Abstract
Background.
In early 2010, outbreaks of lead poisoning due to artisanal gold mining in villages in the northwest Nigerian state of Zamfara have resulted in the death of hundreds of children < 5 years old. There have also been unconfirmed reports of high mortality of geese within these villages.
Objectives.
To report a case of lead poisoning in three domestic free-range chickens found in one of the affected communities where illegal small-scale gold mining activities take place.
Methods.
Three free-range domestic chickens were presented during a field investigation in one of the villages. The birds were observed to be emaciated, weak, showing nervous manifestations and moribund.
Results.
Tissue extracts of liver, spleen and intestines were negative for Newcastle viral antigens, while cultures of liver and spleen biopsy were positive for Escherichia coli. Histopathological lesions were observed in the kidney, proventriculus and brain. Concentrations of lead in the tissues ranged between 7.5 mg/kg and 120.5 mg/kg wet weight, and the potential daily intake of lead in the tissues were estimated at 34.06–200.15 μg/day/kg body weight with an average of 118.37 μg/day/kg body weight.
Conclusions.
The results of the present study suggest probable risk to human health due to the consumption of chicken contaminated by lead in the affected villages. Poisoning in animal populations may serve as a sentinel to assess the extent of environmental contamination and human health problems related to lead.
Ethics Approval.
Protocols were approved and performed in accordance with relevant local guidelines and regulations as set by the Animal Care and Use Committee of the National Veterinary Research Institute, Vom, Nigeria.
Competing Interests.
The authors declare no competing financial interests.
Keywords: mining, gold mining, lead, toxicity, chickens, Zamfara, Nigeria
Introduction
Mining activities are known to increase the bioavailability of metals in aquatic and terrestrial ecosystems and often leave a legacy of environmental pollution long after active mining has ceased.1,2 Lead (Pb), a well-known environmental toxicant, is a ubiquitous metal pollutant which is widespread in industrial areas. Humans and animals are exposed to Pb through food and feeds, as well as from the general environment.3 Lead toxicity has been shown to cause mortality in birds.4 Sources of Pb exposure in birds include Pb bullet shot, contaminated feed, water and soil, industrial pollution and agricultural technology.5 The adverse effects of Pb range from slight biochemical or physiological disorders to serious pathological conditions in which some organs and systems can be damaged or have their functions altered, according to the degree of exposure.6
In early 2010, environmental Pb contamination as a result of artisanal mining was reported in some northwest Nigerian villages.7–9 Mine run-off is also associated with contamination of the environment with Pb and other metals.10 Birds exposed to high concentrations of Pb will develop clinical symptoms quickly, with the majority of deaths linked to direct consumption of spent Pb shot through bullet fragments embedded in food items.6
This paper reports a case of lead poisoning in three domestic free-range chickens found in one of the affected communities where illegal small-scale gold mining activities take place. This community, and other similar communities have recorded high animal and human mortality due to lead, especially in children <5 years of age.9,11,12 This report details part of the findings from a larger study conducted in July 2010.12 The report is relevant in view of current environmental exposures witnessed due to ongoing illegal artisanal mining activities in Nigeria and other African countries.
Abbreviations
- PDI
Potential oral daily intake
Methods
Three free-range indigenous pullet chickens (A, B and C) were presented during a field investigation in July 2010 in the northwestern Nigerian state of Zamfara, where illegal small-scale gold mining activities caused the death of >500 children. The state of the chickens was raised as a concern by villagers while completing a questionnaire about other livestock concerns. The three chickens were obtained from the villagers and transported alive in chicken crates from the village to the local veterinary clinic, two hours away, located in the state capital, Gusau, for further clinical examination.
