(Beyond Pesticides, November 10, 2022) A meta-analysis by the University Alberta Hospital, Edmonton, AB, Canada, adds to the plethora of research linking prenatal (before birth/during pregnancy) pesticide exposure to carcinogenic (cancer) tumor development. The analysis, published in Human & Experimental Toxicology, finds parental exposure to pesticides during the preconception (before pregnancy) or pregnancy period increases the risk of Wilms’ tumor (a type of kidney cancer) occurrence among children. Already, studies find low levels of pesticide exposure during pregnancy or childhood cause adverse health effects, from metabolic disorders to mental and physical disabilities. Although medical advancements in disease survival are more prominent nowadays, childhood cancer remains the leading cause of death from disease among children. Furthermore, childhood cancer survivors can suffer from chronic or long-term health complications that may be life-threatening. Children are particularly vulnerable to the impacts of pesticide exposure as their developing bodies cannot adequately combat exposure effects. Moreover, a mother’s pesticide exposure can have a stronger association with cancer among a child than childhood exposure, and a newborn can still encounter pesticides. Therefore, it is essential to understand how pesticides impact the health and well-being of individuals during critical developmental periods, especially for latent diseases (e.g., cancers). The researchers performed a systematic review and meta-analysis on case-control studies […]

(Beyond Pesticides, September 29, 2022) A study published in the International Journal of Hygiene and Environmental Health finds an association between retinoblastoma risk and prenatal exposure to pesticides. Retinoblastoma is a rare eye cancer, with over 200,000 cases in the U.S., most of which are children under the age of five. Despite occurring among offspring, this cancer is often not hereditary. Instead, a mutation in the RB1 gene during early development in the womb destabilizes and augments cell growth. Although the etiology or cause of childhood eye cancer involves the interaction of multiple components like lifestyle and genetics, emerging evidence indicates that environmental contaminants like pesticides (e.g., occupational exposures, air pollution, pesticides, solvents, diet, etc.) play a role in disease etiology. Pesticide contamination is widespread in all ecosystems, and chemical compounds can accumulate in human tissues resulting in chronic health effects. Children are particularly vulnerable to the impacts of pesticide exposure as their developing bodies cannot adequately combat exposure effects. Already, studies find low levels of pesticide exposure during pregnancy or childhood cause adverse health effects from metabolic disorders to mental and physical disabilities. While medical advancements in disease survival are more prominent nowadays, childhood cancer remains the leading cause of death from disease among children. […]

(Beyond Pesticides, August 18, 2022) A study published in Environmental Research suggests occupational (work-related) exposure to pesticides among nonpregnant women and men may increase childhood cancer risk for offspring. Already, studies find low levels of pesticide exposure during pregnancy or childhood cause adverse health effects from metabolic disorders to mental and physical disabilities. However, few assess parental exposure’s impact on childhood disease risk outside critical development periods (e.g., pregnancy). Although medical advancements in disease survival are more prominent nowadays, childhood cancer remains the leading cause of death from disease among children. Furthermore, childhood cancer survivors can suffer from chronic or long-term health complications that may be life-threatening. The etiology or cause of childhood cancer involves the interaction of multiple components like lifestyle and genetics. However, emerging evidence indicates that environmental contaminants like pesticides (e.g., occupational exposures, air pollution, pesticides, solvents, diet, etc.) play a role in disease etiology. Pesticide contamination is widespread in all ecosystems, and chemical compounds can accumulate in human tissues resulting in chronic health effects. Children are particularly vulnerable to the impacts of pesticide exposure as their developing bodies cannot adequately combat exposure effects. Moreover, several studies demonstrate an association between environmental or occupational pesticide exposure and the risk of childhood cancer. Considering maternal pesticide […]

(Beyond Pesticides, June 28, 2022) There is a strong connection between pesticide use and cancer rates in the Western United States, finds research recently published by scientists at University of Idaho and Northern Arizona University. Two studies (here and here) published in the peer-reviewed journal GeoHealth used geospatial data and publicly available pesticide databases to uncover the relationship between chemical heavy agricultural practices and cancer in both adults and children. As the rate of chronic diseases like cancer continue to increase in the United States, and more and more studies find these diseases to be pesticide-induced, it is imperative for the public to put increased pressure on regulators and lawmakers to enact meaningful measures that eliminate pesticide use and the hazards these chemicals pose. Of the two studies conducted by the research team, the first study modeled the connection between pesticide use and cancer incidence for adults and children in 11 western states (Arizona, California, Colorado, Idaho, Montana, Nevada, New Mexico, Oregon, Utah, Washington, and Wyoming), while the second study focuses on childhood cancer rates in Idaho’s 44 counties. Both studies utilized databases established by public entities, including U.S. Geological Survey (USGS) Pesticide National Synthesis Project database, EPA Pesticide Industry […]

