People with intellectual and developmental disabilities have the right to live, work, learn, worship, and play in environments that are healthy and safe.
Environmental health focuses on “all the physical, chemical, and biological factors external to a person, and all the related factors impacting behavior. It encompasses the assessment and control of those environmental factors that can potentially affect health. It is targeted towards preventing disease and creating health-supportive environments” . Environmental exposures to chemicals play a key role in human growth and development, the maintenance of health, and the development of disability and disease [2,3,4]. The health impacts of contaminated homes, workplaces, and communities pose a greater risk for the developing fetus, children, and people who already have compromising health issues and are faced with health disparities. These individuals experience unique vulnerabilities. This includes individuals living with an intellectual or developmental disability. Advocacy around environmental health involves working to reduce the environmental hazards that contribute to intellectual and developmental disabilities and minimizing further risks to health for persons living with intellectual and developmental disabilities. The precautionary principle calls for “producers or manufacturers of products to demonstrate safety prior to potential exposure or to use the least harmful chemicals available” [5,6]. Research into links between environmental chemicals, development, and other environmental factors (e.g., genetics, nutrition, pharmaceuticals, and stress) is needed. Studies should also address the cumulative effects of ongoing exposures or chemicals that are stored in the body over time and their effect on development of individuals living with intellectual or developmental disability . Policy decisions should be based on sound evidence when available and the precautionary principle when evidence is not yet available.
Numerous pollutants in the environment, including contaminants such as lead, mercury, pesticides, carbon monoxide, radon, polychlorinated biphenyls (PCBs), brominated flame retardants, plastic monomers (bisphenol A), plastic additives (phthalates), solvents, and combustion-related air pollutants (polycyclic aromatic hydrocarbons, nitrogen dioxide, and fine particulate matter) can affect brain and nervous system development and function and contribute to adverse health outcomes and health disparities [2,5,7,8].
With regard to environmental health, our constituents must:
With regard to developing fetus and children:
Adopted by the AAIDD Board of Directors on July 11, 2012, and as revised and amended on April 8, 2020
1. World Health Organization. (n.d.) Health topics: Environmental health. http://www.who.int/topics/environmental_health/en/
2. Grandjean, P., & Landrigan, P. J. (2006). Developmental neurotoxicity of industrial chemicals. The Lancet, 368(9553), 2167–2178.
3. Institute of Medicine of the National Academies. (2011). Climate change, the indoor environment, and health. Washington, DC: The National Academies Press.
4. Schettler, T. (2001). Toxic threats to neurologic development of children. Environmental Health Perspectives, 109(Suppl. 6), 813–816.
5. Gilbert, S. G., Miller, E., Martin, J., & Abulafia, L. (2010). Scientific and policy statements on environmental agents associated with neurodevelopmental disorders. Journal of Intellectual and Developmental Disability, 35(2), 121–128.
6. Wingspread Conference on the Precautionary Principle. (1998, January 26). Precautionary principle. Science and Environmental Health Network. https://www.sehn.org/sehn/wingspread-conference-on-the-precautionary-principle
7. Payne-Sturges DC, Marty MA, Perera F, Miller MD, Swanson M, Ellickson K, Cory-Slechta DA, Ritz B, Balmes J, Anderko L, Talbott EO, Gould R, Hertz-Picciotto I.(2019). Healthy Air, Healthy Brains: Advancing Air Pollution Policy to Protect Children's Health. American Journal of Public Health, 109 (4), 550-554. doi: 10.2105/AJPH.2018.304902.
8. American Public Health Association. (2010, November 9). Policy Statement Database: A precautionary approach to reducing American exposure to endocrine disrupting chemicals. https://www.apha.org/policies-and-advocacy/public-health-policy-statements/policy-database/2014/07/09/09/03/a-precautionary-approach-to-reducing-american-exposure-to-endocrine-disrupting-chemicals
9. U.S. Department of Labor, Occupational Safety & Health Administration. Worker rights under The OSH [Occupational Health and Safety] Act, 1970. http://www.osha.gov/workers.html
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