Review  |   June 2017
One Health: Children, Waterfowl, and Lead Exposure in Northwestern Nigeria
Author Notes
  • From Midwestern University Chicago College of Osteopathic Medicine in Downers Grove, Illinois (Drs Edwards, Nichols, and Prozialeck) and Midwestern University Arizona College of Osteopathic Medicine in Glendale (Drs Fossum, Noah, and Tarpley). Drs Noah and Tarpley are associated with the Midwestern University One Health Center. 
  • Financial Disclosures: None reported. 
  • Support: None reported. 
  •  *Address correspondence to Joshua R. Edwards, PhD, Midwestern University Chicago College of Osteopathic Medicine, 555 31st St, Downers Grove, IL 60515-1235. E-mail: jedwar@midwestern.edu
     
Article Information
Pediatrics
Review   |   June 2017
One Health: Children, Waterfowl, and Lead Exposure in Northwestern Nigeria
The Journal of the American Osteopathic Association, June 2017, Vol. 117, 370-376. doi:10.7556/jaoa.2017.075
The Journal of the American Osteopathic Association, June 2017, Vol. 117, 370-376. doi:10.7556/jaoa.2017.075
Abstract

The One Health concept focuses on the interrelationship between the health of humans, animals, and the environment. There is a delicate balance among these relationships, and when an imbalance exists, the effects can be catastrophic. Such an imbalance occurred in 2010, when elevated lead exposure in rural communities in northwestern Nigeria resulted in the deaths of an estimated 400 children younger than 5 years in a 12-month period. Before the children became ill, waterfowl began to die in great numbers, a connection that would not be realized until much later. This review covers toxicodynamics and the neurotoxic effects of lead in the developing central nervous system, the role that animals can play in recognizing lead exposure and contamination, and environmental sources of lead exposure. The experiences in Nigeria may be especially pertinent to the emerging problems associated with lead exposure and poisoning in the United States.

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