Milk trace elements in lactating cows environmentally exposed to higher level of lead and cadmium around different industrial units

The present investigation was carried out to assess the trace mineral profile of milk from lactating cows reared around different industrial units and to examine the effect of blood and milk concentration of lead and cadmium on copper, cobalt, zinc and iron levels in milk. Respective blood and milk samples were collected from a total of 201 apparently healthy lactating cows above 3 years of age including 52 cows reared in areas supposed to be free from pollution. The highest milk lead (0.85 ± 0.11 µg/ml) and cadmium (0.23 ± 0.02 µg/ml) levels were recorded in lactating cows reared around lead–zinc smelter and steel manufacturing plant, respectively. Significantly (P < 0.05) higher concentration of milk copper, cobalt, zinc and iron compared to control animals was recorded in cows around closed lead cum operational zinc smelter. Analysis of correlation between lead and other trace elements in milk from lactating cows with the blood lead level > 0.20 µg/ml (n = 79) revealed a significant negative correlations between milk iron and milk lead (r = − 0.273, P = 0.015). However, such trend was not recorded with blood lead level < 0.20 µg/ml (n = 122). The milk cobalt concentration was significantly correlated (r = 0.365, P < 0.001) with cadmium level in milk and the highest milk cadmium (> 0.10 to 0.39 µg/ml) group had significantly (P < 0.05) increased milk cobalt. It is concluded that increased blood and milk lead or cadmium level as a result of natural exposure of lactating cows to these environmental toxicants significantly influences trace minerals composition of milk and such alterations affect the milk quality and nutritional values.     

Effect of smelter emission reductions on children's blood lead levels

Trail, British Columbia has been the site of an active lead-zinc smelter for approximately 95 years. Since 1989, the community has been monitoring blood lead levels in children, studying exposure pathways and conducting comprehensive education and case management programs. From 1989 through 1996, mean blood lead levels of pre-school children declined at an average rate of 0.6 microg/dl per year. From 1996 to 1999, mean blood lead levels fell at an average rate of 1.8 microg/dl per year, from 11.5 in 1996 to 5.9 in 1999. The recent rapid decline appears to be mainly attributable to the start-up of a new lead smelter using modern flash-smelting technology in May of 1997. In 1998, the annual arithmetic mean air lead level in Trail was 0.28 microg/m(3), compared with 1.1 microg/m(3) in 1996. Reductions of approximately 50% were observed in lead loadings and concentrations in outdoor dustfall, street dust and indoor dustfall after smelter emissions were reduced. Slight reductions (statistically insignificant) have been observed in carpet dust and soil lead concentrations. During the summer of 2001, the smelting and refining operations at Trail were shut down completely for 3 months. During this period, average air lead levels in Trail dropped to 0.03 microg/m(3). The average blood lead level in Trail pre-school children at the end of the shutdown was 4.7 microg/dl. These results challenge prevailing theories about the relative importance of various environmental lead sources. For example, the US EPA Integrated Biokinetic Uptake Model for Lead (IEUBK), with its emphasis on soil concentrations, would not have predicted the dramatic decline in children's blood lead levels seen in Trail following the reductions in air lead levels. The Trail experience suggests that increased attention should be paid to the importance of active sources of highly bioavailable and mobile lead bearing dusts.     

Effect of the mother's consumption of traditional Chinese herbs on estimated infant daily intake of lead from breast milk

Infant exposure to lead through breast milk is of special concern because breast milk is considered the best food source for infants under 6 months. In this study, a total of the mothers provided colostrum samples once in the early postpartum period, but only 16 of them provided breast milk weekly at 1-60 days postpartum. The geometric mean of lead concentrations in all colostrum samples (n=72) was 7.68+/-8.24 microg/L. The concentration of lead in the breast milk of the consumption group (the mothers who consumed traditional Chinese herbs) was 8.59+/-10.95 microg/L, a level significantly higher than the level of 6.84+/-2.68 microg/L found in the control group (mothers who did not consume traditional Chinese herbs). In the consumption group (n=9), the mean concentration of lead in the breast milk decreased with days postpartum, from 9.94 microg/L in colostrum to 2.34 microg/L in mature milk. We found the highest daily lead intake in infants at birth, and the level gradually decreased after the first month. We used an estimation of the hazard index (HI) to analyze the health risk of infants. In total, 5.7% (2 out of 35) of the HI estimates exceed 1.0 for the consumption group. In conclusion, the consumptions of traditional Chinese herbs by the mothers in this study significantly affected the body burden of lead in their infants.     

