Over the last few days, more attention seems to be focused on potential health problems as a result of the Gulf oil disaster.  One of the most informed voices on this issue is Dr. Riki Ott (I interviewed her for this article several weeks ago).  In these 2 videos, one with Keith Olbermann and one with Rachel Maddow, she gives us a good understanding about why this is so urgent.  Particularly note in her interview with Maddow where she talks about “dose plus host” defining the problem which really explains why my concern for pregnant women and children is right on target, the point being that pregnant women and children are particularly vulnerable and thus more likely to suffer ill effects from this disaster.

Maya Rodriguez’ report about the “oil effects you can see and the ones you can’t” and interview chemist Wilma Subra also makes some important points that add to our understanding of the unfolding health disaster:

Rodriguez also reports about concerns regarding the vulnerability of water supplies:

And well worth the read, Gina Solomon at NRDC explains here why the BP interpretation of air quality reports doesn’t pass the smell test.  Finally, see The Other ED–Endocrine Disruption, an interview with Theo Colborn that I posted the other day.

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Last week, in an article published by Truthout, I examined the potential for human reproductive harm as a result of the Gulf oil disaster. It was not until this week however that the EPA finally released information regarding what chemicals are in the dispersants, a crucial first step in definitively assessing harm. The manufacturer, Nalco, had claimed that some of the ingredients were trade secrets. But they were happy to explain in general terms on their website what was in the dispersants,

“Corexit contains six primary ingredients. Examples of everyday products with specific ingredients in common with COREXIT 9500 include:

• One ingredient is used as a wetting agent in dry gelatin, beverage mixtures, and fruit juice drinks.
• A second ingredient is used in a brand-name dry skin cream and also in a body shampoo.
• A third ingredient is found in a popular brand of baby bath liquid.
• A fourth ingredient is found extensively in cosmetics and is also used as a surface-active agent and emulsifier for agents used in food contact.
• A fifth ingredient is used by a major supplier of brand name household cleaning products for “soap scum” removal.
• A sixth ingredient is used in hand creams and lotions, odorless paints and stain blockers.”

Really? We drink this stuff and put it on our babies? Must be harmless, right? So why not just tell us the exact ingredients??

Finally however, the public and planetary right to know has triumphed over greed. Two different versions of Corexit have been used. The New York Times provides this description of the two products:

“Corexit 9527, used in lesser quantities during the earlier days of the spill response, is designated a chronic and acute health hazard by EPA. The 9527 formula contains 2-butoxyethanol, pinpointed as the cause of lingering health problems experienced by cleanup workers after the 1989 Exxon Valdez oil spill, and propylene glycol, a commonly used solvent.”

“Corexit 9500, described by Pajor as the “sole product” Nalco has manufactured for the Gulf since late April, contains propylene glycol and light petroleum distillates, a type of chemical refined from crude oil. Nalco had previously declined to identify the third hazardous substance in the 9500 formula, but EPA’s website reveals it to be dioctyl sodium sulfosuccinate, a detergent and common ingredient in laxatives.”

Memo to self: avoid laxatives at all costs. But seriously, what the heck are those chemicals and what can they do? Tom Philpott has written the most thorough description that I’ve seen thus far:

“We finally know the main two dispersants that BP and the U.S. government are using to treat the ongoing Gulf spill. Both, by their maker’s own admission, have the “potential to bioconcentrate,” and both have “moderate toxicity to early life stages of fish, crustaceans, and mollusks,” according to a study by Exxon, the company that originally developed them. Their use may be the least-bad course, given the importance of minimizing oil’s effect on coastal wetlands. But a little digging into the chemical makeup of these two substances, which are being dumped in vast quantities into the Gulf, reveals that they could potentially do far more harm than good, both to the Gulf and to humans who later eat from it…

substances that bioconcentrate tend to move from water into fish, where they can do damage to the fish itself, as well as be passed on to predator fish – and on up the food chain, to human eaters…

And just how toxic is this stuff? The data sheets for both products contain this shocker: “No toxicity studies have been conducted on this product” – meaning testing their safety for humans”…

…According to their data sheets, both 9500 and 9527 are composed of three potentially hazardous substances. They share two in common, organic sulfonic acid salt and propylene glycol. In addition to those two, Corexit 9500 contains something called “Distillates, petroleum, hydrotreated light,” while Corexit 9527 contains 2-Butoxyethanol…

…Petroleum distillates and 2-Butoxyethanol are both solvents; neither are substances you’d excitedly dump into a vibrant ecosytem. According to its International Chemical Scorecard, 2-Butoxyethanol “may be absorbed” by the skin; causes “cough, dizziness, drowsiness, headache, nausea, and weakness” when inhaled; and “abdominal pain, diarrhea, nausea, and vomiting” when ingested. For petroleum distillates, the International Chemical Scorecard has similar indications about exposure for humans, and adds this unsettling line: “The substance is harmful to aquatic organisms.”"

