The Michigan PBB Registry Summary: March 2014 PBB Clinic Board of Health March 28, 2014 Bonnie Havlicek, RN
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The Michigan PBB Registry Summary: March 2014 PBB Clinic
Board of Health March 28, 2014
Bonnie Havlicek, RN
Presenter
Presentation Notes
WELCOME Bathrooms EXIT DOORS Please make sure you go to the registration table if you haven’t already done so. Introduce pine river; health department; Thank the NATIONAL INSTITUTE FOR ENVIRONMENTAL HEALTH SCIENCES – for recognizing the importance of the St. Louis community and giving us the funding to include all of you in our research If you are having your blood drawn please drink lots of water.
March 6th thru March 16th PBB Clinic
• 3/6 Team Emory and NIOSH arrive • 3/7 Male exams and walk-in apts. • 3/8 & 3/9: Community meetings, phlebotomy,
male exams, Jen Efaw and Doc trained in exams
• 3/10 thru 3/16 Male exams and walk-in apts.
MMDHD staff involvement • Phlebotomy: Jenniffer Efaw, Laura Grosskopf
(contracted by Emory) • Computer lab: Lisa Mikesell (contracted by
Emory), Bonnie Havlicek, Mario Lucchesi • Male exams: Jenniffer Efaw (contracted by
Emory) Robert Graham • Norm: Advisory Board, Community discussion • Administrative Team, GBO staff
Mid-Michigan District Health Department: Gratiot Branch Office
Registration – Check -in
Community Discussion
Computer Lab
Phlebotomy
Laboratory
Gratiot Branch Office Lab
PBB clinic activities
• 284 blood draws • 46 male exams and lab samples • 8 additional men submitted urine samples • 38 women participated in full study • Approximately 120 people attended the
community discussions
Research Findings Important Points
• PBB appears to be acting as an “endocrine disrupter” – Thyroid
– Reproductive system
• Children of exposed parents may be affected
• PBB can be transferred to children while in the womb or through breast milk
• Children born many years later can still be exposed
• Children are more vulnerable to toxic chemicals than adults
Presenter
Presentation Notes
This is consistent with animal research that has shown that PBB can interfere with male hormones.
PBB Registry Long-Term PBB Study
• About 5,000 individuals
• People who ate contaminated food – Farm families – Michigan residents
• Chemical company workers
• Children of people who ate contaminated food; children of chemical workers
Presenter
Presentation Notes
at the time no one knew whether there would be any long term health effects of PBB so people who ate contaminated food were invited to be part of a long term registry to find out whether there were health effects of their exposure. so the health department enrolled people in a registry to keep in contact with them and to enable studies of their health effects. Children of exposed women were included in the registry. In the early 1990’s the chemical workers records were set aside and were no longer part of the registry or follow-up. Different and multiple exposures
PBB Levels, 1976-1978
Presenter
Presentation Notes
At enrollment in the PBB registry (not including chemical workers).
PBB Levels, Consumers of contaminated food
Presenter
Presentation Notes
Collected over the past two years throughout the state AMONG registry members.
Chemical Workers • December 2013: Bring chemical workers
back into PBB registry – transfer records from MDCH
• Blood testing for PBB, PBDE, PCB, DDT, DDE, HBB
• General Health Questionnaire
• Began enrollment in in-depth study
Presenter
Presentation Notes
We have a limited time to obtain the records from the MI Dept of Community Health.
PBB Levels, St. Louis
Presenter
Presentation Notes
Collected december, 2013 at st. louis city hall. General population of US 0.01
Additional Ongoing Research • Seeking additional grant funding
• Secure the long term PBB data
• Study causes of death for PBB Registry participants (now including chemical workers)
• Continue to study cancer occurrence
• Look at newborn screening (blood spot) data
Presenter
Presentation Notes
people in the pbb registry are getting older they are getting to the age where cancer, heart disease and other diseases (alzheimers, parkinsons) are becoming more common.
For Questions or for More Information Please Contact us!
PBB Registry Study Phone: 1-888-892-0074 E-mail: [email protected] Website : www.pbbregistry.emory.edu
Funding provided by National Institute of Environmental Health Sciences US Environmental Protection Agency Centers for Disease Control and Prevention
Presenter
Presentation Notes
Please call the PBB study phone and request a call back from any one of us.
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