Lead in deciduous teeth of children living in a non-ferrous smelter area and a rural area of the FRG

Summary Lead concentrations were measured in the deciduous teeth (incisors) of 302 children living in a lead-smelter area in the FRG (Stolberg, Rheinland) and of 86 children living in a nonpolluted rural area (Gummersbach, Bergisches Land). Blood lead levels were determined in 83 of the children living in the lead smelter area. On average, tooth lead levels of children living in the smelter area (mean: 6.0 g/g; range: 1.49–38.5 g/g) were significantly higher than those of children living in the rural area (mean: 3.9 g/g; range: 1.6–9.4 g/g). Blood lead levels were 6.8–33.8 g/100 ml (mean: 14.3 g/100 ml). Children of lead workers had on average higher tooth lead and blood lead levels than children of people who were not lead-workers. Tooth lead levels increased with increasing duration of residence in the lead-smelter area and with the degree of local environmental pollution by lead, as indicated by the lead content of the atmospheric dust fall-out around the children's homes. The correlation coefficient of tooth lead vs blood lead was 0.47. The intra-individual variability of tooth lead levels was low (r=0.86), and tooth lead levels of brothers and sisters were similar (r=0.75), suggesting that tooth lead may be used as a representative and reliable indicator of long-term lead exposure.This study was carried out at the request and with support of the Ministerium für Arbeit, Gesundheit und Soziales NW, Düsseldorf     

Internal lead and cadmium exposure in 6-year-old children from western and eastern Germany

Lead and cadmium levels in blood and deciduous teeth (shed incisors only) of 6-year-old German children were determined in 1991 in a large epidemiological study carried out in rural and urban areas of western Germany (Duisburg, Essen, Gelsenkirchen, Dortmund, Borken) and eastern Germany (Leipzig, Halle, Magdeburg, Osterburg, Gardelegen, Salzwedel). In total, blood lead and cadmium levels of 2311 German children and tooth lead and cadmium levels of 790 German children were analyzed. Blood lead levels were generally low in all study areas with geometric means between 39.3 g/1 and 50.8 g/l in the western German and between 42.3 g/1 and 68.1 g/l in the eastern German study areas. The mean blood lead level of Turkish children (n = 213) living in the western German study areas was 50.1 g/l and thus 5.6 g/1 higher than the overall geometric mean of the western German children. The higher exposure may be explained by a higher oral uptake from food and different living conditions. These children were excluded from multiple regression analysis because they were all living in the western study areas. The mean tooth lead levels ranged between 1.50 and 1.74 g/g in the western and between 1.51 g/g and 2.72 g/g in the eastern study areas. Thus, they show a distribution pattern similar to blood. Blood and tooth lead levels were higher in urban than in rural areas and higher in the eastern German than in the western German study areas. With regard to the blood and tooth cadmium concentrations, no significant differences between the study areas could be found. The mean cadmium levels in blood ranged between 0.12 g/1 and 0.14 g/l and the mean tooth cadmium concentrations between 20.8 ng/g and 27.8 ng/g. Blood and tooth lead and cadmium levels of the eastern and western German children were thus mainly at a relatively low level in all rural and urban study areas. The study demonstrates and confirms that blood and tooth lead levels are influenced by several demographic, social, and environmental variables. The results indicate that there has been a further significant decrease of lead and cadmium exposure in western German children since our last epidemiological study carried out in the same study areas in 1985/1986.     

Monitoring lead pollution near a storage battery recycling plant in Taiwan, Republic of China

