Archive for category ‘Workplace Exposure‘

Odor identification ability and self-reported upper respiratory symptoms in workers at the post-9/11 World Trade Center site

Following the World Trade Center (WTC) collapse on September 11, 2001, more than 40,000 people were exposed to a complex mixture of inhalable nanoparticles and toxic chemicals. While many developed chronic respiratory symptoms, to what degree olfaction was compromised is unclear. A previous WTC Medical Monitoring and Treatment Program study found that olfactory and nasal trigeminal thresholds were altered by the toxic exposure, but not scores on a 20-odor smell identification test.

To employ a well-validated 40-item smell identification test to definitively establish whether the ability to identify odors is compromised in a cohort of WTC-exposed individuals and, if so, whether the degree of compromise is associated with self-reported severity of rhinitic symptoms.

The University of Pennsylvania Smell Identification Test (UPSIT) was administered to 99 WTC-exposed persons and 99 matched normal controls. The Sino-Nasal Outcomes Test (SNOT-20) was administered to the 99 WTC-exposed persons and compared to the UPSIT scores.

The mean (SD) UPSIT scores were lower in the WTC-exposed group than in age-, sex-, and smoking history-matched controls [respective scores: 30.05 (5.08) vs 35.94 (3.76); p = 0.003], an effect present in a subgroup of 19 subjects additionally matched on occupation (p < 0.001). Fifteen percent of the exposed subjects had severe microsmia, but only 3% anosmia. SNOT-20 scores were unrelated to UPSIT scores (r = 0.20; p = 0.11).

Exposure to WTC air pollution was associated with a decrement in the ability to identify odors, implying that such exposure had a greater influence on smell function than previously realized.

Literature:

Altman KW, Desai SC, Moline J, de la Hoz RE, Herbert R, Gannon PJ, Doty RL.,Mount Sinai School of Medicine, Odor identification ability and self-reported upper respiratory symptoms in workers at the post-9/11 World Trade Center site, Int Arch Occup Environ Health. 2010 Jun 30.

Charge against the well known German Neurologist Dr. Binz

At June 15, the local press in Trier reported that the public prosecutor has brought a charge against the German neurologist Dr. Binz, who helped a lot of patients with work related illnesses. He is one of the few in environmental medicine who insist on their findings of toxic injuries. For that they treat him like the messenger who is to be shot.

1989, he won a case against a shoe manufacturer who poisoned his workers. This was the trigger for a long history of attempts to silence him. We already published the incidents in English. Please read the entire article.

Here is the time line:

  • 1989 Dr. Binz won a lawsuit in the second instance in Koblenz, which was lost in the first in Trier, against the shoe manufacturer Romika who had poisoned some of his workers.
  • 1993 a disciplinary action had been initiated with the allegation, he felt called upon to “pursue comprehensive investigations about the causes of certain disease syndromes”. The disciplinary action had been canceled but a reason for this was never stated. Mr. Spaetgens, a lawyer, just declared “it could have been”.
  • 1996 Dr. Binz had been subjected to accusations from the part of the German Berufsgenossenschaften (= BG, Workers Compensation).
  • 1997 an action had been brought before the Court of the Medical Profession (a special court of the Doctors’ Association concerned with professional conduct) at the Administration Court in Mainz by the state section of the Doctors Association.
  • 1997 he was prohibited to counsel his patients in matters of German social law.
  • 1998 there had been a new action before the Court of the Medical Profession, filed by the Doctors Association.
  • 1999 the Doctors Association repeated its action to have Dr. Binz’s license suspended. This was tried on accusations of false treatment and neglect of duty.
  • 2000 the Court for the Medical Professions decided to discontinue the lawsuit.

As usual, there is no debate on a substantial scientific level. But in the light of the eternally repeated psychogenic thesis, it would not be better for him.

Dr. Binz is charged with fraudulent billing of more than 2,800 patients. The German Association of Panel Doctors (Part of CHI) claims a damage of 100,000 Euros. The one who is known for standing up for his patients is alleged to have enriched himself.

