Blood Lead Levels in Children Aged 0–6 Years Old in Hunan Province, China from 2009–2013

OBJECTIVES The aim of this study is to describe blood lead levels (BLLs) and the prevalence of elevated blood lead levels (EBLLs) in children aged 0-6 years old and to analyze the BLL trend in children from 2009 to 2013 in China. METHODS A total of 124,376 children aged 0-6 years old were recruited for this study from January 1st 2009 to December 31st 2013. Their blood lead levels were analyzed using atomic absorption spectrometry. RESULTS The median BLL was 64.3 μg/L (IQR: 49.6-81.0), and the range was 4.3-799.0 μg/L. Blood lead levels were significantly higher in boys (66.0 μg/L) than in girls (61.9 μg/L) (P<0.001). The overall prevalence of BLLs≥100 μg/L was 10.54% in children aged 0-6 years in Hunan Province. Between 2009 and 2013, the prevalence of EBLLs (≥100 μg/L) decreased from 18.31% to 4.26% in children aged 0-6 years and increased with age. The prevalence of EBLLs has dramatically decreased in two stages (2009-2010 and 2012-2013), with a slight fluctuation in 2010 and 2011. CONCLUSIONS Both BLLs and the prevalence of EBLLs in children aged 0-6 years old declined substantially from 2009 to 2013 in Hunan Province; however, both remain at unacceptably high levels compared to developed countries. Comprehensive strategies are required to further reduce blood lead levels in children.