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CoNaMad—Cohorte de Nacimiento de Madre de Dios / Madre de Dios Birth Cohort to Study Effects of in-utero Trace Metals Exposure in the Southern Peruvian Amazon
Background: In-utero exposure to mercury and other trace metals pose a significant threat to child health and development, but exposures and health impacts in artisanal and small-scale gold mining (ASGM) environments are poorly defined.Objectives: We describe the CONAMAD study design, a prospective...
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Published in: | Annals of global health 2021-01, Vol.87 (1), p.69-69 |
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creator | Pan, William K. Weinhouse, Caren Ortiz, Ernesto J. Berky, Axel J. Fixsen, Emma Mallipudi, Andres Feingold, Beth J. Navio, Suzy Rivera, Nelson A. Hsu-kim, Heileen Miranda, J. Jaime |
description | Background: In-utero exposure to mercury and other trace metals pose a significant threat to child health and development, but exposures and health impacts in artisanal and small-scale gold mining (ASGM) environments are poorly defined.Objectives: We describe the CONAMAD study design, a prospective birth cohort consisting of multiparous women (18 and over) living in rural and peri-urban Peruvian Amazon communities exposed to ASGM.Methods: Pregnant women are enrolled from health posts across four zones of Madre de Dios, Peru. Data are collected at enrollment, childbirth, and (planned) 36-48 months. At enrollment, hair samples for mercury assessment, demographic and clinical data are obtained. At birth, we obtain venous and cord blood, placenta, hair, toenails, and saliva.Findings: Two hundred seventy mothers were enrolled at an average 20 weeks gestational age with no differences in maternal characteristics across zones. Two hundred fifteen mothers were successfully followed at birth. We obtained 214 maternal and cord blood samples, 211 maternal and 212 infant hair samples, 212 placenta samples, 210 infant saliva samples, and 214 infant dried blood spots. Data collected will allow for testing our primary hypotheses of maternal malnutrition modifying ratios of cord:maternal blood total mercury (tHg), cord blood:maternal hair tHg, and infant:maternal hair tHg, and whether chemical mixtures (Hg, Pb, Cd) have synergistic effects on infant neurodevelopment.Conclusions: CONAMAD is designed to collect and store samples for future processing and hypothesis testing associated with in-utero mercury exposure and child development. We have completed the exposure assessments and will conduct a follow-up of mothers to evaluate early child development outcomes, including developmental delay and growth. These data offer insights into disease mechanisms, exposure prevention, and policyguidance for countries where ASGM is prevalent. |
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Jaime</creator><creatorcontrib>Pan, William K. ; Weinhouse, Caren ; Ortiz, Ernesto J. ; Berky, Axel J. ; Fixsen, Emma ; Mallipudi, Andres ; Feingold, Beth J. ; Navio, Suzy ; Rivera, Nelson A. ; Hsu-kim, Heileen ; Miranda, J. Jaime</creatorcontrib><description>Background: In-utero exposure to mercury and other trace metals pose a significant threat to child health and development, but exposures and health impacts in artisanal and small-scale gold mining (ASGM) environments are poorly defined.Objectives: We describe the CONAMAD study design, a prospective birth cohort consisting of multiparous women (18 and over) living in rural and peri-urban Peruvian Amazon communities exposed to ASGM.Methods: Pregnant women are enrolled from health posts across four zones of Madre de Dios, Peru. Data are collected at enrollment, childbirth, and (planned) 36-48 months. At enrollment, hair samples for mercury assessment, demographic and