EDF Health

Children’s lead exposure: Relative contributions of various sources

By Tom Neltner, Senior Director, Safer Chemicals Initiative / Published: December 15, 2017

Tom Neltner, J.D., is Chemicals Policy Director and Dr. Ananya Roy is Health Scientist

Last week, we noted in our blog that the Environmental Protection Agency (EPA) dropped the statement that paint, dust and soil are the most common sources of lead in its “Protect Your Family from Lead in Your Home” booklet. Property owners provide this booklet to prospective homebuyers and tenants in housing built before 1978. The change implicitly recognizes that there is no safe level of lead in the children’s blood, and we must reduce all sources of lead exposure. It also acknowledges that the relative contribution of air, water, food, soil, dust, and paint to children’s blood lead levels is complicated. Exposure varies significantly based on age of the home, the child’s race and age, the family’s income-level, and region of the country. Any simplification obscures these important differences.

EPA’s scientists made this clear in a model published earlier this year that pulled together the available data, divided children into three age categories, and assigned children in each category into ten groups based on their overall lead exposure. For each group, they estimated the relative contribution of air, water, food, and soil/dust (from paint). Not surprisingly, children living in older homes with lead-based paint hazards by far have the most exposure to lead. For 1 to 6 year olds in the top 90-100 percentile, more than 70% of the lead in their blood is from soil and dust. The contribution from food is 20% and drinking water is 10%. For infants, soil and dust contributes to 50% of the lead in blood, while 40% is from water and 10% from food.

Since there is no known safe level of lead in blood, we must do even more to reduce children’s exposure to lead-contaminated soil and dust.

However, to prioritize action at a national level, it is important to understand how different sources contribute to lead exposure in the average child as well as the most-exposed child. We used the underlying EPA data to calculate the average relative source contribution of different sources to blood lead levels for infants from birth to six months old, for toddlers 1 to 2 years old, and young children from 1 to 6 years old. The results indicate that infants have a much higher source contribution of lead from water in comparison to older children (Figure 1). For the average child 1 to 6 years old, food is the largest source of lead exposure, with 50%, followed by soil/dust then water.

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Also posted in Drinking water, Emerging science, Health policy, Health science, Lead, Public health / Tagged , , , , , , | Read 1 Response

CBS News covers a chemical’s tragic impact; points to urgent need to ban high-risk uses of methylene chloride

By Lindsay McCormick / Published: December 7, 2017

Lindsay McCormick is a Project Manager.  

This morning, CBS News focused on the tragic story of Kevin Hartley—a young man who died at the age of 21 while working with a product that contains methylene chloride. Kevin’s story, powerfully relayed by his mother Wendy, illustrates the need to ban high-risk uses of this chemical.

As we have previously noted, in January, the Environmental Protection Agency (EPA) proposed to ban methylene chloride in paint and coating removal products. The agency based its proposal on an extensive assessment of the scientific literature, which demonstrated not only lethal risks from acute exposures to methylene chloride but also a host of other acute and chronic health impacts, like harm to the central nervous system, liver toxicity, and cancer.

Products containing this chemical can be readily found in most hardware stores in America and more tragedies are all but certain, if EPA does not promptly finalize its proposed ban.

The ongoing debates in Washington over the implementation of a new chemical safety law passed just last year are often dense and dry. In sharing her son Kevin’s story, Wendy Hartley reminds us that how these policies are applied has a very real human impact. That is why EDF continues to demand EPA better protect American families from toxic chemicals like the one highlighted by CBS News today.

Please watch the story: https://www.cbsnews.com/news/dangers-of-common-paint-stripper-chemical-methylene-chloride/

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Federal government updates real estate disclosure booklet to address lead in drinking water

By Tom Neltner, Senior Director, Safer Chemicals Initiative / Published: December 6, 2017

Tom Neltner, J.D., is Chemicals Policy Director

In June 2017, the federal government updated the “Protect Your Family from Lead in Your Home” booklet to expand the information provided on lead in drinking water from a few lines to a full page. Since 1996, when someone rents or buys a home built before 1978, the property owner or landlord is required to provide them with a copy of this booklet. The last update to the booklet was made in 2012.

