BACK
 


Toxic Children


By Marcia Zimmerman, M.Ed., C.N.

Toxic Kids - Part One

Toys are serious business especially around the holidays. The recent discovery that lead contamination is widespread has parents and grandparents in a panic. Some of the most trusted names in the toy business have had to recall long standing favorites1. Fisher-Price alone recalled 967,000 toys. That got everyone's attention! It seems the availability of less expensive plastic toys made outside the United States may not be such a bargain after all. Parents are turning increasingly to wooden toys stained with vegetable dyes - the old fashioned - and more expensive way.

Lead has gotten all the press lately, but knowledgeable parents have been trying to avoid pthalates - a chemical used to make toys, bottles, and baby equipment soft and pliable. Pthalates and other toxins will be the subject of Toxic Kids part II next month. Now let's focus on lead, its sources (not just toys), health effects, testing, and what you can do about it.

Sources of Lead

The December 2007 of Consumer Reports found lead in a wide variety of everyday items they tested. Included are dishware, jewelry, glue stick caps, vinyl backpacks, vinyl lunchboxes, children's ceramic tea sets, vinyl mini blinds, brass keys, baby bibs, clothing, crayons, chalk, and the blood pressure cuff in Fisher-Price toy medical kits. It's a fairly safe hypothesis that brightly colored items made off shore will likely contain lead, which is an inexpensive pigment.

Other household items not normally associated with toys are made with lead because of its malleable and stabilizing qualities. It's surface lead that is of particular concern, because it can be released easily through contact. Brass keys may contain surface lead and are often given to tots as a diversion. Anything a young child mouths or handles frequently and that contains lead, is a cause for concern. Inexpensive jewelry imported from China can contain 90 percent lead, according to Consumer Reports. Vinyl mini-blinds contribute more to longer term exposure because sunlight releases surface lead.

Environmental waste and use of lead additives is a significant source of contamination in the United States. Until 1979 lead was an allowable additive in house paint and until 1986 in gasoline. Lead is still approved for industrial use and in the military2. Lead never deteriorates and never disappears. Dumping and recycling of batteries has become a greater concern with the widespread use of battery operated toys, electronics boards, and other common items. Toxic dump sites have posed a significant exposure as urban areas have encroached on areas that were out in the boonies just a few years ago. Military base closure has saved taxpayer dollars, but the former bases contain high levels of lead and other contaminants, necessitating diversion of tax dollars for clean-up. The Environmental Protection Agency (EPA) suggests that the primary sources of lead exposure for most children are:3

  • deteriorating lead-based paint
  • lead contaminated dust
  • lead contaminated residential soil

Lead in these sources can be inhaled and ingested from food and beverages, leading to significant health hazards in adults as well as children. Drinking water may contain lead if lead solder or lead parts in plumbing have been used. You cannot see, smell or taste lead. It's an insidious toxin and we can't get rid of it.

Health Effects of Lead

The EPA warns that lead poisoning in children remains a major environmental health problem in the U.S. Children who otherwise appear healthy can have dangerous levels of lead in their bodies. Lead is a powerful neurotoxin, which is at the root of most health effects. In children these are:

  • damage to brain and nervous system
  • behavior and learning problems (such as hyperactivity)
  • 4
  • slowed growth
  • hearing problems
  • headaches.

Adults who have lead poisoning may have:

  • difficulty during pregnancy (lead toxicity in mothers is high risk for the unborn)
  • reproductive problems in both men and women
  • high blood pressure
  • digestive problems
  • nerve disorders
  • memory and concentration problems
  • muscle and joint pain (other toxic metals including mercury can also cause this).

If you suspect your child has been exposed to lead, you should have the child tested. The EPA recommends that all children be tested at ages 1 and 2. Pediatricians may also suggest the children under the age of six be tested every year. Children younger than six are at the greatest risk because their bodies are growing so fast. While kids have the highest short term exposure to lead, adults accumulate it from lifetime exposure or the workplace.

Testing for Lead

The Consumer Product Safety Commission (CPSC) staff evaluated lead testing kits for the home and its contents. Two types of home test kits are available and both use color (colorimetric) to indicate lead's presence. CPSC cautions that home test kits may not provide the most definitive results and that more accurate results can be obtained with laboratory testing that utilizes X-ray fluorescence spectrometry (XRF)5. Home testing gives parents a good screening tool because kits detect surface lead, the most likely source of contamination in children. Consumer Reports suggests these test kits:

  • Homax Lead Check ($8.00) and Household Lead Test Kit ($18.45)
  • Lead Inspector ($13.00)
  • First Alert ($13.00)
  • Pro-Lab Lead Surface ($10.00)

They suggest you eliminate any items that test positive and use professional testing for more accurate results. XRF also detects embedded lead, which is not detectable with home test kits.

What You Can Do

According to the American Academy of Pediatrics (AAP), "significant exposure to lead is a preventable environmental threat to optimal health and developmental outcomes for young children." They recommend screening the child's blood for toxic levels of lead, particularly if a sibling or playmate is toxic. A list of conditions that suggest the possibility of lead toxicity is listed in the AAP paper cited in the references below and is available on the Internet6. An elevated lead level according to the Centers for Disease Control (CDC) is ?10mcg/dL of blood7. Taking preventive measures to reduce environmental sources of contamination is another important step. AAP recommends nutritional supplements of calcium and iron given to toxic children act as a preventive against lead buildup and help reduce body burden. Lead is a specific inhibitor of calcium and replaces it in bone. Both calcium and iron can reduce the storage of lead in tissues. A news release published by the University of California, San Francisco discloses that low levels of vitamin C are found in those who are lead toxic. Coauthors Drs. Joel Simon M.D. and Esther S. Hudes, Ph.D., suggest increasing the amount of fresh fruits and vegetables consumed every day because of their vitamin C content. Nutritionists have long suggested that vitamin C, flavonoids and other phytochemicals found in fruits and vegetables are mild chelating agents. This means that they are effective in harnessing lead and escorting it out of the body. The UCSF doctors also suggest a multiple vitamin with C or an additional vitamin C supplement as "insurance policy."

References:

  1. EPA list of recalled toys: http://www.cpsc.gov/cpscpub/prerel/category/toy.html
  2. Kitman, J.L.; The Secret History of Lead http://www.thenation.com/doc/20000320/kitman
  3. Lead in paint, dust and soil. Http://www.epa.gov/lead
  4. Tuthill, R.W.; Hair Lead Levels Related to Children's Classroom Attention-Deficit Behavior Arch Environ Health 1996;51(3):214-20 http://www.encyclopedia.com/printable.aspx?id=1G1:18566431.
  5. CPSC Staff Report October 2007. http://www.cpsc.gov/cpscpub/prerel/prhtml08/08038.html
  6. Committee on Environmental Health American Academy of Pediatrics Pediatrics 1998;101:1072-1978. http://aappolicy.aappublications.org/cgi/content/full/pediatrics;101/6/1072
  7. Blood Lead Levels in Young Children - United States and Selected States, 1996-1999 CDC MMWR Dec. 22, 2000;49(50):1133-7. http://www.cdc.gov/mmwr/preview/mmwrhtml/mm4950a3.htm


Copyright©, 2001 by The Zimmerman Group, Inc. All rights reserved. Except as permitted under the Copyright Act of 1976, no part of this publication may be reproduced or distributed in any form or by any means, or stored in a database or retrieval system, without the prior written permission of the publisher.

No part of this article may be used for the promotion of product or services without the express written consent of the author. The information in this article is intended for educational purposes only. It is not intended to replace the advice of a health care provider. Nor is it to be used to diagnose, treat or cure any condition.


BACK