Spice consumption, along with other environmental factors, can contribute to pediatric lead poisoning. Although public health efforts have increased awareness of contamination of spices, false assumptions regarding the safety of home-prepared spices have emerged. Here, we present the clinical features, family beliefs, and environmental toxicology of 3 spice-associated pediatric lead poisoning cases.
EganKBCornwellCRCourtneyJGEttingerAS. Blood lead levels in U.S. children ages 1-11 years, 1976-2016. Environ Health Perspect. 2021;129(3):37003.
2.
HauptmanMNilesJKGudinJKaufmanHW. Individual- and community-level factors associated with detectable and elevated blood lead levels in US children: results from a national clinical laboratory. JAMA Pediatr. 2021;175(12):1252-1260.
3.
CantorAGHendricksonRBlazinaIGriffinJGrusingSMcDonaghMS. Screening for elevated blood lead levels in childhood and pregnancy: updated evidence report and systematic review for the US Preventive Services Task Force. JAMA. 2019;321(15):1510-1526.
4.
OssianderEM. A systematic review of screening questionnaires for childhood lead poisoning. J Public Health Manag Pract. 2013;19(1):E21-E29.
5.
BellingerDC. Very low lead exposures and children’s neurodevelopment. Curr Opin Pediatr. 2008;20(2):172-177.
6.
ChiodoLMJacobsonSWJacobsonJL. Neurodevelopmental effects of postnatal lead exposure at very low levels. Neurotoxicol Teratol. 2004;26(3):359-371.
7.
MinJYMinKBChoSIKimRSakongJPaekD. Neurobehavioral function in children with low blood lead concentrations. Neurotoxicology. 2007;28(2):421-425.
8.
ReubenACaspiABelskyDW, et al. Association of childhood blood lead levels with cognitive function and socioeconomic status at age 38 years and with IQ change and socioeconomic mobility between childhood and adulthood. JAMA. 2017;317(12):1244-1251.
9.
YeterDBanksECAschnerM. Disparity in risk factor severity for early childhood blood lead among predominantly African-American Black children: the1999 to 2010 US NHANES. Int J Environ Res Public Health. 2020;17(5):1552.
10.
TehranifarPLeightonJAuchinclossAH, et al. Immigration and risk of childhood lead poisoning: findings from a case control study of New York City children. Am J Public Health. 2008;98(1):92-97.
11.
KennedyCBorgialliDASharmanM, et al. Blood lead levels among children aged <6 years—Flint, Michigan, 2013-2016. MMWR Morb Mortal Wkly Rep. 2016;65(25):650-654.
12.
LinCGSchaiderLABrabanderDJWoolfAD. Pediatric lead exposure from imported Indian spices and cultural powders. Pediatrics. 2010;125(4):e828-e835.
13.
MatheeAStreetRTeareJNaickerN. Lead exposure in the home environment: an overview of risks from cottage industries in Africa. Neurotoxicology. 2020;81:34-39.
14.
HorePAlex-OniKSedlarSNaginD. A spoonful of lead: a 10-year look at spices as a potential source of lead exposure. J Public Health Manag Pract. 2019;25:S63-S70.
15.
Angelon-GaetzKAKlausCChaudhryEABeanDK, et al. Lead in spices, herbal remedies, and ceremonial powders sampled from home investigations for children with elevated blood lead levels—North Carolina, 2011-2018. MMWR Morb Mortal Wkly Rep. 2018;67(46):1290-1294.
CourtneyJGChukeSODykeK, et al. Decreases in young children who received blood lead level testing during COVID-19 - 34 jurisdictions, January-May 2020. MMWR Morb Mortal Wkly Rep. 2021;70(5):155-161.
18.
CarnahanBSchaeferEWFogelBN. Point-of-care testing improves lead screening rates at 1- and 2-year well visits. J Pediatr. 2021;233:206-211.
19.
WoolfADWoolfNT. Childhood lead poisoning in 2 families associated with spices used in food preparation. Pediatrics. 2005;116(2):e314-e318.
20.
RuckartPZJonesRLCourtneyJG, et al. Update of the blood lead reference value—United States, 2021. MMWR Morb Mortal Wkly Rep. 2021;70(43):1509-1512.
21.
ForsythJENurunnaharSIslamSS, et al. Turmeric means “yellow” in Bengali: lead chromate pigments added to turmeric threaten public health across Bangladesh. Environ Res. 2019;179(PtA):108722.
22.
PetrakisEACaglianiLRTarantilisPA, et al. Sudan dyes in adulterated saffron (Crocus sativus L.): identification and quantification by (1)H NMR. Food Chem. 2017;217:418-424.
23.
CowellWIrelandTVorheesDHeiger-BernaysW. Ground turmeric as a source of lead exposure in the United States. Public Health Rep. 2017;132(3):289-293.
24.
EisenbergAAvniAGrauerF, et al. Identification of community flour mills as the source of lead poisoning in West Bank Arabs. Arch Intern Med. 1985;145(10):1848-1851.
25.
HershkoCEisenbergAAvniA, et al. Lead poisoning by contaminated flour. Rev Environ Health. 1989;8(1-4):17-23.
26.
RichterEEl-SharifNFischbeinA, et al. Re-emergence of lead poisoning from contaminated flour in a West Bank Palestinian village. Int J Occup Environ Health. 2000;6(3):183-186.
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