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Showing posts with label HEALTH - LEAD POISONING. Show all posts
Showing posts with label HEALTH - LEAD POISONING. Show all posts

29 October 2013

WOMEN - Is There Danger Lurking in Your Lipstick?






Is There Danger Lurking in Your Lipstick?

By DEBORAH BLUM



A soft pink, a glowing red, even a cyanotic purple — millions of women and girls apply lipstick every day. And not just once: some style-conscious users touch up their color more than 20 times a day, according to a recent study. But are they also exposing themselves to toxic metals?
Most lipsticks contain at least a trace of lead, researchers have shown. But a new study finds a wide range of brands contain as many as eight other metals, from cadmium to aluminum. Now experts are raising questions about what happens if these metals are swallowed or otherwise absorbed on a daily basis.
“It matters because this is a chronic long-term issue, not a short-term exposure,” said Katharine Hammond, a professor of environmental health sciences at the University of California at Berkeley and the lead author of the new analysis. “We’re not saying that anyone needs to panic. We’re saying let’s not be complacent, that these are metals known to affect health.”
The issue first came to public attention in 2007 with a report on lead contamination in lipsticks, “A Poison Kiss,” by the Campaign for Safe Cosmetics. The Food and Drug Administration published an extensive follow-up in 2011, finding traces of lead in 400 lipsticks.
Both the F.D.A. and the cosmetics industry insist that the average lead level found, just above 1 parts per million, or p.p.m., poses no real or unusual health risk. “Metals are ubiquitous,” said Linda Loretz, chief toxicologist for the Personal Care Products Council, an industry association. “And this is a very small amount, too small to be a safety issue.”
But lead tends to accumulate in the body, noted Dr. Sean Palfrey, medical director of the lead poisoning prevention program at Boston University Medical Center. The F.D.A. itself sets a 0.1 p.p.m. safety standard for lead in candy intended for young children. “Not to mention that the C.D.C. acknowledged last year that no level of lead is really safe,” Dr. Palfrey said.
And lead may not be the only concern. Dr. Hammond’s new study, published in May in the journal Environmental Health Perspectives, found traces of cadmium, cobalt, aluminum, titanium, manganese, chromium, copper and nickel in 24 lip glosses and eight lipstick brands. The researchers picked the products because they were favored by teenagers at a community health center in Oakland, Calif. The girls reported reapplying lipsticks or glosses as often as 24 times a day.
Aluminum, chromium and manganese registered the highest concentrations over all, Dr. Hammond and her colleagues found. The average concentration of aluminum in the lip products, for instance, topped 5,000 p.p.m.; concentrations of lead averaged 0.359 p.p.m.
Aluminum is added to lipsticks as a stabilizer, said Ms. Loretz: “It keeps colors from bleeding.” Titanium oxide is used as a whitening agent, softening reds into pinks. Both uses are approved by the F.D.A. But all of the other metals noted by Dr. Hammond are probably unwanted contaminants, Ms. Loretz said.
For example, manufacturers often use glittery, microscopic flakes of mica, a naturally occurring mineral formation, to add shine to lip gloss. Mica routinely contains such metals as lead, manganese, chromium and aluminum. And there is some indication that more intense lipstick colors may carry a bigger metallic load because of contamination in pigments.
In the F.D.A.’s 2011 analysis, the highest lead reading was found in a deep floral pink lipstick and the lowest in a neutral lip balm. A European study found that brown lipstick tended to be highest in lead, while researchers in Saudi Arabia reported that dark colors averaged 8.9 p.p.m. of lead, compared with 0.37 p.p.m. in light-colored lipsticks.
Still, there remains a wide range of metal concentrations across colors and brands. To Dr. Palfrey, this suggests that cosmetic companies are able to control metal content when they choose. “It shouldn’t be a huge step for manufacturers to take out trace amounts of metals in a situation where they don’t know and we don’t know what’s safe for people who use them,” he said.
Some metals are undoubtedly absorbed through mucosal tissues in the mouth, Dr. Palfrey added. And people do swallow lipstick, one reason that it’s so often reapplied. Given the continued debate about how much is absorbed, everyone — including the cosmetics industry — is pushing the F.D.A. to study the issue further.
In the meantime, Dr. Hammond recommends that consumers take a common-sense approach to cosmetics. For starters, don’t let young children play with lipstick.
“Treat it like something dangerous, because if they eat it we are taking about a comparatively large level of metals going into a small body,” she said.
And be cautious about how often you reapply that shimmering color, Dr. Hammond added. Given the uncertainties, two or three times a day is all that beauty can reasonably demand.
A version of this article appears in print on 08/20/2013, on page D4 of the NewYork edition with the headline: Color and a Little Something Else.