(Beyond Pesticides, January 14, 2022) On the annual celebration of the life and work of Dr. Martin Luther King, Jr.— MLK Day, Monday, January 17 — Beyond Pesticides honors his legacy by calling out ongoing environmental inequities, and calling on all of us to advance environmental justice. In his 1967 Christmas sermon, Dr. King famously noted, “It really boils down to this: that all life is interrelated. We are all caught in an inescapable network of mutuality, tied into a single garment of destiny. Whatever affects one directly, affects all indirectly.” There may be no better description of what is at stake in environmental justice work — righting environmental wrongs that have disproportionate impacts on some groups of people. In its attention to the multitude of ways in which BIPOC (Black, Indigenous, and People of Color) populations face disproportionate risks and impacts, Beyond Pesticides works to ensure that all people are afforded circumstances that support their safety, health, and well-being. Rather than excavate the very long historical record of environmental injustice in the U.S., today’s Daily News Blog recalls several examples from the past year. It is impossible to begin that chronicle without first acknowledging that the ongoing Covid-19 pandemic has […]

(Beyond Pesticides, September 1, 2021) A study published in Environmental Pollution finds the risk of acute childhood leukemia (AL) increases with prenatal and newborn exposure to pesticides (i.e., insecticides and herbicides). The study results support the hypothesis that chronic environmental pesticide exposure increases childhood leukemia risk up to two times. Maternal exposure has a stronger association with leukemia than childhood exposure. Insecticides and herbicides are of particular significance in increasing leukemia risk, especially for acute lymphoblastic leukemia. Although medical advancements in disease survival are more prominent nowadays, childhood AL remains the secondary cause of child mortality following physical injury. Furthermore, childhood leukemia survivors can suffer from chronic or long-term health complications that may be life-threatening. Although the etiology or cause of childhood AL involves the interaction of multiple components like lifestyle and genetics, emerging evidence indicates that environmental contaminants like pesticides (e.g., occupational exposures, air pollution, pesticides, solvents, diet, etc.) play a role in disease etiology. Pesticide contamination is widespread in all ecosystems, and chemical compounds can accumulate in human tissues resulting in chronic health effects. Children are particularly vulnerable to the impacts of pesticide exposure as their developing bodies cannot adequately combat exposure effects. Already, studies find low levels of pesticide exposure during […]

(Beyond Pesticides, August 10, 2021) President Biden’s Environmental Protection Agency (EPA), under Administrator Michael Regan, is set to reapprove the highly hazardous herbicide paraquat with fewer protections than those proposed by the Trump administration. Despite strong links to Parkinson’s, and bans on the herbicide in the European Union, China, Brazil, and many other countries, EPA’s press release inexplicably states, “No direct one-to-one alternatives to paraquat are available.” The move is part of a string of actions that have pesticide reform advocates increasingly concerned that the Biden Administration is not living up to his initial promises to improve health and environmental protections. Paraquat is the most toxic herbicide still on the market. As EPA readily admits, one small sip of paraquat can be fatal. Apart from its acute toxicity, chronic exposure to the herbicide is strongly linked to the development of Parkinson’s disease. But its association with Parkinson’s is merely the most well-known health concern – the chemical is a likely carcinogen, harms the reproductive system, and damages organs like the kidney and liver. It is hazardous to birds and bees, and prone to leaching into groundwater, where it disrupts the health of aquatic ecosystems. The Trump administration’s decision to reapprove […]

