Showing posts with label pregnancy. Show all posts
Showing posts with label pregnancy. Show all posts

Monday, June 1, 2015

New studies link pollution to a variety of health risks

Obviously, who suffers the most with air pollution & its related illnesses: the poor. And thanks to the government's cutting of the healthcare budgets, those poor can't even get proper healthcare. It's like a double whammy.
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Since the US Clean Air Act’s passage in the 1970s, there have been a steady stream of reports correlating exposure to air pollutants with a variety of health impacts. But in the early days, much of that information was too rudimentary to be of much use. Monitoring technology has improved in the decades since, & state air-quality boards have amassed volumes of actionable data about air pollution.
 
The increase in available data coupled with advances in chemistry & 3D modeling over the past few years has enabled scientists to identify new particle systems within air pollution. Researchers are now able to determine all the various chemicals & particles that air pollution includes, & to study precisely how these various elements interact with, & in some cases fundamentally change, the human body.
 
Those advances have led to a rapid increase in published studies about air pollution over the past year, as researchers have focused their work on the interaction between pollution particles & human health. Multiple long-term studies of human health are beginning to produce results, as are ongoing studies of air pollution. 3 studies published just last week illustrate the state of rapidly advancing science around air pollution today.
 
In one study, Louisiana State University researcher Stephania Cormier reported that a particular type of free radicals (called environmentally persistent free radicals, or EPFRs), formed within the particulate matter emitted by cooking stoves, cars, factories, waste incinerators, wood fires, & cigarettes, can damage human cells.
 
The findings could have broad implications for businesses, considering that the Supreme Court is currently wrestling with how to interpret the Clean Air Act.
 
Cormier & her team divided a population of mice into 2 groups, exposing one to EPFRs & the other to no pollution. They then infected both groups with a flu virus.
 
The pollution-exposed mice were rendered virtually defenseless to the virus: 20% more of them died from the flu. Instead of fighting off the disease, their bodies reacted by triggering an anti-inflammatory signal, Interleukin-10, & switching on both an immune-regulating protein called aryl hydrocarbon receptor & immune cells called regulatory T cells, both of which turn off the body’s defenses against infection.
 
The researchers also found that the EPFRs caused oxidative stress, an imbalance between the production of free radicals & the ability of the body to counteract or detoxify their harmful effects.
 
What that means for similarly exposed communities is that asthma & the flu will be more severe for vulnerable members, like infants & the elderly.
 
More & worse allergies
 
Another study, published on 22 March by researchers at the Max Planck Institute for Chemistry in Germany, found that common traffic-related air pollutants may make allergies more severe.
 
The study’s authors conducted lab tests & computer simulations to study the effect of ozone & nitrogen dioxide on a primary birch pollen, Bet v1, & found that both pollutants affected how proteins in the pollen bound together, potentially creating a more potent allergen.

“Our research is showing that chemical modifications of allergenic proteins may play an important role in the increasing prevalence of allergies worldwide,” Christopher Kampf, one of the study’s authors, said in a statement.
 
Impact on the brain
 
Yet another study released last week, this one a collaborative effort between researchers at the Institute for the Developing Mind at Children’s Hospital Los Angeles & at Columbia University’s Center for Children’s Environmental Health, found a connection between common pollutants found in a wide range of emissions & cognitive & behavioral impairment.
 
The study looked at the effects of airborne polycyclic aromatic hydrocarbon (PAH), a molecule prevalent in emissions from motor vehicles, oil & coal burning, wildfires & agricultural burning, hazardous waste sites, & tobacco smoke as well as charred foods.
 
The research team selected 40 minority youth, born to Latina or African American women, that Columbia researchers have been following from birth, & used magnetic resonance imaging (MRI) to measure their brains.
 
The Columbia researchers had previously reported that PAH exposure during gestation in this group was associated with multiple neurodevelopmental disturbances, including development delay by age 3, reduced verbal IQ at age 5, & symptoms of anxiety & depression at age 7.
 
In the group of 40 studied in the MRI test, the researchers found a loss of the brain’s white matter surface, which correlates to slower processing of information & severe behavioral problems, including ADHD & aggression.
 
Postnatal PAH exposure – measured at age 5 – was found to contribute to additional disturbances in development of white matter in a separate area of the brain, one associated with concentration, reasoning, judgment, & problem-solving ability.

“This sample of 40 was quite ‘pure,’ in that their exposure to other known neurotoxicants was minimal, so we have more confidence in being able to attribute the brain abnormalities to the effects of prenatal & early childhood exposure to PAH,” Peterson said.
 
While the study group was small, Peterson said these results emphasize what we already know about the harmful effects of tobacco & add to the growing base of knowledge about the impacts of other sources of air pollution. Given the mounting evidence, he said, clinicians should educate prospective parents about these risks, especially in early pregnancy.
 
