Low blood lead levels and hemoglobin concentrations in preschool children in China

It is well known that lead (Pb) produces reduced haemoglobin (Hb) levels and risk of anemia when blood lead levels (BPb) are greater than 20?µg?dL^?1. Two recent studies reported an increased risk of anemia in children with BPb between 10–20?µg?dL^?1, but few studies examined the association between Hb levels or risk of anemia and BPb under 10?µg?dL^?1. In the present study this association was examined using data of 140 preschool children from a larger prospective cohort study in China. Data showed that compared to children with BPb <5?µg?dL^?1, children with BPb between 7.5–10?µg?dL^?1 had significantly lower Hb levels, but there were no marked differences for other groups. A linear regression model showed a negative relationship between BPb and Hb levels after controlling for age, gender, height, weight, and iron (Fe) deficiency. This finding, although limited by a small sample size, suggests it may be important to examine Pb-induced hemosynthesis effect at concentrations less than 10?µg?dL^?1.     

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.     

Blood lead levels and nutrition in an urban community in Venezuela

Previous lead (Pb) exposure studies identified the Michelena sector in Valencia as a ‘critical’ area for Pb contamination. An analytical-ecological study was designed to evaluate the association of environmental and nutritional variables with blood lead (BPb) in children attending two schools located in this sector. A questionnaire was administered and the findings were correlated with BPb and serum-calcium (S-Ca) levels. The total population examined included 60 children (4–9 years old). The mean BPb values was 10.5?±?3?ug/dL (61.7%?≥?10?ug/dL) and the mean S-Ca was 8.9?±?0.7?mg/dL. A significant difference (p?=?0.042) was found between BPbs in males (11.1?±?3.1?ug/dL) when compared with females (9.6?±?2.8?ug/dL). Child age, school, schedule at school, parents' occupational exposure, habits, and socioeconomic status had no significant association with BPbs. The relationship between BPb levels (dependent variable) and the S-Ca and daily Ca intake levels (independent variables) was analysed through multiple regression analysis. The results show an inverse relationship between BPb and both variables (β?=??0.073, and β?=??0.001) respectively, with the daily Ca intake being the only significant variable in the model (p?=?0.04). Although average BPbs was not very high, the percentage of children with BPbs higher than the US-CDC intervention level was greater than those found in other studies. Since detailed information is generally unavailable for these children in Venezuela, this study provides insights for future research.     

High blood lead levels amongst Hinayana Buddhist monks: A possible effect due to daily exposure to joss stick and candle smoke

Lead (Pb) has no relevant biological functions and is one of the most toxic metals. Among several other heavy metals, monitoring of Pb is an important focus in occupational medicine. In exposure and risk evaluation, monitoring Pb biologically has several advantages over technical exposure assessment. In this study, a high blood level of Pb was found amongst Hinayana Buddhist monks, who constitute a new forgotten high-risk population. The high blood Pb levels amongst this population might be due to prolonged exposure to joss stick and candle smoke.     

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.     

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.     

White blood cell sister chromatid exchange among a sample of Thai subjects exposed to lead: Lead-induced genotoxicity

Epidemiological and experimental studies indicated that inorganic lead compounds are associated with increased risks of tumorigenesis. This study was aimed at determination for sister chromatid exchange (SCE), a marker for genotoxicity with correlation to lead blood levels in Thai exposed subjects. A total of 32 police (all males) were included into this study. The average (mean ± SD) blood lead in these police was 2.1 ± 1 µmol L^?1. The average SCE among the police with high blood lead was significant higher than those with low metal exposure. Data suggest that cytogenetic response to Pb is significantly different between the subjects with high versus low lead exposure. High exposure to lead seems related to high chromosome aberrations.     

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.     

Evaluation of delta-aminolevulinic acid levels in the urine of Angooran Lead & Zinc Company staff

Currently, attention has shifted to chronic or subclinical disorders attributed to lead (Pb) exposure. The aim of this study was to determine delta-aminolevulinic acid (δ-ALA) levels in urine of Angooran Lead &; Zinc Company workers. This cross-sectional study was conducted on 170 workers, in which 24 h urinary samples were collected and δ-ALA levels were measured spectrophotometrically. Questionnaire forms were completed indicating age, location, and duration of work. The mean δ-ALA level in urine was 5.44 mg L^?1. δ-ALA levels were correlated with age, location, and duration of work in the company. The mean δ-ALA level in the urine of workers was in the upper limit of normal ranges. δ-ALA level in urine may not be the best discriminating factor of Pb exposure from the baseline to the high levels, but is recommended as a regular and routine test for all Pb-exposed workers in addition to the measurement of Pb in blood for subjects with higher δ-ALA levels.     

