scholarly journals Demolition Activity and Elevated Blood Lead Levels among Children in Detroit, Michigan, 2014–2018

Author(s):  
Carla Bezold ◽  
Samantha J. Bauer ◽  
Jessie P. Buckley ◽  
Stuart Batterman ◽  
Haifa Haroon ◽  
...  

Older buildings in the United States often contain lead paint, and their demolition poses the risk of community lead exposure. We investigated associations between demolitions and elevated blood lead levels (EBLLs) among Detroit children aged <6 years, 2014–2018, and evaluated yearly variation given health and safety controls implemented during this time. Case-control analysis included incident EBLL cases (≥5 µg/dL) and non-EBLL controls from test results reported to the Michigan Department of Health and Human Services. Exposure was defined as the number of demolitions (0, 1, 2+) within 400 feet of the child’s residence 45 days before the blood test. We used logistic regression to calculate odds ratios (ORs) and 95% confidence intervals (CIs), and test effect modification by year. Associations between demolition and EBLL differed yearly (p = 0.07): 2+ demolitions were associated with increased odds of EBLLs in 2014 (OR: 1.75; 95% CI: (1.17, 2.55), 2016 (2.36; 1.53, 3.55) and 2017 (2.16; 1.24, 3.60), but not in 2018 (0.94; 0.41, 1.86). This pattern remained consistent in sensitivity analyses. The null association in 2018 may be related to increased health and safety controls. Maintenance of controls and monitoring are essential, along with other interventions to minimize lead exposure, especially for susceptible populations.

PEDIATRICS ◽  
1996 ◽  
Vol 97 (4) ◽  
pp. 603-603
Author(s):  
Philip J. Landrigan

The article by Kimbrough et al (Pediatrics. 1995;95:550-554) concerning a survey of blood lead levels among children residing near a closed, heavily contaminated lead smelter found that 78 of 490 preschoolers (16%) had blood lead levels at or above the Centers for Disease Control and Prevention action level of 10 µg/dL. By contrast, the prevalence of elevated blood lead levels among all preschool children in the United States is 8.9%.1 Kimbrough et al found that blood lead levels were positively correlated with home dust lead levels, soil lead levels, hours of outdoor play, and levels of lead in indoor paint.


2018 ◽  
Vol 166 ◽  
pp. 1-9 ◽  
Author(s):  
Jenna E. Forsyth ◽  
M. Saiful Islam ◽  
Sarker Masud Parvez ◽  
Rubhana Raqib ◽  
M. Sajjadur Rahman ◽  
...  

2007 ◽  
Vol 151 (5) ◽  
pp. 506-512 ◽  
Author(s):  
Camila M. Chaparro ◽  
Raymond Fornes ◽  
Lynnette M. Neufeld ◽  
Gilberto Tena Alavez ◽  
Raúl Eguía-Líz Cedillo ◽  
...  

2021 ◽  
Vol 11 (1) ◽  
Author(s):  
Man Fung Tsoi ◽  
Chris Wai Hang Lo ◽  
Tommy Tsang Cheung ◽  
Bernard Man Yung Cheung

AbstractLead is a heavy metal without a biological role. High level of lead exposure is known to be associated with hypertension, but the risk at low levels of exposure is uncertain. In this study, data from US NHANES 1999–2016 were analyzed. Adults with blood lead and blood pressure measurements, or self-reported hypertension diagnosis, were included. If not already diagnosed, hypertension was defined according to the AHA/ACC 2017 hypertension guideline. Results were analyzed using R statistics version 3.5.1 with sample weight adjustment. Logistic regression was used to study the association between blood lead level and hypertension. Odds ratio (OR) and 95% confidence interval (95% CI) were estimated. Altogether, 39,477 participants were included. Every doubling in blood lead level was associated with hypertension (OR [95%CI] 1.45 [1.40–1.50]), which remained significant after adjusting for demographics. Using quartile 1 as reference, higher blood lead levels were associated with increased adjusted odds of hypertension (Quartile 4 vs. Quartile 1: 1.22 [1.09–1.36]; Quartile 3 vs. Quartile 1: 1.15 [1.04–1.28]; Quartile 2 vs. Quartile 1: 1.14 [1.05–1.25]). In conclusion, blood lead level is associated with hypertension in the general population with blood lead levels below 5 µg/dL. Our findings suggest that reducing present levels of environmental lead exposure may bring cardiovascular benefits by reducing blood pressure.


Author(s):  
Florence Bodeau-Livinec ◽  
Philippe Glorennec ◽  
Michel Cot ◽  
Pierre Dumas ◽  
Séverine Durand ◽  
...  

PEDIATRICS ◽  
1975 ◽  
Vol 56 (4) ◽  
pp. 621-622
Author(s):  
Arthur W. Kaemmer ◽  
Byron R. Johnson

Dr. Greensher and his colleagues are to be congratulated for bringing to the readers' attention a most unusual source of lead poisoning. Inasmuch as many localities are initiating city-wide lead screening programs, it is obvious that pediatricians in this country will be seeing many children with abnormally elevated blood lead levels, and in many cases diligent efforts such as this will have to be undertaken to determine the exact source of the environmental lead. biggest problems with mass screening programs for lead poisoning are well outlined by Moriarty's article.2


2007 ◽  
Vol 13 (1) ◽  
pp. 40-47 ◽  
Author(s):  
Jaime S. Raymond ◽  
Roberta Anderson ◽  
Mark Feingold ◽  
David Homa ◽  
Mary Jean Brown

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