Tag: medication

Unusual Lead Poisoning Case

  • Most US communities have low rates of childhood lead poisoning - averaging 1.2% of the total population. But with the new influx of Burmese immigrants, Fort Wayne’s exposure rate rose to 12%. (Photo by Erika Celeste)

Lead was banned from paint in
1978. And it was taken out of
gasoline a few years later. So
with less lead in the environment,
the problem of lead poisoning in
kids has been decreasing. But
every once in a while, health officials
find a dramatic spike in the number
of lead poisoning cases, and the race
is on to find the source. Erika Celeste reports on the poisoning
of some Burmese refugees:

Transcript

Lead was banned from paint in
1978. And it was taken out of
gasoline a few years later. So
with less lead in the environment,
the problem of lead poisoning in
kids has been decreasing. But
every once in a while, health officials
find a dramatic spike in the number
of lead poisoning cases, and the race
is on to find the source. Erika Celeste reports on the poisoning
of some Burmese refugees:

Three years ago, Mah We took her baby daughter and fled the unrest in Burma to Fort Wayne, Indiana. It’s the largest Burmese settlement outside of their home country. They wanted their new daughter to have an American name. They settled on Snow White after seeing some the Disney movie.

She is now three and a half years old.

Celeste: Hi, Do you like school?

Snow White: “School, yes.”

Celeste: “What’s your favorite thing at school?”

Translator: “Play with my friends.”

Snow White has had a lot of challenges in her young life. Blood tests revealed Snow White had lead poisoning. Exposure to lead can cause brain damage, I-Q loss, behavioral problems, and in rare cases, death.

Most US communities have low rates of childhood lead poisoning – averaging 1.2% of the total population. But with the new influx of Burmese immigrants, Fort Wayne’s exposure rate rose to 12%.

Amy Hastings is with the Allen County Health Department:

“We kind of assumed they had been poisoned when they were in the camps, and it just wasn’t identified until they got to the United States and so we conducted it like a normal lead investigation and found no lead hazards.”

But then new siblings were born into some of the Burmese families. At birth, the babies’ blood levels were normal, yet within a few months those levels became dangerously high.

Most small children get poisoned when they crawl on the floor, get dust from old lead paint on their hands, and then stick their hands in their mouths.

“The babies weren’t old enough to do that yet, and so why they had a blood lead level of in the 20s, made no sense to us.”

With the cases mounting and the source still unknown, the Centers for Disease Control helped Hastings assemble an investigative team. They set up a make shift field office and went door to door in the Burmese apartment complexes.

“We were hunting around for anything we could find that these kids might be getting into. We tested food, we tested toys, anything we thought that babies could have come into contact with.”

They tested more kids. And took samples of various household items. Then a break came in the case. Two homemade Burmese medicines – daw tway and daw kyin— geared specifically to small children for tummy aches came back with extremely high levels of lead.

Hastings was relieved to finally have an answer. But it didn’t solve the problem.

Aye Ma is a Burmese translator. She says many parents didn’t believe Hastings are her team.

“The mother was pretty upset. She referred back to her ancestors, ‘oh my ancestors have been using this medicine and how can you come and out of the blue tell me this is no good and it has lead in it?’”

While some families are taking the advice to stop using the medicine, others are still skeptical. The medicines are banned in the US. But they can still get a hold of them through family connections back home.

Hastings says she’s still seeing new cases of lead poisoning. But because she isn’t certain the medicines are the only cause, educating the families about lead poisoning remains important.

Officials have set up a pilot preschool program for kids like Snow White. The program will help the kids catch up through, speech, cognitive, and nutrition therapy. So far it seems to be a great success.

(sound of kids playing)

While this was an unusual case for the US, the CDC reports that many traditional medicines from East Indian, Middle Eastern, Western Asian, and Hispanic cultures still contain lead.

For The Environment Report, I’m Erika Celeste.

Related Links

Sewage Treatment Missing the Mark?

  • Some people say wastewater treatment plants might not be doing a good job taking out pollutants like household chemicals and pharmaceuticals. (Photo courtesy of the US EPA)

A new study is looking at just
how well wastewater treatment
plants remove household chemicals
and pharmaceuticals from water.
Samara Freemark reports
on why some researchers are worried
that the plants aren’t doing a good
enough job:

Transcript

A new study is looking at just
how well wastewater treatment
plants remove household chemicals
and pharmaceuticals from water.
Samara Freemark reports
on why some researchers are worried
that the plants aren’t doing a good
enough job:

Most wastewater treatment plants clean water with a mix of chemicals and bacteria. But that process is decades-old. And it was designed mostly to deal with industrial pollutants.

