chemicals and our health 2012
Post on 18-Apr-2015
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Chemicals and Our Health:
Why Recent Science is a Call to Action
THE HEALTH REPORT2
Acknowledgments!"#$%&'()&*%#$%*"'%&'$+,*%)-%.%/),0,.1)&.*#2'%'--)&*%)-%*"'%3.-'&%4"'5#/.,$6%7'.,*"8%9.5#,#'$%/).,#*#):6%.%/.5(.#;:%<'<#/.*'<%*)%(&)*'/*#:;%=5'&#/.:%-.5#,#'$%-&)5%*)>#/%/"'5#/.,$?%!"'%&'()&*%#:/)&()&.*'$%.%$#;:#-#/.:*%1)<8%)-%(''&0&'2#'@'<%$/#':/'%):%/"'5#/.,$%.:<%"'.,*"?%A:%.<<#*#):6%*"#$%&'()&*%1+#,<$%+():%.%(&'2#)+$%&'()&*%*#*,'<%!"#$%#&'("$)&*#$+,-$.#+,-/012$("#$!,304$567*(&14#*$),1(-,'$84(%(+1,#$"'<%#:%BCCD?%
9)&%5)&'%#:-)&5.*#):%):%)+&%/.5(.#;:%(,'.$'%2#$#*%)+&%@'1$#*'%.*%999:*&+;#-4"#/04&'*:,-2?
Our sincere thanks to the following contributors and reviewers:
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ContentsExecutive Summary . . . . . . . . . . . . . . . . . . . . . . . . . . . 3
Introduction . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4
Cancer . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5
Learning and Developmental Disabilities . . . . . . . . . . . 9
Alzheimer’s and Parkinson’s Diseases . . . . . . . . . . . . . 12
Reproductive Health . . . . . . . . . . . . . . . . . . . . . . . . . . . 15
Asthma . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 18
Reducing Our Health Care Costs . . . . . . . . . . . . . . . . .20
Conclusion . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 21
Endnotes . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 22
July 2012
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Chronic disease: many trends are on the rise
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The health and economic benefits of reforming chemical policy
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Executive Summary
THE HEALTH REPORT4
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Introduction
Many health professional organizations from across the country are expressing concern with the inadequate health protections a!orded by current law. The American Medical Association,"National Medical Association, American Academy of Pediatrics, American Nurses Association,"and American Public Health Association have called on the U.S. Congress to fundamentally restructure TSCA such that it better protects public health and the environment.
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The link to chemical exposure
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Cancer
THE HEALTH REPORT6
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*"'%(+1,#/.*#):%)-%*"'%XB*"%'<#0*#):6%IH=%)--#/#.,,8%/):/,+<'<%*".*%*&#/",)&)'*"8,':'%V!4IW%#$%f/.&/#0:);':#/%#:%"+5.:$%-)&%.,,%&)+*'$%)-%'>()$+&'6g%:)*#:;%*".*%*"'&'%#$%$+1$*.:*#.,%()*':*#.,%-)&%"+5.:%'>()$+&'%.$%!4I%#$%@#<'$(&'.<%#:%.51#':*%.#&6%#:<))&%.#&6%$)#,6%.:<%;&)+:<@.*'&?BD%!"'%/,.$$#-#/.*#):$%)-%*"'$'%.:<%*"'%)*"'&%/"'5#/.,$%,#$*'<%#:%!.1,'%X%.&'%,.&;',8%1.$'<%):%$*+<#'$%)-%$#5#,.&,8%'>()$'<%.:<%<#.;:)$'<%@)&Q'&$?
F'$(#*'%1'#:;%/,.$$#-#'<%.$%Q:)@:%)&%(&)1.1,'%/.&/#:);':$6%5.:8%)-%*"'$'%/"'5#/.,$%&'5.#:%:'.&,8%
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
Figure 1 - Cancer Incidence and Mortality for Children Under 20
)&14#-$0*$("#$*#4,1<$/,*($4,//,1$4&6*#$,+$<#&("$+,-$8/#-04&1*$61<#-$("#$&2#$,+$=>:$!"#$0140<#14#$,+$4"0'<",,<$4&14#-$014-#&*#<$/,-#$("&1$=>?$7#(9##1$@ABC$&1<$@AA>:$5014#$@AA>D$("#$0140<#14#$"&*$-#/&01#<$-,62"'E$&($("0*$#'#F&(#<$-&(#:$G,-(&'0(E$<#4'01#<$*67*(&1;(0&''E$<6-012$("0*$H#-0,<D$<6#$'&-2#'E$(,$0/H-,F#/#1(*$01$(-#&(/#1(:=C
=>?@ABC%K?3?%IH=?%=5'&#/.\$%4"#,<&':%.:<%*"'%I:2#&):5':*?%999:#H&:2,FI#1F0-,"#&'("I4"0'<-#1
65<5C)R.*#):.,%4.:/'&%A:$*#*+*'6%3+&2'#,,.:/'6%I(#<'5#),);8%.:<%I:<%E'$+,*$%H&);&.5
SAFER CHEMICALS HEALTHY FAMILIES 7
")5'$%".<%#:<))&%-)&5.,<'"8<'%/):/':*&.*#):$%*".*%'>/''<'<%;+#<',#:'$%-)&%/.:/'&%.:<%/"&):#/%,+:;%#&&#*.*#):?]X
!&#/",)&)'*"8,':'%#$%(&'$':*%#:%$)5'%(.#:*%&'5)2'&$6%.<"'$#2'$6%&+;%/,'.:'&$6%5'*.,%/,'.:'&$6%('(0('&%$(&.8$6%.:<%$()*%&'5)2'&$?]B%!4I%".$%1'':%<'*'/*'<%#:%.51#':*%.#&6%$+&-./'%@.*'&6%.:<%;&)+:<@.*'&%.:<%#$%):'%)-%*"'%5)$*%/)55):%/):*.5#:.:*$%-)+:<%.*%*)>#/%@.$*'%$#*'$?]]%=//)&<#:;%*)%*"'%=;':/8%-)&%!)>#/%3+1$*.:/'$%.:<%F#$'.$'%E';#$*&8%V=!3FEW6%1'*@'':%D_%.:<%]a_%)-%<&#:Q#:;%@.*'&%$+((,8%$)+&/'$%*'$*'<%#:%*"'%K?3?%/):*.#:%$)5'%!4I?]a
Early exposure, cancer later in life
E'/':*%&'$'.&/"%$")@$%*".*%'.&,8%,#-'%'>()$+&'$%/.:%#:/&'.$'%*"'%&#$Q%)-%/.:/'&%5.:8%<'/.<'$%,.*'&?%L.1)&.*)&8%.:#5.,%$*+<#'$6%-)&%'>.5(,'6%$")@%*".*%'.&,8%'>()$+&'$%#:/&'.$'%*"'%$+$/'(*#1#,#*8%)-%*"'%1&'.$*%.:<%(&)$*.*'%;,.:<%*)%/.:0/'&%#:%.<+,*"))<?]`6]Z%A:%"+5.:$6%01$6(#-,%'>()$+&'%*)%<#'*"8,$*#,1'$*&),6%.%$8:*"'*#/%'$*&);':6%#:/&'.$'<%*"'%&#$Q%)-%&'(&)<+/*#2'%*&./*%.:<%1&'.$*%/.:/'&%#:%@)5':%<'/.<'$%.-*'&%1#&*"?]Y%
=%BCCY%&'()&*%<)/+5':*'<%.%$*&):;%.$$)/#.*#):%1'*@'':%"#;"'&%
'.&,80,#-'%'>()$+&'%*)%.%('$*#/#<'%/.,,'<%<#/",)&)<#("'0:8,*&#/",)0&)'*".:'%VFF!W%.:<%,.*'&%<'2',)(5':*%)-%1&'.$*%/.:/'&?][%O"#,'%(&'2#)+$%$*+<#'$%*".*%".<%,))Q'<%.*%*"'%&',.*#):$"#(%1'*@'':%1&'.$*%/.:/'&%.:<%*"'%,'2',$%)-%FF!%#:%@)5':%.*%*"'%*#5'%)-%1&'.$*%/.:/'&%<#.;:)$#$%<#<%:)*%-#:<%.%$*&):;%/)::'/*#):6]D%*"'%5)&'%&'/':*%$*+<8%+$'<%$*)&'<%1,))<%$.5(,'$%*)%<'*'&5#:'%*"'%FF!%,'2',$%*"'%@)5':%@'&'%'>()$'<%*)%@"':%*"'8%@'&'%8)+:;'&?%O)5':%@")%@'&'%'>()$'<%*)%"#;"'&%,'2',$%)-%FF!%1'-)&'%.;'%Xa%".<%.%5.&Q'<,8%#:/&'.$'<%&#$Q%)-%1&'.$*%/.:/'&%,.*'&%#:%,#-'6%/)5(.&'<%*)%@)5':%@")$'%FF!%,'2',$%@'&'%,)@'&?%J+*%"#;"'&%'>()$+&'$%.-*'&%*"'%.;'%)-%Xa%@'&'%:)*%.$$)/#.*'<%@#*"%.:%#:/&'.$'<%&#$Q?%!"'$'%.:<%5.:8%)*"'&%$*+<#'$%<'5):$*&.*'%*".*%'>()$+&'$%*)%".P.&<)+$%/"'5#/.,$%<+&#:;%2+,:'&.1,'%('&#)<$%)-%<'2',)(5':*%/.:%".2'%(&)-)+:<%'--'/*$%*".*%5.8%:)*%5.:#-'$*%+:*#,%,.*'&%#:%,#-'?aC6aX
J&'.$*%/.:/'&%#$%.%,'.<#:;%/.+$'%)-%<'.*"%#:%@)5':?aB%J&'.$*%/.:/'&%&.*'$%#:%*"'%K?3?%#:/&'.$'<%18%5)&'%*".:%aC_%1'*@'':%XDY]%.:<%XDD[?a]%!)<.86%.%@)5.:\$%,#-'*#5'%&#$Q%)-%1&'.$*%/.:/'&%#$%):'%#:%'#;"*6%+(%-&)5%X%#:%XC%#:%XDY]?aa%!"'%$*+<8%)-%FF!%'>()$+&'%
#:%8)+:;%@)5':6%<'$/'<%.1)2'6%".$%1'':%5)<','<%#:%,.1)&.*)&8%.:#5.,$6%@"'&'%'.&,8%,#-'%'>()$+&'$%*)%,)@%<)$'$%)-%/"'5#/.,$%".2'%1'':%$")@:%*)%#:/&'.$'%*"'%&#$Q%-)&%1&'.$*%/.:/'&%18%.--'/*#:;%5.55.&8%<'2',)(5':*%.:<%,#-'*#5'%$+$/'(*#1#,#*8%*)%/.:/'&?%9)&%'>.50(,'6%#:%,.1)&.*)&8%.:#5.,$6%1#$("'0:),%=6%<#)>#:6%.:<%('&-,+)&))/*.:)#/%./#<%VH9c=W%".2'%1'':%$")@:%*)%.,*'&%;':'%'>(&'$$#):%.:<j)&%5)<#-8%5.55.&8%;,.:<%<'2',)(05':*6%#:/&'.$#:;%*"'%,.*'&%&#$Q%)-%/.:/'&?a`6aZ6aY%
=%BCCY%,#*'&.*+&'%&'2#'@%#<':*#-#'<%BXZ%/"'5#/.,$%.$$)/#.*'<%@#*"%#:0/&'.$'$%#:%5.55.&8%;,.:<%*+5)&$%#:%.*%,'.$*%):'%@',,0/):<+/*'<%.:#5.,%$*+<8?a[%c-%*"'$'6%Y]%".2'%1'':%(&'$':*%#:%/):$+5'&%(&)<+/*$%)&%.$%/):*.5#:.:*$%)-%-))<6%]`%.&'%.#&%(),,+*.:*$6%BD%.&'%(&)<+/'<%
Table 1: Commonly Found Chemicals Known or Reasonably Anticipated to Be Human Carcinogens53
=&$':#/ 4"&)5#+5%V"'>.2.,':*W R#/Q',
=$1'$*)$ 4).,%!.&$ 3#,#/.
J':P':' X6a0<#)>.:' 3*8&':'
J':P#<#:' I*"8,':'%)>#<' 3+,-+&#/%=/#<
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4.<5#+5 L'.< !&#/",)&'*"8,':'%V!4IW
4.&1):%!'*&./",)&#<' G'*"8,':'%4",)&#<' k#:8,%4",)&#<'
These and many other studies demonstrate that exposures to hazardous chemicals during vulnerable periods of development can have profound e!ects that may not manifest until later in life.
THE HEALTH REPORT8
.*%5)&'%*".:%X%5#,,#):%()+:<$%('&%8'.&%#:%*"'%K:#*'<%3*.*'$6%.:<%B`%".2'%#:2),2'<%)//+(.*#):.,%'>()0$+&'$%*)%5)&'%*".:%`CCC%@)5':?%S'*6%<'$(#*'%*"'%:'.&%/'&*.#:*8%)-%@#<'$(&'.<%"+5.:%'>()$+&'%*)%5.:8%)-%*"'$'%/"'5#/.,$6%*"'%-#:<#:;$%".2'%*&#;;'&'<%2#&*+.,,8%:)%&';+,.*)&8%)&%)*"'&%(),#/8%&'$():$'?
