LEAD POISONING
Item
- Title
- LEAD POISONING
- extracted text
-
erence
atment
igalore
999
The George Foundation
Bangalore, India
February 8, 1999
Distinguished Speakers, Delegates and Attendees:
On behalf of The George Foundation, I wish to thank you for participating in this
important conference. Your expertise and experience will greatly contribute to a better
understanding of the different dimensions of Lead Poisoning so that we may jointly find
ways to deal with the problem.
Lead poisoning presently affects over 100 million children and many other categories of
the urban population in India. This environmental health hazard is widespread in
practically every developing country. Unless we deal with it effectively and quickly, the
loss in productivity of the future workforce and the suffering will be enormous.
The goal of this International Conference on Lead Poisoning Prevention and Treatment
is to formulate a comprehensive plan that can be implemented at national levels in
developing countries. Free exchange of ideas among participants over the next three
days will, in my opinion, result in accomplishing this goal.
Thank you once again for your participation.
Best wishes and kind regards,
Abraham M. George
Managing Trustee
LEAD POISONING:
INTERNATIONAL
PREVENTION
CONFERENCE
AND
ON
TREATMENT
Hotel Ashok, Bangalore
February 8-1 0, 1999
His Excellency Shri Khurshed Alam Khan
Governor of Karnataka
Presiding
Shri Suresh Prabhakar Prabhu
Hon’ble Union Minister for Environment & Forests
Chief Guest
and
Shri. J.H. Patel
Hon’ble Chief Minister of Karnataka
Guest of Honour
LEAD POISONING:
INTERNATIONAL
PREVENTION
CONFERENCE
AND
ON
TREATMENT
SPONSORED BY:
The George Foundation
The World Bank
US Centers for Disease Control and Prevention
US Environmental Protection Agency
World Health Organization
CO-ORGANIZERS
Ministry of Environment & Forests, Government of India
Ministry of Health & Family Welfare, Government of India
Johns Hopkins University
Friends of Lead-Free Children (USA)
ADDITIONAL ASSISTANCE PROVIDED BY:
ICICI Limited
Indian Oil Corporation Ltd
Bharat Petroleum Corporation Ltd
Hindustan Petroleum Corporation Ltd.
Oil & Natural Gas Corporation Ltd.
Prime Minister
message
I am immensely happy to know that The George
Foundation is organising an International Conference on
Lead Poisoning at Bangalore on February 8, 1999. Lead
Poisoning is slowly emerging as the second deadly
scourge, next only to AIDS, that is qualitatively affecting
the living conditions of thousands of our countrymen.
Available statistics indicate that lead pollution in our
environment has reached alarming levels and Government
has taken the first step to eliminate this potent hazard by
making lead-free petrol mandatory for use by all
automobiles.
The
efforts
of
Non-Governmental
Organisations like The George Foundation to sensitise and
create awareness among the public about the ills of lead
pollution is commendable. I hope the deliberations at the
International Conference will provide a good opportunity
for a better understanding to tackle this problem
immediately. I extend my best wishes to The George
Foundation for the success of the Conference.
(A.B. Vajpayee)
New Delhi
January 25, 1999
RAJ BHAVAN
bangalore
11 Jar luar y, 1993
MtSSAGiz
i am happy to know that the George Foundation,
Bangalore is hosting an international Conference on “Lead
Poisoning-Prevention and Treatment” during the month of
February 1999 at Bangalore.
Lead poisoning is the environmental problem for
every one. The toxic effect of lead is causing a serious
health problem.
I hope the deliberations in the Conference will be
useful for prevention of Lead poisoning especially among
Children.
On this occasion I extend my warm greetings to the
Organisers and delegates and wish the Conference ail
success.
(KHURSHED ALAM KHAN)
’ft-
«rrxw 'ur^rc
mf fawn-110003
SURESH P. PRABHU
MINISTER
ENVIRONMENT &. FORESTS
GOVERNMENT OF INDIA
NEW DELHI-1100C3
MESSAGE
I am delighted to know that an International Conference on Lead
Poisoning Prevention and Treatment is being organized by The George
Foundation together with other institutions concerned about environmental
protection, disease control and prevention.
I am also aware of the laudable efforts that the Foundation has made
to pioneer Project Lead-Free, an extensive lead screening programme in
seven m^jor cities of India. I congratulate all those who have contributed
and participated in this venture.
Lead poisoning is an environmental, disease especially among young
children, that needs immediate attention as our children are the future of
this nation. India is a fast developing country, and with our growth,
strategies need to be evolved to deal with the adverse effects of this
problem.
With the ensuing increase in the number of automobiles and other
lead-relutod industries, this is the right time to develop programmer on
understanding and preventing lead poisoning. This Ministry will take
appropriate measures to address the lead poisoning problem in India.
My congratulations to the organisers of this pioneering effort, and I
wish the Conference all success.
JAIHLSD
SURESH P. PRABHU
('Nd3 JFHT?)
xyq mR<ir tbesrrtn
Hirn TRcpR
DALIT EZHILMALAI
- 110 011
MINISTER OF STATE
(INDEPENDENT CHARGE)
HEALTH AND FAMILY WELFARE
GOVERNMENT OF INDIA
NEW DELHI - 110 011
MESSAGE
I am glad to know that the George Foundation is going to organise an
International Conference on Prevention and Treatment - Lead Poisoning. I
understand that International Scientists and Policy Makers I Administrators who
are recognised leading experts across the world are going to participate in the
Conference. This Conference will not only benefit India, but also other developing
Countries with similar issues and problems with regard to Lead Poisoning. I hope
the deliberation in the Conference would be helpful for updating and upgrading the
expertise among the Indian experts in the field.
On this occasion, I congratulate the Foundation for its endeavour and wish
the conference all success.
(DALIT EZHILMALAI)
Place: New Delhi
Date: 29.1.1999
J. H. PATEL
BANGALORE-560001
CHIEF MINISTER
DATED. 3.0 ^0
MESSAGE
I am happy that an International Conference
on the Prevention and Treatment of Lead Poisoning
is being hosted and organised by The George
Foundation
in
the
Bangalore
during
also understand
that a
of
city
8th-10th February,1999.
I
large number of Scientists and Experts who have
received recognition from World bodies such as
WHO, World Bank, Centre for Disease Control and
Prevention and other Environmental Institutions
will be attending.
As the participants are
Specialists from all
over the World, I am confident that the Conference
will give serious thought to the problem of lead
in our Society especially on
its
effect on
children, whom I understand are most
vulnerable
not only in India but all over the World. It is
also heartening that,
both Central and State
Governmental
officials
will
be
participating
in
the Conference. I do hope that the deliberations
of the Conference will form the basis of suitable
guidelines
to
our
Government
for
necessary
implementation of a meaningful policy and draw a
workable time bound plan for eradication of the
lead problem.
I
wish
the
Conference
great
success
and
congratulate The George Foundation for pioneering
this event.
(J.H.PATEL)
Admiral O.S.Dawson,I. N.(Retd)PVSM,AVSM,
1155,6th Main Road,4th Block,
1st Stage,HBR Layout,
BANGALORE-560 084■
The World Bank
Washington, D.C. 20433
U.S.A.
MIEKO NISHIMIZU
Vice President
South Asia
December 30, 1998
Lead Poisoning: An International Conference on Prevention and Treatment
Welcome to this conference, co-sponsored by The George Foundation, the Centers for
Disease Control and Prevention (U.S.A.), the U.S. Environmental Protection Agency, and the
World Bank.
Human exposure to lead is a major environmental health hazard. Since 1996, it has been one
of the World Bank's ten highest priority environmental issues. As a participant of this conference,
you are aware that children are the most susceptible to lead’s detrimental effects - and that it is our
responsibility to prevent this unnecessary poisoning.
A large part of the lead poisoning problem can be attributed to the use of lead in gasoline.
Significant reduction in human exposures to lead can be achieved cost-effectively by eliminating this
hazard. The benefits of doing away with leaded gasoline are immediate and measurable, and far
outweigh the costs. The conversion to unleaded gasoline could, in principle, be carried out within
five years if countries committed themselves to a comprehensive phase-out program.
The World Bank has collaborated with regional lead phase-out programs in Latin America,
the Caribbean Basin, Central and Eastern Europe, and the former Soviet Union. In Asia, between
1991 and 1995, the World Bank helped the Government of Thailand introduce a series of
initiatives that resulted in the elimination of leaded gasoline and the reduction of ambient lead
levels in the air by a factor of ten. By 1995, leaded gasoline was effectively eliminated in
Thailand, at a net cost of US$0.2 per liter of gasoline.
On the full range of lead poisoning issues, including the reduction of multiple sources of
human exposure and increasing the range of viable treatment options, there is much more that can
be done in Asia. We are here to help see that more is done, both in our work within individual
countries, and through regional meetings such as this one.
The recognition of the lead problem, and the necessary political commitment to do something
about it, have decisive roles in any effective lead phase-out process. We expect that this conference
will add to your knowledge of the lead poisoning problem and its specific solutions - and we hope
that you will leave with a renewed commitment to address this and to implement workable solutions
in your country. Thank you for your interest and willingness to participate.
Mieko Nishimizu
Vice President
South Asia Region
DEPARTMENT OF HEALTH & HUMAN SERVICES
Public Health Service
Centers for Disease Control
and Prevention (CDC)
Atlanta GA 30341-3724
Dear Honored Guests:
On behalf of the United States Centers for Disease Control and Prevention (CDC), I wish
to extend a warm welcome to all of you who are attending this conference.
We are honored to be a primary sponsor of this important event. The CDC has taken an
active role in helping to organize this conference because we fully understand the health
damage caused by excessive lead exposure.
Through the decades, the CDC has aggressively pursued research and evaluated scientific
data in order to formulate policy recommendations regarding the proper actions needed to
eliminate childhood lead poisoning. We have learned that the prevention of lead
poisoning requires a coordinated society-wide effort to eliminate this disease. And in the
United States, we have been successful: the percentage of children with elevated blood
lead levels has dropped 95% since the late 1970s. We expect to eradicate this disease
completely in the United States by the year 2011.
However, the sources and pathways of lead exposure in India are different. It is vital that
information about the Indian situation be used wisely, so that India can also eliminate this
entirely preventable disease. I trust that the delegates will benefit greatly from the
knowledge and commitment shared at this landmark conference. I also trust you can take
this information back home and utilize it in a manner which will help reduce the lead
exposure to the children and families living in your communities. I wish you all the best
in this most important undertaking.
