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Autism risk linked to distance from power plants and other mercury-releasing sources

(14.05.2008)


The new study:
“This is not a definitive study, but just one more that furthers the association between environmental mercury and autism,” said lead author Raymond F. Palmer, Ph.D., associate professor of family and community medicine at the UT Health Science Center San Antonio. The article is in the journal Health & Place.

Dr. Palmer, Stephen Blanchard, Ph.D., of Our Lady of the Lake University in San Antonio and Robert Wood of the UT Health Science Center found that community autism prevalence is reduced by 1 percent to 2 percent with each 10 miles of distance from the pollution source.

“This study was not designed to understand which individuals in the population are at risk due to mercury exposure,” Dr. Palmer said. “However, it does suggest generally that there is greater autism risk closer to the polluting source.”

The study should encourage further investigations designed to determine the multiple routes of mercury exposure. “The effects of persistent, low-dose exposure to mercury pollution, in addition to fish consumption, deserve attention,” Dr. Palmer said. “Ultimately, we will want to know who in the general population is at greatest risk based on genetic susceptibilities such as subtle deficits in the ability to detoxify heavy metals.”

The new study findings are consistent with a host of other studies that confirm higher amounts of mercury in plants, animals and humans the closer they are to the pollution source. The price on children may be the highest.

“We suspect low-dose exposures to various environmental toxicants, including mercury, that occur during critical windows of neural development among genetically susceptible children may increase the risk for developmental disorders such as autism,” the authors wrote.

Study highlights
Mercury-release data examined were from 39 coal-fired power plants and 56 industrial facilities in Texas.
Autism rates examined were from 1,040 Texas school districts.
For every 1,000 pounds of mercury released by all industrial sources in Texas into the environment in 1998, there was a corresponding 2.6 percent increase in autism rates in the Texas school districts in 2002.
For every 1,000 pounds of mercury released by Texas power plants in 1998, there was a corresponding 3.7 percent increase in autism rates in Texas school districts in 2002.
Autism prevalence diminished 1 percent to 2 percent for every 10 miles from the source.
Mercury exposure through fish consumption is well documented, but very little is known about exposure routes through air and ground water.
There is evidence that children and other developing organisms are more susceptible to neurobiological effects of mercury.

Implications
“We need to be concerned about global mercury emissions since a substantial proportion of mercury releases are spread around the world by long-range air and ocean currents,” Dr. Palmer said. “Steps for controlling and eliminating mercury pollution on a worldwide basis may be advantageous. This entails greener, non-mercury-polluting technologies.”

The U.S. Environmental Protection Agency (EPA) estimated environmental mercury releases at 158 million tons annually nationwide in the late 1990s, the time period studied by the Texas team. Most exposures were said to come from coal-fired utility plants (33 percent of exposures), municipal/medical waste incinerators (29 percent) and commercial/industrial boilers (18 percent). Cement plants also release mercury.

With the enactment of clean air legislation and other measures, mercury deposition into the environment is decreasing slightly.

Limitations
Dr. Palmer and his colleagues pointed out the study did not reflect the true community prevalence rates of autism because children younger than school age are not counted in the Texas Education Agency data system. The 1:500 autism rates in the study are lower than the 1:150 autism rates in recent reports of the U.S. Centers for Disease Control and Prevention.

Furthermore, the authors note that distance was not calculated from individual homes to the pollution source but from central points in school districts that varied widely in area.

Data sources
Data for environmentally released mercury were from the United States Environmental Protection Agency Toxics Release Inventory. Data for releases by coal-fired power plants came from the same inventory and from the Texas Commission for Environmental Quality. Data for school district autism came from the Texas Education Agency.

 
Adapted from materials provided by University of Texas Health Science Center at San Antonio.



Further Questions
Lewandowski earlier criticized (see below) that distance to a point source is not necessarily related to level of exposure. While Texas is a significant source of mercury emissions, depending on the mercury species being emitted, the mercury from these emissions is largely deposited hundreds to thousands of miles to the east. Lewandowski therefore argues that is highly unlikely that mercury emitted in a particular county or school district can be correlated with air mercury exposures in that locality.


Journal reference

 Raymond F. Palmer, Stephen Blanchard, Robert Wood, Proximity to point sources of environmental mercury release as a predictor of autism prevalence, Health & Place (2008), DOI: 10.1016/j.healthplace.2008.02.001.

 

Related Studies
 
 Raymond F. Palmer, Steven Blanchard, Zachary Stein, David Mandell, Claudia Miller, Environmental mercury release, special education rates, and autism disorder: an ecological study of Texas, Health & Place,  12/2 (2006) 203-209. DOI: 10.1016/j.healthplace.2004.11.005


Gayle C. Windham, Lixia Zhang, Robert Gunier, Lisa A. Croen, Judith K. Grether, Autism Spectrum Disorders in Relation to Distribution of Hazardous Air Pollutants in the San Francisco Bay Area, Environ. Health Perspect., 114/9 (2006) 1438-1444. DOI: 10.1289/ehp.9120

Robert Nataf, Corinne Skorupka, Lorene Amet, Alain Lam, Porphyrinuria in childhood autistic disorder: Implications for environmental toxicity, Toxicol. Appl. Pharmacol., 214 (2006) 99-108. DOI: 10.1016/j.taap.2006.04.008

Thomas A. Lewandowski, Questions regarding environmental mercury release, special education rates, and autism disorder: An ecological study of Texas by Palmer et al., Health & Place, 12/4 (2006) 749-750. DOI: 10.1016/j.healthplace.2005.10.005


Related Information

SafeMinds: Latest Autism News
The National Autism Association
Generation Rescue
A-Champ


Related EVISA Resources

Journal database: Journals related to "Public, Environmental and Occupational Health"
Journal database: Journals related to "Toxicology"
Link database: Information related to autism
Link database: Information about the toxicity of mercury and its compounds
Link database: Information about environmental mercury pollution


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