1 00:00:00,100 --> 00:00:04,210 2 00:00:04,210 --> 00:00:08,270 3 00:00:08,270 --> 00:00:12,340 4 00:00:12,340 --> 00:00:16,420 5 00:00:16,420 --> 00:00:20,460 Thinking Like a Mountain. We reached 6 00:00:20,460 --> 00:00:24,540 the old wolf in time to watch a fierce green fire 7 00:00:24,540 --> 00:00:28,620 dying in her eyes. I realized then, 8 00:00:28,620 --> 00:00:32,760 and have known ever since, that there was something new to me in 9 00:00:32,760 --> 00:00:36,950 those eyes - something known only to her and to the mountain. 10 00:00:36,950 --> 00:00:41,020 I was young then, and full of trigger-itch; 11 00:00:41,020 --> 00:00:45,100 I thought that because fewer wolves meant more 12 00:00:45,100 --> 00:00:49,220 deer, that no wolves would mean hunters paradise. 13 00:00:49,220 --> 00:00:53,250 But after seeing the green fire die, 14 00:00:53,250 --> 00:00:57,430 I sensed that neither the wolf nor the mountain 15 00:00:57,430 --> 00:01:01,500 agreed with such a view. I now suspect 16 00:01:01,500 --> 00:01:05,620 that just as a deer herd lives in mortal fear of its wolves, 17 00:01:05,620 --> 00:01:09,730 so does a mountain live in mortal fear of its deer. 18 00:01:09,730 --> 00:01:13,770 And perhaps with better cause, for while a 19 00:01:13,770 --> 00:01:17,820 buck pulled down by wolves can be replaced in two or three 20 00:01:17,820 --> 00:01:21,920 years, a range pulled down 21 00:01:21,920 --> 00:01:26,010 by too many deer may fail of replacement in as many decades. 22 00:01:26,010 --> 00:01:30,170 So also with cows. The cowman 23 00:01:30,170 --> 00:01:34,240 who cleans his range of wolves does not realize that he is taking over 24 00:01:34,240 --> 00:01:38,310 the wolf's job of trimming the herd to fit the range. 25 00:01:38,310 --> 00:01:42,430 He has not learned to think like a mountain. 26 00:01:42,430 --> 00:01:46,520 Hence we have dust bowl, and rivers washing the future 27 00:01:46,520 --> 00:01:50,680 into the sea. Aldo Leopold, A Sand 28 00:01:50,680 --> 00:01:54,760 County Almanac. Powerful words. 29 00:01:54,760 --> 00:01:58,830 Welcome to the first event in the University of Northern Iowa's inaugural 30 00:01:58,830 --> 00:02:02,930 installment of the Aldo Leopold Distinguished Lecture Series. My name is 31 00:02:02,930 --> 00:02:07,040 Eric O'Brien, and I am the Director of Sustainability at the 32 00:02:07,040 --> 00:02:11,200 University of Northern Iowa. I greatly appreciate having 33 00:02:11,200 --> 00:02:15,280 the opportunity to provide this welcome. Over the remainder of 34 00:02:15,280 --> 00:02:19,390 the academic year, the UNI community will have the distinguished honor 35 00:02:19,390 --> 00:02:23,510 of playing host to esteemed guests from diverse 36 00:02:23,510 --> 00:02:27,540 backgrounds to educate and engage 37 00:02:27,540 --> 00:02:31,660 our campus community in the spirit of the values 38 00:02:31,660 --> 00:02:35,820 so eloquently presented by Aldo Leopold. Leopold 39 00:02:35,820 --> 00:02:39,880 himself was a native Iowan, born in Burlington in 1887. 40 00:02:39,880 --> 00:02:44,000 Growing up, he developed a lively interest 41 00:02:44,000 --> 00:02:48,180 in the outdoors and natural history. 42 00:02:48,180 --> 00:02:52,230 Leopold was, throughout his life, at the forefront of the conservation 43 00:02:52,230 --> 00:02:56,310 movement and is widely considered the father of wildlife 44 00:02:56,310 --> 00:03:00,390 conservation in America. By striving, as we just heard, 45 00:03:00,390 --> 00:03:04,540 to "think like a mountain", Leopold altered the course 46 00:03:04,540 --> 00:03:08,740 of conservation history. We can see his continuing 47 00:03:08,740 --> 00:03:12,810 influence in the trends that have reshaped conservation, thought, 48 00:03:12,810 --> 00:03:16,900 science, policy, and practice since his works were first 49 00:03:16,900 --> 00:03:21,050 published. Some of our future speakers will 50 00:03:21,050 --> 00:03:25,170 include Pulitzer Prize Winning authors, a White House Champion 51 00:03:25,170 --> 00:03:29,250 of Change, and a Guggenheim Fellow. 52 00:03:29,250 --> 00:03:33,360 Throughout this series, we expect these speakers to challenge our 53 00:03:33,360 --> 00:03:37,500 perceptions, raise the level of discourse, and inspire action 54 00:03:37,500 --> 00:03:41,590 within our campus community. I'll close this 55 00:03:41,590 --> 00:03:45,660 welcome with one final quote from Leopold's "Round River". 56 00:03:45,660 --> 00:03:49,830 Conservation is a state of harmony between men and 57 00:03:49,830 --> 00:03:53,980 land. By land is meant all of the things on, 58 00:03:53,980 --> 00:03:58,040 over, or in the earth. Harmony with land 59 00:03:58,040 --> 00:04:02,130 is like harmony with a friend; you cannot cherish 60 00:04:02,130 --> 00:04:06,300 his right hand and chop off his left... the land 61 00:04:06,300 --> 00:04:10,420 is one organism. That quote exemplifies the goal of the Leopold 62 00:04:10,420 --> 00:04:14,430 Lectures to provide a unique set of opportunities 63 00:04:14,430 --> 00:04:18,500 throughout our academic year to focus on our relationship with 64 00:04:18,500 --> 00:04:22,580 the natural world. I would 65 00:04:22,580 --> 00:04:26,710 now like to introduce Audrey Tran Lam, who will have the 66 00:04:26,710 --> 00:04:30,870 opportunity to welcome our featured speaker for this evening. Audrey 67 00:04:30,870 --> 00:04:34,900 manages the community environmental health initiatives at the 68 00:04:34,900 --> 00:04:39,020 Center for Energy & Environmental Education at UNI. Audrey currently 69 00:04:39,020 --> 00:04:43,150 oversees the statewide Good Neighbor Iowa initiative, the purpose 70 00:04:43,150 --> 00:04:47,310 of which is to improve children's environmental health. Audrey. 71 00:04:47,310 --> 00:04:51,370 [applause] 72 00:04:51,370 --> 00:04:55,440 - Great. 73 00:04:55,440 --> 00:04:55,710 74 00:04:55,710 --> 00:04:59,860 75 00:04:59,860 --> 00:05:03,920 Thanks Eric, thank you and thank you all so much for being here to kick 76 00:05:03,920 --> 00:05:08,060 off this lecture series. This is a really wonderful turnout. Of course, thank 77 00:05:08,060 --> 00:05:12,120 you to our evening sponsors. We have the Center for Energy and Environmental 78 00:05:12,120 --> 00:05:16,250 Education, Series Trust, The Roy J. 79 00:05:16,250 --> 00:05:20,410 Carver Charitable Trust, and Iowa's Regent Center for Early 80 00:05:20,410 --> 00:05:24,470 Developmental Education. Let's quick thank them. 81 00:05:24,470 --> 00:05:28,540 [applause] Alright. 82 00:05:28,540 --> 00:05:32,610 This event and the entire Leopold Lecture Series is being recorded 83 00:05:32,610 --> 00:05:36,720 and preserved in the UNI Archives. The next event 84 00:05:36,720 --> 00:05:40,870 in the series will be an evening with Pulitzer Prize Winning author 85 00:05:40,870 --> 00:05:44,910 Elizabeth Colbert on The Sixth Extinction and her presentation will be 86 00:05:44,910 --> 00:05:49,000 hosted in the Strayer-Wood Theatre, September 20th at 7:00 PM. 87 00:05:49,000 --> 00:05:53,100 So hopefully many of us will be able to attend that event as well. 88 00:05:53,100 --> 00:05:57,230 Now though I am fairly new to the university myself, 89 00:05:57,230 --> 00:06:01,320 the University's over 100 year history in early childhood development 90 00:06:01,320 --> 00:06:05,390 is not new to me. UNI has really set itself apart from the the other 91 00:06:05,390 --> 00:06:09,490 state universities and it's commitment to promoting early 92 00:06:09,490 --> 00:06:13,630 childhood education and development. And given that history and the work 93 00:06:13,630 --> 00:06:17,680 that I do in the Center for Energy and Environmental Education with Children's 94 00:06:17,680 --> 00:06:21,780 Environmental Health, I'm really really excited to be able to introduce Dr. 95 00:06:21,780 --> 00:06:25,860 Jennifer Lowry tonight. Now, Jennifer has a very impressive 96 00:06:25,860 --> 00:06:29,970 biography. So much so that I almost feel like I need more credentials to 97 00:06:29,970 --> 00:06:34,020 introduce her. She is a Board-Certified physician 98 00:06:34,020 --> 00:06:38,080 and Professor of Pediatrics at the University of Missouri-Kansas City 99 00:06:38,080 --> 00:06:42,140 School of Medicine. She is the Director of the Division of Clinical 100 00:06:42,140 --> 00:06:46,250 Pharmacology, Toxicology, and Therapeutic Innovations at Children's 101 00:06:46,250 --> 00:06:50,310 Mercy in Kansas City where she also the Director of our Regent's 102 00:06:50,310 --> 00:06:54,470 PEHSU, the Pediatric Environmental Health Specialty Unit, which is 103 00:06:54,470 --> 00:06:58,540 a fantastic resource to all of us, but one that I am especially grateful for in my 104 00:06:58,540 --> 00:07:02,630 work at the University, so thank you. Dr. Lowry is a member of both the 105 00:07:02,630 --> 00:07:06,740 American Academic of Pediatrics Executive Committees Council on 106 00:07:06,740 --> 00:07:10,900 Environmental Health and the EPA's Children's Health Protection 107 00:07:10,900 --> 00:07:14,990 Advisory Committee. Now if that's not impressive enough or 108 00:07:14,990 --> 00:07:19,140 difficult to say, she has authored and co-authored many 109 00:07:19,140 --> 00:07:23,300 papers that contribute to the body of scientific public health literature 110 00:07:23,300 --> 00:07:27,350 on toxicology and children's environmental health, so she clearly knows 111 00:07:27,350 --> 00:07:31,430 what she's talkin about with all this. However, you'd never guess that 112 00:07:31,430 --> 00:07:35,520 her resumé is so intimidating by just sitting down and talking with her. 113 00:07:35,520 --> 00:07:39,630 She is so personable and so sweet that I'm not surprised at all that she is 114 00:07:39,630 --> 00:07:43,810 thriving in an environment where she can work so closely with children. So 115 00:07:43,810 --> 00:07:47,940 with that, please help me welcome Dr. Jennifer Lowry. 116 00:07:47,940 --> 00:07:52,100 [applause] 117 00:07:52,100 --> 00:07:56,170 - Thank you very much. I am 118 00:07:56,170 --> 00:08:00,260 honored and humbled actually now to be here, so I 119 00:08:00,260 --> 00:08:04,410 very much appreciate it and no offense to all of you, but my favorite is 120 00:08:04,410 --> 00:08:08,570 right here. What's your name sweetie? 121 00:08:08,570 --> 00:08:12,650 Penny. Alright. So this is for Penny. 122 00:08:12,650 --> 00:08:16,700 Just very happy that I have one of my favorite 123 00:08:16,700 --> 00:08:20,820 people here. I was asked to come 124 00:08:20,820 --> 00:08:24,950 and talk to you about a lot of different things, but we thought 125 00:08:24,950 --> 00:08:29,070 we would start the series with protecting children, where they live, 126 00:08:29,070 --> 00:08:33,180 learn, and play. I do have to say that I 127 00:08:33,180 --> 00:08:37,280 do receive funding through the PEHSU, the Pediatric Environmental Health 128 00:08:37,280 --> 00:08:41,400 Specialty Unit, which we can talk about later, and it's funded 129 00:08:41,400 --> 00:08:45,480 by the Agency for Toxic Substances and Disease Registry, which is an 130 00:08:45,480 --> 00:08:49,560 agency at the CDC. And I'm also funded partly by the 131 00:08:49,560 --> 00:08:53,650 Environmental Protection Agency through their Office of Children's Health Protection. 