Mean Blood Lead Levels Research Articles

Impact of acute PM2.5 exposure on pediatric blood lead levels: evidence from Beijing, China

Research on the effects of fine particulate matter (PM2.5) on blood lead levels (BLL), particularly in children, remains limited. This study aimed to investigate the relationship between acute ambient PM2.5 exposure and BLL in children aged below 14. A total of 23,732 children were included in the study, with BLL measured using atomic absorption spectrometry. Generalized additive models (GAM) were employed to analyze the connection between children’s BLL and acute PM2.5 exposure. From April 2008 to June 2017, Beijing’s average PM2.5 concentration was 91.71 ± 74.55 μg/m³, approximately 2.62 times higher than the annual average concentration recommended by the WHO Ambient Air Quality Standard (35 μg/m³). The mean (±SD) BLL of children was 0.2105 ± 0.0963 μmol/L, with a median of 0.20 μmol/L. The data indicated an increase in BLL with age and a significant difference in BLL between boys and girls (p < 0.05). The analysis revealed a non-linear relationship between BLL and PM2.5 exposure after adjusting for variables such as gender, age, blood levels of Cu, Fe, Ca, Mg, Zn, analysis batch, and heating season. PM2.5 exposure significantly impacted children’s BLL.

Time-trends of blood lead levels from 2020 to 2023 in pregnant and breastfeeding women from Adjara, Georgia—A birth registry-based study

BackgroundIn response to substantial lead exposure, the autonomous republic of Adjara in Georgia initiated complementary blood lead level (BLL) testing for pregnant women as part of their antenatal care services in 2020. ObjectivesTo study the background BLLs in pregnant and breastfeeding women in Adjara and explore the time-trends of BLLs from September 2020 to July 2023. MethodsWe used data on BLLs during pregnancy or postpartum from the lead screening program in Adjara, combined with data from the Georgian Birth Registry, totaling 9,510 women. To study the temporal changes in BLLs, we used independent samples t-tests and chi-square tests. ResultsIn 2020, the mean (standard deviation [SD]) BLL was 8.8 (5.4) μg/dL, declining annually by 1.0–2.2 μg/dL to reach 3.6 (2.5) μg/dL in 2023. The prevalence of pregnant women with BLLs ≥3.5, ≥5.0, and ≥10.0 μg/dL also decreased from 2020 to 2023. Specifically, 21.2% of women in their first trimester had BLLs ≥10 μg/dL in 2020, compared with 2.3% in 2023. Similarly, 73.5% had BLLs ≥5.0 μg/dL in 2020, which declined to 20.4% in 2023. Lastly, 89.1% had BLLs ≥3.5 μg/dL in 2020, decreasing to 38.6% in 2023. DiscussionIn 2023, nearly 40% of women in their first trimester had BLLs of ≥3.5 μg/dL, a level considered the reference value in the United States (US) and corresponding to the 97.5th percentile among US children. From 2020 to 2023, the mean BLL in pregnant women decreased by 59%, accompanied by a considerable decline in the prevalence of women with BLLs ≥3.5, ≥5.0, and ≥10.0 μg/dL. Despite the encouraging downward trend in BLLs throughout the study period, our data indicate that a considerable number of fetuses continue to be exposed to harmful levels of lead and that lead exposure remains a significant public health challenge in Adjara.

