Household interventions for secondary prevention of domestic lead exposure in children

Nußbaumer-Streit, Barbara; Mayr, Verena; Dobrescu, Andreea; Wagner, Gernot; Chapman, Andrea; Pfadenhauer, Lisa M.; Lohner, Szimonetta; Lhachimi, Stefan K.; Busert, Laura K; Gartlehner, Gerald

doi:10.1002/14651858.cd006047.pub6

Cited by 13 publications

(7 citation statements)

References 95 publications

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“…The COVID-19 pandemic has had serious socioeconomic implications, including a collapse of healthcare systems, bankruptcy of companies as well as increasing trends in unemployment and crime rates [22–25]. This has forced countries with limited resources---such as Colombia---to perform massive screenings in order to prematurely lift quarantine and isolation measures despite the latent risk of successive outbreaks caused by a potential silent spread of COVID-19 through cases in the pre-symptomatic phase or AC state [26,27].…”

Section: Discussionmentioning

confidence: 99%

Epidemiological characterization of asymptomatic carriers of COVID-19 in Colombia

Camero²,

Guardia³

et al. 2020

Preprint

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Objective: Asymptomatic carriers (AC) of the new Severe Acute Respiratory Syndrome Coronavirus 2 (SARS-CoV-2) represent an important source of spread for Coronavirus Disease 2019 (COVID-19). Early diagnosis of these cases is a powerful tool to control the pandemic. Our objective was to characterize patients with AC status and identify associated sociodemographic factors. Methods: Using a cross-sectional design and the national database of daily occurrence of COVID-19, we characterized both socially and demographically all ACs. Additional Correspondence Analysis and Logistic Regression Model were performed to identify characteristics associated with AC state (OR, 95% CI). Results: 2338 ACs (11.8%; 95% CI, 11.3-12.2%) were identified, mainly in epidemiological week 18 [EW] (3.98; 3.24-4.90). Age ≤39 years (1.56; 1.42-1.72). Male sex (1.39; 1.26-1.53), cases imported from Argentina, Spain, Peru, Brazil, Costa Rica or Mexico (3.37; 1.47-7.71) and autochthonous cases (4.35 ; 2.12-8.93) increased the risk of identifying AC. We also identified groups of departments with moderate (3.68; 3.13-4.33) and strong (8.31; 6.10-7.46) association with AC. Discussion: Sociodemographic characteristics strongly associated with AC were identified, which may explain its epidemiological relevance and usefulness to optimize mass screening strategies and prevent person-to-person transmission.

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Section: Discussionmentioning

confidence: 99%

Epidemiological characterization of asymptomatic carriers of COVID-19 in Colombia

Camero²,

Guardia³

et al. 2020

Preprint

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“…The extent to which outdoor air pollution enters the dwelling is related to the building structure, its fabric, operation and ventilation/air purification technologies (Van Boven et al 2020). This subcategory also included studies of radon, lead, volatile and semi-volatile organic compounds (VOCs, SVOCs) (Ajrouche et al 2017;Naldzhiev et al 2020;Nussbaumer-Streit et al 2020) as well as of biological agents (Sharpe et al 2015). The occupant hazards subcategory looked at wood and biomass burning for heating and cooking as well as cookstove efficiency, which are important determinants of poor household air quality and impact on a wide array of health endpoints (Bailey et al 2019;Quansah et al 2017); low indoor temperatures may also direct effect blood pressure, blood clotting and other pathophysiological changes (Jevons et al 2016).…”

Section: Indoor Environmental Qualitymentioning

confidence: 99%

A multi-scalar perspective on health and urban housing: an umbrella review

Turcu

Crane

Hutchinson

et al. 2021

Buildings and Cities

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With more than half the world's population living in cities, understanding how the built environment impacts human health at different urban scales is crucial. To be able to shape cities for health, an understanding is needed of planetary health impacts, which encompass the human health impacts of human-caused disruptions on the Earth's natural ecosystems. This umbrella review maps health evidence across the spatial scales of the built environment (building; neighbourhood; and wider system, including city, regional and planetary levels), with a specific focus on urban housing. Systematic reviews published in English between January 2011 and December 2020 were searched across 20 databases, with 1176 articles identified and 124 articles screened for inclusion. Findings suggests that most evidence reports on health determinants at the neighbourhood level, such as greenspace, physical and socio-economic conditions, transport infrastructure and access to local services. Physical health outcomes are also primarily reported, with an emerging interest in mental health outcomes. There is little evidence on planetary health outcomes and significant gaps in the research literature are identified. Based on these findings, three potential directions are identified for future research.

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“…In a Cochrane review of dust lead reduction studies, researchers found no impact on blood lead levels. 18 This is in some part the result of lead stored in bone being mobilized as external sources of lead are reduced as well as decreased handto-mouth activity and absorption of lead through the gastrointestinal tract as children grow. 19 A national network of Pediatric Environmental Specialty Health Units is available to provide treatment and/or support pediatric health care providers in the management children with elevated blood lead levels.…”

Section: Is There An Accepted Treatment?mentioning

confidence: 99%

Considering Screening When There May Be Minimal Direct Benefit to the Child

Brown

Kemper

2021

Pediatrics

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Household interventions for secondary prevention of domestic lead exposure in children

Abstract: Household interventions for secondary prevention of domestic lead exposure in children.

Cited by 13 publications

References 95 publications

Epidemiological characterization of asymptomatic carriers of COVID-19 in Colombia

Epidemiological characterization of asymptomatic carriers of COVID-19 in Colombia

A multi-scalar perspective on health and urban housing: an umbrella review

Considering Screening When There May Be Minimal Direct Benefit to the Child

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