Some people say treatment plants might not be doing a good job taking out other pollutants like household chemicals and pharmaceuticals. In fact, the treatment process can actually cause many of these pollutants to mutate – for example, some detergents break down into compounds that cause reproductive problems.

Anthony Hay is studying the issue at Cornell University.

“Hopefully they’re degraded into something non-toxic, but in some cases microbial degradation of some pollutants can actually make things worse. We need to understand what those changed products do, how they behave, and what risks they might pose.”

That’s what Hay hopes his study will help clarify.

For The Environment Report, I’m Samara Freemark.

Related Links

Drugs in the Water

  • There is some confusion about what to do with unused medications (Photo source: Shorelander at Wikimedia Commons)

The drugs we take are showing up in our drinking water, and they’re showing up in fish. The federal government’s now saying that in most cases, you should never flush unused drugs down the drain. There are safer ways to dispose of them. But even if you want to do the right thing, it’s not always easy. Rebecca Williams takes a look at what you should and should not do with your medications:

Transcript

The drugs we take are showing up in our drinking water, and they’re showing up in fish. The federal government’s now saying that in most cases, you should never flush unused drugs down the drain. There are safer ways to dispose of them. But even if you want to do the right thing, it’s not always easy. Rebecca Williams takes a look at what you should and should not do with your medications:

In the U.S., there are about 12,000 brand name and generic drugs on the market. And who knows how many over the counter drugs.

Scientists are finding many of these drugs in our water. Everything from caffeine, to allergy and anti-cancer drugs, to antidepressants.

Now, they’re finding these drugs at very low levels. But they’re pretty much everywhere.

An Associated Press investigation found trace amounts of pharmaceuticals in the drinking water of more than 40 million Americans.

“You know, we don’t think it’s enough to cause public harm but honestly nobody’s sure.”

That’s Sahar Swidan. She’s a pharmacist.

Right now, Swidan’s going through a five foot tall box of prescription drugs that people have brought to her store in Ann Arbor, Michigan. They might be expired, or just not needed anymore.

(sound of pill bottle shaking)


“Asthma medications, growth hormones for patients – so really the gamut could be anything and everything.”

A disposal company picks up the drugs about once a month and incinerates them.

Swidan’s drug take-back program is pretty rare. Many pharmacies are not set up to collect unused drugs.

One reason is, it takes a lot of work. Swidan has to sort through the drugs and make sure there aren’t any controlled substances – things like narcotics. It’s illegal for pharmacies to take these back in most cases.

The Drug Enforcement Agency is talking about revising their disposal rules for controlled substances. But for now you usually have to get rid of them yourself. So, how do you do that?

You can dissolve pills or caplets in water, and mix in kitty litter or coffee grounds. That’s to make the stuff look gross and undesirable. Then dump it all into ziptop bags, wrap it up in duct tape, and throw it away.

But to make things more complicated, there’s still a short list of drugs that you’re supposed to flush down the drain. The Food and Drug Administration says the drugs on this list are too dangerous to toss in the trash.

Connie Jung is with the FDA’s pharmacy affairs department. She says the drug label will tell you if you’re supposed to flush them.

“For the small number of prescription drugs that have flushing recommendations they have these because the drugs are strong narcotic pain relievers or other controlled substances. These drugs can be dangerous to those who aren’t supposed to be taking them, particularly children or pets.”

Jung says the FDA is currently reviewing disposal methods for these kinds of drugs… because flushing them down the toilet is starting to raise some questions.

An even bigger problem is that most of the drug residues getting into our water are coming from drugs we take and excrete.

Bryan Brooks is a researcher at Baylor University. He recently found low levels of seven drugs in fish caught near wastewater treatment plants. He says these sewer plants just can’t filter out drugs.

“These wastewater treatment facilities were largely not designed to treat to really ultra low levels. Compounds like birth control medications can be active at low part per trillion levels.”

Right now Brooks is trying to sort out what effects drugs are having on fish.

Hormones like estrogen appear to be feminizing male fish. Antidepressants might change how fish behave. And no one’s sure how drugs might be affecting our drinking water.

Brooks says one thing that can be done at the treatment plant is adding reverse osmosis filters. But they’re expensive.

Brooks says there’s not much we can do about excreting drugs, but at the very least we shouldn’t be flushing drugs down the drain.

For The Environment Report, I’m Rebecca Williams.

