And our children. Two studies in two very different places both measuring hazardous exposures, provide a better understanding of the unseen risks that we all take every day and the consequences those risks have on our health. Located in the far northeastern corner of oklahoma the town of picher has a unique landscape. Just steps away from homes schools, and playgrounds sit manmade mountains. Since the turn of the last century through the 1970s, the abundant underground resources of lead and zinc ore were mined to supply among other things material for ammunition used during world war ii. But along with the lead and zinc came tons of mining waste, creating these mounds, called chat piles, that have always been a fixture in this community. Woman ive lived here my entire life and the chat piles were our friends. Thats where your birthday parties were where you had wiener roasts. Where you had Highschool Football bonfires. All those kinds of activities were where we gathered. Narrator but these chat piles contain high levels of heavy metals not only the lead and zinc bualadmium, copper d nickel. And the chat is not just in the piles. It has been used to make asphalt for roads and as filler between houses in neighborhoods like the one where c. C. Frederich has lived for 17 years. Here, see, thats all chat down in the alleys. Its leacontamed. You know that. Narror tar creek, flowing through pier is also highly contaminated. Woman it is a polluted creek. Its a creek that is loaded with lead but its also loaded with a lot of other metals and things that can contaminate and harm people. We need to get the word out. Narrator rebecca jim is the director of l. E. A. D. , a communityaction agency. Through the years, she has witnessed firsthand the effects of toxins in picher. Jim i was an educator here in this community for over 25 years. And what i found when i first got here was children that were ready to learn, and they were able to, and they were eager, and they were excited, and they could learn easily. And through those years, those children became more exposed, and, i think, became damaged. Man rebecca jim contacted me in the mid1990s and asked me whether i could measure some of the teeth that she had collected from schoolage children for lead. We measured those teeth. The levels were relatively high. Narrator the tests further confirmed rebecca jims suspicions that the children were being affected by lead poisoning. Many of the problems lead causes in the human body appear to be associated with its ability to mimic or inhibit the action of another metal calcium. Calcium can only enter the bodys cells by binding to a specific protein. Once in the cells, it plays an Important Role in the conduction of nerve impulses, vital for normal brain function. Lead binds itself to the same protein as calcium interfering with these processes. This interference can have lasting effects on the developing brain of a child such as loss of i. Q. And speech, language and behavioral problems. Jim it changes the way the whole class learns. If you have half of your class or a third of your class leadpoisoned, which is a real possibility, you can almost chase off a teacher. [ laughs ] it changes how things work. Narrator but lead is not the only metal this community is being exposed to. In 2004, a team of researchers from the Harvard School of Public Health begin to ask different more complex questions about the exposures here. Hu the fundamental Research Question were addressing is what are the Health Effects of mixtures of metals in this case the mixtures of lead, manganese, cadmium, and arsenic that exist in mining waste . We have very good ideas of what individual toxicants can do to people. However, you cannot predict what the ultimate Human Health Impacts might be from simply knowing what the individual toxicants can do. Mixtures can in the most extreme cases, interact in ways that are unforeseen and give you toxic ramifications that are much greater than what could be predicted from the single exposures. On the other hand, in some mixtures toxicants can cancel out the effects of each other. So this just has to be studied well and properly for us to understand what the real risks are. One of the studies is looking at metal levels in the immediate Living Environment of the people in the study their air, their food, their water, their house dust so that we have a better idea of how these metals may travel from these mining sites to the actual people themselves. Narrator wind and human activity kick up contaminated dust off the chat piles which is then blown into the community. The researchers set up air monitors throughout the area and take dust and water samples within peoples homes. They can compare these samples to blood taken from study participants to gain a much better understanding of how people are being exposed, what the different exposure levels are, and what effect those exposures may have on residents health. Ami zota has been working on the study for over three years. Theyre both about the same. Theyre both 97. Woman were attempting to study metals as they exist in the real environment, so were attempting to study mixtures, which are a bit more messy but can have monumental impact for the way we understand environmental exposures and pollution problems. Some of the metals were studying have multiple relationships with humans, where they can be both nutrients