Epidemiology of tornado destruction in rural northern Bangladesh: risk factors for death and injury

The epidemiology of tornado-related disasters in the developing world is poorly understood. An August 2005 post-tornado cohort study in rural Bangladesh identified elevated levels of death and injury among the elderly (≥ 60 years of age) (adjusted odds ratio (AOR) = 8.9 (95 per cent confidence interval (CI): 3.9-20.2) and AOR = 1.6 (95 per cent CI: 1.4-1.8), respectively), as compared to 15-24 year-olds, and among those outdoors versus indoors during the tornado (AOR = 10.4 (95 per cent CI: 5.5-19.9) and AOR = 6.6 (95 per cent CI: 5.8-7.5), respectively). Females were 1.24 times (95 per cent CI: 1.15-1.33) more likely to be injured than males. Elevated risk of injury was significantly associated with structural damage to the house and tin construction materials. Seeking treatment was protective against death among the injured, odds ratio = 0.08 (95 per cent CI: 0.03-0.21). Further research is needed to develop injury prevention strategies and to address disparities in risk between age groups and between men and women.     

中国部分地区汞暴露对儿童健康风险评价

结合人体血汞浓度分布和最高无影响作用浓度(NOAEL)分布,以汞暴露量超过NOAEL的概率为评价指标,计算了中国部分地区汞引起的儿童健康风险.研究表明,中国大部分地区风险较低,超过NOAEL的概率为10~7～10~5;而在受到污染的第二松花江流域的松原和长春风险较高,分别为2.24×10~3和3.30×10~5;贵州汞矿区附近的儿童也面临着很高的汞暴露风险,最高达到6.87×10~3.中国儿童汞健康风险呈现明显的区域性特征.     

Geo-spatial and log-linear analysis of pedestrian and bicyclist crashes involving school-aged children

PROBLEM: There is a growing concern with the safety of school-aged children. This study identifies the locations of pedestrian/bicyclist crashes involving school-aged children and examines the conditions when these crashes are more likely to occur. METHOD: The 5-year records of crashes in Orange County, Florida where school-aged children were involved were used. The spatial distribution of these crashes was investigated using the Geographic Information Systems (GIS) and the likelihoods of crash occurrence under different conditions were estimated using log-linear models. RESULTS: A majority of school-aged children crashes occurred in the areas near schools. Although elementary school children were generally very involved, middle and high school children were more involved in crashes, particularly on high-speed multi-lane roadways. Driver's age, gender, and alcohol use, pedestrian's/bicyclist's age, number of lanes, median type, speed limits, and speed ratio were also found to be correlated with the frequency of crashes. DISCUSSION: The result confirms that school-aged children are exposed to high crash risk near schools. High crash involvement of middle and high school children reflects that middle and high schools tend to be located near multi-lane high-speed roads. IMPACT ON INDUSTRY: The pedestrian's/bicyclist's demographic factors and geometric characteristics of the roads adjacent to schools associated with school children's crash involvement are of interest to school districts.     

Low blood lead levels and hemoglobin concentrations in preschool children in China

It is well known that lead (Pb) produces reduced haemoglobin (Hb) levels and risk of anemia when blood lead levels (BPb) are greater than 20?µg?dL^?1. Two recent studies reported an increased risk of anemia in children with BPb between 10–20?µg?dL^?1, but few studies examined the association between Hb levels or risk of anemia and BPb under 10?µg?dL^?1. In the present study this association was examined using data of 140 preschool children from a larger prospective cohort study in China. Data showed that compared to children with BPb <5?µg?dL^?1, children with BPb between 7.5–10?µg?dL^?1 had significantly lower Hb levels, but there were no marked differences for other groups. A linear regression model showed a negative relationship between BPb and Hb levels after controlling for age, gender, height, weight, and iron (Fe) deficiency. This finding, although limited by a small sample size, suggests it may be important to examine Pb-induced hemosynthesis effect at concentrations less than 10?µg?dL^?1.     

Blood lead levels and nutrition in an urban community in Venezuela

Previous lead (Pb) exposure studies identified the Michelena sector in Valencia as a ‘critical’ area for Pb contamination. An analytical-ecological study was designed to evaluate the association of environmental and nutritional variables with blood lead (BPb) in children attending two schools located in this sector. A questionnaire was administered and the findings were correlated with BPb and serum-calcium (S-Ca) levels. The total population examined included 60 children (4–9 years old). The mean BPb values was 10.5?±?3?ug/dL (61.7%?≥?10?ug/dL) and the mean S-Ca was 8.9?±?0.7?mg/dL. A significant difference (p?=?0.042) was found between BPbs in males (11.1?±?3.1?ug/dL) when compared with females (9.6?±?2.8?ug/dL). Child age, school, schedule at school, parents' occupational exposure, habits, and socioeconomic status had no significant association with BPbs. The relationship between BPb levels (dependent variable) and the S-Ca and daily Ca intake levels (independent variables) was analysed through multiple regression analysis. The results show an inverse relationship between BPb and both variables (β?=??0.073, and β?=??0.001) respectively, with the daily Ca intake being the only significant variable in the model (p?=?0.04). Although average BPbs was not very high, the percentage of children with BPbs higher than the US-CDC intervention level was greater than those found in other studies. Since detailed information is generally unavailable for these children in Venezuela, this study provides insights for future research.     

