Biomonitoring and Senate Bill 1379: Myths vs. Facts MYTH: SB 1379 is not based on sound science. FACT: Biomonitoring is an established scientific research tool which has been used for many years in many countries for public health information campaigns and disease control. Biomonitoring research helps identify and reduce exposures that are toxic to human health. For example, biomonitoring studies that tested for lead levels in people's blood resulted in policy changes that have dramatically reduced lead exposure in children. Biomonitoring of breastmilk in Germany and Sweden led to policy changes that reduced levels of toxic chemicals, protecting the health of the youngest, most vulnerable population. The U.S. Centers for Disease Control and Prevention (CDC) says it conducts national biomonitoring surveys because it will “provide unique exposure information to scientists, public health officials, and physicians to help prevent disease that results from exposure to environmental chemicals.” The laboratory techniques and protocols proposed in SB 1379 are the same ones utilized by CDC. MYTH: Biomonitoring results won’t tell us anything – there are better methods of research. FACT: We have very little information about chemicals in the environment. More than 90 percent are untested before being approved for commerce. Information about chemical exposures is helpful for environmental health decision makers. There is no more precise way to measure exposures in the body than through biomonitoring. We already measure what’s in our air, food, and water – but only biomonitoring tells us what’s in people. The information collected through the Healthy Californians Biomonitoring Program provides essential data on community exposures to toxic chemicals of concern. Along with research on health outcomes, as well as existing local and state health information, biomonitoring gives us a more accurate picture of the environmental health in our communities. MYTH: Biomonitoring will just scare the public. FACT: Just as individuals have a right to informed consent before undergoing medical procedures, we have a right to know what industrial chemicals are in our bodies that could be harmful to our health. Many people want to know their level of personal pollution, so they can take personal or political action to protect themselves and their families from harmful exposures. In a 2004 statewide poll, 90 percent of Californians identified biomonitoring as a community health issue of high concern and supported the establishment of a state program. A large majority wanted to know what was in their bodies. 1 In no other circumstance would it be suggested that people are better off not knowing about the state of their health. As biologist Sandra Steingraber has commented, "I don’t think public health is ever served by keeping secrets, and the idea that nursing mothers should be protected against knowledge of what’s in their milk is profoundly condescending. Certainly, as a nursing mother myself, I want to know what’s in my milk – in the same way I want to know about infant car seat recalls." (from NPR’s “Living on Earth”) MYTH: It’s normal for people to have chemicals in their bodies. FACT: Human bodies are able to metabolize and excrete most (but not all) chemicals which occur naturally in the environment. Since World War II, however, the vast increase in the petrochemical industry means there are now some 100,000 synthetic chemicals registered for use. These chemicals simply did not exist during the childhoods of many people alive today. Shockingly, fewer than 10 percent of synthetic chemicals have been tested for their effects on human health. Today, we are learning that very low levels of chemical exposure can cause impacts in the body which may contribute to rising disease rates. It is time to take a 21st century approach to public health and chemicals policy based on science. The presence of hundreds of industrial chemicals in the body does not mean it is "normal." Californians have not given permission to put untested chemicals in their bodies and we want to know more about what harm these chemicals may cause, what products contain these chemicals, and how people become exposed to them. MYTH: Animal experiments don't provide useful data for human health. FACT: Animal studies examining the links between chemical exposure and diseases like cancer do not always provide information that can be extrapolated to humans. But there is a large and growing scientific literature that has found substances causing disease in animals also cause disease in humans. The development of organ systems in laboratory animals often mirrors the same developmental process in humans. To ignore this evidence goes against the scientific record and common sense. The International Agency for Research on Cancer (IARC) of the World Health Organization takes a precautionary approach and recommends that, "In the absence of adequate data on humans, it is biologically plausible and prudent to regard agents and mixtures for which there is sufficient evidence of carcinogenicity in experimental animals as if they presented a carcinogenic risk to humans.” MYTH: People are living longer, which shows that widespread chemical exposure is benign. FACT: An estimated 125 million Americans, 43 percent of the population, have at least one chronic disease. Approximately 60 million of these have multiple chronic conditions. The lifetime risk of cancer is 1 in 3 for women and 1 in 2 for men, and cancer is the second most common cause of death. People are living longer in part because of costly medical procedures and the development of new medicines to treat increasing rates of cancer and other chronic diseases. Furthermore, mounting evidence links environmental toxicants to diseases that are becoming more common, such as asthma, Alzheimer’s Disease, autism, birth defects, impaired fertility, developmental disabilities, multiple sclerosis and Parkinson’s Disease. MYTH: We can’t afford a new program in California right now. 2 FACT: Biomonitoring is a public health measure that can save California enormous resources in healthcare. It is estimated that reducing environmentally-related diseases by just one percent would save the state over $100 million annually. Chronic diseases, by contrast, cost the state billions of dollars per year. The estimated total annual cost of asthma in California is $1.27 billion. The estimated lifetime costs of medical and other treatments, plus lost productivity for all affected individuals born in 1988 with one or more of the 18 most common birth defects, exceeds $1 trillion. Special education for the estimated one million California children with learning disabilities carries an annual price tag of $12 billion. The overall cost of chronic diseases is staggering. Establishing a biomonitoring program could save California millions of dollars in health care costs, reduced costs for employers, environmental cleanups, and future public health expenditures. MYTH: SB 1379 is a "job killer." If passed, it will be bad for California business. FACT: Exposures to hazardous chemicals in the workplace result in the premature death of over 60,000 U.S. workers each year. There are more than 800,000 new cases of occupational disease each year. The annual cost of occupational disease in the U.S. is $25.5 billion, representing a substantial drain on the U.S. economy, not to mention the impact on the lives of workers and their families. With biomonitoring information, we can better protect workers and communities from disease and illness. Establishing a biomonitoring program could save millions of dollars in health care costs and associated economic costs for employers. SB 1379 is good for business because biomonitoring data can tell us who is highly exposed to industrial chemicals and pollutants in the workplace, enabling employers to design create effective solutions that increase productivity, cut costs, and protect the health of workers, their families, and the wider community. 3