ASHINGTON,
Feb. 19 — A new government report concludes that children's health has
improved in areas where the government has taken aim at environmental
hazards, White House and Environmental Protection Agency officials said
today.
On the other hand, the report raises new questions about the need for new
areas of study, such as the link between mercury and childhood development
and the rising rates of childhood asthma even as air quality has improved
over the last 15 years.
The report, the federal government's second comprehensive assessment on
children's health that weighs environmental and biological factors, does not
have any policy, regulation or financing recommendations, the officials
said. But the juxtaposition of the data sets the stage for more
environmental studies focused on children, whose medical needs are different
from adults'.
The study also sets a benchmark for the government to deal with the
hazards of mercury, which scientists have linked to developmental I.Q.
deficits and motor skill dysfunction, and which is suspected to play a role
in attention deficit disorder and autism. Mercury has been the controversial
subject within the environmental regulation arena because power plants
release it while burning coal.
The report draws on recently released data on toxins from the Centers for
Disease Control and Prevention, which measured the level of mercury in women
of child-bearing age. Officials said the report brought together data about
the increasing amount of mercury in food and water, but they cautioned that
it was too early to draw causal links between the types of diseases that are
occurring.
"The number of those fish advisories have been up," said Joe Martyak, a
spokesman for the E.P.A., "but it doesn't tell you how many people are
getting sick from it."
One of the most important questions raised in the report is about the
increasing incidence of asthma, the leading cause of school absenteeism
linked to chronic disease. An estimated 3.8 million children have had an
asthma attack in the past 12 months, and the direct and indirect costs of
asthma are an estimated $14 billion a year.
But rates for asthma have gone up even as outdoor air quality has
improved, leading scientists to examine indoor air quality and the effects
of immunization.
Officials said the report, which is at the printer and is scheduled to be
released soon, also pointed to advances in children's health, many of which
have come from targeted government policies. For example, officials reported
a decline in children's exposure to second-hand smoke, which is known to
cause upper respiratory disorders, asthma and middle ear infections in
children.
The report also says that the level of blood lead poisoning in children
has dropped significantly in the last 30 years. The Lead Contamination
Control Act of 1988 set program efforts to eliminate childhood lead
poisoning in the United States. An estimated 300,000 to 400,000 children
ages 1 to 5 have alarming levels of lead in their blood, compared with
890,000 in the last study by the disease centers, officials said.
But these cases are the most difficult to eliminate as they occur
disproportionately among poor and minority children.
The National Childhood Cancer Foundation reports that each year cancer is
diagnosed in 12,500 children and that about 2,300 children and teenagers die
from cancer.