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14 October 2013

LEAD POISONING - Lead and its human effects






Lead and its human effects

Lead is a useful and common metal that has been used by humans for thousands of years. It is also a very dangerous poison, particularly for children, when it is accidentally inhaled or ingested.

Rules and regulations prohibit lead in common products like most gasoline and paint, so lead poisoning has dramatically declined in the United States. However, it is still a real problem that continues to poison thousands of people in the U.S. each year. The following will provide information about sources of lead in the environment, who is most at risk for lead poisoning, how you can reduce the chances that you or your children will become injured by lead, and what Public Health - Seattle & King County is doing about the lead problem.

Health effects - there is no safe level
Though lead is found frequently in our environment, it has no known purpose in our bodies. When lead gets inside the body, the body confuses it with calcium and other essential nutrients. This confusion can cause permanent damage to the health of both children and adults.
Children
"Lead is a developmental toxicant" and the "harmful effects of lead on children's development can occur without signs or symptoms."
~ Centers for Disease Control and Prevention
In children, lead is most damaging when they are six years and younger. Children are growing at a very fast rate - growing bones, developing stronger muscles and creating many connections in their brain. When lead instead of essential nutrients is "available" to the body to make bones, muscle, and brain connections, permanent harm to health can occur. Even at low levels, lead can be harmful and be associated with:
  • Learning disabilities resulting in a decreased intelligence (decreased IQ)
  • Attention deficit disorder
  • Behavior issues
  • Nervous system damage
  • Speech and language impairment
  • Decreased muscle growth
  • Decreased bone growth
  • Kidney damage
High levels of lead are life threatening and can cause seizures, unconsciousness, and death.
Adults
Lead exposure is a concern for adults, even though they have finished growing. Since an adult's body is much larger than a child's body, more lead is needed to cause injury but the harm lead can do to an adult is very serious. High levels of lead can cause:
  • Increased chance of illness during pregnancy
  • Harm to a fetus, including brain damage or death
  • Fertility problems in both men and women
  • High blood pressure
  • Digestive issues
  • Nerve disorders
  • Memory and concentration problems
  • Muscle and joint pain
Who's most at risk for getting hurt by lead?
Children are most at risk for lead injuries because their bodies are still developing and because they tend to put things that may have lead dust on it in their mouths. Here's more:

Children are still developing:
Until about age 6, young children do not have a fully developed "blood brain barrier." The blood brain barrier is the body's way of keeping harmful chemicals out of the brain, but it is not fully formed at birth and takes up to about six years to be fully protective. Without the blood brain barrier, the effects of lead are even more devastating. For more information about the blood brain barrier, see the resource links below.

Child picking up dirtPutting things in the mouth:Children, particularly young children, explore their world by touching and tasting everything they can get their hands on. It's a natural part of their development. Children also spend more time on the floor, outside in the dirt, and playing and exploring.  So, if there is lead dust or dirt with lead in it in the environment, children will get it on their hands and fingers and into their mouths. And since children are short, they breathe near the floor and ground, closer to dirt and dust that may have lead in it.         

People with picaWhile it is normal for children under 2 to explore by putting everything in their mouth, there is a condition in older children and adults called pica.  This is a condition where a person craves and eats non-food substances, including soil or dirt. Children under two eat non-food because they are exploring their world. However, when people over two years old do it and the craving lasts for at least a month or so, it is a condition is called "pica."  

