Comparative study of plasma lead levels in the staff of Dandy Zinc Factory of Zanjan and in normal individuals

Pollution is a global problem which affects various human population functions. Despite the decline in plasma lead (Pb) levels among the general population during the past 20 years, this metal continues to be a public health concern for individuals with past and present exposures. The objective of this study was to determine blood lead levels (BPbL) in the staff of Dandy Zinc Company and compare them to control subjects. The test group included 40 staff of Dandy Zinc Company of Zanjan, while controls were selected from general population. Five milliliters of blood and plasma was sent to Atomic Energy Organization of Iran (AOEI) reference lab to measure BPbL by Flameless Atomic Absorption. BPbL in test group (16.6 + 8.18 µg dL^?1) was significantly higher than control (10.47 + 2.10 µg dL^?1). In both groups BPbL was significantly higher in smokers than non-smokers. Blood lead levels in molding workers were significantly higher than other workers. BPbL in exposed workers were directly related to duration of work and age. Data indicate Pb exposure was of significant magnitude to be a public health concern especially in zinc-and Pb-related industries.     

Spatial relationships between lead sources and children’s blood lead levels in the urban center of Indianapolis (USA)

Urban children remain disproportionately at risk of having higher blood lead levels than their suburban counterparts. The Westside Cooperative Organization (WESCO), located in Marion County, Indianapolis, Indiana, has a history of children with high blood lead levels as well as high soil lead (Pb) values. This study aims at determining the spatial relationship between soil Pb sources and children’s blood lead levels. Soils have been identified as a source of chronic Pb exposure to children, but the spatial scale of the source–recipient relationship is not well characterized. Neighborhood-wide analysis of soil Pb distribution along with a furnace filter technique for sampling interior Pb accumulation for selected homes (n = 7) in the WESCO community was performed. Blood lead levels for children aged 0–5 years during the period 1999–2008 were collected. The study population’s mean blood lead levels were higher than national averages across all ages, race, and gender. Non-Hispanic blacks and those individuals in the Wishard advantage program had the highest proportion of elevated blood lead levels. The results show that while there is not a direct relationship between soil Pb and children’s blood lead levels at a spatial scale of ~100 m, resuspension of locally sourced soil is occurring based on the interior Pb accumulation. County-wide, the largest predictor of elevated blood lead levels is the location within the urban core. Variation in soil Pb and blood lead levels on the community level is high and not predicted by housing stock age or income. Race is a strong predictor for blood lead levels in the WESCO community.     

A comparison of lead exposures in industrial “hot spots” in Jordan and Israel

The aim of this study was to compare two hot spots of lead (Pb) exposure in Israeli and Jordanian occupational settings. The study also sought to assess whether any differences in regulations and legislation regarding occupational health could be identified as a source of exposure disparities. Blood and hair specimens were collected from workers in a battery factory in Jordan and a secondary Pb smelter in Israel and compared. About 33% of the currently exposed group showed blood lead (BPb) levels above the internationally recommended concentration of 40 µg dL^?1. Although the differences of BPb levels between Israel and Jordan were not statistically significant, average levels were lower in Jordan. Beyond the difference in the factory types, disparity in exposure levels might be explained due to a combination of proclivities of factory management, public policies, existing medical surveillance and insurance, as well as cultural differences. Results reveal that despite existing regulations and the growing attention that is dedicated to Pb and metal occupational exposures, there are still hot spots for Pb exposure in Israel and Jordan. The contrasting experience found in the current study raises the possibility that information and technology exchange between the two countries Israel and Jordan, may be beneficial for improving occupational health policy in these two neighboring countries.     

Quantitative health risk assessment of inhalation exposure to automobile foundry dust

With a growing awareness of environmental protection, the dust pollution caused by automobile foundry work has become a serious and urgent problem. This study aimed to explore contamination levels and health effects of automobile foundry dust. A total of 276 dust samples from six types of work in an automobile foundry factory were collected and analysed using the filter membrane method. Probabilistic risk assessment model was developed for evaluating the health risk of foundry dust on workers. The health risk and its influencing factors among workers were then assessed by applying the Monte Carlo method to identify the most significant parameters. Health damage assessment was conducted to translate health risk into disability-adjusted life year (DALY). The results revealed that the mean concentration of dust on six types of work ranged from 1.67 to 5.40 mg/m³. The highest health risks to be come from melting, cast shakeout and finishing, followed by pouring, sand preparation, moulding and core-making. The probability of the risk exceeding 10⁻⁶ was approximately 85%, 90%, 90%, 75%, 70% and 45%, respectively. The sensitivity analysis indicated that average time, exposure duration, inhalation rate and dust concentration (C) made great contribution to dust health risk. Workers exposed to cast shakeout and finishing had the largest DALY of 48.64a. These results can further help managers to fully understand the dust risks on various types of work in the automobile foundry factories and provide scientific basis for the management and decision-making related to health damage assessment.

