儿童铅中毒:全球疾病负担

Adeyiga Ab
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摘要

背景:铅中毒是影响不同多器官损伤的儿童年龄组的一个主要公共卫生问题。例如,在儿童身上,人们发现,由于发育生长和认知发展处于生命的这个非常关键的阶段,对儿童来说,不存在小水平或可观数量的铅暴露是安全的。儿童处于非常高的风险,因为他们在这个发育年龄的手对嘴探索行为,从而导致无意中摄入铅。持续接触铅被归因于学习困难、低智商、注意力缺陷和行为问题。即使在铅中毒程度较低的情况下,越来越多的证据表明,铅对儿童的发育也会产生不可逆转的有害影响,导致学习和行为障碍,注意力持续时间缩短。此外,受影响的患者表现出腹痛、食欲不振、肾功能受损和贫血等临床症状,这些症状是由于被称为血红蛋白的携氧蛋白的合成受到抑制。此外,由于表观遗传学修饰,儿童铅中毒疾病可能在未来发展为神经退行性疾病,如帕金森病和阿尔茨海默病。方法:在1960年至2019年期间,使用PubMed、Google Scholar和Medline,通过电子数据库使用文献搜索策略。使用的搜索策略是“儿童铅中毒”或“儿童铅的血液毒性”。根据美国医疗保健研究与质量机构(AHRQ)的标准,通过选择与我讨论的主题相关的文章来评估文献质量。在搜索中得到了2778篇文章。在获得的研究结果中,只有相关的文章是为了研究主题而选择的。结果:鉴于上述证据,由于当今世界新兴的工业活动,儿童群体的铅中毒和毒性是全球疾病负担。结论:本综述研究的目的是通过可能的政策和教育意识来确定儿童年龄组铅中毒的影响及其对受影响儿童的社会负担,以减轻这一威胁。
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 Pediatric Groups: A Global Burden of Disease
Background: Lead poisoning is a major public health issues that affect pediatric age group with different multi-organ damage. In children for instance, it has been discovered that there is no small level or appreciable quantity of lead exposure that is safe for children because of developmental growth and cognitive development at this very crucial stage of life. Children are at very high risk because of their handto-mouth explorative behaviors at this developmental age thereby leading to unintentional ingestion of lead. Persistent exposure to lead has been attributed to difficulty in learning, low intelligence quotient (LIQ), attention deficit and behavioral problems. Even at low levels of lead poisoning, accumulating lines of evidence show an irreversible, deleterious effect on a child’s development that result in learning and behavioral disorders with diminished attention span. In addition, the affected patient present with clinical symptoms ranging from abdominal pain, loss of appetite, renal function impairment, and anemia due to inhibition of synthesis of oxygen carrying protein called hemoglobin. Moreover, childhood disease of lead poisoning could develop into neurodegenerative diseases such as Parkinson`s disease and Alzheimer`s disease due to epigenetic modification in future. Methods: Literature search strategy was used through electronic data bases, by using PubMed, Google Scholar, and Medline between years 1960 to year 2019. The search strategy that was used is “lead poisoning in children” or “blood toxicity of lead in childhood”. The literature quality was assessed by selecting articles that were relevant to the topic of my discussion based on the standard of Agency for Healthcare Research and Quality (AHRQ). In the search 2778 articles were got. Out of the research results obtained, only relevant articles were selected for the purpose of topic being studied. Results: In the view of the evidences above, lead poisoning and toxicity among pediatric group are a global burden of disease because of the emergent industrial activities in the world today. Conclusion: The aim of this review study is to determine the effect of lead toxicity among pediatric age group and its social burden on affected children with possible policy and education awareness to mitigate this menace.
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