So we know that the dispersants contain toxic substances. It would seem that at the very least, since we’ve already dumped hundreds of thousands of gallons of them into the Gulf, that we–meaning presumably a governmental agency tasked with doing such things–should be rigorously monitoring their impact. Don’t hold your breath, or rather, it might be a good idea if you do. NRDC’s Gina Solomon reports that,

“New BP air testing results were posted.. from April 27 – May 26 for benzene, total hydrocarbons, and 2-Butoxyethanol. There’s still no information about other oil-related air toxic chemicals such as naphthalene or hydrogen sulfide, offshore.

The BP sampling plan focuses only on workers on the large ships, and appears to not include monitoring for the people on the approximately 1,500 small fishing boats helping to clean up the spill. These people are dismissed as of “Reduced Priority” on page 4 of the BP sampling plan.

Nearly 70% (275 out of 399) of offshore air samples had detectable levels of hydrocarbons and nearly 1 in 5 (73 out of 399) had levels greater than 10 parts per million (ppm), which is an EPA cutoff level for further investigation.

6 samples exceed 100 ppm which in a previous monitoring summary was labeled as the action limit. This label appears to have been removed in the most recent summary document. No information is given on where these samples, or the 4 found to be between 50 and 100 ppm, were taken.

20 (5%) samples had detectable levels of benzene with measurements up to 0.5 ppm. The National Institute of Occupational Safety and Health (NIOSH) Recommended Exposure Limit (REL) is 0.1 ppm.

20% (29 out of 146) samples had detectable levels of 2-Butoxyethanol with measurements up to 10 ppm. This range encompasses the NIOSH REL for occupational exposure to 2-Butoxyethanol of 5 ppm. The BP document cites the OSHA PEL for 2-Butoxyethanol of 50 ppm, which would not protect workers.”

In other words, it would appear that people working near these chemicals are being at least in some cases exposed to levels that are unacceptable. And those are the priority people, we don’t know about the reduced priority people. (Never mind all those chemicals, let’s just start by forbidding our data collectors from ever referring to anyone as a reduced priority person. And hello? Why is BP monitoring this, that has about as much integrity as putting an embezzler in charge of a bank fraud investigation.)

Also according to Solomon,

“The immediate worry is what are called volatile organic compounds, which include chemicals like benzene that can be released in a vapor phase from the oil that’s floating in the water,” Solomon said. “These chemicals can cause acute health effects such as headache, nausea, vomiting, cough, dizziness. The chemicals can also cause longer-term effects, including the potential for miscarriage or low birth weight in pregnant women and risk of cancer over the longer term.”

“So far,” Solomon added, “the levels of these chemicals have been fairly low along the shore lines, so the main concern is for the emergency response workers. But we’re worried that as the oil gets closer to shore the levels of the chemicals in the air will rise.”

So what does all of this mean? Good question. We know that several of the ingredients in these products are harmful. To what extent, we simply don’t know because:

A. They have not been adequately tested for toxicity prior to use.

B. No one has ever taken a wholesale toxic chemical dump in a large body of water on this grand a scale before.

C. There is a concern that by breaking the oil up, the dispersants are making the oil itself, also toxic, harder to clean up.

D. As Solomon notes, the data that we are getting via BP is problematic, making quantifying the damage all the more difficult.

I don’t want to re-hash all the points I made in the Truthout article, but suffice to say, this additional information only confirms my concerns. We know that aquatic life is dying, that wetlands are being grievously harmed, and that people are suffering from a variety of health symptoms. What we don’t know and won’t for quite some time is what the reproductive consequences may be. In the meantime, it is urgent that data be properly collected and made available and that every precaution be made to protect the most vulnerable among us, particularly pregnant women and children.

Addenda: Two additional points that add to the urgency of addressing this issue, via the San Francisco Chronicle:

“In a report written by Anita George-Ares and James R. Clark for Exxon Biomedical Sciences, Inc. titled “Acute Aquatic Toxicity of Three Corexit Products: An Overview” Corexit 9500 was found to be one of the most toxic dispersal agents ever developed.

According to the Clark and George-Ares report, Corexit mixed with the higher gulf coast water temperatures becomes even more toxic.”

And even more worrisome:

“It seems like damage brought by the oil gusher has spread way beyond the ocean, coastal areas and beaches. Collateral damage now appears to include agricultural damage way inland Mississippi.