Effects of Blood Lead Levels

Lead exposures among school-age children are a major public health issue. Although the harmful effects of lead exposure during the first years of life are well known, there is not as much understanding of the effects of low levels of lead exposure during later childhood. To review the effects of blood lead levels (BLLs) <10 µg/dL in school-age children and adolescents. We searched Medline, Embase, Global health, CINAHL, Scopus, and Environmental Science Collection databases between January 1, 2000, and May 11, 2023. We included peer-reviewed English-language articles that presented data on the effects of BLLs <10 µg/dL in individuals ages 5 through 18 years. Data on country, population, analytic design, sample size, age, BLLs, outcomes, covariates, and results were extracted. Overall, 115 of 3180 screened articles met the inclusion criteria. The reported mean or median BLL was <5 µg/dL in 98 articles (85%). Of the included articles, 89 (77%) presented some evidence of an association between BLLs <10 µg/dL during school age and detrimental outcomes in a wide range of categories. The strongest evidence of an association was for the outcomes of intelligence quotient and attention-deficit/hyperactivity disorder diagnoses or behaviors. Few articles controlled for BLLs at age <5 years, limiting conclusions about the relation between later BLLs and outcomes. BLLs <10 µg/dL in school-age children and adolescents may be associated with negative outcomes. This review highlights areas that could benefit from additional investigation.

Lead Toxicity From Imported Jewelry.

We summarize here the presentation and course of lead poisoning in a 1-year-old who ingested a lead-containing metallic medallion from India. We analyzed the medallion to determine its composition, using x-ray fluorescence spectroscopy and field emission scanning electron microscopy. A simple extraction test was used to estimate oral bioavailability. We used the US Environmental Protection Agency Integrated Exposure Uptake Biokinetic model to compare actual versus predicted blood lead levels. X-ray fluorescence analysis revealed the composition of the medallion to be: Lead 155 000 ppm (15%), copper 530 000 ppm (53%), nickel 49 000 ppm (4.9%), arsenic 22 000 ppm (2.2%), antimony 12 000 ppm (1.2%), tin 3000 ppm (0.3%), and silver 1300 ppm (0.13%). With a fixed ingestion of 7786 µg/d (estimated by simulated gastric extraction analysis) and assuming 50% bioavailability, Integrated Exposure Uptake Biokinetic modeling predicted the geometric mean blood lead level would increase from 2.05 µg/dL to 173.9 µg/dL. This patient had potentially life-threatening lead poisoning from an ingested piece of jewelry. The medallion contained 550 times the allowable content of lead in children's metallic jewelry sold in the United States. This case highlights the ubiquitous nature of lead in our global environment and the risk of exposure to novel sources, especially for children.

Comparison of blood lead levels between battery recycling workers and controls in Northern Nigeria

ABSTRACT About 80% of the global lead production is consumed by the battery industry. As old batteries are increasingly being recycled without adequate recourse to safety and protection in many developing countries, there is well-documented evidence of lead poisoning among the workers. This study compared blood lead levels (BLL) of battery recycling workers (BRW) with controls in Northern Nigeria. This cross-sectional study assessed the BLL of BRW (self-employed informal workers, n = 98) and controls (healthcare workers, n = 98). Respondents were selected using systematic random sampling from the lists of BRW and healthcare workers. All respondents in the two groups were males, matched for age (27.81 ± 7.2, 27.67 ± 7.0 years; p = 0.890). The mean BLL was significantly higher (p < 0.001) among the BRW compared to the controls (40.17 ± 4.2 and 3.61 ± 0.4 µg/dL, respectively), with 78.1% of the BRW having elevated BLL (≥20.0 µg/dL) and none (0.0%) of the controls having elevated BLL. Logistic regression shows none of the variables was an independent predictor of BLL in this study, implying battery reclamation as the main source of lead. Federal and state government policies should ban informal battery recycling and emphasize on plants through national collection system to consolidate used batteries only to smelters that meet minimum regulatory requirements.