This study presents the distribution of blood lead levels and lead in various environmental samples (water, sediments, soils, and air) near the Shing-Yie storage battery recycling plant in Taiwan before (July 1990 to June 1991) and after (July 1992 to June 1993) amelioration. Before amelioration, the average blood lead levels in the neighborhood of the plant were in the range of 10.55±5.7 to 12.28±7.9 g/dl. After amelioration, relatively lower average concentrations of blood lead (range 8.35±3.0 to 9.13±2.5 g/dl) were generally found; however, these averages were still higher than that (7.79±3.5 g/dl) from other lead-unpolluted areas of Taiwan. An exceedingly high geometric mean (GM) lead concentration (128 g/L) was found in the downstream river water of the Tawulum River passing by the plant. The concentrations of lead (GM=372 and 418 g/g) in the downstream river sediments were higher than those (GM=123 and 158 g/g) in the upstream river sediments before and after amelioration, respectively. Furthermore, lead species in river sediments were analyzed by a sequential leaching technique. The sum of phases I, II, and III accounted for 83.7% of total lead at station R₂ (nearest to the plant). Maximum lead concentration (GM=2402 g/g) in dust at the soil surface from station S₁ (nearest to the plant) was much higher than those from the other stations by about 18 times before amelioration. However, the maximum value dropped to 1,155 g/g after amelioration. On the whole, the geometric mean concentration of lead in dust at the soil surface nearest to the plant was >1,000 g/g and decreased to <100 g/g in the 15–30 cm depth soil about 2 km away from the plant. Before amelioration, the geometric mean lead concentration of 4.57 g/m³ (range 0.102–37.6 g/m³) in the air near the plant was higher than that at the background locations, the geometric mean value of which was 0.08 g/m³.     

Hazardous exposure of ground-living small mammals to cadmium and lead in contaminated terrestrial ecosystems

The dietary exposure to cadmium and lead of two ground-living species of small mammals,i.e., shrewsSorex araneus (Insectivora) and volesMicrotus agrestis (Rodentia), was investigated and related to metal loads in target organs (kidneys and liver). The study was done in two natural areas polluted with cadmium and lead originating from urban and industrial metal sources. The average intake of cadmium by the herbivorous voles varied between 0.1 and 0.4 g/g/day and of lead between 2 and 10 g/g/day. The carnivorous shrews showed a considerably higher metal intake rates,i.e., cadmium 3 to 16 g/g/day and lead 19 to 53 g/g/day, which was largely due to the consumption of contaminated earthworms (Oligochaeta). An average cadmium intake of 15 g/g/day or a lead intake of 20 g/g/day corresponded with critical renal metal loads of 120 g/g for cadmium and 25 g/g for lead, which are indicative of adverse health effects. The renal metal loads in shrews reached the critical level, but they remained far below this level in voles. The results indicate a greater risk of toxic exposure to cadmium and lead in soricine shrews than in microtine rodents.     

Blood lead concentrations: Apparent reduction over approximately one decade

Summary Blood lead concentrations of male subjects presenting for preemployment examination during the period 1967–1969 have been compared with those obtained during the period 1978–1980. A statistically significant reduction of the geometric mean value from 20.2 g Pb/100 ml whole blood to 16.6 g Pb/100 ml whole blood has been found.     

Placental transfer of lead,mercury and cadmium in women living in a rural area

Summary The influence of the lead content of drinking water on the transplacental transfer of lead was investigated in 70 pregnant women living in a rural area of Belgium. The mothers were divided into 2 groups: group A: morning water lead below 50 g/liter; group B: morning water lead above this value. In group A, the mean lead content of water was 11.8 g/liter and in group B it amounted to 247.4 g/liter.The difference in the mean lead concentration between the two groups were for maternal blood: 3.2 g/100 ml, for umbilical cord blood: 3.3 g/100 ml, and for placenta: 3.6 g/100 g. These differences are statistically significant.There were significant correlations between water lead and lead concentration in blood (mother, newborn) or placenta. An increment of water lead concentration from 50 to 500 g/liter increases blood lead concentration in mother and in newborn by about 3 g/100 ml and in placenta by about 2.5 g/100 g (wet weight).     

Assessment of exposure to lead of the general population in the French community through biological monitoring

Summary The aim of the council directive of 29 March 1977 of the European Community (1) is the screening for non-work-related lead exposure levels in the general populations of European (member) countries. In France, such testing was carried out in eight metropolitan areas (having more than 500000 inhabitants), another eight critical areas surrounding industrial emission sources and one area (Vosges) having a high level of lead contamination in the water. In view of the reference values (maximum 35 g/ dl in an individual blood sample) adopted by the directive, the situation is most serious in the area where the exposure is due to the lead contamination in the water. Individuals here run a seven times greater risk of exceeding the 35 g/dl blood-lead limit relative to urban populations where the lead comes mostly from vehicle emissions into the atmosphere (i.e. 9.3% of the blood-lead values of the Vosgian sample exceed 35 pg/dl; 3.5% for the industrial complexes which deal with lead and 1.4% for the urban zone). While these vehicle exhausts are the subject of much current concern, in perspective, the problem of lead pipe contaminated drinking water appears to be of far greater importance.     

