Literature DB >> 32322724

A pediatric health risk assessment of children's toys imported from China into Nigeria.

Zelinjo Nkeiruka Igweze1, Osazuwa Clinton Ekhator2, Orish E Orisakwe3,4.   

Abstract

Trade liberalization led to the flooding of the Nigerian markets with ''made in China'' children's toys. Information about metal contamination in toys is vital to ensure the safety of children's product. This is a pediatric health risk assessment of three toxic metals (Pb, Cd and As) in children toys purchased from Nigerian market. Thirty cheap ''made in China'' toys were purchased from stores in Port Harcourt, Nigeria. Three toxic metals (Pb, Cd and As) in the thirty toys samples were determined by absorption spectrophotometry. Pb, Cd and As were present in all the toys at levels below the limits set by EU. The oral and dermal exposure risk assessment showed no significant non-carcinogenic and carcinogen health risks of public health concern. Some ''made in China'' toys imported into Nigeria may not add to the body burden of these metals in children.
© 2020 Published by Elsevier Ltd.

Entities:  

Keywords:  Biological Sciences; Children; Chronic exposure; Environmental Science; Health Sciences; Health risk assessments; Potential toxic metals; Public health

Year:  2020        PMID: 32322724      PMCID: PMC7171521          DOI: 10.1016/j.heliyon.2020.e03732

Source DB:  PubMed          Journal:  Heliyon        ISSN: 2405-8440


Introduction

Trace metals have been detected in toys and baby products (Levin et al., 2008). Lead and cadmium are used as stabilizers in certain plastics, paint color enhancers, or anti-corrosion agents in children's toys (Kumar and Pastore, 2007; Greenway and Gerstenberger, 2010; Al-Qutob et al., 2014). The restrictions on the use of lead has justified substitution with cadmium since it also prevents formation of hydrochloric which can degrade the polymer (Kumar and Pastore, 2007) but the justification for the use of arsenic in toys remain unclear although some suggest it may be due to certain color dyes. Metals may be released from toys through saliva during mouthing, sweat during dermal contact, or gastric fluids after partial ingestion (i.e., scraped coatings, fibers or textile, or broken sections) (Guney and Zagury, 2012). Mouthing in children is one important behavior that has been identified to expose them to environment chemicals. Babies and young children frequently mouth objects, including toys, resulting in saliva mobilization and oral exposure to toxic chemicals (Moya et al., 2004). Children and particularly infants are more vulnerable to heavy metal toxicity with compromised renal function, bone deformities, neurological disorders, gastrointestinal complications, cancer etc associated with exposure to these metals (Jarup, 2003; Habeler, 2008; MFMER, 2011). A ‘‘risk triangle’’ with metal-tainted children's toys, accessibility of the toys to children, and their vulnerability to exposure has been identified (IFCS, 2006). Young children and the developing fetus are especially vulnerable to the neurotoxic effects of Pb, and subtle effects on intelligence and attention occur even at very low exposure levels (Attina and Trasande, 2013). Fatal acute poisoning in a child was reported following ingestion of a charm with very high lead content (Levin et al., 2008). Even with the regulation of Pb and Cd contamination in children's products, recent research still showed ongoing contamination in toys (Guney and Zagury, 2013; Hillyer et al., 2014). Inorganic As is a carcinogen implicated in several cancers of the skin, lungs, liver, and bladder. Lower level of exposure can cause nausea and vomit, decreased production of red and white blood cells, abnormal heart rhythm, and damage to blood vessels. Chronic exposure to As can cause skin darkening and the appearance of small warts on the palms, soles, and torso (Ismail et al., 2017). The information about metal contamination in toys is vital to ensure the safety of children's product. Trade liberalization in Nigeria led to the flooding of the markets with all and sundry items including cheap children's toys from China. There have been earlier reports of high lead and cadmium levels in children's toys from China in the Nigerian market (Omolaoye et al., 2010; Oyeyeola et al., 2017). There were recalls of low-cost toys and jewelries by US. Consumer Protection Safety Commission (USCPSC) in 2007 and strict regulation for Pb in children products. This is pediatric health risk assessment of the levels of Pb, Cd and As in some ‘‘made in China’’ children's toys sold in Nigeria.