A mysterious “disease” has caused widespread damage to plants from weeds to farmed organic and conventionally grown crops. There is very strong suspicion that ocean winds have blown Corexit aerosol plumes or droplets and that dispersants have caused the unexplained widespread damage or “disease”.

There is no other explanation for the crop damage. Everything points to something that has a widespread effect on plants and crops. While no one precisely knows, all the signs point to BP’s use of aerosolized Corexit brought inland by the ocean winds or rain.

Remember acid rain? Now it seems we could have toxic dispersant rain.”

In the Truthout article, I mentioned acid rain as a reason to be concerned that the toxicity of the oil and the dispersants could move inland. At the time, quite honestly I wanted the ramifications of that happening to remain a hypothetical nightmare. It would appear that this may be exactly what is happening, and the implications for our food and water supplies, our health and our lives are very, very bad.

(This blog post is cross-posted from FPN Director Lucinda Marshall’s personal blog,  Reclaiming Medusa)

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Imagine that you are a woman living on or near the shores of the Gulf of Mexico. Perhaps you are pregnant or hope to be soon.  And perhaps your partner is one of the fishermen who has been helping to clean up from the BP oil disaster.  He comes home at night coughing and barely able to breath and his skin is irritated from contact with the oil.

Will exposure to the toxic chemicals in the oil and/or in the dispersants damage his sperm or your eggs, perhaps making it difficult to conceive?  Could the chemicals damage the embryo you already carry, cause a miscarriage or birth defects?  Is your newborn baby or young child at particular risk? Should pregnant women and children living near the Gulf take special precautions? And what if you don’t even live anywhere near the gulf, could your reproductive health be impacted as well?

While all of these issues are valid concerns, there has been no substantive effort to address them in the aftermath of the Deepwater Horizon explosion. According to Dr. Riki Ott, a marine biologist who has worked extensively to study and raise awareness about the impact of oil spills on both the environment people, the ability to fight against toxics is not fully developed in the womb or in children and as a result, these populations are particularly vulnerable. “Pregnant woman and children should not be anywhere near this,” she said in a phone interview.

Of particular concern are ingredients in the oil and in the dispersants that may be endocrine disruptors which, according to the National Institutes of Health,

are chemicals that may interfere with the body’s endocrine system and produce adverse developmental, reproductive, neurological, and immune effects in both humans and wildlife…Research shows that endocrine disruptors may pose the greatest risk during prenatal and early postnatal development when organ and neural systems are forming…Young children should not be allowed near the beach where they could come into direct contact with the oil.

Further,

Some of the volatile chemicals in oil have been linked to  miscarriage, preterm birth and low birth weight, so it is a good idea  for pregnant women to avoid the areas where there are elevated levels of  VOCs in the air.  These are areas that include noticeable smells of oil or visible oil and also any areas where the EPA monitoring system  detects elevated levels. The EPA air monitoring results are being  updated regularly (here).  To be cautious, pregnant women may choose to avoid any areas directly along the waterfront and beachfront, even when oil is not visible.

To fully understand the danger that the oil and the dispersants pose, it is necessary to know what chemicals each contain.  Unfortunately, Natural Resource Defense Council’s (NRDC) Gina Solomon points out that even BP doesn’t know what all of the ingredients in the dispersants are because the manufacturer is allowed to refer to them as proprietary ingredients, which as Solomon says, “means that the public has no access to the full ingredients lists of these products, or any ability to independently verify their safety”.

Dr. Ott also notes that very little research has been done into the long term health repercussions of exposure to the ingredients in oil or dispersants.  One of the few available studies looked at those exposed to oil during the cleanup of the Prestige oil spill.  The study found significant cytogenetic impact and recommended further study.

It is also important to understand that there are a myriad of factors regarding exposure to toxins that impact the extent and type of damage they may wreak on the human body, making the study of this issue extremely complex. According to Dr. Ted Schettler, M.D., M.P.H., the Science Director of the Science and Environmental Health Network, there are three ways in which toxins enter the human body:  direct contact, inhalation and digestion (via phone interview) and in an article about the Exxon Valdez spill, the Anchorage Daily News explains that,

Whether a person’s health is damaged by exposure to a toxic substance also depends on the dose, the duration of exposure…Some scientists take it a step further and argue that exposure to multiple hazardous substances at the same time creates an unknown complex toxic reaction. They call it “multiple chemical sensitivity.