clinical data are obtained. At birth, we obtain venous and cord blood, placenta, hair, toenails, and saliva.Findings: Two hundred seventy mothers were enrolled at an average 20 weeks gestational age with no differences in maternal characteristics across zones. Two hundred fifteen mothers were successfully followed at birth. We obtained 214 maternal and cord blood samples, 211 maternal and 212 infant hair samples, 212 placenta samples, 210 infant saliva samples, and 214 infant dried blood spots. Data collected will allow for testing our primary hypotheses of maternal malnutrition modifying ratios of cord:maternal blood total mercury (tHg), cord blood:maternal hair tHg, and infant:maternal hair tHg, and whether chemical mixtures (Hg, Pb, Cd) have synergistic effects on infant neurodevelopment.Conclusions: CONAMAD is designed to collect and store samples for future processing and hypothesis testing associated with in-utero mercury exposure and child development. We have completed the exposure assessments and will conduct a follow-up of mothers to evaluate early child development outcomes, including developmental delay and growth. These data offer insights into disease mechanisms, exposure prevention, and policyguidance for countries where ASGM is prevalent.</description><identifier>ISSN: 2214-9996</identifier><identifier>EISSN: 2214-9996</identifier><identifier>DOI: 10.5334/aogh.3152</identifier><identifier>PMID: 34327116</identifier><language>eng</language><publisher>Amsterdam: Ubiquity Press</publisher><subject>Anemia ; Births ; Blood ; Brain research ; Cadmium ; Childbirth & labor ; Cord blood ; Data collection ; Deforestation ; Enrollments ; Exposure ; Fetuses ; Funding ; Gestational age ; Gold mines & mining ; Hair ; Heavy metals ; Hospitals ; Hypertension ; Hypotheses ; Infants ; Intrauterine exposure ; Malnutrition ; Mercury ; Mercury (metal) ; Mothers ; Original Research ; Placenta ; Population ; Pregnancy ; Rural environments ; Saliva ; Scholarships & fellowships ; Synergistic effect ; Trace elements ; Trace metals ; Womens health</subject><ispartof>Annals of global health, 2021-01, Vol.87 (1), p.69-69</ispartof><rights>2021. This work is published under https://creativecommons.org/licenses/by/4.0 (the “License”). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><rights>Copyright: © 2021 The Author(s) 2021</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c446t-4bee0b91a57cf84c0d1c697b9bd47fa1f00dcb1783a1f6813ae14a316f0c2f613</citedby><cites>FETCH-LOGICAL-c446t-4bee0b91a57cf84c0d1c697b9bd47fa1f00dcb1783a1f6813ae14a316f0c2f613</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC8300581/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.proquest.com/docview/3093565154?pq-origsite=primo$$EHTML$$P50$$Gproquest$$Hfree_for_read</linktohtml><link.rule.ids>230,314,727,780,784,885,25753,27924,27925,37012,37013,38516,43895,44590,53791,53793</link.rule.ids></links><search><creatorcontrib>Pan, William K.</creatorcontrib><creatorcontrib>Weinhouse, Caren</creatorcontrib><creatorcontrib>Ortiz, Ernesto J.</creatorcontrib><creatorcontrib>Berky, Axel J.</creatorcontrib><creatorcontrib>Fixsen, Emma</creatorcontrib><creatorcontrib>Mallipudi, Andres</creatorcontrib><creatorcontrib>Feingold, Beth J.</creatorcontrib><creatorcontrib>Navio, Suzy</creatorcontrib><creatorcontrib>Rivera, Nelson A.