Urban Lead Exposures of Children in Cincinnati,Ohio

Abstract

Environmental dust lead and other lead measures were highly intercorrelated for the wide range of housing in the Cincinnati prospective study. The causal pathway revealed by the data (soil and paint lead to surface dust lead to hand lead to blood lead) has been used to develop intervention strategies to reduce blood lead and hand lead levels which are currently being implemented in the Cincinnati Soil Lead Abatement Demonstration Project. These interventions, soil lead abatement, exterior dust abatement, and interior dust abatement, are being applied in various combinations in an examination of data for children residing in a single type of housing from birth, blood lead levels were compared according to three paint lead categories (low: < 2 mg cm^?2; medium: 2.1 to 6.0 mg cm^?2, and high: > 6.0mg cm^?2). Geometric mean blood lead values were 14.1 and 12.1 μg dL^?1, respectively, for the low and medium paint lead categories and much greater for children living in housing in the highest paint lead category, 24.8 μg dL^?1. These data suggest that for situations similar to those in Cincinnati, priority for lead-based paint abatement should be considered for the housing with paint lead above 6 mg cm^?2. A Ln—Ln relationship between environmental lead and blood lead for children in the Cincinnati study was found to represent the data much more closely than did a linear relationship such as that used in the current US EPA Lead Uptake/Biokinetic Model.     

Midvale Community Lead Study

Abstract

The primary objective of this study was to ascertain whether children living in close proximity to mill tailings and a former lead smelter site were currently exhibiting elevated blood lead (PbB) concentrations. To address this issue, the mean PbB for community children and the relationship between PbB and the proximity of the child's residence to the site was estimated. A secondary objective was to identify and quantify accessible lead (Pb) and arsenic (As) in the environment (e.g. Pb in soil, dust, paint and water or As in soil and dust). A third objective was to test for association between specific sources of environmental Pb and PbB and to estimate the relative contribution of these proximate sources of lead to the children's PbB. The data analytic methods allowed estimation of both direct and indirect impact of environmentally accessible Pb. The average PbB level of all children screened in Midvale was 5.2 μg dL^?1. Three percent exceeded 15 μg dL^?1; 12.7% exceeded 10 μg dL^?1. Pb-based house paint and Pb contaminated soil were identified as principal contributors to PbB. PbB was found to increase 1.25 μg dL^?1 per 1,000 ppm increase in lead in soil. Proximity of residence to the mill and smelter site was found to be a strong predictor of Pb in soil, and therefore indirectly related to increases in PbB.     

Dietary Exposure to Lead and Cadmium in Yugoslavia

Abstract

Lead exposure still represents a matter of health concern especially in Yugoslavia. To assess the exposure of normal urban population to lead and cadmium through food, a preliminary monitoring was performed on a small group of urban population. Lead, cadmium and some essential elements (calcium, zinc, iron, copper and manganese) were analysed in collected duplicate diet samples and compared to similar population in Sweden. We found that dietary exposure to lead and cadmium is similar to other countries although Yugoslav urban population is exposed to much higher concentrations of lead in air than in cities of developed countries, due to high lead in gasoline. However, daily intake of some essential elements was significantly lower.

Also populations living around lead smelters in various parts of Yugoslavia are still exposed to elevated environmental lead and cadmium levels. To assess the exposure of the population living in this area, a cumulative long-term exposure to lead was determined by measuring lead in deciduous teeth. Concentrations of lead and cadmium in vegetables, soil and meals from the same region were also analysed. Values obtained for lead and cadmium in food products grown in exposed and control area were found to be related to respective concentrations of these elements in soil as well as to the distance from the smelter. Meals prepared in this region show the same trend, revealing very high intake particularly of lead.

The influence of nutritional factors, i.e. dietary calcium on lead metabolism, was also studied. Blood lead concentration was determined in two groups of peasant women living in two regions with different dietary calcium intake. Lower blood lead values were found in the higher dietary calcium intake region.     

Contribution of lead in soil to children’s lead burden,an update

Abstract

Blood lead levels in children in the USA have dropped dramatically since lead in food, air and drinking water was reduced. In inner cities and older residential areas, increased lead exposure may still be a problem because of dilapidated housing with high lead paint levels. In these areas, at mining sites and around smelters lead levels in soil may be very high. A review of many studies indicates that lead in soil or mine tailings does not make a meaningful contribution to lead absorption by children. The contribution of lead in soil to overall exposure, if any, lies within the variation of the analytical method for blood lead measurements. The results of exposure studies in the pediatric population reviewed in this article do not support exposure predictions for children under 6 years of age based on the US EPA Integrated Exposure Uptake Biokinetic Model (using default parameters or using results obtained with in vitro digestion models). They also do not support predictions based on the percent of solubility of lead in soil (accessibility studies).     

