Human Lead Exposure Research Articles

Development of a novel fluorescent protein-based probe for efficient detection of Pb2+ in serum inspired by the metalloregulatory protein PbrR691

BackgroundThe accurate and rapid detection of blood lead concentration is of paramount importance for assessing human lead exposure levels. Fluorescent protein-based probes, known for their high detection capabilities and low toxicity, are extensively used in analytical sciences. However, there is currently a shortage of such probes designed for ultrasensitive detection of Pb2+, and no reported probes exist for the quantitative detection of Pb2+ in blood samples. This study aims to fill this critical void by developing and evaluating a novel fluorescent protein-based probe that promises accurate and rapid lead quantification in blood. ResultsA simple and small-molecule fluorescent protein-based probe was successfully constructed herein using a peptide PbrBD designed for Pb2+ recognition coupled to a single fluorescent protein, sfGFP. The probe retains a three-coordinate configuration to identify Pb2+ and has a high affinity for it with a Kd’ of 1.48 ± 0.05 × 10−17 M. It effectively transfers the conformational changes of the peptide to the chromophore upon Pb2+ binding, leading to fast fluorescence quenching and a sensitive response to Pb2+. The probe offers a broad dynamic response range of approximately 37-fold and a linear detection range from 0.25 nM to 3500 nM. More importantly, the probe can resist interference of metal ions in living organisms, enabling quantitative analysis of Pb2+ in the picomolar to millimolar range in serum samples with a recovery percentage of 96.64%–108.74 %. SignificanceThis innovative probe, the first to employ a single fluorescent protein-based probe for ultrasensitive and precise analysis of Pb2+ in animal and human serum, heralds a significant advancement in environmental monitoring and public health surveillance. Furthermore, as a genetically encoded fluorescent probe, this probe also holds potential for the in vivo localization and concentration monitoring of Pb2+.

Blood pressure and hypertension in relation to lead exposure updated according to present-day blood lead levels.

Lead is an environmental hazard that should be addressed worldwide. Over time, human lead exposure in the western world has fallen drastically to levels comparable to those in humans living in the pre-industrial era, who were mainly exposed to natural sources of lead. To re-evaluate the health risks possibly associated with present-day lead exposure, a three‑pronged approach was applied. First, we critically assessed the recently published population metrics describing the adverse health effects associated with lead exposure at the population level. Next, we summarized the key results of the Study for Promotion of Health in Recycling Lead (SPHERL; NCT02243904) and put these results in perspective with those of the published population metrics. Last but not least, we performed a brief literature review on the present-day lead exposure level in Poland. To our best knowledge, SPHERL is the first prospective study that accounted for interindividual variability between people in their vulnerability to the toxic effects of lead exposure by assessing the participants' health status before and after occupational lead exposure, with blood pressure and hypertension as one of the primary outcomes. The overall conclusion of this comprehensive review on blood pressure and hypertension is that mainstream ideas about the public and occupational health risks related to lead exposure urgently need to be updated, because a large part of the available literature became obsolete given present-day exposure levels, which sharply declined over the past 40 years.

Assessment of the Long-Term Exposure to Lead in Four European Countries Using PBPK Modeling

Lead (Pb) is a naturally occurring heavy metal that received, in the last decades, much attention in the human health risk assessment community. In the European Human Biomonitoring Initiative (HBM4EU), Pb was identified as a priority substance as various scientific and policy questions were open and still to be answered. They included the further investigation of the internal exposure to Pb, the factors determining it, and its variations within European populations. The aim of this work was to develop an integrative modeling framework for the assessment of the aggregated long-term exposure to Pb in Belgium, Czech Republic, Germany, and Norway. This framework enabled predicting the concentrations of Pb in human blood (PbB) from estimates of the external exposure. The effect of past and current exposure events was accounted for, as multiple country-specific Pb concentration data in environmental compartments and diet, and estimates of the dietary intake of Pb covering a period from the 1970s until the present times were compiled. This modeling approach allowed, using a two-dimensional Monte Carlo (MC2D) approach, running a population-based simulation and characterizing the inter-individual variability within the simulated populations and the uncertainty on the external exposure estimates. The predicted PbB levels were compared with the results drawn from HBM data. To the best of our knowledge, this holistic modeling approach combines for the first time temporal and country-specific trends in environmental lead concentrations to derive internal exposure, in order to get better insights into the relationship between environmental and human lead exposure, and to characterize individual exposure at different ages.Graphical