The chickens were humanely euthanized, and prepared for postmortem examination following standard procedures.13 Protocols were approved and performed in accordance with relevant local guidelines and regulations as set by the Animal Care and Use Committee of the National Veterinary Research Institute, Vom, Nigeria. Tissue samples were aseptically collected, washed in phosphate buffered saline and stored in sterile sample bottles. The kidneys, heart, brain and proventriculus were fixed in 10% neutral buffered formalin, processed and stained using Ziehl-Neelsen stain.14
The brain, bone, liver, kidneys, intestine, lungs and breast muscles were digested using the method described by the Association of Official Analytical Chemists Official Methods.15 Briefly, 0.2 g of each tissue sample was weighed and placed in Kjeldahl flasks into which 5 ml of nitric acid, 1 ml of perchloric acid and 0.5 ml sulphuric acid was added. The flask was heated at 200°C on a Kjeldahl heater until the solution became colorless and allowed to cool. The solution was made up to mark with deionized water in a 100 ml volumetric flask. The concentration of Pb in the digested samples was determined in a flame atomic absorption spectrophotometer (Shimadzu AA-6800, Shimadzu Corp, Japan), according to the manufacturer's specifications. Calibration with external standards was performed prior to analysis with a recovery of 91–93% and detection limit of 0.5 μg/g.
Biopsies of the liver and spleen were cultured both aerobically and anaerobically on blood and McConkey agar following standard procedures. The washed liver, spleen and intestine samples were prepared to constitute 80% suspension in phosphate buffered saline, centrifuged at 3000 rpm for 30 minutes and the supernatant collected as tissue extracts. Virus culture was carried out on the tissue extracts to check for hemagglutinating activity as described by Okwor et al.16
The potential oral daily intake (PDI) of lead by humans consuming tissues from the chickens was calculated as:
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where, R is the concentration of lead in tissue, and FC is the rate of ingestion of food (g/day) consumed by an adult human with an average body mass (BM) of 60 kg. The FC was based on standard masses of food consumed per day by economically advantaged people on balanced diet. These were 100, 50 and 300 g/day for liver, kidneys and meat, respectively.17
Results
The chickens were observed to be emaciated, weak, uncoordinated, showing staggering gait, torticollis, occasional cycling and were recumbent. The chickens showed paresis of the limbs and were unable to stand (Figure 1). On further enquiries, the residents claimed that several chickens, ducks and geese showed similar signs, and were either culled for meat or incinerated following death.
Figure 1.
Chicken C, showing paresis of the limbs and unable to stand
Grossly, chickens A, B and C had petechial and ecchymotic hemorrhages on the coronary fat and myocardium. The myocardium had diffuse areas of sharply demarcated pallor consistent with myocardial necrosis (Figure 2). The spleen was enlarged and congested. There was hepatic lipidosis, with gall bladder distention. The proventriculus had multifocal intramural dark areas of 0.2 cm in diameter, as seen from the serosa. Chicken C did not reveal visible gross lesions in the proventriculus. Chicken B carcass had two engorged amblyomma ticks at the base of the anterior part of the comb.
Figure 2.
Chicken A. Heart showing petechial and ecchymotic hemorrhages on the coronary fat (arrow) and the myocardium with myocardial necrosis (star).
Histopathologically, for all the chickens, the gray matter of the cerebrum showed severe cortical lamina necrosis, the arterioles and venules were distorted and showed increased perivascular space. There was vasculitis and fibrinoid necrosis of myocardial vessels with extension to the myocardium. Proventricular mucosal and glandular epithelium was eroded, necrotic and ulcerated with focal fatty change (Figure 3). There was media hypertrophy and vasculitis of splenic arteriole within the periarteriolar lymphoid sheet. Renal tubular epithelia cells had karyorrhectic vacuolated nuclei and hypereosinophilic cytoplasm (necrosis). The tubular epithelial cells contained round eosinophilic intranuclear inclusions (Figure 4) with Ziehl-Neelsen stain, consistent with lead (Pb) poisoning.
Figure 3.
Chicken A. Proventriculus mucosal epithelium showing erosion and ulceration (arrow), with glandular necrosis (star) (hematoxylin-eosin stain; original magnification ×40; scale bar = 50 μm)
Figure 4.