Newcomers and refugeesThe United States banned lead in most paint and in gasoline by the mid-1980s, which dramatically reduced the amount of lead in the environment. Other countries, however, may still allow lead in these common products. It is very important that new arrivals, particularly children from Africa, the Middle East, and Asia, be tested for the presence of lead in their blood. If the levels are extremely high they may need chelation. Chelation is a process for removing lead from the body.
Sources
There are many sources of lead in our environment. Here are a few of the most common:
  • Lead paint: Paint bucketThe most common source is lead paint. Lead carbonate [PbCO3/Pb(OH)2)] was added to paint to speed drying, improve durability, and protect the surface from corrosion. Even though the negative health impacts of leaded paint were known as far back as the early 1900s, lead in residential paint was not banned until 1978. If a building was built before 1978 and has older paint, it should be assumed to have lead paint.
    Children are at particular risk from lead paint because they occasionally eat paint chips (sometimes on purpose). Lead paint can have a sweet taste, and babies and toddlers will often lick or suck windowsills, crib bars, and other objects that may be coated with lead paint. Leaded dust from peeling, chipping, cracking or otherwise deteriorating lead paint will collect onto floors and other surfaces. Children touch the dust, and then put their fingers in their mouths.
    Lead paint will only harm you or your family if it is peeling, flaking, or otherwise coming off of the surface.
    Leaded dust from paint can be a big problem during remodeling, when lead dust can become a hazard for the whole family, but particularly children. There are many tips for safe remodeling, which guide the use of sanders, scrapers, heat guns, keeping children and pets out of work areas, and how to clean up afterwards.
  • Imported candies:Lead has been found in candy and candy wrappers imported primarily from Mexico and Asia. 
    • Hobbies and art:Paint bucketSome art supplies, such as artists' paint, still have lead in them. Buy only non-toxic paints for your children. Some hobbies require the use of lead, such as stained glass, firing guns, making ammunition, and making fishing lures and sinkers. Keep children away from areas where lead is being used. Be sure not to bring lead dust on your clothing into the home.
    • Contaminated soil:Gardening in soil possibly tainted with leadAnother common source of lead. Two possible sources of contaminated soil are leaded gasoline and industrial operations like smelters. While gasoline is generally no longer a major source of lead, decades of leaded gasoline left contamination in the soil next to roadways up to one-quarter of a mile from the road.
      While gasoline is generally no longer a major source of lead, decades of leaded gasoline left contamination in the soil next to roadways up to one-quarter of a mile from the road.
      Historic smelter operations, such as the ASARCO copper smelter that operated near Tacoma for almost 100 years, may also have contaminated the soil. ASARCO's "Tacoma Smelter Plume" pollution was carried by the wind throughout the Puget Sound, leaving elevated levels of lead and arsenic in the soil in some parts of King County.

      People and pets track the contaminated dirt into their homes. Children play on or near the floor, getting their hands dirty, and then put their fingers in their mouths. To learn how to reduce exposure to contaminated soil, read the 

    • Jewelry:Some jewelry is made of lead and can pose a danger to children if they put the jewelry in their mouths. Lead is not absorbed through the skin. Teach children to keep jewelry out of their mouths, or do not allow children to have lead jewelry. 
    • Lead at work:batteriesAdults who work in industries that use lead (battery manufacturing, pipe fitting, firing ranges, demolition, glass production, smelting operations, etc.) should be careful not to bring lead home with them. Shower and change clothes and shoes at work. Do not contaminate your car.
    • Dishware:Imported glazed pottery and leaded crystal may also be sources of lead. Minimize the use of these products.
    • Drinking water:faucetDrinking water may have lead in it, though permitted levels in municipal sources are carefully regulated. The largest source of lead in drinking water occurs through leaching from lead-containing pipes, faucets, and solder, which can be found in plumbing of older buildings. If you have older pipes in your home, be sure to run the water for 60 seconds every morning before using it. Do not use hot tap water for drinking purposes. 
      In 2004 some schools in the Seattle School District were found to have lead in the drinking water. 

    • Mini-blinds:mini-blindsVinyl mini-blinds imported from China, Indonesia, Taiwan and Mexico before 1997 contained lead, which was used to make them less brittle. Lead dust forms on the blinds, particularly when the blinds are exposed to sun and heat. According to the U.S. Consumer Product Safety Commission, different blinds contained different amounts of lead. While the blinds are no longer imported into the United States, older blinds containing lead may still be in use or available for purchase in thrift shops.
    • Lunch boxes:lunch boxThere is evidence that some soft vinyl lunch boxes may contain lead in the lining. The Center for Environmental Health claims that there is a real risk to children. However, the Consumer Products Safety Commission does not believe the amounts of lead present pose a serious risk to children. Learn more from the Center for Environmental Health and the Consumer Products Safety Commission.
    What can you do?
    Begin reducing your risk todayThere are many steps you can take right now to reduce you and your family's risk of exposure from lead.
    Blood lead testing:
    The only way to know if your child is lead-poisoned is by getting him or her a blood lead test. If your child has Medicaid insurance, testing for blood lead levels is required, especially for children at 12 months and 24 months of age. Children with Medicaid insurance between the ages of 36 months and 72 months of age must receive a lead screening blood test if they have not been previously tested.
    Talk with your child's physician.
    To do the test your physician will need to obtain some of your child's blood. The blood can be drawn in two ways - 1) from a vein in the arm or 2) a prick on the finger or heel. If blood is drawn from a prick on the finger or heel and the results are high, your child should be re-tested using the blood collected from the arm to confirm the results. Blood collected from the vein provides the surest results.
    If your child has a high blood lead level, some follow up may be necessary. For example, you may be eligible for a visit from Public Health experts who can investigate potential sources of lead in your home that may be contributing to your child's lead level.

