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Chemical Exposure, Obesity and Diabetes in Communities of Color and Low Income Communities. Presentation to the Chemicals, Obesity and Diabetes Conference By Mark A. Mitchell M.D., MPH Mitchell Environmental Health Associates October 14, 2011.

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chemical exposure obesity and diabetes in communities of color and low income communities

Chemical Exposure, Obesity and Diabetes in Communities of Color and Low Income Communities

Presentation to the

Chemicals, Obesity and Diabetes Conference

By

Mark A. Mitchell M.D., MPH

Mitchell Environmental Health Associates

October 14, 2011

slide2

Thanks to the sponsorsEnvironmental Health Strategy CenterColby College Environmental Studies Program and Goldfarb Centerfor including this important topic

Chemicas Obesity and Diabetes Conference October 14, 2011

conflict declaration
Conflict Declaration

I Have No Commercial Interests in Products or Services Presented

Chemicas Obesity and Diabetes Conference October 14, 2011

overview
Overview

I will present:

  • Definition of environmental justice
  • Link between EJ and obesogens
  • Prevalence of obesity in Blacks and Latinos
  • Chemical exposures in Blacks and Latinos
  • Increased vulnerability factors
  • How low income people can decrease risks

Chemicas Obesity and Diabetes Conference October 14, 2011

what is environmental justice
What is Environmental Justice?

The U.S. Environmental Protection Agency defines Environmental Justices as:

”The fair treatment and meaningful involvement of all people regardless of race, color, national origin, or income with respect to the development, implementation, and enforcement of environmental laws, regulations, and policies.”

Chemicas Obesity and Diabetes Conference October 14, 2011

what is environmental justice continued
What is Environmental Justice? Continued

Fair treatment means that no group of people, including racial, ethnic, or socioeconomic group should bear a disproportionate share of the negative environmental consequences resulting from industrial, municipal, and commercial operations or the execution of federal, state, local, and tribal programs and policies.”

Chemicas Obesity and Diabetes Conference October 14, 2011

environmental justice is about health
Environmental Justice is About Health

Chemicas Obesity and Diabetes Conference October 14, 2011

Environmental Hazards Disproportionately Located in Low-income and Black and Latino Neighborhoods

Contributes to Health Disparities

Environmental Injustice is Institutional Racism

EJ is about Stopping Environmental Injustice and Changing Environmental Policy to reduce Health Effects

point source air pollution emissions in connecticut 2000
Point Source Air Pollution Emissions in Connecticut 2000

Chemicas Obesity and Diabetes Conference October 14, 2011

what does environmental justice have to do with obesogens
What Does Environmental Justice Have to do With Obesogens?
  • High and disproportionate exposure
  • Increased vulnerability
  • Probable increased effects

Chemicas Obesity and Diabetes Conference October 14, 2011

slide10

State-specific Prevalence of Obesity* Among U.S. Adults, by Race/Ethnicity, NHANES 2006-2008

White non-Hispanic

(*BMI 30)

Chemicas Obesity and Diabetes Conference October 14, 2011

slide11

State-specific Prevalence of Obesity* Among U.S. Adults, by Race/Ethnicity, NHANES 2006-2008

Hispanic

(*BMI 30)

Chemicas Obesity and Diabetes Conference October 14, 2011

slide12

State-specific Prevalence of Obesity* Among U.S. Adults, by Race/Ethnicity, NHANES 2006-2008

Black non-Hispanic

(*BMI 30)

Chemicas Obesity and Diabetes Conference October 14, 2011

slide13

State-specific Prevalence of Obesity* Among U.S. Adults, by Race/Ethnicity, 2006-2008

Black non-Hispanic

White non-Hispanic

Hispanic

(*BMI 30)

Chemicas Obesity and Diabetes Conference October 14, 2011

prevalence of obesity by region and race ethnicity 2006 2008
Prevalence of obesity, by region and race/ethnicity, 2006-2008
  • Blacks had the highest prevalence, followed by Hispanics, and Whites
  • For Blacks
    • Overall prevalence of obesity—35.7%
    • Prevalence ranged from 23.0% (New Hampshire) to 45.1% (Maine)