</creatorcontrib><creatorcontrib>Hsu-kim, Heileen</creatorcontrib><creatorcontrib>Miranda, J. Jaime</creatorcontrib><title>CoNaMad—Cohorte de Nacimiento de Madre de Dios / Madre de Dios Birth Cohort to Study Effects of in-utero Trace Metals Exposure in the Southern Peruvian Amazon</title><title>Annals of global health</title><description>Background: In-utero exposure to mercury and other trace metals pose a significant threat to child health and development, but exposures and health impacts in artisanal and small-scale gold mining (ASGM) environments are poorly defined.Objectives: We describe the CONAMAD study design, a prospective birth cohort consisting of multiparous women (18 and over) living in rural and peri-urban Peruvian Amazon communities exposed to ASGM.Methods: Pregnant women are enrolled from health posts across four zones of Madre de Dios, Peru. Data are collected at enrollment, childbirth, and (planned) 36-48 months. At enrollment, hair samples for mercury assessment, demographic and clinical data are obtained. At birth, we obtain venous and cord blood, placenta, hair, toenails, and saliva.Findings: Two hundred seventy mothers were enrolled at an average 20 weeks gestational age with no differences in maternal characteristics across zones. Two hundred fifteen mothers were successfully followed at birth. We obtained 214 maternal and cord blood samples, 211 maternal and 212 infant hair samples, 212 placenta samples, 210 infant saliva samples, and 214 infant dried blood spots. Data collected will allow for testing our primary hypotheses of maternal malnutrition modifying ratios of cord:maternal blood total mercury (tHg), cord blood:maternal hair tHg, and infant:maternal hair tHg, and whether chemical mixtures (Hg, Pb, Cd) have synergistic effects on infant neurodevelopment.Conclusions: CONAMAD is designed to collect and store samples for future processing and hypothesis testing associated with in-utero mercury exposure and child development. We have completed the exposure assessments and will conduct a follow-up of mothers to evaluate early child development outcomes, including developmental delay and growth. These data offer insights into disease mechanisms, exposure prevention, and policyguidance for countries where ASGM is prevalent.</description><subject>Anemia</subject><subject>Births</subject><subject>Blood</subject><subject>Brain research</subject><subject>Cadmium</subject><subject>Childbirth & labor</subject><subject>Cord blood</subject><subject>Data collection</subject><subject>Deforestation</subject><subject>Enrollments</subject><subject>Exposure</subject><subject>Fetuses</subject><subject>Funding</subject><subject>Gestational age</subject><subject>Gold mines & mining</subject><subject>Hair</subject><subject>Heavy metals</subject><subject>Hospitals</subject><subject>Hypertension</subject><subject>Hypotheses</subject><subject>Infants</subject><subject>Intrauterine exposure</subject><subject>Malnutrition</subject><subject>Mercury</subject><subject>Mercury (metal)</subject><subject>Mothers</subject><subject>Original Research</subject><subject>Placenta</subject><subject>Population</subject><subject>Pregnancy</subject><subject>Rural environments</subject><subject>Saliva</subject><subject>Scholarships & fellowships</subject><subject>Synergistic effect</subject><subject>Trace elements</subject><subject>Trace metals</subject><subject>Womens health</subject><issn>2214-9996</issn><issn>2214-9996</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2021</creationdate><recordtype>article</recordtype><sourceid>COVID</sourceid><sourceid>PIMPY</sourceid><sourceid>DOA</sourceid><recordid>eNpdks1u1DAQxyNERau2B97AEhc4pLXjj8QXpLJdoFIpSC1na-LYu14l8WI7FeXEQ_AAPBtPgtOtEO3F45n5z8-j8RTFS4JPOKXsFPxqfUIJr54VB1VFWCmlFM__u-8XxzFuMMak4lxS8qLYp4xWNSHioPi98FfwCbo_P38t_NqHZFBn0BVoNzgzJj97OR3uw-fOR3T6xH_nQlqjXTHKBddp6u7Q0lqjU0TeIjeWUzLBo5sAOtNMgj6i5fetj1PmuBGltUHXfsomjOiLCdOtgxGdDfDDj0fFns16c_xgD4uv75c3i4_l5ecPF4uzy1IzJlLJWmNwKwnwWtuGadwRLWTdyrZjtQViMe50S-qG5rtoCAVDGFAiLNaVFYQeFhc7budho7bBDRDulAen7gM-rBSE5HRvFNYMBJeGd03LasAZI_OLjbCkxUzzzHq7Y22ndjCdzoMM0D-CPs6Mbq1W_lY1FGPezM28fgAE_20yManBRW36Hkbjp6jyR9ZVPijN0ldPpBs_hTGPSlEsKReccJZVb3YqHXyMwdh_zRCs5jVS8xqpeY3oX9HOupI</recordid><startdate>20210101</startdate><enddate>20210101</enddate><creator>Pan, William K.