    Check your house for lead hazards:
    Conduct routine check of your house looking for lead hazards. One way to do so is by contacting a professional. A professional can check your home in one of two ways, or both:
    • A paint inspection tells you the lead content of every different type of painted surface in your home. It won't tell you whether the paint is a hazard or how you should deal with it.
    • A risk assessment tells you if there are any sources of significant lead exposurecsuch as peeling paint and lead dust) that will impact your family's health. It also tells you what actions to take to address these hazards.
    • Washington State Certified Lead-Based Paint Firms (PDF)
    Reduce the dust levels in your home:
    • Use a door mat to remove dirt from shoes before taking them off. Clean dust from underneath the matt frequently.
    • Take off your shoes before going into your home. Even after scraping off dirt, shoes will track some dust and lead into your home.
    • Keep play areas clean. Frequently wash toys, pacifiers, stuffed animals and other objects young children put in their mouths.
    • Damp dust and damp mop the house at least once a week. Damp mopping and damp dusting are very effective at picking up dust.
    • Keep your sidewalks and porch free of dust and debris. Use a HEPA vacuum if possible but a broom can work as well.
    Healthy eating:
    • Wash your hand before every meal and snack.
    • Keep children from eating and chewing on non-food items such as paint chips, window sills, and dirt.
    • Avoid using imported glazed pottery for food.
    • Eat foods high in calcium, Vitamin C and iron. Good nutrition helps prevent the body from absorbing lead.
    • If you enjoy candies imported from Mexico, check the list of candies that have been shown to contain lead, and avoid those candies.
    Remodel safety:
    Have qualified professionals do remodeling work such as re-painting. There are standards that professionals must meet to ensure work with leaded paint is done safely, reliably, and effectively. Contact the Washington State Department of Community Trade and Economic Development for a list of contacts in your area. 
    If you know you have leaded soil or leaded paint take interim steps while you are figuring out a long-term solution. For example, temporarily reduce lead paint hazards by repairing damaged painted surfaces. To minimize exposure to contaminated soil, plant grass or use bark to cover soil. These actions are not permanent solutions and will need ongoing attention.
    Public Health's role
    Public Health - Seattle & King County's Environmental Health Division has been raising awareness about childhood lead poisoning. Below you will find brief descriptions of several programs currently focusing in on childhood blood lead poisoning prevention.
    • EPA grant:Lead poisoning is the number one pediatric environmental health issue nationally, but in King County and Washington State as a whole there has been a tradition and entrenched belief that lead is "not a problem" in our area. Consequently, little blood lead testing or education occurs here in our county. Public Health's Environmental Health Division received a grant in 2005 from the Environmental Protection Agency to find ways to increase the amount of blood lead screening doctors provide for children living in King County and to launch a formal lead poisoning awareness campaign.
    • Environmental risk investigations:If your child has received a blood lead test and the results exceed the Centers for Disease Control & Prevention "action limit" (10 micrograms per deciliter) your family is eligible to have a free visit from a Public Health - Seattle & King County staff member to look for potential sources of lead present in your home that may be contributing to your child's lead level. The investigation will typically have five parts to it.
      Part 1A set of questions focusing in on housing, behavior of the child(ren), family lifestyle and travel will be asked. These questions are designed to help narrow down the list of potential sources of lead to those relating specifically to your family. After potential sources of lead have been identified a more in-depth look at those sources can take place.
      Part 2To further examine potential sources of lead in your house a thorough walk-through will be done. The walk-through occurs inside and outside the house. Key items that will be looked at include paint condition, surfaces and moisture barriers.
      Part 3(optional): Samples may be collected to further identify or confirm suspected sources of lead present in the house. Types of samples that may be collected include paint chips, dust wipes, soil, and/or water. Any samples that are obtained will be submitted to a laboratory for analysis.
      Part 4Once all of the information has been collected and analyzed, a plan of action will be developed. A plan of action will include a letter summarizing the investigation and a checklist of recommended activities or actions to reduce your child's exposure to lead. Your child will be advised to get additional blood lead test(s) until his/her level of lead is below the Centers for Disease Control & Prevention action limit. This plan of action will be mailed to you and the child's medical care provider.
      Part 5Periodically, the Public Health investigator will check in with you to see how things are going and answer any questions that may have come up. We will continue to provide this service until your child's blood lead level has fallen below the Centers for Disease Control & Prevention action limit.
    • Tacoma Smelter Plume:The Tacoma Smelter Plume project is an effort by Public Health - Seattle & King County, state agencies and local communities to investigate and raise awareness about the soil contamination from the ASARCO copper smelter. Lead and arsenic came from the smelter's smokestacks located in Ruston, near Tacoma, and were carried by wind throughout central Puget Sound. The smelter, which operated for almost 100 years, polluted the soil in parts of King County.
      Results from the studies show that low to moderate levels of arsenic and lead soil contamination is present in some soil throughout King County. Currently, licensed childcare facilities in the areas most contaminated are being offered an opportunity to have their soils tested, receive educational information on how to reduce their exposure to contaminated soils, and access to curriculums geared toward teaching our children how to play safe around contaminated soil.

