BackgroundResidential insecticide use is widespread in the United States, but few data are available on the persistence and variability in levels in the indoor environment.ObjectiveThe study aim was to assess within- and between-home variability in indoor-air insecticides over the final 2 months of pregnancy among a cohort of African-American and Dominican women from New York City.MethodsWomen not employed outside the home were enrolled between February 2001 and May 2004 (n = 102); 9 insecticides and an adjuvant were measured in 48-hr personal air samples and 2-week integrated indoor air samples collected sequentially for 7.0 ± 2.3 weeks (n = 337 air samples).ResultsSixty-one percent of the women reported using pest control during the air samplings. Chlorpyrifos, diazinon, and propoxur were detected in 99–100% of personal and indoor samples (range, 0.4–641 ng/m3). Piperonyl butoxide (a pyrethroid adjuvant) was detected in 45.5–68.5% (0.2–608 ng/m3). There was little within-home variability and no significant difference in air concentrations within homes over time (p ≥ 0.2); between-home variability accounted for 88% of the variance in the indoor air levels of propoxur, 92% in chlorpyrifos, 94% in diazinon, and 62% in piperonyl butoxide (p < 0.001). Indoor and maternal personal air insecticide levels were highly correlated (r = 0.7–0.9, p < 0.001). Diazinon and chlorpyrifos levels declined 5-fold between 2001 and 2004 but were detected in all homes 1.5 and 2.5 years, respectively, after the U.S. Environmental Protection Agency ban on their residential use.ConclusionResults showed that the insecticides were persistent in the home with little variability in air concentrations over the 2 months and contributed to chronic maternal inhalation exposures during pregnancy.

BackgroundWidespread residential pesticide use throughout the United States has resulted in ubiquitous, low-level pesticide exposure. The mix of active pesticide ingredients is changing in response to 2000–2001 regulations restricting use of the organophosphorus insecticides chlorpyrifos and diazinon.ObjectivesWe aimed to determine the impact of U.S. Environmental Protection Agency regulations on pest infestation levels, pesticide use, and pesticides measured in indoor air samples. METHODOLOGY: 511 pregnant women from innercity New York were enrolled between 2000 and 2006. Permethrin, a pyrethroid insecticide; piperonyl butoxide (PBO), a pyrethroid synergist; chlorpyrifos; and diazinon were measured in 48-hr prenatal personal air samples. Data on pest infestation and pesticide use were collected via questionnaire.ResultsEighty-eight percent of women reported using pesticides during pregnancy; 55% reported using higher-exposure pesticide applications (spray cans, pest bombs and/or professional pesticide applicators). Self-reported pest sightings and use of higher-exposure applications increased significantly after the regulations were implemented (p < 0.001). PBO, cis-, and trans-permethrin were detected in 75, 19, and 18% of personal air samples, respectively. Detection frequencies of PBO and cis- and trans-permethrin increased significantly over time (p < 0.05 controlling for potential confounders). Levels and/or detection frequencies of these compounds were significantly higher among mothers reporting use of high exposure pesticide applications (p ≤ 0.05). Chlorpyrifos and diazinon levels decreased significantly over time (p < 0.001).ConclusionIn this cohort, pest infestations, use of pesticides, and use of permethrin appear to increase after the residential restriction of organophosphorus insecticides. This is one of the first studies to document widespread residential exposure to PBO.

