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Where Are They Now?

News: What ever happened to those dumped products -- and their dumpers? Eighteen years later, the MoJo Wire investigates.

November/December 1979 Issue


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In November 1979, Mother Jones reported on a menagerie of dangerous chemicals, drugs, and consumer products that were banned or deemed unsafe in the U.S. but still happily peddled overseas by U.S. companies. This week the MoJo Wire takes a fresh look at some of those unsavory items and finds a few surprises:

  • In 1979 the the Food and Drug Administration (FDA) had rejected the drug Depo-Provera for contraceptive use because studies showed it caused breast cancer in beagles. So the drug's manufacturer, Upjohn Co. (now Pharmacia & Upjohn), simply sold it in dozens of countries overseas, where doctors and governments felt its risks as a contraceptive were acceptable.

    Apparently, so did the Indian Health Service. In 1986 it was discovered that IHS was routinely injecting mentally retarded Native American women with Depo -- women who could hardly give informed consent -- despite the FDA ban. After a Senate investigation, IHS amended its Depo procedures.

    Then in October 1992 the FDA reversed itself and finally approved Depo-Provera for contraceptive use. Dr. Felicia Stewart, director of the reproductive health program for the Henry J. Kaiser Family Foundation, puts it bluntly: "Dogs are not the same as people; beagles are more prone to tumors. There wasn't enough research on people." Tipping the balance: World Health Organization studies of more than 11,000 women concluded that Depo had no higher cancer risk than other hormonal contraceptives. Its main side effects -- irregular menstrual bleeding and weight gain of 4-5 pounds per year -- are similar to those of other approved contraceptives. Some studies have linked Depo to bone loss and osteoporosis; FDA has ordered Pharmacia & Upjohn to study this connection.

    Today Depo-Provera is popular among teenage girls, who in increasing numbers ask for it by name because it's easy to use (one injection every three months) and to hide from nosy parents. Critics complain that health care providers push Depo too hard, especially to racial minorities, and that girls are not always given the information they need to make an informed decision about what birth control method is right for them. In July, Pharmacia & Upjohn began airing commercials for Depo, becoming the first company to advertise a female contraceptive on television.

  • In 1977 the Consumer Product Safety Commission (CPSC) approved strict pacifier safety standards after seven American babies choked to death and hundreds more were injured by poorly designed pacifiers. Because no American-made pacifiers met the new standards -- which required ventilation holes and a shield too large for babies to swallow -- this amounted to a ban on U.S. pacifiers. After the ban went into effect, Evenflo Product Co., Binky Baby Products, and The Reddy Co. continued to export unsafe pacifiers throughout the world, making their biggest dumps in Canada, South Africa, Iran, Venezuela, Puerto Rico and the Dominican Republic.

    Since 1979, a deluge of dangerous pacifiers have been manufactured and sold by U.S. companies. Binky (now Binky-Griptight) has continued to make unsafe pacifiers: Their Squeaky (recalled in 1984) and most recently Newborn Orthodontic (1997) models separated into small pieces that could choke infants. CPSC also urged parents to replace Evenflo's Lil Squeaker (1984), Disney character (1991), and Orthodontic (1995) pacifiers for the same reason.

    And in 1994 Gerber Products Company, in cooperation with CPSC, recalled 10 million of its Nuk Orthodontic Pacifiers because they too were discovered to be separating into chokable pieces. The company said they'd fixed the problem, began manufacturing the Nuk again, then last year alerted consumers that some of the new Nuks should also be thrown away, if they had been put through the dishwasher.

  • Tris (2,3-dibromopropyl) phosphate, the flame retardant chemical used in kids' pajamas in the 1970s, was banned by the CPSC in 1977 after it was found to cause kidney cancer when absorbed through the skin or inhaled. The subsequent discovery that millions of sets of Tris-coated pajamas were still being dumped abroad became the impetus for changing trade laws: On January 15th, 1981, as one of his final acts in office, Jimmy Carter ordered new controls on the export of hazardous and banned products.

    A month later, Ronald Reagan revoked Carter's order, greasing the skids for manufacturers to export dangerous products. In 1983 Reagan went a step further and signed a $56 million sleepwear industry reimbursement bill -- which Carter had vetoed -- bailing out the pajama makers, distributors, and retailers who lost money when Tris was banned.

    Since then, the Tris ban has become something of a whipping boy for conservatives -- this year the American Council on Science and Health, a think tank funded by corporations and right-wing foundations, listed Tris as one of "The 20 Greatest Unfounded Health Scares of Recent Times."

  • In 1977 dibromochloropropane (DBCP), a pesticide used mostly on banana farms, was banned provisionally in the U.S. after it was found to cause blindness, sterility, and cancer; in 1979 the ban was made permanent. Its manufacturers -- Dow Chemical, Shell Oil, and Occidental Chemical -- were left with huge superfluous quantities of DBCP which they couldn't sell in the U.S. So guess where they sold it? The infertility gods took a trip to Africa, Asia, the Caribbean, and Central and South America -- to banana republics and other Third World countries free from strict environmental protection laws.

    Today some 25,000 plantation workers from at least 12 countries are suing the U.S. pesticide makers and fruit growers they say caused their sterility, birth defects, and other illnesses. But justice has proved elusive: The manufacturers have succeeded in getting most cases dismissed back to the plaintiffs' home countries, where damages are expected to be much lower. When Bill Clinton visited Costa Rica in May, banana workers there pleaded with him to let them to sue the U.S. companies in U.S. courts.

    So far, workers have had slightly more success suing the fruit companies who employed them, including Del Monte Fruit, Chiquita Brands, Dole Food, and Standard Fruit Company. In June, Standard Fruit agreed to pay $22 million to compensate 3,000 workers in Honduras, Guatemala, El Salvador, Nicaragua, Ecuador, and the Philippines, who were directed to use DBCP on pineapple and banana plantations without any warnings, training, or protective clothing.

  • From 1973 to 1992, Milton Silverman, Mia Lydecker, and Philip R. Lee researched and wrote four books on the marketing policies of U.S. and foreign pharmaceutical manufacturers, including evidence that these companies provided irrational prescribing information, often hazardous directions that helped the companies sell more drugs. In 1979 Mother Jones excerpted one such study which found that U.S. companies sold tetracycline products in other countries with incomplete warnings -- or none at all.

    In 1992 the team looked at tetracycline again: In most countries the products carried the proper warning -- that the antibiotic generally should not be used in children below the age of eight -- but products sold in Latin America by Squibb, McKesson, Bristol, Lederle, Lepetit, and Rorer had incomplete warnings or none at all, and products sold by Hoechst and Squibb in the Philippines still included dosages for children of any age.

  • Chloramphenicol would probably be regularly prescribed for a long list of infectious diseases if it did not produce a fatal anemia in a small but significant percentage of patients. In most countries it's recommended only for life-threatening illnesses such as typhoid fever. In 1979 Mother Jones reported Silverman's findings that Parke-Davis pushed the drug for low-level maladies like tonsillitis and sold it in Central America with no warnings at all, while McKesson recommended its brand for whooping cough and sold it with no warnings in Colombia and Ecuador.

    Critics of such policies strongly encouraged drug companies to display three clear warnings on their chloramphenicol labels: Do not use against trivial infections; Do not use to prevent infections; Do not use for prolonged treatments. In 1992 Silverman and crew found, happily, that most companies complied with this restriction, but that McKesson's product again had none of the essential warnings in Central America or Venezuela. And the good doctor noted with some satisfaction that in the labeling maze of Latin America, only one company's product carried the appropriate warnings every time: Parke-Davis.



     

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