Posted 04 May 2015 - 10:50 PM
The Lancet Neurology, Volume 13, Issue 3, Pages 330 - 338, March 2014 <Previous Article
doi:10.1016/S1474-4422(13)70278-3Cite or Link Using DOI
Copyright © 2014 Elsevier Ltd All rights reserved.
Neurobehavioural effects of developmental toxicity
Dr Philippe Grandjean MD a b Corresponding AuthorEmail Address, Philip J Landrigan MD c
Summary
Neurodevelopmental disabilities, including autism, attention-deficit hyperactivity disorder, dyslexia, and other cognitive impairments, affect millions of children worldwide, and some diagnoses seem to be increasing in frequency. Industrial chemicals that injure the developing brain are among the known causes for this rise in prevalence. In 2006, we did a systematic review and identified five industrial chemicals as developmental neurotoxicants: lead, methylmercury, polychlorinated biphenyls, arsenic, and toluene. Since 2006, epidemiological studies have documented six additional developmental neurotoxicants—manganese, fluoride, chlorpyrifos, dichlorodiphenyltrichloroethane, tetrachloroethylene, and the polybrominated diphenyl ethers. We postulate that even more neurotoxicants remain undiscovered. To control the pandemic of developmental neurotoxicity, we propose a global prevention strategy. Untested chemicals should not be presumed to be safe to brain development, and chemicals in existing use and all new chemicals must therefore be tested for developmental neurotoxicity. To coordinate these efforts and to accelerate translation of science into prevention, we propose the urgent formation of a new international clearinghouse.
a Department of Environmental Medicine, University of Southern Denmark, Odense, Denmark
b Department of Environmental Health, Harvard School of Public Health, Boston, MA, USA
c Icahn School of Medicine at Mount Sinai, New York, NY, USA
Corresponding Author Information Correspondence to: Dr Philippe Grandjean, Environmental and Occupational Medicine and Epidemiology, Harvard School of Public Health, 401 Park Drive E-110, Boston, MA 02215, USA
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