132 00:08:53,650 --> 00:08:57,710 Over the next 45 minutes or so, I hope to 133 00:08:57,710 --> 00:09:01,810 kind of give you a little bit of background of why children are not little adults 134 00:09:01,810 --> 00:09:05,880 and why we need to actually pay attention to what's happening 135 00:09:05,880 --> 00:09:09,960 in our environment with the focus on children because 136 00:09:09,960 --> 00:09:14,090 you know what, we're done, right, well, some of you are not quite done 137 00:09:14,090 --> 00:09:18,140 yet because you're not adolescence is 'til you're 25 138 00:09:18,140 --> 00:09:22,220 sorry. 139 00:09:22,220 --> 00:09:26,300 I just hope that you can come away with why kids are different 140 00:09:26,300 --> 00:09:30,330 and more important. Also I wanted to talk about different 141 00:09:30,330 --> 00:09:34,440 sources of environmental exposures that could impact children and then 142 00:09:34,440 --> 00:09:38,490 ask and talk about ways throughout the presentation on 143 00:09:38,490 --> 00:09:42,570 ways that risk can be reduced and policies changed. I might get 144 00:09:42,570 --> 00:09:46,650 questions, I'm a pediatrician, so I get questions a lot from parents, especially 145 00:09:46,650 --> 00:09:50,760 recent things that have been in the news and 146 00:09:50,760 --> 00:09:54,860 we'll talk about that as we go through. So what is 147 00:09:54,860 --> 00:09:58,990 pediatric environmental health? This is just actually what the American Academy 148 00:09:58,990 --> 00:10:03,050 of Pediatrics says. The AP 149 00:10:03,050 --> 00:10:07,190 is a member of 67,000 pediatricians across the United 150 00:10:07,190 --> 00:10:11,310 States. I chair the Council on Environmental Health and 151 00:10:11,310 --> 00:10:15,420 really with the focus to try to educate 152 00:10:15,420 --> 00:10:19,500 pediatricians on why it's important to bring environmental health 153 00:10:19,500 --> 00:10:23,610 questions during all those anticipatory guidance 154 00:10:23,610 --> 00:10:27,690 visits that they have. It's a little daunting sometimes because 155 00:10:27,690 --> 00:10:31,800 pediatricians have to spend a lot of time talking about vaccines and 156 00:10:31,800 --> 00:10:35,840 safety and poison prevention and I try to do environmental health 157 00:10:35,840 --> 00:10:39,920 in that poison prevention in that part. And I think we're making a little bit of headway 158 00:10:39,920 --> 00:10:43,990 but when you go and you talk to pediatricians, 159 00:10:43,990 --> 00:10:48,090 ask about the environment and make them want to know more about it. 160 00:10:48,090 --> 00:10:52,180 So when we talk about children, 161 00:10:52,180 --> 00:10:56,280 it basically encompasses all of us, because it's 162 00:10:56,280 --> 00:11:00,400 that pre-conception, it's that adolescent girl and boy who 163 00:11:00,400 --> 00:11:04,460 are being exposed to different 164 00:11:04,460 --> 00:11:08,560 things throughout their life but what's happening right there so 165 00:11:08,560 --> 00:11:12,670 hopefully our adolescents are way pre-conception, but later on, 166 00:11:12,670 --> 00:11:16,780 they're gonna have kids. And then when the mom is pregnant, 167 00:11:16,780 --> 00:11:20,850 what's happening with that fetus and what exposure is she having 168 00:11:20,850 --> 00:11:24,920 that can result in possibly harm 169 00:11:24,920 --> 00:11:29,020 or at least the exposure to the baby. And then what happens through those life 170 00:11:29,020 --> 00:11:33,120 stages all the way to that adolescent again with their 171 00:11:33,120 --> 00:11:37,170 exposure and then starting the cycle over again. 172 00:11:37,170 --> 00:11:41,280 We know that children are not little adults. they drink more water 173 00:11:41,280 --> 00:11:45,380 per pound of body weight. They're these little people 174 00:11:45,380 --> 00:11:49,480 and we're feeding them bottles of, 175 00:11:49,480 --> 00:11:53,530 8 ounce bottles every 2-3 hours right when they're born and 176 00:11:53,530 --> 00:11:57,600 so think about that water and where that water is coming from and we talk 177 00:11:57,600 --> 00:12:01,630 about the children of Flint, for example. You know, 178 00:12:01,630 --> 00:12:05,730 we don't get lead levels until the age of 1 and they, 179 00:12:05,730 --> 00:12:09,830 these were kids who were bottle fed all that time and then we get that 180 00:12:09,830 --> 00:12:13,880 lead level after they had actually stopped bottle feeding and what was their 181 00:12:13,880 --> 00:12:17,950 lead level during that time and I don't know and nobody else does either. 182 00:12:17,950 --> 00:12:22,030 We know that they breathe more air per pound of body weight. If you look at 183 00:12:22,030 --> 00:12:26,120 the respiratory rate for a little baby, it's like 60, 184 00:12:26,120 --> 00:12:30,230 60 breaths per minute, whereas you an I are about 185 00:12:30,230 --> 00:12:34,300 20 at the most. And so, again, they're breathing in that air 186 00:12:34,300 --> 00:12:38,380 and think about that newborn who's being carried by the mom who's 187 00:12:38,380 --> 00:12:42,510 smoking. They eat more food per pound 188 00:12:42,510 --> 00:12:46,630 of body weight and so they're always just eating all of things. And so 189 00:12:46,630 --> 00:12:50,680 two weeks ago when we were talking about heavy metals in 190 00:12:50,680 --> 00:12:54,750 baby foods, at least because I was, because I was asked to 191 00:12:54,750 --> 00:12:58,850 be on the news about that and how do we talk to our parents about 192 00:12:58,850 --> 00:13:02,950 the stuff that is in our baby foods. And they have a longer shelf life, 193 00:13:02,950 --> 00:13:07,050 right. I mean right now we only have so many years left, but Penny here, 194 00:13:07,050 --> 00:13:11,130 she's got her whole life ahead of her and what 195 00:13:11,130 --> 00:13:15,240 do we need to do to make that life much longer 196 00:13:15,240 --> 00:13:19,320 and better for her. And clearly their behavior is different than adults. 197 00:13:19,320 --> 00:13:23,430 Penny's probably a little bit older and not putting a lot of things in her 198 00:13:23,430 --> 00:13:27,490 mouth but when we have little kids and it's a high hand-to-mouth and you 199 00:13:27,490 --> 00:13:31,570 see the peeling paint chip on the windowsill, and lead is sweet so we 200 00:13:31,570 --> 00:13:35,700 go and we peel it off and we're gonna at it cause we're gonna put things 201 00:13:35,700 --> 00:13:39,810 in our mouth all the time, they're curious, and so they're gonna get into trouble. And 202 00:13:39,810 --> 00:13:43,870 they can't protect themselves. They don't vote, so we have to do that for them. 203 00:13:43,870 --> 00:13:47,950 So I kinda talked about this already, 204 00:13:47,950 --> 00:13:52,050 but this kind of goes into 205 00:13:52,050 --> 00:13:56,120 a little more detail of just kind of breaking it up in those ages 206 00:13:56,120 --> 00:14:00,200 and what's different, even in the birth to 2 month old and the 207 00:14:00,200 --> 00:14:04,270 3-5 and the 6-11. When we're born, we aren't done. 208 00:14:04,270 --> 00:14:08,390 We just this little baby that can't do anything. 209 00:14:08,390 --> 00:14:12,520 Just lay there and cry and eat and that's about it that 210 00:14:12,520 --> 00:14:16,570 we can talk about while being recorded. So, 211 00:14:16,570 --> 00:14:20,670 and then over time, the organs are formed 212 00:14:20,670 --> 00:14:24,720 they look the way they're supposed to look, but those connections actually haven't 213 00:14:24,720 --> 00:14:28,740 been made yet and so the kidney is starting to 214 00:14:28,740 --> 00:14:32,850 actually form and put those nephrons together so that you can actually 215 00:14:32,850 --> 00:14:36,920 concentrate your urine by about one year of age. 216 00:14:36,920 --> 00:14:40,990 So your liver isn't done yet. So all of your enzymes and all those 217 00:14:40,990 --> 00:14:45,070 proteins that your liver makes in order to turn over chemicals 218 00:14:45,070 --> 00:14:49,170 to metabolize them, many of them aren't actually working until 219 00:14:49,170 --> 00:14:53,240 3 to 5 years of age. Our brain isn't done and our brain 220 00:14:53,240 --> 00:14:57,300 isn't done really until 25, that's where I was getting the adolescence 221 00:14:57,300 --> 00:15:01,400 part to. And so all those connections, and the myelination, and all of that 222 00:15:01,400 --> 00:15:05,510 where we go from not being able to have much thought to having 223 00:15:05,510 --> 00:15:09,630 concrete thought, to then having abstract thinking and to be able to put it all 224 00:15:09,630 --> 00:15:13,690 together, that's a long time. And so think about things that happen 225 00:15:13,690 --> 00:15:17,760 while that's happening. And our lungs aren't 226 00:15:17,760 --> 00:15:21,860 done until adolescence. So think about the smoker. 227 00:15:21,860 --> 00:15:26,000 Think about vaping. Think about all of those things 228 00:15:26,000 --> 00:15:30,060 that kids are getting into and being exposed to 229 00:15:30,060 --> 00:15:34,130 through that time. They're curious. They go from 230 00:15:34,130 --> 00:15:38,210 rolling to crawling to walking to running and 231 00:15:38,210 --> 00:15:42,360 all of those things can be impacted 232 00:15:42,360 --> 00:15:46,440 and interrupted if something gets in the way. 233 00:15:46,440 --> 00:15:50,470 And then kids, or course, they got work, they go to school, 234 00:15:50,470 --> 00:15:54,550 they go play outside and we're gonna talk about all of things in a little bit. 235 00:15:54,550 --> 00:15:58,670 So all of those chemicals can be 236 00:15:58,670 --> 00:16:02,810 introduced into the body and can cause harm 237 00:16:02,810 --> 00:16:06,920 and again, we'll address that. Alright, so 238 00:16:06,920 --> 00:16:11,010 where do children live? This is where some children live. 239 00:16:11,010 --> 00:16:15,100 I did not see a place like this in Cedar Falls, but there probably could 240 00:16:15,100 --> 00:16:19,170 be and as a pediatrician, we 241 00:16:19,170 --> 00:16:23,330 don't necessarily ask. We used to do the home visit, we used to do house 242 00:16:23,330 --> 00:16:27,450 calls where we'd go out and we'd see our patients in the place where 243 00:16:27,450 --> 00:16:31,510 they are and we don't do that anymore, they have to come to us, so we 244 00:16:31,510 --> 00:16:35,530 don't know. We ask the questions. We assume they're telling us the truth, 245 00:16:35,530 --> 00:16:39,590 but I can show you pictures of homes where people live 246 00:16:39,590 --> 00:16:43,720 and they're doing the best that they can but they are in poverty or 247 00:16:43,720 --> 00:16:47,800 at least living in 248 00:16:47,800 --> 00:16:51,870 places that they can barely afford because they work two jobs. 249 00:16:51,870 --> 00:16:55,970 But this is where they can live. And in fact 250 00:16:55,970 --> 00:17:00,030 80% of the people in the United States live in a town or city. 251 00:17:00,030 --> 00:17:04,090 I drove from Kansas City, clearly, today, and so there's obviously a lot 252 00:17:04,090 --> 00:17:08,180 of farmland and smaller communities but the majority of people 253 00:17:08,180 --> 00:17:12,280 congregate in cities and 90% of the people spend that 254 00:17:12,280 --> 00:17:16,430 time indoors, or spend 90% of their time indoors. 255 00:17:16,430 --> 00:17:20,500 That's probably even more now that we are in a social media 256 00:17:20,500 --> 00:17:24,600 age where we don't have kids who want to go outside and play or we're 257 00:17:24,600 --> 00:17:28,680 too afraid to let our kids go outside and play and so they stay inside and 258 00:17:28,680 --> 00:17:32,850 they're on their cell phones and doing whatever. 