Sincerely; yours,
‘/Richard
Director
National Center for Environmental Health
UNITED STATES ENVIRONMENTAL PROTECTION AGENCY
WASHINGTON, D.C. 20460
JAN 15 1999
OFFICE OF
INTERNATIONAL ACTIVITIES
Dr. Abraham George
The George Foundation
Bangalore, India
Dear Dr. George:
Thank you for bringing to my attention the International Conference on Lead Poisoning.
It is an honor for the USEPA to participate as a sponsor as well as providing speakers.
Lead poisoning is one of the most serious and prevalent diseases of environmental and
occupational origin in the world. Yet, it is an entirely preventable problem. Lead poisoning
affects virtually all human biochemical processes and organ systems leading to a broad range of
serious and often irreversible health consequences, especially in children.
This conference, organized and hosted by the George Foundation and co-sponsored by
the World Bank, the Centers for Disease Control and Prevention and the U.S. Environmental
Protection Agency, presents an important opportunity for leaders in the field to discuss the
problem of lead poisoning and to identify shared strategies to prevent this disease that affects
children, workers and their families in India and in other developing countries. I am confident
this conference will prove extremely useful as its participants represent experts from academia,
government and industry who have an active interest in lead exposure reduction and treatment.
The George Foundation should be congratulated for bringing together such a broad-based
coalition of individuals, each of whom will be a valuable contributor to this worthy process.
The U.S. Environmental Protection Agency wishes the Conference every success and is
confident that this effort will mark the beginning of a long and productive dialogue among
delegates that will result in specific, achievable actions to improve the health, environment and
quality of life of people in India and around the world.
Sincerely,
Recycled/Recyclable
X1C7
Printed with Soy/Canola Ink on paper that
contain! at least 50% recycled fiber
WORLD
HEALTH
ORGANIZATION
ORGANISATION MONDIALE DE LA SANTE
Distinguished Delegates and Attendees
On behalf of the World Health Organisation I wish to welcome you to this important
international conference on the Prevention and Treatment of Lead Poisoning. In particular I
wish to thank the organisers, and especially the George Foundation, for taking the initiative in
putting together this stimulating and innovative programme. The surveillance program that has
been undertaken here in India is truly extraordinary. We congratulate you on your efforts and
hope that this important initiative will help to stimulate further awareness of the public health
impact of lead poisoning throughout the world, most particularly in developing countries.
WHO has long considered lead poisoning to be a key preventable disease of immense potential
public health impact. Worldwide, human exposure to lead remains an important issue, whether
this occurs in the workplace, the home environment, or the community environment at large.
Lead is one of the best studied toxic substances, the health effects of which we probably know
more about than virtually any other chemical. Its ill-health effects have been well documented
across an extremely wide range of exposure, right down to very low levels approaching the
limits of detection. The very young, the poor and the occupationally exposed are normally
most at risk.
Over many years WHO has been actively involved in initiatives aimed at obtaining a better
understanding of the problem in all its dimensions, from the toxicology and epidemiology of
clinical and sub-clinical lead poisoning, to measures associated with its prevention and control.
This conference provides a unique opportunity to draw on the shared experiences and lessons
learned from many different organisations and countries, with varied perspectives and insights
into the problems faced. I hope that your discussions here during the next few days will help to
influence relevant regulation and policy issues, so that current and future generations will be
protected against one of the most insidious environmental health problems which has plagued
us for so long. I wish you well in your deliberations.
Yours Sincerely
Mrs Poonam*Khetrapal Singh
Executive Director
Sustainable Development and Healthy Environments
CH-12U GENEVA 27-SWTTZERLAND Telegr.: UNISANTE-GENEVA Telex: 415416 OMS F« 791.07.46 CH-1211 GENEVE 27-SUISSE Tdlegr.: UNISANTE-GENEVE
WORLD
RESOURCES
INSTITUTE
1709 New York Avenue, N.W., Washington, D.C. 20006, Telephone: 202-638-6300
Facsimile: 202-638-0036 WWW: http//www.wri.org/wri/ gopher://gopher.wri.org:7018/
The George Foundation
1155, 6th Main Road
4th Block, 1st Stage HBR Layout
Bangalore, India 560084
The World Resources Institute (WRI) congratulates The George Foundation for taking the
initiative to organize the International Conference on Prevention and Treatment of Lead
Poisoning in Bangalore, India. Lead poisoning is a very important health problem, affecting
millions of young children, not only in India but all over the world. At this stage, WRI is planning
a larger program focussed on Global Children’s Health, in which lead poisoning will feature along
with other environmental health problems as an important component.
Our publication, the World Resources. A Guide to the Global Environment, took note of this
problem as part of its larger theme of “Environmental Change and Human Health” in its 1998-99
issue (available through our website: www.wri.org). This report was prepared jointly with the
World Bank, the United Nations Environment Programme and the United Nations Development
Programme.
We wish all the assembled experts and participants success in their efforts to draw a workable
plan for controlling the lead problem in India and other countries in the South and East Asian
region.
Sincerely,
Devra L.Davis, Ph D., MPH
Director
Health, Environment & Development
World Resources Institute
Deputy Director
Health, Environment & Development
World Resources Institute
AGENDA
LEAD POISONING:
An International Conference on Prevention and
Treatment
Organized and hosted by The George Foundation
3:00 - 3:30 Banquet Hall
c)
Sources and Pathways of Lead in the Environment
(Dr. J. Schwartz)
3:30-5:00
February 8 -10, 1999 in Bangalore, India
d)
Panel Discussions (concurrent):
Co-sponsors: The George Foundation, The World Bank,
i)
How to measure lead in humans, and to organize and
Centers for Disease Control and Prevention (USA),
conduct large scale screening (Dr. W. Matson,
Environmental Protection Agency (USA), World Health
Dr. M. Chaudhary-Webb, Dr. P. Parsons,
Organisation (WHO)
Dr. D.K. Saxena, Dr. S. Cummins, Dr. J. Vaz,
Dr. S. Rajarathanam, Dr. R. Parr) - Chanakya A.
Asssisted by: Government of India, Ministry of Health,
ii)
Government of India, Ministry of Environment & Forests,
Industrial Credit and Investment Corporation
Dr. G. Noonan, Dr. X. M. Shen, Dr. S. Akbar,
of India (ICICI), Indian Oil Corporation,
Dr. D.J. Parikh) - Chanakya B.
Johns Hopkins University (USA), Friends of
iii)
Lead-Free Children (USA).
Welcome Address (Admiral S. Dawson, Chairman,
Project Lead-Free)
Introductory Remarks (Dr. A. George, Managing Trustee,
b)
The George Foundation)
c)
Opening Remarks by co-sponsors (Ms. M. Nishimizu,
The World Bank; Dr. H. Falk, CDC; Mr. William Nitze,
EPA, Mrs. P.K. Singh, WHO)
d)
Remarks by dignitaries
Tea Break: I 1.00-1 1.30
I 1:30-12:30 Banquet Hall
f) Commencement Speech: "Long-term Impact of Lead
Poisoning on the Workforce and Society"
(Ms. P.K. Singh, WHO)
g) Key-note Speech: “The importance of and
Empirical evidence on lead sources and pathways in
India (Dr. T. Venkatesh, Dr. S. Tandon, Ministry of
environment. Dr. D.C. Sharma, Dr. V. Iyengar.
DAY I:
9.30 - 12:30
I. CEREMONIAL
a)
Investigating environmental lead sources and pathways
(Dr. B. Gulson, Dr. B. Sonawane, Dr. I. Romieu,
Dr V. Potula, Dr. S.J.S. Flora) - Convention A
DAY 2:
9:30 - I 2:30 Banquet Hall
3.
ENVIRONMENTAL SOURCES AND
PREVENTION APPROACHES
9:30-10:00 Banquet Hall
a)
Lead Poisoning Prevention, U.S. (Dr. E. Silbergeld)
10:00 -10:30Banquet Hall
b)
Lead Poisoning Prevention, Latin America
(Dr. M. Hernandez-Avila)
10:30-1 1:00 Banquet Hall
c)
Lead Poisoning Prevention, Asia (Dr. S. Tridech)
I 1:00-1 1:30 Banquet Ha//
d)
Phasing out lead from gasoline (Ms. M. Lovei)
I 1:30-12:30
considerations in implementing a national
e)
Panel Discussions (concurrent):
lead poisoning prevention program"
i)
Non-fuel lead sources in developing countries
(Dr. H. Falk, CDC)
(Dr. Li Zhu, Dr. Abdel-Nasser, Dr. M. K. Sudarshan,
12:30 - 2:00 Luncheon and speech: Banquet Hall
History of Lead poisoning in The World
(Dr. H. Needleman)
2:00 - 5:00
2. NATURE AND EXTENT OF LEAD POISONING
2:00 - 2:30 Banquet Hall
a)
Findings of Project Lead-Free (Dr. T. Venkatesh)
2:30 - 3:00 Banquet Hall
b)
Interpretation and use of blood lead data
(Dr. T. Matte)
Dr. H. Parmesh, Dr. C.V. Anand, and
Mr. J. Rochow) - Chanakya A.
ii)
Transition to unleaded fuels (Dr. B. Sonowane.
Dr. S.N. Roy, Ms. Lovei, Mr. C. Prakash,
Dr. T.K. Bandyopadhyay, Dr. M. Ahmed,
Mr. P.N. Rangan) - Chanakya B.
iii)
Educating a low literacy population on prevention:
preventive measures to be taken by community
and family (Dr. J. Mitra. Mr. A. Fast, Dr. N.S. Kumar,
Dr. S.J.S. Flora, Dr. J. Phoenix, Dr. M. Hernandez-Avila.
Dr. S. Akbar) - Convention A.
12:30 - 2:00 Luncheon and speech: Banquet Holl
commitment to preventing lead poisoning: a challenge for
Nutrition and lifestyle impacts on lead poisoning levels
(Dr. P. Nair)
Lead Poisoning Research and Public Health Issues
(Dr. P. K. Seth)
the next decade (Dr. N.K. Ganguly)
2:00 - 3:30 Workshops (continued):
i) Screening standards, laboratory requirements, and
coverage in a National Program (Dr. R. Kaufmann,
2:00 - 5:00
4. HEALTH EFFECTS, DIAGNOSIS, AND
TREATMENT
Dr. R. Reigart, Dr. R.K. Choudhury, Dr. W. Matson,
Dr. V. Iyengar) - Chanakya A
ii) Public health policies on treatment protocols and
2:00 - 2:30 Banquet Hall
a)
Mr. A. Fast, Dr. P. Parsons, Dr. Chaudhary-Webb,
availability of services (Dr. X.M. Shen, Dr. M. Markowitz,
Impact of lead on behavior and learning of children
Dr. W. Rogan. Dr. D. Nag, Dr. S. Tandon, Mr. A. Perti,
(Dr. H. Needleman)
Dr. T. Rozema, Dr. S. Roy, Dr. M. Lahiri) - Chanakya B
2:30 - 3:00 Banquet Hall
b)
iii)
Clinical Profile of lead poisoning (Dr. D. Nag)
Dr. J. Schwartz, Dr. Gajghate, Dr. D.C. Sharma,
3:00 - 3:30 Banquet Hall
c)
Dr. Shivalingaiah, Dr. R. Parr, Dr. T.K. Bandyopadhyay, Dr.
