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Published on: June 21, 2015
Blood Lead Levels in Opium-Poisoned Children: One Cross-Sectional Study in Iran
Arezoo Chouhdari1, Fariba Farnaghi2, Hossein Hassanian-Moghaddam3
1Skull Base Research Center, Loghman Hakim Hospital AND Department of Health and Community Medicine, School of Medicine, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
Insights
Opium poisoning in children can lead to elevated blood lead levels (BLLs), particularly in girls. Further research is needed to understand the correlation between BLLs and hemoglobin levels in affected children.
Area of Science:
- Pediatric Toxicology
- Environmental Health
- Public Health
Background:
- Lead poisoning is an increasing concern, often linked to opium exposure.
- Understanding the impact of lead on children's health is critical.
Purpose of the Study:
- To investigate the relationship between blood lead levels (BLLs) and demographic factors in children with opium poisoning.
- To assess the prevalence of elevated BLLs in this vulnerable population.
Main Methods:
- A cross-sectional study involving 32 children under 13 years old admitted for opium poisoning.
- Evaluation of BLLs, demographics, clinical signs, and laboratory tests.
Main Results:
- The mean BLL was 9.78 ± 3.44 μg/dl, with 70% of children having BLLs ≥ 5 μg/dl.
- Girls exhibited significantly higher mean BLLs (17.07 ± 6.57 μg/dl) compared to boys (6.61 ± 3.22 μg/dl).
- A significant correlation was observed between BLLs and hemoglobin levels, with a complex relationship at different Hb concentrations.
Conclusions:
- Preventive strategies are essential to protect children from lead exposure via opium and other contaminated materials.
- While chelation therapy wasn't required, the long-term effects of lead exposure on children's organs warrant attention.
Background:
Lead poisoning is now more common due to accidental or intentional exposure to opium impregnated with lead. We aimed to determine the relationship between the blood lead levels (BLLs) and basic characteristics in opium-poisoned children.
Methods:
In this cross-sectional study, 32 children younger than 13 years old who had been admitted to Loghman Hakim Poison Center, Tehran, Iran, due to opium poisoning, were evaluated for BLLs. Patients' demographics, symptoms, signs, and lab tests were evaluated as well as the BLLs.
Findings:
The median and range of age in children with opium poisoning were 14 and 141 months with minimum and maximum age of 3 and 144 months, respectively, and 62.5% were boys. Their mean BLL was 9.78 ± 3.44 μg/dl and in 70% of opium-poisoned children, BLL was ≥ 5 μg/dl. There was a significant difference between mean BLLs in girls and boys (17.07 ± 6.57 μg/dl in girls and 6.61 ± 3.22 μg/dl in boys, P = 0.02). We found a significant correlation between BLL and hemoglobin (Hb) level. In very low Hb level (< 8 g/dl), the BLL was higher but with increasing Hb level, BLL increased as well; in Hb levels > 14 g/dl, BLL decreased again (P = 0.01).
Conclusion:
Although none of the children needed chelation therapy, strategies should be developed to prevent children from being exposed to opium and other materials impregnated with lead regarding its effects on all organs of children.
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