Dust metal loadings and the risk of childhood acute lymphoblastic leukemia

Dust metal loadings and the risk of childhood acute lymphoblastic leukemia

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ABSTRACT We evaluated the relationship between the risk of childhood acute lymphoblastic leukemia (ALL) and the levels of metals in carpet dust. A dust sample was collected from the homes of 142 ALL cases and 187 controls participating in the California Childhood Leukemia Study using a high volume small surface sampler (2001–2006). Samples were analyzed using microwave-assisted acid digestion in combination with inductively coupled plasma mass spectrometry for arsenic, cadmium, chromium, copper, lead, nickel, tin, tungsten, and zinc. Eight metals were detected in at least 85% of the case and control homes; tungsten was detected in <15% of homes. Relationships between dust metal loadings (μg metal per m2 carpet) and ALL risk were modeled using multivariable logistic regression, adjusting for the child's age, sex, and race/ethnicity and confounders, including household annual income. A doubling of dust metal loadings was not associated with significant changes in ALL risk (odds ratio (95% confidence interval): arsenic: 0.96 (0.86, 1.07), cadmium: 0.92 (0.81, 1.05), chromium: 1.01 (0.90, 1.14), copper: 0.97 (0.91, 1.03), lead: 1.01 (0.93, 1.10), nickel: 0.95 (0.82, 1.09), tin: 0.96 (0.86, 1.08), and zinc: 0.94 (0.84, 1.05)). Our findings do not support the hypothesis that metals in carpet dust are risk factors for childhood ALL. Access through your institution Buy or subscribe This is a preview of subscription content, access via your institution ACCESS OPTIONS Access through your institution Subscribe to this journal Receive 6 print issues and online access $259.00 per year only $43.17 per issue Learn more Buy this article * Purchase on SpringerLink * Instant access to full article PDF Buy now Prices may be subject to local taxes which are calculated during checkout ADDITIONAL ACCESS OPTIONS: * Log in * Learn about institutional subscriptions * Read our FAQs * Contact customer support SIMILAR CONTENT BEING VIEWED BY OTHERS RESIDENTIAL DUST LEAD LEVELS AND THE RISK OF CHILDHOOD LEAD POISONING IN UNITED STATES CHILDREN Article 28 July 2020 A QUEST TO IDENTIFY SUITABLE ORGANIC TRACERS FOR ESTIMATING CHILDREN’S DUST INGESTION RATES Article 13 July 2020 EXPLORING THE PARTICLE SIZE EFFECT, LAND USE CLASSIFICATION, AND MAGNETIC CHARACTERISTICS OF STREET DUST IN URBANIZED AREAS IN POLAND Article Open access 14 April 2025 REFERENCES * Ross JA, Spector LG . Cancers in children. In: Fraumeni JF, Schottenfeld D (eds). _Cancer Epidemiology and Prevention_. vol. 3. Oxford University Press: New York, NY, USA. 2006, pp. 1251–1268. Google Scholar  * Buffler PA, Kwan ML, Reynolds P, Urayama KY . Environmental and genetic risk factors for childhood leukemia: appraising the evidence. _Cancer Invest_ 2005; 23: 60–75. Article  CAS  PubMed  Google Scholar  * Turner MC, Wigle DT, Krewski D . Residential pesticides and childhood leukemia: a systematic review and meta-analysis. _Environ Health Perspect_ 2010; 118: 33–41. Article  CAS  PubMed  Google Scholar  * Van Maele-Fabry G, Lantin AC, Hoet P, Lison D . Residential exposure to pesticides and childhood leukaemia: a systematic review and meta-analysis. _Environ Int_ 2011; 37: 280–291. Article  CAS  PubMed  Google Scholar  * Chang JS . Parental smoking and childhood leukemia. _Methods Mol Biol_ 2009; 472: 103–137. Article  PubMed  Google Scholar  * Liu R, Zhang L, McHale