Role of physician: anticipatory guidance, diagnosis and
M. Ahmed) - Convention A
follow-up of patients (Dr. R. Reigart)
Effective implementation of Leaded fuel phase-out
iv)
3:30-5:00
d)
Panel Discussions (concurrent):
i)
Role of Health Care System (Dr. S. Cummins.
Dr.A.FA. Mascarenhas, Dr. V. John, Dr. Xiao-Ming Shen,
Dr. M.K. Sudarshan, Dr. C. Petrowski) - Chanakya A
ii)
Monitoring environmental sources, setting standards and
legislation ( Mr. R. Ackerman, Dr. B. Sonawane,
(Mr. J. Shah, Ms. M. Lovei, Mr.C.Prakash, Mr. P.V.R. Ayyar,
Mr. M.K. Suri, Mr. M.N. Muralikrishna, Mr.
Worker safety and health, and regulatory enforcement
v)
(Dr. M. Hernandez-Avila, Dr. G. Noonan, Dr. Abdel-
Health Effects of Lead in Children and Adults
Nasser, Dr. T. Matte, Dr. E. Silbergeld, Dr. D.J. Parikh,
(Dr. H. Needleman, Dr. R. Reigart, Dr. D. Nag,
Dr. Li Zhu, Dr. U.K. Bhadra, Dr. H.N. Saiyed,
Dr. R. Chatterjee, Dr. P.P. Maiya,
Ministry of Health rep.) Banquet Hall
Dr. D.J. Parikh) - Chanakya B
iii Treatment protocols (Dr. W. Rogan, Dr. T. Rozema.
Role of Ministries of Health and Environment: national and
vi)
state ( Dr. S. Cummins, Mr. B. Nitze, Dr. I. Romieu, Dr. H.
Dr. S. Tandon, Dr. M. Markowitz, Dr. P.S. Shankar,
Falk. Dr. V. Jagadeesan, Dr. R.K. Chandoke, Dr. M.Z.
Dr. B. Gulson) - Convention A
DAY 3:
B. Ramaiah,
Ministry of Environment rep.) - Convention B
Hasan, Dr. B. Sengupta, Ministries of Environment and
'
'^1
9:30- 12:30
5. DEVELOPING A NATIONAL LEAD POISONING
PREVENTION AND TREATMENT PROGRAM
Health reps.) - Suite 600
vii)
Role of NGOs, foundations and private sector
(Dr. C. Pertowski, Dr. H. Needleman, Dr. P. Nair,
Dr. Ananthanarayanan, Dr. M.S. Mahadeviah,
Dr. C. Mukhopadhyay, Mr. J. Rochow) - Board Room
9:30- 10:00 Banquet Hall
a)
Setting Priorities and roles for Government, Private
3.45-5:15 Workshop Reports Banquet Hall
(Moderators: Dr. R. Kaufmann, Mr. S. Akbar,
Sector, NGOs (Dr. S. Cummins)
Dr. B. Sonawane, Dr. T. Venkatesh)
10:00- 10:30 Banquet Hall
b)
Standards, Legislation and Enforcement Issues
(Mr. D. Ryan)
10:30- I 1:00 Banquet Hall
c)
Developing and Implementing a National Plan -
Discussion Points (Dr. A. George)
I 1:00 - 12:30
d)
Workshops (concurrent; listed below)
12:30 - 2:00 Luncheon and speech. : Banquet Hall
Lessons learned from environmental policies in other
countries that could be beneficial to establishing a national
lead prevention program (Mr. B. Nitze, EPA) National
7:00 - 9:30
6. CONCLUDING CEREMONY AND DINNER
a)
Introductory remarks (Admiral S. Dawson)
b)
Keynote Speech (Mr. R. Ackermann, The World Bank)
b) Awards
c)
Vote of Thanks (Dr. A. George)
AFTER-SESSION PRESENTATION OF
RESEARCH PAPERS
Topic: Why measure Pb deposition rates over short time
periods.
he following presentations will be made from 5.15
T
PM to 6.15 PM on Day I and Day 2 as indicated.
Day 2: Chanakya A
Each individual will have 10 minutes to present the
10.
Prof. Yona Amitai
paper followed by 10 minutes for questions and answers.
Prof., Dept, of Pediatrics, Hodassah University Hospital,
Day I: Chanakya A
Topic: Prenatal Lead Exposure in a Highly Polluted Area in
Israel
I.
Shri. Rakesh Kumar
Scientist & Head, National Environmental Engineering
Research Institute, Mumbai
Topic - Urban Pollution from Traffic.
2.
Dr. D. K. Biswas
Associate Director & Head, Naval Metallurgical Research
Lab, Mumbai.
Topic - Use of Lead in Marine Applications.
3.
Topic: Occupational and Lifestyle Determinants of Blood
Lead Levels among Men in Madras.
I 3. Dr. Zheng Xingquan
Institute of Environmental Health Monitoring, China
overview of the Indian scene and preventive measures.
Topic.
Dr. Ananthanarayan
14. Dr. Janet A Phoenix
Manager of Public Health Programs, Environmental Health
Center of the National Safety Council.
Topic: Designing Lead Poisoning Prevention Education
Programs
Dr. S. K. Tyagi
15. Prof. B.S. Murthy
Topic - Impact of Phasing out of Lead in Petrol in Delhi -
Visiting Professor, Santa Clara University, U.S.A
A case study
Topic : Automobile Related Problems of Lead Poisoning
Dr. A. M. Cherian,
tology, Christian Medical College
Topic - A case series-clinical presentation of 6 cases on
Lead Poisoning.
Day I: Convention A
Dr. Kalpana Balakrishnan
Head, Environmental Health Engineering Cell,
Sri Ramachandra Medical College. Chennai
Topic - Health risk assessment for Lead exposure.
Ms. Sukanya Boonchalermkit
Chief of Toxic Substance Section, Dept, of Environmental
Quality Promotion, Thailand
Topic: Study on lead residue from battery in Pathumthani
province by using hair sample.
9.
Visiting Scientist, Harvard School of Public Health
for total lead. Isotopic ratio and Specification and an
Prof. & Head of Medicine-ll/Thoracic Medicine & Rheuma
8.
12. Dr. Vijo Potula
Day 2: Chanakya B
Scientist, Central Pollution Control Board, Delhi
7.
Topic. Lead prevention & treatment problems in Australia
Director, Gharda Chemical Ltd., Mumbai
Topic.
6.
Head of State-wide Lead Poisoning Prevention, Australia
Topic - Lead Poisoning - Spotlight on analytical procedures
Director, All India Institute of Public Health, Calcutta
5.
I I. Dr. Ann Carroll
Dr. P. S. Ramanathan
Day I: Chanakya B
4.
Kazakhstan
Mr. Mike van Alphen
Manager, Environmental Monitoring, Public & Environ
mental Health Service, Australia
Perform Lead Analysis
in Your Office
fast &
easv
Eliminate lead poisoning concerns as simply
as a fingerstick, dilution, press of a button.
By finding the children, your patients, with elevated
lead levels quickly, you can manage their care and
effectively manage office time and scheduling.
Quick. Easy. Time-effective.
•—dA.
//~7
V CSa
'
ESA, Inc., 22 Alpha Road
Chelmsford, MA 01824-4171 USA
T: (978) 250-7000
F: (978) 250-7090
http://www.esainc.com
Leaders in Blood Lead Analysis
FOR THE HOME YOU'VE SET YOUR HEART ON
Home loon pions from HDFC
shorresr
rime.
possible
Yes.
for
In rhe
over
sevenreen yeors, our housing finonce hos
helped individuols. co-operorive societies
ond componies.
We hove helped over million families
to ser up home
Quire o comforting
thought isn'r ir!
S HDFC
Regd Office Romon House. 169. Bockbay Reclamation.
Mumbo. 400 020
Phone: 2820282. 2836255
WITH
YOU
RIGHT
THROUGH.
ULKA-1866.1
BANGALORE HDFC House. 51. Kasturba Road. Bangalore 560001 Phones 2271991,2234142, 2210438.
HUBLI: Sona Chambers. Gr Floor. Portion Shop No.1 & 2, 124. Club Road. Hubli 580 020. Phone: 352138.
SPEAKERS & PANELISTS
Dr. C.V. Anand, PhD, is
Professor, Department of
Biochemistry, M.S. Ramaiah
Medical College, Bangalore. His research interests
are in biochemical changes on lungs, heart, kidney
and platelets brought about by cigarette smoke. He
has over 25 years of undergraduate and
postgraduate teaching experience.
Dr. M. Abdulla is a member of the newly
inaugurated trace element institute of UNESCO in
Lyon, France, and is also in the staff of the
University Hospital in Lund, Sweden. He has done
extensive work in the field of lead poisoning, and
his doctoral thesis was on the interaction of lead
and zinc.
Dr. M. Ahmed, MBBS, is the Chief Medical Officer,
Indian Oil Corporation Ltd., Barauni Oil Refinery,
Bihar. He is a member of the Committee on
Occupational Health and Safety set up by Oil
Industry Safety Directorate, and has written papers
in occupational health.
Mr. Richard Ackermann is
Sector Manager, Environment,
for the South Asia Region in
The World Bank. In that
capacity, he has
operational responsibility for
the environmental aspects of
the Bank's Regional portfolio of
over 200 investment projects.
Prior to this appointment, he
was Chief of Technology and Pollution Policy in the
Environment Department, where he was
responsible for World Bank policy on urban and
industrial environmental issues, including a growing
program to promote partnerships between
governments and the private sector.
Dr. Abdel Nasser Mohamed
Ahmed serves as the Director
of the Field of Epidemiology
Training Program (FETP) in the
Ministry of Health &
Population in Cairo, Egypt. His
recent field work has included
surveys of Pb tocicity,
investigations of outbreaks, and establishing and
strengthening disease surveillance.
Dr. Abdel Nasser is a physician with subspecialty
training in Pediatrics and a Master’s degree in
Epidemiology, and is a senior member of Egypt's
Department of Maternal and Child Health.
Dr. Sameer Akbar is an
Environmental Specialist with The World Bank in
India. Previously, he worked as a research associate
at the Imperial College Centre for Environment
Technology, UK. His doctoral thesis was on the
assessment of respiratory damages in relation to
particulate air pollution in Delhi.