Motor nerve conduction velocity in asymptomatic lead workers

Summary No difference was found between the nerve conduction velocities of the ulnar nerve of 32 lead exposed workers in the mill of a lead-zinc mine, compared to that of a control group of 14 persons. The lead exposure period was 2–37 months (mean: 12.9 months).The blood lead of the exposed group was as an average (± SD): 53 ± 16 g per 100 ml compared to 11 ± 4 g per 100 ml for the control group.Further studies are needed to establish a possible dose-time-response relationship for the possible, subclinical neuropathy found by some investigators.     

Biological and environmental monitoring of occupational exposure of pharmaceutical plant workers to methotrexate

Summary The exposure of 11 pharmaceutical plant workers to methotrexate (MTX) was studied. Personal air samples were taken during the different manufacturing processes: drug compounding, vial filling, and tablet preparation. The uptake of MTX was established by the determination of MTX in urine. MTX was analyzed using the fluorescence polarization immunoassay (FPIA), a method that is frequently used for monitoring serum levels in patients treated with MTX. The FPIA method was modified in such a way that MTX could be measured quickly and efficiently in air and urine samples. MTX was detected in air samples of all workers except for those involved in the vial filling process (range: 0.8–182 g/m³; median: 10 g/m³). The highest concentrations were observed for workers weighing MTX (118 and 182 g/m³). MTX was detected in urine samples of all workers. The mean cumulative MTX excretion over 72–96 h was 13.4 g MTX-equivalents (range: 6.1–24 g MTX-equiva g MTX-equivalents (range: 6.1–24 g MTX-equivalents). lents). A significantly lower background level of 10.2 g A significantly lower background level of 10.2 g MTX-equivalents was measured in urine of 30 control persons (range: 4.9–21 g MTX-equivalents).     

A pilot study of lead and cadmium exposure in young children in Stockholm,Sweden: Methodological considerations using capillary blood microsampling

A capillary blood microsampling technique was tested among urban young children in Stockholm. Blood lead (BPb) and hemoglobin (Hb) concentrations were determined in capillary blood obtained by fingerstick from 41 children, 13–20 months old, and the accompanying parent. The quality control included control for lead (Pb) and cadmium (Cd) contamination of material and equipment used for blood sampling, washing procedures for the hands and fingers to be punctured, comparisons of Pb and Cd concentrations in blood obtained by fingerstick and by brachial vein puncture from the same individuals, analysis of external quality control samples for Pb and Cd in blood together with the collected samples, and evaluation of the analytical performance using linear regression analysis.The results showed that blood sampling material may contaminate the blood samples with amounts of Pb and Cd that would seriously influence the monitoring results in the low concentration range (<100 g Pb/L and <1 g Cd/L). However, it is possible to obtain reliable BPb concentrations (>10 g Pb/L), but not BCd concentrations (<1 g Cd/L), with the capillary blood microsampling technique tested provided that a strict quality control is applied. The sampling procedure tested was well accepted by the children and their parents. The children's median BPb concentration (27 g/L; range 9–73 g/L) was similar to the median BPb concentration of their parents (27 g/L; range 7–74 g/L). However, the correlation between child and parent BPb concentrations was poor (R²=0.20), which may indicate different sources to Pb exposure in children and parents.     

Exposure to lead of the Belgian population

Summary According to the Council Directive of 29 March 1977 on biological screening of the population for lead, the blood-lead levels (PbB) were determined in samples of the Belgian population not occupationally exposed to this metal. Two campaigns of sampling were performed: the first one in 1979 (1678 samples analysed) and the second in 1981 (1000 samples analysed). Sampling was done in urban and industrial zones, as well as in areas where lead risk could be present. Concerning the urban and industrial areas, the results obtained seem to indicate that a particular lead risk does not exist for the adult population if we consider the reference levels of the CEE Directive. Moreover, the results of the second campaign of sampling showed a decreasing trend: the median PbB values dropped from 183 to 156 g/l in Brussels and from 192 to 139 g/l in Liège. This could be partly due to the limitation of the lead content of gazoline. On the other hand, the results of the surveys clearly demonstrated the existence of two areas where an obvious lead risk exists. In one of those, the lead risk is of industrial origin (lead smelter) and concerns mainly children: median PbB value 260 g/l, percentile 90 and 98 respectively 390 and 430 g/l. In the other one, the lead risk is from a hydric source and concerns adults and children: median PbB value 258 g/l, percentile 90 and 98 respectively 370 and 520 g/l.     

