Discordance between age- and size-based criteria of child passenger restraint appropriateness

Objectives: In this study, we sought to accomplish the following objectives: to (1) calculate the percentage of children considered appropriately restrained across 8 criteria of increasing restrictiveness; (2) examine agreement between age- and size-based appropriateness criteria; (3) assess for changes in the percentage of children considered appropriately restrained by the 8 criteria between 2011 (shortly after updates to U.S. guidelines) and 2015.

Methods: Data from 2 cross-sectional surveys of 928 parents of children younger than 12 years old (n = 591 in 2011, n = 337 in 2015) were analyzed in 2017. Child age, weight, and height were measured at an emergency department visit and used to determine whether the parent-reported child passenger restraint was considered appropriate according to 8 criteria. Age-based criteria were derived from Michigan law and U.S. guidelines. Weight, height, and size-based criteria were derived from typical restraints available in the United States in 2007 and 2011. The percentage appropriate restraint use was calculated for each criterion. The kappa statistic was used to measure agreement between criteria. Change in appropriateness from 2011 to 2015 was assessed with chi-square statistics.

Results: Percentage appropriate restraint use varied from a low of 19% for higher weight limits in 2011 to a high of 91% for Michigan law in 2015. Agreement between criteria was slight to moderate. The lowest kappa was for Michigan law and higher weight limits in 2011 (κ = 0.06) and highest for U.S. guidelines and lower weight limits in 2011 (κ = 0.60). Percentage appropriate restraint use was higher in 2015 than 2011 for the following criteria: U.S. guidelines (74 vs. 58%, P < .001), lower weight (57 vs. 47%, P = .005), higher weight (25 vs. 19%, P = .03), greater height (39 vs. 26%, P < .001), and greater size (42 vs. 30%, P = .001).

Conclusions: The percentage of children considered to be using an appropriate restraint varied substantially across criteria. Aligning the definition of appropriate restraint use with current U.S. guidelines would increase consistency in reporting results from studies of child passenger safety in the United States. Potential explanations for the increased percentage of children considered appropriately restrained between 2011 and 2015 include adoption of the updated U.S. guidelines and the use of child passenger restraints with higher weight and height limits.     

典型河谷城市儿童土壤与灰尘铅暴露风险

为定量评价河谷型城市土壤与灰尘铅对城市儿童健康的影响与风险,结合野外调查的基础上,以陕西渭河谷地典型工业城市宝鸡、西安、渭南和铜川为研究区域,以定量分析河谷型城市儿童环境铅暴露为核心,收集4个城市土壤与灰尘分析样品总计243个。利用X射线荧光光谱法测定了4个城市土壤与灰尘铅的含量;采用BCR连续形态分级法探究了城市土壤与灰尘重金属铅地球化学形态分布与迁移特征;根据US EPA污染物暴露与健康风险评价模型对城市儿童铅暴露进行了评价。研究结果表明渭河谷地典型城市宝鸡、铜川、西安和渭南城市土壤与灰尘铅浓度(X±SD)分别为(409.2±52.54)和(624.70±66.15)mg·kg-1、(357.47±41.37)和(592.60±36.78)mg·kg-1、(61.4±13.31)和(78.42±14.89)mg·kg-1、(46.71±12.11)和(64.7±13.76)mg·kg-1,均高出陕西省土壤铅背景值;污染水平依次为宝鸡铜川西安渭南。4个河谷型城市土壤与灰尘重金属铅发生整体迁移的趋势为:宝鸡城市灰尘(90.71%)西安城市灰尘(84.74%)≥宝鸡城市土壤(83.12%)渭南城市灰尘(74.89%)≥西安城市土壤(74.50%)铜川城市灰尘(72.49%)铜川城市土壤(57.50%)渭南城市土壤(53.79%)。可见,铅在均在城市灰尘中的迁移趋势远大于相应的城市土壤。4个城市土壤与灰尘均表现出较大的儿童暴露致癌风险,宝鸡和铜川城市儿童土壤与灰尘铅暴露也分别存在非致癌风险,风险程度依次为宝鸡铜川西安渭南。儿童铅暴露致癌与非致癌风险程度与其城市土壤和灰尘中铅可氧化态分布呈相似的规律,表明碱性的城市土壤与城市灰尘(p H7)中可氧化态铅可能是导致河谷型城市儿童铅暴露风险和儿童血铅污染的主要形态和因素。由此,城市燃煤排放与含铅制品的加工等活动可能是渭河谷地河谷型城市儿童血铅与铅暴露最主要的贡献源,必须采取长期有效的监测与控制措施。     