CM, Hammond SK . Paternal smoking and risk of childhood acute lymphoblastic leukemia: systematic review and meta-analysis. _J Oncol_ 2011; 2011: 854584. Article  PubMed  PubMed Central  Google Scholar  * Boothe VL, Boehmer TK, Wendel AM, Yip FY . Residential traffic exposure and childhood leukemia: a systematic review and meta-analysis. _Am J Prev Med_ 2014; 46: 413–422. Article  PubMed  PubMed Central  Google Scholar  * Colt JS, Blair A . Parental occupational exposures and risk of childhood cancer. _Environ Health Perspect_ 1998; 106: 909–925. PubMed  PubMed Central  Google Scholar  * IARC _Inorganic and Organic Lead Compounds_ World Health Organization: Lyon, France. 2006. * IARC _Nickel and Nickel Compounds_ World Health Organization: Lyon, France. 2012. * IARC _Chromium (VI) Compounds_ World Health Organization: Lyon, France. 2012. * IARC _Arsenic and Arsenic Compounds_ World Health Organization: Lyon, France. 2012. * IARC _Cadmium and Cadmium Compounds_ World Health Organization: Lyon, France. 2012. * Buckley JD, Robison LL, Swotinsky R, Garabrant DH, LeBeau M, Manchester P _et al_. Occupational exposures of parents of children with acute nonlymphocytic leukemia: a report from the Childrens Cancer Study Group. _Cancer Res_ 1989; 49: 4030–4037. CAS  PubMed  Google Scholar  * Miligi L, Benvenuti A, Mattioli S, Salvan A, Tozzi GA, Ranucci A _et al_. Risk of childhood leukaemia and non-Hodgkin's lymphoma after parental occupational exposure to solvents and other agents: the SETIL Study. _Occup Environ Med_ 2013; 70: 648–655. Article  PubMed  Google Scholar  * Crosby WH . Lead-contaminated health food. Association with lead poisoning and leukemia. _JAMA_ 1977; 237: 2627–2629. Article  CAS  PubMed  Google Scholar  * Krugner-Higby LA, Gendron A, Laughlin NK, Luck M, Scheffler J, Phillips B . Chronic myelocytic leukemia in a juvenile rhesus macaque (Macaca mulatta). _Contemp Top Lab Anim Sci_ 2001; 40: 44–48. CAS  PubMed  Google Scholar  * Shu XO, Gao YT, Brinton LA, Linet MS, Tu JT, Zheng W _et al_. A population-based case-control study of childhood leukemia in Shanghai. _Cancer_ 1988; 62: 635–644. Article  CAS  PubMed  Google Scholar  * McKinney PA, Fear NT, Stockton D UK Childhood Cancer Study Investigators. 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A case-control study of childhood leukemia in Woburn, Massachusetts: the relationship between leukemia incidence and exposure to public drinking water. _Sci Total Environ_ 2002; 300: 23–35. Article  CAS  PubMed  Google Scholar  * Infante-Rivard C, Olson E, Jacques L, Ayotte P . Drinking water contaminants and childhood leukemia. _Epidemiology_ 2001; 12: 13–19. Article  CAS  PubMed  Google Scholar  * ATSDR _Toxilogical Profile for Lead_. United States Department of Health and Human Services: Atlanta, GA, USA, 2007. * Lanphear BP, Matte TD, Rogers J, Clickner RP, Dietz B, Bornschein RL _et al_. The contribution of lead-contaminated house dust and residential soil to children's blood lead levels. A pooled analysis of 12 epidemiologic studies. _Environ Res_ 1998; 79: 51–68. Article  CAS  PubMed  Google Scholar  * Hartwell TD, Handy RW, Harris BS, Williams SR, Gehlbach SH . Heavy metal exposure in populations living around zinc and copper smelters. _Arch Environ Health_ 1983; 38: 284–295. Article  CAS  PubMed  Google Scholar  * Hogervorst J, Plusquin M, Vangronsveld J, Nawrot T, Cuypers A, Van Hecke E _et al_. House dust as possible route of environmental exposure to cadmium and lead in the adult general population. _Environ Res_ 2007; 103: 