but they can also be toxic. So you want to stay within a certain range. But the thing is with a lot of these metals in terms with environmental conditions we dont know what, exactly, is too much. So we dont know exactly where that toxic line begins. Narrator after collecting samples ami takes them back to the lab in boston, massachusetts for analysis. The main thing we can see right now is that there is a range of results. And this is interesting from a scientific perspective because it gives you something to study. Its not like everyone is experiencing the same thing and being exposed the same way and theres not just one blanket problem thats affecting everyone in the area the same way. Were just right on the peak of really getting a lot of data to really be able to start understanding whats going on. Narrator while this study is concerned with exposure levels in the community as a whole, the real focus is on babies and young children. Volunteer motherinfant pairs have been enrolled since birth so the team can track exposure levels in their blood. Though in the early stages of research, some of the initial results have been encouraging. Exposures arent quite as high as they had been measured perhaps 10 or 15 years ago. We dont know yet why that might be true or whether its true for all children in this area, but were certainly hopeful that the residents as they gain more knowledge of these exposures their potential effects, and how to avoid them, may be actually reducing their own exposures through simple commonsense measures, and thats maybe why were seeing a reduction. The oldest children are only around 3 years old or so. Our eventual goal is to try to follow them as they get into school and understand how their exposures may impact how well these children can think and perform. What is their i. Q. . What is their coordination . What is their ability to think abstractly . Its a subtle issue. But on the other hand, if metals actually lower your childs i. Q. By 5 points or 10 points its not something youre ever going to recognize but its something, obviously, that will be hugely important for parents as well as the children. Narrator but this population study is just one piece of the puzzle. Dr. Jim shine is the Principal Investigator for another study, concerned with how the metals are being transported into the community. Man we really want to be able to quantify where the metals are coming from. And if we can do that, then we can figure out whats the best strategy to prevent addition of metals into the stream, which go down the river. Narrator one of his studies is focused on how rainwater may filter through the contaminated rock in the chat piles and enter tar creek. N heres water. It could have been rainwater or whatever. Fell on the chat piles here, percolated through and now its coming out the bottom carrying the contaminated heavy metals which you can see it running down right into the stream down there. When weve measured some of the concentrations of cadmium, lead, and zinc its highly elevated levels of heavy metals in this water thats running out from underneath the chat pile. Narrator but chat piles are not the only source of heavy metals. Below ground exist hundreds of miles of abandoned mines now filled with contaminated water. This water is now bubbling up to the surface. Dr. Shine this is groundwater bubbling up from underground. What hapns is the iron when is underground and theres no oxygen, it can stay dissolved. But once it comes up it oxidizes, and essentiay what youre looking at is rust. You can see the mixing. Here comes the acid mine water. You can see the line where it goes from orange to clear. And the question is, whats the amount of toxic heavy metals that are coming along with that rust . Narrator to gain a clearer understanding of where the metals are coming from, dr. Shine and his team take samples of water at different points along tar creek. Dr. Shine we will process these, take them back to the lab, and analyze them for heavymetal content. Narrator back at the lab in boston, Laurel Schaider is evaluating the samples taken from tar creek using a mass spectrometer. Woman so we run the sample through and it separates the metals based on their atomic mass. And then were able to quantify the concentration of the metals in the samples. And so this machine can tell us lead, cadmium, zinc, manganese concentrations all at the same time. Narrator while this research is ongoing results from samples collected during one trip show the complicated nature of this study. 5 of tar creeks overall flow rate was coming from the chat piles and 40 from the mines. 