Exposure to lead and cadmium of children living in different areas of North-West Germany: results of biological monitoring studies 1982–1986

Summary Between 1982 and 1986 several surveys were carried out to determine the levels of lead and cadmium in blood, urine, and shed deciduous teeth (incisors only) of children living in rural, suburban, urban, and industrial areas of North-West Germany. Blood lead (PbB) and blood cadmium (CdB) were measured in about 4000 children. In rural, suburban and urban areas the median PbB levels vary between 5.5 and 7 g/dl, with 98th percentiles varying between 10 and 13 g/dl. The median CdB levels are between 0.1 and 0.2 g/dl, with 95th percentiles between 0.3 and 0.4 g/l. Children from urban areas have significantly higher PbB levels than children from rural and suburban areas. Regarding CdB no differences could be detected. Children living in areas around lead and zinc smelters, particularly those living very close to the smelters, have substantially increased PbB and CdB levels. Children from lead worker families also have substantially increased PbB and CdB levels. The lead levels in shed milk teeth (PbT) were determined in about 3000 children. In rural, suburban and urban areas the median PbT levels are between 2 and 3 g/g, with 95th percentiles between 4 and 7 g/g. Children from urban areas have significantly higher PbT levels than children from rural and suburban areas. The highest PbT levels (on a group basis) are in children from nonferrous smelter areas. The median levels of lead in urine (PbU) are between 6 and 10 g/g creatinine, with 95th percentiles between 20 and 30 g/g creatinine. Children from polluted areas have higher PbU levels than children from less polluted areas. The median levels of cadmium in urine (CdU) are in the order of 0.1 g/g creatinine, with 95th percentiles being in the range of 0.5 and 1.0 g/g creatinine. Girls have higher CdU levels than boys. There are no differences between groups of children from different areas. Children from lead worker families have higher PbU and CdU levels than otherwise comparable children. The results of the present studies indicate a further decrease of PbB in children from North-West Germany since the CEC blood lead campaigns carried out in 1979 and 1981. The decrease of lead exposure also seems to be reflected by a decrease of tooth lead levels.The studies presented in this communication were supported by the Ministry of Work, Health and Social Affairs and the Ministry of Environment and Agriculture of Nordrhein-West-falen, FRG     

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.     

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).     

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.     

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.     

Relationship of air lead and blood lead for workers at an automobile battery factory

Summary Air lead and blood lead data, recorded over a period of 3 years for 972 employees at an automobile battery factory as part of a lead control program, were summarized and statistically analyzed. The air lead values were measured by mobile area samplers for approximately 2 years and then by personal samplers for approximately 1 year. Blood lead analyses were usually performed once a month for most of the workers.The trend in air lead levels was significantly upward in the 1st year and significantly downward in the 2nd year while the trend in blood lead levels was significantly downward in the 1st year and in the 3rd year. There were no other significant trends.To assess the relationship between air lead and blood lead, data were used whenever an air lead obtained by personal sampler was followed within 1 month by a blood lead on the same worker. The variables age, job tenure, and department identity were included in an analysis of covariance. Only air lead and departments were significant, accounting for 9% and 13% of the variance in blood lead, respectively. From these data 95% confidence limits were calculated for predicting blood leads from given air leads for an individual worker. These were 30–68 g/100 ml at 200 g/m³; 25–62 g/ 100 ml at 100 g/m³, and 22–60 g/100 ml at 50 g/m³.     

Assessment of thyroid,testes, kidney and autonomic nervous system function in lead-exposed workers

Summary The objective of the study was to assess whether moderate occupational exposure to lead may be associated with early changes in potential target organs (thyroid, testes, kidney, autonomic nervous system). Workers exposed to lead in a lead acid battery factory (n = 98; mean blood lead 51 g/dl, range 40–75 g/dl) and 85 control workers were examined. None of the indicators of kidney function (in urine: retinol-binding protein, ₂-microglobulin, albumin,N-acetyl--d-glucosaminidase; in serum: creatinine, ₂-microglobulin), endocrine function (follicle-stimulating hormone, luteinizing hormone, thyroid-stimulating hormone, thyroxine, triiodothyronine) and autonomic nervous system (R-R interval variations on the electrocardiogram) were correlated with lead exposure (blood lead or duration of exposure) or showed significantly different mean values between the exposed group and controls. These results and an assessment of the published data suggest that compliance with the Directive of the Council of the European Communities on lead exposure (health surveillance in workers whose lead in blood exceeds 40 g/dl and removal from exposure when blood lead exceeds 70–80 g/dl) would prevent the occurrence of significant biological changes in the majority of lead-exposed workers.     

