Cognitive disparities, lead plumbing, and water chemistry: prior exposure to water-borne lead and intelligence test scores among World War Two U.S. Army enlistees

Blood lead levels and math learning in first year of school: An association for concern

Lead is a well-known neurotoxicant that continues to affect children's cognition and behavior. With the aim to examine the associations of lead exposure with math performance in children at the beginning of formal schooling, we conducted a cross-sectional study of first-grade students from 11 schools in Montevideo, Uruguay. Math abilities were assessed with tests from the Batería III Woodcock-Muñoz (Calculation, Math Facts Fluency, Applied Problems, Math Calculation Skills and Broad Maths). Separate generalized linear models (GLM) tested the association of blood lead level (BLL) and each math ability, adjusting for key covariates including age and sex, maternal education, household assets and Home Observation for Measurement of the Environment Inventory score. In a complete-case of 252 first-grade students (age 67-105 months, 45% girls), mean ± SD blood lead level was 4.0 ± 2.2 μg/dL. Covariate-adjusted logistic models were used to examine the association between childhood BLLs and the odds of low math performance. BLL was negatively associated with scores on the Calculation test (β (95% CI): -0.18 (-0.33, -0.03)), Math Calculation Skills (-1.26 (-2.26, -0.25)), and Broad Maths cluster scores (-0.88 (-1.55, -0.21)). Similarly, performance on the Calculation test, as well as cluster scores for Broad Maths and Math Calculation Skills differed between children with BLLs <5 and ≥ 5 μg/dL (p < 0.01), being lower in children with higher BLLs. Finally, considering the likelihood of low test performance, each 1 μg/dL higher B-Pb was related to 27% higher likelihood for Maths Facts Fluency, 30% for Broad Math and Math Calculation Skills, and 31% for Calculation (p < 0.05). These results suggest that lead exposure is negatively associated with several basic skills that are key to math learning. These findings further suggest that the cognitive deficits related to lead exposure impact student achievement at very early stages of formal education.

Survival analysis under imperfect record linkage using historic census data

BACKGROUND

Advancements in linking publicly available census records with vital and administrative records have enabled novel investigations in epidemiology and social history. However, in the absence of unique identifiers, the linkage of the records may be uncertain or only be successful for a subset of the census cohort, resulting in missing data. For survival analysis, differential ascertainment of event times can impact inference on risk associations and median survival.

METHODS

We modify some existing approaches that are commonly used to handle missing survival times to accommodate this imperfect linkage situation including complete case analysis, censoring, weighting, and several multiple imputation methods. We then conduct simulation studies to compare the performance of the proposed approaches in estimating the associations of a risk factor or exposure in terms of hazard ratio (HR) and median survival times in the presence of missing survival times. The effects of different missing data mechanisms and exposure-survival associations on their performance are also explored. The approaches are applied to a historic cohort of residents in Ambler, PA, established using the 1930 US census, from which only 2,440 out of 4,514 individuals (54%) had death records retrievable from publicly available data sources and death certificates. Using this cohort, we examine the effects of occupational and paraoccupational asbestos exposure on survival and disparities in mortality by race and gender.

RESULTS

We show that imputation based on conditional survival results in less bias and greater efficiency relative to a complete case analysis when estimating log-hazard ratios and median survival times. When the approaches are applied to the Ambler cohort, we find a significant association between occupational exposure and mortality, particularly among black individuals and males, but not between paraoccupational exposure and mortality.

DISCUSSION

This investigation illustrates the strengths and weaknesses of different imputation methods for missing survival times due to imperfect linkage of the administrative or registry data. The performance of the methods may depend on the missingness process as well as the parameter being estimated and models of interest, and such factors should be considered when choosing the methods to address the missing event times.

Using exterior housing conditions to predict elevated pediatric blood lead levels

Housing-based lead paint dust is the most common source of lead exposure for US-born children. Although year of housing construction is a critical indicator of the lead hazard to US children, not all housing of the same age poses the same risk to children. Additional information about housing condition is required to differentiate the housing-based lead risk at the parcel level. This study aimed to identify and assess a method for gathering and using observations of exterior housing conditions to identify active housing-based lead hazards at the parcel level. We used a dataset of pediatric blood lead observations (sample years 2000-2013, ages 6-72 months, n = 6,589) to assess associations between observations of exterior housing conditions and housing-based lead risk. We used graphical and Lasso regression methods to estimate the likelihood of an elevated blood lead observation (≥3.5 μg/dL). Our methods estimate a monotonic increase in the likelihood of an elevated blood lead observation as housing conditions deteriorate with the largest changes associated with homes in the greatest disrepair. Additionally we estimate that age of home construction works in consort with housing conditions to amplify risks among those houses built before 1952. Our analysis indicates that a survey of external housing conditions can be used in combination with age of housing in the identification process, at the parcel level, of homes that pose a housing-based lead hazard to children.

