The State of our Children’s Health

Michelle Perro, MD
Published: October 9, 2023

Rhetoric, regulatory capture, and the lack of governmental action have created and fueled one of the greatest crimes of the times which is the allowance and acceptance of the chronic poisoning of our children.  Although the root causes of this health-crisis-tsunami can be blamed on many factors, the overarching culprit began with the introduction of genetically modified organisms (GMOs) in the 1990s, developed with their associated pesticides.  The usage of a greater variety of GMOs in combination with more toxic pesticides has only been increasing secondary to weed resistance.  Coupled with companies profiteering from the patent-parade of more and more genetically engineered foods, this is the cocktail for the present health disaster played out in real-time. 

The end result is that the state of our children’s health is the true pandemic.

A Look at the Stats

According to a research publication in 2011, 54% of American children were diagnosed with a chronic health condition.  A recent examination of the statistics reveals startling information regarding the status of our children’s health:

  • 1 in 6 to 1 in 8 children have asthma (higher in African American and Latino children
  • 1 in 5 children have eczema, often affecting 60% of infants
  • 2-3 in 6 children have seasonal allergies (many children believe this is typical, with ‘sick being the new normal’)
  • 1 in 3 children have food intolerance and 1 in 12 children have a “true” food allergy
  • 1 in 3-5 children are overweight, variable by state in which they reside
  • Additionally, educators, legislators, and practitioners cannot ignore the elephant in the room: The unprecedented rise of Autism Spectrum Disorder (ASD) in our children.  Many of those affected have now become adults, so the issue has transcended into the population at large.  In the short time between the years from 2020-23 alone, ASD rose significantly and the following numbers should sound the alarm: 1 in 22 children  (CDC, 2023) in California and 1 in 36 children (CDC, 2023) are now on the autism spectrum.  These numbers do not address the millions of children also experiencing ADHD, neurocognitive/neurodevelopmental disorders, mood dysregulation, and anxiety/depression.  Diagnoses are not pigeon-holed, and many children may cross-over manifesting elements of different disorders.  It is a hot mess.

This is an incomplete list of disorders, and nor does it acknowledge the millions of children who are undiagnosed, many lacking resources and support.

Covid Impacts

There is no longer just one elephant in the room, but the herd.  The Covid Era has ushered in layered and more complicated issues upon our children, reflected in a decline their well-being.  Several years of social isolation from peers, masking, closure of schools and childcare centers, reduced access to playgrounds, and overall familial stress have fueled a national mental health crisis.  These changes also were noted in the behavior of children, also documented in their microbiome as well.  (The microbiome is directly responsible for the development of immune function, the first line of defense for detoxification, production of vitamins and neurotransmitters, etc.)  During the early stages of a child’s life particularly in the first 3 years, the gut microbiome has been shown to be shaped by environmental influences.  These changes impact future mental and physical health throughout the child’s life.

Image credit: Sandra Montanez/Getty  

Children and Mental Health

There are definable factors that have changed mental health in children during the Covid Era.  The effects on the microbiome have been mentioned, and this is important in terms of understanding the relationship between the gut and the brain, referred to as the gut-brain axis.  Additionally, the factors that have created the increase in mental health stressors include:

  • Disruption of routines
  • Social disconnection
  • Increased stress in parents and family members
  • Messaging regarding continual dangers and threats to once normal activities
  • Loss and grief of important relationships outside the immediate family

It must be emphasized that children do not have control over their environments, and a year of their lives is extremely significant in the context of their short lives.  Recently released data shows that pandemic-related disruptions and mental health in our youth has produced an increase in anxiety and depression, suicidal ideation, and suicidal attempts compared to before the pandemic, exacerbated in vulnerable populations.