     

Low levels of lead and glutathione markers of redox status in human blood

Exposure to lead (Pb) is implicated in a plethora of health threats in both adults and children. Increased exposure levels are associated with oxidative stress in the blood of workers exposed at occupational levels. However, it is not known whether lower Pb exposure levels are related to a shift toward a more oxidized state. To assess the association between blood lead level (BLL) and glutathione (GSH) redox biomarkers in a population of healthy adults, BLL and four GSH markers (GSH, GSSG, GSH/GSSG ratio and redox potential E _h ) were measured in the blood of a cross-sectional cohort of 282 avid seafood-eating healthy adults living on Long Island (NY). Additionally, blood levels of two other metals known to affect GSH redox status, selenium (Se) and mercury (Hg), and omega-3 index were tested for effect modification. Regression models were further adjusted for demographic and smoking status. Increasing exposure to Pb, measured in blood, was not associated with GSSG, but was associated with lower levels of GSH/GSSG ratio and more positive GSH redox potential E _h , driven by its association with GSH. No effect modification was observed in analyses stratified by Hg, Se, omega-3 index, sex, age, or smoking. Blood Pb is associated with lower levels of GSH and the GSH/GSSG ratio in this cross-sectional study of healthy adults.     

Classification of occupations at risk in Thailand for lead exposure using blood lead levels as a biomarker

Lead (Pb) exposure is of particular concern because of the ongoing exposure of thousands of workers in industrial plants. Monitoring of Pb exposure among the at-risk workers is recommended and amongst various biomarkers, and it is well-established that blood lead (BPb) determination is utilized for biomonitoring. There are some previous reports on the BPb levels among several at-risk occupations in Thailand; however, there has been no comparison among these occupations with respect to metal levels in the blood. The aim of this study was to correlate at-risk occupations with Pb exposure and BPb levels. In order to compare between occupations, it was not possible to obtain a direct correlation as there are several confounding factors, especially for occupational conditions and lab measurement techniques. In this study, the exposure risk ratio from five previously available reports regarding BPb determination in at-risk occupations in Thailand is presented. Of interest, the high risk occupations are those in which individuals directly inhaled Pb in environmental ambient air. The cutoff median of exposure risk ratio was found to be 12.6 and this may be a useful value in determining whether exposed workers are at high risk in future studies.     

Effect of nickel exposure on serum amylase activity in nickel-plating workers

The objective of this study was to determine the effect of nickel (Ni) exposure on serum amylase activity in nickel-plating workers in Bangalore (India). Sixty-nine subjects using Ni during the electroplating process formed the exposed group. An equal number of age- and sex-matched subjects working in the administration section formed the control group. Urine Ni levels were determined using a flameless atomic absorption spectrophotometer. Serum amylase activity was determined using spectrophotometric method with 2-chloro-4-nitrophenyl-α-D-maltotrioside as substrate. A significant increase in urine Ni and serum amylase activity was noted in nickel platers as compared with the control group. The level of serum amylase activity was positively and significantly associated with Ni content in urine of nickel platers. Stepwise multiple regression analysis was used to assess the effects of Ni exposure, life style confounding factors and presence of gastrointestinal problems on serum amylase activity. The analysis showed that the subjects who had urine Ni levels beyond 10?µg?g^?1 of creatinine, nickel platers category, smoking and body mass index variables were significantly associated with serum amylase activity. The results of this study suggest that the increased serum amylase activity observed in nickel-exposed subjects could be used as a biomarker for investigating pancreatic function in Ni exposure.     