What is removed?

  • Statement that paint, dust and soil are the most common sources of lead. The new version does not make the comparison. See our September 2017 blog for the Environmental Protection Agency’s (EPA) latest estimates on sources of lead exposure.
  • Running water for 15 to 30 seconds before drinking. The new version is silent on length of time to flush water and instead highlights taking a shower, doing laundry, or doing a load of dishes as options to flush the line at the tap. The change was necessary because homes with lead service lines, the lead pipe that connects the main under the street to the home, often experience higher levels of lead after 30 seconds of flushing.

What background is added?

  • Lead pipes, faucets and fixtures are the most common sources of lead in drinking water.
  • Reminder that older homes with private wells can have lead plumbing materials too.
  • Some states or utilities offer programs that pay for water testing for residents.

What are the new recommendations?

  • Regularly clean your faucet screen (also known as an aerator).
  • If using a filter to remove lead, follow directions to learn when to change the cartridge.
  • Use only cold water to make baby formula.
  • Contact your water company to determine if your home has a lead service line and to learn about lead levels in the system’s drinking water and water testing for residents.
  • Call EPA’s Safe Drinking Water Hotline at 1-800-426-4791 for information about lead in drinking water and 1-800 424-LEAD for other questions about lead poisoning prevention.

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Also posted in Drinking water, Health policy, Lead, Public health, Regulation / Tagged , , , , , , , | Authors: / Comments are closed

EPA’s latest analysis shows perchlorate risks to fetal brain development

By Tom Neltner, Senior Director, Safer Chemicals Initiative / Published: November 20, 2017

Tom Neltner, J.D., is Chemicals Policy Director and Maricel Maffini, Ph.D., Consultant

Pursuant to a consent decree with the Natural Resources Defense Council (NRDC), the Environmental Protection Agency (EPA) is developing drinking water regulations to protect fetuses and young children from perchlorate, a toxic chemical that inhibits the thyroid’s ability to make the hormone T4 essential to brain development. The rulemaking is part of a long process that began in 2011 when the agency made a formal determination that Safe Drinking Water Act standards for perchlorate were needed. Under the consent decree, EPA should propose a standard by October 2018.

In the latest step in that process, EPA’s scientists released a draft report in September that, at long last, answers questions posed by its Science Advisory Board in 2013: does perchlorate exposure during the first trimester reduce production of T4 in pregnant women with low iodine consumption? Does reduction in maternal T4 levels in these women adversely affect fetal brain development? According to EPA’s scientists, the answers are Yes and Yes.

For several years, EPA and the Food and Drug Administration (FDA) have developed and refined a model that would predict the effect of different doses of perchlorate on levels of T4 in pregnant women. The latest version of the model addresses women during the first trimester, especially those with low iodine intake. This is important because iodine is essential to make T4 (the number four indicates the number of iodine atoms present in the hormone); perchlorate inhibits its transport from the blood into the thyroid. The risk of perchlorate exposure to fetuses in the first trimester is greatest because brain development starts very early and is fully dependent on maternal T4. If the mother gets insufficient iodine to offset the perchlorate inhibition, she will not produce enough T4 for the fetal brain to develop properly. When free T4 (fT4) levels are low but without increase in thyroid stimulating hormone (TSH), the condition is known as hypothyroxinemia. When T4 production is lowered further, the pituitary gland releases TSH to increase T4 production by a feedback loop mechanism.

