The Learning and Developmental Disabilities Initiative

Weekly Bulletin
October 25, 2006

To join the Collaborative on Health and the Environment (CHE) and the LDDI Working Group, please complete the form at http://www.healthandenvironment.org/roles/register?&phase=registerform. Be sure to mark that you want to join the Learning and Developmental Disabilities Initiative Working Group at the bottom of the application.

LDDI Events

  1. LDDI is one of the cosponsors of the National Association for the Dually Diagnosed (NADD) annual conference being held October 25th and 26th in San Diego. For more information, see http://www.thenadd.org
  2. LDDI National Conference 2007, "Priming for Prevention: An Ecological Approach to Research, Education and Policy" will be held May 10-11, 2007, in Atlanta. Former US Surgeon General Dr. David Satcher, among other distinguished speakers, will be presenting at this conference.

IN THIS WEEK'S SUMMARY

Events

  1. 23rd NADD Annual Conference and Exhibit Show
  2. Children's Health Month Webcast: Healthy School Environments Assessment Tool
  3. Northeast Regional Conference on Eliminating Childhood Lead Poisoning, Implementing Healthy Homes Programs, and Combating Indoor Environmental Hazards
  4. Clinical Implications of Environmental Toxicology for Children's Neurodevelopment in Autism
  5. Call for Papers: The State of Environmental Justice in America 2007 Conference
  6. Environment and Sustainable Health: An International Assessment
  7. Pediatric Environmental Health Toolkit Training: Clinical Applications for the Busy Pediatric and Family Practice

For information about additional events, please visit our searchable calendar of events at http://www.iceh.org/calendar.html.

Announcements/Articles

  1. LDDI Legislative Database
  2. Request for Information (RFI) for NIH Roadmap Initiatives
  3. Warning to Male Mobile Phone Users: Chatting Too Long May Cut Sperm Count (London Guardian, 10/24/06)
  4. University Study Links Race, Income with N.C. Landfill Locations (Wilmington [North Carolina] Star-News, 10/23/06)
  5. Arsenic Levels Get Herbicide Pulled (Naples [Florida] News, 10/22/06)
  6. Hospitals Clean Out Allergy, Asthma Triggers (MetroWest [Massachusetts] News, 10/22/06)
  7. Living With Love, Chaos and Haley (New York Times, 10/22/06)
  8. Early Puberty a Growing Problem (Louisville Courier-Journal, 10/21/06)
  9. EPA Slow to Meet Mandate on Endocrine-disrupting Chemicals (Austin American-Statesman, 10/21/06)
  10. Ped Med: Counting on Autism Counts (UPI, 10/19/06)
  11. Permits Issued for Coal Plants (Dallas Morning News, 10/19/06)
  12. Europe: Doctors Want Firm Chemical Laws (Houston Chronicle, 10/18/06)
  13. Public Health and Environmental Leaders Applaud Governor's Green Chemistry Directive (Ecology Center, 10/18/06)
  14. EPA Invites Public Participation in Development of Nanotechnology Stewardship Program (US EPA, 10/18/06)
  15. Law Takes Aim at Army for Dumping (Hampton Roads [Virginia] Daily Press, 10/18/06)
  16. Scientists Say Seafood's Benefits Outweigh Risks (Los Angeles Times, 10/18/06)
  17. A Shift in Indoor Pollution Controls (Trenton [New Jersey] Times, 10/18/06)
  18. State Toughens Rules to Reduce Mercury Output of Power Plants (Pittsburgh Post-Gazette, 10/18/06)
  19. Should Pregnant Women Avoid Coffee Altogether? (Nature, 10/17/06)
  20. Great Lakes Live-fire Training Raises Fears about Lead (Kalamazoo [Michigan] Gazette, 10/17/06)

EVENTS

1) 23rd NADD Annual Conference and Exhibit Show

October 25 - 28, 2006
San Diego, California
at the Wyndham San Diego Hotel

The National Association for the Dually Diagnosed (NADD) presents their 23rd conference, themed "Promoting Mental Health in Children & Adults with Intellectual Disabilities: Cross Systems Collaboration." At the end of this conference, participants will be able to 1) identify psychopharmacological challenges with children and adults with ID; 2) review new data on assessment and treatment of autism spectrum disorder; 3) cite initiatives that support the development of a qualified workforce; 4) name collaborative/multidisciplinary program or treatment models; and 5) summarize several crisis services developed for persons with co-occurring disorders. Individuals who volunteer for one day can attend another day with the registration fee waived, or if you volunteer for two days, attend two days with the registration fee waived. For more information about volunteering, please contact Brenda Reuss, NADD Conference Assistant, at breuss@thenadd.org or at the phone number below.

Website: http://www.thenadd.org

Contact: 800-331-5362 or info@thenadd.org

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2) Children's Health Month Webcast: Healthy School Environments Assessment Tool (HealthySEAT)

October 26, 2006
1:30 - 3:00 p.m. EDT

This is the last of a series of four webcasts. EPA has developed a unique software tool to help school districts evaluate and manage their school facilities for key environmental, safety and health issues. The new Healthy School Environments Assessment Tool (HealthySEAT) is designed to be customized and used by district-level staff to conduct completely voluntary self-assessments of their school (and other) facilities and to track and manage information on environmental conditions school by school. This webcast will help acquaint states, school districts, and others with the capabilities and features of HealthySEAT. To sign up for one of the Children's Health Month webcasts, send an email (with the date of the webcast in which you would like to participate) to ICF International at the address below.

Contact: ICF International, chm@icfi.com

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3) Northeast Regional Conference on Eliminating Childhood Lead Poisoning, Implementing Healthy Homes Programs, and Combating Indoor Environmental Hazards

November 1 - 3, 2006
Providence, Rhode Island

This conference is an educational and networking conference for certified lead professionals; public health, housing and community development officials; lead and healthy homes grantees; environmental consultants and contractors; facility operators and managers; health educators and community advocates. Two educational program tracks are featured: 1) educational track on lead poison prevention, lead hazard control and healthy homes issues; and 2) educational track on detecting and remediating environmental hazards in housing and commercial buildings.

Website: http://www.leadmoldconferences.com/events/index.php?module=pagemaster&PAGE_user_op=view_page&PAGE_id=13&MMN_position=27:27

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4) Clinical Implications of Environmental Toxicology for Children's Neurodevelopment in Autism

November 2 - 3, 2005
Thursday 8:00 a.m. - 10:00 p.m., Friday 7:30 a.m. - 1:00 p.m.
Sacramento, California
at the UC Davis MIND Institute, 2825 50th Street

Contact: 916-703-0234 or heather.cornwell@ucdmc.ucdavis.edu

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5) Call for Papers: The State of Environmental Justice in America 2007 Conference

Abstracts: by November 6, 2006
Conference: March 29 - 31, 2007
Washington, DC
at the Howard University School of Law

It has been more than 25 years since the Warren County protest that arguably gave birth to the environmental justice movement in this country. It has been twenty years since the United Church of Christ published Toxic Waste and Race in the United States, a nationwide study that further documented the association between hazardous waste facilities and the racial composition of the communities hosting such facilities. It has been ten years since the United Church of Christ, the National Association for the Advancement of Colored People and the Center for Policy Alternatives published Toxic Waste and Race Revisited, a study that found that the associations documented in Toxic Waste and Race were just as active as they were in the original study. The National Small Town Alliance, the Howard University School of Law, and the United States Department of Energy are teaming with others to review the environmental justice movement and to determine the State of Environmental Justice in America. This effort will team with communities, scholars, researchers and others to issue a comprehensive report and conduct this conference.

Call for papers: The conference planners are inviting individuals to submit a short abstract of no more than 250 words that describes the current state of environmental justice in one of the areas listed below, preferably placing your discussion in the context of changes that have occurred in the selected area since Warren County. For a list of suggested topics, please contact ejinamerica2007@yahoo.com. Abstracts are due November 6, 2006.

Contact: Michelle Hudson, hudsonmi@saic.com

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6) Environment and Sustainable Health: An International Assessment

November 9, 2006
Paris, France
at UNESCO, Room 1, 125 Avenue de Suffren, 75015

The Paris Appeal, and international declaration on disease due to chemical pollution, has been signed by more than one thousand key scientific and medical personalities and by 200,000 European citizens. It is also supported by the Standing Committee of European Doctors which represents all medical doctors (i.e. 2 million) in the 25 member states of the European Union. This conference is being organized by the Association for Research and Treatments Against Cancer (ARTAC), Health and Environment Alliance and the Collaborative on Health and the Environment.

Website: http://www.healthandenvironment.org/articles/che-events/739

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7) Pediatric Environmental Health Toolkit Training: Clinical Applications for the Busy Pediatric and Family Practice

November 18, 2006
8:30 a.m. - 1:00 p.m.
Minneapolis, Minnesota
at the University of Minnesota, 300 West Bank Office Building, Room 142, 1300 S 2nd St

This half-day training program will introduce participants to a new clinical resource for practitioners, the Pediatric Environmental Health Toolkit. The toolkit, endorsed by the American Academy of Pediatrics (AAP), was developed partially in response to the frequent requests by pediatricians for practical, clinical tools that enable providers to incorporate environmental health guidance into everyday practice. It includes materials for both providers and patients on preventing exposures to toxic chemicals and other substances that may affect child health. For more information, visit the website or contact Kathleen Schuler as listed below.

Website: http://www.iatp.org/foodandhealth/peht.cfm

Contact: Kathleen Schuler, kschuler@iatp.org

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ANNOUNCEMENTS/ARTICLES

1) LDDI Legislative Database

The Learning and Developmental Disabilities Initiative (LDDI) continues to build a database of legislation relating to neurotoxicants throughout the United States. To date, legislation from seven states and the U.S. federal government is included. Users can search by the location of the legislation and/or by specific neurotoxicants. Links to organizations involved in neurotoxicant legislation are included. LDDI invites users to send updates regarding legislation.

See http://www.iceh.org/LDDIlegislation.html

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2) Request for Information (RFI) for NIH Roadmap Initiatives

issued by National Institutes of Health, Office of the Director, Office of Portfolio Analysis and Strategic Initiatives (OPASI)

The Request for Information (RFI) for NIH Roadmap Initiatives was released on October 20, 2006. This is an opportunity to influence the direction of trans-NIH and transdisciplinary efforts. In FY2006, Roadmap initiatives accounted for about 1.2% of the fiscal year's NIH research funding. Eventually, these initiatives are anticipated to grow to comprise up to 5% of the NIH annual funding for research. This notice requests input from a very wide audience that includes the general public as well as the scientific community, health professionals, voluntary health organizations and patient advocates. Also, NIH individual staff scientists, committees, workgroups and interest groups are able to provide input through the RFI.