Domestic dogs as sentinels of children lead exposure: Multi-pathway identification and source apportionment based on isotope technique

Environmental lead exposure poses risks to children’ health, thus exposure sources and pathways identification remain important concern and research scope. Due to sharing the same environment, domestic animals, especially dogs, have been used as useful sentinels to identify human lead exposure. However, more evidence is needed on whether domestic dogs could be used to identify the lead exposure pathways and sources of children. Thus, this study investigated the dietary habits, behaviors, and household environment of children and dogs in a typical coal-fired area in China. The lead levels and lead isotope ratios (Acronym: LIRs, expressed as 208Pb/206Pb and 207Pb/206Pb) in dogs' and children's blood, as well as in environmental media (food, PM2.5, indoor/outdoor dust, drinking water and soil) were measured to explore the predominant lead pollution sources and exposure pathways of children. The results showed that the LIRs of children's blood (208Pb/206Pb = 2.0703 ± 0.0076, 207Pb/206Pb = 0.8501 ± 0.0052) were similar to those of dogs' blood (208Pb/206Pb = 2.0696 ± 0.0085, 207Pb/206Pb = 0.8499 ± 0.0052), as well as similar to the LIRs of environmental media, i.e. children's food (208Pb/206Pb = 2.0731 ± 0.0057, 207Pb/206Pb = 0.8491 ± 0.0036) and coal (208Pb/206Pb = 2.0683 ± 0.017, 207Pb/206Pb = 0.8515 ± 0.01). Children and dogs had similar lead exposure pathways, but the contributions of each exposure pathway were different, i.e., 83.1% vs. 76.9% for children and dogs via food ingestion, 1.4% vs. 5.6% via particulate matter exposure, and 15.5% vs. 17.5% via household dust exposure, respectively. The contribution of food via ingestion to lead exposure remains dominant, and coal combustion is a main lead exposure source for children and domestic dogs.

Source apportionment based on lead isotope ratios: Could domestic dog's blood lead be used to identify the level and sources of lead pollution in children?

Domestic dogs have been proved to be used as “sentinel organisms” to monitor human lead exposure. However, whether dogs' blood can be used to identify the levels and pollution source of children's lead exposure still needs evidence. To evaluate the potential use of domestic dogs' blood lead as an indicator of lead exposure levels and pollution source of children, accompanying with potential environmental media samples, lead concentrations and isotope ratios (expressed as 207Pb/206Pb, 208Pb/206Pb) in blood were investigated and compared between children and dogs, who came from a Pb–Zn smelter area, a coal fired area and a control area without industrial activity. The results showed that there were significant correlations in blood lead levels (BLLs) between children and dogs in the study areas (p < 0.01). The lead isotope ratios (LIRs) in blood of children and dogs were disparate among the three areas, however, the LIRs of dogs were quite correlated with those of children in each area (p < 0.01). With the comparison of LIRs between potential pollution sources (slag, ore, coal, paint) and blood samples, the identified lead sources based on dogs' blood were found to be coincident with those based on children's blood. Ore smelting and coal combustion were the main sources of lead exposure for the dogs and children in the smelting area, and coal combustion was the predominant source for the children and dogs living in the coal burning area and control area. The results showed that dogs' BLLs might be used to estimate children's BLLs, and blood LIRs measurements of dogs' could be used as an alternative for identifying the sources of children's lead exposure. This study further provided relevant evidence for dogs to be sentinels exposed to human lead exposure and an alternative method for source apportionment of children's lead exposure.