90 of the cadmium originated from the chat piles and 4 from the mines. For zinc, the split was about 30 from the chat piles and 50 from the mines. And for lead it is split almost equally. These trends vary throughout the year, and Ongoing Research will explore the importance of mine seepage and chatpile runoff as sources of metal loading over extended periods. Preliminary findings from these studies are giving us a benderstanding of the very complicated he and environmental problems associated with mining. While these findings will help this Community Better address Health Issues the value of the results is not limited to picher, oklahoma. Hu mini ng is a process that occurs all over the world. One of my great hopes is that the developing world will be able to use this information during the Development Process to leapfrog some of the worst excesses of our own society and go straight to a cleaner technology, a cleaner developmental model, that will allow their populations to reduce or prevent these exposures from happening from the beginning. Narrator while howard hu is studying the Health Effects mining can have on a community dr. Robin whyatt of the Columbia Center for childrens Environmental Health is concerned with a more widespread environmental problem exposure to pesticides. Woman pesticides are designed to be toxic. Theyre designed to kill. And a lot of them can kill humans through the same mechanisms that they kill insects. Its just that the dose has to be lots, lots higher. So what you want to be sure, then is that that dose is below ones that would be causing any problems in humans. Narrator the location of whyatts study may seem unusual new yorks inner city. Dr. Whyatt people do think of pesticides as agricultural only, but thats just not at all accurate. About 10 of Pesticide Use in the United States is used in and around the home. And there was a study done in 1997 that showed that more gallons of specific types of pesticides were used in manhattan than any other place in new york state, including in the agricultural communities. My main area of research is to look to see whether or not there are any Health Effects from pesticide exposures at the general level that many people are exposed to at those levels, at those very low levels whether there are any Health Effects or not during fetal development. I got interested in it because there was evidence in Laboratory Animals at much higher levels of exposure given during pregnancy when the fetus was developing that there were longterm neurocognitive problems in the offspring that it seemed prudent to look in a human population. We have four Research Questions that we were looking at in this study. One is, were women using pesticides during pregnancy . If so, were they getting exposed . And those are two different issues. You can be using it, and if it isnt coming into your air or it isnt getting on you you wont have any exposure. So the second question if they were using it, were they being exposed . Third was, were the pesticides getting to the baby . And then finally were they causing any Health Effects on the baby . How is an apple and a banana alike . Theyre both fruits. Narrator to answer these questions, whyatt is conducting a study on 720 motherandchild pairs. Her Research Began in 1998 as part of a much broader study looking at toxic exposure existing in the inner city. Dr. Frederica perera is the director of this larger study. There are concerns about the environment in these neighborhoods that are not the same concerns that one sees in a rural area. The exposures that are predominant here include air pollutants from traffic emissions from incinerators or residential heaters tobacco smoke, and then also the metals lead and mercury and other metals because we know these are toxic to the developing fetus, and they may also be problems in these communities. And by doing a welldesigned study, a humanpopulation study, we can get very valuable information on exposure to environmental agents as well as on early signs of risk. Narrator design is key to the validity of this and any humanpopulation study. Your ideal study design is that you have people who are exposed and not exposed to the compound youre interested in that are identical in all other ways. Now, obviously that doesnt happen. And so we thought a lot about this when we were designing this study. We realized we were really best off studying it in just the same community because everybody in that community was gonna be similar to each othe but the exposures across the community vard. Narrator to accurately determine the Health Effects of pesticide exposure, whyatt and her team use a large number of datacollection strategies including air monitoring and detailed questionnaires. From the time a mother is pregnant and continuing until the child is 11 years old, researchers collect indoor and outdoor air samples. They also conduct multiple interviews with both mother and child. Andria reyes has been working on the study since its inception. Woman im part of a Large Research team that collects data for this research study, and were the people who are in contact on a daily basis with the motherandchild pairs. At each visit, the mom gets interviewed we do several short questionnaires with her and the child gets tested neurodevelopmentally. This is all done through play, and its pretty fun for the child. Were looking at mental and motor skills and we want to see if there are any delays in those skills. We want to see how they relate to any exposures the child may currently have or may have had in the past. What is a cow . Narrator one test done on 4 1 2yearolds asks them to draw a person. These drawings are by children not exposed to pesticides. Quite different from the ones by children who were exposed. But alone, results like these are not enough to make any definitive conclusions. Dr. Whyatt to make sure that the effects youre seeing are, in fact due to the contaminant youre measuring you have to take into consideration maternal age other possible exposures quality of the home environment. Because as a scientist as a good scientist, what you do is you try to make the finding go away as hard as you