The Story of Dr. Binz reflects the recognition state of environmental and work related illnesses caused by chemicals in Germany. Though Multiple Chemical Sensitivity is coded with T78.4 in the [German ICD-10]2 which became mandatory for billing in 2000, even patient friendly doctors refuse to diagnose MCS. Here’s a recent paper 3 from Australia which exemplifies how medical practitioners become outsiders (quacks) of their profession if they advocate MCS afflicted.

Dr. Binz didn’t dare to diagnose MCS. Recently on June 16, 2010 he admitted in a newspaper interview that he had no option for correct billing. In addition to the question of guilt the court should focus on the situation with the ICD-10. The question is not whether he cheated – the question is why doctors in Germany don’t dare to diagnose MCS according to the German ICD-10 and why health insurances don’t bear the costs if a doctor does. Why is it still possible in Germany to deny the existence of the ICD-code for MCS? (Use the iPhone app to look it up)

This is an international emergency call!

There is solidarity, but Dr. Binz needs more, so please take action!

Send a letter in your native language (they love it!)

  1. to the German Federal Ministry of Work, Social Affairs and Health,
  2. the executive board of the Panel Doctors Association or
  3. to the department of public prosecution

1) Ministerium für Arbeit, Soziales und Gesundheit
Postfach 3180
55021 Mainz
Bundesrepublik Deutschland

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2) Vorstand der Kassenärztlichen Vereinigung
Rheinland-Pfalz
Postfach 2567
55015 Mainz
Bundesrepublik Deutschland

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3) Staatsanwaltschaft
z. Hd. v. Dr. Jürgen Brauer
Irminenfreihof 10
54290 Trier
Bundesrepublik Deutschland

If you don’t want to write to German officials you may write to the press in Germany. You also can try to point your story to the press.

Here are some addresses for Germany:

taz
Rudi-Dutschke-Straße 23
10969 Berlin
Bundesrepublik Deutschland
email form: http://taz.de/6/kontakt/

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der Freitag Mediengesellschaft mbh & Co. KG
Hegelplatz 1
10117 Berlin
Bundesrepublik Deutschland
email form: http://www.freitag.de/kontakt

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Zeitverlag Gerd Bucerius GmbH & Co. KG
Pressehaus
Buceriusstraße, Eingang Speersort 1
20095 Hamburg
Bundesrepublik Deutschland
email: zeitiminternet(at)zeit.de

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Frankfurter Rundschau
60266 Frankfurt am Main
Karl-Gerold-Platz 1
Bundesrepublik Deutschland
60594 Frankfurt am Main
mail: online(at)fr-online.de

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Süddeutsche Zeitung GmbH
Hultschiner Straße 8
81677 München
Bundesrepublik Deutschland
email: redaktion(at)sueddeutsche.de

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Reuters Deutschland
News-Center Berlin
Schiffbauerdamm 22
10117 Berlin
Bundesrepublik Deutschland

email form

Please twitter and post in facebook and on other places too.

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Authors: BrunO Zacke, Silvia K. Müller, CSN – Chemical Sensitivity Network, 28. Juni 2010

Related Article: Mounting Actions against Environmental Medicine Practitioners

Rehab Center said – bring a Wheelchair when you pick him up

An Account from the Editor of the CSN-Blog

Several years have passed. We still had local self-help groups and met monthly. We kept contact by phone, because barely none of our members had internet. Most of them became ill by chemicals at the workplace. Though it is ten years ago, we still remember certain people or episodes. Last week when a woman with Chemical Sensitivity (MCS) and severe toxic injuries sent an article for the blog, in which she reported on the struggle with the German Federal Insurance Institution for Employees because of a scheduled Rehab, we returned to a case.

