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The introduction of man-made chemicals to increase food production,
protect it from insects, and increase its "shelf life" has added 60
micrograms a day of man-made chemicals to the average human diet.
The whale oil lamps of the Eskimos were so smoky that their lungs
became distinctly black from carbon deposits.
Endogenous material within
water supplies and even radioactivity in water exposed man to hazards.
(The word
"hazard" should be considered here in context ; not infrequently,
areas became popular as "spas" because of these waters - for example,
Baden-Baden, which became famous for the "curative" radioactivity of its
natural elements).
In the city, because of the height of its buildings, the narrowness of the
streets, and waste material poured by its inhabitants, the air becomes
stagnant, turbid, thick, misty, and foggy.
If there is no choice in this matter, if we have grown up in the cities
and become accustomed to them, we should make an attempt to at least to
dwell out at the outskirts of the city.
Wherever the air is altered ever so slightly you will find men develop
dullness of understanding, failure of intelligence, and defects of memory.
Man inhales, bathes in, and eats a variety of
chemical materials that are found as contaminants in foods and in the food
chain, the water supply, and the general ecosystem in which he lives.
In
the last two decades man-made contamination and the effects of these
chemicals have caused considerable alarm. Recent attempts to quantitate the
potency of environmental contaminants and to estimate past and present
human exposure suggest that naturally occurring chemicals pose a far
greater hazard than man-made products .
Our natural environment is not without risk, and even
oxygen can be harmful.
There are several important mechanisms that govern
the effect of toxic agents, including the toxin’s absorption,
distribution, metabolism, and excretion.
Absorption (whether through
pulmonary, gastrointestinal, or dermal routes) depends in part on the
chemical structure of the agent. For example, because of their solubility
in lipids the insecticides chlordane and heptachlor are rapidly absorbed
and stored in body fat. By contrast, the herbicide paraquat, because it is
water soluble, is readily eliminated.
The effects of many chemicals are exerted by their
metabolic products rather than by the parent compound. The capacity of the xenobiotic systems to modify these materials varies among tissues.
These detoxifying systems may produce different metabolites in
different sites, which may vary in their capacity to produce disease. The
cellular content of these enzyme systems varies with age, sex, hormonal
and nutritional status, and previous drug intake.
The storage, distribution, and excretion of these materials control their
concentrations in the organism at any given time.
It follows that agents stored in adipose tissue exert a prolonged
low-level effect, whereas the more water-soluble materials that are easily
excreted by the kidney have a shorter duration of action.
It is worth pointing out that the fact that a
toxic agent can be detected in the workplace does not mean that it
necessarily produce disease.
For example, carbon tetrachloride, a
recognized species-dependent hepatotoxin, is used frequently in the machining of
steel. Yet liver disease derived from this haloalkaline is not an
occupational hazard in the steel fabricating industry.
Beginning with the industrial revolution there have been a rise in
the number of chemicals manufactured and a corresponding increase in the
risk of human exposure.
This potential problem has elicited widespread public concern, and has
particularly attracted the attention of journalists and attorneys.
It is crucial to differentiate between
the problems of acute poisoning and chronic toxicity.One must also distinguish industrial and accidental exposure from that
which is likely to occur in the general environment.
Except for certain hypersensitivity reactions in
susceptible individuals, acute poisoning by environmental chemicals does
not pose a threat to the general population.
The concentrations necessary to cause acute functional disorders or
structural damage are ordinarily encountered only in the work place or as
a consequence of uncommon accidents.
Although accidental mass poisonings
with the pesticides endrin and parathion have led to as many as 100 deaths
in a single event, no chronic sequelae among the survivors have been
documented.
Despite claims of an association between progressive chronic disease and
exposure to pesticides, the small number of cases together
with the nonspecific nature of the complaints, does not permit such a
conclusion.
It should be stressed that the action of most environmental toxins is
specific, and that a causal relationship to disease implies damage to a
specific organ or organ system, with specific alterations of these
tissues.
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Environmental factors and childhood acute leukemias and lymphomas.Leuk
Lymphoma .2006 Apr;47(4):583-98.
This
review considers recent studies regarding the role of
environmental factors in the etiology of childhood leukemia and
lymphoma. Potential environmental risk factors identified for
childhood leukemia include exposure to magnetic fields of more
than 0.4 micro Tessla, exposure to pesticides, solvents, benzene
and other hydrocarbons, maternal alcohol consumption (but only for
certain genotypes), contaminated drinking water, infections, and
high birth weight. The finding of space-time clustering and
seasonal variation also supports a role for infections. There is
little evidence linking childhood leukemia with lifetime exposure
to ionizing radiation although fetal exposures to X-rays are
associated with increased risk. Breast-feeding, consumption of
fresh fruit and vegetables and having allergies all appear to be
protective. Burkitt lymphoma (BL) is confined to areas of the
world where malaria is endemic, with the additional involvement of
the Epstein-Barr virus (EBV) as a co-factor. Environmental risk
factors suggested for other types of non-Hodgkin lymphoma (NHL)
include exposure to ionizing radiation (both lifetime and
antenatal), pesticides, and, in utero exposure to cigarette smoke,
benzene and nitrogen dioxide (via the mother). Hodgkin lymphoma
(HL) is especially associated with higher levels of socioeconomic
deprivation, but breast-feeding seems to confer lower risk. This
is consistent with an infection or immune-response mediated
etiology for HL.
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