President’s Cancer Panel calls for increased regulation of chemicals
A:%#*$%BCC[0BCCD%=::+.,%E'()&*6%*"'%H&'$#<':*\$%4.:/'&%H.:',U.(0()#:*'<%18%H&'$#<':*%M')&;'%O?%J+$"U$+55.&#P'<%#*$%#:2'$*#;.*#):%):%'2#<':/'%,#:Q#:;%/"'5#/.,$%*)%2.&#)+$%Q#:<$%)-%/.:/'&6%.:<%/):/,+<'<%*".*6%<'$(#*'%&'5.#:#:;%+:/'&*.#:*#'$6%@'%Q:)@%':)+;"%*)%./*?%=//)&<#:;%*)%*"'%H.:',6%f*"'%*&+'%1+&<':%)-%':2#&):5':*.,,8%#:<+/'<%/.:/'&%#$%;&)$$,8%+:<'&'$0*#5.*'<?gaD
3#:;,#:;%)+*%!34=%.$%.:%f';&';#)+$%'>.5(,'%)-%#:'--'/*#2'%&';+,.*#):%)-%':2#&):5':*.,%/):*.5#:.:*$6g%*"'%H.:',%/.,,'<%):%H&'$#<':*%c1.5.%*)%+$'%*"'%()@'&%)-%"#$%)--#/'%f*)%&'5)2'%*"'%/.&/#:);':$%.:<%)*"'&%
*)>#:$%-&)5%)+&%-))<6%@.*'&6%.:<%.#&%*".*%:''<,'$$,8%#:/&'.$'%"'.,*"%/.&'%/)$*$6%/&#((,'%)+&%R.*#):\$%(&)<+/*#2#*86%.:<%<'2.$*.*'%=5'&#/.:%,#2'$?g`C
The asbestos example
I--'/*#2'%!34=%&'-)&5%@#,,%;#2'%IH=%*"'%()@'&%*)%&'$*&#/*%/.:/'&0/.+$#:;%/"'5#/.,$%,#Q'%.$1'$*)$6%.%5.*'&#.,%*".*%".$%1'':%1.::'<%#:%``%)*"'&%/)+:0*&#'$?`X%A:%XD[D6%IH=%1.::'<%.$1'$*)$%#:%.,5)$*%.,,%(&)<+/*$6%1+*%.%-'<'&.,%.((',,.*'%/)+&*%)2'&*+&:'<%*"'%1.:%):%*"'%;&)+:<$%*".*%*"'%.;':/8%-.#,'<%*)%5''*%#*$%1+&<':%)-%(&)2#:;%*".*%.$1'$*)$%(&'$':*'<%.:%+:&'.$):.1,'%&#$Q?%!"'%/"#,,#:;%'--'/*%)-%*"#$%/)+&*%<'/#$#):%#$%/,'.&^%IH=%".$:\*%*&#'<%*)%+$'%!34=%*)%1.:%)&%&'$*&#/*%*"'%
(&)<+/*#):%)&%+$'%)-%.%/"'5#/.,%$#:/'?`B%
!)%(&)*'/*%(+1,#/%"'.,*"6%IH=%:''<$%*"'%(&)('&%.+*")&#*8%*)%&'0$*&#/*%"+5.:%/.&/#:);':$%*)%@"#/"%(')(,'%.&'%'>()$'<?%!34=%$")+,<%&'T+#&'%IH=%*)%.$$'$$%/"'5#/.,$%.:<%"),<%/"'5#/.,%5.:+-./*+&'&$%&'$():$#1,'%-)&%<'5):$*&.*#:;%*"'%$.-'*8%)-%*"'#&%(&)<+/*$?
SAFER CHEMICALS HEALTHY FAMILIES 9
T "'%:+51'&%)-%=5'&#/.:%/"#,<&':%@#*"%,'.&:#:;%.:<%<'2',)(5':*.,%
<#$.1#,#*#'$%".$%1'':%/,#51#:;%)2'&%*"'%(.$*%<'/.<'6%&'./"#:;%:'.&,8%):'%#:%$#>%18%BCC[?`a%!"'%#:/&'.$#:;%(&'2.,':/'%)-%.+*#$5%.:<%.**':*#):%<'-#/#*%"8('&./*#2#*8%<#$)&<'&%.//)+:*$%-)&%5)$*%)-%*"#$%/".:;'?``%!"'%R.*#):.,%=/.<'58%)-%3/#':/'$%'$*#5.*'$%*".*%/)51#:.*#):$%)-%':2#&):5':*.,%-./*)&$6%#:/,+<#:;%'>()$+&'%*)%*)>#/%/"'5#/.,$6%.,):;%@#*"%;':'*#/%$+$/'(*#1#,#*86%/.+$'%)&%/):*+*'%*)%.*%,'.$*%B`_%)-%,'.&:#:;%.:<%<'2',)(5':*.,%<#$.1#,#*#'$%#:%=5'&#/.:%/"#,<&':?`Z
A:*',,'/*+.,%<#$.1#,#*8%V-)&5'&,8%&'-'&&'<%*)%.$%5':*.,%&'*.&<.*#):W%.--'/*$%B_6%)&%.((&)>#5.*',8%X?a%5#,,#):6%/"#,<&':%#:%*"'%K:#*'<%3*.*'$?`Y%=$%)-%BCCD6%D_%)-%/"#,<&':U&)+;",8%`C%5#,,#):%Q#<$U@'&'%<#.;:)$'<%@#*"%.**':*#):%<'-#/#*%"8('&./*#2#*8%<#$)&<'&%V=F7FW?`[6`D%=//)&<#:;%*)%*"'%K?3?%4':*'&$%-)&%F#$'.$'%4):*&),%.:<%H&'2':*#):%V4F4W6%.:%'$*#5.*'<%X%#:%[[%/"#,<&':%#:%*"'%K:#*'<%3*.*'$%".2'%.:%.+*#$5%$('/*&+5%<#$)&<'&?ZC%J'*@'':%XDDY%.:<%BCC[6%*"'%(&'2.,':/'%)-%.+*#$5%#:0/&'.$'<%:'.&,8%]CC_%:.*#):.,,8?ZX%A:%.%$'5#:.,%$*+<8%)-%4.,#-)&:#.\$%<&.5.*#/%&#$'%#:%.+*#$5%&.*'$6%&'$'.&/"'&$%-)+:<%*".*%.1)+*%]C_%)-%*"'%&#$'%/)+,<%:)*%1'%'>(,.#:'<%18%/".:;'$%#:%*"'%.;'%)-%<#.;:)$#$%)&%*"'%#:/,+$#):%)-%5#,<'&%/.$'$?ZB
!"'$'%/):<#*#):$%#5()$'%*&'5':<)+$%($8/"),);#/.,%.:<%'/):)5#/%/)$*$%):%*"'%.--'/*'<%/"#,<&':6%*"'#&%-.5#,#'$6%.:<%/)55+:#*#'$?%c:%.2'&.;'6%#*%/)$*$%*@#/'%.$%5+/"%*)%'<+/.*'%.%/"#,<%@")%".$%.%,'.&:#:;%)&%<'2',)(5':*.,%<#$.1#,#*8%.$%*)%'<+/.*'%.%/"#,<%@")%<)'$%:)*?Z]%=//)&<#:;%*)%*"'%4F46%#:<#2#<+.,$%@#*"%.:%.+*#$5%$('/*&+5%<#$)&<'&%".2'%.2'&.;'%5'<#/.,%'>(':0<#*+&'$%*".*%'>/''<%*")$'%@#*")+*%*"'%<#$)&<'&%18%ea6XXCbeZ6BCC%('&%8'.&?Za%=%BCCZ%$*+<8%&'()&*'<%*".*%*"'%'/)0:)5#/%/)$*$%.$$)/#.*'<%@#*"%.+*#$5%#:%*"'%K?3?%.&'%.((&)>#5.*',8%e]`%1#,,#):%<),,.&$%('&%8'.&?Z`
Learning and Developmental Disabilities
Ten chemicals suspected of causing developmental neurotoxicityA:%$(&#:;%BCXB6%$/#':*#$*$%-&)5%*"'%R.*#):.,%A:$*#*+*'%)-%I:2#&):05':*.,%7'.,*"%3/#':/'$%.:<%*"'%G)+:*%3#:.#%3/")),%)-%G'<#/#:'%,#$*'<%fXC%/"'5#/.,$%.:<%5#>*+&'$%@#<',8%<#$*+*'<%#:%*"'%':2#&):5':*%*".*%.&'%.,&'.<8%$+$('/*'<%)-%/.+$#:;%<'2',)(5':0*.,%:'+&)*)>#/#*8?g%!"'$'%.&'^%
X?% J#&<K%.%"'.28%5'*.,%1.::'<%-&)5%;.$),#:'%#:%*"'%XDYC$6%-)+:<%#:%),<%(.#:*6%,'.<%(#('$%.:<%$#:Q'&$6%*)8$6%l'@',&86%.:<%)*"'&%#*'5$%5.<'%)-%2#:8,%(,.$*#/?
B?% G#("E'/#-46-EK%&','.$'<%#:*)%*"'%.#&%-&)5%/).,01+&:#:;%()@'&%(,.:*$i%.,$)%-)+:<%#:%$)5'%5'<#/.,%'T+#(5':*6%$@#*/"'$6%('&$):.,%/.&'%(&)<+/*$6%.:<%-,+)&'$/':*%1+,1$?%
]?% L,'E4"',-01&(#<$70H"#1E'*$ML)N*OK$+$'<%#:%','/*&#/.,%*&.:$0-)&5'&$i%1.::'<%#:%*"'%,.*'%XDYC$%1+*%$*#,,%@#<',8%-)+:<%#:%,.Q'$6%'&$6%$)#,6%-#$"6%.:<%(')(,'?
a?% P-2&1,H",*H"&(#$H#*(040<#*K$('$*#/#<'$%/):*.#:#:;%(")$(")0&)+$%*".*%@)&Q%18%<#$&+(*#:;%*"'%:'&2)+$%$8$*'5i%+$'<%*)%Q#,,%#:$'/*$%):%/&)($%.:<%,.@:$6%.:<%#:%1+#,<#:;$?
`?% P-2&1,4"',-01#$H#*(040<#*K%('$*#/#<'$%/):*.#:#:;%/",)&#:'%*".*%@)&Q%18%<#$&+(*#:;%*"'%:'&2)+$%$8$*'5i%+$'<%*)%Q#,,%#:$'/*$%):%/&)($%.:<%,.@:$6%.:<%#:%1+#,<#:;$i%5.:8%1+*%:)*%.,,%".2'%1'':%1.::'<%#:%*"'%K:#*'<%3*.*'$?%
Z?% Q1<,4-01#$<0*-6H(,-*K$/"'5#/.,$%*".*%<#$&+(*%*"'%")&5):'%$8$*'56%#:/,+<#:;%("*".,.*'$%.:<%1#$("':),%=%V1)*"%@#<',8%+$'<%#:%(,.$*#/$W6%H4J$6%1&)5#:.*'<%-,.5'%&'*.&<.:*$6%('&0-,+)&#:.*'<%/)5()+:<$6%<#)>#:$6%)&;.:)/",)&#:'%('$*#/#<'$6%.5):;%)*"'&$?
Y?% 86(,/,(0F#$#3"&6*(
[?% L,'E4E4'04$&-,/&(04$"E<-,4&-7,1*K$.#&%(),,+*.:*$%-&)5%-+',%/)51+$*#):%#:%2'"#/,'$6%/).,0-#&'<%()@'&%(,.:*$6%"'.*#:;6%.:<%/))Q#:;i%.,$)%-)+:<%#:%*)1.//)%$5)Q'?
D?% N-,/01&(#<$+'&/#$-#(&-<&1(*K%-,.5'%&'*.&<.:*%/"'5#/.,$%.<<'<%*)%-+&:#*+&'6%','/*&):#/$6%1+#,<#:;%5.*'&#.,$6%1'<<#:;6%.:<%.%@#<'%&.:;'%)-%)*"'&%(&)<+/*$?
XC?%L#-+'6,-01&(#<$4,/H,61<*K$+$'<%#:%$*.#:0&'$#$*.:*%.:<%:):$*#/Q%(&)<+/*$?
