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    John Eyles, Bruce Newbold, Anita Toth,Tasnova Shah

    McMaster Institute of Environment &Health

    March 2011

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    Levels of most contaminants in herring gull eggs and predator fishcontinue to decrease.

    Phosphorus concentrations in the open waters are at or belowexpected levels in Lake Ontario, Lake Huron, Lake Michigan andLake Superior.

    The Great Lakes are a good source for treated drinking water. Sustainable forestry programs throughout the Great Lakes basin

    are helping environmentally friendly management practices. Lake trout stocks in Lake Superior have remained self-sustaining,

    and some natural reproduction of lake trout is occurring in LakeOntario, Lake Huron and Lake Michigan.

    Confirmed observations and captures of lake sturgeon are

    increasing in all lakes. Mayfly (Hexagenia) populations are recovering in some areas. The Great Lakes bald eagle population is on the rebound and it

    has been removed from protection under the U.S. EndangeredSpecies Act.

    EPA, Environment Canada 20092

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    Perfluoroctanesulfonate (PFOS), which is a product used in surfactants such as water-repellent coatings and fire-suppressing foams, has been detected in fish throughout theGreat Lakes and has demonstrated the capacity for biomagnification in food webs.

    Nuisance growth of the green alga Cladophora has reappeared along the shoreline inmany places.

    Many nearshore areas are experiencing elevated levels of phosphorus, which iscontributing to nuisance algae growth.

    Non-native species (aquatic and terrestrial) are pervasive throughout the Great Lakes

    basin, and they continue to exert impacts on native species and communities. Populations ofDiporeia, the once-dominant, native, bottom-dwelling invertebrate,

    continue to decline in Lake Michigan, Lake Huron, and Lake Ontario, and they may beextinct in Lake Erie.

    Groundwater withdrawals for municipal water supplies and irrigation, and the increasedproportion of impervious surfaces in urban areas, have negatively impactedgroundwater.

    Long range atmospheric transport is a continuing source of PCBs and othercontaminants to the Great Lakes basin, and can be expected to be significant fordecades.

    Land use changes in favour of urbanization along the shoreline continue to threatennatural habitats in the Great Lakes and St. Lawrence River ecosystems.

    Some species of amphibians and wetland-dependent birds are showing declines inpopulation numbers, in part due to wetland habitat conditions.

    EPA, Environment Canada 20093

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    EPA, Environment Canada 2009 5

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    EPA, Environment Canada 20098

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    The available information on environmental pollution provideslittle insight on the exposure of people to pollutants. TRI data onchemicals used and emitted, and NPDES data on chemicalsdischarged into water, do not indicate whether these chemicalsreach people and enter their bodies. ATSDR assessments ofhazardous waste sites do, however, include analysis of exposure

    pathways, and, when available, include data on how muchexposure actually occurs.

    Current data do not allow us to draw firm conclusions aboutrelationships between critical pollutants in the Great Lakes regionand potential health effects.

    Data that are routinely collected (such as information on cancer and birthdefects) are not well matched to exposure data in time or by location andtherefore cannot help to assess whether the identified environmental exposureshave adverse health consequences.

    In addition, data are not routinely collected on some important health effectsthat might be associated with toxic exposures such as neurobehavioral,endocrine, reproductive, and immune effects.

    ATSDR 2008 9

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    Walter et al. 199410

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    Elliott et al. 200111

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    Elliott et al. 200112

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    WERF 200913

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    Schell et al. 201014

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    Exposure

    Pathways 3:

    FromAgriculture

    Boxall et al. 2009

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    Food and Environmental Agents: Effects on Breastfeeding

    Adapted from

    Ward et al. 2001

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    There exist 4,000 legacy chemicals in

    Canada and 100,000 in the United States

    Under the Chemical Management Plan,

    Environment Canada has assessed 200

    PCBs, Benzene, Bisphenol A, sulphuric

    acid and metabolites of DDT remain on

    Canadas hit listThese chemicals are toxic, persistent and

    bio-accumulative.

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    Exposure: Ubiquitous, usually from improper disposal

    Compounds now banned

    Pathways present in body fluids andtissues

    Health outcomes:

    Effects organs and tissues of the nervous,reproductive and immunological

    Possible decreased cognitive development

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    Benzene is now a known carcinogen, and its use as an additive in

    gasoline is now limited. It is an important industrial solvent and

    precursor in the production of drugs, plastics, synthetic rubber,

    and dyes.

    Benzene-induced leukemia has a usual latency period of 5 to 15

    years and, in many cases, is preceded by aplastic anemia.

    EPA estimates that a lifetime exposure to 4 ppb benzene in air will

    result in, at most, 1 additional case of leukemia in 10,000 people

    exposed.

