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struggled with the fact that traditional research methods are
                     not geared to test hormone-mimicking substances that exert
                     effects at low doses. Indeed, dealing with substances like BPA
                     is forcing us toward a challenging paradigm shift in the way we
                     assess environmental health risks.
                        For instance, the U.S. Food and Drug Administration (FDA)
                     announced in 2008 that it saw no reason to regulate BPA, but
                     its own science advisory committee disagreed, and in 2009
                     the FDA decided to start a testing program. Soon afterwards,
                     the U.S. Environmental Protection Agency (EPA) announced it   Figure 14.1 Bisphenol A is in many of the foods we eat.
                     would begin its own assessment.                    Researchers for Consumer Reports magazine tested common
                        In 2008 Canada banned the use of BPA in baby bottles   packaged foods and more in 2009; they found that nearly all of
                     and in 2010 became the first nation to declare bisphenol A   them contained bisphenol A that had leached from the linings of
                     toxic. The use of BPA in products for babies was banned in   their containers.
                     France and Denmark in 2010, and in 2011 a ban on BPA in
                     baby bottles was adopted across the entire European Union.   As of 2013, concerned parents can now more easily find
                     Turkey has issued a similar ban, and several U.S. states and   BPA-free items for their infants and children. The rest of us
                     municipalities have also taken action.             remain exposed through most food cans, many drink con-
                        In 2008, the Natural Resources Defense Council peti-  tainers,  and  thousands  of other  products  (Figure 14.1).  But
                     tioned the FDA to ban the use of BPA in food packaging, citing   despite the lack of government regulation, food producers are
                     studies showing adverse health impacts on humans. Health   responding to consumer concerns about the safety of BPA.
                     advocates were shocked and disappointed when, in 2012,   Shortly after the 2011 publication of a study showing consum-
                     the FDA rejected the proposed ban, stating that there was no   ers  of  canned  soups  had  urinary  BPA  concentrations  over
                     compelling scientific evidence to justify new restrictions. Mere   1200 times higher than consumers of fresh soups, Campbell’s
                     days later, the government of Sweden came to a different con-  Soup announced that it is transitioning away from the use of
                     clusion from the FDA and announced it would ban the use of   BPA in its can liners. Food giants ConAgra, Nestle, and Heinz
                     BPA in the packaging of food intended for children under the   have also pledged to remove BPA from food packaging. There
                     age of 3 (such as the lids of baby food bottles).  is precedent for such efforts, as BPA was voluntarily phased
                        In the face of mounting public concern, many companies   out of can liners in Japan starting in the late 1990s.
                     are choosing to voluntarily remove BPA from their products. The   Bisphenol A is by no means one of our greatest environ-
                     six major U.S. manufacturers of plastic baby bottles promised   mental health threats. However, it provides a timely example
                     in 2008 to stop using BPA. Wal-Mart and Toys “R” Us decided   of how we as a society assess health risks and decide how
                     to stop carrying children’s products with BPA. The manufacturer   to manage them. As scientists and government regulators
                     Sunoco stopped selling BPA to companies that use it in chil-  assess BPA’s potential risks, their efforts give us a window on
                     dren’s products. After these actions, the FDA finally banned the   how hormone-disrupting chemicals are challenging the way we
                     use of BPA in baby bottles and children’s cups in 2012.  appraise and control the environmental health risks we face.



                     Environmental Health                                 is also some amount of risk that we can avoid by taking pre-
                                                                          cautions. Much of environmental health consists of taking
                     Examining the impacts of human-made chemicals such as bis-  steps to minimize the risks of encountering hazards and to
                     phenol A is just one aspect of the broad field of environmen-  mitigate the impacts of the hazards we do encounter.
                     tal health. The study and practice of  environmental health
                     assesses environmental factors that influence our health and   Physical hazards   Physical hazards arise from processes
                     quality of life. These factors include wholly natural aspects   that occur naturally in our environment and pose risks to
                     of the environment over which we have little or no control,   human life or health. Some such physical processes are ongo-
                     as well as anthropogenic (human-caused) factors. Practition-  ing natural phenomena, such as ultraviolet (UV) radiation
                     ers of environmental health seek to prevent adverse effects on   from sunlight (Figure 14.2a). Excessive exposure to UV radia-
                     human health and on the ecological systems that are essential   tion damages DNA and has been tied to skin cancer, cataracts,
                     to our well-being.                                   and immune suppression. We can reduce our exposure to and
                                                                          risk from UV light by using clothing and sunscreen to shield
                                                                          our skin from intense sunlight.
                     We face four types of environmental                     Other physical hazards include discrete events such as
                     hazards                                              earthquakes, volcanic eruptions, fires, floods, blizzards, land-
                                                                          slides, hurricanes, and droughts. We can do little to predict
                     Many environmental health hazards exist in the world around   the timing of a natural disaster such as an earthquake, and
                     us. We can categorize them into four main types: physical,   nothing to prevent one. However, we can minimize risk by
                     chemical, biological, and cultural. For each type of hazard,   preparing ourselves. Scientists can map geologic faults to
             378     there is some amount of risk that we cannot avoid—but there   determine areas at risk of earthquakes, engineers can design







           M14_WITH7428_05_SE_C14.indd   378                                                                                    12/12/14   3:04 PM
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