(Beyond Pesticides, October 19, 2020) The COVID-19 epidemic has made clear to the general public what we at Beyond Pesticides have been stressing since our inception—some populations have disproportionate risk of severe outcomes, exposures to toxic chemicals can affect susceptibility to disease, comorbidity increases risk, and bad government can kill you. As Trump declares that “unborn children have never had a stronger defender in the White House,” we are reminded of Erik Jansson, who ran the National Network to Prevent Birth Defects and helped to convene the founding meeting of Beyond Pesticides, and took on then-Administrator of EPA Anne Gorsuch, calling her a “baby killer” because of policies that allowed exposures to toxic chemicals—exposures that endangered children and fetuses. Those were harsh words in the 1980s even when the Reagan administration’s environmental and toxics policies were tied to elevated harm to people, and children in particular. In today’s world, scientists and medical doctors are regularly linking elevated death rates from coronavirus to the federal government’s inadequate coronavirus policy and its attack on science. And, they are pointing to those in charge. Policies and decisions under the Trump administration that threaten the health of children and the unborn include: COVID-19 misinformation. […]

(Beyond Pesticides, April 15, 2020) Home pesticide use during pregnancy is associated with an increased risk of a child developing the kidney cancer nephroblastoma, or Wilms’ tumor, according to research published in Cancer Epidemiology by a team of French scientists. Wilms’ tumor is one of the most common childhood cancers but has an inscrutable etiology. This study adds weight to the theory that pesticides are a driver of the tumor’s development, as pesticide use was more strongly associated than other widely investigated causes, including parental smoking and alcohol consumption during pregnancy. Families enrolled in an ongoing nationwide French study were questioned by phone about their lifestyle, including smoking habits, mother’s alcohol consumption, and household pesticide use. Participants were further segmented by their frequency of these risk factors, and pesticide use was narrowed down by type, including herbicide, fungicide, and insecticide use, as well as where the chemicals were used (indoor/outdoor). Researchers ultimately enrolled 117 families whose children developed nephroblastoma, and included 1100 families as a control. A regression analysis found no association between either parent smoking and incidence of the disease. Similarly, no pattern was found in the relation between maternal alcohol consumption and Wilms’ tumor. However, use of any […]

(Beyond Pesticides, March 3, 2020) Pregnant mothers living in areas where carcinogenic pesticides have been used are at increased risk of their child developing an acute form of leukemia, according to research published last month in the International Journal of Hygiene and Environmental Health by researchers at the University of California, Los Angeles. The findings are based on a review of pesticide use data in rural, agricultural areas of California, where many minority, low-income and farmworking communities live. Under current laws, the U.S. Environmental Protection Agency (EPA) permits the use of cancer-causing pesticides with an expectation that a certain number of cancers (anywhere from 1 in 1,000 to 1 in 1,000,000, based on the pesticide in question) should be considered ‘acceptable risk.’ While past studies have shown similar connections between pesticide exposure in the womb and the development of childhood cancer, this is one of the first to utilize geographic information systems (GIS) data, rather than parental interviews on past exposures. Researchers used California public records of cancer incidence from 1998-2011, alongside statewide pesticide use reports (California is the only state to make this information publicly accessible and searchable). A list of 65 pesticides were investigated for their specific connection […]

(Beyond Pesticides, February 13, 2020) Congress unanimously passed the Food Quality Protection Act (FQPA) in 1996 to increase protections for children from pesticide exposure. Unfortunately, according to a new study published in Environmental Health, the law is not being employed by the Environmental Protection Agency (EPA) to its full capacity. For most of the 59 pesticides reviewed by the study, EPA did not apply an additional FQPA safety factor and thereby missed an opportunity to protect children’s health. In fact, FQPA solidified EPA’s reliance on risk assessment calculations and mitigation measures that consistently fall short of adequate levels of protection because of serious data gaps, a failure to consider exposure to mixtures and synergistic effects, and a bias against consideration of alternatives (alternatives assessment)  that show toxic pesticides to be unnecessary.  FQPA establishes a safety standard applied to all food commodities that considers specific risks for infants and children. The law requires EPA to assess the “aggregate risk” (considering exposure from multiple sources) and “cumulative exposure” to pesticides that have a “common mechanism of toxicity.” FQPA mandates “an additional tenfold margin of safety for the pesticide chemical residue and other sources of exposure shall be applied for infants and children […]

