Artificial Christmas Trees: How Real Are the Lead Exposure Risks?

Page created by Marilyn Mullins
 
CONTINUE READING
Artificial Christmas Trees: How Real Are the Lead Exposure Risks?
ATVRES

                  Artificial Christmas Trees: How Real
                     Are the Lead Exposure Risks?
                                                                                                                              Richard P. M.ids, I'li.n.
                                                                                                                              Stcvra C. Patch, Ph.D.
                                                                                                                                 Tamara J. Pandolio

                                                                                                       Preschool and Prinnary Scale of Intelligence) as
    Abstract                     Exposure to lead has long been recognized as a major public
                                 health issue in the United States and other industrialized na-
                                                                                                       BLLs increased from I to 10 M^dL. This find-
                                                                                                       ing strongly suggests that neurological damage
                                                                                                       may be caused at even lower BLLs. This latest
   tions. The health risks associated with low lead levels mean that consumer products (such
                                                                                                       study, which tested 172 children ranging in age
   as those made from polyiiuyl chloride |PVC| plastic, which often incorporates lead as               from six months to five years and measured
   a stahilizer) with even moderate lead exposure risks could he dangerous. The purpose                nine confounding lactors, further underscores
                                                                                                       the importance of identifying and addressing
   of the experiments reported in this article was to test for lead exposure from artificial
                                                                                                       even relatively small lead exposure concerns.
   Christmas trees made of PVC, which are now present in an estimated 50 million U.S.                     Several meta-analyses have been done to
   households. The first phase of experimentation tested artificial Christmas trees in the             further investigate the connection between
   lahoratory for lead content in branches, lead transfer from hand contact, and lead dust             BLLs and IQ deficits. Some researchers
                                                                                                       (Kaufman, 2001; Pocock, Smith, &Baghurst,
   levels under the tree. The second phase was based on a field-testing sur\ey of house-               1994) suggest that although there is some
   holds with artificial Christmas trees. Results from these experiments show that, while              evidence that supports the connection, other
   the average artificial Christmas tree does not present a significant exposure risk, in              explanations need considering before defini-
                                                                                                       tive conclusions can be drawn on the subject.
   the worst-case scenarios a suhstantial health risk to young children is quite possible.             These researchers fear ihat recent sludies
                                                                                                       have not adequately allowed ior confounding
                                                                                                       factors and that other shortcomings in the
Introdurtion                                        performance associated with blood lead levels      studies may lead to improper conclusions.
L.xposure lo lead has long been recognized as a     as low as 2.5 micrograms per deciliter (pg/dL)     Other researchers (Needleman & Bellinger,
major public heallh issue in the United States      (l^nphear, Dietrich, Auinger, & Cox, 2001).        2001) argue that meta-ana!ysis shows thai
and other industrialized nations. During the        Thus, lead-containing products with even mod-      lead does indeed have a negative impact on
late 1980s and early 1990s, it was discovered       erate potential to cause human exposure are        IQ, even when multiple variables have been
that lead would cause permanent and irrevers-       becoming recognized as having public health        controlled for in different statistical models.
ible neurological damage, especially in infants     significance. One particular study found that         In addition to intellectual effects, studies
and young children, at far lower exposure lev-      even children whose blood lead levels (BLLs)       have connected lead exposure with behavior-
els than previously believed (McMichael et al.,     never exceeded the Centers for Disease Con-        al and emotional problems, such as aggressive
1988; Sciarillo, Alexander, & Farrell, 1992).       trol and Prevention (CDC) level of concern (10     or anxious behavior, in children (Burns, Ba-
Although recent data show that baseline blood       pg/dL) could have decreases in lQ of 2.6 points    ghurst. Sawyer, McMichael, &r Tong, 1999).
lead levels have been declining over the last       per 10 pg'dL increase in BLLs (Winter, 2001).      Lead may also affect the growth of children,
two decades (Mattuck, Beck, Bowers, & Co-           In the most recent study of the neurological ef-   as was documented in a study that measured
hen, 2001), lead is still a significant threat to   fects of low-level lead exposure, Canfield and     decreases in height, head circumference, and
health, particularly in children.                   co-authors (2003) found a 7.4-point IQ deficit     chest circumference with increasing lead lev-
   A recent study involving multivariate analy-     (with a 95 percent confidence interval of 3.2-     els (Kafourou et a l , 1997).
sis of 4,853 study subjects ranging in age from     12.9 points, as measured hy the Stanlord-Binct        Within the past 10 years, it has become
6 to 16 years found reductions in cognitive         Intelligence Scale and the Revised Wechsler        recognized that polyvinyl chloride (PVC, or

