
Environmental Encyclopedia 3
Environmental health
gastrointestinal (GI) tract. The GI tract, along with the
urinary system are the main routes of excretion of dangerous
materials. Not surprisingly, those cells and tissues most inti-
mately and continuously in contact with dangerous materials
are among the ones most likely to be damaged. Ulcers,
infections, lesions, or tumors of the mouth, esophagus, stom-
ach, intestine, colon, kidney, bladder, and associated glands
are among the most common manifestations of environmen-
tal toxins. Other common routes of entry for toxins are
through the respiratory system and the skin. These also
are important routes for excreting or discharging unwanted
materials.
Some of our most convincing evidence about the toxic-
ity of particular chemicals on humans has come from experi-
ments in which volunteers (students, convicts, or others)
were deliberately given measured levels under controlled
conditions. Because it is now considered unethical to experi-
ment on living humans, we are forced to depend on proxy
experiments using computer models, tissue cultures, or labo-
ratory animals. These proxy tests are difficult to interpret.
We can’t be sure that experimental methods can be extrapo-
lated to how real living humans would react. The most
commonly used laboratory animals in toxicity tests are ro-
dents like rats and mice. However, different
species
can
react very differently to the same compound. Of some 200
chemicals shown to be carcinogenic in either rats or mice,
for instance, about half caused cancer in one species but not
the other. How should we interpret these results? Should
we assume that we are as sensitive as the most susceptible
animal, as resistant as the least sensitive, or somewhere in
between?
It is especially difficult to determine responses to very
low levels of particular chemicals, especially when they are
not highly toxic. The effects of random events, chance, and
unknown complicating factors become troublesome, often
resulting in a high level of uncertainty in predicting risk.
The case of the sweetener saccharin is a good example of
the complexities and uncertainties in
risk assessment
.
Studies in the 1970s suggested a link between saccharin and
bladder cancer in male rats. Critics pointed out that humans
would have to drink 800 cans of soft drink per day to get a
dose equivalent to that given to the rats. Furthermore, they
argued, most people are not merely large rats.
The
Food and Drug Administration
uses a range of
estimates of the probable toxicity of saccharine in humans.
At current rates of consumption, the lower estimate predicts
that only one person in the United states will get cancer every
1,000 years from saccharine. That is clearly inconsequential
considering the advantages of reduced weight, fewer cases
of diabetes, and other benefits from this sugar substitute.
The upper estimate, however, suggests that 3,640 people
492
will die each year from this same exposure. That is most
certainly a risk worth worrying about.
An emerging environmental health concern with a
similarly high level of uncertainty but potentially dire conse-
quences is the disruption of endocrine hormone functions by
synthetic chemicals. About ten years ago,
wildlife
biologists
began to report puzzling evidence of reproductive failures
and abnormal development in certain wild animal popula-
tions. Alligators in a lake in central Florida, for instance,
were reported to have a 90% decline in egg hatching and
juvenile survival along with feminization of adult males in-
cluding abnormally small penises and lack of sperm produc-
tion. Similar reproductive problems and developmental de-
fects were reported for trout in the
Great Lakes
, seagulls
in California, panthers in Florida, and a number of other
species. Even humans may be effected if reports of global
reduction of sperm counts and increases of hormone-depen-
dent cancers prove to be true.
Both laboratory and field studies point to a possible
role of synthetic chemicals in these problems. More than
50 chemicals, if present in high enough concentrations, are
now known to mimic or disrupt the signals conveyed by
naturally occurring endocrine hormones that control almost
every aspect of development, behavior, immune functions,
and
metabolism
. Among these chemicals are
dioxin
, poly-
chlorinated biphenyl, and several persistent pesticides. This
new field of research promises to be of great concern in the
next few years because it combines dread factors of great
emotional power such as undetectable exposure, threat to
future generations
, unknown or delayed consequences, and
involuntary or inequitable distribution of risk.
In spite of the seriousness of the concerns expressed
above, the
Environmental Protection Agency
warns that
we need to take a balanced view of environmental health.
The risks associated with allowable levels of certain organic
solvents in drinking water or some pesticides in food are
thought to carry a risk of less than one cancer in a million
people in a lifetime. Many people are outraged about being
exposed to this risk, yet they cheerfully accept risks thousands
of times as higher from activities they enjoy such as smoking,
driving a car, or eating an unhealthy diet. According to the
EPA, the most important things we as individuals can do
to improve our health are to reduce smoking, drive safely,
eat a balanced diet, exercise reasonably, lower stress in our
lives, avoid dangerous jobs, lower indoor pollutants, practice
safe sex, avoid sun exposure, and prevent household acci-
dents. Many of these factors over which we have control
are much more risky than the unknown, uncontrollable,
environmental hazards we fear so much.
[William P. Cunningham Ph.D.]