Plausibility of toxicological interaction between lead and methylmercury

Humans are exposed to both lead (Pb) and methylmercury (MeHg), two chemicals known to affect the developing nervous system. It is therefore important to know whether these chemicals interact toxicologically to develop reliable estimates of human health risks. The nature of the potential interaction and how it may change with dose are also critical factors which need to be understood and considered in risk assessment. The available toxicological literature was reviewed and yielded five animal studies which involved combined exposure to both metals. None of these studies examined developmental neurotoxicity, the key endpoint of interest. Doses in these studies were also in the range of 1–100?mg?kg^?1?day^?1, which is far above average exposure levels for Pb and MeHg in the U.S. population. The combined exposure literature is therefore uninformative concerning the potential for Pb–MeHg interaction. A subsequent evaluation of the available mechanistic data was conducted, looking for similarities in proposed modes of action relevant at low doses. Shared biological targets suggesting a potential for low dose interaction include protein kinase C, calcium homeostasis, and apoptosis. Whether interaction actually occurs, and the form the interaction might take, remains to be studied. A phased research program is proposed that may provide data needed to address this significant data gap and permit more robust Pb and MeHg risk assessment.     

Blood lead determinants of a population living in a former lead mining area in Southern Scotland

The impact of high environmental lead levels on public health is currently under much debate. Such a situation exists in two former lead mining villages set in the Southern Uplands of Scotland, where the environment is heavily contaminated through past mining activity. A survey was conducted based on representative samples of male and female adults and of all children living in the area, to examine the distribution of blood lead levels and to compare this with the distribution in residents in a control area. Possible routes of exposure including the determination of lead in domestic water, in house dust, in airborne dust, on food preparation surfaces, on hands, in garden soils and through home grown vegetable consumption were investigated. The results indicate that there is a general increase in lead exposure in environmental variables in the contaminated area, while blood lead levels show an excess of between 45 and 70 percent compared with the control. The determinants of blood lead are discussed through correlation and multiple regression analysis.     

Human health risk assessment of lead pollution in atmospheric deposition in Baoshan District,Shanghai

The lead (Pb) content in atmospheric deposition was determined at 42 sampling sites in Baoshan District of Shanghai, China. Based on exposure and dose–response assessments, the health risk caused by Pb exposure in atmospheric deposition was investigated. The results indicated that Pb was significantly accumulated in atmospheric deposition. The spatial distribution of Pb was mapped by geostatistical analysis, and the results showed that pollution hotspots were present at traffic and industrial zones. Ingestion was the main route of Pb exposure in both adults and children. For children the risk value was above 1, whereas it was below 1 for the adult group. Therefore, children belong to the high-risk group for Pb exposure from atmospheric deposition in the observed area of Shanghai, China.     

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.     

Air lead,blood lead and travel by car

Evidence on the relevance of lead in petrol to lead in blood has come from two main sources. Cross sectional studies of blood lead levels in population samples and in the air to which they are exposed suggest that petrol makes only a very small contribution. However longitudinal studies in the USA in which changes in lead levels in petrol and changes in blood lead have been studied suggest that petrol makes a substantial contribution to blood lead. The possibility that this discrepancy might be explained by the exposure of subjects to very high levels of lead when travelling in motor vehicles is examined, and rejected.     

Maternal and fetal blood lead concentrations under non-occupational lead exposure and associated factors in Pakistan

This study in selected Pakistani populations was conducted to determine the blood lead levels (BLL) in mothers and their developing fetuses. Associated factors were correlated with the maternal BLL. Blood samples from 113 pregnant women and their umbilical cords were examined for BLL and cord blood lead levels through a graphite furnace-attached atomic absorption spectrophotometer. A structured questionnaire was also used to obtain sociodemographic and obstetric data based on basic demographic data, reproductive history, hemoglobin levels, gestational age, parity, mode of delivery, maternal and baby weight, drinking water, menarche age, blood pressure, lead (Pb)-containing eye liner use, smoking, and nutritional status. In order to assess the strength of the relationship between different parameters, Pearson's coefficient correlation was utilized and their significance was determined by applying the t-test. Data demonstrated that the maternal BLL were always higher than the recommended concentrations of 10 µg/dl and many factors contributed towards such results. Drinking water seemed to affect the Pb concentration as women using spring water had relatively higher BLL. The calcium concentration in pregnant women and their fetuses ranged from 9 to 13 mg/dl. Majority of the pregnant women were undergraduates with 12 years of education (equivalent to high school in the United States). Evidence indicates that the avoidance of Pb intake and its associated factors in the study area will diminish risk to newborns.     

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.     