Chicken B. Renal tubular epithelia showing karyorrhexis, nuclei vacuolation (star) and hypereosinophilic cytoplasm (necrosis) with round eosinophilic intranuclear lead inclusions (arrows) (Ziehl-Neelsen stain; original magnification ×40; scale bar = 50 μm)
Lead concentration in the tissues ranged between 7.5 mg/kg and 120.5 mg/kg wet weight (Table 1). The highest concentration of Pb was found in the thigh bones (120.5 mg/kg wet weight), while the intestines had the lowest (7.50 mg/kg wet weight). All tissue extracts were negative for Newcastle virus as there were no hemagglutinating activities in the allantoic cavities of inoculated embryos. Bacterial culture yielded Escherichia coli in the spleen and liver of all of the chickens. The PDI of Pb when consuming meat, liver and kidney from chicken is presented in Table 2. The estimated PDI was between 34.06–200.15 μg/day/kg body weight.
Table 1.
Tissue Concentrations of Lead in Chickens Exposed to Artisanal Gold-Mining Activities in Zamfara, Nigeria
Chicken (mg/kg wet weight) | ||||
---|---|---|---|---|
Tissue type | A | B | C | Mean value |
Brain | 87.00 | 75.05 | 100.10 | 87.38 |
Thigh bone | 120.50 | 115.10 | 100.10 | 87.38 |
Liver | 80.05 | 77.55 | 60.05 | 72.55 |
Kidneys | 32.50 | 45.05 | 45.05 | 40.87 |
Intestines | 23.70 | 35.05 | 7.50 | 22.08 |
Lungs | 44.25 | 7.50 | 77.55 | 43.10 |
Breast muscle | 72.55 | 35.05 | 12.50 | 40.03 |
Table 2.
Potential Oral Daily Intake of Lead from Tissues of Lead-Poisoned Domestic Chickens in a Nigerian Community
Tissue | PDI (μg Pb/kg body weight/day)a |
---|---|
Liver | 120.92 |
Kidney | 34.06 |
Breast muscle | 200.15 |
aReference value of 3.57 μg/kg/day body mass.18
Discussion
Lead poisoning in animals and humans is a major concern worldwide, due to the use of lead in many anthropogenic activities. In veterinary medicine, Pb poisoning is most common in canines, cattle and birds, but limited in other species due to reduced accessibility, selective eating habits or lower susceptibility. The main source of contamination for birds is oral ingestion of Pb from shotgun pellets.6 However, the natural environment may also be contaminated by Pb from anthropogenic sources such as mining.6 Lead contamination in the chickens was likely a result of the artisanal extraction of unusually lead-rich gold ore in the community. This type of gold mining uses rudimentary techniques of processing the gold ore in the residents' homes. Processing involves crushing with hammers or mortar and pestle, which are also used to grind the villagers' food. The women and children pound the ore into fragments for grinding in flour mills to separate the gold from the ore. As the rocks are pulverized, lead dust is spewed across the ground where the children play and chickens scavenge. After milling the ore, it is mixed with water and washed down a carpeted incline in a classic method called ‘sluicing’. This sluicing allows the heavy gold to stick to the fiber of the carpeting, thus forming a gravity concentrate.
The most common signs of lead intoxication across species are its effects on the nervous system. The impact on the central nervous system results in altered mentation, changes in responsiveness to environmental stimuli, loss of balance and the inability to stand.19 These signs were observed in the chickens examined in the current study. Anatomical malformations like unusual positions of the head and/neck were also observed in these chickens.
The present study found that Pb concentrations in the brain, bone, liver, kidneys, intestine and lungs of the chickens exceeded maximum residue limits in meat.20 The tissue Pb concentration was 75–1151 times more than the recommended limit of 0.5 mg/kg set by the European Commission.20 The high Pb concentration found in the bone compared to other examined tissues is suggestive of a case of chronic Pb poisoning, and may be due to the continuous displacement of calcium ions (Ca2+) from its binding sites. Gulson et al. reported that during acute Pb poisoning, concentrations of Pb will be higher in soft tissues, with levels higher in the kidneys than the liver.21 However, in chronic poisoning, the highest concentrations will be found in bone.