60% 259 00:17:32,850 --> 00:17:36,930 of the world population is urbanized and a 260 00:17:36,930 --> 00:17:41,010 lot of it had been to do with the industry 261 00:17:41,010 --> 00:17:45,110 at the time. So when it was really cool to have an automobile 262 00:17:45,110 --> 00:17:49,230 and drive around and show that you had 263 00:17:49,230 --> 00:17:53,300 the wealth enough to do that, but in order to have a car, you had to 264 00:17:53,300 --> 00:17:57,380 have the road and you had to kinda get the trolley and those kind of 265 00:17:57,380 --> 00:18:01,450 things out of the way. So those things got shut down so we can actually 266 00:18:01,450 --> 00:18:05,570 have our car and our one car, or our three cars, or our five cars that 267 00:18:05,570 --> 00:18:09,640 only I am going to drive and I'm not gonna carpool along the way because 268 00:18:09,640 --> 00:18:13,710 this is mine and I'm not gonna share. And so we had these single 269 00:18:13,710 --> 00:18:17,770 passenger automobiles and the communities that we 270 00:18:17,770 --> 00:18:21,870 have now are designed in that way. So, 271 00:18:21,870 --> 00:18:26,010 we don't have the 272 00:18:26,010 --> 00:18:30,060 street lights, we don't have sidewalks, we don't have things for kids actually used 273 00:18:30,060 --> 00:18:34,140 to go out and play. We have the road. We have actually a lot of 274 00:18:34,140 --> 00:18:38,230 paved roads and concrete and less green space 275 00:18:38,230 --> 00:18:42,330 because we have to actually have parking lots for our cars, and so 276 00:18:42,330 --> 00:18:46,410 in order to do that, and that started just back in the early 1900s when 277 00:18:46,410 --> 00:18:50,470 the car was made and we've gone down that road. 278 00:18:50,470 --> 00:18:54,570 No pun intended. So what is a house? 279 00:18:54,570 --> 00:18:58,610 A lot of us see a lot of people live in different kinds of homes 280 00:18:58,610 --> 00:19:02,760 and again, as a pediatrician, I have to ask these questions. It's 281 00:19:02,760 --> 00:19:06,850 really hard when you only have 15 minutes and you have to kind of delve into 282 00:19:06,850 --> 00:19:10,960 it like where do you live? An address can be helpful, especially with Google 283 00:19:10,960 --> 00:19:15,090 Maps now right. You can just type in and address and it comes up and you can 284 00:19:15,090 --> 00:19:19,100 show the front of the house, but you have no idea what's going on on the inside of the 285 00:19:19,100 --> 00:19:23,200 house, unless they've sold it recently and so you can go onto Zillow or Trulia and 286 00:19:23,200 --> 00:19:27,290 then you can look and see what's inside their house before they bought the house. 287 00:19:27,290 --> 00:19:31,430 But that doesn't actually how they are living. And what, 288 00:19:31,430 --> 00:19:35,510 and so I'm gonna go a little bit into 289 00:19:35,510 --> 00:19:39,590 what parents don't want to talk about, is that homes are "systems". 290 00:19:39,590 --> 00:19:43,640 You have to actually think of the home as an organism and how it 291 00:19:43,640 --> 00:19:47,770 all works together. So our environmental health program, we actually do 292 00:19:47,770 --> 00:19:51,840 home assessments and I have industrial hygienists, basically, who go out to 293 00:19:51,840 --> 00:19:55,920 homes and help these families understand how ventilation is supposed to 294 00:19:55,920 --> 00:20:00,000 work and how just because you close off a room over here, 295 00:20:00,000 --> 00:20:04,110 if you've left that vent on whatever is happening in there, it's 296 00:20:04,110 --> 00:20:08,200 gonna go through the intake and then go around to the rest of the 297 00:20:08,200 --> 00:20:12,280 house. I had a family that I saw who's 298 00:20:12,280 --> 00:20:16,280 home was found to actually have asbestos in one of the rooms, and so they 299 00:20:16,280 --> 00:20:20,370 needed to have it removed and they had actually taken some of the stuff 300 00:20:20,370 --> 00:20:24,490 down and then I didn't realize it was asbestos until later and so a lot of 301 00:20:24,490 --> 00:20:28,560 it was dust by the time they realized. So they just 302 00:20:28,560 --> 00:20:32,630 closed the door and locked it so the kids wouldn't go in without shutting off their 303 00:20:32,630 --> 00:20:36,730 vents. And so then we had asbestos going around the house 304 00:20:36,730 --> 00:20:40,850 and again a conversation of how that works. 305 00:20:40,850 --> 00:20:44,970 Many families don't know that. I'm sure some of you own 306 00:20:44,970 --> 00:20:49,050 homes or least rent and apartment. How 307 00:20:49,050 --> 00:20:53,160 often do you change the furnace filters? 308 00:20:53,160 --> 00:20:57,300 These young kids here, 309 00:20:57,300 --> 00:21:01,440 they probably are like, "I don't know, someone else takes care of that", and I can 310 00:21:01,440 --> 00:21:05,530 tell you that most landlords are not changing them at least every 3 months 311 00:21:05,530 --> 00:21:09,630 that you're supposed to, if not every 30 days, depending on what that filter 312 00:21:09,630 --> 00:21:13,770 is. So these are questions that we have to have with our families 313 00:21:13,770 --> 00:21:17,870 to understand where they live. The National 314 00:21:17,870 --> 00:21:21,970 Center of Healthy House or Healthy Homes, they have healthy homes 315 00:21:21,970 --> 00:21:26,030 principles. Keep it dry. Keep it clean. Keep it pest-free. Keep it ventilated. 316 00:21:26,030 --> 00:21:30,080 Keep it safe. Keep it contaminant-free and keep it maintained. And this 317 00:21:30,080 --> 00:21:34,170 seems like simple things that we should be able to tell our family, but 318 00:21:34,170 --> 00:21:38,250 we see families a lot who come in and they say they've got mold 319 00:21:38,250 --> 00:21:42,320 growing in my bathroom, and they've called, unfortunately, they 320 00:21:42,320 --> 00:21:46,380 called their homeowner's insurance and said, "I have mold", and as soon as you 321 00:21:46,380 --> 00:21:50,460 say the m word, all bets are off, they're not gonna help you because 322 00:21:50,460 --> 00:21:54,530 they don't do mold. So we have to instruct our families, you have a 323 00:21:54,530 --> 00:21:58,650 water problem and where is that water problem and it's actually somewhere else 324 00:21:58,650 --> 00:22:02,690 probably above where that mold is and how are we gonna fix it. 325 00:22:02,690 --> 00:22:06,740 The mold may be causing the health effects, but it's the water problem that we 326 00:22:06,740 --> 00:22:10,830 need to fix and how are you gonna get it done. And even if you-- 327 00:22:10,830 --> 00:22:14,920 that water problem may have mold, but also it causes structural problems 328 00:22:14,920 --> 00:22:19,040 with the house then actually lead into pests into your home 329 00:22:19,040 --> 00:22:23,100 and so what the families do is they see 330 00:22:23,100 --> 00:22:27,180 the pests and then they go and buy the pesticide to get rid of the 331 00:22:27,180 --> 00:22:31,270 cockroach that's coming into their home or the mouse that's coming in and 332 00:22:31,270 --> 00:22:35,360 so we're gonna put stuff down, when they actually just need to take care of the 333 00:22:35,360 --> 00:22:39,400 water problem and then fix the home so the pest didn't come. But we end up trying to 334 00:22:39,400 --> 00:22:43,450 be more reactive than proactive, so we as a community have to kind of 335 00:22:43,450 --> 00:22:47,500 change our way of thinking so that we can be preventative rather 336 00:22:47,500 --> 00:22:51,610 than reactive. So we also have to keep it healthy. 337 00:22:51,610 --> 00:22:55,730 So I mentioned this already. There have been a number of things in 338 00:22:55,730 --> 00:22:59,800 the news over the last several years on contaminants 339 00:22:59,800 --> 00:23:03,930 in food and I get quite a number of questions about this and in fact 340 00:23:03,930 --> 00:23:08,040 I was interviewed by like three different news agencies 341 00:23:08,040 --> 00:23:12,070 in like two days on all of the things that happened. 342 00:23:12,070 --> 00:23:16,160 So it was glyphosate in oat cereal and it was heavy metals in 343 00:23:16,160 --> 00:23:20,240 baby foods and 344 00:23:20,240 --> 00:23:24,360 I think there was lead in water or something. 345 00:23:24,360 --> 00:23:28,470 Of course. Anyway, I kept getting them all mixed 'cause it's like, you know, 346 00:23:28,470 --> 00:23:32,590 there's always something in something and I had to like figure out which one they 347 00:23:32,590 --> 00:23:36,670 were asking me about. They were like, "No, I asked you about lead in sweet potatoes" 348 00:23:36,670 --> 00:23:40,750 and I'm like, "I'm on glyphosate in oats". 349 00:23:40,750 --> 00:23:44,850 So we know that this stuff is in us, so how are we supposed to 350 00:23:44,850 --> 00:23:48,970 to educate our families so that they know what to buy 351 00:23:48,970 --> 00:23:53,040 and that was the common question amongst all these interviews is what 352 00:23:53,040 --> 00:23:57,140 are you gonna tell parents about what foods because I want to grow 353 00:23:57,140 --> 00:24:01,270 organic then right because I don't want to go and buy 354 00:24:01,270 --> 00:24:05,380 the jar in the grocery store because clearly the carrots and that sweet potatoes 355 00:24:05,380 --> 00:24:09,460 has high lead levels in it and I don't want that. Well, if you 356 00:24:09,460 --> 00:24:13,550 buy organic, arsenic is organic. It's naturally occurring and we 357 00:24:13,550 --> 00:24:17,590 know that arsenic was in brown rice syrup and in rice so then 358 00:24:17,590 --> 00:24:21,710 what rice are you gonna get. So the FDA says, "Well just know where your rice is being 359 00:24:21,710 --> 00:24:25,820 grown". Okay, if I go and look at Uncle Ben's, it doesn't tell me where my 360 00:24:25,820 --> 00:24:29,910 rice is being grown and I have no idea. So Consumer Reports, they put 361 00:24:29,910 --> 00:24:34,040 out this, you can't see it, especially those of you who choose to sit in the back, 362 00:24:34,040 --> 00:24:38,140 sorry about that, but if you go to this Consumer Reports article, 363 00:24:38,140 --> 00:24:42,260 it actually does talk about rices from Texas are 364 00:24:42,260 --> 00:24:46,360 of the highest in arsenic. Do you know if your 365 00:24:46,360 --> 00:24:50,480 rice is grown in Texas? I certainly don't. The reason that we have 366 00:24:50,480 --> 00:24:54,580 arsenic is rice is because of where it's grown in Texas, Louisiana, 367 00:24:54,580 --> 00:24:58,700 and in the southeast, just because that's where our cotton was grown 368 00:24:58,700 --> 00:25:02,780 and so it's a very kind of wet area 369 00:25:02,780 --> 00:25:06,880 and we used to put arsenic down as a pesticide. So it was a 370 00:25:06,880 --> 00:25:11,000 pesticide that as put down. And arsenic doesn't go anywhere. 