Article A |
Our Assumptions About What Causes Chronic Diseases Could Be Wrong |
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By Laura Wright, OnEarth Magazine
Martha Herbert, a pediatric neurologist at Boston's Massachusetts General Hospital, studies brain images of children with autism. She was seeing patients one day a few years ago when a 3-year-old girl walked in with more than the usual cognitive and behavioral problems.
She was lactose intolerant, and foods containing gluten always seemed to upset her stomach. Autistic children suffer profoundly, and not just in their difficulty forming emotional bonds with family members, making friends, or tolerating minor deviations from their daily routines.
Herbert has seen many young children who've had a dozen or more ear infections by the time they made their way through her door, and many others -- "gut kids" -- with chronic diarrhea and other gastrointestinal problems, including severe food allergies. Such symptoms don't fit with the traditional explanation of autism as a genetic disorder rooted in the brain, and that was precisely what was on
Herbert's mind that day. She's seen too many kids whose entire systems have gone haywire.
During the course of the little girl's appointment, Herbert learned that the child's father was a computer scientist -- a bioinformatist no less, someone trained to crunch biological data and pick out patterns of interest. She shared with him her belief that autism research was overly focused on examining genes that play a role in brain development and function, to the exclusion of other factors -- namely, children's susceptibility to environmental insults, such as exposure to chemicals and toxic substances.
Inspired by their conversation, Herbert left the office that day with a plan: She and the girl's father, John Russo, head of computer science at the Wentworth Institute of Technology, would cobble together a team of geneticists and bioinformatists to root through the scientific literature looking for genes that might be involved in autism without necessarily being related to brain development or the nervous system.
The group scanned databases of genes already known to respond to chemicals in the environment, selecting those that lie within sequences of DNA with suspected ties to autism. They came up with more than a hundred matches, reinforcing Herbert's belief that such chemicals interact with specific genes to make certain children susceptible to autism.
Although some diseases are inherited through a single genetic mutation -- cystic fibrosis and sickle cell anemia are examples -- the classic "one gene, one disease" model doesn't adequately explain the complex interplay between an individual's unique genetic code and his or her personal history of environmental exposures.
That fragile web of interactions, when pulled out of alignment, is probably what causes many chronic diseases: cancer, obesity, asthma, heart disease, autism, and Alzheimer's, to name just a few.
To unravel the underlying biological mechanisms of these seemingly intractable ailments requires that scientists understand the precise molecular dialogue that occurs between our genes and the environment -- where we live and work, what we eat, drink, breathe, and put on our skin.
Herbert's literature scan was a nod in this direction, but actually teasing out the answers in a laboratory has been well beyond her or anyone else's reach -- until now.
Consider for a moment that humans have some 30,000 genes, which interact in any number of ways with one or more of the 85,000 synthetic, commercially produced chemicals, as well as heavy metals, foods, drugs, myriad pollutants in the air and water, and anything else our bodies absorb from the environment.
The completion of the Human Genome Project in 2003 armed scientists with a basic road map of every gene in the human body, allowing them to probe more deeply into the ways our DNA controls who we are and why we get sick, in part by broadening our understanding of how genes respond to external factors.
In the years leading up to the project's completion, scientists began developing powerful new tools for studying our genes. One is something called a gene chip, or DNA microarray, which came about through the marriage of molecular biology and computer science. The earliest prototype was devised about a decade ago; since then these tiny devices, as well as other molecular investigative tools, have grown exponentially in their sophistication, pushing medical science toward a new frontier.
Gene chips are small, often no larger than your typical domino or glass laboratory slide, yet they can hold many thousands of genes at a time.
Human genes are synthesized and bound to the surface of the chip such that a single copy of each gene -- up to every gene in an organism's entire genome -- is affixed in a grid pattern. The DNA microarray allows scientists to take a molecular snapshot of the activity of every gene in a cell at a given moment in time.
The process works this way: Every cell in your body contains the same DNA, but DNA activity -- or expression -- is different in a liver cell, say, than it is in a lung, brain, or immune cell. Suppose a scientist wishes to analyze the effect of a particular pesticide on gene activity in liver cells. (This makes sense, since it is the liver that processes and purges many toxins from the body.)
A researcher would first expose a liver cell culture in a test tube to a precise dose of the chemical. A gene's activity is observed through the action of its RNA, molecules that convey the chemical messages issued by DNA.
