{"id":3038,"date":"2014-02-18T09:41:10","date_gmt":"2014-02-18T14:41:10","guid":{"rendered":"http:\/\/blogs.edf.org\/health\/?p=3038"},"modified":"2014-03-25T12:44:55","modified_gmt":"2014-03-25T17:44:55","slug":"unnerving-developments-in-the-state-of-the-evidence-on-developmental-neurotoxicity","status":"publish","type":"post","link":"https:\/\/blogs.edf.org\/health\/2014\/02\/18\/unnerving-developments-in-the-state-of-the-evidence-on-developmental-neurotoxicity\/","title":{"rendered":"Unnerving developments in the state of the evidence on developmental neurotoxicity"},"content":{"rendered":"<p><em>Rachel Shaffer<\/em> is a research assistant.<\/p>\n<p><span style=\"color: #000000;font-family: Calibri;font-size: medium\">Seven years ago, leading children\u2019s environmental health experts Philippe Grandjean and Philip Landrigan published a groundbreaking <\/span><a href=\"http:\/\/www.ncbi.nlm.nih.gov\/pubmed\/17174709\"><span style=\"color: #0000ff;font-family: Calibri;font-size: medium\">review<\/span><\/a><span style=\"color: #000000;font-family: Calibri;font-size: medium\"> that identified five chemicals prevalent in the environment\u2014lead, methylmercury, polychlorinated biphenyls (PCBs), arsenic, and toluene\u2014as developmental neurotoxicants.\u00a0In their follow-up <\/span><a href=\"http:\/\/www.thelancet.com\/journals\/laneur\/article\/PIIS1474-4422(13)70278-3\/abstract\"><span style=\"color: #0000ff;font-family: Calibri;font-size: medium\">review<\/span><\/a><span style=\"font-family: Calibri\"><span style=\"font-size: medium\"><span style=\"color: #000000\"> released last week, they have added six more chemicals\u2014manganese, fluoride, polybrominated diphenyl ethers (PBDEs), chlorpyrifos, DDT, and tetrachloroethylene (PERC)\u2014to this list. The implications of early-life exposures to these common compounds, say the authors? \u00a0A \u201cglobal silent pandemic of neurodevelopmental toxicity.\u201d\u00a0 <!--more--><\/span><\/span><\/span><\/p>\n<p><span style=\"color: #000000;font-family: Calibri;font-size: medium\">The developing fetus and newborn are uniquely susceptible to chemical exposures, and disruptions to critical developmental \u201cprogramming\u201d during this sensitive period can have life-long consequences. \u00a0In the environmental health field, this concept is known as the \u201c<\/span><a href=\"http:\/\/www.ehjournal.net\/content\/11\/1\/42\"><span style=\"color: #0000ff;font-family: Calibri;font-size: medium\">Developmental Origins of Health and Disease<\/span><\/a><span style=\"font-family: Calibri\"><span style=\"font-size: medium\"><span style=\"color: #000000\">\u201d and suggests that even low-level exposures that would have little or no effect on adults could forever alter the development and life-course of a newborn or young child. <\/span><\/span><\/span><\/p>\n<p><span style=\"color: #000000;font-family: Calibri;font-size: medium\">The individual and societal consequences of early-life exposures to developmental neurotoxicants can be devastating. \u00a0Damage to the brain can lead to permanent decreases in IQ or developmental disabilities, which in turn have implications for academic potential, earning capacity, and, at a population level, effects on national gross domestic product (GDP). \u00a0Research also suggests that these developmental neurotoxicants can lead to antisocial or criminal behavior; evidence is particularly strong for the case of <\/span><a href=\"https:\/\/cen.acs.org\/articles\/92\/i5\/Crimes-Lead.html\"><span style=\"color: #0000ff;font-family: Calibri;font-size: medium\">lead<\/span><\/a><span style=\"font-family: Calibri\"><span style=\"font-size: medium\"><span style=\"color: #000000\">. \u00a0Yet, in contrast to high-dose poisoning events, effects of these exposures can be subtle and often do not manifest until years later, making it difficult