Lead exposure among children from native communities of the Peruvian Amazon basin Exposición al plomo en niños de comunidades indígenas de la cuenca del Amazonas en el Perú

• Main Authors: Cynthia Anticona, Ingvar A. Bergdahl, Miguel San Sebastian
• Format: Article in Journal/Newspaper
• Language: English; Spanish; Portuguese
• Published: Pan American Health Organization 2012
• Subjects: Intoxicación por plomo; intoxicación del sistema nervioso por plomo en la infancia; factores de riesgo; Perú; Lead poisoning; nervous system; childhood; risk factors; Peru; Medicine; R; Arctic medicine. Tropical medicine; RC955-962; Public aspects of medicine; RA1-1270; Arctic
• Online Access: https://doaj.org/article/48f87cb463c94eb1b26c0e533a2f86aa

OBJECTIVE: To assess potential risk factors associated with elevated blood lead levels (BLLs) among children in two communities from the Corrientes River basin in the Peruvian Amazon. METHODS: Children aged 0-17 years were screened for BLLs, hemoglobin levels, and anthropometric measures. Dwelling, family, and child data were collected through a parental questionnaire. Statistical analysis included descriptive and bivariate analysis. Multiple linear and logistic regressions using generalized estimating equations were also conducted to determine associated risk factors. A map of each community was drawn to examine the spatial distribution of BLLs. RESULTS: Of 208 children (88 from 23 households of the Peruanito community and 120 from 28 households of Santa Isabel), 27.4% had BLLs > 10 µg/dL. The geometric mean (± standard deviation) BLL was 8.7 ± 4.0 µg/dL (range 3.0-26.8 µg/dL). In the total population, linear regression analysis indicated that age was positively associated with BLLs (P < 0.05). Logistic regression analysis showed that boys had 2.12 times greater odds of having BLLs > 10 µg/dL than girls (P < 0.05). Among the children 0-3 years, those whose mothers had BLLs > 10 µg/dL had 45.0% higher odds of presenting BLLs > 10 µg/dL than children whose mothers had BLLs < 10 µg/dL (P < 0.05). CONCLUSIONS: Older age, male gender, and mothers' BLL > 10 µg/dL were the main risk factors for elevated BLLs. The higher risk in boys 7-17 years suggests that exposure could be related to specific activities in this group, such as fishing and hunting. Continuous monitoring of BLLs in the Corrientes River population is recommended. OBJETIVO: Evaluar los potenciales factores de riesgo asociados con niveles elevados de plomo en sangre (Pbs) en niños de dos comunidades de la cuenca del río Corrientes en la Amazonia peruana. MÉTODOS: Se estudiaron de manera sistemática los niveles de PbS, la concentración de hemoglobina y las medidas antropométricas en niños de 0 a 17 años. A través de un ...