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首页> 外文会议>Joint annual meeting of the International Society of Exposure Science and the International Society for Environmental Epidemiology >Disconnect between the Research on Lead's Effects, and Efforts to Generate a Lead Awareness and Prevention Program at a National-Level in Mexico
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Disconnect between the Research on Lead's Effects, and Efforts to Generate a Lead Awareness and Prevention Program at a National-Level in Mexico

机译：在潜在效应的研究与努力之间脱节，在墨西哥的国家层面产生引领意识和预防计划的努力

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The documentation of lead poisoning in Mexico started at the beginning of XIX century, clearly identifying the use of traditional ceramics to prepare, store and serve food as a source of exposure. These ceramics are produced with a final layer of a lead glaze, which is ideal for the low-temperature domestic kilns. The use of these ceramics is deeply embedded in Mexican culture, but with every use in cooking or serving of food, lead leaches out. Thus, ceramic ware constitutes an important source of exposure for both the end-users and artisan-producers and their families. Much epidemiological research has been conducted by our research group to assess the toxic effects of lead exposure on a wide variety of outcomes through the ELEMENT and PROGRESS cohort studies. Our research has had an impact on lead regulation in several countries, including the U.S. and Mexico. In Mexico, the reference blood lead level for pregnant women and 0-15 year old children was 10 μg/dL until 2017, when it matched the Centers for Disease Control and Prevention (CDC) level of 5 μg/dL. Nevertheless, there is no routine surveillance program or social interventions to prevent lead exposure; furthermore, there is no public awareness of lead's toxicity. This talk will present the efforts conducted by our research group to generate supporting evidence that lead exposure is a public health problem in Mexico and should be addressed. Effects of lead exposure are subclinical, especially at low levels, and compete with other prominent health concerns such as obesity or diabetes. The strategies used by our group to generate evidence aimed at policy makers are designed in the context of scarce economic resources; therefore, lessons learned could be useful to other countries in similar situations.
机译：墨西哥铅中毒的文件始于十九世纪初，清楚地识别传统陶瓷的使用，准备，储存和服务食品作为曝光来源。这些陶瓷用最后一层产生的铅釉制成，这对于低温家用窑的理想选择。这些陶瓷的使用深深地嵌入了墨西哥文化中，但每次使用都在烹饪或食物中的用途，铅浸出。因此，陶瓷器件构成了最终用户和工匠 - 生产者及其家庭的重要曝光来源。我们的研究小组进行了很多流行病学研究，以评估通过元素和进展队列研究的各种结果的铅暴露的毒性影响。我们的研究对若干国家的牵长监管产生了影响，包括美国和墨西哥。在墨西哥，孕妇和0-15岁儿童的参考血铅水平为10μg/ dl，直到2017年，当它与疾病控制和预防中心相匹配，患有5μg/ dl的中心。然而，没有常规监测计划或社会干预措施来防止铅曝光;此外，没有公众对潜在毒性的认识。这次谈判将展示我们的研究小组进行的努力，以产生支持的证据，即墨西哥的公共卫生问题，应该解决。铅暴露的影响是亚临床的，特别是在低水平下，并与其他突出的健康问题（例如肥胖症或糖尿病）竞争。本集团使用的策略在稀缺经济资源的背景下设计了针对政策制定者的证据;因此，所学的经验教训可能对类似情况的其他国家有用。

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