Assessing the Prevalence of Lead Toxicity and Related Factors in Pediatric Patients with Abdominal Pain

Background: Lead toxicity is an environmental disease that has been encountered since ancient times and can present with symptoms such as abdominal pain, constipation, or neurological deficits. This issue accounts for the highest burden among environmental disorders. Objectives: The aim of this study was to assess the prevalence of lead toxicity in patients with abdominal pain in Southern Iran. Methods: In this study, 50 pediatric patients with chronic abdominal pain and 50 healthy individuals were compared in terms of their blood lead levels and underlying demographic information that could contribute to lead toxicity. Results: A total of 100 participants were enrolled in this study, with a mean age of 8.50 ± 2.444 years, 53.0% of whom were male. The mean blood lead levels in the control and case groups were 1.54 ± 0.693 and 2.73 ± 2.547 µg/dL, respectively, with a statistically significant difference (P = 0.002). When cutoff values of 2 µg/dL and 3.5 µg/dL were considered for lead toxicity, the prevalence of lead toxicity was significantly higher in the case group. Environmental and demographic factors did not differ between patients with lead toxicity and those with normal lead levels (P &gt; 0.05). Conclusions: The prevalence of lead toxicity in children complaining of chronic abdominal pain was 12.0% (95% CI: 4.5% - 24.3%). However, more accurate testing of the environment is needed in future studies.

Assessment of occupational exposure to lead among workers engaged in a city bus garage in Addis Ababa, Ethiopia: a comparative cross-sectional study

BackgroundLead is one of the most nonessential toxic heavy metal agents found in automotive garages. The occupational exposure of garage workers to lead commonly poses acute and chronic health risks that can be prevented. In Ethiopia, there have been limited studies on lead exposure among garage workers, who overemphasize exposure to lead. This study aimed to assess occupational blood lead levels and associated factors in garage workers using a cross-sectional comparative design.MethodsA comparative cross-sectional study design was used to compare the occupational blood lead levels of 36 randomly selected garage workers and 34 office workers who were matched by age and sex. Blood specimens were collected by trained medical laboratory experts. The collected blood samples were tested in a certified laboratory using a microwave plasma atomic emission spectrometry (MP-AES) device at a wavelength of 405.78 nm. Excel and SPSS Version 26 were used for data management and analysis, respectively.ResultsThe mean (SD) age of the exposed group was 39.0 (7.5) years, whereas the mean age of the unexposed group was 38.0 (6.1) years. The occupational mean (SD) blood-lead-level in the exposed groups was 29.7 (12.2) µg/dl, compared to 14.8 (9.9) µg/dl among the unexposed groups. The mean blood-lead level among the exposed workers was significantly different from that among the unexposed workers (P < 0.01). Of all the study participants, only 22.2% of the exposed groups had blood lead levels higher than the World Health Organization’s recommended limit of 40 µg/dl. The main significant predictors of occupational blood-lead-level exposure among workers were extra working hours, service years, and having a previous (prior) employment history in a garage. The occupations of the two groups did not significantly differ in terms of blood-lead levels (p > 0.05).ConclusionsThe BLL of the Garage workers was significantly greater than that of the Non-Garage workers. Hence, it is advised that garage management should encourage workers to use exposure prevention methods, such as washing their hands before eating and taking showers after the completion of work, by providing regular occupational safety training.

Assessment of lead contamination in soil and tap water in daycare facilities in Addis Ababa: implications for children's health

ABSTRACT In recent years, lead poisoning has been recognized as a serious environmental health problem throughout the world, particularly, for children in developing countries. The objective of the study was to investigate the lead level in the water and soil of daycare facilities in Addis Ababa. Graphite furnaces atomic absorption spectrometry was used to analyze the concentration of lead in soil and tap water of 28 daycare centers. The result indicated that the mean levels of lead in soil and water were 0.00237 mg/g and 8.26 μg/L, respectively, which are below the permissible values of 0.1 mg/g and 10 μg/L according to WHO standards. The blood lead levels and exposure to lead in children were calculated using the integrated exposure uptake biokinetic model as per United States Environmental Protection Agency (USEPA) guidelines. The mean blood lead level was 1.78 μg/dL, and the model also predicted that 6.497% of the children in the city may have blood lead levels above the Center for Disease Control recommended reference value of 3.5 μg/dL. Even if the values were below the reference, there is no safe blood lead level since even a small amount can have adverse effects on children.

