[ Print Version ]
August 2006

IN THIS ISSUE:

Residents of Eastern US on the Lookout for Mold, Structural Damage Following Heavy Summer Flooding

Record flooding across the Eastern United States followed days of extremely heavy rains in late June, causing flooding and widespread damage and increasing the risk of unhealthy conditions in millions of homes in the region. Authorities estimate clean-up costs will rise into the billions.

Basements were inundated by flood waters, some up to their ceilings, and buildings with leaking roofs and windows also experienced significant water damage. Swift river waters also caused structural damage to some homes. In many areas of New York State, New Jersey, and Pennsylvania, clean-up efforts are just beginning. As late as mid-July, some homes still had standing water in their basements and wet conditions in living areas. Combined with a blistering heat wave and extremely high humidity during part of July, the water damage has led to an explosion of mold and bacteria growth in many homes.

To limit damage, residents should remove all wet belongings from their homes and clean or dispose of them. When carpets, upholstered furniture, many toys, wallboard, and other items experience heavy saturation from floodwaters, it is often impossible to dry them sufficiently. Mold and bacteria growth on such items can begin soon after flood waters recede, posing health hazards to residents, especially those who have asthma, other respiratory ailments, and weak immune systems.

Before reentering flooded homes, residents and workers should check for structural damage, electrical and gas hazards, and injury hazards. Residents and workers should also use appropriate personal protective equipment, including the proper type of respirator. For more information on cleaning up following major flood events, visit www.afhh.org/res/res_pubs/Hurricane_Aftermath_Flooding.pdf, www.cmhc-schl.gc.ca/en/co/maho/em/em_001.cfm, and www.centerforhealthyhousing.org/Red-Cross-Repairing-Fld-Home-Eng.pdf.

EPA Denies Sierra Club Petition on Lead in Toy Jewelry

On July 27, the U.S. Environmental Protection Agency (EPA) denied the Sierra Club’s petition to address toy jewelry that contains lead. The denial was published in the Federal Register.

The Sierra Club had asked EPA to use its authority under the Toxic Substances Control Act (TSCA) to obtain information, set a very low limit of lead content in toy jewelry, report on the risks posed by lead in toy jewelry, and advice the Consumer Product Safety Commission (CPSC) to take further action. The petition was in response to a number of CPSC recalls of toy jewelry with high lead content and the death of a young boy who swallowed a jewelry charm in Minneapolis in February.

EPA claims it would be more effective at this time to continue working in its present role with CPSC to “understand the scope of the lead in toy jewelry problem.” The Sierra Club said it was disappointed in the decision, pointing to the fact that a child was killed by lead content in toy jewelry. The State of Illinois had also strongly urged EPA to act on this matter.

Scientists Say EPA Isn’t Protecting Children from Toxic Chemicals

The nation’s leading environmental health scientists charged in July that the EPA is failing to protect children from toxic chemicals in their environment, including those that may be used in the home. Many of the chemicals cited by the scientists are known or suspected carcinogens.

The scientists’ took special aim at the guidance standard approved by EPA in 2005, which advises EPA policy makers to base pesticide and other chemical approvals and registrations on the assumption that toxic chemicals and carcinogens are ten times more potent in young children than they are in adults. The environmental health researchers say that the standard is faulty and based on averages, and that in many cases, toxins may be hundreds of times more dangerous to children than they are to adults.

“The guidelines are not protective of children," said Philip Landrigan, professor of pediatrics and community and preventive medicine at Mount Sinai School of Medicine. "It's an example of the administration failing the most vulnerable members of our society."

Dr. Lynn Goldman, a professor of public health at Johns Hopkins University and a former EPA official, added, “It's likely that many carcinogens, if they were specifically tested, would be more than 10 times as potent in juveniles, just like the chemicals in the EPA analysis were found to be more than 100 times as potent in young animals.

"You don't want to stop here and say 10 is right," she said. "That should be the starting point to make sure we aren't underprotecting kids from a whole series of chemicals."

EPA responded by saying that the guidance adds a margin of safety for children. The chemical industry, through the American Chemistry Council, expressed its skepticism of any increased chemical susceptibility in children, despite the weight of the scientific evidence that exists on the subject.