In terms of reproductive health, some of the known ingredients in the oil and dispersants should definitely be cause for alarm.  According to the Material Data Safety Sheet for Benzene, an ingredient of oil,

Benzene is carcinogenic to humans (Group 1 Carcinogen).  Chronic inhalation of certain levels of benzene causes disorders in the blood in humans, including leukemia (cancer of blood forming organs).   Benzene specifically affects bone marrow (the tissues that produce blood cells). Aplastic anemia, excessive bleeding, and damage to the immune system (by changes in blood levels of antibodies and loss of white blood cells) may develop. Several occupational studies suggest that benzene may impair fertility in women exposed to high levels.  However, these studies are limited due to lack of exposure history, simultaneous exposure to other substances, and lack of follow-up.”

Corexit, the dispersant that is being used by BP, contains 2ButoxyEthanol which,

may damage the developing fetus. There is limited evidence that 2-Butoxy Ethanol may damage the male reproductive system (including decreasing the sperm count) in animals and may affect female fertility in animals.

Richard Dennison, a senior scientist for the Environmental Defense Fund writes that, according to the EPA, Corexit is one of the most dangerous dispersants there is, ranking very badly in shrimp and fish toxicity.

There’s no question the ongoing spill at Deepwater Horizon is a life-threatening condition, and emergency measures are in order. And BP has said it chose Corexit because of the large stockpile, though its cozy relationship with Nalco (the company that makes Corexit) has been invoked as a factor as well.  Considering the massive public costs of this unfolding environmental disaster in the Gulf, we should seriously question why, despite the clear opportunity for foresight via the contingency plan, BP is being allowed to use dispersants that are neither the most effective nor the safest.

And we should also question why EPA hasn’t used its emergency powers to force disclosure of all of the components of the Corexit dispersants. There couldn’t be a clearer case of the need for EPA to exercise its mandate to disclose proprietary information when necessary to protect public health and the environment.

Environmental writer Elizabeth Grossman is also concerned because,

The toxicity of the combined oil and dispersants and their effect on human health has yet to be determined. (There are no existing consumption safety standards for these dispersants if they’re found in seafood.) There are also questions about health effects of combined exposure to the chemicals that make up crude oil and the strong UV light of the Gulf. Another area of concern is health risks posed by particulates resulting from surface oil burning and from volatile compounds – organic solvents and sulfides among them – emanating from the floating oil now making landfall. The National Institute of Environmental Health Sciences (NIEHS) warns that even at low levels there can be adverse health impacts from these airborne contaminants.

While it seems clear that the most immediate and likely most serious risk to human reproductive health would take place among people living close to the Gulf of Mexico, harm for those who live further inland or even across the ocean cannot be completely discounted.  In September, 2008, Hurricane Ike blew into the midwestern United States.  Given that we know from acid rain that chemicals can move far from their original locations, I asked Matt Milosevich, a meteorologist at WLKY-TV in Louisville, KY, a city that was declared a disaster area after being severely damaged by Hurricane Ike, whether he thought it was possible for severe weather such as hurricanes to bring chemicals from the Gulf inland. “Since there is an evaporation process to the normal biodegrading of oil, you can assume that whatever the oil evaporate is, that some may get into rainwater from storms.  Also, to what degree or amount?  I would assume only trace amounts, but that is just an assumption,” Milosevich said.

And given that dispersants are being used in unprecedented amounts and that at this time we do not yet know where the water currents will carry the oil or dispersants, there is a great deal that we do not yet know in terms of areas beyond the immediate Gulf area that will be impacted.  In addition, a NOAA factsheet points out that storms may indeed distribute the oil itself over a larger area or bring the oil further inland.

Congressman Ed Markey (D-MA) summed it up well in a written statement about the oil disaster,

The reality is we know almost nothing about the potential harm from the long-term use of any of these chemicals on the marine environment in the Gulf of Mexico, and even less about their potential to enter the food chain and ultimately harm humans.

When I first began to ask questions about whether the oil or the dispersants used in the Gulf might be a threat to reproductive health, the people I spoke with responded by telling me that it was a good question.  While the question might be good, unfortunately the available answers are not.

Despite the fact that we know that some of the ingredients involved are toxic and can make people sick and have been identified as chemicals that may damage reproductive health, there are few studies and very little data available to provide answers. Although the  National Institutes of Health has stated clearly that the oil spill poses a potential threat to pregnant women and young children, very little attention has been given to this warning and there is no reference to it on the Deepwater Horizon Response website.

The bottom line is that we don’t know if the BP oil disaster in the Gulf of Mexico will impact reproductive health because, despite some anecdotal evidence, there is little data to go on in large part because the companies responsible have been allowed to keep that data from the public and in the case of this particular spill, we don’t even know what all the chemicals involved are.  It would seem that in light of that, we would be well advised to follow the Precautionary Principle which states, “Where an activity raises threats of harm to the environment or human health, precautionary measures should be taken even if some cause and effect relationships are not fully established scientifically. In this context the proponent of an activity, rather than the public bears the burden of proof. The process of applying the Precautionary Principle must be open, informed and democratic, and must include potentially affected parties. It must also involve an examination of the full range of alternatives, including no action.”