机动车尾气对人体健康的危害

随着城市机动车保有量的不断增加,机动车尾气已经成为影响我国城市大气环境的主要问题之一。本文以儿童和交通警察两类人群为例,分析了机动车尾气污染给人体呼吸系统、免疫系统、心脑血管系统等造成的危害。结果表明,由于儿童的呼吸带与机动车尾气排放带非常接近,交警在机动车尾气环境中暴露事件太长,导致这两类人群的呼吸系统极易遭到破坏,发生支气管炎等疾病的概率大大增加;而免疫球蛋白水平和血压发生改变导致了抵抗能力的下降。最后建议通过采取发展公共交通、加强城市交通管理、完善检查维修制度等有效措施加强机动车尾气治理,减少对人体健康产生的危害。     

The effect of different educational interventions on schoolchildren's knowledge of earthquake protective behaviour in Israel

Knowledge of appropriate behaviour during an earthquake is crucial for prevention of injury and loss of life. The Israeli Home Front Command conducts a yearly earthquake education programme in all Israeli schools, using three types of educational interventions: lectures, drills and a combination of the two. The aim of this study was to evaluate the effectiveness of these interventions in providing students with knowledge. We distributed a questionnaire to 2,648 children from the 5th and 6th grades in 120 schools nationwide. Knowledge scores for both 5th and 6th grades were increased, regardless of type of intervention, compared to the non-exposure group. A combined intervention of lectures and drills resulted in the highest knowledge scores. Our findings suggest that for the age group studied a combination of lectures and drills will likely prepare students best for how to behave in the event of an earthquake.     

Commuting lives: children's mobility and energy use

Globally, the issue of energy use and climate change is at the forefront of many national and international agendas, and also an issue central to children's lives and well-being. This paper examines how children are both affected by and contribute to the problems associated with unsustainable energy use as it relates to the growth of car dependent lives. The paper presents the findings of a study of travel as it relates to the everyday lives of children in the city of Dunedin in New Zealand. The study found that children currently lead complex car dependent lives. This extensive car reliance presents a serious and largely unrecognised challenge to the sustainable planning and management of the urban environment. The move towards more sustainable transportation can bring benefits for both the environment and for children's lives.     

An evaluation of lead concentrations in imported hot sauces

In the last decade, the U.S. Food and Drug Administration (FDA) has issued several warnings and recalls for food products that exceed FDA standards for lead. Products containing chili peppers and salt were often suspected as sources of lead contamination, and included items such as candy that are routinely investigated. However, products such as hot sauces that contain similar ingredients have not been the focus of evaluations. This study quantified lead concentrations in imported hot sauces, evaluated product compliance to existing United States standards, and calculated potential dietary lead exposure for children using the Integrated Exposure Uptake Biokinetic Model. Finally, recommendations for reducing the risk of lead exposure from hot sauces are provided. Twenty-five (25) bottles of imported hot sauces manufactured in Mexico and South America were purchased in Clark County, Nevada. All hot sauces were analyzed for lead concentrations, pH, and leaded packaging. Hot sauces were analyzed by inductively coupled plasma mass spectrometry and packaging was analyzed using x-ray fluorescence technology. Four brands of hot sauces (16%) exceeded 0.1 ppm lead, the current FDA action level for lead in candy. Hot sauces with lead concentrations >0.1 ppm lead contained salt and were manufactured in Mexico. Subsequent analysis of additional lots of hot sauces exceeding 0.1 ppm lead revealed inconsistent lead concentrations between and within manufacturer lots. The lead concentrations of the plastic hot sauce lids ranged from below the limit of detection to 2,028 ppm lead. There was no association between lead concentrations in hot sauces and pepper type. These results indicate the need for more rigorous screening protocols for products imported from Mexico, the establishment of an applicable standard for hot sauce, and resources to allow for the enforcement of existing food safety policies. The data reported herein represent the first known investigation of lead concentrations in hot sauces.     