Materials and method

Sample collection

Using a market-basket method, thirty ‘made in China’ low cost toys were purchased from supermarket and street vendors in Port Harcourt, Nigeria from January–February 2018. The plastic toys included teethers, balloon, toy cars/planes, and rattles. The brittle/pliable toys consisted of playdough, crayon, and watercolor pen. The paint coating was scrapped from plastic toy car and building blocks.

Heavy metal assay

Toy's surface paint was removed by scraping with clean razor blades. In all sample mass ranged from 15–25mg. To avoid cross-contamination of samples, fresh razor blades were used for scraping of each toy new gloves and underlying paper on the lab bench to prevent contamination. Samples were placed in test tubes and 5 mL trace metal grade nitric acid was added, along with two small boiling chips. After initial heating at 90–100 °C until fuming stopped, samples were placed in an oil bath or heating block for vigorous digestion at more than 120 °C for 3 h (Weidenhamer, 2009). Samples were cooled and diluted to 25 mL in volumetric flasks, rinsing 4 times with 4 mL portions of water, transferring as much residue as possible. After dilution to volume, samples settled at least 0.5 h before analysis. If needed, samples were diluted further with 5% trace metal grade nitric acid. The concentrations of Pb, Cd and As in toy samples were analyzed in triplicates using an Atomic Absorption Spectrophotometer (Perkin Elmer AAS-700).

Quality control

The range of the calibration curve was used to calculate the range of application. Samples were also diluted and reanalysed when necessary to fit within the range of the calibration curve. The accuracy of the method was determined by analysis of a soil Certified Reference Material (CRM) (TraceCERT® 16595 for Pb, 51994 for Cd and 39436 for As). The results of this CRM analysis are required to be within the 95% confidence interval of the corresponding certified values. Furthermore, the relative standard deviation (RSD) was measured in triplicate analyses of the CRM under repeatability conditions. The CRM was also used as quality control sample in each series of measurements. The RSD between replicate analyses was less than 4%.

Human health risk assessment

Human Health Risk Assessment was undertaken using methodologies proposed by the United States environmental protection (U.S. EPA, 1991). This USEPA model as described in the Risk Assessment Information System (RAIS), 2007 (http://rais.ornl.gov/), supported by the Toxicological profiles developed by the USEPA Integrated Risk Information System (IRIS) (http://cfpub.epa.gov/ncea/iris/index.cfm) and by the US Agency for Toxic Substances and Disease Registry – Toxicological profiles (ATSDR) (http://www.atsdr.cdc.gov/toxfaq.html) were all employed in the pediatric health risk assessment Table 1.
Table 1

Description of the variables in Health Risk Assessment.

ParametersDescriptionValueUnitSource
THQTarget Hazard Quotient---
TTHQTotal Target Hazard Quotient---
ADIAverage Daily Intake---
CSConcentration of Metal-mg/kgFrom this study
ingIngestion Rate (Child)0.0002kg/day
EDncExposure Duration for Non-Carcinogenic6yearsRAIS 2013
EDcExposure Duration for Carcinogenic70yearsUSEPA (2007)
EFExposure Frequency365Days/yearsUSEPA (2007)
ATncAverage Time of Exposure for Non-Carcinogenic ElementEDnc ×365=2190daysRAIS 2013
ATcAverage Time of Exposure for Carcinogenic ElementEDc ×365= 25550daysRAIS 2013
BWBody Weight15kgRAIS 2013
SASurface Area2100cm2
ABSAbsorption Factor0.001,0.03mg/cm2USEPA (2004)
CFConversion Factor1×100kg/mgUSEPA (2004)
AFAdherence Factor0.2mgm1-
RFDReference Dose-mg/kgdayRAIS 2013
CSFCancer Slope Factor-mg/kgdayRAIS 2013
Description of the variables in Health Risk Assessment.