Lead exposure and source attribution for a mammalian scavenger before and after a culling program

Lead-based ammunition is a significant source of environmental lead and threatens species that scavenge lead-shot carcasses, particularly in areas with intensive shooting. With the impacts of lead on avian scavengers well established, there is increasing focus on the effects of lead on mammalian scavengers. We investigated lead exposure in a morphologically specialized mammalian scavenger, the Tasmanian devil (Sarcophilus harrisii), by analyzing their blood lead levels (BLLs) before and after a marsupial culling program using linear mixed effects models. We compared lead isotope signatures in devil blood to those in the culling ammunition to inform potential source attributions. We sampled 23 devils before culling and 15 after culling, finding no significant difference in mean BLLs pre and post-culling. However, devils captured closer to forestry coupes where culling had occurred had higher BLLs, and a greater proportion of devils displayed elevated BLLs post-culling (33 % compared to 18 % pre-culling). The highest BLL (7.93 μg/dL) was found in a devil post-culling and this individual had lead isotope signatures that matched the ammunition samples analyzed, suggesting the individual was exposed to lead from scavenging on culled carcasses. While 18 % of the devil blood lead samples had isotope signatures consistent with the ammunition samples, most were measurably different, indicating other sources of lead in the landscape. BLLs in our study landscape were similar to published BLLs for wild devils across Tasmania. That said, lead isotope signatures in the blood of individual devils sampled both before and after culling shifted closer to those of ammunition samples post-culling. Our results indicate that while some individual devils may have been exposed to lead from culling, most devils in the landscape did not show evidence of recent exposure. However, even low lead levels can adversely impact wildlife health and immunity, a particular concern for devils, a species endangered by disease.

The association between childhood blood lead levels and proximity to airports in Colorado

BackgroundIn October 2023, the U.S. Environmental Protection Agency announced a final endangerment finding that leaded aviation gasoline (avgas) contributes to air pollution that is harmful to public health. This study evaluates the evidence for a link between living in proximity to airports and children’s blood lead levels in Colorado.MethodsWe analyzed the association between childhood blood lead levels (BLLs) and proximity to airport point locations in children tested for lead in Colorado over a 10-year study period (2011–2020) using a correlated random effects model with bootstrapped standard errors (N = 56,002 observations, 47,322 individuals). Along with distance from airport point locations, we identified the number of days sampled children lived downwind of their nearest airport during the 60 days prior to their test date. We also adjusted the model for age, sex, detection limit, test type, sample order, seasonality, time, proximity to lead-releasing facilities, estimated monthly aircraft traffic, and demographic characteristics of the surrounding neighborhood.ResultsOur primary model estimates that living one mile (1.6 km) further from airport point locations decreases mean blood lead levels by 0.068 µg/dL. Additional analysis estimates that living one mile further from airport point locations decreases the odds of having a blood lead level ≥ 3.5 µg/dL by 13.2%.ConclusionOur results suggest that lead emissions from aircraft using leaded avgas have a small but statistically significant effect on the BLLs of children living near airport point locations in Colorado. While the risk from proximity to airports is likely less than the risks associated with deteriorating lead paint and dust, our findings highlight the value of lead testing in children who may be at risk of exposure from all sources, including those who live near airports.

Prevalence of Elevated Blood Lead Levels and Gender Differences Among School Children in Banda Aceh, Indonesia

Lead toxicity is a major health problem in developing countries as lead exposure is widely scattered in the environment. Children are particularly vulnerable to the neurotoxicity of low-level, prolonged exposure to lead. Long-term effects of lead accumulation in children can damage them physically and mentally. We evaluated Blood Lead Levels (BLLs) among school children in Banda Aceh Municipality, Indonesia. A cross-sectional study with randomly selected participants was conducted in 2 junior high schools to determine the prevalence of elevated BLLs and gender differences. Among 130 children, aged 12-15, 32 (24,6%) of them had elevated BLLs based on CDC reference ≥3,5 µg/dl with a mean of BLLs 3,01 ±1.14, and 27 out of 32 (84.4%) with elevated BLLs were males. Male students had 5.62 times higher risk (CI:2.00-15.81) with elevated BLLs compared to female students (p=&lt; 0.001). We concluded that the prevalence of elevated BLLs is high in both schools and there was a statistically significant difference in blood lead levels between male and female students. Other risk factors may affect the difference in blood lead levels among school children.