Garden soil and house dust as exposure media for lead uptake in the mining village of Stratoni,Greece

The relationships between two exposure media, garden soil and house dust, were studied for Pb uptake in Stratoni village in northern Greece, an industrial area of mining and processing of sulphide ore. Lead data for the two media were assessed in terms of total and bioaccessible content, measurement and geochemical variability, and mineralogical composition. It was found that total Pb was enriched in house dust samples by a factor of 2 on average. Total Pb concentration in soil samples had a maximum of 2,040 mg/kg and reached a maximum of 7,000 mg/kg in house dust samples. The estimated variability due to measurement uncertainty was dominated by the sampling process, and the proportion of sampling variance was greater for soil samples, indicating a higher degree of Pb heterogeneity in soil on the given spatial scale of sampling strata. Although the same general spatial trend was observed for both sampling media with decreasing Pb concentration by increasing distance from the ore-processing plant, Pb in dust samples displayed the highest concentrations within a 300–600-m zone from the ore-processing facility. The significant differences which were observed in Pb speciation between the studied media were explained by differences in mineralogical composition of outdoor soil and indoor dust. Lead-enriched Fe and Mn oxides predominated in soil samples while fine galena grains (<10–20 μm diameter) were the major Pb-bearing phase in dust samples. The integrated exposure uptake biokinetic model was used to predict the risk of elevated blood lead levels in children of Stratoni. Model prediction indicated an average probability of 61 % for blood-Pb to exceed 10 μg/dl. The results underline the importance of house dust in risk assessment and highlight the effect of outdoor and indoor conditions on the fate of Pb in the particular environment of Stratoni.     

Spatial distribution of lead concentrations in urban surface soils of New Orleans, Louisiana USA

Immediately following hurricane Katrina concern was raised over the environmental impact of floodwaters on the city of New Orleans, especially in regard to human health. Several studies were conducted to determine the actual contaminant distribution throughout the city and surrounding wetlands by analyzing soil, sediment, and water for a variety of contaminants including organics, inorganics, and biologics. Preliminary investigations by The Institute of Environmental and Human Health at Texas Tech University concluded that soils and sediments contained pesticides, semi-volatiles, and metals, specifically arsenic, iron, and lead, at concentrations that could pose a significant risk to human health. Additional studies on New Orleans floodwaters revealed similar constituents as well as compounds commonly found in gasoline. More recently, it has been revealed that lead (Pb), arsenic, and vanadium are found intermittently throughout the city at concentrations greater than the human health soil screening levels (HHSSLs) of 400, 22 (non-cancer endpoint) and 390 μg/g, respectively. Of these, Pb appears to present the greatest exposure hazard to humans as a result of its extensive distribution in city soils. In this study, we spatially evaluated Pb concentrations across greater New Orleans surface soils. We established 128 sampling sites throughout New Orleans at approximately half-mile intervals. A soil sample was collected at each site and analyzed for Pb by ICP-AES. Soils from 19 (15%) of the sites had Pb concentrations exceeding the HHSSL threshold of 400 μg/g. It was determined that the highest concentrations of Pb were found in the south and west portions of the city. Pb concentrations found throughout New Orleans in this study were then incorporated into a geographic information system to create a spatial distribution model that can be further used to predict Pb exposure to humans in the city.     

Twenty-six tons of lead oxide used per year in wooden boat building and repairing in southern Thailand

In southern Thailand, the wooden boat building and repair industry uses powdered lead oxide (Pb₃O_4, or red lead) in the caulking process. This had been shown to be a significant source of contamination in the workplace and the communities. This cross-sectional study was conducted to estimate the amount of lead oxide used in the region and to document the management of hazardous waste product in this industry. All boatyards in southern Thailand registered to the Ministry of Industry were visited with walk-through observation. After consent, questionnaire-based interviews were conducted among workers and boatyard owners who rented out the space for building and repairing the boats. Of the 63 active boatyards identified, approximately 26 tons of lead oxide was used to repair approximately 8,000 boats each year. Due to the casual employment system in this industry, no facility for the protection of workers and the environment from lead contamination exists. The findings indicate the need for further studies on the extent of contamination in the broader area. Intervention programmes are also urgently needed to reduce the release of this hazardous waste into the community.     

Interaction effects of lead on bioavailability and pharmacokinetics of arsenic in the rat

Arsenic (As) and lead (Pb) are common contaminants found in mine waste materials. For an evidence-based risk assessment, it is important to better understand the potential interaction of mixed contaminants; and this interaction study was investigated in an in vivo rat model. Following co-administration of a fixed dose of As^V as in sodium arsenate and different doses of Pb as lead acetate to Sprague–Dawley rats, blood arsenic concentration and bioavailability decreased. A decrease in As blood concentration when lead was co-administered was observed with increasing lead doses. Pharmacokinetic parameters for As in the blood showed faster absorption and elimination of this metalloid in the presence of Pb. The elimination half-life of As decreased from 67 days in As solo group to 27–30 with doses of Pb. Bioavailability of As was also decreased by 30–43 % in the presence of Pb. Decreased urinary excretion of Pb and tissue accumulation were also observed. It indicates lower absorption of As when co-administered with Pb. A probable explanation for these findings is that As co-administration with Pb could have resulted in the formation of less soluble lead arsenate. However, such an interaction between As and Pb could only explain about one-third of the variation when real mine waste materials containing both of these elements were administered to rats. This suggests that other effects from physical and chemical parameters could contribute to the bioavailability of arsenic in complex real environmental samples.