BackgroundWe previously documented significant decreases in chlorpyrifos concentrations in maternal personal and indoor air samples among pregnant African-American and Dominican women from New York City after the 2000–2001 restrictions on its residential use.ObjectiveWe undertook a biomarker validation study within the same cohort to evaluate trends over time in multiple biomarkers of prenatal chlorpyrifos exposure.MethodsSubjects were enrolled between February 2001 and May 2004 (n = 102). We measured 3,5,6-trichloro-2-pyridinol (TCPy) in postpartum meconium (n = 83), repeat prenatal maternal spot urine samples (n = 253), and postnatal urine from the mothers (n = 73) and newborns (n = 59). We measured chlorpyrifos in postnatal maternal (n = 92) and umbilical cord (n = 65) blood.ResultsWe did not detect TCPy in infant urine, but all other biomarkers showed a highly significant decrease in detection frequencies (χ2 = 7.8–34.0, p ≤ 0.005) and mean ranks (p ≤ 0.006, Kruskal–Wallis) among subjects enrolled in 2003–2004 compared with those enrolled in 2001–2002. Chlorpyrifos in maternal personal and indoor air declined 2- to 3-fold over the same period (p < 0.05). In 2001–2002 samples, TCPy levels in repeat prenatal urine were positively correlated (r = 0.23–0.56), but within-subject variability exceeded between-subject variability (intraclass correlation coefficient = 0.43); indoor air levels explained 19% of the variance in prenatal urine TCPy (p = 0.001). Meconium TCPy concentrations were positively correlated with chlorpyrifos in maternal and cord blood (r = 0.25–0.33, p < 0.05) and with TCPy in maternal urine (r = 0.31, p < 0.01).ConclusionsResults suggest the biomarkers are reliable dosimeters to differentiate between groups with prenatal chlorpyrifos exposures varying by a factor of 2 or more and vividly illustrate the efficacy of residential restriction on chlorpyrifos to reduce the internal dose during pregnancy.

Two benthic ctenophores, Coeloplana waltoni and Vallicula multiformis, are contrasted in terms of their coastal environments, habitats, abundances, seasonal occurrences, and behavior in south Florida. Coeloplana waltoni occurs as an epibiont on octocorals in open water settings, and V. multiformis is present in bio‐fouling communities, associated with macroalgae, bryozoans, and inanimate substrates in protected, back‐water habitats. In our study, individuals of C. waltoni were found under moderate to strong current flow and relatively constant temperature and salinity (T/S) conditions, whereas individuals of V. multiformis occurred at sites of low current flow and more variable T/S conditions. In C. waltoni, individuals generally adhered tightly to host colony surfaces, whereas in V. multiformis, individuals often disassociated from substrates and floated free. Mean population densities of C. waltoni ranged ~500–850 individuals 100 mL−1 (measured as the displacement volume of the octocoral habitat), and densities of V. multiformis ranged 5–360 individuals 100 mL−1 (measured as the displacement volume of the biofouling habitat). Abundance of C. waltoni was significantly highest in the 2014 warm season (June–October) when numerous minute (≤0.5 mm body length) juveniles were present. Vallicula multiformis was abundant in the 2015 and 2016 warm seasons (July–October), and also relatively abundant in the 2016 cool season (March–April). Ctenophore abundance and surface seawater temperature indicate a significant positive response to warm‐season conditions in C. waltoni, whereas numbers of V. multiformis did not show any effect of seawater temperature. Recently settled individuals of V. multiformis (≤1.0 mm) occurred throughout the year. Individuals of V. multiformis recruited to fiber‐coated sponges during warm and cool periods, with mean body sizes increasing in one cohort from 1.41 to 6.46 mm over a 39‐d period, suggesting a growth rate of ~4% d−1. Feeding in both species involves tentacle capture of water‐borne zooplankton and particulate organic matter. Individuals of C. waltoni were also observed inserting tentacles into octocoral polyps, possibly pilfering food. Chlorophyll a was detected in extracts of both ctenophore species. The high abundances and feeding behavior of benthic ctenophores could have a strong influence on octocoral and biofouling communities.