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.     

Aquatic hazard assessment of the organophosphate insecticide fonofos

This study determined the acute and chronic toxicity of the organophosphate insecticide fonofos to standard freshwater aquatic organisms under laboratory conditions. Fonofos was acutely toxic to bluegill (Lepomis macrochirus), Daphnia (D. magna), and midge (Chironomous riparius) at 5.3, 2.7, and 39 g/L, respectively. Three fonofos formulations (technical, 94.8% A.I.; 20G, field granular 20% A.I.; and 4E, field liquid 4#/gal A.I.) exhibited similar acute toxicities to bluegill. Exposure to fonofos delayed reproduction and decreased the intrinsic rate of increase of Daphnia during 21-d chronic exposure at the lowest tested concentration (0.08 g/L). The no observable effect concentration (NOEC) for Daphnia survival was 0.42 g/L; 0% survival occurred at the lowest observable effect concentration (LOEC) of 1.45 g/L. The NOEC for midge emergence was 3.42 g/L; only 34% emergence occurred at the LOEC of 8.24 g/L. Chronic 30-d exposure of juvenile bluegills decreased growth and survival at 5.65 g/L (LOEC), but no effects occurred at 2.33 g/L (NOEC). The relative hazard of fonofos to aquatic life is similar to other carbamate and organophosphate corn insecticides.     

Blood toluene as a biological index of environmental toluene exposure in the “normal” population and in occupationally exposed workers immediately after exposure and 16 hours later

Blood toluene was measured in a group of 100 workers occupationally exposed to a mean 8-h environmental toluene concentration of 128 g/l (34 ppm), and in a group of 269 normal subjects without occupational exposure to toluene. The mean blood toluene of the workers at the end of the shift and the following morning, after 16 h, was 457 and 38 g/l, respectively. The normal subjects had a blood toluene level of 1.1 g/l. On the basis of the highly significant correlation between blood toluene and occupational exposure, it can be calculated that environmental toluene exposure of 188 and 377 g/l (50 and 100 ppm) gives end-of-shift blood toluene levels of 690 and 1390 g/l, respectively. The corresponding blood toluene levels on the following morning are 50 and 100 /l, respectively.     

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.     

Inhibition of ovulation by a triphasic gestodene-containing oral contraceptive

The minimal effective dose of gestodene for inhibition of ovulation was studied in 30 female volunteers. Daily doses of 10 g to 50 g gestodene were given orally for 21 days. A control cycle prior to treatment and a treatment cycle were monitored for LH, FSH, estradiol, progesterone and cervical score. At a daily dose of 40 g of gestodene, 6/7 volunteers exhibited inhibition of ovulation and 1/7 had a cycle with luteal insufficiency. Ovulation was inhibited in all volunteers on 50 g gestodene, suggesting that the minimum dose required to inhibit ovulation was 40 g gestodene. Cervical score was blunted even at 10 g gestodene. Similarly, 20 volunteers were treated with coated tablets containing ethinylestradiol/gestodene at 30/50 g for 6 days, 40/70 g for 5 days and 30/100 g for 10 days. This triphasic gestodene-containing preparation inhibited ovulation in all 20 females. In one cycle in which follicle development was observed only 43 pg estradiol/ml was secreted. Data from this investigation suggest that this triphasic gestodene-containing OC has a high contraceptive efficacy.

