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Childhood lead poisoning from paint chips: a continuing problem

Journal of Urban Health volume 79, pages 491–501 (2002)Cite this article

Abstract

Although lead poisoning (plumbism) has been recognized for centuries, lead exposures still occur frequently today because of its varied uses and persistence in the environment. Despite the awareness of the adverse effects of lead on adults, childhood plumbism was first reported only about a century ago. Young children are one of the most vulnerable groups to the adverse effects of lead because of their rapidly developing vulnerable groups to the adverse effects of lead because of their rapidly developing central nervous systems. Federal regulations in the 1970s have been successfully implemented to decrease the amount of environmental lead by decreasing the content of lead in gasoline and indoor paint. However, almost 30 years after these laws were passed, inner-city housing with leaded paint still exists. We describe three children living in New York City who developed plumbism from the ingestion of leaded paint chips.

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References

  1. Markowitz M. Lead poisoning: a disease for the next millennium. Curr Probl Pediatr. 2000;30:62–70.

    CAS  Article  Google Scholar 

  2. Turner AJ. Lead poisoning among Queensland children. Aust Med Gaz. 1897;16:475–479.

    Google Scholar 

  3. Byers RD, Lord EE. Late effects of lead poisoning on mental development. Am J Dis Child. 1943;66:471–483.

    CAS  Google Scholar 

  4. American Academy of Pediatrics. Lead poisoning: from screening to primary prevention. Pediatrics. 1993;92:176–183.

    Google Scholar 

  5. Centers for Disease Control and Prevention. Preventing Lead Poisoning in Young Children. Atlanta, GA: US Dept of Health and Human Services, Public Health Service; 1991.

    Google Scholar 

  6. Agency for Toxic Substances and Disease Registry. Toxicological Profile for Lead. Atlanta, GA: US Dept of Health and Human Services; 1999.

    Google Scholar 

  7. MMWR Morb Mortal Wkly Rep. 2001;50:457–459.

  8. Henretig FM. Lead. In: Goldfrank L, Flomenbaum N, Lewin N, Weisman R, Howland MA, Hoffman RS, eds. Goldfrank's Toxicologic Emergencies, 6th ed., Stanford, CT: mAppleton and Lange; 1998:1277–1317.

    Google Scholar 

  9. Needleman HL, Schell A, Bellinger D, Leviton A, Allred EN. The long-term effects of exposure to low doses of lead in childhood. N Engl J Med. 1990;322:83–88.

    CAS  Article  Google Scholar 

  10. Yule W, Lansdown R, Miller IB, et al. The relationship between blood lead concentrations, intelligence and attainment in a school population: a pilot study. Dev Med Child Neurol. 1981;23:567–576.

    CAS  Article  Google Scholar 

  11. Fulton M, Raab G, Thomson G, Laxen D, Hunter R, Hepburn W. Influence of blood lead on the ability and attainment of children in Edinburgh. Lancet. 1987;1:1221–1226.

    CAS  Article  Google Scholar 

  12. Schroeder SR, Hawk B, Otto DA, Mushak P, Hicks RE. Separating the effects of lead and social factors on IQ. Environ Res. 1985;38:144–154.

    CAS  Article  Google Scholar 

  13. Winneke G, Brockhaus A, Ewers U, Kramer U, Neuf M. Results from the European multicenter study on lead neurotoxicity in children: implications for risk assessment. Neurotoxicol Teratol. 1990;12:533–539.

