Please use this identifier to cite or link to this item: http://hdl.handle.net/10739/2069
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dc.contributor.authorEricsona, Bret-
dc.contributor.authorDowlinga, Russell-
dc.contributor.authorDeyc, Subhojit-
dc.contributor.authorCaravanosa, Jack-
dc.contributor.authorMishrae, Navya-
dc.contributor.authorFishera, Samantha-
dc.contributor.authorRamireza, Myla-
dc.contributor.authorSharmaa, Promila-
dc.contributor.authorMcCartora, Andrew-
dc.contributor.authorGUIN, PRADEEP-
dc.contributor.authorTaylorb, Mark Patrick-
dc.contributor.authorFullera, Richard-
dc.date.accessioned2019-01-22T05:12:45Z-
dc.date.available2019-01-22T05:12:45Z-
dc.date.issued2018-08-21-
dc.identifier.citationEricsona, Bret et al.(2018). A meta-analysis of blood lead levels in India and the attributable burden of disease. Environment International, 121(1), pp.461–470.en_US
dc.identifier.urihttps://www.sciencedirect.com/science/article/pii/S0160412018307876?via%3Dihub-
dc.identifier.urihttp://hdl.handle.net/10739/2069-
dc.description.abstractMultiple studies in India have found elevated blood lead levels (BLLs) in target populations. However the data have not yet been evaluated to understand population-wide exposure levels. We used arithmetic mean blood lead data published from 2010 to 2018 on Indian populations to calculate the average BLLs for multiple subgroups. We then calculated the attributable disease burden in IQ decrement and Disability Adjusted Life Years (DALYs). Our Pubmed search yielded 1066 articles. Of these, 31 studies representing the BLLs of 5472 people in 9 states met our study criteria. Evaluating these, we found a mean BLL of 6.86μg/dL (95% CI: 4.38–9.35) in children and 7.52μg/dL (95% CI: 5.28–9.76) in non-occupationally exposed adults. We calculated that these exposures resulted in 4.9 million DALYs (95% CI: 3.9–5.6) in the states we evaluated. Population-wide BLLs in India remain elevated despite regulatory action to eliminate leaded petrol, the most significant historical source. The estimated attributable disease burden is larger than previously calculated, particularly with regard to associated intellectual disability outcomes in children. Larger population-wide BLL studies are required to inform future calculations. Policy responses need to be developed to mitigate the worst exposures.en_US
dc.formattexten_US
dc.language.isoenen_US
dc.publisherElsevier Ltden_US
dc.subjectBlood lead levelsen_US
dc.subjectLeaden_US
dc.subjectMeta-analysisen_US
dc.subjectDALYsen_US
dc.subjectContaminationen_US
dc.titleA meta-analysis of blood lead levels in India and the attributable burden of diseaseen_US
dc.typeMeetingsen_US
dc.typeOtheren_US
dc.typeMeetingsen_US
dc.typeOtheren_US
dc.institutionJindal School of Government and Public Policyen_US
dc.identifier.doihttps://doi.org/10.1016/j.envint.2018.08.047-
dc.rightlicenseden_US
Appears in Collections:JGU Research Publications



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