Evidence map›Paper›PMID 30426830›Full record

ArticlePublic health reports (Washington, D.C. : 1974)

Elevated Blood Lead Levels in Infants and Children in Haiti, 2015.

Chris Carpenter, Brittany Potts, Julia von Oettingen, Ric Bonnell, Michele Sainvil, Viviane Lorgeat, Mie Christine Mascary, Xinshu She, Eddy Jean-Baptiste, Sean Palfrey and 2 more

Abstract read
In one paragraph

Article in Public health reports (Washington, D.C. : 1974). The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

5 citing papers in PubMed.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

12 authors.

Chris Carpenter1 Boston Children's Hospital, Boston, MA, USA.
Brittany Potts1 Boston Children's Hospital, Boston, MA, USA.
Julia von Oettingen2 Kay Mackenson Center, Pierre Payen, Artibonite, Haiti.
Ric Bonnell2 Kay Mackenson Center, Pierre Payen, Artibonite, Haiti.
Michele Sainvil2 Kay Mackenson Center, Pierre Payen, Artibonite, Haiti.
Viviane Lorgeat2 Kay Mackenson Center, Pierre Payen, Artibonite, Haiti.
Mie Christine Mascary2 Kay Mackenson Center, Pierre Payen, Artibonite, Haiti.
Xinshu She1 Boston Children's Hospital, Boston, MA, USA.
Eddy Jean-Baptiste7 Fondation Haïtienne de Diabète et de Maladies Cardio-Vasculaires, Port au Prince, Ouest, Haiti.
Sean Palfrey8 Boston Medical Center, Boston, MA, USA.
Alan D Woolf1 Boston Children's Hospital, Boston, MA, USA.
Judith Palfrey1 Boston Children's Hospital, Boston, MA, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveFew studies have reported blood lead levels (BLLs) in Haitian children, despite the known presence of lead from environmental factors such as soil, water, leaded paint and gasoline, improperly discarded batteries, and earthquakes. We sought to determine the prevalence of elevated blood lead levels (EBLLs) among healthy Haitian children.

methodsWe enrolled children aged 9 months to 6 years from 3 geographic areas in Haiti (coastal, urban, and mountain) from March 1 through June 30, 2015. We obtained anthropometric measurements, household income, potential sources of lead exposure, and fingerstick BLLs from 273 children at 6 churches in Haiti. We considered a BLL ≥5 μg/dL to be elevated.

resultsOf 273 children enrolled in the study, 95 were from the coastal area, 78 from the urban area, and 100 from the mountain area. The median BLL was 5.8 μg/dL, with higher levels in the mountain area than in the other areas ( P < .001). BLLs were elevated in 180 (65.9%) children. The prevalence of EBLL was significantly higher in the mountain area (82 of 100, 82.0%; P < .001) than in the urban area (42 of 78, 53.8%) and the coastal area (56 of 95, 58.9%; P < .001). Twenty-eight (10.3%) children had EBLLs ≥10 μg/dL and 3 (1.1%) children had EBLLs ≥20 μg/dL. Exposure to improperly discarded batteries ( P = .006) and living in the mountain area ( P < .001) were significant risk factors for EBLLs.

conclusionsMore than half of Haitian children in our study had EBLLs. Public health interventions are warranted to protect children in Haiti against lead poisoning.

Indexed as

ChildChild, PreschoolEnvironmental ExposureFemaleGlobal HealthHaitiHumansInfantLeadLead PoisoningMalePrevalenceRefuse DisposalRisk FactorsRural PopulationUrban PopulationLeadchild healthenvironmental exposuresglobal healthleadpediatrics

Identifiers

PMID30426830
PMCPMC6304722

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