Mapping Blood Lead Levels in China during 1980-2040 with Machine Learning.

Lead poisoning is globally concerning, yet limited testing hinders effective interventions in most countries. We aimed to create annual maps of county-specific blood lead levels in China from 1980 to 2040 using a machine learning model. Blood lead data from China were sourced from 1180 surveys published between 1980 and 2022. Additionally, regional statistical figures for 15 natural and socioeconomic variables were obtained or estimated as predictors. A machine learning model, using the random forest algorithm and 2973 generated samples, was created to predict county-specific blood lead levels in China from 1980 to 2040. Geometric mean blood lead levels in children (i.e., age 14 and under) decreased significantly from 104.4 μg/L in 1993 to an anticipated 40.3 μg/L by 2040. The number exceeding 100 μg/L declined dramatically, yet South Central China remains a hotspot. Lead exposure is similar among different groups, but overall adults and adolescents (i.e., age over 14), females, and rural residents exhibit slightly lower exposure compared to that of children, males, and urban residents, respectively. Our predictions indicated that despite the general reduction, one-fourth of Chinese counties rebounded during 2015-2020. This slower decline might be due to emerging lead sources like smelting and coal combustion; however, the primary factor driving the decline should be the reduction of a persistent source, legacy gasoline-derived lead. Our approach innovatively maps lead exposure without comprehensive surveys.

Lead dust exposure and blood lead levels among workers in used battery recycling factories in Dar es salaam, Tanzania

Background: Used Lead Acid Battery (ULAB) recycling factories produce Lead, which brings health effects among workers. Lead is an environmental and occupational pollutant agent. Lead toxicity is one of the most prevalent occupational and environmental health problems in the world.1 Objective: The main objective of the surveillance was to determine lead exposure levels and associated health effects among workers in ULAB recycling factories in Dar es Salaam, Tanzania. Material and Methods: This was a cross sectional study conducted in two of the ULAB recycling factories (Factory A and Factory B) in Dar es Salaam. The Socio demographic characteristics from 149 workers in the two factories were assessed. Lead exposure levels in air and blood Lead level (BLL) was measured (n=60). Inductive Coupled Plasma Optical Emission Spectrometry (ICP-AOS) used for analysis of Lead exposure level and BLL data and control measure were analysed using SPSS version 23. Results and discussion: The arithmetic mean (AM) age was 30.56 years with standard deviation (SD) 8.66. The mean duration of employment was 82.24(69.55) and 47(57.09) months for Factory A and Factory B respectively. Geometric Mean (SD) for Pb level in air were 307.9(5.08) µg/m3 and 242.9(1.94) µg/m3 for factory A and factory B respectively, which were higher compared to the OEL value of 50 µg/m3by NIOSH and that of 0.5µg/m3 by WHO. The mean Blood Lead Level was 9.36 µg/dL and 17.30 µg/dL for Factory A Factory B respectively. The use of protective equipment was 2.70 % for respirators and 79.90% reported on being provided with a piece of cloth. Conclusion: The study concludes that higher levels of lead in air was associated with the recycling processes at ULAB recycling factories. Workers in these factories had inappropriate PPE in comparison with hazards exposed. The mean Blood Lead level of the workers for factory were higher than the CDC reference value of 5µg/dL whereas at these level workers may experience health effects.

