Our Bodies, Ourselves (158 page)

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Authors: Boston Women's Health Book Collective

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Phthalate exposure is associated with asthma and allergies (especially in children), autism, endocrine disruption, obesity, decreased sperm count, low birth weight, premature birth, and ADHD. The EPA rates phthalates as “probable human carcinogens.”
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WHAT'S IN OUR COSMETICS?

BAD REACTION TO COSMETICS? TELL THE FDA

In 2011, the FDA launched tools for the public to report rashes, hair loss, infections, or other problems after using a product, even if product directions were not followed. The FDA also wants to know if a product has a bad smell or unusual color—which could signal contamination—or if the item's label is incomplete or inaccurate. For more information, go to fda.gov/ForConsumers.

Most women in the United States use multiple cosmetic and personal care products—including lotions, toothpaste, and makeup—every day. We apply these products directly to some of the most vulnerable parts of our bodies. Our skin is permeable; our eyes and mouths offer an entry
to the rest of the body, particularly the bloodstream; our lungs inhale hundreds of potential contaminants. Many of the chemicals commonly used in cosmetics are associated with allergies, multiple chemical sensitivity (MCS), asthma, shortness of breath, changes in hormone function, different cancers, brain development, reproductive disorders, skin diseases, and birth impairments. According to the EWG, one in five personal care products contains chemicals linked to cancer. Even chemicals that have been banned from other products owing to their adverse health effects, like lead and mercury, still make their way into common cosmetics such as lipstick and mascara.
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CONSUMER GUIDE TO SAFE COSMETICS

Even products labeled “natural” may contain potentially toxic chemicals. Companies may want to appear clean and green, but this image is often misleading.

Here's a short list of ingredients to avoid, no matter what the packaging says: mercury, lead acetate, petrochemicals, phthalates, nanoparticles, formaldehyde, toluene, parabens, and nitrosamines. In addition, it's best to avoid any products that are fragranced.

When possible, buy from companies that have signed the Compact for Safe Cosmetics (available at safecosmetics.org), as those companies have promised to disclose all ingredients and to comply with European Union Standards, which offer much more regulation and oversight. Unfortunately, many products that are less toxic are more expensive. We need to press for greater testing and regulation and push companies to decrease their dependence on synthetic substances.

Babies are also heavily exposed to personal care products, from baby wipes to powders. Fetuses can be exposed in the womb: A 2009 study by the EWG, for example, found chemicals from cologne present in the umbilical cords of newborns.

Cosmetics and household products contain some of the highest rates of synthetic chemicals, yet their regulation is minimal. While food and drug additives must be tested before they are sold, cosmetic products don't face the same requirements. Many suspected reproductive toxics are used in everyday cosmetics. The European Union has banned the use of more than 1,100 chemicals in personal care products, according to the Campaign for Safe Cosmetics. The United States has banned or restricts only 11.
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For more information on cosmetics and health, see
“More Products, Less Regulation,”
, as well as the Campaign for Safe Cosmetics (safecosmetics.org), which also features a video on “The Story of Cosmetics,” and the EWG's Cosmetic Safety Database (cosmeticdatabase.org), where you can search products and ingredients.

COMBINATION EXPOSURE: WHY A LITTLE HERE AND THERE MATTERS

The risks associated with chemicals in cosmetics are often downplayed, as usually there is only a small amount present in any product. But most of us use a multitude of products in our daily lives, many of which have dozens of chemical ingredients. This combined exposure warrants
that chemicals be tested in combination rather than isolation.