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Also posted in Drinking water, Emerging science, FDA, Food, Health policy, Perchlorate, Public health, Regulation / Tagged , , , , , , , , , , | Authors: / Comments are closed

EPA proposes limits on hypochlorite bleach to reduce degradation to perchlorate

By Tom Neltner, Senior Director, Safer Chemicals Initiative / Published: November 17, 2017

Tom Neltner, J.D., is Chemicals Policy Director and Maricel Maffini, Ph.D., Consultant

Every 15 years, the Environmental Protection Agency’s (EPA) Office of Pesticide Programs (OPP) reviews the safety of registered pesticides. The current cycle ends in 2022. As part of that process, the agency is evaluating the safety of hypochlorite bleaches. In January 2017, EPA decided it would consider the risks posed by degradation of the hypochlorite into perchlorate.

This is important for two reasons: 1) degraded bleach is less effective as a pesticide, and 2) perchlorate is a chemical that interferes with the production of thyroid hormone, a critical hormone for fetal and infant brain development.

On September 22, EPA proposed changes to the pesticide label to minimize the degradation for hypochlorite bleach used to disinfect drinking water, and the agency is accepting comments until November 21, 2017. The label would advise users to:

  • Minimize storage time;
  • Maintain pH of the solution between 11 to 13;
  • Minimize exposure to sunlight;
  • Store at lower temperatures; and
  • If practical, dilute with cool softened water upon delivery.

EDF submitted comments to EPA supporting EPA’s proposal and requesting specific changes to the proposed language, including making the advice to users mandatory. We also asked the agency to extend the label requirements to hypochlorite bleach used to treat produce and to disinfect food handling equipment. Bleach appears to be one of several significant sources of perchlorate contamination of food. Improving management conditions will reduce degradation and preserve effectiveness regardless of the whether the bleach is used in drinking water or to treat vegetables.

EPA’s proposal is an interim decision. We also were pleased to see that OPP is committed to continue working with EPA’s Office of Water (OW) in its assessment of the risks of perchlorate to pregnant women and young children. We asked OPP to incorporate the OW’s findings in additional interim registration decisions for all uses of hypochlorite bleaches.

 

Also posted in Health policy, Health science, Perchlorate, Public health, Regulation / Tagged , , , | Comments are closed

Pollution is responsible for 9 million deaths globally: Two-thirds are due to air pollution

By EDF Blogs / Published: October 20, 2017

Dr. Ananya Roy is a Health Scientist

Over the last few weeks as forest fires engulfed large areas of California, air quality in the Bay area plummeted. Doctors and pediatricians were on high alert to deal with the health impacts felt most acutely by children and the elderly. Pediatrician’s offices had phone messages that said “If you are concerned about air pollution and calling to make an appointment for your child’s asthma please dial …” and advised citizens to use face masks and air purifiers and stay indoors. News outlets compared air pollution levels there to winter days in Beijing or New Delhi where air pollution is a more consistent threat. These fires drive home the reality of the effect of pollution on health.

Time and time again pollution related news from across the country and globe have made headlines, ranging from lead and PFOAS in water Flint and Hoosick Falls, benzene in Houston, to the “Airpocalypse” in Beijing and New Delhi. Though these articles highlight the disastrous effects of pollution from major pollution and weather events, the constant and ongoing silent impact of air pollution on the lives of children and communities remains underappreciated.

GAHP, The Lancet Report

Today, the Lancet Commission on Pollution and Health, an initiative of The Lancet, the Global Alliance on Health and Pollution (GAHP), Pure Earth, and the Icahn School of Medicine at Mount Sinai, with additional coordination and input from United Nations Environment, United Nations Industrial Development Organization (UNIDO), the World Bank, and others provide the first comprehensive global analysis of the health and economic impacts from all forms of pollution (air, water, soil, occupational). My colleague Elena Craft and I were contributors to this report.

The analysis carried out through the Global Burden of Disease framework estimated that pollution across air, water, soil, and occupational exposures costs the global economy $4.6 trillion per year, approximately 6.2% of global GDP, and resulted in 9 million deaths in 2015. This is equivalent to 16% of all deaths worldwide. Three times more deaths than AIDS, tuberculosis, and malaria combined; and fifteen times more than all wars and other forms of violence.

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Also posted in Air pollution, Health policy, Health science / Tagged , | Comments are closed