Lead Hazards Research Articles

Recently Recalled Children's Products Due to Lead Hazards.

We reviewed recent reports of recalled children's products contaminated with lead to learn more about what could be done to inform public health partners about the recalls in a timely manner to assist with broader consumer notification for proactive lead poisoning prevention efforts. Centers for Disease Control and Prevention staff reviewed lead-related recall notices for children's products issued during June 2022 through April 2024. Recall notices were extracted from the Consumer Product Safety Commission using Really Simple Syndication feed technology to identify and capture the most current recall information. Specific product details in the database were extracted and analyzed descriptively to identify response trends and best practices. Centers for Disease Control and Prevention's automated tool identified 30 recalls from Consumer Product Safety Commission. Lead-contaminated toys were the most frequent type of product recalled (n = 11, 37%). Most products were manufactured in China (n = 24, 86%). Products were on the market for an average of 25 months before they were recalled. No injuries were reported. The 30 recalls resulted in a combined number of 914 598 recalled units sold. The current approach to protecting children from lead hazards in consumer products could be augmented by timely notifying the public health community about recalls so they can broadly disseminate information through their channels to reduce lead exposure in children. Additional steps to reduce lead contamination in children's products when sourcing raw materials and components may help to decrease the number of recalls.

Lead Hazard Reduction Capacity Building Grant Program (HUD)

Lead Hazard Reduction Capacity Building Grant Program (HUD)

Lead Hazard Reduction Grant Program (HUD)

Lead Hazard Reduction Grant Program (HUD)

Awareness Level About Lead Poisoning Among the Saudi Population in Arar City, Saudi Arabia: A Cross-Sectional Study.

This study aimed to evaluate the awarenessregarding lead poisoning among the Saudi population of Arar, Saudi Arabia. A cross-sectional, online self-administered questionnaire-based method was utilized for data collection through convenience sampling from Arar, Saudi Arabia. The collected data were analyzed using descriptive and inferential statistics. The study included 389 participants, with a majority (302 participants (77.6%)) of females with a mean age of 31.7 years (range 18-54 years). The source of information about lead poisoning was reported as the media in 264 participants (67.8%). The participants (197, 50.6%) reported children as the age group most at risk for lead poisoning. All suggested sources of exposure to lead were identified by 190 participants(48.9%). As for the most common effect of lead poisoning,mental impairment was reported by 101 participants (26%), while 107 (27.6%) participants reported nerve problems. Kidney problems were reported by 181 participants (46.4%). Gender significantly (P = 0.001) affects the participants' knowledge about the sources of lead poisoning, whileknowledge about the routes of poisoning was significantly affected by the participants' age (P = 0.010). In Saudi Arabia, there is limited knowledge of risk factors, route of poisoning, and management and prevention of lead poisoning. A comprehensive lead-poisoning prevention strategy must include a high level of public knowledge of lead hazards as a key component.

Mulch Madness: A Community–Academic Partnership for Lead Poisoning Prevention

Abstract: Background: Soil constitutes a major source of childhood lead exposure, disproportionately affecting communities of color. Mulching offers a low-cost interim control. Objectives: A community–academic partnership was established for lead poisoning prevention, with a three-fold aim: (1) control soil lead hazards by applying mulch, (2) identify home lead hazards with screening kits, and (3) connect residents to resources to address lead hazards. Methods: Student volunteers canvassed neighborhoods one month prior to the annual event. They requested consent for mulching, distributed lead screening kits, and screened residents for grant eligibility. Soil samples were collected from each home before mulching. According to principles of community-based participatory research, materials and plans were iterative, guided and adjusted by neighborhood association feedback, and detailed reports about home lead results were shared with each participating resident. Composite neighborhood data and survey results were shared with volunteers and community partners. Results: The project was evaluated in the third (41 homes) and fourth (48 homes) years of implementation. Before mulching, the median soil lead level was over 400 ppm, and after mulching, it was less than 20 ppm. Lead screening kits identified widespread lead hazards in paint, soil, and dust, but not water. Challenges remain in (a) increasing child blood lead testing and (b) increasing submissions for city grant funding for lead abatement. Evaluation surveys indicate a sense of ownership in the project among community partners and high levels of engagement among students. Conclusions: Community–academic partnerships are an effective tool for lead poisoning prevention, generating evidence for public health action.

