In Only one chance: how environmental pollution impairs brain development-and how to protect the brains of the next generation, Philippe Grandjean highlights the silent pandemic that is occurring as industrial chemicals disrupt brain development. He notes that we get only one chance to develop a brain and that damage to the developing brain of a fetus or child is likely to have lifelong effects. Along with listing 213 industrial chemicals, including fluoride, that are known to be able to reach the brain and cause brain toxicity, which he calls brain drainers, detailed examples are given of the effects of lead, mercury, arsenic, polychlorinated biphenyls (PCBs), and pesticides. The limitations of the placenta in protecting the fetus are discussed with examples including thalidomide, rubella (German measles), and alcohol. He notes similarities in the responses of vested interests to the descriptions of brain toxicity from lead, mercury, and fluoride. Grandjean concludes his book with a ten-point strategy to counter brain drain with the list being headed by optimal brain functioning being the key focus of health promotion. To promote ongoing discussion of the issues he has also set up a website: www.braindrain.dk.