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6th December 2008 - New research
THE LIKELIHOOD OF TOXICITY CAUSING PARKINSON'S DISEASE
Journal of Agromedicine [2008] 13 (1) : 37-48 (Dhillon AS, Tarbutton GL, 
Levin JL, Plotkin GM, Lowry LK, Nalbone JT, Shepherd S.) Complete abstract
There are a number of toxic substances that are known to cause Parkinson's 
Disease. For more information go to Toxic causes of Parkinson's Disease. 
Toxicity can cause Parkinson's Disease on its own, or can make Parkinson's 
Disease more likely if combined with other factors. Toxicity can initiate 
Parkinson's Disease, and then lead to persistent Parkinson's Disease because 
of the after effect of drugs needed to treat it, even when the toxic effect 
has worn off. Toxicity can often be reversed by avoiding the toxic 
substance. However, with some toxins this can take years because the toxin 
can accumulate in the blood and in the brain. Toxicity is often claimed to 
be the main cause of Parkinson's Disease, but the evidence indicates that 
toxicity causes Parkinson's Disease only in a minority of cases. It has not 
previously been known how readily various toxins can cause Parkinson's 
Disease. This study evaluated the risk of causing Parkinson's Disease after 
exposure to a variety of toxins. Rotenone, a pesticide, was found to 
massively increase the risk of Parkinson's Disease, even when used when only 
during the past year doing gardening. Any use at all of rotenone in the past 
made Parkinson's Disease far more likely. Of those substances assessed, the 
next most likely to cause Parkinson's Disease were, in order : work in a 
paper / lumber mill, exposure to cadmium, past work in an electronics plant, 
insecticide applications to animal areas and agricultural processes, 
paraquat (the herbicide), exposure to fluorides (used in industry), and 
least of all, the use of chlorpyrifos products (insecticides). Cigarette 
smoking, alcohol use, and fish intake were associated with a reduced risk.

Rayilyn Brown
Director AZNPF
Arizona Chapter National Parkinson Foundation
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