to identify and characterize the linkages to chemical exposures. <\/span><\/span><\/span><\/p>\n<p><span style=\"font-size: medium\"><span style=\"color: #000000\"><span style=\"font-family: Calibri\">Based on mounting data from recent epidemiological studies, Grandjean and Landrigan have now classified the following compounds as known human developmental neurotoxicants: <\/span><\/span><\/span><\/p>\n<ul>\n<li><span style=\"color: #000000\"><b><span style=\"font-family: Calibri;font-size: medium\">Metals and inorganic compounds:<\/span><\/b><span style=\"font-family: Calibri\"><span style=\"font-size: medium\"> arsenic\/arsenic compounds, lead, methylmercury, fluoride, manganese<\/span><\/span><\/span><\/li>\n<li><span style=\"color: #000000\"><b><span style=\"font-family: Calibri;font-size: medium\">Organic solvents: <\/span><\/b><span style=\"font-family: Calibri\"><span style=\"font-size: medium\">toluene, tetrachloroethylene<b><\/b><\/span><\/span><\/span><\/li>\n<li><span style=\"color: #000000\"><b><span style=\"font-family: Calibri;font-size: medium\">Pesticides: <\/span><\/b><span style=\"font-family: Calibri\"><span style=\"font-size: medium\">chlorpyrifos, DDT\/DDE<b><\/b><\/span><\/span><\/span><\/li>\n<li><span style=\"color: #000000\"><b><span style=\"font-family: Calibri;font-size: medium\">Other halogenated organic compounds: <\/span><\/b><span style=\"font-family: Calibri\"><span style=\"font-size: medium\">polychlorinated biphenyls, polybrominated diphenyl ethers <b><\/b><\/span><\/span><\/span><\/li>\n<\/ul>\n<p><span style=\"font-family: Calibri\"><span style=\"font-size: medium\"><span style=\"color: #000000\">Their updated report should serve as <i>yet another<\/i> wake-up call that we are jeopardizing the health and full potential of future generations because of early-life exposures to these common toxic chemicals. <\/span><\/span><\/span><\/p>\n<p><span style=\"font-family: Calibri\"><span style=\"font-size: medium\"><span style=\"color: #000000\">To tackle this growing problem, we need further research and improved chemical testing techniques to identify additional developmental neurotoxicants, and stronger regulatory policies to reduce exposures to them. \u00a0Fortunately, progress is being made in all three of these areas. <\/span><\/span><\/span><\/p>\n<p><span style=\"color: #000000;font-family: Calibri;font-size: medium\">Because of the growing recognition of the severe consequences of exposure to developmental neurotoxicants, researchers across the country are working to identify these compounds and better understand how they act in the body. \u00a0In fact, earlier this week, the EPA awarded over <\/span><a href=\"http:\/\/cfpub.epa.gov\/ncer_abstracts\/index.cfm\/fuseaction\/recipients.display\/rfa_id\/562\/records_per_page\/ALL\"><span style=\"color: #0000ff;font-family: Calibri;font-size: medium\">$3 million in grants<\/span><\/a><span style=\"font-size: medium\"><span style=\"color: #000000\"><span style=\"font-family: Calibri\"> to several research institutions to support these investigations. Sustained funding for such critical public health research is essential. \u00a0<\/span><\/span><\/span><\/p>\n<p><span style=\"color: #000000\"><span style=\"font-size: medium\"><span style=\"font-family: Calibri\">In conjunction with an improved understanding of these toxicants, we need to advance our capacity to screen and test chemicals for their neurodevelopmental effects. \u00a0<\/span><\/span><\/span><a href=\"http:\/\/www.edf.org\/health\/chemical-testing-21st-century\"><span style=\"color: #0000ff;font-family: Calibri;font-size: medium\">New toxicity testing techniques<\/span><\/a><span style=\"font-family: Calibri\"><span style=\"font-size: medium\"><span style=\"color: #000000\"> may hold promise towards this end, and engagement with the scientific community studying such chemicals