula for the
heroin compound, the chemist said, "looks just like paraquat."
Paraquat has been one of the world's most popular weedkillers for
decades. It was a good place to start.

Since that discovery, scientists have conducted hundreds of animal
experiments, at least 40 studies of human patients, and three of human
brain tissue. They have found "a relatively consistent relationship
between pesticide exposure and Parkinson's," British researchers
reported online in September in the journal Environmental Health
Perspectives.

The work has revolutionized the thinking about Parkinson's, shifting
the decades-long debate about whether its roots are genetic or
environmental. Among the research leaders are UCLA, the Parkinson's
Institute in Sunnyvale, Calif., which Langston founded and now
directs, and Atlanta's Emory University, each named national centers
for Parkinson's research in 2001 and given a total of $20 million in
federal grants.

Head trauma contributes to some cases of Parkinson's, and it probably
explains why boxer Muhammad Ali was stricken. But why does it afflict
others with seemingly nothing in common, such as the late Pope John
Paul II and actor Michael J. Fox?

A couple of genes seem to play a role in early onset of Parkinson's in
the small percentage of people who are afflicted at a young age. But
for 90% of people who get the disease, a broad array of environmental
factors are believed responsible. In fact, when Parkinson's patients
have identical twins who carry the exact same genes, most of the twins
do not contract the disease.

"All told, the forms of Parkinson's with a known or presumed genetic
cause account for a small fraction of the disease, likely 5% or less,"
epidemiologists Dr. Caroline Tanner of the Parkinson's Institute and
Lorene Nelson of Stanford University reported in 2003.

To pinpoint which environmental exposures are most important,
scientists are trying to unravel how genes and toxic chemicals
interact to destroy brain cells. One leading theory is that pesticides
cause over-expression of a gene that floods the brain with a neuron-
killing protein.

Exposure to chemicals early in life, followed by toxic exposures in
adulthood, may be especially important, triggering a slow death of
neurons that debilitates people decades later.

Compounds with little in common, such as a fungicide and an
insecticide, apparently can team up to administer a one-two punch,
decimating brain cells.

"Pesticides and related industrial chemicals, those classes of
compounds, clearly are associated with some cases of Parkinson's,"
said Gary Miller, a toxicologist and associate professor at Emory
University's Rollins School of Public Health. "The question is, how
many? 5%, 10%, 50%? In a chemical-free society, people would still get
Parkinson's disease. It would just occur later in life and at a lower
incidence."

Even 5% would involve 50,000 Americans alive today.

More than 1 billion pounds of herbicides, insecticides and other pest-
killing chemicals are used on U.S. farms and gardens and in
households. Nearly all adults and children tested have traces of
multiple pesticides in their bodies.

So far, animal tests have implicated the pesticides paraquat,
rotenone, dieldrin and maneb -- alone or in combination -- as well as
industrial compounds called PCBs, or polychlorinated biphenyls.

Pesticide industry representatives stress that there are many risk
factors and insufficient evidence implicating any specific pesticide.
Scientists agree that they cannot specify an individual culprit.

"We know for sure that if you expose animals to certain pesticides, it
will kill the same neurons as Parkinson's disease. That's a fact. In
humans, there is high suspicion, but there is no definite proof," said
Dr. Marie-Francoise Chesselet, director of the UCLA Center for Gene-
Environment Studies in Parkinson's Disease.

A connection to rural living or farming has turned up worldwide.
Scientists first observed a high rate of Parkinson's in rural areas in
the early 1980s in Saskatchewan, Canada. Since then a dozen published
studies have reported an increase of 60% to 600% among people exposed
to pesticides, according to the British scientists' review.

Still, the science of epidemiology has inherent weaknesses. Most of
the human studies, for example, relied on patients' memories -- most
of which cannot be validated -- to report their pesticide exposures.

"You need to be cautious in drawing conclusions when you know there
are flaws in these studies," said Pamela Mink, an epidemiologist who
evaluated the human studies in a peer-reviewed report partly funded by
the pesticide industry.

Most patients probably were exposed decades before their diagnosis.
Because there is no national registry for Parkinson's, as there is for
cancer, no one knows whether rates are high in places such as the San
Joaquin Valley.

Among those trying to obtain more definitive answers, UCLA
environmental epidemiologist Dr. Beate Ritz has contacted nearly 300
Parkinson's patients and 250 healthy people in Tulare, Fresno and Kern
counties. She is pinpointing their pesticide exposures down to the
day, the pound and the street corner by overlaying their addresses
with California's extensive agricultural database, which details
pesticide use on farms since the 1970s.

