| July 27, 2005
Penn Study Finds Significantly
Elevated C8 Levels Among Studied Population Group in
Southeastern Ohio
Water Is Identified as the Major Source of Contamination
(Philadelphia,
PA) -- In the nation’s first government-sponsored
epidemiological study of C8 levels in the blood of residents
of a four-community region of southeastern Ohio, researcher
Edward A. Emmett, MD, Professor of
Occupational & Environmental Medicine at the University
of Pennsylvania School of Medicine, found C8
levels that were more than 60 to 80 times higher than
those typically found in the general population. The
research team has concluded that water is the major
source of contamination.
The study – which is independent of any corporation,
law firm, or class-action suit – is funded through
a four-year Environmental Justice Partnership grant
from the National Institute of Environmental Health
Sciences; and is specifically designed as a collaborative
initiative among environmental health scientists at
Penn’s School of Medicine, the Decatur Community
Association in Cutler, Ohio, and a local physician affiliated
with Grand Central Family Medicine in Parkersburg, West
Virginia.
The objectives of the study were threefold: to measure
the levels of C8 in the blood of a sample of the population
exposed to C8; to determine whether the major route
of exposure is from air, water, or a combination; and
to determine if the levels of C8 are associated with
adverse changes in biomarkers of health effects. (The
researchers are continuing their analysis of the data
related to the third objective – and expect to
present those findings at a community meeting on August
15, 2005, in Vincent, Ohio.)
C8 is the commonly used name for perfluorooctanoic
acid, or PFOA – a chemical used in the production
of fluoropolymers. Fluoropolymers are used to make non-stick
surfaces for cookware and other uses; as well as to
make clothing, carpeting, and other products resistant
to grease, water, and stains. According to manufacturers,
C8 is not present in the final products. C8 is very
persistent in the environment and is not biodegradable.
Once inside the human body, it is very slowly eliminated.
The potential impacts of C8 on public health are still
under investigation. Exposure to high concentrations
of C8 over long durations has been shown to cause tumors
in some test animals. It is not certain that C8 would
cause the same effects in humans. Epidemiologic studies
of occupational groups have not found consistent associations
between C8 and health effects, but concerns about toxicity
to human populations persist. According to the U.S.
Environmental Protection Agency (EPA), the source of
the C8 found in the general population is unknown at
this time.
For the Penn study, a random sample of 326 residents
was selected from 160 households in four communities
in southeastern Ohio: Belpre; Little Hocking; Cutler;
and Vincent. All four communities are situated across
the Ohio River from a facility where C8 is used in the
manufacture of Teflon®. C8 is known to have contaminated
the residential water supplies of communities near the
plant. Parts of Little Hocking and Belpre are immediately
across the river from the plant and could be subject
to air pollution from the plant. Cutler & Vincent
are some miles from the plant and would not be expected
to have exposure to air pollution from the plant. However,
all four communities share the same water supply.
The average level of C8 in the general population is
approximately 5 ppb (parts per billion). The study showed
that, when analyzed by specific geographical area, the
median (or middle) C8 levels for participants with mailing
addresses in Belpre was 298ppb; Little Hocking, 327ppb;
Cutler, 328ppb; and Vincent, 369ppb. As part of the
researchers’ commitment to the community participants,
letters have been mailed already to study participants
to inform them privately of their individual blood-levels
of C8. “Our results show that the median levels
recorded in participants in the study were from 60 to
80 times higher than general-population levels,”
said Emmett. “In addition, increased levels were
found in both sexes and all age groups, including children
and the elderly.”
“The C8 levels were high in all four communities,
with no significant contribution from air pollution,
” noted Emmett. “As a result, we have concluded
that the major source of the C8 in the residents’
bodies is the contaminated water supply.” Residents
who reported occupational exposure from working with
C8 to a significant extent were excluded from the study’s
analysis (i.e., those employed by the nearby chemical
plant for greater than one year and within the past
10 years). However, even with the elimination of this
population subgroup, the researchers observed C8 levels
in some study participants that approached – and,
in some cases, overlapped – C8 levels reported
in some earlier studies of individuals who work directly
with C8.
Dr. Emmett said that appropriate health, environment,
and water authorities for the affected study population
have been notified of the preliminary results of the
Penn study. Further analysis of the results continue;
and information beyond these preliminary findings will
be released at an upcoming Community Meeting, scheduled
for 7:00 PM, on August 15, 2005, at the Warren High
School Auditorium, 130 Warrior Drive, in Vincent, Ohio.
For
a printer friendly version of this release,
click
here.
###
PENN Medicine is a $2.7 billion
enterprise dedicated to the related missions of medical
education, biomedical research, and high-quality patient
care. PENN Medicine consists of the University of Pennsylvania
School of Medicine (founded in 1765 as the nation’s
first medical school) and the University of Pennsylvania
Health System.
Penn’s School of Medicine is ranked #2 in the
nation for receipt of NIH research funds; and ranked
#4 in the nation in U.S. News & World Report’s
most recent ranking of top research-oriented medical
schools. Supporting 1,400 fulltime faculty and 700 students,
the School of Medicine is recognized worldwide for its
superior education and training of the next generation
of physician-scientists and leaders of academic medicine.
Penn Health System is comprised of: its flagship hospital,
the Hospital of the University of Pennsylvania, consistently
rated one of the nation’s “Honor Roll”
hospitals by U.S. News & World Report; Pennsylvania
Hospital, the nation's first hospital; Presbyterian
Medical Center; a faculty practice plan; a primary-care
provider network; two multispecialty satellite facilities;
and home health care and hospice.
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