Oral exposure to heavy metal in toys

Dermal exposure to heavy metal in toys

Non-carcinogenic risk assessment

Non-carcinogenic hazards are characterized by a term called hazard quotient (HQ). HQ is a unitless number that is expressed as the probability of an individual suffering an adverse effect. It is defined as the quotient of ADI or dose divided by the toxicity threshold value, which is referred to as the chronic reference dose (RfD) in mg/kg-day of a specific heavy metal as shown in Eq. (3) (U.S. EPA, 2004). The non-carcinogenic effect to the population is as a result of the summation of all the THQs due to individual heavy metals or Hazard Index (HI) as described by USEPA document (U.S. EPA, 2004). Eq. (4) shows the mathematical representation of this parameter:

Carcinogenic risk assessment

The lifetime cancer risk was calculated using: Where Risk is a unitless probability of an individual developing cancer over a lifetime. ADIk (mg/kg/day) and CSFk (mg/kg/day) are the average daily intake and the cancer slope factor, respectively for the k heavy metal, for n number of heavy metals. The slope factor converts the estimated daily intake of the heavy metal averaged over a lifetime of exposure directly to incremental risk of an individual developing cancer (U.S. EPA, 2004). The total excess lifetime cancer risk for an individual is finally calculated from the average contribution of the individual heavy metals for all the pathways using the following equation:where Risk (ing) and Risk (dermal) are risks contributions through ingestion and dermal pathways. Both non-carcinogenic and carcinogenic risk assessment of heavy metals are calculated using RfD and CSF values derived are shown in Table 2.
Table 2

Oral and Dermal Reference dose (Rfd) for no-carcinogenic and cancer slope factor (CSF).

MetalOral RfdDermal RfdCSF oralCSF dermal
Pb0.0035(c)0.0005(a)0.0085(a)-
Cd0.001(c)0.00005(c)0.38(b)-
As0.0003(c)0.00012(c)1.5(a)1.5(a)

= RAIS (2013) Risk assessment information system.

= Walkes and Rehm (1994).

= AERIS Software Inc., 1991.

Oral and Dermal Reference dose (Rfd) for no-carcinogenic and cancer slope factor (CSF). = RAIS (2013) Risk assessment information system. = Walkes and Rehm (1994). = AERIS Software Inc., 1991.

Results

Metal levels in the toys sample are shown in Table 3. All the 30 toy samples analyzed were found to contain Pb (4.16–9.747), Cd (1.942–6.50) and As (1.459–6.318 mg/kg). The highest Pb, Cd and As levels were found in samples (Donkey -9.747 mg/kg), (Balls -6.50 mg/kg) and (Toy rabbit -6.318 mg/kg) respectively. Whereas the lowest levels of Pb, Cd and As were detected in (Teddy bear - 4.16 mg/kg), (Bird - 1.942 mg/kg) and (Fischerpince rattle - 1.459 mg/kg) respectively.
Table 3

Pb, Cd and As levels (mg/kg) in children's toys.

