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Large Increase in Brain Cancers Found for People Living near Agriculture

from:

http://www.chem-tox.com/cancerchildren/default.htm

New York Times Article Discusses Rise in Child Cancers

SOURCE: NEW YORK TIMES, September 29, 1997

The September 29, 1997 New York Times article entitled " New Toxins

Suspected as Cancer Rate Rises in Children " discussed the rises being seen

in child cancers over the past 20 years. Specific quotes from the article

include the following:

The rate of cancer among American children has been rising for decades.

Although the reasons remain unclear, many experts suspect the increase may

be partly the result of growing exposure to new chemicals in the environment.

And today, according to experts in the field, a newborn child faces a risk

of about 1 in 600 of contracting cancer by age 10.

Depending on which types of cancer are counted, and in what age groups

among the nation's youth, the rate of increase has amounted to nearly 1

percent a year, according to the National Cancer Institute. Over a few

decades, that has meant striking double-digit increases.

" I had not realized that the numbers were going up that way, " said

Florini, a lawyer specializing in health issues at the Environmental

Defense Fund. " I think it indicates a very disturbing trend that we had

better get to the bottom of. "

In the United States, cancer is diagnosed each year in an estimated 8,000

children below the age of 15. Cancer, although it kills fewer children than

accidents do, is the most common form of fatal childhood disease,

accounting for about 10 percent of all deaths in childhood.

Acute lymphoblastic leukemia in boys and girls increased 27 percent between

1973 and 1990; since then, the rate in boys has declined, but it is still

rising in girls. Brain cancer, or glioma, increased nearly 40 percent from

1973 to 1994. These two forms of cancer account for most of the disease in

children.

Although the causes are not known and are probably many, some experts say,

toxins in the air, food, dust, soil and drinking water are prime suspects.

" I'm talking about new research on air pollutants, water pollutants and

pesticides and their effects on children, " said Carol Browner, the

administrator of the EPA, " and new testing guidelines that routinely

incorporate children's issues into EPA's risk assessments. I'm talking

about moving beyond the chemical-by-chemical approaches of the past, and

instead looking at a child's total cumulative risk from all exposures to

toxic chemicals. "

" The increases are too rapid to reflect genetic changes, and better

diagnostic detection is not a likely explanation, " said Dr. Philip

Landrigan, a pediatrician who directs the division of environmental

medicine at the Mount Sinai School of Medicine in New York City and who is

the senior adviser to a new office of children's health at the EPA " The

strong probability exists that environmental factors are playing a role. "

In a study published in The American Journal of Public Health in February

1995, researchers suggested that " use of home pesticides may be associated

with some types of childhood cancer. "

Another study, published in The Archives of Environmental Contamination and

Toxicology in 1993, found associations between brain cancer in Missouri

children and the use of pesticides in homes and yards.

Article by H. Cushman, Jr.

New York Times

September 29, 1997

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Introduction to Child Cancers, Chemicals and Pesticides

by Wayne Sinclair, M.D.

Board Certified Immunology

Vero Beach, Florida

The increase in childhood brain tumors and cancers in central east Florida

has fortunately begun a more thorough investigation into the elevated brain

cancer rates for our area. This is long overdue. As a physician involved

in the treatment and research of chemically induced illnesses and immune

system toxicology (the study of how chemicals weaken the immune system), I

am watching with interest the direction state investigators choose for

research

I was disturbed by a local newspaper report of a comment made by one state

investigator stating there is " no solid base of information to start from. "

To the contrary, there is currently excellent information available

regarding suspected causes of related brain and blood cancers to help point

us in the right direction. First, statistically brain cancer has been

increasing over the past 60 years and researchers agree this is not just

attributable to improved diagnosis. Each year more than 16,000 children and

adults in the U.S. are diagnosed with a brain tumor. The brain cancer

figures below, from the American Cancer Society, show a disturbing trend in

the number of cases being found per 100,000 population:

1940.... 1.95 per 100,000 population

1945.... 2.25 per 100,000

1950.... 2.90 per 100,000

1955.... 3.40 per 100,000

1960.... 3.70 per 100,000

1965.... 3.85 per 100,000

1970.... 4.10 per 100,000

1975.... 4.25 per 100,000

These figures showing a steady increase are true for all industrialized

countries, and therefore, strongly implicate chemicals used in modern

society. The fact that similar increases are occurring in children also

point out this is not just an effect among aging Americans.