Urinary arsenic methylation profile in children exposed to low arsenic levels through drinking water

There is a lack of information on arsenic metabolism in children exposed chronically to low levels of arsenic (<50 µg L^?1). The objective of this study was to determine the methylation profile of urinary arsenic metabolites in children exposed to low-level concentrations of arsenic via their drinking water. A cross-sectional study was undertaken in 50 children from four towns in the Yaqui Valley, Sonora, with total arsenic values of 39.9, 16.8, 7.3, and 5.5 µg L^?1 in their drinking water, respectively. First morning void samples were analyzed for inorganic-As (InAs), mono and dimethyl arsenic (MMA and DMA). The total arsenic excreted in urine ranged from 23.1 to 99.1 µg L^?1 and these levels did not vary by sex. Children with the highest level of total arsenic in their drinking water excreted the highest amount in urine and the length of residence and age also had significant contribution. Children with a lower range of arsenic exposure (16.8–5.5 µg L^?1) had similar amounts of arsenic in urine with values of 23.1, 28.2, and 32.6 µg L^?1, respectively. DMA had the highest proportion in urine (52.1–74.7%), followed by InAs (16.3–34.9%) and MMA (4.4–8.4%). Compared to other reports, these children excreted a low %MMA (6.1%), and children from the towns with the lowest levels of arsenic had the highest %InAs and the lowest %DMA. This variability in arsenic methylation was partially explained by arsenic concentration in drinking water, years of residence and age, and may reflect genetic differences or more contribution from different exposure routes. In conclusion, our results show that at low levels of exposure the children's ability to metabolize InAs did not have a linear association with the levels of arsenic, and overall children from the Yaqui Valley excrete a lower %MMA than expected.     

Trends over 1999–2014 in the concentrations of Ba,Cs, Co,Mo, Pb,Sb, Tl,and W in urine of US children aged 6–11 years

Data from National Health and Nutrition Examination Survey for children aged 6–11 years for 1999–2014 were used to study time trends and factors affecting the urinary levels of barium, cobalt, cesium, molybdenum, lead, antimony, thallium, and tungsten. Adjusted levels in urine declined every two years by 5.9% for barium, by 1.2% for cesium, by 18.2% for lead, and by 14% for antimony. For every additional smoker smoking inside a home, the levels of barium increased by 10.6% and for lead by 10%, but for tungsten levels decreased by 7.7%.     

广州市学龄儿童在校期间PM2.5暴露水平评价

采用便携式大气颗粒物采样器(MiniVol)和便携式颗粒物检测仪(pDR-1500)在2010年3月底至4月初对广州市某小学的室内外细颗粒物(PM2.5)浓度进行了监测,并对学龄儿童在校期间活动模式进行了跟踪调查,评价了学龄儿童在校期间PM2.5暴露水平.结果显示该小学室内外日均PM2.5浓度范围为25.1~145.9μg/m3,室内PM2.5浓度略低于室外,两者呈明显的正相关关系(R2=0.65);室内实时PM2.5浓度结果表明非假期与假期存在差异.使用离子色谱分析了PM2.5的阴离子成分,其中NO3-和SO42-占阴离子成分总量的73%~95%.研究显示道路交通源是采样地点PM2.5主要来源之一.学龄儿童在校期间单位体重PM2.5日均潜在暴露水平为7.6μg/(kg×d),个体日均潜在暴露水平为246.8μg/d.     

沙尘暴对暴露儿童健康效应的研究

为了研究沙尘暴对儿童可能造成的急性危害,以沙尘暴源区——甘肃省武威市的某2所小学3～5年级的1040名学生(年龄8～14岁)为研究对象,在2004年和2005年的3～5月沙尘暴频发期间进行健康状况问卷调查,共调查4场沙尘暴事件,所调查的症状有咳嗽、咯痰、气短、肺部喘鸣、胸部憋闷、咽干口苦、眼睛干涩、流泪、流涕、打喷嚏、心情压抑等11种常见的症状.结果表明,沙尘暴发生当天(滞后0d)儿童各种所查症状发生的相对危险度(RR)均有不同程度地升高,沙尘暴过后(滞后1～5d),儿童各种症状的RR逐渐降低,沙尘暴过后4d(滞后4d),几乎所有症状均恢复正常.暴露儿童在沙尘暴发生当天,除肺部喘鸣和胸部憋闷发生的RR升高不显著外(p>0.05),其他所查症状发生的RR均有显著性升高(p<0.05,p<0.01,p<0.001).沙尘暴过后虽然各种症状RR均有所下降,但下降速度不同:在滞后1～2d,气短、眼睛干涩、流泪和心情压抑等4种症状RR仍显著高于沙尘暴前,直到滞后3d才恢复到正常水平;而咳嗽、咯痰、咽干口苦和打喷嚏等4种症状RR在滞后4d才恢复正常;流涕症状RR在滞后5d才基本恢复正常.不同年度和不同时期的沙尘暴事件对儿童健康症状的影响有所不同.从以上结果可以看出:沙尘暴对儿童的健康既有当日急性效应又有一定的短期滞后效应.     

Potential exposure of children and adults to cypermethrin following use of indoor insecticide foggers

The magnitude and distribution of cypermethrin from total release, over-the-counter foggers was studied in a test room and in residences to facilitate evaluation of regulatory exposure algorithms and new human exposure assessments based upon urine biomonitoring. Surface residue (SR) was evenly distributed in a small test room (3.6 μ g cypermethrin/cm²) where thorough mixing of the aerosol occurred. In a residence SR was significantly affected by room size and distance from the fogger. Air levels in the residence were as high as 30 μ g cypermethrin/cm³ after 4.5 h. The availability of surface residues was measured with an automated surface cotton cloth wipe and ethyl acetate extraction. Only 5% of the SR was available from nylon carpet. Tile, wood and linoleum resulted in 30, 10, and 10% of SR being available, respectively. These data are used to estimate cypermethrin exposure of children and adults for comparison with existing regulatory reference dosages and exposure assessments based upon biomonitoring.