    • Child Care Assessment Project:The Local Hazardous Waste Management Program in King County (LHWMP) is assessing licensed childcare facilities for potential exposure(s) to hazardous wastes, including lead. Over the next year, several licensed child care facilities will have a limited lead risk assessment completed. The assessment will evaluate whether visual indicators of a lead hazard being present (facility built pre 1950, deteriorated exterior windows, lead paint chips on ground, etc.) are reliable tools for evaluating lead exposure risk in King County. This will be achieved by correlating visual indicators with data obtained through dust wipes analyzed for lead. Results from this assessment will be available in late 2007.

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    LEAD POISONING - The Dangers of Lead






    Consumption of the mineral LEAD by humans and animals can have some very serious impacts on their health. This poisoning of a warm-blooded vertebrate's body is especially harmful to the young of the species.

    Poisoning of the human system by LEAD presents itself most often in the nervous system, the red blood cells, the bones, and the kidneys, but it can also affect reproduction.

    High doses of LEAD can cause brain damage, mental retardation, behavior problems, anemia, and a wide variety of other serious damage to the body parts, and in extreme cases, even death.

    Where does this mineral come from? LEAD is a very useful metal for making things. For decades it was added to paint to make the product last longer and flow easier. The consumption of fuels by motor vehicle engines used to be a source as LEAD was included in the fuel to make the engine run better.

    We even used to manufacture water pipe made of LEAD. We use to make solder with a lot of LEAD in it because it melted at a low temperature and was much easier to use. Then we used the LEAD-based solder to assemble water pipe systems, including drinking fountains used in schools, and even used the solder to seal food cans. LEAD was everywhere and still is, but now, it is present in a somewhat different way.

    For centuries we have known that the mineral is a toxin to the human system. Such knowledge did not turn toward preventive action until the second half of this century. In the 1960s, major steps were initiated to reduce our exposure to the mineral LEAD.

    Today, the use of LEAD in household paint is banned, the use of LEAD in gasoline has been phased out, and LEAD has been eliminated in the manufacture of hundreds of other products.

    But LEAD is still with us. It usually is not new LEAD, but rather it is the old LEAD found in the contaminated soil near roadways, or in the layers of peeling coats of paint applied long ago. Today, the top contaminator for children is: deteriorating LEAD paint in older housing.

    LEAD has been around a very long time as a poison to the human population. It is going to take efforts by a lot of people to really achieve a LEAD-free environment for ourselves and for our future generations. In the next column are some steps which you personally may wish to consider.


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    LEAD POISONING - An Overview






    LEAD POISONING

    Lead is a very strong poison. When a person swallows a lead object or breathes in lead dust, some of the poison can stay in the body and cause serious health problems.

    Where Found

    Lead used to be very common in gasoline and house paint in the U.S. Children living in cities with older houses are more likely to have high levels of lead.
    Although gasoline and paint are no longer made with lead in them, lead is still a health problem. Lead is everywhere, including dirt, dust, new toys, and old house paint. Unfortunately, you can't see, taste, or smell lead.
    Lead is found in:
    • House paint before 1978. Even if the paint is not peeling, it can be a problem. Lead paint is very dangerous when it is being stripped or sanded. These actions release fine lead dust into the air. Infants and children living in pre-1960's housing (when paint often contained lead) have the highest risk of lead poisoning. Small children often swallow paint chips or dust from lead-based paint.
    • Toys and furniture painted before 1976.
    • Painted toys and decorations made outside the U.S.
    • Lead bullets, fishing sinkers, curtain weights.
    • Plumbing, pipes, and faucets. Lead can be found in drinking water in homes containing pipes that were connected with lead solder. Although new building codes require lead-free solder, lead is still found in some modern faucets.
    • Soil contaminated by decades of car exhaust or years of house paint scrapings. Lead is more common in soil near highways and houses.
    • Hobbies involving soldering, stained glass, jewelry making, pottery glazing, and miniature lead figures (always look at labels).
    • Children's paint sets and art supplies (always look at labels).
    • Pewter pitchers and dinnerware.
    • Storage batteries.
    Children get lead in their bodies when they put lead objects in their mouths, especially if they swallow the lead object. They can also get lead poison on their fingers from touching a dusty or peeling lead object, and then putting their fingers in their mouths or eating food afterward. Children also can breathe in tiny amounts of lead.