Air. P.V.R. Ayyar is the General Manager, safety
and Environment Protection, at New Delhi HQ of
Indianoil Corporation, Ltd. He has held various
managerial responsibilities in the areas of Refinery
Operations, Technical Services and Product
Development. He has presented several technical
reports on Refinery Technology.
Dr. R.K. Choudhury, PhD, is Scientific Officer,
Nuclear Physics Division, Bhabha Atomic Research
Center, Mumbai. His areas of work include Fission,
Heavy ion reaction, X-ray Fluorescence. He has
published over 250 research papers, 65 of which are
in international journals.
Dr. T. K. Bandyopadhya, PhD, is a Joint Director
in the Ministry of Environment & Forest,
Government of India. Previously, he served in the
Central Pollution Control Board, and specialised in
industrial pollution prevention and management of
waste.
Dr. R.K. Chandoke, the Co-ordinator of Delhi
Chapter of Project Lead-free, is the Head of
Pathology at Indira Gandhi E.S.I Hospital, Delhi. He
is a practising Pathologist and Microbiologist who
has spent time creating awareness on lead poisoning
among children and industrial workers.
Air. Carter Brandon is a
Senior Environmental Economist at The World
Bank, and leads the economics team in the South
Asia Environment Unit. He manages the World
Bank environmental activities in India and
Bangladesh. He was educated at Harvard and
Oxford Universities, and was a Rhodes Scholar.
Dr. Susan K. Cummins is the
Chief of the Childhood Lead
Poisoning Prevention Branch of
the California Department of Health Services. Dr.
Cummins is currently the Chair to the Advisory
Committee on Childhood Lead Poisoning
Prevention for the US Centers for Disease
Control and Prevention. As a pediatrician and
epidemiologist, she has done extensive work in
child development and developmental disabilities.
-s
Dr. Ranjana Chatterjee is Associate Professor
and Head of the Department of Paediatric
Medicine at R.G. Kar Medical College, Calcutta.
She specialises in nutritional problems in
children, and has published in several Indian
journals.
Mr. Alan B. Fast has been in the field of lead
poisoning for several years, serving the city of New
York. He founded and managed blood screening,
educational, and technical programs, and is presently
the Deputy Director of the Department of Housing
Preservation and Development’s Lead Hazard
Reduction Program.
Admiral O.S. Dawson,
PVSM, AVSM, was the former Chief of Naval Staff,
and the Indian High Commissioner in New
Zealand. As Chairman of Project Lead-Free, he
was responsible for organising the screening for
blood lead levels by several clinics in six major
cities in India, and for gaining awareness among
Government authorities and the general public.
Dr. S.J.S. Flora, PhD, is
Scientist ‘D’ and Assistant
Director, Division of
Pharmacology and Toxicology,
Defence R&D Establishment,
Ministry of Defence, Gwalior.
His current areas of research
interest include toxicology of
lead, cadmium, and arsenic, and was recently
awarded the prestigious Shakuntala Amir Chand
Prize by the Indian Council of Medical Research for
his contribution in the area of Clinical Therapeutic
Measures in Lead Poisoning. He has published
widely, and is in the editorial board of the journal of
Occupational Health, Japan.
Dr. Henry Falk is the
Director of the Division of
Environmental Hazards and
Health Effects, and Acting
Director of the proposed Division of Emergency
and Environmental Health Services, National
Center for Environmental Health, US Centers for
Disease Control and Prevention. He holds an M.D.
from the Albert Einstein College of Medicine, New
York, and an M.P.H. from the Harvard School of
Public Health.
Dr. D.G. Gajghate, PhD, is a Senior Scientist in the
Air Pollution Control Division of the National
Environmental Engineering Research Institute,
Nagpur. His fields of expertise are air quality
management, and Policy Development on
Environmental Impact Assessment
Dr. Brian Gulson is the
principal investigator for an
international multidisciplinary project in Australia,
Biokinetics of Lead in Human Pregnancy, supported
by NIEHS. His main interests are in the application
and development of lead isotope fingerprinting
methods in environmental and health problems,
especially associated with mining, smelting and urban
areas.
PhD, is currendy Visiting
Professor at the Rollins School of Public Health,
Emory University and also employed with the
Mexican National Institute of Public Health. He has
worked several years addressing lead epidemiology
and its control in Mexico. He further specializes in
Pathology, and holds a doctoral degree from the
Harvard School of Public Health.
Dr. N.K. Ganguly, M.D., is
Director General, Indian Council of Medical
Research, New Delhi. His areas of specialisation
are microbiology and immunology, has published
widely, and has over 30 years of teaching and
administrative experience in several key positions.
He also holds the position of Director-in-charge,
National Institute of Biological, New Delhi.
Dr. Venkatesh Iyengar, DSc, PhD, is a specialist in
Trace elements in Environment and Nutrition,
Gastro-intestinal absorption of elements,
environmental pollution by heavy metals, and
biological specimen banking for environmental and
nutritional health monitoring. He has published
over 130 papers, including 6 books, and is in the
editorial board of several professional journals.
Dr. Abraham M. George is the
founder and benefactor of The
George Foundation. He is
currently the Vice-Chairman of
SunGard Treasury Systems, an
operating unit of SunGard, a
NYSE traded company specialising
in international finance. Previously he was the CEO of
Multinational Computer Models, Inc., a company that he
founded which was later acquired by SunGard, and was
also a Managing Director at Credit Swiss First Boston, a
global investment bank. He is the author of three books
and numerous articles in international finance, and holds
an MBA, MS and PhD from Stern School of Business,
New York University.
Dr. Richard J. Jackson has been Director of the
National Center for Environmental Health (NCEH),
US Centers for Disease Control and Prevention,
since 1994. He is a physician epidemiologist, trained
in pediatrics, and has held leadership public health
positions in California in both infectious disease and
environmental health. He also serves on two health
policy committees related to U.S.-Russia relations
— one related to radiation and the other related to
overall health and environment.
Dr. Victor John, ND, is Senior Consultant
Paediatrician & Head of Department of Paediatrics
at Bangalore Baptist Hospital, Bangalore. He has
taught interns and House-surgeons for several
years, and has set up a Neonatal Intensive Care
Unit
Dr. Rachel Kaufman, PhD, is Chief, Epidemiology
Section, Lead Poisoning Prevention Branch in the
National Center for Environmental Health, US
Centers for Disease Control and Prevention.
Dr. V. Jagadeesan is currently Deputy Director in
the Drug Toxicology Division at the Food and Drug
Toxicology Research Centre, National Institute of
Nutrition, Hyderabad. His interests include
preclinical toxicity testing of drugs and
biopharmaceuticals, occupational toxicology and
molecular biology.
Ms. Masami Kojima is a Refining/Environmental
Specialist at The World Bank working on the
initiative on the elimination of lead in gasoline in
Latin America and the Caribbean. Previously she
was Associate Professor of Chemical Engineering at
the University of Cape Town.
Dr. Lekha Keister, Ph.D., is
project manager of the U.S.
chapter of The George
Foundation and a member of
the foundation’s Board of
Trustees. She is currently
Manager of International Data
and Information Access
Services at SunGard Treasury Systems Inc., in
Fairfield, New Jersey. She has been a faculty
member at colleges and universities in New Jersey
and Virginia and has also worked as an
administrator at New Jersey higher education
institutions, and most recently at the University of
Medicine and Dentistry of New Jersey.
Dr. Madhurima Lahiri, M.D., is Professor,
Department of Paediatrics Medicine. Dr. B.C. Roy
Memorial Hospital for Children, Calcutta. Her
research activities have been in the fields of
Gastro-intestinal disorder and Infant Nutrition.
She has over 20 years of undergraduate and
postgraduate teaching experience.
Dr. Zhu Li is Professor of
Epidemiology and Chairman of
the Department of Health
Care Epidemiology at Beijing
Medical University. He is also Director of National
Reference Laboratory on Reproductive Health
Research, and Executive Deputy Director at
National Center for Maternal and Infant Health. He
is the Principal Investigator for the US-China
Collaborative Project for Birth Defects and
Disabilities Prevention.
Dr. Wayne Matson is the
co-founder and Technology
Director of ESA Inc., USA, a
company that offers the blood
analyser for detecting blood lead levels. He is also
in the affiliate faculty of the Molecular Bioscience
and Technology Institute, Virginia, and is member
of a number of collaborative research projects
with Massachusetts General Hospital, Cornell
University Medical Center, and the Basic Medicine
faculty of the State University of Moscow.
Dr. Magda Lovei, MBA, PhD, is an environmental
economist at The World Bank working on
pollution abatement policies, financing, transportrelated environmental issues, and institutional and
regulatory aspects of environmental management.
Since 1995, she has been spearheading the Bank’s
work on supporting the global phase-out of lead
from gasoline.
Dr. Thomas Matte, MD, MPH, is a medical
epidemiologist at the CDC’s National Center for
Environmental Health. His work has included policy
development issues concerning Lead exposure
problems in the US, Mexico and Jamaica. His work
in public health includes the development of
methods for surveillance of occupational asthma and
other work related conditions, and on prenatal and
early life environmental factors.
Dr. Morri Markowitz, M.D.,
is currently a professor of pediatrics at the Albert
Einstein College of Medicine in New York. He is
also the Director of Pediatric Environmental
Sciences Clinics at the Monteflore Medical Center,
New York, and in that position he has cared for
thousands of lead poisoned children. He has
worked to develop better diagnostic and
treatment methods for children.
Dr. P.P. Maiya is Professor and Head, Department
of Pediatrics & Neonatology, at M.S. Ramaiah
Medical College, Bangalore. He is a fellow of the
Indian Academy of Medical Speciality, and has
published several articles on rotavirus diarrhoea.
Dr. A.F.A. Mascarenhas, MS FR.CS, is Professor
Emiritus of Surgery at Sc Johns Medical College
Hospital, Bangalore, and Senior Consultant at
Cantonment x-ray and Laboratory. Previously, he
was the Principal at St. Johns Medical College. He
has published widely in the fields of Surgical
Infection and severe Intraabdominal sepsis.
Dr. Padmanabhan P. Nair,
PhD, is currently Adjunct
Professor at the School of
Hygiene and Public Health,
Johns Hopkins University,
Maryland. His research interests include
pathophysiology of the gastrointestinal tract,
molecular basis of nutritional disease, and nutritional
aspects of environmental and lifestyle associated
diseases. He has published over 200 papers in
professional journals and is member of several
medical and research associations.
