HJNO Jul/Aug 2025

MAHA REPORT 34  JUL / AUG 2025 I  HEALTHCARE JOURNAL OF NEW ORLEANS   contaminants. 237 Elcombe, C. S., Evans, Neil P. & and Bellingham, M. Critical review and analysis of literature on low dose exposure to chemical mixtures in mammalian in vivo systems. Critical Reviews in Toxicology 52, 221–238 (2022). 238 Vermeulen, R., Schymanski, E. L., Barabási, A. L., & Miller, G. W. (2020). The exposome and health: Where chemistry meets biology. Science, 367(6476), 392–396. https://doi.org/10.1126/science.aay3164. 239 Rappaport SM, Smith MT. Epidemiology. Environment and disease risks. Science. 2010 Oct 22;330(6003):460-1. doi: 10.1126/science.1192603. PMID: 20966241; PMCID: PMC4841276. 240 Taiba, J., Beseler, C., Zahid, M., Bartelt-Hunt, S., Kolok, A., & Rogan, E. (2025). Exploring the joint association between agrichemical mixtures and pediatric cancer. GeoHealth, 9, e2024GH001236. https://doi.org/10.1029/2024GH001236. 241 Kassotis, C. D., & Phillips, A. L. (2023). Complex mixtures and multiple stressors: evaluating combined chemical exposures and cumulative toxicity. Toxics, 11(6), 487. 242 Kleinstreuer, N., & Hartung, T. (2024). Artificial intelligence (AI)—it’s the end of the tox as we know it (and I feel fine). Archives of Toxicology, 98(3), 735-754. 243 Landrigan, P. J., & Landrigan, M. M. (2018). Children and environmental toxins: What everyone needs to know®. Oxford University Press. 244 Mathiesen, L., Buerki-Thurnherr, T., Pastuschek, J., Aengenheister, L., & Knudsen, L. E. (2021). Fetal exposure to environmental chemicals; insights from placental perfusion studies. Placenta, 106, 58–66. https://doi.org/10.1016/j.placenta.2021.01.025. 245 Rodulfo-Cárdenas, R., Morales-Álvarez, A., García-Muñoz, M., Bonilla-Aldana, D. K., & Rodríguez-Morales, A. J. (2023). The influence of environmental particulate matter exposure during late gestation and early life on the risk of neurodevelopmental disorders: A systematic review of experimental evidences. Environmental Research, 236, 116792. 246 National Research Council & Institute of Medicine. (2000). From neurons to neighborhoods: The science of early childhood development. National Academies Press. 247 Ames, J. L., Sharma, V., & Lyall, K. (2025). Effects of early-life PFAS exposure on child neurodevelopment: A review of the evidence and research gaps. Current Environmental Health Reports, 12(1), 9. 248 von Holst, H., Nayak, P., Dembek, Z., & Buehler, S. (2021). Perfluoroalkyl substances exposure and immunity, allergic response, infection, and asthma in children: Review of epidemiologic studies. Heliyon, 7, e08160. 249 DeWitt, J. C., Peden-Adams, M. M., Keil, D. E., & Dietert, R. R. (2012). Current status of developmental immunotoxicity: early-life patterns and testing. Toxicologic pathology, 40(2), 230–236. https://doi.org/10.1177/0192623311427709. 250 Scheuplein, R., Charnley, G., & Dourson, M. (2002). Differential sensitivity of children and adults to chemical toxicity. I. Biological basis. Regulatory toxicology and pharmacology: RTP, 35(3), 429–447. https://doi.org/10.1006/rtph.2002.1558. 251 Naji-Talakar, S., Sharma, S., Martin, L. A., Barnhart, D., & Prasad, B. (2021). Potential implications of DMET ontogeny on the disposition of commonly prescribed drugs in the majority of samples (>90%) were compliant with federal standards. 307 More recent data from the USDA’s Pesticide Data Program found that 99% of food samples tested in 2023 were compliant with EPA’s safety limit. 308 Federal government reviews of epidemio- logic data for the most common herbicide did not establish a direct link between use according to label directions and adverse health outcomes, and an updated U.S. government health assessment on common herbicides is expected in 2026. Importantly, the Executive Order establishing the MAHA Commission directed the involved agencies to work with farmers to ensure that United States food is the healthiest, most abundant, and most affordable in the world. American farmers are critical partners in the success of the Make America Healthy Again agenda. All the involved agencies are therefore committed to ensuring not just the survival, but the prosperity, of American Farmers. American farmers rely on these products, and actions that further regulate or restrict crop pro- tection tools beyond risk-based and scientific processes set forth by Congress must involve thoughtful consideration of what is necessary for adequate protection, alternatives, and cost of production. Precipitous changes in agricultural practices could have an adverse impact on American agriculture and the domestic and global food supply. The federal government will continue to regularly review the safety of these important crop protection tools. Corporate Influence Scientific Research A significant portion of environmental toxicology and epidemiology studies are conducted by private corporations. 309 Reports in 2023 indicate that the largest pesticide manufacturers spent billions on research initiatives. 310 311 312 313 Limited comparisons between industry- funded research versus non- industry studies have raised concerns over potential biases in industry-funded research. These disparities are potentially due to bias in study design and reporting, along with publication bias favoring positive findings in aca- demic research. 314315 Such biases amplify potential discrepancies in the literature and limit the scientific publication of unfavorable results: • An analysis of a common pesticide found that 50% of non-industry research found it harmful, compared to 18% of industry-funded studies, which also reported fewer significant adverse results (9% vs. 33%). 316 • An analysis of 115 studies before 2005 revealed that 100% of chemical industry-funded studies declared BPA safe, while over 90% of non-industry research identified harm at low doses. 317 318 • Recently analyzed confidential documents from industry leaders revealed that the PFAS industry focused on suppressing unfavor- able research and distorting public discourse, effectively delaying public awareness of its dangers. 319 • Secondary analysis of approximately 2,500 “high production volume”chemicals suggests that further toxicological studies may be necessary to ensure adequate understanding of their potential health effects. 320 321 322 Additionally, some industry leaders have engaged in promoting ghostwriting and spon- sored reviews to influence the scientific literature. Notably, this ghostwriting strategy mirrors tactics used by the tobacco industry to distort scientific consensus. 323 Laws and Regulations Corporate influence stretches beyond extensive involvement in scientific research to include active governmental lobbying: • In 2024, the chemical-manufacturing lobby spent roughly $77 million on federal influence activities—placing the industry among Lousiana ranks 4 out of 56 states/territories nationwide based on total releases per square mile (Rank 1 = highest releases) Source: https://enviro.epa.gov/triexplorer/ tri_factsheet.factsheet_forstate?pYear=2022& pstate=LA&pParent=NAT

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