    Symptoms

    There are many possible symptoms of lead poisoning. Lead can affect many different parts of the body. A single high dose of lead can cause severe emergency symptoms.
    However, it is more common for lead poisoning to build up slowly over time. This occurs from repeated exposure to small amounts of lead. In this case, there may not be any obvious symptoms. Over time, even low levels of lead exposure can harm a child's mental development. The health problems get worse as the level of lead in the blood gets higher.
    Lead is much more harmful to children than adults because it can affect children's developing nerves and brains. The younger the child, the more harmful lead can be. Unborn children are the most vulnerable.
    Possible complications include:
    • Behavior or attention problems
    • Failure at school
    • Hearing problems
    • Kidney damage
    • Reduced IQ
    • Slowed body growth
    The symptoms of lead poisoning may include:
    • Abdominal pain and cramping (usually the first sign of a high, toxic dose of lead poison)
    • Aggressive behavior
    • Anemia
    • Constipation
    • Difficulty sleeping
    • Headaches
    • Irritability
    • Loss of previous developmental skills (in young children)
    • Low appetite and energy
    • Reduced sensations
    Very high levels of lead may cause vomiting, staggering walk, muscle weakness, seizures, or coma.

    Home Care

    You can reduce exposure to lead with the following steps:
    • If you suspect you may have lead paint in your house, get advice on safe removal from the Housing and Urban Development (HUD) at 800-RID-LEAD or the National Information Center at 800-LEAD-FYI. Another excellent source of information is the National Lead Information Center at (800) 424-5323.
    • Keep your home as dust-free as possible.
    • Have everyone wash their hands before eating.
    • Throw out old painted toys if you do not know whether the paint contains lead.
    • Let tap water run for a minute before drinking or cooking with it.
    • If your water has tested high in lead, consider installing an effective filtering device or switch to bottled water for drinking and cooking.
    • Avoid canned goods from foreign countries until the ban on lead soldered cans goes into effect.
    • If imported wine containers have a lead foil wrapper, wipe the rim and neck of the bottle with a towel moistened with lemon juice, vinegar, or wine before using.
    • Don't store wine, spirits, or vinegar-based salad dressings in lead crystal decanters for long periods of time, because lead can get into the liquid.

    Before Calling Emergency

    Try to identify the following information:
    • The patient's age, weight, and condition
    • The name of the product or the object you think had lead in it
    • The date/time the lead was swallowed or inhaled
    • The amount swallowed or inhaled

    Poison Control

    If someone has severe symptoms from possible lead exposure (such as vomiting or seizures) call 911 immediately.
    For other symptoms that you think may be caused by lead poisoning, call your local poison control center.
    In the United States, call 1-800-222-1222 to speak with a local poison control center. This hotline number will let you talk to experts in poisoning. They will give you further instructions.
    This is a free and confidential service. You should call if you have any questions about poisoning or poison prevention. You can call 24 hours a day, 7 days a week.

    What to Expect at the Emergency Room

    Except in severe cases where someone has received a high dose of lead, a trip to the emergency room is not necessary. Contact your health care provider or department of public health if you suspect possible low-level lead exposure.
    A blood lead test can help identify whether a problem exists. Over 10 micrograms per deciliter (mcg/dL) is a definite concern. Levels between 2- 10 mcg/dL should be discussed with your doctor. In many states, blood screening is recommended for young children at risk.
    Other lab tests may include:
    • Bone marrow biopsy
    • Complete blood count (CBC) and coagulation studies
    • Erythrocyte protoporphyrin
    • Iron level
    • X-ray of the long bones and abdomen
    For children whose blood levels of lead are moderately high, the steps are to identify all major sources of lead exposure and keep the child away from them. Follow-up blood testing may be needed.
    Chelation therapy is a procedure that can remove high levels of lead that have built up in a person's body over time.
    In cases where someone has potentially eaten a high toxic dose of lead in a short period of time, the following treatments might be done:
    • Bowel irrigation with polyethylene glycol solution
    • Gastric lavage

    Outlook (Prognosis)

    Adults who have had mildly high lead levels often recover without problems. In children, even mild lead poisoning can have a permanent impact on attention and IQ.
    People with higher lead levels have a greater risk of long-lasting health problems. They must be followed carefully.
    Their nerves and muscles can be greatly affected and may no longer function as well as they should. Other body systems may be harmed to various degrees, such as the kidneys and blood vessels. People who survive toxic lead levels may have some permanent brain damage. Children are more vulnerable to serious long-term problems.
    A complete recovery from chronic lead poisoning may take months to years.