20        Volume 67 • Ntjmber 5
Artificial Christmas Trees: How Real Are the Lead Exposure Risks?
experiments addressing surface dust deposi-
                                                                                                          tion, each tree was disassembled and placed
                                                                                                          back into its storage box by a subject, with the
                                                                                                          hands wiped before and after disassembly (as
  Lead Content of Artificial Christmas Tree Needles
                                                                                                          noted above for the assembly procedure) to
                                                                                                          determine how much lead was transferred to
  ID           Type          Manufacturer            Length of Service (Years)         Pb (Mg/g)
                                                                                                          the hands during disassembly
  CH 01        New           The Christmas House                 0                         *ND                All digested uipe satnples were analyzed
  CH 02        New           Holiday Tree and Trim               0                         m              lor lead according to Standard Method 3113B
  CH 03        Used          Puleo                              13                       1.527            (Clesceri, Greenberg, & Eaton, 1998) for
  CH 04        New           Christmas Direct                    0                         ND             electrothermal atomic absorption spectrom-
  CH 05        New           Tree Classics                       0                         ND             etry (EAAS). This method basically involves
  CH06         Used          American Tree                      17                       7.IM             digesting the wipe in a hot concentrated mix-
  CH 07        Used          Hudson Valley Tree                  6                         ND             ture of nitric acid and 30 percent hydrogen
  CH 08        Used          General Form Plastic                7                         ND             peroxide followed by EAAS analysis. Calcula-
  Blank                                                                                    ND             tions were then made to express the amount
                                                                                                          of lead on the gloved hands in terms of the
  *ND: less than 25 |ig/g.                                                                                total mass (in pg). The lead content in the
                                                                                                          plastic needles themselves was calculated as
                                                                                                          micrograms of lead per gram of needle (i.e.,
vinyl) plastic products often contain relatively     were employed for part of this study Four            |.ig/g, or ppm), and the lead in the settled dust
large amounts of lead added as stabilizers. In       of these trees were newly purchased, and the         beneath the trees was expressed as pg/cm' of
 1995, it was discovered that imported vinyl         other four had heen in residential use for peri-     surface area.
mini-blinds contained so much lead that the          ods ranging from 7 to 17 years. The new trees
surface dust produced as a result of direct sun-     were sent directly from the manufacturer, and       Experiment 2
light and heat was resulting in cases of acute       length-of-service documentation for the used        In this experiment, research testing kits were
lead poisoning of young children who han-            trees was provided by Foundation F.A.R.T.H.         mailed to 127 households that had ordered
dled and played with them {Norman, 1996;             of St. Louis, Missouri. The manufacturer and        the kits from Foundation E.A.R.T.H, The
B.C. Lee of U.S. Consumer Products Safety            tree specifications are summarized in Table 1.      availability of the research kit was announced
Commission, personal communication to                A sample of ihc needles (0.25 grams |gl-0.69        to the public primarily through a Christmas
M.F Toro, July 24, 1996). Studies conducted          g) was cut from each tree for subsequent lead       season evening news story carried by 73 NBC
in 1997 found that several commonly used             analysis. Tree needle samples were ashed for        news affiliate stations across the United States.
children's products, such as PVC raincoats,          five hours at 400°C before acid/hydrogen            Hach testing kit contained instructions, a re-
hook hags, and beach bags accumulated high           peroxide digestion.                                 search questionnaire, sample identification la-
levels of lead on surfaces after exposure to             F;ach tree was then assembled in the labora-    bels, a laboratory' wipe, one plastic headspace
sunlight (DlGangi, 1997; Maas, Smith, Patch,          tory by an investigator after a thorough hand-     vial, and a pair of laboratory gloves. Individu-
& Thornton, 1997).                                   washing. Before and after assembly, the sub-        als were instructed, upon receipt of the kit, to
   Artificial Christmas trees made of PVC            jects hands were wiped with a laboratory wipe       open the plastic vial to have it ready to accept
have become very common in the United                to remove all metal/dust material present on        tbeir wipe sample. Next, participants put on
States; out of the 76 million family groups in       the hands. Each wipe was hot-block-digested         the gloves and removed imd unfolded the lab-
the country, an estimated 50 million house-          according to National Institute for Occupa-         orator>- wipe. A Christmas tree branch section
holds own and use them (Fields & Casper,             tional Safety and Healtli (NIOSH) Method            approximately 30 cm in length was selected,
2001). Nearly 20 million of the trees in these       7082 (NIOSH, 1994) with concentrated nitric         and the wipe was carefully wrapped around
households are nine years or older (U.S. Bu-         acid and 30 percent hydrogen penwide, and           the branch section. The participants took the
reau of the Census, 2000). Thus, there is a          the digestate was analyzed for lead.                wipe sample by applying pressure and pulling
potential for lead exposure from the handling            Following assembly, a new clean laboratory'     the wipe over the entire 30 cm section. After
of the trees during assembly disassembly, and        paper surface 120 centimeters (em) x 120 cm         the first wipe sample was completed, the wipe
routine usage, as well as from contact with ar-      was placed under each tree. Investigators took      was folded in half so that any dust was on the
eas underneath the trees. The purpose of this        wipe samples weekly for four weeks by wiping        inside of the iold. A second pass was made
investigation was lo begin to determine the          the entire area with a laboratory wipe. They        with the same wipe; it used a second 30-cm
potential lead exposure from typical house-          took control samples by wiping an immediately       branch section following the same methods.
hold usage of these products.                        adjacent treeless laborator)' paper surface 120     The wipe was folded a second time and placed
                                                     em X 120 em. All viipe samples were digested        into the plastic vial, which was then capped. A
                                                     as described above with nitric acid and hydro-      sample identilication label was affixed to the
                                                     gen peroxide. The laboratory where the trees        vial, and the kit was mailed back to the authors'
Experiment 1                                         were erected had windows only along a long          laboratory, where the wipes were analyzed lor
Eight 7-foot artificial (PVC) Christmas trees,       north-facing wall, so no direct sunlight stmck      lead. Digestion and analysis of the wipes were
each from a different major manufacturer,            the trees. At the conclusion of the four-week       conducted with the same methodology as in

