 Dr.
Kenneth Dangman, M.D., Ph.D., M.P.H.,
UCONN Environmental Health Specialist |
What
Does Living On A Landfill Mean To My Health? |
|
| Q: Is My High Blood
Pressure Related to the Exposure to Lead? |
- The best
answer is “Maybe”….high
blood lead levels may increase blood pressure,
but so can dietary and genetic factors.
- Recommendations:
- See
Your Doctor and discuss this issue if
you have a high blood pressure. Let him
know of your concerns. High blood prressure
must be treated.
- Maintain
good nutrition (calcium, iron and vitamins)
to help reduce lead uptake and increase
lead elimination.
|
| Q: Can Lead Exposure
Cause Cancer? |
- Studies on laboratory
animals show that very high amounts of lead
exposure causes cancer
- Whether high
amounts of lead exposure causes cancer in
people remains an open question
- There are cancer
studies in workers from lead smelters and
battery plants who had high blood lead levels
(averaging 60 to 80 ug/dL)
- Two studies found
an association with cancer, and two studies
did not.
- However,
these studies are limited
- Workers exposed
to other chemicals
- Cancer risk
from smoking not accounted for
- Details of
exposure not always reported
|
| Q: What do blood
and bone lead levels tell us about health risks? |
- Blood Lead
levels reflect current exposures and uptake
(over the last 1- 3 months)
- CDC (Centers
for Disease Control and Prevention) level
of concern in children is 10 ug/dL
- OSHA (Occupational
Health and Safety Administration) levels
are 40 ug/dL for increased monitoring
in workers, and 50 ug/dl for removal from
workplace exposures.
- Bone Lead studies
reflect exposures and uptake over several
decades.
- A high bone lead
level generally is associated with high blood
levels.
|
| Q: Can a Blood Lead
Test Tell You Whether the Lead Came From Lead
Paint or the Landfill Waste? |
| I am
not aware of any such test… |
| Q: What About Medical
Tests for Other Toxic Chemicals Found on the Site? |
| Arsenic
toxicity is usually followed with urine tests
(and some doctors may check hair or fingernail
levels). For PAHs, I am not aware of validated
tests for blood or tissue levels… |
| Q: If I am Exposed
to Chemicals such As Barium, Vanadium, or Selenium,
Will They React to Other Medicines I am Taking? |
| Perhaps….but
I am not aware of any interactions. (Barium swallow
tests are routinely used in medicine today, and
Selenium pills are sold in health food stores).
You should discuss this with the doctor(s) who
are prescribing your medications. |
| Q: Are There Any
Medical Conditions That Would Make Someone More
At Risk for Health Problems From the Landfill
Contaminants? |
For
lead risks, this is possible, and you should
discuss this with a doctor who knows you and
your medical history.
Factors that could
interact with lead exposures to cause health
problems :
- Poor nutrition
(Low calcium, iron or Vitamin C intake may
increase lead absorption by the body).
- High salt or
alcohol intake may contribute to high blood
pressure
- Pica/Geophagia
(eating clay from contaminated areas)
|
| Q: What can I do
from here on out to protect myself as well as
possible? |
Take
the fingerstick blood lead test today and discuss
the results with your own doctor. Depending
on your results, exposures and symptoms, he
or she may want to recheck your blood lead level
(in your veins).
This is particularly
important if you have or are regularly being
bothered by:
- Tremors
- Headaches
- Unexplained joint
pain
- Sugar in your
urine
- Attention deficit
disorder
If your blood lead
level is high, try to reduce your exposures
to lead
- Vegetable gardening
per DPH
(Department of Public Health) Fact Sheet
- Avoid drinking
or eating from lead crystal glasses, decanters,
etc.
- Check lead in
household water - run tap water for 30-60
seconds before drinking
- Use caution if
doing home repairs, repainting…
- Avoid some hobbies:
Target shooting, melting lead to make fishing
sinkers, stained glass making, etc. can expose
you to lead fumes
|
| Q: What can I do
from here on out to protect myself as well as
possible? |
- Re-check your
blood lead level after 1-2 months of avoiding
lead intake.
- Diet: adequate
calcium, iron and Vitamin C
- Certain
things release stored lead from bones:
- Osteoporosis
(calcium loss from bone)
- Overactive
thyroid gland disease
- Pregnancy
and breast feeding
|
| Q: What do I do
if the blood lead level remains high after reducing
my exposures as much as possible? |
- There is a bone
lead test that may be helpful.