Validation of a low-cost lead hazard screening kit for the home environment.

The main sources of lead exposure for children occur in the home environment, yet no low-cost analytical methods exist to screen homes for lead hazards. Previously, an inexpensive (~$20), quantitative lead screening kit was developed in which residents collect soil, paint, and dust samples that are returned to a laboratory for lead analysis using X-ray fluorescence spectroscopy (XRF). This screening kit was initially validated in 2020; it was determined that in situ and ex situ XRF lead measurements on the same samples exhibited strong sensitivity, specificity, and accuracy. As a follow-up to the initial validation, an implementation study and further statistical analyses were conducted. Correlation analysis using the results from nearly 400 screening kits identified an overall lack of correlation between sample types, reinforcing the utility of all eight sample locations. Principal component analysis searched for underlying correlations in sample types and provided evidence that both interior and exterior paint are major sources of lead hazards for Indiana homes. The implementation study compared the results of the government-standard lead inspection and risk assessment (LIRA) and the lead screening kit in 107 Indiana homes. In the United States, the LIRA is a thorough inspection of paint, dust, and soil that is usually state mandated in response to a child's elevated blood level and is used to identify where remediation efforts should be focused. The lead screening kit and LIRA agreed on the presence of lead in 79 of the 107 homes tested (74%). Discrepancies in agreement are likely the result of differences in the sample location and number of samples collected by each method. Overall, these results suggest that the lead screening kit is an acceptable resource that could be used to expand the services health departments provide for lead prevention. Integr Environ Assess Manag 2024;20:1504-1513. © 2024 The Authors. Integrated Environmental Assessment and Management published by Wiley Periodicals LLC on behalf of Society of Environmental Toxicology & Chemistry (SETAC).

Detailed chemical analysis of soils and identification of priority pollutants on the territory of the state aviation airfield (Krymsk)

In connection with the intensification of military activities, environmental problems have worsened in large-scale territories. The primary task is to create lists of priority pollutants of environmental objects that are mandatory for control at landfills for various purposes, military bases, airfields. The paper presents the data of a detailed geochemical analysis of the soils of the state aviation airfield territory, on the basis of which priority contaminants were identified taking into account their gross content, hazard classes and the frequency of exceeding dangerous concentrations relative to the background. In the Krasnodar Territory (Krymsk), 32 samples from the territory of the state aviation airfield were analyzed over 4 years of research, and background concentrations of 22 metals, petroleum products, formaldehyde and nitrate nitrogen were also established. To determine the hazard classes of metals with unspecified maximum permissible concentrations, a correlation analysis was carried out comparing the hazard classes of substances and their clarks. Based on the results of the study, a list of pollutants recommended for control has been compiled including cesium, arsenic, scandium, niobium, lead (hazard class I); antimony, formaldehyde, nitrate nitrogen (II); petroleum products (III). The variability of the distribution of concentrations of pollutants on the airfield territory depends on the specifics of the operation of aircraft and special equipment for flight support. But at all sampling points (beginning – end, runway perimeter; taxiways; under the glide path), the main soil pollutant is arsenic, which concentrations exceed background concentrations by 16–36 times. The dangerously high content of petroleum products, formaldehyde, nitrate nitrogen, and scandium and caesium in some points in the airfield soils has been also found.

Semi-quantitative health risk assessment of heavy metal dust exposure among nail technicians using the SQRA technique and Monte Carlo simulation.