RNA is extracted from the test tube, suspended in a solution, then poured over the gene chip. Any given RNA molecule will latch on only to the specific gene that generated it. The genes on the chip with the most RNA stuck to them are the ones that were most active in the liver cells, or most "highly expressed."
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Article B |
More Disabled Kids Living With Single Women;
Only 46 percent live in two-parent homes vs. 62 percent without disabilities |
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By The Associated Press
Raleigh, N.C. - Children with disabilities are more likely to live with a single woman - whether she is a mother, grandmother or a female foster parent - than other children, according to a new study.
The findings by researchers at the University of North Carolina at Chapel Hill indicate that organizations aimed at helping disabled children must also consider the particular problems faced by the single women who often care for them, said Philip Cohen, an associate professor of sociology at the university.
"In the patchwork of arrangements to care for children with disabilities, we have to realize that the system is also dealing with issues of gender equity," Cohen said.
The study, conducted by Cohen and his former student Miruna Petrescu-Prahova, now a doctoral student at the University of California, Irvine, was published Friday in the quarterly Journal of Marriage and Family.
The study examined 2000 Census data on 2.3 million children ages 5 to 15. More than 130,000 were reported to have mental disabilities, physical disabilities, or both.
It found that while 62 percent of children without disabilities live with a married, biological parent in a two-parent home, only 46 percent of disabled children do.
Single mothers care for 17 percent of children without disabilities, but for 24.5 percent of those who are disabled. Fewer than 5 percent of disabled children live with a single father, about the same percentage of non-disabled children living with fathers.
In homes where no biological parent is present, Cohen said disabled children were more than twice as likely to be cared for by a single woman than were children without a disability.
The findings are not particularly surprising, but offer a different perspective the challenges faced by single, female caregivers, said Avis Jones-DeWeever, director of poverty, education, and social justice programs at the Institute for Women's Policy Research in Washington, D.C.
The institute's own research has shown an inordinate number of women getting government aid are either themselves disabled or taking care of a disabled child, Jones-DeWeever said.
Single mothers often have multiple challenges causing them to fall through the cracks of existing assistance programs, she said. She agreed with Cohen that his data show "perhaps we need to think more concretely about what kinds of policy supports these families need."
Both said the largest unanswered question in all the research is why women end up dominating such caretaker roles. Most probably, it's simply "the cultural norms and a combination of what we as women tend to do," Jones-Deweever said.
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Article C |
The Puzzle of Hidden Ability |
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A new blog by NEWSWEEK's Sharon Begley examines new scientific research that makes you think about the world in a new way.
By Sharon Begley
Newsweek
Aug. 20-27, 2007 issue - Even their parents struggle to draw the tiniest hint of emotion or social connection from autistic children, so imagine what happens when a stranger sits with the child for hours to get through the standard IQ test. For 10 of the test's 12 sections, the child must listen and respond to spoken questions. Since for many autistics it is torture to try to engage with someone even on this impersonal level, it's no wonder so many wind up with IQ scores just above a carrot's (I wish I were exaggerating; 20s are not unknown). More precisely, fully three quarters of autistics are classified as having below-normal intelligence, with many deemed mentally retarded.
It's finally dawning on scientists that there's a problem here. Testing autistic kids' intelligence in a way that requires them to engage with a stranger "is like giving a blind person an intelligence test that requires him to process visual information," says Michelle Dawson of Rivière-des-Prairies Hospital in Montreal. She and colleagues therefore tried a different IQ test, one that requires no social interaction. As they report in the journal Psychological Science, autistic children's scores came out starkly different than on the oral, interactive IQ test—suggesting a burning intelligence inside these kids that educators are failing to uncover.
That failure has lifelong implications. "If we label these children as below-normal in intelligence, that is how they're treated," says Laurent Mottron, who led the study. The disparity between scores on the two IQ tests also makes you wonder who else the tests, which are used for everything from screening military recruits to filling "gifted" classes, are mislabeling.