Environmental Lead Exposure among Preschool Children in Shanghai,China: Blood Lead Levels and Risk Factors

Objective

To determine blood lead levels and to identify related risk factors among children in Shanghai; to explore the lead change trend of children after industrial transformation and to provide data for policy development to control environmental lead pollution in Shanghai.

Methods

A stratified-clustered-random sampling method was used. A tungsten atomizer absorption spectrophotometer was employed to determine blood lead levels.

Results

The arithmetic mean, geometric mean and median of blood lead levels of 0- to 6-year-old children from Shanghai were 22.49 µg/L, 19.65 µg/L and 19.5 µg/L, including 0.26% (6/2291) with concentrations ≥100 µg/L and 2.7% (61/2291) with concentrations ≥50 µg/L. Boys'' levels (23.57 µg/L) were greater than those of girls (21.2 µg/L). The blood lead levels increased with age. This survey showed that the Chongming district was the highest and Yangpu district was the lowest, this result is completely opposite with the earlier survey in Shanghai. Risk factors for lead contamination included housing environment, parents'' education levels, social status, hobbies, and children''s nutritional status.

Conclusions

The blood lead levels of children in Shanghai were lower than the earlier data of Shanghai and those of published studies in China, but higher than the blood lead levels of developed countries. The blood lead levels of urban districts are higher than the central districts with the industrial transformation. Society and the government should take an active interest in childhood lead poisoning of urban areas.     

Association of Blood Lead Levels with Methylenetetrahydrofolate Reductase Polymorphisms among Chinese Pregnant Women in Wuhan City

BackgroundPregnancy is an important stimulus of bone lead release. Elevated blood lead levels (BLLs) may cause adverse pregnancy outcomes for mothers and harmful lead effects on fetuses. However, the reports about maternal BLL changes during pregnancy are conflicting to some extent. This article is to explore the variations in BLLs among pregnant women. The relationships of BLLs with methylenetetrahydrofolate reductase (MTHFR) gene C677T, A1298C, and G1793A polymorphisms, which are associated with bone resorption, were also studied. A total of 973 women, including 234, 249, and 248 women in their first, second, and third trimesters, respectively, and 242 non-pregnant women, were recruited at the Wuhan Women and Children Medical Health Center.MethodsBLLs were determined using a graphite furnace atomic absorption spectrometer. Single-nucleotide polymorphisms of MTHFR were identified with the TaqMan probe method.ResultsThe geometric mean (geometric standard deviation) of BLLs was 16.2 (1.78) μg/L for all participants. All the studied MTHFR alleles were in Hardy-Weinberg equilibrium. Multiple-linear regression analysis revealed the following results. Among the pregnant women, those that carried MTHFR 677CC (i.e. wild-genotype homozygote) and 1298CC (i.e. mutant-genotype homozygote) exhibited higher BLLs than those that carried 677CT/TT (standardized β = 0.074, P = 0.042) and 1298AC/AA (standardized β = 0.077, P = 0.035) when other covariates (e.g., age, no. of children, education and income, etc.) were adjusted. The BLLs of pregnant women consistently decreased during the pregnancy and these levels positively correlated with BMI (standard β = 0.086–0.096, P<0.05).ConclusionsThe 1298CC mutant-type homozygote in the MTHFR gene is a risk factor for high BLLs among low-level environmental lead-exposed Chinese pregnant women, whose BLLs consistently decreased during gestation.     

