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Blood Lead Level Testing and Retesting Among Newly Arriving Refugee Children, Pennsylvania, 2015–2019

Bibliographic Data

ID11030149
AuthorsLeena Anil (The authors are with the Bureau of Epidemiology, Pennsylvania Department of Health, Harrisburg.), Zhen-qiang Ma (0000-0002-6440-1319, The authors are with the Bureau of Epidemiology, Pennsylvania Department of Health, Harrisburg.), Atmaram Nambiar (The authors are with the Bureau of Epidemiology, Pennsylvania Department of Health, Harrisburg.), Sharon M Watkins (The authors are with the Bureau of Epidemiology, Pennsylvania Department of Health, Harrisburg.), Sharon Watkins (0000-0003-0836-4004, Pennsylvania Department of Health)
Year2022
Volume112
IssueS7
PagesS706-S714
Publication date2022-09-01
Peer ReviewedYes
Open AccessNo
TypeARTICLE
VenueAmerican Journal of Public Health (JOURNAL)
Journal identifiersISSN: 0090-0036 • E-ISSN: 1541-0048
PublisherAmerican Public Health Association (PUBLISHER • US)
DOI10.2105/ajph.2022.306856
PMID36179293
OpenAlexW4298127610
LanguageEN
Citations received3
References cited18

Objectives. To (1) determine the prevalence of elevated blood lead levels (EBLLs; ≥ 5 μg/dL) among newly arrived refugee children, (2) understand the demographic characteristics of refugee children with EBLLs, and (3) assess health care providers’ compliance with Centers for Disease Control and Prevention (CDC) recommendations for retesting. Methods. We matched refugee demographic data (2015–2019) from the CDC’s Electronic Disease Notification (EDN) system with lead-testing laboratory report data from the Pennsylvania National Electronic Disease Surveillance System using Match*Pro software. Results. Of 3833 refugee children 16 years or younger in the EDN system, matching identified 3142 children with blood lead level data. Among children with blood lead level data, 578 (18.4%) had EBLLs. Among children with EBLLs, 341 (59.0%) were male. Of the 1370 children aged 6 years or younger with blood level test results, 335 (24.5%) had initial EBLLs, and only 78 (5.7%) were retested within 3 to 6 months. Of the 335 children 6 years or younger with an initial EBLL, only 44 (13.1%) were retested within 3 to 6 months. Conclusions. Following up on refugee children with EBLLs is necessary to ensure that they do not have continued lead exposure. (Am J Public Health. 2022;112(S7):S706–S714. https://doi.org/10.2105/AJPH.2022.306856 )

Disease control · Environmental health · Family medicine · Lead exposure · Public health · Refugee · Test (biology) · Environmental Justice and Health Disparities · Heavy Metal Exposure and Toxicity · Internal Medicine · Medicine · Nursing · Trace Elements in Health · Gerontology · Pediatrics

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Unique citing works3
Citations per year3
Citation span2025 - 2026 (2)
Citation velocitycurrent
Highly citedNo
Citation typesNeutral: 3

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