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      Blood lead levels in children residing in a 115-year old urban settlement in Harare, Zimbabwe: a cross sectional study

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          Abstract

          Background

          Elemental lead (Pb) toxicity in children, irreversibly affects their growth and development. We assessed the prevalence of high blood Pb levels (BLL) in children living in a potentially high risk residential area and also assessed Pb levels in environmental specimens.

          Methods

          This cross sectional study measured blood lead levels (BLL) in 86children living in Mbare, a densely populated suburb in Harare, Zimbabwe, characterised by dwellings progressively constructed from 1907 through to the 1940s, before the ban of leaded paint. Study participants of both genders were under 6 years of age. Potential risk factors of Pb poisoning were assessed. Pb levels were also assessed in soil, water and paint chip specimens from the study area.

          Results

          The mean (standard deviation) BLL was 4.3 ± 0.75 g/dL. Twelve (13.95%) participants had BLL of > 5.0ug/dL. Our results showed no significant association between BLL and household income, participant behaviour/habits/activities, sources of drinking water, and the types of cookware used to prepare meals in their households.

          Conclusion

          Mean BLL observed in the current study were higher compared to those of children of similar age groups in the United States, suggesting that Pb contamination may be more ubiquitous in the Mbare flats area, potentially predisposing these children to impaired development.

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          Most cited references26

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          Low-level lead exposure and mortality in US adults: a population-based cohort study

          Lead exposure is a risk factor for cardiovascular disease mortality, but the number of deaths in the USA attributable to lead exposure is poorly defined. We aimed to quantify the relative contribution of environmental lead exposure to all-cause mortality, cardiovascular disease mortality, and ischaemic heart disease mortality.
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            Lead poisoning in a historical perspective

            Lead poisoning existed and was already known in Antiquity but was forgotten, at least in the literature, until the end of the Middle Ages, where it was mentioned sporadically. In the 19th century this disease, which reached epidemic dimensions during the period of industrialization, was "rediscovered." Several comprehensive clinical articles appeared in the literature. The clinical picture deepened during the beginning of the 20th century, and preventive efforts were started. However, the concept of poisoning remained strictly clinical. During the latter half of the 20th century a new concept emerged: subclinical and early forms became recognized as undesirable effects. This led to a substantial lowering of hygienic standards. Pediatric poisoning has also been a serious problem during the 20th century. After the 1920s, environmental pollution by lead caused by the introduction of tetraethyl lead in gasoline became an alarming public health problem. The use became restricted in the 1980s; its effects on blood lead levels are now evident. Today's research focuses on the effects of low exposure, often with the aim of defining noneffect levels for different types of effects. Copyright 2000 Wiley-Liss, Inc.
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              Continual Decrease in Blood Lead Level in Americans: United States National Health Nutrition and Examination Survey 1999-2014.

              Lead is toxic and affects neurodevelopment in children even at low levels. There has been a long-term effort in the United States to reduce exposure to lead in the environment. We studied the latest US population blood lead levels and analyzed its trend.

                Author and article information

                Contributors
                schagonda@sky.com
                ichitungo@gmail.com
                curtbertm@yahoo.com
                terencenya@gmail.com
                Journal
                BMC Pediatr
                BMC Pediatr
                BMC Pediatrics
                BioMed Central (London )
                1471-2431
                10 February 2023
                10 February 2023
                2023
                : 23
                : 72
                Affiliations
                [1 ]GRID grid.13001.33, ISNI 0000 0004 0572 0760, Department of Laboratory Diagnostic and Investigative Sciences, Faculty of Medicine and Health Sciences, , Chemical Pathology Unit, University of Zimbabwe, ; Harare, Zimbabwe
                [2 ]GRID grid.10818.30, ISNI 0000 0004 0620 2260, Department of Biomedical Laboratory Sciences, School of Health Sciences, College of Medicine and Health Sciences, , University of Rwanda, ; Kigali, Rwanda
                Article
                3886
                10.1186/s12887-023-03886-6
                9912585
                36765303
                1476c336-aad6-4162-94f8-98884feb245e
                © The Author(s) 2023

                Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/. The Creative Commons Public Domain Dedication waiver ( http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated in a credit line to the data.

                History
                : 5 August 2022
                : 3 February 2023
                Funding
                Funded by: GenomiX Medical Centre Laboratory
                Categories
                Research
                Custom metadata
                © The Author(s) 2023

                Pediatrics
                blood lead,children,harare,environmental,exposure,zimbabwe
                Pediatrics
                blood lead, children, harare, environmental, exposure, zimbabwe

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