Lead occurrence in North Carolina well water: importance of sampling representation and collection techniques

Private wells often lack centralized oversight, drinking water quality standards, and consistent testing methodologies. For lead in well water, the lack of standardized data collection methods can impact reported measurements, which can misinform health risks. Here, we conducted a targeted community science testing of 1143 wells across 17 counties in North Carolina (USA) and compared results to state testing data primarily associated with new well construction compiled in the NCWELL database. The goal of our study was to explore the impacts of sampling methodology and household representation on estimated lead exposures and subsequent health risks. At the household scale, we illustrated how sampling and analytical techniques impact lead measurements. The community science testing first draw samples (characterizing drinking water) had a 90th percentile lead value of 12.8 μg l−1 while the NCWELL database flushed samples (characterizing groundwater) had a value below the reporting level of 5 μg l−1. As lead was associated with the corrosion of premise plumbing, flushing prior to collection substantially reduced lead concentrations. At the community scale, we examined how the lack of representation based on household demographics and well construction characteristics impacted the knowledge of lead and blood lead level (BLL) occurrence. When simulating representative demographics of the well populations, we observed that the 90th percentile lead level could differ by up to 6 μg l−1, resulting in communities being above the USEPA action level. This translated to a 1.0–1.3 μg dl−1 difference in predicted geometric mean BLL among infants consuming reconstituted formula. Further, inclusion of less common well construction types also increased lead in water occurrence. Overall, under- and overestimations of lead concentrations associated with differences in sampling techniques and sample representation can misinform conclusions about risks of elevated BLLs associated with drinking water from private wells which may hinder investigations of waterborne lead exposure.

Blood Lead Level among Chronic Kidney Diseases Patients Attended Medical City Hospital in Baghdad 2022

Abstract Background: Lead is a highly toxic metal. Multiple lead exposures produce serious poisoning and sometimes fatality because lead builds up slowly in the exposed body. Signs of repeated exposure to lead are high blood pressure, numbness or tingling of the extremities, memory loss, anemia, and kidney dysfunction. Methods: A cross-sectional study was conducted involving patients with chronic kidney disease (CKD) who attended to medical city hospital. The study was conducted from January 2 to May 31, 2022. Inclusion criteria were by involved adults ≥30 years old with CKD of both genders. Glomerular filtration rate (GFR) was measured for all patients according to the Cockcroft-Gault equation. Whole blood samples were taken to measure lead levels in the Toxicology Center of Baghdad Medical City. The collection of data was done by interview using a special questionnaire. Verbal consent was taken as an ethical issue by each participant in the study. Results: A total of 315 CKD patients were involved. The mean blood lead level was 24.62 μg/dL, the range was between 15 μg/dL, and 33 μg/dL for both genders, which is higher than the cut point of 10 μg/dL depended in this study. About 38.4%, and 30.8% of patients had GFR (15–29 mL/min/1.73 m2), and (&lt;15) mL/min/1.73 m2 and they were considered as stage 4 and 5 CKD patients, respectively. Conclusions: Lead level in blood and GFR had a significant association.

Blood lead levels in pregnant women and their newborn infants at an Indian teaching hospital.