371 00:25:11,000 --> 00:25:15,220 It's a metal. It stays around for 372 00:25:15,220 --> 00:25:19,290 centuries and so it's gonna be incorporated into 373 00:25:19,290 --> 00:25:23,390 the plant because it's in the soil and it's gonna be incorporated into it 374 00:25:23,390 --> 00:25:27,520 and then it's gonna grow in. And so when the 375 00:25:27,520 --> 00:25:31,640 Consumer Reports and the folks at Dartmouth went and measured it, they 376 00:25:31,640 --> 00:25:35,710 found these elevated arsenics. And of course there was an uproar, 'cause 377 00:25:35,710 --> 00:25:39,830 how could there be this in there? Because it's naturally occurring in the 378 00:25:39,830 --> 00:25:43,940 soil and we're gonna have it in there. The problem is that the FDA 379 00:25:43,940 --> 00:25:48,060 does not have any 380 00:25:48,060 --> 00:25:52,160 regulatory standards for arsenic. The UK had actually started looking 381 00:25:52,160 --> 00:25:56,260 at it and put a limit of 50 parts per billion in their 382 00:25:56,260 --> 00:26:00,370 apple juices I think it was, but the USFDA 383 00:26:00,370 --> 00:26:04,490 didn't do that. And in fact, there was a study that was done that looked at 384 00:26:04,490 --> 00:26:08,580 all the rice products from adult rice to infant toddler 385 00:26:08,580 --> 00:26:12,670 rice cereal and snacks and whatever, 386 00:26:12,670 --> 00:26:16,790 infant toddler rice and cereals and snacks 387 00:26:16,790 --> 00:26:20,910 actually had the highest amount, up to 150 parts per billion 388 00:26:20,910 --> 00:26:25,120 of arsenic in it, whereas all of the adult ones were less than 50. 389 00:26:25,120 --> 00:26:29,210 So what is it that we 390 00:26:29,210 --> 00:26:33,250 know that we get arsenic out of adult 391 00:26:33,250 --> 00:26:37,370 rice cereals, but we can't get it out of 392 00:26:37,370 --> 00:26:41,450 the infant toddler ones? And than what is the first food that we recommend 393 00:26:41,450 --> 00:26:45,550 families give their children. Rice cereal. 394 00:26:45,550 --> 00:26:49,660 And so you can imagine the questions that now start coming to us 395 00:26:49,660 --> 00:26:53,790 of "What do I feed my child?" was now, you can give rice 396 00:26:53,790 --> 00:26:57,860 cereal, but let's use a varied diet. So even oats 397 00:26:57,860 --> 00:27:01,950 is good. Oh wait a second, what just happened. We have glyphosate 398 00:27:01,950 --> 00:27:05,990 in oat cereal now. Well we have glyphosate everywhere 399 00:27:05,990 --> 00:27:10,120 and then I know I'm speaking to the choir on this one, 400 00:27:10,120 --> 00:27:14,200 and so now it's now just oats. So we have to keep 401 00:27:14,200 --> 00:27:18,270 playing catch up and we'll talk about what we can do as a community 402 00:27:18,270 --> 00:27:22,350 in a little bit. But it's really, really, really hard to keep it healthy 403 00:27:22,350 --> 00:27:26,460 when we still get bombarded with this kind of 404 00:27:26,460 --> 00:27:30,590 media and what's in our children. 405 00:27:30,590 --> 00:27:34,700 So this is from healthychildren.org. It's a good website from the 406 00:27:34,700 --> 00:27:38,830 AAP, the American Academy of Pediatrics. It's the public 407 00:27:38,830 --> 00:27:42,930 version to help parents and the public on what to do. 408 00:27:42,930 --> 00:27:47,070 So, we have offered ideas to families and to parents 409 00:27:47,070 --> 00:27:51,170 to buy fresh or frozen vegetables, 410 00:27:51,170 --> 00:27:55,260 not ones that- 411 00:27:55,260 --> 00:27:59,360 obviously cans can actually have- we didn't talk about food additives 412 00:27:59,360 --> 00:28:03,510 can have BPA, err not BPA, 413 00:28:03,510 --> 00:28:07,610 a bisphenol, whichever bisphenol alphabet soup we're on right now 414 00:28:07,610 --> 00:28:11,710 can be the lining in a can and that can be- 415 00:28:11,710 --> 00:28:15,810 and so you can have BPA in that. 416 00:28:15,810 --> 00:28:19,930 So you can buy fresh or frozen, but how does somebody who lives in 417 00:28:19,930 --> 00:28:23,940 a food desert get their vegetables? 418 00:28:23,940 --> 00:28:28,040 Eat fewer processed meats. Again, that's really easy for us to say 419 00:28:28,040 --> 00:28:32,130 but when you're a working mom and you have two jobs and you have to get your child 420 00:28:32,130 --> 00:28:36,270 some food, what do you do? 421 00:28:36,270 --> 00:28:40,350 Avoid putting plastic in the microwave or dishwasher. This is 422 00:28:40,350 --> 00:28:44,430 probably the easiest thing to do, but the hardest thing for people to 423 00:28:44,430 --> 00:28:48,530 remember. So, we all like our stuff. Our stuff is really 424 00:28:48,530 --> 00:28:52,650 awesome. We can't live without plastic and I challenge 425 00:28:52,650 --> 00:28:56,800 you to try to go one day without plastic and it's clearly impossible 426 00:28:56,800 --> 00:29:00,880 because you're sitting in a seat made of plastic. But when you 427 00:29:00,880 --> 00:29:04,990 put it in the microwave and you heat it up, you 428 00:29:04,990 --> 00:29:09,110 destroy the integrity of the plastic and those molecules will be released 429 00:29:09,110 --> 00:29:13,270 and in fact, the CDC has an exposure report that's put out and updated 430 00:29:13,270 --> 00:29:17,340 every couple of years, and if you were to go look that up, you will see that 431 00:29:17,340 --> 00:29:21,460 all of phthalates in us. All of us have bisphenols in us. All of us 432 00:29:21,460 --> 00:29:25,590 have lead of in us. All of us have mercury. All of us have PCBs. All of us have 433 00:29:25,590 --> 00:29:29,680 dioxins. We are a 434 00:29:29,680 --> 00:29:33,750 sludge, sorry Penny, but we are, and it's because of the way we 435 00:29:33,750 --> 00:29:37,860 like our stuff and how we use the stuff that we have in ways that it 436 00:29:37,860 --> 00:29:41,980 wasn't intended to be used. Learn plastic recycling codes. 437 00:29:41,980 --> 00:29:46,110 I mean I don't know. I see the triangle. I put it in the recycling bin and your 438 00:29:46,110 --> 00:29:50,260 hope for the best that that recycler is going to actually look and put them in the right 439 00:29:50,260 --> 00:29:54,350 bins and that doesn't happen. And in fact, sometimes the recycling 440 00:29:54,350 --> 00:29:58,480 doesn't go anywhere and it goes into the landfill anyway. 441 00:29:58,480 --> 00:30:02,560 So pay attention to what's happening in your communities about 442 00:30:02,560 --> 00:30:06,650 recycling. Wash your hands. Okay. I mean chemicals 443 00:30:06,650 --> 00:30:10,790 are everywhere, and the last thing we need is to have more of it in our bodies, 444 00:30:10,790 --> 00:30:14,920 so just wash your hands. But lastly, speak out because 445 00:30:14,920 --> 00:30:19,000 I as an individual can go and try to buy my non-shiny 446 00:30:19,000 --> 00:30:23,090 red apple, as we were talking about earlier. We like shiny. We don't 447 00:30:23,090 --> 00:30:27,220 want to buy an apple that's not shiny. But if 448 00:30:27,220 --> 00:30:31,340 you want pesticides on it, then you can buy the shiny apple. 449 00:30:31,340 --> 00:30:35,480 But I as a person can make a choice of what I'm gonna buy 450 00:30:35,480 --> 00:30:39,570 but unless we collectively speak out, nothing is gonna change. 451 00:30:39,570 --> 00:30:43,660 So this is actually a slide that I've shown before. 452 00:30:43,660 --> 00:30:47,760 Clearly not to you guys, but this shows 453 00:30:47,760 --> 00:30:51,890 children across Iowa that are susceptible to food insecurity. 454 00:30:51,890 --> 00:30:56,010 We're in Black Hawk right? 455 00:30:56,010 --> 00:31:00,030 County? Okay so that's 20% of the children, 456 00:31:00,030 --> 00:31:04,130 and I'm trying to look up what year this was. So this was from last year. 457 00:31:04,130 --> 00:31:08,160 20% of children in Black Hawk 458 00:31:08,160 --> 00:31:12,310 County have food insecurity. That means they're not 459 00:31:12,310 --> 00:31:16,410 able to get food. They either go hungry, 460 00:31:16,410 --> 00:31:20,520 they are missing a meal, they're on food stamps, or 461 00:31:20,520 --> 00:31:24,570 they have to have they're free lunches at school and they probably don't have 462 00:31:24,570 --> 00:31:28,700 a local grocery store that's really close to them. 463 00:31:28,700 --> 00:31:32,790 So if they're nearest grocery store is the convenience store on the 464 00:31:32,790 --> 00:31:36,900 corner, then that means they're not getting their fresh fruits and vegetables. 465 00:31:36,900 --> 00:31:41,050 They are getting processed meats. They are having 466 00:31:41,050 --> 00:31:45,200 the plastic containers that are being touched onto 467 00:31:45,200 --> 00:31:49,280 their foods. They 468 00:31:49,280 --> 00:31:53,400 may or may not have a working oven so they have microwaves and were 469 00:31:53,400 --> 00:31:57,530 putting the packaging into the microwave. 470 00:31:57,530 --> 00:32:01,650 And I don't mean to be a Debbie Downer on all this, but 471 00:32:01,650 --> 00:32:05,730 I want to point out to you that we are all here 472 00:32:05,730 --> 00:32:09,810 and that's awesome that you guys have chosen to be here, but there are those 473 00:32:09,810 --> 00:32:13,920 who are out in the community who don't have access to those vegetables 474 00:32:13,920 --> 00:32:18,040 and if I have a choice of whether they're gonna eat 475 00:32:18,040 --> 00:32:22,130 the fruit and vegetable in a can versus a 476 00:32:22,130 --> 00:32:26,300 fresh one, I'm gonna give them the can, by golly, because they need their 477 00:32:26,300 --> 00:32:30,400 fruits and vegetables. So it's the risks and benefits and the choices that have 478 00:32:30,400 --> 00:32:34,520 to be made. It's easy for us to try to make these, but we need to help those 479 00:32:34,520 --> 00:32:38,570 in the community. Alright, so where do children learn? 480 00:32:38,570 --> 00:32:42,670 They learn in schools. They learn in preschools. They learn in our 481 00:32:42,670 --> 00:32:46,790 day cares. They learn at home, clearly, but I'm moving on to a different 482 00:32:46,790 --> 00:32:50,920 building. So there are a lot of environmental hazards in schools. We 483 00:32:50,920 --> 00:32:54,990 actually have a schools program that I help run 484 00:32:54,990 --> 00:32:59,070 that go out and do assessments on the schools and look at 485 00:32:59,070 --> 00:33:03,180 ventilation and all of that. Looking at where the 486 00:33:03,180 --> 00:33:07,290 buses are stopped to make sure that we don't have diesel fumes going into the 487 00:33:07,290 --> 00:33:11,370 front door causing asthma problems. But many schools have indoor 488 00:33:11,370 --> 00:33:15,440 air quality problems. The lighting can be poor so it;s hard for kids to learn. 489 00:33:15,440 --> 00:33:19,540 They have pests and pesticides and the janitor, if you were to go 490 00:33:19,540 --> 00:33:23,640 and look at their closet, has all sorts of stuff in there 491 00:33:23,640 --> 00:33:27,760 that I can't pronounce. There are noise problems 492 00:33:27,760 --> 00:33:31,860 in and around the schools. There could be radon 493 00:33:31,860 --> 00:33:35,980 which is a naturally occurring radioactive 494 00:33:35,980 --> 00:33:40,070 material that is, other than smoking, can cause lung cancer. 495 00:33:40,070 --> 00:33:44,140 There's the asbestos that we talked about. There's lead. 496 00:33:44,140 --> 00:33:48,210 Lead in the drinking water is a big issue. 497 00:33:48,210 --> 00:33:52,300 There can be mold, PCBs, drinking water contamination, cleaning processes 498 00:33:52,300 --> 00:33:56,380 and then even siting problems. I've been called by a number 499 00:33:56,380 --> 00:34:00,480 of different places who want to build a school but it's right next to 500 00:34:00,480 --> 00:34:04,540 some sort of mining site where the trucks 501 00:34:04,540 --> 00:34:08,630 are driving on the dirt road and raising up all the dust and 502 00:34:08,630 --> 00:34:12,720 what's happening. And in fact, if you want to look at what 503 00:34:12,720 --> 00:34:16,820 can help student's success, a piece of the puzzle has 504 00:34:16,820 --> 00:34:20,830 to be healthy school environment, and part of that environment 505 00:34:20,830 --> 00:34:24,900 is getting rid of all of these things, or at least trying to mitigate as 506 00:34:24,900 --> 00:34:28,970 much as we can to improve their learning ability. 