Respondents are able to submit up to three ideas. Nominations must meet the set of criteria established for trans-NIH Roadmap strategic initiatives. To nominate new ideas and to comment on previously submitted ideas, please go to the following website: http://grants.nih.gov/grants/guide/rfi_files/NOT-OD-07-011_rfi_add.htm. You may be interested to know that over 100 ideas have been submitted to date. They have been sorted into broad categories (see below); they do not represent NIH priority areas, but are simply used to organize the ideas more efficiently for viewing. More information is available on the website.

IMPORTANT: The list does not keep ideas from other scientific areas from being added for consideration. Additional ideas of any scientific area are welcome and encouraged!

As you can see, "prevention" is not a specific category, but taking a quick look, prevention-relevant ideas can be found within several of the categories. Additional proposals for trans-NIH prevention research ideas are strongly encouraged! The deadline for input is Friday, November 17th.

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3) Warning to Male Mobile Phone Users: Chatting Too Long May Cut Sperm Count

US study based on 361 attending clinic

Other scientists call for further investigations

by Ian Sample, London Guardian
October 24, 2006
http://www.guardian.co.uk/medicine/story/0,,1929904,00.html

Men who use mobile phones for long periods at a time may be at risk of damaging their sperm, according to research by American scientists. Samples taken from men attending a fertility clinic revealed that their sperm declined steadily in number, quality and ability to swim as mobile phone usage increased. Where men used their mobiles for more than four hours a day, researchers found a 30% drop in sperm motility or movement and viability when compared with men who did not use a mobile phone. Scientists believe the study is too preliminary to prove an unequivocal link between mobile phones and falling sperm counts, but the work received a cautious welcome from other scientists who called for further studies to rule out other factors known to influence sperm quality, such as age, weight, smoking, stress and whether people had sedentary jobs.

Ashok Agarwal, who presented his findings at the American Society for Reproductive Medicine conference in New Orleans, stressed the study did not prove mobile phones were damaging male fertility, but urged scientists to investigate the possibility. "There was a significant decrease in the most important measures of sperm health and that should definitely be reflected in a decrease in fertility, which is seen worldwide," he said. "People use mobile phones without thinking twice what the consequences might be. It is just like using a toothbrush, but mobiles could be having a devastating effect on fertility. It still has to be proved, but it could be having a huge impact because mobiles are so much part of our lives."

Almost 1 billion people use mobile phones around the world and the number is growing in many countries at 20%-30% annually. In another five years, the number of mobile phone users is predicted to double. Dr Agarwal and colleagues at the Cleveland Clinic Lerner College of Medicine at Case Western Reserve University in Ohio divided 361 men attending the centre for infertility tests into four groups, depending on their mobile phone usage. The groups ranged from none, less than two hours a day, two to four hours a day and more than four hours a day. Subsequent tests on the men's sperm showed significant declines in four standard measures of sperm quality, including count, viability, motility and shape, with each falling with increased phone usage. Men who used mobile phones for more than four hours a day were found to have median sperm counts of 50m per millilitre. Those using mobiles for two to four hours a day had sperm counts of 59m per ml, increasing to 69m per ml for less than two hours' usage a day and 86m per ml for men who did not use mobile phones. According to the World Health Organisation, a normal sperm count can be anything between 20m and 200m per ml.

Dr Agarwal said mobile phone radiation may harm sperm by damaging DNA, disrupting cells that produce testosterone in the testes, or shrinking the tubules where sperm are created. "It is true that all the men in the study were seeking infertility treatment, but not all these men have fertility problems themselves," he said. Allan Pacey, senior lecturer in andrology at Sheffield University, said: "This is a good quality study, but I don't think it tackles the issue. If you're using your phone for four hours a day, presumably it is out of your pocket for longer. That raises a big question: how is it that testicular damage is supposed to occur?" "If you are holding it up to your head to speak a lot, it makes no sense it is having a direct effect on your testes," he said. "Maybe people who use a phone for four hours a day spend more time sitting in cars, which could mean there is a heat issue. It could be they are more stressed, or more sedentary and sit about eating junk food getting fat. "Those seem to be better explanations than a phone causing the damage at such a great distance," he added.

Last year, scientists in Hungary claimed that men who carry mobile phones in their pockets may risk damaging their sperm count after studying mobile phone usage of 221 men, but no conclusive impact on sperm count or motility has ever been found by other scientists. Another study last year at Newcastle University in New South Wales showed that blasting mice with radiowaves similar to mobile phone radiation 12 hours a day for a week damaged the DNA in their sperm.

Alasdair Philips, director of the consumer pressure group Powerwatch, suggested men might want to hold the phone away from them before sending texts, but added that mobile phones might only affect sperm by causing heating in the groin area, especially if men were texting from their laps. "Sperm is very temperature sensitive as shown by many studies, and a short-term rise in temperature could be responsible," he said.

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4) University Study Links Race, Income with N.C. Landfill Locations

by Gary D. Robertson, Associated Press, Wilmington [North Carolina] Star-News
October 23, 2006
http://www.wilmingtonstar.com/apps/pbcs.dll/article?AID=/20061023/APN/610233342

RALEIGH, N.C. -- North Carolina communities with significant minority populations are more than twice as likely to be located near landfills than overwhelmingly white areas, according to a study presented Monday to a legislative committee. The study, billed as the first of its kind in North Carolina, was presented to the Joint Select Committee on Environmental Justice, a panel created this year to evaluate the impact of present and future landfills on minority groups and the poor. "We found that permitted solid waste facilities are more prevalent in nonwhite communities than white communities," Steven Wing, an epidemiology professor at the University of North Carolina at Chapel Hill, told panel members during their first meeting.

The committee was created by a law that placed a one-year moratorium on permitting new landfills in North Carolina. The ban, which took effect Aug. 1, will delay planning and development of at least four proposed landfills that would expand the state's narrowing landfill capacity. The panel is expected to recommend by February how to ensure human health concerns and citizen equity are protected when landfills are considered. A separate legislative commission is examining how to improve rules about permitting landfills.

During Monday's meeting, Wing presented a doctoral dissertation completed in August by UNC-Chapel Hill student Jennifer Norton. It examined Division of Waste Management permits for 419 solid waste landfills from the 1970s through 2003. Norton looked at U.S. Census Bureau figures in the areas surrounding the sites on racial and ethnic makeup and average home values, a measurement of a community's wealth. Adjusting for population density, the report found solid waste facilities were 2.1 times more likely to be located in a community where more than 10 percent of residents were minorities when compared to areas where less than 10 percent of residents were minorities. Looking at permits issued between 1990 and 2003 to communities that didn't already have a landfill, the odds to get a permit were 2.2 times greater for an area where more than 10 percent of residents were minorities than areas with less than 10 percent. The information seems to suggest that solid waste dumps have been disproportionately placed in communities with more minorities, Wing said.

The odds of a community having a landfill was 40 percent higher in an area with average home values under $100,000 compared to over $100,000. However, since 1990, landfills were permitted less often in low-wealth housing areas without landfills. Wing said waste reduction wouldn't occur until white and more affluent communities handle their own trash in their own communities.

Gary Grant, executive director of the environmental justice group Concerned Citizens for Tillery, said the report "confirms what we have already believed for a long time." However, Greg Peverall with the Carolinas chapter of the National Solid Wastes Management Association said the data reflects past practices. Today, "our industry would never support, endorse or accept the placement of modern municipal solid waste landfills in low-wealth or minority communities," he said, adding that plants operated by private companies for local government wouldn't build where they weren't welcomed. Rep. William Wainwright, D-Craven, a co-chairman of the select committee, said the issues presented in the study would be debated at a later meeting.

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5) Arsenic Levels Get Herbicide Pulled

MSMA linked to high arsenic readings beneath at least a dozen Collier golf courses and Veterans Community Park

by Jeremy Cox, Naples [Florida] News
October 22, 2006
http://www.naplesnews.com/news/2006/oct/22/arsenic_levels_get_herbicide_pulled/?local_news

A weed-killer that lived up to its name but contaminated countless golf courses and parks with arsenic is being pulled off the market. Arsenic levels left in MSMA's wake "raise a concern for cancer risk," U.S. Environmental Protection Agency officials said in an August statement. The agency will revoke federal approval of the herbicide's use, pending a comment period that ends Nov. 9. MSMA has been linked to high arsenic levels beneath at least a dozen golf courses in Collier County and at Veterans Community Park on Immokalee Road.

Southwest Florida's high water table and sandy soils make the area's drinking water supply particularly vulnerable to contamination, experts say. "We have many people who get their drinking water out of the shallow aquifer, and the sandy soils allow the contaminants to reach the groundwater faster than other soil types," said Doug Jones, chief of the Florida Department of Environmental Protection's bureau of waste cleanup. Jones said he was pleased with the EPA's decision to deny further use of MSMA. In a four-page letter earlier this year, he had criticized the federal agency for understating the weed-killer's cancer-causing capability.

Computer models showed that repeated application of MSMA would allow arsenic concentrations of 45 parts per million to build up in soil, Jones wrote. In Florida, officials require arsenic spills in residential areas to be cleaned up to 2.1 parts per million. At that point, the cancer risk is estimated at no more than a one-in-a-million chance. "You look around golf courses where herbicides are being legally applied and you're still seeing contamination higher than our (residential) cleanup rate," Jones said.

By any measure, arsenic is bad for your health. Studies show exposure increases the risk for heart disease, diabetes as well as liver, lung and other types of cancer. A naturally occurring element, arsenic can make you sick if you breathe it in, swallow it or touch it. MSMA has been a popular choice among cotton growers and turf managers since it appeared on shelves in the 1960s. Each year, farmers and turf managers spray 3 million pounds of MSMA or the similar DSMA nationwide, the EPA estimates.

Many golf course superintendents, including several in Lee and Collier counties, signed form letters this year, urging the EPA to spare MSMA. Locally, the EPA received opposition letters from superintendents at Tiburon Golf Club, Glen Eagle Golf and Country Club, Royal Poinciana Golf Club and Naples Grande, all of Naples; and from Shell Point Golf Club, south of Fort Myers. There are alternative weed-killers, but they cost six times as much as MSMA and might have similar environmental consequences, said Terry Stoyer, the immediate past president of the Calusa Golf Course Superintendents Association. "MSMA has been a staple in our arsenal against grassy weeds ever since I've been in the business," said Stoyer, who tends Eastwood Golf Course in Fort Myers. "I feel safe in using it. Whether there's a detriment to my health as an applicator, I have no qualms with using the product personally."

The weed-killer's manufacturers are mounting a fight against the decision. There are 90 brand-name herbicides that contain MSMA, according to EPA estimates. EPA is exaggerating the risks of MSMA by including a more toxic form of arsenic in the risk assessment, according to a research task force created by three MSMA makers. The task force disputes that the organic arsenic contained in MSMA and its cousins morphs into the more lethal inorganic arsenic as it seeps into the ground. "We disagree with the evaluations behind the agency's (assessment) and will continue our efforts to explain the science that supports our position," Michal Eldan, head of the task force, said in a statement last August.