Childhood lead exposure is associated with lower cognitive functioning at older ages

The Flint, Michigan water crisis renewed concern about lead toxicity in drinking water. While lead in drinking water has been shown to negatively affect cognition among children, much less is known about its long-term consequences for late-life cognition. Using a nationally representative sample of U.S. older adults linked to historical administrative data from 1940, we find that older adults who lived as children in cities with lead pipes and acidic or alkaline water-the conditions required for lead to leach into drinking water-had worse cognitive functioning but not steeper cognitive decline. About a quarter of the association between lead and late-life cognition was accounted for by educational attainment. Within the next 10 years, American children exposed to high levels of lead during the 1970s will enter older ages. Our evidence highlights the need for stronger actions to identify interventions to mitigate long-term damage among people at high risk.

Drinking water, fracking, and infant health

This study assesses the health risks associated with drinking water contamination using variation in the timing and location of shale gas development (SGD). Our novel dataset, linking health and drinking water outcomes to shale gas activity through water sources, enables us to provide new estimates of the causal effects of water pollution on health and to isolate drinking water as a specific mechanism of exposure for SGD. We find consistent and robust evidence that drilling shale gas wells negatively impacts both drinking water quality and infant health. These results indicate large social costs of water pollution and provide impetus for re-visiting the regulation of public drinking water.

Data overuse in aging research: Emerging issues and potential solutions

Aging and lifespan development researchers have been fortunate to have public access to many longitudinal datasets. These data are valuable and see high utilization, yet this has a considerable downside. Many of these are heavily overused. Overuse of publicly available datasets creates dependency among published research papers giving the false impression of independent contributions to knowledge by reporting the same associations over multiple papers. This is a potentially serious problem in the aging literature given the high use of a relatively small number of well-known studies. Any irregularities or sampling biases in this relatively small number of samples have outsize influence on perceived answers to key aging questions. We detail this problem, focusing on issues of dependency among studies, sampling bias and overfitting, and contradictory estimates of the same effect from the same data in independent publications. We provide solutions, including greater use of data sharing, pre-registrations, holdout samples, split-sample cross-validation, and coordinated analysis. We argue these valuable datasets are public resources that are being diminished by overuse, with parallels in environmental science. Taking a conservation perspective, we hold that these practices (pre-registration, holdout samples) can preserve data resources for future generations of researchers. (PsycInfo Database Record (c) 2022 APA, all rights reserved).

Environmental and health hazards of military metal pollution

An increasing body of literature has demonstrated that armed conflicts and military activity may contribute to environmental pollution with metals, although the existing data are inconsistent. Therefore, in this paper, we discuss potential sources of military-related metal emissions, environmental metal contamination, as well as routes of metal exposure and their health hazards in relation to military activities. Emission of metals into the environment upon military activity occurs from weapon residues containing high levels of particles containing lead (Pb; leaded ammunition), copper (Cu; unleaded), and depleted uranium (DU). As a consequence, military activity results in soil contamination with Pb and Cu, as well as other metals including Cd, Sb, Cr, Ni, Zn, with subsequent metal translocation to water, thus increasing the risk of human exposure. Biomonitoring studies have demonstrated increased accumulation of metals in plants, invertebrates, and vertebrate species (fish, birds, mammals). Correspondingly, military activity is associated with human metal exposure that results from inhalation or ingestion of released particles, as well as injuries with subsequent metal release from embedded fragments. It is also notable that local metal accumulation following military injury may occur even without detectable fragments. Nonetheless, data on health effects of military-related metal exposures have yet to be systematized. The existing data demonstrate adverse neurological, cardiovascular, and reproductive outcomes in exposed military personnel. Moreover, military-related metal exposures also result in adverse neurodevelopmental outcome in children living within adulterated territories. Experimental in vivo and in vitro studies also demonstrated toxic effects of specific metals as well as widely used metal alloys, although laboratory data report much wider spectrum of adverse effects as compared to epidemiological studies. Therefore, further epidemiological, biomonitoring and laboratory studies are required to better characterize military-related metal exposures and their underlying mechanisms of their adverse toxic effects.