Chemicas Obesity and Diabetes Conference October 14, 2011

summary cont d
Summary (Cont’d)
  • For Hispanics
    • Overall prevalence of obesity—28.7%
    • Lower prevalence was observed in the Northeast
  • For Whites
    • Overall prevalence of obesity—23.7%
    • Higher prevalences were found in the Midwest and South

Chemicas Obesity and Diabetes Conference October 14, 2011

common environmental justice issues linked to chemical policy
Common Environmental Justice Issues Linked to Chemical Policy

Land and Solid Waste Pollution

Landfills and Dumps

Brownfields

Hazardous Waste

Abandoned Storage Drums of Chemicals

PCB’s in Soil

TCE Contaminated Soil

Air Toxics

Trash, Sewage Sludge and Other Incinerators

Indoor air contaminants

Water Contamination

Chemical and Pharmaceutical Sewage Contamination

Fish Contamination with PCB’s

Sewage Sludge Compost/Pellets

Chemicas Obesity and Diabetes Conference October 14, 2011

common environmental justice issues linked to chemical policy1
Common Environmental Justice Issues Linked to Chemical Policy

Industrial Pollution

Refineries

Chemical Plants

Plastics/Rubber Factories

Pharmaceutical Plants

Industrial or Chemical Fires/Explosions/Spills

Local Business

Toxins

Cement Kilns

Agricultural Pesticides

Toxic Release Inventory (TRI) Listed Facilities

Chemicas Obesity and Diabetes Conference October 14, 2011

common environmental justice issues linked to chemical policy2
Common Environmental Justice Issues Linked to Chemical Policy

Consumer Product Exposures

Discount Store Selling Toxic Toys

Home Pesticides

Cosmetics/Personal Care Products

BPA in canned food and drink containers

Lead in tire weights

Legacy lead in paint

Chemicas Obesity and Diabetes Conference October 14, 2011

ethnic cosmetic toxicants
Ethnic Cosmetic Toxicants

Hair relaxers:sometimes contain placenta (linked with early puberty in children, toddlers)

Chemicas Obesity and Diabetes Conference October 14, 2011

exposure over the chemical lifecycle
Exposure Over the Chemical Lifecycle
  • Production
    • fenceline exposure, maintenance
  • Transportation and storage
    • accidents, fires, spills
  • Use
    • canned goods, lead tire weights
  • Disposal
    • incinerators, landfills (LBW)
  • Legacy
    • PCB’s, DDT, lead based paint

Chemicas Obesity and Diabetes Conference October 14, 2011

vulnerability
Vulnerability
  • Malnutrition
    • Lead absorbtion
    • PBT’s
  • Psychosocial stress
    • Income disparity

Chemicas Obesity and Diabetes Conference October 14, 2011

what can low income people do
What Can Low Income People Do?
  • Wash fruits and vegetables to reduce pesticides
  • If they can’t eat organic, then low-fat foods, especially milk, meats and eggs
  • Look for hormone and antibiotic free meat and eggs
  • Don’t microwave in plastic containers or allow plastic wrap to touch hot food
  • Look for BPA-free plastic water bottles and baby bottles
  • Don’t buy PVC plastic containers
  • Eat fresh, frozen, or glass bottled rather than canned foods and drinks
  • Join organizations that work on chemical policy

Chemicas Obesity and Diabetes Conference October 14, 2011

summary
Summary
  • Defined environmental justice
  • Link between EJ and obesogens
  • Higher obesity rates in Blacks and Latinos
  • Higher chemical exposures in Blacks and Latinos
  • Increased vulnerability factors
  • How low income people can decrease risks

Chemicas Obesity and Diabetes Conference October 14, 2011

slide24
Contact information

Mark A. Mitchell M.D., MPH

Mitchell Environmental Health Associates

mmitchell@enviro-md.com

(860) 794-9497

Chemicas Obesity and Diabetes Conference October 14, 2011

table prevalence of obesity by region and race ethnicity 2006 2008
Table. Prevalence of obesity, by region and race/ethnicity, 2006-2008

Chemicas Obesity and Diabetes Conference October 14, 2011