507 00:34:28,970 --> 00:34:33,060 So some of the unaddressed problems. These are 508 00:34:33,060 --> 00:34:37,210 things where the EPA has tried to step up, or at the last EPA has tried to 509 00:34:37,210 --> 00:34:41,360 step up. The carbon monoxide and the 510 00:34:41,360 --> 00:34:45,450 fumes from idling buses. So there is a voluntary school bus program 511 00:34:45,450 --> 00:34:49,570 that the EPA used to have and they used to have grants to actually retro fit 512 00:34:49,570 --> 00:34:53,740 old buses so it didn't have poor 513 00:34:53,740 --> 00:34:57,840 exhaust coming out, but right what we're doing is really telling our 514 00:34:57,840 --> 00:35:01,960 buses to turn off while we're waiting for the kids to 515 00:35:01,960 --> 00:35:06,090 load up. That doesn't even happen though where I live and I have to keep on 516 00:35:06,090 --> 00:35:10,240 telling them and they're like, "Yeah, but then we have to start it." Okay. 517 00:35:10,240 --> 00:35:14,330 Anyway, so that could be a problem. Toxic 518 00:35:14,330 --> 00:35:18,450 debris from construction or demolition inside the occupied schools. So we're 519 00:35:18,450 --> 00:35:22,570 gonna do a lot of fixing up around. And so you put up new paints and new glues 520 00:35:22,570 --> 00:35:26,750 and new carpets and so the formaldehyde and all of those new adhesives that 521 00:35:26,750 --> 00:35:30,850 are used can cause kids to have headaches, the teachers to have 522 00:35:30,850 --> 00:35:34,890 headaches and have some respiratory problems. 523 00:35:34,890 --> 00:35:39,050 Many schools are actually, we were talking about siting, 524 00:35:39,050 --> 00:35:43,140 where they were putting them. We have these old buildings and old super 525 00:35:43,140 --> 00:35:47,260 fund sites where we're not able to do anything with and so 526 00:35:47,260 --> 00:35:51,370 people have the great idea that we're just gonna put a school on top of it. 527 00:35:51,370 --> 00:35:55,510 We'll just put a playground and it'll be fine. 528 00:35:55,510 --> 00:35:59,580 And that's why we have the siting guidelines that we have. And then 529 00:35:59,580 --> 00:36:03,680 they also have a school clean out. So I'm 530 00:36:03,680 --> 00:36:07,800 dating myself a little bit. We would actually have 531 00:36:07,800 --> 00:36:11,910 the vats of mercury on the 532 00:36:11,910 --> 00:36:16,070 cupboards in the chemistry class or your 533 00:36:16,070 --> 00:36:20,170 flammable items next to the bunsen burner. They always thought that was a 534 00:36:20,170 --> 00:36:24,310 really good idea. And I've actually had kids who have 535 00:36:24,310 --> 00:36:28,440 stolen the mercury out of the chemistry classes 536 00:36:28,440 --> 00:36:32,550 so it was really popular when the Terminator 2 movie came out, and 537 00:36:32,550 --> 00:36:36,640 I'm dating myself again, but they had the mercury guy. That was really 538 00:36:36,640 --> 00:36:40,730 cool so they'd go and they'd play with it and then they got into trouble. 539 00:36:40,730 --> 00:36:44,850 I also had one kid who decided that for show-and-tell he'd bring his mercury 540 00:36:44,850 --> 00:36:48,940 to school. So his dad had been collecting a whole bunch of mercury 541 00:36:48,940 --> 00:36:53,020 like from batteries or something. He was just putting them in like this big 542 00:36:53,020 --> 00:36:57,110 vat garbage pail container. And so for show-and-tell the kid wen and got 543 00:36:57,110 --> 00:37:01,240 the tupperware and put it in and took it to school and opened it up and 544 00:37:01,240 --> 00:37:05,380 sloshed it around and showed everybody this mercury. 545 00:37:05,380 --> 00:37:09,450 It has been a huge problem in many schools. 546 00:37:09,450 --> 00:37:13,530 Which has led to, obviously, children send home 547 00:37:13,530 --> 00:37:17,660 because we've had to shut the schools down. 548 00:37:17,660 --> 00:37:21,810 Obviously outbreaks of infectious disease. Lice is not an infectious 549 00:37:21,810 --> 00:37:25,910 disease. You can go to school with lice. Don't let them tell you 550 00:37:25,910 --> 00:37:29,970 you can't. Air toxics from nearby sources. We have 551 00:37:29,970 --> 00:37:34,100 the caulking has PCBs, and then there's obviously water 552 00:37:34,100 --> 00:37:38,230 quality issues, especially now as we're dealing with 553 00:37:38,230 --> 00:37:42,320 lead. So I want to talk 554 00:37:42,320 --> 00:37:46,410 a little bit about pesticides. A lot of pesticides are used in 555 00:37:46,410 --> 00:37:50,580 schools. So what is a pest? 556 00:37:50,580 --> 00:37:54,740 It's a living organism, which means the cockroach and the mouse. 557 00:37:54,740 --> 00:37:58,810 Insects. Also could be weeds and mold. 558 00:37:58,810 --> 00:38:02,890 And why do we have them there? Because a lot of water problems and a lot 559 00:38:02,890 --> 00:38:07,000 of problems within the school integrity 560 00:38:07,000 --> 00:38:11,110 of the building. And so, again, what we tend to do is we tend to 561 00:38:11,110 --> 00:38:15,190 see the pest, and then instead of taking care of the problem, like we do 562 00:38:15,190 --> 00:38:19,270 in our home, same thing happens in the school. We're just gonna put the 563 00:38:19,270 --> 00:38:23,370 pesticide down. 564 00:38:23,370 --> 00:38:27,470 A lot of people, we talk about pesticides more as insecticides, but we also 565 00:38:27,470 --> 00:38:31,540 have a lot of different sidle products 566 00:38:31,540 --> 00:38:35,610 that can kill stuff. And so 567 00:38:35,610 --> 00:38:39,700 when you try to weigh the risks of 568 00:38:39,700 --> 00:38:43,730 pests versus the risks of pesticides, 569 00:38:43,730 --> 00:38:47,850 you kinda have to weigh one or the other. You clearly don't want the 570 00:38:47,850 --> 00:38:51,910 pests there, right, because we don't want to exacerbate asthma. 571 00:38:51,910 --> 00:38:55,990 We don't want allergies, 572 00:38:55,990 --> 00:39:00,070 but we also want to minimize those exposures to the pesticides 573 00:39:00,070 --> 00:39:04,180 and we also know that children are exposed to pesticides 574 00:39:04,180 --> 00:39:08,270 everywhere, unfortunately, in their homes and their diets so 575 00:39:08,270 --> 00:39:12,330 a little bit in school is not gonna be a problem. 576 00:39:12,330 --> 00:39:16,380 That's not true. We know that 577 00:39:16,380 --> 00:39:20,500 and what we know about the pesticides, and what the EPA 578 00:39:20,500 --> 00:39:24,630 will tell you and makes most of their 579 00:39:24,630 --> 00:39:28,660 regulations based on, is acute, high dose exposure 580 00:39:28,660 --> 00:39:32,730 rather than the long-term, low dose exposure. But we know 581 00:39:32,730 --> 00:39:36,810 that long-term, low dose exposure can cause 582 00:39:36,810 --> 00:39:40,910 problems with short-term memory, attention span. It has been 583 00:39:40,910 --> 00:39:45,040 associated, especially in migrant workers like in California, there are a lot 584 00:39:45,040 --> 00:39:49,100 of studies that have shown that it's been linked to 585 00:39:49,100 --> 00:39:53,180 some leukemias and I'm sure you've heard about the glyphosate and the 586 00:39:53,180 --> 00:39:57,230 lymphoma issues. That's clearly a 587 00:39:57,230 --> 00:40:01,330 decision by the courts is not a scientific study 588 00:40:01,330 --> 00:40:05,400 so you can only weigh that 589 00:40:05,400 --> 00:40:09,470 for what is. However, 590 00:40:09,470 --> 00:40:13,590 there have been links, you know, pesticides, too, on problems 591 00:40:13,590 --> 00:40:17,710 and risk for childhood asthma. And so, again I know I'm speaking 592 00:40:17,710 --> 00:40:21,820 to the choir a lot here, but about the fact that we need to really look into 593 00:40:21,820 --> 00:40:25,890 integrative pest management so we get rid of the pest and we don't have to have the 594 00:40:25,890 --> 00:40:30,060 pesticides. There are a lot of ways to take care of those 595 00:40:30,060 --> 00:40:34,170 pests, and we really need to focus on that so that we actually 596 00:40:34,170 --> 00:40:38,250 don't have to weigh the risks and the benefits of a pest vs pesticide. We don't 597 00:40:38,250 --> 00:40:42,330 need to have either of them and how best can we get rid of them. 598 00:40:42,330 --> 00:40:46,400 So I do want to talk a little bit about 599 00:40:46,400 --> 00:40:50,570 lead in drinking water. Obviously the stuff with 600 00:40:50,570 --> 00:40:54,690 Flint, we found out that there was lead 601 00:40:54,690 --> 00:40:58,760 because of the re-routing of the water system 602 00:40:58,760 --> 00:41:02,820 from Detroit to the Flint River and the lack of corrosive 603 00:41:02,820 --> 00:41:06,930 anti-corrosive chemicals that were put in. It did 604 00:41:06,930 --> 00:41:11,050 allow for corrosion of those pipes and more children 605 00:41:11,050 --> 00:41:15,110 to have elevated lead levels. What we have found 606 00:41:15,110 --> 00:41:19,210 though in doing all of these assessments, is that we also 607 00:41:19,210 --> 00:41:23,290 know that there is lead in schools. So the EPA has 608 00:41:23,290 --> 00:41:27,340 their regulatory standard or action 609 00:41:27,340 --> 00:41:31,460 level is 15 parts per billion. That is not a health 610 00:41:31,460 --> 00:41:35,550 based standard. That standard was 40 years ago put into place because 611 00:41:35,550 --> 00:41:39,620 it was a feasibility standard. What could we get lead levels 612 00:41:39,620 --> 00:41:43,730 in water to be at that time. So 40 613 00:41:43,730 --> 00:41:47,770 years ago, technology only allowed us to get 15 parts 614 00:41:47,770 --> 00:41:51,830 per billion. We can get it down to less than one now, but 615 00:41:51,830 --> 00:41:55,850 we don't and a lot of people are basing it on that 15 616 00:41:55,850 --> 00:41:59,920 parts per billion, but it's gonna require an act of Congress, and I'm not 617 00:41:59,920 --> 00:42:04,020 kidding to change, actually, what that level 618 00:42:04,020 --> 00:42:08,150 is. Actually, it's probably just EPA that needs to change that and they 619 00:42:08,150 --> 00:42:12,210 have been having this discussion for the last 4 years, and as I've sat on 620 00:42:12,210 --> 00:42:16,300 the Children's Health Protection Advisory Committee, it hasn't gone 621 00:42:16,300 --> 00:42:20,400 anywhere and so it needs to be changed to a health-based standard. So 622 00:42:20,400 --> 00:42:24,500 in order to actually prevent lead from being in the water that our children 623 00:42:24,500 --> 00:42:28,580 drink in in schools, schools are supposed to let the water 624 00:42:28,580 --> 00:42:32,600 run for like 15 minutes, well it says 2-3 minutes, but I've always heard 15 625 00:42:32,600 --> 00:42:36,680 minutes, like on Monday morning after a weekend or a Monday morning 626 00:42:36,680 --> 00:42:40,800 after a long break to flush the system so that all of the lead that's 627 00:42:40,800 --> 00:42:44,840 been sitting there in the pipes will be flushed out 628 00:42:44,840 --> 00:42:48,930 and then the water that the kids drink later will be fine. 629 00:42:48,930 --> 00:42:53,010 Nobody does that. And they shouldn't have to do that 630 00:42:53,010 --> 00:42:57,100 but the municipality is a 631 00:42:57,100 --> 00:43:01,220 charge of the pipes up to the sidewalk, and then it's the homeowner or the 632 00:43:01,220 --> 00:43:05,250 school that's supposed to change the pipes in the school or in the home 633 00:43:05,250 --> 00:43:09,320 And so if you've got old pipes in the home or in the school, 634 00:43:09,320 --> 00:43:13,410 it's up to them to actually them to fix it 635 00:43:13,410 --> 00:43:17,520 and this is happening across the country. In order to change 636 00:43:17,520 --> 00:43:21,620 all of out will cost billions of dollars. 