The iron framework activity in precarious habitat: A new source of childhood lead poisoning in France [L'activité de ferraillage en habitat précaire: Une nouvelle source de saturnisme infantile en métropole]
Torrents R.,Center Antipoison Et Of Toxicovigilance Captv |
Glaizal M.,Center Antipoison Et Of Toxicovigilance Captv |
Schmitt C.,Center Antipoison Et Of Toxicovigilance Captv |
Simon N.,Center Antipoison Et Of Toxicovigilance Captv |
And 2 more authors.
Toxicologie Analytique et Clinique | Year: 2014
Introduction Lead poisonings are mainly induced by old and deteriorated habitats. The French monitoring system of lead exposure includes practitioners, analysts, poison control centres (PCC) and health authorities. Through a local analysis of the collected data, the authors found in Marseille a new source of pediatric lead contamination, linked to poverty: the iron framework. Materials and methods Since 2006, all blood lead samples are systematically managed in the PCC of Marseille for children performed in Provence. The results of the first blood lead levels by child living in Marseille were studied. Results From 01/01/2011 to 30/06/2013, 92 children living in Marseille with blood lead levels > 50 μg/L, 65 were contaminated in the context of family iron framework in precarious housing environment (37 boys; median age 5 years, min 1 day 16-year-old max; median blood lead level 107 μg/L, min 50 μg/L, max 464 μg/L), whereas before 2011, no cases corresponded to such a context. Thirty-six cases of obvious poisoning (above the legal limit of 100 μg/L) were counted in this group. With a single symptomatic child (chronic abdominal pain, with 141 mg/L of blood lead level), screening was primarily motivated by social and family situation. Eighty percent of samples had been prescribed to the hospital via a consultation dedicated to children living in disadvantaged areas, and in 53.8% of lead impregnation had been discovered in a sibling. Discussion/conclusion These results highlight the emergence of a problem related to lifestyle and poverty, up to there only described outside metropolitan France. Furthermore, the lead impregnation is perhaps not the only exposure which it would be necessary to explore in these children. Anyway, a multidisciplinary approach is necessary. © 2014 Société Française de Toxicologie Analytique.