- This is an x-ray
research technique called “KXRF”,
which measures levels in leg bones.
- This is experimental
and not done in any hospital in Connecticut.
|
| Q: Should everyone
in Newhall get a Bone Lead measurement using “KXRF”? |
- Not necessarily.
If your bone lead level is high, blood lead
probably will be too.
- This technique
will expose you to radiation, which may have
harmful effects.
- This test should
be done only if necessary.
- You should see
your own doctor to discuss the pros and cons
of seeking this test.
The closest medical
centers where you can have your bone lead level
tested are in NYC (at Mt Sinai Medical Center)
and in Boston (at Harvard Medical School) |
| Summary |
| Risks
of developing illness from living in the Newhall
neighborhood may vary greatly from person to person.
Talk to your doctor about evaluation of your lead
levels, maintaining good nutrition to reduce lead
effects on your body, and about doing all the
nationally recommended preventative health screening
tests for adults and children. |
|
Meg
Harvey, Epidemiologist, CT Department
of Public Health |
A
Public Health AssessmentAnswers
the Questions |
|
|
- What are the
likely public health impacts from exposure
to contamination?
- What further
actions should be taken?
|
| Q: What Information
Do We Use? |
- Environmental
Data
- Health Data
- Community Concerns
|
| Q: How Do We Make
Decisions About Health Risks? |
- We Have to Use Accepted Science Methods
- We Use Health Protective Methods
- We Try to Determine If People Have Been
Exposed
- People Must Be Exposed to High Enough Levels
for Long Enough Time to Get Sick
BUT
- Exposure Does Not Automatically Mean You
Will Get Sick
- We Don’t Have to Prove People Got
Sick – Stopping Exposure is Very Important!
|
| Q: How Can People Get Exposed
At This Site? |
- Contact With
Soil
- Eating, Breathing
Dust, Skin Contact
- Activities
Include:
- Gardening,
Other Yard Work
- Children
Playing in Soil
- NO Exposure From
Drinking Water
|
| Q: How Do We Evaluate
Exposure? |
| We Use
Accepted Science Methods And Health Protective
Approaches
- How Much Chemical
(Concentration)?
- How Does Contamination
Enter a Person?
- How Long, How
Many Times Does Exposure Occur?
- How Toxic Is
the Chemical?
|
| Environmental Data
Summary |
| Higher
Lead, Arsenic, Polycyclic Aromatic Hydrocarbons
(PAHs) in Surface and Subsurface Soils at Some
Locations |
| Lead is Main Concern |
- Found in More
Places, Higher Levels than Other Contaminants
- Children
More Sensitive
- Blood problems
(anemia)
- Reduced growth
and development
- Lower IQ
- Testing Blood
Is Easy and Can Show Recent Exposure to Lead
(from any source)
- Lead Exposure
NOT Linked to Cancer at Exposure Levels in
the Neighborhood
|
| Public Health Assessment
Conclusions |
- Sample
Results From 2001 and 2002 Show:
- No Public
Health Threat from Lead, Arsenic or PAHs
- Even Though No
Health Threat, if Contamination is Above Connecticut
Department of Environmental Protection (DEP)
Standards, Cleanup Will Be Done.
Past
Conditions (Before
the Most Contaminated Yards Were Cleaned):
- Lead May Have
Caused Increased Blood Lead in Children
- No Signs That
Children in Neighborhood Have High Blood Lead
NOW
- Health Survey
Results Do Not Look Unusual
- Published Cancer
Rates for Hamden Do Not Look Unusual
|
| Public Health Assessment
Recommendations |
- It is a Good
Idea to Reduce Exposure to Soil in Your Yard
- We Don’t Know Where All the Contamination
is Yet
- Some Yards Have Contamination Above
DEP Cleanup Standards BUT Below Federal
Environmental Protection Agency (EPA)
Immediate Cleanup Trigger Levels (for
example, “Gray Area” Yards)
- Further Neighborhood
Soil/GW Testing
- Evaluation of Data by Department of
Public Health
- Free Blood Lead
Testing
- Quinnipiac Health
District Community Survey in Larger Portion
of Neighborhood
|
| For more information
about health issues, please read the PDF documents
available to you at the following link: Public
Health Assessment |
| CT Department
of Public Health letter
on review of cancer incidence in the Newhall
neighborhood. |