Evaluation of studies of the relationship between blood lead and air lead

Summary An evaluation of the major studies of the effects of airborne lead on blood lead levels of male and female adult and child populations is presented. Analysis of these studies shows that the blood lead-air lead slope for adults is approximately 1.0 for both men and women. This implies that an exposure to an additional 1 g Pb/m³ of air can result in an increase of approximately 1 g Pb/100 ml of blood. The precision of the slope for adults is rarely better than ±0.5 to ±0.7 and can be as large as ±1.0. A large portion of this uncertainty in the calculated slope is due to blood lead measurement error. The slope of the blood lead-air lead response for children ranges from 0.7 to 1.4 and is approximately the same as that for adults. The accuracy of this number is less clear for children than adults due to the small data base. Many of the studies of children have been on populations living in the vicinity of smelters. It is questioned whether these data are representative of the air lead exposure of children living in urban and suburban communities.     

Mercury and methylmercury in population risk groups on the Atlantic coast of Southern Spain

The presence of methylmercury and total mercury in the hair of high risk groups residing in the highly industralized South Atlantic coastal area of Spain were studied. In fishermen, total mercury and methylmercury content showed slight non-statistically significant differences among groups from two different coastal areas (geometric means: 10.41 and 8.36 g/g for total mercury; 8.28 and 6.72 g/g methylmercury). Mercury content in both groups differed significantly from controls (geometric mean 2.5 g/g total mercury, 4.50 g/g for methylmercury; p<0.05). In pregnant women, statistically significant differences were found in the three groups (two coastal areas and controls). Geometric means were 2.40, 5.94, and 0.94 g/g for total mercury and 1.93, 4.78, and 0.82 g/g for methylmercury. Results were compared with those obtained in other European countries in the Mediterranean area. Simultaneously, the same compounds were analyzed in fish and molluscs from those most consumed by people in the above-mentioned groups. The following results were obtained: sword fish, 1.57±1.27 g/g and 1.20±0.94 g/g for total mercury and methylmercury respectively; Scrobicularia plana, 0.07±0.052 and 0.053±0.039 g/g; Tapes decussatus, 0.046±0.20 and 0.039±0.018 g/g.     

An electroneurographic assessment of subclinical lead neurotoxicity

Summary While heavy exposure to inorganic lead is capable of inducing symptomatic neuropathy in man, the subclinical neuropathy due to low levels of occupational lead exposure remains to be proved. The reported results of electroneurographic studies on lead workers, however, have been controversial. In this study, 40 lead smeltery workers and 50 non-exposed referents were investigated. The air concentrations of lead at worksites were 0.25 to 42.5 mg/m³. The geometric means of PbB, PbU and -ALAU in lead exposed group were 40.03 g/dl, 71 g/l and 4.68 mg/l respectively, which were significantly higher (P < 0.001) than those (7.01 g/dl, 6.0 g/l and 1.81 mg/l respectively) in the reference group. There were no clinical symptoms or signs of nerve damage in either group. Alcoholism and diabetes were excluded in both groups. Nerve conduction velocity was measured by a DISA 1500 electromyograph in both groups. Eleven electroneurographic parameters, including motor nerve conduction velocity (MCV) and distal latency (DML) of median, ulnar and peroneal nerves as well as sensory nerve conduction velocity (SCV) and distal latency (DSL) of median, ulnar and sural nerves, showed statistically significant differences between the two groups. However, the results of electroneurographic measurements of each individual in the lead-exposed group were all within the normal range. There was no correlation between the bloodlead levels and the neurophysiological measurements except for the median MCV. No correlation was seen between the median MCV and the exposure duration. A reduction in MCVs of median and ulnar nerves and sural SCV was unexpectedly seen in eight lead workers after chelation therapy with CaEDTA, although their mean PbB decreased from 42.08 to 27.92 g/dl. No consistent findings in nerve conduction were found at these exposure levels.     