Urinary arsenic methylation profile in children exposed to low arsenic levels through drinking water

There is a lack of information on arsenic metabolism in children exposed chronically to low levels of arsenic (<50 µg L^?1). The objective of this study was to determine the methylation profile of urinary arsenic metabolites in children exposed to low-level concentrations of arsenic via their drinking water. A cross-sectional study was undertaken in 50 children from four towns in the Yaqui Valley, Sonora, with total arsenic values of 39.9, 16.8, 7.3, and 5.5 µg L^?1 in their drinking water, respectively. First morning void samples were analyzed for inorganic-As (InAs), mono and dimethyl arsenic (MMA and DMA). The total arsenic excreted in urine ranged from 23.1 to 99.1 µg L^?1 and these levels did not vary by sex. Children with the highest level of total arsenic in their drinking water excreted the highest amount in urine and the length of residence and age also had significant contribution. Children with a lower range of arsenic exposure (16.8–5.5 µg L^?1) had similar amounts of arsenic in urine with values of 23.1, 28.2, and 32.6 µg L^?1, respectively. DMA had the highest proportion in urine (52.1–74.7%), followed by InAs (16.3–34.9%) and MMA (4.4–8.4%). Compared to other reports, these children excreted a low %MMA (6.1%), and children from the towns with the lowest levels of arsenic had the highest %InAs and the lowest %DMA. This variability in arsenic methylation was partially explained by arsenic concentration in drinking water, years of residence and age, and may reflect genetic differences or more contribution from different exposure routes. In conclusion, our results show that at low levels of exposure the children's ability to metabolize InAs did not have a linear association with the levels of arsenic, and overall children from the Yaqui Valley excrete a lower %MMA than expected.     

Scalp hair metal analysis in the assessment of the occupational exposure of arc welders

Eleven metals (Ca, Mg, Fe, Zn, Cu, Mn, Cd, Co, Cr, Ni and Pb) were estimated in hair samples of metal arc welders and a control group with the same socioeconomic background. Nitric acid–perchloric acid wet digestion procedure was adopted for the estimation of endogenous metal contents by ICP-AE technique. The study exhibited the following increasing order of the metal concentrations: Cd??1, dry weight, respectively. On average, the levels of Mn, Ni, Pb and Fe were found to be 1.5–2.4 times higher in the hair of welders compared with controls. Besides age and exposure which were strongly correlated, Cu–Mg, Mn–Mg, Ca–Co and Cd–Zn also showed significantly positive correlations. The identification of metal sources, done by cluster and principal component analyses, revealed four factors: age and exposure; Cu, Mg, Mn and Fe; Ca and Co; Cd, Zn, Ni and Pb. High levels of Fe were found to have a depleting impact on Co levels. The arc welders were feared to accumulate heavy metals in their bodies due to long-term endogenous exposure.     

δ15N and δ13C values in dental collagen as a proxy for age- and sex-related variation in foraging strategies of California sea lions

We assessed the foraging habits of California sea lions, Zalophus californianus, from Isla Santa Margarita, BCS, Mexico, by analyzing δ¹³C and δ¹⁵N values of dentin collagen. Since dentin is deposited annually in growth layer groups (GLGs), it can be subsampled to construct ontogenetic isotopic profiles at the individual level. We drilled 20 canine teeth and obtained 141 samples for isotopic analysis that were assigned to age-specific categories from GLG-based estimated ages. Pups’ GLGs had the highest mean δ¹⁵N values and the lowest mean δ¹³C values, a pattern likely driven by the consumption of milk. Juveniles had δ¹⁵N values between those of pups and adult females, which may reflect continued nursing into the second year or preferential consumption of coastal benthic versus pelagic prey. Significant differences were observed between the sexes of adults; adult females had lower mean δ¹³C and δ¹⁵N values than adult males. Higher isotope values in adult males relative to females may reflect a higher trophic position, but differences in foraging grounds cannot be excluded as a potential explanation because tracking data are not available at this time. Evidence of intra-specific foraging diversification may be related to a strategy to reduce competition within and among age and sex categories.     

