Childhood Lead Poisoning in Russia: A Site-specific Pediatric Blood Lead Evaluation.

Childhood Lead Poisoning in Russia: A Site-specific Pediatric Blood Lead Evaluation.
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俄罗斯儿童铅中毒:特定地点的儿童血铅评估。

DOI:
10.1179/oeh.1997.3.4.241
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发表时间:
1997
影响因子:
--
通讯作者:
R. Jackson
R. Jackson
中科院分区:
医学4区
文献类型:
--
作者:
C. Rubin;E. Esteban;R. Jones;G. Noonan;E. Gurvich;S. Utz;Vladamir Spirin;B. Revich;Georgy I. Kruchkov;R. Jackson

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儿童铅中毒是一个国际关注的问题。儿童的血铅水平不同,对健康的影响也不同。从历史上看,俄罗斯的铅中毒问题是通过分析头发样本来确定的。1996年春,作者在俄罗斯萨拉托夫对俄罗斯儿童的血铅水平进行了第一次评价。在疾病控制和预防中心分析的579个样本的平均血铅水平为7.7微克/分升(范围为3.0至35.7微克/分升)。毛发分析识别血铅水平高于10µg/dL的灵敏度为50%。大多数被评估的环境样本(包括水、灰尘、油漆和土壤)都在美国可接受的修复标准之内。在这一特定地点调查期间评估的俄罗斯儿童中,几乎有四分之一的血铅水平能够对儿童的健康造成不利影响。头发分析并不是鉴别这些孩子的合适方法。为了确定俄罗斯儿童铅中毒的程度,有必要在俄罗斯其他城市进行进一步调查。
Lead poisoning in children is an international concern. Health effects vary according to a child's blood lead level. Historically, the problem of lead poisoning in Russia had been defined by analysis of hair samples. In Saratov, Russia, during the spring of 1996, the authors conducted the first evaluation of blood lead levels among Russian children. The mean blood lead level of 579 samples analyzed at the Centers for Disease Control and Prevention was 7.7 µg/dL (range 3.0 to 35.7 µg/dL). The sensitivity of hair analysis in identifying blood lead levels above 10 µg/dL was 50%. Most of the environmental samples evaluated (including water, dust, paint, and soil) were within acceptable U.S. remediation standards. Almost one-fourth of the Russian children evaluated during this site-specific investigation had blood lead levels capable of causing adverse health effects in children. Hair analysis is not an adequate method for identifying these children. Additional investigations in other Russian cities are necessary in order to determine the extent of lead poisoning in Russia's children.