Marked by chemicals

We had a meeting of our local “Workgroup of Chemically Injured”. The guy was rather young but looked quite older. He entered the room escorted by his sister. She had to support him, because the young man lost his sense of balance. After the speeches we chatted. The Sister said her brother was already exhausted as he tried to listen and he is nearly unable to speak. Once he worked at a big car tire manufactory. Now he is a health wreck. In spite of his harrowing state of health, the social pension fund created stress and refused to pay. The Workers Compensation didn’t act any more cooperatively: they denied realizing a connection between the desperate state of health and the chemical exposure at work. Though he was on the ropes, the young man was not willing to accept the experience of injustice by these insurance companies in addition to his physical suffering.

Brain damage by solvents

His sister told that he has gone through brain surgery. They hoped to manage his vertigo and his brain symptoms with a demanding operation. There was no improvement – rather the opposite. Most of the day he stayed in his room and watched videos. Contact with his friends was nearly broken for two reasons. The young man was no longer capable of conversation and he was unable to drive his car to his friends, who lived in neighboring locations. Friends who still came to visit him in the beginning were completely shocked by the bad health of their peer and could hardly deal with the sight. This few visits were the result, and then nobody came again.

Injured by chemicals at workspace

But for all of that the family of the man endeavored to enhance his state. The sister said that his condition isn’t always the same, so she hopes that there will be some turn for the better. She asked what the family may do to achieve a bit of health stabilization. At that time, my first advice to her was to arrange the man’s room to be absolutely free from chemicals and to abandon plastic materials completely, because he had become ill from synthetics, solvents and rubber.

The sister listened to my detailed explanations, how a clean room for a chemically sensitive person should look like. After that she rated the room totally inappropriate, in which the former quite vital young man spent nearly all of his time. There he had a TV, a video recorder, many video tapes, carpeting, a normal foam mattress in the bed and vinyl wallpaper. A room like the ones of many millions other young folks.

Aid by the family

The family was serious about it. They wanted to see the young man healthier again. They dedicated all their efforts. Two rooms at ground level were arranged for him. They tiled the floor and finished the walls with safe natural paint. They obtained a good air purifier, a mattress from natural material and made everything compatible.

Scarcely two months later the sister called me by phone. As she started to speak, the depression in her voice had completely disappeared. It is unlikely to believe, but her brother feels better worlds apart. At Saturday he even was able to visit his friends in the neighbor town riding his car without any help. She said, the whole family is overjoyed, because they didn’t consider such a recovery possible any more. The young man only became dizzy, when he was exposed to certain chemicals. He learned to detect such situations and avoided exposure. He left instantly when he realized them. Step by step his former vitality returned. The sister called more often and proudly reported on his further progresses.

Rehab in face of the delicate state of health

Then there was another call. Completely upset, the sister told that her brother received a letter from the social pension fund. He’s scheduled for a rehab. They rang up to tell the official from the German Federal Insurance Institution for Employees about the state of the young man and that he needs a chemical free environment and organic food. There was no understanding: he was liable to cooperate or otherwise his entitlement under pension scheme will be lost. The result of a call to the specified rehab clinic was that nothing there met the requirements for the young man’s health. Nevertheless he had to go into the regimen, they wanted to estimate his working ability and stabilize him, as they said.

Bring a wheelchair

At the next call, the voice of the sister was nearly dead. She told that her brother really had been in those rehab. She picked him up yesterday. He was there for nearly four weeks. When she phoned in, she was not permitted to speak with her brother. This was not beneficial for the therapy, they said. The day before yesterday they called her in the morning. She was told she could pick up her brother and may please bring a wheelchair.

Anger and pain

The sister reported that she broke out in tears as she came for her brother. No trace was left of the previous improvements in his health. His state was worse than before all the measures which had been taken by the family with great efforts and financial costs.

She had to carry her brother into the car helped by a male-nurse. She asked the nurse what had been done with her brother in the rehab. He shook his shoulders and turned his view to the floor. At this moment she had boiled with rage and went into the building then and closely looked at it. Heavy chemical smell from carpeting engulfed her. It’s just newly installed, so it still smells, the nurse told her. She asked to be shown to the room. Carpeting, smell of disinfectants, particle board furniture etc.