With the growth of the world's economy and industrialization, lead (Pb) contamination in the environment has become a major issue on a global scale. Lead is typically linked to unfavorable pregnancy outcomes such as stillbirth, low birth weight preterm, and spontaneous abortion. In this study, we evaluated the blood lead levels of pregnant women and their birth outcomes attending an Indian tertiary care teaching hospital, those who were not exposed to any lead-associated industry or shops. A descriptive study was undertaken to evaluate blood lead estimation in pregnant women and umbilical blood lead levels in a community hospital. Blood samples from 104 mothers during the 1st trimester, 90 mothers during 3rd trimester, and from the umbilical cord were collected. Self-administered questionnaires were used to collect information on demographics, medical history, and concerns linked to pregnancy. Following acid digestion, the levels of lead in whole blood were determined by an atomic absorption spectrometer. The DNA damage in high blood lead-concentrated pregnant women was evaluated by comet assay methods. Among 194 blood samples of pregnant women, 31 (15.98%) samples revealed ≥5 μg/dL blood lead levels. High lead concentration (≥5 µg/dL) in 1st trimester pregnant women, end of 3rd trimester and cord blood were detected 20.19%, 11.11% and 1.11% respectively. The mean blood lead levels in 1st trimester, 3rd trimester, and cord blood were 3.88 ± 3.19, 2.66 ± 1.82, and 1.53 ± 1.06 mg/dL, respectively. The blood lead concentrations were significantly higher in the 1st trimester of pregnancy than in the 3rd trimester of pregnancy (P < 0.0017). A positive correlation between maternal and infant blood lead levels was revealed (P < 0.0001). When the comet assay was used to assess the genotoxic consequences of elevated blood lead levels during pregnancy, higher amounts of DNA damage were found in the samples (P < 0.01). In this descriptive study, there was a significant amount of lead transferred from mother to baby through the placenta. All mothers were not exposed to lead-associated industry and most were housewives. This article may be viewed as an eye-opener for understanding the blood lead concentration during pregnancy to avoid abnormal birth outcomes. To minimize exposure to environmental lead, all possible measures should be undertaken.

Secular trends in blood lead concentrations of school-age children in Montevideo, Uruguay from 2009 to 2019

Lead exposure continues to be a public health problem globally, yet very few countries perform systematic biomonitoring or surveillance of children's blood lead levels (BLLs). Secular trends in children's BLLs have not been well characterized outside North America and Europe. In 2009–19, we conducted a series of non-representative cross-sectional surveys in Montevideo, Uruguay, enrolling children living in areas of the city with known or suspected lead contamination. Lead was measured with atomic absorption spectrometry on fasting venous blood samples. Of the 856 children representing independent (non-sibling) observations, 759 had BLL measures. Other missing data were imputed. Using linear and logistic regression models, we estimated the covariate-adjusted year to year difference in mean BLL and the likelihood of having BLL ≥5 and BLL ≥3.5 μg/dL. At the start of the study, mean ± SD BLL was 4.8 ± 2.6 μg/dL, and at the end 1.4 ± 1.4 μg/dL. The prevalence of BLL ≥5 and BLL ≥3.5 μg/dL also differed markedly between 2009 and 2019 (30.8% vs. 2.7% and 53.8% vs. 5.8%). Similarly, where 80.8% of children had BLL ≥2 μg/dL in 2011, in 2019 that number was 19.3%. The estimated year to year difference in BLL was ∼0.3 μg/dL. Despite this progress, pediatric lead exposure remains a problem in Montevideo. In years 2015–19, between 19 and 48% of school children had BLL ≥2 μg/dL, a level at which adverse neurobehavioral outcomes continue to be reported in the literature. Continued prevention and risk-reduction efforts are needed in Montevideo, including systematic surveillance of BLLs in all children.

Lead and Cadmium (Pb, Cd) Levels Determination in the Blood of the Gasoline Station Workers

The inhalation of hazardous fumes from lead containing gasoline in the workplace has become a major public health concern. These gases include extremely dangerous poisons that can induce aberrant changes in the functioning of a variety of essential organs. The current study aimed to estimate the concentration of blood lead level (BLLs) and blood cadmium level in male working gasoline station and compared with healthy people. An atomic absorption spectrophotometer (AAS) was used to measure cadmium and lead levels in the blood. The findings of this investigation revealed that there was significant increase in age (P-value = 0.002), mean age of worker station (32.0 ± 11.99) while in the control group (22.85 ± 2.18), the result of blood lead level shown (1.92 ±1.54) in gasoline station while in the control group (1.63 ±0.04) no significant differences was observed (P-value = 0.238). The main of blood cadmium level was 0.005 ±0.0069 in the gasoline station while in the control group (0.069 ±0.011) no significant differences were observed (P- value = 0.5), the smokers (n = 13) has (P &gt; 0.426) mean BLL (21.60 ± 12.88 μg/dL), while non-smoking workers (n = 8) the BLL mean was 15.52 ± 6.80 μg/dL. The results also show that there is a correlation between age and blood lead level while no correlation was observed in blood cadmium level.