L'.<6%5'*"8,5'&/+&86%H4J$6%$)5'%':<)/&#:'%<#$&+(*)&$6%1&)05#:.*'<%-,.5'%&'*.&<.:*$6%.:<%('&-,+)&#:.*'<%/)5()+:<$%.&'%.5):;%/"'5#/.,$%$+1l'/*%*)%&';+,.*#):%18%*"'%!)>#/%3+1$*.:/'$%4):*&),%=/*?DB%%
THE HEALTH REPORT10
The human brain: more susceptible during development
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Toxic flame retardants example
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SAFER CHEMICALS HEALTHY FAMILIES 11
@#*"%*"'#&%*)>#/%/):$'T+':/'$%-)&%8'.&$%*)%/)5'?%
How chemical policy reform can help
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Table 2: Some Chemicals Known to be Neurotoxic to Humans91*
Metals and inorganic compounds
Organic solvents Other organic substances
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THE HEALTH REPORT12
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The link to chemical exposure
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Pesticides
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Solvents
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Alzheimer’s and Parkinson’s Diseases
SAFER CHEMICALS HEALTHY FAMILIES 13
Lead and other metals
L'.<6%@"#/"%#$%:)*)&#)+$%-)&%#*$%#5(./*$%):%*"'%<'2',)(#:;%1&.#:$%)-%/"#,<&':6%.,$)%:)@%.(('.&$%,#Q',8%*)%#:/&'.$'%*"'%&#$Q%)-%:'+&)<';':0'&.*#2'%<#$)&<'&$%#:%(')(,'%.$%*"'8%.;'?%
=%$*+<8%)-%),<'&%5':%#:%*"'%;':'&.,%()(+,.*#):%-)+:<%*".*%#:/&'.$#:;%,'2',$%)-%,'.<%#:%*"'#&%1):'$%@.$%.$$)/#.*'<%@#*"%.//','&0.*'<%/);:#*#2'%<'/,#:'?%!"'%;&)+(%@#*"%*"'%"#;"'$*%,'.<%,'2',$%".<%X`%8'.&$%)-%.<<#*#):.,%/);:#*#2'%.;#:;%/)5(.&'<%*)%*"'%;&)+(%@#*"%*"'%,)@'$*%,'2',$%@"':%*"'8%@'&'%&'0*'$*'<%$'2'&.,%8'.&$%,.*'&?XXa%3#5#,.&%-#:<#:;$%.&'%.,$)%&'()&*'<%#:%@)5':?XX`
I,'2.*'<%1):'%,'.<%,'2',$%.&'%.,$)%.$$)/#.*'<%@#*"%.:%#:/&'.$'<%&#$Q%)-%H.&Q#:$):\$%<#$'.$'?XXZ
3*+<#'$%#:%&)<':*$%<'$#;:'<%*)%'>.5#:'%5'/".:#$5$%18%@"#/"%'.&,80,#-'%,'.<%'>()$+&'%5#;"*%/):*+*'%*)%,.*'0,#-'%:'+&)<';':0'&.*#):%$")@%*".*%(&':.*.,%,'.<%'>()$+&'$%5)<#-8%*"'%'>(&'$$#):%)-%/'&*.#:%;':'$%,.*'&%#:%,#-'6%&'$+,*#:;%#:%#:/&'.$'<%(&)<+/*#):%)-%=,P"'#5'&0.$$)/#.*'<%.1:)&5.,%1&.#:%(&)*'#:$?XXY%!"'%$.5'%<',.8'<6%,.*'0,#-'%#:/&'.$'%#:%=,P"'0#5'&\$%<#$'.$'0&',.*'<%(&)*'#:$%@.$%&'()&*'<%#:%.;'<%5):Q'8$%'>()$'<%#:%#:-.:/8%*)%,)@%,'2',$%)-%,'.<?XX[
R'@%.:#5.,%$*+<#'$%.,$)%".2'%&'$+&&'/*'<%*"'%XDZC$%/):*&)2'&$8%.1)+*%*"'%&),'%)-%.,+5#:+5%#:%:'+0&)<';':'&.*#2'%<#$'.$'?%c:'%$5.,,%
$*+<8%$")@'<%*".*%@"':%&)<':*$%@'&'%/"&):#/.,,8%'>()$'<%*)%<#'*.&8%.,+5#:+5%V$#5#,.&%*)%*8(#/.,%"+5.:%'>()$+&'%,'2',$W6%.,+5#:+5%./0/+5+,.*'<%#:%*"'%1&.#:?XXD%=%,.&;'&%-),,)@0+(%$*+<8%#:%&.*$%$")@'<%*".*%*"'%5)&'%.,+5#:+5%.%&.*%&'/'#2'<%#:%#*$%<#'*6%*"'%5)&'%5'5)&8%,)$$%*"'%&.*%'>"#1#*'<?XBC
I>/'$$#2'%#:".,.*#):%)-%5.:;.:'$'0/):*.#:#:;%-+5'$%.,$)%/.:%#:/&'.$'%*"'%&#$Q%)-%H.&Q#:$):0,#Q'%$85(*)5$?XBX
Polychlorinated biphenyls (PCBs)
J'-)&'%*"'8%@'&'%'--'/*#2',8%1.::'<%+:<'&%!34=%#:%*"'%,.*'%XDYC$6%(),8/",)&#:.*'<%1#("':8,$%VH4J$W%@'&'%+$'<%-)&%5.:8%8'.&$%.$%-,.5'%&'*.&<.:*$6%(,.$*#/#P'&$%#:%(.#:*$6%
THE HEALTH REPORT14
,+1&#/.:*$%.:<%/)),.:*$%#:%','/*&#/.,%'T+#(5':*6%.:<%.<"'$#2'$?XBB6XB]%=$%.%&'$+,*%)-%*"'#&%@#<'$(&'.<%+$'6%5.:8%(')(,'%.:<%@#,<,#-'%*"&)+;")+*%*"'%@)&,<%".2'%1'':%'>()$'<?XBa
G)&'%*".:%]C%8'.&$%.-*'&%*"'8%@'&'%'--'/*#2',8%1.::'<6%H4J$%/):*#:+'%*)%/):*.5#:.*'%*"'%':2#&):5':*%1'/.+$'%*"'8%.&'%('&$#$*':*6%)&%:)*%'.$#,8%1&)Q':%<)@:6%.:<%5)2'%&'.<#,8%-&)5%,.:<%*)%.#&%.:<%@.*'&?%!"'8%.,$)%1#)./0/+5+,.*'%.:<%/):*#:+'%*)%':*'&%.:<%/):*.5#:.*'%*"'%-))<%$+((,86%@"#/"%#$%.:%):;)#:;%$)+&/'%)-%"+5.:%'>()$+&'?XB`%
J#)5):#*)&#:;%<.*.%-&)5%*"'%4F4%$")@%*".*%*"'%=5'&#/.:%(+1,#/%#$%$*#,,%@#<',8%/):*.5#:.*'<%@#*"%H4J$?XBZ%=,*")+;"%*"'%,'2',$%)-%H4J$%#:%*"'%;':'&.,%()(+,.*#):%.&'%<'/&'.$#:;6%/'&*.#:%$+1()(+,.*#):$%&'5.#:%"#;",8%'>()$'<6%'$('/#.,,8%*")$'%&';+,.&,8%/):$+5#:;%/):*.5#0:.*'<%-#$"?XBY
A:%*"'%8'.&$%-),,)@#:;%!34=\$%(.$$.;'6%@'%,'.&:'<%*".*6%,#Q'%5)$*%/"'5#/.,$6%H4J$%/.:%/&)$$%*"'%(,./':*.6%<#&'/*,8%'>()$#:;%*"'%-'*+$?XB[%R+5'&)+$%$*+<#'$%$")@%*".*%(&':.*.,%'>()$+&'%*)%H4J$%#:*'&-'&'$%@#*"%:)&5.,%1&.#:%<'2',)(5':*?XBD6X]C6X]X%G)&'%&'/':*,86%@'%".2'%,'.&:'<%*".*%H4J$%5.8%#:0/&'.$'%*"'%&#$Q%)-%1)*"%=,P"'#5'&\$%<#$'.$'%.:<%H.&Q#:$):\$%<#$'.$'?
!"&''%(+1,#$"'<%'(#<'5#),);#/%$*+<#'$%".2'%'>(,)&'<%*"'%'--'/*$%)-%H4J$%):%/);:#*#2'%<'/,#:'%)&%<'5':*#.6%.:<%'./"%-)+:<%*".*%"#;"'&%,'2',$%)-%'>()$+&'%.&'%.$0$)/#.*'<%@#*"%.:%#:/&'.$'<%&#$Q%)-%<'5':*#.%)&%/);:#*#2'%#5(.#&5':*?%O"#,'%H4J%'>()$+&'$%@'&'%&',.*#2',8%"#;"%#:%*@)%)-%*"'%$*+<#'$6X]B6X]]%
'>()$+&'$%#:%*"'%*"#&<%@'&'%/,)$'&%*)%*")$'%#:%*"'%;':'&.,%()(+,.0*#):?X]a
=%&'*&)$('/*#2'%5)&*.,#*8%$*+<8%)-%5)&'%*".:%XY6CCC%@)&Q'&$%)//+(.*#):.,,8%'>()$'<%*)%H4J$%&'()&*'<%.%:'.&,8%*"&''-),<%'>/'$$%)-%H.&Q#:$):\$%<#$'.$'0
&',.*'<%<'.*"$%.:<%*@#/'%.$%5.:8%<'5':*#.0&',.*'<%<'.*"$%#:%@)5':%5)$*%"#;",8%'>()$'<%*)%H4J$?X]`%=:)*"'&%()$*5)&*'5%$*+<8%-)+:<%"#;"'&%,'2',$%)-%H4J$%#:%*"'%1&.#:$%)-%(')(,'%@#*"%H.&Q#:$):\$%<#$'.$'%*".:%#:%/):*&),%$+1l'/*$?X]Z%=:#5.,%.:<%/',,+,.&%$*+<#'$%.,$)%".2'%$")@:%*".*%$)5'%H4J$%(&)<+/'%H.&Q#:$):0,#Q'%/".:;'$%#:%*"'%1&.#:%)&%1&.#:%/',,$?X]Y
!"+$6%H4J$%*',,%.%/.+*#):.&8%*.,'^%#:*&)<+/*#):%)-%('&$#$*':*6%1#)./0/+5+,.*#2'6%.:<%*)>#/%/"'5#/.,$%#:*)%/)55'&/'%@#,,%(&'<#/*.1,8%".2'%.<2'&$'%"'.,*"%.:<%'/):)5#/%/):$'T+':/'$%-)&%5.:8%8'.&$6%'2':%.-*'&%*"'8%.&'%1.::'<?%
How chemical policy reform can help
!)%1'%'--'/*#2'6%!34=%&'-)&5%5+$*%&'/);:#P'%*"'%+:#T+'%<.:;'&$%()$'<%18%'>()$+&'%*)%('&$#$*':*6%1#).//+5+,.*#2'6%.:<%*)>#/%(),,+*0.:*$%VHJ!$W6%$+/"%.$%H4J$6%HJFI$6%.:<%"'.28%5'*.,$6%.:<%#:/,+<'%(&)2#$#):$%*)%1.:%*"'5%'>/'(*%-)&%/&#*#/.,%+$'$?%4)55+:#*#'$%.:<%()(+,.*#):$%*".*%1'.&%<#$(&)()&0*#):.*',8%"#;"%1+&<':$%)-%HJ!%/):*.5#:.*#):%5+$*%1'%*"'%-)/+$%)-%'>()$+&'%&'<+/*#):%'--)&*$?
A:%.<<#*#):6%#*%#$%:)@%/,'.&%*".*%':2#&):5':*.,%/"'5#/.,$%/.:%/):*+*'%*)%:'+&)<';':'&.*#2'%/".:;'$%#:%*"'%.<+,*%.:<%.;#:;%1&.#:?%!"+$6%#:%)&<'&%*)%(&)*'/*%(+1,#/%"'.,*"6%!34=%&'-)&5%.,$)%5+$*%#:/,+<'%(&)2#$#):$%-)&%.$0$'$$#:;%*"'%'--'/*$%)-%#:<+$*&#.,%/"'5#/.,$%):%*"'%1&.#:%*"&)+;")+*%*"'%,#-'$(.:?
SAFER CHEMICALS HEALTHY FAMILIES 15
I :%*"'%K?3?%*)<.86%*"'&'%#$%#:/&'.$#:;%/):/'&:%*".*%':2#0
&):5':*.,%/):*.5#:.:*$%5.8%1'%".&5#:;%*"'%&'(&)<+/*#2'%"'.,*"%.:<%-'&*#,#*8%)-%@)5':%.:<%5':?%E'(&)<+/*#2'%.:<%-'&*#,#*8%(&)1,'5$%.(('.&%*)%1'%):%*"'%&#$'?
In women:
• =*%,'.$*%XB_%)-%@)5':%&'()&*'<%<#--#/+,*8%#:%/):/'#2#:;%.:<%5.#:*.#:#:;%(&';:.:/8%#:%BCCB6%.:%#:/&'.$'%)-%aC_%-&)5%XD[B?X][6X]D%9&)5%XD[B%*)%XDD`6%*"'%(&'2.,':/'%)-%#:-'&*#,0#*8%.,5)$*%<)+1,'<%#:%8)+:;'&%@)5':6%.;'$%X[bB`?XaC6XaX%=%&'/':*%+(<.*'%/):/,+<'$%*".*%*"'%*&':<%5.8%".2'%,'2','<%)--6%.,*")+;"%*"'&'%#$%<#$.;&''5':*%):%*"#$?XaB6Xa]
• 9#1&)#<$%.:<%)*"'&%-'&*#,#*80&',.*'<%<#$'.$'$6%,#Q'%':<)5'*&#)$#$%.:<%(),8/8$*#/%)2.&#.:%$8:<&)5'6%.&'%<#.;0:)$'<%5)&'%-&'T+':*,8%:)@6%@"#/"%5.8%1'%*"'%&'$+,*%)-%.%*&+'%#:/&'.$'6%1'**'&%<'*'/*#):6%)&%1)*"?Xaa
In men:
• =//)&<#:;%*)%.%,.&;'%$*+<8%)-%5':%-&)5%*"'%J)$*):%.&'.6%*'$*)$*'&):'%,'2',$%#:%.<+,*%5':%.&'%<'/,#:#:;?%!"#$%<'/,#:'%#$%:)*%'>(,.#:'<%18%.:%#:/&'.$'%#:%.;'%)&%)*"'&%"'.,*"%)&%,#-'$*8,'%-./*)&$%$+/"%.$%)1'$#*8%)&%$5)Q#:;?Xa`
• !'$*#/+,.&%/.:/'&%#:/&'.$'<%18%ZC_%1'*@'':%XDY]%.:<%BCC]%#:%*"'%K?3?XaZ
• 3('&5%/)+:*$%".2'%<'/,#:'<%#:%5':%#:%$)5'%.&'.$%)-%*"'%K?3?6%I+&)('6%.:<%=+$*&.,#.?XaY
In children:
• A:%K?3?%;#&,$6%(+1'&*8%#$%1';#:0:#:;%'.&,#'&%*".:%#:%*"'%(.$*?Xa[%=%@'#;"*0)-0*"'0'2#<':/'%'2.,+.*#):%)-%"+5.:%.:<%.:#5.,%$*+<#'$%$+;;'$*$%*".*%':<)/&#:'0<#$&+(*#:;%/"'5#/.,$6%(.&*#/+,.&,8%'$*&);':%5#5#/$%.:<%.:*#0.:<&);':$6%.$%@',,%.$%#:/&'.$'<%1)<8%-.*%.:<%/'&*.#:%$)/#.,%/#&/+5$*.:/'$6%/.:%.<2.:/'%*"'%):$'*%)-%(+1'&*8?XaD6X`C
• E'(&)<+/*#2'%*&./*%.1:)&5.,#*#'$%.&'%#:/&'.$#:;%#:%/'&*.#:%()(+,.0*#):$?%A:%):'%.:.,8$#$%)-%*@)%K?3?%$+&2'#,,.:/'%$8$*'5$6%/&8(*)&/"#<#$5%V+:<'$/':<'<%*'$*#/,'V$WW%#:/&'.$'<%BCC_%1'*@'':%XDYC%.:<%XDD]?X`X%A:%$)5'%$+&2'#,,.:/'%$8$*'5$6%*"'%#:/#<':/'%)-%"8()$(.<#.$%
V<'-)&5#*8%)-%*"'%(':#$W%".$%#:/&'.$'<6%@"'&'.$%#:%)*"'&$6%#:/&'.$'$%".2'%,'2','<%)--?X`B6X`]
!'$*#/+,.&%<8$;':'$#$%$8:<&)5'%V<'$/'<%1',)@W6%&'$+,*#:;%-&)5%01$6(#-,%'>()$+&'%*)%':<)/&#:'0<#$&+(*#:;%/"'5#/.,$6%".$%1'':%(&)()$'<%.$%.:%#:*';&.*#:;%'>(,.:.0*#):%-)&%*"'%)1$'&2'<%#:/&'.$'$%#:%*'$*#/+0,.&%/.:/'&6%/):;':#*.,%.1:)&5.,#*#'$%)-%*"'%5.,'%&'(&)<+/*#2'%*&./*6%.:<%<'/&'.$'$%#:%$('&5%/)+:*?X`a%A:<''<6%.%;&)@#:;%.:<%/)5(',,#:;%1)<8%)-%'2#<':/'%$+;0;'$*$%*".*%/"'5#/.,%'>()$+&'$%.&'%,#Q',8%*)%1'%#:-,+':/#:;%5.:8%)-%*"'$'%*&':<$%#:%-'5.,'$%.:<%5.,'$?X``6X`Z6X`Y
!"'%-#:.:/#.,%/):0$'T+':/'$%)-%*"'$'%
/):<#*#):$%.&'%"#;",8%$#;:#-#/.:*?%A:%BCCB6%K?3?%(.*#':*$%.:<%*"'#&%#:$+&'&$%$(':*%.:%'$*#5.*'<%eB?D%1#,,#):%):%#:-'&*#,#*8%*&'.*5':*$%.,):'?X`[
The link to chemical exposure
!"'%4F4%".$%(+1,#$"'<%<.*.%$")@0#:;%*".*%'>()$+&'$%*)%':<)/&#:'0<#$&+(*#:;%/"'5#/.,$%,#Q'%("*".,.*'$6%1#$("':),%=%VJH=W6%('&-,+)&#:.*'<%/)5()+:<$6%.:<%/.<5#+5%.&'%/)55):?%!"'%4F4%&'()&*$%*".*%.,05)$*%'2'&8):'%".$%*"'$'%/"'5#/.,$%#:%*"'#&%1)<#'$6%$)5'%.*%,'2',$%:'.&%)&%.1)2'%*")$'%$")@:%#:%$/#':*#-#/%$*+<#'$%*)%/.+$'%.<2'&$'%'--'/*$%):%&'(&)<+/*#2'%"'.,*"?X`D6XZC6XZX%
E'/':*%#:2'$*#;.*#):$%$")@%*".*%"#;"'&%,'2',$%)-%'>()$+&'%*)%
Reproductive Health and Fertility Problems
THE HEALTH REPORT16
':<)/&#:'0<#$&+(*#:;%/"'5#/.,$%.&'%.$$)/#.*'<%@#*"%.<2'&$'%'--'/*$%):%&'(&)<+/*#2'%5'.$+&'$%.:<%1#&*"%)+*/)5'$%#:%*"'%;':'&.,%()(+,.0*#):6%#:/,+<#:;%&'<+/'<%$('&5%T+.,#*8%#:%5':6%(&'5.*+&'%1#&*"6%,)@%1#&*"%@'#;"*6%.:<%1'".2#)&.,%/".:;'$%#:%/"#,<&':?XZB6XZ]6XZa6XZ`6XZZ6XZY%!"'$'%-#:<#:;$%.&'%/):$#$*':*%@#*"%.%,.&;'%1)<8%)-%'>('':*.,%,.1)&.*)&8%<.*.?%
!"'%'>.5(,'$%1',)@%#,,+$*&.*'%*"'%&'.$):%-)&%/):/'&:%.1)+*%'>()$+&'%*)%$)5'%/"'5#/.,$%.:<%*"'%()*':0*#.,%#5(./*$%):%&'(&)<+/*#2'%"'.,*"?%K:-)&*+:.*',86%*"'&'%.&'%-.&%5)&'%/"'5#/.,$%.1)+*%@"#/"%@'%".2'%,#**,'%)&%:)%<.*.%):%*"'%()*':*#.,%-)&%:';.*#2'%#5(./*$?