and adverse effects is necessary to ensure that challenges and limitations associated with applying these new tools can be resolved. <\/span><\/span><\/span><\/p>\n<p><span style=\"color: #000000;font-family: Calibri;font-size: medium\">And finally, we need a <\/span><a href=\"http:\/\/www.edf.org\/health\/policy\/chemicals-policy-reform\"><span style=\"color: #0000ff;font-family: Calibri;font-size: medium\">new framework for our national chemicals policy<\/span><\/a><span style=\"font-family: Calibri\"><span style=\"font-size: medium\"><span style=\"color: #000000\">\u2013 one that will give the EPA the authority to get and use this information to <i>effectively<\/i> protect public health. \u00a0A <\/span><\/span><\/span><a href=\"http:\/\/www.epw.senate.gov\/public\/index.cfm?FuseAction=Minority.PressReleases&amp;ContentRecord_id=ccf8cd45-e41f-28bd-0252-9984333f7335\"><span style=\"color: #0000ff;font-family: Calibri;font-size: medium\">bipartisan proposal in the Senate<\/span><\/a><span style=\"font-family: Calibri\"><span style=\"font-size: medium\"><span style=\"color: #000000\"> opens a path to securing the necessary improvements, and many stakeholders and members of both houses of Congress are working hard on the measure to ensure it delivers the needed reforms.<\/span><\/span><\/span><\/p>\n<p><span style=\"font-family: Calibri\"><span style=\"font-size: medium\"><span style=\"color: #000000\">While challenging, progress in all of these areas is essential to the well-being of our society. \u00a0As study co-author Grandjean has said, \u201cthe brains of our children are our most precious economic resource\u2026 You only have one chance to develop a brain.\u201d <\/span><\/span><\/span><\/p>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Rachel Shaffer is a research assistant. Seven years ago, leading children\u2019s environmental health experts Philippe Grandjean and Philip Landrigan published a groundbreaking review that identified five chemicals prevalent in the environment\u2014lead, methylmercury, polychlorinated biphenyls (PCBs), arsenic, and toluene\u2014as developmental neurotoxicants.\u00a0In their follow-up review released last week, they have added six more chemicals\u2014manganese, fluoride, polybrominated diphenyl &#8230;<\/p>\n","protected":false},"author":11089,"featured_media":0,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[56100,44,5009],"tags":[5013,39171,5010,39993,5011,39156],"coauthors":[],"class_list":["post-3038","post","type-post","status-publish","format-standard","hentry","category-emerging-science","category-policy","category-health-science","tag-children-safety","tag-exposure-vs-hazard","tag-flame-retardant","tag-general-interest","tag-pbde","tag-persistant-bioaccumulative-and-toxic-pbt"],"acf":[],"aioseo_notices":[],"_links":{"self":[{"href":"https:\/\/blogs.edf.org\/health\/wp-json\/wp\/v2\/posts\/3038","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/blogs.edf.org\/health\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/blogs.edf.org\/health\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/blogs.edf.org\/health\/wp-json\/wp\/v2\/users\/11089"}],"replies":[{"embeddable":true,"href":"https:\/\/blogs.edf.org\/health\/wp-json\/wp\/v2\/comments?post=3038"}],"version-history":[{"count":0,"href":"https:\/\/blogs.edf.org\/health\/wp-json\/wp\/v2\/posts\/3038\/revisions"}],"wp:attachment":[{"href":"https:\/\/blogs.edf.org\/health\/wp-json\/wp\/v2\/media?parent=3038"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/blogs.edf.org\/health\/wp-json\/wp\/v2\/categories?post=3038"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/blogs.edf.org\/health\/wp-json\/wp\/v2\/tags?post=3038"},{"taxonomy":"author","embeddable":true,"href":"https:\/\/blogs.edf.org\/health\/wp-json\/wp\/v2\/coauthors?post=3038"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}