Fall 1993 (v5n5)

Pesticides in the diets of infants and children.

Committee on Pesticides in the Diets of Infants and Children, National Academy of Sciences

National Academy of Sciences, National Academy Press, washington, DC. 1993

This National Academy of Sciences (NAS) study was congressionally mandated in 1988. Its purpose was to examine the scientific and policy issues faced by government agencies in regulating pesticide residues in foods consumed by infants and children. The report concluded that the federal government should change some of its scientific and regulatory procedures to give infants and children greater protection from possible adverse health effects of pesticides in their diets.

The NAS report found age-related differences in susceptibility, toxicity and exposure to pesticides between adults and children. Children may be more or less sensitive than adults, depending on the pesticide to which they are exposed. Due to rapidly changing processes in infants and children, there is no simple way to predict the sensitivity to these chemicals from data derived entirely from adults. The NAS committee found, however, that quantitative differences in toxicity between children and adults are usually less than a factor of 10. Lack of data on pesticide toxicity in developing organisms was a recurrent problem for the committee, so they had to rely mostly on incomplete information derived from studies of adult animals and on chemicals other than pesticides.

Differences in exposure to pesticides were generally more important than were age-related differences in toxicological vulnerability. The committee found that infants differ both qualitatively and quantitatively from adults in their exposure to pesticide residues in foods. Children consume more calories of food per unit of body weight and much more of certain foods, especially processed foods, than do adults. Water consumption, both as drinking water and as a food component, is very different between adults and children. Unfortunately, information on pesticide residues and the effects of processing on residue concentrations is inadequate for foods eaten by infants and children.

To characterize potential risks to infants and children, the committee used a statistical technique that took into account variations in food intake and pesticide residue levels. The committee applied this technique to determine health risks under three different scenarios-acute toxic effects, chronic toxic effects, and simultaneous exposure to several pesticides.

On the basis of its findings, the committee recommends that changes be made in current regulatory practices. Estimates of total exposure to pesticide residues should reflect the unique characteristics of the diets of infants and children and should account also for all nondietary intake of pesticides. The committee also recommends that the Environmental Protection Agency (EPA) modify its decision-making process for setting tolerances so that it is based more on health considerations than on agricultural practices. Now, although tolerances establish enforceable legal limits for pesticide residues in food, they are not based primarily on health considerations and do not provide a good basis for inference about actual exposures of infants arid children to pesticide residues. The committee states that "Children should be able to eat a healthful diet containing legal residues without encroaching on safety margins." Specifically, six areas should be addressed:

Toxicity testing. Laboratory tests should be developed for studying toxicity in immature animals to evaluate the sensitivities of infants, children, and adolescents.

Uncertainty factors. Currently, if animal tests show no adverse effects at a certain exposure level, an uncertainty factor of 100 is used to establish guidelines for human exposure. EPA uses an additional factor of 10 if studies have shown effects on the developing fetus. The report recommends expanding the use of this additional uncertainty factor when there is evidence of postnatal toxicity or when data from toxicity testing relative to children are incomplete.

Food consumption data. The committee recommends that additional data on the food consumption patterns of infants and children be collected within narrower age groups. This would include at every one-year interval up to age 5, between ages 5 and 10, and between ages 11 and 18. These narrower groupings would result in a more accurate portrayal of the ways children's diets differ from those of adults.

Pesticide residue data. The committee recommends the use of comparable analytical methods and standardized reporting procedures and the establishment of a computerized database to collate data on pesticide residues from different labs.

Risk assessment. All exposures to pesticides- dietary and nondietary-need to be considered when evaluating the potential risks to infants and children. Nondietary environmental sources of exposure include air, dirt, indoor surfaces, lawns and pets.

Estimation of cancer risk. The committee recommended the development of new methods that account for changes in exposure and susceptibility that occur as a person matures.

In summary, the NAS committee's recommendations support the need to improve methods for estimating exposure and for setting tolerances to safeguard the health of infants and children.

Pesticides in the Diets of lnfants and Children is available for $47.95 plus $4.00 shipping from the National Academy of Sciences, Office of News and Public Information, 2101 Constitution Avenue NW, Washington, DC 20416. Tel. (202) 334- 3313 or (800) 624-6242.

(GWF.012)

Contributed by Gail Feenstra


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