Ministry of Education-Shanghai Key Laboratory of Children's Environmental Health, Xinhua Hospital Affiliated to Shanghai Jiao Tong University School of Medicine, Shanghai, China.
School of Nursing, University of Pennsylvania, Philadelphia, PA, USA.
Public Health Nurs. 2019 Nov;36(6):806-812. doi: 10.1111/phn.12652. Epub 2019 Aug 19.
This study aimed to report three representative childhood lead poisoning cases in China from domestic products exposure and to highlight their critical implications for practice, education, and policy in prevention and treatment of childhood lead poisoning by health care providers, especially public health nurses.
Three representative childhood lead poisoning cases occurring in 2017 were collected and analyzed.
The lead exposure sources of three cases were evaluated by experts in the field and determined to be tin pots, home factories for tinfoil, and contamination of folk medicine, respectively. These cases demonstrated that the lack of lead exposure risk assessment, insufficient knowledge of potential lead exposure sources, underdeveloped policy, and regulations were areas for improvement.
The best strategies for preventing lead poisoning include an appropriate risk assessment of lead exposure, implementation of comprehensive parental health education, conduction of further research by public health providers, and the application of policy strategies by the government. It was determined that public health nurses are at the frontline of prevention of lead poisoning in children.
本研究旨在报告 3 例中国因国产产品暴露而导致的儿童铅中毒典型病例，强调卫生保健提供者（特别是公共卫生护士）在预防和治疗儿童铅中毒方面，对实践、教育和政策产生的重要影响。
收集并分析了 2017 年发生的 3 例具有代表性的儿童铅中毒病例。
通过该领域的专家评估，3 例病例的铅暴露源分别为锡锅、锡箔家庭作坊和民间药物污染。这些病例表明，缺乏铅暴露风险评估、对潜在铅暴露源的知识不足、政策和法规不健全等，是需要改进的方面。
预防铅中毒的最佳策略包括对铅暴露风险进行适当评估、实施全面的家长健康教育、开展公共卫生提供者的进一步研究以及政府应用政策策略。公共卫生护士是预防儿童铅中毒的第一线人员。