30–37. Article  CAS  PubMed  Google Scholar  * Callan AC, Hinwood AL, Ramalingam M, Boyce M, Heyworth J, McCafferty P _et al_. Maternal exposure to metals-Concentrations and predictors of exposure. _Environ Res_ 2013; 126: 111–117. Article  CAS  PubMed  Google Scholar  * Stern AH, Fagliano JA, Savrin JE, Freeman NC, Lioy PJ . The association of chromium in household dust with urinary chromium in residences adjacent to chromate production waste sites. _Environ Health Perspect_ 1998; 106: 833–839. CAS  PubMed  PubMed Central  Google Scholar  * Creason JP, Hinners TA, Bumgarner JE, Pinkerton C . Trace elements in hair, as related to exposure in metropolitan New York. _Clin Chem_ 1975; 21: 603–612. CAS  PubMed  Google Scholar  * Cohen Hubal EA, Sheldon LS, Burke JM, McCurdy TR, Berry MR, Rigas ML _et al_. Children's exposure assessment: a review of factors influencing Children's exposure, and the data available to characterize and assess that exposure. _Environ Health Perspect_ 2000; 108: 475–486. Article  CAS  PubMed  PubMed Central  Google Scholar  * Bellinger DC, Bellinger AM . Childhood lead poisoning: the torturous path from science to policy. _J Clin Invest_ 2006; 116: 853–857. Article  CAS  PubMed  PubMed Central  Google Scholar  * Rasmussen PE, Levesque C, Chenier M, Gardner HD, Jones-Otazo H, Petrovic S . Canadian House Dust Study: Population-based concentrations, loads and loading rates of arsenic, cadmium, chromium, copper, nickel, lead, and zinc inside urban homes. _Sci Total Environ_ 2013; 443: 520–529. Article  CAS  PubMed  Google Scholar  * Gaitens JM, Dixon SL, Jacobs DE, Nagaraja J, Strauss W, Wilson JW _et al_. Exposure of U.S. children to residential dust lead, 1999-2004: I. Housing and demographic factors. _Environ Health Perspect_ 2009; 117: 461–467. Article  CAS  PubMed  Google Scholar  * Egeghy PP, Quackenboss JJ, Catlin S, Ryan PB . Determinants of temporal variability in NHEXAS-Maryland environmental concentrations, exposures, and biomarkers. _J Expo Anal Environ Epidemiol_ 2005; 15: 388–397. Article  CAS  PubMed  Google Scholar  * Dixon SL, Wilson JW, Scott Clark C, Galke WA, Succop PA, Chen M . Effectiveness of lead-hazard control interventions on dust lead loadings: findings from the evaluation of the HUD Lead-Based Paint Hazard Control Grant Program. _Environ Res_ 2005; 98: 303–314. Article  CAS  PubMed  Google Scholar  * Meyer I, Heinrich J, Lippold U . Factors affecting lead and cadmium levels in house dust in industrial areas of eastern Germany. _Sci Total Environ_ 1999; 234: 25–36. 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Article  CAS  PubMed  PubMed Central  Google Scholar  Download references ACKNOWLEDGEMENTS This work was supported in part by the National Institute of Environmental Health Sciences (NIEHS, grant numbers R01ES009137 and P42ES0470518); by the Intramural Research Program of the National Cancer Institute (NCI), National Institute of Health (Subcontracts 7590-S-04, 7590-S-01); and by the NCI (Contract N02-CP-11015). We thank the families for their participation. We also thank the clinical investigators at the following collaborating hospitals for the help in recruiting patients: University of California Davis Medical Center (Dr. Jonathan Ducore), University of California San Francisco (Drs. Mignon Loh and Katherine Matthay), Children's Hospital of Central California (Dr. Vonda Crouse), Lucile Packard Children's Hospital (Dr. Gary Dahl), Children's Hospital Oakland (Dr. James Feusner), Kaiser Permanente Oakland (Drs. Daniel Kronish and Stacy