应对加勒比地区减少高血压、糖尿病和慢性肾脏疾病方面潜在危险因素的挑战。

IF 2.4 Q1 Medicine
Journal of Health and Pollution Pub Date : 2021-06-17 eCollection Date: 2021-06-01 DOI:10.5696/2156-9614-11.30.210613
Adwalia Fevrier-Paul, Adedamola K Soyibo, Nimal De Silva, Sylvia Mitchell, Chukwuemeka Nwokocha, Mitko Voutchkov
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引用次数: 2

摘要

背景:环境调查已将铅(Pb)、镉(Cd)和砷(as)等微量元素定性为非传染性疾病的潜在危险因素。在加勒比区域进行的研究很少在当地探讨、界定或澄清这些发现。此外,在贫穷社区,地方污染控制努力往往与看似更直接的经济问题并举。目标:本评注呼吁采取行动,评价作为加勒比地区常见非传染性疾病潜在风险指标和/或因素的潜在危险因素。讨论:来自牙买加的研究发现,通过水、食物和其他人为活动暴露于潜在有害元素(PHE),对常住人口有害。为减少儿童接触有毒金属已经进行了几次尝试,并取得了相对的成功。然而,在高血压、糖尿病和慢性肾病患者等易感人群中发现了高水平的PHE。目前,加勒比区域内基础设施建设的优先程度较低,这些基础设施将促进和维持长期监测,并更好地为影响慢性病的环境政策提供信息。结论:需要进一步的调查来阐明PHE在增加非传染性疾病的风险或进展中所起的作用,特别是在弱势群体中。利益竞争:作者声明没有经济利益竞争。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Addressing the Challenge of Potentially Hazardous Elements in the Reduction of Hypertension, Diabetes and Chronic Kidney Disease in the Caribbean.

Background: Environmental surveys have characterized trace elements such as lead (Pb), cadmium (Cd) and arsenic (As) as potential risk factors for non-communicable diseases. There have been few studies conducted in the Caribbean region to explore, define or clarify such findings locally. Furthermore, local pollution control efforts are often juxtaposed against more seemingly immediate economic concerns in poor communities.

Objectives: The present commentary is a call to action for the evaluation of potentially hazardous elements as potential risk indicators and/or factors of common noncommunicable diseases in the Caribbean.

Discussion: Findings from Jamaican studies have identified exposure to potentially hazardous elements (PHE) via water, food, and other anthropogenic activities to the detriment of the resident population. Several attempts have been made to abate toxic metal exposure in children with relative success. However, high levels of PHE have been noted in vulnerable populations such as patients with hypertension, diabetes mellitus and chronic kidney disease. Currently, there is low priority towards infrastructure building within the Caribbean region that would promote and sustain long term monitoring and better inform environmental polices impacting chronic diseases.

Conclusions: Further investigations are needed to clarify the role that PHE play in increasing the risk or progression of non-communicable diseases, especially in vulnerable groups.

Competing interests: The authors declare no competing financial interests.

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来源期刊
Journal of Health and Pollution
Journal of Health and Pollution Medicine-Public Health, Environmental and Occupational Health
自引率
0.00%
发文量
0
审稿时长
18 weeks
期刊介绍: The Journal of Health and Pollution (JH&P) was initiated with funding from the European Union and World Bank and continues to be a Platinum Open Access Journal. There are no publication or viewing charges. That is, there are no charges to readers or authors. Upon peer-review and acceptance, all articles are made available online. The high-ranking editorial board is comprised of active members who participate in JH&P submissions and editorial policies. The Journal of Health and Pollution welcomes manuscripts based on original research as well as findings from re-interpretation and examination of existing data. JH&P focuses on point source pollution, related health impacts, environmental control and remediation technology. JH&P also has an interest in ambient and indoor pollution. Pollutants of particular interest include heavy metals, pesticides, radionuclides, dioxins, polychlorinated biphenyls (PCBs), polycyclic aromatic hydrocarbons (PAHs), volatile organic compounds (VOCs), air particulates (PM10 and PM2.5), and other severe and persistent toxins. JH&P emphasizes work relating directly to low and middle-income countries, however relevant work relating to high-income countries will be considered on a case-by-case basis.
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