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      Increased Lead in Water Associated with Iron Corrosion

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      Environmental Engineering Science
      Mary Ann Liebert Inc

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          Elevated Blood Lead in Young Children Due to Lead-Contaminated Drinking Water: Washington, DC, 2001−2004

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            Lead (Pb) in Tap Water and in Blood: Implications for Lead Exposure in the United States

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              Fetal death and reduced birth rates associated with exposure to lead-contaminated drinking water.

              This ecologic study notes that fetal death rates (FDR) during the Washington DC drinking water "lead crisis" (2000-2004) peaked in 2001 when water lead levels (WLLs) were highest, and were minimized in 2004 after public health interventions were implemented to protect pregnant women. Changes in the DC FDR vs neighboring Baltimore City were correlated to DC WLL (R(2) = 0.72). Birth rates in DC also increased versus Baltimore City and versus the United States in 2004-2006, when consumers were protected from high WLLs. The increased births in DC neighborhoods comparing 2004 versus 2001 was correlated to the incidence of lead pipes (R(2) = 0.60). DC birth rates from 1999 to 2007 correlated with proxies for maternal blood lead including the geometric mean blood lead in DC children (R(2) = 0.68) and the incidence of lead poisoning in children under age 1.3 years (R(2) = 0.64). After public health protections were removed in 2006, DC FDR spiked in 2007-2009 versus 2004-2006 (p < 0.05), in a manner consistent with high WLL health risks to consumers arising from partial lead service line replacements, and DC FDR dropped to historically low levels in 2010-2011 after consumers were protected and the PSLR program was terminated. Re-evaluation of a historic construction-related miscarriage cluster in the USA Today Building (1987-1988), demonstrates that high WLLs from disturbed plumbing were a possible cause. Overall results are consistent with prior research linking increased lead exposure to higher incidence of miscarriages and fetal death, even at blood lead elevations (≈5 μg/dL) once considered relatively low.
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                Author and article information

                Journal
                Environmental Engineering Science
                Environmental Engineering Science
                Mary Ann Liebert Inc
                1092-8758
                1557-9018
                May 2015
                May 2015
                : 32
                : 5
                : 361-369
                Article
                10.1089/ees.2014.0400
                ab6d333b-f3cf-419e-9d53-aee272fa6a6e
                © 2015
                History

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