In practical terms of addressing the impact of the Deepwater Horizon disaster, we should insist that the EPA force the disclosure of the ingredients in the dispersants and that research be immediately commenced to study the full health impact of these chemicals, including reproductive health.  BP should also be compelled to make fully available all health data of workers who have been exposed to the chemical soup that they have poured into the Gulf.  And in the meantime, until proven otherwise, pregnant women and young children should take heed of Dr. Ott’s words and the National Institute of Health’s statements regarding these dangerous chemicals and do what they can to stay away from the oil and the dispersants.

##########

My gratitude to Dr. Ted Schettler, Dr. Riki Ott and Matt Milosevich for taking the time to speak with me via telephone.  This piece was originally published by Truthout.  Since writing this, I have come across additional material that bolsters the case for exercising the Precautionary Principle, particularly in regard to what we don’t know about the dispersants.  I believe the fact that we have not done so to this point will be extremely disastrous ecologically and in terms of human health.  I will be posting more on this in the near future. –Lucinda Marshall

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No, don’t panic, I’m not going to regale you with adorable pictures of my sons when they were babies.  I”m saving those for when they bring home prospective mates.  In any case, my sons were born just as the digital age was dawning, the internet was not yet readily accessible  and blogging was still a thing of the future, but if I had had access to these wonderful tools back then, I surely would have focused my blogging on motherhood and children.  And while I don’t do that now, over the last few days I’ve stumbled upon a number of items regarding corporate exploitation of children that are bad enough by themselves, but when you add them together, they do not make a pretty picture.

First, from Gulf Coast Fund we have this picture of a toddler playing on a beach along the Gulf of Mexico even as crews are cleaning up oil.  While attention is only now turning to the human health impact of the spill (and I have a lengthy piece on this that will be out soon), there are a number of toxins in both the oil and dispersants and people, let alone the smallest and most vulnerable of people should not be anywhere near a beach that is contaminated enough to need a clean-up crew.

Then there is this hideous billboard advertising USI Wireless via Robin Marty on RH Reality  Check.

And why you ask were they suggesting that smoking babies were fast and cheap?  Well because people objected to their first idea that women were fast and cheap and their second idea that men were fast and cheap.  Read Robin’s piece.

But really babies aren’t fast and cheap, they are actually lucrative consumer markets, that what you are selling is unhealthy and may lead to a lifetime of bad habits should never stand in the way of making a buck:

And last but not least, in the this totally stinks department– sexualizing baby images is not okay, in fact it is maybe possibly a mere baby step up from child porn.

The corporate exploitation of children damages us all.  Imagine instead that we regarded children as the precious beings that they are and made their education and  health a top priority instead of endangering them and trying to make a profit off of them.  That would make a far prettier picture.

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Last weekend I finally got around to seeing the movie Alice In Wonderland.  While I haven’t quite fallen down the same rabbit hole as Alice did, in case you’re wondering where I’ve been for the last day or so, the answer is researching the implications for reproductive health of the gulf oil disaster. One of the problems with this topic is that what isn’t known is a lot more clear than what is known, so it is a daunting task, but one that I think needs to be addressed.

Earlier this week, the Boston Globe published a picture of a woman and her children using a hose to fill wading pools on the beach along the Gulf. Clearly she thought that would be safe since they were not actually going in the water.  But in reality, it probably wasn’t and while the loss of tourism is going to be a huge financial blow to the region, steps should be taken immediately to protect human health, particularly the most vulnerable. Via NRDC, here are some basic recommendations for children and pregnant women in the gulf area:

Are there risks to pregnant women?

Some of the volatile chemicals in oil have been linked to miscarriage, preterm birth and low birth weight, so it is a good idea for pregnant women to avoid the areas where there are elevated levels of VOCs in the air.  These are areas that include noticeable smells of oil or visible oil and also any areas where the EPA monitoring system detects elevated levels. The EPA air monitoring results are being updated regularly at www.epa.gov/bpspill. To be cautious, pregnant women may choose to avoid any areas directly along the waterfront and beachfront, even when oil is not visible.

What about risks to children?

Young children should not be allowed near the beach where they could come into direct contact with the oil. Other than this, recommendations for children are the same as for adults.

I will be addressing this topic in much greater detail in the next week, so if blogging is sparse in the meantime, that is the reason why.

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