The next question we need to ask is which chemicals have been linked to

brain cancers? Identified risk factors for brain cancers now include

workers exposed to chemicals used in vinyl and rubber production, as well

as an increased risk for workers employed at oil refineries or chemical

manufacturing plants. Exposure to chemicals called nitrosamines, such as in

cured meats and baby pacifiers, have also been implicated. Another study by

the National Cancer Institute of 3,827 Florida Pest Control Operators found

they had approximately twice the normal rate of brain cancer. Dr. Jack

Leiss and Savitz reported in the 1995 American Journal of Public

Health of several studies showing pesticide exposure increases risks for

childhood cancer. This included one study which found over twice the risk

of brain cancer for children exposed to household insecticide

extermination. Also reported was research by Dr. Ellen of children

with brain cancer under 10 years of age. This study found children with

brain cancer had 6.2 times greater exposure to certain pesticides. A 1987

study by the University of Southern California found children exposed to

home and lawn pesticide use had a 6.5 times increased risk of developing

leukemia.

One of the strongest links of pesticides causing child cancer comes from

research of children developing neuroblastoma after their homes were

treated with the pesticide chlordane. Researchers at the U.S. Occupational

Safety and Health Administration in Washington, D.C. reported of 5 cases of

child neuroblastoma which were suspected to have occurred following

chlordane treatment in or around the home. In one case, a 3 year 9 month

old boy developed neuroblastoma after his family moved into a new home. Two

years prior to the child's birth and also when he was two years old, the

house was treated for termite infestation with chlordane. This report also

discussed other cancers following chlordane treatment, which included 3

cases of aplastic anemia and 3 cases of leukemia. 25 other cases of cancers

were reported elsewhere following chlordane home exposure. Many of these

cases have moved into litigation.

Another study appearing in the 1981 journal CANCER, detected high levels of

chlordane in 13 children with cancer. Researchers have stated that

chlordane is a high risk chemical for brain cancer because it is a fat

soluble compound and therefore has the potential to accumulate in the brain.

In regards to the so called safety tests conducted by chemical companies on

pesticides, there is unfortunately no consideration given to the fact that

the developing fetus has been reported to be 50 times more vulnerable to

the harm of cancer causing chemicals. Also, the EPA does not take into

account that a newborn child does not develop an efficient blood brain

barrier until at least one year after birth. The blood brain barrier

functions to keep toxic substances out of the brain and is believed to be

the reason why epilepsy is shown to be an increased risk factor for

developing brain cancer, as epileptic patients have been found to have

lower blood brain barrier function.

One reason scientists are still extremely concerned about chlordane is the

fact that although its use was stopped in the U.S. in April of 1988,

chlordane is such an extremely persistent pesticide that it is still being

detected in the air of homes today. In fact, tests of over 1000 homes

performed by the U.S. Air Force and other agencies have come to the

conclusion that approximately 75% of all homes built before 1988 are

contaminated with chlordane and that 6-7% are suspected of being over the

maximum safe levels set by the National Academy of Sciences. This is such a

large number of homes that toxicologist Dr. Epstein stated in a

major medical journal that, " A national program for monitoring all homes

treated is urgently needed to detect persistent contamination. " Dr.

Cassidy, a chlordane research toxicologist in Texas, stated that the

chlordane contamination problem is of such magnitude nationally that it is,

" causing more harm than that caused by cigarette smoking. " This is a very

strong statement, but one that I certainly agree and brings to reality the

magnitude of the problem.

Next we need to look at the research explaining how and why pesticides can

be increasing the risk of child cancers. The explanations now show that

pesticides are able to cause at least two biological changes in the body

that enable cancer to grow. First, pesticides have shown the ability to

damage our DNA and genetic structure and the second is that pesticides are

now being found to seriously weaken the human immune system. All of us

develop cancer cells on a regular basis and it is our immune system which

literally attacks and removes these cancer cells from our body.