    Alternative Names

    Plumbism

    References

    Woolf AD, Goldman R, Bellinger DC. Update on the clinical management of childhood lead poisoning. Pediatr Clin North Am. 2007;54:271-294.


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    HEALTH - Lead Poisoning





    By Mayo Clinic Staff

    Definition

    Lead poisoning occurs when lead builds up in the body, often over a period of months or years. Even small amounts of lead can cause serious health problems. Children under the age of 6 are especially vulnerable to lead poisoning, which can severely affect mental and physical development. At very high levels, lead poisoning can be fatal.
    Lead-based paint and lead-contaminated dust in older buildings are the most common sources of lead poisoning in children. Other sources include contaminated air, water and soil. Adults who work with batteries, home renovations or in auto repair shops also may be exposed to lead.
    While treatment is available for lead poisoning, some simple precautions can help prevent it.

    Symptoms

    Initially, lead poisoning can be hard to detect — even people who seem healthy can have high blood levels of lead. Signs and symptoms usually don't appear until dangerous amounts have accumulated.
    Symptoms in children
    The signs and symptoms of lead poisoning in children may include:
    • Irritability
    • Loss of appetite
    • Weight loss
    • Sluggishness and fatigue
    • Abdominal pain
    • Vomiting
    • Constipation
    • Learning difficulties
    Symptoms in newborns
    Babies who are exposed to lead before birth may experience:
    • Learning difficulties
    • Slowed growth
    Symptoms in adults
    Although children are primarily at risk, lead poisoning is also dangerous for adults. Signs and symptoms in adults may include:
    • High blood pressure
    • Declines in mental functioning
    • Pain, numbness or tingling of the extremities
    • Muscular weakness
    • Headache
    • Abdominal pain
    • Memory loss
    • Mood disorders
    • Reduced sperm count, abnormal sperm
    • Miscarriage or premature birth in pregnant women

    Causes

    Lead in paint Lead is a metal that occurs naturally in the earth's crust, but human activity — mining, burning fossil fuels and manufacturing — has caused it to become more widespread. Lead was also once a key ingredient in paint and gasoline and is still used in batteries, solder, pipes, pottery, roofing materials and some cosmetics.
    The use of lead-based paints for homes, children's toys and household furniture has been banned in the United States since 1978. But lead-based paint is still on walls and woodwork in many older homes and apartments. Most lead poisoning in children results from eating lead-based paint chips.
    Water pipes and imported canned goods
    Lead pipes, brass plumbing fixtures and copper pipes soldered with lead can release lead particles into tap water. Although lead solder in food cans is banned in the United States, it's still used in some countries.
    Traditional remedies
    Some cases of lead poisoning have been traced to the use of certain traditional medicines, including:
    • Greta or azarcon. This fine orange powder — also known as alarcon, coral, luiga, maria luisa or rueda — is a Hispanic remedy taken for an upset stomach, constipation, diarrhea and vomiting. It's also used to soothe teething babies.
    • Litargirio. Also known as litharge, this peach-colored powder is used as a deodorant, especially in the Dominican Republic.
    • Ba-baw-san. This Chinese herbal remedy is used to treat colic pain in babies.
    • Ghasard. A brown powder, ghasard is used as a tonic in India.
    • Daw tway. A digestive aid used in Thailand, daw tway contains high levels of lead and arsenic.
    Other sources of lead exposure
    Lead can also sometimes be found in:
    • Soil. Lead particles that settle on the soil from leaded gasoline or paint can last for years. Lead-contaminated soil is still a major problem around highways and in some urban settings.
    • Household dust. Household dust can contain lead from lead paint chips or from contaminated soil brought in from outside.
    • Pottery. Glazes found on some ceramics, china and porcelain can contain lead that may leach into food.
    • Toys. Lead is sometimes found in toys and other products produced abroad.
    • Traditional cosmetics. Kohl is a traditional cosmetic, often used as eyeliner. Testing of various samples of kohl has revealed high levels of lead.