The histopathological lesions such as round intranuclear eosinophilic inclusions in the proximal tubular cells observed in this study are consistent with Pb toxicity in several studies. The significant concentrations of Pb and associated pathology in the cerebrum may be associated with the nervous system signs observed in these birds. It appears that the substantial Pb levels found in the soil, water and vegetation within the community contributed considerably to the high values recorded in the tissues of the chickens.12,22,23
The E. coli isolated in the spleen and liver of all the chickens are considered to be opportunistic contaminants and may have contributed to the degree of pathology observed in these organs, since Pb is known to be immunosuppressive.24 A study suggested that the presence of Pb may alter immune competence against E. coli and other bacteria.25 Escherichia coli is reported to have a high prevalence rate (up to 81%) and is a common opportunistic enterobacteria in chickens in Nigeria.26 Clinical signs of colibacillosis are respiratory distress, sneezing, coughing, conjunctivitis, nasal and ocular discharge, poor growth and death.27 Gross lesions in colibacillosis include, but are not limited to, catarrhal exudates in trachea and bronchi, congestion of trachea mucosal membrane, splenomegaly, hepatomegaly and air sacculitis.27 The findings of the current report indicates that although E. coli was isolated in the chickens' spleen and liver, the signs presented do not indicate E. coli infection. The infection could aggravate the symptoms of Pb, but its exact role in the symptoms observed could not be deduced in this report.
The virology result which was negative for Newcastle virus antigens ruled out the possibility of Newcastle disease, which can also produce the neurological signs observed in this study. Another viral disease which presents with similar symptoms is avian encephalomyelitis. The disease affects chicks with clinical signs of ataxia, tremor, weakness, and epidemic tremors which progress to paralysis and recumbency.28 However, avian encephalomyelitis was ruled out considering the age of the chickens and the absence of epidemic tremors pathognomonic to the disease.
Although we were unable to determine how much poultry products such as eggs and meat contribute to the total dietary intake of an individual in the Zamfara community, estimates of PDI values are approximately 10-57 times greater than what is considered normal intake levels of 3.57 μg/kg/day body mass.18 The PDI estimate did not take into account Pb residues in the entire environment. It can be inferred that the consumption of chicken from the contaminated communities poses a significant health risk and is a public health concern. Despite the high levels of Pb in the chickens, they are still a small contributor to the total daily intake of Pb from all other sources for children and adults in the community.
Conclusions
It is highly likely that the chickens were intoxicated with Pb, based on prior history, tissue Pb concentrations and pathology. This calls for concerted efforts in eliminating sources of environmental pollution from the gold mining activity in these communities, due to the public health risks posed by Pb accumulation in tissues of animals which then moves into the food chain. We recommend long-term continuous biomonitoring of domestic animals in these communities to determine if bioremediation measures are successful, in view of the paucity of data on Pb burden in animals in these communities. Poisoning in animal populations may serve as a sentinel to assess the extent of environmental contamination and human health problems related to Pb. Findings from further studies would ensure remediation through proper government policies. The role of education and partnership with government and non-governmental organizations cannot be overemphasized.
Acknowledgments
We appreciate the Executive Director, National Veterinary Research Institute, Vom, Nigeria for approving the field investigation. This study was funded by an administrative grant approved by the National Veterinary Research Institute, Vom, Nigeria.