The refectory, in which her brother was urged to take his meals, was more than 100 meters away. To reach it he has to pass a long hallway without windows for ventilation, floored with carpeting which badly smelled from chemicals and adhesives. He repeatedly begged to be allowed to have his meals in the room, which was not allowed. Other patients even had offered to bring him the meals to save the staff from extra work. The directive was not changed; the young man had to resort to the refectory for the meals, where he additionally was exposed to perfumes, after shave and other scents. As he became unable to make it through the long hallway afoot, he got a walking frame, shortly later they gave him a wheelchair.

The indoor pool of the rehab was near the brother’s room. The odor of chlorine flooded the whole area. In spite of his heavy reactions to chlorine he had to take part in the exercise therapy in the swimming pool for several times. He was exempted from participation when he nearly “drowned” in the pool, because of a reaction.

In a strained voice the sister said after her report: “They have not made my brother healthy, they have executed him and now I know why I never was allowed to have a word with him. Any health success he had before the rehab therapy is destroyed.”

Health decline by rehab

This is no isolated case even if it is in his consequences one of the most worst cases ever reported to me. There are no rehab facilities adapted to the needs of chemically sensitive patients in Germany.

If patients with Chemical Sensitivity scheduled for a rehab ask about the local environmental conditions and explain that they cannot stay in such premises because of their reactions to chemicals, they were blamed for a lack of cooperation.

Some chemically sensitive persons had to accept a substantial decline of their health, because they were scheduled to rehab clinics which offered neither organic food nor chemical free environmental conditions, and where the smell of scent agents and disinfectants flooded the whole building.

Many chemically sensitive retirement pensioner aspirant tried to hold out – or managed somehow to hold out, to avoid being alleged for having not “cooperated”. These chemically sensitive patients feared to forfeit their pension claim. An enhancement wasn’t ever reported in a single case. On the contrary: what the chemically injured persons had regained by many restrictions and a environmental controlled living space was lost.

Finally? Hopefully

But it seems the German Federal Insurance Institution for Employees sees reason to show some understanding. A single mother struggled until the Insurance understood. Finally, the rehab measure for which they put her under heavy pressure was withdrawn, accepting her MCS and due to the lack of a suitable clinical facility for chemically sensitive patients.

Author: Silvia K. Mueller, CSN – Chemical Sensitivity Network, April 6, 2010

Translation: Thank you very much to BrunO!

Proof-reading: Thank you very much to John!

Related articles:

Export of waste electrical and electronic equipment (WEEE): plenty of gold, and toxic chemicals, too

Study shows need for action to promote ecological recycling

More than 155,000 tonnes of what is sometimes hazardous electronic waste are exported annually from Germany to non-European destinations, a volume which includes some 50,000 tonnes of PC and television monitors alone. The latter often contain metals as well as flame-retardant bromide compounds such as hazardous polybrominated diphenyl ether (PentaBDE). Even defective appliances are often re-classified as “functional”, then usually shipped to Asia and Africa where they are only rarely recycled ecologically. These are the findings of a new study commissioned by the Federal Environment Agency (UBA), which was presented at CEBIT in Hannover.

Federal Minister for Environment Dr. Norbert Röttgen said, “The study illustrates the scale of illegal export of WEEE while also pointing out that further measures to solve the problem are necessary. The Federal government is calling for a decisive regulation at the European level by which exporters must provide proof that exported devices are in working order and not in fact waste, and for exporters to bear the costs of periodic checks”. The appropriate authorities in Germany must step up monitoring of collection points and exports so as to curb the detrimental impact on environment and health of criminal trade.