SampleDescriptionPbCdAs
EU Regulation90 mg/kg23 mg/kg47 mg/kg
A1Toy ant6.4354.2462.184
A2Ball 17.1274.1963.659
A3Ball 25.6186.53.527
A4Toy duck5.1524.2762.572
A5Aircraft6.3983.5131.723
A6Jelly fish toy4.5562.2644.252
A7Dolphin toy7.8225.1832.764
A8Toy feeding bottle6.4964.3972.492
A9Bird5.3831.9423.205
A10Bat man4.6923.2824.365
A11Donkey9.7476.2573.175
A12Teddy bear4.162.4821.586
A13Baby rattle8.5052.2184.642
A14Baby 17.2135.3544.294
A15Baby 28.7623.8275.108
A16Toy frog9.2185.3424.361
A17Power rangers8.1846.2873.813
A18Toy sheep7.6434.12.642
A19Toy rabbit8.1615.0826.318
A20Pacifier8.3744.7354.273
A21Fischerpince rattle6.4533.5171.459
A22Mask 16.2182.1785.111
A23Mask 27.8323.662.253
A24Toy cat6.2492.8353.643
A25Toy spider8.1774.7995.432
A26Toy bee5.6595.2553.182
A27Robot7.2723.7231.499
A284 hand reptile6.1493.5384.386
A29Policeman4.5924.5922.178
A30Pig head5.3535.3532.947
Pb, Cd and As levels (mg/kg) in children's toys. The oral and dermal Chronic Daily Intake CDI target hazard Quotient (THQ) and total target hazard Quotient (TTHQ) of Pb, Cd and As are shown in Table 4. The THQ and TTHQ of Pb, Cd and As were less than 1 with the highest oral and dermal THQ seen in Toy (Toy rabbit with value 0.364 and 0.045) respectively suggesting no significant health risk from heavy metal exposure in toys.
Table 4

Oral and dermal Chronic Daily Intake CDI (mg/kg/bw/dy), Target Hazard Quotient (THQ) and Total Target Hazard Quotient (TTHQ) of Pb, Cd and As in children toys.

SampleOral
Dermal
CDI
THQ
TTHQCDI
THQ
TTHQ
PbCdAsPbCdAsPbCdAsPbCdAs
A18.2E-055.4E-052.8E-050.02350.05430.09310.1711.7E-071.1E-071.8E-060.000330.00230.01430.017
A29.1E-055.4E-054.7E-050.0260.05370.1560.2361.9E-071.1E-072.9E-060.000370.00230.0240.027
A37.2E-058.3E-054.5E-050.02050.08310.15030.2541.5E-071.7E-072.8E-060.000290.00350.02310.027
A46.6E-055.5E-053.3E-050.01880.05470.10960.1831.4E-071.1E-072.1E-060.000270.00230.01680.019
A58.2E-054.5E-052.2E-050.02340.04490.07340.1421.7E-079.4E-081.4E-060.000330.00190.01130.014
A65.8E-052.9E-055.4E-050.01660.02890.18120.2271.2E-076.1E-083.4E-060.000240.00120.02780.029
A70.00016.6E-053.5E-050.02860.06630.11780.2132.1E-071.4E-072.2E-060.00040.00280.01810.021
A88.3E-055.6E-053.2E-050.02370.05620.10620.1861.7E-071.2E-072E-060.000340.00240.01630.019
A96.9E-052.5E-054.1E-050.01970.02480.13660.1811.4E-075.2E-082.6E-060.000280.0010.0210.022
A106E-054.2E-055.6E-050.01710.0420.1860.2451.3E-078.8E-083.5E-060.000240.00180.02860.031
A110.000128E-054.1E-050.03560.080.13530.2512.6E-071.7E-072.6E-060.00050.00340.02080.025
A125.3E-053.2E-052E-050.01520.03170.06760.1151.1E-076.7E-081.3E-060.000210.00130.01040.012
A130.000112.8E-055.9E-050.03110.02840.19780.2572.3E-076E-083.7E-060.000440.00120.03040.032
A149.2E-056.8E-055.5E-050.02640.06840.1830.2781.9E-071.4E-073.5E-060.000370.00290.02810.031
A150.000114.9E-056.5E-050.0320.04890.21770.2992.4E-071E-074.1E-060.000450.00210.03340.036
A160.000126.8E-055.6E-050.03370.06830.18590.2882.5E-071.4E-073.5E-060.000480.00290.02860.032
A170.00018E-054.9E-050.02990.08040.16250.2732.2E-071.7E-073.1E-060.000420.00340.0250.029
A189.8E-055.2E-053.4E-050.02790.05240.11260.1932.1E-071.1E-072.1E-060.000390.00220.01730.02
A190.00016.5E-058.1E-050.02980.0650.26930.3642.2E-071.4E-075.1E-060.000420.00270.04140.045
A200.000116.1E-055.5E-050.03060.06050.18210.2732.2E-071.3E-073.4E-060.000430.00250.0280.031
A218.3E-054.5E-051.9E-050.02360.0450.06220.1311.7E-079.4E-081.2E-060.000330.00190.00960.012
A228E-052.8E-056.5E-050.02270.02780.21780.2681.7E-075.8E-084.1E-060.000320.00120.03350.035
A230.00014.7E-052.9E-050.02860.04680.0960.1712.1E-079.8E-081.8E-060.00040.0020.01480.017
A248E-053.6E-054.7E-050.02280.03620.15530.2141.7E-077.6E-082.9E-060.000320.00150.02390.026
A250.00016.1E-056.9E-050.02990.06140.23150.3232.2E-071.3E-074.4E-060.000420.00260.03560.039
A267.2E-056.7E-054.1E-050.02070.06720.13560.2231.5E-071.4E-072.6E-060.000290.00280.02080.024
A279.3E-054.8E-051.9E-050.02660.04760.06390.1382E-071E-071.2E-060.000380.0020.00980.012
A287.9E-054.5E-055.6E-050.02250.04520.18690.2551.7E-079.5E-083.5E-060.000320.00190.02870.031
A295.9E-055.9E-052.8E-050.01680.05870.09280.1681.2E-071.2E-071.8E-060.000240.00250.01430.017
A306.8E-056.8E-053.8E-050.01960.06840.12560.2141.4E-071.4E-072.4E-060.000280.00290.01930.022
Oral and dermal Chronic Daily Intake CDI (mg/kg/bw/dy), Target Hazard Quotient (THQ) and Total Target Hazard Quotient (TTHQ) of Pb, Cd and As in children toys. Table 5 show the oral and dermal cancer risk, total cancer risk (TCR) and hazard Index (HI). The HI of Pb, Cd and As from via oral and dermal routes ranged from 0.126-0.409 indicating es no significant non-carcinogenic health risk. The total cancer risk (TCR) of Pb, Cd and As were within the generally acceptable risk range of .
Table 5

