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Journal of Tropical Pediatrics Advance Access originally published online on October 4, 2008
Journal of Tropical Pediatrics 2009 55(2):138-139; doi:10.1093/tropej/fmn085
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© The Author [2008]. Published by Oxford University Press. All rights reserved. For Permissions, please email: journals.permissions@oxfordjournals.org

Lead Levels in Women at Delivery at the Muhimbili National Hospital: A Public Health Problem

Mary M. Azayo, Karim Manji and Festus Kalokola

Department of Paediatrics and Child Health, Muhimbili University of Health and Allied Sciences (MUHAS), Dar-es-Salaam, Tanzania

Correspondence: Prof. Karim Manji, Department of Pediatrics and Child Health, MUHAS, P.O. Box 65001, Dar-es-Salaam, Tanzania. Tel: +255 754 350 630, Fax: +255 222153114. E-mail <kpmanji{at}gmail.com>.


   Abstract

Lead poisoning is a global health problem but unrecognized in African countries. Umbilical Cord Lead levels can be used to determine community exposure to lead. At delivery, 150 women were recruited for cord blood lead. A prevalence of 10% beyond the accepted range was found. Cord blood levels ranged from 0.1–18.1 µg/dl, with a mean of 4.1 µg/dl. There was no association between lead levels and pregnancy outcomes in terms of low birth weight and pre-term delivery. There was a weak association between lead poisoning and living in a painted house and use of tap water (OR = 1.4). There was no association between lead poisoning and use of facial cosmetics. Living near heavy traffic was more associated with increased cord blood lead levels.

Key Words: lead toxicity • pregnancy outcomes • risk factors


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