Lead Poisoning Among Burmese Refugee Children-Indiana, 2009

被引：15

作者：

Ritchey, Matthew D. ^{[1
,2
]}

Sucosky, Marissa Scalia ^{[3
]}

Jefferies, Taran ^{[3
]}

McCormick, David ^{[2
]}

Hesting, Amy ^{[4
]}

Blanton, Curtis ^{[3
]}

Duwve, Joan ^{[2
]}

Bruner, Robin ^{[2
]}

Daley, W. Randolph ^{[5
]}

Jarrett, Jeffery ^{[3
]}

Brown, Mary Jean ^{[3
]}

机构：

[1] Ctr Dis Control & Prevent, Epidem Intelligence Serv, Atlanta, GA USA

[2] Indiana State Dept Hlth, Indianapolis, IN USA

[3] Ctr Dis Control & Prevent, Natl Ctr Environm Hlth, Atlanta, GA USA

[4] Ft Wayne Allen Cty Dept Hlth, Ft Wayne, IN USA

[5] Ctr Dis Control & Prevent, Sci Educ & Profess Dev Program Off, Atlanta, GA USA

来源：

CLINICAL PEDIATRICS | 2011年 / 50卷 / 07期

关键词：

refugee; lead poisoning; traditional medicine; childhood; screening; SKIN ABSORPTION; BLOOD; HEALTH; INTELLIGENCE; MEDICINES; EXPOSURE; RISK;

D O I：

10.1177/0009922811398958

中图分类号：

R72 [儿科学];

学科分类号：

100202 ;

摘要：

Recent routine screening revealed multiple cases of unexplained lead poisoning among children of Burmese refugees living in Fort Wayne, Indiana. A cross-sectional study was conducted to determine (a) the prevalence of elevated blood lead levels (BLLs) among Burmese children and (b) potential sources of lead exposure. A case was defined as an elevated venous BLL (>= 10 mu g/dL); prevalence was compared with all Indiana children screened during 2008. Environmental and product samples were tested for lead. In all, 14 of 197 (7.1%) children had elevated BLLs (prevalence ratio: 10.7) that ranged from 10.2 to 29.0 mu g/dL. Six cases were newly identified; 4 were among US-born children. Laboratory testing identified a traditional ethnic digestive remedy, Daw Tway, containing a median 520 ppm lead. A multilevel linear regression model identified daily use of thanakha, an ethnic cosmetic, and Daw Tway use were related to elevated BLLs (P < .05). Routine monitoring of BLLs among this population should remain a priority.

引用

页码：648 / 656

页数：9

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