</creator><creator>Weinhouse, Caren</creator><creator>Ortiz, Ernesto J.</creator><creator>Berky, Axel J.</creator><creator>Fixsen, Emma</creator><creator>Mallipudi, Andres</creator><creator>Feingold, Beth J.</creator><creator>Navio, Suzy</creator><creator>Rivera, Nelson A.</creator><creator>Hsu-kim, Heileen</creator><creator>Miranda, J. Jaime</creator><general>Ubiquity Press</general><scope>AAYXX</scope><scope>CITATION</scope><scope>8C1</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>ATCPS</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>BHPHI</scope><scope>CCPQU</scope><scope>COVID</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>HCIFZ</scope><scope>PATMY</scope><scope>PIMPY</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>PYCSY</scope><scope>7X8</scope><scope>5PM</scope><scope>DOA</scope></search><sort><creationdate>20210101</creationdate><title>CoNaMad—Cohorte de Nacimiento de Madre de Dios / Madre de Dios Birth Cohort to Study Effects of in-utero Trace Metals Exposure in the Southern Peruvian Amazon</title><author>Pan, William K. ; Weinhouse, Caren ; Ortiz, Ernesto J. ; Berky, Axel J. ; Fixsen, Emma ; Mallipudi, Andres ; Feingold, Beth J. ; Navio, Suzy ; Rivera, Nelson A. ; Hsu-kim, Heileen ; Miranda, J. Jaime</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c446t-4bee0b91a57cf84c0d1c697b9bd47fa1f00dcb1783a1f6813ae14a316f0c2f613</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2021</creationdate><topic>Anemia</topic><topic>Births</topic><topic>Blood</topic><topic>Brain research</topic><topic>Cadmium</topic><topic>Childbirth & labor</topic><topic>Cord blood</topic><topic>Data collection</topic><topic>Deforestation</topic><topic>Enrollments</topic><topic>Exposure</topic><topic>Fetuses</topic><topic>Funding</topic><topic>Gestational age</topic><topic>Gold mines & mining</topic><topic>Hair</topic><topic>Heavy metals</topic><topic>Hospitals</topic><topic>Hypertension</topic><topic>Hypotheses</topic><topic>Infants</topic><topic>Intrauterine exposure</topic><topic>Malnutrition</topic><topic>Mercury</topic><topic>Mercury (metal)</topic><topic>Mothers</topic><topic>Original Research</topic><topic>Placenta</topic><topic>Population</topic><topic>Pregnancy</topic><topic>Rural environments</topic><topic>Saliva</topic><topic>Scholarships & fellowships</topic><topic>Synergistic effect</topic><topic>Trace elements</topic><topic>Trace metals</topic><topic>Womens health</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Pan, William K.</creatorcontrib><creatorcontrib>Weinhouse, Caren</creatorcontrib><creatorcontrib>Ortiz, Ernesto J.</creatorcontrib><creatorcontrib>Berky, Axel J.</creatorcontrib><creatorcontrib>Fixsen, Emma</creatorcontrib><creatorcontrib>Mallipudi, Andres</creatorcontrib><creatorcontrib>Feingold, Beth J.</creatorcontrib><creatorcontrib>Navio, Suzy</creatorcontrib><creatorcontrib>Rivera, Nelson A.</creatorcontrib><creatorcontrib>Hsu-kim, Heileen</creatorcontrib><creatorcontrib>Miranda, J. Jaime</creatorcontrib><collection>CrossRef</collection><collection>Public Health Database</collection><collection>ProQuest Central (Alumni)</collection><collection>ProQuest Central</collection><collection>Agricultural & Environmental Science Collection</collection><collection>ProQuest Central Essentials</collection><collection>AUTh Library subscriptions: ProQuest Central</collection><collection>Natural Science Collection</collection><collection>ProQuest One Community College</collection><collection>Coronavirus Research Database</collection><collection>ProQuest Central Korea</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Central Student</collection><collection>SciTech Premium Collection</collection><collection>Environmental Science Database</collection><collection>Publicly Available Content Database</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>Environmental Science Collection</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><collection>Directory of Open Access Journals</collection><jtitle>Annals of global health</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Pan, William K.