Lead poisoning in cattle--transfer of lead to milk.

The transfer of lead to milk in cattle in relation to blood lead levels and the uptake of lead in edible tissues was studied for an accidental exposure over 1 or 2 days to lead in excessive amounts from the licking of burnt storage batteries. The degree of exposure was monitored by determination of blood lead levels. Milk and blood samples were taken from eight cows, without acute symptoms of lead poisoning, during a period of 18 weeks. Two weeks after the accidental exposure, lead levels (mean +/- SD) in milk were 0.08 +/- 0.04 mg kg-1 and in blood 0.36 +/- 0.04 mg kg-1 in six of the cows. The relationship between lead concentration in blood and those in milk was found to be exponential and could be expressed by the equation: log y = 3.19x - 2.36 (r = 0.85, p less than 0.001), where y and x are the lead concentrations in milk and blood, respectively. The lead level in milk was relatively constant up to a blood lead level of 0.2-0.3 mg kg-1, and increased sharply at higher blood levels. The biological half-life of lead in blood was shown to be approximately 9 weeks. In eight acutely sick cows, which were emergency slaughtered, the range of lead levels in edible muscle tissue was 0.23-0.50 mg kg-1 wet weight. Very high concentrations were found in the kidneys, with a range of 70-330 mg kg-1, and in the livers, with a range of 10-55 mg kg-1. Four of the cows were pregnant, in the first or second month of gestation, during the episode of exposure. The lead exposure was not found to disturb the gestation or development of the fetuses.     

Blood lead levels of Jamaican children island-wide

An island-wide survey of 1081 basic school children, mainly in the age group 2-6 years, is reported. The range of blood lead levels (BLLs) was 1.4 to 202 microg/dL with arithmetic and geometric means of 7.3 microg/dL (standard deviation, 13 microg/dL) and 4.35 microg/dL respectively. Two hundred and thirty children were identified with blood lead levels above 10 microg/dL and among these, 80 were provided with medical attention and of eleven who received chelation, six children were desperately ill from acute lead poisoning necessitating repeated sessions of chelation therapy. The higher blood lead values were found mainly in poor areas of the urban Kingston and St. Andrew Corporate Area, and in St. Catherine where there remain observable though reduced effects from a lead-contaminated area. Environmental interventions, including building an increased national awareness, have also been carried out to reduce the immediate and future dangers of lead poisoning. The most important source of the lead exposure is the recovery of lead from old automobile batteries and even a quite small smelter can contaminate a significant area. Further work is in progress to identify and examine historical and active smelter sites, their possible effects on childhood health, and their remediation.     

Blood lead levels in Finnish preschool children

The blood lead (PbB), hemoglobin and hematocrit were measured in 286 Finnish children living in the three largest cities of Finland (n = 172), in rural areas (n = 54) and in a lead smelter area (n = 60). PbB was determinated using an atomic absorption spectrophotometric micro method. The precision of the method was good, as was the accuracy tested by an international interlaboratory comparison. The mean PbB in urban, rural and lead smelter areas varied between 6.0–6.7 μg/100 ml⁷ (range 3–17 μg/100 ml) and there were no significant differences between the residential areas. The mean values of hemoglobin and hematocrit were in the normal range. The PbB values in Finnish children studied were low compared with many international studies but at a similar level as in some recent Scandinavian studies.     