Oral and Dermal cancer risk, Total Cancer and Hazard index of Pb, Cd and As in children toys.

SampleOral Cancer Risk
Dermal Cancer Risk
Total Cancer RiskHazard index
PbCdAsAs
A17E-072.1E-054.2E-052.6E-066.6E-050.188
A27.8E-072E-057E-054.4E-069.6E-050.262
A36.1E-073.2E-056.8E-054.3E-060.00010.281
A45.6E-072.1E-054.9E-053.1E-067.4E-050.202
A57E-071.7E-053.3E-052.1E-065.3E-050.155
A65E-071.1E-058.2E-055.1E-069.8E-050.256
A78.5E-072.5E-055.3E-053.3E-068.3E-050.234
A87.1E-072.1E-054.8E-053E-067.3E-050.205
A95.9E-079.5E-066.2E-053.9E-067.5E-050.203
A105.1E-071.6E-058.4E-055.3E-060.000110.276
A111.1E-063E-056.1E-053.8E-069.6E-050.276
A124.5E-071.2E-053E-051.9E-064.5E-050.126
A139.3E-071.1E-058.9E-055.6E-060.000110.289
A147.9E-072.6E-058.3E-055.2E-060.000110.309
A159.5E-071.9E-059.8E-056.2E-060.000120.335
A161E-062.6E-058.4E-055.3E-060.000120.32
A178.9E-073.1E-057.3E-054.6E-060.000110.302
A188.3E-072E-055.1E-053.2E-067.5E-050.213
A198.9E-072.5E-050.000127.6E-060.000150.409
A209.1E-072.3E-058.2E-055.2E-060.000110.304
A217E-071.7E-052.8E-051.8E-064.8E-050.143
A226.8E-071.1E-059.8E-056.2E-060.000120.303
A238.5E-071.8E-054.3E-052.7E-066.5E-050.189
A246.8E-071.4E-057E-054.4E-068.9E-050.24
A258.9E-072.3E-050.00016.6E-060.000140.361
A266.2E-072.6E-056.1E-053.9E-069.1E-050.247
A277.9E-071.8E-052.9E-051.8E-065E-050.15
A286.7E-071.7E-058.4E-055.3E-060.000110.286
A295E-072.2E-054.2E-052.6E-066.7E-050.185
A305.8E-072.6E-055.7E-053.6E-068.7E-050.236
Oral and Dermal cancer risk, Total Cancer and Hazard index of Pb, Cd and As in children toys.

