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Environmental Lead Exposure and Influenza and Respiratory Syncytial Virus Diagnoses in Young Children

A Test-Negative Case-Control Study

Bibliographic Data

ID15465804
AuthorsMarina Oktapodas Feiler (0000-0002-2315-9589, University of Rochester, corresponding author), Mary T Caserta (0000-0002-3813-0762, University of Rochester), Edwin van Wijngaarden (0000-0001-7583-4630, University of Rochester), Kelly Thevenet-Morrison (University of Rochester), Dwight J Hardy (University of Rochester), Yan Victoria Zhang (University of Rochester), Ann M Dozier (University of Rochester), Ann Dozier (0000-0001-8296-1910, University of Rochester), B Paige Lawrence (0000-0003-4882-9750, University of Rochester), Todd A Jusko (0000-0002-3194-6718, University of Rochester)
Year2020
Volume17
Issue20
Pages7625-7625
Publication date2020-10-19
Peer ReviewedYes
Open AccessYes
TypeARTICLE
VenueInternational Journal of Environmental Research and Public Health (JOURNAL)
Journal identifiersISSN: 1661-7827 • E-ISSN: 1660-4601
PublisherMultidisciplinary Digital Publishing Institute (PUBLISHER • CH)
DOI10.3390/ijerph17207625
PMID33086756
OpenAlexW3092953529
LanguageEN
Citations received1
References cited36

Experimental and epidemiological evidence suggests that environmental toxicants may influence susceptibility to influenza and respiratory syncytial virus (RSV). The objective of the present study was to estimate the association between blood lead concentrations and the odds of child influenza or RSV infection. A test-negative, case-control study was conducted among 617 children, <4 years of age, tested for influenza/RSV from 2012-2017 in Rochester, NY. There were 49 influenza cases (568 controls) and 123 RSV cases (494 controls). Blood lead concentrations reported in children's medical records were linked with influenza/RSV lab test results. Covariables were collected from medical records, birth certificates, and U.S. census data. In this sample, evidence of an association between blood lead levels and RSV or influenza diagnosis was not observed. Children with a lead level ≥1 μg/dL vs. <1 μg/dL had an adjusted odds ratio (aOR) and 95% confidence limit of 0.95 (0.60, 1.49) for RSV and 1.34 (0.65, 2.75) for influenza. In sex-specific analyses, boys with lead concentrations ≥1 μg/dL vs. <1 μg/dL had an aOR = 1.89 (1.25, 2.86) for influenza diagnosis, while the estimates were inconsistent for girls. These results are suggestive of sex-specific associations between blood lead levels and the risk of influenza, although the sample size was small

Blood lead level · Case-control study · Confidence interval · Lead exposure · Odds ratio · Respiratory system · Virus · Medicine · Neonatal Respiratory Health Research · Respiratory viral infections research · Viral gastroenteritis research and epidemiology · Epidemiology · Immunology · Internal Medicine · Pediatrics

  • Association between heavy metals exposure and persistent infections

    Open Access•Huiling Zhang, Juan Wang et al.•Frontiers in Public Health•2024

  • Global burden of acute lower respiratory infections due to respiratory syncytial virus in young children

    Open Access•Harish Nair, D James Nokes et al.•The Lancet•2010

Unique citing works1
Citations per year0,5
Citation span2024 - 2024 (1)
Citation velocityrecent
Highly citedNo
Citation typesNeutral: 1

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