Background: The first consensus standardised neonatal parenteral nutrition formulations were implemented in many neonatal units in Australia in 2012. The current update involving 49 units from Australia, New Zealand, Singapore, Malaysia and India was conducted between September 2015 and December 2017 with the aim to review and update the 2012 formulations and guidelines. Methods: A systematic review of available evidence for each parenteral nutrient was undertaken and new standardised formulations and guidelines were developed. Results: Five existing preterm Amino acid-Dextrose formulations have been modified and two new concentrated Amino acid-Dextrose formulations added to optimise amino acid and nutrient intake according to gestation. Organic phosphate has replaced inorganic phosphate allowing for an increase in calcium and phosphate content, and acetate reduced. Lipid emulsions are unchanged, with both SMOFlipid (Fresenius Kabi, Australia) and ClinOleic (Baxter Healthcare, Australia) preparations included. The physicochemical compatibility and stability of all formulations have been tested and confirmed. Guidelines to standardise the parenteral nutrition clinical practice across facilities have also been developed. Conclusions: The 2017 PN formulations and guidelines developed by the 2017 Neonatal Parenteral Nutrition Consensus Group offer concise and practical instructions to clinicians on how to implement current and up-to-date evidence based PN to the NICU population.

BackgroundWe previously reported widespread insecticide exposure during pregnancy among inner-city women from New York City. Here we report on a pilot intervention using integrated pest management (IPM) to reduce pest infestations and residential insecticide exposures among pregnant New York City African-American and Latina women (25 intervention and 27 control homes).MethodsThe IPM consisted of professional cleaning, sealing of pest entry points, application of low-toxicity pesticides, and education. Cockroach infestation levels and 2-week integrated indoor air samples were collected at baseline and one month postintervention. The insecticides detected in the indoor air samples were also measured in maternal and umbilical cord blood collected at delivery.ResultsCockroach infestations decreased significantly (p = 0.016) after the intervention among intervention cases but not control households. Among the intervention group, levels of piperonyl butoxide (a pyrethroid synergist) were significantly lower in indoor air samples after the intervention (p = 0.016). Insecticides were detected in maternal blood samples collected at delivery from controls but not from the intervention group. The difference was significant for trans-permethrin (p = 0.008) and of borderline significance (p = 0.1) for cis-permethrin and 2-isopropoxyphenol (a propoxur metabolite).ConclusionTo our knowledge, this is the first study to use biologic dosimeters of prenatal pesticide exposure for assessing effectiveness of IPM. These pilot data suggest that IPM is an effective strategy for reducing pest infestation levels and the internal dose of insecticides during pregnancy.

Reason for posting: Selective serotonin reuptake inhibitors (SSRIs) have not previously been demonstrated, as a group, to be teratogenic. 1 However, the results of an unpublished study 2 by GlaxoSmithKline (GSK) has led the US Food and Drug Administration and Health Canada to warn that one SSRI, paroxetine, may increase the risk of major congenital malformations. 3 Books Received Canadian Adverse Reaction Newsletter Bulletin canadien des effets indésirables To receive the Newsletter and health product Advisories free by email, join Health Canada's MedEffect mailing list. Go to www.hc-sc.gc.ca/dhp-mps/medeff/subscribe-abonnement/index_e.html. Inscrivez-vous à la liste MedEffet de Santé Canada pour recevoir gratuitement par courriel le Bulletin et les Avis au sujet des produits de santé. Rendezvous à l'adresse www.hc-sc.gc.ca/dhp-mps/medeff/subscribe-abonnement/index_f.html. Report adverse reactions toll free to Health Canada Signaler sans frais des effets indésirables à Santé Canada Tel.

We have developed a gas chromatography-high resolution mass spectrometry method for measuring pyrethroid, organophosphorus, carbamate and fipronil pesticides and the synergist piperonyl butoxide in human plasma. Plasma samples were extracted using solid phase extraction and were then concentrated for injection and analysis using isotope dilution gas chromatographyhigh resolution mass spectrometry. The limits of detection ranged from 10 to 158 pg/mL with relative recoveries at concentrations near the LODs (e.g., 25 or 250 pg/mL) ranging from 87% to 156% (9 of the 16 compounds were withing ± 15% of 100%). The extraction recoveries ranged from 20% to 98% and the overall method relative standard deviations were typically less than 20% with some exceptions. Analytical characteristics were determined at 25, 250, and 1000 pg/mL.