Also, 52,000 farmers and other pesticide applicators have been tracked
by federal researchers since the mid-1990s and one goal is to document
their exposure and see how many wind up with Parkinson's.

Animal studies provide more evidence but also have weaknesses. Mink
and toxicologist Abby Li, who co-wrote the report financed partly by
industry, concluded that the human and animal data "do not provide
sufficient evidence" to prove pesticides cause Parkinson's.

Scientists first tested paraquat in rodents, but the findings were
inconclusive. Neurologist Tim Greenamyre showed that rotenone, a
pesticide, could kill rats' dopamine neurons and cause Parkinson's
symptoms. But since rotenone is a natural plant compound that is not
used much on farms, it was not a likely source of the human disease.

Neurotoxicologist Deborah Cory-Slechta has presented the most
compelling evidence yet on how everyday environmental factors can play
a role in Parkinson's disease. Her theory was that testing one
chemical at a time for its impact on the brain was misguided.

"It's not how humans are exposed," she said. "You don't get a single
dose of a pesticide. You get chronic, low-level exposure."

She injected mice with paraquat and the fungicide maneb. Use of the
two sometimes overlaps on farms. Alone, paraquat and maneb did not
harm mice in her laboratory. But "when we put them together, we were
astounded," Cory-Slechta said.

The most dramatic damage was in mice exposed to maneb as fetuses and
then to paraquat as adults. Their motor activity declined 90% and
their dopamine levels plummeted 80%.

The amounts used in those tests "are not high levels of exposure.
These are very, very low doses," said Cory-Slechta, who now directs
Rutgers University's Environmental and Occupational Health Sciences
Institute.

Paraquat and maneb are unlikely to be the only combination with such a
devastating effect. Yet the U.S. Environmental Protection Agency
considers only single exposures when approving pesticides, an approach
that "doesn't mimic environmental reality," Cory-Slechta said.

"There may be hundreds, if not thousands, of other compounds that are
silent killers of dopamine neurons," said Dr. Donato Di Monte,
director of basic research at the Parkinson's Institute.

"Each of these risk factors, they kill 10, 20 or 30% of your neurons.
It's like eroding a house on a cliff, and the house finally falls
over.

With so much emerging human and animal data, Chesselet predicts that
"in two years, we will have a preponderance of evidence" against some
classes of chemicals. Kamel thinks specific pesticides will be pinned
down within five years.

For Rieke, it is impossible to determine which chemicals may have
played a role in his disease. He owned two dry-cleaners -- handling
industrial solvents for seven years -- and for 25 years he mixed and
applied at least a dozen herbicides and insecticides on his Merced
farm.

At 59, Rieke had to sell the farm and retire. Now 64, he seems 10
years older despite taking seven medications daily.

"Every year, there are things that we all take for granted that my dad
can no longer do," said his son, Greg. "There's no cure, and it never
gets better. There's not a lot of hope, if you will."

Though it's too late for Rieke, scientists are confident they'll soon
be able to predict who is vulnerable to environmental assaults on
their brains.

"That would be the Holy Grail for us," Miller said. "To actually
pinpoint people at risk of this disease and protect them."

*

Parkinson's and pesticides

Scientists now believe that exposure to toxic substances, particularly
pesticides, could explain some brain cell degeneration that leads to
Parkinson's disease, a disorder that affects body movement and
coordination.

--

Neurons

Neurons or brain cells in the mid-brain produce dopamine, one of two
neurotransmitters that help the brain and body communicate to produce
smooth muscle movements and body coordination.

--

People with Parkinson's disease lose 60% to 80% of their dopamine-
producing neurons in a part of the mid-brain called the substantia
nigra, hindering communication between the mind and body. Scientists
think some pesticides may kill neurons in the substantia nigra.

--

When dopamine is present

In a normal mid-brain, the substantia nigra has cells that are
pigmented, or colored black, a byproduct of dopamine production.

--

Absence of dopamine

Parkinson's patients lack this pigmentation because they've lost so
many neurons.

--

Source: Medline Plus

Copyright 2005 Los Angeles Times

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From: Knight-Ridder, Nov. 29, 2005

HEALTH PROBLEMS ABOUND MONTHS AFTER KATRINA ROARED ASHORE

By Seth Borenstein and Chris Adams

BILOXI, Miss. -- Three months after Hurricane Katrina raked the Gulf
Coast, a major health crisis is emerging as residents struggle with
the fouled air, moldy houses and the numbing stress the killer storm
left behind.