EARLY PUBERTY MAY INCREASE THE RISK OF BREAST CANCER

According to Vassar College's Environmental Risks and Breast Cancer project (erbc.vassar.edu), personal care products may be associated with premenopausal breast cancer in young African-American women. When the use of personal care products such as hair relaxers was discontinued among individual girls with signs of premature puberty, those signs receded, suggesting a link between chemicals in certain products and early puberty.
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And early puberty increases the risk of breast cancer.
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Early puberty is of concern for all girls. According to the Breast Cancer Fund, a significant portion of U.S. girls start breast development before the age of 8. In addition to breast cancer, early puberty is linked to polycystic ovary syndrome, depression, and anxiety.
48
While the causes of early puberty are still being investigated, endocrine-disrupting chemicals—including those that mimic estrogen—are a possible culprit.
49

Many chemicals are simply tested for their obvious effects, such as short-term allergic reactions, rather than their longer-term or combined effects. In addition, many chemicals are not even listed on some products. The EWG found that the average perfume includes fourteen ingredients not included on the label, most of which the FDA had not assessed; the fragrance industry has tested only 34 percent.
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According to the Campaign for Safe Cosmetics, in the absence of a U.S. governmental safety standard, cosmetic manufacturers in particular are able to claim that their products are safe when in fact they may pose serious health threats.
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These low standards are upheld because of industry's close ties to government, their heavy lobbying, and the many loopholes in our laws.

Lack of knowledge about what chemicals are doing to our health goes far beyond just the cosmetic sector. During a special CNN report in 2010 on toxic chemicals in the womb, Phil Landrigan, a pediatrician and director of the Children's Environmental Health Center at Mount Sinai School of Medicine, said, “For eighty percent of the common chemicals in everyday use in this country we know almost nothing about whether or not they can damage the brains of children, the immune system, the reproductive system, and the other developing organs.…It's really a terrible mess we've gotten ourselves into.”
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To protect consumers, the federal government must require industry to test for combination exposures. Until we understand more about the effects of multiple chemicals, it is important to do what you can to reduce your total exposure.

SHARED RISKS, UNEQUAL BURDENS

While everyone is affected by environmental conditions, gender, race, ethnicity, and class intersect with workplace and environmental conditions so that health hazards are borne unequally by people with low incomes and people of color. The movement to right such wrongs is called the environmental justice movement.

Economic and social power determines how much we are able to protect ourselves from environmental and occupational health hazards. Some people can afford to buy bottled water or food without additives, to get better health care,
or even to move to a less-polluted neighborhood. Others cannot. People of color are more likely to work in more dangerous workplaces, and to live in inadequate housing, closer to environmental hazards.

© Nancy Ackerman

THE AKWESASNE MOTHER'S MILK PROJECT

Katsi Cook, a guiding midwife and educator in the Mohawk community in Akwesasne, New York, initiated the award-winning Akwesasne Mother's Milk project in 1984. She wanted to help answer Mohawk women's questions about toxic chemicals' effects on breast milk quality and reproductive health. The community's high levels of exposure to PCBs and other contaminants puts its women at increased risks for reproductive health effects. The project continues, setting the model for community-based research at Akwesasne and other communities.

“The waters of the earth and the waters of our bodies are the same water,” Cook said. “Breastfeeding is an inherent human right and a critical element of our Mohawk subsistence lifestyle that is protective of the health of the generations.”
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Cook's organization, First Environment Collaborative of Running Strong for American Indian Youth (Indianyouth.org/women.html), is currently working with Akwesasne's health departments and clinical services to implement the Centering Pregnancy empowerment model of prenatal care. This woman-centered model of care provides physical assessment, peer support, and community building and education that support and nourish women as they become mothers.

Research done by the Commission for Racial Justice (United Church of Christ) helped launch the environmental justice movement in the 1980s. The Commission's work pointed out that three of the five largest commercial hazardous-waste landfills in the United States are located in mostly black or Latino communities; three out of five blacks and Latinos live in communities with uncontrolled toxic-waste sites; and about half of all Asians/Pacific Islanders and Native Americans live near uncontrolled waste sites.
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The work continues on through many networks, with the Environmental Justice Resource Center at Clark Atlanta University (ejrc.cau.edu) being one of the best sources of information and inspiration.

EFFECTS OF PESTICIDES AT HOME AND ABROAD

Of the 3 million farmworkers in the United States, most are migrants, usually Latinos, and about one in four are women. Female farm-workers'
health issues are often neglected, with their occupational health exposure monitored less than that of men. According to the Committee on Women, Population and the Environment (cwpe.org), farmworker studies disproportionately focus on men's health exposure, with few being done on women. When women are considered, they are often classified as farmers' wives, a designation which excludes them from large studies considering pesticide-induced cancer. Without proper research, appropriate interventions for women have not been designed and implemented. The committee also notes that women face more of a burden than their male counterparts because of gender prescribed roles, such as washing dirty, pesticide-ridden clothes of a farmworking partner.