Nail technology, including the application of artificial nails and nail care, is a developing sector of the global beauty industry. Nail technicians are exposed to a variety of chemical substances through inhalation, as they spend extended periods of time in close proximity to these materials. This study aimed to evaluate the semi-quantitative health risk of dust-containing heavy metals among nail technicians. This analytical descriptive study employed the risk assessment method provided by the Singapore Occupational Health Department to evaluate the health hazards of lead, cadmium, nickel, chromium, and manganese. Dust samples from nail filing were collected from the respiratory zone of 20 nail technicians following the NIOSH 7300 method. The samples were analyzed using ICP-OES instrumentation. Monte Carlo simulation was utilized to characterize the risk and its uncertainties. Manganese and cadmium had the highest and lowest mean concentrations, respectively. The risk scores of the metals ranked from highest to lowest were as follows: . All five metals had risk rankings below 2.8, signifying a minimal risk level. Sensitivity analysis using Spearman's correlation coefficient demonstrated a positive relationship between concentration, daily hours of exposure, and the number of workdays per week with the risk score (RR) and exposure level (ER). Conversely, the variable of weekly working hours (W) showed a negative correlation with these parameters. Despite the low-risk level of the examined metals, continuous exposure and potential long-term effects on nail technicians warrant preventive measures. Recommendations include implementing local exhaust ventilation systems, using table fans, establishing work-rest cycles, wearing N95 dust masks, and using reputable and high-quality nail polishes.

Detection of Lead (Pb) and Cadmium (Cd) Concentrations and Hazards in Some Baby Food Samples

This study was conducted to detect the concentration of lead and cadmium in baby foods, (18) samples were examined, which are the most available from various local markets in the city of Baghdad (at a rate of (9) samples of baby food consisting of cereals and (9) samples of baby foods consisting of vegetables). All samples were examined using an atomic flame absorptiometry (AAS-7000), all results showed the presence of lead and cadmium and the highest concentration value of lead in baby foods consisting of cereals (1.0986) and cadmium in baby foods consisting of vegetables (0.0015) ppm. Lead exceeded 100% limitations and cadmium did not exceed that. The results reported on the risks of contamination, as the mean daily intake (g/kg/d) for lead (1.3538) and cadmium amounted to (0.010), and the target hazard quotient index was high for the index (THQ>10) for lead in most of the samples examined and reached (THQ<10) in some samples examined, while cadmium all samples reached an index of (THQ<10). The study showed an increase in lead concentrations and perceptible risks and did not report an increase in cadmium concentrations outside the determinants, but it warns of imperceptible risks to the consumer. The study showed statistically significant differences between the levels of lead and cadmium and between the studied species and did not show statistically significant differences between the origins at the level of significance (0.05). It has been shown that these products pose a risk to children when consumed, so these products must be banned and ways must be found to reduce or prevent these pollutants with these products or find appropriate alternatives.

Universal Encapsulation Adhesive for Lead Sedimentation and Attachable Perovskite Solar Cells with Enhanced Performance

In this work, a modified polyurethane adhesive (PUA) was prepared to realize a convenient encapsulation strategy for lead sedimentation and attachable perovskite solar cells (A‐PSCs). The modified PUA can completely self‐heal within 45 min at room temperature with an efficient lead ion‐blocking rate of 99.3%. The PUA film can be coated on a metal electrode with slight efficiency improvement from 23.96% to 24.15%. The thermal stability at 65 °C and the humidity stability at 55% relative humidity (RH) are superior to the devices encapsulated with polyisobutylene. The PUA film has strong adhesion to the flexible substrate and the initial efficiency of the flexible perovskite module (17.2%) encapsulated by PUA remains 92.6% within 1825 h. These results suggest that PUA encapsulation is universal for rigid and flexible PSCs with enhanced stability and low lead hazards. Moreover, it was found that flexible PSCs can be well attached to various substrates with PUA, providing a facile route for the A‐PSCs in various scenarios without additional encapsulation and installation.

Using Artificial Intelligence to Identify Sources and Pathways of Lead Exposure in Children.

Sources and pathways of lead exposure in young children have not been analyzed using new artificial intelligence methods. To collect environmental, behavioral, and other data on sources and pathways in 17 rural homes to predict at-risk households and to compare urban and rural indicators of exposure. Cross-sectional pilot study. Knox County, Illinois, which has a high rate of childhood lead poisoning. Rural families. Neural network and K-means statistical analysis. Children's blood lead level. Lead paint on doors, lead dust, residential property assessed tax, and median interior paint lead level were the most important predictors of children's blood lead level. K-means analysis confirmed that settled house dust lead loadings, age of housing, concentration of lead in door paint, and geometric mean of interior lead paint samples were the most important predictors of lead in children's blood. However, assessed property tax also emerged as a new predictor. A sampling strategy that examines these variables can provide lead poisoning prevention professionals with an efficient and cost-effective means of identifying priority homes for lead remediation. The ability to preemptively target remediation efforts can help health, housing, and other agencies to remove lead hazards before children develop irreversible health effects and incur costs associated with lead in their blood.

