RESUMEN
OBJECTIVES: To describe demographic characteristics, patterns of use, and symptoms associated with mercury poisoning among persons who used a Mexican beauty cream containing mercurous chloride and to estimate the prevalence of cream use in Texas near the Mexico border. DESIGN: Case series and cross-sectional survey. SETTING: Border communities of Arizona, California, New Mexico, and Texas. PARTICIPANTS: Persons who used the cream and contacted a health department in response to announcements about the cream and households that participated in the Survey of Health and Environmental Conditions in Texas Border Counties and Colonias, 1997. MAIN OUTCOME MEASURES: Urine mercury concentrations, self-reported symptoms, and prevalence of cream use among households. RESULTS: Of 330 cream users who contacted their health department, 96% were women, and 95% were Hispanic. The mean urine mercury concentration was 146.7 microg/L (reference range : 0-20 microg/L). In 5% of 2,194 randomly selected Texas households near the Mexico border, at least 1 person had used "Crema de Belleza-Manning" (Laboratorios Vida Natural, S.A., Tampico, Tamaulipas, Mexico) in the previous year. CONCLUSIONS: Most cream users had increased urine mercury concentrations. Cream use was common in Texas near the Mexico border. Physicians should consider toxicity in patients with neurologic symptoms of unclear cause and use public health departments when investigating unusual illnesses.
Asunto(s)
Cosméticos/envenenamiento , Intoxicación por Mercurio/epidemiología , Adolescente , Adulto , Anciano , Cosméticos/química , Femenino , Humanos , Incidencia , Mercurio/orina , Compuestos de Mercurio/orina , Intoxicación por Mercurio/orina , México , Persona de Mediana Edad , Prevalencia , Vigilancia de Productos Comercializados/estadística & datos numéricos , Estudios Retrospectivos , Sudoeste de Estados Unidos/epidemiologíaRESUMEN
OBJECTIVES: After a syphilis epidemic in Jefferson County, Texas, in 1993 and 1994, congenital syphilis prevalence and risk factors were determined and local prenatal syphilis screening practices were assessed. METHODS: Medical records were reviewed, pregnant women with syphilis were interviewed, and prenatal care providers were surveyed. RESULTS: Of 91 women, 59 (65%) had infants with congenital syphilis. Among African Americans, the prevalence per 1000 live births was 24.1 in 1994 and 17.9 in 1995. Of the 50 women with at least 2 prenatal care visits who had infants with congenital syphilis, 15 (30%) had received inadequate testing. Only 16% of 31 providers obtained an early third-trimester syphilis test on all patients. CONCLUSIONS: Inadequate prenatal testing contributed to this outbreak of congenital syphilis.