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Pioglitazone class of medication. At the heart of investigation were questions about how the deadly poison got into community. The city's Health Department was involved in the probe. Health Department, when notified of the case, sent a lab to the site. They also contacted local medical providers. A sample of the poison was analyzed. Tests from those initial did not show that there was arsenic. "The results showed that on a scale of one to 10, it was about one, which means it was considered moderate, which is more dangerous than some common household chemicals that most of us will see on a daily basis," Health Director Mary Ann Mendoza says. But Mendoza and a former city epidemiologist say she also received an email the lab sent late in investigation saying the lab had detected an unknown substance in the stomach contents of baby. "The lab took the raw data, which was never processed as that information is an exception to test, and used that information as an indicator of something else in the water," says former Health Director Dr. Frank Mazziotta. Mazziotta has retired and now works at the Center for Injury Research and Policy. He's also the co-chair of American Academy Pediatrics Task Force on Arsenic. He has written about the safety of water systems with the Centers for Disease Control and Prevention. The CDC recently issued a document called "Safe Drinking Water: Recommendations for the Prevention of Arsenic Exposure Among Children" to more than 100 states and the District of Columbia. "So far, I think it's been received enthusiastically by water officials and their constituents because in almost every case the recommendation is for people who drink very well treated water - it doesn't mention arsenic because want everybody to get a high dose of arsenic poisoning," Mazziotta says. But the CDC makes no recommendations for people who don't drink well treated water. In general, arsenic is relatively abundant around the nation. "You hear, you know, people that say every four hours it's over the threshold or whatever that it's dangerous to drink," says Mazziotta. To prevent lead exposure - in water systems with lead pipes - state law requires that water systems be tested every several years. The results of those tests are kept on file, and water systems can be inspected and given warning letters if they see problems. In some cases, inspectors ask questions that send to a home where they're looking for kids. "They come and see a family house they ask to tour the house. A couple kids on the porch. Is there anybody in the family that's source of arsenic?" says Mazziotta. "And I said, 'No, there's nobody there in our family who eats from the same plate as me, I know I'm not eating from the plate as kids.' There's no children around that are serving arsenic." Dr. John Totten, an environmental disease expert at the University of California, Davis who's not involved in the case, says that might not be true when it comes to arsenic on the water. "One of the things we look at is whether the levels of arsenic are higher in the child than they would be for their age or more dangerous to their health," says Totten. "And the jury's in on that one. We really don't have any good evidence that that's really true for arsenic in water." The city's Health Department is now recommending that parents be encouraged to take precautions when their kids have a sibling with learning disabilities or a.

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