An interdisciplinary team-based approach for significantly reducing lower-level lead poisoning in U.S. children.

Twenty-one families with 49 children, were offered enrollment when at least 1 child in the family was found to have a BLL >2.5µg/dL. Child BLLs, determined by ICPMS, were monitored at 4- to 6-month intervals. Education was tailored to family needs, reinforced through repeated parent engagement, and was followed by home testing reports with detailed case-specific information and recommendations for no-cost/low-cost mitigation. Ninety percent of enrolled families complied with the mitigation program. In most cases, isolated, simple-to-mitigate lead hazard sources were found. Most prevalent were consumer products, found in 69% (11/16) of homes. Lead paint was identified in 56% (9/16) of homes. Generalized linear regression with Test Wave as a random effect showed that children's BLLs decreased significantly following the intervention despite fluctuations. Lower-level lead poisoning can be reduced through an interdisciplinary approach that combines ongoing child BLL monitoring; repeated, one-on-one parent prevention education; and identification and no-cost/low-cost mitigation of home lead hazards. Biannual child BLL monitoring is essential for detecting and responding to changes in child BLLs, particularly in neighborhoods deemed high-risk for child lead poisoning.

Using exterior housing conditions to predict elevated pediatric blood lead levels

Housing-based lead paint dust is the most common source of lead exposure for US-born children. Although year of housing construction is a critical indicator of the lead hazard to US children, not all housing of the same age poses the same risk to children. Additional information about housing condition is required to differentiate the housing-based lead risk at the parcel level. This study aimed to identify and assess a method for gathering and using observations of exterior housing conditions to identify active housing-based lead hazards at the parcel level. We used a dataset of pediatric blood lead observations (sample years 2000–2013, ages 6–72 months, n = 6,589) to assess associations between observations of exterior housing conditions and housing-based lead risk. We used graphical and Lasso regression methods to estimate the likelihood of an elevated blood lead observation (≥3.5 μg/dL). Our methods estimate a monotonic increase in the likelihood of an elevated blood lead observation as housing conditions deteriorate with the largest changes associated with homes in the greatest disrepair. Additionally we estimate that age of home construction works in consort with housing conditions to amplify risks among those houses built before 1952. Our analysis indicates that a survey of external housing conditions can be used in combination with age of housing in the identification process, at the parcel level, of homes that pose a housing-based lead hazard to children.

Trends in global burden of diseases attributable to lead exposure in 204 countries and territories from 1990 to 2019.

Lead hazards are ubiquitous in the environment, and lead exposure has been proved to damage human health. Nevertheless, there is limited data on the global burden of diseases attributable to lead exposure. In this study, we evaluated the temporal-spatial trend of disease burden caused by lead exposure in 204 countries and territories from 1990 to 2019. Based on Global Burden of Disease (GBD) Study 2019, deaths, disability-adjusted life years (DALYs), age-standardized mortality rate (ASMR) and DALYs rate (ASDR) were estimated by region, country, sex and age. The estimated annual percentage change (EAPC) was calculated to assess the temporal trends of ASMR and ASDR between 1990 and 2019. Global deaths increased from 0.53 (95% UI: 0.31, 0.77) to 0.90 (95% UI: 0.55, 1.29) million, and the number of DALYs increased from 16.02 (95% UI: 10.32, 22.17) to 21.68 (95% UI: 13.81, 30.30) million between 1990 and 2019. China, India and Bangladesh were top three countries with the largest number of deaths and DALYs in 2019. The ASMR (per 100,000 population) decreased from 14.47 (95% UI: 8.40, 21.43) to 11.48 (95% UI: 7.00, 16.49) with EAPC of -0.75 (95% UI: -0.87, -0.64), and the ASDR (per 100,000 population) decreased from 378.01 (95% UI: 240.55, 524.18) to 267.52 (95% UI: 170.57, 373.44) with EAPC of -1.19 (95% UI: -1.32, -1.07). Most of disease burden of lead exposure occurred in the men and elderly population. Stroke and ischemic heart disease were two key sources of disease burden of lead exposure. Also, a negative association between sociodemographic index (SDI) and disease burden of lead exposure was observed. Lead exposure poses a significant disease burden globally, and is still a great threat to public health. Primary prevention measures of reducing lead exposure in the environment are essential.

