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Lead Exposure and Associated Risk Factors among New Migrant Children Arriving in Greece
Marsela Tanaka1, Konstantinos Petsios2, Stavroula K Dikalioti3
1Pediatric Clinic, "P. & A. Kyriakou" Children's Hospital, National and Kapodistrian University of Athens, Faculty of Nursing, Thivon & Levadeias str., Athens 11527, Greece. marstanaka@gmail.com.
Insights
Newly arrived migrant children in Greece show higher blood lead levels (BLLs) than native children. Younger age and Asian origin are key risk factors for elevated BLLs in this vulnerable group.
Area of Science:
- Environmental Health
- Pediatric Health
- Public Health
Background:
- Lead exposure is a significant public health concern, particularly for vulnerable populations.
- Migrant children may face unique environmental exposures and health risks upon arrival in new countries.
- Assessing lead exposure in newly arrived migrant children is crucial for early intervention.
Purpose of the Study:
- To evaluate lead exposure levels in newly arrived migrant children compared to native Greek children.
- To identify risk factors associated with elevated blood lead levels (BLLs) in migrant children.
- To inform public health strategies for protecting children's health.
Main Methods:
- A prospective, cross-sectional study conducted in a tertiary children's hospital outpatient clinic.
- Enrolled 598 children (349 migrant, 249 native) aged 1-14 years between 2010 and 2014.
- Measured blood lead levels (BLLs) and analyzed associations with age, origin, and other factors.
Main Results:
- Migrant children exhibited significantly higher BLLs (0.7-21 μg/dL) than native children (0.4-10 μg/dL).
- Elevated BLLs (≥5 μg/dL) were found in 27.7% of migrants versus 1.2% of natives (p < 0.001).
- Younger age (≤5 years) and Asian origin were significant risk factors for elevated BLLs.
Conclusions:
- Newly arrived migrant children in Greece present with a higher burden of lead exposure compared to native children.
- Early childhood and Asian ethnicity are identified as significant risk factors for elevated BLLs in this population.
- Implementing early screening, secondary prevention, and regular follow-up is recommended for this vulnerable group.
Abstract:
Background: This study aims to assess lead exposure and associated risk factors among newly arrived migrant (M) (immigrant and refugees) children in Greece and a matched control of native (N) children. Methods: A prospective, cross-sectional study was performed in an outpatient clinic of a tertiary children’s hospital. Results: From 2010 to 2014, 598 children (M/N: 349/249) with a mean age of 6.96 years old (range 1⁻14, SD 3.76) were enrolled. Blood lead levels (BLLs) ranged from 0.7 to 21 μg/dL in migrant and from 0.4 to 10 μg/dL in native Greek children. Elevated BLLs ≥ 5 μg/dL were detected in 27.7% of migrants and 1.2% of natives (p < 0.001). A significant association was found between EBLLs and childrens’ age (≤5 years) (OR: 1.8, p-value 0.02) and EBLLs with Asian origin (OR: 3.63, p-value 0.023). Conclusion: New migrant children presented with increased BLLs when compared to their age- and sex-matched controls. Younger age and Asian origin were significant risk factors associated with elevated BLLs among children. Early screening, secondary prevention, and regular follow-up could prove useful in this vulnerable population.
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