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EDC Strategy 
CHE partnership call 
Wednesday, April 16th, 2014 
Dr. Philippe Grandjean 
on Chemical Brain Drain: 
How the Next Generation's 
Brain Functions are 
Endangered by EDCs and 
Other Environmental Chemicals 
www.chemicalbraindrain.info
1
Erroneous and dangerous 
assumptions: 
• The placenta protects the fetus 
• Children are just little adults 
• Poisonings are reversible 
• Proof is needed for regulation 
• Testing is too expensive 
2
Sensitive brain development 
• Cell division 
In third trimester about 12,000 nerve cells are formed every minute 
• Differentiation 
• Migration 
Distances up to 1,000 times the size of the cell 
• Axon formation 
Total length by age 20 years: 176,000 / 149,000 km (m/f) 
• Generation of synapses 
Up to 1,000 new synapses per second early postnatally 
• Weeding of synapses 
3
Brain development gone astray 
…in every case the mother was healthy, 
and it was not until more than three 
months after birth that the symptoms 
were recognized 
Shoji Kitamura (1959) 
Photo: W. Eugene Smith 
4
Focal 
Widespread 
Diffuse 
5
Percent correct responses on MCAS math test in 4th grade 
Exposure limit (CDC) 
10 30 50 70 
90 
70 
50 
30 
Averages for 351 
Massachusetts 
municipalities: 
Children born 
in 1992 
and 1999 
Average blood‐lead (μg/L) at preschool age 
(Jessica W. Reyes, 2012) 
6
Chemical brain drainers 
Chemical group Known in 2006 Newly identified 
Metals/inorganic 
Arsenic* 
compounds 
Lead* 
Methylmercury* 
Fluoride* 
Manganese* 
Organic solvents (Ethanol) 
Toluene* Tetrachloroethylene* 
Pesticides Chlorpyrifos* 
DDT/DDE* 
Other organic 
compounds 
Polychlorinated 
biphenyls (PCBs)* 
Brominated diphenyl 
ethers* 
Total 6 6 
*Endocrine disruptor, according to TEDX 
(Grandjean & Landrigan, Lancet Neurology, 2014) 
7
Time of recognition 
Neurotoxicant dose (inverted scale) 
Number of subjects affected Silent pandemic 
Neurotoxicity 
In adults Poisoning 
incidents 
Subclinical effects 
in child populations 
8 
(Grandjean and Landrigan, The Lancet, 2006)
Known neurotoxic to humans 
during development, N > 10 
Neurotoxic to humans N > 200 
Neurotoxic 
in lab tests N > 1,000 
Chemical 
universe N ~ 100,000 
9 
(Updated from Grandjean and Landrigan, The Lancet, 2006)
The goal: Full integrity of the brain 
to allow optimal brain functions 
We need it: 
The brain 
determines 
behavior, IQ, 
endocrine 
functions... 
and who we are 
10
What can be done? 
• Mothers, consumers can make choices to 
decrease exposures 
• An OECD test protocol is available to test 
for developmental neurotoxicity 
• New cell-based tests are faster, cheaper 
• Regulation of EDCs 
• Chemicals control needs to include focus 
on brain development 
• International clearinghouse 
11
www.chemicalbraindrain.info 
12

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Dr. Philippe Grandjean on Chemical Brain Drain

  • 1. EDC Strategy CHE partnership call Wednesday, April 16th, 2014 Dr. Philippe Grandjean on Chemical Brain Drain: How the Next Generation's Brain Functions are Endangered by EDCs and Other Environmental Chemicals www.chemicalbraindrain.info
  • 2. 1
  • 3. Erroneous and dangerous assumptions: • The placenta protects the fetus • Children are just little adults • Poisonings are reversible • Proof is needed for regulation • Testing is too expensive 2
  • 4. Sensitive brain development • Cell division In third trimester about 12,000 nerve cells are formed every minute • Differentiation • Migration Distances up to 1,000 times the size of the cell • Axon formation Total length by age 20 years: 176,000 / 149,000 km (m/f) • Generation of synapses Up to 1,000 new synapses per second early postnatally • Weeding of synapses 3
  • 5. Brain development gone astray …in every case the mother was healthy, and it was not until more than three months after birth that the symptoms were recognized Shoji Kitamura (1959) Photo: W. Eugene Smith 4
  • 7. Percent correct responses on MCAS math test in 4th grade Exposure limit (CDC) 10 30 50 70 90 70 50 30 Averages for 351 Massachusetts municipalities: Children born in 1992 and 1999 Average blood‐lead (μg/L) at preschool age (Jessica W. Reyes, 2012) 6
  • 8. Chemical brain drainers Chemical group Known in 2006 Newly identified Metals/inorganic Arsenic* compounds Lead* Methylmercury* Fluoride* Manganese* Organic solvents (Ethanol) Toluene* Tetrachloroethylene* Pesticides Chlorpyrifos* DDT/DDE* Other organic compounds Polychlorinated biphenyls (PCBs)* Brominated diphenyl ethers* Total 6 6 *Endocrine disruptor, according to TEDX (Grandjean & Landrigan, Lancet Neurology, 2014) 7
  • 9. Time of recognition Neurotoxicant dose (inverted scale) Number of subjects affected Silent pandemic Neurotoxicity In adults Poisoning incidents Subclinical effects in child populations 8 (Grandjean and Landrigan, The Lancet, 2006)
  • 10. Known neurotoxic to humans during development, N > 10 Neurotoxic to humans N > 200 Neurotoxic in lab tests N > 1,000 Chemical universe N ~ 100,000 9 (Updated from Grandjean and Landrigan, The Lancet, 2006)
  • 11. The goal: Full integrity of the brain to allow optimal brain functions We need it: The brain determines behavior, IQ, endocrine functions... and who we are 10
  • 12. What can be done? • Mothers, consumers can make choices to decrease exposures • An OECD test protocol is available to test for developmental neurotoxicity • New cell-based tests are faster, cheaper • Regulation of EDCs • Chemicals control needs to include focus on brain development • International clearinghouse 11