                                                                                                   December 2004'lottrniil of Environmental Hoallh   21
Artificial Christmas Trees: How Real Are the Lead Exposure Risks?
BLE2
  Lead in Settled Dust Beneath Standing Christmas Trees

  ID          Manufacturer                  Week 1                    Week 2                   Week 3                 Week 4                Total
                                          (Mg/IOOcm^)               (Mg/IOOcm^)              (Mg/IOOcm^)            (Mg/IOOcm^)         (Mg/lOO cm^)

  CH 01       The Christmas House              0.127                    0.0980                      2.66                 0.171                 3.06
  CH 02        Holiday Tree and Trim          0.0538                    0.0258                     0.157                 0.539               0.775
  CH03         Puleo                           0.424                       1.71                     4.98                  1.16                 8.28
  CH 04        Christmas Direct                0.114                     0.207                     0.107                 0.170               0.596
  CH 05        Tree Classics                   0.298                    0.0893                     0.157                 0.114               0.658
  CH06         American Tree                    2.43                       3.20                     5.39                  5.94                 17.0
  CH07         Hudson Valley Tree             0.0807                      0.109                    0.133                 0.IS7                0.479
  CH08         General Form Plastic           0.0129                      0.475                   0.0635                 0.151                0.701
  Blank                                       0.0107                    0.0151                    0.02S8                0.0732                0.125