Discussion

Children's toys may be source of heavy metals. Lead exposure has been implicated in the impairment of cognitive development in children (Jusko et al., 2008; Kaufman et al., 2014) whereas exposure to cadmium and arsenic may give rise to neurodevelopment problems and behavioral disorders in children (Rodríguez-Barranco et al., 2013). These metals are used in stabilizing and recycling of the plastics in addition to being applied in the attractive paint colours of the toys (Guney and Zagury, 2012; Rastogi and Pritzl, 1996). Mouthing of non-food item which peaks at 6-12-month age (39–66 min/day) is a common behavior of children plays the unwanted role of children exposure to these metals (Guney and Zagury, 2014; Smith and Norris, 2003). According to US CPSC, 0.06% Pb by weight, or 600 ppm was chosen as the permissible limit of Pb in paint on items intended for children (United states Consumer Product Safety Commission, 2019) but was further reduced to 0.009% (Library of Congress, 2008). The Pb, Cd and As levels in all the toys in this study were below the limit set by the European Union migration units for toy safety which includes Pb (90 mg/kg), Cd (23 mg/kg) and As (47 mg/kg) (European Council, 2009). There were higher Pb levels than Cd and As probably due to the preference for Pb because of its better stabilizing property than the other metals preventing free chlorine radicals in polyvinyl chloride PVC from reacting with hydrogen radicals to form hydrochloric acid (Tuczai and Cortolano, 1992). Although some manufactures have substituted Pb for Cd in stabilizing PVC in children products because of reported Pb toxicity, the substitution of Pb with Cd in children's toys may also pose a health threat. Pb, Cd and As levels in this study were lower than previously reported data by other researchers in Nigeria and other countries. Studies by Omolaoye et al. in 2010 from Nigeria reported higher level Pb and Cd in the range of 2.50–1445.00 mg/kg and 0.50–373.3 mg/kg respectively. Another study by Oyeyeola et al. (2017) also in Nigeria detected high levels of Pb and Cd in a range of 36.1–106 mg/kg and 3.55–40.7 mg/kg respectively. Elsewhere other studies have reported higher levels of Pb, Cd and As than values detected in our study Hillyer et al. (2014); Mateus-Garcia and Ramos-Bonilla (2014); Cui et al., (2015), Ismail et al., (2017) and Negev et al., (2018).bib_Negev_et_al_2018 The metal levels in our study coupled with reports from studies done by Oyeyeola et al., (2017) (Pb-36.1-106 mg/kg) and Ismail et al., 2017(Pb- 1.50-171.67 mg/kg) show there is a decrease in the levels of these metals in children toys when compared with studies before and immediately after the recalls of low-cost toy and jewelry in 2007 by US CPSC in 2007 and strict regulation for Pb in children products. In 2007 alone nearly 6 million toys were recalled in the US (Schmidt, 2008). In 2010, 12 million Mc Donald's cups were recalled due to Cadmium content in the painted coating (CPSC, 2010). Also, in 2010 bracelet were voluntarily recalled due to high levels of Cd. The THQ, TTHQ, and HI of Pb, Cd and As in the children toys, via oral and dermal exposures were below the threshold of 1. The carcinogenic health risks of these metals were within the acceptable limit . Although Pb, Cd and As determined in this study did not show any significant health risk but bioaccumulation after chronic exposure may pose health risk in children especially for Pb which has no safe levels in blood.