Regarding children with neuroblastoma, there have been several studies done

finding these children frequently have damage to the end of what is called

chromosome number 1. Scientists believe this part of the chromosome may be

responsible for suppressing tumor growth or controlling cell growth. This

genetic damage is not observed in other cells in these children.

Children with neuroblastoma are being found to have defects in the part of

their immune system which removes cancer from the body. For instance, it

was found by researchers at the University of Hamburg, Germany, that the

blood of normal healthy people contains antibodies called IgM which seek

out and destroy neuroblastoma cells. However, in a test of 11 people with

neuroblastoma, none had properly working IgM antibodies. Other parts of the

immune system which have been found to attack neuroblastoma and cancer

cells are our cells called natural killer cells and macrophages. In studies

of macrophages and cancer, conducted by the Department of Pediatrics,

University of Arkansas for Medical Sciences, it was found that exposure to

chlordane literally paralyzed the ability of macrophages to search and

destroy cancer cells. Certainly, this raises legitimate questions to the

role of chlordane and other pesticides in and around homes of children with

cancer. It is also of concern, that the two counties showing the highest

rates of childhood cancer, St. Lucie and Indian River, are the same two

counties with the highest proportion of the area devoted to growing citrus.

Although there are many chemicals a child can be exposed to which can

damage his/her chromosome structure, we need to first investigate chemicals

the child may have been exposed to on a repeated basis. Therefore, our

researchers must look at pesticides which may have been applied inside or

around the homes (such as chlordane) as well as pesticides that may have

been used in agriculture in the nearby area.

If you have a child with any form of cancer please help us identify the

main environmental causes of this illness (many of which are often

overlooked) by completing the survey form before you leave our web site by

clicking on the link - Child Cancer Survey Form. Thank you - Wayne

Sinclair, M.D.

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Gliosarcoma Appears in Newborn - Pesticide Suspected

SOURCE: Neurosurgery, 21(4):557-559, 1987

A 7 week old boy, was admitted to the Arkansas Children's Hospital because

of vomiting and a dramatic increase in head size. During the mother's

pregnancy, she was stated as being extremely cautious about her nutrition

and personal habits. She did not drink alcohol or smoke tobacco and had no

known exposure to toxins in her work environment as a store clerk. She did,

however, begin drinking more than one-half gallon of milk a day during

pregnancy and continued drinking milk after delivery. It was later reported

that the milk products she was drinking from her local dairy contained

unacceptably high levels of the pesticide heptachlor due to feeding of

livestock with heptachlor contaminated feed. Heptachlor is a primary

ingredient in the pesticide chlordane and has been used in agriculture and

as a termite treatment for homes.

After entering the hospital at 7 weeks of age, her child was diagnosed with

a gliosarcoma brain tumor. Family members have shown no incidence of brain

tumors so hereditary factors were ruled out. Genetic mutations were

detected in the cancer cells but not in other cells of the child's body.

The researchers stated these chromosome abnormalities are detected in about

50% of all gliosarcomas and that heptachlor has tested positive for

mutagenic properties. The researchers also quoted another study appearing

in the journal CANCER, 48:774, 1981, which found high levels of chlordane

and heptachlor in the blood of 13 childhood cancer cases.

Chadduck, M.D., ne Gollin, Ph.D., Gray, M.S.,

Norris, Ph.D.

Departments of Neurogsurgery, Pathology, Cytogenetics and Internal Medicine

University of Arkansas for Medical Science, Little Rock, Arkansas

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Brain Cancer Cluster Surrounds Petrochemical Plant

SOURCE: Journal of Toxicology and Environmental Health, 43:117-129, 1994

An unusually high number of bone, bladder and brain cancers were found to

be occurring among children living in a residential area near 3

petrochemical plants between 1981 and 1990. The children ranged in age from

0-19 years. Upon reviewing 28 death certificates of these three types of

cancers, 27 of the children lived within 2-3 kilometers (approx. 1.0-2.0

miles) from the chemical plants. According to the pollution reports

compiled by the Environmental Protection Agency of the Republic of China,

nine serious air pollution events occurred in these chemical plant

districts which released the chemicals vinyl chloride and acrylonitrile.