Arsenic, cadmium, lead, copper and zinc in cattle from Galicia, NW Spain

Knowledge of trace and toxic metal concentrations in livestock is important for assessing the effects of pollutants on domestic animals and contaminant intakes by humans. Metal levels in cattle have been measured in various countries but not in Spain. In this study, the (wet wt.) concentrations of three toxic elements (arsenic, cadmium, lead) and two trace elements (copper, zinc) were quantified in the liver (Li), kidney (Ki), muscle (M) and blood (Bl) of calves (males and females between 6 and 10 months old) and cows (2-16 years old) from Galicia, NW Spain. For the toxic elements, geometric mean concentrations of arsenic in calves (sexes combined) and cows were 10.8 and 10.2 microg/kg (Li), 11.3 and 15.2 microg/kg (Ki), 3.75 and 4.25 microg/kg (M), 3.23 and 2.92 microg/l (Bl). The corresponding cadmium concentrations were 7.78 and 83.3 microg/kg (Li), 54.3 and 388 microg/kg (Ki), 0.839 and 0.944 microg/kg (M), 0.373 and 0.449 microg/l (Bl). Geometric mean concentrations of lead in calves and cows were similarly low and were 33.0 and 47.5 microg/kg (Li), 38.9 and 58.3 microg/kg (Ki), 6.37 and 12.5 microg/kg (M), 5.47 and 12.2 microg/l (Bl). Sex had almost no effect on the amount of toxic metal accumulated except that kidney cadmium concentrations were significantly higher in females than males. Age did influence accumulation; cadmium and lead (but not arsenic) concentrations in most tissues were significantly greater in cows than female calves. For the trace elements, geometric mean copper levels in calf and cow tissues were 49.9 and 36.6 mg/kg (Li), 4.27 and 3.63 mg/kg (Ki), 0.649 and 1.68 mg/kg (M) and 0.878 and 0.890 mg/l (Bl). The corresponding zinc concentrations were 46.3 and 52.5 mg/kg (Li), 14.2 and 20.7 mg/kg (Ki), 47.3 and 52.5 mg/kg (M) and 2.80 and 2.22 mg/l (Bl). Female calves had significantly higher levels than males of muscle zinc and blood copper and zinc. Female calves accumulated more copper but less zinc in the liver and kidneys compared with cows; this may have been associated with the chronic, low-level cadmium accumulation observed in cows. Overall, the levels of arsenic, cadmium, lead and zinc in cattle in Galicia do not constitute a risk for animal health. However, up to 20% of cattle in some regions in Galicia had levels of copper in the liver that exceeded 150 mg/kg wet wt. These animals may be at risk from copper poisoning.     

Blood lead levels and risk factors for lead poisoning among children in Jakarta,Indonesia

The phase-out of leaded gasoline began in Jakarta, Indonesia on July 1, 2001. We evaluated mean blood lead levels (BLLs) and the prevalence of elevated BLLs of Jakarta school children and assessed risk factors for lead exposure in these children before the beginning of the phase-out activities. The study involved a population-based, cross-sectional blood lead survey that included capillary blood lead sampling and a brief questionnaire on risk factors for lead poisoning. A cluster survey design was used. Forty clusters, defined as primary schools in Jakarta, and 15 2nd- and 3rd-grade children in each cluster were randomly selected for participation in the study. The average age of children in this study was 8.6 years (range 6-12) and the geometric mean BLL of the children was 8.6 microg/dl (median: 8.6 microg/dl; range: 2.6-24.1 microg/dl) (n=397). Thirty-five percent of children had BLLs > or =10 microg/dl and 2.4% had BLLs > or =20 microg/dl. Approximately one-fourth of children had BLLs 10-14.9 microg/dl. In multivariate models, level of education of the child's primary caregiver, water collection method, home varnishing and occupational recycling of metals, other than lead, by a family member were predictors of log BLLs after adjustment for age and sex. BLLs of children who lived near a highway or major intersection were significantly higher than those of children who lived near a street with little or no traffic when level of education was not included in the model. Water collection method was a significant predictor of BLLs > or =10 microg/dl after adjustment for age and sex. BLLs in children in this study were moderately high and consistent with BLLs of children in other countries where leaded gasoline is used. With the phase-out of leaded gasoline, BLLs of children in Jakarta are expected to rapidly decline as they have in other countries that have phased lead out of gasoline.     

