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Assessment and Evaluation of the High Risk Neonate: The NICU Network Neurobehavioral Scale
Published on: August 25, 2014
Toxic threats to neurologic development of children
1Science and Environmental Health Network, Boston, Massachusetts 02215, USA. tschettler@igc.org
Insights
The developing brain is uniquely vulnerable to environmental toxicants, even at low doses. More research and public health action are needed to protect children from neurodevelopmental harm.
Area of Science:
- Environmental Health
- Neuroscience
- Developmental Pediatrics
Background:
- Childhood disabilities like learning disabilities and ADHD are a growing public health concern.
- Childhood brain development is influenced by complex genetic, environmental, and social interactions.
- Studying neurodevelopmental vulnerabilities in children is challenging due to data limitations.
Purpose of the Study:
- To highlight the unique vulnerability of the developing brain to environmental toxicants.
- To underscore the need for more research on neurodevelopmental toxicity.
- To advocate for a preventive public health approach to mitigate exposures.
Main Methods:
- Review of existing laboratory and clinical studies on neurodevelopmental toxicants.
- Analysis of data on childhood disabilities and environmental exposures.
- Examination of toxicologic data gaps for industrial chemicals.
Main Results:
- The developing brain is uniquely susceptible to environmental agents at exposure levels that do not affect adults.
- Existing data show significant neurodevelopmental effects from toxicants like lead, mercury, PCBs, alcohol, and nicotine.
- Neurotoxicity data are lacking for many widely used industrial chemicals, despite documented population exposures.
Conclusions:
- A significant knowledge gap exists regarding the neurodevelopmental effects of many industrial chemicals.
- Preventive public health measures are necessary to mitigate exposure to potential neurodevelopmental toxicants.
- Further research is crucial to understand and address the full scope of childhood neurodevelopmental risks.
Abstract:
Learning disabilities, attention deficit hyperactivity disorder, developmental delays, and emotional and behavioral problems are among childhood disabilities of increasing concern. Interacting genetic, environmental, and social factors are important determinants of childhood brain development and function. For many reasons, however, studying neurodevelopmental vulnerabilities in children is challenging. Moreover, inadequate incidence and trend data interfere with full understanding of the magnitude of the problem. Despite these difficulties, extensive laboratory and clinical studies of several neurodevelopmental toxicants, including lead, mercury, polychlorinated biphenyls, alcohol, and nicotine, demonstrate the unique vulnerability of the developing brain to environmental agents at exposure levels that have no lasting effect in adults. Historically, understanding the effects of these toxicants on the developing brain has emerged slowly while generations of children are exposed to unsafe levels. Unfortunately, with few exceptions, neurodevelopmental toxicity data are missing for most industrial chemicals in widespread use, even when populationwide exposures are documented. The personal, family, and communitywide costs of developmental disabilities are profound. In addition to the need for more research, a preventive public health response requires mitigation of exposures to potential neurodevelopmental toxicants when available evidence establishes the plausibility of harm, despite residual toxicologic uncertainties.
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