For the study, children took two IQ tests. In the more widely used Wechsler, they tried to arrange and complete pictures, do simple arithmetic, demonstrate vocabulary comprehension and answer questions such as what to do if you find a wallet on the street—almost all in response to a stranger's questions. In the Raven's Progressive Matrices test, they got brief instructions, then went off on their own to analyze three-by-three arrays of geometric designs, with one missing, and choose (from six or eight possibilities) the design that belonged in the empty place. The disparity in scores was striking. One autistic child's Wechsler result meant he was mentally retarded (an IQ below 70); his Raven's put him in the 94th percentile. Overall, the autistics (all had full-blown autism, not Asperger's) scored around the 30th percentile on the Wechsler, which corresponds to "low average" IQ. But they averaged in the 56th percentile on the Raven's. Not a single autistic child scored in the "high intelligence" range on the Wechsler; on the Raven's, one third did. Healthy children showed no such disparity.
The Wechsler measures "crystallized intelligence"—what you've learned. The Raven's measures "fluid intelligence"—the ability to learn, process information, ignore distractions, solve problems and reason—and so is arguably a truer measure of intelligence, says psychologist Steven Stemler of Wesleyan University.
That presents a puzzle. If many autistics are more intelligent than an IQ test shows, why haven't their parents noticed? Partly because many parents welcome a low score, which brings their child more special services from schools and public agencies, says one scientist who has an autistic son (and who fears that being named would antagonize the close-knit autism community). But another force is at work. "We often think of intelligence as what you can show, such as by speaking fluently," says psychologist Morton Ann Gernsbacher of the University of Wisconsin. "Parents as well as professionals might be biased to look at that" rather than dig for the hidden intellectual spark.
The challenge is to coax that spark into the kind of intelligence that manifests itself in practice. That is something autism researchers are far from doing. Worse, much of the expert advice might be counterproductive. Many experts dismiss autistics' exceptional reading, artistic or other abilities as side effects of abnormal brain function, "not a reflection of genuine human intelligence, which it is likely to be," says Mottron. They advise parents to steer their child away from what he excels at and obsesses over, such as letters and words and details, and toward what he struggles with, such as faces and the big picture. Dawson, who is autistic, thinks that's a prescription for intellectual failure; autistics should be encouraged to build on their strengths, as everyone else is. The problem of a lurking intelligence that won't be coaxed out by the usual education and parenting methods is not necessarily unique to autistics. It makes you wonder how many other children, whose intellectual potential we're too blind to see, we've also given up on.
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Article D |
Under suspicion
Researchers now believe that autism can be caused by genes in combination with environmental triggers. The question is, what are those triggers? |
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By Carey Goldberg, Globe Staff | August 13, 2007
Nancy Duley wants desperately to know why her daughter Kira, happy and healthy in her first year of life, then "slipped away into her own little world" -- the isolation of autism. To that end, when Duley was recently pregnant with her third child, she eagerly gave blood samples to researchers, and kept batches of urine samples in her freezer for them to collect.
"When no doctor can tell you why your child has autism, or how you could avoid it or treat it or cure it, as a parent that is the most horrifying feeling to have -- that there are no answers," Duley, a resident of Fairfield, Calif., said last week.
She was speaking at a press conference at the University of California at Davis announcing $7.5 million in new federal funding, including about $2 million for a groundbreaking study that seeks to track, earlier and more closely than before, potential environmental triggers for autism -- beginning in the womb.
As the ranks of children diagnosed with autism grow, researchers are focusing more on such efforts. They are casting an ever-widening net to try to detect possible environmental factors -- such as chemicals or infections -- that could be interacting with genetic risk factors.
Money is beginning to stream toward researchers who are on that trail, supporting a new wave of studies.
"Environmental research will be a much bigger field going forward," said Dr. Thomas Insel, director of the National Institute of Mental Health. "A lot of parents have been telling us about their concerns; now we're listening very closely."
Until recently, about 90 percent of autism research has focused on genetics, and only perhaps 10 percent on environmental factors, said Dr. Gary Goldstein, chairman of the scientific board of Autism Speaks, a national research and advocacy group. In the coming years, he expects the ratio to be 1 to 1.
Dr. Martha Herbert, a Harvard neuroscientist and Massachusetts General Hospital neurologist, said a few years ago, autism researchers would be marginalized if they talked about environmental factors. But now, "any major article or proposal concerning the causes of autism is coming to be considered incomplete if it doesn't talk about a potential role of environmental factors."
Some say this shift in autism research did not happen sooner because it has been so hard to find obvious targets to track.
"There's been no smoking gun," Insel said. "There's been nothing like tobacco and lung cancer."
