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Elevated Blood Lead Levels Among Internationally Adopted Children -- United States, 1998

MMWR 49(5):97-100, 2000. Centers for Disease Control

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Table 1 - Blood levels (BLLs) among internationally adopted children from Asia, Eastern Europe, and Central and South America -- United States, 1991-1999

    Elevated BLLs            
Country of origin No. tested No. (%) Highest reported BLL (ug/dL) No. weeks tested after arrival in U.S. % tested within 4 weeks of arrival Mean age (range) in mos. Years of immigration Reporting site*
ASIA                  
China

138

2

( 1)

15

0- 36

79%

15 ( 8- 96)

1996-99

(1)

 

48

3

( 6)

14

0- 50

55%

18 ( 6- 75)

1996-98

(2)

 

30

2

( 7)

19

2- 50

70%

22 (10- 96)

1997-99

(3)

 

25

2

( 8)

24

2- 50

70%

22 (10- 96)

1997-99

(3)

 

184

21

(11)

54

0- 2

100%

16 ( 4- 43)

1994-98

(5)

 

92

10

(11)

50

0- 16

--

14 ( 3- 39)

1991-98

(6)

 

60

7

(12)

23

0- 25

98%

12 ( 5- 54)

1994-99

(7)

 

83

11

(13)

25

0-165

75%

16 ( 5- 57)

1992-98

(8)

 

223

29

(13)

50

0-160

51%

25 ( 2- 57)

1993-96

(9)

Cambodia

71

5

( 7)

27

0- 38

79%

11 ( 3- 54)

1997-99

(9)

Asia (excluding China)

47

1

( 2)

10

0-156

--

-- ( 4-123)

1987-98

(6)

EASTERN EUROPE                  
Russia

219

2

( 1)

12

0- 2

100%

27 --

1993-99

(5)

 

74

1

( 1)

12

0-106

85%

23 ( 5-125)

1991-98

(8)

 

57

1

( 2)

15

0- 52

45%

32 ( 6-105)

1996-98

(2)

 

41

1

( 2)

14

3- 20

71%

13 ( 7-108)

1997-99

(1)

 

81

2

( 3)

11

0-120

83%

23 ( 5- 88)

1996-99

(3)

 

85

4

( 5)

11

0-244

--

-- ( 3-108)

1992-98

(6)

Eastern Europe (excluding Russia)

33

1

( 3)

11

1-195

35%

46 (13-150)

1994-98

(2)

 

74

5

( 7)

15

0-248

--

-- ( 1- 93)

1989-97

(6)

CENTRAL AND SOUTH AMERICA

95

1

( 1)

22

0-424

--

-- ( 1-106)

1982-97

(6)

*1) J Bledsoe, MD, Department of Pediatrics, University of Washington, Seattle, Washington; 2) D Johnson, MD, M Hostetter, MD, University of Minnesota International Adoption Clinic, Minneapolis, Minnesota; 3) A Mandalaskas, MD, K Olness, MD, Rainbow Center for International Child Health, Case Western University, Cleveland, Ohio; 4) T Ochs, MD, Chicago, Illinois; 5) JE Aronson, DO, AM Smith, V Kothari, M Alonso, International Adoption Medical Consultation Services, Pediatric Infectious Diseases, Winthrop University Hospital, Mineola, New York; 6) L Miller, MD, International Adoption Clinic, New England Medical Center, Boston, Massachusetts; 7) M Traister, MD, Pediatric and Adolescent Medicine, Hartsdale, New York; 8) D Johnson, MD, University of Minnesota International Adoption Clinic (survey of pediatric providers); and 9) N Hendrie, MD, The Sharing Foundation, Woolrich, Maine (survey of pediatric providers).

MMWR 49(5):97-100, 2000. Centers for Disease Control

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