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Biomedical subjects

C Staes

Publications and source records attributed to C Staes.

6 recordsLinked to original sources
PubMed1994

Retrospective study of the impact of lead-based paint hazard remediation on children's blood lead levels in St. Louis, Missouri.

A retrospective follow-up study was conducted to evaluate the effectiveness of lead-based paint hazard remediation in reducing children's blood lead levels. The authors reviewed existing St. Louis, Missouri, City Health Department records, identified 185 children younger than age 6 years who had blood lead levels > or = 25 micrograms/dl during 1989 or 1990, and compared changes in blood lead levels among children whose dwellings did and those whose dwellings did not undergo remediation. Among 54 children who had not moved or received chelation therapy and whose blood lead levels were measured 10-14 months after diagnosis, the geometric mean blood lead level decreased 23% among children living in remediated dwellings (n = 37) and 12% among children in nonremediated dwellings (n = 17) (p = 0.07, t test). The estimated size of the remediation effect was similar using multiple regression (-13%; 95% confidence interval (CI) -25 to 1; p = 0.06) and an approach based on generalized estimating equations (-16%, 95% CI -25 to -7; p = 0.002), when adjusted for covariates. The effect of remediation was greater among children whose blood lead levels at diagnosis were > or = 35 micrograms/dl (-22%) than among those whose blood lead levels at diagnosis were between 25 and 34 micrograms/dl (-1%). Among lead-poisoned children in St. Louis, children whose dwellings undergo lead-based paint hazard remediation have a greater decline in geometric mean blood lead level than do children whose dwellings do not, but the effect of remediation may be influenced by the blood lead level at diagnosis.

Child, Preschool↗
PubMed1994

Deaths due to flash floods in Puerto Rico, January 1992: implications for prevention.

BACKGROUND: In January 1992, the Commonwealth of Puerto Rico sustained unusually heavy rainfall, which caused flash floods and deaths. METHODS: We conducted a descriptive study and a case-control study to determine the circumstances of these deaths and to identify mortality-prevention strategies. We describe the time, place, and circumstances of each death, and compare this information with water-level and rainfall data and the timing of warnings. Using controls selected from the affected population, we estimated the risk of death by age, sex, and vehicle occupancy during the flood. RESULTS: Within 7 hours, 23 people died in 17 incidents; 20 of the decedents (87%) were occupants of motor vehicles. The estimated risk of mortality was significantly elevated for motorists (odds ratio = 16, 95% confidence interval: 3.5-144). Being in a vehicle to evacuate a flash flood area was protective; however, being in a vehicle during the flood for other reasons further increased the risk of mortality. Deaths occurred early during the rapid rise of water and before official warnings were issued. CONCLUSION: We recommend improving the sensitivity of the warning system and its ability to disseminate appropriate information rapidly. We also recommend educating officials and the public about the risks of driving on flooded roads and in potential flash flood conditions; and about the unique flash flood risks associated with specific topographical features in their region.

Adolescent↗