Lead poisoning and marginalization in newborns of Morelos, Mexico

被引：10

作者：

Maria Tellez-Rojo, Martha ^{[1
]}

Bautista-Arredondo, Luis F. ^{[1
]}

Richardson, Vesta ^{[2
]}

Estrada-Sanchez, Daniel ^{[3
]}

Avila-Jimenez, Laura ^{[4
]}

Rios, Camilo ^{[5
]}

Cantoral-Preciado, Alejandra ^{[6
]}

Romero-Martinez, Martin ^{[7
]}

Flores-Pimentel, Delia ^{[8
]}

del Carmen Melo-Zurita, Maria ^{[9
]}

Romero-Ramirez, Anita ^{[4
]}

Antonio Leon-Mazon, Marco ^{[4
]}

Montes, Sergio ^{[5
]}

Fuller, Richard ^{[3
]}

Hernandez-Avila, Mauricio ^{[6
]}

机构：

[1] Inst Nacl Salud Publ, Ctr Invest Nutr & Salud, Av Univ 655, Cuernavaca 62100, Morelos, Mexico

[2] Secretaria Salud Morelos, Cuernavaca, Morelos, Mexico

[3] Pure Earth, New York, NY USA

[4] Inst Mexicano Seguro Social, Cuernavaca, Morelos, Mexico

[5] Inst Nacl Neurol & Neurocirug, Dept Neuroquim, Mexico City, DF, Mexico

[6] Inst Nacl Salud Publ, Cuernavaca, Morelos, Mexico

[7] Inst Nacl Salud Publ, Ctr Invest Evaluat & Encuestas, Mexico City, DF, Mexico

[8] Inst Nacl Salud Publ, Ctr Invest Salud Poblac, Cuernavaca, Morelos, Mexico

[9] Serv Salud Morelos, Cuernavaca, Morelos, Mexico

来源：

SALUD PUBLICA DE MEXICO | 2017年 / 59卷 / 03期

关键词：

blood lead; lead poisoning; newborns; lead-glazed ceramics; social marginalization; Mexico; CHILDREN; EXPOSURE; METALS; CITY; OLD;

D O I：

10.21149/8045

中图分类号：

R1 [预防医学、卫生学];

学科分类号：

1004 ; 120402 ;

摘要：

Objective. To determine the prevalence of lead (Pb) poisoning at birth in Morelos, analyze its distribution by social marginalization level, and estimate the association with the use of lead glazed ceramics (LGC). Materials and methods. Blood lead level (BLL) in umbilical cord was measured in a representative sample of 300 randomly selected births at the Morelos Health Services and state IMSS. Results. The prevalence of Pb poisoning at birth (BLL>5 mu g/dL) was 14.7% (95%CI: 11.1, 19.3) and 22.2% (95%CI: 14.4,32.5) in the most socially marginalized municipalities.57.1% (95%Cl: 51.3, 62.7) of the mothers used LGC during pregnancy, and the frequency of use was significantly associated with BLL. Conclusion. This is the first study to document the proportion of new-borns with Pb poisoning who are at risk of experiencing the related adverse effects. It is recommended to monitor BLL at birth and take action to reduce this exposure, especially in socially marginalized populations.

引用

页码：218 / 226

页数：9

共 26 条

[1] Abadin H., 2007, Agency for Toxic Substances and Disease Registry (US), Atlanta (GA)
[2] [Anonymous], 2012, LOW LEV LEAD EXP HAR
[3] [Anonymous], 2009, ENVIRON HEALTH PERSP, DOI DOI 10.1289/ehp.0800408
[4] Economic Costs of Childhood Lead Exposure in Low- and Middle-Income Countries
Attina, Teresa M.
Trasande, Leonardo
[J]. ENVIRONMENTAL HEALTH PERSPECTIVES, 2013, 121 (09) : 1097 - 1102
[5] Blacksmith Institute Global Alliance on Health and Pollution, 2013, POIS POOR TOX CHEM E
[6] Brown Mary Jean, 2012, MMWR Suppl, V61, P1
[7] Differential association of lead on length by zinc status in two-year old Mexican children
Cantoral, Alejandra
Tellez-Rojo, Martha M.
Levy, Teresa Shamah
Hernandez-Avila, Mauricio
Schnaas, Lourdes
Hu, Howard
Peterson, Karen E.
Ettinger, Adrienne S.
[J]. ENVIRONMENTAL HEALTH, 2015, 14
[8] Blood Lead Levels in Mexico and Pediatric Burden of Disease Implications
Caravanos, Jack
Dowling, Russell
Maria Tellez-Rojo, Martha
Cantoral, Alejandra
Kobrosly, Roni
Estrada, Daniel
Orjuela, Manuela
Gualtero, Sandra
Ericson, Bret
Rivera, Anthony
Fuller, Richard
[J]. ANNALS OF GLOBAL HEALTH, 2014, 80 (04): : 269 - 277
[9] Center for Disease Control and Prevention, 2012, NEW BLOOD LEAD LEV I
[10] Consejo Nacional de Poblacion, 2011, IND MARG ENT FED MUN

← 1 2 3 →