Month), Kaiser Permanente Roseville (Drs. Kent Jolly and Vincent Kiley), Kaiser Permanente Santa Clara (Drs. Carolyn Russo, Denah Taggart, and Alan Wong), and Kaiser Permanente San Francisco (Dr. Kenneth Leung). We thank Mr. Adam Abbgy of the Battelle Memorial Institute for his contribution as an analytical chemist. We acknowledge the late Dr. Patricia Buffler, the founding principal investigator of the California Childhood Leukemia Study, and her leadership of the study for nearly 20 years. Finally, we acknowledge the study staff for their effort and dedication. AUTHOR INFORMATION AUTHORS AND AFFILIATIONS * School of Public Health, University of California, Berkeley, California, USA Todd P Whitehead, Robert B Gunier, S Katharine Hammond, Stephen M Rappaport & Catherine Metayer * Division of Cancer Epidemiology and Genetics, Department of Health and Human Services, Occupational and Environmental Epidemiology Branch, National Cancer Institute, National Institutes of Health, Bethesda, Maryland, USA Mary H Ward & Joanne S Colt * Department of Pediatrics, Lucile Salter Packard Children's Hospital, Stanford University, Palo Alto, California, USA Gary Dahl * Department of Pediatrics, School of Medicine, University of California, Davis, Sacramento, California, USA Jonathan Ducore * Cedars-Sinai Heart Institute, Cedars-Sinai Medical Center, Los Angeles, California, USA Kyndaron Reinier Authors * Todd P Whitehead View author publications You can also search for this author inPubMed Google Scholar * Mary H Ward View author publications You can also search for this author inPubMed Google Scholar * Joanne S Colt View author publications You can also search for this author inPubMed Google Scholar * Gary Dahl View author publications You can also search for this author inPubMed Google Scholar * Jonathan Ducore View author publications You can also search for this author inPubMed Google Scholar * Kyndaron Reinier View author publications You can also search for this author inPubMed Google Scholar * Robert B Gunier View author publications You can also search for this author inPubMed Google Scholar * S Katharine Hammond View author publications You can also search for this author inPubMed Google Scholar * Stephen M Rappaport View author publications You can also search for this author inPubMed Google Scholar * Catherine Metayer View author publications You can also search for this author inPubMed Google Scholar CORRESPONDING AUTHOR Correspondence to Todd P Whitehead. ADDITIONAL INFORMATION Supplementary Information accompanies the paper on the Journal of Exposure Science and Environmental Epidemiology website SUPPLEMENTARY INFORMATION SUPPLEMENTARY INFORMATION (DOC 251 KB) RIGHTS AND PERMISSIONS Reprints and permissions ABOUT THIS ARTICLE CITE THIS ARTICLE Whitehead, T., Ward, M., Colt, J. _et al._ Dust metal loadings and the risk of childhood acute lymphoblastic leukemia. _J Expo Sci Environ Epidemiol_ 25, 593–598 (2015). https://doi.org/10.1038/jes.2015.9 Download citation * Received: 17 September 2014 * Revised: 22 December 2014 * Accepted: 29 December 2014 * Published: 04 March 2015 * Issue Date: November 2015 * DOI: https://doi.org/10.1038/jes.2015.9 SHARE THIS ARTICLE Anyone you share the following link with will be able to read this content: Get shareable link Sorry, a shareable link is not currently available for this article. Copy to clipboard Provided by the Springer Nature SharedIt content-sharing initiative KEYWORDS * childhood acute lymphoblastic leukemia * dust * environmental exposure * lead * metals