Related Links

Freshwater Mussels Not Happy-As-Clams

Researchers have been finding trace amounts of pharmaceuticals in rivers and lakes. Now, a new report suggests that the presence of Prozac in water bodies might be endangering freshwater mussels. Celeste Headlee has details:

Transcript

A new report suggests that the presence of Prozac in natural water systems can increase
the risk of extinction for freshwater mussels. Celeste Headlee has details:


Many freshwater mussel species are already highly endangered. Experts say about 70
percent of the 300 known species of mussel in North America are extinct, endangered or
declining. Authors of the new study say even trace amounts of anti-depressants like
Prozac are dangerous to mussels because they interfere with reproduction.


Prozac and other prescription medications are flushed into sewer systems and then
released into rivers and streams. Researchers placed female mussels carrying larvae into
tanks with various concentrations of Prozac. Within two days, all of the mussels had
prematurely released their larvae, which then died.


The authors of the study say new wastewater treatment procedures might have to be
developed to filter out prescription and over-the-counter drugs before they reach
waterways.


For the Environment Report, I’m Celeste Headlee.

Related Links

Recycling Unused Medicine

Across the country, nursing homes destroy thousands of dollars in medicine at each facility every day. The medicine is still good. But destroying the drugs has been the traditional way to keep prescription medication out of the wrong hands. A new federal directive might encourage more nursing homes to recycle unused medicines for the use of the poor. The GLRC’s Lisa Ann Pinkerton reports:

Transcript

Across the country, nursing homes destroy thousands of dollars in
medicine at each facility every day. The medicine is still good. But
destroying the drugs has been the traditional way to keep prescription
medication out of the wrong hands. A new federal directive might
encourage more nursing homes to recycle unused medicines for the use
of the poor. The GLRC’s Lisa Ann Pinkerton reports:


In her nursing home room, Genevieve Barns gazes out the window. A
black rosary is draped over her lap. She’s 94 and an oxygen
concentrator, bubbles behind her to help her breathe. She says even this
late in life she’s still abiding by her mother’s lessons.


“It’s a matter of how we were raised, you never wasted anything.”


Barns was on a common medication called Mucinex, to keep her
throat clear, but her doctor took her off of it. Normally, her unused
Mucinex would be sent back to the pharmacy for destruction, but Barns’
nursing home contributes it to a so-called ‘drug repository.’ Barns says it
was a simple choice to give medicine she can’t use to needy seniors.


“Well, everything is so expensive, and when you waste… you’re just
squandering things that should be used by someone.”


Four years ago, Ohio became the first state to recycle sealed, unused
medicine to seniors in need. Ever since, its two drug repositories have
struggled to get more participation. The drugs can’t be redistributed until
there’s enough of any one drug to make a 30 day supply. Then it’s made
available to seniors who otherwise couldn’t afford it.


At Genevieve Barns’ nursing home, the administrator, Denise Day,
collects the drugs in a blue plastic tote…


“We don’t have a huge cliental in this building at this time, but the
amount of medications that get sent back is still quite incredible.”


The bin in Day’s office is filled with pills and bottles sealed in their
packaging. She says what’s here comes from patients covered by
Medicaid; unused medicines covered by Medicare or private insurance
must to go back to the pharmacy for incineration before patients can get
their refund. Day says still, about 2-thousand dollars worth a month,
from just 34 patients, are recycled by the group called Serving Our
Seniors.


Its director, Susan Daugherty, says if every nursing home in her county
donated from just half their patients, the results would be astounding.


“Honestly we could meet and probably exceed the need of older adults
who’ve needed access to drugs that are common to the aging
populations. It could do a whole lot of good with a whole lot of waste.”


The drugs in this region are taken to Buderer Pharmacy. It’s become the
local drug repository. In the backroom shelves of medication go all the
way to the ceiling.


Matt Buderer is the pharmacist. He says the drugs are checked for their
expiration dates and whether they’re eligible for donation.


“And then what we want to do is take these drugs and poke them out of
this thing into a bottle. Making sure that what goes on the bottle is the
lot and expiration date.”


Seniors who’ve signed a waiver and received a card from Serving Our
Seniors can then buy any medication for a flat fee of 7 dollars and 40
cents.


“You can dispense one tablet. You can dispense 15. You can dispense a
billion for $7.40.”


Ohio’s not the only state with a drug repository program. At least
nineteen other states have mimicked the idea. Some states have had
more success than others.


In North Carolina the Board of Pharmacy says it recycles 5 to 6 million
dollars of drugs paid by tax payers every year. That’s a lot more than
Ohio’s program.


Buderer says his state could be matching those numbers, if only there
were more participation.


“There’s good public knowledge out there that large quantities are picked
up daily and incinerated that could be used. So I’m sure that a large
institutional pharmacy knowing that… certainly isn’t saying ‘well, we
don’t care.'”