    Article  Google Scholar 

  14. MMWR Morb Mortal Wkly Rep. 1991;40:193–195.

  15. Chisolm JJ Jr. The road to primary prevention of lead toxicity in children. Pediatrics. 2001;107:581–583.

    Article  Google Scholar 

  16. Mahaffey KR. Nutrition and lead: strategies for public health. Environ Health Perspect. 1995;103:191–196.

    Article  Google Scholar 

  17. Markowitz M. Lead poisoning. Pediatr Rev. 2000;21:327–335.

    CAS  Article  Google Scholar 

  18. Rabinowitz MB. Toxicokinetics of lead. Environ Health Perspect. 1991;91:33–37.

    CAS  Article  Google Scholar 

  19. Lubran MM. Lead toxicity and heme biosynthesis. Ann Clin Lab Sci. 1980;10:402–413.

    CAS  PubMed  Google Scholar 

  20. Nowack R, Wiecek A, Ritz E. Lead and hypertension. Contrib Nephrol. 1992;100:25–34.

    CAS  Article  Google Scholar 

  21. Goldstein GW. Brain capillaries: a target for inorganic lead poisoning. Neurotoxicology. 1984;5:167–175.

    CAS  PubMed  Google Scholar 

  22. Goyer RA, Clarkson TW. Toxic effect of metals. In: Klaasen CD, ed. Casarett and Doull's Toxicology: the Basic Science of Poisons, 6th ed. New York: McGraw-Hill; 2001:811–867.

    Google Scholar 

  23. Centers for Disease Control and Prevention. Screening Young Children for Lead Poisoning: Guidance for State and Local Public Health Officials. Atlanta, GA: US Dept of Health and Human Services, CDC Childhood Lead Poisoning Prevention Program; 1997.

    Google Scholar 

  24. Royce SE. Case Studies in Environmental Medicine. Lead Toxicity. Atlanta, GA: Agency for Toxic Substances and Disease Registry; 2000.

    Google Scholar 

  25. Bottomley SS. Sideroblastic anemias. In: Lee GR, Foerster J, Lukens J, Paraskevas F, Green JP, Rodgers GM, eds. Wintrobe's Clinical Hematology, 10th ed. Baltimore, MD: Williams and Wilkins; 1999:1022–1045.

    Google Scholar 

  26. McElvaine MD, DeUngria EG, Matté TD, Copley CG, Binder S. Prevalence of radiographic evidence of paint chip ingestion among children with moderate to severe lead poisoning, St. Louis, Missouri, 1989 through 1990. Pediatrics. 1992;89:740–742.

    CAS  PubMed  Google Scholar 

  27. Baghdassarian SA. Optic neuropathy due to lead poisoning. Report of a case. Arch Ophthalmol. 1968;80:721–723.

    CAS  Article  Google Scholar 

  28. Schuttmann W, Bohm E, Hager E. Neuritis of the optic nerve as a monosymptomatic form of lead poisoning. Z Gesamte Hyg. 1971;17:342–348.

    CAS  PubMed  Google Scholar 

  29. Remy P. Encephalopathy and cerebellar calcifications from lead poisoning. Presse Med. 1990;19:997–1000.

    CAS  PubMed  Google Scholar 

  30. Rogan WJ, Dietrich KN, Ware JH, et al. The effect of chelation therapy with succimer on neuropsychological development in children exposed to lead. N Engl J Med. 2001; 344:1421–1426.

    CAS  Article  Google Scholar 

  31. Henretig F. Lead poisoning prevention, not chelation [commentary]. J Toxicol Clin Toxicol. 2001;659–660.

  32. Shannon M. Lead poisoning treatment—a continuing need [commentary]. J Toxicol Clin Toxicol. 2001;661–663.

  33. Campbell C, Osterhoudt KC. Prevention of childhood lead poisoning. Curr Opin Pediatr. 2000;12:428–437.

    CAS  Article  Google Scholar 

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Authors and Affiliations

  1. Department of Emergency Medicine, State University of New York-Downstate Medical Center/Kings County Hospital Center, 451 Clarkson Avenue, 11203, Brooklyn, NY

    Mark Su

  2. New York University/Bellevue Hospital Center, New York, New York

    Fermin Barrueto Jr. &  Robert S. Hoffman

  3. New York City Posion Control Center, New York, New York

    Mark Su,  Fermin Barrueto Jr. &  Robert S. Hoffman

Authors
  1. Mark Su
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  2. Fermin Barrueto Jr.
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  3. Robert S. Hoffman
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Correspondence to Mark Su.

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Su, M., Barrueto, F. & Hoffman, R.S. Childhood lead poisoning from paint chips: a continuing problem. J Urban Health 79, 491–501 (2002). https://doi.org/10.1093/jurban/79.4.491

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  • DOI: https://doi.org/10.1093/jurban/79.4.491

Keywords

  • Public Health
  • Adverse Effect
  • Nervous System
  • Central Nervous System
  • Young Child