密尔沃基的铅中毒:医疗和公共卫生最新情况。

Tessa Miller, Joanna Balza, Julia Kellis, Heather Paradis, John Meurer, David Nelson
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引用次数: 0

摘要

引言每年都有儿童因铅中毒而造成不可逆转的后果。儿童接触铅最常见于 1978 年前建造的老式房屋,这些房屋的窗台油漆脱落,儿童在窗台上玩耍并摄入铅微粒。接触铅可导致神经和心理功能障碍以及其他健康问题:这项质量改进研究旨在通过公共卫生方法,分析当前的公共卫生数据以及在铅筛查、检测跟踪和识别高危儿童方面可能存在的障碍,从而评估我们对高危儿童的认识:我们从密尔沃基市卫生局获得了有关铅中毒儿童和受检房产的数据。我们分析了每个儿童的初次血铅含量、后续检测记录、居住地的邮政编码以及家庭租户与自有住房的对比情况:数据库中超过 90% 的儿童在初次血铅水平升高后进行了后续血铅检测。有随访血铅水平记录的儿童与无随访血铅水平记录的儿童在最初记录的血铅水平上没有差异(21.40,SD = 11.26);t[1.17],P = 0.24)。大多数受影响的儿童来自经济条件较差的邮政编码(53206、53208、53215),94%的儿童居住在出租房中:数据库中超过 90% 的儿童在初次血铅水平升高后进行了有记录的后续血铅检测。有后续血铅水平记录的儿童与没有记录的儿童在初始血铅水平上没有差异(21.40,SD = 11.26);t[1.17],P = 0.24)。大多数受影响的儿童来自经济条件较差的邮政编码(53206、53208、53215),94%的儿童居住在出租房中。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Lead Poisoning in Milwaukee: A Medical and Public Health Update.

Introduction: Every year, children are poisoned with lead with irreversible effects. This exposure most often occurs in older housing built before 1978 with chipping paint from windowsills where children play and ingest the lead particulates. Exposure to lead can cause neurological and psychological dysfunction, among other health issues.

Objective: This quality improvement study aims to evaluate our knowledge of at-risk children through a public health approach by analyzing the current public health data and possible barriers to lead screening, testing follow-up, and identifying at-risk children.

Methods: We received data on lead-poisoned children and inspected properties from the City of Milwaukee Health Department. We analyzed each child's initial blood lead level, as well as follow-up tests recorded, ZIP code of residence, and family renter versus home ownership.

Results: Over 90% of children in the database had recorded follow-up blood lead testing following an initial elevated blood lead level. There was no difference in initial recorded blood lead levels between children with recorded follow-up blood lead levels and children without (21.40, SD = 11.26); t[1.17], P = 0.24). Most affected children were from economically disadvantaged ZIP codes (53206, 53208, 53215), and 94% lived in rented properties.

Conclusions: Over 90% of children in the database had recorded follow-up blood lead testing following an initial elevated blood lead level. There was no difference in initial recorded blood lead levels between children with recorded follow-up blood lead levels and children without (21.40, SD = 11.26); t[1.17], P = 0.24). Most affected children were from economically disadvantaged ZIP codes (53206, 53208, 53215), and 94% lived in rented properties.

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