Chemical
Sensitivities: A Global Problem
by
Cynthia Wilson
In rural
South Africa, a pastor operating a makeshift clinic sees several
cases of chemical sensitivity every week. A highly regarded French
botanist asks if insecticides could be causing his health problems.
A safety engineer at a petroleum refinery in Brazil needs answers
to his health problems, but he no longer trusts the company doctor.
In Croatia,
a chemical engineer complains she can no longer physically tolerate
working in her laboratory. She is diagnosed with liver damage
from exposure to ethylene oxide but the fact that she became chemically
sensitive during her work in the lab is totally ignored
Multiple
Chemical Sensitivity (MCS) is a growing global problem. MCS support
groups around the world report their memberships are increasing
at an average 132 percent per year. Yet MCS does not officially
exist anywhere in the world.
Governments
won't fund MCS research and, since no government tracks MCS as
a health problem, hard data on the global scope of MCS is hard
to come by.
However,
a 1995 survey by the Chemical Injury Information Network [CIIN,
PO Box 301, White Sulpher Springs, MT 59646, (406) 547-2255, fax:
-2455] found that MCS had been reported as a health problem in
36 countries. In nearly every country, the CIIN survey found,
chemically sensitive individuals shared a sense of alienation,
isolation and frustration due to the lack of a positive response
by their governments and the medical profession.
Physicians,
more often than not, diagnose MCS patients with a more medically
acceptable condition - e.g., chronic fatigue, bronchial hypersensitivity,
neurologic disorder or occupational asthma - while their chemical
sensitivities were ignored. This is especially true in countries
with national health insurance such Germany and England.
In a
1994 Archives of Internal Medicine article, two researchers reported
finding that up to 67 percent of patients diagnosed with chronic
fatigue and fibromyalgia also suffered from MCS, but these patients
were never diagnosed with that problem. MCS is also a frequent
problem for patients with silicone implants or joint replacements.
England's
Myalgic Encephalomyelitis Association acknowledges that it has
members with MCS, but the association provides no information
tailored to the needs of its MCS members.
Denmark's
Astma-Allergi Forbundet (AAF) admitted that many of its members
suffer from MCS, but AFF is extremely uncomfortable with the term,
insisting that MCS is "not widely approved of in the Danish medical
world or in a government context."
Attacks
on doctors who support diagnoses of MCS are common. Support groups
from Canada, Germany, New Zealand, Australia and the US report
instances where doctors' medical licenses have come under attack
because of their efforts on behalf of their MCS patients. Despite
this constant scrutiny, few doctors have lost their licenses.
Physicians
and researchers estimate the MCS population of their respective
countries at 0.5 to l percent of the total population, while MCS
support groups put the figure at 10 to 15 percent. Support groups
in Australia and New Zealand estimate that 15 percent of their
respective populations suffer from MCS.
Pesticide
exposures were the most commonly cited reason for developing MCS,
but this may be due in part to the fact that most of the support
groups contacted for the report focus exclusively on pesticide
hazards. While pesticides are certainly a large part of the problem,
formaldehyde and solvent exposures were often cited ahead of pesticides
as causes of MCS.
Support
groups in Denmark regard poor indoor air quality as the primary
cause of MCS, while chemically sensitive people in Russia turn
to support groups that focus on industrial pollution and radiation
exposure.
In 1994,
the European Union (EU) commissioned Nicholas A. Ashford, Associate
Professor at the Massachusetts Institute of Technology, to investigate
the prevalence of MCS in Denmark, Norway, Sweden, Finland, Germany,
the Netherlands, Belgium, Greece and the UK. While Ashford had
no problem documenting MCS in all of the countries under investigation,
his report and its findings have been embargoed by EU.
Cynthia
Wilson is the executive director of the Chemical Injury Information
Network