A pivotal study from the UK, the Myriad Project, involved more than 28,000 children, 650 teachers, 100 schools, and 20 million data points.   They published a comparative analysis of the mental health of thousands of UK secondary school pupils presently to those prior to the Covid pandemic.  A summary of their findings is concerning:

  • Young people who went through the pandemic were more likely to experience increased depression, social, emotional and behavioral difficulties and worsening general mental well-being.
  • While mental health declined in both groups over time, those in the pandemic experienced a worsening in their mental health:
      • Cases of depression increased 8.5% in those going through the pandemic versus 0.3% in the pre-pandemic group.
      • Cases of high/very high social, emotional and behavioral difficulties increased 7.9% in the pandemic cohort vs 3.5% in the pre-pandemic cohort.
      • Cases of possible/probable mental health difficulties increased 12.8% in the pandemic group versus 4.5% in the pre-pandemic group.
    • Girls and those who were initially at low risk of mental health difficulties experienced greater deteriorations during the pandemic.
    • Having a positive school climate, good relationships at home and having a friend to turn to for support during lock-down were protective factors.
    • Even partial school attendance during lock-down was better for the subsequent adjustment when coming back to school than no attendance at all.
    • The financial impact of the increase in mental health costs soared 26% higher during the pandemic than previously, led by anxiety and ADHD, recently published in the Journal of the American Medical Association.  Additionally, Telehealth services were used 30 times more often than prior to the pandemic.

    Back to School

    It is clear that children going back to school is a key factor for the recapture of overall health losses sustained during the Covid pandemic  The message here is that the optimization of the school environment is a essential in regaining children’s well-being, and reversing the disastrous mental health deteriorations experienced.  One of the key ways to regain and strengthen the health of our children is via nutrition.

    School nutrition is one of the best ways to support children’s transition back-to-school and back-to-health.

    Optimal nutrition in children’s diets can used as a measure of health resilience, (especially during peak viral seasons).  Maximizing nutrition impacts affect every aspect of a child’s health, particularly in regard to learning.  An adequate amount of minerals (i.e., iron, zinc, magnesium), B vitamins, omega 3s, and quality macronutrients in terms of proteins, fats, and carbohydrates, will improve the learning capacity of children.  Many American children receive the bulk of their meals from school lunches.

    The National School Lunch Program (NSLP) provides low-cost or free lunches to children, operating in over 100,000 schools/child care facilities.  Many of the increased meals provided during the Pandemic, have since expired in 2022.  Common sense dictates that participation in the USDA’s school lunch program can significantly reduce food scarcity facing many of America’s youth. Children from homes with food insecurity are more likely to eat school meals, receiving the majority of their nutrition from the meals provided.

    The question is do the school lunches provide the necessary nutrition to feed children, especially those children who are more vulnerable?  Presently, school meals must meet Federal nutrition standards.  Those dietary guidelines published in the 2020-2025 Executive Summary state the following:

    “…Nutritional needs should be met primarily from foods and beverages—specifically, nutrient-dense foods and beverages. Nutrient-dense foods provide vitamins, minerals, and other health-promoting components and have no or little added sugars, saturated fat, and sodium. A healthy dietary pattern consists of nutrient-dense forms of foods and beverages across all food groups, in recommended amounts, and within calorie limits.

    The core elements that make up a healthy dietary pattern include:

    • Vegetables of all types—dark green; red and orange; beans, peas, and lentils; starchy; and other vegetables
    • Fruits, especially whole fruit
    • Grains, at least half of which are whole grain
    • Dairy, including fat-free or low-fat milk, yogurt, and cheese, and/or lactose-free versions and fortified soy beverages and yogurt as alternatives
    • Protein foods, including lean meats, poultry, and eggs; seafood; beans, peas, and lentils; and nuts, seeds, and soy products
    • Oils, including vegetable oils and oils in food, such as seafood and nuts”

    This is an excellent summary of the nutritional needs of our children and should be commended in the government’s approach to school-based nutrition.

    However, is this what our children are actually receiving in school lunches?

    Moms Across America National School Lunch Testing Study

    The nonprofit organization, Moms Across America (MAA) in Sept. 2022, published their own research regarding what is actually in school meals, disproportionately feeding underserved children.  Forty-three school lunches were sampled from across the US.  The MAA findings are stunning:

    • 95.3% of the school lunch items contained carcinogenic, endocrine disrupting, and liver disease-causing glyphosate, as well as its toxic breakdown product, AMPA.
    • 74% of the samples contained at least one of 29 harmful pesticides.
    • 4 Veterinary drugs and hormones were found in 9 school lunches samples at levels up to 130.76 ng/g.
    • 100% of the school lunch samples contained heavy metals at levels up to 6,293 X higher than the EPA’s maximum levels allowed in drinking water.
    • The majority of the samples were abysmally low in nutrients.