For more information on children’s sensitivity to environmental health hazards, visit www.afhh.org/chil_ar/chil_ar_main.htm.

Alliance Increasing Capacity for Healthy Rebuilding in Hurricane Katrina Aftermath

On July 21, the Alliance for Healthy Homes, in cooperation with the Preservation Resource Center of New Orleans and other local partner organizations, sponsored its second healthy rebuilding train-the-trainer workshop in New Orleans. Like a similar workshop the Alliance held in April, this session was designed to build training capacity for teaching people how to do safe and effective restoration of moldy, flood affected homes. Many residents, volunteers, and workers are still not being taught how to protect themselves from mold exposure and injury hazards as they clean out structurally sound, moldy properties to prepare them for restoration.

Some 25 representatives of about 20 New Orleans area groups attended the workshop, which was held at the Preservation Resource Center. The participating organizations, churches, and companies are cleaning out thousands of houses. The Alliance views this work as a scalable approach to helping families reclaim their homes. JPMorgan Chase Bank and Enterprise Community Partners provided financial support, and Alliance trainer Dennis Livingston taught the workshop.

The Alliance and Livingston also held a follow-up training session on July 22 for graduates of the July 21 workshop and graduates of a similar workshop held in April to sharpen training skills by helping train a group of housing cleanup volunteers at their work site, a flood-affected home in New Orleans’ Upper Ninth Ward. Later that same day, the Alliance and Livingston also held a two-hour training on safe and effective mold cleanup at the Preservation Resource Center for a group of New Orleans homeowners.

The Alliance plans to continue working to increase local training capacity on safe and effective decontamination of flood-affected homes in the New Orleans area and expand our healthy rebuilding training and technical assistance work to include: safety training for Spanish-speaking day laborers, how to make homes safer and healthier beyond the mold cleanup stage, affordable incorporation of disaster resistant building strategies (including strategies to create additional flood safe space and looking at affordable ways to elevate houses given the lack of progress by the federal government in fixing the levees) and green building principles into rebuilding, development of simpler healthy rebuilding guidebooks in English and Spanish, and broadening of our work to other affected Gulf coast communities beyond the New Orleans area.

NL Industries Blames the Victims in Mississippi Lead Poisoning Case, Prevails

A Mississippi lead poisoning lawsuit, filed by five families from Greenwood, went to trial on July 17. The defendant in the case, NL Industries (formerly National Lead), claimed that the families involved could not prove that deteriorated lead-based paint caused their children’s physical and behavioral health problems, which is a standard line of defense when individuals sue former lead pigment manufacturers like NL. NL took things a step further in this case, however, alleging that genetic defects among the families caused the children’s learning disabilities and disruptive behavior.

The lawsuit claims that at least 13 children living in a substandard housing complex were poisoned by lead following years of exposure. NL Industries will argue, despite genetic testing that shows otherwise, that family traits of “poor performance” are to blame, not lead-based paint. One of NL’s expert witnesses remarked that some of the children involved in the case had “familial mental retardation.”

On August 4, a federal jury of eight handed NL a victory, saying that the company did not bear responsibility for the children’s disabilities.

Experts say that NL’s tactic of shifting the blame is nothing new. In lawsuit after lawsuit, NL and other lead pigment manufacturers consistently assign responsibility to property owners and managers, parents, local governments, and increasingly, genetic traits that may cause health problems similar to that of lead poisoning.

For more information about lawsuits against former lead pigment manufacturers, visit www.afhh.org/aa/aa_legal_remedies_lawsuits.htm.

EPA Charges Salem (MA) Housing Authority with Violating Lead Disclosure Law

In late June, EPA filed a complaint against the Salem Housing Authority in Massachusetts, alleging that the agency failed to inform tenants living in 14 apartments that lead hazards existed in their homes. The tenants lived in the apartments between April 2002 and October 2005, and 13 of the 14 units housed young children.

The apartments in question are scattered throughout four housing complexes in Salem. Residents were alarmed, wondering why the housing authority never informed them of the potential hazard. EPA said that the disclosure law violation was serious enough that Salem Housing Authority may face up to $400,000 in fines.