Presence of fluoride in water diminishes fast the SPR peak of silver nanocrystals showing large red shift with quick sedimentation - A fast sensing and fast removal case

The medicinal use of fluoride is beneficial up to a low ppm level but regular ingestion at high doses show many adverse effects in human. Fluoride may get ingested through drinking water specially through ground water near the hilly regions, where fluoride content is huge. Hence, fluoride sensing and removal of it from water is very important as fluoride contaminated water is transparent and not easily detectable. Here, we have studied colorimetric and spectrophotometric techniques for sensing of fluoride along with its fast removal from water by using prepared saponin capped silver nanoparticles (AgNPs). Colorimetric study has confirmed the presence of fluoride ions in water samples above the colorimetric detection limit of 10 ppm. But spectroscopic sensing further provides more lower limit of sensing with the total removal of fluoride ions up to 1.2 ppm level. On repeating this this study 15 times, sensing and removal of fluoride is found to be well reproducible. The interaction of fluoride ions with silver nanoparticles has resulted in sedimentation of fluoride ions in the form of fluoride-nanoparticles complex and that interaction has been confirmed by FTIR spectral study of the sedimented part. EDX analysis has also provided the information of easy removal of the fluoride ions from water as presence of fluoride peak has been found in EDX spectra.

Effects of residual disinfectants on the redox speciation of lead(ii)/(iv) minerals in drinking water distribution systems

This study investigated the reaction kinetics on the oxidative transformation of lead(ii) minerals by free chlorine (HOCl) and free bromine (HOBr) in drinking water distribution systems. According to chemical equilibrium predictions, lead(ii) carbonate minerals, cerussite PbCO3(s) and hydrocerussite Pb3(CO3)2(OH)2(s), and lead(ii) phosphate mineral, chloropyromorphite Pb5(PO4)3Cl(s) are formed in drinking water distribution systems in the absence and presence of phosphate, respectively. X-ray absorption near edge spectroscopy (XANES) data showed that at pH 7 and a 10 mM alkalinity, the majority of cerussite and hydrocerussite was oxidized to lead(iv) mineral PbO2(s) within 120 minutes of reaction with chlorine (3 : 1 Cl2 : Pb(ii) molar ratio). In contrast, very little oxidation of chloropyromorphite occurred. Under similar conditions, oxidation of lead(ii) carbonate and phosphate minerals by HOBr exhibited a reaction kinetics that was orders of magnitude faster than by HOCl. Their end oxidation products were identified as mainly plattnerite β-PbO2(s) and trace amounts of scrutinyite α-PbO2(s) based on X-ray diffraction (XRD) and extended X-ray absorption fine structure (EXAFS) spectroscopic analysis. A kinetic model was established based on the solid-phase experimental data. The model predicted that in real drinking water distribution systems, it takes 0.6-1.2 years to completely oxidize Pb(ii) minerals in the surface layer of corrosion scales to PbO2(s) by HOCl without phosphate, but only 0.1-0.2 years in the presence of bromide (Br-) due the catalytic effects of HOBr generation. The model also predicts that the addition of phosphate will significantly inhibit Pb(ii) mineral oxidation by HOCl, but only be modestly effective in the presence of Br-. This study provides insightful understanding on the effect of residual disinfectant on the oxidation of lead corrosion scales and strategies to prevent lead release from drinking water distribution systems.

The Impact of the Flint Water Crisis on Fertility

Flint switched its public water source in April 2014, increasing exposure to lead and other contaminants. We compare the change in the fertility rate and in health at birth in Flint before and after the water switch to the changes in other cities in Michigan. We find that Flint fertility rates decreased by 12 % and that overall health at birth decreased. This effect on health at birth is a function of two countervailing mechanisms: (1) negative selection of less healthy embryos and fetuses not surviving (raising the average health of survivors), and (2) those who survived being scarred (decreasing average health). We untangle this to find a net of selection scarring effect of 5.4 % decrease in birth weight. Because of long-term effects of in utero exposure, these effects are likely lower bounds on the overall effects of this exposure.

The legacy lead deposition in soils and its impact on cognitive function in preschool-aged children in the United States

Surface soil contamination has been long recognized as an important pathway of human lead exposure, and is now a worldwide health concern. This study estimates the causal effects of exposure to lead in topsoil on cognitive ability among 5-year-old children. We draw on individual level data from the 2000 U.S. Census, and USGS data on lead in topsoil covering a broad set of counties across the United States. Using an instrumental variable approach relying on the 1944 Interstate Highway System Plan, we find that higher lead in topsoil increases considerably the probability of 5-year-old boys experiencing cognitive difficulties such as learning, remembering, concentrating, or making decisions. Living in counties with topsoil lead concentration above the national median roughly doubles the probability of 5-year-old boys having cognitive difficulties. Nevertheless, it does not seem to affect 5-year-old girls, consistent with previous studies. Importantly, the adverse effects of lead exposure on boys are found even in counties with levels of topsoil lead concentration considered low by the guidelines from the U.S. EPA and state agencies. These findings are concerning because they suggest that legacy lead may continue to impair cognition today, both in the United States and in other countries that have considerable lead deposition in topsoil.