Experiment I. Calculations were made lo ex-            can be made under the assumption that young             The mass of lead transferred to subjects'
press [he amount of lead in each wipe in terms         children might crawl and otherwise place their       bands during assembly and disassembly of
of ihe total mass (in micrograms).                     hands on the affected under-tree surface (floor.     PVC Christmas trees is summarized in Table
   Participants also were asked to fill out a re-      wrapped presents, etc.) once per week during         3. Again, the results are consistent with the
search questionnaire. The questionnaire was            a four-week Christmas tree season and pick up        needle lead concentrations shown in Table I,
used to determine the number and ages of               perhaps 25 percent of the total dust in the 1.49     with trees CH06 and CH03 showing the high-
children in the household, child involvement           n r area, for a total of 630 pg. The U.S. Consum-    est handling transfer levels. Sample CH06 re-
in handling of the Christmas tree, length of           er Products Safety Commission (CPSC) has             sulted in a total lead transfer from assembly
tree ownership, manufacturer of the tree,              estimated, based on various bebavioral stud-         and disassembly of 30.4 pg, which, spread
counir)' of origin, approximate age of tree,           ies, tbat approximately 50 percent of hand-ab-       over a four-week Christmas season, translates
and location of tree storage in ihe off-season.        sorbed material will be ingested by a child three    to a daily exposure of about 1 pg per day and,
The questionnaire also asked what the partic-          years of age or younger (U.S. Consumer Prod-         spread over an entire year, to about 0.1 (.ig/day
ipant would do with the tree if it was found to        uct Safety Commission, 1997), which would            Actual ingestion would most likely be only 10
have high lead levels. The choices included            entail, in this case, in an approximate acute in-    percent of these amounts for an adult and 50
•"discard iree and buy a real tree," "dispose of       gestion of 315 ^g. This figure would equate lo       percent for a young child. Thus, lead exposure
tree and buy another artificial tree," or "take        approximately 0.86 pg/day ingestion spread out       from assembly and disassembly would appear
extra care to avoid lead exposure when set-            over an entire year. Califomias Proposition 65       to be relatively minor compared witb exposure
ting up and using the tree."                           requires a warning label if a consumer product       to a child playing around and under a tree.
                                                       results in an average daily lead exposure of 0.5
Results and Discuvsion                                 jig'day or greater. CPSC does not classify a con-    Experiment 2
                                                       sumer product as hazardous unless it exposes         A total of 127 in-service trees were tested in
Experiment 1                                           the average user to at least 15 H^day of lead;       tbis part of the experiment, and 42 trees, or
Table 1 summarizes the metal concentrations            neither regulation specifies a limit for acute       33.1 percent, were observed to have detect-
found in the \ inyl needles themselves. Two of         short-term lead exposures. The dust-wipe data        able levels of lead in their PVC needles. The
ihe used trees exhibited relatively high levels        lor the Puleo brand tree give an annual expo-        lower limit for the analytical method was
of lead, with the used American Tree sample            sure estimate of about 0.42 ^g/day, just below       1.5 ]xg of lead, Analysis of the questionnaire
having high levels of lead. The levels of lead         the Proposition 65 limit, while the remaining        data showed that 66.7 percent of the house-
were nondetectable in the other six trees.             products produce estimated daily exposures           holds with detectable levels of lead had chil-
These results suggest that lead was used more          between 0.02 and 0.16 pg'day, It is important        dren living in the household. Of this number,
commonly as a PVC stahilizer in die pasl.              to note that even the six trees with nondetect-      47.6 percent had children five years of age or
   The results of dust wipe samples taken be-          able lead content produced dust lead levels 4        younger, while 23.8 percent had children two
neath the laboratory-erected trees are sum-            to 24 times background control levels, which         years of age or younger in the residence. Many
matized in Table 2, Only used-tree specimens           suggests that all of the trees probably contained    volunteer participants were not able to deter-
CH03 and CHOb exhibited relatively high lead           at least some lead stabilizer. These tests provide   mine the tree manufacturer or manulacturer
levels in the settled dust, which is consistent        only very rough exposure estimates because           location, and thus no conclusions regarding
with the metal-assay results shown in Table 1.         only a single tree of each brand was tested, but     the relationship between ibe amount of lead in
A scenario oi actual lead exposure for the sam-        they do suggest at least some lead exposure po-      the tree and the tree's manufacturer or country
ple with the highest lead level, American Tree,        tential even from new trees.                         of origin can be made from the data.