637 00:43:21,620 --> 00:43:25,690 But bottled water is not the answer either, right? I mean we just talked 638 00:43:25,690 --> 00:43:29,770 about plastics and that's not a good idea. 639 00:43:29,770 --> 00:43:34,030 Alright, moving on to where children play. 640 00:43:34,030 --> 00:43:38,160 There was a great study that was done 641 00:43:38,160 --> 00:43:42,260 by asking teenagers, and teenagers are really where 642 00:43:42,260 --> 00:43:46,350 a lot of the change is gonna happen, so I'm so happy to see 643 00:43:46,350 --> 00:43:50,490 the young folks, because they are going to the voice because we know 644 00:43:50,490 --> 00:43:54,640 that they care about the environment and we know that they care about climate 645 00:43:54,640 --> 00:43:58,740 change. And so kids 646 00:43:58,740 --> 00:44:02,810 know where it's at. So we do 647 00:44:02,810 --> 00:44:06,900 know that unstructured outdoor play can reduce stress, it helps maintain 648 00:44:06,900 --> 00:44:11,020 a healthy weight. The AP says that children should be active for 649 00:44:11,020 --> 00:44:15,080 at least 60 minutes a day and I don't know 650 00:44:15,080 --> 00:44:19,100 many kids who are active for 60 minutes a day. 651 00:44:19,100 --> 00:44:23,200 I have 4 teenagers and they're just sitting. They're not doing anything. 652 00:44:23,200 --> 00:44:27,320 But they need the parents, and the family, and the friends 653 00:44:27,320 --> 00:44:31,410 and we need all of us together as a community to get that done, because they're 654 00:44:31,410 --> 00:44:35,490 not gonna do it by themselves. And kids grow up right? And so 655 00:44:35,490 --> 00:44:39,610 they see, this is in Baltimore, so it's not Cedar Falls, but 656 00:44:39,610 --> 00:44:43,740 again, it might be happening here. 657 00:44:43,740 --> 00:44:47,840 We need to have these community events where we pick up the trash 658 00:44:47,840 --> 00:44:51,950 and we actually help to make our outdoor 659 00:44:51,950 --> 00:44:56,020 areas clean for kids where they play. 660 00:44:56,020 --> 00:45:00,120 And climate change is real and I challenge 661 00:45:00,120 --> 00:45:04,240 anybody who wants to tell me that it's not, but it is real and 662 00:45:04,240 --> 00:45:08,380 in fact if you look at, just looking at 663 00:45:08,380 --> 00:45:12,450 a drought, you will see Iowa in there, right. So that's 664 00:45:12,450 --> 00:45:16,560 August 28th, 2018 of where 665 00:45:16,560 --> 00:45:20,680 the drought monitor has us. It's not Cedar Falls, it's 666 00:45:20,680 --> 00:45:24,790 right south of it, but Iowa is in a drought. You wouldn't know that from 667 00:45:24,790 --> 00:45:28,870 today, from me driving up here, but it is true and because 668 00:45:28,870 --> 00:45:32,990 of the drought, when we do get the rains, it's destroyed the 669 00:45:32,990 --> 00:45:37,110 land. It's hard for that water to actually seep and then that's when you also 670 00:45:37,110 --> 00:45:41,220 get flooding. And then if you look at- I don't know if I can do this 671 00:45:41,220 --> 00:45:45,310 on here if you can see this, but this is 672 00:45:45,310 --> 00:45:49,390 again more changes in- this is actually 673 00:45:49,390 --> 00:45:53,510 vector-born. These are tick born disease and lyme disease 674 00:45:53,510 --> 00:45:57,640 and how things have changed 675 00:45:57,640 --> 00:46:01,750 over time just because of where those vectors are moving. 676 00:46:01,750 --> 00:46:05,850 So you can see that just in this four year period of 677 00:46:05,850 --> 00:46:09,950 time that everything is moving north and it's more 678 00:46:09,950 --> 00:46:14,070 abundant in that Midwest. This was just in 679 00:46:14,070 --> 00:46:18,150 July 20, this was actually in Des Moines. The mayor said that they 680 00:46:18,150 --> 00:46:22,230 have cited climate change 681 00:46:22,230 --> 00:46:26,300 as the cause for extreme weather. So, how did we get here? 682 00:46:26,300 --> 00:46:30,390 So I know I don't have a lot of time, so we're not gonna spend 683 00:46:30,390 --> 00:46:34,520 a whole bunch of time on this, but back when we had World War 2, 684 00:46:34,520 --> 00:46:38,640 we used a chemical, DDT, 685 00:46:38,640 --> 00:46:42,730 for warfare. 686 00:46:42,730 --> 00:46:46,810 It helped us, not to poison people, 687 00:46:46,810 --> 00:46:50,910 but it was actually helped to get rid of all the bad insects 688 00:46:50,910 --> 00:46:55,020 when we were fighting over in Japan. 689 00:46:55,020 --> 00:46:59,180 We spent a lot of money on DDT and so 690 00:46:59,180 --> 00:47:03,260 when the war was done, we had this stuff, and we were like, we have to use it. 691 00:47:03,260 --> 00:47:07,360 This is this great stuff, so we're just gonna use it here. 692 00:47:07,360 --> 00:47:11,490 So we used it here and there wasn't anybody regulating that or anything 693 00:47:11,490 --> 00:47:15,630 and what they found over time is that the 694 00:47:15,630 --> 00:47:19,740 number of bald eagles were actually going down, and when they looked 695 00:47:19,740 --> 00:47:23,850 they found that it was because the egg shells, the DDT was actually 696 00:47:23,850 --> 00:47:28,010 ruining the integrity of the egg shell, and so when the 697 00:47:28,010 --> 00:47:32,110 eagles sat on them, they crushed them. 698 00:47:32,110 --> 00:47:36,200 They offspring were obviously not gonna live. We have Rachel Carson 699 00:47:36,200 --> 00:47:40,300 who then was studying this, she was an environmentalist and a 700 00:47:40,300 --> 00:47:44,420 scientist and she wrote The Silent Spring, which is a book 701 00:47:44,420 --> 00:47:48,440 that helped changed the world. It was because of that book that 702 00:47:48,440 --> 00:47:52,500 we have the Environmental Protection Agency, sort of. She went in and talked 703 00:47:52,500 --> 00:47:56,610 to Congress and they why isn't anybody doing this? Why can't we 704 00:47:56,610 --> 00:48:00,720 pay attention to this? They formed, under Nixon, 705 00:48:00,720 --> 00:48:04,860 the Environmental Protection in the '70s to help regulate that but 706 00:48:04,860 --> 00:48:08,930 where as the Food and Drug Administration will 707 00:48:08,930 --> 00:48:13,030 have these long studies to look at drugs and make sure that 708 00:48:13,030 --> 00:48:17,070 they are safe and effective and we have this surveillance 709 00:48:17,070 --> 00:48:21,190 for clinical trials. Phase 1, phase 2, phase 3, and then post-marketing 710 00:48:21,190 --> 00:48:25,270 surveillance and then we take drugs off the market even after we've studied it 711 00:48:25,270 --> 00:48:29,350 for 15 years. The EPA does not do that. The EPA doesn't have the 712 00:48:29,350 --> 00:48:33,460 authority to do that. So chemicals that are regulated 713 00:48:33,460 --> 00:48:37,560 by the Environmental Protection Agency, they go through with some 714 00:48:37,560 --> 00:48:41,690 studies, they need to be effective for what they're putting it out on, but they 715 00:48:41,690 --> 00:48:45,800 don't have to be safe. They don't have to be- I mean obviously they're 716 00:48:45,800 --> 00:48:49,880 not gonna let you put something that's gonna be killing people right away, 717 00:48:49,880 --> 00:48:53,990 but nobody studied the long, chronic use of these 718 00:48:53,990 --> 00:48:58,120 chemicals, and so we don't know. 719 00:48:58,120 --> 00:49:02,210 In order for the EPA to do something about it, harm has to be shown to 720 00:49:02,210 --> 00:49:06,220 people and it's interesting, the only chemical that EPA 721 00:49:06,220 --> 00:49:10,310 has been able to actually get off the market 722 00:49:10,310 --> 00:49:14,440 has been asbestos, and that was recently back in the news because they're 723 00:49:14,440 --> 00:49:18,510 trying to bring asbestos back. It's like "What?". So one thing that EPA 724 00:49:18,510 --> 00:49:22,620 sort of did well, and now it's coming back. 725 00:49:22,620 --> 00:49:26,700 And in fact we don't know, as we talk about neurotoxicity, 726 00:49:26,700 --> 00:49:30,840 there are over 85,000, probably more than 100,000 chemicals that 727 00:49:30,840 --> 00:49:34,930 are regulated by the Environmental Protection Agency right now, but we 728 00:49:34,930 --> 00:49:38,980 only know about 10 that are neurotoxic to children 729 00:49:38,980 --> 00:49:43,040 and it's not because the other 99,990 are not 730 00:49:43,040 --> 00:49:47,090 neurotoxic, it's just we don't know because nobody is studying it 731 00:49:47,090 --> 00:49:51,170 because they're not required to. They don't have to in order to get a 732 00:49:51,170 --> 00:49:55,280 chemical out there for us to use in the environment. Completely 733 00:49:55,280 --> 00:49:59,340 different than the Food and Drug Administration. I was asked by Audrey, 734 00:49:59,340 --> 00:50:03,410 if there was one thing that you wish people would understand is that 735 00:50:03,410 --> 00:50:07,510 they're not the same. FDA and EPA are totally different and chemicals 736 00:50:07,510 --> 00:50:11,630 that are out in our environment are not regulated in the same way 737 00:50:11,630 --> 00:50:15,660 and they don't have to be safe to get out on the market. 738 00:50:15,660 --> 00:50:19,760 So it's a result of the way we do 739 00:50:19,760 --> 00:50:23,850 things. We know that- this is front pesticide drift. 740 00:50:23,850 --> 00:50:27,960 I saw a patient a year ago that was 741 00:50:27,960 --> 00:50:32,060 exposed, in Iowa, to pesticide drift. 742 00:50:32,060 --> 00:50:36,130 He had a rash and came down to see me. We know 743 00:50:36,130 --> 00:50:40,280 that pesticides can cause harm because we have pesticides out there. We 744 00:50:40,280 --> 00:50:44,390 want pesticides to actually kill pests. That's what they do. 745 00:50:44,390 --> 00:50:48,490 But in order to do that, the drift actually can 746 00:50:48,490 --> 00:50:52,560 cause harm to humans. So we know that it can cause nerve problems. 747 00:50:52,560 --> 00:50:56,660 We know that it can cause problems within the fetus and what 748 00:50:56,660 --> 00:51:00,780 happens in migrant workers who are exposed all the time. But this 749 00:51:00,780 --> 00:51:04,820 table that I showed you here is actually from the Iowa Department of Agriculture and 750 00:51:04,820 --> 00:51:08,890 Land Stewardship Pesticide Bureau, and you can see over the last 751 00:51:08,890 --> 00:51:12,980 6 years, the amount of 752 00:51:12,980 --> 00:51:17,100 documentation or calls that have come into their Pesticide Bureau 753 00:51:17,100 --> 00:51:21,220 on misuse of pesticides. And if that's actually 754 00:51:21,220 --> 00:51:25,320 what's being reported, you can imagine of how much is being not reported and 755 00:51:25,320 --> 00:51:29,460 what's happening. In the picture on your right, or on your left, 756 00:51:29,460 --> 00:51:33,600 sorry, is obviously a result of that too. 757 00:51:33,600 --> 00:51:37,730 because we have farmers who decide that they don't want to use the 758 00:51:37,730 --> 00:51:41,800 special seeds that can handle 759 00:51:41,800 --> 00:51:45,890 some of those pesticides, so when the drift happens, farms are destroyed. 