</au><au>Weinhouse, Caren</au><au>Ortiz, Ernesto J.</au><au>Berky, Axel J.</au><au>Fixsen, Emma</au><au>Mallipudi, Andres</au><au>Feingold, Beth J.</au><au>Navio, Suzy</au><au>Rivera, Nelson A.</au><au>Hsu-kim, Heileen</au><au>Miranda, J. Jaime</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>CoNaMad—Cohorte de Nacimiento de Madre de Dios / Madre de Dios Birth Cohort to Study Effects of in-utero Trace Metals Exposure in the Southern Peruvian Amazon</atitle><jtitle>Annals of global health</jtitle><date>2021-01-01</date><risdate>2021</risdate><volume>87</volume><issue>1</issue><spage>69</spage><epage>69</epage><pages>69-69</pages><issn>2214-9996</issn><eissn>2214-9996</eissn><abstract>Background: In-utero exposure to mercury and other trace metals pose a significant threat to child health and development, but exposures and health impacts in artisanal and small-scale gold mining (ASGM) environments are poorly defined.Objectives: We describe the CONAMAD study design, a prospective birth cohort consisting of multiparous women (18 and over) living in rural and peri-urban Peruvian Amazon communities exposed to ASGM.Methods: Pregnant women are enrolled from health posts across four zones of Madre de Dios, Peru. Data are collected at enrollment, childbirth, and (planned) 36-48 months. At enrollment, hair samples for mercury assessment, demographic and clinical data are obtained. At birth, we obtain venous and cord blood, placenta, hair, toenails, and saliva.Findings: Two hundred seventy mothers were enrolled at an average 20 weeks gestational age with no differences in maternal characteristics across zones. Two hundred fifteen mothers were successfully followed at birth. We obtained 214 maternal and cord blood samples, 211 maternal and 212 infant hair samples, 212 placenta samples, 210 infant saliva samples, and 214 infant dried blood spots. Data collected will allow for testing our primary hypotheses of maternal malnutrition modifying ratios of cord:maternal blood total mercury (tHg), cord blood:maternal hair tHg, and infant:maternal hair tHg, and whether chemical mixtures (Hg, Pb, Cd) have synergistic effects on infant neurodevelopment.Conclusions: CONAMAD is designed to collect and store samples for future processing and hypothesis testing associated with in-utero mercury exposure and child development. We have completed the exposure assessments and will conduct a follow-up of mothers to evaluate early child development outcomes, including developmental delay and growth. These data offer insights into disease mechanisms, exposure prevention, and policyguidance for countries where ASGM is prevalent.</abstract><cop>Amsterdam</cop><pub>Ubiquity Press</pub><pmid>34327116</pmid><doi>10.5334/aogh.3152</doi><tpages>1</tpages><oa>free_for_read</oa></addata></record> |
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subjects | Anemia Births Blood Brain research Cadmium Childbirth & labor Cord blood Data collection Deforestation Enrollments Exposure Fetuses Funding Gestational age Gold mines & mining Hair Heavy metals Hospitals Hypertension Hypotheses Infants Intrauterine exposure Malnutrition Mercury Mercury (metal) Mothers Original Research Placenta Population Pregnancy Rural environments Saliva Scholarships & fellowships Synergistic effect Trace elements Trace metals Womens health |
title | CoNaMad—Cohorte de Nacimiento de Madre de Dios / Madre de Dios Birth Cohort to Study Effects of in-utero Trace Metals Exposure in the Southern Peruvian Amazon |
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