Analysis of blood lead level and its clinical significance among occupational exposed painters in chennai based population: A cross sectional study

Introduction and aimLead is a ubiquitous element found in the earth crust. There is no known physiologic role of lead in human body and hence any amount of lead present in human tissue considered as a contamination. Several studies on lead toxicity show that, occupational exposure remains the main source for lead toxicity and is emerging as important public health problem. Burden and severity of occupational exposure of lead and its clinical significance are gaining more interest in the field of toxicology. Only limited studies are available and there is scarcity of epidemiology data to assess the blood lead levels of workers and the contribution of common workplace practices to lead exposure in India especially from our region. So, the current study is designed to assess the blood lead levels (BLL) and its clinical significance among high risk workers especially painters working in the construction and public private sector in Chennai based population. Materials and methodsThis cross-sectional case control study included 122 painters and 122 healthy individuals. A detailed questionnaire about demographic details, personal habits, work related safety precautions, presenting symptoms of lead toxicity were given to painter followed by detailed medical examination and blood investigations including blood lead levels were collected and statistically analyzed. The t-test were used to compare mean blood lead levels and to investigate the associations between specific job type, use of self-protection device,sex, service years and occurrence of non-specific symptoms with BLLs. ResultsThe mean BLL of the painters were less than the recommended threshold level. Among painters 13.1% were categorized under BLL > 10 μg/dL. The higher BLL among the painters were directly proportional to year of experience and poor usage of personal protective materials. The levels of Hb, HCT and eosinophil were much correlated with lead toxicity. A marginal significance were observed in some parameters especially urea and creatinine when compared with control. The Cognitive dysfunction, hypertension and renal dysfunction were also observed among the painters. ConclusionThe BLL in painters among our group were minimal compared to biological reference value. Duration of exposure and association of patient’s clinical features like cognitive dysfunction, hypertension and renal dysfunction conditions were observed and this should be carefully monitored and study on huge population of painters with longitudinal aspect is recommended to rule out the clinical correlation of lead toxicity.

High blood lead levels of children in a gold mining community in Osun State, Nigeria: an urgent call for action.

Environmental exposure from artisanal gold mining activities is a major risk for high blood lead levels (BLLs) in children. Over the last decade, artisanal gold mining activities have been on a sharp increase in some parts of Nigeria. This study compared BLLs of children in the mining community of Itagunmodi and a 50-km distant non-mining community of Imesi-Ile, Osun State, Nigeria. This community-based study investigated 234 apparently healthy children, with 117 each from Itagunmodi and Imesi-Ile. Relevant history, examination and laboratory findings including BLLs were recorded and analysed. All participants had BLLs above the cut-off value of 5µg/dl. However, the mean BLL of subjects living in the gold-mining community (24.2±5.3µg/dl) was significantly higher than for children in the non-mining area of Imesi-Ile (19.5±6.4µg/dl; p<0.001). Children in the gold mining community were 3.07 times more likely to have a BLL ≥20µg/dl than those in the non-mining environment (odds ratio [OR] 3.07 [95% confidence interval {CI} 1.79 to 5.2], p<0.001). Similarly, the odds of having a BLL ≥30µg/dl was 7.84 times more likely among children living in gold mining Itagunmodi than in Imesi-Ile (OR 7.84 [95% CI 2.32 to 26.46], p<0.0001). BLL was not associated with socio-economic and nutritional status of the participants. In addition to introduction and enforcement of safe mining practices, regular screening for lead toxicity is advocated for children in these communities.