ArticleConflict and health2011
Uranium and other contaminants in hair from the parents of children with congenital anomalies in Fallujah, Iraq.
Article in Conflict and health, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers, 1 of them a synthesis that pooled it.
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Who cites it
17 citing papers in PubMed, 1 synthesis or guideline pooled it, 69 citations in OpenAlex.
- Weaponised uranium and adverse health outcomes in Iraq: a systematic review.BMJ global health · 2021Pooled it
- The arms industry as a commercial determinant of health in the Middle East: a call for research.BMJ global health · 2026Review
- It Takes Time to Unravel the Ecology of War in Gaza, Palestine: Long-Term Changes in Maternal, Newborn and Toddlers' Heavy Metal Loads, and Infant and Toddler Developmental Milestones in the Aftermath of the 2014 Military Attacks.International journal of environmental research and public health · 2020Article
- Long Term Risks to Neonatal Health from Exposure to War-9 Years Long Survey of Reproductive Health and Contamination by Weapon-Delivered Heavy Metals in Gaza, Palestine.International journal of environmental research and public health · 2020Article
- Metabolomic and metallomic profile differences between Veterans and Civilians with Pulmonary Sarcoidosis.Scientific reports · 2019Article
- Human exposure to uranium in South African gold mining areas using barber-based hair sampling.PloS one · 2019Article
- Article
- Health Effects and Environmental Justice Concerns of Exposure to Uranium in Drinking Water.Current environmental health reports · 2016Review
- Medical effects of internal contamination with actinides: further controversy on depleted uranium and radioactive warfare.Environmental health and preventive medicine · 2016Review
- Leukemia Study in Sulaymaniyah Province, Kurdistan, Iraq.Chinese medical journal · 2016Article
- Specific association of teratogen and toxicant metals in hair of newborns with congenital birth defects or developmentally premature birth in a cohort of couples with documented parental exposure to military attacks: observational study at Al Shifa Hospital, Gaza, Palestine.International journal of environmental research and public health · 2014Observational
- The intergenerational effects of war on the health of children.BMC medicine · 2014Article
- Conflict and Health: seven years of advancing science in humanitarian crises.Conflict and health · 2014Article
- Metal contamination and the epidemic of congenital birth defects in Iraqi cities.Bulletin of environmental contamination and toxicology · 2012Article
- Birth defects in Iraq and the plausibility of environmental exposure: A review.Conflict and health · 2012Article
- Pilot study of congenital anomaly rates at birth in fallujah, iraq, 2010.The Journal of IMA · 2012Article
- Report of three cases of unusual anterior abdominal wall defects in fallujah general hospital during the year 2010.The Journal of IMA · 2012Article
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Authors and funding
5 authors at 2 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundRecent reports have drawn attention to increases in congenital birth anomalies and cancer in Fallujah Iraq blamed on teratogenic, genetic and genomic stress thought to result from depleted Uranium contamination following the battles in the town in 2004. Contamination of the parents of the children and of the environment by Uranium and other elements was investigated using Inductively Coupled Plasma Mass Spectrometry. Hair samples from 25 fathers and mothers of children diagnosed with congenital anomalies were analysed for Uranium and 51 other elements. Mean ages of the parents was: fathers 29.6 (SD 6.2); mothers: 27.3 (SD 6.8). For a sub-group of 6 women, long locks of hair were analysed for Uranium along the length of the hair to obtain information about historic exposures. Samples of soil and water were also analysed and Uranium isotope ratios determined.
resultsLevels of Ca, Mg, Co, Fe, Mn, V, Zn, Sr, Al, Ba, Bi, Ga, Pb, Hg, Pd and U (for mothers only) were significantly higher than published mean levels in an uncontaminated population in Sweden. In high excess were Ca, Mg, Sr, Al, Bi and Hg. Of these only Hg can be considered as a possible cause of congenital anomaly. Mean levels for Uranium were 0.16 ppm (SD: 0.11) range 0.02 to 0.4, higher in mothers (0.18 ppm SD 0.09) than fathers (0.11 ppm; SD 0.13). The highly unusual non-normal Fallujah distribution mean was significantly higher than literature results for a control population Southern Israel (0.062 ppm) and a non-parametric test (Mann Whitney-Wilcoxon) gave p = 0.016 for this comparison of the distribution. Mean levels in Fallujah were also much higher than the mean of measurements reported from Japan, Brazil, Sweden and Slovenia (0.04 ppm SD 0.02). Soil samples show low concentrations with a mean of 0.76 ppm (SD 0.42) and range 0.1-1.5 ppm; (N = 18). However it may be consistent with levels in drinking water (2.28 μgL-1) which had similar levels to water from wells (2.72 μgL-1) and the river Euphrates (2.24 μgL-1). In a separate study of a sub group of mothers with long hair to investigate historic Uranium excretion the results suggested that levels were much higher in the past. Uranium traces detected in the soil samples and the hair showed slightly enriched isotopic signatures for hair U238/U235 = (135.16 SD 1.45) compared with the natural ratio of 137.88. Soil sample Uranium isotope ratios were determined after extraction and concentration of the Uranium by ion exchange. Results showed statistically significant presence of enriched Uranium with a mean of 129 with SD5.9 (for this determination, the natural Uranium 95% CI was 132.1 < Ratio < 144.1).
conclusionsWhilst caution must be exercised about ruling out other possibilities, because none of the elements found in excess are reported to cause congenital diseases and cancer except Uranium, these findings suggest the enriched Uranium exposure is either a primary cause or related to the cause of the congenital anomaly and cancer increases. Questions are thus raised about the characteristics and composition of weapons now being deployed in modern battlefields.
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