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A Lead Poisoning Outbreak in Nigeria, Plumbism and Anemia

Over 400 Nigerian children have died from lead poi­soning this year, the Times reported yes­terday. The out­break is cen­tered in five vil­lages in the north­western state of Zamfara.

Small-​​scale gold mining in the region leads to lead tox­icity, as follows: “In an attempt to extract gold from ore rich with lead, miners crush and dry the ore, often inside their own homes. The soil and in some cases the ground­water get con­t­a­m­i­nated,” according to an Oct 5 field report from Doctors Without Borders/​Médecins Sans Fron­tières (MSF).

I learned long ago that lead poi­soning is some­times called plumbism, stemming from plumbum, the Latin term for lead (Pb, atomic number 82), a metal used by plumber. A rarer term is Sat­urnism, based on the metal’s asso­ci­ation with the planet and ancient Roman god.

Now, in the U.S., lead poi­soning most com­monly comes from envi­ron­mental toxins like lead-​​based paint. It affects children, who may eat flakes of peeling, lead-​​based paint or acci­den­tally ingest lead by licking or eating toys or jewelry that contain this toxic metal. The problem occurs in adults, too, typ­i­cally from unknown sources.

The EPA pro­vides some helpful infor­mation on its website. Lead poi­soning can be subtle; common symptoms are fatigue and poor con­cen­tration. Doctors may detect anemia, and upon inspection of a patient’s red blood cells might find char­ac­ter­istic basophilic stip­pling. The National Institute of Envi­ron­mental Health Sci­ences (NIEHS) reports that lead tox­icity declined dra­mat­i­cally from 1980 to 2000 in the U.S.

lead poi­soning; arrows point to char­ac­ter­istic basophilic stip­pling (attr: Herbert L. Fred, MD and Hendrik A. van Dijk, Wiki­media Commons)

In northwest Nigeria, MSF workers are treating some of the affected children and nursing mothers with chelating agents; these metal-​​binding com­pounds clear lead from the blood­stream and, to some extent, remove it from body organs where it’s already deposited. The World Health Orga­ni­zation (WHO) issued a bul­letin on lead poi­soning from gold-​​mining in Nigeria in June, 2010.

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