Biomarkers of lead in occupationally exposed persons in Gurara and Suleja areas, Niger State, Nigeria

Human exposure to lead could pose serious health challenges, especially among occupationally-exposed workers. Though several toxicological studies have been carried out on toxic lead exposure in humans regarding their levels, reactions and disease conditions; dearth data exists in terms of correlation of lead levels with their exposure markers and subsequent manifested disease conditions. This study therefore aims to investigate the association between lead exposure and specific biomarkers used in monitoring lead levels in some occupationally exposed individuals and comparing the values with non-exposed individuals. A total of 116 subjects (72 occupationally exposed and 44 non-exposed subjects) within the age range of 17– 50 years were studied in a cross-sectional study conducted between August 2021 and November 2021 in Gurara and Suleja areas, in Niger state, Nigeria. Blood lead levels, hepato-renal indices and hematological parameters were analyzed using atomic absorption spectrophotometer (AAS) and abacus 380 analyzer, respectively. The mean blood levels of lead were 26.8±5.4 μg/dL in occupationally-exposed subjects, while in non-exposed subject’s 3.7±2.1 μg/dL. The results showed that occupational exposure increases the blood level of lead, implicating hematological variables and elevating specific hepato-renal indices which consequently increase the health risk of occupationally exposed individuals. Therefore, taking note of other body burdens, the synergistic adoption of these indicative biomarker tests could be used to give an implicative assessment on lead exposure and toxicity.

Sentinel animals for monitoring the environmental lead exposure: combination of traditional review and visualization analysis.

In nature, certain animals share a common living environment with humans, thus these animals have become biomonitors of health effects related to various environmental exposures. As one of the most toxic environmental chemicals, lead (Pb) can cause detriment health effects to animals, plants, and even humans through different exposure pathways such as atmosphere, soil, food, water, and dust, etc. Sentinel animals played an "indicative" role in the researches of environmental pollution monitoring and human health. In order to comprehend the usage of sentinel animals in the indication of environmental Pb pollution and human Pb exposure completely, a combination of traditional review and visualization analysis based on CiteSpace literature was used to review earlier researches in this study. In the first instance, present researches on exposure sources and exposure pathways of Pb were summarized briefly, and then the studies using sentinel animals to monitor environmental heavy metal pollution and human health were combed. Finally, visualization software CiteSpace 5.8.R3 was used to explore and analyze the hotspots and frontiers of lead exposure and sentinel animals researches at home and abroad. The results showed that certain mammals were good indicators for human lead exposure. Sentinel animals had been widely used to monitor the ecological environment and human lead exposure. Among them, the blood lead levels of small mammals, particularly for domestic dogs and cats, had a significant correlation with the blood lead levels of human living in the same environment. It indicated that certain biological indicators in animals can be used as surrogates to monitor human body exposure to heavy metals. This study also explored the challenges and perspectives that may be faced in sentinel animal research, in order to provide a certain theoretical basis and train of thought guidance for future research.

Analysis and assessment of human lead exposure from drinking water and the influencing factors associated with lead

Analysis and assessment of human lead exposure from drinking water and the influencing factors associated with lead

The role of dietary factors on blood lead concentration in children and adolescents - Results from the nationally representative German Environmental Survey 2014–2017 (GerES V)