Across Mississippi and Louisiana, people are afflicted with coughs,
infections, rashes and broken limbs and they are jittery, tired,
depressed and prone to bizarre outbursts, health professionals said.

Burning storm debris, increased diesel exhaust, runaway mold and fumes
from glue and plywood in new trailers are irritating people's lungs
and nasal passages. Weary residents trying to clean up and repair
their homes are falling off roofs and cutting themselves with
chainsaws. And stress is fracturing the psyches of countless storm
victims.

"It's a cumulative effect here," said Claire Gilbert, a New Orleans
surgical technician who works in a Louisiana occupational medical
practice and volunteered at the New Waveland Clinic, a tent shelter
complex that just closed in Mississippi. "You get a little cough. You
get a nose that runs. You get eye irritation. Then you get falls. And
you've got the stress. It's not just little things. It's how they all
add up."

Consider Colin Landis of Biloxi. First, he lost his rented home when
it filled with six feet of water as part of Katrina's storm surge.
Then, his marriage of 16 years, already under stress, collapsed. His
wife fled the coast with their three children. He felt alone and
strained with only $3,500 in federal help.

Landis ended up living in a borrowed RV on a friend's yard less than a
mile from a burning pile of storm debris. With the RV's air
conditioner broken, Landis slept with the window open. He'd wake up
with a raw throat and irritated eyes.

"It was almost like I had strep throat," Landis said. "It was
obviously due to the environment."

Landis, who isn't sleeping much anymore, said that stress is getting
to him more now than it did in the first few hectic weeks after
Katrina struck. And it's not just him who's under strain. His brother-
in-law just hurt his back falling through a storm-damaged deck.

When Katrina bore down on Mississippi and Louisiana, health officials
worried about a toxic gumbo of industrial chemicals that might flood
the area and about the spread of infectious diseases. Instead, a more
subtle health problem developed, said Dr. Howard Frumkin, director of
the National Center for Environmental Health, a division of the
Centers for Disease Control and Prevention in Atlanta.

"In many ways, this is the major environmental health disaster of our
lifetime," Frumkin told Knight Ridder Newspapers. "It's a very
complicated set of risk factors people face.... This is a huge set of
environmental health challenges."

Frumkin listed several irritants and carcinogens emitted from burning
Katrina's flotsam and from traffic emissions, including acrolein and
formaldehyde. Those two chemicals trigger coughs and bad congestion in
the short term and are linked to cancer after prolonged exposure.
Recent measurements from Mississippi air monitors show that spikes in
the chemicals are much higher than what federal standards allow. In
October, acrolein levels measured 155 times higher than federal
standards and formaldehyde levels were seven times higher than
allowed.

Frumkin also mentioned such emissions as polycyclic aromatic
hydrocarbons, which cause cancer, and deadly carbon monoxide. Mold is
nearly everywhere, and cleanup-related injuries are often overlooked,
he said.

But what hurts the Gulf Coast most -- and compounds the effects of
everything else -- is stress, experts said.

"Stress isn't a strong enough word. I'd call it anguish," Frumkin
said. "The level of grief and anguish there is palpable."

People can't sleep. They don't remember meetings or what day it is.
Vietnam veterans suffer flashbacks and nightmares, psychologists say.

William Gasparrini, a Biloxi clinical psychologist, calls it "Post-
Katrina Stress Disorder," in which residents suffer bouts of grief,
shock, rapid mood shifts, confusion, anger, marital discord, guilt,
escape fantasies and substance abuse.

"The effects are lasting longer than I suspected," Gasparrini said. "I
thought everything would be back to normal in three to four weeks.
Now, three months later, it looks like it'll be one to two years -- if
we are lucky. There are a lot of people in pain -- a lot of people who
cry every day."

Making matters worse is that the devastation is so widespread that
people can't escape it. Unlike a tornado or the terrorist attacks on
the World Trade Center and Pentagon, the area of destruction in
Mississippi and Louisiana is so wide that residents need to drive for
miles to find a sense of normalcy.

"When you drive around Biloxi and see all those houses that have been
very badly damaged and see people living in the rubble for weeks and
weeks, it's easy to understand how traumatizing this has been for
these families," said Irwin Redlener, director of the National Center
for Disaster Preparedness at the Columbia University Mailman School of
Public Health. Redlener has spent time since the storm in New Orleans
and Mississippi.