High concentrations of arsenic beneath several golf courses in Collier County prompted a coalition of state and local officials to convene periodically over the past few years to monitor the problem. A North Naples golf course had to devise a plan to clean up an arsenic plume near a maintenance shed. Earlier this year, Collier County commissioners approved a proposal to dig up 2,300 tons of arsenic-laced soil at LaPlaya Golf Club and reuse it beneath a new maintenance building. The work hasn't started yet because the permits haven't been approved, said Katie Sproul, vice president of real estate for Barron Collier Cos. Workers stopped using MSMA voluntarily at the course after the company learned of the contamination four years ago, Sproul said. "There are other products out there now that achieve the same goal," she said. "We didn't feel that given the concerns about that product we would continue to use it.... We didn't want to make anything worse."

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6) Hospitals Clean Out Allergy, Asthma Triggers

by Jon Brodkin, MetroWest [Massachusetts] News
October 22, 2006
http://www.metrowestdailynews.com/localRegional/view.bg?articleid=143482

It's no surprise a severe asthma attack can force someone to go to the hospital. It might surprise some to learn chemicals and substances commonly found inside hospitals can cause asthma or trigger asthma attacks. Cleaning products, latex gloves, pesticides, dust, mold and even some medications can cause or exacerbate asthma, according to a report issued Wednesday by Health Care Without Harm, an international coalition of 450 groups trying to make the health care industry safer. "Ironically, many products that are used in hospitals to keep patients, visitors and personnel safe from pathogens represent some of the very same products that have some potential to cause or exacerbate asthma in susceptible individuals," the report states.

Low doses of certain chemicals can trigger attacks in asthma patients, said Polly Hoppin, a report co-author who directs the Environmental Health Initiative at UMass-Lowell. Janitors, nurses and laboratory technicians are also exposed to harmful chemicals, she said. Hospital officials have long been aware that cleaning chemicals and other substances may pose harm, even if they have not thought about the potential link to asthma, said Susan Macdonald, infection control practitioner at Newton-Wellesley Hospital. Newton-Wellesley officials have replaced many chemicals with safer alternatives. The challenge is finding replacements that are cost-effective and perform their tasks well, whether it be cleaning, disinfecting, sterilizing or killing bugs. "That's always the trick for hospitals," Macdonald said. "You're trying to balance the risk of the product and the chemical in question with its overall efficiency."

Newton-Wellesley stopped using most latex products and latex gloves years ago, except for certain products that are made only with latex and in surgeries where latex gloves are more effective than substitutes, Macdonald said. Medical products are not the only concern. MetroWest Medical Center in Framingham and Natick does not allow visitors to bring in latex balloons, said Beth Donnelly, hospital spokeswoman. Doctors and nurses at the hospital do use latex gloves, unless a patient is allergic to them, she said. "Doctors prefer to use the latex gloves. They have a better feel," Donnelly said.

Newton-Wellesley has stopped most usage of the disinfectant glutaraldehyde, and stopped all use of ethylene oxide, a sterilizer, Macdonald said. Getting rid of bleach, a known irritant, has been more difficult, she said. "It's the most effective environmental cleaner in certain situations," Macdonald said. "We've not been able to completely eliminate it. We've tried to be judicious in its use." MetroWest Medical Center no longer uses bleach, ammonia or formaldehyde in any cleaning products, said Linda Campbell, director of quality, risk management and safety. The hospital's use of chemicals is limited by its membership in the Massachusetts Water Resources Authority, which does not allow certain substances to be discharged into the waste stream, Campbell said.

Health Care Without Harm's report, which is 94 pages long, urges hospitals to analyze chemical usage and adopt safe alternatives when feasible. "It's really a serious issue. Asthma prevalence has increased, not only in workers ... but in children as well," said Thomas Fuller, a report co-author who works at a Boston hospital and runs a private consulting firm in Charlestown that assesses worker exposure to chemicals. Asthma prevalence in children has risen at least 25 percent per decade since 1960, according to Health Care Without Harm. A 2003 U.S. government survey found 9.5 percent of adults in Massachusetts have asthma, the highest rate in the nation.

Fuller, who also works with the Massachusetts Nurses Association, a union, on the issue of chemical use, said hospitals have been responsive to the concerns "to a great extent." But he said there is more work to do. "Part of the problem with introducing a new way of thinking about things, is they're often entrenched in the old school," Fuller said. "People think you need to use these chemicals to make something clean, make something shinier.... Sometimes you have to accept the less shiny floor."

Safer replacements are often available, but not always. Formaldehyde, for example, is used in hospital laboratories to preserve tissue despite harmful fumes given off by the substance. "There really is no substitute for formaldehyde that I'm aware of," Macdonald said. Newton-Wellesley Hospital recycles formaldehyde to reduce the amount it uses. It also performs regular air quality testing to make sure vapor levels remain below safety limits set by the federal government, she said.

Even certain drugs are known to cause or exacerbate asthma, according to Health Care Without Harm. These drugs include penicillin and tetracycline, both of which treat bacterial infections. Whenever prescribing medication, doctors must take into consideration illnesses a patient has that might be worsened by a drug, Campbell said.

Another problem highlighted by Health Care Without Harm is biologic allergens, including cockroaches, dust mites, indoor pollen, fungus and mold. "Cockroaches are one of the primary sources of allergens that people think are contributing to high asthma rates," Hoppin said. Many patients are at high risk of complications related to mold and other spore-forming organisms, Macdonald said. Newton-Wellesley Hospital is building a new emergency room and must regularly change air filters and prevent contamination of ventilation systems that could spread harmful compounds to patient areas, she said.

Macdonald said she expects industry will make significant advances in the production of safer cleaning agents. But one reason the task is challenging in hospitals is they have to meet federal regulations governing the types of cleaning products used to kill viruses and bacteria, she said. "It's been harder to find suitable replacements in some of those areas," she said. "That's probably the last big bastion of areas where over the next few years I'm guessing there will be more products available."

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7) Living With Love, Chaos and Haley

by Pam Belluck, New York Times
October 22, 2006
excerpts from http://www.nytimes.com/2006/10/22/health/22kids.html?_r=1&oref=slogin

PLYMOUTH, Mass. -- When Haley Abaspour started seeing things that were not there -- bugs and mice crawling on her parents' bed, imaginary friends sitting next to her on the couch, dead people at a church that housed her preschool -- her parents were unsure what to think. After all, she was a little girl. "I thought for a long time, 'She's just gifted,' " said her father, Bejan Abaspour. "'This is good. Don't worry about it.'" But as Haley got older, things got worse. She developed tics -- dolphin squeaks, throat-clearing, clenching her face and body as if moving her bowels. She heard voices, banging, cymbals in her head. She became anxiety-ridden over run-of-the-mill things: ambulance sirens, train rides. Her mood switched suddenly from excitedly chatty to inconsolably distraught. "It's like watching 'The Sound of Music' and 'The Exorcist' all at the same time," Mr. Abaspour said.

For her family, life with Haley, now 10, has been a turbulent stream of symptoms, diagnoses, medications, unrealized expectations. Diagnosed as a combination of bipolar disorder with psychotic features, obsessive-compulsive disorder, generalized anxiety disorder and Tourette's syndrome, her illness dominates every moment, every relationship, every decision. Haley's fears, moods and obsessions seep into her family's most pedestrian routines -- dinnertime, bedtime, getting ready for school. Excruciating worries permeate her parents' sleep; unanswerable questions end in frustrated hopes. "The first time we took Haley to the hospital, I guess I expected that they would put it all back together," said her mother, Christine Abaspour. "But it's never all back together."

At least six million American children have difficulties that are diagnosed as serious mental disorders, according to government surveys -- a number that has tripled since the early 1990's. Most are treated with psychiatric medications and therapy. The children sometimes attend special schools. But while these measures can help, they often do not help enough, and the families of such children are left on their own to sort through a cacophony of conflicting advice. The illness, and sometimes the treatment, can strain marriages, jobs, finances. Parents must monitor medications, navigate therapy sessions, arrange special school services. Some families must switch neighborhoods or schools to escape unhealthy situations or to find support and services. Some keep friends and relatives away. Parents can feel guilt, anger, helplessness. Siblings can feel neglected, resentful or pressure to be problem-free themselves. "It kind of ricochets to other family members," said Dr. Robert L. Hendren, president-elect of the American Academy of Child and Adolescent Psychiatry. "I see so many parents who just hurt badly for their children and then, in a sense, start hurting for themselves."

While increasing awareness of childhood mental illness has helped many children and families, it can also create a misimpression that everything can be treated, said Dr. Glen R. Elliott, chief psychiatrist at the Children's Health Council, a community mental health service in Palo Alto, Calif., and the author of "Medicating Young Minds: How to Know if Psychiatric Drugs Will Help or Hurt Your Child." That can make families with complex cases feel "either genuine confusion or pretend certainty," Dr. Elliott said.

The Abaspours decided to speak with a reporter about Haley's illness and its impact on their family because they hoped it would help other families and make society more hospitable for children like their daughter. Talking about it was sometimes emotional, especially for Mr. Abaspour, whose eyes often clouded with tears. But they also said they found it useful to articulate their feelings. When she was almost 8, Haley visited Dr. Jackson at his office at the Cambridge Health Alliance. He was struck by the results of a screening: Haley met full criteria for virtually every mental disorder listed. "Her symptoms," he said, "suggested anxiety, morbid thoughts, obsessions possibly of a sexual nature, frequent fluctuations in mood, periods of euphoria, giddiness, irritability, rapid speech, auditory and visual hallucinations, thought disorganization, vocal tics, distractibility, poor socialization in school, sensory integration issues, attention impulse disorder, manic behavior, sleep disturbance." Dr. Jackson wondered if the voices and the friends, which Haley told him were "nowhere but everywhere," were schizophrenic-like hallucinations or milder thought distortions. He also saw Haley's mood swing from anxiety about a "disturbing dream in which her mother was killed" to euphoria, as she gleefully drew a large, brightly colored butterfly and a self-portrait with a too-big smile and a skirt that ballooned as if she were floating. The pictures, he said, "scream" manic sensibility, suggesting bipolar disorder.

Dr. Jackson prescribed an antipsychotic, Risperdal, one of a dozen drugs Haley would try. Some helped initially, but the voices returned or side effects developed. Huge pills or bad-tasting liquid made Haley gag or throw fits. "It was horrible, horrible, horrible," her mother said, "and she'd pull us into it because we had to make her take it." Lithium caused weight gain: clothes that fit her one day no longer did the next. When Haley was 8 1/2, Mr. Abaspour said, "Let's drop all of these medications and see what happens." He said, "I wanted to see her true self." The results chastened them. "You see her fine one day," Mr. Abaspour said. "The second day comes and she's fine and you say, 'You see, honey, there's nothing wrong with her.' Then it's the third day and she goes crazy and you feel like an idiot."