ABSTRACT We evaluated the relationship between the risk of childhood acute lymphoblastic leukemia (ALL) and the levels of metals in carpet dust. A dust sample was collected from the homes of


142 ALL cases and 187 controls participating in the California Childhood Leukemia Study using a high volume small surface sampler (2001–2006). Samples were analyzed using microwave-assisted


acid digestion in combination with inductively coupled plasma mass spectrometry for arsenic, cadmium, chromium, copper, lead, nickel, tin, tungsten, and zinc. Eight metals were detected in


at least 85% of the case and control homes; tungsten was detected in <15% of homes. Relationships between dust metal loadings (μg metal per m2 carpet) and ALL risk were modeled using


multivariable logistic regression, adjusting for the child's age, sex, and race/ethnicity and confounders, including household annual income. A doubling of dust metal loadings was not


associated with significant changes in ALL risk (odds ratio (95% confidence interval): arsenic: 0.96 (0.86, 1.07), cadmium: 0.92 (0.81, 1.05), chromium: 1.01 (0.90, 1.14), copper: 0.97


(0.91, 1.03), lead: 1.01 (0.93, 1.10), nickel: 0.95 (0.82, 1.09), tin: 0.96 (0.86, 1.08), and zinc: 0.94 (0.84, 1.05)). Our findings do not support the hypothesis that metals in carpet dust


are risk factors for childhood ALL. Access through your institution Buy or subscribe This is a preview of subscription content, access via your institution ACCESS OPTIONS Access through your


institution Subscribe to this journal Receive 6 print issues and online access $259.00 per year only $43.17 per issue Learn more Buy this article * Purchase on SpringerLink * Instant access


to full article PDF Buy now Prices may be subject to local taxes which are calculated during checkout ADDITIONAL ACCESS OPTIONS: * Log in * Learn about institutional subscriptions * Read


our FAQs * Contact customer support SIMILAR CONTENT BEING VIEWED BY OTHERS RESIDENTIAL DUST LEAD LEVELS AND THE RISK OF CHILDHOOD LEAD POISONING IN UNITED STATES CHILDREN Article 28 July


2020 A QUEST TO IDENTIFY SUITABLE ORGANIC TRACERS FOR ESTIMATING CHILDREN’S DUST INGESTION RATES Article 13 July 2020 EXPLORING THE PARTICLE SIZE EFFECT, LAND USE CLASSIFICATION, AND


MAGNETIC CHARACTERISTICS OF STREET DUST IN URBANIZED AREAS IN POLAND Article Open access 14 April 2025 REFERENCES * Ross JA, Spector LG . Cancers in children. In: Fraumeni JF, Schottenfeld D


(eds). _Cancer Epidemiology and Prevention_. vol. 3. Oxford University Press: New York, NY, USA. 2006, pp. 1251–1268. Google Scholar  * Buffler PA, Kwan ML, Reynolds P, Urayama KY .


Environmental and genetic risk factors for childhood leukemia: appraising the evidence. _Cancer Invest_ 2005; 23: 60–75. Article  CAS  PubMed  Google Scholar  * Turner MC, Wigle DT, Krewski


D . Residential pesticides and childhood leukemia: a systematic review and meta-analysis. _Environ Health Perspect_ 2010; 118: 33–41. Article  CAS  PubMed  Google Scholar  * Van Maele-Fabry


G, Lantin AC, Hoet P, Lison D . Residential exposure to pesticides and childhood leukaemia: a systematic review and meta-analysis. _Environ Int_ 2011; 37: 280–291. Article  CAS  PubMed 


Google Scholar  * Chang JS . Parental smoking and childhood leukemia. _Methods Mol Biol_ 2009; 472: 103–137. Article  PubMed  Google Scholar  * Liu R, Zhang L, McHale CM, Hammond SK .


Paternal smoking and risk of childhood acute lymphoblastic leukemia: systematic review and meta-analysis. _J Oncol_ 2011; 2011: 854584. Article  PubMed  PubMed Central  Google Scholar  *


Boothe VL, Boehmer TK, Wendel AM, Yip FY . Residential traffic exposure and childhood leukemia: a systematic review and meta-analysis. _Am J Prev Med_ 2014; 46: 413–422. Article  PubMed 


PubMed Central  Google Scholar  * Colt JS, Blair A . Parental occupational exposures and risk of childhood cancer. _Environ Health Perspect_ 1998; 106: 909–925. PubMed  PubMed Central 


Google Scholar  * IARC _Inorganic and Organic Lead Compounds_ World Health Organization: Lyon, France. 2006. * IARC _Nickel and Nickel Compounds_ World Health Organization: Lyon, France.


