RESUMEN
BACKGROUND: The existence of lead-contaminated consumer products is a global issue. Toys and low-cost jewelry may contain toxic metals and Cambodia is known to have consumer products with toxic metals. OBJECTIVES: It is important to inform Cambodians about sources of toxic metals so that they can reduce their exposure risk, particularly for children. METHODS: Student volunteers purchased, or brought from home, low-cost jewelry and toys to either the University of Health Science or a Don Bosco Institute in Phnom Penh, Cambodia, where they were analyzed using X-ray fluorescence (XRF). The initial analysis was performed in 2011. A subset of the 2011 samples was re-analyzed in 2015 using new preparation techniques and a new x-ray fluorescence (XRF) unit. DISCUSSION: The analysis of low-cost jewelry in Phnom Penh in 2015 indicated that lead in jewelry clasps is a more serious health concern than was first perceived in 2011. Mercury, nickel, cadmium and copper were also found in toys, and occasionally these toys had been produced by well-known companies. Sources of jewelry production of samples in the present study are unknown. Lead in clasps in low-cost jewelry appeared to be the greatest risk to children in our sampling. CONCLUSION: One-third of toys and low-cost jewelry exceeded the United States and European Union guidelines for heavy metals. XRF analysis allows for rapid screening of lead and other toxic metals and could be used to reduce the sales of low-cost jewelry and toys containing toxic metals.
RESUMEN
BACKGROUND: Lead is a heavy metal that is well known to pose a threat to human health. Although the sale and use of lead paint has been banned in much of the developed world, lead is still commonly used in enamel paints in the developing world, including Cambodia. As Cambodia's economy grows, this may increase the purchase and use of lead-based paints, thus potentially exposing more of the population to the toxic effects of lead. OBJECTIVE: This study was performed to evaluate the concentration of lead in enamel paints in Cambodia using a method that is quick, effective, and cost-efficient. METHODS: A handheld X-ray fluorescence analyzer was used to evaluate 21 samples of enamel paint, including 8 replicates that were randomly purchased from three shops in Phnom Penh, Cambodia to evaluate the level of metals. All of the paint samples in the current study were manufactured in Thailand. DISCUSSION: Ninety percent of the enamel paints sampled in Cambodia exceeded the voluntary standard of 100 µg/g lead of the producing country, Thailand. The mean and median levels for lead were 11,833 µg/g, and 4,961 µg/g, respectively. CONCLUSION: Based on our pilot-scale assessment, high levels of lead appear to be common in enamel paints in Cambodia, and a fuller assessment of the situation is warranted. Import and production of such toxic products should be avoided and appropriate labeling and public warnings should be provided.
RESUMEN
BACKGROUND: In Cambodia, there is widespread use of skin-whitening creams containing levels of mercury that exceed Association of Southeast Asian Nations (ASEAN) guidelines by up to 35,000 times. Mercury in skin-whitening creams threatens to compromise the health of Cambodians. OBJECTIVES: It is important to provide essential information on sources of mercury so that Cambodians can avoid exposure to elevated levels of mercury and to support informed management of consumer goods. METHODS: Students were directed to buy selected skin-whitening creams that were then sampled with replication in 2011 and 2015 and processed with X-ray fluorescence (XRF) at the University of Health Science (UHS), Phnom Penh, Cambodia. DISCUSSION: The analysis of skin-whitening creams in Phnom Penh in 2015 was compared to analyses in 2008 and 2011 and showed that several creams produced in Asia no longer contain mercury. However, skin creams produced in Phnom Penh continue to use mercury and counterfeit products also are contaminated with mercury. Vendors occasionally identified Vietnam as a source of counterfeit products, but often the source was unknown. Mercury continues to be the metal of greatest concern in skin creams. Creams with more than 1,000 µg/g of mercury are a common cause of dermatitis (27% of cases). A new XRF analyzer was also able to detect more lead and arsenic than that used in analyses performed in 2011, and these two metals also exceeded ASEAN guidelines. Arsenic contamination also reflected the presence of bismuth in creams. CONCLUSION: Some producers of skin-whitening creams in Thailand, China and Taiwan appear to be aware of the risks of mercury contamination and have modified their products. However, other producers of skin-whitening creams continue to use mercury. XRF analysis allows for rapid screening of mercury in cosmetics and should be used to gather additional information on mercury content in cosmetics in support of public health efforts to stem the import, export and sales of skin creams containing mercury.