Dr. M.S. Mahadeviah is Senior Professor in
Pediatrics at Kempegowda Institute of Medical
Sciences, Bangalore. Previously, he was Professor
and Head of Pediatrics at the same institute, and
has worked also at Albert Einstein College of
Medicine, New York. One of his specialities is
Childhood Disabilities.
Dr. Herbert L. Needleman,
M.D., is a Professor of
Psychiatry and Pediatrics at the
University of Pittsburgh and is
a member of the Institute
of Medicine of the National Academy of Sciences.
He has been involved for more than twenty years in
investigations of lead at low dose and the
neurobehavioral function of children.
Mr. M.N. Muralikrishna is Vice President,
Technology, with TVS-Suzuki Limited. He has been
in the automobile industry, particularly with 2wheelers, for the past 40 years. He is responsible
for product development and R&D for the
company.
Dr. Mieko Nishimizu, PhD, is
Vice President for South Asia
Region of The World Bank. Previously she served
as Director, South Asia Country Department, and
as Director of the Risk Management and Financial
Policy Department of the Bank. Prior to joining the
Bank, she taught economics at Princeton University,
and holds a PhD in economics from Johns Hopkins
University.
Mr. William A. Nitze is
Assistant Administrator for
International Activities at the
US Environmental Protection
Agency. Previously, as Deputy
Assistant Secretary of State for
Environment, Health and Natural Resources, he had
a lead role in international negotiations on global
issues such as climate change, ozone layer
protection, biotechnology and the conservation of
tropical forests. He is an alumnus of Wadham
College, Oxford, and Harvard Law School.
Mr. Stephen Null is die
founder and Director of
Friends of Lead Free Children.
a not-for-profit organization in
New York, which has helped
establish lead screening
programs in developing
countries. He was responsible
for the first lead screening program in Dominican
Republic in the cities of Santo Domingo and
Santiago. He has also assisted programs in Thailand
and facilitated the supply of lead screening
equipment for Project Lead Free. His organization
has been working closely with The George
Foundation on this project.
Dr. Gory P. Noonan is an Environmental Health
Scientist at the US Centers for Disease Control and
Prevention. With a background in Industrial
Hygiene, he has been involved in numerous field
studies on the identification of environmental
sources of lead intoxication in Russia, Egypt, Chile,
Mexico and the Untried States.
Dr. Robert Parr, PhD, is a
staff member of the
International Atomic Energy
Agency. For the past ten
years, he has served as Head
of the Section of Nutritional
and Health-Related Environmental studies, and
specialises in the use of nuclear and isotopic
techniques for monitoring non-radioactive
pollutants. He has organised several international
symposia - most recently in Hyderabad, on
Harmonisation of Health-Related Environmental
Measurements.
Dr. Devika Nag, MD, is
Professor and Head,
Department of Neurology,
King George’s Medical College,
Lucknow. Her special interests
are in Environmental Neurotoxicity, neuroecology,
and molecular biology in area of peripheral makers
in neurodegenerative and neurotoxic disorders of
central nervous system. Educated at Tufts and
Harvard Universities, she has published widely, and
has been in the editorial board of several journals.
Dr. Patrick J. Parsons, PhD, is
the Director of the State of
New York’s Lead Poisoning
Laboratory, and chairs the
National Committee for Clinical Laboratory
Standards’ sub-committee on Analytical Methods
for the determination of Lead in blood and urine.
He was a visiting fellow at the National Institutes of
Health, Maryland, and holds a doctoral degree in
Inorganic Biochemistry from the University of
London.
Dr. Carol Pertowski, M.D., is
currently the Chief,
Surveillance and Programs
Branch, National Center for
Environmental Health, US Centers for Disease
Control and Prevention. In her present capacity,
she is responsible for the development of
surveillance of health conditions related to the
environment, including childhood lead poisoning,
and maintains a database with reports on nearly 3
million children screened for lead poisoning.
Dr. H. Paramesh, MD, is the Medical Director and
Pediatrician-in-Chief of Lakeside Medical Center &
Hospital, Bangalore. He recently chaired an
international conference on environment and
human health, and has widely published papers and
articles on respiratory related areas.
Dr. Chandra Prakash is
Vice-President of
Environmental and Vehicular/
Fuel Regulations at Polar
Molecular Corporation,
Canada. His previous position
was Head of Transportation
Fuels with the Federal
Department of Environment in Canada, where he
provided technical expertise and guidance related to
the use of various transportation fuels and their
effect on emissions. Before joining Environment
Canada, he worked with the Department of Energy,
Mines and Resources, and taught at the University
of Ottawa.
Dr. Janet A. Phoenix, MD MPH, is Manager
of Public Health Programs for the Environmental
Health Center of National Security Council. She
has extensive experience in designing lead poisoning
prevention education programs for public and
professional audiences. Her previous international
experience in this field includes work in Poland,
Egypt and Hungary.
Dr. D.J. Parikh, PhD, is
Deputy Director at the
National Institute of
Occupational Health,
Ahmedabad. He has over 25
years of experience in the fields of hygiene,
toxicology and environmental pollution, and has
published numerous research papers in professional
journals. He served as a
Co-investigator of the Global Environmental
Monitoring System (GEMS) for the assessment of
human exposure to Lead and Cadmium
Dr. Viji Potula, PhD, is presently a Visiting Scientist
at Harvard School of Public Health with a
background in epidemiological and toxicological
areas. She specializes in the health effects of
automobile pollution, and has done studies related
to this in Madras.
Dr. J. Routt Reigart,
Professor of Pediatrics, is
currently Director of General
Pediatrics and Director of
Emergency Pediatrics at the
Medical University of South Carolina. His major
clinical interests are general pediatrics and
toxicology, and has worked extensively on lead
prevention activities. He is also the Chairman of
the Board of the Children’s Environmental Health
Network, and Chairman of the USEPA Children’s
Health protection Advisory Committee.
Dr. S. N. Roy is Deputy General Manager ,
Occupational Health & Safety, Indian Oil
Corporation Limited (Refineries Division HQ), New
Delhi. He has presented papers at several
conferences on Occupational Health & Safety.
Mr. K.W. James Rochow is
Director of International
Programs for the Alliance To
End Childhood Lead
Poisoning, Washington, D.C.,
where he manages its
initiatives on an international
action plan for preventing lead
poisoning. He is a former Assistant Attorney
General of Pennsylvania, and has handled landmark
cases in the U.S. Supreme Court on environmental
issues. He also helps train developing country
environmental personnel for the Environmental
Law Institute and the Agency for International
Development.
Dr. Theodore C. Rozema,
MD, is a Lecturer in Integrative
Medicine for the Medical
Association of Jamaica. He is
also Secretary of the American
Board of Chelation Therapy, President of the
American Association of Alternative Medicine, and
President of the Health Research Foundation. He
has done extensive work on the administration of
EDTA and other Chelation Agents for metal
toxicity.
Dr. Walter J. Rogan, MD, is an epidemiologist at
the National Institute of Environmental Health
Sciences, USA. He is Project Officer for the NIEHSsponsored Treatment of Lead-exposed Children
(TLC) trial, a study of whether oral chelation
prevents or reduces lead associated developmental
delays in toddlers.
Mr. Don Ryan is Executive
Director and one of the
founders of the Alliance to End
Childhood Lead Poisoning,
Washington, D.C. As Chair of
the Implementation
Committee of the National
Title X Task Force, he has
been instrumental in
developing programs and
policies to prevent lead poisoning from lead-based
paint. Previously, he worked on national
environment, public health, and energy issues both
in executive branch agencies and as professional
staff of the US House of Representatives
Appropriation Committee.
Dr. Sheila Rajaratnam, M.D.,
D.G.O., is Professor of Obstetrics & Gynaecology
at K.J. Hospital, Chennai. She was trained in
Laproscopy at Johns Hopkins University, and in
Obstetrics and Gynaecology at Prince of Wales
University, Hongkong. She has over 30 years of
undergraduate and postgraduate teaching
experience.
Mr. B. Ramaiah is currently working in the
Pollution Control Board in Karnataka. His
background is in environmental management, with
wide experience in the implementation of pollution
control laws, monitoring of systems and preparation
of feasibility reports.
Mr. P.N. Rangan is a
Technical Advisor at Volvo India Private Limited.
He has twenty-five years of experience in the
automotive field, having worked in the R&D of
several organisations. His contributions have been in
the field of component design and testing, and he
has been involved in legislative activities for bringing
about safety and environmental standards.
Airs. Poonam Khetrapal
Singh is Executive Director,
Sustainable Development and
Healthy Environment, at the
World Health Organisation
(WHO) based in Geneva. She
is an international health management specialist, and
has held a variety of senior positions in the Indian
Administrative Service, including that of Secretary of
Health and Family Welfare for Punjab. Previously,
she worked with the financial sector and The
World Bank on various capacities.
Dr. Isabelle Romieu is a
medical epidemiologist with
the Pan American Health
Organization (PAHO/WHO). Since 1990, she has
been working on environmental health problems in
the Latin American region, and has conducted
studies to evaluate the extent of lead poisoning and
pathways. She is currently a visiting scientist at the
National Center for Environmental Health (NCEH)
of the Centers for Disease Control and Prevention.
Dr. Yasmin von Schirnding
is in the department of
Sustainable Development and
Healthy Environments at the
World Health Organisation,
Geneva. Previously, she was
responsible for the Office of
Global and Integrated
Environmental Health. Before joining WHO, she
was Director of Environmental Health for the City
of Johannesburg, South Africa. Her doctoral
studies were on the epidemiology of childhood
lead exposure, and she has a special interest in the
implications of research for policy.
Dr. Jitendra Shah, MBA, PhD,
is a specialist in integrated
environmental policy
assessment
and urban air quality
management for The World
Bank in relation to investment projects in South
Asia. He also works on institution and capacity
building in developing countries, promotion of
environmental awareness and education, air
pollution modeling and monitoring, unleaded
gasoline, vehicular emissions and bio-mass burning
reduction.
Dr. P.S. Shankar, M.D., is Dean, Professor and
Head of the Department of Medicine, K.J. Somaiya
Medical College, Mumbai. He is the recipient of
the Dr. B.C. Roy National award for eminent
medical teacher. He has authored many books and
published over 250 scientific papers in medical
journals.
Dr. Ellen K. Silbergeld,
PhD, is Professor of
Epidemiology and Toxicology
at University of Maryland
Medical School, Maryland. She
is also an adjunct professor of Health Policy and
Environmental Health Sciences at Johns Hopkins
University. Her research interests have focussed on
mechanisms and epidemiology of lead poisoning,
and on mechanisms of other environmental
toxicants. She has served on the editorial board of
nine biomedical journals, and has authored over 200
scientific articles.
Dr. B. Sengupta is a Member Secretary with the
Central Pollution Control Board. His areas of
specialisation include industrial air pollution control,
air quality monitoring and assessment, and industrial
emission standard development.