The Bioavailability of Lead in Mining Wastes: Physical/Chemical Considerations

Abstract

In this paper we review the physiological and geochemical factors affecting lead bioavailability, and particularly, the unique physical/chemical properties of lead derived from mining wastes based on both theory and empirical observations. The relationship between blood lead levels and soil lead concentrations derived from epidemiological studies indicates that lead in soil from mining sites appears to have less of an effect on blood lead levels in children than does lead at urban sites or sites with an active lead smelter. Differences in bioavailability of various lead species offers a plausible explanation for the relative differences in their impact on blood lead. In this paper, we evaluate from a physiological viewpoint aqueous solubility, absorption/desorption processes, and uptake mechanisms that may control lead bioavailability within the Gl tract. A number of these processes, including the role of passive diffusion, competition with calcium for a common transport mechanism, and the role of organic ligands, are discussed. Geochemical processes that relate to lead bioavailability in the Gl tract are also considered. Galena (PbS) and its alteration product, anglesite (PbSO⁴), are the primary forms of lead associated with mining wastes. Equilibrium thermodynamics and dissolution kinetics of PbSO⁴ are modeled because this solid is likely to control the concentration of dissolved lead from many mine wastes in the Gl tract. The geochemical models DIASTAB and MINTEAQ2 are used to calculate theoretical estimates of lead dissolution and a model is proposed to evaluate lead bioavailability by laboratory methods taking into account both kinetic and equilibrium considerations. This type of model requires calibration with animal toxicological studies of lead bioavailability and with epidemiological studies of different types of lead sites. Ultimately, such a geochemical model could be used to evaluate the potential for public health impacts from a particular type of lead in soil.     

Lead poisoning.

Lead poisoning is the most common disease of environmental origin in the United States today. Adult lead poisoning results primarily from exposure by inhalation in the workplace. Pediatric lead poisoning results principally from the ingestion of lead from environmental media, including paint chips, dust, soil, drinking water, ceramics, and medications. Lead is toxic to many organ systems, among them developing erythrocytes, the kidneys, and the nervous system. Lead-induced toxicity to the central nervous system causes delayed development, diminished intelligence, and altered behavior. In young children, this effect has been demonstrated convincingly to occur at blood lead levels between 10 and 20 micrograms per dl. The Centers for Disease Control and Prevention has recommended that a blood lead level of 10 micrograms per dl or higher be considered evidence of increased lead absorption, and the National Academy of Sciences has concurred in that recommendation. Unresolved issues in need of further study include the frequency of screening young children for lead, the question of whether women should be offered screening for lead before conceiving a pregnancy, the role of x-ray fluorescence analysis in assessing lead in bone, and the appropriate legislative response of the United States government to lead-based paint abatement.     

Identifying and managing adverse environmental health effects: 3. Lead exposure

LEAD LEVELS IN NORTH AMERICAN CHILDREN AND ADULTS have declined in the past 3 decades, but lead persists in the environment in lead paint, old plumbing and contaminated soil. There are also a number of occupations and hobbies that carry a high risk of lead exposure. There is no evidence for a threshold below which lead has no adverse health effects. Blood lead levels previously considered safe are now known to cause subtle, chronic health effects. The health effects of lead exposure include developmental neurotoxicity, reproductive dysfunction and toxicity to the kidneys, blood and endocrine systems. Most lead exposures are preventable, and diagnosing lead poisoning is relatively simple compared with diagnosing health effects of exposures to other environmental toxins. Accurate assessment of lead poisoning requires specific knowledge of the sources, high-risk groups and relevant laboratory tests. In this article we review the multiple, systemic toxic effects of lead and provide current information on groups at risk, prevention, diagnosis and clinical treatment. We illustrate how the CH²OPD² mnemonic (Community, Home, Hobbies, Occupation, Personal habits, Diet and Drugs) and specific screening questions are useful tools for physicians to quickly obtain an environmental exposure history and identify patients at high risk of lead exposure. By applying effective primary prevention, case-finding and treatment interventions for lead exposure, both the individual patient and the larger community reap the benefits of better health.CaseA previously healthy 2-year-old girl and her mother visit their family physician because of the daughter''s 2-month history of intermittent complaints of a mild “tummy ache.” There is no associated vomiting, weight loss, or change in appetite, bowels or diet. There are no abnormal findings on physical examination. When asked about symptom onset the mother reports that it began shortly after the family started to renovate their kitchen. They live in an old farmhouse on the outskirts of town and drink water from a drilled well on the property. The physician decides to take an environmental exposure history using the CH²OPD² mnemonic (Community, Home, Hobbies, Occupation, Personal habits, Diet and Drugs; for children, the occupation question refers to workplace contaminants brought into the child''s environment).¹ The child''s exposure history (Open in a separate windowQuestions surrounding this case: Is the family at risk of health effects from lead exposure? Who else might be at risk? Are other laboratory tests indicated? Where can the physician get advice on the significance of the family''s blood lead levels? How should this case of lead exposure be treated?To some extent lead is one of the small success stories of environmental health. The association of lead poisoning with cognitive impairment is well established² and has resulted in the removal of lead from gasoline, paint and food cans. Despite these preventive measures, however, silent, low-level lead exposure continues to present a problem for many communities and populations. In 1997, data from the US National Health and Nutrition Examination Surveys showed that 4.4% of children in the United States had elevated blood lead levels.³ Black children living in older housing, children living in metropolitan areas with populations of 1 million or more and poor children living in older housing were at highest risk of exposure.³In Canada children living near a point-source smelter in the South Riverdale area of Toronto were tested in 1973 and found to have an unusually high mean lead level (1.34 μmol/L).⁴ Canada''s Federal–Provincial Committee on Environmental and Occupational Health suggested in 1994 that 5%–10% of Canadian children living in urban areas have blood lead levels exceeding 0.48 μmol/L, even though they are not exposed to point sources.⁵ The Ontario government estimated in 1994 that 4% of children in the province still had blood lead levels above 0.48 μmol/L;⁶ a 1992 study found that the mean level in Ontario children had fallen from 0.91 μmol/L in 1972 to 0.29 μmol/L in 1988.⁷ A study of Vancouver children using blood lead levels collected in 1989 found that 8% had elevated levels (mean 0.29 μmol/L).⁸ A later study of the children living in Trail, BC, the site of a lead and zinc smelter, demonstrated that 50% had an elevated blood lead level.⁹     

