Infantile lead poisoning from an Asian tongue powder: A case report &amp; subsequent public health inquiry

Woolf, Alan D.; Hussain, Javed; McCullough, Laura; Petranović, Milena; Chomchai, Chulathida

doi:10.1080/15563650801898536

Cited by 23 publications

(16 citation statements)

References 7 publications

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“…Our results might overestimate the rate of DBS and tea use because some of these maternal characteristics are associated with increased DBS and tea use. In addition, we have no specific data for subgroups such as Asians and certain immigrant groups who are frequent DBS users themselves 22 and tend to use DBS and teas for their infant care 23 because of culture and tradition. The Infant Feeding Practices Study II did not target these groups, and they are not represented in our sample, so we do not have information on their unique beliefs and practices.…”

Section: Discussionmentioning

confidence: 99%

Feeding of Dietary Botanical Supplements and Teas to Infants in the United States

Zhang

Fein

2011

Pediatrics

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WHAT'S KNOWN ON THIS SUBJECT:Dietary botanical supplement and tea use among infants as a separate group from children has not been studied. WHAT THIS STUDY ADDS:Our study is the first to examine prevalence of dietary botanical supplement and tea use among US infants. We found that ϳ9% of infants were given these supplements in their first year of life, although usually only for short periods. abstract OBJECTIVES:To describe the use of dietary botanical supplements and teas among infants, the characteristics of mothers who give them the specific botanical supplements and teas used, reasons for use, and sources of information. METHODS:We used data from the Infant Feeding Practices Study II, a longitudinal survey of women studied from late pregnancy through their infant's first year of life conducted by the US Food and Drug Administration and the Centers for Disease Control and Prevention between 2005 and 2007. The sample was drawn from a nationally distributed consumer opinion panel and was limited to healthy mothers with healthy term or near-term singleton infants. The final analytical sample included 2653 mothers. Statistical techniques include frequencies, 2 tests, and ordered logit models. RESULTS:Nine percent of infants were given dietary botanical supplements or teas in their first year of life, including infants as young as 1 month. Maternal herbal use (P Ͻ .0001), longer breastfeeding (P Ͻ .0001), and being Hispanic (P ϭ .016) were significantly associated with giving infants dietary botanical supplements or teas in the multivariate model. Many supplements and teas used were marketed and sold specifically for infants. Commonly mentioned information sources included friends or family, health professionals, and the media. CONCLUSIONS:A substantial proportion of infants in this sample was given a wide variety of supplements and teas. Because some supplements given to infants may pose health risks, health care providers need to recognize that infants under their care may be receiving supplements or teas.

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Section: Discussionmentioning

confidence: 99%

Feeding of Dietary Botanical Supplements and Teas to Infants in the United States

Zhang

Fein

2011

Pediatrics

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“…19,20 Since 2008, the US Consumer Product Safety Commission (CPSC) has set requirements to reduce the number of non-complying products entering the market. 21 Novel sources of exposure include foreign-purchased cosmetics; 22,23 Southeast Asian spices 24,25 and herbs; 26 dietary supplements; 27 religious powders; 25 ayurvedic 28 or ethnic remedies; 22,25 occupational take home exposures; 29–31 and vocational exposures such as youth firearms marksmanship. 32,33 …”

Section: Routes and Sources Of Exposurementioning

confidence: 99%

An Update on Childhood Lead Poisoning

Hauptman

Bruccoleri

Woolf

2017

Clinical Pediatric Emergency Medicine

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117

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Childhood lead poisoning is a multi-faceted, complex condition, which affects not only the child’s health and well-being, but also the family’s housing security, economic status, job security, and stress level. This review updates the emergency department clinician on the management of childhood lead poisoning. Infants and children are at higher risk than adults for lead exposure due to their smaller size and proportionately larger dose of ingested toxins, their proximity to ground dirt and indoor dust, their energy and curiosity, their oral exploratory and pica behaviors, their proportionately larger daily water and milk intake, and dietary preferences that differ markedly from those of adults. Pediatric health care providers working in the emergency department can provide medical management, as well as preventive counseling and guidance, to parents of children presenting with evidence of acute or chronic lead poisoning.

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“…[35], [65] Chronic lead poisoning has been described in an infant after application of a tongue powder [72] as well as in a woman using a menstrual cramp remedy. [73] Chronic mercury poisoning from TCM preparations has been noted to alter blood pressure and dental health; [74] chronic arsenic exposure has been linked to dermatological lesions and malignancies.…”

Section: Introductionmentioning

confidence: 99%

Toxic Element Contamination of Natural Health Products and Pharmaceutical Preparations

et al. 2012

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BackgroundConcern has recently emerged regarding the safety of natural health products (NHPs)–therapies that are increasingly recommended by various health providers, including conventional physicians. Recognizing that most individuals in the Western world now consume vitamins and many take herbal agents, this study endeavored to determine levels of toxic element contamination within a range of NHPs.MethodsToxic element testing was performed on 121 NHPs (including Ayurvedic, traditional Chinese, and various marine-source products) as well as 49 routinely prescribed pharmaceutical preparations. Testing was also performed on several batches of one prenatal supplement, with multiple samples tested within each batch. Results were compared to existing toxicant regulatory limits.ResultsToxic element contamination was found in many supplements and pharmaceuticals; levels exceeding established limits were only found in a small percentage of the NHPs tested and none of the drugs tested. Some NHPs demonstrated contamination levels above preferred daily endpoints for mercury, cadmium, lead, arsenic or aluminum. NHPs manufactured in China generally had higher levels of mercury and aluminum.ConclusionsExposure to toxic elements is occurring regularly as a result of some contaminated NHPs. Best practices for quality control–developed and implemented by the NHP industry with government oversight–is recommended to guard the safety of unsuspecting consumers.

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Infantile lead poisoning from an Asian tongue powder: A case report & subsequent public health inquiry

Cited by 23 publications

References 7 publications

Feeding of Dietary Botanical Supplements and Teas to Infants in the United States

Feeding of Dietary Botanical Supplements and Teas to Infants in the United States

An Update on Childhood Lead Poisoning

Toxic Element Contamination of Natural Health Products and Pharmaceutical Preparations

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