For years, many parents have argued that the smoking gun was thimerosal, a mercury-based preservative used in many vaccines. But studies have failed to bear that theory out, and autism rates continue to rise even though thimerosal was removed from most childhood vaccines several years ago.
The dispute over thimerosal long tainted the whole idea of environmental triggers for autism, discouraging scientists from entering the field, some researchers and parents say.
Career-wise, "It has not been safe for scientists to work on this problem" of possible environmental factors in autism, said Mark Blaxill of Cambridge, cofounder of Safe Minds, a parent group. But the rates of autism have reached epidemic proportions, he contends, and clearly, genes cannot account for such rapid change.
Even with broad agreement that the attempt is worthwhile, the challenge of pinpointing environmental triggers remains daunting. Researchers must examine thousands of chemicals in the environment that could be damaging children's brains and creating the social and communication impairments of autism.
Last month, California public health researchers reported early findings that among 29 women who had lived near farmland sprayed with pesticides called organochlorines during the first trimester of pregnancy, eight bore children who developed autism. That was six times the risk of autism in a control group who did not live near sprayed farmland. The researchers cautioned that the findings were highly preliminary, but called for further research into a possible pesticide-autism link.
And toxic chemicals are only one category of possible environmental factors: There may be infections, medical procedures, medications.
"We are starting with such an open field," said Irva Hertz-Picciotto, an environmental epidemiologist at UC Davis, who focuses largely on autism.
One of her current studies is gathering data on a wide array of possible environmental exposures from parents of more than 500 children with autism. It asks hundreds of questions about the mother's pregnancy: Did you have a urinary tract infection? What household products did you use? And it continues with questions encompassing childhood exposures: Were pesticides sprayed near the home? Did you use flea powders on your pets?
It also examines biological specimens: blood drawn from the child as a baby, locks of baby hair, and urine samples, looking for signs of everything from heavy metals to infection.
Hertz-Picciotto and colleagues are also leading the new study whose funding was announced last week with Duley's help.
Markers of Autism Risk in Babies -- Learning Early Signs, or MARBLES, includes the sophisticated analysis of specimens from women even before they give birth, along with cord blood from the baby at birth and the mother's breast milk later on.
Duley, one of its first participants, said she hopes to answer the "burning questions" that torment many parents of children with autism: "Why is this happening? What did I do? Is there anything I could have done to prevent this?"
A huge study underway in Norway aims similarly to follow 100,000 children from the womb through age 6 in search of causes of a broad range of diseases, and its leaders have agreed to collaborate with Columbia University researchers to try to track factors in autism.
The US Centers for Disease Control and Prevention are also gathering biological and environmental data on hundreds of children with autism, and planning to examine hundreds more.
Herbert, the Harvard neuroscientist, argues that environmental exposures might not only help trigger autism, they may also continue to influence an autistic child's health and mental state, creating "striking good hair days and bad hair days." The mechanism may involve the immune system or brain chemistry or the body's metabolism -- or all three.
If continued exposure is part of the problem, she says, perhaps such ongoing effects could be treatable, even reversible.
Goldstein, who is also president of the Kennedy Krieger Institute in Baltimore, recalled wistfully the success of epidemiologists who cracked Reye's Syndrome, a rare brain-swelling disease that killed young children in the wake of benign infections such as chicken pox. Researchers figured out that Reye's was triggered among genetically vulnerable children by that staple of the sickroom: aspirin.
"The proof of the pudding was, take away the aspirin and it's gone," he said. "Wouldn't it be wonderful if we found something like that?"
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ARTICLE E |
Research seeks autism answers
UCD will look for causes by tracking volunteers before and after birth. |
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By Dorsey Griffith - Bee Medical Writer
Wednesday, August 8, 2007
Researchers have long suspected that autism's causes are rooted in one's genes, combined with some kind of a hit from the environment.
But pinpointing the interplay of these factors has been daunting, in part because the probing tends to come after a child is diagnosed.
A new study at UC Davis will examine potential clues pointing to the neurodevelopmental disorder before it occurs -- prior to birth and during a baby's earliest years.
"We are quite concerned about the role that environment might play in autism," said Nigel Fields, a scientist at the U.S. Environmental Protection Agency, one of two federal agencies to fund the $7.5 million research. "We would like to understand the complex interaction of genes and environmental factors as early in the developmental process as possible."