Toxicity of mercury,copper, nickel,lead, and cobalt to embryos and larvae of zebrafish,Brachydanio rerio

The toxicity of mercury (HgCl₂), copper (CuCl₂: 5 H₂O), nickel (NiSO₄: 6 H₂O), lead (Pb(CH₃COO)₂: 3 H₂O) and cobalt (CoCl₂: 6 H₂O) was studied under standardized conditions in embryos and larvae of the zebrafish,Brachydanio rerio. Exposures were started at the blastula stage (2–4 h after spawning) and the effects on hatching and survival were monitored daily for 16 days. Copper and nickel were more specific inhibitors of hatching than cobalt, lead, and mercury. Nominal no effect concentrations determined from the dose-response relationships (ZEPs, Zero Equivalent Points) for effect on hatching time were 0.05 g Cu/L, 10 g Hg/L, 20 g Pb/L, 40 g Ni/L and 3,840 g Co/L, and those for effect on survival time were 0.25 g Cu/L, 1.2 g Hg/L, 30 g Pb/L, 80 g Ni/L, and 60 g Co/L. The no effect concentrations for Ni, Hg and Pb are consistent with previously reported MATC values for sensitive species of fish. The no effect concentrations for copper are 1–2 orders of magnitude lower than previously reported values. The major reason for the latter discrepancy was considered to be the absence of organics that can complex copper ions in the reconstituted water that we used, which had a hardness of 100 mg/L (as CaCO₃) and a pH of 7.5–7.7. Unexposed controls were started with embryos from different parental zebrafishes and the parental-caused variability in early embryo mortality, median hatching time and median survival time were estimated.     

Blood styrene concentrations in a “normal” population and in exposed workers 16 hours after the end of the workshift

Summary Blood styrene was measured by a gas chromatography-mass spectrometry method in 81 normal people and in 76 workers exposed to styrene. In the normal subjects, styrene was also tested in alveolar and environmental air. Styrene was found in nearly all (95%) blood samples. Average styrene levels in the normal subjects were 221 ng/1 in blood (Cb), 3 ng/1 in alveolar air (Ca) and 6 ng/1 in environmental air (Ci). Styrene levels did not differ significantly between smokers and non-smokers, 95% of values being below 512 ng/1 in Cb, 7 ng/1 in Ca and 15 ng/l in Ci. In workers with an average exposure to styrene of 204 g/l, at the end of the workshift, mean blood styrene concentration was 1211 g/l. In blood samples collected at the end of the Thursday shift, styrene levels were significantly higher (1590 g/1) than those found at the end of the Monday shift (1068 g/l. A similar difference was found in samples taken the morning after exposure (60 and 119 g/l, respectively). Significant correlations between blood and environmental styrene were found both at the end of the shift and the morning after exposure (r=0.61 and 0.41, respectively). In workers occupationally exposed to styrene, 16 h after the end of the workshift, blood styrene (94 g/l) was significantly higher than that found in the normal subjects (0.22 g/l). The half-life of blood styrene was 3.9 h.     

Sublethal Effects of Trace Metals (Cd,Cr, Cu,Hg) on Embryogenesis and Larval Settlement of the Ascidian <Emphasis Type="Italic">Ciona intestinalis</Emphasis>

Toxicity of Cadmium (Cd), Chromium (Cr), Copper (Cu), and Mercury (Hg) on the early developmental stages of Ciona intestinalis was investigated. Developmental defects of larvae after exposure of gametes throughout their development to the larval stage were assessed. Gamete exposure to increasing metal concentrations resulted in a significant decrease of the percentage of normally hatched larvae, showing median effective concentrations (EC₅₀) of 721 g/L (6.42 M) for Cd, 12772 g/L (226 M) for Cr, 36.6 g/L (0.576 M) for Cu, and 44.7 g/L (0.223 M) for Hg. Larval attachment was significantly affected when gametes were exposed to the metals throughout development. The EC₅₀ reducing larval attachment by 50% were 752 g/L (6.7 M) for Cd, 15026 g/L (289 M) for Cr, 67.8 g/L (1.607 M) for Cu, and 78.1 g/L (0.389 M) for Hg. Therefore, on a molar basis Hg is three times more toxic than Cu, 20–30 times more than Cd, and 700–1000 times more toxic than Cr, for both responses.     

