Jul 20, 2009

Air pollution and kids don't mix

The New York Daily News is reporting on a study by the Columbia Center for Children's Environmental Health (CCCEH) that seems to point to an association between in-utero (in the womb) exposure to smog and other air contaminants and their IQ (intelligence coefficient). The study was conducted over five years in a cohort (controlled group) of mothers in New York City. The mothers wore backpack monitors to measure the levels of air pollution directly around them. Five years later, the children of these mothers were given cognitive tests to measure their mental development. (The study details can be found here.)
There is no doubt that environmental pollutants cause damage at the molecular level in all living things. This is because these pollutants can get in the way of critical chemical and biological reactions in our bodies. For example, arsenic poisoning causes the glucose metabolism pathway to be disrupted, leading to the accumulation of lactic acid. Arsenic can be found in pesticides and insecticides. Lead poisoning inhibits the proper formation of hemoglobin (the substance in blood that allows blood to carry oxygen). Lead used to be found in gasoline, so a thin layer of it covers the world now. Today, lead can be found paints (though it is illegal to use these paints in homes) and other chemicals. Most disturbingly, lead can be found in foreign-made toys and other products.
As the fetus develops, very critical biological processes are taking place. Throw in any environmental contaminant, and you can severely upset fetal development. It has long been known that smoking causes birth defects. And many of the pollutants in cigarette smoke can be found in car pollution (as reported here, here, and here). So it is not a "stretch" of any kind to postulate that air pollution can have an effect on fetal development. The study from the CCCEH is one step toward offering solid evidence so that proper policy can be effected.
The next step in strengthening the link will be to study other factors that may have caused the observed results, such as the mother's feeding habits, genetics, and prenatal health. The children may also be tested for any exposures to contamination or other factors that may yield the same results on their IQ tests. Did the children live in a home with lead paint? Were they born with a genetic condition that has been proven to not be associated with air pollution. These and other questions will more than likely be studied.
Women in their childbearing years should make sure to eat proper levels of folic acid, a B vitamin that helps prevent neural tube defects in developing fetuses. Why take it even if you're not pregnant? Because these defects occur very early in the pregnancy, sometimes even before you know you're pregnant. Other things to have in mind when pregnant is to maintain a proper diet for proper weight, get all necessary vaccines and prenatal care, and make sure to consult your health care provider to make sure all the bases are covered during your pregnancy.


 Cars are dangerous for kids for many reasons.



Jul 15, 2009

Disease Prevention 101: What restaurants have been closed due to health violations in Baltimore?

Jul 4, 2009

Pregnant women are at greater risk for influenza complications

In some medical circles, pregnancy is regarded as a "condition", one that places the pregnant woman at risk for contracting diseases and developing other conditions that could endanger the pregnant woman and the unborn fetus in danger. This is because the woman's immune system is modified during the pregnancy so that the developing fetus is not rejected for being a "foreign" tissue within the body. It is also this reason that makes some vaccines are not given to women during their pregnancy.
The Centers for Disease Control and Prevention (CDC), on their Morbidity and Mortality Weekly Report (MMWR) from May 12, posted three case studies of pregnant women and their experiences with H1N1-swine influenza infection. While not representative of the general population, or the pregnant population in the United States, these case studies help put a face on influenza infection and what it is capable of doing. The overall case study looked at 20 pregnant women, 15 of whom were confirmed as having H1N1-swine influenza infection while the other 5 were probable cases (symptoms but no lab confirmation).
Pregnant women are at greater risk of complications if they become infected with influenza. These complications include spontaneous abortion, fetal defects, pre-term labor, and other complications. So vaccination for influenza is recommended for women who plan to be pregnant during the flu season or already pregnant. This recommendation only covers the traditional flu shot and not the nasal vaccine. The nasal vaccine contains a live virus that is not recommended for people with weakened immune systems, like pregnant women. Despite these recommendations, a very low percentage of pregnant women get vaccinated according to a national survey of obstetricians/gynecologists. That survey revealed that very few OB/GYN practitioners recommended the vaccine.
If you are pregnant now, while there is no vaccine for H1N1-swine influenza yet, there are plenty of steps you can take to prevent becoming infected. Just like everyone else, you must wash your hands, stay away from crowds and sick people (if you can), eat a balanced diet, and get plenty of rest. Above all, get prenatal care and follow the directions of your healthcare provider. Your provider will be the best source of information on how to keep yourself and your unborn child healthy.
Whether you plan on being pregnant or not, get your seasonal flu vaccine come September/October. The American Lung Association has a great tool that you can use to track down influenza vaccine clinics near you, some are even free.
Worried about thimerosal (a vaccine preservative containing mercury) and how it might affect your baby? Don't. A study of over 2000 women who received the thimerosal-containing vaccine found no adverse effects to the baby. Still worried? There is plenty of vaccine without thimerosal, though it's a little more expensive than the regular vaccine. Ask your provider.



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