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Resumen Se estudió la dosis eficaz mínima de gestodén para inhibir la ovulación en 30 voluntarias. Se dieron dosis orales diarias de 10 g a 50 g de gestogén durante 21 días. Un ciclo de control anterior al tratamiento y un ciclo de tratamiento fueron controlados según índices de LH, FSH, estradiol, progesterona y cervical. A una dosis diaria de 40 g de gestodén, 6/7 voluntarias presentaron inhibición de la ovulación y 1/7 tuvieron un ciclo con insuficiencia lútea. La ovulación fue inhibida en todas las voluntarias con 50 g de gestodén, lo cual sugiere que la dosis para inhibir la ovulación era 40 g de gestodén. El índice cervical era neto aun con 10 g de gestodén. Del mismo modo, 20 voluntarias fueron tratadas con pastillas revestidas que contenían etinilestradiol/gestodén a 30/50 durante 6 días, 40/70 durante 5 días y 30/100 durante 10 días. Esta preparación trifàsica con gestodén inhibió la ovulación en la totalidad de las 20 mujeres. En un ciclo en el que se observó desarrollo folicular sólo se secretaron 43 pg de estradiol/ml. Los datos de este estudio sugieren que este anticonceptivo oral trifàsico con gestodén tiene gran eficacia anticonceptiva.

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Resumé Une dose efficace minimale de gestodène destinée à inhiber l'ovulation a été étudiée chez 30 femmes qui se sont prêtées volontairement aux essais. Des doses journalières de 10 g à 50 g de gestodène ont été administrées oralement pendant 21 jours. Les contrôles qui ont été effectués au cours d'un cycle témoin préalable au traitement et d'un cycle de traitement portaient sur les hormones LH et FSH, l'oestradiol, la progestérone et l'indice cervical. A une dose de 40 g de gestodène, l'ovulation était inhibée chez six-septième des volontaires, alors que chez le septième restant on avait constaté une insuffisance lutéale. L'ovulation a été inhibée chez toutes les volontaires avec une dose de 50 g de gestodène, ce qui laisse penser que la dose inhibant l'ovulation se situe à 40 g. L'indice cervical était net même à une dose de 10 g. Par ailleurs, 20 volontaires ont été traitées avec des comprimés enrobés contenant de l'éthinyloestradiol/gestodène à 30/50 pendant 6 jours, à 40/70 pendant 5 jours et 30/100 pendant 10 jours. Cette préparation triphasique contenant du gestodène a inhibé l'ovulation chez 20 femmes. Au cours d'un cycle où l'on a observé un développement folliculaire, à peine 43 pg d'oestradiol/ml ont été secrétés. Les résultats obtenus jusqu'ici suggèrent que ce contraceptif oral triphasique contenant du gestodène a un pouvoir contraceptif élevé.

     

Cytogenetic studies of herbicide interactions in vitro and in vivo using atrazine and linuron

The herbicides atrazine and linuron, found in Wisconsin's groundwater, were tested alone and in combination, both in vivo and in vitro, to determine their individual and combined genotoxic effects. Human lymphocytes exposed in vitro to either 1 g/ml linuron or 0.001 g/ml atrazine showed little chromosome damage, whereas significant chromosome damage was observed in lymphocytes simultaneously exposed to 0.5 g/ml linuron and 0.0005 g/ml atrazine, suggesting at least an additive model. In another experiment, mice were fed 20 g/ml atrazine, 10 g/ml linuron, or a combination of 10 g/ml atrazine and 5 g/ml linuron in their drinking water for 90 days, after which bone marrow cells and cultured splenocytes were examined for chromosomal damage. None of the treatment groups showed chromosome damage in bone marrow, whereas the cultured splenocytes demonstrated damage in all treatment groups. These experiments suggest that, prior to assessing the risk of a herbicide, it may be necessary to test it in combinations which mimic the mixtures which would occur under field conditions, such as in contaminated groundwater.     