High medical consultation rates of lead workers after industrial dispute over lead effects

Summary Medical consultation rates were compared between a group of lead workers (346 males) and two groups of non-lead workers (317 and 329 males) in a newspaper company where a serious industrial dispute took place over health effects of lead three years before this study. The comparison was also made within the group of lead workers. Maximal blood lead concentrations (PbBs) ranged from 0.1 mol/kg to 3.6 mol/kg (74 g/ 100 g) with an average of 1.3 mol/kg in the past three years. Ages averaged 35 years in lead workers, and 34 and 30 years in non-lead workers, the ranges being 19-55 years in all.The consultation rate of lead workers was significantly higher than that of both the non-lead workers (P<0.001), when the number of workers who consulted physicians or dentists once or more for a year per 100 workers (general consultation rate) was compared. Disease-specific consultation rates were also higher in lead workers for seven categories of diseases and injuries such as hypertensive disease and peptic ulcers.When lead workers were divided into three groups by PbB or erythrocytes delta-aminolevulinic acid dehydratase (ALAD) levels, however, no significantly high rate was found in the higher PbB groups nor lower ALAD groups in terms of general and disease-specific consultation rates.It was concluded that the industrial dispute might have been a major cause of the high consultation rate of lead workers.     

Behaviour of some indicators of biological effect in female lead workers

Summary The relationships between certain indicators of internal dose and of biological effect were studied in 93 adult women with varying degrees of exposure to lead (PbB levels ranging from 8 to 74 g/ 100 ml). The results were compared with those obtained in a group of 95 males with more of less similar exposure. In both groups a good correlation was found between PbB and ALAD, EP, CPU taken singularly and the trend of the indicators of effect, depending on PbB levels, was similar: the decrease in ALAD values was already clear at PbB levels which do not cause an elevation of EP and the erythrocyte metabolite increased earlier than CPU. Considering the same levels of internal lead load (measured by both PbB and PbU-EDTA) in women, EP values were higher than in the men. No significant difference was established between the two sexes regarding ALAD and CPU values, when considered at the same PbB levels. Validity of ALAD and EP in the females, as already shown in our previous studies on males, was moderate in predicting PbB levels 40 g/100 ml, while it clearly improved at PbB levels 50–60 g/ 100 ml. This indicates that for screening women of child-bearing age the two indicators of effect must be used with caution, since a value of 40 g/100 ml has been proposed as the permissible PbB limit.Abbreviations PbB blood lead (g/100 ml) - PbU-EDTA amount of chelatable lead excreted with 24 hours urine after administration of CaNa₂ EDTA (1 g intravenously) - ALAD -aminolevulinic acid dehydratase activity of erythrocytes (mU/ml RBC) - EP erythrocyte protoporphyrin (g/100 ml RBC) - ALAU urinary -aminolevulinic acid (mg/1) - CPU urinary coproporphyrin (g/1)     

Some hygienic observations from the glass industry

Summary Metallic compounds and other agents used in the manufacturing of glass are probably responsible for the cancer risks observed for glassworkers, especially glassblowers. Few hygienic observations have been reported from the art glass industry. Three glassworks were therefore studied with regard to air concentrations of lead, arsenic, nickel and manganese. The hygienic conditions of the blow-pipes were investigated at these glassworks and another two with regard to inside deposits of slag containing lead, arsenic, manganese and nickel as possible transporters that cause oral exposure. Atomic absorption spectrophotometry was used for the analyses. Apart from lead, the metal concentrations in the air were around the detection limit. Glassworks producing heavy crystal glass usually had higher concentrations of lead in the air than the semi-crystal glassworks. Seven out of 12 samples from heavy crystal glassworks exceeded the Swedish threshold limit of 50 g/m³, while only four out of 28 samples from the semi-crystal glassworks exceeded this limit. Regarding metals in the slag from inside the blow-pipes, the concentrations (geometrical means) of lead and nickel were higher in the heavy crystal glassworks (6.9 g lead/mg slag, and 5.0 g nickel/mg slag versus 0.7 g lead/mg slag and 0.6 g nickel/mg slag in semi-crystal glassworks, respectively). The concentration of arsenic was similarly low in the pipes from all the glassworks ( 0.30 g/mg slag) and the concentration of manganese was only slightly higher in heavy crystal glassworks (5.4 g/mg slag versus 3.6 g/mg slag in semi-crystal glassworks).