Bisphenol A
c2'&%*"'%(.$*%<'/.<'6%.%@'.,*"%)-%:'@%$*+<#'$%".$%$")@:%*".*%$)5'%/"'5#/.,$%/.:%./*%.$%':<)/&#:'%<#$&+(*)&$U/"'5#/.,$%*".*%#:*'&-'&'%@#*"%:)&5.,%")&5):'%-+:/*#):%.:<%&';+,.*#):?%=5):;%*"'$'%.&'%.:#5.,%$*+<#'$%*".*%,#:Q%(&':.*.,%.:<%'.&,80,#-'%'>()$+&'$%*)%JH=6%@"#/"%#$%-)+:<%#:%(),8/.&1):.*'%(,.$*#/%.:<%$)5'%-))<%.:<%1'2'&.;'%/.:%,#:#:;$6%*)%('&5.:':*%&'(&)<+/*#2'%/".:;'$%.:<%#:/&'.$'<%&#$Q$%)-%,.*'&%&'(&)<+/*#2'%"'.,*"%(&)1,'5$6%$+/"%.$%#:-'&*#,#*8%.:<%'.&,8%(+1'&*8?XZ[6XZD
=:#5.,%$*+<#'$%.,$)%$")@%*".*%(&':.*.,%'>()$+&'$%*)%JH=%.*%,'2',$%$#5#,.&%*)%*")$'%'>('&#':/'<%18%(')(,'%#:%*"'%;':'&.,%()(+,.0*#):%.,*'&%*"'%<'2',)(5':*%)-%*"'%(&)$*.*'%.:<%5.55.&8%;,.:<$6%#:/&'.$#:;%*"'%$+$/'(*#1#,#*8%-)&%<'2',)(#:;%/.:/'&%,.*'&%#:%,#-'?XYC6XYX
A:%,.1)&.*)&8%.:#5.,$6%#:/,+<0#:;%:):0"+5.:%
(.*'$6%JH=%(&'2#)+$,8%@.$%$")@:%*)%.--'/*%*"'%<'2',)(5':*%)-%*"'%1&.#:6%/.+$#:;%/".:;'$%#:%;':<'&%$('/#-#/%1'".2#)&$?XYB%E'/':*,86%.%"+5.:%$*+<8%&'0()&*'<%*".*%*"'%"#;"'&%.%(&';:.:*%@)5.:\$%JH=%,'2',$%@'&'%<+&#:;%"'&%-#&$*%XZ%@''Q$%)-%(&';:.:/86%*"'%5)&'%,#Q',8%"'&%/"#,<%@.$%*)%,.*'&%$")@%1'".2#)&%$)5'@".*%.*8(#/.,%)-%#*$%;':<'&%.*%.;'%*@)?%M#&,$%':;.;'<%#:%5)&'%5.$/+,#:#P'<%1'".2#)&$6%@"#,'%1)8$%@'&'%5)&'%-'5#:#P'<?XY]
Phthalates
H&':.*.,%'>()$+&'%*)%("*".,.*'$%/)55):,8%-)+:<%#:%('&$):.,%/.&'%(&)<+/*$6%.$%.%-))<%/):*.5#:.:*6%.:<%#:%#*'5$%5.<'%-&)5%Hk4%(,.$*#/6%)&%2#:8,6%".$%1'':%,#:Q'<%*)%.,*'&'<%<'2',)(5':*%)-%*"'%5.,'%&'(&)<+/*#2'%$8$*'5%.:<%-'5#:#P'<%1'".2#)&$%#:%1)8$?%3)5'%&'$'.&/"0'&$%:)@%;&)+(%*"'%5.,'%1#&*"%<'-'/*$U+:<'$/':<'<%*'$*#/,'V$W%.:<%<'-)&5#*8%)-%*"'%(':#$U@#*"%*@)%)*"'&%/):<#*#):$%)-%*"'%5.,'%&'(&)<+/*#2'%*&./*U,)@%$('&5%/)+:*$%.:<%*'$*#/+,.&%/.:/'&?%!"'$'%-)+&%5'<#/.,%/):<#*#):$%.&'%/),0,'/*#2',8%/.,,'<%*'$*#/+,.&%<8$;':'$#$%
$8:<&)5'%V!F3W?%=:#5.,%$*+<#'$%$+;;'$*%*".*%.%!F30,#Q'%/):<#*#):%/.:%1'%)1$'&2'<%.-*'&%-'*.,%'>()0$+&'%*)%("*".,.*'$?XY`
A:%R)2'51'&%BCCD6%.%$*+<8%)-%5)*"'&$%.:<%*"'#&%/"#,<&':%-)+:<%*".*%1)8$%1)&:%*)%5)*"'&$%@#*"%"#;"'&%,'2',$%)-%("*".,.*'$%#:%*"'#&%+&#:'%<+&#:;%(&';:.:/8%@'&'%5)&'%,#Q',8%*)%'>"#1#*%-'5#:#P'<%1'".2#)&$%*".:%1)8$%@")$'%5)*"'&$%".<%,)@'&%,'2',$%)-%'>()$+&'?XYZ
Perfluorinated chemicals
3*+<#'$%)-%('&-,+)&#:.*'<%/"'5#/.,$6%/)55):,8%+$'<%#:%$*.#:0(&))-%.:<%:):0$*#/Q%(&)<+/*$6%.,$)%5.8%:';.*#2',8%.--'/*%&'(&)<+/*#2'%"'.,*"?%3)5'%$*+<#'$%".2'%-)+:<%
*".*%"#;"'&%,'2',$%)-%5.*'&:.,%'>()$+&'%*)%*"'$'%/)5()+:<$%.&'%*#'<%*)%,)@'&%1#&*"%@'#;"*%#:%:'@01)&:$?XYY6XY[6XYD6X[C%=:)*"'&%$*+<8%-)+:<%*".*%F.:#$"%5':%@#*"%"#;"'&%,'2',$%)-%('&-,+)�:.*'<%/)5()+:<$%".<%-'@'&%:)&5.,%$('&5%.:<%,)@'&%$('&5%/):/':*&.0*#):$?X[X%=%&'/':*%$*+<8%)-%/"#,<&':%,#2#:;%:'.&%.%('&-,+)&#:.*'<%/"'5#/.,%(&)<+/0
A wide range of wildlife populations has been adversely a!ected by exposure to endocrine-disrupting contaminants. Impacts among birds, fish, shellfish, mammals, and reptiles include decreased fertility and increased reproductive tract abnormalities, feminization and demasculinization in the males, and masculinization and defeminization in the females.174
SAFER CHEMICALS HEALTHY FAMILIES 17
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Cadmium
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How chemical policy reform can help
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THE HEALTH REPORT18
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!"'%.::+.,%/)$*$%.$$)/#0.*'<%@#*"%.$*"5.%;&'@%-&)5%.1)+*%e`]%1#,,#):%#:%BCCB%*)%.1)+*%e`Z%1#,,#):%#:%BCCY6%.:%#:/&'.$'%)-%`?Y_?%!"'$'%/)$*$%#:/,+<'%5'<#/.,%'>(':$'$%Ve`C?X%1#,,#):%('&%8'.&W6%,)$$%)-%(&)<+/*#2#*8%&'$+,*#:;%-&)5%5#$$'<%$/")),%)&%@)&Q%<.8$%Ve]?[%1#,,#):%('&%8'.&W6%.:<%(&'5.*+&'%<'.*"%VeB?X%1#,,#):%('&%8'.&W?XD]
The link to chemical exposure
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=%BCCa%3@'<#$"%$*+<8%/)5(.&'<%XD[%8)+:;%/"#,<&':%@#*"%.$*"5.%.:<%.,,'&;#'$%*)%BCB%"'.,*"8%/):*&),%$+1l'/*$?%!"'%")5'%':2#&):5':*%)-%'2'&8%/"#,<%@.$%'>.5#:'<6%@#*"%.#&%.:<%<+$*%$.5(,'$%*.Q':%#:%*"'%&))5%@"'&'%*"'%/"#,<%$,'(*?%!"'%/"#,<&':%@")$'%1'<&))5$%/):*.#:'<%"#;"'&%,'2',$%)-%*"'%("*".,.*'%FI7H%@'&'%5)&'%,#Q',8%*)%".2'%1'':%<#.;:)$'<%@#*"%.$*"5.%18%.%("8$#/#.:?XDD%4+&&':*%$*+<#'$%.&'%&''>.5#:#:;%*"'%()$$#01,'%.$$)/#.*#):%1'*@'':%("*".,.*'$%.:<%.$*"5.%@#*"%5)&'%&#;)&)+$%(&)$('/*#2'%$*+<8%<'$#;:$?%
How chemical policy reform can help
4):$+5'&$6%&'*.#,'&$6%.:<%)*"'&%<)@:$*&'.5%+$'&$%)-%/"'5#/.,$U#:/,+<#:;%5.:+-./*+&0'&$%.:<%<#$*+*)&$%)-%*)8$%.:<%)*"'&%(&)<+/*$U".2'%.%(&)1,'5%#:%/)55):^%*"'8%/.::)*%;.#:%.//'$$%*)%1.$#/%#:-)&5.*#):%.1)+*%*"'%/"'5#/.,$%+$'<%*)%5.Q'%*"'#&%(&)<+/*$?%J'/.+$'%-'<'&.,%,.@%<)'$%:)*%':$+&'%*"'%&#;"*%*)%Q:)@%
Asthma
SAFER CHEMICALS HEALTHY FAMILIES 19
@".*%@'%.&'%'>()$'<%*)6%@'%<):\*%".2'%*"'%#:-)&5.*#):%@'%:''<%*)%#<':*#-8%.,,%*"'%$)+&/'$%)-%#:<))&%.#&%(),,+*#):%*".*%5.8%1'%/.+$#:;%.$*"5.%)&%*&#;;'&#:;%$85(*)5$?
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/$%.:<%)*"'&%:+&$'&8%-+&:#$"#:;$o%7)@%<)'$%.%:'@%-.*"'&%<'/#<'%@"#/"%1.18%$".5())%5.8%/):*.#:%("*".,.*'$o%O"8%$")+,<%:'@%(.&0':*$%".2'%*)%@)&&8%.1)+*%@"'*"'&%()*':*#.,,8%<.:;'&)+$%/"'5#/.,$%.&'%#:%*"'%(&)<+/*$%*"'8%/"))$'%-)&%*"'#&%:'@1)&:%/"#,<&':o
!)%1'%'--'/*#2'6%!34=%&'-)&5%$")+,<%#:/,+<'%.%&'T+#&'5':*%*".*%/"'5#/.,%5.:+-./*+&'&$%(+1,#/,8%<#$/,)$'%#:-)&5.*#):%):%*"'%+$'$%)-%.:<%"'.,*"%".P.&<$%.$$)/#.*'<%@#*"%*"'#&%/"'5#/.,$6%.:<%*"'%@.8$%*".*%(')(,'%/)+,<%1'%'>()$'<%#:%*"'#&%")5'$6%$/")),$6%)&%(,./'$%)-%@)&Q?
Table 3: Examples of Chemical Pollutants from Indoor Sources Implicated in Asthma or Its Symptoms200
Compounds Example Sources
=,<'"8<'$
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=&)5.*#/$
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THE HEALTH REPORT20
E H=%=<5#:#$*&.*)&%N./Q$):%)--'&'<%.%/)55):$':$'%
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Health and social costs of hazardous environmental exposures in children
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“If our students are getting sick because we’ve built schools in polluted areas, they are going to fall behind. The poor who get sick because of toxins in their neighborhoods are the same people who typically seek treatment in emergency rooms. That drives up health care costs for everyone. And environmental health issues hold back economic growth. Let me repeat that, because there are a lot of people who think that we can’t address these issues and strengthen our economy. In fact, we must address these issues to strengthen our economy. Environmental health issues hold back economic growth.”