Some of the apartments involved in the complaint are located at a public housing project called Rainbow Terrace. For many months, residents complained to the housing authority and others of extensive mold growth, flooded basements, rodent infestations, leaking windows, poor heating systems, and other unhealthy housing conditions. When the housing authority responded to these concerns, they also deleaded the apartments.

The public housing authority declined to comment on the complaint, but its executive director did say that it is the authority’s policy to inform residents when lead-based paint is discovered and removed, and that the Rainbow Terrace property is undergoing an $11 million renovation project in response to residents’ concerns.

For more information on the federal lead hazard disclosure law, visit www.afhh.org/res/res_Operation_LEAP_toolkit.htm.

Michigan to Require Lead Tests for All Children Enrolled in WIC

Beginning October 1, all Michigan children enrolled in the supplemental Women, Infants, and Children (WIC) food program in the state will receive a lead blood test. The bill was enacted as part of an effort to increase lead testing in the state, and the legislation had the backing of health care providers looking for more ways to increase compliance with Medicaid testing requirements. Many children who participate in WIC are also enrolled in Medicaid and are already entitled by federal law to free lead testing before age 3. Reportedly, the state health department has agreed to reimburse providers for screening for an estimated 20 percent of the WIC-enrolled children whose tests are not covered under Medicaid.

The full text of the legislation, enrolled SB 1198, is very short and reads, “Sec. 111l. Beginning October 1, 2006, the department and the department of community health shall require that all children participants in the special supplemental food program for women, infants, and children (WIC program) receive lead testing. Federal funds provided for administration of the special supplemental food program for women, infants, and children (WIC program) shall not be used to implement or administer the provisions of this section.”

Santa Clara County (CA) Lead Litigation Headed to Trial

On June 21, the California Supreme Court denied review of a California appellate court ruling that held that Santa Clara County and several other counties and municipalities may sue former lead pigment manufacturers under both public nuisance and fraud causes of action.

The CA Supreme Court did not give a reason for denying review, and its decision sends the case back to the trial court level.

For more information on litigation against former lead pigment manufacturers, visit www.afhh.org/aa/aa_legal_remedies_lawsuits_cases.htm.

Specific Pesticide Linked to Parkinson’s Disease

A study recently conducted at Emory University suggests that people who were exposed to dieldrin, a common pesticide developed in 1940 as an alternative to DDT, while in the womb or during breastfeeding may have an increased risk of developing Parkinson’s disease after the age of 50.

While it has long been thought that dieldrin has been a cause of Parkinson’s in adults, this study is the first to say that its effects begin in the womb and during breastfeeding. The pesticide, banned by the Environmental Protection Agency in 1987, was used widely for insect and termite control in home foundations.

The study involved the use of pregnant mice that were given a dose of dieldrin or a placebo every three days during pregnancy and on through lactation. When the offspring were three months of age, their brains were examined for characteristics that develop into Parkinson’s in humans. It was found that the mice in the group that were given dieldrin had a higher than normal level of the dopamine transporter, which is a part of the brain system that is affected by Parkinson’s in humans. It was also found that the male offspring were more susceptible to the changes than the females, which parallels Parkinson’s greater prevalence in human males.

Despite the results of the study, researchers encourage women to continue to breastfeed because the benefits of breastfeeding far outweigh any possible risks, especially given that dieldrin has been off the market for nearly 20 years.

The Emory study was funded by the National Institute of Environmental Health Sciences and was published June 29 in the Federation of American Societies for Experimental Biology Journal. An abstract of the study can be found at http://tinyurl.com/hl9b3.

Editor’s Note: This article was written by Justin Key, one of the Alliance’s Summer 2006 interns. Justin is a student at Stanford University.

Research Indicates that Low Blood Lead Levels Contribute to Early Death from Cardiovascular Disease and Cancer

Researchers from the third National Health and Nutrition Examination Survey (NHANES) suggested in a recent study that a correlation exists between low levels of lead in blood and mortality. The survey examined participants, aged forty at the beginning of the study, to determine the risk of mortality from all causes, cardiovascular disease, and cancer in relation to blood lead levels.