22        \'olume 67 • Number 5
Artificial Christmas Trees: How Real Are the Lead Exposure Risks?
stabilizer used has apparently been reduced
          BLE5                                                                                                to a rnuch larger extent.
                                                                                                                 The last two columns in Table 4 deal with
  Lead on Hands After Assembly and Disassembly of Artificial Christmas Trees                                  possible lead exposure from the artificial
                                                                                                              Christtnas trees. Direct mouthing exposure
                                                                                                              was calculated on the assumption of once-
                    Blank (\ig)   Wipe Transfer {(jg)           Blank {\ig)      Wipe Transfer (pg)           daily 100 percent transfer of lead from a
                                                                                                              30-cm tree branch to a child's tnouth over a
  ChOI
Artificial Christmas Trees: How Real Are the Lead Exposure Risks?
of these children lived in a home with an arti-    needles. These levels are well in excess of the      to have the potential for causing lead exposures
ficial Christmas tree, ihe most exposed I per-     less than 400 ng/g that CPSC recommends              of considerably greater health significance.
cent ol this populalion (a combination of the      children's products contain, and ingestion               Data collected from the second phase of the
most dangerous child behavior and the trees        calculations indicate that trees of these two        authors' research generally confirm that on
with ilie highest lead content) would have a       types probably expose young children lo lead         average, lead exposure from artificial Christ-
much higher exposure level than estimated for      levels at least in the range of California Prop-     mas trees is relatively low. A worst-case sce-
ihc typical child; mathematically, ihis percent-   osition 65 limits.                                   nario, however, would result in very harmful
age would translate to ahoul 57.500 children.         While clearly not an acute loxicity threat by     lead exposure. For the safety of all children,
                                                   themselves, a significant traction ol older arti-    it is probabl)' appropriaic to request that PVC
Conclusions                                        ficial trees are probably exposing children and      Christmas tree manufacturers formally com-
 rhf experiments conducted in the first phase      adults 10 enough lead [o be at least a notewor-      mit to banning ihc use of lead in the PVC
of the research do not support the conten-         thy public health issue. The experiments de-         formations employed in these products. Un-
tion ihiit the PVC Christmas trees currently       scribed in this paper indicate that it is probably   til they do so, it would be wise to limit ihc
hcing manufactured represent more than a           appropriate to caution families—especially           amount ofphysical contact thai children have
relatively small lead exposure hazard across       families with older PVC Christmas trees, but         with artihcial Christmas trees. ' ^
ihe entire population of U.S. children. This       even families with new ones—to thoroughly
conclusion is iempcrcd hy fbe fact that only       wash hands immediately after tree assembly           Corresponding Author: Richard P Maas,
one iree of each major brand was tested.           and disassembly, and especially to limit the ac-     Co-director, UNC-Asheville Environmental
   In contrast, two of the four older used trees   cess of children to areas under erected trees.       Quality Institute, CPO #2331. One Univer-
ihat were tested contained relatively high lev-    Direct mouthing contact, frequent branch han-        sity Heights. Asheville, NC 28R04. E-mail:
els of lead (1,527 and 7,184 pg/g) in the PVC      dling, or both by young children would appear        maas@unca.edu.