(Beyond Pesticides, August 12, 2019) Once again, the Environmental Protection Agency (EPA) has rejected the evidence provided by independent scientists and sided with the pesticide industry promoting its products; this time, removing a safety for factor for children on some of the most widely used insecticides, synthetic pyrethroids. When EPA cannot do its job, it is time for Congress to step in. Tell Congress: To Protect Children, EPA Must Consider the Independent Peer-Reviewed Science, Not Bend to Industry Lobbying. In a move that challenges the preponderance of independent peer-reviewed scientific findings on children’s health, EPA recently stripped away protections that limit children’s exposure to class of chemicals associated with childhood cancer, autism other learning disorders, and asthma. The result of the agency’s actions will be a dramatic increase in the use of synthetic pyrethroids, insecticides found in indoor and outdoor bug sprays, bug bombs, and often used on conventionally grown fruits and vegetables. EPA, under the leadership of former fossil fuel lobbyist Andrew Wheeler, is embracing the positions of the pesticide industry while ignoring independent science and health and environmental groups. In 2017, the agrichemical industry trade group, Croplife America, submitted comments to EPA during its review of synthetic pyrethroids. The organization urged EPA to rely on a […]

(Beyond Pesticides, August 7, 2019) A study conducted by the Center for Environmental Health (CEH) finds that children carry significantly higher levels of glyphosate in their bodies than their parents. Glyphosate, the active ingredient in Bayer Monsanto’s Roundup, has been identified as probably carcinogenic by the International Agency for Research on Cancer.  In the context of recent data from the American Cancer Society (ACS) indicating that pediatric cancer in the U.S. surged by almost 50% from 1975 to 2015, many parents are worried, and looking for ways to reduce their children’s exposure to glyphosate and other toxic pesticides. The study conducted by CEH enrolled eleven families from all over the U.S., testing levels of glyphosate in children’s urine as compared to their parents. Results showed that over 90% of participants had been recently exposed to glyphosate. In most child/parent pairs, the child’s body had surprisingly higher concentrations of glyphosate (up to 4 times that of the parent), supporting research that glyphosate poses a greater threat to children. Children may be more susceptible to glyphosate for a variety of reasons. Children are growing, so they take in more of everything (from food, to water, to pesticides) per pound of body weight. […]

(Beyond Pesticides, August 6, 2019) In a move that challenges the preponderance of independent peer-reviewed scientific findings on children’s health, the U.S. Environmental Protection Agency (EPA) recently stripped away protections that limit children’s exposure to a class of chemicals associated with childhood cancer, autism, and other learning disorders. The result of the agency’s actions will dramatically increase the use of synthetic pyrethroids, insecticides found in indoor and outdoor bug sprays, bug bombs, and often used on conventionally grown fruits and vegetables. EPA, under the leadership of former fossil fuel lobbyist Andrew Wheeler, is embracing the positions of the pesticide industry while ignoring independent science and health and environmental groups. In 2017, the agrichemical industry trade group, Croplife America, submitted comments to EPA during its review of synthetic pyrethroids. The organization urged EPA to rely on a health model developed by a different industry group, known as the Council for the Advancement of Pyrethroid Human Risk Assessment (CAPHRA), in determining the “safety factor” to apply to children. “Safety factors” for children are required under a 1996 law, the Food Quality Protection Act (FQPA), unless there is compelling evidence indicating the additional margin of safety is unnecessary. These factors generally require manufacturers to […]

(Beyond Pesticides, July 27, 2017) Earlier this week U.S. Senators Tom Udall (D-NM) and Richard Blumenthal (D-CT) introduced a bill that would ban use of the insecticide chlorpyrifos. The Protect Children, Farmers and Farmworkers from Nerve Agent Pesticides Act, S. 1624, comes one week after an appeals court refused to require the U.S. Environmental Protection Agency (EPA) to make a decision over whether to ban the chemical. Removing this neurotoxic insecticide from the environment would significantly reduce health risks for children and farmworkers in underserved rural communities, build pressure to address all toxic organophosphates, and help push U.S. agriculture in a more sustainable direction. As with other organophosphate class chemicals, chlorpyrifos, first registered in 1965 by Dow Chemical, is derived from nerve agents used during World War 2. The chemical is linked to a range of negative health and environmental outcomes that warrant its prohibition. Children are at particular risk from the chemical due to their developing immune, organ, and nervous systems.  As with other organophosphate nerve agents, the chemical acts on the body’s nervous system, inhibiting the movement of neurotransmitters called cholinesterase. Chlorpyrifos chemically binds to the site where cholinesterase would in the body, preventing normal nerve impulse transmission. […]