References
- 1.Camizuli E, Scheifler R, Garnier S, Monna F, Losno R, Gourault C, Hama G, Lachiche C, Delivet G, Delivet G, Chateau C, Alibert P. Trace metals from historical mining sites and past metallurgical activity remain bioavailable to wildlife today. Sci Rep [Internet] 2018;8(1):11. doi: 10.1038/s41598-018-20983-0. [cited 2020 Mar 6] Article 3436. p.]. Available from: [DOI] [PMC free article] [PubMed] [Google Scholar]
- 2.Musilova J, Arvay J, Vollmannova A, Toth T, Tomas J. Environmental contamination by heavy metals in region with previous mining activity. Bull Environ Contam Toxicol [Internet] 2016;97(4):569–75. doi: 10.1007/s00128-016-1907-3. [cited 2020 Mar 6] Available from: Subscription required to view. [DOI] [PubMed] [Google Scholar]
- 3.Lo YC, Dooyema CA, Neri A, Durant J, Jefferies T, Medina-Marino A, de Ravello L, Thoroughman D, Davis L, Dankoli RS, Samson MY, Ibrahim LM, Okechukwu O, Umar-Tsafe NT, Dama AH, Brown MJ. Childhood lead poisoning associated with gold ore processing: a village-level investigation-Zamfara State, Nigeria, October–November 2010. Environ Health Perspect [Internet] 2012 Oct;120(10):1450–5. doi: 10.1289/ehp.1104793. [cited 2020 Mar 6] Available from: [DOI] [PMC free article] [PubMed] [Google Scholar]
- 4.Martins NR, Marques MV, Vilela DA, Resende JS, Carvalhaes AG, Andrade EA, Barrios PR. Lead poisoning mortality in wild Passeriformes and its detection in free-range chicken eggs in Southern Minas Gerais, Brazil. Brazil J Poult Sci [Internet] 2010 Jul-Sep;12(3):149–52. doi: 10.1590/S1516-635X2010000300002. [cited 2020 Mar 6] Available from: [DOI] [Google Scholar]
- 5.Vallverdu-Coll N, Ortiz-Santaliestra ME, Mougeot F, Vidal D, Mateo R. Sublethal Pb exposure produces season-dependent effects on immune response, oxidative balance and investment in carotenoid-based coloration in red-legged partridges. Environ Sci Technol [Internet] 2015 Mar 17;49(6):3839–50. doi: 10.1021/es505148d. [cited 2020 Mar 6] Available from: Subscription required to view. [DOI] [PubMed] [Google Scholar]
- 6.Mateo R, Vallverdu-Coll N, Lopez-Antia A, Taggart MA, Martinez-Haro M, Guitart R, Ortiz-Santaliestra ME. Reducing Pb poisoning in birds and Pb exposure in game meat consumers: the dual benefit of effective Pb shot regulation. Environ Int [Internet] 2014 Feb;63:163–8. doi: 10.1016/j.envint.2013.11.006. [cited 2020 Mar 6] Available from: [DOI] [PubMed] [Google Scholar]
- 7.Bartrem C, Tirima S, von Lindern I, von Braun M, Worrell MC, Mohammad Anka S, Abdullahi A, Moller G. Unknown risk: co-exposure to lead and other heavy metals among children living in small-scale mining communities in Zamfara state, Nigeria. Int J Environ Health Res. 2014 Aug;24(4):304–19. doi: 10.1080/09603123.2013.835028. [DOI] [PubMed] [Google Scholar]
- 8.Kaufman JA, Brown MJ, Umar-Tsafe NT, Adbullahi MB, Getso KI, Kaita IM, Sule BB, Ba'aba A, Davis L, Nguku PM, Sani-Gwarzo N. Prevalence and risk factors of elevated blood lead in children in gold ore processing communities, Zamfara, Nigeria, 2012. J Health Pollut [Internet] 2016 Sep;6(11):2–8. doi: 10.5696/2156-9614-6-11.2. [cited 2020 Mar 6] Available from: [DOI] [PMC free article] [PubMed] [Google Scholar]