Haley resumed taking Risperdal. Then, abruptly, her condition worsened. "She couldn't function, she couldn't go to school," said Ms. Abaspour, who took Haley to a hospital; she had to handle the crisis with her husband away in London. In the emergency room, Haley was manic and hyperarticulate, Ms. Abaspour recalled. "I was a basket case." When Mr. Abaspour returned and saw Haley "like a zombie" in a hospital full of out-of-control children, his first reaction was, "She can't be in here." But the eight-day hospital stay made him grasp the severity of her illness.

Ms. Abaspour said that she had no regrets, and that Haley "was given to us for some reason, and I keep waiting for the day when I realize why." Still, the experience has tested her stamina, and she avoids capitulating to Haley's whims and outbursts by imposing structure, consistency, even distance. "I'm her mother," Ms. Abaspour said. "I try to make it a better world for her, a more comfortable world. I stay very strong for her and very encouraging for her. If she comes out of a meltdown, I'll say, 'I knew that you could.' I don't make her feel totally hopeless. It doesn't give me any satisfaction, though, because I still feel helpless. Unfortunately it just bites you in the face all day long."

Ms. Abaspour's stoic approach, which her husband appreciates but cannot always emulate, is "a good coping skill for parents," Dr. Elliott, of the Children's Health Council, said. "It's what happens to a family system when you've got a source of chaos in the middle of it." After getting Haley ready for school, Ms. Abaspour feels she has already lived an entire day. In the afternoon, "Haley walks in the door and I just want to hold her and give her a big kiss like most kids," Ms. Abaspour said. "Instead I get a frown and tears and 'Ooh, I had such a stressful day.'"

She said that every evening, a distraught Haley will "say to me her same 12 questions: 'What's going to happen when I need to go to school and I can't leave the classroom?' or 'What do I have to look forward to today?'" By bedtime, Ms. Abaspour said, "your heart's just breaking."

To slake Haley's thirst for "something to do," Ms. Abaspour keeps her involved in activities outside of school. Otherwise, the family ends up stopping for ice cream or concocting other outings, because unstructured time allows Haley to focus on the voices and anxiety. "Staying home is not an option," Ms. Abaspour said. "Honestly I could not keep her busy. Sometimes being around here on a Saturday or Sunday, it's almost toxic. She has multiple episodes -- it's like living hell."

Ms. Abaspour was recently laid off from a medical assistant's job. Her former co-workers understood her need to interrupt work to deal with Haley's needs, she said, and "didn't look at me and say, 'Her child's crazy.'" Now she fears she will not find an employer who is as tolerant, though the family needs the income. Haley's illness, the Abaspours were dismayed to discover, does not qualify for disability assistance.

Families once kept illnesses like Haley's quiet, afraid of being shunned or disparaged. Public acceptance has grown, but some misperceptions and prejudice remain, and families feel conflicted: they want people to understand so the child can get appropriate help, but they also fear that Haley will be mocked or ostracized. "If they keep it a secret then they're bad parents," Dr. Elliott said. "If they start spewing diagnoses, they're subject to criticism because they're not taking responsibility, just laying it on the illness. Or they're social pariahs because there are some people who think that mental illness is contagious."

Like other families, the Abaspours sometimes hesitate to publicly label their daughter mentally ill. But they also want people to know, and they get frustrated if people do not fully accept or understand it, or see her symptoms "as a manipulative thing, or they feel like they can fix it themselves, maybe by distracting her," Ms. Abaspour said. Some day, the Abaspours hope, Haley will have more effective drugs and better coping skills, and society will be more tolerant, so she can lead an independent life. But they have no illusions. "This is not going away," Ms. Abaspour said. Not for Haley or her family. "The overflow of what Haley has is what has made all of us what we are today."

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8) Early Puberty a Growing Problem

Chemical exposure, obesity may be links

by Laura Ungar, Louisville Courier-Journal
October 22, 2006
http://www.courier-journal.com/apps/pbcs.dll/article?AID=/20061022/NEWS01/610220423/1008/NEWS01

During a routine visit, Audrey Campbell's doctor noticed something that shouldn't have been there -- budding breasts on the 2½-year old. She was hitting puberty much too early. And if left untreated, her mother was told, she might have started menstruating as a preschooler. So she was given treatments of a drug that stops the body's production of certain hormones at adult levels. "I shuddered to imagine what would go through her head," said Ann Campbell of Louisville, whose daughter is now 11. "She was in day care at the time."

Local doctors say they are seeing more children developing sexual characteristics like budding breasts or underarm hair at too young an age -- younger than 8 in girls and younger than 9 in boys. University of Louisville physicians spoke about the condition, known as "precocious puberty," during an educational session for local doctors earlier this month. "It's a topical subject," said Dr. Michael Foster, Audrey's endocrinologist and acting head of U of L's division of pediatric endocrinology. "There is no question that (it) is increasing." Such observations follow national trends on the condition, which is six times more common in girls than boys.

A landmark study of 17,077 girls, published in the journal, Pediatrics, in 1997, showed that 27 percent of African-American girls and 7 percent of white girls had breast or pubic hair development at age 7. At 8, nearly half of black girls and 15 percent of white girls had begun to develop. Medical experts aren't sure why this is happening or why it's more prevalent among African Americans. A leading theory links the condition to childhood obesity, but researchers also tie it to exposure to certain chemicals, such as plastics byproducts called phthalates.

U of L and the University of Kentucky are preparing to study phthalic acid levels in the urine of girls with early breast development. In Audrey's case, doctors suspect an unknown environmental cause. Doctors and parents worry about the social and physical fallout, such as growing up too short or getting unwanted attention from the opposite sex. Dr. Aaron Davis, a clinician in U of L's endocrinology department, said just because a girl hits puberty early doesn't mean she's any more emotionally mature than any other girl her age. "She's still very much a 5- or 6-year-old little girl," he said.

Defining puberty
As doctors see more cases of precocious puberty, they're also seeing something else -- the age of puberty going down in general. And that has led them to question the definition of the disorder. "There's a huge debate in the literature: What is precocious?" said Dr. Margaret Blythe, professor of pediatrics at Indiana University Medical School in Indianapolis. Currently, breast development averages about 9 years old for black girls and 10 years old for white girls. Doctors agree this is lower than in the past. Those who start developing much earlier than that don't necessarily develop as fast as those who hit puberty at a normal age. Some girls with precocious puberty don't get their periods until up to five years later, Blythe said, about twice as long as the usual span of time between the early signs of puberty and menstruation. The average age girls start menstruating is between 12 and 13, although Blythe recalls one girl who began her periods at 8½.

Blythe is among those who believe obesity plays a major part in the trend toward earlier puberty, especially fat tissue around the body's mid-section. Dr. Paige Hertweck, chief of gynecology at Kosair Children's Hospital, said it's one of many problems related to today's sedentary lifestyles and bigger food portions. Last year, 16 percent of high school students across the state were overweight, the highest proportion among 39 states included in a federal survey. "There's so many more heavy kids than there used to be," she said. "It's an epidemic."

Foster agreed that obesity might play a role in early puberty, but said environmental causes like phthalates are probably even bigger factors. Often called plasticizers, this group of chemicals is used in hundreds of products such as vinyl flooring, adhesives, detergents, soap, shampoo and nail polish -- and before 1999, in items such as pacifiers and teethers. According to the U.S. Centers for Disease Control and Prevention in Atlanta, animal studies have shown adverse effects on the male and female reproductive systems and other health effects from phthalates. Other chemicals also have been tied to the condition, including some pesticides and herbicides and accidental exposures to hormonal drugs, experts said. And in rare cases, tumors or growths on the ovaries, adrenal glands, pituitary gland or brain cause children to develop too soon.

Social problems
The social ramifications of early puberty are often the most troubling for children. Students who develop early may be treated differently by peers or teachers because they look older, Blythe said. In addition, they are usually much taller than others their age, and may be teased by classmates or seen as more mature by students of the opposite sex. Blythe said a fourth-grade girl who gets romantic attention from eighth-grade boys may not know how to handle it. The physical effects of early puberty are also a concern. For girls who start menstruating, pregnancy is a possibility, and boys with the condition may produce sperm. An 1834 case described in Pediatrics involved a Butler County, Ky., girl who began menstruating at a year old and gave birth to a healthy baby girl at age 10.

Also, children who start puberty early risk not reaching their full adult height because the normal growth spurt associated with puberty happens too early. Young children also might experience the hormonal mood swings typically associated with the teen years. There's also a concern that some girls with precocious puberty may face a greater risk of breast cancer because they are exposed to estrogen for longer periods during their lives.

Aside from maintaining a healthy weight and trying to reduce potentially-harmful environmental exposures, doctors say there's no way to prevent precocious puberty. But for those diagnosed with the condition, doctors often recommend medication, especially for the youngest patients. For Audrey, puberty was stalled by injections of a drug called Lupron, which she received monthly for seven years. Now 11, she doesn't remember starting the shots, but recalls wondering why she was getting them as she got older. Her mother read her a children's book about precocious puberty and tried to explain it to her on her level. "I just told her she was growing up too quickly and we needed to slow it down," Ann Campbell said. Because they held puberty at bay, Audrey said she never felt or looked different than classmates. She has now stopped the injections and is developing normally -- plus getting As and Bs in school, playing basketball and volleyball and participating in Girl Scouts. "I feel really good," Audrey said. "I don't think about it a lot anymore."

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9) EPA Slow to Meet Mandate on Endocrine-disrupting Chemicals

Recent discovery of 'intersexed' bass raises new environmental fears.

by Jeff Nesmith, Austin American-Statesman
October 21, 2006
http://www.statesman.com/news/content/news/stories/nation/10/21/21disrupters.html

WASHINGTON -- Ten years after Congress ordered the Environmental Protection Agency to develop tests to see if pesticides could be disrupting human hormone functions, no chemical has been tested under the program. The EPA has not even decided which pesticides will be tested first.

The recent discovery of egg-forming tissue in the testicles of male bass in the Potomac River has raised new fears that manufactured chemicals known as endocrine disrupters, or hormone disrupters, are becoming more common in the environment. It's not clear whether the "intersexed" nature of the fish had any effect on their reproductive or other functions. However, the fact that they even exist has caused environmentalists to repeat warnings that tiny, but possibly potent, levels of endocrine disrupters are showing up in nature. Scientists fear that by mimicking, blocking or otherwise altering the activity of natural hormones such as estrogen and testosterone, pesticides and other substances may pose subtle threats not only to animals but to humans as well. Earlier discoveries have linked the presence of endocrine disrupters to genital deformities in alligators and endangered panthers in Florida, polar bears in Alaska, river otters in Oregon, barn swallows in Louisiana, loons in Maine and other creatures.