Peterson said that in less urban areas, exposure to pollutants from wildfires, agricultural burning & hazardous waste sites might be more relevant, & that women & children should remain indoors & use air conditioners as much as possible to avoid the airborne products of these fires.

“As the link between air-borne pollutants & adverse brain changes is linear & seems not to have any threshold that defines safe & unsafe exposure, any reduction in exposure during the most active periods of brain development – in fetal life & in early childhood – will be helpful.”

Translating research into action
 
According to the most recent American Lung Association State of the Air report, more than half of Americans live in areas with dangerously high levels of air pollution.
 
Children are the most severely impacted by air pollution, both in utero & in early childhood.
 
Air pollution also remains an issue of class & race. The dominant sources of pollution – traffic, industrial emissions, energy-related emissions (from oil refineries & coal plants), & hazardous waste – all disproportionately affect low-income & minority communities.
 
The quickest way to improve the air quality of all communities is increased state & federal regulation of the sources of air pollution. To that end, the US Supreme Court is due to address 2 major Environmental Protection Agency rules this summer, one that aims to regulate cross-state air pollution & one that would require better pollution controls on coal power plants.
 
Both have been criticized for being expensive & onerous to implement, but Supreme Court justices in favor of the rules have pointed to the EPA’s obligation to protect public health, not private profits.
 
Judge Judith W Rogers wrote as much in the majority opinion on the EPA’s mercury rule, which would require coal power plants to install scrubbers that would limit mercury emissions, costing them $9.6bn a year. Rogers said the EPA’s focus on “factors relating to public health hazards, & not industry’s objections that emission controls are costly” should motivate Congress to make appropriate & necessary regulatory rules.
 
Moreover, because the scrubbers required would also reduce other air pollutants, the EPA has estimated that the rule would save $26bn to $89bn per year in healthcare costs. The latest batch of air pollution research helps support that claim.

Tuesday, April 28, 2015

Souvenir Ultrasound scans should be banned for first 10 weeks of pregnancy

In this modern race of narcissism & ego-boasting, a selfie stick may not harm you or your loved ones as much as collecting souvenir pregnancy ultrasound scans.

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Souvenir scans of the unborn baby should not be carried out in the first 10 weeks of pregnancy, say doctors.
 
Such keepsake images are shown off by proud parents-to-be, who can buy special wallets & photo frames to mark every stage of pregnancy.
 
But new advice from the Royal College of Obstetricians & Gynaecologists rules against the growing trend when there is no medical reason for doing an early-stage scan.
 
A new scientific review says ultrasound – which uses high-frequency sound waves to provide images of the foetus – could expose it to unknown risks.
 
Although there is no evidence of harm, the ‘precautionary principle’ should apply, it says.
 
Dr. Christoph Lees, Reader in Obstetrics & Fetal Medicine at Imperial College London & lead author of the paper said the review looked specifically at the first 10 weeks in the womb.
 
Normally a scan would be ordered only for a potential problem identified by a clinician & in those circumstances it was perfectly safe, he said.
 
But an increasing number of clinics were offering keepsake images from as early as 6 weeks, he said.
 
He said: ‘Ultrasound scanning in the embryonic period is an invaluable resource in several important scenarios where the embryo is at possible risk.

There are presently no grounds for questioning the safety of diagnostic ultrasound in this context.

However, ultrasound imaging is increasingly being used without obvious medical justification & we have to be aware of the possibility of subtle long-term adverse effects, particularly in the first weeks of gestation when the embryo is potentially the most vulnerable.’

The review was produced by the Scientific Advisory Committee at the RCOG to provide doctors with up-to-date information about the issue.
 
The US Food & Drug Administration issued similar advice in December, saying excess ultrasound at any stage in pregnancy should be avoided.
 
Dr. Lees said one of the possible harms might come from the slight heating effect produced by ultrasound which was more easily dissipated by the placenta after 10 weeks of pregnancy.
 
He said the safest period for taking souvenir scans was 20 weeks of pregnancy & beyond.
 
The review highlights the various types of ultrasound, including B-mode – the most commonly used form of ultrasound in obstetrics – colour & pulse wave Doppler.
 
Colour & pulsed wave Doppler involve greater average intensity & power outputs than B-mode & are not recommended at all during the first 10 weeks.
 
Additionally, there has been a move to perform 3D & 4D ultrasound scans earlier in pregnancy, states the paper.
 
4D ultrasound is ‘real time’ scanning & involves higher power outputs as the scanning time is longer, typically by several minutes, & should not be the sole purpose of souvenir images or video recordings in early pregnancy.
 
Dr. Sadaf Ghaem-Maghami, chair of the RCOG’s Scientific Advisory Committee, said ‘B-mode ultrasound used for clinical reasons from conception to 10 weeks of gestation is safe & the benefits outweigh any theoretical risks.

We are adopting a precautionary approach & are highlighting the small but possible risks to women so that they can make informed choices.