Childhood Lead Poisoning 1970-2022: Charting Progress and Needed Reforms.

Childhood lead poisoning prevention in the United States was marked by a largely failed medical approach from 1971 to 1990; an emergent (but small) healthy housing primary prevention strategy from 1991 to 2015; and implementation of large-scale proven interventions since then. Childhood Lead Poisoning Prevention & Healthy Housing. Historic and recent health and housing data from the National Health and Nutrition Examination Survey (NHANES) and the American Healthy Homes Survey (AHHS) were retrieved to analyze trends and associated policy gaps. Approximately 590 000 US children aged 1 through 5 years had elevated blood lead levels of 3.5 μg/dL and greater in 2016, and 4.3 million children resided in homes with lead paint in 2019. Despite large improvements, racial and other disparities remain stubbornly and statistically significant. The NHANES and the AHHS require larger sample sizes. The Centers for Disease Control and Prevention has not published children's blood lead surveillance and NHANES data in several years; the Department of Housing and Urban Development (HUD) has no analogous housing surveillance system; and the Environmental Protection Agency (EPA) and the Occupational Safety and Health Administration (OSHA) have not updated training, Superfund, and occupational standards in decades. The nation has been without a plan and an associated budget for more than 2 decades. Congress has not reformed the nation's main lead poisoning prevention laws in more than 30 years. Such reforms include stopping US companies from producing new residential lead paint in other countries; enabling the disclosure law to identify all residential lead hazards; closing loopholes in federally assisted housing regulations and mortgage insurance standards; harnessing tax policy to help homeowners mitigate lead hazards; streamlining training requirements; increasing the size of health and housing surveys and surveillance systems; and updating housing codes, medical guidance, dust lead standards, training, Superfund, and worker exposure limits. Congress and the president should reauthorize a cabinet-level task force (dormant since 2010) to develop a new strategic plan with an interagency budget to implement it. These reforms will scale and optimize markets, subsidies, enforcement, and other proven interventions to end ineffective, costly, harmful, and irrational cost shifting that threatens children, workers, and affordable housing.

Pathways and sources of lead exposure: Michigan Children's Lead Determination (the MI CHILD study)

There has been little research on childhood lead exposure pathways since the 1990s. New data from Michigan in 2017–2021 for 429 children in 345 homes included lead in blood, paint, dust, soil, water, and other housing, demographic, and behavioral metrics. Fifty-three percent of these children had blood lead (BPb) ≥5 μg/dL. A repeated measures pathway model that accounted for multiple children in the same home was constructed using weighted least squares mean estimation and included variance-covariance model multiple imputation. Results showed that children's BPb was directly predicted by lead in settled floor house dust, child's age, season, and mouthing behavior and indirectly predicted by window sill and trough dust lead (DPb), bare soil lead (SPb), proportion of floors with carpets, and exterior building deteriorations. Paint lead (PPb) was also an indirect predictor of BPb through the soil and settled dust pathways. Water lead (WPb), water consumption and other lead sources/pathways were not significant predictors of BPb in this cohort. Although risk factors for individual children are highly variable and worthy of investigation to pinpoint their exposures, this study shows that the main direct and indirect pathways of lead exposure for most children in older housing remain paint and the contaminated dust and soil it generates. Pathway analyses in other jurisdictions using current data should be performed to confirm these results. This study suggests both DPb and BPb in high-risk homes may have declined since the 1990s and that lead in dust, soil, and paint all should be measured to predict risk and target remediation. Because most homes still have not been assessed for lead hazards and remediated, too many children remain at needless risk.