EPA Administrator Lisa Jackson at the American Public Health Association, November 8, 2009201
Reducing Our Health Care Costs
SAFER CHEMICALS HEALTHY FAMILIES 21
Conclusion
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• 8*("/&:%!"'%;&)@#:;%1)<8%)-%&'$'.&/"%,#:Q#:;%.$*"5.%*)%/"'5#/.,%'>()$+&'$%<'5):$*&.*'$%@"8%!34=%&'-)&5%$")+,<%&'T+#&'%/"'5#/.,%5.:+-./*+&'&$%*)%(+1,#/,8%<#$/,)$'%#:-)&5.*#):%):%*"'%+$'$%)-%.:<%"'.,*"%".P.&<$%.$$)/#.*'<%@#*"%*"'#&%/"'5#/.,$6%.:<%*"'%@.8$%*".*%(')(,'%/)+,<%1'%'>()$'<%#:%*"'#&%")5'$6%$/")),$6%)&%(,./'$%)-%@)&Q?
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THE HEALTH REPORT22
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]?% 7)@'%76%'*%.,?%=::+.,%&'()&*%*)%*"'%:.*#):%):%*"'%$*.*+$%)-%/.:/'&%VXDY]%*"&)+;"%XDD[W6%9'.*+&#:;%/.:/'&$%@#*"%&'/':*%#:/&'.$#:;%*&':<$?%N)+&:.,%)-%*"'%R.*#):.,%4.:/'&%A:$*#*+*'%BCCXiD]VXXW^[Ba0[aB?
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Y?% O))<&+--%!6%'*%.,?%!&':<$%#:%':2#&):5':*.,,8%&',.*'<%/"#,<"))<%#,,:'$$'$?%H'<#.*&#/$6%BCCaiXX]VaW^XX]]0XXaC?
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XY?% !&.$.:<'%L6%'*%.,?%E'<+/#:;%*"'%$*.;;'&#:;%/)$*$%)-%':2#&):5':*.,%<#$'.$'%#:%/"#,<&':6%'$*#5.*'<%.*%eYZ?Z%1#,,#):%#:%BCC[?%7'.,*"%=--.#&$%BCXXi]CV`W^[Z]0[YC?
X[?% !"'%H)@'&%)-%H&'2':*#):^%4"&):#/%<#$'.$'???*"'%(+1,#/%"'.,*"%/".,,':;'%)-%*"'%BX$*%/':*+&8%qA:*'&:'*r?%O.$"#:;*):6%F4^%R.*#):.,%4':*'&%-)&%4"&):#/%F#$'.$'%H&'2':*#):%.:<%7'.,*"%H&)5)*#):i%qBCCDr?%=2.#,.1,'%-&)5^%"((HKII999:4<4:2,FI4"-,104<0*#&*#IH<+I=>>A;L,9#-;,+;L-#F#1(0,1:H<+?
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Endnotes
SAFER CHEMICALS HEALTHY FAMILIES 23
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BC?% 3IIE%4.:/'&%3*.*#$*#/$%E'2#'@6%XDY`0BCC[%qA:*'&:'*r?%J'*"'$<.^%R.*#):.,%4.:/'&%A:$*#*+*'i%qBCXB%G.&/"%B`r?%=2.#,.1,'%-&)5^%"((HKII*##-:4&14#-:2,FI4*-I@ABCU=>>VI7-,9*#U4*-:H"HW*#4(0,1X@ZH&2#X*#4(U>@U(&7'#:@C:"(/'?
BX?% 3IIE%4.:/'&%3*.*#$*#/$%E'2#'@6%XDY`0BCC[%qA:*'&:'*r?%J'*"'$<.^%R.*#):.,%4.:/'&%A:$*#*+*'i%qBCXB%G.&/"%B`r?%=2.#,.1,'%-&)5^%"((HKII*##-:4&14#-:2,FI4*-I@ABCU=>>VI7-,9*#U4*-:H"HW*#4(0,1X@ZH&2#X*#4(U>@U(&7'#:@[:"(/'?
BB?% F'.*"$%.:<%G)&*.,#*8%qA:*'&:'*r?%=*,.:*.^%K?3?%4':*'&$%-)&%F#$'.$'%4):*&),%.:<%H&'2':*#):i%q+(<.*'<%BCXB%N.:+.&8%BYr?%=2.#,.1,'%-&)5^%"((HKII999:4<4:2,FI14"*I+&*(&(*I<#&("*:"(/?
B]?% 4.:/'&%9./*$%t%9#;+&'$%BCXB%qA:*'&:'*r?%=*,.:*.^%=5'&#/.:%4.:/'&%3)/#'*8i%qBCXBr?%%=2.#,.1,'%-&)5^%"((HKII999:4&14#-:,-2I&4*I2-,6H*I4,1(#1(I\#H0<#/0,',2E*6-F#0'&14#I<,46/#1(*I<,46/#1(I&4*H4;>]@AY@:H<+?
Ba?% 4,.((%EO6%'*%.,?%I:2#&):5':*.,%.:<%)//+(.*#):.,%/.+$'$%)-%/.:/'&^%:'@%'2#<':/'%BCC`0BCCY?%I:2#&):05':*.,%7'.,*"%BCC[iB]VXW^X0]Y?
B`?% =5'&#/.\$%4"#,<&':%.:<%*"'%I:2#&):5':*^%G'.$+&'$%)-%/):*.5#:.:*$6%1)<8%1+&<':$6%.:<%#,,:'$$'$%qA:*'&0:'*r?%O.$"#:;*):6%F4^%I:2#&):5':*.,%H&)*'/*#):%=;':/8i%q+(<.*'%BCXX%G.&/"%[i%/#*'<%BCC]r?%=2.#,.1,'%-&)5^%999:#H&:2,FI&4#IH67'04&(0,1*I01<#3:"(/'?
BZ?% I/):)5#/%A5(./*%)-%4.:/'&%qA:*'&:'*r?%=*,.:*.^%=5'&#/.:%4.:/'&%3)/#'*8i%qBCXX%=+;+$*%X`r?%=2.#,.1,'%-&)5^%999:4&14#-:,-2I)&14#-I)&14#-N&*04*I#4,1,/04;0/H&4(;,+;4&14#-?
BY?% !&.$.:<'%L6%'*%.,?%E'<+/#:;%*"'%$*.;;'&#:;%/)$*$%)-%':2#&):5':*.,%<#$'.$'%#:%/"#,<&':6%'$*#5.*'<%.*%eYZ?Z%1#,,#):%#:%BCC[?%7'.,*"%=--.#&$%BCXXi]CV`W^[Z]0[YC?
B[?% E'()&*%):%4.&/#:);':$6%!@',-*"%I<#*#):%qA:*'&:'*r%E'$'.&/"%!&#.:;,'%H.&Q^%R.*#):.,%!)>#/),);8%H&);&.56%K?3?%F'(.&*5':*%)-%7'.,*"%.:<%7+5.:%3'&2#/'$i%qBCXX%N+:'r?%=2.#,.1,'%-&)5^%"((HKII1(H:10#"*:10":2,FIW,7^#4(0<X>])A8_BC;Q@N_;__Y>;`N8AQ)>A=V`_VN@C?%
BD?% !)>#/),);#/.,%E'2#'@%)-%!&#/",)&)'*"8,':'^%A:%$+(()&*%)-%$+55.&8%#:-)&5.*#):%):%*"'%A:*';&.*'<%E#$Q%A:-)&5.*#):%38$*'5%VAEA3W%qA:*'&:'*r?%O.$"#:;*):6%F4^%K?3?%I:2#&):5':*.,%H&)*'/*#):%=;':/8i%qBCXX%3'(*'501'&r?%=2.#,.1,'%-&)5^%"((HKII#H&:2,FI0-0*I(,3-#F0#9*I>@AA(-I>@AA(-:H<+?
]C?% !)>#/),);#/.,%H&)-#,'%-)&%9)&5.,<'"8<'%qA:*'&:'*r%O.$"#:;*):6%F4^%=;':/8%-)&%!)>#/%3+1$*.:/'$%.:<%F#$'.$'%E';#$*&86%F'(.&*5':*%)-%7'.,*"%.:<%7+5.:%3'&2#/'$i%q+(<.*'<%BCXX%G.&/"%]i%/#*'<%XDDDr?%=2.#,0.1,'%-&)5^%999:&(*<-:4<4:2,FI(,3H-,+0'#*I(H:&*HW0<X==>Z(0<X]A?%
]X?% c--'&5.::%9N?%k':*#,.*#):%.:<%#:<))&%.#&%T+.,#*8%#:%:'@%")5'$?%4.,#-)&:#.%.#&%&'$)+&/'$%1).&<%.:<%4.,#-)&:#.%':'&;8%/)55#$$#):6%HAIE%':'&;80&',.*'<%':2#&):5':*.,%&'$'.&/"%(&);&.5%qA:*'&:'*r?%BCCD?%q/#*'<%BCCD%R)2'51'&ri4I40`CC0BCCD0C[`?%=2.#,.1,'%-&)5^%999:&-7:4&:2,FI-#*#&-4"I&H-IH&*(I>Y;]@>:H<+?
]B?% !&#/",)&)'*"8,':'%V!4IW^%!)>#/#*8%.:<%'>()$+&'%.$$'$$5':*%-)&%/"#,<&':\$%"'.,*"6%/"'5#/.,%$+55.&8%qA:*'&:'*r?%O.$"#:;*):6%F4^%I:2#&):5':*.,%H&)*'/*#):%=;':/8i%q+(<.*'<%BCCY%3'(*'51'&%BCr?%=2.#,.1,'%-&)5^%999:#H&:2,FI(#&4"I4"#/U*6//I!)QU*6//&-E:H<+?%
]]?% !&#/",)&)'*"8,':'%V!4IW^%!)>#/#*8%.:<%'>()$+&'%.$$'$$5':*%-)&%/"#,<&':\$%"'.,*"6%/"'5#/.,%$+55.&8%qA:*'&:'*r?%O.$"#:;*):6%F4^%I:2#&):5':*.,%H&)*'/*#):%=;':/8i%q+(<.*'<%BCCY%3'(*'51'&%BCr?%=2.#,.1,'%-&)5^%999:#H&:2,FI(#&4"I4"#/U*6//I!)QU*6//&-E:H<+?
]a?% !)>#/),);#/.,%H&)-#,'%-)&%!&#/",)&)'*"8,':'%V!4IW%qA:*'&:'*r?%O.$"#:;*):6%F4^%=;':/8%-)&%!)>#/%3+1$*.:/'$%.:<%F#$'.$'%E';#$*&86%F'(.&*5':*%)-%7'.,*"%.:<%7+5.:%3'&2#/'$i%q+(<.*'<%BCXX%G.&/"%]r%=2.#,.1,'%-&)5^%"((HKII999:&(*<-:4<4:2,FI(,3H-,+0'#*I(H:&*HW0<X@B]Z(0<X]>?%
]`?% E+<',%E6%'*%.,?%I:2#&):5':*.,%'>()$+&'$%.:<%5.55.&8%;,.:<%<'2',)(5':*^%$*.*'%)-%*"'%$/#':/'6%(+1,#/%"'.,*"%#5(,#/.*#):$6%.:<%&'$'.&/"%&'/)55':<.*#):$?%I:2#&):5':*.,%7'.,*"%H'&$('/*#2'$%BCXXiXXDV[W^XC`]0XCZX?
]Z?% H&#:$%M?%I:<)/&#:'%<#$&+(*)&$%.:<%(&)$*.*'%/.:/'&%&#$Q?%I:<)/&#:'0E',.*'<%4.:/'&%BCC[iX`V]W^ZaD0Z`Z?
]Y?% 7))2'&%E6%'*%.,?%=<2'&$'%"'.,*"%)+*/)5'$%#:%@)5':%'>()$'<%#:%+*'&)%*)%<#'*"8,$*#,1'$*&),?%R'@%I:;,.:<%N)+&:.,%)-%G'<#/#:'%BCXXi%]Z`VXaW^X]Ca0X]Xa?
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THE HEALTH REPORT24
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SAFER CHEMICALS HEALTHY FAMILIES 25
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Za?% 3"#5.1+Q+&)%!6%'*%.,?%G'<#/.,%'>(':<#*+&'$%-)&%/"#,<&':%@#*"%.:%.+*#$5%$('/*&+5%<#$)&<'&%#:%.%(.*',8%#:$+&'<%()(+,.*#):?%N)+&:.,%)-%=+*#$5%.:<%F'2',)(5':*.,%F#$)&<'&$%BCC[i][V]W^`aZ0``B?
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Z[?% M&.:<l'.:%H6%'*%.,?%F'2',)(5':*.,%:'+&)*)>#/#*8%)-%#:<+$*&#.,%/"'5#/.,$?%L.:/'*%BCCZi%]Z[VD``]W^BXZY0BXY[?
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Y]?% !)>#/),);#/.,%H&)-#,'%-)&%H),81&)5#:.*'<%J#("':8,$%.:<%H),81&)5#:.*'<%F#("':8,%I*"'&$%VHJJ$%.:<%HJFI$W%qA:*'&:'*r?%=*,.:*.^%=;':/8%-)&%!)>#/%3+1$*.:/'$%.:<%F#$'.$'%E';#$*&86%K?3?%F'(.&*5':*%)-%7'.,*"%.:<%7+5.:%3'&2#/'$i%qBCCa%3'(*'51'&r%=2.#,.1,'%-&)5^%"((HKII999:&(*<-:4<4:2,FI!,3L-,+0'#*I(H[V:H<+?%
Ya?% H),81&)5#:.*'<%F#("':8,%I*"'&$^%E'/)55':<.*#):$%*)%&'<+/'%'>()$+&'%#:%4.,#-)&:#.%qA:*'&:'*r?%3./&.05':*)^%4.,#-)&:#.%I:2#&):5':*.,%H&)*'/*#):%=;':/8i%qBCCZ%9'1&+.&8r?%=2.#,.1,'%-&)5^%"((HKII,#""&:4&:2,FIH<+ILN`Qa-R2-H.H(_#7>[:H<+?
Y`?% H),81&)5#:.*'<%<#("':8,'*"'&$%VHJFI$W%qA:*'&:'*r?%O.$"#:;*):%F4^%K?3?%I:2#&):5':*.,%H&)*'/*#):%=;':/8i%qBCXC%N.:+.&8%BZr%=2.#,.1,'%-&)5^%"((HKII999:#H&:2,FI,HH(IH7<#I?
YZ?% 9#&'%E'*.&<.:*$%#:%!)<<,'&$%.:<%!"'#&%G)*"'&$%qA:*'&:'*r%O.$"#:;*):%F4^%I:2#&):5':*.,%O)&Q#:;%M&)+(i%qBCC[%3'(*'51'&r?%=2.#,.1,'%-&)5^%"((HKII999:#92:,-2I-#H,-(*IH7<#*01(,<<'#-*?
