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低收入和中等收入国家的铅暴露问题:关于模式、不公平、经济和政治的观点和教训。

Lead Exposure in Low and Middle-Income Countries: Perspectives and Lessons on Patterns, Injustices, Economics, and Politics.

机构信息

Department of Epidemiology and Environmental Health, University at Buffalo, Buffalo, NY 14214, USA.

Division of Health Services Policy and Practice, Department of Epidemiology and Environmental Health, University at Buffalo, Buffalo, NY 14214, USA.

出版信息

Int J Environ Res Public Health. 2018 Oct 24;15(11):2351. doi: 10.3390/ijerph15112351.

Abstract

Lead exposure is a legacy issue that continues to affect vulnerable population groups globally, but particularly in low and middle-income countries (LMICS). We take a multi-disciplinary approach to examine the patterns of lead exposure in these countries, discuss the underlying injustices and socio-political causes, and the economic costs that are associated with exposure. We conclude with some lessons we drew from our discussion of lead across the disciplines and advocate for a number of approaches to solving this ongoing issue. These include (i) biomonitoring that could be integrated into existing health surveys or public health programs targeting young children; (ii) greater civic engagement to push for solutions; and, (iii) environmental control policies that represent a continuum of local, context-specific to broad, national-level, and even global approaches.

摘要

铅暴露是一个遗留问题,继续影响着全球的弱势群体,尤其是在低收入和中等收入国家(LMICs)。我们采取多学科的方法来研究这些国家的铅暴露模式,讨论其背后的不公正和社会政治原因,以及与暴露相关的经济成本。最后,我们从跨学科讨论铅的过程中吸取了一些教训,并倡导采取多种方法来解决这个持续存在的问题。这些方法包括:(i)生物监测,可以纳入现有的针对幼儿的健康调查或公共卫生计划;(ii)加强公民参与,推动解决问题;(iii)环境控制政策,代表了从地方、具体情况到广泛、国家甚至全球层面的一系列措施。

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