Frequently Asked Questions
Questions that are commonly asked at community meetings or through our communications are listed below. In order to see the answer to any particular question please click on the banner with the question and the answer will open up below.
Membership
In 1976, the Michigan Department of Health and Human Services (MDHHS) enrolled approximately 4,000 farmers, chemical workers, and others with PBB exposure risk to participate in the Michigan Long-Term PBB Study. The data collected as part of this study is now referred to as the Michigan PBB Registry. All original study participants and their children and grandchildren are eligible to be in the registry. In 2011, MDHHS was no longer able to maintain the registry and transferred it to Emory University.
If you or a parent/grandparent were a part of the original Michigan Long-term PBB Study conducted by the state, you might be a part of the original PBB Registry. Individuals who want to stay in the PBB Registry must provide consent to transfer their PBB records from the Michigan Department of Health and Human Services (MDHHS) to Emory University. By transferring your health records to Emory University, you will receive up-to-date information on study findings and have opportunities to guide future research priorities. To get more information about how to transfer your records, please click here
If you or your parent/grandparent were a part of the original registry, you may join the registry by providing consent to transfer your PBB records from the Michigan Department of Health and Human Services (MDHHS) to Emory University. To get more information about how to transfer your records, please click here
Currently, we are not enrolling in any new studies. We are analyzing data from recently completed studies.
If you are interested in participating in future research studies, please fill out our Health Research Interest Form.
Some of the health effects of the PBB exposure may take many years to develop and will only be found by continued research. The study findings can help you and your doctor decide if you need more frequent tests for certain conditions. Our research has also shown health effects among the sons and daughters of women who ate contaminated food. It is important to continue to study the health of these children as they grow up and have children who are now adults as well as their children, who may also have been affected by their parents' exposure to PBB.
PBB Exposure
You may have been exposed to PBB if you or your mother:
- lived or worked on a farm in Michigan in 1973-1974;
- Ate contaminated beef, pork, dairy products, chicken, or eggs during 1973-1974; or
- Worked for the Michigan Chemical Company/Velsicol or lived near the plant.
To detect the level of PBB in the body, blood is drawn and analyzed. However, blood testing for PBB is not a routine test available at doctor’s offices and is not a standard laboratory procedure. Currently, we are not enrolling in any new studies. We are analyzing data from recently completed studies. If you are interested in participating in future research studies, please complete the Health Research Interest Form.
Blood testing for PBB is not a routine test available at doctor’s offices and is not a standard laboratory procedure. The Michigan PBB Registry Team conducts research studies to investigate the health effects of PBB exposure, and as part of the research, participants’ blood is tested for PBB. Currently, we are not enrolling in any new studies. We are analyzing data from recently completed studies. If you are interested in participating in future research studies, please complete the Health Research Interest Form.
PBB levels are reported in parts per billion (ppb). Among Michiganders that we have tested in recent years, the average blood level is 0.24 parts per billion. Although a part per billion is a very low concentration, it’s important to understand that our natural hormones exert their effects at similar low concentrations:
- Estradiol, the primary form of estrogen, in reproductive-age women, is present in concentrations of 0.02-0.4 parts per billion.
- Testosterone in adult men is present in concentrations of 2.4-9.5 parts per billion.
Recent PBB testing reflects the use of new analytical methods, which are able to detect a lower concentration of PBB than previous methods and is also more accurate. In addition, there are several different forms of PBB. The Firemaster mixture was mostly PBB-153. Measurements from 1990 to the present are reported as the concentration of PBB-153 detected in the blood. Previous PBB measurements were based on different mixtures of PBB types and are not directly comparable to each other or to the PBB-153 measurements. Because of the advances in laboratory science, the most recent measurements are the most accurate.
Yes, gradually. On average, it takes about 12 years for half of the PBB in the body to be eliminated. There is currently no medical treatment that will lower PBB levels in the human body.
To explore ways to reduce PBB levels, we recently completed a study examining whether weight loss, with and without the aid of a weight loss pill, a low-fat diet, and light exercise over six months, would speed up the elimination of PBB. We did not find any association between weight loss and an increased elimination of PBB, thus, concluding that we do not have any reliable data on ways to reduce PBB levels.
Yes, PBB can be transferred from mother to child in the womb and through breastmilk. For more about these research findings please click here.
Health Effects
PBB exposure has been associated with a variety of health outcomes including a higher risk of certain cancers (breast, lymphoma, and gastrointestinal) as well as thyroid problems. Adult daughters born to exposed women had higher levels of miscarriages while the sons reported more urinary and genital conditions.
Click here for an infographic of our health findings and click here for more information about all of our research findings
We have developed several resources to help educate healthcare professionals:
- Two Fact Sheets for Healthcare Providers – Click here and here to access fact sheets made to be shared with healthcare providers about PBB exposure and related health effects.
- Continued Medical Education – Click here for direct access to a course healthcare providers can take to better understand PBB exposure and its health implications
We encourage you to share these resources with your healthcare provider to help them better understand PBB exposure and its potential health impacts.
Research
Currently, we are not enrolling in any new studies. We are analyzing data from recently completed studies. Once the results are available we will be sharing it with the PBB community once finalized.
If you are interested in participating in future research studies, please fill out the Health Research Interest Form.
PBB community members have helped the research effort in multiple ways. For example, they have helped us find locations to host community meetings and research appointments. They have shared information regarding PBB community meetings with family, friends, and neighbors. They have contacted state and federal officials to advocate for support of the PBB research. To learn more, click here.
Currently, we are not enrolling in any new studies. We are analyzing data from recently completed studies. Once the results are available we will be sharing it with the PBB community once finalized.
Other
Contaminated livestock were buried at two state-owned sites in Michigan, one in Kalkaska and another in Mio. Livestock were also buried on private land by some farmers. For the state-owned sites, the geology, hydrology, and typology of the site were evaluated prior to selection. In addition, groundwater observation wells were installed and monitored by the Michigan Department of Natural Resources for several decades. It is our understanding that the groundwater levels of PBB measured were low and below levels of concern. Click here for a journal article from 1978 that provides additional details.
PBB tends to bind to the soil and stay put. PBB is lipophilic, meaning it dissolves much more easily in fats than in water. This means that PBBs are highly sorbed to soil surfaces and organic matter, persistent in soil, and less likely to move in water. However, PBB has been detected at low levels in groundwater near the Gratiot County Landfill, where they disposed of over 150,000 lbs of PBB.
Over 500 farms were quarantined across the state (click here for a map). While farms across the state were contaminated, some areas were more affected than others, including Newago, Mecosta, and Missauki counties. St. Louis, Michigan was also highly affected because the manufacturer of PBB disposed of it in local landfills, and many of the residents worked at the facility. In fact, most Michiganders living in the state during the early to mid-1970’s are likely to have consumed contaminated meat, eggs, and dairy products. In addition, our research has shown that children born to mothers with high levels of PBB were also exposed in the womb and through breastmilk.