Dr. Babsaheb Sonawane,
PhD, is Chief, Effects
Identification and
Characterisation Group,
National Center for
Environmental Assessment,
Washington, D.C., with
responsibilities to identify and
characterise adverse health and ecological effects
from exposure to environmental agents. Prior to
joining US Environmental Protection Agency, he
worked at the Food and Drug Administration and
as a faculty member at the University of
Pennsylvania. He serves as a member of the
Indo-U.S. Joint Sub-commission on co-operation in
Science and Technology.
Dr. D.C. Sharma, PhD, is a Zonal Officer with the
Central Pollution Control Board. He has worked in
the areas of consent management, ambient air and
water quality monitoring, and cleaner technologies
of production.
Dr. B. Shivalingaiah, PhD, is the executive head of
the Karnataka State Pollution Control Board. He
has over 25 years of teaching experience in
environmental engineering and pollution control
technology and management.
Dr. S. Narayani Shivkumar, MD, is the Chief
Pathologist at Gurunank Hospital in Bombay.
Previously she worked in the Armed Forces Medical
College in Pune, and has presented papers in
Neuro-Pathology and related areas.
Dr. H.N. Saiyed, PhD, is the Director, National
Institute of Occupational Health, Ahmedabad. He
has done extensive research in the field of
occupational health, particularly on dust exposure
related lung diseases, and has published widely in
international journals.
Dr. P.K. Seth. PhD, is
Director at Industrial Toxicology Research Centre,
Lucknow. Previously, he has worked as Visiting
Professor and Scientist at several American
universities and the US Food and Drug
Administration. His research interests are in
biochemical toxicology, neurotoxicology and
developmental toxicology. He has published widely
and holds three patents.
Dr. Joel Schwartz is an
Associate Professor of
Environmental Epidemiology at
the Harvard School of Public Health and Associate
Professor of Medicine at the Harvard Medical
School in Boston. His research includes work on
health effects of various environmental pollutants,
water contamination and lead toxicity. His research
also explores the latest methods in environmental
epidemiology.
Dr. D. Krishna Saxena, PhD. is Head.
Embryotoxicology Division, at Industrial Toxicology
Research Division, Lucknow. He has done studies
in reproductive toxicity in reference to heavy
metals, published widely, and was the principal
investigator for the ICMR scheme entitled
“Effect of Lead on developmental process of iron
deficient rats”.
Dr. Xiaoming Shen, MD, PhD, is Director and
Chief Executive Officer of Shanghai Children’s
Medical Center, China. He has done extensive work
on lead poisoning, and his interests include prenatal
lead exposure and neurobehavioral development of
children.
Dr. Jude W. Vaz is a Consultant Pathologist with
the Holy Family Hospital, Mumbai, who conducted
the Project Lead Free study in the city. Previously
he was the Chief Pathologist at Al Salam Medical
Centre in Saudi Arabia.
Dr. S.K. Tandon is a Scientist
and Deputy Director at the Industrial Toxicology
Research Centre, Lucknow, India. He has done
significant work in the field of toxicology of metals
and prevention/therapy of industrial metals
poisoning, and is a Fellow of the Society of
Toxicology, India. He holds a PhD in
organometallic chemistry and DSc in chemical
toxicology.
Dr. T. Venkatesh, PhD, is Professor & Head of the
Department of Biophysics at St. John’s National
Academy of Health Sciences, Bangalore. He was
responsible for directing the screening under
Project Lead-Free, and has done significant work on
lead poisoning and other toxicants.
Dr. Saksit Tridech is Secretary General of the
Office of Environmental Policy and Planning,
Ministry of Science, Technology and Environment,
Bangkok, Thailand. Previously he held numerous
positions with responsibilities in dealing with air and
noise pollution, water quality, and environmental
quality standards.
Dr. Madhu Chaudhary Webb is a chemist with
the Centers for Disease Control and Prevention
(CDC). She is currently working in the trace metals
labs for the National Center for Environmental
Health, US, on various research and service
programs.
PROBLEM OF LEAD POISONING |
ead occurs naturally in the earth’s crust. When
L
ingested, inhaled, or absorbed through skin, lead is
highly toxic to humans. Lead’s toxicity has been
known for thousands of years; Greek physicians made the
first clinical description of lead poisoning in the first century
B.C.
Lead is not biodegradable. It persists in the soil, in the air, in
drinking water, and in homes. It crosses all social, economical
and geographical lines. It never disappears, it only
accumulates where it is deposited and can poison
generations of children and adults unless properly removed.
At high levels, lead poisoning causes coma, convulsions and
death. At low levels - levels far below those that present
obvious symptoms - lead poisoning in childhood causes
reductions in IQ and attention span, reading and learning
disabilities, hyperactivity, impaired growth, behavioral
problems, and hearing loss. These effects are long-term and
may be irreversible.
World-wide, seven sources appear to account for
most lead exposure:
I)
2)
3)
4)
5)
6)
7)
The scope and nature of lead poisoning that recent studies
have uncovered are alarming. Here are some hard facts:
•
same time causing no distinctive symptoms.
•
Once lead is absorbed into the bloodstream, some of it is
filtered out and excreted, but the rest gets distributed to
the liver, brain, kidneys and bones.
•
Lead causes anemia in both children and adults by
impairing the formation of oxygen-carrying molecules,
beginning at exposures of around 40ug/dl. In adults, small
but significant increases in blood pressure result from
exposures as low as 5 ug/dl, with no evidence of a
threshold below which lead does not affect blood
pressure.
•
Other adverse effects in adults include kidney disease and
impaired fertility. Hypertension caused by lead exposure
contributes to thousands of deaths every year, particularly
in men between the ages of 35 and 50.
•
Children and pregnant women are particularly
susceptible to lead poisoning. Children’s digestive
system absorbs up to 50% of the lead they ingest.
The high retention occurs from birth to age 6 when
the brain is developing and lead interferes with its
development. By the time physical symptoms are
evident - headache, nausea, stomach aches, lethargy
or hyperactivity and vomiting - significant brain
damage has already occurred.
gasoline additives;
food can soldering;
lead-based paints;
ceramic glazes;
drinking water systems; and
cosmetic and folk remedies.
cooking utensils
Other significant exposures result from inadequately
controlled industrial emissions from such operations as lead
smelters and battery recycling plants, which contaminate
environments and people in the surrounding areas. The
highest level of environmental contamination is found to be
associated with uncontrolled recycling operations and the
most highly exposed adults are those who work with lead.
Developed countries like the US, UK and Germany have
taken aggressive steps to combat lead poisoning. In
developing countries, however, actions have been slower and
sporadic. Within the last decade, reports of lead poisoning in
humans have poured in particularly from the developing
countries faced with environmental and occupational lead
Children pick up lead dust from the floor, from their toys
and from pets. They ingest lead when they put their hands
in their mouths, when they eat with their hands, when they
suck their thumbs, when they ingest soil. Lead compounds
used in paint taste sweet, encouraging small children to lick
or chew paint chips or chalky paint residue. A single chip of
paint of the size of a thumbnail contains 50-200 ug of lead
and a few such chips can raise the intake of lead to 1,000
times the acceptable limit.
•
Blood lead levels in children of around 10 ug/dl are
associated with disturbances in early physical and mental
growth and in later intellectual functioning and academic
achievement. These persist into adulthood and may be
irreversible.
exposure.
In India, as in most developing countries, the main source of
lead pollution is automobile exhaust. Although India issued
in February 1990 its first National Emission Standards for
lead and other pollutants, the recommended permissible
limits of lead (0.56 g/L) are still very much higher than those
of developed countries like the US, UK, and Germany. In the
US, the virtual elimination of leaded gasoline resulted in a
77% decrease in the average blood lead level of the
population between 1976 and 1991. In the UK, a 50% drop
in gasoline lead levels corresponded with a 20% drop
in blood lead levels.
No level of lead in blood is safe or normal. The disturbing
fact is that exposure to extremely small amounts can have
long-term and measurable effects in children while at the
•
Progressive elevation of blood lead levels in a
child’s system can cause a potential genius to
drop to an average achievement level and an
average child to become learning disabled. Studies
have shown as much as a 5.8 decline in IQ (on a
scale where 100 is average) for every 10 micrograms
increase of lead in blood levels.
•
Long-term consumption of low levels of lead can be more
dangerous than a single ingestion of concentrated lead.
• The fetuses of pregnant women are gravely affected by
lead exposure since lead can pass through the umbilical
cord directly into the baby. When an expectant mother
Additional objectives of the conference are:
maintains a poor diet, the problem is compounded since
she will start breaking down bone to release calcium and
• Arriving at an understanding of the worldwide dimensions
of the lead problem;
other minerals, thereby releasing lead stored in the bones
which passes to the developing baby.
• Developing a framework for integrated solutions to lead
poisoning at the international, regional, and local levels;
•
Deficiency of iron, calcium and zinc increase absorption
and effects of lead.
• Shifting the focus from reactive measures to effective
prevention policies;
•
The Centers for Disease Control and Prevention (CDC),
USA, has developed various classes of elevated blood lead
• Establishing a central clearinghouse for collection and
dissemination of information.
levels in children. If a child's level is greater than
45 ug/dl, treatment and exposure reduction should start
within 48 hours, while levels at or above 70 ug/dl are a
medical emergency. Even higher levels cause swelling of
The conference is an important step toward international
lead poisoning prevention. It will heighten national awareness
of lead poisoning in the individual countries and provide the
the brain or encephalopathy. Children with levels above
120 ug/dl may die unless immediately treated.
•
•
Childhood lead poisoning is typically more severe
in developing countries due to inadequately
controlled industrial emissions, unregulated
cottage industries, and cultural practices such as folk
medicines containing lead.
The World Health Organization estimates that 15-18
million children in developing countries are suffering from
permanent brain damage due to lead poisoning. Hundreds
of millions of children and pregnant women in practically
all the developing countries are exposed to elevated levels
of lead.
framework for countries to work together to develop and
implement permanent solutions. Concerted follow-up
efforts will sustain the momentum generated by the
conference.
The George Foundation and Project Lead-Free
The George Foundation (TGF), the organizer of the
conference, is a charitable not-for-profit trust that pioneered
Project Lead-Free to screen nearly 25,000 children and
pregnant women, and treat those severely affected by lead
poisoning in several major cities in India. TGF initiated a
pilot project in Bangalore, India on February 13, 1997 with
the participation of six hospitals under the coordination
Purpose and Significance of the Conference
of St. John’s Medical College and Hospital.