Contamination levels and human health risk assessment of toxic heavy metals in street dust in an industrial city in Northwest China

This study investigated the content, distribution, and contamination levels of toxic metals (Cd, Cr, Cu, Pb, and Zn) in street dust in Lanzhou, an industrial city in Northwest China. Meanwhile, the risk these metals posed to the urban ecosystem and human health was also evaluated using the potential ecological risk index and human exposure model. Results showed that concentrations of these metals in the dust are higher than the background value of local soil, with Cu having the highest levels. The districts of Anning and Xigu had the most extreme levels of contamination, while Chengguan and Qilihe districts were lightly contaminated, which can be partly attributed to human activities and traffic densities. In comparison with the concentrations of selected metals in other cities, the concentrations of heavy metals in Lanzhou were generally at moderate or low levels. Heavy metal concentration increased with decreasing dust particle size. The pollution indices of Cr, Cd, Cu, Pb, and Zn were in the range of 0.289–2.09, 0.332–2.15, 1.38–6.21, 0.358–2.59, and 0.560–1.83 with a mean of 1.37, 1.49, 3.18, 1.48, and 0.897, respectively. The geo-accumulation index (I _geo) suggested that Zn in street dust was of geologic origin, while Cd, Cr, Pb, and Cu were significantly impacted by anthropogenic sources. The comprehensive pollution index showed that urban dust poses a high potential ecological risk in Lanzhou. Non-carcinogenic and carcinogenic effects due to exposure to urban street dust were assessed for both children and adults. For non-carcinogenic effects, ingestion appeared to be the main route of exposure to dust particles and thus posed a higher health risk to both children and adults for all metals, followed by dermal contact. Hazard index values for all studied metals were lower than the safe level of 1, and Cr exhibited the highest risk value (0.249) for children, suggesting that the overall risk from exposure to multiple metals in dust is low. The carcinogenic risk for Cd and Cr was all below the acceptable level (< 10⁻⁶).

     

Assessment of As and Heavy Metal Contamination in the Vicinity of Duckum Au-Ag Mine, Korea

In order to assess the potential of As and heavy metal contamination derived from past mining activity and to estimate the human bioavailability quotients for As and heavy metals. Tailings, soils and crop samples were collected and analysed for As, Cd, Cu, Pb and Zn. The mean concentrations of As, Cd, Cu, Pb and Zn in the tailings were 68.5, 7.8, 99, 3,754 and 733 µg g^–1, respectively. Maximum Pb concentration in tailings was up to 90 times higher than its tolerable level. The concentrations of these metals were highest in the soils from the dressing plant area, and decreased in the order: farmland soil to paddy soil. In particular, some of the soils from the dressing plant area contained more than 1% of Pb and Zn. The pollution index ranged from 0.19 to 1.93 in paddy soils, and from 1.47 to 3.60 in farmland soils. The average concentrations of heavy metals in crops collected from farmland were higher than those in rice stalks or rice grains, and higher than the internationally accepted limits for vegetables. Element concentrations extracted from farmland soils within the simulated human stomach for 1 h are 9.4 mg kg^–1 As, 3.8 mg kg^–1 Cd, 37 mg kg^–1 Cu, 250 mg kg^–1 Pb and 301 mg kg^–1 Zn. In particular, the extracted concentrations of Cd, Pb and Zn are in excess of the tolerable levels. The results of the simple bioavailability extraction test (SBET) indicate that regular ingestion (by inhalation and from dirty hands) of soils by the local population could pose a potential health threat due to long-term toxic element exposure.     

Alteration of body total antioxidant capacity and thiol molecules in human chronic exposure to aluminum

The physiological role of aluminum (Al) is not yet known. Exposure to Al may cause many human disorders. The aim of this study was to explore how occupational human exposure to Al might affect the body oxidative stress. The relation between Al toxicity and oxidative stress was studied in blood samples obtained from 45 primary Al production workers, with a minimum work history of three years in the age range of 29–52 years. They were evaluated for oxidative stress biomarkers including thiobarbituric acid reactive substances (TBARS) indicator of lipid peroxidation, ferric reducing ability of plasma (FRAP) indicator of total antioxidant capacity, total thiol molecules and Al level in blood. The results showed that workers have significantly higher blood Al levels and concomitant lower blood FRAP and total thiol molecules in comparison to controls. Smokers had lower total thiol molecules than non-smokers. The subjects who had a previous history of disease had lower FRAP levels. It is concluded that Al induces oxidative stress in primary Al production workers. Supplementation of workers with antioxidants may have beneficial effects.     