“Not only do many hazardous materials leave the country in used electronic equipment, but valuable raw materials such as gold, copper, platinum or indium are also exiting the raw materials cycle here at home”, said UBA President Jochen Flasbarth. “As long as ecological recycling is technically and satisfactorily possible in Europe or similar regions only, equipment and its components should be reused here. It makes economic sense to recycle valuable raw materials appropriately, especially many metals, considering the rise in global market prices”, continued Flasbarth.

UBA’s President also made an appeal to continue improvement of recycling standards in Asia and Africa through technology transfer. Producers of new equipment are also called upon to design products more ecologically.

In their one-and-a-half-year-long study experts from the Hamburg Institute for Environmental Strategies (Ökopol) compiled the most solid information as yet on the origin and volume of exported devices. The equipment came from flea markets, second hand shops or were retrieved from junk yards. From there it is often transported via collection points for export, usually by sea. Besides harmless metallic raw materials, WEEE also houses a host of hazardous materials which must be recycled properly to avoid harming human health and the environment. An old computer contains more than 100 different materials, and conventional monitors contain lamps which must also be disposed of professionally.

The study findings are to be forwarded to affected stakeholders, in particular the concerned federal ministries, municipal umbrella organisations, environmental and economic associations, and the European Commission.

The “Optimierung der Steuerung und Kontrolle grenzüberschreitender Stoffströme bei Elektroaltgeräten/Elektroschrott” study (in German with English-language summary) is available as a free download at www.umweltbundesamt.de. A background paper is available at www.bmu.de (in German).

Literature: Umweltbundesamt, BMU – German Federal Ministry for Environment, Nature Conservation and Nuclear Safety, Export of waste electrical and electronic equipment (WEEE): plenty of gold, and poison, too, Press release No. 029/10, Berlin, 04.03.2010

Professor urges us to take people with chemical sensibility into account

 

Yesterday (Feb 2, 2010), in an independent student newspaper from the University of New Hampshire, a professor of chemical engineering appealed to the community to take “Canaries” into account regarding the use of chemicals and especially scents. He spoke of those persons who suffer from Chemical Sensitivity and who have to be seen – like those former canaries in mines – as indicators for toxic chemicals.

Some American and Canadian Universities have a “Scent Free Policy” which means that the use of perfumes and products containing scents is prohibited within these Universities. All visitors have to meet this policy. It allows students with allergy and chemical sensitivity to work and study.

Professor Ihab Farag, Chemical Engineering Department:

Many of us are familiar with canaries, the beautiful, colorful birds that tend to sing most of the time. Canaries also saved many human lives in coalmines. This is because canaries are much more sensitive to toxic gases than humans. Miners would take canaries with them in the coalmine. If the canary stopped singing and fell (or died), the miners knew to leave the coal mine quickly to safety.

There are individuals who have developed a very strong sensitivity to many common chemicals. These people can be very negatively affected and irritated by fumes, chemical cleaners, disinfectants, cigarette/cigar smoke, engine exhaust, solvents, etc. These people are often called “Human Canaries” of the modern world, because of the chemical sensitivity similarity to that of Canaries. Human Canaries of the 21st century tend to be very strongly irritated by everyday chemicals like perfumes, hair products, shampoos, shower gels, after shave lotions, antiperspirants, deodorants, hand sanitizers, chap sticks, finger nail polish, etc. Human canaries look the same as other people, and when you see one you probably will not recognize he or she is a human canary until an offensive toxic chemical triggers his or her sensitivity.

Please be considerate to human canaries and help them to enjoy life to the fullest. One way you can help the human canary and at the same time lower your exposure to undesirable chemicals, is to go fragrance-free: avoiding perfumes, and fragranced personal care products.

 

Author: Silvia K. Müller, CSN – Chemical Sensitivity Network, February 2, 2009

Reference:

Chemical consideration to the Human Canaries, Ihab Farag, Professor, Chemical Engineering Department, Letter to the editor 02-02-10, The New Hampshire, Independent Student Newspaper at the University of New Hampshire since 1911, Februar 2, 2010