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to The Sunday Times

An alarming rise in birth defects was acknowledged by China yesterday, amid concern that heavy pollution is damaging the country’s children.
Babies born with conditions such as cleft palates and extra fingers and toes now account for up to 6 per cent of births each year, according to statistics published yesterday. And the number of babies born with disabilities has increased by 40 per cent since 2001 – a period that has coincided with China’s meteoric economic growth – to between two and three million a year. Up to 12 million more develop defects in childhood.
Officials said that the increase reported by the National Population and Family Planning Commission may, in part, reflect an improvement in the collection of data from rural areas. In addition, families were becoming less reluctant to report defects that in the past had been concealed out of shame.
But there was also evidence that China’s fast-decaying environment was taking its toll. The proportion of babies born with disabilities is even higher in the country’s coal-rich regions, where mining has devastated the landscape and poisoned rivers and valleys.
An Huanxiao, director of the family planning agency in the coal-rich northern province of Shanxi, had few doubts. “The incidence of birth defects is related to environmental pollution. The survey’s statistics show that birth defects in Shanxi’s eight large coalmining regions are far above the national average.”
Li Weixiong, director of the research institute at the commission, admitted that the issue was a concern, but he said that more research was needed to make a clearer link to environmental degradation. China is home to 16 of the 20 most polluted cities in the world.
Mr Li’s commission reported that, nationwide, the rate of defects has increased from 104.9 per 10,000 births in 2001 to 145.5 in 2006. When combined with other visible defects and problems that show up a few months after birth, this figure rises to between 4 and 6 per cent of all births. Of these 30 per cent would die and 40 per cent be disabled. The World Health Organisation estimates that between 3 and 5 per cent of children worldwide are born with birth defects.
The top five birth conditions among Chinese babies are cleft palate, neural tube defects, extra fingers or toes, congenital heart disease and water on the brain. It was not clear which, if any, could be linked to polluted water and air. Mr Li said: “We need time to carry out research on what kind of pollution may lead to which kind of defects.”
The official Xinhua news agency has said that Shanxi, home to four of the most polluted cities in China and a centre of noxious emissions from coke and chemical industries, leads the world for incidence of cleft palates and extra fingers among babies. Poor nutrition and marriage between close relatives in Shanxi are also cited as reasons for the high number of such defects in the province.
Beijing is struggling to improve its air quality before next year’s Olympics and has said that high levels of small particulate matter - sometimes more than three times the recommended level – are a particular concern.
A recent World Bank study showed about 460,000 Chinese die prematurely each year from breathing polluted air and drinking dirty water.

Cause for concern
— China contributes 16 per cent of the world total of carbon dioxide emissions, the second-highest after the US at 22 per cent
— Linfen, in Shanxi province, is the most polluted city in the world. China’s second and third-most polluted cities are also in Shanxi
— Approximately 6,300 babies with birth defects are born in England each year, equivalent to one in every 90 births
— Not all births are monitored, figures are therefore estimates and the ONS acknowledges the possibility of underreporting
— The most common birth defects in Britain are cardiovascular anomalies, talipes (club foot), hypospadias and epispadias (genital abnormalities), cleft lips, cleft palates, central nervous system anomalies and Down’s syndrome
Sources: World Bank; ONS; Times archives
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This is terible, How can people not care?
Shelby, Spokane, USA WA
I'm just waiting for the usual suspects to pop up and say this is all merely Western propaganda...
Pete, China,
And the link between pollution and medical problems is a surprise to who?
Farrukh, Woking, UK
Mary in Pittsburgh,
I don't know if there is too much reason to worry on the 'lead-paint' front. As I remember Mattell issued an apology to the manufacturers after a number of the recent 'lead-paint caused' product recalls were in fact due to design faults at their end; and not toxic paint as reported at the time.
Duncan, Leeds,
When I visited Southern China just recently I was alarmed at air pollution levels, and wondered what the long term health effects must be for people who live in that every day. I wonder if this is the tip of the iceberg and in the longer term rates of cancer and other chronic illnesses will also rise dramatically in coming years. China's economic growth seems increasingly unsustainable in terms of the impact on its own environment..
Chris, Kota Kinabalu, Malaysia
You have to look very hard to find it, but the real story here is, in fact, a non-story. According to the article, between 4 and 6 percent of babies born in China have birth defects. This sounds shockingly high, but in the *very next sentence* it says that between 3 and 5 percent of ALL children born worldwide have birth defects. In other words, China's rate of birth defects is...normal. If the figures were 40 percent lower in 2001, then as the article suggests (again, sotto voce compared to all the hyperbole) Chinese parents were probably underreporting the problem out of misplaced shame, or the authorities were hiding it, etc.
I'm not arguing that birth defects should be ignored; any percentage above zero represents millions of individual tragedies worldwide. Nor am I arguing that pollution isn't part of the problem; breathing polluted air is massively unpleasant, and can't possibly be good for children. But a more responsible use of statistics would be nice.
Aardvark, Durham,
With the reports of lead in the paint of toys made in China, one has to wonder whether the workers making these toys can be affected by their exposure to the paint. One also has to wonder whether the exposure to lead in toys has any relationship to the surge in autism among small children in the US? I know it sounds far fetched, but...
Mary, Pittsburgh , USA
Sigh!
Peter, KL, Malaysia
Nice. Another reason not to go to the Olympics next year. I heard that they've got plans in place to *ensure* it's sunny throughout the games, but I wonder how they're going to tackle pollution. Can't see China shutting down everything just for the games. In any case, you'd have to switch off everying for months in advance just to enable the preconditions for semi-normal air. China is presently attempting to showcase to the world just what a success it's been--but it sounds like Beijing 2008 will be more of a showdown, as far as the environment goes.
Tom, Tokyo,
Can someone just tell those IDIOTS in China and the US that
you can't breathe , drink or eat their mighty/dollars dollars !
They will destroy themselves and the World along with it.
This culture of consumerism has gone mad and will consume
all living things -- stupid humans included !
Will men ever wake up !
I don't think so !
ian, Singapore, Singapore
Hopefully China will embrace clean energy technology before it is too late to reverse the damage already done. China has a booming solar energy business and is positioned to be a leader in the field with fast growing companies such as LDK Solar Co.Ltd. (LDK) Suntech Power Holdings Co. Ltd. (STP), China Sunergy Co. Ltd. (CSUN), etc. With the labor cost advantage and government subsidies, the China solar industry is approaching parity with the electric grid in cost/kw. I'm hopeful that the progress in this type of clean energy will continue to move forward as this has the potential to effect the entire globe. It is a shame that the other leading industrial nations had not advanced this technology years ago to the degree China is.
Tim, Fredonia, Pennsylvania, USA
How many years it takes to produce the result from research on the link between pollution and the birth defects, while millions more babies are born with the problem.
Rakesh, Beijing, China