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Research
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Research on Parkinson's Disease and Firefighting Hazards

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Recently, researchers on Atypical Parkinsonisms investigated causality between organic solvent exposure and multiple system atrophy, a rare form of atypical Parkinsonism.

These researchers noted that only one case-control study had been done of this rare disease and that the study showed an increased risk of occupational exposure to organic solvents, as well as plastic monomers, pesticides, and metals -- all substances which involve the use of organic solvents. Due to environmental pollution, exposure at work, industrial accidents or other causes, chemicals end up in our food and drink, the soil and water around us, even in the air we breathe.

Toxins that attack the nervous system in particular are called neurotoxins. Some of these chemicals can cause serious brain damage if victims are exposed to large quantities or exposed regularly. The following are some all-too-common toxic chemicals: Carbon monoxide is a chemical found in smoke, car exhaust and the exhaust of other machines. People are commonly exposed to carbon monoxide from generators, furnaces or cars in a room without enough ventilation; some are exposed when trapped inside a burning building. Survivors of carbon monoxide poisoning may have depression, dementia, trouble with motor skills, speech disturbances, loss of short-term memory and Parkinson's disease-like symptoms.

These are in addition to non-neurological symptoms. Lead mimics minerals that the body needs to function; the effect is lead poisoning. Lead poisoning is most common in children young enough to put inappropriate things in their mouths, who live in buildings with lead paint. It may also affect people exposed to leaded gasoline and those who are exposed through work or living near a factory. Lead poisoning reduces IQ and causes learning disabilities, insomnia, lethargy or hyperactivity, irritability, seizures and coma. It also affects the digestive system, the kidneys and reproductive organs. Pesticides are poisons meant to kill household and agricultural pests. Farm workers are at especially high risk for chronic pesticide exposure. Though aimed at insects, some pesticides (organophosphates) are close relatives of nerve agents, neurotoxins used by the military and by terrorists.

Recent research has linked pesticide exposure to Parkinson's Disease and hyperactivity, as well as muscle and respiratory weakness, blurred vision, memory problems confusion, and at high enough levels, organ failure. Solvents are chemical solutions with a variety of purposes -- ammonia, benzene, dry cleaning chemicals band detergents are all solvents. Used in industrial processes, solvents don't break down easily and thus can contaminate the environment for decades after they're released. Though many are useful to humans, they can be highly hazardous, causing loss of consciousness, headaches, confusion, dementia, balance problems, loss of vision, memory problems and attention deficit.

These are just some of the more common of the many chemicals and elements that can cause serious neurological problems in human beings who are overexposed to them. Scientists have amassed a growing body of evidence that long-term exposure to toxic compounds, particularly pesticides, can destroy neurons and trigger Parkinson’s in some people. Now, with Parkinson’s, this medical detective work has edged closer to proving the case than with almost any other human ailment. In most patients, scientists say, Parkinson’s is a disease with environmental origins. Scientists are “definitely there, beyond a doubt, in showing that environmental toxicants have to be involved” in some cases of Parkinson’s disease, said Freya Kamel, an epidemiologist with the National Institute of Environmental Health Sciences who has documented a high rate of neurological problems. “It’s not one nasty thing that is causing this disease. I think it’s exposure to a combination of many environmental chemicals over a lifetime. We just don’t know what those chemicals are yet, but we certainly have our suspicions.”

Parkinson’s Disease is a neurological disease that is compounded by the absence of the neurotransmitter dopamine. The symptoms of this disease vary according to individuals and can be mild to severe. Normally this is a progressive disease that runs its course through 5 stages where physical, cognitive and emotional well-being is increasingly compromised. Although in many instances no reason for the disease can be given (Idiopathic) in some cases Parkinson’s can be linked with several factors. For example, some studies link toxic exposure, head traumas, drugs and genetics may be causative factors in the disease.
It is believed that a trauma to this region of the brain may lead to the onset of Parkinson’s symptoms. In fact, studies suggest that people with Parkinson’s disease are more likely to have suffered a traumatic brain injury than the rest of the population (National Parkinson’s foundation).
 
Another factor that seems to be strongly linked as a cause of Parkinson’s Disease is toxic exposure to chemicals or minerals that in excess become damaging to brain tissue. For example, iron in excessive quantities may damage normal cells in the brain. These cells are often key to the manufacture of dopamine which seems to be a determining factor in the onset of Parkinson’s.
 
Researchers don’t use the word “cause” when linking environmental exposures to a disease. Instead, epidemiologists look for clusters and patterns in people, and neurobiologists test theories in animals. If their findings are repeatedly consistent, that is as close to proving cause and effect as they get. Now, with Parkinson’s, this medical detective work has edged closer to proving the case than with almost any other human ailment. In most patients, scientists say, Parkinson’s is a disease with environmental origins. Scientists are “definitely there, beyond a doubt, in showing that environmental toxicants have to be involved” in some cases of Parkinson’s disease, said Freya Kamel, an epidemiologist with the National Institute of Environmental Health Sciences who has documented a high rate of neurological problems.
Education and Information Division, National Institute for Occupational Safety and Health, Centers for Disease Control and Prevention, Cincinnati, Ohio 45226, USA.
 
OBJECTIVES: To identify potential occupational risk factors, this study examined the occupational occurrence of various neurodegenerative diseases. METHODS: Death certificates from 27 states in the National Occupational Mortality Surveillance System were evaluated. Proportionate mortality ratios were calculated by occupation for presenile dementia, Alzheimer's disease, Parkinson's disease, and motor neuron disease.
 
RESULTS: Excess mortality was observed for all four categories in the following occupational categories: Early death from motor neuron disease was found for firefighters and military personnel. CONCLUSIONS: Neurodegenerative disease occurs more frequently in some occupations than in others, and this distribution, which may indicate occupational risk factors, should be further investigated.
 
Minerbo GM, Jankovic J. Prevalence of Parkinson's disease among firefighters. Presented at the 42nd Annual Meeting of the AAN, Miami, 5/4/90, Neurology (Suppl. 1) 1990;40:348. .

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