沈阳市环境铅污染对儿童健康的影响

实地调查采样、结合GIS技术进行室内综合分析,系统研究了沈阳市大气、土壤、灰尘中铅污染对儿童健康的影响.结果表明,沈阳市环境中铅暴露普遍,铅污染较严重,铅浓度空间分异大,已形成4个高浓度中心.并且大气铅浓度有明显的日、季和年变化规律沈阳市环境铅污染已经影响了儿童健康,0～10岁儿童(ZPP＞2.3μmol/L)血铅范围是10.98～511.2μg/L,平均值是135.59μg/L,40%的儿童血铅水平超标.儿童血铅与大气铅相关性最大,其次是土壤和灰尘.实行无铅汽油之后,大气铅污染有了很大改善,但是土壤和灰尘中的铅容易以扬尘的方式再次进入大气,存在潜在风险,应引起有关部门足够的重视.     

武汉市儿童多途径铅暴露风险评估

在武汉市区设置70个采样点,采集土壤、灰尘、大气及食品样品.根据美国EPA推荐的儿童铅暴露参数,应用美国EPA人体暴露风险评估方法对武汉市儿童多途径铅暴露进行了风险评估,结果表明,武汉市区儿童每天的铅暴露量为1.20×10-3mg.（kg.d）-1.经消化道途径是儿童摄入铅的主要途径,其暴露量为1.04×10-3mg.（kg.d）-1,其次为经呼吸道途径及皮肤吸收途径,其暴露量分别为0.153×10-3mg.（kg.d）-1和8.56×10-7mg.（kg.d）-1.在消化道途径中,摄入土壤或灰尘铅暴露量占占总暴露量的52.0%,通过消化道途径摄入土壤或灰尘是最主要的暴露途径.用Monte Carlo法进行模拟,在消化道途径中,通过摄取土壤铅暴露量为2.48×10-2mg.d-1.超过JECFA指定的PTDI的概率为2.1%.风险水平R计算结果表明,从消化道、呼吸道、皮肤吸收这3个途径的铅暴露风险均小于最大可接受风险水平5.0×10-5,其中经过皮肤吸收途径的铅暴露风险值小于可忽略风险水平1×10-8.应用Kriging插值法获得武汉市中心城区儿童铅日暴露量的空间分布,运用指示Kriging方法获得了武汉市儿童铅暴露危险指数图,显示武汉市青山区及江岸区儿童铅暴露水平较高.     

Characterisation of Particulate Matter Sampled during a Study of Children's Personal Exposure to Airborne Particulate Matter in a UK Urban Environment

The personal exposure of children aged 9 – 11 years to particulate matter (PM₁₀ and PM_2.5) was carried out between January and September 1997 in the London Borough of Barnet. Personal sampling along with home, garden and classroom microenvironmental monitoring was completed for all ten children. Each child was monitored for five days during winter, spring and summer. All children completed daily time activity diaries to provide information on any potential activities that could influence their exposure to particulate matter. Each evening a household activity questionnaire was also completed by the parents. Personal Environmental Monitors were used to sample personal exposure to PM₁₀ and PM_2.5. Harvard Impactors were used for the microenvironmental sampling of both size fractions. The children's mean personal exposure concentrations for PM₁₀ during winter, spring and summer were 72, 54 and 35 µg/m³ respectively and for PM_2.5 22, 17 and 18 µg/m³ respectively. In order to determine the potential sources of particulate matter, analysis of the Teflon filters has been undertaken. The physical characteristics of the particles have been identified using Scanning Electron Microscopy. The relationships between personal exposure concentrations and the different microenvironments will be discussed.