Geographic Analysis of Blood Lead Levels in New York State Children Born 1994–1997

We examined the geographic distribution of the blood lead levels (BLLs) of 677,112 children born between 1994 and 1997 in New York State and screened before 2 years of age. Five percent of the children screened had BLLs higher than the current Centers for Disease Control and Prevention action level of 10 μg/dL. Rates were higher in upstate cities than in the New York City area. We modeled the relationship between BLLs and housing and socioeconomic characteristics at the ZIP code level. Older housing stock, a lower proportion of high school graduates, and a higher percentage of births to African-American mothers were the community characteristics most associated with elevated BLLs. Although the prevalence of children with elevated BLLs declined 44% between those born in 1994 and those born in 1997, the rate of improvement may be slowing down. Lead remains an environmental health problem in inner-city neighborhoods, particularly in upstate New York. We identified areas having a high prevalence of children with elevated BLLs. These communities can be targeted for educational and remediation programs. The model locates areas with a higher or lower prevalence of elevated BLLs than expected. These communities can be studied further at the individual level to better characterize the factors that contribute to these differences

Blood Lead Concentrations in Children and Method of Water Fluoridation in the United States, 1988–1994

Some have hypothesized that community water containing sodium silicofluoride and hydrofluosilicic acid may increase blood lead (PbB) concentrations in children by leaching of lead from water conduits and by increasing absorption of lead from water. Our analysis aimed to evaluate the relation between water fluoridation method and PbB concentrations in children. We used PbB concentration data (n = 9,477) from the Third National Health and Nutrition Examination Survey (1988–1994) for children 1–16 years of age, merged with water fluoridation data from the 1992 Fluoridation Census. The main outcome measure was geometric mean PbB concentration, and covariates included age, sex, race/ethnicity, poverty status, urbanicity, and length of time living in residence. Geometric mean PbB concentrations for each water fluoridation method were 2.40 μg/dL (sodium silicofluoride), 2.34 μg/dL (hydrofluosilicic acid), 1.78 μg/dL (sodium fluoride), 2.24 μg/dL (natural fluoride and no fluoride), and 2.14 μg/dL (unknown/mixed status). In multiple linear and logistic regression, there was a statistical interaction between water fluoridation method and year in which dwelling was built. Controlling for covariates, water fluoridation method was significant only in the models that included dwellings built before 1946 and dwellings of unknown age. Across stratum-specific models for dwellings of known age, neither hydrofluosilicic acid nor sodium silicofluoride were associated with higher geometric mean PbB concentrations or prevalence values. Given these findings, our analyses, though not definitive, do not support concerns that silicofluorides in community water systems cause higher PbB concentrations in children. Current evidence does not provide a basis for changing water fluoridation practices, which have a clear public health benefit

Cadmium pigments in consumer products and their health risks

© 2018 Elsevier B.V. Cadmium is a toxic heavy metal that has been increasingly regulated over the past few decades. The main exposure routes for the general public are the consumption of certain foods and the inhalation of cigarette smoke. However, additional exposure may occur through the current and historical use of the metal in consumer products. In this paper, the uses of Cd in consumer goods are reviewed, with the focus on brightly-coloured Cd sulphide and sulphoselenide pigments, and measurements of Cd in historical and contemporary products ascertained by XRF are reported. Cadmium is encountered across a wide range of contemporary plastic products, mainly because of the unregulated recycling of electronic waste and polyvinyl chloride. However, concentrations are generally low (<100 μg g−1), conforming with current limits and posing minimal risk to consumers. Of greater concern is high concentrations of pigmented Cd (up to 2% by weight) in old products, and in particular children's toys that remain in circulation. Here, tests conducted suggest that Cd migration in some products exceeds the Toy Safety Directive limit of 17 μg g−1 by an order of magnitude. The principal current use of Cd pigments is in ceramic products where the metal is encapsulated and overglazed. Leaching tests on new and secondhand items of hollowware indicate compliance with respect to the current Cd limit of 300 μg L−1, but that non-compliance could occur for items of earthenware or damaged articles should a proposed limit of 5 μg L−1 be introduced. The greatest consumer risk identified is the use of Cd pigments in the enamels of decorated drinking glasses. Thus, while décor is restricted to the exterior, any enamel within the lip area is subject to ready attack from acidic beverages because the pigments are neither encapsulated nor overglazed. Glass bottles decorated with Cd-based enamel do not appear to represent a direct health hazard but have the propensity to contaminate recycled glass products. It is recommended that decorated glassware is better regulated and that old, brightly-coloured toys are treated cautiously

Consumer deputy program for household survey of oral prescription drugs : household survey II : final report.

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