An evaluation of recent blood lead levels in Port Pirie,South Australia

The Port Pirie Lead Program commenced in 1984. The abatement program involves identification of children with elevated blood lead levels, house decontamination, soil treatment, development of heavily vegetated buffer zones around the smelter, family education and support and community education. Since 1984 the smelter has also implemented substantial new emission controls and environmental improvements. Blood lead and air monitoring programs as well as investigations of emission sources, ongoing household contamination and infant exposure mechanisms are in place. Although capillary blood lead monitoring has shown a significant decrease in the mean blood lead levels of the children, 61% of children aged 1-4 years still exceed 10 microg/dl, with 28% at or above 15 microg/dl. Re-entrainment of lead from the contaminated areas within the city is only a small contributor to air-borne lead levels compared with that from the smelter and its environs. The smelter has undertaken extensive work to reduce windborne fugitive emissions. While attempts to demonstrate reductions in air lead have been hampered by large annual variations in wind speed and direction, air lead studies have confirmed that only small losses are now arising from the stockpile area of the smelter site. Evidence suggests that worker hygiene improvements, relocation of children to lower exposure suburbs, community education, house decontamination, specific measures for individual children with elevated blood lead, and avoidance of tank rainwater have all been partially successful. A substantial investigation program has refocused intervention efforts towards reducing exposure from indoor environments during the first year of life and contributed to improved identification and ranking of ongoing smelter emission sources.     

An assessment of the effectiveness of lead pollution reduction strategies in North Lake Macquarie,NSW, Australia

The North Lake Macquarie area of NSW, Australia, principally the suburbs of Boolaroo, Argenton and Speers Point, has been significantly polluted by lead emissions emanating from the Pasminco Metals Smelter (Cockle Creek). A lead accessibility reduction program has been carried out in North Lake Macquarie since 1991. The primary measure of success for the program is reduced blood lead levels, particularly in children. From 1991 to 2000 average child blood lead levels have decreased from 11 to 7.5 microg/dl. However, the lead accessibility reduction programs had failed to eliminate child blood lead levels that exceed the National Health and Medical Research Council maximum goal of 10 microg/dl, and a number of children still retain blood lead levels >25 microg/dl. Many factors have contributed to this failure, notably the continued presence of airborne high lead pollutants in ambient air, dusts and soil in residential areas. Significant reductions in lead mass emissions from 92 tonnes per annum (p.a.) in 1988 to approximately 15 tonnes p.a. to September 2000 have been achieved by the smelter operator. However, the reductions have been insufficient to ensure that ambient air quality consent conditions of 1 microg/m(3) are achieved in the residential areas surrounding the smelter. Sampling by the smelter operator also provides confirmation of continued deposition of high lead dusts in residential areas. The continued dust deposition places a high burden on the local community which must maintain obsessive levels of household cleanliness in order to minimise lead uptake from dusts deposited within the home and community. Evidence exists of institutional failure that may also have limited the success of the program. These failures include the use of inappropriate standards and non-approved techniques in remediation, lack of coordination between various arms of government and an unwillingness to enforce consent conditions. The smelter operator has also failed to proactively seek changes which would minimise community harm. It is suggested that for child blood lead levels to be further reduced it may be necessary to impose added restrictions on smelter emissions. Firstly, however, current emission requirements should be mandated and methodologies for remediation of historical lead depositions should also follow accepted standards and practices to maximise the benefits of the work to the affected community.     

Observations on renal function in workers exposed to lead

Renal function was studied in 40 workers chronically exposed to lead at a smelter. The geometric means of lead were 40 (range 24.0 - 63.0) micrograms/dl in blood and 47 (range 19 - 115) micrograms/g creatinine or 71 (range 20 - 250) micrograms/l in urine, respectively. There were no significant differences between the lead-exposed group and a control group in the concentrations of beta 2-microglobulin in serum, urinary total protein and IgG, whereas the level of beta 2-microglobulin in urine was significantly higher in the lead-exposed group (p less than 0.01). No individual lead worker showed abnormally increased level of urinary beta 2-microglobulin. The significance of increased excretion of beta 2-microglobulin on the basis of the group remains to be elucidated.     

Urinary excretion of lead during pregnancy and postpartum

We have compared lead isotopic ratios and lead concentrations in 53 spot urine and 59 24-h urine samples from 13 subjects covering the interval from pre-pregnancy through 180 days postpartum to estimate the amount of lead excreted in urine and renal clearance relative to blood. The total amount of lead excreted in 24-h urine samples ranges from 0.8 to 5.9 microg Pb with an arithmetic mean of 2.2+/-1.1 microg (geometric mean 1.90 microg). This compares with amounts of 0.9-10 microg of extra lead per day estimated to be released into blood from the skeleton during pregnancy and postpartum. There were no differences in excretion rates during the trimesters of pregnancy and between pregnancy and postpartum time periods. The renal clearance relative to blood ranged from 0.8 to 10 g/h (arithmetic mean 3.2+/-1.9; geometric mean 2.7). Renal clearance relative to blood was somewhat higher in trimesters 2 and 3 compared with postpartum 150-180 days (P = 0.004, 0.006, respectively). Reassessment of earlier published blood and dietary data for Australian pregnant controls indicates there is no increased gastrointestinal absorption of lead during pregnancy and postpartum. This differs from calcium, which shows increased absorption during late pregnancy. In light of the inconvenience of sampling and potential contamination at the low levels of lead found in most of these subjects, we do not consider the 24 h urines to provide sufficient useful information.     