Investigations on neurotoxicity of chemical substances at the workplace

Summary A cross-sectional study was performed in order to investigate the influence of chronic lead-exposure on the peripheral nervous system. We examined 148 male workers of a storage battery manufacturing plant, who had been exposed to lead metal and inorganic lead compounds for 1 to 28 years (mean 11 years). Fifteen workers with non-occupational risks of peripheral neuropathy (former diseases, alcohol abuse, medication) were excluded from the study. The investigation program comprised: case history, physical examination, analyses of blood- and urine-samples and determination of maximal motor, mixed and sensory conduction velocity (NCV) of the ulnar and median nerve of the right forearm. Objectively no worker showed any signs of health effects related to lead exposure. The Biological Monitoring included the determination of (1) Blood-lead level (Pb-B), (2) Free erythrocyte porphyrins (FEP), (3) -Aminolevulinic acid dehydratase (ALA-D) and (4) -Aminolevulinic acid in urine (ALA-U). Further time-weighted-average (TWA)-values of Pb-B were calculated on the basis of several determinations over the period 1975–1981. The following actual (TWA) median values resulted: Pb-B 53 g/dl (54 g/dl), ALA-U 5.6 mg/l (8.4 mg/l), FEP 2.0 mg/l (2.0 mg/l). The Biologischer Arbeitsstoff Toleranz Wert (BAT) of 70 g//dl for Pb-B was exceeded in 15 workers (11%), and of 15 mg/l for ALA-U in 30 cases (23%). In comparison with age-matched controls, the lead workers showed a mild slowing of NCV with mean values between 0.8 and 2.0 m/s. Multiple stepwise regression analyses revealed statistically significant correlations between the four NCV and age as well as Pb-B. There were better correlations by using TWA than actual data of Pb-B. Consideration of the results of the regression analyses, together with an evaluation of the individual neurophysiological status as a function of internal lead exposure, a dose-effect-relationship was found only in the case of Pb-B exceeding 70 g/dl. From our study it is concluded that chronic lead exposure resulting in blood-lead levels of below 70 g/dl is no occupational risk causing a functionally significant slowing of nerve conduction velocities.With Grants from the Deutsche Forschungsgemeinschaft, Bonn (Project no. Va 23/19-1)     

Three-year survey of blood lead levels in 8828 Taiwanese adults

The purpose of this study was to investigate environmental lead exposure in the general Taiwanese population. A total of 8828 Taiwanese adults selected by a multistage sampling method were investigated. Characteristics of the participants were ascertained by questionnaire and 10 ml venous blood was drawn by public health nurses. The blood specimens were distributed to six laboratories for blood lead level (BLL) measurement. A quality control program was applied during the analysis of the BLLs in order to improve precision and accuracy. The arithmetic mean BLL of the 8828 Taiwanese adults was 7.70 ± 5.23 g/dl, with a maximal level of 69.1 /dl. The median was 6.5 /dl and the 90th percentile was 14.0 g/dl. After logarithmic transformation, the geometric mean was 1.84 ± 0.67 g/dl. This study also found that elevated BLLs were associated with certain personal characteristics, i.e., gender, ethnic group, and education level; life-style factors, such as smoking, alcohol consumption, Chinese herbal drug consumption, milk consumption, and sources of drinking water; residential location, i.e., level of urbanization; and occupational history of lead exposure. However, age, floor level of residence, distance from house to road, and betel nut consumption were not associated with elevated BLLs. These results showed that BLLs in the Taiwanese population were not higher than those in developed and developing countries. Most of the influencing factors were also found in other studies; however, local factors such as ethnic group, Chinese herbal drug consumption, and sources of drinking water are important considerations in Taiwan when examining ways to prevent overexposure to lead in the general population.     

Development of a Sublethal Test to Determine the Effects of Copper and Lead on Scleractinian Coral Larvae

A new sublethal toxicity test was developed in this study to measure the effect of copper and lead on the motility of coral larvae. Larval motility was significantly affected by copper and lead doses immediately after dosing. The copper EC₅₀ values for motility of Goniastrea aspera brain coral larvae (12 h, 21 g/L; 24 h, 16 g/L; 48 h, 22 g/L) were much lower than the copper LC₅₀ values for G. aspera larval survival (6 h, 260 g/L, and 24 h, 121 g/L, for 5-day-old larvae and 6 h, 248 g/L, and 24 h, 136.64 g/L, for 6-day-old larvae) during the early part of the experiments. However, at later times, the LC₅₀ values (48 h, 40 g/L, for 5-day-old larvae and 48- h, 87 g/L, for 6-day-old larvae) were similar to the EC₅₀ values for larval motility. The lead 72-h EC₅₀ value for G. aspera larval motility (2900 g/L) was much lower than the lead 72-h LC₅₀ value for larval survival (9890 g/L). The results show that larval motility can be a useful parameter to measure in order to determine the sublethal effects of trace metals on coral larvae.     