2012. * IARC _Chromium (VI) Compounds_ World Health Organization: Lyon, France. 2012. * IARC _Arsenic and Arsenic Compounds_ World Health Organization: Lyon, France. 2012. * IARC _Cadmium


and Cadmium Compounds_ World Health Organization: Lyon, France. 2012. * Buckley JD, Robison LL, Swotinsky R, Garabrant DH, LeBeau M, Manchester P _et al_. Occupational exposures of parents


of children with acute nonlymphocytic leukemia: a report from the Childrens Cancer Study Group. _Cancer Res_ 1989; 49: 4030–4037. CAS  PubMed  Google Scholar  * Miligi L, Benvenuti A,


Mattioli S, Salvan A, Tozzi GA, Ranucci A _et al_. Risk of childhood leukaemia and non-Hodgkin's lymphoma after parental occupational exposure to solvents and other agents: the SETIL


Study. _Occup Environ Med_ 2013; 70: 648–655. Article  PubMed  Google Scholar  * Crosby WH . Lead-contaminated health food. Association with lead poisoning and leukemia. _JAMA_ 1977; 237:


2627–2629. Article  CAS  PubMed  Google Scholar  * Krugner-Higby LA, Gendron A, Laughlin NK, Luck M, Scheffler J, Phillips B . Chronic myelocytic leukemia in a juvenile rhesus macaque


(Macaca mulatta). _Contemp Top Lab Anim Sci_ 2001; 40: 44–48. CAS  PubMed  Google Scholar  * Shu XO, Gao YT, Brinton LA, Linet MS, Tu JT, Zheng W _et al_. A population-based case-control


study of childhood leukemia in Shanghai. _Cancer_ 1988; 62: 635–644. Article  CAS  PubMed  Google Scholar  * McKinney PA, Fear NT, Stockton D UK Childhood Cancer Study Investigators.


Parental occupation at periconception: findings from the United Kingdom Childhood Cancer Study. _Occup Environ Med_ 2003; 60: 901–909. Article  CAS  PubMed  PubMed Central  Google Scholar  *


Wulff M, Hogberg U, Sandstrom A . Cancer incidence for children born in a smelting community. _Acta Oncol_ 1996; 35: 179–183. Article  CAS  PubMed  Google Scholar  * Rubin CS, Holmes AK,


Belson MG, Jones RL, Flanders WD, Kieszak SM _et al_. Investigating childhood leukemia in Churchill County, Nevada. _Environ Health Perspect_ 2007; 115: 151–157. Article  CAS  PubMed  Google


Scholar  * Sheppard PR, Speakman RJ, Ridenour G, Witten ML . Temporal variability of tungsten and cobalt in Fallon, Nevada. _Environ Health Perspect_ 2007; 115: 715–719. Article  CAS 


PubMed  PubMed Central  Google Scholar  * Costas K, Knorr RS, Condon SK . A case-control study of childhood leukemia in Woburn, Massachusetts: the relationship between leukemia incidence and


exposure to public drinking water. _Sci Total Environ_ 2002; 300: 23–35. Article  CAS  PubMed  Google Scholar  * Infante-Rivard C, Olson E, Jacques L, Ayotte P . Drinking water contaminants


and childhood leukemia. _Epidemiology_ 2001; 12: 13–19. Article  CAS  PubMed  Google Scholar  * ATSDR _Toxilogical Profile for Lead_. United States Department of Health and Human Services:


Atlanta, GA, USA, 2007. * Lanphear BP, Matte TD, Rogers J, Clickner RP, Dietz B, Bornschein RL _et al_. The contribution of lead-contaminated house dust and residential soil to


children's blood lead levels. A pooled analysis of 12 epidemiologic studies. _Environ Res_ 1998; 79: 51–68. Article  CAS  PubMed  Google Scholar  * Hartwell TD, Handy RW, Harris BS,


Williams SR, Gehlbach SH . Heavy metal exposure in populations living around zinc and copper smelters. _Arch Environ Health_ 1983; 38: 284–295. Article  CAS  PubMed  Google Scholar  *