YY?% k#1'&;%76%'*%.,?%I>()$+&'%*)%(),81&)5#:.*'<%<#("':8,%'*"'&$%BC]%.:<%BCZ%<+&#:;%*"'%:'):.*.,%1&.#:%;&)@*"%$(+&*%.--'/*$%(&)*'#:$%#5()&*.:*%-)&%:)&5.,%:'+&)<'2',)(5':*%#:%5#/'?%!)>#/),);8%3/#':/'%BCCDiXCD^]CZ0]XX?
Y[?% N)".:$$):%R6%'*%.,?%R'):.*.,%'>()$+&'%*)%<'/.01&)5#:.*'<%<#("':8,%'*"'&%VHJFI%BCDW%/.+$'$%<)$'0%&'$():$'%/".:;'$%#:%$():*.:')+$%1'".2#)&%.:<%/"),#:'&;#/%$+$/'(*#1#,#*8%#:%.<+,*%5#/'?%R'+&)*)>#/),);8%BCC[iBDVZW^DXX0DXD?
THE HEALTH REPORT26
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[X?% I&#Q$$):%H6%'*%.,?%J&)5#:.*'<%-,.5'%&'*.&<.:*$^%=%:)2',%/,.$$%)-%<'2',)(5':*.,%:'+&)*)>#/.:*$%#:%)+&%':2#&):5':*o%I:2#&):5':*.,%7'.,*"%H'&$('/*#2'$%BCCXiXCDVDW^DC]0DC[?
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[]?% k#1'&;%76%'*%.,?%R'):.*.,%'>()$+&'%*)%(),80%1&)5#:.*'<%<#("':8,%'*"'&%VHJFI%X`]W%<#$&+(*$%$():*.:')+$%1'".2#)+&6%#5(.#&$%,'.&:#:;%.:<%5'5)&86%.:<%<'/&'.$'$%"#(()/.5(.,%/"),#:'&;#/%&'/'(*)&$%#:%.<+,*%5#/'?%!)>#/),);8%.:<%=((,#'<%H".&5./),);8%BCC]iXDBVBW^D`0XCZ?
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DC?% M&.:<l'.:%H6%'*%.,?%F'2',)(5':*.,%:'+&)*)>#/#*8%)-%#:<+$*&#.,%/"'5#/.,$?%L.:/'*%BCCZi%]Z[VD``]W^BXZY0BXY[?
DX?% M&.:<l'.:%H6%'*%.,?%F'2',)(5':*.,%:'+&)*)>#/#*8%)-%#:<+$*&#.,%/"'5#/.,$?%L.:/'*%BCCZi%]Z[VD``]W^BXZY0BXY[?
DB?% L.:<&#;.:%H6%'*%.,?%=%&'$'.&/"%$*&.*';8%*)%<#$/)2'&%*"'%':2#&):5':*.,%/.+$'$%)-%.+*#$5%.:<%:'+&)<'2',0)(5':*.,%<#$.1#,#*#'$?%I:2#&):5':*.,%7'.,*"%H'&$('/*#2'$%qA:*'&:'*r?%BCXB%q/#*'<%BCXB%=(&#,%B`riXBC^.B`[0.BZC?%=2.#,.1,'%-&)5^%"((HKII<3:<,0:,-2I@>:@=VAI#"H:@@>Y=VC?
D]?% 9./*$"''*^%BCXX%=,P"'#5'&\$%F#$'.$'%9./*$%.:<%9#;+&'$%qA:*'&:'*r?%4"#/.;)^%=,P"'#5'&\$%=$$)/#.*#):i%qBCXX%G.&/"r?%=2.#,.1,'%-&)5^%"((HKII999:&'S:,-2I<,46/#1(*U46*(,/I=>@@U_&4(*U_026-#*U_&4(U5"##(:H<+?
Da?% 9./*$"''*^%BCXX%=,P"'#5'&\$%F#$'.$'%9./*$%.:<%9#;+&'$%qA:*'&:'*r?%4"#/.;)^%=,P"'#5'&\$%=$$)/#.*#):i%qBCXX%G.&/"r?%=2.#,.1,'%-&)5^%"((HKII999:&'S:,-2I<,46/#1(*U46*(,/I=>@@U_&4(*U_026-#*U_&4(U5"##(:H<+?
D`?% 9./*$"''*^%BCXX%=,P"'#5'&\$%F#$'.$'%9./*$%.:<%9#;+&'$%qA:*'&:'*r?%4"#/.;)^%=,P"'#5'&\$%=$$)/#.*#):i%qBCXX%G.&/"r?%=2.#,.1,'%-&)5^%"((HKII999:&'S:,-2I<,46/#1(*U46*(,/I=>@@U_&4(*U_026-#*U_&4(U5"##(:H<+?
DZ?% 9./*$"''*^%BCXX%=,P"'#5'&\$%F#$'.$'%9./*$%.:<%9#;+&'$%qA:*'&:'*r?%4"#/.;)^%=,P"'#5'&\$%=$$)/#.*#):i%qBCXX%G.&/"r?%=2.#,.1,'%-&)5^%"((HKII999:&'S:,-2I<,46/#1(*U46*(,/I=>@@U_&4(*U_026-#*U_&4(U5"##(:H<+?
DY?% 9./*$"''*^%BCXX%=,P"'#5'&\$%F#$'.$'%9./*$%.:<%9#;+&'$%qA:*'&:'*r?%4"#/.;)^%=,P"'#5'&\$%=$$)/#.*#):i%qBCXX%G.&/"r?%=2.#,.1,'%-&)5^%"((HKII999:&'S:,-2I<,46/#1(*U46*(,/I=>@@U_&4(*U_026-#*U_&4(U5"##(:H<+?
D[?% H.&Q#:$):\$%F#$'.$'%J./Q;&)+:<'&%qA:*'&:'*r?%J'*"'$<.^%R.*#):.,%A:$*#*+*'%)-%R'+&),);#/.,%F#$)&<'&$%.:<%3*&)Q'i%q+(<.*'<%BCCa%c/*)1'&%X[r?%=2.#,.1,'%-&)5^%%"((HKII999:101<*:10":2,FI<0*,-<#-*IH&-R01*,1*U<0*;
SAFER CHEMICALS HEALTHY FAMILIES 27
#&*#IH&-R01*,1*U<0*#&*#U7&4R2-,61<#-:"(/?%
DD?% F)&$'8%IE6%'*%.,?%H&)l'/*'<%:+51'&%)-%(')(,'%@#*"%H.&Q#:$):%<#$'.$'%#:%*"'%5)$*%()(+,)+$%:.*#):$6%BCC`%*"&)+;"%BC]C?%R'+&),);8%BCCYiZ[^][a0][Z?
XCC?% I:2#&):5':*.,%!"&'.*$%*)%7'.,*"8%=;#:;^%O#*"%.%/,)$'&%,))Q%.*%=,P"'#5'&\$%.:<%H.&Q#:$):\$%<#$'.$'$%qA:*'&:'*r?%J)$*):^%M&'.*'&%J)$*):%H"8$#/#.:$%-)&%3)/#.,%E'$():$#1#,#*8%.:<%*"'%3/#':/'%.:<%I:2#&):5':*.,%7'.,*"%R'*@)&Qi%qBCC[r?%=2.#,.1,'%-&)5^%"((HKII999:&2#"#&'("E:,-2IH<+IcNL5.5Q%dU%#&'("E82012@>@B:H<+?%
XCX?% 9./*$"''*^%BCXX%=,P"'#5'&\$%F#$'.$'%9./*$%.:<%9#;+&'$%qA:*'&:'*r%4"#/.;)^%=,P"'#5'&\$%=$$)/#.*#):i%qBCXX%G.&/"r?%=2.#,.1,'%-&)5^%"((HKII999:&'S:,-2I<,46/#1(*U46*(,/I=>@@U_&4(*U_026-#*U_&4(U5"##(:H<+?
XCB?% G+#&%!6%'*%.,?%3)/#'*.,%/)$*$%)-%'>()$+&'%*)%*)>#/%$+1$*.:/'$^%'/):)5#/%.:<%"'.,*"%/)$*$%)-%-)+&%/.$'%$*+<#'$%*".*%.&'%/.:<#<.*'$%-)&%':2#&):5':*.,%/.+$.*#):?%I:2#&):5':*.,%7'.,*"%H'&$('/*#2'$%BCCXiXCDVZW^[[`0DC]?
XC]?% 3/"5'/"',%F6%'*%.,?%3*&.*';#'$%-)&%<#$$'/*#:;%;':'*#/0':2#&):5':*.,%#:*'&./*#):$%#:%:'+&)<';':'&.*#2'%<#$)&<'&$?%R'+&)*)>#/),);8%BCCZiBYV`W^Z]Y0Z`Y?
XCa?% M&.:<l'.:%H6%'*%.,?%F'2',)(5':*.,%:'+&)*)>#/#*8%)-%#:<+$*&#.,%/"'5#/.,$?%L.:/'*%BCCZi%]Z[VD``]W^BXZY0BXY[?
XC`?% L.:;$*):%O6%'*%.,?%4"&):#/%H.&Q#:$):#$5%#:%"+5.:$%<+'%*)%.%(&)<+/*%)-%5'('&#<#:'0.:.,);%$8:*"'$#$?%3/#':/'%XD[]i%BXDVa`[YW^DYD0D[C?
XCZ?% J&)@:%!6%'*%.,?%H'$*#/#<'$%.:<%H.&Q#:$):\$%<#$'.$'U#$%*"'&'%.%,#:Qo%I:2#&):5':*.,%7'.,*"%H'&$('/*#2'$%BCCZiXXaVBW^X`Z0XZa?
XCY?% O.:;%=6%'*%.,?%H.&Q#:$):\$%<#$'.$'%&#$Q%-&)5%.51#':*%'>()$+&'%*)%('$*#/#<'$?%I+&)('.:%N)+&:.,%)-%I(#<'05#),);8%BCXXiBZVYW^`aY0```?
XC[?% 7.8<':%h6%'*%.,?%c//+(.*#):.,%'>()$+&'%*)%('$*#/#<'$%#:/&'.$'$%*"'%&#$Q%)-%#:/#<':*%=F^%*"'%4./"'%4)+:*8%$*+<8?%R'+&),);8%BCXCiYaVXDW^X`Ba0X`]C?
XCD?% h.5',%96%'*%.,?%=$$)/#.*#):%)-%('$*#/#<'%'>()$+&'%@#*"%:'+&),);#/%<8$-+:/*#):%.:<%<#$'.$'?%I:2#&):5':*.,%7'.,*"%H'&$('/*#2'$%BCCaiXXBVDW^D`C0D`[?
XXC?% M.$"%F6%'*%.,?%!&#/",)&)'*"8,':'^%H.&Q#:$):#$5%.:<%/)5(,'>%X%5#*)/"):<&#.,%:'+&)*)>#/#*8?%=::.,$%)-%R'+&),);8%BCCYiZ]VBW^X[a0XDB?
XXX?% 7.;'5.:%M6%'*%.,?%H.&Q#:$):#$56%(8&.5#<.,%$#;:$6%(),8:'+&)(.*"86%.:<%/);:#*#2'%<'/,#:'%.-*'&%,):;0*'&5%)//+(.*#):.,%$),2':*%'>()$+&'?%N)+&:.,%)-%R'+&),);8%XDDDiBaZV]W^XD[0BCZ?
XXB?% M),<5.:%36%'*%.,?%3),2':*%'>()$+&'$%.:<%H.&Q#:$):%<#$'.$'%&#$Q%#:%*@#:$?%=::.,$%)-%R'+&),);8%qA:*'&:'*r%BCXX%q/#*'<%BCXX%R)2'51'&%Xar?%=2.#,.1,'%-&)5^%"((HKII,1'01#'07-&-E:90'#E:4,/I<,0I@>:@>>=I&1&:==[=AI+6''?%
XX]?% !&#/",)&)'*"8,':'%V!4IW^%!)>#/#*8%.:<%I>()$+&'%=$$'$$5':*%-)&%4"#,<&':\$%7'.,*"6%4"'5#/.,%3+55.&8%qA:*'&:'*r?%O.$"#:;*):6%F4^%I:2#&):5':*.,%H&)*'/*#):%=;':/8i%q+(<.*'<%BCCY%3'(*'51'&%BCr?%=2.#,.1,'%-&)5^%999:#H&:2,FI(#&4"I4"#/U*6//I!)QU*6//&-E:H<+?%
XXa?% O'#$$Q)(-%G6%'*%.,?%4+5+,.*#2'%,'.<%'>()$+&'%.:<%(&)$('/*#2'%/".:;'%#:%/);:#*#):%.5):;%',<'&,8%5':?%=5'&#/.:%N)+&:.,%)-%I(#<'5#),);8%BCCaiXZCVXBW^XX[a0XXD]?
XX`?% J.:<'':0E)/"'%h6%'*%.,?%4+5+,.*#2'%,'.<%<)$'%.:<%/);:#*#2'%-+:/*#):%#:%),<'&%.<+,*$?%I(#<'5#),);8%BCCDiBCVZW^[]X0[]D?
XXZ?% 4)):%36%'*%.,?%O"),'01)<8%,#-'*#5'%XBZ%)//+(.*#):.,%,'.<%'>()$+&'%.:<%&#$Q%)-%H.&Q#:$):\$%<#$'.$'?%I:2#&):5':*.,%7'.,*"%H'&$('/*#2'$%BCCZiXXaVXBW^X[YB0X[YZ?
XXY?% J.$".%G6%'*%.,?%!"'%-'*.,%1.$#$%)-%.58,)#<);':'$#$^%'>()$+&'%*)%,'.<%.:<%,.*':*%)2'&'>(&'$$#):%)-%.580,)#<%(&'/+&$)&%(&)*'#:%.:<%1'*.0.58,)#<%#:%*"'%.;#:;%1&.#:?%!"'%N)+&:.,%)-%R'+&)$/#':/'%BCC`iB`VaW^[B]0[BD?
XX[?% N#:-.:;%O+6%'*%.,?%=,P"'#5'&\$%<#$'.$'%V=FW0,#Q'%(.*"),);8%#:%.;'<%5):Q'8$%.-*'&%#:-.:*#,'%'>()$+&'%*)%':2#&):5':*.,%5'*.,%,'.<%VH1W^%'2#<':/'%-)&%.%<'2',)(5':*.,%)&#;#:%.:<%':2#&):5':*.,%,#:Q%-)&%=F?%!"'%N)+&:.,%)-%R'+&)$/#':/'%XCC[iB[VXW^]0D?