    Risk factors

    Age. Infants and young children are more likely to be exposed to lead than are older children. They may chew paint chips, and their hands may be contaminated with lead dust. Young children also absorb lead more easily and sustain more harm from it than do adults and older children.Factors that may increase your risk of lead poisoning include:
    • Living in an older home. Although the use of lead-based paints has been banned since the 1970s, older homes and buildings often retain remnants of this paint. People renovating an older home are at even higher risk.
    • Certain hobbies. Making stained glass requires the use of lead solder. Refinishing old furniture may put you in contact with layers of lead paint.
    • Country of origin. People who live in developing countries are at higher risk of lead poisoning because those countries usually have less strict rules regarding exposure to lead. American families who adopt a child from another country may want to have the child's blood tested for lead poisoning.
    Because lead can harm an unborn child, pregnant women or women likely to become pregnant should be especially careful to avoid exposure to lead.

    Complications

    Exposure to even low levels of lead can cause damage over time, especially in children. The greatest risk is to brain development, where irreversible damage may occur. Higher levels can damage the kidneys and nervous system in both children and adults. Very high lead levels may cause seizures, unconsciousness and possibly death.

    Preparing for your appointment

    If you think you or your child has been exposed to lead, see your doctor or contact your local public health department. A simple test can help determine blood lead levels.
    What you can do
    Before your appointment, you might want to write a list of answers to the following questions:
    • What symptoms or changes in behavior have you noticed?
    • Do you or your child have other medical problems?
    • What medications or supplements do you or your child take?
    What to expect from your doctor
    Your doctor may ask you some of the following questions:
    • Have you recently moved to a different home or a different school?
    • When was your house built? Are you doing any renovations?
    • Do you have a new job that might expose you to lead?
    • Does your child have a sibling or playmate who has had lead poisoning?

    Tests and diagnosis

    Have never been tested beforeThe Centers for Disease Control and Prevention (CDC) recommends that states test children for lead poisoning at ages 1 and 2. The CDC also recommends testing for children ages 3 to 6 if they:
    • Receive public assistance, such as Medicaid
    • Live in or frequently visit a home built before 1950 or a home built before 1978 that was recently remodeled
    • Have a friend or sibling who has had lead poisoning
    Doctors usually use a simple blood test to detect lead poisoning. A small blood sample is taken from a finger prick or from a vein. Lead levels in the blood are measured in micrograms per deciliter (mcg/dL). An unsafe level is 10 mcg/dL or higher.

    Treatments and drugs

    The first step in treating all degrees of lead poisoning is to remove the source of the contamination. If you can't remove lead from your environment, you may at least be able to reduce the likelihood that it will cause problems. For instance, sometimes it might be better to seal in, rather than remove, old lead paint. Your local health department can recommend ways to identify and reduce lead in your home and community.
    For children and adults with relatively low lead levels, simply avoiding exposure to lead may be enough to reduce blood lead levels.
    Treating higher levels
    For more-severe cases, your doctor may recommend:
    • Chelation therapy. In this treatment, you take a medication that binds with the lead so that it's excreted in your urine.
    • EDTA therapy. Doctors treat lead levels greater than 45 mcg/dL of blood with a chemical called ethylenediaminetetraacetic acid (EDTA). Depending on your lead level, you may need more than one treatment. In such severe cases, however, it may not be possible to reverse damage that has already occurred.

    Prevention

    Wash hands. To help reduce hand-to-mouth transfer of contaminated dust or soil, wash your children's hands after outdoor play, before eating and at bedtime.You can take some simple measures to help protect you and your family from lead poisoning. These may include:
    • Clean dusty surfaces. Clean your floors with a wet mop and wipe furniture, windowsills and other dusty surfaces with a damp cloth.
    • Run cold water. If you have older plumbing containing lead pipes or fittings, run your cold water for at least a minute before using. Don't use hot tap water to make baby formula or for cooking.
    Home renovation
    If you're doing minor remodeling or touch-up work in an older house with lead-based paint, take precautions:
    • Don't attempt to remove the lead paint by sanding. Sanding surfaces painted with lead is hazardous because it generates large amounts of small particles.
    • Don't use an open-flame torch to remove paint. The flame produces lead particles small enough to inhale.
    • Cover old paint. Removing old lead paint may not always be possible. If the paint is on tight, without many chips, you can paint over it. You can also use paneling, drywall or encapsulation, which is similar to a very thick coat of paint.
    • Wear protective equipment and clothing. Change your clothes, take a shower and wash your hair before leaving the job. Don't shake out work clothes or wash them with other clothes.
    • Be careful where you eat. Don't eat or drink in an area where lead dust may be present.

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