The 1996 Food Quality Protection Act set a 1999 deadline for EPA to develop a battery of animal experiments with which pesticide manufacturers would be required to screen their products as possible endocrine disrupters. Similar tests already are required to determine whether the chemicals cause cancer, birth defects, genetic mutations or other problems. The EPA has repeatedly pushed back the deadline. The agency now says it will be 2008 before it finalizes a set of tests. But President Bush has proposed cutting the agency's budget for the endocrine disrupter program, leading to questions about whether even that deadline can be met. "This has been a fairly Herculean effort," said Lawrence Reiter, director of the EPA National Exposure Research Laboratory. He and other EPA officials said the tests ordered by Congress had to be developed from scratch, a project the agency has found challenging.

Frustrated environmental activists say there is no excuse for the delay. "It is inexcusable that the EPA has not yet gotten this basic screening program into place 10 years after it was mandated by Congress," Erik Olson, a lawyer with the Natural Resources Defense Council, told a House committee this month at a hearing on the Potomac River intersexed bass. Although the 1996 law specifically directed the EPA to establish the screening tests for pesticides, some scientists say thousands of other chemicals may be causing subtle endocrine effects as well. They include pharmaceuticals and over-the-counter drugs. Sometimes called feral pharmaceuticals, these drugs can find their way into water supplies through human and animal waste. Nothing is known about possible effects of the vast majority of these chemicals, scientists say.

Although the EPA's slow progress in establishing the screening program has frustrated environmental activists, another federal agency, the U.S. Geological Survey, has moved aggressively in a nationwide effort to identify potential endocrine disrupters in water supplies and wildlife. It was the Geological Survey that found the intersexed bass in the Potomac, some of them within a mile of EPA's national headquarters. Also, a 2003 survey in Palm Beach County, Fla., that found hermaphrodites among giant toads was carried out by Geological Survey endocrinologist Timothy Gross and Krista McCoy, a University of Florida graduate student. McCoy collected male toads in sugar cane fields near the Everglades and compared them with toads caught on the University of Miami campus. From 25 percent to 39 percent of the toads collected in the cane-growing area were hermaphrodites. None of the Miami toads was abnormal. Gross and McCoy emphasized that their findings were preliminary and required further study. Their survey was funded by Syngenta, a Swiss-based company that manufactures atrazine, a herbicide previously implicated in endocrine-disrupting effects. Although it has been banned by the European Union, atrazine is the most widely used weed killer in America.

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10) Ped Med: Counting on Autism Counts

by Lidia Wasowicz, United Press International
October 19, 2006
http://www.upi.com/ConsumerHealthDaily/view.php?StoryID=20061019-023841-3973r

submitted to this bulletin by Chemical Sensitivity Network

SAN FRANCISCO -- Many are counting on the numbers keepers to provide critical clues to some fundamental questions about the rising rates of autism diagnoses in America's children. In particular, those who hold the mercury-based vaccine preservative thimerosal responsible for the increase have been eagerly awaiting a verdict on their prediction that as children's exposure to the compound decreases, so, too, will their autism rates. Phased out of most childhood shots around the turn of the century, thimerosal remains in some booster and flu vaccines recommended for pregnant women and babies. With the release of California's special-education statistics in the summer of 2005, the thimerosal skeptics gleaned a glimmer of substantiation of their suspicions.

In a trend they had anticipated, a decade-long climb of newly identified autism cases indeed appeared to be turning around at the critical juncture. The data were compiled by the state Department of Developmental Services. They showed the sum total of autistic children in the system continues to grow -- by now topping 28,000. However, the rate of increase peaked in 2002 -- the year the government says the last of the thimerosal-containing childhood vaccines expired -- then started to take a slight dip.

The telling parallels were highlighted in a 2006 study by geneticists Dr. Mark Geier and David Geier, a father-son research team often cited by mercury-in-medicine opponents. They picked up signs of a downward drift in neurodevelopmental disorder cases from mid-2002 through 2005 in both the figures released by the California agency, widely regarded as the most accurate barometer of full-syndrome, professionally diagnosed cases, and the much less reliable federal Vaccine Adverse Events Reporting System. The latter is a depository of voluntarily submitted, unsubstantiated claims of ill effects thought to be related to immunization. While acknowledging the loosely structured program is short on consistency and credibility, the Geiers included it as an informal confirmation of the California counts.

In addition, they cited provisional national education department data showing a concurrent decrease of 529 in the number of new autism diagnoses recorded among children ages 3 to 5 after years of annual increases. There were 1,451 new cases in 2001-2002; 1,981 in 2002-2003; 3,707 in 2003-2004; and 3,178 in 2004-2005. The Geiers attributed the rise and fall of autism diagnoses to the corresponding trends in the use of thimerosal-containing vaccines.

Those who disagree point to a new set of figures released last month by California's DDS, which show a recent upturn in the state's caseload of autistic children 3 to 5 years old -- from a total of 6,083 reported at the end of the second quarter, in June, to 6,188 as of the end of the third quarter, in September. If thimerosal is to blame, why are the numbers going up, they ask?

However, others think the removal of the compound from childhood vaccines has been offset by its continued presence in flu shots administered to infants and pregnant women whose developing fetuses are more vulnerable to the effects of mercury than are children already born. Others read far less into the numbers. Even setting aside the inherent imprecision of using raw counts -- which any number of fluctuating factors such as falling birth rates can affect -- as a measure of trends in prevalence, there are other confounding elements to consider.

The California DDS itself prefaced its reports with a cautionary note, stating, "(I)t is inaccurate to represent the change in the numbers reported from one quarter to the next as 'new intakes.'" The caveat: A recorded hike from one period to the next does not necessarily represent new arrivals. The reasons for this disappointingly confounding revelation include the sometimes years-long delay in the filing of an evaluation. The newly recorded may indeed be those coming into the system for the first time, but they could also be old-timers whose paperwork hadn't caught up with them. Similarly, a gap may exist between those said to depart the programs and those who actually do.

Even if the waning caseload numbers in the earlier California report represented a true downward trend in actual autism rates, there remain other uncertainties that could stand in the way of connecting the dots directly to vaccines. Take a March 2006 study showing newborns may be 65 to 130 times more sensitive than adults -- and even 26 to 50 times more vulnerable than fellow infants -- to certain pesticides. This variability is far greater than anyone had predicted. Based on previous presumptions -- which the findings take to task, at least for the chemicals in question -- Environmental Protection Agency standards require that in cases where individual susceptibilities are not well known, levels of exposure considered safe for adults should be multiplied by a factor of 10 as an extra precaution to protect the more vulnerable younger populations. The new study -- which suggests that factor should be six to 13 times greater -- raises questions about whether children are sufficiently safeguarded under the current safety criteria for pesticide exposure. At the very least, more research is needed to find out whether that's the case, the authors say.

What makes the findings potentially relevant to the autism debate is that the chemicals under study, so-called organophosphate compounds like diazinon and chlorpyrifos, have been shown, in high doses, to have profound effects on the central nervous system. Growing evidence from animal and human studies also suggests chronic low-level exposure may affect neurodevelopment. What makes the tale even more intriguing is that to guard children's health, the pesticides were banned from home use in 2001 -- about the time the last of the thimerosal-containing childhood vaccines were reaching the end of their run. And just as with the mercury-based preservative, which remains in some flu and booster shots, so too the chemicals are still permitted for agricultural and certain structural purposes, such as treatment of house foundations.

Of course, the compounds may have nothing to do with autism, but the parallels are suggestive, and the findings illustrate how both sides of the thimerosal issue can rightly claim to be making certain valid points. They lend support to those who insist vaccine trends are not the only ones that can explain the perceived patterns of harm as well as to those who question the establishment's capability to safeguard children from it. In fact, researchers probing the mercurial chemical that has escaped much scientific scrutiny for over 60 years have dug up evidence that indicates the nation's leading health authorities examined the wrong compound and failed to look far enough when they were assessing the danger posed by thimerosal in vaccines.

(Note: In this multi-part installment, based on dozens of reports, conferences and interviews, Ped Med is keeping an eye on autism, taking a backward glance at its history and surrounding controversies, facing facts revealed by research and looking forward to treatment enhancements and expansions.)

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11) Permits Issued for Coal Plants

State's step begins public review process for TXU's plan to build 11 facilities

by Randy Lee Loftis, Dallas Morning News
October 19, 2006
http://www.dallasnews.com/sharedcontent/dws/news/localnews/stories/101906dnbustxu.4f7f30e5.html

TXU's effort to build 11 coal-fired power plants in Texas received a boost Wednesday when the state's environmental agency issued draft permits for six plants. The action by the Texas Commission on Environmental Quality starts a public review process that is certain to result in formal state hearings and is likely to wind up in court. Gov. Rick Perry and business groups are backing the plants as vital to Texas' energy supplies, while the mayors of Dallas, Houston and other cities, plus environmental and health groups and all three of Mr. Perry's gubernatorial challengers oppose them as sources of air pollution.

Dallas-based TXU, the state's biggest electricity generator, called the draft permits part of the company's promise to reduce overall emissions by 20 percent while doubling its use of coal. "These draft permits will help establish some of the most stringent limits you've ever seen," said spokesman Tom Kleckner.

Dallas Mayor Laura Miller, who has helped to rally opposition to TXU's plans, said she welcomed the chance to force TXU to justify its plans to burn more coal, the dirtiest fossil fuel for making electricity. Critics say the new coal plants would worsen urban smog, increase emissions of toxic mercury and compound global warming with carbon dioxide emissions. "The fact that this has happened means there will now be a formal process for the utility companies to explain why these plants will not harm our state's air and for those of us who fear it will make our pollution worse to put on our own evidence," Ms. Miller said. "The public debate formally starts now, and we will be ready to engage in that important debate."

Texas' environmental regulators now have given preliminary approval to nine of the 11 new coal-burning units that Dallas-based TXU wants to build, among 16 that electric companies have proposed in the state. Texas has more new coal units planned than any other state. Two companies, TXU and NRG Energy, also say they are considering building more nuclear power plants in Texas. The TXU coal plants' draft permits propose annual emissions limits on 11 regulated pollutants. For most, the environmental agency staff accepted the annual emissions levels that TXU requested. Those include nitrogen oxides and volatile organic compounds, which are components of urban ozone or smog; the toxic metals lead and mercury; sulfur dioxide, responsible for acid rain; particulate matter, or soot; and ammonia. Three pollutants are due for emissions levels lower than TXU requested. They are carbon monoxide, hydrogen fluoride and sulfuric acid. Carbon dioxide, the chief manmade cause of global warming, is not regulated under Texas or federal law.