XXD?% O.,*):%N?E?6%'*%.,?%=%,):;#*+<#:.,%$*+<8%)-%&.*$%/"&):#/.,,8%'>()$'<%*)%.,+5#:+5%.*%"+5.:%<#'*.&8%,'2',$?%R'+&)$/#':/'%L'**'&$%BCCYiaXB^BD0]]?
THE HEALTH REPORT28
XBC?% O.,*):%N?E?6%'*%.,?%9+:/*#):.,%#5(.#&5':*%#:%.;'<%&.*$%/"&):#/.,,8%'>()$'<%*)%"+5.:%&.:;'%<#'*.&8%.,+5#0:+5%'T+#2.,':*$?%R'+&)*)>#/),);8%BCCDi]CVBW^X[B0XD]?
XBX?% J)@5.:%=6%'*%.,?%E),'%)-%5.:;.:'$'%#:%:'+&)<';':'&.*#2'%<#$'.$'$?%N)+&:.,%)-%!&./'%I,'5':*$%#:%G'<#0/#:'%.:<%J#),);8%BCXXiB`VaW^XDX0BC]?%
XBB?% !)>#/),);#/.,%H&)-#,'%-)&%H),8/",)&#:.*'<%J#("':8,$%VH4J$W%qA:*'&:'*r?%=*,.:*.^%=;':/8%-)&%!)>#/%3+1$*.:/'$%.:<%F#$'.$'%E';#$*&86%K?3?%F'(.&*5':*%)-%7'.,*"%.:<%7+5.:%3'&2#/'$i%qBCCC%R)2'51'&r?%=2.#,.1,'%-&)5^%"((HKII999:&(*<-:4<4:2,FI(,3H-,+0'#*I(H@B:H<+?
XB]?% !"'%!)>#/%3+1$*.:/'$%4):*&),%=/*%)-%XDYZi%X`%K?3?4?%v%BZC`V'W%VXDYZW?
XBa?% !)>#/),);#/.,%H&)-#,'%-)&%H),8/",)&#:.*'<%J#("':8,$%VH4J$W%qA:*'&:'*r?%=*,.:*.^%=;':/8%-)&%!)>#/%3+1$*.:/'$%.:<%F#$'.$'%E';#$*&86%K?3?%F'(.&*5':*%)-%7'.,*"%.:<%7+5.:%3'&2#/'$i%qBCCC%R)2'51'&r?%=2.#,.1,'%-&)5^%"((HKII999:&(*<-:4<4:2,FI(,3H-,+0'#*I(H@B:H<+?
XB`?% !)>#/),);#/.,%H&)-#,'%-)&%H),8/",)&#:.*'<%J#("':8,$%VH4J$W%qA:*'&:'*r?%=*,.:*.^%=;':/8%-)&%!)>#/%3+1$*.:/'$%.:<%F#$'.$'%E';#$*&86%K?3?%F'(.&*5':*%)-%7'.,*"%.:<%7+5.:%3'&2#/'$i%qBCCC%R)2'51'&r?%=2.#,.1,'%-&)5^%"((HKII999:&(*<-:4<4:2,FI(,3H-,+0'#*I(H@B:H<+?
XBZ?% R.*#):.,%E'()&*%):%7+5.:%I>()$+&'%*)%4"'5#/.,$%qA:*'&:'*r?%=*,.:*.^%K?3?%4':*'&$%-)&%F#$'.$'%4):*&),%.:<%H&'2':*#):6%F'(.&*5':*%)-%7'.,*"%.:<%7+5.:%3'&2#/'$i%q+(<.*'<%BCXXi%/#*'<%BCC`r?%=2.#,.1,'%-&)5^%"((HKII999:4<4:2,FI#3H,*6-#-#H,-(I?%
XBY?% H+1,#/%7'.,*"%A5(,#/.*#):$%)-%I>()$+&'%*)%H),8/",)&#:.*'<%J#("':8,$%VH4J$W%qA:*'&:'*r?%=*,.:*.^%=;':/8%-)&%!)>#/%3+1$*.:/'$%.:<%F#$'.$'%E';#$*&86%K?3?%F'(.&*5':*%)-%7'.,*"%.:<%7+5.:%3'&2#/'$i%qBCC[%=+;+$*r?%=2.#,.1,'%-&)5^%"((HKII999:&(*<-:4<4:2,FI`!IH47>>B:"(/'?%
XB[?% 3".,#:#%F6%'*%.,?%9'*.,%I>()$+&'%*)%H4J$%.:<%*"'#&%"8<&)>8,.*'<%5'*.1),#*'$%#:%.%F+*/"%/)")&*?%I:2#&):05':*.,%7'.,*"%H'&$('/*#2'$%BCCaiXXBVXXW^XBC[bXBXB?
XBD?% H.*.:<#:%36%'*%.,?%I--'/*$%)-%':2#&):5':*.,%'>()$+&'%*)%(),8/",)&#:.*'<%1#("':8,$%.:<%<#)>#:$%):%/);:#*#2'%.1#,#*#'$%#:%F+*/"%/"#,<&':%.*%aB%5):*"$%)-%.;'?%N)+&:.,%)-%H'<#.*&#/$%XDDDiX]aVXW^]]0aX?
X]C?% N./)1$):%NL6%'*%.,?%A:*',,'/*+.,%#5(.#&5':*%#:%/"#,<&':%'>()$'<%*)%(),8/",)&#:.*'<%1#("':8,$%#:%+*'&)?%R'@%I:;,.:<%N)+&:.,%)-%G'<#/#:'%XDDZi]]`^Y[]0Y[D?
X]X?% N./)1$):%NL6%'*%.,?%I--'/*$%)-%#:%+*'&)%'>()$+&'%*)%H4J$%.:<%&',.*'<%/):*.5#:.:*$%):%/);:#*#2'%-+:/*#):0#:;%#:%8)+:;%/"#,<&':?%N)+&:.,%)-%H'<#.*&#/$%XDDCiXXZVXW^][0a`?
X]B?% L#:6%h46%'*%.,?%%R'+&)/);:#*#2'%/".:;'$%.5):;%',<'&,8%'>()$'<%*)%H4J$jH4F9$%#:%!.#@.:?%I:2#&):5':*.,%7'.,*"%H'&$('/*#2'$%BCC[iXXZVBW^X[a0X[D?
X]]?% 3*'':,.:<%h6%'*%.,?%H),8/",)&#:.*'<%1#("':8,$%.:<%:'+&)<';':'&.*#2'%<#$'.$'%5)&*.,#*8%#:%.:%)//+(.*#):.,%/)")&*?%I(#<'5#),);8%BCCZiXYVXW^[0X]?
X]a?% 3/".:*P%36%'*%.,?%A5(.#&5':*$%)-%5'5)&8%.:<%,'.&:#:;%#:%),<'&%.<+,*$%'>()$'<%*)%(),8/"),)&#:.*'<%1#("':8,$%2#.%/):$+5(*#):%)-%M&'.*%L.Q'$%-#$"?%I:2#&):5':*.,%7'.,*"%H'&$('/*#2'$%BCCXiXC[^ZC`0ZXX?
X]`?% 3*'':,.:<%h6%'*%.,?%H),8/",)&#:.*'<%1#("':8,$%.:<%:'+&)<';':'&.*#2'%<#$'.$'%5)&*.,#*8%#:%.:%)//+(.*#):.,%/)")&*?%I(#<'5#),);8?%BCCZiXYVXW^[0X]?
X]Z?% 3*'':,.:<%h6%'*%.,?%H),8/",)&#:.*'<%1#("':8,$%.:<%:'+&)<';':'&.*#2'%<#$'.$'%5)&*.,#*8%#:%.:%)//+(.*#):.,%/)")&*6g%I(#<'5#),);8%BCCZiXYVXW^[0X]?
X]Y?% 3'';.,%E6%'*%.,?%L#;"*,8%/",)&#:.*'<%)&*")0$+1$*#*+*'<%H4J%/):;':'&$%<'/&'.$'%<)(.5#:'%#:%:):"+5.:%(.*'%1&.#:%.:<%#:%*#$$+'%/+,*+&'?%!)>#/),);8%.:<%=((,#'<%H".&5./),);8%XDDCiXCZ^X]Z0Xaa?
X][?% 4".:<&.%=6%'*%.,?%A5(.#&'<%-'/+:<#*8%#:%*"'%K:#*'<%3*.*'$^%XD[BbXDD`?%9.5#,8%H,.::#:;%H'&$('/*#2'$%XDD[i]CVXW^]a0aB?
X]D?% 4".:<&.%=6%'*%.,?%9'&*#,#*86%-.5#,8%(,.::#:;6%.:<%&'(&)<+/*#2'%"'.,*"%)-%K?3?%@)5':^%F.*.%-&)5%*"'%BCCB%R.*#):.,%3+&2'8%)-%9.5#,8%M&)@*"?%R.*#):.,%4':*'&%-)&%7'.,*"%3*.*#$*#/$?%k#*.,%.:<%7'.,*"%3*.*#$*#/$%BCC`iB]VB`W?
XaC?% 4".:<&.%=6%'*%.,?%A5(.#&'<%-'/+:<#*8%#:%*"'%K:#*'<%3*.*'$^%XD[BbXDD`?%9.5#,8%H,.::#:;%H'&$('/*#2'$%XDD[i]CVXW^]a0aB?
XaX?% 4".:<&.%=6%'*%.,?%9'&*#,#*86%-.5#,8%(,.::#:;6%.:<%&'(&)<+/*#2'%"'.,*"%)-%K?3?%@)5':^%F.*.%-&)5%*"'%BCCB%
SAFER CHEMICALS HEALTHY FAMILIES 29
R.*#):.,%3+&2'8%)-%9.5#,8%M&)@*"?%R.*#):.,%4':*'&%-)&%7'.,*"%3*.*#$*#/$?%k#*.,%.:<%7'.,*"%3*.*#$*#/$%BCC`iB]VB`W?
XaB?% 3*'("':%I6%'*%.,?%F'/,#:#:;%'$*#5.*'$%)-%#:-'&*#,#*8%#:%*"'%K:#*'<%3*.*'$^%XD[B0BCCB?%9'&*#,#*8%.:<%3*'&#,#*8%BCCZi[ZV]W^`XZ0`B]
Xa]?% M+P#/Q%F6%'*%.,?%!"'%<'/,#:'%)-%#:-'&*#,#*8^%.((.&':*%)&%&'.,o%9'&*#,#*8%.:<%3*'&#,#*8%BCCZi%[ZV]W^`Ba0`BZ?
Xaa?% 4&.#:%F6%'*%.,?%9'5.,'%&'(&)<+/*#2'%<#$)&<'&$^%*"'%&),'$%)-%':<)/&#:'0<#$&+(*#:;%/)5()+:<$%.:<%<'2',)(05':*.,%*#5#:;?%9'&*#,#*8%.:<%3*'&#,#*8%BCC[iDCVaW^DXX0DaC?
Xa`?% !&.2#$):%!M6%'*%.,?%=%()(+,.*#):0,'2',%<'/,#:'%#:%$'&+5%*'$*)$*'&):'%,'2',$%#:%=5'&#/.:%5':?%!"'%N)+&:.,%)-%4,#:#/.,%I:<)/&#:),);8%t%G'*.1),#$5%BCCY^DBVXW^XDD0BCX?
XaZ?% 3"."%G6%'*%.,?%!&':<$%#:%*'$*#/+,.&%;'&5%/',,%*+5)+&$%18%'*":#/%;&)+(%#:%*"'%K:#*'<%3*.*'$?%A:*'&:.*#):.,%N)+&:.,%)-%=:<&),);8%BCCYi]C^BCZ0X]?
XaY?% 3@.:%36%'*%.,?%u+'$*#):%)-%<'/,#:#:;%$('&5%<':$#*8%&'2#$#*'<^%.:%.:.,8$#$%)-%XCX%$*+<#'$%(+1,#$"'<%XD]abXDDZ?%I:2#&):5':*.,%7'.,*"%H'&$('/*#2'$%BCCCiXC[VXCW^DZXbZZ?
Xa[?% J#&)%96%'*%.,?%H+1'&*.,%.$$'$$5':*%5'*")<%.:<%1.$',#:'%/".&./*'&#$*#/$%#:%.%5#>'<%,):;#*+<#:.,%$*+<8%)-%;#&,$?%H'<#.*&#/$%BCXCiXBZV]W^]`[]0]`DC?
XaD?% I+,#:;%36%'*%.,?%E),'%)-%':2#&):5':*.,%-./*)&$%#:%*"'%*#5#:;%)-%(+1'&*8?%H'<#.*&#/$%BCC[iXBXV3]W3XZY0YX?
X`C?% G)+&#*$':%=6%'*%.,?%78()*"'$#$^%'>()$+&'%*)%':<)/&#:'0<#$&+(*#:;%/"'5#/.,$%5.8%#:*'&-'&'%@#*"%*#5#:;%)-%(+1'&*8?%A:*'&:.*#):.,%N)+&:.,%)-%=:<&),);8%BCXCi]]VBW^]aZ0]`D?
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XZB?% 4")+%O46%'*%.,?%J#)5):#*)&#:;%)-%1#$("':),%=%/):/':*&.*#):$%#:%5.*'&:.,%.:<%+51#,#/.,%/)&<%1,))<%#:%&';.&<%*)%1#&*"%)+*/)5'$%.:<%.<#()Q#:'%'>(&'$$#):^%.%1#&*"%/)")&*%$*+<8%#:%!.#@.:?%I:2#&):5':*.,%7'.,*"%BCXXiXCVDaW^`0XC?
XZ]?% G#.)%G6%'*%.,?%A:%+*'&)%'>()$+&'%*)%1#$("':),0=%.:<%#*$%'--'/*%):%1#&*"%@'#;"*%)-%)--$(&#:;?%E'(&)<+/*#2'%!)>#/),);8%BCXXi]BVXW^Za0[?%
XZa?% J&.+:%NG6%'*%.,?%A5(./*%)-%'.&,80,#-'%1#$("':),%=%'>()$+&'%):%1'".2#)&%.:<%'>'/+*#2'%-+:/*#):%#:%/"#,<&':?%H'<#.*&#/$%BCXXiXB[V`W^[Y]0[B?%
THE HEALTH REPORT30
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XZZ?% 3*'#:%4E6%'*%.,?%3'&+5%,'2',$%)-%('&-,+)&))/*.:)#/%./#<%.:<%('&-,+)&))/*.:'%$+,-):.*'%.:<%(&';:.:/8%)+*/)5'?%=5'&#/.:%N)+&:.,%)-%I(#<'5#),);8%BCCDiXYCVYW^[]Y0aZ?%
XZY?% I:2#&):5':*.,%I>()$+&'$6%A:-'&*#,#*86%.:<%E',.*'<%E'(&)<+/*#2'%F#$)&<'&$^%=:%+(<.*'%qA:*'&:'*r?%J),#:.$^%!"'%4),,.1)&.*#2'%):%7'.,*"%.:<%*"'%I:2#&):5':*i%qBCXX%c/*)1'&r?%%=2.#,.1,'%-&)5^%999:"#&'("&1<#1F0-,1/#1(:,-2I01+#-(0'0(EIH##-U-#F0#9#<?
