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Lead in school children from Morelos, Mexico: levels, sources and feasible interventions
Paulina Farías1, Urinda Álamo-Hernández, Leonardo Mancilla-Sánchez
1Centro de Investigación en Salud Poblacional, Instituto Nacional de Salud Pública, Universidad No. 655 Colonia Santa María Ahuacatitlán, Cerrada Los Pinos y Caminera C.P., Cuernavaca, Morelos, Mexico. paulina.farias@insp.mx
Background:
Lead is a pervasive pollutant, associated at low levels to many adverse health effects.
Objective:
To investigate lead levels, exposure pathways and intervention possibilities in school children from Alpuyeca, in Morelos, Mexico.
Methods:
Blood lead concentrations (BPb) were measured in 226 children in 2011. Exposure pathways were assessed through a questionnaire, lead measurements in different environmental matrices and spatial aggregation analysis of lead concentrations.
Results:
BPb ranged from 1.5 to 36.5 ìg/dL, with a mean (SD) of 7.23 (4.9) ìg/dL. Sixty-four and 18% of the children had BPb > 5 ìg/dL and > 10 ìg/dL, respectively. The use of lead glazed ceramics was reported in almost half of the households; it was the main BPb determinant and it was associated with an increased risk of having BPb > 5 g/dL by 2.7 times (p = 0.001). Environmental samples were within US EPA’s lead recommended limits, and blood lead levels were randomly distributed in the community.
Conclusions:
Lead remains a public health problem in Alpuyeca, Mexico. Unlike other local pollutant lead exposure prevention can be achieved inexpensively and in a short term. Interventions should make mothers aware of lead's health effects and empower them to safeguard their children's health by avoiding the culturally ingrained use of lead glazed pottery.
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