After official notices on the draft permits are published in local newspapers near the proposed plants later this week, the public will have 30 days to file comments. Then the case on each draft permit will go to the State Office of Administrative Hearings for a formal hearing. Each hearing is conducted like a trial, with TXU and opponents presenting testimony and evidence. Statewide environmental groups, local opponents and a consortium of local governments formed by Ms. Miller and Houston Mayor Bill White are likely to be among those challenging the permits in the hearings. Under Mr. Perry's executive order mandating fast-track permitting for new coal plants, which cuts the timetable for the hearing process from around a year to six months, the hearings would be finished around May 2007. State hearing officers would then recommend that the three environmental commissioners -- all Perry appointees -- either grant or deny the permits. After the commissioners vote, the losing side can challenge the decision in state district court.

The draft permits issued Wednesday are for TXU's Big Brown plant in Freestone County; the Lake Creek and Tradinghouse plants in McLennan County; Martin Lake in Rusk County; and Monticello in Titus County. Each plant would have one new coal-burning unit except Tradinghouse, which would have two. Draft permits are still due for TXU's Morgan Creek plant in Mitchell County and the Valley plant in Fannin County. TXU's two-unit Oak Grove plant in Robertson County faces a final permit decision by the three environmental commissioners, but no vote is likely before the Nov. 7 election. Two state hearing officers recommended against the Oak Grove permit on Aug. 23, concluding that the plant would not meet the emissions limits in its draft permit. The environmental commission's executive director favors the Oak Grove permit. Another proposed unit, at TXU's existing Sandow plant in Milam County, is the subject of a federal lawsuit between environmental groups and Alcoa, which would be the unit's primary customer.

Staff writer Dave Levinthal contributed to this report.

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12) Europe: Doctors Want Firm Chemical Laws

from the Associated Press, Houston Chronicle
October 18, 2006
http://www.chron.com/disp/story.mpl/ap/fn/4268495.html

BRUSSELS, Belgium -- Leading medical associations on Wednesday urged European lawmakers not to bend to industry demands and dilute a proposal that would force chemical companies to substitute dangerous chemicals with safer alternatives. A second vote on the controversial legislation known as REACH -- for registration, evaluation and authorization of chemicals -- is scheduled in the European Parliament next month, after the bill drafted by the European Commission was substantially amended by the EU assembly last year and then further changed by EU governments.

Doctors and scientists argue that cancer, congenital malfunctions and asthma are often linked to toxic chemical pollutants in the environment and weak chemicals laws would further increase the incidence of cancer on the continent. "Babies are contaminated by hundreds of substances. There is a risk of cancer developing. We have managed to pollute the future generation," Dominique Belpomme, oncologist at a leading Paris hospital and chairman of the Association for Cancer Treatment Research, said at the European Parliament where he and other experts lobbied for stringent toxicological standards and a mandatory substitution of the most dangerous chemicals. Belpomme and other doctors and scientists called for the substitution of formaldehyde, mercury, dental amalgam and other substances which they said have grave health effects.

Seven years of negotiations on REACH have been marked by intense lobbying by the multibillion-dollar European chemicals industry and by environmentalists who seek more restraints on the industry. The draft legislation puts the burden of proof on businesses to show that around 30,000 commonly used industrial chemicals and substances they put on the market are safe. Under the rules, producers would have to register the properties of chemicals in an EU database, ask for authorization for high-risk substances and replace those for which alternatives exist. The rules must still be approved by the EU member states. Governments and the EU parliament hope they will come into effect next year. The EU Parliament is scheduled to vote on the legislation Nov. 14, followed by a Dec. 4 vote by EU governments.

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13) Public Health and Environmental Leaders Applaud Governor's Green Chemistry Directive

Emerging Area Holds Great Promise for Clean Environment and Strong Economy

press release from the Ecology Center
October 18, 2006
http://www.ecocenter.org/releases/20061018_greenchem.shtml

Michigan public health and environmental leaders today applauded a precedent-setting initiative signed Tuesday by Governor Granholm that will make the state a national leader in the fast-growing field of green chemistry. Granholm's Green Chemistry Executive Directive promotes safe technologies and innovations aimed at lowering health risks and preventing harmful chemical pollution at the source. "Green chemistry is a cleaner, safer, and healthier way to make the chemicals and products that we use in our homes and businesses every day," said Tracey Easthope, Environmental Health Director of the Ecology Center, which had advocated for the last year for a Green Chemistry initiative. "Designing chemicals up front so they are safe is the wave of the future for industry, including the chemical, auto and pharmaceutical industries, and Michigan is now positioning itself to be an R&D center for this work."

In addition to the Ecology Center, the Green Chemistry Executive Directive was supported by state environmental and public health leaders, including Clean Water Fund, the Michigan Network for Children's Environmental Health, which includes the Michigan Chapter of the American Academy of Pediatrics, and the Learning Disabilities Association of Michigan and other medical and public health organizations, as well as national green chemistry leaders.

Sustainable business development experts agree. "This is an important step forward for the development of the new economy in Michigan. There is a potentially enormous market in Michigan for biomaterials and fuels in the auto and furniture industries. Green Chemistry is a key strategy needed to move our state into a leadership position for the most innovative and safe technologies" said Bill Stough, CEO of Sustainable Research Group in Grand Rapids.

The Executive Directive will help the state devise strategies to promote green chemistry and engineering education, development, and the production of bio-materials, chemicals, and catalysts that reduce or eliminate the use or generation of hazardous substances. "I am deeply impressed that Governor Granholm is providing international leadership through her Green Chemistry Executive Directive," said Terry Collins, Director of the Institute for Green Oxidative Chemistry, and one of the leading green chemists in the country. "Governor Granholm is inspiring the people of the great State of Michigan to work together to ensure that the chemical products and processes of the future are both economic winners and blessings to future generations by being compatible with the long-term welfare of living things."

"When businesses innovate by using green chemical processes, they not only can save money, but they also avoid the costs of cleaning up toxic pollutants, provide for a safer workplace, and deliver safer products to consumers," said Dave Dempsey, noted environmental author and Great Lakes policy advisor to Clean Water Fund. According to a 2002 study conducted for the U.S. Department of Energy and the USDA, bio-based materials are estimated to grow from .5% of current production to more than 12% by 2010, and 25% by 2030.

Research on green chemistry is already underway at Michigan Tech, Michigan State University, and the University of Michigan. Right now, Michigan businesses are testing, using, and producing bio-based materials and green chemistry processes. For example, Interface Fabrics Group, in Kentwood, is using PLA (polylactic acid, or corn-based) fabrics. KTM Industries, in Lansing, is using PLA packaging material, and Pfizer is manufacturing widely used drugs with green chemistry processes.

Michigan's Executive Directive is the first of its kind in the country. While the field of Green Chemistry is very promising, public and private investment is only beginning, so Michigan has an opportunity to create industry leaders. Just two weeks ago, the U.S. House of Representatives passed a measure to increase federal funding for Green Chemistry.

Link to the Executive Directive: http://michigan.gov/gov/0,1607,7-168-36898-153806--,00.html.

For more information on how Green Chemistry is making a difference already, see http://www.epa.gov/greenchemistry/ or visit the Green Chemistry Institute website: http://www.chemistry.org/portal/a/c/s/1/acsdisplay.html?DOC=greenchemistryinstitute%5Cindex.html.

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14) EPA Invites Public Participation in Development of Nanotechnology Stewardship Program

press release from the US Environmental Protection Agency
October 18, 2006
http://yosemite.epa.gov/opa/admpress.nsf/177f410e8a398c0f85257021005643a7/0edb5f39e2ed3c428525720b00629872!OpenDocument

(Washington, D.C.) Today EPA sent letters to more than 500 organizations and individuals inviting participation in the design and development of a stewardship program that will help the agency better understand the potential risks and benefits of nanotechnology. Nanotechnology is the science of creating or modifying materials at the atomic and molecular level to develop new or enhanced materials and products. The stewardship program will complement the agency's new and existing chemical programs under the Toxic Substances Control Act (TSCA) and will provide a firm scientific foundation for regulatory decisions by encouraging the development of key scientific information and any appropriate risk management practices.

"By bringing people together to address this emerging technology, we can be well positioned to ensure the responsible development of nanotechnology, while at the same time, realizing its promise for a better tomorrow," said Jim Gulliford, assistant administrator for Prevention, Pesticides and Toxic Substances at EPA. "Through open dialogue, public engagement and sound science, we can establish the appropriate oversight for nanoscale materials and ensure public confidence in its safety."

EPA is inviting the public, industry, environmental groups, other federal agencies and other stakeholders to participate in the design, development and implementation of this program. These include 1) public scientific peer consultations to discuss risk management practices and characterization for nanoscale materials; 2) an overall framework document describing the TSCA program for nanoscale materials; 3) a document on distinguishing the TSCA Inventory status of "new" versus "existing" chemical nanoscale materials; 4) a concept paper describing EPA's thinking for the Stewardship Program, as well as an Information Collection Request to collect data under the Stewardship Program; 5) workshops examining the pollution prevention opportunities for nanoscale materials; and 6) a public meeting to discuss these documents and program elements.

More information about the Nanoscale Materials Stewardship Program under TSCA: http://epa.gov/oppt/nano/index.htm

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15) Law Takes Aim at Army for Dumping

Congress to military: Inspect, test and clean up the chemical weapons dumped into the sea.

by John M.R. Bull, Hampton Roads [Virginia] Daily Press
October 18, 2006
http://www.dailypress.com/news/local/dp-55593sy0oct18,0,4130877.story?coll=dp-news-local-final

The military must inspect the chemical weapons it dumped into the ocean decades ago to determine the danger they now pose to people or marine life, under a bill signed into law on Tuesday. Then the Army will have to figure out how to clean up or contain -- if possible -- the mess it secretly made in more than two dozen offshore locations. "We're elated," said Dave Helfert, a spokesman for U.S. Rep. Neil Abercrombie, D-Hawaii, who pushed for the new law. "This is the first concrete step that addresses a serious threat to the public. It's very important."

A Daily Press investigation last October revealed that the Army dumped at least 64 million pounds of deadly mustard and nerve gas -- included in artillery shells, bombs and rockets -- off the U.S. coastline, kept it secret and stopped checking 30 years ago to see whether the weapons were leaking. Some evidence suggests the munitions may now be leaking and pose a danger to marine life and people who eat some types of seafood. The weapons are off the coast of at least 11 states, including Virginia, New Jersey, North Carolina, Hawaii, Alaska and Florida. But more dumpsites may exist because the Army's records are sketchy and were destroyed long ago. If not cleaned up, the weapons likely pose a threat for generations to come. Metal deteriorates at different rates in the ocean, depending on the depth, temperature and prevailing currents. This causes the weapons to potentially leak at different times and at different rates.

The Daily Press investigation prompted the Army to conduct an extensive search of all surviving ocean-dumping records. A report on that research is finished but has sat unreleased in the hands of top Pentagon officials for more than a month. After reading the newspaper's findings, several lawmakers demanded the military do more than just check records for unrevealed dumpsites. A provision in the defense authorization act -- signed into law Tuesday by President Bush -- requires that the military inspect its known chemical weapons dumps and record the locations on nautical charts so mariners know the potential dangers. The inspections must include water and seabed environmental testing to see whether the weapons are leaking, or have leaked, and determine the current and potential future threat to sea life. The military also must assess the risks to humans.