Other chemical sources from the plants included polycyclic aromatic

hydrocarbons and well-water contamination with the chemical phenol, which

was found far over government safety guidelines.

Drs. Bi Jen Pan, Yu Jue Hong, Gwo Chin Chang, Ming Tsan Wang

School of Public Health, Kaosiung Medical College, Taiwan, China

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Cancer Patients found to have Higher Pesticide Residues in Body

SOURCE: Environmental Research, 23:257-263, 1980

Twenty-seven patients who died from cancer were found to have significantly

higher levels of pesticides in their fat tissues in comparison to

forty-four people who died from other illnesses.

Researchers at the School of Medicine, Odense University, Denmark, surveyed

a total of 71 people who died either from cancer or from another illness.

Samples of fat tissue were removed from the abdomen of each deceased

individual. Investigators then analyzed the fat tissue to determine the

levels of chlorinated chemicals DDE and PCB's. DDE is the break-down

product of the pesticide DDT which is still used today on foreign grown

produce and in orange and grapefruit production as a by-product in the

pesticide " KELTHANE. " PCB's are still found in older fluorescent light

fixtures and as a coolant in common power transformers seen on telephone

poles. Significant releases of PCB exposure can occur in older schools and

offices which still have their power transformers inside the building (a

common practice at one time) and can occur after lightning strikes on

outdoor power transformers or as leaks occur on older transformers.

After comparing both individuals who died of cancer and those who died of

other illnesses, it was found that cancer patients had approximately twice

the levels of these chemicals in their bodies. The table below details

specific findings:

Pesticide & Chemical Residue Levels in Persons Dying of Cancer

in Comparison to Those Dying of a Non-Cancer Illness

Pesticide levels below are measured in parts per million

View same column colors for easy comparison

http://www.chem-tox.com/cancerchildren/default.htm

As can be seen, comparing any identical color column between those who died

of cancer and those who died of another illness shows what researchers

state are significantly higher levels of pesticide residues in the cancer

death individuals. For example, the average DDE levels in the fat tissues

of females dying of cancer for all ages is 5.026 ppm (column 3), whereas,

the DDE levels in females dying of an illness other than cancer was only

2.138 ppm (column 4). This same pattern can be seen for each age category

which is certainly suggestive of at least being a contributing factor. It

is interesting to note the drastic increase in pesticide male DDE levels of

approximately 5 times above the normal non-cancer levels for the over age

75 category (columns 1 & 2).

Specific Cancers - DDE and PCB Levels

The following table shows the amount of DDE and PCB's found in specific

cancers. When viewing the table below note how the pesticide DDE levels

for the brain tumor glioblastoma category are 2.5 times higher than the

non-cancer patients and nearly 4 times higher for the cancer lymphosarcoma.

See tabel on

http://www.chem-tox.com/cancerchildren/default.htm

malignant lymphoma 4.3 ppm 15.7 ppm

glioblastoma 6.4 ppm 12.7 ppm

adenocarcinoma 3.4 ppm 15.9 ppm

breast cancer 5.4 ppm 10.9 ppm

lung cancer 3.4 ppm 8.7 ppm

colon cancer 5.6 ppm 12.6 ppm

rectum cancer 11.2 ppm 9.8 ppm

lymphosarcoma 9.3 ppm 24.1 ppm

In conclusion, the researchers stated,

" A significantly higher content of PCB's and DDE in the extracted lipids

(fat) of subcutaneous abdominal fat from terminal patients with cancer,

than that of presumably non cancerous patients, was found. "

CHEM-TOX COMMENTS: There are two ways that the elevated chemical levels

found in cancer patients may be contributing to their disease -

by contributing to the damage of the genetic structure involved in

controlling cell growth (since cancer is an " uncontrolled growth of cells, "

and

by weakening the immune system of the individual, thereby allowing the

cancer to grow faster than the body's ability to remove it via cancer

fighting immune cells.