    School lunches contain many genetically modified foods, such as corn, soy, canola and soybean oils, and sugar from sugar beets.  GMO foods, designed to resist the spraying of pesticides (Roundup®-ready) are heavily doused with chemicals such as glyphosate-based herbicides. GMOs are engineered to resist dying from spraying from pesticides.  Hence, the weeds die, but not the crops. Many crops (such as wheat, oats, and legumes) are sprayed with an off-label usage of herbicides prior to harvest to dry the crops (applied as a desiccant). Therefore, those foods that our school children commonly consume are even further laden with extremely elevated levels of pesticides.

    Additionally, what may not be recognized is that GMOs in themselves cause harm.  The first study of the effects of GMOs in rats showed that GMOs (without concomitant pesticides) caused gastrointestinal disruptions, immune dysfunction, and reproductive harm in rats.  There have been no peer reviewed, blinded studies regarding the harmful effects of GMOs on human health.  Remember, GMOs are not consumed alone, but with their associated pesticides.  Our children are the science experiment.

    The introduction of GMOs and their associated pesticides are the main drivers of the chronic poisoning of America’s children.

    What harms do glyphosate-based herbicides (including the undeclared toxic “inert” ingredients in formulations), pesticides, heavy metals, and veterinary pharmaceuticals found in American school lunches do to our children?

    • Half of the gut microbes are sensitive to glyphosate, (a patented antibiotic), causing an imbalance in the microbiome with overgrowth of pathogens, leading to disorders such as irritable bowel syndrome and other gut inflammatory conditions.
    • Maternal glyphosate exposure causes ASD in their offspring.
    • Glyphosate is a metal chelator, binding the essential minerals needed for children’s optimal function.
    • Glyphosate is linked to fatty liver disease (NAFLD), affecting 25% of the worldwide population; approximately 13% of children, and 17% of adolescents.  This number rises significantly in children that are overweight.  NAFLD is now the most common form of liver disease in children and can silently lead to more serious steatohepatitis, and ultimately fibrosis.  Extremely low doses of glyphosate have caused NAFLD.
    • Pesticide formulations are contaminated with heavy metals, such as arsenic, chromium, cobalt, lead, and nickel.  Heavy metals cause neurocognitive, respiratory, and cardiovascular disorders, as well as cancer.   The highest levels in school lunches were cadmium at up to 46.8 micrograms/kg and lead up to 94.4 micrograms/kg.
    • Toxic effects of pesticides (glyphosate) on children’s health (i.e., ADHD) has been known and studied in the growing region of the Salinas Valley for 20 years.
    • The “inert” formulations (i.e., POEA) increase the toxicity and are endocrine disruptors:
    • 29 different pesticides were present in 74% of the school lunches.  There are NO studies looking at the toxicity of combinations of pesticide formulations.
    • Veterinary drugs and hormones (anti-fungals, anti-parasitics, and birth control hormones) can have innumerable health effects on children.

    Pesticides cause a depletion of vital nutrients.

    Robust nutrient levels in foods can offset toxic stressors, however, the depletion of nutrients in the soil have resulted in abysmally low levels in the school lunches tested.  Our children are overfed and undernourished.  Many are constantly hungry since their bodies have not received sufficient nutrition.  Livestock have also not fared well since they, too, are fed contaminated grains which lead to illness.  Children then consume toxic meat.

    Solutions

    Changing children’s diets to organic regenerative food creates rapid improvements in children’s health, documented in clinical practice as well as in several research studies.

    The Nutrinet Sante study looked at 240,000 individuals whose health improved making dietary changes. Local heroes exist.  As documented in What’s Making our Children Sick?, A Central Valley, California family dad living in the heart of pesticide spraying, on the dialysis list, regained kidney function to nearly complete changing from a conventionally grown to an organic regenerative diet.

    Our government must do better.  Individual states have taken up some action  on behalf to the protection of children, including California, with the recent passing of    AB 418, banning brominated vegetable oil, potassium bromate, propylparaben, or red dye #3.  Although this type of state-directed legislative action is a good first step, it is not enough in terms of immediate action needed to change the course of health-history and protect our children nationally from the assault by the unregulated ingredients of school lunches.  Legislation is required at the Federal level in order to provide a national standard.  The requirements can look as follows:

      • Support local organic, regenerative farms to supply school lunches, which would also address social equity.  These strategies are presently being addressed in Wisconsin.
      • Support the farm-to-school movement, which is already happening in various states: Pennsylvania, California, Iowa, Minnesota, and Wisconsin.
      • Senator Cory Booker is launching a bill to place restrictions on toxic contamination residues in school lunch, matching European standards.  The only way to achieve those goals is supplying our children with food from regenerative, organic farmers.
      • Support school gardens.  Rodale Institute in Kutztown, PA, has already created and implemented a healthy start school curriculum, My First Garden.
      • Activating local communities raising healthy food consciousness (Las Vegas, Nevada)
      • Support local development, creating neighborhood food networks

      The Ask

      The expectation is an urgent call-to-action for our policy makers to immediately switch to organic regenerative school lunches for America’s children, reducing pesticides to less that 10 ppb, over the next 3 years.  The stronghold of conventional agricultural practices and businesses on our agricultural practices must be ended.

      Our children deserve better.

      Action Items

      Regulatory Oversight

       Enhanced Regulations:

      • The FDA and other regulatory bodies must establish stricter guidelines and permissible limits for toxic metals in infant formula. This action has been already put into our place since our meeting with the FDA prior to the release of our data reported in this blog by Moms Across America.

      Regular Testing:

      • Mandatory, routine testing for heavy metals in all infant formula products should be enforced to ensure compliance with safety standards.

      Transparent Reporting:

      • Companies should be required to disclose test results publicly, promoting transparency and accountability.

      Proactive Measures by Companies

      Sourcing and Production Controls:

      • Infant formula manufacturers must implement rigorous controls over their raw materials and production processes to minimize contamination.

      Regular Audits:

      • Frequent internal and third-party audits should be conducted to ensure adherence to safety protocols and identify potential sources of contamination.

      Research and Development:

      • Investment in research to develop technologies and methods for removing or reducing heavy metal content in infant formulas.

      Remediation Solutions

      Advanced Filtration Systems:

      • Implementing advanced filtration technologies during production to remove toxic metals.

      Ingredient Substitution:

      • Identifying and using alternative, less contaminated sources of raw materials.

      Chelating Agents:

      • Exploring the use of safe chelating agents that can bind to metals, making them less bioavailable and reducing their toxic effects.

      What the Data Means to Moms

      For mothers and caregivers, these findings can be alarming. However, it is essential to understand the implications and take informed steps to ensure the safety of their infants. Breastfeeding remains the best option for infant nutrition, when possible, as it naturally minimizes exposure to contaminants.

      Recommendations Based on Data

      Prioritize Breastfeeding:

      • Whenever possible, opt for breastfeeding to provide the safest and most natural nutrition for your baby.

      Choose Carefully:

      • When breastfeeding is not an option, select infant formulas that have been independently tested and verified for low levels of toxic metals.
      • Maximize moms’ diet utilizing organic regenerative whole foods, including an array of fermented foods, filtered water, and nutritional supplements, such as prenatal vitamins and probiotics.

      Stay Informed:

      • Keep abreast of the latest research and reports on infant formula safety to make informed decisions.

      Advocate for Change:

      • Support initiatives and petitions calling for stricter regulations and safer infant formula products. (See the end of this article for a petition/call-to-action.)

      Sample Considerations

      The recommendations based on our findings proved challenging since all formulas tested positive for aluminum and lead. Other difficult considerations were based on the fact that not all metals are equally toxic and it is unclear whether having more metals at lower amounts was more toxic than fewer metals with higher amounts. The literature did not prove helpful in this regard.

      Hence, the best attempts were made to offer advice for concerned parents based on this one study of toxic metals without other concomitant toxicants studied. A scorecard was designed, rating the formulas from 1 – 3, with 1 being the best based on 5 toxic metals studied and without consideration of other factors. The formulas were chosen for lowest levels of lead, mercury and cadmium. Lower levels of aluminum were considered since they all tested positive. There were no ideal formulations, and the recommendations were based on the 20 tested. There were differences in the two samples of the same formula which may not be statistically significant.