Effect of Soil Dose on Bioavailability of Lead from Mining Waste Soil in Rats

Abstract

The purpose of this study was to determine the extent of absorption of lead (Pb) in mining waste soil from Butte, Montana. It is the first study to fully investigate the bioavailability of lead in soils containing mine waste using a soil dose response approach. Young 7–8 week-old male and female Sprague-Dawley rats (5 animals/sex/group) were given mining waste soil [810 ppm lead (Test Soil I) or 3,908 ppm lead (Test Soil III)] mixed in a purified diet (AIN—76?) at four different dose levels (0.2, 0.5, 2 and 5% dietary soil) for 30 consecutive days. The test soil dose levels at 2 and 5% were chosen to bracket a pica-for-soil child's soil exposure levels. A pica-for-soil child is a young child who eats large quantities of soil (10 g day^?1). Standard groups included untreated controls and dosed feed soluble lead acetate groups (1, 10, 25, 100 and 250 μg Pb g^?1 feed). The concentrations of lead acetate were chosen to bracket the test soil dose levels of lead. Liver, blood and femur, representing the three compartments in which lead is distributed in the body, were analyzed for total lead concentration using graphite furnace atomic absorption spectroscopy. Clinical signs, body weight, food consumption and liver weights for treated and standard groups were similar to control. Tissue lead concentrations from test soil animals were significantly lower than the tissue concentrations for the dosed feed lead acetate group. Group mean whole blood, bone and liver lead concentrations increased with increasing dose levels for most treatment groups. The increases in blood, bone and liver lead concentrations were not proportional with increasing dose levels and plateaued at the high dose levels. Relative percent bioavailability values, based on dosed feed soluble lead as the standard, were independent of the two different test soils, dose levels or sex, and only slightly dependent on the tissue (blood > bone, liver). Overall relative percent bioavailability values were 20% based on the blood data; 9% based on the bone data; and 8% based on the liver data (2 and 5% dose levels only). The results of this study will provide the scientific validity needed to determine the significance of lead exposure from Butte soils in assessing human health risks as part of the Superfund Remedial Investigation/Feasibility Study process.     

Further Comparisons of Empirical and Epidemiological Data with Predictions of the Integrated Exposure Uptake Biokinetic Model for Lead in Children

Observed blood lead levels for young children from several communities are compared with blood lead levels predicted for those communities using the USEPA's Integrated Exposure Uptake Biokinetic (IEUBK) Model. In contrast to the compari sons described elsewhere, the blood lead levels observed in the communities con sidered here are not well represented by the model's predictions. The model's predictions for Midvale, UT; Sandy, UT; Cincinnati, OH; and a recent data set for Palmerton, PA, show considerable deviation from observation both for the geometric mean blood lead level and the percent of blood lead levels above 10?µg/dL. Various adjustments in the model to consider play area soils, site specific geometric standard deviations and the time children spend away from their homes do not substantially improve the comparisons to observation. It is difficult to predict a priori the data sets for which the model will yield adequate predictions. This reduces the value of the model for use in communities where blood lead measurements have not been made, and suggests that caution should be exercised when using the model to set soil lead cleanup levels or to predict the result of remediation.     