ENVIRONMENTAL AND REPRODUCTIVE INJUSTICES

Those of us who work for reproductive justice must pay serious attention to environmental injustices that affect our ability to become pregnant, have a healthy pregnancy, and give birth to and raise a healthy child. Instead, individual women are blamed for these problems, [and are] often told to avoid dangerous jobs, move out of contaminated areas, improve our educational status or eliminate language barriers.

Moreover, women of color often work in industries that pose severe risks to our health. Farmworkers are exposed to many dangerous chemicals that cause spontaneous miscarriages and create lifelong physical damage.…These preventable risks are not individual problems for women to deal with but instead require that we create a society based on human rights in which it is unacceptable to profit from chemicals that harm us.
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—Loretta Ross
*
National Coordinator, SisterSong (sistersong.net) and organizer for reproductive justice and environmental justice

*
Read more about Loretta Ross's work in “Organizing for Change:
Reproductive Health and Justice,”.

One of the most serious hazards facing Inuit women in northern Canada is the damage to the food supply from the atmospheric movement of contaminants from the United States and globally. This puts women at high risk for reproductive damage to themselves and their children, particularly breastfed children. Women there have needed to adjust their diet so that they are not as exposed to top-of-the-food-chain sources of food.

Pesticides, drugs, industrial chemicals, and processes banned in the United States are often exported to developing countries where regulations are nonexistent or ill-enforced. Poorer countries often have weaker environmental regulations in order to attract industrial business interests from abroad. Many U.S. companies, for example, work in countries with little or no workplace or toxic regulations, producing chemicals and products that could not be so easily and cheaply produced at home, risking the health and lives of workers in those countries. Some international agreements, such as the North American Free Trade Agreement (NAFTA), weaken countries' abilities to enforce regulations because of industries' dominance over their politics and economies.

IN TRANSLATION: CONSTRUCTING TOILETS AND PLANTING TREES

Courtesy of the Tanzania Home Economics Association

A nurse-midwife in Tanzania facilitating a community health workshop.

Group:
Tanzania Home Economics Association

Country:
Tanzania

Resource:
Kiswahili materials adapted from
Our Bodies, Ourselves
for East Africa

Website:
ourbodiesourselves.org/programs/network

Tanzania, located in East Africa, has a population that is almost 80 percent rural and quite poor. While the population's exposure to manufactured chemicals and toxins differs from that of populations in industrialized nations, the majority of Tanzanians face other environmental challenges, such as little or no access to clean water and food, crowded living spaces, and inadequate waste disposal and sanitation. This increases their risk for diseases such as diarrhea, hepatitis A, typhoid, cholera, and malaria. Many of these are serious public health issues in their own right. However, some chemicals commonly used to contain the spread of disease can also affect the health and well-being of entire communities. DDT, for example, a chemical used to control malaria in parts of Asia and Africa, is linked to a range of reproductive disorders, including decreased fertility.

Tanzania Home Economics Association (TAHEA), Our Bodies Ourselves' partner in Tanzania, has adopted a comprehensive approach to the problem, one that looks at the relationship between both individual and collective health and the environment. As TAHEA uses its Kiswahili materials based on
Our Bodies, Ourselves
to increase awareness about reproductive and sexual health, the group also educates the community on practices that foster the growth of germs and transmit disease, and works in partnership with local health, water, sewage, medical, and academic departments to identify sustainable solutions.

This collaborative effort has already helped train more than 450 women in different villages on the importance of sanitation. Thirty of these women are now peer educators, reaching out to even more communities with information on general hygiene, human waste containment, water sources protection, and environmental effects on reproductive health, as well as overall community health and economic development.

The response to their outreach is unprecedented, TAHEA reports. Most communities are constructing toilets, reducing water contamination, and planting trees in and around local water bodies—and so far there has been no cholera outbreak in these villages since.

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