PMID- 30462630
OWN - NLM
STAT- MEDLINE
DCOM- 20181126
LR  - 20181227
IS  - 1545-861X (Electronic)
IS  - 0149-2195 (Linking)
VI  - 67
IP  - 46
DP  - 2018 Nov 23
TI  - Lead in Spices, Herbal Remedies, and Ceremonial Powders Sampled from Home
      Investigations for Children with Elevated Blood Lead Levels - North Carolina,
      2011-2018.
PG  - 1290-1294
LID - 10.15585/mmwr.mm6746a2 [doi]
AB  - The number of pediatric cases of elevated blood lead levels (BLLs) are decreasing
      in North Carolina. However, one county reported an increase in the number of
      children with confirmed BLLs >/=5 mug/dL (CDC reference value,
      https://www.cdc.gov/nceh/lead/acclpp/blood_lead_levels.htm), from 27 in 2013 to
      44 in 2017. Many children with elevated BLLs in this county lived in new housing,
      but samples of spices, herbal remedies, and ceremonial powders from their homes
      contained high levels of lead. Children with chronic lead exposure might suffer
      developmental delays and behavioral problems (https://www.cdc.gov/nceh/lead/). In
      1978, lead was banned from house paint in the United States (1); however,
      children might consume spices and herbal remedies daily. To describe the problem 
      of lead in spices, herbal remedies, and ceremonial powders, the North Carolina
      Childhood Lead Poisoning Prevention Program (NCCLPPP) retrospectively examined
      properties where spices, herbal remedies, and ceremonial powders were sampled
      that were investigated during January 2011-January 2018, in response to confirmed
      elevated BLLs among children. NCCLPPP identified 59 properties (6.0% of all 983
      properties where home lead investigations had been conducted) that were
      investigated in response to elevated BLLs in 61 children. More than one fourth
      (28.8%) of the spices, herbal remedies, and ceremonial powders sampled from these
      homes contained >/=1 mg/kg lead. NCCLPPP developed a survey to measure
      child-specific consumption of these products and record product details for
      reporting to the Food and Drug Administration (FDA). Lead contamination of
      spices, herbal remedies, and ceremonial powders might represent an important
      route of childhood lead exposure, highlighting the need to increase product
      safety. Setting a national maximum allowable limit for lead in spices and herbal 
      remedies might further reduce the risk for lead exposure from these substances.
FAU - Angelon-Gaetz, Kim A
AU  - Angelon-Gaetz KA
FAU - Klaus, Christen
AU  - Klaus C
FAU - Chaudhry, Ezan A
AU  - Chaudhry EA
FAU - Bean, Deidre K
AU  - Bean DK
LA  - eng
PT  - Journal Article
DEP - 20181123
PL  - United States
TA  - MMWR Morb Mortal Wkly Rep
JT  - MMWR. Morbidity and mortality weekly report
JID - 7802429
RN  - 0 (Powders)
RN  - 2P299V784P (Lead)
SB  - IM
MH  - Ceremonial Behavior
MH  - Child
MH  - Child, Preschool
MH  - Environmental Exposure/adverse effects/statistics & numerical data
MH  - Housing
MH  - Humans
MH  - Infant
MH  - Lead/*analysis/blood
MH  - Lead Poisoning/*epidemiology/ethnology
MH  - North Carolina/epidemiology
MH  - Plants, Medicinal/*chemistry
MH  - Powders/*chemistry
MH  - Retrospective Studies
MH  - Spices/*analysis
PMC - PMC6289082
COIS- All authors have completed and submitted the ICMJE form for disclosure of
      potential conflicts of interest. No potential conflicts of interest were
      disclosed.
EDAT- 2018/11/22 06:00
MHDA- 2018/11/27 06:00
CRDT- 2018/11/22 06:00
PHST- 2018/11/22 06:00 [entrez]
PHST- 2018/11/22 06:00 [pubmed]
PHST- 2018/11/27 06:00 [medline]
AID - 10.15585/mmwr.mm6746a2 [doi]
PST - epublish
SO  - MMWR Morb Mortal Wkly Rep. 2018 Nov 23;67(46):1290-1294. doi:
      10.15585/mmwr.mm6746a2.