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Demolition Activity and Elevated Blood Lead Levels among Children in Detroit, Michigan, 2014–2018

Author

Listed:
  • Carla Bezold

    (Detroit Health Department, Detroit, MI 48201, USA)

  • Samantha J. Bauer

    (Detroit Health Department, Detroit, MI 48201, USA)

  • Jessie P. Buckley

    (Department of Environmental Health and Engineering, Johns Hopkins University, Baltimore, MD 21205, USA)

  • Stuart Batterman

    (Department of Environmental Health Sciences, School of Public Health, University of Michigan, Ann Arbor, MI 48109, USA)

  • Haifa Haroon

    (Detroit Health Department, Detroit, MI 48201, USA)

  • Lauren Fink

    (Detroit Health Department, Detroit, MI 48201, USA)

Abstract

Older buildings in the United States often contain lead paint, and their demolition poses the risk of community lead exposure. We investigated associations between demolitions and elevated blood lead levels (EBLLs) among Detroit children aged <6 years, 2014–2018, and evaluated yearly variation given health and safety controls implemented during this time. Case-control analysis included incident EBLL cases (≥5 µg/dL) and non-EBLL controls from test results reported to the Michigan Department of Health and Human Services. Exposure was defined as the number of demolitions (0, 1, 2+) within 400 feet of the child’s residence 45 days before the blood test. We used logistic regression to calculate odds ratios (ORs) and 95% confidence intervals (CIs), and test effect modification by year. Associations between demolition and EBLL differed yearly ( p = 0.07): 2+ demolitions were associated with increased odds of EBLLs in 2014 (OR: 1.75; 95% CI: (1.17, 2.55), 2016 (2.36; 1.53, 3.55) and 2017 (2.16; 1.24, 3.60), but not in 2018 (0.94; 0.41, 1.86). This pattern remained consistent in sensitivity analyses. The null association in 2018 may be related to increased health and safety controls. Maintenance of controls and monitoring are essential, along with other interventions to minimize lead exposure, especially for susceptible populations.

Suggested Citation

  • Carla Bezold & Samantha J. Bauer & Jessie P. Buckley & Stuart Batterman & Haifa Haroon & Lauren Fink, 2020. "Demolition Activity and Elevated Blood Lead Levels among Children in Detroit, Michigan, 2014–2018," IJERPH, MDPI, vol. 17(17), pages 1-14, August.
    • Handle: RePEc:gam:jijerp:v:17:y:2020:i:17:p:6018-:d:400786
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    References listed on IDEAS

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    1. South, E.C. & Kondo, M.C. & Cheney, R.A. & Branas, C.C., 2015. "Neighborhood blight, stress, and health: A walking trial of urban greening and ambulatory heart rate," American Journal of Public Health, American Public Health Association, vol. 105(5), pages 909-913.
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