Blood lead levels in Jamaican school children

Blood lead levels are reported for a total of 421 schoolchildren in 13 schools in rural and urban environments in Jamaica, including one highly contaminated community. In the rural areas blood lead levels ranged from 3 to 28.5 microg dl(-1), with a median of 9.2 microg dl(-1); the range and median in the urban schools were 4-34.7 and 16.6 microg dl(-1), respectively. Forty-two percent of the rural and 71% of the urban blood lead levels exceeded the US Centers for Disease Control and Prevention intervention level of 10 microg dl(-1). Except in the contaminated area, the relationship between soil lead levels, which in Jamaica are in general typical of tropical lateritic soils, and blood lead levels is not clear-cut. Very high blood lead levels of 18 to > 60 microg dl(-1) with a median of 35 microg dl(-1) were observed among children in the contaminated area, the site of a former lead ore processing plant. These high blood lead levels were significantly reduced, by the implementation of relatively simple mitigation strategies which involved isolation of the lead, education, and a food supplementation programme, to levels similar to those observed in the urban schools. These values, however, remain higher than are desirable and unfortunately, all the sources of lead are not yet identified. The recent discontinuation of the use of leaded petrol is expected to result in significant reductions in exposure to lead.     

Environmental exposure to lead and its correlation with biochemical indices in children

Lead is a global concern because of its ubiquity in the environment and known to be associated with abnormal neurobehavioral and cognitive development of young children. There is no study from India to describe a composite profile of blood lead and its biochemical influences in children. The present study was aimed at determining the proportion of children with >10 mug/dL blood lead levels (BLLs), association between BLLs, and sociodemographic characteristics, if any, and alterations in biochemical indices in the blood as an underlying mechanism of lead intoxication. A total of 62 children (4--12 y) of Lucknow and nearby areas were recruited to determine BLLs, delta-amimolevulinic acid dehydratase (delta-ALAD) activity, catalase (CAT) activity, and malondialdehyde (MDA) and glutathione (GSH) levels in the blood. Mean level of blood lead was 7.47+/-3.06 microg/dL (2.78--15.0) and 29%-exceeded 10 microg/dL, CDC intervention level. The BLLs were found to be significantly influenced by social status, area of residence, source of water supply, maternal educational status (p<0.001), type of house, and proximity to traffic density (p<0.01). delta-ALAD was significantly lower in the group of children with BLLs 11.39+/-1.39 microg/dL when compared to children with BLLs 7.11+/-1.25 microg/dL and 3.93+/-0.61 microg/dL (p=0.0007, 0.0005, respectively). However, CAT activity was higher in the groups of children with higher blood levels than with lower BLLs (p=0.0159, 0.0001, respectively). There was an increase in MDA level with a concomitant decrease of GSH in children with BLLs 11.39+/-1.39 microg/dL compared with those of children with BLLs 7.11+/-1.25 microg/dL and 3.93+/-0.61 microg/dL (p=0.0001, 0.0002, and p=0.0001, respectively). There was statistically significant correlation of BLLs with delta-ALAD (r=-0.44, p=0.00035), MDA (r=0.46, p=0.00018), GSH (r=-0.62, p=0.00001), and CAT (r=0.44, p=0.00035). Significantly, CAT activity, MDA, and GSH levels were in turn, found to be correlated with delta-ALAD (r=-0.45, p=0.00024; r=-0.43, p=0.00053; r=0.43, p=0.00053, respectively). Results of the present study indicate a declining trend of BLLs in children when compared with those reported from metropolitan cities of India when leaded gasoline was in practice and that the BLLs were significantly associated with biochemical indices in the blood which have the potential to be used as biomarkers of lead intoxication.     