Essential and nonessential elements in the red-crowned crane Grus japonensis of Zhalong Wetland,northeastern China

The concentrations of four essential (Ca, Mg, Zn, and Cu) and two nonessential elements (Pb and Cd) in feathers and kidneys, livers, gut walls, and muscles of eight carcasses of migratory red-crowned cranes (Grus japonensis) from Zhalong Wetland, northeastern China, were examined. The concentrations of Cd in the feathers were between 0.4 mg kg^?1 dry weight (dw) and 3.1 mg kg^?1 dw, in the livers between 0.4 and 4.4 mg kg^?1 dw, the maximum of which exceeded a level considered to be environmental exposure risk (i.e., 3 mg kg^?1 dw in the liver or kidney). High Pb levels (0.4–3.2 mg kg^?1 dw, with an average of 1.8 mg kg^?1) were also detected in livers, which exceeded a level considered toxicosis in birds (1.7 mg kg^?1 dw). Pb and Cd had the highest scores in principal component analysis. Relatively high Pb and Cd concentrations in the migratory cranes were thought to be associated with their habitat and prey.     

Seasonal concentrations of lead in outdoor and indoor dust and blood of children in Riyadh,Saudi Arabia

Because detrimental effects of exposure to lead (Pb) on human health have been observed, we previously investigated concentrations of Pb in water supplies and blood of adult residents of Riyadh, Saudi Arabia. The objectives of the present study were to: (1) examine seasonal rates of deposition of Pb in dust in several areas of Riyadh city, (2) measure concentrations of Pb in both outdoor and indoor dust, (3) compare concentrations of Pb in dust in Riyadh with those reported for other cities, and (4) quantify Pb in blood of children living in Riyadh. Mean, monthly deposition of PB in outdoor dust was 4.7 × 10¹ ± 3.6 tons km^?2, with a mean Pb concentration of 2.4 × 10² ± 4.4 × 10¹ μg/g. Mean, monthly deposition of Pb in indoor dust was 2.7 ± 0.70 tons km^?2, with a mean concentration of 2.9 × 10¹ ± 1.5 × 10¹ μg Pb/g. There was a significant (P < 0.01) correlation between concentrations of Pb in outdoor and indoor dust. There was no correlation between concentrations of Pb in indoor dust and that in blood of children of Riyadh, whereas there was a weakly significant (P < 0.05) correlation between concentrations of Pb in outdoor dust and that in blood of children. The mean (±SD) concentration of Pb in blood of children in Riyadh was 5.2 ± 1.7, with a range of 1.7–1.6 × 10¹ μg/dl. Concentrations of Pb in blood of 17.8 % of children in Riyadh were greater than 10 μg/dl, which is the CDC’s level of concern.     

Blood concentrations of lead,cadmium, mercury and their association with biomarkers of DNA oxidative damage in preschool children living in an e-waste recycling area

Reactive oxygen species (ROS)-induced DNA damage occurs in heavy metal exposure, but the simultaneous effect on DNA repair is unknown. We investigated the influence of co-exposure of lead (Pb), cadmium (Cd), and mercury (Hg) on 8-hydroxydeoxyguanosine (8-OHdG) and human repair enzyme 8-oxoguanine DNA glycosylase (hOGG1) mRNA levels in exposed children to evaluate the imbalance of DNA damage and repair. Children within the age range of 3–6 years from a primitive electronic waste (e-waste) recycling town were chosen as participants to represent a heavy metal-exposed population. 8-OHdG in the children’s urine was assessed for heavy metal-induced oxidative effects, and the hOGG1 mRNA level in their blood represented the DNA repair ability of the children. Among the children surveyed, 88.14% (104/118) had a blood Pb level >5 μg/dL, 22.03% (26/118) had a blood Cd level >1 μg/dL, and 62.11% (59/95) had a blood Hg level >10 μg/dL. Having an e-waste workshop near the house was a risk factor contributing to high blood Pb (r _s  = 0.273, p < 0.01), while Cd and Hg exposure could have come from other contaminant sources. Preschool children of fathers who had a college or university education had significantly lower 8-OHdG levels (median 242.76 ng/g creatinine, range 154.62–407.79 ng/g creatinine) than did children of fathers who had less education (p = 0.035). However, we did not observe a significant difference in the mRNA expression levels of hOGG1 between the different variables. Compared with children having low lead exposure (quartile 1), the children with high Pb exposure (quartiles 2, 3, and 4) had significantly higher 8-OHdG levels (β _Q2 = 0.362, 95% CI 0.111–0.542; β _Q3 = 0.347, 95% CI 0.103–0.531; β _Q4 = 0.314, 95% CI 0.087–0.557). Associations between blood Hg levels and 8-OHdG were less apparent. Compared with low levels of blood Hg (quartile 1), elevated blood Hg levels (quartile 2) were associated with higher 8-OHdG levels (β _Q2 = 0.236, 95% CI 0.039–0.406). Compared with children having low lead exposure (quartile 1), the children with high Pb exposure (quartiles 2, 3, and 4) had significantly higher 8-OHdG levels.     