(Beyond Pesticides,  November 7,  2016) In a letter  last week on the widely used weedkiller  atrazine, Rep. Ken Buck (R-CO) and 105 of his colleagues told Gina McCarthy, administrator of the U.S. Environmental Protection Agency (EPA), that, “It would be irresponsible to greatly restrict one of the safest and most trusted herbicides on the market.” The  letter was triggered by EPA’s release in June of its  draft  Ecological Risk Assessment on atrazine, which found levels of concerns exceeded by as much as 200-fold for some organisms. Lawmakers indicated that the draft assessment in its present form, “Would have a significant impact on farmers and rural communities nationwide.” Despite a wealth of information to the contrary, they claim that restricting the use of atrazine would put an unnecessary financial burden on farmers. Atrazine, produced by Syngenta,  is the second-most widely used pesticide in the U.S., with over 73 million pounds applied each year. While Rep. Buck claims that atrazine is a safe chemical, years of research shows that the chemical poses unacceptable risks to human health and the environment.  Once applied, the chemical often washes into surface water and leaches into groundwater. Water contamination issues spurred community water utilities  across the […]

(Beyond Pesticides, October 18, 2016) A Wisconsin family is speaking out against groundwater contamination after their son fell ill two years ago, prompting them to test their well water. The test results found the water contaminated with fertilizers and pesticides, most notably the weed killer atrazine, which has been banned in their area for 20 years. Atrazine has been registered for use since 1958. Although many residential turf grass uses of the chemical have been eliminated voluntarily, homeowner uses do persist. The chemical has been linked to human health impacts such as childhood cancer, and rare birth defects, including gastroschisis, and choanal atresia. According to Minnpost, in the spring of 2014, Jacob, son of Doug and Dawn Reeves, fell mysteriously ill. His body became swollen and he developed an unusual rash. He was finally diagnosed with juvenile dermatomyositis, a rare inflammatory disease that affects the muscles, skin and blood vessels. The cause of the disease is unknown, so the Reeves family began their own hunt as to why Jacob became sick. When they received the test results from Wisconsin State Laboratory of Hygiene, it showed that their well contained atrazine at twice the state and federal drinking water health standard. […]

(Beyond Pesticides, May 10, 2016) Following an apparent accidental release of documents relating to the safety of the herbicide glyphosate, late last month the U.S. Environmental Protection Agency (EPA) also released and then retracted a preliminary ecological risk assessment of another toxic herbicide, atrazine. Under federal law, every pesticide registered in the United States is required to undergo a 15-year registration review to analyze human health and environmental impacts and determine whether the chemical’s use should continue another 15 years. The last decade and a half have seen plethora of studies underscoring that atrazine is harmful to human health, and poses unreasonable adverse risks to ecological health, despite attempts by its major manufacturer, Syngenta, to silence and discredit its critics. EPA’s preliminary ecological risk assessment finds that for current uses at prescribed label rates, atrazine may pose a chronic risk to fish, amphibians, and aquatic vertebrate animals. Where use is heavy, the agency indicates that chronic exposure through built-up concentrations in waterways is likely to adversely impact aquatic plant communities.  Levels of concern, a wonky equation that EPA produces to measure risk, were exceeded for birds by 22x, fish by 62x, and mammals by 198x. Even reduced label rates were […]

(Beyond Pesticides, October 16, 2015) According to a new study, living in crop-dense regions is linked to increased leukemia and central nervous system cancers in children. Although there is a litany of scientific literature that highlights the link between pesticide exposure and childhood illness, this study is one of few that examines the relationship between residential exposures to agricultural pesticides via crop density and adverse health outcomes, and may serve as a basis for further investigation into childhood cancer rates in areas where agricultural pesticides are highly used. The study, titled Agricultural crop density and the risk of childhood cancer in the Midwestern United States: an ecologic study,  was published in the journal Environmental Health. Using crop density as a surrogate for residential exposure to agricultural pesticides, the study linked county-level agricultural census data and cancer incidence data for children between the ages 0 to 4 in six Midwestern states and found evidence of an association between childhood cancer incidence and the production of crops such as dry beans, oats, and sugar beets. Researchers found statistically significant exposure-response relationships for dry beans and total leukemias and acute lymphoid leukemias, oats and acute myeloid leukemias, and sugar beets and total leukemias. […]