   REFERENCES
  Burns. J.M.. Baghurst, PA.. Sawyer, M.G., McMichael. A.J.. & Tong.          McMichael, A.J,. Baghurst, PA.. Wigg, N.R., Vimpani, G.V., Robert-
    S. (1999). Eifelime low-leve! exposure to environmental lead and           son, H.E, & Roberts. R.J. (1988). Port Pirie Cohort Study: Envi-
    children's emotional and behavioral development at ages 11-13              ronmental exposure to lead and children's abilities at tbe age of
    years: The Port Pirie Cohort Study. American Journal o/EpiclcDiiol-          four years. New England journal of Medicine. 319 (8). 468-475.
    osy,i49(8), 740-749.                                                      Needleman, H.L., & Bellinger. D. (2001). Studies of lead exposure
  Canfield, R.L.. Henderson, C.R., Cory-Slechta. DA.. Cox. C.Jusko,              and the developing central nervous system: A reply to Kauhnan.
    T.A., &• Eanphcar, B.P (2003), Inlellectual impairmeni in children           Aiifirvt's (if Ciipiicaf Neuropsychologv. 16(4), 359-374.
    with blood lead conL-eniraiions below 10 pg per deciliter New             National Institute lor Oceupattonal Safety and Health (1994). Lead
    EnglandJouJTKil ojMedicmc. J48(16), 1517-1526.                               by flame MS method 7082, i.2. Manual of Analytical Methods (4th
  Clesceri. L.S.. Greenberg, A.E., & Eaton, A.D. (Eds.). (1998) Stan-            ed.). Washington. DC: Linitcd States Department of Health and
    dard mdliods for the examination oj water and wastewater (20th               Human Services.
    ed.). Baltimore: United Book Press, Inc.                                  Norman, E. (1996.) Imported, plastic mini-blinds identified as poten-
  DiGangi, J. (1997) Lead and cadmium in vinyl children's products:              tial source of lead poisoning. North Carolina Department of Envi-
    A Greenpeace expose {Report No. 38). Washington. DC: Green-                  ronment and Natural Resources, http://www.enr.state.nc.us/news-
    peace USA.                                                                   rels/lead.htm(7Sept. 2004).
  Eields, J., & Casper. L.M. (2001) America's families and living ar-         Pocock, S.J.. Smith. M.. &r Baghurst, P (1994). Environmental lead
    rangements: March 2000 (Current Population Reports, 20-537).                 and children's intelligence: A systematic review of the epidemio-
    Washington, DC: U.S. Bureau of the Census.                                   logical evidence. British Medical journal, 309(6963). 1189-1197,
  Kaiourou. A., Touioumi. G., Makropoulos, V, Loutradi, A., Papanagiot-
                                                                              Sciarillo. W.G., Alexander, G., & Farrell, K.P (1992). Lead expo-
    ou. A., & Hatzakis, A. (1997). Effects of iead on the somatic growth
                                                                                 sure and child behavior. American journal of Public Health, 82(10).
    of children. Anhives oJ Environmental Health. .52(5), 377-383.
                                                                                 1356-1360.
  Kaufman, A.S- (.2001) Do low levels of lead produce IQ loss in chil-
                                                                              U.S. Bureau of the Census. (2000). Census 2000 Summary, http://
    dren? A careful exatninaiion ol the literature. Archives of Clinical
                                                                                 factfinder.eensus.gov (2June 2004).
    !^europsychology, 16 (4). 303- 341.
                                                                              U.S, Consumer Product Safety Commission. (1997). CPSC staff
  Lanphear, B.P. Dietrich, K.N., Auinger, P, & Cox, C. (2000). Cognitive
                                                                                 report on lead and cadmium in children's polyvinyl chloride (PV'CJ
    deficits associated with blood lead concentrations
You can also read