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From: [EMAIL PROTECTED] <[EMAIL PROTECTED]>
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Date: Thursday, January 28, 1999 3:27 PM
Subject: Rachel #635: Parkinson's


>=======================Electronic Edition========================
>                                                               .
>           RACHEL'S ENVIRONMENT & HEALTH WEEKLY #635           .
>                    ---January 28, 1999---                     .
>                          HEADLINES:                           .
>                          PARKINSON'S                          .
>                          ==========                           .
>                  THE NEED FOR CIVIC ACTION                    .
>                          ==========                           .
>               Environmental Research Foundation               .
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>
>PARKINSON'S
>
>Parkinson's disease strikes 60,000 people each year in the U.S.
>More than a million Americans are living with the disease at any
>one time.[1] More people suffer from Parkinson's than from
>multiple sclerosis, muscular dystrophy and amyotrophic lateral
>sclerosis (Lou Gehrig's disease) combined.
>
>Parkinson's is a progressive brain disorder that is almost
>always fatal, but the suffering can go on for years. The disease
>usually strikes people over age 60, but a few people get it
>before they reach 40.
>
>Parkinson's begins when a certain class of brain cells begins to
>die, cells that produce a chemical called dopamine, which your
>body needs. Dopamine serves as a chemical messenger helping to
>control muscle activities. Loss of dopamine leads to the pro-
>gressive loss of muscular control, giving rise to a variety of
>symptoms: stiffness, tremor, slow movement, difficulty with
>balance, difficulty walking, a stooped-over, shuffling gait. As
>the disease progresses, the patient may develop difficulty
>speaking, symptoms of senility (dementia) similar to Alz-
>heimer's, and severe depression.
>
>In recent years, an effective medication, levodopa (known as
>L-dopa), has relieved many of the symptoms of Parkinson's for
>many patients, at least for a period of time. In addition,
>transplanting dopamine-producing brain cells from dead fetuses
>into the brains of Parkinson's sufferers has delayed the
>progression of the disease in some cases. Nevertheless,
>Parkinson's remains a common but poorly-understood terminal
>disease.
>
>The causes of Parkinson's disease have been debated for 150
>years, with no resolution.
>
>A breakthrough occurred in the early 1980s when a group of young
>people developed the symptoms of Parkinson's disease after
>taking an illegal drug called MPTP, which is similar to the
>narcotic pain killer meperidine (which is sold under the trade
>name Demerol).[2] MPTP is also similar in chemical structure to
>several pesticides and herbicides.
>
>Subsequently, symptoms of Parkinson's were induced in monkeys by
>feeding them MPTP.[3] This led the medical community to begin
>thinking of Parkinson's as a disease caused by chemical
>exposures. Early studies began to show a pattern: many people
>with Parkinson's have a history of exposure to pesticides,
>especially insecticides and herbicides.[4-7]
>
>However in the early 1990s, Parkinson's was linked to a gene in
>a few Italian and Greek families,[8] and this sent researchers
>down the genetic trail in search of the cause of Parkinson's.
>Genetic causes of disease are very fashionable at the moment and
>it is easier to find research funds to study genes than it is to
>find research funds to study the effects of pesticides.
>
>This week the likelihood of a genetic cause for most Parkinson's
>disease was effectively ruled out by the publication of a study
>of nearly 20,000 twins.[9] The study cohort, made up of white
>male twins who served in World War II, was developed by the
>National Academy of Sciences 35 years ago. Most of the members
>of the study cohort are now in their mid-60s, so they have
>reached the age when Parkinson's begins to appear. Of the 20,000
>twins studied, 193 individuals were confirmed to have
>Parkinson's. The study showed that identical twins do not get
>Parkinson's any more often than two unrelated individuals. If
>the disease had a genetic origin, then identical twins, who
>share every gene, would both be expected to get the disease.
>This does not happen, the new study shows.
>
>The researchers reported that, "No genetic component is evident
>when the disease begins after age 50 years. However, genetic
>factors appear to be important when [Parkinson's] disease begins
>at or before age 50." Thus fewer then 10% of Parkinson's cases
>-- only those that begin relatively early in life -- have a
>genetic component.
>
>That leaves environmental chemicals as the culprit for the vast
>majority of Parkinson's, according to the researchers who
>conducted the twin study. In announcing their results, they
>specifically pointed out that the search for causes of
>Parkinson's should now re-focus on environmental chemicals such
>as pesticides and herbicides.[10]
>
>The twin study should provide comfort to family members of
>Parkinson's victims who have been fearful about their own future
>based on their genetic relationship to the victim.
>
>However, the new study provides cause for concern among farmers,
>pesticide applicators, and people who live in farming
>communities where regular exposure to pesticides is unavoidable.