Hogervorst J, Plusquin M, Vangronsveld J, Nawrot T, Cuypers A, Van Hecke E _et al_. House dust as possible route of environmental exposure to cadmium and lead in the adult general


population. _Environ Res_ 2007; 103: 30–37. Article  CAS  PubMed  Google Scholar  * Callan AC, Hinwood AL, Ramalingam M, Boyce M, Heyworth J, McCafferty P _et al_. Maternal exposure to


metals-Concentrations and predictors of exposure. _Environ Res_ 2013; 126: 111–117. Article  CAS  PubMed  Google Scholar  * Stern AH, Fagliano JA, Savrin JE, Freeman NC, Lioy PJ . The


association of chromium in household dust with urinary chromium in residences adjacent to chromate production waste sites. _Environ Health Perspect_ 1998; 106: 833–839. CAS  PubMed  PubMed


Central  Google Scholar  * Creason JP, Hinners TA, Bumgarner JE, Pinkerton C . Trace elements in hair, as related to exposure in metropolitan New York. _Clin Chem_ 1975; 21: 603–612. CAS 


PubMed  Google Scholar  * Cohen Hubal EA, Sheldon LS, Burke JM, McCurdy TR, Berry MR, Rigas ML _et al_. Children's exposure assessment: a review of factors influencing Children's


exposure, and the data available to characterize and assess that exposure. _Environ Health Perspect_ 2000; 108: 475–486. Article  CAS  PubMed  PubMed Central  Google Scholar  * Bellinger DC,


Bellinger AM . Childhood lead poisoning: the torturous path from science to policy. _J Clin Invest_ 2006; 116: 853–857. Article  CAS  PubMed  PubMed Central  Google Scholar  * Rasmussen PE,


Levesque C, Chenier M, Gardner HD, Jones-Otazo H, Petrovic S . Canadian House Dust Study: Population-based concentrations, loads and loading rates of arsenic, cadmium, chromium, copper,


nickel, lead, and zinc inside urban homes. _Sci Total Environ_ 2013; 443: 520–529. Article  CAS  PubMed  Google Scholar  * Gaitens JM, Dixon SL, Jacobs DE, Nagaraja J, Strauss W, Wilson JW


_et al_. Exposure of U.S. children to residential dust lead, 1999-2004: I. Housing and demographic factors. _Environ Health Perspect_ 2009; 117: 461–467. Article  CAS  PubMed  Google Scholar


  * Egeghy PP, Quackenboss JJ, Catlin S, Ryan PB . Determinants of temporal variability in NHEXAS-Maryland environmental concentrations, exposures, and biomarkers. _J Expo Anal Environ


Epidemiol_ 2005; 15: 388–397. Article  CAS  PubMed  Google Scholar  * Dixon SL, Wilson JW, Scott Clark C, Galke WA, Succop PA, Chen M . Effectiveness of lead-hazard control interventions on


dust lead loadings: findings from the evaluation of the HUD Lead-Based Paint Hazard Control Grant Program. _Environ Res_ 2005; 98: 303–314. Article  CAS  PubMed  Google Scholar  * Meyer I,


Heinrich J, Lippold U . Factors affecting lead and cadmium levels in house dust in industrial areas of eastern Germany. _Sci Total Environ_ 1999; 234: 25–36. Article  CAS  PubMed  Google


Scholar  * Sutton PM, Athanasoulis M, Flessel P, Guirguis G, Haan M, Schlag R _et al_. Lead levels in the household environment of children in three high-risk communities in California.