Conclusion

There were low levels of Pb, Cd and As in some ‘‘made in China’’ toys lately imported into Nigeria.

Declarations

Author contribution statement

O. Orisakwe: Conceived and designed the experiments; Analyzed and interpreted the data; Wrote the paper Z. Igweze: Performed the experiments; Contributed reagents, materials, analysis tools or data. O. Ekhator: Analyzed and interpreted the data; Wrote the paper.

Funding statement

This research did not receive any specific grant from funding agencies in the public, commercial, or not-for-profit sectors.

Competing interest statement

The authors declare no conflict of interest.

Additional information

No additional information is available for this paper.
  20 in total

1.  An evaluation of lead contamination in plastic toys collected from day care centers in the Las Vegas Valley, Nevada, USA.

Authors:  Joseph A Greenway; Shawn Gerstenberger
Journal:  Bull Environ Contam Toxicol       Date:  2010-08-19       Impact factor: 2.151

2.  Lead contamination of inexpensive seasonal and holiday products.

Authors:  Jeffrey D Weidenhamer
Journal:  Sci Total Environ       Date:  2008-12-17       Impact factor: 7.963

3.  Presence of lead in paint of toys sold in stores of the formal market of Bogotá, Colombia.

Authors:  A Mateus-García; J P Ramos-Bonilla
Journal:  Environ Res       Date:  2013-12-17       Impact factor: 6.498

4.  States take the lead for safer toys.

Authors:  Janet Haebler
Journal:  Am Nurse       Date:  2008 May-Jun

5.  Migration of some toxic metals from crayons and water colors.

Authors:  S C Rastogi; G Pritzl
Journal:  Bull Environ Contam Toxicol       Date:  1996-04       Impact factor: 2.151

Review 6.  Association of arsenic, cadmium and manganese exposure with neurodevelopment and behavioural disorders in children: a systematic review and meta-analysis.

Authors:  Miguel Rodríguez-Barranco; Marina Lacasaña; Clemente Aguilar-Garduño; Juan Alguacil; Fernando Gil; Beatriz González-Alzaga; Antonio Rojas-García
Journal:  Sci Total Environ       Date:  2013-04-09       Impact factor: 7.963

7.  Reducing the risk of choking hazards: mouthing behaviour of children aged 1 month to 5 years.

Authors:  Stuart A Smith; Beverley Norris
Journal:  Inj Control Saf Promot       Date:  2003-09

Review 8.  Hazards of heavy metal contamination.

Authors:  Lars Järup
Journal:  Br Med Bull       Date:  2003       Impact factor: 4.291

9.  Children's exposure to harmful elements in toys and low-cost jewelry: characterizing risks and developing a comprehensive approach.

Authors:  Mert Guney; Gerald J Zagury
Journal:  J Hazard Mater       Date:  2014-02-20       Impact factor: 10.588

10.  Economic costs of childhood lead exposure in low- and middle-income countries.

Authors:  Teresa M Attina; Leonardo Trasande
Journal:  Environ Health Perspect       Date:  2013-06-25       Impact factor: 9.031

View more
  1 in total

1.  Release of Heavy Metals from Plastic Statuettes Used as Souvenirs and/or Toys Handled by Children.

Authors:  Pietro Pandolfi; Maria Pia Sammartino; Giovanni Visco; Pasquale Avino; Virgilio Stillittano
Journal:  Int J Environ Res Public Health       Date:  2021-12-26       Impact factor: 3.390

  1 in total

北京卡尤迪生物科技股份有限公司 © 2022-2023.