760 00:51:45,890 --> 00:51:50,000 And again, without that community and have 761 00:51:50,000 --> 00:51:54,080 that collective voice, things won't change. 762 00:51:54,080 --> 00:51:58,190 So when I see a patient, I think about all of 763 00:51:58,190 --> 00:52:02,290 that and I think about where that child is living, what is 764 00:52:02,290 --> 00:52:06,350 in their home, what are they exposed to, what's happening 765 00:52:06,350 --> 00:52:10,410 in the home from a social level, because 766 00:52:10,410 --> 00:52:14,430 I can't just tell a family that comes to me instead of me going to them 767 00:52:14,430 --> 00:52:18,540 that your child is obese and so go out and play 768 00:52:18,540 --> 00:52:22,650 in the park. Well where's the park? Are they obese because of 769 00:52:22,650 --> 00:52:26,710 all the phalates that are in their body? What are you eating? 770 00:52:26,710 --> 00:52:30,770 Oh wait. Where can you go to get food? How do you do this? It's easy for 771 00:52:30,770 --> 00:52:34,870 us to sit there and say, "Amen sister, that's right", but 772 00:52:34,870 --> 00:52:38,900 unless we actually go out and we make change in our community, we 773 00:52:38,900 --> 00:52:43,020 are gonna still be in the place that we are now. I usually ask 774 00:52:43,020 --> 00:52:47,080 people if they know what this is, but I'll just tell you. So this is a 775 00:52:47,080 --> 00:52:51,180 cage. This is the cage that in the coal mines they put the canary 776 00:52:51,180 --> 00:52:55,310 in and they'd shut it up and then they'd put it down into the coal mine. 777 00:52:55,310 --> 00:52:59,350 And then they'd wait a little bit, well hours or whatever, 778 00:52:59,350 --> 00:53:03,430 and they'd bring it up. If the canary was still alive, 779 00:53:03,430 --> 00:53:07,500 we got to go to work today and off they went down into the coal 780 00:53:07,500 --> 00:53:11,600 mine. If the canary was dead, then clearly the air 781 00:53:11,600 --> 00:53:15,700 quality was not so good and so we should not go down and work and so 782 00:53:15,700 --> 00:53:19,840 we're not gonna go to work today. They were probably a little excited 783 00:53:19,840 --> 00:53:23,920 about that too, but, they wouldn't. This is what we do to children. This is what 784 00:53:23,920 --> 00:53:28,000 we're doing to Penny, sorry. 785 00:53:28,000 --> 00:53:32,090 We are very reactive. We put them in this cage and 786 00:53:32,090 --> 00:53:36,230 we get them all exposed and then we bring them back out and then we find 787 00:53:36,230 --> 00:53:40,310 out what we've done to them, and unless we do preventative care, if we do 788 00:53:40,310 --> 00:53:44,390 primary prevention, nothing is gonna change. We actually have to do things 789 00:53:44,390 --> 00:53:48,490 to prevent it happening first before we poison our children. 790 00:53:48,490 --> 00:53:52,540 And with that, I'll end. Thank you. 791 00:53:52,540 --> 00:53:56,600 [applause] 792 00:53:56,600 --> 00:54:00,800 [applause] - Thank you so much. 793 00:54:00,800 --> 00:54:04,900 We know have time for questions and I'm sure 794 00:54:04,900 --> 00:54:09,000 we have a lot of questions because that was a lot of material that 795 00:54:09,000 --> 00:54:13,170 was covered. We have some microphones floating around. 796 00:54:13,170 --> 00:54:17,240 Please raise your hand and someone with a microphone will come to 797 00:54:17,240 --> 00:54:21,360 you and it's really important, even if you can project really well, which I'm 798 00:54:21,360 --> 00:54:25,490 sure a lot of you can, to speak into the microphone so that we can have a record 799 00:54:25,490 --> 00:54:29,510 of it for the recorded session tonight. So, questions? 800 00:54:29,510 --> 00:54:33,590 - I answered em all. 801 00:54:33,590 --> 00:54:37,660 802 00:54:37,660 --> 00:54:41,740 - Hi, I have a question. I have a son that goes to a new elementary 803 00:54:41,740 --> 00:54:45,860 school and what you just said about the water really concerns me. So as a 804 00:54:45,860 --> 00:54:50,040 parent, what should I be doing? Should I be filtering the water and 805 00:54:50,040 --> 00:54:54,140 sending it to school or sending- -Well so 806 00:54:54,140 --> 00:54:58,310 schools are required- what I didn't mention in there is that 807 00:54:58,310 --> 00:55:02,380 schools are required by law to actually test the water. 808 00:55:02,380 --> 00:55:06,460 So they should be testing the water and you can actually go to 809 00:55:06,460 --> 00:55:10,620 the school and say, "How much lead is in your water?" 810 00:55:10,620 --> 00:55:14,790 and they should be able to tell you that. 811 00:55:14,790 --> 00:55:18,860 The other thing I tell families is, it depends on 812 00:55:18,860 --> 00:55:22,980 and I hate to say this, but we are exposed to this stuff all the time 813 00:55:22,980 --> 00:55:27,140 unfortunately and there are 814 00:55:27,140 --> 00:55:31,200 not risks to filtered water or bottled water, 815 00:55:31,200 --> 00:55:35,280 but there are still nutrients and everything that are 816 00:55:35,280 --> 00:55:39,350 actually, you know fluoride for example, which is actually good in water 817 00:55:39,350 --> 00:55:43,460 to be in the water. It depends on how 818 00:55:43,460 --> 00:55:47,680 much water your child drinks at school really. If he's a 819 00:55:47,680 --> 00:55:51,800 frequent water drinker, stops by the water fountain all the time, 820 00:55:51,800 --> 00:55:55,890 and like guzzles it down, then 821 00:55:55,890 --> 00:56:00,010 it's not, but if he's a chocolate milk drinker at school and that's kind of 822 00:56:00,010 --> 00:56:04,170 all he does or you send water with him in his lunch thing, 823 00:56:04,170 --> 00:56:08,220 then he's probably gonna be okay, but the place to start is really to find 824 00:56:08,220 --> 00:56:12,350 out what your school knows about their water. 825 00:56:12,350 --> 00:56:16,510 826 00:56:16,510 --> 00:56:20,590 827 00:56:20,590 --> 00:56:24,720 - Hi. Thank 828 00:56:24,720 --> 00:56:28,900 you for your presentation. You mentioned that you have four teenagers. 829 00:56:28,900 --> 00:56:32,990 What are the five most important things that you've done to 830 00:56:32,990 --> 00:56:37,080 make sure that your teenagers are leading healthy lives? What are 831 00:56:37,080 --> 00:56:41,200 the five most important things that you do on a daily basis, weekly, monthly 832 00:56:41,200 --> 00:56:45,380 yearly to make sure that they're safe? I'm just curious. - Yeah, okay. No that's good. 833 00:56:45,380 --> 00:56:49,450 I keep the medecines up locked 834 00:56:49,450 --> 00:56:53,570 away and they to ask me, now granted they're teenagers so they do 835 00:56:53,570 --> 00:56:57,680 have a little bit more responsibility, but you know, 836 00:56:57,680 --> 00:57:01,840 as a toxicologist, we don't want things out there. 837 00:57:01,840 --> 00:57:05,910 I don't have opiates, but you know, that sort of thing. I do 838 00:57:05,910 --> 00:57:09,980 fruits and vegetables so I try to eat healthy as 839 00:57:09,980 --> 00:57:14,090 best I can. I'm lucky that my kids do enjoy eating 840 00:57:14,090 --> 00:57:18,270 mainly fruits but also some vegetables and so I'm able to 841 00:57:18,270 --> 00:57:22,350 get that down them. I do not microwave plastic. I do not 842 00:57:22,350 --> 00:57:26,420 put them in the dishwasher. I wash them by hand. I tend to use more 843 00:57:26,420 --> 00:57:30,560 glass than I do plastic but unfortunately sometimes you have to 844 00:57:30,560 --> 00:57:34,720 buy things with plastic on them. If I'm 845 00:57:34,720 --> 00:57:38,810 gonna freeze things, then I actually transfer to a different, more 846 00:57:38,810 --> 00:57:42,890 solid plastic, I guess, before I do that. I exercise so I 847 00:57:42,890 --> 00:57:47,030 make sure that my kids go and we have a membership at the local 848 00:57:47,030 --> 00:57:51,220 Y and so we go and do that. 849 00:57:51,220 --> 00:57:55,280 The fifth, we go outside. 850 00:57:55,280 --> 00:57:59,450 I'm an outdoor person and so we go camping and do all those sort of 851 00:57:59,450 --> 00:58:03,490 things to appreciate nature. 852 00:58:03,490 --> 00:58:07,640 853 00:58:07,640 --> 00:58:11,810 - Hi, my name is Jenna. 854 00:58:11,810 --> 00:58:15,910 I kind of have a long question that sort of involves a couple 855 00:58:15,910 --> 00:58:20,010 of stories but I guess the one that it 856 00:58:20,010 --> 00:58:24,150 most directly relates to is my 857 00:58:24,150 --> 00:58:28,340 cousin and his wife have a daughter who, when she was 858 00:58:28,340 --> 00:58:32,430 like 2 and a half or three had a tumor in the 859 00:58:32,430 --> 00:58:36,520 base of her brain and it was 860 00:58:36,520 --> 00:58:40,680 really totally unexpected. They only found out about it because of a 861 00:58:40,680 --> 00:58:44,740 seizure that they had on this trip out in the middle of 862 00:58:44,740 --> 00:58:48,810 nowhere in Colorado. Anyway, that's not really relevant. 863 00:58:48,810 --> 00:58:52,880 I know that a lot of different 864 00:58:52,880 --> 00:58:57,020 cancers are caused due to toxic chemicals and obviously 865 00:58:57,020 --> 00:59:01,210 her mother and their whole family have done everything that they can 866 00:59:01,210 --> 00:59:05,310 to avoid all kinds of plastics. Like there's no plastic in their home. They're 867 00:59:05,310 --> 00:59:09,420 eating very, very specific things only and they're 868 00:59:09,420 --> 00:59:13,630 doing hair tests to see the toxic heavy metal count in 869 00:59:13,630 --> 00:59:17,690 her body and stuff like that. Anyways, 870 00:59:17,690 --> 00:59:21,740 I know there were several heavy metals that you 871 00:59:21,740 --> 00:59:25,870 mentioned that cause certain cancers, one of which is 872 00:59:25,870 --> 00:59:30,010 glyphosate and lymphoma and that connection. Do you know 873 00:59:30,010 --> 00:59:34,130 more about heavy metals in brain tumors or tumors of that nature? 874 00:59:34,130 --> 00:59:38,180 - So I am not aware that metals cause brain 875 00:59:38,180 --> 00:59:42,250 tumors. Glyphosate is not a metal. It's a chemical, it's a synthetic 876 00:59:42,250 --> 00:59:46,360 chemical. It's okay. So there are a lot of things in that story and 877 00:59:46,360 --> 00:59:50,540 I'll try to make it brief for everybody here. 878 00:59:50,540 --> 00:59:54,610 Unfortunately there are things in the world of chemicals that do cause 879 00:59:54,610 --> 00:59:58,680 cancer. It is most likely multi-factorial in 880 00:59:58,680 --> 01:00:02,800 that it's a chemical that there's a 881 01:00:02,800 --> 01:00:06,960 cancer gene that stimulates the cancer gene to actually happen. There are 882 01:00:06,960 --> 01:00:11,050 a number of different brain tumors out there and some 883 01:00:11,050 --> 01:00:15,140 just unfortunately happen and it's not from 884 01:00:15,140 --> 01:00:19,270 a chemical. It would be hard for a three year old to have 885 01:00:19,270 --> 01:00:23,450 that extensive amount of a chemical exposure in order for that to 886 01:00:23,450 --> 01:00:27,520 be the one and only cause of a tumor. 