Childhood lead poisoning in Gaza Strip, the Palestinian Authority.


Journal

Journal of trace elements in medicine and biology : organ of the Society for Minerals and Trace Elements (GMS)
ISSN: 1878-3252
Titre abrégé: J Trace Elem Med Biol
Pays: Germany
ID NLM: 9508274

Informations de publication

Date de publication:
Jul 2019
Historique:
received: 14 01 2019
revised: 08 04 2019
accepted: 10 04 2019
entrez: 22 5 2019
pubmed: 22 5 2019
medline: 22 11 2019
Statut: ppublish

Résumé

To assess lead poisoning among a pediatric population in Gaza Strip, the Palestinian Authority. A total of 1705 questionnaires and blood samples were collected from children aged 2-6 years, by the finger stick capillary procedure, for the assessment of blood lead level (BLL), using the LeadCare kits. The samples were collected from children living close to lead processing units (hotspots) and far 100-500 m away (general population). Management of elevated BLL was achieved by gavage of chelating agent d-penicillamine at a dose of 30 mg kg Distribution of children in Gaza Strip by sampling process illustrated those 326 children (19.1%) living in lead processing units (hot spots) and 1379 children (80.9%) from location far away 100-500 m from host spot (general population). The mean BLL was 10.4 μg/dl. A total of 440 children (25.8%) were found to be having BLL ≥ 10 μg/dl while 1265 children (74.2%) have BLL < 10 μg/dl. BLL < 10 μg/dl was taken as a cut point due to CDC standards. The prevalence of BLL in hotspot areas in children who were exposed to lead and have BLL ≥ 10 μg/dl was 95.7% while in general population it was 9.3%. The difference between the study population was statistically significant (p < 0.01). Statistical significant differences between the study populations were found among several independent variables of risk factors such as household location and exposure sources, and occupational exposure. Gavage of d-penicillamine significantly reduced BLL to the acceptable level (BLL < 10 μg/dl). Childhood lead poisoning accounts for a substantial burden in Gaza Strip. Hotspots of lead-related industries are the high risk areas that contributing to high BLLs in children. d-Penicillamine was effective in the treatment of lead poisoning among children. Health education and treatment campaigns should be designed to minimize or prevent childhood lead poisoning in Gaza Strip.

Identifiants

pubmed: 31109601
pii: S0946-672X(19)30031-8
doi: 10.1016/j.jtemb.2019.04.004
pii:
doi:

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Pagination

118-125

Informations de copyright

Copyright © 2019 Elsevier GmbH. All rights reserved.

Auteurs

Jamal M Safi (JM)

Environmental Protection and Research Institute, Gaza Strip, Palestine; Faculty of Agriculture and Environment, Al-Azhar University-Gaza, Palestine. Electronic address: eprigaza@palnet.com.

Maged M Yassin (MM)

Environmental Protection and Research Institute, Gaza Strip, Palestine; Faculty of Medicine, The Islamic University of Gaza, Gaza Strip, Palestine.

Yasser Z El-Nahhal (YZ)

Environmental Protection and Research Institute, Gaza Strip, Palestine; Faculty of Science, The Islamic University of Gaza, Gaza Strip, Palestine.

Yehia A Abed (YA)

College of Public Health, Al Quds University, Gaza Strip, Palestine.

Mohamed J Safi (MJ)

Environmental Protection and Research Institute, Gaza Strip, Palestine.

Hassan D Suleiman (HD)

Environmental Protection and Research Institute, Gaza Strip, Palestine.

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Classifications MeSH