Buderer says liability is often the reason given for not participating in
the drug repositories. The state’s largest nursing home corporation and
wholesale pharmacy. Both declined to comment for this story.


But now, there might be a bigger incentive. In April, the federal government
announced it will hold nursing home facilities financially accountable for
medicines going unused by patients. The states can still redistribute medicines,
as long as documents show the federal government isn’t paying for the same item
twice, and this acknowledgement of waste with in the system, might just be the
national push drug repositories need to move into the mainstream.


For the GLRC, I’m Lisa Ann Pinkerton.

Related Links

Group Calls for U.S. Ban on Lindane Use

  • (Photo by Scott Bauer, courtesy of the USDA Agricultural Research Service)

An environmental group is calling for the United States to ban a pesticide used to treat head lice. The Great Lakes Radio Consortium’s Chris Lehman reports:

Transcript

An environmental group is calling for the United States to ban a pesticide used
to treat head lice. The Great Lakes Radio Consortium’s Chris Lehman reports:


Lindane is most commonly used as a pesticide for corn, wheat, and other grains.
It’s also used as a medication to kill lice and scabies. But the Food and Drug
Administration warns that lindane should only be used when all other treatment
options are exhausted. That’s because the FDA has found that in very isolated
cases, lindane can cause seizures or even death.


Kristin Schafer is the Program Coordinator for the Pesticide Action Network. The
group is seeking a ban on lindane in the United States.


“This is the type of chemical that there’s no reason not to get it off the market.
It’s dangerous, it builds up in our bodies. It’s particularly dangerous to children
and there are alternatives for all uses.”


Schafer says 52 countries and the state of California have already banned lindane.
Canada plans to eliminate agricultural uses of lindane by the end of the year.


For the Great Lakes Radio Consortium, I’m Chris Lehman.

Related Links

Study: Time Outdoors Helps Kids With Adhd

A little exposure to natural outdoor areas might go a long way toward easing the symptoms of attention deficit hyperactive disorder in kids. The Great Lakes Radio Consortium’s Tom Rogers has more:

Transcript

A little exposure to natural outdoor areas might go a long way toward
easing the symptoms of attention deficit hyperactive disorder in kids.
The Great Lakes Radio Consortium’s Tom Rogers has more:


Previous studies linking the outdoors to relaxation prompted University
of Illinois researchers to survey the parents of more than 400 children
diagnosed with ADHD. The researchers asked parents to monitor
their kids’ behavior and performance after play or study periods
indoors, outdoors in an urban setting like a parking lot, and outdoors
in greener areas.


Francis Kuo co-authored the study. She says the natural settings
seemed to improve symptoms.


“This doesn’t have to be something spectacularly natural. Just getting
your kid out in a green, tree-lined street would be good, or in the
backyard, or even the neighborhood park. You don’t have to take them
to Yosemite for these benefits.”


The study didn’t make any conclusions about whether nature could take
the place of medication, but Kuo says there’s a real potential that it
could at least help kids who don’t tolerate drug treatment well. The
study appears in The American Journal of Public Health.


For the Great Lakes Radio Consortium, I’m Tom Rogers.

Related Links

Fda to Phase Out Cfcs in Inhalers?

The U.S. Food and Drug Administration may soon take a step that could help the ozone layer. Health officials say they might phase out certain types of asthma inhalers that use chlorofluorocarbons or CFCs. The Great Lakes Radio Consortium’s Christina Shockley has more:

Transcript

The U.S. Food and Drug Administration may soon take a step that could
help the ozone layer. Health officials say they might phase-out certain
types of asthma inhalers that use chlorofluorocarbons or CFCs. The Great
Lakes Radio Consortium’s Christina Shockley has more:


Since the early 1990’s, CFCs were banned from use in things such as car
air conditioners and aerosol cans. But they were still allowed to be used in
devices deemed medically necessary.


These include some types of asthma inhalers that contain very small
amounts of CFC gas to propel medicine into the lungs.


Now, health officials say there might be an alternative to the ozone-
depleting gas. They say hydrofluoroalkane, or HFA, gas works just as
well.


Doctor Robert Meyer evaluates drugs for the FDA. He says the new ban
may seem like a small step, but the overall picture matters most.


“We’re not really in the business of questioning whether this individual use
is in and of itself impacting much on the environment, we’re really looking
at the overall picture, and this action is a part of that picture.”


The FDA is asking the public for feedback on the possible phase-out.


For the Great Lakes Radio Consortium, I’m Christina Shockley.

Related Links