Assessment of Lead and Cadmium Concentrations in Raw Cow Milk from Farms near Namanve Industrial Park in Kira Division, Wakiso District, Uganda

Lead and Cadmium concentrations were analysed in raw cow milk samples collected from smallholder zero grazing households near Namanve Industrial Park in Kira Division in Wakiso district near Kampala city, Uganda. The concentration of heavy metals in milk was tested with atomic absorption spectrophotometry using the Perkin Elmer AAA Model 2380 after acid digestion. The overall mean concentration of lead and cadmium was 0.01 and 0.0083 mg/kg respectively. Of the three wards, Bweyogerere had the highest lead concentration (0.014mg/kg) and cadmium (0.011mg/kg). Analysis of Variance (ANOVA) test of the mean concentrations of lead between and within wards showed significant differences (F = 10.85, P < 0.05) and the findings were similar for cadmium (F=4.77, P < 0.05). Multiple comparison tests (Bonferroni) showed Bweyogerere raw milk had significantly higher lead concentration than milk from Kireka (P=0.008) and milk from Kirinya (P < 0.0001) and also significantly higher cadmium concentration than milk from Kirinya (P = 0.0009). Mean concentration of each metal residue was below the recommended minimum hazardous intake in diet as per Codex/Uganda National Bureau of Standards at 0.02 mg/kg for both lead and cadmium. Therefore, milk from cows reared around Namanve presents no public health-related lead and cadmium hazards.

High energy storage density and temperature stable dielectric properties of (1-x)Bi0.5(Na0.82K0.18)0.5Ti0.99(Y0.5Nb0.5)0.01O3-xNaNbO3 ceramics

The development of lead-free ceramics with high energy storage density is critical due to the human health and environmental hazards of lead and the demand to miniaturize and integrate electronic devices. Nevertheless, the high applied electric field limits their use in integrated circuits. In this work, (1-x) Bi0.5(Na0.82K0.18)0.5Ti0.99(Y0.5Nb0.5)0.01O3-xNaNbO3 (BNKTYN-100xNN) ceramics were prepared, and excellent energy storage properties were obtained. It has revealed that NaNbO3 dopant reduces remanent polarization and increases relaxor degree. BNKTYN-9NN ceramics has high energy storage density (Wrec =1.6 J/cm3) and responsivity (ξ = Wrec/E = 145.5 J/(kV•m2)) under 110 kV/cm. Meanwhile, good temperature stability (20–120 °C) and fatigue resistance (105 cycles) were also obtained in BNKTYN-9NN ceramics. In addition, doping NaNbO3 suppresses the dielectric anomaly peak, and BNKTYN-9NN ceramics has excellent temperature-stable dielectric permittivity from 53° to 447°C. These results suggest that BNKTYN-100xNN ceramics are promising for energy storage equipment.

Lead Hazard Control and Healthy Homes (HUD)

Lead Hazard Control and Healthy Homes (HUD)

Parenting and Lead Mitigation at Home: A Multifaceted Community Partnership Model Promoting Parent Engagement in Lead Exposure Prevention.

Young children are at high risk of lead poisoning, which can damage early cognitive and behavioral development and have long-lasting impacts. Home environments are persistent sources of exposure for children in urban, low-income settings. Community-academic partnerships are essential for public health intervention strategies addressing residential household lead exposure, yet community organization staff and home visitors often experience strain and burnout. We describe Parenting and Lead Mitigation at Home, a multifaceted partnership project to (a) develop and implement a community-based, peer-delivered education program for parents of young children in neighborhoods at risk for home lead exposure and (b) support the home visitors delivering programming. We developed, delivered, and initially evaluated Lead 101, a lead-exposure prevention curriculum informed by the Community Organizing and Family Issues (COFI) model. The goals were to educate parents around lead exposure risks and empower parents to reduce their child's risk. We developed a novel Reflective Practice pilot curriculum designed to provide emotional support to peer educators and community organization staff who delivered home-based programming. We trained 11 peer educators who delivered Lead 101 to 62 families. We pilot-tested the Reflective Practice curriculum with five community organization staff. The implementation process and pilot evaluation data suggest increased parent knowledge and self-efficacy regarding mitigation of home-based lead hazards, and high satisfaction with reflective practice. Using this model to develop multifaceted partnerships among universities, community-based organizations, and focal communities may facilitate community-engaged program development for families and systematic support for individuals working directly with families, thereby indirectly promoting child health and well-being.