Effect of lead,calcium, iron,zinc, copper and magnesium on anemia in children with BLLs ≥ 100 μg/L

ObjectiveAdverse effects of lead exposure on children's health have been demonstrated. While studies have examined the relationship between iron status and low-level lead exposure in children with blood lead levels (BLLs) < 100 μg/L, few have investigated the association between blood lead and other trace elements and anemia in children with BLLs ≥ 100 μg/L. This study aimed to assess the levels of lead, iron, copper, zinc, magnesium, and calcium in children aged 0–14 with BLLs≥ 100 μg/L between 2009 and 2021, and to examine the relationship between blood lead, trace elements and anemia.MethodsA total of 11,541 children with BLLs ≥ 100 μg/L were included in this study. Venous blood samples were collected to measure blood lead levels, hemoglobin levels, and trace element levels. According to the World Health Organization standard, outpatients with hemoglobin levels < 110 g / L were defined as having anemia.ResultsThe study results found that high BLLs and blood calcium had a negative influence on Hb with odds ratios (95% confidence interval) of 1.411(1.208, 1.649) and 1.219(1.043, 1.424). High blood iron had a positive influence on Hb with odds ratios of 0.421(0.355, 0.499).ConclusionThe results suggest that the risk of anemia rose significantly with higher BLLs, blood copper, and blood calcium levels, and decreases considerably with higher blood iron levels.     

Blood Lead Levels and Increased Bronchial Responsiveness

The immune system is one of the targets most sensitive to lead toxicity, and the association between lead exposure and serum immunoglobulin E (IgE) has been published. Recent studies also reported that lead caused the development of IgE-mediated allergy. To investigate whether blood lead levels contribute to other allergic conditions, we examined the effect of blood lead on bronchial responsiveness (BR) in the general population. We performed a cross-sectional study with adults aged 19 to 58 years in a Korean community. Blood lead level and the methacholine provocation test were performed. The overall mean blood lead level was 2.9 microg/dl, and the mean BR index was 1.14. The percent of subjects with clinically diagnosed asthma was 21 (4%) and there was no difference in blood lead level with and without asthma. In the multiple regression model, the elevation of blood lead level was related to the increase of BR after adjusting for age, sex, height, smoking status, and the presence of asthma. Blood lead level was significantly associated with increased BR that came from the elevation of the IgE level with lead exposure. Lead may contribute to the increase of asthma and other allergic conditions.     

DNA Damage and Decreased DNA Repair in Peripheral Blood Mononuclear Cells in Individuals Exposed to Arsenic and Lead in a Mining Site

The aim of this study was to evaluate DNA damage and the capacity for DNA repair in children exposed to arsenic and lead. During 2006, we studied a total of 85 healthy children (aged 4–11 years) who were residents of Villa de la Paz (community A), Matehuala (community B), and Soledad de Graciano Sanchez (community C) in San Luis Potosi, Mexico. The quantification of arsenic in urine (AsU) and lead in blood (PbB) was performed by atomic absorption spectrophotometry. The alkaline comet assay was used to evaluate DNA damage and DNA repair. The highest levels of AsU and PbB in children were found in community A (44.5 μg/g creatinine for arsenic and 11.4 μg/dL for lead), followed by community B (16.8 μg/g creatinine for arsenic and 7.3 μg/dL for lead) and finally by children living in community C (12.8 μg/g creatinine for arsenic and 5.3 μg/dL for lead). When DNA damage was assessed, children living in community A had the highest DNA damage. Analysis of these same cells 1 h after a challenge with H₂O₂ 10 μM showed a dramatic increase in DNA damage in the cells of children living in community B and community C, but not in the cells of children living in community A. Moreover, significantly higher levels of DNA damage were observed 3 h after the challenge ended (repair period) in cells from individuals living in community A. Our results show that children exposed to metals might be more susceptible to DNA alterations.     

Association between Blood Lead Levels and Age-Related Macular Degeneration

Purpose

To investigate the association between blood lead levels and prevalence of age-related macular degeneration (AMD).