      Overall formula recommendations:1

      1. Similac Sensitive infant formula
      2. Kirkland ProCare Non-GMO infant formula – NOTE: My top choice factoring in other contaminants/pesticides
      3. PurAmino hypoallergenic powder infant formula (For babies with digestive issues requiring predigested formulas)

      Formula recommendations:2

      1. Gerber Good Start Gentle Pro
      2. Earth’s Best Organic Sensitivity Formula

      Formula recommendations:3

      1. Enfamil Sensitive Infant Formula
      2. Similac Total Comfort Infant Formula
      3. Up & Up Gentle Premium Powder Infant Formula
      4. Up & Up Non-GMO Hypoallergenic Powder Infant Formula
      5. Enfamil Plant-Based Soy Powder Infant Formula

      Strategic Recommendations

      Targeted Research

      Understand Contamination Sources:

      • Conduct further research to understand the sources of metal contamination in infant formulas, including soil contamination with pesticides, water used in manufacturing, and packaging materials.

      Long-Term Health Impacts:

      • Investigate the long-term health impacts of chronic exposure to low levels of these metals in infants.

      Consumer Guidance

      Interpreting Lab Results:

      • Educate parents on how to interpret lab results and select formulas with the lowest possible contamination levels.

      Support Safe Feeding Practices:

      • Provide resources and support for parents to transition to safer feeding practices, whether through breastfeeding support or safer formula alternatives.

      Enhanced Testing Protocols

      Rigorous Testing:

      • Mandate formula manufacturers to adopt more rigorous testing protocols, including testing for a broader range of contaminants and more frequent testing intervals.

      Standardized Procedures:

      • Advocate for standardized testing procedures across the industry to ensure consistency and reliability in reported results.

      Supply Chain Transparency

      Transparency:

      • Push for greater transparency in the supply chain of infant formula ingredients.
      • This includes sourcing, production processes, and quality control measures.

      Traceability:

      • Implement traceability measures to identify and mitigate contamination sources promptly.

      Policy and Advocacy

      Environmental Contamination:

      • Support policy initiatives aimed at reducing environmental contamination, as many of these metals enter the food chain through polluted air, water, and soil.

      International Cooperation:

      • Advocate for international cooperation to address the global nature of food safety, as ingredients are often sourced from multiple countries.

      Summary

      The presence of toxic metals in infant formula is a critical issue that demands immediate action.

      Public education is crucial to raise awareness among parents and caregivers about the potential risks and safety measures. Regulatory action by Congress is necessary to empower the FDA and other agencies to enforce stringent safety standards. Additionally, formula companies must take corrective actions to ensure their products are safe.

      To address this issue, we are initiating a petition to urge Congress to remove any barriers preventing the FDA from enforcing these necessary regulations. In the meantime, parents can consider various supplements that may help offset the toxicity, although this should be done in consultation with healthcare professionals.

      By working together—regulators, companies, and consumers—we can ensure that infant formula products are safe and healthy for our most vulnerable population, our babies.

      Our Petition:

      Please cut and paste this letter, add 1-3 sentences at the top to personalize it and increase the chances of it being read, and send it directly to your Senator and Representative today!

      Find your Senator and Representatives’ emails and telephone numbers here.

      Dear Senator_____ or Representative _______,

      I am writing to ask for your support in making baby food and formula safer for our babies. Will you support the Baby Food Safety Act of 2024 and insist that baby formula is included? Please authorize the FDA with the ability to do their job and protect human health. Baby formula is often the ONLY food a baby consumes for the first six months of their lives and must be monitored for heavy metals. Our babies ARE our future and they are the most vulnerable. If swift action is not taken, babies from both sides of the aisle will continue to be severely impacted and their mental, physical, and reproductive health issues will affect the future of America.

      GMOScience and The New MDS, Moms Across America, a national educational nonprofit dedicated to empowering mothers and others to create healthy families and communities, today announces the results of testing for five toxic metals in 20 infant formula products. Samples included organic as well as non-organic and plant-based as well as animal product formulas sold by four of the major producers of infant formula in the United States and across the globe. Two samples of each product were tested, for a total of 40 samples.

      Concerning findings include:

      • 100% of the 40 samples tested contained aluminum and lead.
      • 57% of the samples tested positive for arsenic, 55% for mercury, and 35% for cadmium.
      • Six of the 20 formulas were positive for all five toxic metals in both samples.
      • At 41,000 ppb, aluminum levels in a goat’s milk baby formula were 4000 – 40,000x higher than other metals in the formulas tested and exceed limits set by the FDA for maximum safety level of aluminum for a preemie.
      • Levels of mercury in four samples measured above the limit allowed by the FDA in drinking water.
      • Levels of cadmium in both samples of one formula were nearly twice the level allowed in drinking water.