In industrialized nations, human lead exposure has decreased significantly in recent decades. Nevertheless, due to its toxic effects, this heavy metal remains a public health concern with children and adolescents being particularly at risk. In Europe nowadays, oral intake via food and drinking water is the predominant exposure pathway for lead. The objective of the present study was to investigate the association between dietary factors and blood lead (PbB) level of 3- to 17-year-old children and adolescents living in Germany, using data from the fifth German Environmental Health Survey (GerES V) and the Child and Adolescent Health Survey (KiGGS Wave 2). GerES V and KiGGS Wave 2 are two national population-representative studies conducted between 2014 and 2017, including measurement of lead concentrations in blood from 720 children and adolescents aged 3–17 years (mean age = 10.21, SD age = 4.36). Using multiple linear regression, sociodemographic and environmental characteristics as well as dietary factors could be identified as significant exposure determinants of PbB concentrations. Lead intake via domestic tap water was the strongest predictor of elevated PbB levels with 27.6% (p-value< .001) higher concentrations of highest compared to none lead intake via tap water. Other foods which were found to be relevant to PbB levels were meat, fruit, and fruit juice. While meat or fruit consumption were each associated with about 13% (p-value < .05) lower PbB levels, fruit juice drinking was associated with up to 12.2% (p-value = .04) higher PbB levels. In conclusion, results indicate the importance of dietary habits for lead exposure in children and adolescents. To protect vulnerable groups, it is recommended that future research and lead-reducing measures pay more attention to dietary links.

Elevated Levels of Lead (Pb) Identified in Georgian Spices.

Background:Human lead (Pb) exposure can result in a number of adverse health outcomes, particularly in children.Objective:An assessment of lead exposure sources was carried out in the Republic of Georgia following a nationally representative survey that found elevated blood lead levels (BLLs) in children.Methods:A range of environmental media were assessed in 25 homes and four bazaars spanning five regions. In total, 682 portable X-Ray Fluorescence measurements were taken, including those from cookware (n = 53); paint (n = 207); soil (n = 91); spices (n = 128); toys (n = 78); and other media (n = 125). In addition, 61 dust wipes and 15 water samples were collected and analyzed.Findings:Exceptionally high lead concentrations were identified in multiple spices. Median lead concentrations in six elevated spices ranged from 4–2,418 times acceptable levels. Median lead concentrations of all other media were within internationally accepted guidelines. The issue appeared to be regional in nature, with western Georgia being the most highly affected. Homes located in Adjara and Guria were 14 times more likely to have lead-adulterated spices than homes in other regions.Conclusions:Further study is required to determine the source of lead contamination in spices. Policy changes are recommended to mitigate potential health impacts. The results of this study contribute to a growing body of evidence that points to adulterated spices as a significant source of human lead exposure.

Sequential drinking water sampling as a tool for evaluating lead in flint, Michigan

Eliminating the sources of human lead exposure is an ongoing public health goal. Identifying the make-up of household plumbing and service line material type is important for many reasons including understanding lead release sources and mechanisms, targeting locations for lead service line (LSL) removal, and assessing the effectiveness of lead remediation strategies. As part of the response to Flint, Michigan's drinking water lead public health crisis, a return to their original drinking water source (Lake Huron) and an increase in orthophosphate dose was implemented in late 2015. In 2016, EPA performed multiple rounds of sequential or “profiling” water sampling to evaluate corrosion control effectiveness and identify lead sources in homes and service lines, as well as to evaluate the effectiveness of corrosion control treatment with time on the different plumbing components. The results showed that lead levels, including high lead levels likely associated with particles, decreased with time in homes sampled during the 11-month evaluation period. Although sequential sampling indicated that brass fittings, brass fixtures, and galvanized pipes were lead sources, LSLs were the greatest source of lead when present. Following the removal of LSLs, the total mass of lead contributed to the drinking water decreased by 86% on average.

The legacy lead deposition in soils and its impact on cognitive function in preschool-aged children in the United States

Surface soil contamination has been long recognized as an important pathway of human lead exposure, and is now a worldwide health concern. This study estimates the causal effects of exposure to lead in topsoil on cognitive ability among 5-year-old children. We draw on individual level data from the 2000 U.S. Census, and USGS data on lead in topsoil covering a broad set of counties across the United States. Using an instrumental variable approach relying on the 1944 Interstate Highway System Plan, we find that higher lead in topsoil increases considerably the probability of 5-year-old boys experiencing cognitive difficulties such as learning, remembering, concentrating, or making decisions. Living in counties with topsoil lead concentration above the national median roughly doubles the probability of 5-year-old boys having cognitive difficulties. Nevertheless, it does not seem to affect 5-year-old girls, consistent with previous studies. Importantly, the adverse effects of lead exposure on boys are found even in counties with levels of topsoil lead concentration considered low by the guidelines from the U.S. EPA and state agencies. These findings are concerning because they suggest that legacy lead may continue to impair cognition today, both in the United States and in other countries that have considerable lead deposition in topsoil.

