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In-home toxic chemical exposures and children with intellectual and developmental disabilities
J Carolyn Graff1, Laura Murphy, Shirley Ekvall
1Boling Center for Developmental Disabilities, College of Nursing, University of Tennessee Health Science Center, Memphis, USA.
Insights
Children with intellectual and developmental disabilities (IDD) face higher risks from toxic chemical exposures like lead, mercury, and environmental tobacco smoke. Health providers need to address these unique risks to protect vulnerable children.
Area of Science:
- Environmental Health
- Pediatrics
- Developmental Disabilities
Background:
- Limited attention has been paid to toxic chemical exposures in children with intellectual and developmental disabilities (IDD).
- Children with IDD may exhibit unique risk factors, including persistent age-inappropriate behaviors, communication challenges, motor skill deficits, nutritional issues, and co-occurring health conditions.
- These factors can increase their vulnerability to environmental toxicants.
Purpose of the Study:
- To examine the risks and effects of toxic chemical exposures on children with IDD.
- To identify specific toxicants (lead, mercury, environmental tobacco smoke) and their impact on this population.
- To explore prevention and management strategies and discuss implications for healthcare providers.
Main Methods:
- Review of existing research on toxic chemical exposures in children.
- Identification of sources for lead, mercury, and environmental tobacco smoke.
- Analysis of documented effects of these toxicants on child health and development.
- Examination of characteristics and behaviors increasing risk for children with IDD.
Main Results:
- Children with IDD are at increased risk for exposure to lead, mercury, and environmental tobacco smoke due to specific behavioral and health-related characteristics.
- These toxicants are known to negatively impact children's health and neurodevelopment.
- Specific sources and exposure pathways for these toxicants in this vulnerable population were identified.
Conclusions:
- There is a critical need for health professionals to address the heightened risk of toxic chemical exposures in children with IDD.
- Targeted strategies for prevention and management are necessary to mitigate adverse health outcomes.
- Further research and clinical attention are warranted to protect this population from environmental toxicants.
Abstract:
Despite the focus on preventing toxic chemical exposures during pregnancy, the perinatal period, and childhood, health professionals have given little attention to the risks and effects of toxic chemical exposures on children with intellectual and developmental disabilities (DD). Children with DD may be at higher risk due to behaviors that persist past a developmentally appropriate age, communication skills, motor skills, nutrition issues, and health problems related to DD. This article examines exposure of children to lead, mercury, and environmental tobacco smoke, three toxicants known to affect children's health and development. The authors identify sources of these toxicants, examine research documenting their effects on children, consider strategies to prevent and manage exposure, identify characteristics and behaviors placing children with DD at increased risk of exposure, and discuss implications for health providers.
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