Publication: Heavy metals screening model in primary care: Experience in the Sierra Minera de Cartagena (Spain)
Authors
Ortega García, Juan Antonio ; Francisco Díaz Martínez ; Laura Rubio Roca ; Isabel Martínez Frutos ; Claudia Ortiz-Fernández ; Maria Luisa Gil del Castillo ; Francisco Pacheco Martínez
item.page.secondaryauthor
Facultades de la UMU::Facultad de Medicina
item.page.director
Ortega García, Juan Antonio
Publisher
Elsevier
publication.page.editor
Juan Antonio Ortega García
publication.page.department
DOI
10.1016/j.medcli.2024.10.025
item.page.type
info:eu-repo/semantics/article
Description
This is the accepted manuscript of an article published in Medicina Clínica: Ortega-García JA et al. Med Clin (Barc). 2025;164(8):410–417. doi:10.1016/j.medcli.2024.10.025. The final authenticated version is available via the publisher
Abstract
Introduction: Soils contaminated by heavy metals such as lead, cadmium, and arsenic represent a significant health risk. The Sierra Minera of Cartagena (Spain) is an area historically contaminated by mining activities. This study evaluates the exposure to heavy metals and proposes a clinical screening model for its management in primary care.
Method: Descriptive cross-sectional study conducted between 2017 and 2020 with volunteers from the Sierra Minera of Cartagena who provided blood and urine samples. Primary care health professionals were trained in sample collection and analysis, risk communication, and clinical protocols on heavy metals were implemented.
Results: 203 participants, 66.5% women and 38 (18.7%) under 16 years old. The majority resided in Zone 0 (contaminated area). Mean blood lead level was 1.78μg/dl and 2.22μg/dl in those under 16 years old, with. Metal concentrations, particularly lead, increased with age, male sex, Arab ethnicity, and proximity to contaminated areas. Tobacco smoke was identified as a main source of lead exposure in children under 16 years. The primary care clinical screening model identified 12 (7%) and 22 (11%) participants exceeding 5μg/dl and 3.5μg/dl respectively, particularly six children and one pregnant woman, with significant levels that normalized within 2-3 months following PEHSU's clinical guidelines.
Conclusions: The implementation of clinical and analytical screening for heavy metals in primary care, supported by pediatric environmental health units (PEHSU), proved effective in screening and reducing in children blood lead levels in a short period. Training health professionals is crucial to adequately address environmental risks and protect the health of affected populations.
publication.page.subject
Citation
Ortega-García JA, Díaz-Martínez F, Rubio-Roca L, Martínez-Frutos I, Ortiz-Fernández C, Gil-Del Castillo ML, Pacheco-Martínez F. Heavy metals screening model in primary care: Experience in the Sierra Minera de Cartagena (Spain). Med Clin (Barc). 2025;164(8):410-417.
item.page.embargo
Collections
Ir a Estadísticas
Este ítem está sujeto a una licencia Creative Commons. http://creativecommons.org/licenses/by-nc-nd/4.0/