- 9.Tirima S, Bartrem C, von Lindern I, von Braun M, Lind D, Anka SM, Abdullahi A. Food contamination as a pathway for lead exposure in children during the 2010–2013 lead poisoning epidemic in Zamfara, Nigeria. J Environ Sci [Internet] 2018 May;67:260–72. doi: 10.1016/j.jes.2017.09.007. [cited 2020 Mar 6] Available from: Subscription required to view. [DOI] [PubMed] [Google Scholar]
- 10.Mackay AK, Taylor MP. Floodwater metal contaminants in an Australian dryland river: a baseline for assessing change downstream of a major lead-zinc-silver and copper mine. J Environ Qual [Internet] 2013 Mar;42(2):474–83. doi: 10.2134/jeq2010.0349. [cited 2020 Mar 6] Available from: Subscription required to view. [DOI] [PubMed] [Google Scholar]
- 11.Thurtle N, Greig J, Cooney L, Amitai Y, Ariti C, Brown MJ, Kosnett MJ, Moussally K, Sani-Gwarzo N, Akpan H, Shanks L, Dargan PI. Description of 3,180 courses of chelation with dimercaptosuccinic acid in children ≤ 5 y with severe lead poisoning in Zamfara, Northern Nigeria: a retrospective analysis of programme data. PLoS Med [Internet] 2014 Oct 7;11(10):18. doi: 10.1371/journal.pmed.1001739. [cited 2020 Mar 6] Article 1001739 [ p.]. Available from: [DOI] [PMC free article] [PubMed] [Google Scholar]
- 12.Orisakwe OE, Oladipo OO, Ajaezi GC, Udowelle NA. Horizontal and vertical distribution of heavy metals in farm produce and livestock around lead-contaminated goldmine in Dareta and Abare, Zamfara state, Northern Nigeria. J Environ Public Health [Internet] 2017;2017:12. doi: 10.1155/2017/3506949. [cited 2020 Mar 6]; Article 3506949 [ p.]. Available from: [DOI] [PMC free article] [PubMed] [Google Scholar]
- 13.American Veterinary Medical Association Guidelines for the Euthanasia of Animals. Available from: https://www.avma.org/sites/default/files/2020-02/Guidelines-on-Euthanasia-2020.pdf [cited 2020 April 14]
- 14.Luna LG. Manual of histologic staining methods of the armed forces institute of pathology. 3rd ed. New York: McGraw-Hill; 1968. p. 258. p. [Google Scholar]
- 15.Rockville (MD): Association of Official Analytical Chemists Official Method; 1988. Metals in plants and pet foods: atomic absorption spectrophotometric method; p. 2. p. Report No.: 975.03. [Google Scholar]
- 16.Okwor EC, Okoye JO, Eze DC. Studies on the time of detection of Newcastle disease virus in the brain in relation to other organs. J Anim Vet Adv [Internet] 2010;9(5):946–8. doi: 10.3923/javaa.2010.946.948. [cited 2020 Mar 6] Available from: [DOI] [Google Scholar]
- 17.Gummow B, Botha CJ, Noordhuizen JP, Heesterbeek JA. The public health implications of farming cattle in areas with high background concentrations of vanadium. Prev Vet Med [Internet] 2005 Dec 12;72(3–4):281–90. doi: 10.1016/j.prevetmed.2005.07.012. [cited 2020 Mar 6] Available from: Subscription required to view. [DOI] [PubMed] [Google Scholar]
- 18.Lead in drinking-water: background document for development of WHO guidelines for drinking-water quality [Internet] Geneva: World Health Organization; 2003. p. 16. [cited 2020 Mar 6] p. Available from: https://apps.who.int/iris/handle/10665/75370. [Google Scholar]
- 19.Edwards JR, Fossum TW, Nichols KJ, Noah DL, Tarpley RJ, Prozialeck WC. One health: children, waterfowl, and lead exposure in Northwestern Nigeria. J Am Osteopath Assoc [Internet] 2017 Jun 1;117(6):370–6. doi: 10.7556/jaoa.2017.075. [cited 2020 Mar 6] Available from: [DOI] [PubMed] [Google Scholar]