"Because of the prolonged nature of this disaster, it's impossible to
guess what rate of PTSD (post-traumatic stress disorder) we will see.
It may be much higher than we would normally expect."

After other disasters, between 7 percent and 12 percent of the people
directly affected eventually suffered PTSD symptoms, he said. Because
Katrina victims number in the hundreds of thousands -- all the people
who lost homes, lost relatives or were forced into temporary shelters
- the mental toll could be huge, he said.

"Because the sheer size of the impact was so large, I think there is a
greater sense of despair and loss that people are experiencing," he
said. "This experience of dramatic, prolonged displacement will create
a toll long into the future."

Before Katrina hit, a Mississippi mental health telephone help line
received about 300 calls a month. After Katrina, the help line was
flooded with calls: One night, director Jennie Hillman had the line
roll over to her home; she was up much of the night fielding 27 calls.

In late September, federal money helped pay for a new mental health
help line called Project Recovery. It also has been swamped with
calls: In the last four weeks, Project Recovery has received 960
calls, while workers in the field have made contact with an additional
800 people, Hillman said.

The Gulf Coast Mental Health Center lost nearly half its patients
during and just after the storm, yet new patients streamed in to
replace them and then some, said psychologist Steve Barrilleaux,
director of the adult outpatient program. Now nearly half of those the
center sees have Katrina-related problems.

Diane Lufreniere, a therapist at the center, developed strange rashes
on both arms.

"I was itching all the time and I just couldn't figure it out," she
said. She went to three doctors, and they tried different medicines to
no avail. Finally, they figured it was the stress of housing friends
who were homeless. When the stress went away, so did the rashes.

While the stress is overwhelming, the part of the body that shows the
most symptoms is the respiratory system, said directors of local
medical centers and makeshift clinics.

In just nine days, from Nov. 9 to Nov. 17, the New Waveland Clinic saw
473 patients -- 121 of them were for respiratory problems. The second
most common symptom was skin problems with 68 patients.

Dave Farragut of DeLisle, Miss., got one of the first new trailers
from the Federal Emergency Management Agency. The first couple of
days, the smell from the trailer made his eyes burn. When his
girlfriend moved in a few days later, she also got sick at first.

For more than a decade, federal health officials have known about
irritating chemicals emitted from the glue and plywood of new
trailers, said professor Stan Glantz, of the University of California
at San Francisco.

Volunteer Claire Gilbert at the Waveland clinic had mold problems of
her own in her New Orleans apartment. Nearly every structure touched
by the floodwaters has mold growing.

Mold is serious. In addition to irritating people and triggering
asthma and allergy attacks, it can cause infections and can be toxic
and cause cancer, said Sam Arbes, a scientist who specializes in mold
issues at the National Institute of Environmental Health Sciences in
North Carolina.

"It doesn't get any worse" than the mold levels Arbes said he saw in
New Orleans. Testing there by the Natural Resources Defense Council,
an environmental group, found mold levels in New Orleans nearly 13
times higher than what's considered very high levels by allergists.

Increased traffic is also creating breathing problems for vulnerable
people, Frumkin said. And diesel exhaust -- increased because of ever-
present construction and debris-clearing vehicles with diesel engines
- causes cancer, he said.

With bridges and roads out, traffic in parts of the Mississippi Gulf
Coast is down to a crawl, so it can take two to three times longer
than usual to get places, increasing emissions.

For example, on Interstate 10, just west of U.S. 49 in Gulfport, the
average daily traffic has increased from about 37,000 last year to
52,000 last month, according to Trung Trinh, a planner for the
Mississippi Department of Transportation.

Skin problems are also plentiful. New Waveland Clinic director Brad
Stone told of a disabled woman who lived in her car for three months
while waiting for FEMA to come up with a handicapped accessible
trailer. The woman developed a fungal infection on her body that was
"extremely painful and dehumanizing," Stone said.

It all comes down to environmental factors, Stone said.

Take Alicia Heatherton of Biloxi. During Katrina she stayed in her
retirement home apartment right on the beach. Even though nearby
buildings were obliterated, she survived.

It's the aftermath that's come close to killing her.

Heatherton, a 68-year-old woman with emphysema, got a severe lung
infection from the mold spreading in her apartment.

"I love it (in Biloxi), but my life comes first," Heatherton said,
gasping for air. In about a week, she's moving to Nevada, saying: "I'm
not going to sit here and mold to death."

Copyright 2005 KR Washington Bureau

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