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.     

Human exposure to volatile halogenated hydrocarbons from the general environment

Summary The objective of this study was to assess individual human exposure to volatile halogenated hydrocarbons (VHH) under normal environmental conditions by means of biological monitoring, i.e. by the measurement of these compounds or their metabolites in body fluids, such as blood, serum, and urine. Blood samples of 39 normal subjects without known occupational exposure to these agents were examined for the occurrence of VHH. The following compounds were present in quantifiable concentrations in 60 to 95% of the blood samples examined: chloroform (median 0.2 g/l; range < 0.1–1.7 g/l), 1,1,1-trichloroethane (median 0.2 g/l; range < 0.1–3.4 g/l), tetrachloroethylene (median 0.4 g/l; range < 0.1–3.7 g/l). Trichloroethylene could be detected in 31% of all blood samples (median < 0.1 g/l; range < 0.1–1.3 g/l). In addition, the levels of trichloroacetic acid (TCA) were determined in serum and 24-h urine samples of 43 and 94, respectively, normal subjects. TCA was present in measurable concentrations in all serum and urine samples examined. The median of the TCA levels in serum was 21.4 g/l (range 4.8–221.2 g/l) and in urine 6.0 g/24 h (range 0.6–261.4 g/24 h). The results are discussed in relation to data from the literature on human exposure to VHH from the general environment, i.e. via air, food, and water. The upper normal limits calculated from the results of this investigation can be used to detect even minor excessive exposures to VHH.     

Blood lead levels in children of S.W. Sardinia

The purpose of the present study was to make a preliminary evaluation of blood lead levels in school-aged children from three towns of southwestern Sardinia, Portoscuso, S. Antioco and Calasetta, the first of which is very close to a large industrial complex. Blood lead concentration was determined in venous blood samples by graphite furnace atomic absorption spectrophotometry. The survey revealed that children residing in the town of Portoscuso had higher mean blood lead levels (12.7 g/dl) than children of the same age residing in S. Antioco and Calasetta (8.3 and 8.4 g/ dl respectively) and that levels were slightly higher in males than in females. This difference is suggested to be a result of the greater fallout of industrial pollutants in the area of Portoscuso.Corresponding author.     

Free erythrocyte protoporphyrin as an indicator of the biological effect of lead in adult males

Summary The relationship between FEP and the indicators of dose (PbB, PbU, PbU-EDTA) was examined in a group of male subjects who had left lead-exposing jobs more than 12 months previously.In these subjects, FEP and PbB and FEP and PbU were correlated to a distinctly lower degree compared to previous findings in currently exposed subjects, although the correlations were still statistically significant. In the previously exposed subjects the erythrocyte metabolite displayed definitely higher values than those found in currently exposed subjects at the same PbB or PbU levels.A very close correlation was found between FEP and PbU-EDTA, as was found in exposed subjects. The regression curve assumed an identical profile in the two situations. From these results it may be concluded that FEP persists at high levels for a long time after cessation of exposure due to a direct inhibition of heme synthetase caused by lead released from the tissue deposits.It should be noted that FEP proved to be a valid test for predicting the amount of lead storage, even a long time after cessation of exposure.Abbreviations PbB blood lead (g/100 ml) - PbU lead in urine (g/l) - PbU-EDTA amount of chelatable lead excreted with 24 h urine after administration of Ca NA₂ EDTA (1 g intravenously) - FEP free erythrocyte protoporphyrin (g/100 ml RBC) - ALAU urinary delta-aminolevulinic acid (mg/l) - CPU urinary coproporphyrin (g/l)