Professional Documents
Culture Documents
Greet Schoeters
Unit Environment and Health Risk- VITO
University of Antwerp
Outline
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Between 1953 and 1965 there were Methyl mercury
over a hundred adult men and
women developing symptoms of poisoning in Japan
central nervous system disorders such Congenital Minamata Syndrome
as ataxia, alterations in gait, tremors,
altered sight and sensation. In 1955 in
the Minamata Bay area of Kyushu,
Japan, there was a large influx of
cases of severe neurological disorders
in newborn children. There were
cases of cerebral palsy, some children
were diplegic and others were
tetraplegic. They were all mentally
handicapped. Some villages had 6-
12% of their newborns affected.
Together, these disorders are now
known as Congenital Minamata
Syndrome. In 1959, it was found that
methylmercury was being dumped
into the bay by a plant of the Chisso
Corporation.
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Reproductive Effects Of Lead
• lead crosses the placenta
• miscarriages
• premature birth
• Stillbirth
• low infant birth weight
• retarded mental development
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Health outcomes in prenatally – exposed
children to dioxins and PCBs
Dioxins: Seweso accident (1976)
PCBs: Yusho (Japan 1968) and Yucheng (Taiwan1978)
US (Michigan, North Carolina, Lake Oswego)- fish eaters
Sweden, Finland, The Netherlands,
Fetal PCB syndrome : altered dentition, altered skull calcification
Intrauterine growth retardation
Cognitive and Behavioral Impairment
Increased incidence of middle ear infections
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Organic Pollutants with hormone disrupting
properties
Endocrine disrupting Class Model compound
activity
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Comparison of potency of environmental
chemicals versus endogene hormones
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Exposure to environmental chemicals
» Transported, through air, water and migratory species, across international
boundaries and deposited far from their place of release
» Resist degradation
» Bioaccumulate in terrestrial and aquatic ecosystems,
» Transfer through the food chain
» Inhalation of polluted air
» Ingestion of soil
» Ingestion of drinking water
» Consumer products – electronics, flame retardants, solvents, pesticides
» Personal care products
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Human biomonitoring:
direct measurement in human tissues
Environmental biomarkers
monitoring of exposure
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A toxic environment early in life?
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Fetuses, infants and children are especially
vulnerable to toxic chemical exposure
» Reduced ability to break down and excrete many chemicals
compared to adults
» Great vulnerability during windows of susceptibility in early
development
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Human biomonitoring:
direct measurement in human tissues
air
air
Birth weight
dust Blood lead Hormone levels
Growth
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1600 youngsters
Oct 2003- July 2004
42 schools
18 mL blood, 50 mL
urine
1200 newborns
1600 adults
Sept 2002- Dec 2003
Sept 2004- June 2005
25 maternities + 2
stem cell banks 43 municipalities
30 mL cord blood 35 mL blood, 50 mL
urine
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Birth cohorts in Flanders
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Asthma/allergy follow-up (N=150)
Neurodevelopment follow-up (N=200)
Exhaled breath:
•condensate proteins
•Gas phase VOC
Questionnaire: growth, diet, pets, 8-oxodG urine
Cord blood diseases, allergy symptoms, hygiene, indoor
Pb, Cd, PCBs, Gut flora (faeces: 3wk, 6m, 12m) eNO
Questionnaire:
dioxin-like compounds SPT growth,diet, pets,
TSH, fT3, fT4 diseases, allergy
symptoms, hygiene,
swimming, indoor
0 1 2 3 4 5 6……12m……..2y……………………3y….……4y…5y…6y…7y…8y
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Conclusion
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pollutants in the perinatal period of life
↕
child’s health
A. Biometry ( lenghth , weight): at birth, 1-3y
B. Thyroid hormone levels at birth
C. Neurobehavioral & cognitive development 0-3y (led by Dr Viaene- OPZ)
D. Respiratory health 0-3y ( led by Dr. Desager-UA)
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Negative relation between POPs and thyroid
hormones measured in cord blood
Multiple linear regression model /contaminant , 200 participants
adjusted for plasma total lipids, gestational age, gender, alcohol consumption during pregnancy, and age of the
mother. MAERVOET et al, , Environmental Health Perspectives (2007)
Polychlorinated biphenyls
∑ 5 PCBs (ng/ml) -0.198 0.01 195 -0.345 < 0.001 196 -0.055 0.50 196
Organochlorinated pesticides
HCB (ng/ml) -0.154 0.03 195 -0.287 < 0.001 196 -0.061 0.42 196
p,p´-DDE (ng/ml) -0.074 0.29 195 -0.146 0.04 196 -0.048 0.51 196
Dioxin-like compounds
Calux-TEQ (pg/ml) -0.154 0.04 138 -0.165 0.04 138 -0.018 0.83 138
Heavy Metals
Cadmium (ng/ml) -0.084 0.23 186 -0.041 0.58 187 -0.035 0.63 187
Lead (ng/ml) -0.100 0.15 186 0.064 0.37 187 0.041 0.57 187
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Free thyroxin vs concentration of sum marker PCB’s in cord blood
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Neurological behaviour follow-up
Info on pregnancy
Postnatal depression
0 1 12 24 36 months
Cord blood
(Pb, Cd, PCB’s, dioxins, Cognitive and
TSH,FT3, FT4),nutrition, Behaviour child, Behavioural tests
covariates emotional status mother, child, IQ-test mother,
life-events Observation Home
Environment,
Cortisol
monthly quesionnaire on food & development
3-monthly “ “ “
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Prenatal exposures and health outcomes:
methylmercury in maternal hair
Fish intake : Faroe island cohort
Grandjean , Weihe
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Prenatal exposures: a wide range of effects
with life long consequences
» Wide range of health effects
» Body energy levels
» Growth and development
» Immune effects
» Internal balance of body systems, or homeostasis
» Persistence of biological effects
» Response to low dose matters chemical analytical challenges?
large populations needed
» Combination of doses effective biomarkers of combined internal dose?
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Mechanisms of late effects?
» hormone levels,
» oxidative stress
» epigenetic changes?
mechanistic
early warning
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Control of Persistent Pollutants: Global POPs
Convention (Stockholm Convention on
Persistent Organic Pollutants)
Covers the “dirty dozen” POPs chemicals and pesticides + 9 chemicals
recently added
» Such pollutants move around the globe; once they have entered the
environment; you can’t just turn off the tap.
» Chemicals included are: the pesticides aldrin, chlordane, DDT, dieldrin,
endrin, heptachlor, mirex, toxaphene, and hexachlorobenzene; the
industrial chemicals PCB’s; dioxins and furans,
» Recently added: alpha hexachlorocyclohexane; beta
hexachlorocyclohexane; chlordecone; hexabromobiphenyl;
hexabromodiphenyl ether and heptabromodiphenyl ether (commercial
octabromodiphenyl ether); lindane; pentachlorobenzene; perfluorooctane
sulfonic acid, its salts and perfluorooactane sulfonyl fluoride;
tetrabromodiphenyl ether and pentabromodiphenyl ether (commercial
pentabromodiphenyl ether).
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The tip of the iceberg?
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