[Use of blood lead data to evaluate and prevent childhood lead poisoning in Latin America].
Exposure to lead is a widespread and serious threat to the health of children in Latin America. Health officials should monitor sources of exposure and health outcomes to design, implement, and evaluate prevention and control activities. To evaluate the magnitude of lead as a public health problem, three key elements must be defined: I) the potential sources of exposure, 2) the indicators to evaluate health effects and environmental exposure, and 3) the sampling methods for the population at risk. Several strategies can be used to select the study population depending on the study objectives, the time limitations, and the available resources. If the objective is to evaluate the magnitude and sources of the problem, the following sampling methods can be used: I) population-based random sampling; 2) facility-based random sampling within hospitals, daycare centers, or schools; 3) target sampling of high risk groups; 4) convenience sampling of volunteers; and 5) case reporting (which can lead to the identification of populations at risk and sources of exposures). For all sampling methods, information gathering should include the use of a questionnaire to collect general information on the participants and on potential local sources of exposure, as well as the collection of biological samples. In interpreting data, one should consider the type of sampling used and the non-response rates, as well as factors that might influence blood lead measurements, such as age and seasonal variability. Blood lead measurements should be integrated in an overall strategy to prevent lead toxicity in children. The English version of this paper is available at: http://www.insp.mx/salud/index.html.
Romieu
Isabelle
I
Instituto Nacional de Salud Pública, Avenida Universidad 655, colonia Santa María Ahuacatitlán, 62508 Cuernavaca, Morelos, México. iromieu@correo.insp.mx
D000397:Air Pollution / Q000032:analysis; D002648:Child; D004784:Environmental Monitoring / Q000379:methods*; D015991:Epidemiologic Measurements; D062665:Epidemiological Monitoring; D006801:Humans; D007843:Latin America / Q000453:epidemiology; D007854:Lead / Q000097:blood*; D007855:Lead Poisoning / Q000097:blood* / Q000453:epidemiology / Q000517:prevention & control*; D014876:Water Pollution / Q000032:analysis
D007854:Lead