Use of organophosphates has lessened, but risks to early brain development still too high.
Public health experts have found there is sufficient evidence that prenatal exposure to widely used insecticides known as organophosphates puts children at risk for neurodevelopmental disorders.
In a scientific review and call to action published in PLOS Medicine, the researchers call for immediate government intervention to phase out all organophosphates.
There is compelling evidence that exposure of pregnant women to very low levels of organophosphate pesticides is associated with lower IQs and difficulties with learning, memory or attention in their children
Although a single organophosphate chlorpyrifos, has been in the national spotlight, this review implicates the entire class of these compounds.
Originally developed as nerve gases and weapons of war, organophosphates today are used to control insects at farms, golf courses, shopping malls and schools. They kill pests by blocking nerve signaling.
People can come into contact with these chemicals through the food they eat, the water they drink and the air they breathe
While existing limits on organophosphates have reduced exposures, the review authors said this isn't enough. Based on more than 30 epidemiologic studies and scores of experimental studies in animals and cell cultures, they believe the evidence is clear: Exposure to organophosphates before birth, even at levels currently considered safe, is associated with poorer cognitive, behavioral and social development.
Despite growing evidence of harm and recommendations from scientific advisors to and scientists within the U.S. Environmental Protection Agency, many organophosphates remain in use. This may be in part because low-level, ongoing exposures typically don't cause visible, short-term clinical symptoms, leading to the incorrect assumption that these exposures are inconsequential.
Recommendations to protect children
In addition to conducting the scientific review, the authors offered recommendations for substantially reducing organophosphate exposures, including:
Removing organophosphates from agricultural and non-agricultural uses and products
Proactively monitoring sources of drinking water for organophosphate levels
Establishing a system for reporting pesticide use and illnesses
Until a ban can occur, the reviewers recommend:
Greater medical and nursing education on organophosphates to improve treatment for and patient education on avoiding exposures
Training for agricultural workers in their languages on proper handling and application of organophosphate pesticides
Increased use of less-toxic alternatives and a transition toward sustainable pest-control measures
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