887 01:00:27,520 --> 01:00:31,600 Hair testing is not good. That's not been 888 01:00:31,600 --> 01:00:35,720 validated for many of the metals, so I wouldn't do that. 889 01:00:35,720 --> 01:00:39,890 And it's hard because we do know that 890 01:00:39,890 --> 01:00:43,960 cancer is caused by chemicals and the 891 01:00:43,960 --> 01:00:48,040 only metal that- arsenic causes skin cancers, but 892 01:00:48,040 --> 01:00:52,180 a lot of the synthetic chemicals out there over time, 893 01:00:52,180 --> 01:00:56,340 formaldehyde, for example, causes nasal carcinoma. Benzene causes 894 01:00:56,340 --> 01:01:00,450 leukemia. And so there are little things like that, 895 01:01:00,450 --> 01:01:04,560 but those are mostly in adults. 896 01:01:04,560 --> 01:01:08,670 It could've actually been part of an exposure to a chemical, but a lot 897 01:01:08,670 --> 01:01:12,850 of it could due to epigenetics, which I'm not gonna talk about here, 898 01:01:12,850 --> 01:01:16,900 'cause it's really long and involved to explain it. It's a 899 01:01:16,900 --> 01:01:21,020 change in the gene from maternal or paternal 900 01:01:21,020 --> 01:01:25,170 or exposures in generations before that 901 01:01:25,170 --> 01:01:29,230 have resulted in it, which is why primary prevention is important. 902 01:01:29,230 --> 01:01:33,300 903 01:01:33,300 --> 01:01:37,410 - Thank you for your presentation. I also have four teenagers. 904 01:01:37,410 --> 01:01:41,430 - God bless you. - Curious about what 905 01:01:41,430 --> 01:01:45,600 you had to say in terms of your consulting or committee work 906 01:01:45,600 --> 01:01:49,670 with school systems. Schools have so many pressures on them 907 01:01:49,670 --> 01:01:53,750 to satisfy so many different bodies, 908 01:01:53,750 --> 01:01:57,870 not to mention children and their parents. So how do you find 909 01:01:57,870 --> 01:02:02,040 them receiving that information and do they come to you 910 01:02:02,040 --> 01:02:06,110 or are you driven to them from pressure from parents or 911 01:02:06,110 --> 01:02:10,210 can I hear a little bit more about that? So, through my work with 912 01:02:10,210 --> 01:02:14,340 the Pediatric Environmental Health Specialty Unit, it's a horrible name, but 913 01:02:14,340 --> 01:02:18,510 I am your pediatrician. I'm the pediatrician for environmental health for 914 01:02:18,510 --> 01:02:22,590 the region 7, which is Iowa, Nebraska, Missouri, and Kansas. 915 01:02:22,590 --> 01:02:26,700 So through our school program and through just me talking 916 01:02:26,700 --> 01:02:30,830 to pediatricians, I hear about this kind of thing frequently 917 01:02:30,830 --> 01:02:34,980 and I have gone to community events, like at schools, because they 918 01:02:34,980 --> 01:02:39,080 either hear about that something that's going on in their school, or it's 919 01:02:39,080 --> 01:02:43,170 the lead in the water and what are we gonna do about that. It's really 920 01:02:43,170 --> 01:02:47,310 about good risk communication. As a 921 01:02:47,310 --> 01:02:51,430 toxicologist, it is the dose that 922 01:02:51,430 --> 01:02:55,480 makes the poison. There are some things,- we are gonna have 923 01:02:55,480 --> 01:02:59,600 exposures unfortunately. Some are gonna 924 01:02:59,600 --> 01:03:03,740 cause problems and some in the doses that we 925 01:03:03,740 --> 01:03:07,900 have them to, are not. But we also don't have a lot of 926 01:03:07,900 --> 01:03:11,950 studies on the mixture exposures. 927 01:03:11,950 --> 01:03:16,070 You're exposed to a sludge of things, and those things can 928 01:03:16,070 --> 01:03:20,210 actually cause problems. Unfortunately, the 929 01:03:20,210 --> 01:03:24,290 science in environmental health has not cut up to 930 01:03:24,290 --> 01:03:28,390 a lot of the other specialties in medicine, and so 931 01:03:28,390 --> 01:03:32,500 the information that we have about those low level exposures are not 932 01:03:32,500 --> 01:03:36,630 there. And when they are there, they're done at a population 933 01:03:36,630 --> 01:03:40,870 level, so they're done at a whole 934 01:03:40,870 --> 01:03:44,980 thousands of children and they've had exposure and there's a percentage of them 935 01:03:44,980 --> 01:03:49,130 that may or may not have something happen to them, but it's not at the individual 936 01:03:49,130 --> 01:03:53,280 level. I can't take that study and come down and say 937 01:03:53,280 --> 01:03:57,350 "Your child has been exposed to lead they're going to have 938 01:03:57,350 --> 01:04:01,440 ADHD". I can't do that, so we talk about what those 939 01:04:01,440 --> 01:04:05,550 risks are and ways that we can 940 01:04:05,550 --> 01:04:09,720 overcome 941 01:04:09,720 --> 01:04:13,810 them, either with nutrition, good parenting, that kind of thing. 942 01:04:13,810 --> 01:04:17,880 Some parents don't like what I have to say, because I'm not trying to 943 01:04:17,880 --> 01:04:22,020 downplay it, but it's also trying to tell them in reality what we have 944 01:04:22,020 --> 01:04:26,210 to work with. But at the end I say, if 945 01:04:26,210 --> 01:04:30,280 you don't like what your child is being exposed to, I totally agree 946 01:04:30,280 --> 01:04:34,390 with you, we have to change the system. And so it's this collective voice 947 01:04:34,390 --> 01:04:38,520 going to our legislators and making it happen, because we are not gonna be able 948 01:04:38,520 --> 01:04:42,590 to do it on an individual level. 949 01:04:42,590 --> 01:04:46,760 - So I know that there's 950 01:04:46,760 --> 01:04:50,830 been debates about whether GMOs are healthy for children 951 01:04:50,830 --> 01:04:54,980 and for health. If GMOs-, I know sometimes GMOs 952 01:04:54,980 --> 01:04:59,120 can make foods 953 01:04:59,120 --> 01:05:03,180 less susceptible to pests, if GMOs are helping to minimize 954 01:05:03,180 --> 01:05:07,290 pesticides, do you think GMOs are a better option or 955 01:05:07,290 --> 01:05:11,400 what's your opinion on GMOs? 956 01:05:11,400 --> 01:05:15,520 - Right. Obviously the FDA has come out and said 957 01:05:15,520 --> 01:05:19,710 that GMOs are safe, and most of the studies that I have looked at 958 01:05:19,710 --> 01:05:23,760 in the folks within the AP have actually 959 01:05:23,760 --> 01:05:27,900 agreed with that. 960 01:05:27,900 --> 01:05:32,050 That's what life is. 961 01:05:32,050 --> 01:05:36,130 We're all hybrids of things and it's survival of the fittest and 962 01:05:36,130 --> 01:05:40,180 all those other fancy things that we could talk about, but we've 963 01:05:40,180 --> 01:05:44,320 all been here because we have been modified over time. 964 01:05:44,320 --> 01:05:48,540 Not as quickly as clearly as GMO 965 01:05:48,540 --> 01:05:52,630 foods that are out there. But I also know 966 01:05:52,630 --> 01:05:56,730 that GMO, not because it's 967 01:05:56,730 --> 01:06:00,810 a good way to go, have helped 968 01:06:00,810 --> 01:06:04,970 provide food to those who don't have food. 969 01:06:04,970 --> 01:06:09,030 Again, it's hard to catch up with the environmental 970 01:06:09,030 --> 01:06:13,100 studies, but I think at this point, I tend to agree with the FDA 971 01:06:13,100 --> 01:06:17,250 that they are safe and 972 01:06:17,250 --> 01:06:21,380 can be helpful to feed those 973 01:06:21,380 --> 01:06:25,390 who aren't getting food. 974 01:06:25,390 --> 01:06:29,550 975 01:06:29,550 --> 01:06:33,600 976 01:06:33,600 --> 01:06:37,720 - We have time for one more question and then 977 01:06:37,720 --> 01:06:41,820 we're gonna wrap things up, but please feel free to stick around to pester 978 01:06:41,820 --> 01:06:45,980 Dr. Lowry a little more. - You're not a pester though, so yeah. 979 01:06:45,980 --> 01:06:50,070 - I'll pester you with my last question. 980 01:06:50,070 --> 01:06:54,140 I just wanted to, thanks for speaking tonight, and I just wanted to ask in 981 01:06:54,140 --> 01:06:58,230 terms of environmental health over your career so far, have you seen 982 01:06:58,230 --> 01:07:02,380 maybe a couple areas where things have gotten worse in terms of 983 01:07:02,380 --> 01:07:06,570 children's environmental health, and then on the optimistic side, where 984 01:07:06,570 --> 01:07:10,640 two or things where things have gotten better in terms of children's environmental 985 01:07:10,640 --> 01:07:14,750 health. - Better. 986 01:07:14,750 --> 01:07:18,900 Climate is worse. 987 01:07:18,900 --> 01:07:22,950 And it's so sad and it just 988 01:07:22,950 --> 01:07:27,030 makes me want to cry all the time. We were 989 01:07:27,030 --> 01:07:31,110 actually going in a good-ish direction for a while, and clearly 990 01:07:31,110 --> 01:07:35,230 we're not going in that direction anymore with 991 01:07:35,230 --> 01:07:39,470 clean power plan rollbacks and all that sort of thing. 992 01:07:39,470 --> 01:07:43,530 Things got better after the Clean Air Act and the Clean Water 993 01:07:43,530 --> 01:07:47,570 Act. If you see pictures and you hear about the history before then, I mean 994 01:07:47,570 --> 01:07:51,760 clearly we are in a much better place before then. But that was actually before 995 01:07:51,760 --> 01:07:55,940 my time, so that doesn't answer your question. 996 01:07:55,940 --> 01:07:59,990 Lead, we are making baby steps I think 997 01:07:59,990 --> 01:08:04,090 in getting recognition that primary prevention 998 01:08:04,090 --> 01:08:08,230 needs to occur. Unfortunately we just keep finding 999 01:08:08,230 --> 01:08:12,310 more sources, so that's good and a bad 1000 01:08:12,310 --> 01:08:16,380 but at least we're talking about it. And while it 1001 01:08:16,380 --> 01:08:20,470 may sound a little bit kooky that I would say that this is good, but I think that 1002 01:08:20,470 --> 01:08:24,580 conversations like this, I think more people are becoming more aware 1003 01:08:24,580 --> 01:08:28,790 that the environment is important and having 1004 01:08:28,790 --> 01:08:32,900 that collective voice to come together and talk about it more. 1005 01:08:32,900 --> 01:08:36,990 That hasn't necessarily helped the health of children. We know that 1006 01:08:36,990 --> 01:08:41,130 obesity rates are on the rise, ADHD is on the rise and why is 1007 01:08:41,130 --> 01:08:45,230 all of that? And we don't get to let our children 1008 01:08:45,230 --> 01:08:49,300 go outside anymore, and so that's bad. But I think 1009 01:08:49,300 --> 01:08:53,450 having these conversations will help more it in the right direction. 1010 01:08:53,450 --> 01:08:57,540 So I was more of a Debbie Downer than you had hoped. 1011 01:08:57,540 --> 01:09:01,640 That's what I think. 1012 01:09:01,640 --> 01:09:05,790 - Great. Well, 1013 01:09:05,790 --> 01:09:09,900 just to wrap things up with a very, very brief reminder. September 20th 1014 01:09:09,900 --> 01:09:13,990 at 7:00 PM, that's a Thursday again. Elizabeth Colbert 1015 01:09:13,990 --> 01:09:18,090 will be our next speaker in the lecture series, so we hope to 1016 01:09:18,090 --> 01:09:22,280 see you all then. But let's give Dr. Lowry one more round of applause here. 1017 01:09:22,280 --> 01:09:26,350 Thank you so much. 1018 01:09:26,350 --> 01:09:30,440 And please stick around 1019 01:09:30,440 --> 01:09:34,580 if you have additional questions. We'll be here for a little bit. Thank you 1020 01:09:34,580 --> 01:09:38,640 so much. 1021 01:09:38,640 --> 01:09:42,660 [outro music] 1022 01:09:42,660 --> 01:09:46,660 1023 01:09:46,660 --> 01:09:50,019