Keep in mind that these chemicals themselves may not be the direct cause of

the cancer, as there may be other chemicals or circumstances that may have

weakened the genetic structure. However, elevated levels of these chemicals

could accelerate the onset or growth of any cancer by either of the above

two mentioned mechanisms. Exposure to the DDT breakdown product DDE can

come from a number of sources. One source is commercially grown food (for

example - 19% of standard chemically-grown lettuce contains DDT according

to Florida Department of Agriculture figures, as DDT is still used in much

of foreign grown produce). Another exposure source could come from living

near a citrus grove as the controversial pesticide Kelthane (which contains

DDT as an unintentional by-product) is still " inexcusably " used today in

orange and grapefruit groves.

Niels K. Jensen, M.D., Gunnar Nordberg, M.D.

Department of Community Health and Environmental Medicine, School of Medicine

Odense University, Denmark

Pathological Institute, Odense University

Umea University, Sweden

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Diet Drinks Suspected of Increasing Brain Cancer Risk

SOURCE: Journal of Neuropathology & Experimental Neurology, 55(11):1115-23,

1996

Increased Brain Cancer Rates are at least partially suspected to be caused

by the diet drink ingredient ASPARTAME (also known as Nutra-Sweet).

Concern arises as new research shows diet drink sweeteners can cause

mutagenic damage. Scientists at Washington University explained their

findings in the abstract summary below:

" In the past two decades brain tumor rates have risen in several

industrialized countries, including the United States. During this time,

brain tumor data have been gathered by the National Cancer Institute from

catchment areas representing 10% of the United States population. In the

present study, we analyzed these data from 1975 to 1992 and found that the

brain tumor increases in the United States occurred in two distinct phases,

an early modest increase that may primarily reflect improved diagnostic

technology and a more recent sustained increase in the incidence and shift

toward greater malignancy that must be explained by some other factor(s).

Compared to other environmental factors putatively linked to brain tumors,

the artificial sweetener aspartame is a promising candidate to explain the

recent increase in incidence and degree of malignancy of brain tumors.

Evidence potentially implicating aspartame includes an early animal study

revealing an exceedingly high incidence of brain tumors in aspartame-fed

rats compared to no brain tumors in concurrent controls, the recent finding

that the aspartame molecule has mutagenic potential, and the close

temporal association (aspartame was introduced into US food and beverage

markets several years prior to the sharp increase in brain tumor incidence

and malignancy). We conclude that there is need for reassessing the

carcinogenic potential of aspartame.

Olney, JW; Farber, N.B.; Spitznagel, E.; Robins, L.N.

Department of Psychiatry, Washington University Medical School, St. Louis, MO

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High Brain Cancer Rates found among Pesticide Applicators

SOURCE: International Journal of Epidemiology, 22(4):579, 1993

Workers who applied pesticides were found to have nearly 3 times the normal

rate of brain cancer. A total of 2,310 male licensed pesticide applicators

were surveyed for cancer who handled pesticides between 1973-1979. After

studying the incidence of many types of cancer only brain cancer was found

to be significantly higher than expected. Of the 207 deaths from this

group during the study period, there were 7 brain cancer deaths, while only

2.6 would be expected. Other cancers studied included cancer of the lung,

stomach, large intestine, liver, pancreas, brain, kidney, bladder,

prostate, leukemia and multiple myeloma.

In conclusion the researchers stated:

" The only cancer site showing an SMR significantly higher than 100 (SMR

means Standardized Mortality Ratio, whereas 100 is normal, 200 is twice the

normal rate etc.) in our cohort was brain cancer. The number of deaths

expected on the basis of national mortality rates was 2.6, significantly

lower than the observed. The fact that most of the excess cases were

concentrated in the 65 and over age group is also noteworthy. Alberghini

et al also found a higher mortality rate for brain cancer in an Italian

cohort of licensed pesticide users, especially in the age group over 65.