Health risk assessment and oxidative stress in workers exposed to welding fumes

The aim of this study was designed to determine the influence of welding fumes on oxidative stress in humans and the role of metals. A questionnaire was designed to collect information regarding personal characteristics, including age, weight, height, and medical history; life style such as smoking status and exercise habits; and occupational history such as working history, working environment, employment duration, and use of protective equipment. Body mass index (BMI) in kg/m² was then calculated for each participant. Blood samples were also drawn to determine malondialdehyde (MDA) levels and various metals in plasma. Significantly higher plasma MDA (4.08 µg/L) was observed as compared to controls (1.61 µg/L). Blood metal analysis also showed elevated level of metals in welders for cadmium, chromium, lead,and nickel. Data indicated that workers occupationally exposed to welding fumes for prolong periods possessed higher metal levels associated with increased oxidative stress as evidenced by elevated MDA levels.     

Implications of oxidative stress in occupational exposure to lead on a cellular level

The aim of this study was to determine oxidative alterations leading to cellular dysfunctions in Pb-exposed subjects by evaluating damage to all major classes of biomolecules in the cell, lipid peroxidation, protein and DNA damage and determine relationships between parameters of Pb toxicity and specific biomarkers of oxidative damage.

Analysis was conducted of smelter workers with high blood Pb and urine aminolevulinic acid levels and slightly elevated values of coproporphyrin and erythrocyte protoporphyrin IX. Significant decreases of thiol groups and increases in carbonyl groups as protein degradation end products, and of nitrite were detected. Elevated rates of lipid peroxidation and rises in the activities of the antioxidant enzymes Cu–Zn superoxide dismutase and catalase were also observed. Both enzymes showed positive correlations with the blood lead levels and urine coproporphyrin, while thiol groups correlated negatively with the same indices. The genotoxic potential of lead was manifested through an increased number of DNA-damaged cells. Increased activities of serum lactate dehydrogenase isoenzymes indicated cellular damage in the lungs, kidneys, and liver. These lead-induced impairments should be taken into consideration in the assessment of Pb-related health hazards.     

Study of trace elements in urine of some Nigerian medical patients

In this study, trace element concentrations were determined in urine samples of patients with kidney and liver conditions from the Obafemi Awolowo University Teaching Hospitals Complex, Ile-Ife Nigeria. Urine samples from 80 patients whose ages ranged from 15 to 79 were used for the trace metals analysis. Variation of the trace metals including lead (Pb), cadmium (Cd), mercury (Hg), zinc (Zn), copper (Cu), and manganese (Mn) in urine samples were correlated with respect to gender, age, professions, personal habits and patients’ conditions. The levels of Pb in the urine samples of both male and female patients were found to be generally higher than those of Cd, Hg, Zn, Cu, and Mn. Highest levels of Pb and Cd were found in patients who smoked and drank and those with various kidney and liver conditions. Most of the trace metals except Mn occurred at levels that are deleterious to human health as they are above the standard threshold values expected in normal human urine, and raised cause for concern.     

Exposure assessment of particulate matter and blood chromium levels in people living near a cement plant

This study evaluates the effect of air pollution caused by cement plants on nearby residential areas and performs an exposure assessment of particulate matter (PM) and total Cr, Cr⁶⁺, Pb, and Al. Further, the blood Cr levels of residents exposed to PM released by cement plants are also assessed. Nine buildings (eight residential and one elementary school building) close to cement plants were selected for this study, which were located in Pyeongtaek port, in west of Gyeonggi Province, South Korea. A total of 51 suspended particulate samples were collected at a flow rate of 2.0 L/min. Total Cr was more widely detected in residents’ houses and elementary schools. PM levels were higher at distances of 4.1 and 4.8 km than those at closer distances of 2.7 km. This was due to the influence of wind direction. The estimated mean blood level of Cr for the study participants was 3.80 μg/L, which is higher than levels estimated by other studies on Cr blood levels. Therefore, cement plants could cause an increase in total Cr and blood Cr levels in residential areas, and more continuous monitoring is necessary to better understand their impacts.