Autism, once a fairly rare disorder, is now the fastest growing developmental disability in California, increasing at astronomical rates. As of the end of June, 34,656 people in California qualify for state services because of an autism diagnosis. Autistic children often have trouble talking, exhibit repetitive behaviors and are unable to connect with other people.
Researchers in the new study will look at the mother before, during and after pregnancy, and at the baby throughout its first three years. The goal is to learn how to identify children most susceptible to environmental exposures that may lead to autism.
The project, known as MARBLES for Markers of Autism Risk in Babies -- Learning Early Signs, is the first of its kind to look in real time at environmental exposures. They could include a mother's infections during pregnancy, an infant's routine childhood vaccinations, and other potential contaminants such as mercury, flame retardants and common, chlorinated chemicals such as those found in pesticides.
MARBLES is an extension of another project under way examining the influence of genes and environmental factors in more than 800 families in which a child is already diagnosed with the disorder.
That study, called CHARGE, Childhood Autism Risks from Genetics and the Environment, already has found that autistic children's immune systems respond differently to certain substances than do those of children who do not have autism, leading experts to suspect that autism is an immune function disorder as well as a neurological disorder.
"But if you really want to get at causes, it's crucial to go back in time," said Irva Hertz-Picciotto, a UC Davis environmental epidemiologist and one of the project's principal investigators.
MARBLES will enroll more than 200 pregnant women who already have had at least one child diagnosed with autism, since mothers of autistic children are at least 10 times more likely to have another child with the disorder.
Researchers will comb their homes for potential environmental poisons -- gathering the contents of vacuum cleaners, carpet dust and samples of air. They will conduct extensive interviews with the mothers about their exposures to everything from nail polish products to mercury-tainted fish. They will collect blood, and immediately after the baby's birth, placental tissue, umbilical cord blood, as well as mother's breast milk and urine from both mom and baby.
The intrusion is more than welcome for Nancy Duley, a Fairfield mother who gladly enlisted in the study while she was pregnant with Jordan, her son, now 6 weeks old.
Duley's first child, 6-year-old Kira, was diagnosed with autism before she turned 2.
Duley said Kira was hitting developmental milestones until after her first birthday, then lost her desire to imitate what was going on around her. At 16 months, her condition worsened, and the Duleys presumed their daughter was deaf.
Duley believes Kira's autism was the result of her infant immunizations, since she was developing typically until after getting the shots.
"I felt environmental toxins would be implicated in some way," she said. "I am happy to be a guinea pig if it means someone else could avoid the pain we have been through."
Isaac Pessah, a UC Davis molecular biologist who runs the university's Center for Children's Environmental Health, which oversees both autism studies, said researchers suspect they won't find a single environmental cause of autism, "but uncover patterns of susceptibilities and external influences that can lead to different forms of the disorder."
Tracey Dinh is a Sacramento mother of two and MARBLES study volunteer. Unlike Duley's autistic daughter, Dinh's son showed signs of autism very early on.
Now 4, her son Austin was diagnosed with autism at age 2 1/2, but his symptoms showed up in infancy. Dinh has questioned the possible reasons for the onset of his condition ever since.
"When I was pregnant, I didn't watch what I was eating," she said. "We lived in an apartment where someone bombed the apartment next to us for roaches and didn't tell us. I rode the subway to work. I could wrack my brains to figure out what could have happened."
Giving up some privacy for the sake of finding possible answers is worth it, she said. "There is nothing in the world that tears your world part like this," she said of her son's disorder. "Having these people come into my life doesn't feel as invasive as the diagnosis itself."
Women interested in enrolling in MARBLES who live within two hours' driving distance of Sacramento can call (530) 754-0612 or toll-free (866) 550-5027 or e-mail marbles@ucdavis.edu for more information and to find out if they meet recruitment criteria.
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ARTICLE F |
Study suggests link between pesticides, autism |
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By Marla Cone, Times Staff Writer
July 29, 2007
Women who live near California farm fields sprayed with organochlorine pesticides may be more likely to give birth to children with autism, according to a study by state health officials to be published today.
The rate of autism among the children of 29 women who lived near the fields was extremely high, suggesting that exposure to the insecticides in the womb might have played a role. The study is the first to report a link between pesticides and the neurological disorder, which affects one in every 150 children.