The Legacy Lead Deposition in Soils and Its Impact on Cognitive Function in Preschool-Aged Children in the United States

Surface soil contamination has been long recognized as an important pathway of human lead exposure, and is now a worldwide health concern. This study estimates the causal effects of exposure to lead in topsoil on cognitive ability among 5-year-old children. We draw on individual level data from the 2000 U.S. Census, and USGS data on lead in topsoil covering a broad set of counties across the United States. Using an instrumental variable approach relying on the 1944 Interstate Highway System Plan, we find that higher lead in topsoil increases considerably the probability of 5-year-old boys experiencing cognitive difficulties such as learning, remembering, concentrating, or making decisions. Living in counties with topsoil lead concentration above the national median roughly doubles the probability of 5-year-old boys having cognitive difficulties. Nevertheless, it does not seem to affect 5-year-old girls, consistent with previous studies. Importantly, the adverse effects of lead exposure on boys are found even in counties with levels of topsoil lead concentration considered low by the guidelines from the U.S. EPA and state agencies. These findings are concerning because they suggest that legacy lead may continue to impair cognition today, both in the United States and in other countries that have considerable lead deposition in topsoil.

The Legacy Lead Deposition in Soils and its Impact on Cognitive Function in Preschool-Aged Children in the United States

Surface soil contamination has been long recognized as an important pathway of human lead exposure, and is now a worldwide health concern. This study estimates the causal effects of exposure to lead in topsoil on cognitive ability among 5-year-old children. We draw on individual level data from the 2000 U.S. Census, and USGS data on lead in topsoil covering a broad set of counties across the United States. Using an instrumental variable approach relying on the 1944 Interstate Highway System Plan, we find that higher lead in topsoil increases considerably the probability of 5-year-old boys experiencing cognitive difficulties such as learning, remembering, concentrating, or making decisions. Living in counties with topsoil lead concentration above the national median roughly doubles the probability of 5-year-old boys having cognitive difficulties. Nevertheless, it does not seem to affect 5-year-old girls, consistent with previous studies. Importantly, the adverse effects of lead exposure on boys are found even in counties with levels of topsoil lead concentration considered low by the guidelines from the U.S. EPA and state agencies. These findings are concerning because they suggest that legacy lead may continue to impair cognition today, both in the United States and in other countries that have considerable lead deposition in topsoil.

Effects of lead and lead-melatonin exposure on protein and gene expression of metal transporters, proteins and the copper/zinc ratio in rats.

Human lead (Pb) exposure induces many adverse health effects, including some related to lead accumulation in organs. Although lead bio-distribution in the body has been described, the molecular mechanism underlying distribution and excretion is not well understood. The transport of essential and toxic metals is principally mediated by proteins. How lead affects the expression of metal transporter proteins in the principal metal excretory organs, i.e., the liver and kidney, is unknown. Considering that co-administration of melatonin and lead reduces the toxic effects of lead and lead levels in the blood in vivo, we examined how lead and co-administration of lead and melatonin affect the gene and protein expression of metal transporter proteins (ZIP8, ZIP14, CTR1 and DMT1) in these organs. Rats were exposed intraperitoneally to lead or lead-melatonin. Our results show that Pb exposure induces changes in the protein and gene expression of ZIP8, ZIP14 and CTR1. Alterations in the copper/zinc ratio found in the blood, liver and kidney were likely related to these changes. With DMT1 expression (gene and protein), a positive correlation was found with lead levels in the kidney. Co-administration of melatonin and lead reduced lead-induced DMT1 expression through an unknown mechanism. This effect of melatonin relates to reduced lead levels in the blood and kidney. The metal transport protein function and our results suggest that DMT1 likely contributes to lead accumulation in organs. These data further elucidate the effects of lead on Cu and Zn and the molecular mechanism underlying lead bio-distribution in animals.