Corrao et al. in a study conducted in Piedmont, observed an increased risk

of central nervous system cancer among pesticide users in the earliest

birth cohort. Other studies also report an increase in cancers of the brain

and nervous system among farmers and pesticide license holders. Mussicco

et al in a case-control study on 240 cases of brain glioma, hospitalized in

Milan, stressed the relathion between this cancer site and the use of

chemicals in agriculture, especially insecticides and fungicides. The

possible causative association between these of pesticides and brain cancer

is considered plausible given the toxicological effect of these chemicals

on the central nervous system. "

Iren Giga-Talamanca, Irene Mearellli, Pasquale Valente, na Bascherini

Department of Biological & Animal Research

University of Rome, Italy

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Living Near Agriculture Increases Brain Cancer Risk

SOURCE: American Journal of Public Health, 86(9):1289-1296

High brain cancer rates were found for people living near a cranberry

agricultural growing area in Cape Cod, Massachusetts. Researchers from the

Boston University School of Public Health compared the home locations of

approximately 1000 cancer patients to the home locations of 1000 patients

dying of illnesses not related to cancer. Results showed that living within

2600 feet of the cranberry growing area resulted in twice the risk for all

brain cancers and nearly a 7-fold increased risk for a type of brain cancer

known as astrocytoma. (Astrocytomas are in the family of " glioma " cancers

which begin in the glial tissue (glial tissue are the cells which hold the

other brain cells together).

Note: In children, astrocytomas often occur in the brain stem, the

cerebrum, and the cerebellum. A grade III astrocytoma is sometimes called

an anaplastic astrocytoma. A grade IV astrocytoma is usually called a

gliablastoma multiforme. Doctors often refer to brain tumors by grade -

from low grade (grade I) to high grade (grade IV). Cells from higher grade

tumors are more abnormal looking under a microscope and usually grow faster

and are more malignant than lower grade tumors.

Comments from Chem-Tox: This study generates significant concerns as St.

Lucie County and Indian River County have the highest pesticide use (as a

percentage of total acreage) of all Florida Counties. For details on the

amounts and types of pesticides typically used in growing citrus please

visit our Citrus Pesticide Use Figures web page. There appears to be a

disproportionate number of brain cancer victims in the Fort Pierce and Vero

Beach area who have lived in very close proximity to citrus groves. This

relationship appears not be coincidence and will be studied in more detail

in the upcoming months.

Aschengrau-A; Ozonoff-D; Coogan-P; Vezina-R; Heeren-T; Ahang-Y

Boston University School of Public Heatlth, Massachusetts

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Family Pesticide Use Suspected of Causing Child Cancers

SOURCE: Archives of Environmental Contamination Toxicology, 24(1):87-92, 1993

The relationship between family pesticide use and childhood bain cancer was

examined in this case-control study in 1990. After comparing brain cancer

rates for families using pesticides and those not using pesticides it was

found that the chemicals did increase the risk of getting cancer.

Significant positive associations were observed for use of pesticides to

control nuisance pests in the home, no-pest strips in the home, pesticides

to control termites, Kwell shampoo, flea collars on pets, diazinon in the

garden or orchard, and herbicides to control weeds in the yard. Other

risk factors identified were pesticide bombs in the home.

JR, Brownson, RC, -R

Division of Chronic Disease Prevention and Health Promotion, Missouri

Department of Health, Columbia

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Italian Pesticide Applicators have High Brain Cancer Rate

SOURCE: International Journal of Epidemiology, 22(4):579-583, 1993

A study was conducted of 2,310 male pesticide applicators wh worked in

Italy between 1973-1979. The health of these men was followed until the

end of the study in 1988. There were 207 total deaths among this group.

Of these 207 deaths there were 7 brain cancer deaths. This is nearly 2.5

times higher than the expected rate of 2.7. After all factors were taken

into consideration these statistics were considered significant and

suggests that pesticides were a contributing factor.

Irene Figa-Talamanca, Irene Mearelli, Pasquale Valente, na Bascherini

Department of Biolgia Animale e dell Uomo

University degli Studi di Roma, Rome Italy

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