Historical Census Record Linkage

For the past 80 years, social scientists have been linking historical censuses across time to study economic and geographic mobility. In recent decades, the quantity of historical census record linkage has exploded, owing largely to the advent of new machine-readable data created by genealogical organizations. Investigators are examining economic and geographic mobility across multiple generations, but also engaging many new topics. Several analysts are exploring the effects of early-life socioeconomic conditions, environmental exposures, or natural disasters on family, health and economic outcomes in later life. Other studies exploit natural experiments to gauge the impact of policy interventions such as social welfare programs and educational reforms. The new data sources have led to a proliferation of record linkage methodology, and some widespread approaches inadvertently introduce errors that can lead to false inferences. A new generation of large-scale shared data infrastructure now in preparation will ameliorate weaknesses of current linkage methods.

The Role of Children's Health in the Intergenerational Transmission of Economic Status

Intergenerational mobility is relatively low in the United States. Children who grow up in poverty are eight times more likely to live in poverty in adulthood than their counterparts who do not live in poverty. What is it about growing up in poverty that reduces the probability of economic success later in life? On average, children whose families live in poverty have lower levels of cognitive skills, noncognitive skills (e.g., behavior including perseverance and adaptability), and health, all of which contribute to earnings in adulthood. In this article, I examine the role children's health plays in intergenerational transmission of economic status from an economic perspective and in the context of a developed, high‐income country (the United States). Evidence suggests that the mechanisms by which parents’ income affects children's health include, but are not limited to, reduced access to health insurance and medical care, greater exposure to environmental toxins, inadequate nutrition, and greater family violence and stress. I conclude with evidence suggesting that public investments in children's health can reduce the intergenerational transmission of economic status and the inequality of the next generation in the United States, as well as in other less developed nations.

Long-run health consequences of air pollution: Evidence from Indonesia's forest fires of 1997

While many studies in the medical literature documented causal relationships between air pollution and negative health outcomes immediately following exposure, much less is known about the long run health consequences of pollution exposure. Using the 1997 Indonesian forest fires as a natural experiment, we estimate the long term effects of air pollution on health outcomes. We take advantage of the longitudinal nature of the Indonesia Family Life Survey (IFLS), which collects detailed individual data on a multitude of health outcomes, in both 1997 and 2007. We find significant negative effects of pollution, which persist in the long run. Men and the elderly are impacted the most, while children seem to recover almost completely from these early shocks. For the entire population, an extra standard deviation in the pollution level increases the likelihood of a poor general health status by almost 3%.

The Cognitive Effects of Micronutrient Deficiency: Evidence from Salt Iodization in the United States

Iodine deficiency is the leading cause of preventable mental retardation in the world today. The condition, which was common in the developed world until the introduction of iodized salt in the 1920s, is connected to low iodine levels in the soil and water. We examine the impact of salt iodization on cognitive outcomes in the US by taking advantage of this natural geographic variation. Salt was iodized over a short period of time beginning in 1924. We use military data collected during WWI and WWII to compare outcomes of cohorts born before and after iodization in localities that were naturally poor and rich in iodine. We find that for the one quarter of the population most deficient in iodine this intervention raised IQ by approximately one standard deviation. Our results can explain roughly one decade's worth of the upward trend in IQ in the US (the Flynn Effect). We also document a large increase in thyroid-related deaths following the countrywide adoption of iodized salt, which affected mostly older individuals in localities with high prevalence of iodine deficiency.

The Identification and Synthesis of Lead Apatite Minerals Formed in Lead Water Pipes

Phosphate is added to drinking water in the UK to minimise the release of lead from lead water pipes. The phosphate encourages the formation of insoluble lead apatites on the walls of the pipe. Hydroxylpyromorphite Pb5(PO4)3OH is the lead apatite that is most often used to model lead levels in tap water; however, its presence has not been confirmed. Our aims were to identify the lead pipe apatite and synthesise it. The synthetic mineral would then be used in future solubility studies to produce better predictions of lead levels in tap water. XRD and FTIR were used to characterise the minerals on a range of lead pipes. Pyromorphite and hydroxylpyromorphite were absent and instead a range of mixed calcium lead apatites were present. For every five lead ions in the general formula Pb5(PO4)3X between one and two ions were replaced with calcium and there was evidence of substitution ofPO43-by eitherCO32-orHPO42-. Calcium lead apatites with similar unit cell dimensions to those found on lead water pipes were then synthesised. The calcium : lead ratio in these reaction mixtures was in excess of 500 : 1 and the resulting crystals were shown by TEM to be nanosized rods and flakes. The synthetic apatites that most closely resembled the unit cell dimensions of the apatites on lead water pipes were shown to be Pb3.4Ca1.3(PO4)3Cl0.03OH0.97, Pb3.6Ca1.2(PO4)3Cl0.07OH0.93, and Pb3.6Ca1.2(PO4)3Cl0.27OH0.73.