>Since the late 1980s, a steady stream of studies from around the
>world has shown again and again that a common thread among
>victims of Parkinson's is a history of exposure to insecticides
>and herbicides.[4-7,11-15] Most recently a study showed that
>exposure to industrial solvents is linked to Parkinson's.[16]
>
>
>
>THE NEED FOR CIVIC ACTION
>
>by Gary Cohen[17] and Nancy Evans[18]
>
>Many years have passed since the drinking water wells in Woburn,
>Massachusetts were contaminated.
>
>In one sense, the tragedy stands as a singular event in the
>history of our nation. In an average middle class town, seven
>children died from leukemia due to toxic chemicals in their
>drinking water. Lives forever lost. A community forever scarred.
>A story captured in Jonathan Harr's powerful book, CIVIL
>ACTION,[19] and now released as a major Hollywood movie.
>
>In another sense, however, Woburn has become a familiar script
>that reads something like this: Multi-billion dollar company
>poisons community. People get sick and die. Corporation denies
>the problem as long as possible, using its money to outlast
>desperate families seeking justice. When loss of the court case
>looks likely, corporation settles for an undisclosed sum in
>exchange for silence and a waiver of future liability.
>
>This script has been repeated over the years in Love Canal,
>Bhopal, and in the bodies of DES daughters. Corporation names
>differ, but the outcomes are similar. Human lives are just the
>cost of doing business. The world goes on. After the damage is
>done, corporations crank up their public relations machines to
>project an image in which they bring "good things to life."
>Eventually the horror fades, replaced by images of horrors from
>other places.
>
>But what gets lost in the public's consciousness is the ubiquity
>of the chemical assault in communities across the country. There
>are hundreds of Woburns in the United States, where communities
>living next to chemical companies, paper mills, computer
>manufacturers, military bases, medical waste incinerators, and
>toxic dumps suffer an array of health problems related to their
>toxic exposures. When residents seek some kind of justice from
>these exposures, they are stymied by a compromised regulatory
>system that regularly protects corporate interests rather than
>public health. Contrary to conservatives' mantra, the problem is
>not too much government. The problem is government too much
>serving the needs of industry.
>
>The public health crisis extends well beyond individual
>communities and their polluting corporate neighbors. The reality
>is no place escapes this toxic nightmare. These facts highlight
>the problem:
>
>* There are fish consumption bans in 40 states due to mercury
>contamination. In its latest report to Congress, the U.S.
>Environmental Protection Agency warned that 1.6 million children
>and women are at risk of mercury poisoning from even modest
>consumption of fish. (See REHW #597.)
>
>* High levels of dioxin in breast milk mean that newborns get
>80 times their lifetime "safe" dose of dioxin during their first
>six months of life. In June, 1998, CONSUMER REPORTS published
>test results that showed all the major baby food brands had
>alarming levels of dioxin in meat-based products.[20] Dioxin is
>an identified human carcinogen, known to disrupt the hormonal
>system of the growing child.[21] (See REHW #390, #391, #414,
>#463.)
>
>* According to a National Academy of Sciences report, 70
>pesticides that cause cancer in animals are allowed in
>commercial foods, as are 20 other chemicals considered probable
>human carcinogens.[22] Other pesticides permitted in food are
>known to interfere with the nervous system, the immune system or
>the reproduction system.[23] (See REHW #481, #493.)
>
>Children are the most vulnerable to this toxic assault since
>their rapidly developing systems are more sensitive to these
>chemicals.[22,23]  Cancer now kills more children under fourteen
>than any other disease. (See REHW #559, #588.)
>
>We all live in Woburn. As a society, we are conducting an
>uncontrolled chemical experiment on our children and future
>generations. While the chemical industry continues to tout the
>safety of its products, every child born in this country harbors
>a host of toxic chemicals in his/her body. This is a profound
>violation of basic human rights and the sanctity of life.
>
>We don't need more Woburns to convince us we have a problem with
>toxic chemicals and a regulatory and justice system that offers
>neither effective regulation nor justice. We simply need the
>political will to directly challenge the polluting companies and
>the government agencies that protect them. Without such civic
>action, Woburn will be a never-ending story.
>
>==========
>[1] See http://neuro-chief-e.mgh.harvard.edu/parkinsonsweb/Main/-
>IntroPD/Intro.html (omit the hyphen at the end of the first line,
>above.).
>
>[2] J.W. Langston and others, "Chronic Parkinsonism in humans
>due to a product of meperidine-analog synthesis," SCIENCE Vol.
>219, No. 4587 (February 25, 1983), pgs. 979-980.
>
>[3] R.S. Burns and others, "The neurotoxicity of
>1-methyl-4-phenyl-1,2,3,6-tetrahydropyridine in the monkey and
>man," CANADIAN JOURNAL OF NEUROLOGICAL SCIENCE Vol. 11
>(Supplement 1) (February 1984), pgs. 166-168. And see J.W.
>Langston and P.A. Ballard, Jr., "Parkinson's disease in a
>chemist working with 1-methyl-4-phenyl-1,2,3,6-tetrahydropyri-
>dine," NEW ENGLAND JOURNAL OF MEDICINE Vol. 309, No. 5 (August
>4, 1984), pg. 310.