But the state scientists cautioned that their finding is highly preliminary because of the small number of women and children involved and lack of evidence from other studies.
"We want to emphasize that this is exploratory research," said Dr. Mark Horton, director of the California Department of Public Health. "We have found very preliminary data that there may be an association. We are in no way concluding that there is a causal relationship between pesticide exposure of pregnant women and autism."
The two pesticides implicated are older generation compounds developed in the 1950s and used to kill mites, primarily on cotton as well as some vegetables and other crops. Their volumes have declined substantially in recent years.
Examining three years of birth records and pesticide data, scientists from the public health department determined that the Central Valley women lived within 547 yards of fields sprayed with organochlorine pesticides during their first trimester of pregnancy. Eight of them, or , 28%, had children with autism. Their rate of autism was six times greater than for mothers who did not live near the fields, the study said.
Susan Kegley, senior scientist of Pesticide Action Network North America, a San Francisco-based advocacy group, said the report added to an existing body of evidence that endosulfan and dicofol, already banned in some countries, are harmful.
"This is one of the first papers that links use of pesticide to incidence of a disease, and autism in particular," she said. "The findings are very strong. This is a six-fold risk factor in comparison to someone who is not exposed. There aren't too many studies that come out like that."
Even though small numbers of children were involved, "it is still one of those things that make you sit up and pay attention," she said.
The findings suggest that 7% of autism cases in the Central Valley during the years studied — 1996 through 1998 — might have been connected to exposure to the insecticides drifting off fields into residential areas. Births during those years were analyzed because children born later might not yet be diagnosed with autism.
Children with autism spectrum disorders have impaired social and communication skills. The causes are unknown, but because diagnoses have been increasing, scientists have been exploring various environmental factors, including children's vaccines and chemical pollutants.
"The good news is we've used a new research technology to generate hypotheses and possible associations, so we are making progress in the battle to get more information" about the cause of autism, Horton said.
The goal of the study was to "systematically explore the general hypothesis that residential proximity to agricultural pesticide applications during pregnancy could be associated with autism spectrum disorders in offspring," the authors wrote in their study, published online today in the scientific journal Environmental Health Perspectives.
The scientists collected records of nearly 300,000 children born in the 19 counties of the Sacramento and San Joaquin river valleys. Of them, 465 had autism. The scientists then compared the addresses during pregnancy to state records that detailed the location of fields sprayed with several hundred pesticides.
For most pesticides, no unusual numbers of autism cases were found but the exception was a class of compounds called organochlorines. Most, including DDT, were banned in the United States several decades ago because they were building up in the environment. Only dicofol and endosulfan remain.
The autism rate was highest for children of those mothers who lived the closest to the fields and it declined as the distance from the fields increased.
There is no other human or animal evidence that the two chemicals can cause autism. But both are neurotoxins — they affect nerves and the brain — and cause reproductive effects and alter hormones in animal tests. In addition, dicofol is a possible human carcinogen.
The scientists concluded that "the possibility of a connection between gestational exposure to organochlorine pesticides and autism spectral disorders requires further study."
A July report by the Department of Pesticide Regulation said endosulfan can spread far from fields via the air and expose the public, based on air monitoring in Fresno, Monterey and Tulare counties. The state Department of Pesticide Regulation is likely to designate endosulfan as a toxic air contaminant soon, and dicofol could follow. That designation triggers a review by the agency to see whether steps should be taken to minimize the chemicals drifting off fields into nearby communities.
Glenn Brank, spokesman for the pesticide agency, said officials there are "very interested" in the new autism data but say that "more work" on the potential link is needed before it can carry much weight in assessments of the chemicals' risks.
The two insecticides are now used much less often than in the years that the possible connection to autism was found. As a result, there is less likelihood that pregnant women are exposed today. Nearly 774,000 pounds were applied in 1996, compared with 277,000 pounds in 2005, down nearly 64%, according to state records.
"In the past couple years, the bottom has dropped out of these two," Brank said.
Insects have built up resistance and cotton farmers have switched to new compounds.
The two chemicals are not found in household or yard pesticides. Traces are found in food, but the study looked only at possible exposure from the air. They are used most extensively in Fresno, Kings, Imperial and Tulare counties. Dicofol is mostly used on cotton, oranges, beans and walnuts. Endosulfan is used primarily in tomato processing and on lettuce, alfalfa and cotton crops.
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