Next-generation ice core technology reveals true minimum natural levels of lead (Pb) in the atmosphere: Insights from the Black Death.

Contrary to widespread assumptions, next‐generation high (annual to multiannual) and ultra‐high (subannual) resolution analyses of an Alpine glacier reveal that true historical minimum natural levels of lead in the atmosphere occurred only once in the last ~2000 years. During the Black Death pandemic, demographic and economic collapse interrupted metal production and atmospheric lead dropped to undetectable levels. This finding challenges current government and industry understanding of preindustrial lead pollution and its potential implications for human health of children and adults worldwide. Available technology and geographic location have limited previous ice core investigations. We provide new high‐ (discrete, inductively coupled plasma mass spectrometry, ICP‐MS) and ultra‐high resolution (laser ablation inductively coupled plasma mass spectrometry, LA‐ICP‐MS) records of atmospheric lead deposition extracted from the high Alpine glacier Colle Gnifetti, in the Swiss‐Italian Alps. We show that contrary to the conventional wisdom, low levels at or approaching natural background occurred only in a single 4 year period in ~2000 years documented in the new ice core, during the Black Death (~1349–1353 C.E.), the most devastating pandemic in Eurasian history. Ultra‐high chronological resolution allows for the first time detailed and decisive comparison of the new glaciochemical data with historical records. Historical evidence shows that mining activity ceased upwind of the core site from ~1349 to 1353, while concurrently on the glacier lead (Pb) concentrations—dated by layer counting confirmed by radiocarbon dating—dropped to levels below detection, an order of magnitude beneath figures deemed low in earlier studies. Previous assumptions about preindustrial “natural” background lead levels in the atmosphere—and potential impacts on humans—have been misleading, with significant implications for current environmental, industrial, and public health policy, as well as for the history of human lead exposure. Trans‐disciplinary application of this new technology opens the door to new approaches to the study of the anthropogenic impact on past and present human health.

Metal deposition of copper and lead bullets in moose harvested in Fennoscandia

ABSTRACTFragments from bullets used for moose (Alces alces) hunting contaminate meat, gut piles, and offal and expose humans and scavengers to lead and copper. We sampled bullets (n = 1,655) retrieved from harvested moose in Fennoscandia (Finland, Sweden, and Norway) to measure loss of lead and copper. Concordant questionnaires (n = 5,255) supplied ballistic information to complete this task. Hunters preferred lead‐based bullets (90%) to copper bullets (10%). Three caliber classes were preferred: 7.62 mm (69%), 9.3 mm (12%), and 6.5 mm (12%). Bullets passed completely through calves (76%) more frequently compared to yearlings (63%) or adults (47%). Metal deposition per bullet type (bonded lead core, lead core, and copper) did not vary among moose age classes (calves, yearlings, and adults). Average metal loss per bullet type was 3.0 g, 2.6 g, and 0.5 g for lead‐core, bonded lead‐core, and copper bullets, respectively. This corresponded to 18–26, 10–25, and 0–15% metal loss for lead‐core, bonded lead‐core, and copper bullets, respectively. Based on the harvest of 166,000 moose in Fennoscandia during the 2013/2014 hunting season, we estimated that lead‐based bullets deposited 690 kg of lead in moose carcasses, compared with 21 kg of copper from copper bullets. Bone impact increased, whereas longer shooting distances decreased, lead loss from lead‐based bullets. These factors did not influence loss of copper from copper bullets. In conclusion, a significant amount of toxic lead from lead‐based bullets is deposited in the tissue of harvested moose, which may affect the health of humans and scavengers that ingest it. By switching to copper bullets, Fennoscandian hunters can eliminate a significant source of lead exposure in humans and scavengers. © 2017 The Wildlife Society.

