The document discusses susceptible periods of development and specific toxicants that can influence development. It notes that the environment can affect development before conception and that the embryo and fetus are susceptible to various factors like drugs and infections. Over 1000 chemicals have been identified as potential neurotoxicants, including lead, mercury, arsenic, alcohol, and pesticides. Prenatal exposure to many of these can influence childhood development and lead to issues like developmental delays and learning problems. Children are often exposed to multiple toxicants simultaneously.
The document discusses susceptible periods of development and specific toxicants that can influence development. It notes that the environment can affect development before conception and that the embryo and fetus are susceptible to various factors like drugs and infections. Over 1000 chemicals have been identified as potential neurotoxicants, including lead, mercury, arsenic, alcohol, and pesticides. Prenatal exposure to many of these can influence childhood development and lead to issues like developmental delays and learning problems. Children are often exposed to multiple toxicants simultaneously.
DEVELOPMENTAL DISABILITIES Dr Muhammad Nadeem Iqbal ISP Multan MPhil: Special Education Semester: 2nd Session SUSCEPTIBLE PERIODS OF DEVELOPMENT
The environment can affect development
before conception by influencing the sperm or ova. Once conception takes place, the embryo and (later) the fetus are susceptible to a number of factors including drugs, Chemical toxicants, infections, and physical factors, such as radiation, that influence developmental out- comes. Even after a child is born, infection, chemical, and physical factors can influence developmental outcomes. SPECIFIC TOXICANTS
Over 1,000 chemicals that have been
identified as potential neuro toxicants that are common causes of neurotoxicity. Lead Lead is one of the most studied neuro toxicants, with the Greeks and Romans first describing the toxicity of lead in adults. Despite these improvements, lead poisoning remains a significant problem, primarily because of lead dust in the home The degree and type of damage from lead is a function of the timing of exposure. For example, lead exposure causes peripheral neuropathy (damage to nerves in the arms and legs) in adults, whereas it results in damage to the CNS in young children Mercury Mercury is neuro toxic in the form of elemental mercury (primarily when it enters the body via inhalation of mercury vapor) and as inorganic or organic compounds, particularly methyl mercury. Mercury vapor exposure can occur through breakage of mercury containing devices such as thermometers, barometers, and fluorescent light fixtures Prenatal exposure to extremely high doses of MeHg results in severe brain damage with micro cephaly, seizures, and severe cognitive and motor deficits High doses adversely affect mitosis, cellular migration, and organization of neurons in the cortex. Arsenic
Arsenic in high doses can be fatal, and
chronic arsenic exposure can lead to neurotoxicity and cancer. Exposure of children usually occurs through ingestion of naturally contaminated drinking water or through contact with contaminated industrial sites. Alcohol
Maternal ingestion of alcoholic beverages
during pregnancy can lead to fetal alcohol spectrum disorder (FASD), a wide range of physical, behavioral, and cognitive problems in the child; damage depends on the amount, timing, and duration of the consumption More severe manifestations of FASD are termed fetal alcohol syndrome (FAS), and more subtle manifestations are termed partial fetal alcohol syndrome (pFAS). Another term used to describe FASD manifestation is alcohol-related neuro developmental disorder. Ethanol exposure can manifest itself as microcephaly, behavior problems, ADHD, executive function deficits, and learning problems. Polychlorinated Biphenyls
Polychlorinated biphenyls (PCBs) are a
group of industrial chemicals that they were used in the electronics, plastics, paint, and pesticide industries Outcomes associated with low-dose exposure to PCBs in utero and after birth indicate small deficits in neuromotor development and IQ, along with problems with attention and impulse control. Pesticides These range from elements such as sulfur to complex organic molecules. In 2001, over 1.2 billion pounds of pesticides (e.g., herbicides, insecticides, fungicides) were used. Prenatal exposure to the organophosphate chlorpyrifos has been associated with an increased risk of developmental delay, ADHD, and autism at 3 years of age. Endocrine Disrupting Chemicals
EDC as “an exogenous agent that
interferes with synthesis, secretion, transport, metabolism, binding action, or elimination of natural blood-borne hormones that are present in the body and are responsible for homeostasis, reproduction, and developmental process” A very diverse group of chemicals have endocrine disrupting properties including phthalates, PCBs, polychlorinated dibenzodioxins, brominated flame retardants, dioxins, organochlorine pesticides, bisphenol. Mixed Toxicants
Children are usually exposed to multiple
toxicants. In areas where there are metal smelters, children can be exposed to lead, arsenic, and other metals that are being recovered for commercial purposes or which co-occur in the raw ore. Environmental Tobacco Smoke
Prenatal exposure can occur if the mother
smokes or if she is exposed to environmental tobacco smoke. Studies of children exposed prenatally to tobacco smoke revealed deficits in speech and language skills, visual/spatial abilities, behavior, and IQ. ALLAHA HAFIZ