can. And you start to believe it when you cant get the finding to go away after a lot of work. Narrator and much of that work is done in the laboratory. Dr. Whyatt you can get information about exposure by asking somebody. If i asked you how many cigarettes did you smoke in the last week you can probably tell me. If i asked you how much chlorpyrifos were you exposed to last week, you probably dont have any idea. Probably dont even know what it is. But if i measure it in your blood so i take a blood sample and i measure that in your blood i know how much exposure you had. That measurement in the blood is a biomarker or a biologic marker. What it means is that, rather than asking you about your exposures i am measuring the exposure or the effect of the exposure in your body. And what we are doing is we are measuring the insecticide in the mothers blood at birth and in the babys blood at birth. Narrator dr. Deliang tang is in charge of the lab at Columbia University where the blood samples are tested. These tests pick up even the smallest levels of exposure in the blood. Each spike on this graph indicates a separate compound and the amount found in the sample. Man were measuring a very, very trace amount in the blood. In order to detect it as tra amount, we have to avoid the contamination in all process from the Sample Collection to the measurement. Every single step we have to test is any contamination in there. So we are very, very careful on those biological specimens. Narrator but this lab is not the only one used in the study. Many samples are shipped to other labs around the world with the lab at columbia acting as a hub for all of the samples. Dr. Tang once the sample comes into our laboratory, we will separate them into different components and put them in different storage condition to better preserve for current studies and for future studies. Narrator results from these samples combined with neurological testing and air monitoring have revealed a clear connection between exposure and development. Dr. Whyatt this one insecticide in particular, which was the one we knew was being used the most, we were detecting it in about 70 of the mothers blood and 70 of the babies blood. The level in the mothers blood and the babies blood was basically identical. And then what we found was that the babies that had the highest level of this insecticide had significantly lower weight and length at birth anand significantly poorer mental and Motor Development at age 3 and significantly greater behavioral problems at age 3 things like adhd. And one thing that were committed to is as we find evidence of harm, we immediately let the women know both about that and, more importantly, what they can do personally to try to protect themselves. So, certainly the research that we are doing here has had effects at the local level. Theres no question about that. But the exposures that we are studying here are ubiquitous exposures that most people in the United States have, people globally, so the Research Findings here are gonna be applicable well beyond this particular community. Narrator other research at columbias center for childrens Environmental Health reveals just how global these Health Problems are. Dr. Perera weve been doing this, the very same almost identical study i should say in krakow, poland. And we have found similar effects of air pollutants on fetal growth and Child Development as weve seen in new york city. Weve also done a study in china and that study is looking specifically at coalburning emissions from power plants. So we have three studies that are using similar approaches and studying pregnant women and their newborns and then following these groups of mothers and children to look at longerterm effects of earlylife exposures. Narrator all of these studies are being conducted with the hope of gaining a far better understanding of the Health Effects of toxic exposure, but, more importantly, with the hope of helping affected communities. Dr. Whyatt if you identify a problem, you can address a problem. And weve seen that in our study. Its the reason we are doing the stu. Its one of the reasons i dont get depressed. Because if you can show these things, you can take action to prevent them. Im a positive person. Ive seen a lot of successes. I dont see why we cant keep making these successes. Funding for this program is provided by. For information about this and other annenberg media programs. New years eve, 2002. Just two years ago. In the sixth grade. July 11, 1994. I was shot by a teenage gang member. My son valentino was killed by a drunk driver. My baby brother joseph was shot. I was sexually assaulted. My wife emma was killed by a drunk driver. My heart was ripped apart. The day this happened to us, our family died. At that time, i had no idea that i needed help or that my family needed help. I didnt know help was there. A detective told us about victims assistance. We did receive help with the funeral and burial. They informed me of my court dates. They paid for my wheelchairaccessible van. If youre a victim of crime, seek help, because help is there for you. Even if you never reported the crime. Crime victims assistance programs are there to help. Justice isnt served until crime victims are. Aya ki ant rnshebyde of thea doam l s apatiwame pends he vginity of aestapriestess. H empircrumbl sperr ev forei cult toofeligion. From rns hrtian rom