Lead exposure is toxic even at low levels, resulting in impairments that can affect a child's lifelong success. In North Carolina, testing for lead is encouraged for all children at ages 1 and 2 years and required for children covered by Medicaid; investigations are performed to identify potential exposure sources for children with blood lead levels (BLLs) ≥5 μg/dL. During June-August 2023, routine lead testing identified four asymptomatic North Carolina children with BLLs ≥5 μg/dL. Home investigations identified only WanaBana brand apple cinnamon fruit puree pouches as a potential exposure source; product samples contained 1.9-3.0 ppm of lead. An expanded nationwide investigation led to identification of approximately 500 cases of childhood lead exposure believed to be linked to consumption of apple cinnamon purees, including 22 cases in North Carolina. Fewer than one half (45%) of the 22 North Carolina cases were among children covered by Medicaid. A coordinated multiagency communication strategy was implemented in North Carolina to notify consumers of the hazard and provide recommendations for preventing further exposure. The Food and Drug Administration issued a nationwide public health advisory on October 28, 2023; 2 days later, the manufacturer issued a voluntary recall. Routine testing of young children for lead exposure, combined with thorough environmental investigations, can identify emerging sources of lead exposure and limit further harm.

中文翻译：

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儿童铅暴露与苹果肉桂果泥袋有关 - 北卡罗来纳州，2023 年 6 月至 2024 年 1 月。


即使水平较低，铅接触也是有毒的，会导致损害，影响儿童终生的成功。在北卡罗来纳州，鼓励所有 1 岁和 2 岁儿童进行铅检测，并且要求医疗补助覆盖的儿童进行铅检测；进行调查以确定血铅水平 (BLL) ≥5 μg/dL 的儿童的潜在暴露源。 2023 年 6 月至 8 月期间，常规铅检测发现四名无症状的北卡罗来纳州儿童 BLL ≥5 μg/dL。家庭调查仅确定 WanaBana 品牌苹果肉桂果泥袋为潜在暴露源；产品样品含有 1.9-3.0 ppm 的铅。一项扩大到全国范围的调查发现了大约 500 起儿童铅暴露病例，据信与食用苹果肉桂泥有关，其中 22 起发生在北卡罗来纳州。北卡罗来纳州 22 例病例中，只有不到一半 (45%) 是享受医疗补助的儿童。北卡罗来纳州实施了协调的多机构沟通策略，向消费者通报这一危险，并提供防止进一步接触的建议。食品药品监督管理局于2023年10月28日发布全国公共卫生咨询； 2天后，制造商发出自愿召回。对幼儿进行常规铅暴露检测，结合彻底的环境调查，可以识别新的铅暴露来源并限制进一步的伤害。