    EPA has also estimated that lifetime exposure to a benzene

    concentration of 100 ppb in drinking water would correspond to,at most, 1 additional cancer case in 10,000 people exposed.

    ATSDR 200019

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    EPA 2006, The Oregonian 200720

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    Carex

    2006

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    Exposure: Through a range of pest-control products

    There are approx. 50,000 commercial products

    Some now banned for cosmetic usesPathways:

    Direct exposure through occupational and

    household use

    Indirect exposure through diet

    Health Outcomes: Associations with heart diseases, certain cancers

    and adverse birth outcomes 22

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    Dieldrin ceased

    to be used in

    the United

    States in the

    1980s but has a

    long

    persistence

    Nowell et al. 200924

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    Engineered Nanotechnology

    Antimicrobials

    Chlorinated Paraffins

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    Anti-microbials present one example ofpersonal care products andpharmaceuticals

    Exposure: Largely in commercial soaps and mouthwashes

    Pathways: Ingestion and inhalation

    Health Outcomes: Weak estrogenic activity but largely unknown

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    Exposure: Additive in paints and adhesives and thousands

    of other products

    Pathways: Largely through food and dermal contact

    Health Concerns:

    Possibly carcinogenic according to NCI But largely unknown

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    Prenatal exposure

    Gene-environment interactions

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    Exposure and Pathways: Mother-to-child transmission of pollutants

    through in utero or breast milk

    Pesticides, PAHs and heavy metalsHealth Concerns:

    Delayed cognitive development

    Low birth weight

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    These interactions are under current

    investigation.

    Most investigations have dealt with these

    interactions with respect to traffic

    pollution

    They appear to be associated with an

    increased propensity for heart diseaseand decreased lung function

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    CarcinogenicRecognized: Aldrin, Chlordane, DDT, Dieldrin,

    Heptachlor, Mirex, Toxaphene, PCBs, HCB,

    Dioxins/Furans, Arsenic, Lead, Mercury, VinylChloride, Benzene, Cadmium, Chloroform,

    Chromium, PBDEs, Benzo(a)pyrene, Uranium,

    Tritium

    Suspected: PAHs, THMs, Atrazine

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    MIEH 2005

    Cancer Type Exposure Carcinogen

    Known Suspected

    Lung Somewhat raisesrisk

    Arsenic

    Benzo(a)pyrene

    Bis(Chloromethyl)etherChromium

    Nickel subsulfide

    Zinc Chromate

    Uranium

    Acrylonitrile

    Beryllium

    Cadmium1,2-Dibromo-d-chloropropane

    PAHs

    Prostate Might raise risk Cadmium

    Stomach Might raise risk Zinc Chromate Ethylene oxideOral/Pharynx Might raise risk Zinc Chromate Tetrachloroethylene

    Liver Might raise risk Vinyl Chloride

    Bladder Somewhat raisesrisk

    Benzidine

    Tetrachloroethylene

    Cyclophosphamide

    4-Aminodiphenyl

    Chloraphazine

    Tetrachloroethylene

    Skin Arsenic

    Benzo(a)pyrene

    PAHs

    Tetrachloroethylene

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    CardiovascularRecognized: presently unknown

    Suspected: Chlordane, DDT, Dieldrin, Endrin,

    Heptachlor, Toxaphene, PCBs, HCB,Dioxins/Furans, Arsenic, Lead, Mercury, Vinyl

    Chloride, Benzene, Cadmium, PAHs,

    Phosphorous, Chloroform, Uranium

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    ReproductiveRecognized: DDT, Lead, Benzene, Cadmium,

    Suspected: Aldrin, Chlordane, Dieldrin, Endrin,

    Heptachlor, Toxaphene, PCBs, HCB,Dioxins/Furans, Arsenic, Mercury, Vinyl

    Chloride, PAHs, Phosphorous, Chloroform,

    Chromium, Phthlates, Atrazine, Methoxychlor,

    Uranium

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    ImmunotoxicRecognized: presently unknown

    Suspected: DDT, Dieldrin, HCB, Arsenic, Lead,

    Mercury, Benzene, Cadmium, PAHs, Chromium,Atrazine, Benzo(a)pyrene

    Source: ATSDR/CDC 2011.

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    Neurological disorders

    Diabetes

    Obesity and Overweight

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    Neurological

    Disorders and

    Manganese

    Finkelstein and

    Jerrett 2007

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    Lang et al. 2008 43

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    Schell et al. 2010

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    Associated with POPs, including

    hexachlorobenzene

    Pathways associated with those

    influencing diabetic outcomes andthrough the thyroid regulated routes

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    Boyd and Genius 2008

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    Requirement of full knowledge base for

    pro-active communication with

    populations

    Rapid response procedures needed forreactive responses to exposures or

    public concern

    Working with provincially and state-based agencies to develop integrated

    and common policy responses