President's Cancer Panel Report

Updated 3/2017 -- all links (except to my own posts) removed as many no longer active. and it was easier than checking each one.

While most of the news sources are reporting Cancers from Environment 'Grossly Underestimated' in response to the recently released the 240 page report from the President’s Cancer Panel, I want to focus on the small steps individuals can take to lessen their personal exposure to environmental carcinogens.

Collectively, these individual small actions can drastically reduce the number and levels of environmental contaminants.

• Children are most susceptible to damage from environmental carcinogens. As much as possible, parents and child care providers should choose foods, house and garden products, toys, medicines, and medical test that will minimize the child’s exposure to toxics.

Individuals and families can reduce chemical exposures by:

• Family exposure to numerous occupational chemical can be reduced by removing shoes before entering the home and washing work clothes separately from the other family laundry.
• Filter home tap or well water to decrease exposure to numerous known or suspected carcinogens and endocrine-disrupting chemicals.
• Store and carry water in stainless steel, glass, or BPA-free containers.
• Reduce expose to pesticides by choosing food grown without pesticides and washing produce to remove residues.
• Avoid or minimize consumption of processed, charred, and well-done meats to reduce expose to carcinogenic hydrocarbons.
• Properly dispose of pharmaceuticals, household chemicals, paints, and other materials to minimize drinking water and soil contamination.
• Reduce exposure to secondhand tobacco smoke in your home, car, and public places. If you smoke, then seek help to quit.
• Adults and children can reduce exposure to electromagnetic energy by wearing a headset when using a cell phone, texting instead of calling, and keeping the calls brief.
• Reduce exposure when possible from medical sources, but asking if the test is necessary. In addition, to help limit cumulative medical radiation exposure, consider creating a record of all imaging or nuclear medical tests received along with the estimated radiation dose of each test.
• Adults and children can avoid overexposure to ultraviolet light by wearing protective clothing and sunscreen when outdoors. Avoid exposure when the sunlight is most intense.

Source

National Cancer Institute --- Complete report available (pdf)

Bathing, a Source of Water Pollution from Medicines

Updated 3/2017 -- all links (except to my own posts) removed as many no longer active. and it was easier than checking each one.

I have written two posts in the past on proper disposal of unused medications.  I have always been mindful of the medicines as a source of environmental water pollution.

This past week the American Chemical Society reminded (head-slapped me) that topical medications are a source of environmental water pollution from their active pharmaceutical ingredients (APIs).   

Yes, the simple act of bathing washes hormones, antibiotics, and other pharmaceuticals down the drain into the water supply.

Ilene Ruhoy, M.D., Ph.D. and colleague  Christian Daughton, Ph.D. looked at potential alternative routes for the entry into the environment by way of bathing, showering, and laundering.  These routes may be important for certain APIs found in medications that are applied topically to the skin -- creams, lotions, ointments, gels, and skin patches.   These APIs include steroids (such as cortisone and testosterone), acne medicine, antimicrobials, narcotics, and other substances.

Ruhoy feels some APIs in topical medications have the potential of having a greater impact than those released in feces and urine.  Topical medications are un-metabolized and full-strength when washed off.  Those in feces and urine have been metabolized and are not full-strength.

APIs may go right through the disinfection process at sewage treatment plants, and enter lakes, rivers, and oceans.  Trace amounts of the active ingredients of birth control pills, antidepressants, and other drugs have been found in waterways. Some end up in drinking water – at extremely low, trace levels.

"We need to be more aware of how our use of pharmaceuticals can have unwanted environmental effects," Ruhoy said. "Identifying the major pathways in which APIs enter the environment is an important step toward the goal of minimizing their environmental impact."

Things you can do as a responsible citizen:

*  Use the topical prescription as directed, in the amount needed (more is not better, especially for the environment).

*  Do not flush prescription drugs down the toilet or drain unless the label or accompanying patient information specifically instructs you to do so.

*  To dispose of prescription drugs not labeled to be flushed, you may be able to take advantage of community drug take‐back programs or other programs, such as household hazardous waste collection events, that collect drugs at a central location for proper disposal.

*  Call your city or county government’s household trash and recycling service and ask if a drug take‐back program is available in your community.

 
Related posts
Unused and Old Medications (January 1, 2008)
Unused Prescription Medications (June 15, 2009)

 
Sources
American Chemical Society
American Pharmacy Association
White House Drug Policy