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      Childhood lead poisoning from domestic products in China: A case study with implications for practice, education and policy

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          Abstract

          Objective:

          This study aimed to report three representative childhood lead poisoning cases in China from domestic products exposure and to highlight their critical implications for practice, education, and policy in prevention and treatment of childhood lead poisoning by health care providers, especially public health nurses.

          Design and Sample:

          Three representative childhood lead poisoning cases occurring in 2017 were collected and analyzed.

          Results:

          The lead exposure sources of three cases were evaluated by experts in the field and determined to be tin pots, home factories for tinfoil, and contamination of folk medicine, respectively. These cases demonstrated that the lack of lead exposure risk assessment, insufficient knowledge of potential lead exposure sources, underdeveloped policy and regulations were areas for improvement.

          Conclusions:

          The best strategies for preventing lead poisoning include an appropriate risk assessment of lead exposure, implementation of comprehensive parental health education, conduction of further research by public health providers, and the application of policy strategies by the government. It was determined that public health nurses are at the frontline of prevention of lead poisoning in children.

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          Author and article information

          Journal
          8501498
          6570
          Public Health Nurs
          Public Health Nurs
          Public health nursing (Boston, Mass.)
          0737-1209
          1525-1446
          31 July 2019
          19 August 2019
          November 2019
          01 November 2020
          : 36
          : 6
          : 806-812
          Affiliations
          [1 ]Ministry of Education-Shanghai Key Laboratory of Children’s Environmental Health, Xinhua Hospital Affiliated to Shanghai Jiao Tong University School of Medicine, Shanghai, China
          [2 ]School of Nursing, University of Pennsylvania, Philadelphia, PA, USA,
          Author notes
          [#]

          Co-first authors

          [* ]Correspondence to: Jianghong Liu, School of Nursing, University of Pennsylvania, 418 Curie Blvd., Claire M. Fagin Hall, Room 426, Philadelphia, PA, 19104, USA, 1-215-898-8293(telephone), jhliu@ 123456nursing.upenn.edu , Chonghuai Yan, Ministry of Education-Shanghai Key Laboratory of Children’s Environmental Health, Xinhua Hospital Affiliated to Shanghai Jiao Tong University School of Medicine, 1665 Kong Jiang Road, Yang Pu District, Shanghai, 200092, China, 86-21-25078857(telephone), yanchonghuai@ 123456xinhuamed.com.cn , yanch@ 123456shkeylab-ceh.org .
          Author information
          http://orcid.org/0000-0002-8405-6153
          Article
          PMC6829025 PMC6829025 6829025 nihpa1043881
          10.1111/phn.12652
          6829025
          31429129
          1580249f-0300-4866-ad69-afa12f17926e
          History
          Categories
          Article

          policy and regulation,health education,risk assessment,domestic products,childhood lead poisoning

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