Mustard gas survives in seawater in a concentrated gel that can last for years, pushed around by ocean currents. Other chemicals can accumulate in seafood and be passed up the food chain to humans. "This requirement is absolutely necessary to protect the public health of everyone who lives, works or visits the oceans near these munitions dumps as well as the condition of the oceans and marine life," said U.S. Rep. Rob Andrews, D-New Jersey, one of the first lawmakers to raise a fuss. The bill requires the military to monitor each site -- most, but not all, are located in deep water -- and determine how to clean them up if that is possible. The weapons are likely to be unstable and extremely hazardous to disturb after decades in the ocean. They were dumped between 1940 and 1972.

The bill went a step further than experts expected because it applies to all ocean-dumped munitions, not just chemical weapons. "That really is quite amazing," said Craig Williams, director of the Kentucky-based Chemical Weapons Working Group, a citizen advocacy operation that monitors the Army's disposal of land-based chemical weapons. "I'll be in the ground 100 years before they get around to all of that. This isn't going to be cheap."

The Army and Navy extensively dumped surplus conventional weapons off the side of ships for decades and in the late 1960s and early 1970s loaded old ships with old weapons and blew them up, scattering unexploded ordnance in all directions. The military will abide by the new law "in an effort to ensure the continued protection of the environment and safety of the American public," said Pentagon spokeswoman Cheryl Irwin.

There is no estimate on what the new law's requirements will cost, and this year's defense-funding bill doesn't include any money for the military to begin complying with the new law's provisions. Congress makes such appropriations annually. The law does not apply to U.S.-created chemical weapon dumpsites off the coasts of at least 11 other countries. At the end of World War II, the Army dumped its overseas chemical weapon stockpiles where they were located, killing or injuring hundreds in the ensuing decades.

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16) Scientists Say Seafood's Benefits Outweigh Risks

The heart-healthy food should be eaten twice a week and in variety, but some should be avoided by children and certain women, a study advises.

by Marla Cone, Los Angeles Times
October 18, 2006
http://www.latimes.com/features/health/la-na-fish18oct18,1,602748,full.story?coll=la-headlines-health&ctrack=1&cset=true

The health benefits of eating fish twice a week outweigh the risks, but children and women of childbearing age should not eat certain types that are highly contaminated, according to a report released Tuesday by a national panel of scientists. Seafood is rich in nutrients that help protect against heart disease, and most Americans do not eat enough, the scientists reported. It is high in protein; lower in saturated fats and cholesterol than most beef, pork and poultry; and contains more of the "good fats," the omega-3 fatty acids that seem to protect the heart. "The high nutritional quality of seafood makes it an important component of a healthy diet," according to the committee of the Institute of Medicine, part of the National Academies.

Adults and children should eat two 3-ounce servings a week, and if they consume more, they should vary the types to avoid exposure to a lot of contaminants from a single source, the committee reported. The scientists included caveats for children younger than 13 and for women who are or may become pregnant or who are nursing. They should eat the two weekly servings but "should avoid large, predatory fish such as shark, swordfish, tilefish or king mackerel" because they contain high levels of mercury, which may alter a child's brain development. They also should limit albacore or white tuna to 6 ounces a week. People at risk of heart disease should also eat fish twice a week, and there "may be additional benefits" if they include fish with high omega-3 content, such as salmon.

The scientists, assigned the task of balancing the benefits of seafood with the dangers posed by contaminants, echoed the 2004 guidelines of the Food and Drug Administration and the Environmental Protection Agency. But they said the message to American consumers had been fragmented and confusing, and they advised the agencies to develop new tools for informing the public. "As consumption of seafood rises, there has been increasing concern about the potential risks" because of chemicals, heavy metals and infectious microbes in oceans and inland waters, said committee Chairman Malden Nesheim, Cornell University provost emeritus and professor emeritus of nutrition. "Consumers are therefore confronted with a dilemma. We are told that seafood is good for us and that we should be eating more of it," yet various agencies are advising caution, he said. "Consumers need better guidance on making seafood choices," Nesheim said. The 608-page report provides guidelines for different age and health-risk groups. Panel members hope agencies will turn the guidelines into "user-friendly" advice.

Environmental groups criticized the report as playing up benefits and downplaying risks. They said they found it alarming that the panel did not suggest smaller servings for children, who are more vulnerable to mercury and other contaminants. The report "did a decent job of detailing the benefits, but did a lousy job of explaining the risks. Consumers had hoped that this study would clarify the confusion at the seafood counter, but many will still be left scratching their heads," said Gerald Leape of the National Environmental Trust. "Worse yet," said seafood campaign director Jackie Savitz of the marine-habitat advocacy group Oceana, "the report attempts to undermine government advice by downplaying the mercury risks, especially with regard to children and America's No. 1 most heavily consumed fish: tuna."

Also on Tuesday, the Harvard School of Public Health reported in the Journal of the American Medical Association that a regular diet of fish reduced the risk of heart disease by 36%. "For major health outcomes among adults, the benefits of eating fish greatly outweigh the risks," said lead author Dariush Mozaffarian. The scientists on the national panel said they used the best available data, although they called much of the information "insufficient or too preliminary." For example, the panel concluded that seafood reduced the risk of heart disease, either because it replaces fattier meats or because its omega-3 fatty acids protect the heart. But they said data were insufficient to know whether people who had had a heart attack could reduce the risk of future ones by eating fish. And it is still unclear whether seafood helps prevent diabetes, cancer or Alzheimer's disease.

People can get the most benefit and minimize risk if they pay attention to what seafood they eat, the report says. Lean fish such as tuna and halibut are low in saturated fat and cholesterol and have moderate amounts of omega-3. Large, predatory ones, however, accumulate high levels of mercury. Fatty fish, particularly salmon, provide the most omega-3 but also contain more cholesterol and can build up higher amounts of polychlorinated biphenyls, or PCBs, contaminants with health risks. Shellfish are low in saturated fat but do not contain much omega-3. Though generally low in chemicals and metals, they can contain microbes that cause infections if eaten raw.

William T. Hogarth, director of the National Marine Fisheries Service, which paid for the study with the FDA, said the report showed that "the contaminant scare is largely overblown." But the panel did not go that far, saying the risks to fetuses and children could be serious. "We were surprised by the lack of reliable data on the distribution of some contaminants in the seafood supply," Nesheim said, so "federal agencies should increase monitoring."

Panel member David Bellinger, a Harvard Medical School professor of neurology and environmental health, said, "Because of the uncertainties, especially on the risk side, the committee felt it was important to emphasize that consumers should consume a variety of fish." Each type of fish contains different chemicals and concentrations, so by varying them, "benefits can be maximized but the overall risk profile can be managed," he said. "One of the take-home messages is that the balance of benefits and risks are different for different populations," said Julie A. Caswell, a committee member and University of Massachusetts professor of resource economics.

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17) A Shift in Indoor Pollution Controls

Oversight would move to health department

by Darryl R. Isherwood, Trenton [New Jersey] Times
October 18, 2006
http://www.nj.com/news/times/index.ssf?/base/news-2/1161145686326220.xml&coll=5

In the wake of this summer's environmental debacle at the Kiddie Kollege day-care center in Gloucester County, a group of legislators is seeking to require that state health officials regulate indoor contamination at day-care centers, schools and residential development. The bill, which has been introduced in the state Senate and will be introduced in the Assembly tomorrow, requires the state Department of Health and Senior Services to develop standards for evaluating air inside day-care centers, schools and homes and set maximum contamination levels inside all three types of buildings. A certification would be required from the health department that the standards have been met before the buildings could be occupied.

The new law would also prohibit issuance of a construction permit for any building that has been used for industrial, storage or "high-hazard purposes" or any contaminated site until the health department has certified that its standards have been met. It is not clear how health officials will establish the maximum contamination levels. In addition, no construction permit would be issued on a formerly contaminated site until the builder receives a no further action letter from the state Department of Environmental Protection. A second portion of the bill would strengthen the penalties associated with site cleanup and double the amount the DEP can fine offenders.

Kiddie Kollege day-care center operated for two years on the site of a former Franklinville thermometer factory. Testing earlier this year revealed dangerous mercury levels in the air. The center was closed in July and the DEP has announced it will inspect some of the 4,200 day-care centers throughout the state for signs of contamination.

Environmentalists lauded the new legislation yesterday and said it amounts to a major transfer of oversight from the state Department of Environmental Protection to the health department. Whether it will fix the problems that have arisen at the Kiddie Kollege day-care center and other sites remains to be seen, they said. "If you just have more oversight it's not going to fix the fundamental problems within DEP," said Jeff Tittel, president of the Sierra Club's New Jersey chapter. "Just because you are bringing in someone else for oversight doesn't mean you are necessarily making things better. Having the extra oversight may be a good thing, but the question is what will the standards be."

Bill Wolfe, director of environmental advocacy group Public Employees for Environmental Responsibility, said it was high time that additional oversight was put in place. Wolfe cited failures at several sites throughout the state including the former W.R. Grace and Co. Zonolite plant, the American Standard plant and the former Mercer Rubber plant, all in Hamilton Township. "In the wake of a series of major DEP toxic site breakdowns, the bill would shift key responsibilities to keep schools, day-care centers and homes off of contaminated sites to DHSS and try to beef up lax DEP enforcement. Both seem like common-sense steps in the right direction," Wolfe said.

Wolfe said the addition of schools and residential properties to the bill is "huge" and signals the Legislature's intent to broaden its effect beyond just the Kiddie Kollege issue. The Senate bill was sponsored by Sen. Fred Madden, D-Washington Township, Gloucester County. In the Assembly, members David Mayer, D-Gloucester Township, Paul Moriarty, D-Washington Township, Gloucester County, and Linda Greenstein, D-Plainsboro, will introduce the bill tomorrow.

According to Mayer, Kiddie Kollege amounted to a "catastrophic failure of checks and balances at all levels of government." The Gloucester County assemblymen, along with Madden, have worked closely with the governor on the bill, Mayer said, and the legislators expect little resistance to its passage, he said. "This legislation is designed to ensure this never happens again," Mayer said. Reached late yesterday, a spokesman for Gov. Jon Corzine said his staff has worked closely with the legislators on a remedy to the Kiddie Kollege situation. "The administration has been working closely with the legislators from the district to ensure the safety of our children in child-care centers," said Corzine spokesman Brendan Gilfillan.

Greenstein, who has been active in overhauling existing environmental laws since testing found that the former W.R. Grace factory in Hamilton was contaminated with asbestos, nearly 10 years after the state DEP had issued a no further action order certifying that the property was clean, said her goal was to figure out what has gone wrong. "I think its clear we have had a lack of communication among agencies," she said. "With this bill and with previous bills we are attempting to make sure that the groups that should be talking, are talking."

