High blood lead levels are associated with lead concentrations in households and day care centers attended by Brazilian preschool children.
Environ Pollut
; 239: 681-688, 2018 Aug.
Article
in En
| MEDLINE
| ID: mdl-29715687
ABSTRACT
BACKGROUND:
A previous study observed high blood lead levels (BLL) in preschool children attending 50 day care centers (DCC) in São Paulo, Brazil.OBJECTIVE:
To identify whether lead levels found in both homes and DCC environments are associated with high blood lead levels.METHODS:
Children attending 4 DCCs, quoted here as NR, VA, PS and PF, were divided into two groups according to BLL high exposure (HE ≥13.9⯵g/dL; 97.5 percentile of the 2013 year sample) and low exposure (LE <5⯵g/dL). For in situ lead measurements (lead paint mode mg/cm2 and ROHS mode µg/g) in the children's households and in the DCC environments, a field portable X-ray-fluorescence analyzer was used. Multiple logistic regressions were performed to control for confounding factors. Odds ratios were adjusted for age, sex, day care center's measured lead, and tobacco.RESULTS:
In an NR DCC building, 33.8% of the measurements had lead levels >600⯵g/g, whereas such levels were observed in 77.1% of NR playground measurements. In VA DCC, 22% and 23% of the measurements in the building and in the playgrounds had levels higher than 600⯵g/g, respectively. The percentage of high lead levels in the children's houses of the LE group was 5.9% (95% CI 4.3-7.6%) and 13.2 (95% CI 8.3-18.0%) in the HE group. Moreover, a significant association was found between high BLLs and lead levels found both in households and DCCs (pâ¯<â¯0.001). Most of the high lead measurements were found in tiles and playground equipment.CONCLUSIONS:
Lead exposure estimated from the DCCs, where children spend about 10â¯h/day, can be as relevant as their household exposure. Therefore, public authorities should render efforts to provide a rigorous surveillance for lead-free painting supplies and for all objects offered to children.
Full text:
1
Database:
MEDLINE
Main subject:
Environmental Exposure
/
Lead
/
Lead Poisoning
Type of study:
Etiology_studies
/
Prognostic_studies
/
Risk_factors_studies
Limits:
Child, preschool
/
Female
/
Humans
/
Male
Country/Region as subject:
America do sul
/
Brasil
Language:
En
Year:
2018
Type:
Article