Subsequently, additional hospitals initiated work in Delhi,
Calcutta, Mumbai, Chennai and Hyderabad. All these centers
This international Conference on Lead Poisoning is
completed their screening under Project Lead-Free by the
end of September 1998. Findings of Project Lead-Free will
organized and sponsored by The George Foundation,
be shared at the conference.
The Centers for Disease Control and Prevention (USA),
The World Bank, The Environmental Protection Agency
(USA) and the World Health Organisation (WHO). One of
the major objectives of the conference is to share
information needed to establish a time-phased lead
prevention and treatment program for India and other
developing countries, and to improve programs in nations
that may have already begun. The guest speakers and panel
members at the conference are experts in the field from
around the world. The invitees to the conference include
government officials representing the environment and health
The George Foundation was founded in January 1995 by
Dr. Abraham George, its benefactor and managing trustee,
who initiated Project Lead-Free in India. The foundation is
dedicated to the welfare of India’s children, especially those
who are victims of poverty and/or those who suffer from
adverse environmental conditions. Another TGF project
currently underway is Shanti Rhavan, a free world-class
boarding school for poor children in Edipalli, an
impoverished area in the Dharmapuri district of Tamil Nadu,
India.
departments, members of the scientific community,
For more information about the conference and The George
representatives of international organizations, and industrial
leaders with current roles or likely involvement in solving the
Foundation, write or telephone:
problem of lead poisoning.
The topics covered in the 3-day conference will
help in formulating the national plan and improving
existing plans for the prevention and treatment of lead
poisoning. The topics fall within the following segments:
screening and measurement; prevention; and health effects
and treatment. The culminating segment on developing a
national plan will integrate ideas gathered from the previous
segments.
The George Foundation.
No. I 155, 6th Main Road, 4th Block,
1st Stage HBR Layout, Bangalore, 560084, India.
Tel: 080-5440164; Fax: 080-5440210.
U.S. contact: Dr. Lekha Keister,
The George Foundation,
do MCM, 333 Fairfield RdFairfield, NJ 07004, USA.
Tel: (973) 575-8333, extension 550.
Fax (973) 575-8474.. www.tgfworld.org
women, and emergency referrals from doctors and hospitals
PROJECT LEAD-FREE
for testing and treating elevated levels of lead.
2.
verview of the Project: The George Foundation,
O
To educate the community on the major health problems
associated with elevated lead levels, the paths of lead
established in January 1995 in Bangalore, India as a
exposure in their environment, and ways they can protect
not-for-profit organization under the Indian Trust
their families from lead exposure.
Act, launched in January 1997 a lead and anemia screening
3.
To collect hard data on the problem of lead poisoning in
program in India (Project Lead-Free). The project was initiated
India, which was analyzed for developing appropriate
in Bangalore and vicinity, and subsequently expanded to several
responses. The Foundation will present the results of Project
other major cities across India. Consistent with the Foundation's
Lead-Free at the International Conference to be held after
mission to serve the welfare of children, especially those who
the screening.
are victims of poverty and/or those who suffer from adverse
environmental conditions that are beyond their control, Project
Lead-Free focused on one of the growing problems that has
serious consequences for a generation of India’s future work
force.
A non-profit charity organization. Friends of Lead-Free Children
The project is expected to have a much wider impact than
what the numbers for testing will suggest; in addition to those
who directly benefit from the program, there are many more -
relatives, friends and acquaintances of the participants - who
will be made aware of the problems of lead pollution and anemia
and how these problems can be prevented or treated. The
Inc. (headquarters in New York City), which currently has lead
ripple effect of such flow of information together with the
treatment projects in several developing countries (including
education/prevention efforts of the project personnel can
programs in the Dominican Republic; Jakarta, Indonesia; and in
change for the better the health of possibly millions!
Bangkok, Thailand), assisted The George Foundation in launching
Furthermore, the project should serve as an inspiration for
the program.
others to launch other public health projects, which in turn
Project Lead-Free was conducted via arrangements with six
medical centers in the city of Bangalore (St. John's Medical
College and Hospital, Baptist Mission Hospital, Lake Side Medical
Center & Hospital, Cantonment X’Ray and Laboratory,
KempeGowda Institute of Medical Sciences, and M.S. Ramaiah
Medical College) which have clinics at each site. One of the
clinics operates a mobile unit to access locations throughout
could subsequently lead to the enactment of meaningful
environmental laws. The data collected during the course of
the project will aid in the research endeavors of the medical
community. Most importantly, the project will save a whole
generation of children whose physical and mental development
will otherwise be impaired.
This has implications for the
country's future development.
the city, such as schools, industrial areas, etc. The George
Implementation of the Project :
Foundation provided equipment and supplies, support and
The project was initiated in Bangalore and vicinity, and extended
coordination in the activities of these clinics including giving
to additional cities by the second year. The project comprises
materials for educating the public on lead poisoning and anemia,
of three components: testing, treatment and prevention/
and making arrangements for repairs of equipment. The goal
education.
of the project was to test up to 25,000 children, pregnant
women, and emergency referrals for lead poisoning. The project
also emphasized prevention of lead poisoning for the general
population.
I .Testing: The New York City Department of Health provided
Hematofluorometers (machines for detecting lead, mercury,
and other harmful metals in the blood, and also iron deficiency)
to Friends of Lead Free Children Inc. They give instant test
Project Lead-Free initially focused on the city of Bangalore and
results on zinc levels at a low cost per test, and require only
subsequently broadened to five other cities: Madras, Bombay,
one drop of blood on a cover glass to get a reading, and can be
Delhi, Calcutta, and Hyderabad. Screening was dramatically
managed by a lab technician.
increased after the first year. The clinics that participated from
these cities are: In Mumbai: K.J. Somaiya Medical College, The
Bandra Holy Family Hospital Society, Guru Nanak Hospital; in
Hyderabad; National Institute of Nutrition; in Delhi: Indira
Gandhi E.S.I. Hospital; in Calcutta: R.G. Kar Medical College,
Medical College Calcutta, Dr. B.C. Roy Memeorial Hospital for
Children; in Madras: K.J. Hospital; in Vellore: Christian Medical
College.
Objectives:
The main objectives of Project Lead-Free are as follows:
I.
To target children between one and six years of age, pregnant
Friends of Lead Free Children Inc. provided fifteen
Hematofluorometers during the initial year for screening
purposes, which were converted for use in India. Those with
elevated readings were further tested with lead analyzers
purchased from ESA, Inc. Both organizations are also providing,
at a reduced charge, the support supplies for the machines.
The machines are calibrated with specially prepared blood
controls that are verified by the New York State Lead
Laboratories. The controls are not spiked with lead, but are
real blood containing high, medium, and low levels of lead for
verification. The lancets are the pure stainless steel variety and
not the cheaper aluminum lancets.
The cover glass is a
educational materials (pamphlets and brochures) at the sites.
specifically prepared glass that has been double washed to make
The materials offer healthful tips on what to do to lower or
sure that no residues are left behind which could affect the
even eliminate exposure to lead in a child’s environment. The
readings. In short, the machines and supplies are designed for
main target for education are parents. They have more control
optimal performance, and are approved by the New York City
over the actions and habits of their children than anyone else
Lead Program.
does. All doctors and hospitals in cities would be notified of
The George Foundation provides training in the use of the
the availability of the lead testing machines and treatment.
machines and interpreting the results. A detailed training manual
The prevention efforts included making available to the public
covering aspects of lead poisoning and iron deficiency anemia
hard data on the subject of lead poisoning and anemia, not only
and all aspects of proper testing procedures is also provided.
on a global scale but also with respect to the local communities,
Supplies for testing include cover glass, disposable gloves, lancets.
as such data becomes available from the Foundation’s screening
blood collectors, gauze and bandages, and blood controls.
and treatment program. Information gathered was consistent
2.Treatment For treating iron deficiency anemia,
with the suggested questionnaire provided by the Center for
The George Foundation program provided the clinics special
Disease Control (CDC), as adapted for the local environment.
iron pills. These pills contain ferrous succinate, (the best
Data collection was part of the Foundation’s screening,
absorbed form of iron as according to recent studies) that can
treatment and education program.
quickly correct the anemia. Many health programs use an
inexpensive variety of iron pills containing ferrous fumarate
The data is likely to
particularly benefit the research endeavors of the medical
community.
that is not easily and expeditiously absorbed by the body. The
ferrous succinate pills that The George Foundation provided
contain 75 mg of iron plus Vitamin C. which increases the
absorption by up to 400%.
A nation’s most valuable asset is its children. They are the
future workforce and our hope for a better tomorrow.
In
order to realize their full potential, children need to grow up
For treating lead poisoning, The George Foundation
in an environment that is safe and supportive. Unfortunately,
program provided the clinics doses of the oral chelator
science has proven conclusively that large populations exposed
to high levels of lead and/or suffering from chronic anemia can
meso 2,3-dimercaptosuccinic acid (DMSA); however, this
could not be used pending approval by the Drug Control Agency
never hope to achieve their full potential. Many will not finish
in India. This chelator has been used all over the world for
school and those who do are likely to be delayed in all areas of
many years, and in the U.S. under the name Succimer. The
learning. They will live as underachievers in a life of constant
patients simply take the pills twice daily for 19 days. There is
struggle.
no need for clinical visits during the 19 days. The chelator only
Lead poisoning is silent and insidious, accumulating in one’s
removes heavy metals such as lead and mercury from the body,
body with its full negative impact not realized until much later
in life. We need to invest in our children now, before it is too
leaving behind the essential minerals like calcium, iron, and
The more traditional method of treatment
late, and The George Foundation’s lead and anemia project
practiced in most lead programs is to use a very painful chelator
will do just that—clear the way for the normal physical and
mental development of children. We have a moral obligation
magnesium.
drip agent EDTA to chelate the lead from the body. This is
consisting of four hours of drips per day. This treatment also
to inform the public of the potential health hazards of lead and
anemia and to educate them on what they can do themselves
results in the removal of essential minerals from the body, such
to lessen their families’ exposure to lead. Project Lead-Free is
expensive because it requires 5 days of hospital treatment
as calcium and magnesium.
likely to inspire others to launch other public health projects,
While test readings above 10 mcg/dL indicate elevated
which in turn will lead to the enactment and enforcement of
meaningful environmental laws.
levels of lead, treatment with oral chelator will be limited
to only those above 40 mcg/dL. This is so because this type
of medical intervention is suggested only when toxicity reaches
dangerous levels.
Emphasis will always be on prevention/
containment.
Admiral O. S. Dawson who was responsible for organizing the
screening effort and gaining awareness among government
officials and the general public, chaired Project Lead-Free. Dr.