- 20.Commission Regulation (EC) No. 1881/2006 of 19 December 2006 setting maximum levels for certain contaminants in foodstuffs: L364 [Internet] Brussels: Official Journal of the European Union; 2006. p. 24. [cited 2020 Mar 6] p. Available from: https://eur-lex.europa.eu/legal-content/EN/ALL/?uri=CELEX%3A32006R1881. [Google Scholar]
- 21.Gulson B, Korsch M, Matisons M, Douglas C, Gillam L, McLaughlin V. Windblown lead carbonate as the main source of lead in blood of children from a seaside community: an example of local birds as “canaries in the mine”. Environ Health Perspect [Internet] 2009 Jan;117(1):148–54. doi: 10.1289/ehp.11577. [cited 2020 Mar 6] Available from: [DOI] [PMC free article] [PubMed] [Google Scholar]
- 22.Plumlee GS, Durant JT, Morman SA, Neri A, Wolf RE, Dooyema CA, Hageman PL, Lowers HA, Fernette GL, Meeker GP, Benzel WM, Driscoll RL, Berry CJ, Crock JG, Goldstein HL, Adams M, Bartrem CL, Tirima S, Behbod B, von Lindern I, Brown MJ. Linking geological and health sciences to assess childhood lead poisoning from artisanal gold mining in Nigeria. Environ Health Perspect [Internet] 2013 Jun;121(6):744–50. doi: 10.1289/ehp.1206051. [cited 2020 Mar 6] Available from: [DOI] [PMC free article] [PubMed] [Google Scholar]
- 23.Getso KI, Hadejia IS, Sabitu K, Nguku PM, Poggensee G, Aliyu HM, Yalwa H, Sani-Gwarzo N, Oyemakinde A. Prevalence and determinants of childhood lead poisoning in Zamfara state, Nigeria. J Health Pollut [Internet] 2014 Mar;4(6):1–9. doi: 10.5696/2156-9614-4-6.1. [cited 2020 Mar 6] Available from: [DOI] [Google Scholar]
- 24.Vallverdu-Coll N, Mateo R, Mougeot F, Ortiz-Santaliestra ME. Immunotoxic effects of lead on birds. Sci Total Environ [Internet] 2019 Nov 1;689:505–15. doi: 10.1016/j.scitotenv.2019.06.251. [cited 2020 Apr 7] Available from: Subscription required to view. [DOI] [PubMed] [Google Scholar]
- 25.Luna AL, Acosta-Saavedra LC, Martinez M, Torres-Aviles N, Gomez R, Calderon-Aranda ES. TLR4 is a target of environmentally relevant concentration of lead. Toxicol Lett [Internet] 2012 Nov 15;214(3):301–6. doi: 10.1016/j.toxlet.2012.09.009. [cited 2020 Mar 6] Available from: Subscription required to view. [DOI] [PubMed] [Google Scholar]
- 26.Adenipekun EO, Jackson CR, Oluwadun A, Iwalokun BA, Frye JG, Barrett JB, Hiott LM, Woodley TA. Prevalence and antimicrobial resistance in Escherichia coli from food animals in Lagos, Nigeria. Microb Drug Resist [Internet] 2015 Jun;21(3):358–65. doi: 10.1089/mdr.2014.0222. [cited 2020 Mar 6] Available from: Subscription required to view. [DOI] [PubMed] [Google Scholar]
- 27.Mosleh N, Dadras H, Asasi K, Taebipour MJ, Tohidifar SS, Farjanikish G. Evaluation of the timing of the Escherichia coli co-infection on pathogenecity of H9N2 avian influenza virus in broiler chickens. Iran J Vet Res. 2017 Spring;18(2):86–91. [PMC free article] [PubMed] [Google Scholar]
- 28.Freitas ES, Back A. New occurance of avian encephalomyelitis in broiler - is this an emerging disease? Brazil J Poult Sci [Internet] 2015 Jul-Sep;17(3):399–404. doi: 10.1590/1516-635x1703399-404. [cited 2020 Mar 6] Available from: [DOI] [Google Scholar]