Outcomes of the California Ban on Pharmaceutical Lindane: Clinical and Ecologic Impacts
2008

Impact of California's Lindane Ban on Health and Environment

Sample size: 400 publication 10 minutes Evidence: moderate

Author Information

Author(s): Elizabeth H. Humphreys, Sarah Janssen, Ann Heil, Patricia Hiatt, Gina Solomon, Mark D. Miller

Primary Institution: University of California San Francisco

Hypothesis

What are the effects of the California ban on pharmaceutical lindane on wastewater quality and clinical practice?

Conclusion

The ban on pharmaceutical lindane led to environmental benefits, a reduction in unintentional exposures, and did not negatively impact treatment for head lice and scabies.

Supporting Evidence

  • Lindane concentrations in wastewater decreased significantly after the ban.
  • Unintentional exposure calls related to lindane dropped to near zero post-ban.
  • Most pediatricians were aware of the ban and reported no difficulties in treatment alternatives.

Takeaway

California stopped using a medicine called lindane to treat lice and scabies, and this helped make the water cleaner and reduced accidental poisonings without causing problems for doctors.

Methodology

Data on lindane in wastewater and exposure calls were collected, and a survey of pediatricians was conducted.

Potential Biases

Non-responders may have had different experiences than those who responded, potentially skewing results.

Limitations

The survey response rate was low, which may introduce bias.

Participant Demographics

Survey respondents were pediatricians practicing in California.

Digital Object Identifier (DOI)

10.1289/ehp.10668

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