Methods

A nationwide population-based cross-sectional study included 4,933 subjects aged over 40 years who participated in the 2008–2012 Korean National Health and Nutrition Examination Survey, and for whom fundus photographs were available. All participants underwent a standardized interview, evaluation of blood lead concentration, and a comprehensive ophthalmic examination. Digital fundus photographs (45°) were taken of both eyes under physiological mydriasis. All fundus photographs were graded using an international classification and grading system.

Results

Mean blood lead levels were 3.15 μg/dL in men and 2.27 μg/dL in women (P < 0.001). After adjusting for potential confounders including age, gender, smoking status, total cholesterol levels, triglyceride levels, heart problems and strokes, the adjusted odds ratio (OR) in women for any AMD was 1.86 (95% Confidence Interval [CI], 1.03–3.36) and for early AMD was 1.92 (95% CI, 1.06–3.48), for those in the highest quintile of lead level compared with the lowest quintile. In men, however, blood lead level was not significantly associated with AMD.

Conclusions

Blood lead levels were higher in men, but were only associated with AMD in women. Increased levels of blood lead may be involved in the pathogenesis of AMD development in women.     

Biomarkers of Lead Exposure Among a Population Under Environmental Stress

This study aimed to evaluate the relationship between blood lead and serum creatinine and blood lead and serum urea nitrogen levels as biomarkers of lead exposure from subjects living in a historic polymetallic mining area in China. Elevated levels were found for blood lead, serum creatinine, and serum urea nitrogen in the mining area with mean values at 245.65 μg/l, 74.16 μmol/l, and 12.79 mmol/l, which were significantly higher than those in the control area, respectively. Moreover, the coefficients between paired results for blood lead and serum creatinine and blood lead and serum urea nitrogen were positively statistically significant (serum creatinine vs. blood lead, r?=?0.35, p?<?0.05; serum urea nitrogen vs. blood lead, r?=?0.48, p?<?0.05). With respect to the effects of sex and age on the blood lead, serum creatinine, and serum urea nitrogen levels, data analysis revealed there was a tendency for higher blood lead, serum creatinine, and serum urea nitrogen levels in females than in males, and the levels of blood lead, serum creatinine, and serum urea nitrogen increased among older residents. We conclude that females and the older population in the mining area are more susceptible to lead exposure. Blood lead, serum creatinine, and serum urea nitrogen can be useful biomarkers of lead exposure among populations under environmental stress.     

退化高寒草地土壤真菌群落与土壤环境因子间相互关系

【目的】为探究祁连山高寒草地退化过程中土壤真菌群落分布特征与土壤环境因子间的相互关系。【方法】利用Illumina Miseq PE250高通量测序技术对轻度、中度和重度退化草地土壤真菌群落结构变化及其多样性进行分析,并对土壤真菌群落与土壤环境因子的相互关系进行冗余分析(RDA)。【结果】随着退化程度加剧,土壤pH呈现出升高趋势,电导率呈现出先升高后降低趋势,土壤含水量、有机碳、全氮、全磷和全钾含量均逐渐降低。高通量测序共得到750575条有效序列和5788个OTUs;各试验点样地中真菌群落Chao1指数和Shannon-Wiener指数变化各异。在门分类水平上,子囊菌门(Ascomycota)、担子菌门(Basidiomycota)、接合菌门(Zygomycota)、球囊菌门(Glomeromycota)和壶菌门(Chytridiomycota)是各草地土壤的优势类群。RDA分析表明,土壤速效钾、全氮、速效氮和有机碳是祁连山不同退化高寒草地土壤真菌群落分布的主要驱动因子。【结论】祁连山不同退化高寒草地土壤真菌群落间差异明显,土壤环境因子是影响土壤真菌群落分布的重要因素。     

Elevated Blood Lead Levels Are Associated with Reduced Risk of Malaria in Beninese Infants

Introduction

Elevated blood lead levels (BLL) and malaria carry an important burden of disease in West Africa. Both diseases might cause anemia and they might entail long-term consequences for the development and the health status of the child. Albeit the significant impact of malaria on lead levels described in Nigeria, no evaluation of the effect of elevated BLL on malaria risk has been investigated so far.

Materials and Methods

Between 2010 and 2012, blood lead levels of 203 Beninese infants from Allada, a semi-rural area 50km North from Cotonou, were assessed at 12 months of age. To assess lead levels, blood samples were analyzed by mass spectrometry. In parallel, clinical, microbiological and hematological data were collected. More precisely, hemoglobin, serum ferritin, CRP, vitamin B12, folate levels, and Plasmodium falciparum parasitemia were assessed and stool samples were also analyzed.