      The FDA concluded many years ago that babies and young children are particularly vulnerable to the harmful effects of food contaminants because of their small bodies and rapid cellular growth. In 1962, the FDA launched the Total Diet Study, recently published in July, 2002, analyzing 910 foods, including only four infant formulas. Two of the four formulas contained toxic metals, including uranium. In April 2021, the FDA announced its “Closer to Zero” plan, wherein it committed to proposing allowable levels of lead in various baby foods by April 2022, levels of inorganic arsenic by April 2024, and cadmium and mercury sometime after 2024. None of those deadlines, however, have been met, and all of them have been removed from the Closer to Zero website.

      To date, the only actionable limits the agency has set are for one toxic metal only (inorganic arsenic) in one type of baby food product (infant rice cereal).

      Citing findings of nearly 400 childhood lead poisoning cases in fall 2023 linked to recalled cinnamon applesauce pouches. A coalition of 20 Attorneys General led by New York’s Attorney General Letitia James issued a letter to the FDA on February 15 of this year to call on the federal agency to protect babies and young children in the United States from lead and other toxic metals in baby food. That letter followed an October 2021 petition and subsequent June 2022 petition, asking the FDA to issue specific guidance to the baby food industry to require testing of all finished food products for lead and other toxic metals.

      It has been over two years! Action must be taken now!

      Moms Across America, GlyphosateFacts, and GMOScience presented the new baby formula test results and science from Stephanie Seneff and others in meetings with congressional representatives and the FDA in Washington, DC from April 29 to May 2. They were informed by Jim Jones, Deputy Commissioner for Human Foods at the FDA, that the agency is waiting for Congress to pass legislation that would mandate testing for lead and other harmful chemicals in food. On May 9, US lawmakers introduced the Baby Food Safety Act of 2024, which, with Congressional approval, would allow the FDA to regulate and enforce limits on levels of heavy metals found in baby food and potentially formula.

      Please support the Baby Food Safety Act of 2024 and insist that baby formula is added to the bill so that the FDA may regulate and monitor levels of heavy metals in both baby food and baby formula.

      Thank you.

      Signed with Gratitude,

      Your constituent __________________

      References:

      1. https://www.fda.gov/food/resources-you-food/infant-formula#oversee
      2. https://www.fda.gov/food/resources-you-food/infant-formula
      3. https://www.fda.gov/food/buy-store-serve-safe-food/handling-infant-formula-safely-what-you-need-know
      4. https://www.fda.gov/food/consumers/agricultural-biotechnology
      5. https://www.fda.gov/food/people-risk-foodborne-illness/food-safety-infants-toddlers
      6. https://www.fda.gov/food/infant-formula-guidance-documents-regulatory-information/enforcement-discretion-manufacturers-increase-infant-formula-supplies#regular
      7. https://www.fda.gov/media/71695/download?attachment
      8. https://www.scirp.org/journal/paperinformation?paperid=53106
      9. https://www.researchgate.net/profile/David-Kennedy-40/publication/333582853_Environmental_toxicants_and_infant_mortality_in_America_Peertechz_Journal_of_Biological_Research_and_Development_11_36-61/links/5d111f6592851cf440492ee1/Environmental-toxicants-and-infant-mortality-in-America-Peertechz-Journal-of-Biological-Research-and-Development-11-36-61.pdf
      10. unsafe at any level
      11. https://reneedufault.com/
      12. https://gmoscience.org/
      13. https://www.momsacrossamerica.com/
      14. https://www.ewg.org/research/ewgs-guide-infant-formula-and-baby-bottles
      15. https://www.inonaround.org/baby-formula/
      16. https://projecttendr.thearc.org/
      17. https://hbbf.org/
      18. https://www.hbbf.org/solutions/healthy-baby-foods
      19. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4415012/: Developmental pesticide exposure reproduces features of attention deficit hyperactivity disorder
      20. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8871549/:Prenatal Mercury Exposure and Neurodevelopment up to the Age of 5 Years: A Systematic Review
      21. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5461492/:Fetal and postnatal metal dysregulation in autism
      22. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC1764574/:Lead and mercury exposures: interpretation and action

      https://www.nass.usda.gov/Surveys/Guide_to_NASS_Surveys/Chemical_Use/WheatPostharvestChemicalUseFactSheet.pdf

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