_Environ Res_ 1995; 68: 45–57. Article  CAS  PubMed  Google Scholar  * Thorton I, Watt JM, Davies DJA, Hunt A, Cotter-Howells J, Johnson DL . Lead contamination of UK dusts and soils and


implications for childhood exposure: an overview of the work of the Environmental Geochemistry Research Group, Imperial College, London, England 1981-1992. _Environ Geochem Health_ 1994; 16:


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Scholar  Download references ACKNOWLEDGEMENTS This work was supported in part by the National Institute of Environmental Health Sciences (NIEHS, grant numbers R01ES009137 and P42ES0470518);


by the Intramural Research Program of the National Cancer Institute (NCI), National Institute of Health (Subcontracts 7590-S-04, 7590-S-01); and by the NCI (Contract N02-CP-11015). We thank


the families for their participation. We also thank the clinical investigators at the following collaborating hospitals for the help in recruiting patients: University of California Davis


Medical Center (Dr. Jonathan Ducore), University of California San Francisco (Drs. Mignon Loh and Katherine Matthay), Children's Hospital of Central California (Dr. Vonda Crouse),


Lucile Packard Children's Hospital (Dr. Gary Dahl), Children's Hospital Oakland (Dr. James Feusner), Kaiser Permanente Oakland (Drs. Daniel Kronish and Stacy Month), Kaiser


Permanente Roseville (Drs. Kent Jolly and Vincent Kiley), Kaiser Permanente Santa Clara (Drs. Carolyn Russo, Denah Taggart, and Alan Wong), and Kaiser Permanente San Francisco (Dr. Kenneth


Leung). We thank Mr. Adam Abbgy of the Battelle Memorial Institute for his contribution as an analytical chemist. We acknowledge the late Dr. Patricia Buffler, the founding principal


investigator of the California Childhood Leukemia Study, and her leadership of the study for nearly 20 years. Finally, we acknowledge the study staff for their effort and dedication. AUTHOR


INFORMATION AUTHORS AND AFFILIATIONS * School of Public Health, University of California, Berkeley, California, USA Todd P Whitehead, Robert B Gunier, S Katharine Hammond, Stephen M


Rappaport & Catherine Metayer * Division of Cancer Epidemiology and Genetics, Department of Health and Human Services, Occupational and Environmental Epidemiology Branch, National Cancer


Institute, National Institutes of Health, Bethesda, Maryland, USA Mary H Ward & Joanne S Colt * Department of Pediatrics, Lucile Salter Packard Children's Hospital, Stanford


University, Palo Alto, California, USA Gary Dahl * Department of Pediatrics, School of Medicine, University of California, Davis, Sacramento, California, USA Jonathan Ducore * Cedars-Sinai


Heart Institute, Cedars-Sinai Medical Center, Los Angeles, California, USA Kyndaron Reinier Authors * Todd P Whitehead View author publications You can also search for this author inPubMed 


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this author inPubMed Google Scholar * Kyndaron Reinier View author publications You can also search for this author inPubMed Google Scholar * Robert B Gunier View author publications You can


also search for this author inPubMed Google Scholar * S Katharine Hammond View author publications You can also search for this author inPubMed Google Scholar * Stephen M Rappaport View


author publications You can also search for this author inPubMed Google Scholar * Catherine Metayer View author publications You can also search for this author inPubMed Google Scholar


CORRESPONDING AUTHOR Correspondence to Todd P Whitehead. ADDITIONAL INFORMATION Supplementary Information accompanies the paper on the Journal of Exposure Science and Environmental


Epidemiology website SUPPLEMENTARY INFORMATION SUPPLEMENTARY INFORMATION (DOC 251 KB) RIGHTS AND PERMISSIONS Reprints and permissions ABOUT THIS ARTICLE CITE THIS ARTICLE Whitehead, T.,


Ward, M., Colt, J. _et al._ Dust metal loadings and the risk of childhood acute lymphoblastic leukemia. _J Expo Sci Environ Epidemiol_ 25, 593–598 (2015). https://doi.org/10.1038/jes.2015.9


Download citation * Received: 17 September 2014 * Revised: 22 December 2014 * Accepted: 29 December 2014 * Published: 04 March 2015 * Issue Date: November 2015 * DOI:


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available for this article. Copy to clipboard Provided by the Springer Nature SharedIt content-sharing initiative KEYWORDS * childhood acute lymphoblastic leukemia * dust * environmental


exposure * lead * metals