Results

At 12 months, the mean BLL of infants was 7.41 μg/dL (CI: 65.2; 83), and 128 infants (63%) had elevated blood lead levels, defined by the CDC as BLL>5 μg/dL. Lead poisoning, defined as BLL>10 μg/dL, was found in 39 infants (19%). Twenty-five infants (12.5%) had a positive blood smear at 12 months and 144 infants were anemic (71%, hemoglobin<110 g/L). Elevated blood lead levels were significantly associated with reduced risk of a positive blood smear (AOR = 0.38, P-value = 0.048) and P. falciparum parasite density (beta-estimate = -1.42, P-value = 0.03) in logistic and negative binomial regression multivariate models, respectively, adjusted on clinical and environmental indicators.

Conclusion

Our study shows for the first time that BLL are negatively associated with malarial risk considering other risk factors. Malaria is one of the main causes of morbidity and mortality in infants under 5 years worldwide, and lead poisoning is the 6th most important contributor to the global burden of diseases measured in disability adjusted life years (DALYs) according to the Institute of Health Metrics. In conclusion, due to the high prevalence of elevated BLL, health interventions should look forward to minimize the exposure to lead to better protect the population in West Africa.     

Estimating Childhood Multi-Media Lead Exposure: Expanded Exposure/Uptake/Biokinetic Model

Abstract

Despite significant reductions over the past decade, lead exposure continues to be a problem for millions of children in the US. Minimizing further exposure to lead from its numerous and diverse sources is a priority of various regulatory components of the Environmental Protection Agency (EPA), as well as other Federal and State agencies. A critical step in assessing lead risks is the estimation of childhood lead exposure in the future under alternative regulatory scenarios. Using a wide variety of year- and age-specific data on lead concentrations in multiple media, exposure and activity patterns, absorption rates and biokinetics, an integrated uptake/biokinetic model was developed by EPA in its review of the lead National Ambient Air Quality Standard. The model can estimate blood lead distributions among childhood populations over time. It was validated using measured environmental and blood lead data around a primary lead smelter, and has been successfully applied to other point sources. An enhanced version of the model has been developed to deal with a wider variety of exposure situations, especially those at high levels. A personal computer (PC) compatible version is available for assessments of Superfund sites, paint lead abatement strategies, drinking water contamination and other problems.     

Selected Chemical and Physical Properties of Soils and Gut Physiological Processes that Influence Lead Bioavailability

Abstract

This paper considers selected field examples of physical and chemical properties of soil and some of the interactions with gut physiological processes that are related to lead bioavailability. The blood lead response to quantity of lead in mining and milling environments compared with urban and lead smelter conditions appears to be different. The emphasis of this paper is to understand the complexity of the urban environment.

Bioavailability appears to be related to physical and chemical qualities other than mere quantity of lead. Particle size is one physical quality that influences bioavailability. Compared to intact lead—based paint, small particle emissions from vehicles govern the general soil lead pattern in urban environments. Lead has accumulated in soils in proportion to city size, with the inner—city generally measuring the highest lead levels. The soil lead situation is further exacerbated by the chemical influence of other toxic substances such as zinc. In several cities, zinc levels of 1,500 ppm and higher, plus acid conditions (pH 5.4 and lower) have been observed. This condition is phytotoxic to plants and the deficiency of plant cover increases the likelihood for soil lead ingestion. After ingestion, nutritional status becomes an important factor with both iron and calcium deficiencies increasing lead bioavailability.

To complement the other discussions of the Gl tract and bioavailability in this volume, the following physiological responses of the gut that either increase or decrease soil lead bioavailability are described: (1) The role of the ‘normal’ microbial flora in altering baseline gut function, (2) effect of pH, (3) intestinal transit time, (4) role of mucus, and (5) barriers to lead transport. Physiologically there are nine physical and/or chemical barriers to soil lead absorption which tend to decrease bioavailability: any breakdown of or increased permeability in these barriers would have the opposite effect. The addition of a soil amendment, such as pathogen free processed sludge, would be expected to be a practical means for reducing soil lead bioavailability. The amendment should serve to bind lead and thus increase effective particle size. It would also have the benefit of improving plant growth as shown in the laboratory. Further study is needed to conduct toxicity testing and undertake field evaluation.