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PubMedDate not supplied

Development of multiple chemical sensitivity after an outbreak of sick-building syndrome.

Investigation of this outbreak raises some important points for future research. Although for various reasons the case ascertainment for MCS was not complete, the three MCS patients described here all had preexisting conditions that may have put them at risk. In addition, one person among the 20 described had chronic fatigue syndrome but did not develop MCS. Many of the persons described here continue to have ongoing complaints that are not MCS. Significant exacerbation of preexisting allergic disease and new onset of asthma occurred among those patients. As a group, they did not recover completely after the outbreak; several are no longer working in the building but in alternative work spaces. An important distinction should be made between individuals who met the definition used here for MCS and others who had significant exacerbation of some better-defined illness brought on by building conditions. New onset of MCS was a partial but not complete explanation of the clinical course for this group of 20 persons.

Adult↗
PubMedDate not supplied

Multiple chemical sensitivity: treatment and followup with avoidance and control of chemical exposures.

Reducing unnecessary chemical exposures, particularly pesticides and other petrochemicals, shows promise for reducing illness episodes in the chemically sensitive. Because similar types of exposures have been associated with the onset of chemical sensitivity, such precautions could have wider preventive value for the rest of society as well. Many uses of chemicals have dubious social benefits, and reduced use should be achievable. The chemical industry will likely bitterly contest the reduced use of chemicals because it stands to lose substantial sales. Compensation and liability insurance carriers also stand to lose if the environment is found problematic, rather than individual psychology, for example. Professionals should also recognize conflicts of interest for the chemical and insurance industries by openly acknowledging funding sources for research. The author believes that research on chemical sensitivity that blames the psyche of the victim rather than the chemical will more likely be funded by the insurance or chemical industry than will other research. Study designs should be developed in an atmosphere removed from financial conflicts of interest. This means a substantially larger role for government funding of research on chemical sensitivity to avoid biasing the knowledge base by financially interested parties. The time is critical for government funding of research on chemical sensitivity because the illness is being defined and characterized. If preliminary research is flawed by improper design and focus, our understanding of the problem could be delayed for years.

Adult↗
PubMedDate not supplied

Multiple chemical sensitivities and other "environmental illness": a psychiatrist's view.

The clinical ecology subculture, like earlier medical subcultures, is the product of patient concerns that the medical establishment cannot allay by treatment or by reassurance. For social and behavioral scientists, it represents a "natural" experiment that can be studied. For those physicians who believe that clinical ecology is without scientific basis generally and/or that its practitioners interpret laboratory results incorrectly, it is a challenge and an irritant. The clinical ecologist-physician feels rejected and the victim of bias and unfair attack. The patient in this subculture feels that finally he has found someone who understands him and is trying to help him, but that he must pay the price of being disapproved or rejected by his former physicians.

Ecology↗