Human lead (Pb) exposure via dust from different land use settings of Pakistan: A case study from two urban mountainous cities

The current study aims to determine the dust-borne lead (Pb) levels into outdoor dust, which were collected from the areas nearby the cities/districts of Islamabad and Swat in Pakistan. In general dust samples from all land use settings (industrial, urban and rural) showed significantly higher (p<0.05) Pb-levels (median, ppm) from Islamabad (110, 52, 24) than those of Swat district (75, 37, 21), respectively. Index of Geo-accumulation (Igeo values) indicated that industrial and urban areas of both sites were highly polluted due to severe anthropogenic influence, whereas the rural areas were in most parts unpolluted and where moderately polluted, this was mainly due to geological factors and short and/or long distance atmospheric deposition from surrounding polluted areas. According to the calculated chemical daily intake (mg/kg-day) values, dust ingestion is one of the major routes of human exposure for lead. Hazard Index (HI) values, calculated for both adult and children populations, were above unity in industrial and urban areas, indicating serious health risks especially to the children populations.

The transition to non-lead rifle ammunition in Denmark: National obligations and policy considerations.

The issue of Denmark regulating use of lead-free rifle ammunition because of potential risks of lead exposure in wildlife and humans was examined from a scientific and objective policy perspective. The consequences of adopting or rejecting such regulation were identified. Denmark is obliged to examine this topic because of its national policy on lead reduction, its being a Party to the UN Bonn Convention on Migratory Species, and its role in protecting White-tailed Sea Eagles (Haliaeetus albicilla), a species prone to lead poisoning from lead ingestion. Lead-free bullets suited for deer hunting are available at comparable cost to lead bullets, and have been demonstrated to be as effective. National adoption of lead-free bullets would complete the Danish transition to lead-free ammunition use. It would reduce the risk of lead exposure to scavenging wildlife, and humans who might eat lead-contaminated wild game meat. Opposition from hunting organizations would be expected.

Human And Environmental Exposure To Lead In Brazil: A Comparative Analysis

Literature related to environmental human lead exposure in Brazil is reviewed comparing methodology, geography, and environmental control approaches to the problems studied. Recent data showed that there are a high number of small, medium, and large size industrial enterprises manipulating lead in the country, several of them operating in poor conditions of occupational and environmental control, leading to abnormal indoor and outdoor lead pollution. However, there are just a few epidemiologic studies that had assessed environmental human exposure and health effects in populations living nearby these facilities. One of the first studies, done in 1978, has showed high levels of lead in hair of an adult population of fishers living and consuming fish and seafood in Santo Amaro, BA, site of the biggest lead refinery in the country (means of hair Pb: 55ppm). After this first study, the same researchers have assessed periodically children's blood lead levels (BLL) at the same community, showing means of 59.1µg/dL (SD:25) in 555 children aged 1-9. The refinery was closed definitely in 1995. Afterwards, a new survey produced means of 17.1µg/dL (SD:7.3) in 47 children aged 1-4, indicating a probable decrease in the environmental contamination levels, but still high levels of exposure, at least for toddlers. Another plant of the same company had operated in the state of Paraná (PR) until 1996. A survey carried out in 1999 showed a median value of BLL in 99 children 7-14 years old of 11.5µg/dL. No BLL data were available for the period when the company was still active. The only study of environmental lead contamination due to a battery recycling plant was carried out in Bauru, SP, in 2001-2, after air and soil lead levels have showed to be above established limits. Shortly after the company has closed BLL of 825 children aged 1-14 showed means of 9.8µg/dL. All these studies have data shown a dose-response gradient of BLL according to the distance from the industrial source.