Results displayed an increase in blood lead levels with age. Also, concentrations were disproportionately higher for men, non-Hispanic blacks, lower income individuals, those with educational attainment under 12 years, current smokers, and residents of the Northeast United States. Overall, the risk for mortality was small. Moreover, the findings are consistent with other research suggesting adverse health effects from low levels of lead exposure.

Previous surveys, conducted in 1976-1980, indicated a higher risk of death with blood lead levels higher than 20 µg/dL. Blood lead levels have significantly decreased since 1970, however, and the third survey, conducted from 1988-1994, reflect that even low blood lead levels, between 5-9 µg/dL, carry an increased risk of death.

The current NHANES, with data from 1999-2002, suggests an elevated risk of peripheral arterial disease, hypertension, and renal dysfunction in a population with blood lead levels averaging approximately 2 µg/dL.

The analysis of the third NHANES study supports other evidence of adverse health consequences related to blood levels that are lower than current levels of concern.

The full study is available at www.ehponline.org/members/2006/9123/9123.pdf.

Editor’s Note: This article was written by Courtney Hinton, one of the Alliance’s Summer 2006 interns. Courtney is a student at the University of Maryland—College Park.

Study Shows that Toxic Chemicals are Expensive When Used in Producing Consumer Goods

In July, a state-sponsored study in Massachusetts found that phasing out lead and four other toxic substances could save consumer products manufacturers significant amounts of money. The study was conducted by the Toxics Use Reduction Institute at the University of Massachusetts—Lowell.

The researchers found that ridding consumer products of lead, formaldehyde, perchloroethylene, hexavalent chromium, and a phthalate known as DEHP could have economic benefits for manufacturers. Researchers acknowledged that some of the safer alternatives identified could be more expensive up front but would have long-term savings for industry.

Advocates supporting a bill currently before the Massachusetts Legislature that would ban these five toxins and four others lauded the study, saying that it undercuts manufacturers’ complaints that phasing out toxic chemicals from consumer products would cost too much money and increase prices overall. Industry countered that even short-term cost increases, small or large, could lead to competitive disadvantages with companies outside of Massachusetts that are still allowed to use the toxic chemicals. Industry representatives also noted that sometimes, alternatives to toxins turn out to be just as bad as the chemical that is phased out, though advocates stated that this is rare.

For more information on the study, visit www.turi.org/content/content/view/full/3812/.

Scientific Article Identifies Effective Dust Sampling Methods, Questions Current Standard for Lead Dust on Floors

In July, a study conducted by the National Center for Healthy Housing (NCHH) was published in the Journal of Exposure Science and Environmental Epidemiology. The article examines the dust lead sampling locations in a home that are most related to children.

Key findings from the article include:

*Floor samples should be taken from the center of the room or near a door;
*Sampling living rooms is as predictive of exposure risk as sampling the room identified as the child's play area;
*Sampling the kitchen, bedroom, or living room are all predictive locations but sampling baths is not as predictive; and
*Sampling unit entry ways is predictive of exposure risk, but a different floor dust lead standard would be appropriate since these floor areas are higher than other floors in the home.

In general, the article raises questions about the current floor standard of 40 µg/ft2, suggesting it is not adequately protective. The findings also raise questions about whether sampling window sills or troughs is useful to measure exposure risk, although the authors recognize that sampling these surfaces can help identify sources of hazards and confirm that lead hazard reduction treatments were adequately conducted.

The abstract is available at www.nature.com/jes/journal/vaop/ncurrent/abs/7500514a.html. The full study report, which was funded by the U.S. Department of Housing and Urban Development, is now available on NCHH's website, at www.centerforhealthyhousing.org/html/risk_assessment.html.

Thank You!

The Alliance for Healthy Homes thanks all Alliance Alert readers who have made recent contributions. The response to the Alliance’s fundraising campaign is impressive and will help us continue our work to ensure that every American has the opportunity to live in a healthy home. Those who are interested in contributing to the Alliance but have not already done so can visit www.afhh.org/misc/misc_contrib.htm and have the option of donating via credit card online or via check through the U.S. Mail.