(Beyond Pesticides, September 15, 2015) A study released this week in the journal Pediatrics finds that children’s exposure to pesticides in and around the home results in an increased risk of developing certain childhood cancers. Researchers made their findings through a meta-analysis, reviewing 16 epidemiological studies published since 1993 on the link between childhood cancer and pesticide exposure. Based on their findings, the authors of the study suggest “”¦public health policies should be developed to minimize childhood exposure to pesticides in the home,” and that “[e]very effort should be made to limit children’s exposure to pesticides.” While most meta-analytical reviews previously conducted on the link between pesticides and childhood cancer looked at parental exposure or agricultural exposure, the current study from scientists at the Harvard T.H Chan School of Public Health focuses in on residential exposure in and around a child’s home. Authors found that cancer risks were connected most closely to the type of pesticide used and the location where it was applied. For example, while residential herbicide use was associated with an increased risk of leukemia, the link between outdoor insecticide use and childhood cancers was not found to be statistically significant. However, exposure to insecticides inside the […]

(Beyond Pesticides, October 11, 2012) A new report highlights the growing body of research that links pesticides to the rampant rise of learning disabilities, childhood cancer and asthma in the United States, and calls for swift policy change to protect future generations. In particular, the report points out that children are more sick today than they were a generation ago, confronting serious health challenges from pesticides and other chemical exposures that their parents and grandparents were unlikely to face. This report underscores the importance of changing the individual chemical assessment approach to regulating pesticides, and integrating a systems approach that incorporates organic principles that strive to eliminate unnecessary pesticide use. The report entitled, A Generation in Jeopardy: How pesticides are undermining our children’s health and intelligence was released by Pesticide Action Network North America (PAN). It draws from academic and government research, focusing on studies published within the past five years, to chronicle the emerging threat of —with over 1 billion pounds applied on farms and homes annually— to children’s health. Children and other sensitive sub-populations are exposed to a “toxic soup” of chemicals whose health impacts are not properly understood and clouded in uncertainties which are not captured in […]

Beyond Pesticides, (May 10, 2012), British Columbia (BC) may become the eighth Canadian province to ban cosmetic (lawn care) pesticides after the Special Committee on Cosmetic Pesticides submit their recommendations to the legislature later this month. The report will outline the bipartisan committee’s findings from over the last eight months on restrictions for non-essential pesticides use province-wide. Roughly forty municipalities throughout the province already have pesticide bans in place, and a survey found that a majority of Metro Vancouver voters across political party lines endorse a province-wide ban on the sale and use of lawn and garden pesticides. Though it is widely popular, environmental groups and human health organizations are expecting industry backlash and have expressed concern about whether or not recommendations will be strong enough and whether effective legislation will result. “The poll shows nearly two-thirds of Vancouverites know pesticides are linked to childhood cancer,” said Canadian Association for Physicians for the Environment (CAPE) Executive Director Gideon Forman. “Among people with kids, support for a pesticide ban is at 76 per cent,” said Mr. Forman. “Candidates who endorse a strong provincial pesticide ban will be very popular with families.” It’s believed to be the first time in British Columbia […]

(Beyond Pesticides, May 10, 2011) In three new studies published in the May issue of the journal Health Affairs (Vol. 30, No. 5), Mount Sinai School of Medicine researchers reveal the staggering economic impact of toxic chemicals and air pollutants in the environment, and propose new legislation to mandate testing of new chemicals and also those already on the market. The studies, “Environmental Disease in Kids Cost $76.6 Billion in 2008,” “Children’s Vulnerability to Toxic Chemicals,” and “Pollutants and Respiratory Illness in Infants,” are available on the Health Affairs website. Leonardo Trasande, MD, Associate Professor of Preventive Medicine and Pediatrics at Mount Sinai School of Medicine, analyzed the costs of conditions — including lead poisoning, childhood cancer, asthma, autism, and attention deficit hyperactivity disorder (ADHD) — associated with exposure to toxic chemicals. Dr. Trasande and his team calculated the annual cost for direct medical care and the indirect costs, such as parents’ lost work days, and lost economic productivity caring for their children, of these diseases in children. The researchers found the annual cost in the United States to be an estimated $76.6 billion, representing 3.5 percent of all U.S. health care costs in 2008. The breakdown includes: lead poisoning […]