Assessing remedial effectiveness through the blood lead:soil/dust lead relationship at the Bunker Hill Superfund Site in the Silver Valley of Idaho

The 21 square mile Bunker Hill Superfund Site in northern Idaho includes several thousand acres of contaminated hillsides and floodplain, a 365-acre abandoned lead/zinc smelter and is home to more than 7000 people in 5 residential communities. Childhood lead poisoning was epidemic in the 1970s with >75% of children exceeding 40 microg/dl blood lead. Health response activities have been ongoing for three decades. In 1991, a blood lead goal of 95% of children with levels less than 10 microg/dl was adopted. The cleanup strategy, based on biokinetic pathways models, was to reduce house dust lead exposure through elimination of soil-borne sources. An interim health intervention program, that included monitoring blood lead and exposures levels, was instituted to reduce exposures through parental education during the cleanup. In 1989 and 2001, 56% and 3% of children, respectively, exceeded the blood lead criteria. More than 4000 paired blood lead/environmental exposure observations were collected during this period. Several analyses of these data were accomplished. Slope factors derived for the relationship between blood lead, soil and dust concentrations are age-dependent and similar to literature reported values. Repeat measures analysis assessing year to year changes found that the remediation effort (without intervention) had approximately a 7.5 microg/dl effect in reducing a 2-year-old child's mean blood lead level over the course of the last ten years. Those receiving intervention had an additional 2-15 microg/dl decrease. Structural equations models indicate that from 40 to 50% of the blood lead absorbed from soils and dusts is through house dust with approximately 30% directly from community-wide soils and 30% from the home yard and immediate neighborhood. Both mean blood lead levels and percent of children to exceed 10 microg/dl have paralleled soil/dust lead intake rates estimated from the pathways model. Application of the IEUBK model for lead indicates that recommended USEPA default parameters overestimate mean blood lead levels, although the magnitude of over-prediction is diminished in recent years. Application of the site-specific model, using the soil and dust partitions suggested in the pathways model and an effective bioavailability of 18%, accurately predicts mean blood lead levels and percent of children to exceed 10 microg/dl throughout the 11-year cleanup period. This reduced response rate application of the IEUBK is consistent with the analysis used to originally develop the cleanup criteria and indicates the blood lead goal will be achieved.     

Bone cadmium and lead in prehistoric inhabitants and domestic animals from Gran Canaria

Both lead and cadmium exposures derive from natural sources and also from industrialisation and certain habits, such as cigarette smoking in the case of cadmium. Some of these sources only affect human beings. The aim of this study was to determine the levels of lead and cadmium in bone samples of 16 prehispanic inhabitants of Gran Canaria, 24 prehispanic domestic animals (sheep, goat and pigs) from this island, 8 modern individuals, and 13 modern domestic animals. We found that modern individuals showed higher bone Cd values (mean=516.7+/-352.49 microg/kg, range=167.20-1125 microg/kg) than prehistoric ones (mean=85.13+/-128.96 microcg/kg, range=2.97-433 microg/kg). Values of prehistoric individuals did not differ from those of the prehistoric animals (mean=70.54+/-46.86 microg/kg, range=11.06-216.50 microg/kg), but were higher than those of the modern animals (mean=7.31+/-10.35 microg/kg, range=0-35.62 microg/kg). In the same way, modern individuals and modern animals showed approximately 7-fold higher bone Pb than ancient individuals and ancient animals, respectively. Ancient animals showed significantly lower Pb values than all the other groups, whereas modern animals showed Pb values comparable to those of the ancient individuals. A significant correlation was observed between bone Pb and Cd (r=0.61, P<0.001). Since bone cadmium accumulation leads to osteoporosis, we have also tested the relationship between histomorphometrically assessed trabecular bone mass and bone cadmium both in modern and ancient individuals. No significant relationship was found between these two parameters.     