XZ[?% 4&.#:%=6%'*%.,?%9'5.,'%&'(&)<+/*#2'%<#$)&<'&$^%*"'%&),'$%)-%':<)/&#:'0<#$&+(*#:;%/)5()+:<$%.:<%<'2',)(05':*.,%*#5#:;?%9'&*#,#*8%.:<%3*'&#,#*8%BCC[iDCVaW^DXX0DaC?
XZD?% F#.5.:*#0h.:<.&.Q#$%I6%'*%.,?%I:<)/&#:'0<#$&+(*#:;%/"'5#/.,$^%.:%I:<)/&#:'%3)/#'*8%$/#':*#-#/%$*.*'5':*?%I:<)/&#:'%E'2#'@$%BCCDi]CVaW^BD]0]aB?
XYC?% H&#:$%M36%'*%.,?%3'&+5%1#$("':),%=%(".&5./)Q#:'*#/$%.:<%(&)$*.*'%:')(,.$*#/%&'$():$'$%-),,)@#:;%)&.,%.:<%$+1/+*.:')+$%'>()$+&'$%#:%:'):.*.,%3(&.;+'0F.@,'8%&.*$?%E'(&)<+/*#2'%!)>#/),);8%BCXXi]XVXW^X0D?
XYX?% !".&(%=6%'*%.,?%J#$("':),%=%.,*'&$%*"'%<'2',)(5':*%)-%*"'%&"'$+$%5):Q'8%5.55.&8%;,.:<?%H&)/''<#:;$%)-%*"'%R.*#):.,%=/.<'58%)-%3/#':/'$%BCXBiXCDVBXW^[XDC0[XD`?
XYB?% 2)5%3..,%96%'*%.,?%=:%'>*':$#2'%:'@%,#*'&.*+&'%/):/'&:#:;%,)@0<)$'%'--'/*$%)-%1#$("':),%=%$")@$%*"'%:''<%-)&%.%:'@%&#$Q%.$$'$$5':*?%I:2#&):5':*.,%7'.,*"%H'&$('/*#2'$%BCC`iXX]^DBZ0D]]?
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XYa?% O))<&+--%!6%'*%.,?%H&)/''<#:;$%)-%*"'%$+55#*%):%':2#&):5':*.,%/".,,':;'$%*)%&'(&)<+/*#2'%"'.,*"%.:<%-'&*#,#*8^%'>'/+*#2'%$+55.&8?%9'&*#,#*8%.:<%3*'&#,#*8%BCC[i[DVB%3+((,'5':*W?
XY`?% F#.5.:*#0h.:<.&.Q#$%I6%'*%.,?%I:<)/&#:'0<#$&+(*#:;%/"'5#/.,$^%.:%I:<)/&#:'%3)/#'*8%$/#':*#-#/%$*.*'5':*?%I:<)/&#:'%E'2#'@$%BCCDi]CVaW^BD]0]aB?
XYZ?% 3@.:%376%'*%.,?%H&':.*.,%("*".,.*'%'>()$+&'%.:<%&'<+/'<%5.$/+,#:'%(,.8%#:%1)8$?%A:*'&:.*#):.,%N)+&:.,%)-%=:<&),);8%BCXCi]]VBW^B`DbBZD?
XYY?% =(',1'&;%J6%'*%.,?%4)&<%$'&+5%/):/':*&.*#):$%)-%('&-,+)&))/*.:'%$+,-):.*'%VH9c3W%.:<%('&-,+)&))/*.:).*'%VH9c=W%#:%&',.*#):%*)%@'#;"*%.:<%$#P'%.*%1#&*"?%I:2#&):5':*.,%7'.,*"%H'&$('/*#2'$%BCCYiXX`VXXW^XZYC0XZYZ?
XY[?% O.$"#:)%R6%'*%.,?%4)&&',.*#):$%1'*@'':%(&':.*.,%'>()$+&'%*)%('&-,+)&#:.*'<%/"'5#/.,$%.:<%&'<+/'<%-'*.,%;&)@*"?%%I:2#&):5':*.,%7'.,*"%H'&$('/*#2'$%BCCDiXXYVaW^ZZC0ZZY?
XYD?% 9'#%46%'*%.,?%H'&-,+)&#:.*'<%/"'5#/.,$%.:<%-'*.,%;&)@*"^%.%$*+<8%@#*"#:%*"'%F.:#$"%R.*#):.,%J#&*"%4)")&*?%I:2#&):5':*.,%7'.,*"%H'&$('/*#2'$%BCCYiXX`VXXW^XZYY0XZ[B?
X[C?% 7.55%G6%'*%.,?%G.*'&:.,%'>()$+&'%*)%('&-,+)&#:.*'<%./#<$%.:<%-'*.,%;&)@*"?%N)+&:.,%)-%I>()$+&'%3/#':/'%.:<%I:2#&):5':*.,%I(#<'5#),);8%BCXCiBCVYW^`[D0`DY?%
X[X?% N)':$':%KR6%'*%.,?%F)%('&-,+)&).,Q8,%/)5()+:<$%#5(.#&%"+5.:%$'5':%T+.,#*8o%I:2#&):5':*.,%7'.,*"%H'&$('/*#2'$%BCCDiXYYVZW^DB`0DBZ?
X[B?% L)('P0I$(#:)$.6%GN6%'*%.,?%=$$)/#.*#):%)-%('&-,+)&))/*.:)#/%./#<%VH9c=W%.:<%('&-,+)&))/*.:'%$+,-):.*'%VH9c3W%@#*"%.;'%)-%(+1'&*8%.5):;%/"#,<&':%,#2#:;%:'.&%.%/"'5#/.,%(,.:*?%I:2#&):5':*.,%3/#':/'%t%!'/"0:),);8%BCXX^a`VXDW^[XZC0[XZZ?
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X[`?% O))<&+--%!6%'*%.,?%H&)/''<#:;$%)-%*"'%$+55#*%):%':2#&):5':*.,%/".,,':;'$%*)%&'(&)<+/*#2'%"'.,*"%.:<%-'&*#,#*8^%'>'/+*#2'%$+55.&8?%9'&*#,#*8%.:<%3*'&#,#*8%BCC[i[DVB%3+((,'5':*W?
X[Z?% J8&:'%46%'*%.,?%4.<5#+5U.%5'*.,,)")&5):'o%!)>#/),);8%.:<%=((,#'<%H".&5./),);8%BCCD^B][V]W^BZZ0BYX?
X[Y?% F#.5.:*#0h.:<.&.Q#$%I6%'*%.,?%I:<)/&#:'0<#$&+(*#:;%/"'5#/.,$^%.:%I:<)/&#:'%3)/#'*8%$/#':*#-#/%$*.*'5':*?%I:<)/&#:'%E'2#'@$%BCCDi]CVaW^BD]0]aB?
SAFER CHEMICALS HEALTHY FAMILIES 31
X[[?% =5'&#/.:%G'<#/.,%=$$)/#.*#):%=<)(*$%3)/#'*8\$%I:<)/&#:'%F#$&+(*'&%H),#/8%qA:*'&:'*r?%4"'28%4".$'^%I:<)/&#:'%3)/#'*8i%qBCCD%R)2'51'&%XBr?%=2.#,.1,'%-&)5^%%"((HKII999:#1<,;*,40#(E:,-2I&<F,4&4EI01*0<#-I8G88<,H(*5,40#(EQ`)L,'04E:4+/?%
X[D?% 4"'5#/.,$%h:)@:%*)%*"'%3*.*'%*)%4.+$'%4.:/'&%)&%E'(&)<+/*#2'%!)>#/#*8%L#$*%.$%)-%N+:'%BB6%BCXB%qA:*'&:'*r?%3./&.5':*)^%H&)()$#*#):%Z`^%!"'%3.-'%F&#:Q#:;%O.*'&%.:<%!)>#/%I:-)&/'5':*%=/*%)-%XD[Z6%4.,#-)&:#.%I:2#&):5':*.,%H&)*'/*#):%=;':/8i%qBCXB%N+:'%BBr?%=2.#,.1,'%-&)5^%"((HKII,#""&:4&:2,FIH-,H[CIH-,H[CU'0*(I+0'#*IL[C*012'#>[==@=:H<+?
XDC?% O))<&+--%!6%'*%.,?%!&':<$%#:%':2#&):5':*.,,8%&',.*'<%/"#,<"))<%#,,:'$$'$6%H'<#.*&#/$%BCCaiXX]VaW^XX]]0XXaC?
XDX?% k#*.,%3#;:$^%=$*"5.%(&'2.,':/'6%<#$'.$'%/".&./*'&#$*#/$%.:<%$',-05.:.;'5':*%'<+/.*#):%b%K:#*'<%3*.*'$6%BCCX0BCCD?%qA:*'&:'*r%=*,.:*.^%K?3?%4':*'&$%-)&%F#$'.$'%4):*&),%.:<%H&'2':*#):%G)&1#<#*8%.:<%G)&*.,0#*8%O''Q,8%E'()&*%BCXX%ZCVXYW^`aY0``Bi%qBCXX%G.8%Zr?%=2.#,.1,'%-&)5^%999:4<4:2,FI//9-IH-#F0#9I//9-"(/'I//[>@B&Y:"(/?
XDB?% K?3?%=$*"5.%E.*'$%4):*#:+'%*)%E#$'6%H&'$$%E','.$'%qA:*'&:'*r?%=*,.:*.^%K?3?%4':*'&$%-)&%F#$'.$'%4):*&),%.:<%H&'2':*#):i%qBCXX%G.8%]r?%=2.#,.1,'%-&)5^%"((HKII999:4<4:2,FI/#<0&I-#'#&*#*I=>@@IH>C>]UF0(&'*021*:"(/'?%
XD]?% k#*.,%3#;:$^%=$*"5.%(&'2.,':/'6%<#$'.$'%/".&./*'&#$*#/$%.:<%$',-05.:.;'5':*%'<+/.*#):%b%K:#*'<%3*.*'$6%BCCX0BCCD?%qA:*'&:'*r%=*,.:*.^%K?3?%4':*'&$%-)&%F#$'.$'%4):*&),%.:<%H&'2':*#):%G)&1#<#*8%.:<%G)&*.,0#*8%O''Q,8%E'()&*%BCXX%ZCVXYW^`aY0``Bi%qBCXX%G.8%Zr?%=2.#,.1,'%-&)5^%999:4<4:2,FI//9-IH-#F0#9I//9-"(/'I//[>@B&Y:"(/?
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XDZ?% J'&:$*'#:%F6%'*%.,?%=$*"5.%#:%*"'%O)&Q(,./'6%!"#&<%I<#*#):?%R'@%S)&Q^%!.8,)&%t%9&.:/#$i%BCCZ?
XDY?% =$$)/#.*#):%)-%c//+(.*#):.,%.:<%I>()$+&'%4,#:#/$%I>()$+&'%4)<'$%qA:*'&:'*r?%O.$"#:;*):6%F4^%=$$)/#.*#):%)-%c//+(.*#):.,%.:<%I:2#&):5':*.,%4,#:#/$i%=2.#,.1,'%-&)5^%999:&,#4:,-2I&,#44,<#:"(/?%
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BCC?% G':<',,%G6%'*%.,?%A:<))&%&'$#<':*#.,%/"'5#/.,%'5#$$#):$%.$%&#$Q%-./*)&$%-)&%&'$(#&.*)&8%.:<%.,,'&;#/%'--'/*$%#:%/"#,<&':^%=%&'2#'@?%A:<))&%=#&%BCCYiXYVaW^B`D0BYY?
BCX?% =<5#:#$*&.*)&%L#$.%H?%N./Q$):6%E'5.&Q$%*)%*"'%=5'&#/.:%H+1,#/%7'.,*"%=$$)/#.*#):6%=$%H&'(.&'<%qA:*'&:'*r?%O.$"#:;*):6%F4^%K?3?%I:2#&):5':*.,%H&)*'/*#):%=;':/8i%qBCCD%R)2'51'&%[r?%=2.#,.1,'%-&)5^%%"((HKIIE,*#/0(#@:#H&:2,FI,H&I&</H-#**:1*+IV<YA+B&<Y774+Y#+VC=CB]CA>>Y>7B+[I=&+]<>@Y]>=>#<4@VC=CB[[A>>C=&AC]ePH#1`,46/#1(?
BCB?% !&.$.:<'%L6%'*%.,?%E'<+/#:;%*"'%$*.;;'&#:;%/)$*$%)-%':2#&):5':*.,%<#$'.$'%#:%/"#,<&':6%'$*#5.*'<%.*%eYZ?Z%1#,,#):%#:%BCC[?%7'.,*"%=--.#&$%BCXXi]CV`W^[Z]0[YC?%
BC]?% L.:<&#;.:%H6%'*%.,?%I:2#&):5':*.,%(),,+*.:*$%.:<%<#$'.$'%#:%=5'&#/.:%/"#,<&':^%I$*#5.*'$%)-%5)&1#<#*86%5)&*.,#*86%.:<%/)$*$%-)&%,'.<%()#$):#:;6%.$*"5.6%/.:/'&6%.:<%<'2',)(5':*.,%<#$.1#,#*#'$?%I:2#&):5':*.,%7'.,*"%H'&$('/*#2'$%BCCBiXXCVYW^YBX0YB[?
BCa?% M&)$$'%3F6%'*%.,?%I/):)5#/%;.#:$%&'$+,*#:;%-&)5%*"'%&'<+/*#):%#:%/"#,<&':\$%'>()$+&'%*)%,'.<%#:%*"'%K:#*'<%3*.*'$?%I:2#&):5':*.,%7'.,*"%H'&$('/*#2'$%BCCBiXXCVZW^`Z]0D?
The Safer Chemicals, Healthy Families coalition includes nurses, parents, advocates for the learning disabled, scientists, environmental health advocates, and concerned citizens from across the nation. These diverse groups are united by their common concern about toxic chemicals in our homes, places of work, and products we use every day.
!"#$%&'($)*+",-.$",/(0&1")*,*$-www.SaferChemicals .org
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