>
>[4] S.C. Ho and others, "Epidemiologic study of Parkinson's
>disease in Hong Kong," NEUROLOGY Vol. 39, No. 10 (October 1989),
>pgs. 1314-1318.
>
>[5] C. Hertzman and others, "Parkinson's disease: a case-control
>study of occupational and environmental risk factors," AMERICAN
>JOURNAL OF INDUSTRIAL MEDICINE Vol. 17, No. 3 (1990), pgs.
>349-355.
>
>[6] G.P. Sechi, "Acute and persistent parkinsonism after use of
>diquat," NEUROLOGY Vol. 42, No. 1 (January 1992), pgs. 261-263.
>
>[7] K.M. Semchuk and others, "Parkinson's disease and exposure
>to agricultural work and pesticide chemicals," NEUROLOGY Vol.
>42, No. 7 (July 1992), pgs. 1328-1335.
>
>[8] Mihael H. Polymeropoulos and others, "Mutation in the
>alpha-Synuclein Gene Identified in Families with Parkinson's
>Disease," Science Vol. 276, No. 5321 (June 27, 1997), pgs.
>2045-2047.
>
>[9] Caroline M. Tanner and others, "Parkinson's Disease in
>Twins," JOURNAL OF THE AMERICAN MEDICAL ASSOCIATION Vol. 281,
>No. 4 (January 27, 1999), pgs. 341-346.
>
>[10] Thomas H. Maugh II, "Chemicals Called Main Cause of
>Parkinson's," LOS ANGELES TIMES January 27, 1999, pg. unknown.
>See http://www.latimes.com/HOME/NEWS/SCIENCE/ENVIRON/-
>t000008230.html (omit the hyphen) .
>
>[11] K.M. Semchuk and others, "Parkinson's Disease: a test of
>the multifactorial etiologic hypothesis," NEUROLOGY Vol. 43, No.
>6 (June 1993), pgs. 1173-1180.
>
>[12] J.P. Hubble, "Risk Factors for Parkinson's Disease,"
>NEUROLOGY Vol. 43, No. 9 (September 1993), pgs. 1693-1697.
>
>[13] A. Seidler and others, "Possible environmental,
>occupational and other etiologic factors for Parkinson's
>disease: a case-control study in germany," NEUROLOGY Vol. 46,
>No. 5 (May 1996), pgs. 1275-1284.
>
>[14] H.H. Liou and others, "Environmental risk factors and
>Parkinson's disease: a case-control study in Taiwan," NEUROLOGY
>Vol. 48, No. 6 (June 1997), pgs. 1583-1588.
>
>[15] J.M. Gorell, "The risk of Parkinson's disease with exposure
>to pesticides, farming, well water, and rural living," NEUROLOGY
>Vol. 50, No. 5 (May 1998), pgs. 1346-1350.
>
>[16] A. Smargiassi and others, "A case-control study of
>occupational and environmental risk factors for Parkinson's
>disease in the Emilia-Romagna region of Italy," NEUROTOXICOLOGY
>Vol. 19, Nos. 4-5 (August-October 1998), pgs. 709-712.
>
>[17] Gary Cohen is the National Co-Coordinator of Health Care
>Without Harm, an international coalition working to reform the
>environmental practices of the healthcare industry. He is based
>in Boston. E-mail: [EMAIL PROTECTED]
>
>[18] Nancy Evans is the Executive Vice President of the Breast
>Cancer Fund, San Francisco.
>
>[19] Jonathan Harr, A CIVIL ACTION (New York: Vintage Books,
>1996). ISBN 0679772677.
>
>[20] "Hormone mimics hit home," CONSUMER REPORTS (June, 1998),
>pg. 53.
>
>[21] Douglas B. McGregor and others, "An IARC Evaluation of
>Polychlorinated Dibenzo-p-dioxins and Polychlorinated
>Dibenzofurans as Risk Factors in Human Carcinogenesis,"
>ENVIRONMENTAL HEALTH PERSPECTIVES Vol. 106, Supplement 2 (April
>1998), pgs. 755-760.
>
>[22] Philip J. Landrigan and others, PESTICIDES IN THE DIETS OF
>INFANTS AND CHILDREN (Washington, D.C.: National Academy Press,
>1993). ISBN 0-309-04875-3.
>
>[23] John Wargo, OUR CHILDREN'S TOXIC LEGACY; HOW SCIENCE AND
>LAW FAIL TO PROTECT US FROM PESTICIDES (New haven, Connecticut:
>Yale University Press, 1996). ISBN 0-300-06686-4.
>
>Descriptor terms: parkinson's disease; neurological disorders;
>morbidity statistics; dopamine; levodopa; l-dopa; genetic causes
>of disease; pesticides; insecticides; herbicides; rural life;
>drinking water; woburn, ma;
>
>################################################################
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