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Chemicals in the environment and developmental toxicity to children: a public health and policy perspective.

机译:环境中的化学品和对儿童的发育毒性:公共卫生和政策角度。

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摘要

There are numerous pesticides and toxic chemicals in the environment that have yet to be evaluated for potential to cause developmental neurotoxicity. Recent legislation and testing initiatives provide an impetus to generating more information about potential hazards to children. In the United States, the 1996 Food Quality Protection Act (FQPA) required the U.S. Environmental Protection Agency (U.S. EPA) to make a finding that a pesticide food use is safe for children. In addition, the law requires U.S. EPA to incorporate an additional 10-fold factor in risk assessments for pesticide residue tolerances to take into account the special sensitivities of infants and children as well as incomplete data with respect to toxicity and exposures. The potential of chemicals in food and drinking water to cause endocrine disruption will also be examined via the Endocrine Disruptor Screening and Testing Program required by the FQPA and the 1996 Safe Drinking Water Act. In addition, a new voluntary chemical information program will provide screening-level information for the some 2,800 high-volume chemicals in commerce in the United States. These initiatives will need to be accompanied by research focused on developmental toxicity for children, including developmental disabilities. Developmental disabilities exact a large toll on children's health in the United States. Three major developmental disabilities--autism, cerebral palsy, and severe mental retardation--each affect substantial numbers of children. We know very little about the etiology of these conditions. A number of priority areas for research are suggested, including a large environmental prospective study of developmental neurotoxicity.
机译:环境中有许多农药和有毒化学物质尚未引起潜在的发育神经毒性评估。最近的立法和测试计划为生成更多有关对儿童潜在危害的信息提供了动力。在美国,1996年的《食品质量保护法》(FQPA)要求美国环境保护署(U.S. EPA)认定使用农药食品对儿童是安全的。此外,该法律要求美国EPA在农药残留耐受性风险评估中纳入额外的10倍因子,以考虑婴儿和儿童的特殊敏感性以及有关毒性和暴露的不完整数据。食品和饮用水中化学物质引起内分泌干扰的潜力也将通过FQPA和1996年《安全饮用水法案》要求的内分泌干扰物筛选和测试计划进行检查。此外,一项新的自愿性化学信息计划将为美国约2800种商业化的大宗化学品提供筛选级别的信息。这些举措需要伴随着针对儿童发育毒性的研究,包括发育障碍。在美国,发育障碍对儿童健康造成了巨大损失。三大主要发育障碍-自闭症,脑瘫和严重智力低下-每个人都会影响大量儿童。我们对这些疾病的病因知之甚少。建议了许多优先研究领域,包括对发育性神经毒性的大型环境前瞻性研究。

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