Department of Health officials would not comment on the law, saying they had not finished reviewing it. According to DEP spokeswoman Elaine Makatura, Commissioner Lisa Jackson will testify at a hearing today on the new bill, but her comments will be limited to the Kiddie Kollege and what the agency has learned from the situation. Currently, the DEP does some indoor air testing, Makatura said, but it is site specific.

Representatives from several state builders associations did not return calls for comment on the new legislation, which will be debated today at 10 a.m. by the Assembly Environment and Solid Waste Committee at Delsea Regional High School in Franklinville.

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18) State Toughens Rules to Reduce Mercury Output of Power Plants

by Don Hopey, Pittsburgh Post-Gazette
October 18, 2006
http://www.post-gazette.com/pg/06291/730841-28.stm

Pennsylvania moved a step closer to reducing unhealthy mercury emissions from its coal-fired power plants yesterday when the Environmental Quality Board approved new state rules that are tougher than federal standards. The new rules, pushed by the Rendell administration and opposed by the utility companies, coal industry and state Senate Republicans, will cut emissions of the neurotoxin mercury by 80 percent by 2010 and by 90 percent by 2015. The Environmental Quality Board, dominated by Rendell administration appointees, voted 17-3 to approve the tougher mercury controls, which were supported by all but three dozen of the almost 11,000 responses collected during a recent public comment period. "This is a tremendous victory for public health, the environment and our economy," Gov. Ed Rendell said. "Efforts to attract new investment and keep young people here are undermined as families and businesses understand that Pennsylvania is laden with more toxic mercury pollution than nearly anywhere else in the U.S. Our residents deserve better."

The federal mercury regulation requires a 70 percent reduction in mercury emissions by 2018, but allows smaller, older power plants to avoid installing any controls if they purchase "credits" from other power plants that have reduced emissions by more than required. That so-called "cap and trade" program is absent from the Rendell administration's rule because power companies could avoid retrofitting some plants in Pennsylvania and still meet federal standards by purchasing credits from newer plants in other states. Such a system could also perpetuate mercury "hot spots" located downwind from plants operating without mercury controls. Pennsylvania and 20 other states have sued the U.S. Environmental Protection Agency in federal court claiming that provision would hurt their efforts to reduce mercury emissions.

Before it can go into effect, the state rule must pass review by the five-member Independent Regulatory Review Commission within the next 30 days. Such an approval would allow the state to meet the Nov. 17 federal filing deadline for reporting its reduction plan. A dozen states are in the process of adopting mercury emissions controls that are stronger than those contained in federal regulations passed in July 2005, but Pennsylvania would be the first major coal-producing state in that group, a major issue for many opponents of the rule, who also question the health benefits.

State Sen. Mary Jo White, one of the three quality board "no" votes on the mercury rule and the Republican chairwoman of the Senate Environmental Resources and Energy Committee, said it will provide no health or environmental benefits and could damage the state coal industry. Ms. White has authored a bill that would reduce mercury emissions by 86 percent but, like the federal regulation, would permit power plants that can't meet reduced emission limits to buy credits from those that can.

The Electric Power Generation Association, a utility company lobbying group in Harrisburg, was also critical of the Rendell rule, saying it will threaten electricity reliability and increase consumer costs. It also proposed a mercury control plan that contains the same reductions and time frame as the Rendell rule, but includes a cap and trade provision. Pennsylvania's utility plants and industries emit more than 5 tons of mercury a year, second only to Texas and just ahead of Ohio, which sends some of its emissions into Pennsylvania on prevailing winds.

Mercury is a neurotoxin that moves from the air into the soil and water, changes into methyl mercury, and is ingested by fish, which are eaten by people. Such exposure can be especially harmful to pregnant women, babies and children, and can cause attention and language deficits, memory loss, autism, mental retardation and impaired vision. Because of elevated mercury levels, a one-meal-a-week consumption advisory for all fish caught in Pennsylvania waters has been in effect since April 2001.

It will cost the state's 36 coal-fired power plants an estimated $223 million to install the necessary mercury controls, and cost each residential customer about $13 extra a year. Another cost could be a reduced demand for Pennsylvania coal, which contains twice as much mercury as coal mined in West Virginia and Kentucky, and five times as much as Western states' coal. A study done for the coal industry found it could reduce the sale of Pennsylvania coal by 85 million tons over nine years, said George Ellis, president of the Pennsylvania Coal Association. "DEP says the federal rule is discriminatory to Pennsylvania coal, but we think this state rule will discourage use of Pennsylvania coal because of our high mercury content," Mr. Ellis said. "And some of the older, smaller coal-fired power plants in the state could shut down rather than install expensive emission reduction equipment."

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19) Should Pregnant Women Avoid Coffee Altogether?

Animal study suggests even low caffeine doses could effect fetus.

by Jim Giles, Nature
October 17, 2006
http://www.nature.com/news/2006/061016/full/061016-5.html

Tentative evidence has emerged to suggest that low doses of caffeine, equivalent to just one or two cups of coffee per day, can affect the development of unborn babies. The findings are almost certainly too preliminary to prompt public health officials to change official advice to pregnant women, who at present are told only to avoid large amounts of caffeine. But the researchers involved, who have detected behavioural and cellular changes in rats whose mothers drank caffeine during pregnancy, say they themselves are advising pregnant women to avoid caffeine altogether.

Joseph Nunez and his colleagues from Michigan State University in East Lansing, who presented their results on 16 October at the annual meeting of the Society for Neuroscience in Atlanta, Georgia, say the findings came as a surprise. In an initial experiment, they examined brain cells from new-born rats whose mothers had been given a dose of caffeine, equivalent to one or two cups of coffee for a human, every day during pregnancy. "I was a skeptic," says Deborah Soellner, a colleague of Nunez's. "I didn't expect to see this at such a low dose." But in the exposed rats, Nunez's team found odd effects in brain cells of the hippocampus, a region of the brain associated with memory and spatial navigation. For example, the cells absorbed less glutamate, a molecule that makes brain cells more active. Whatever glutamate was absorbed also exited the cells sooner than usual.

Reduced inhibition
To see how the cellular changes were affecting behaviour, the Michigan team took baby rats whose mothers had been caffeined-up and ran them through a series of behavioural tests. Nunez says that the animals showed no cognitive defects, but were more active and less inhibited than those whose mothers had not received caffeine. The rats were more willing to explore new environments, for example. When placed in a small dark space with an opening into a larger lit area, it took control animals around 4 minutes on average to emerge. But the caffeine rats left after an average of just 25 seconds. Other tests showed similar, if less pronounced, changes. The rats were more likely to explore exposed environments, and spent more time interacting with other animals. "You have an animal that doesn't know when to stop," says Nunez.

Safe not sorry
Although there is no reason to assume that these differences are negative or harmful, Nunez would like pregnant women to be advised to avoid caffeine as a precautionary measure. On his display was pinned a photograph of his four-month-old baby; he says his team's rat results started to emerge when his wife was pregnant, so he immediately advised her to stay away from caffeine. Current public health guidelines say only that women should limit themselves to 300 millilitres or less a day, but that is equivalent to what Nunez fed his rats. He points out that caffeine is able to cross the placenta, and the developing fetus is known to take up to 4 days to clear out the caffeine from a single cup of coffee drunk by mum.

Nunez says that any effects of caffeine on humans may have been missed because it is so widely used and assumed to be relatively safe. "No one has ever systematically done this research before," he says. Nunez's team plans to follow up their studies by looking in more detail at the effect that caffeine is having on brain cells.

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20) Great Lakes Live-fire Training Raises Fears about Lead

by Jeff Alexander, Kalamazoo [Michigan] Gazette
October 17, 2006
http://www.mlive.com/news/kzgazette/index.ssf?/base/news-20/116109852193120.xml&coll=7

The U.S. Coast Guard's plan to establish 34 live-fire weapons-training zones on the Great Lakes would make the military agency one of the largest sources of the toxic metal lead entering the lakes, according to federal data. Coast Guard personnel would fire up to 430,000 bullets annually in the training zones, which are scattered across all five Great Lakes, according to government records. Coast Guard officials said the live-fire training is needed to protect the Great Lakes region from terrorism and other illegal activities.

Critics claim the exercises would turn the Great Lakes into a military zone, endanger boaters and others who use the lakes, and potentially poison fish and other aquatic life with lead and other toxic metals found in bullets. Because the bullets the Coast Guard plans to use are largely lead and copper, the weapons training would deposit as much as 6,900 pounds of lead and 2,800 pounds of copper each year in the Great Lakes, according to a health-risk assessment the Coast Guard commissioned. That's more lead than the U.S. Steel plant in Gary, Ind., dumps into surface waters each year, according to U.S. Environmental Protection Agency data. "That's more lead than the entire state of Michigan and all of its industries and pollution sources emit to surface waters every year," said Hugh McDiarmid Jr., communications director for the Michigan Environmental Council.

On Monday, Canadian Foreign Affairs Minister Peter MacKay said Canada is worried about possible lead contamination of the lakes, noting that the use of lead shot and sinkers in fishing gear is already banned. Canada "has made its views known to the United States, and clearly, we will follow these consultations in the United States to make sure those views are further known, on the environmental side, the security side, to see that we get a proper resolution," MacKay told Canadian Press.

Michigan industries in 2004 discharged 4,069 pounds of lead compounds into surface waters, according to EPA data. A health-risk assessment commissioned by the Coast Guard concluded that pumping hundreds of thousands of lead and copper bullets into the Great Lakes would not pollute the lakes or poison aquatic life. The weapons training "will result in no elevated risks for the Great Lakes," according to the study by CH2M HILL, a Boston engineering firm.

Coast Guard officials told reporters last week that live-fire practice is an essential part of weapons training. Critics fear the lead in bullets the Coast Guard plans to use would slowly accumulate in the Great Lakes food chain, poisoning everything from microscopic invertebrates to the fish that people eat. Ingesting lead can cause brain damage, reproductive problems and cancer in humans, according to the U.S. Agency for Toxic Substances and Disease Registry.

A scientist at Grand Valley State University's Annis Water Resources Institute said the bullets would pose little threat to the Great Lakes ecosystem because lead does not dissolve easily in fresh water. "There's never been any evidence, that I'm aware of, of lead accumulating in the food chain unless it was ingested by animals," said Rick Rediske, a professor of water resources at GVSU. "I wouldn't anticipate the lead getting into the food chain." Lead shot and lead fishing sinkers have sickened and killed ducks and other waterfowl that ingested the toxic metal. That usually occurs in shallow waters, near the edges of lakes and rivers, where ducks and other birds eat spent shot or lead fishing weights, Rediske said.

The Associated Press contributed to this report.

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