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Blood Lead Level among Children between 8-18 years of Age by Atomic Absorption Spectrophotometry: A Descriptive
Yagya Kumari Shrestha1, Madhav Prasad Khanal1, Shree Krishna Shrestha2
1Department of Biochemistry, Nepal Medical College, Kathmandu, Nepal.
Insights
Lead exposure is a significant concern for children in urban Nepal, with 18.75% of those aged 8-18 exhibiting elevated blood lead levels. This study highlights the urgent need for interventions to mitigate lead toxicity risks in this vulnerable population.
Area of Science:
- Environmental Health
- Pediatric Toxicology
- Public Health Research
Background:
- Lead is a toxic heavy metal contributing to environmental pollution and adverse health effects, especially in children.
- Lead toxicity presents a growing global health challenge influenced by various demographic and behavioral factors.
- Understanding baseline blood lead levels in children is crucial for assessing exposure and developing targeted interventions.
Purpose of the Study:
- To determine the baseline blood lead levels in children aged 8 to 18 years in Gokarneshwor Municipality, Kathmandu.
- To assess the prevalence of elevated blood lead levels within this pediatric population.
- To investigate potential correlations between blood lead levels and hemoglobin status.
Main Methods:
- A descriptive study was conducted from 2018 to 2019 involving 160 children aged 8-18.
- Data collection included semi-structured questionnaires and blood lead level measurements.
- Statistical analysis involved calculating point estimates with 95% Confidence Intervals and descriptive statistics using SPSS v16.
Main Results:
- The mean blood lead level among the children was 4.39±7.35 µg/dL.
- A prevalence of 18.75% (30 out of 160 children) had elevated blood lead levels.
- Children with elevated blood lead levels generally had normal hemoglobin, though 27% of this subgroup had below-normal hemoglobin.
Conclusions:
- Lead exposure among children in urban Nepal is notably high compared to similar environmental settings.
- The findings underscore a significant public health concern requiring immediate attention and preventative strategies.
- Further research is recommended to identify specific sources of lead exposure and implement effective control measures.
Introduction:
Lead is naturally available toxic heavy metal which is one of the main causes of environmental pollution and produces detrimental effects on health, particularly young children. Lead toxicity has become an emerging global burden of disease varying with the age, socio-economic status, occupation, industrialization, social customs and behaviours. The objective of this study was to find out the baseline blood lead level among children between 8-18 years.
Methods:
A descriptive study was conducted in Gokarneshwor Municipality, Kathmandu with a total of 160 children between 8-18 years of age from 2018 to 2019 after taking ethical approval from Research and Institutional Review Committee (Reference number: 17-074/075). Informed written consent was taken from the principal along with their respective parents and semi structured questionnaires were asked to students. Sample size was calculated and simple random sampling was done. The data was analyzed using Statistical Package for Social Science version 16. Point estimate at 95% Confidence Interval was calculated along with frequency and descriptive statistics.
Results:
The mean blood lead level of the children was 4.39±7.35 µg/dl. Mean hemoglobin being 12.63g/dl; out of 160 children 30 (18.75%) children had blood lead levels. Children with elevated blood lead level had mean haemoglobin level within normal range (13.05gm/dl), however out of 30 children, 8 (27%) had haemoglobin level below normal.
Conclusions:
Lead exposure in the children of urban area of Nepal is considerably high as compared to similar studies coducted in similar settings.
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