Upcoming Conferences

The State of Asthma in the District conference will occur on September 13 in Washington, DC. The target audience for this conference is inclusive of all lead agencies, community partners, and key stakeholders working to control asthma in the District. Health care professionals, public health professionals, non-governmental organizations, state, and federal agencies are welcome to participate. The morning plenary session will focus on initiatives in the District, and the afternoon plenary session will include a regional and national overview of asthma control practices. There will also be four small group sessions: (1) Pediatric Asthma, (2) Environmental and Occupational Asthma, (3) Health Education/Community Initiatives, and (4) Health Services and Quality Assurance. The conference is free, and breakfast and lunch will be provided. For more information and updates, see www.gwu.edu/~macche/dcasthmaconference.

The North Central Regional Conference on Eliminating Childhood Lead Poisoning, Implementing Healthy Homes Programs, and Combating Indoor Environmental Hazards will be held September 28 – 29 in Arlington Heights, IL (near Chicago). Conference details will be available soon at www.leadmoldconferences.com.

The 2006 CDC National Lead Poisoning Prevention Partners' Conference will be held in Savannah, GA, October 11-13. The theme of the conference is "Reaching Elimination and Stretching Beyond" highlighting CDC’s commitment to the elimination of childhood lead poisoning by 2010 and to the future of children's environmental health. The goal of the conference is to provide knowledge and increase programmatic skills for CDC-funded programs. In addition, the conference will provide a forum for exchange of information so that childhood lead poisoning prevention programs can further develop plans and policies to eliminate childhood lead poisoning and reduce the adverse impacts of housing on children’s health. Staff of state and local CLPPPs, other interested state and local agency staff, federal agency staff, and advocacy groups working on lead poisoning prevention are all invited to attend. For more information, visit https://www.lppconf.org/home.html.

The Mid-Atlantic Center for Children's Health and the Environment will hold its 4th Annual Conference on Children's Health and the Environment in Pittsburgh, PA, on October 21. The conference will address clinically important issues in children's health that are affected by the environment. Children of all ages, including those in the fetal stages of development, can be affected by environmental hazards. Exposure to environmental toxins via air, water, food or soil can have a significant impact on the health of children. The conference will focus on the following areas: the built environment, heavy metals exposure and neurocognitive issues, cancer and environmental exposures and newborn outcomes and environmental exposures. For information on this year’s conference, see www.health-e-kids.org or contact Aurora Amoah, MPH, at 202-994-1166 or eohaoa@gwumc.edu.

The Northeast Regional Conference on Eliminating Childhood Lead Poisoning, Implementing Healthy Homes Programs, and Combating Indoor Environmental Hazards occurs November 1-3 in Providence, RI. For conference details, see www.leadmoldconferences.com.

The 2006 Environmental Public Health Conference, presented by Centers for Disease Control's National Center for Environmental Health, will be held in Atlanta December 4-6. The conference theme is "Advancing Environmental Public Health: Science, Practice, New Frontiers." For more information, see www.cdc.gov/nceh/conference/index.htm.

The 6th Annual New Partners for Smart Growth: Building Safe, Healthy and Livable Communities Conference will be held in Los Angeles, February 8-10, 2007. The conference hosts a variety of participants and speakers who cross disciplines to share experiences and insights, and valuable tools and strategies to encourage smart growth implementation. Public health is one important discipline that has begun to recognize smart growth as a viable solution to improve our nation’s health. To view more information on this conference, visit www.newpartners.org.

The International Conference on Developmental Toxicity and Fetal Programming will take place May 20-24, 2007, in Tórshavn, Faroe Islands (located in the North Atlantic). This international conference emphasizes a) the developmental perspective, i.e., the risks during different developmental stages, from preconception to adolescence, from toxic substances; b) the environmental perspective, i.e., the impacts of different environmental hazards; and c) the disease perspective, i.e., long-term health implications. For further information, please visit www.pptox.dk.

Upcoming Trainings

The Healthy Homes Training Center is offering its Essentials for Healthy Homes Practitioners course in various locations across the country in September. The course will be available September 11 and 12 in Baltimore; September 12 and 13 Chicago; and September 19-20 and September 21-22 in Indianapolis. For more information about these courses, visit www.healthyhomestraining.org/upcoming.htm.

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