Blood lead levels during pregnancy in women living in Rio de Janeiro, Brazil

The present study was designed to determine variations in blood lead levels during pregnancy and the influence of physiological anemia during this period on these findings. An exploratory study was made of a cohort of 38 pregnant women whose blood was tested for lead level and erythrocyte counts at different stages of pregnancy. The values obtained for lead were adjusted to take account of the erythrocyte count values, in order to control the influence of pregnancy-related physiological anemia on blood lead levels. A statistically significant increase in blood lead levels at a 5% level was observed between the first and third trimester. The median blood lead levels for the first, second and third trimester were 5.1 microg/dl, 5.9 microg/dl, and 8.25 microg/dl, respectively (Kruskal-Wallis=11.9, P<0.002). Statistical significance was also shown for raw data, when blood lead levels were not adjusted to erythrocyte count values. The median blood lead levels observed in this latter situation were 5.55 microg/dl, 5.65 microg/dl and 7.3 microg/dl, respectively (Kruskal-Wallis=8.3, P<0.02). It is concluded that there was a significant increase in blood lead concentration during pregnancy in this group of women.     

Blood lead levels in children after phase-out of leaded gasoline in Bombay, India

The objective of this study was to test for reduction in pediatric blood lead levels (BLLs) in Bombay, India, by comparing BLLs collected in 2002 (after use of leaded gasoline was phased out in Bombay) to those collected in a study conducted by the George Foundation in 1997 (when leaded gasoline was still used in Bombay). We analyzed BLL in a total of 754 children under 12 years of age in two separate sampling campaigns (276 from December 2002 to January 2003 [non-monsoon season]; 478 in June to August 2003 [monsoon season]). BLL was measured using an ESA Lead Care Portable Analyzer. We also measured lead in PM10 samples collected in the study region. These data were compared with a study done by the George Foundation in 1997 before the phase out of leaded gasoline. The George Foundation study reported that 61.8% of the 291 children tested in Bombay had elevated blood lead levels (BLL>or=10 microg/dL). In the present study, 33.2% of the 754 tested children had elevated blood lead levels. The average BLL for the current study population (Geometric Mean=8.36 microg/dL, SD=5.23 microg/dL) was lower than the CDC level of concern (10 microg/dL), with one child diagnosed with lead poisoning (BLL>65 microg/dL). A seasonal trend of BLLs was suggested, with BLL in monsoon season (Geometric Mean=9.1 microg/dL, SD=5.7 microg/dL) higher than that in the non-monsoon season (Geometric Mean=7.3 microg/dL, SD=4.0 microg/dL). A seasonal periodicity of lead in PM10 was found, with lead in monsoon season (Geometric Mean=0.04 microg/m3, SEM=0.000667 microg/m3) lower than that in the non-monsoon season (Geometric Mean=0.38 microg/m3, SEM=0.10 microg/m3). The overall level of airborne dust (PM10) in monsoon season (56.2 microg/m3) was lower than in the non-monsoon season (273.0 microg/m3), presumably due to precipitation. The comparatively higher BLLs in the monsoon season, in the presence of lower air lead levels, suggest ingestion of water or food, with greater lead contamination in the monsoon season, as a possible pathway contributing to elevated BLLs in these children in the monsoon season. These results demonstrate a significant success of the public health system in Bombay, India-achieved by the removal of lead from gasoline. The emphasis should shift in the study region towards sources of lead exposure other than leaded gasoline (lead in paints, lead in Herbal medicines and lead in Kohl).     

Reducing the risks of children living near the site of a former lead smeltery

The sources of lead exposure, soil, household dust, diet and ambient air near a former lead smeltery were studied. The blood lead level of small children was also determined. The aim of the study was to define, based primarily on blood lead measurements, whether children living in the contaminated area may be at risk. Within 500 m from the site of the smeltery, there were several areas where the Finnish limit value for soil Pb, i.e. 300 mg/kg, was exceeded. In the recently built areas, the surface soil has been replaced and soil remediation has taken place in schoolyards and the playgrounds of children's day-care centres. Lead content in household dust was clearly elevated in the contaminated areas. In approximately 20 years, after the smeltery was closed in 1984, the lead concentrations of the fruits and berries in local gardens have decreased to one-tenth. In some samples, the limit values are still exceeded. The lead concentration in ambient air is now 50 times lower than in the 1970s. The blood lead level of the children living in the area is slightly but statistically significantly higher than that of the children in the control areas. The critical blood lead level, i.e. 10 microg/100 ml, was not exceeded in any of the children examined. The average and maximum lead concentrations of 63 analysed blood samples were 2.2 and 5 microg/100 ml, respectively. In contrast, the average and maximum blood lead levels of school children in 1981 were 6.7 and 13.0 microg/100 ml, respectively. The risk reduction measures undertaken during the past 20 years are described.