T. Venkatesh of St. Johns Medical College and Hospital was
awareness of the problems of lead poisoning and iron deficiency
responsible for overseeing the laboratory work for screening
and analysis. The project was conceived and developed by The
George Foundation with the technical and organizational
anemia and to offer information on how to protect one's family
assistance of Mr. Steve Null from Friends of Lead-Free, Inc.,
from lead exposure. The campaign to raise public awareness
will involve the use of media (talk shows on radio and television),
and co-ordinated with the help of Dr. Lekha Keister. Bharat
Electronics and Air India provided assistance in repairs and
leaflets, placing advertisements in newspapers, offering lectures
transportation, respectively. The Foundation is grateful to all
at schools and at community meetings, and distributing
clinics and others that voluntarily participated in the project.
3.Prevention/education : The program seeks to raise public
A BRIEF DESCRIPTION ABOUT THE
GEORGE FOUNDATION
Administration:
Mr. Jude Devdas, Operating Officer
he George Foundation was established in January
Mrs. Lalita Law, Principal, Shanti Bhavan.
1995 in Bangalore, India as a not-for-profit
For more information about The George Foundation, write
T
organization under the Indian Trust Act. The
or telephone:
Foundation is dedicated to the welfare of children, especially
The George Foundation,
those who are victims of poverty and/or those who suffer
No. I 155, 6th Main Road, 4th Block,
from adverse environmental conditions that are beyond their
1st Stage HBR Layout, Bangalore, 560084, India.
control. Consistent with this mission, the Foundation has
Tel: 080-5440164; Fax: 080-5440210.
initially embarked on two major projects:
I. Project Shanti Bhavan: facility to house and educate at
U.S. contact; Dr. Lekha Keister,
a time 150 children of deprived backgrounds from pre
The George Foundation,
school to grade II. It is a world-class institution
do MCM, 333 Fairfield Rd..
committed to excellence and globally shared values.
2. Project Lead-free: clinics to test and treat upto 25,000
Fairfield, NJ 07004, USA.
Tel: (973) 575-8333,
children, pregnant women, and emergency referrals for
extension 550.
lead and for iron deficiency anemia. This project also
Fax (973) 575-8474.
emphasizes prevention of lead poisoning for the general
Please visit us at our web site www.tgfworld.org
population.
Please e-mail us at georgef@giasbgO I .vsnl.net.in
In addition to these two projects, the Foundation has
initiated work on establishing a community center for Early
Detection and Prevention of diseases in rural areas where
such care is not readily available in most instances.
Consistent with this, a computer software program (EDPS
2000) has been developed for use at remote clinics, which is
presently undergoing testing.
The George Foundation is governed by the following
Board of Trustees:
Dr. Abraham M. George, Managing Trustee, President &
CEO, Multinational Computer Models, Inc., New Jersey
Ms. Angeline Nair, Co-Managing Trustee, Prominent Social
Worker
Mr. Jacob Matthan, Chairman (Rtd.), Life Insurance
Corporation of India
Mrs. Elizabeth Jacob, Prominent Social Worker
Dr. M. S. Mahadeviah, Diplomate, American Board of
Pediatrics
Ms. Thelma Dawson, Prominent Educationalist and Social
Worker
Dr. Lekha Keister, Educationalist
Mrs. R. Satyan, Environmentalist
Mr. Ajit A. George, Author
Advisory Council;
Admiral O. S. Dawson, Former Chief of Naval Staff (Rtd.),
India
Mr. Eapen George, Vice President, McCormick Foods, Ltd.
Dr. Gopal Valecha, Psychologist, Director of Essae
Institute
©
PROJECT LEAD-FREE
PARTICIPATING CLINICS
VELLORE
16.
Christian Medical College & Hospital
Director of Project : Dr. Jayaprakash M.
BANGALORE
I.
St. John’s Medical College & Hospital
Director of Project: Dr. T. Venkatesh
2.
Bangalore Baptist Hospital
Director of Project: Dr. Victor John
3.
Kempegowda Institute of Medical Sciences
Director of Project: Dr. M.K.Sudarshan
4.
Lakeside Medical Centre & Hospital
Director of Project: Dr. H Parmesh
5.
Cantonment X-Ray & Laboratory
Director of Project: Dr. A.F.A Mascarenhas
6.
M. S. Ramaiah Medical College
Director of Project: Dr. C.V.Anand
MUMBAI
7.
K. J. Somaiya Medical College
Director of Project : Dr.P.S.Shankar
8.
The Bandra Holy Family Hospital Society
Director of Project : Dr. Jude Vaz
9.
Guru Nanak Hospital
Director of Project : Brig. S.K. Chaddha
HYDERABAD
10.
National Institute of Nutrition
Director of Project : Dr. Jagdish
DELHI
II.
Indira Gandhi E.S.I.Hospital
Director of Project : Dr. R.K.Chandoke
CALCUTTA
12.
R.G. Kar Medical College
Director of Project : Prof. Jayasri Mitra
13.
Medical College Calcutta
Director of Project : Prof. Sandip Roy
14.
Dr. B.C.Roy Memorial Hospital for Children
Director of Project : Prof. Madhurima Lahiri
MADRAS
15.
Ramachandra Medical College
Director of Project : Dr. (Mrs.) Sheila Rajarathnam
www.leadpoison.net
onsistent with one of the goals of the conference to
C
establish a central clearinghouse for the collection
and dissemination of lead poisoning related
information, The George Foundation has set up a web site
www.leadpoison.neL This site will collect and update all relevant
information from around the world pertaining to:
I. Scientific studies and research papers on impact, prevention,
and treatment
2. Policy initiatives by both government and private institutions
3.
Legislative action by governments
4.
Lead poisoning prevention and treatment programs
5.
Ideas, suggestions, news, etc.
Conference participants will be requested to provide their
recommendations on how the above information should be
categorised for easy search and access. A suggested breakdown
of topics and sub-topics as a “table of contents” for the web
site will be circulated for your comments. Based on your input.
the web site will be organised by subject categories. Anyone
wishing to put up information in this web site must choose one
or more subject categories (preferably no more than two
subject categories to avoid repetition of information) before
transmitting the information.
Any information transmitted to the web site must have
(a) a summary of no more than 5 sentences, and
(b) entire text.
Users will be able to review the summary/abstract before
accessing the entire text.
The site will be operational by March 31, 1999 at which time
the proceedings of the conference will also be available.
Please forward your comments and suggestions to:
georgef@giasbgO I .vsnl.neLin
o
Telco
Asxnomad Ooiw
The three most important
relationships in a mans life.
(Not necessarily in the same order.)
"You're married more to your car than to
countries from Asia to Europe and into
geared ourselves up to ensure that we cam
me." Every man has heard these words at
North America, markets that demand
your trust not just when you are buying a
least once in his lifetime. Let’s face it: a
very high levels of performance and cus
car but for years to come.
car is one of the most important acquisi
tomer satisfaction.
You will get a feel of the international
tions you will make in your life. Which is
why it pays to visit Concorde Motors
before you buy your car.
Do come and visit us. Understand us
through our interactive technology, take a
experience from the moment you walk
look at our plans and see our range of Telco
into Concorde. Our showrooms have been
passenger vehicles.
There are many things you’ll find
Concorde Motors has been set up
appointed with your comfort in mind.
with the objective of establishing a state-of-
And manned by well-trained people who
refreshingly different about Concorde.
the-art retail network for the sales and ser
care about your needs and concerns.
But we would like you to discover this
Advisors will be at hand to assist you
vice of all Telco passenger vehicles in the
After all, a little bit of mystery is
in your purchase decisions; to guide you
country.
Concorde is the creation of two of the
through the various finance options avail
most trusted names in the international
able and make you feel at ease behind the
business community, the Tata Group and
wheel during the test drive.
We do realise that relationships can
Jardine Matheson. Jardine International
Motors experience stretches across 9
_________ TATA
IN PICA
•
SUMO
not be taken for granted. So we have
•
SAFARI
•
SIERRA
•
for yourself.
essential to any relationship.
O Concorde
A VCEia and Uardlna Company--------
ESTATE
•
ACCESSORIES---------------
GlWnrdr Mnrnn l.imirrd. Nc.l l0 Bangalore D.iry. Off Ho,or Road. Tel: 553 7254/67/68/83/91. Cunningham Road. P.enige Cen.re Po.nr, Tel: 228 7360/61/62.
NOTES
Anytime
you want
good returns.
Enter.
The
Anytime
Facility for
ICICI Safety Bonds.
You can now buy ICICI Safety Bonds anytime you want to
(with as little as approximately Rs.5,000), through
a simple form available with leading brokers and Fixed
Deposit agents. And should you require to sell the bonds in
an emergency, you can always sell them back to ICICI,
through an equally simple form.This facility is in addition to
the Market Making facility provided by ICICI for select
options of ICICI Safety Bonds on the National Slock Exchange.
Anytime
you need to
ICICI
access your
money,
Safety Bonds
Exit.
Save Anytime. Withdraw Anytime.
for more information, call :
• Calcutta
2260774
• New Delhi 332 4224
‘Hyderabad
335 8695
434 6335
• Bangalore
559 5940
•Mumbai
• Chennai
4981099
(A project of The George Foundation)
A World-Class Boarding School for
Economically Disadvantaged Children
A nation's most valuable asset is it's children. They are the future and our
hope for a better tomorrow. Shanti Bhavan, a free boarding school with unmatched
facilities, has evolved from the belief that destitute children are no different from
their more fortunate counterparts in innate abilities.
Shanti Bhavan, literally
translated from the Hindi
Language, means 'Haven of
the
peace". Established in
organization is a 60,000
sq.ft, complex situated on
30+ acres, offering pastoral
September
1997,
setting for the children. The
an impoverished area in the
school is located in Edipalli,
SHANTI BHAVAN •
Dharmapuri district of Tamil
Nadu and Karnataka.
Shanti Bhavan is non-sectarian. It has no affiliation with any religious or
political group. It seeks to instill in children universally accepted values of honesty,
integrity and transparency that are crucial for success in life.
Repectfor all cultures and religions is practiced. The main goal is to provide
tender loving care, medical attention, psychological support and outstanding
education to a select number of children free of cost, so that they become highly
successful in life.
Shanti Bhavan is a project of The George Foundation, a non-profit organization
founded in January 1995. TGF is dedicated to the welfare of children, especially
those who are victims of poverty and those who suffer from adverse environmental
conditions.
For( further details contact:
The George Foundation
No. 1155, 6th Main Road, IV Block, 1st Stage, HBR Layout, B'lore - 560 084.
Tel: 080-5440164, Fax 080-5440210
E-mail: georgef@giasbg01.vsnl.net.in Website : www.tgfworld.org
- Media
LEAD POISONING.pdf
Position: 1000 (8 views)