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    INTERNATIONAL PROGRAMME ON CHEMICAL SAFETY








    ENVIRONMENTAL HEALTH CRITERIA 165





    INORGANIC LEAD













    This report contains the collective views of an international group of
    experts and does not necessarily represent the decisions or the stated
    policy of the United Nations Environment Programme, the International
    Labour Organisation, or the World Health Organization.

    First draft prepared at the National Institute of Health Sciences,
    Tokyo, Japan, and the Institute of Terrestrial Ecology, Monk's Wood,
    United Kingdom


    Published under the joint sponsorship of the United Nations
    Environment Programme, the International Labour Organisation, and the
    World Health Organization


    World Health Organization
    Geneva, 1995

         The International Programme on Chemical Safety (IPCS) is a joint
    venture of the United Nations Environment Programme, the International
    Labour Organisation, and the World Health Organization. The main
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    the effects of chemicals on human health and the quality of the
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    development of manpower in the field of toxicology. Other activities
    carried out by the IPCS include the development of know-how for coping
    with chemical accidents, coordination of laboratory testing and
    epidemiological studies, and promotion of research on the mechanisms
    of the biological action of chemicals.

    WHO Library Cataloguing in Publication Data

    Inorganic lead.

    (Environmental health criteria ; 165)

    1.Lead - adverse effects  2.Environmental exposure
    3.Guidelines  I.Series

    ISBN 92 4 157165 9                 (NLM Classification: QV 292)
    ISSN 0250-863X

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    CONTENTS

    ENVIROMENTAL HEALTH CRITERIA FOR INORGANIC LEAD

    PREAMBLE

    PREFACE

    1. SUMMARY

         1.1. Identity, physical and chemical properties, and analytical
               methods
         1.2. Sources of human exposure
         1.3. Environmental transport, distribution and transformation
         1.4. Environmental levels and human exposure
         1.5. Kinetics and metabolism in laboratory animals and humans
         1.6. Effects on laboratory animals and  in vitro systems
         1.7. Effects on humans
         1.8. Evaluation of human health risks

    2. IDENTITY, PHYSICAL AND CHEMICAL PROPERTIES, AND ANALYTICAL
         METHODS

         2.1. Physical and chemical properties of lead and its compounds
         2.2. Analytical procedures
               2.2.1. Sampling procedures
                       2.2.1.1    Sampling of environmental media
                       2.2.1.2    Sampling of biological materials
               2.2.2. Analytical methods for lead
                       2.2.2.1    Analysis of lead in environmental
                                  samples
                       2.2.2.2    Analysis of lead in biological materials
                       2.2.2.3    Analytical procedures for biomarkers of
                                  lead exposure and effect
         2.3. Conversion factors

    3. SOURCES OF HUMAN AND ENVIRONMENTAL EXPOSURE

         3.1. Natural occurrence
               3.1.1. Rocks and soils
               3.1.2. Sediments
               3.1.3. Water
               3.1.4. Air
               3.1.5. Plants
               3.1.6. Environmental contamination from natural sources
         3.2. Anthropogenic sources
               3.2.1. Lead mining
               3.2.2. Smelting and refining
               3.2.3. Environmental pollution from production of lead
         3.3. Consumption and uses of lead and its compounds
         3.4. Sources of environmental exposure

    4. ENVIRONMENTAL TRANSPORT, DISTRIBUTION AND TRANSFORMATION

         4.1. Transport and distribution between media
               4.1.1. Atmospheric deposition
               4.1.2. Transport to water and soil
               4.1.3. Transport to biota
                       4.1.3.1    Aquatic organisms
                       4.1.3.2    Terrestrial organisms
         4.2. Environmental transformation
               4.2.1. Abiotic transformation
               4.2.2. Biotransformation

    5. ENVIRONMENTAL LEVELS AND HUMAN EXPOSURE

         5.1. Inhalation route of exposure
               5.1.1. Ambient air
                       5.1.1.1    Emissions from motor vehicles
                       5.1.1.2    Stationary sources
               5.1.2. Indoor air
               5.1.3. Air in the working environment
               5.1.4. Smoking of tobacco
         5.2. Exposure by ingestion
               5.2.1. Water
               5.2.2. Food and alcoholic beverages
                       5.2.2.1    Food
                       5.2.2.2    Total intake from food
                       5.2.2.3    Alcoholic beverages
               5.2.3. Dust and surface soils
                       5.2.3.1    Dust
                       5.2.3.2    Soil
                       5.2.3.3    Migration of lead from food containers
         5.3. Miscellaneous exposure
               5.3.1. Cosmetics and medicines
         5.4. General population exposure
         5.5. Blood lead concentrations of various populations
               5.5.1. Adult populations
               5.5.2. Children
               5.5.3. Remote populations
         5.6. Occupational exposure

    6. KINETICS AND METABOLISM IN LABORATORY ANIMALS AND HUMANS

         6.1. Absorption
               6.1.1. Absorption after inhalation
                       6.1.1.1    Animal studies
                       6.1.1.2    Human studies
               6.1.2. Absorption of lead from the gastrointestinal tract
                       6.1.2.1    Animal studies
                       6.1.2.2    Human studies
                       6.1.2.3    Nutritional status and lead absorption
                                  via gastrointestinal tract

               6.1.3. Dermal absorption
                       6.1.3.1    Human dermal absorption
               6.1.4. The relationship of external lead exposure to blood
                       lead concentration
                       6.1.4.1    Ambient air
                       6.1.4.2    Food
                       6.1.4.3    Drinking-water
                       6.1.4.4    Soil and dust
                       6.1.4.5    Total lead intake
         6.2. Distribution
               6.2.1. Animal studies
               6.2.2. Human studies
               6.2.3. Transplacental transfer
         6.3. Elimination and excretion
         6.4. Biological indices of lead exposure and body burden
               6.4.1. Blood lead
               6.4.2. Tooth lead
               6.4.3. Bone lead
               6.4.4. Lead in urine
               6.4.5. Lead in hair

    7. EFFECTS ON LABORATORY ANIMALS AND  IN VITRO TEST SYSTEMS

         7.1. Biochemical effects
               7.1.1. Haem synthesis and haematopoiesis
         7.2. Nervous system effects
               7.2.1. Higher order behavioural toxicity
               7.2.2. Mechanisms of lead-induced behavioural toxicity
                       7.2.2.1    Conclusions
               7.2.3. Sensory organ toxicity
         7.3. Renal system
         7.4. Cardiovascular system
         7.5. Reproductive system
         7.6. Effects on bone
         7.7. Immunological effects
         7.8. Mutagenicity
         7.9. Carcinogenicity

    8. EFFECTS ON HUMANS

         8.1. Biochemical effects of lead
               8.1.1. Haem synthesis
                       8.1.1.1    Protoporphyrin levels
                       8.1.1.2    Coproporphyrin levels
                       8.1.1.3    delta-Aminolaevulinic acid levels in
                                  urine and blood
                       8.1.1.4    Aminolaevulinic acid dehydratase levels
                       8.1.1.5    delta-Aminolaevulinic acid synthase
                       8.1.1.6    Other effects of decreased haem
                                  synthesis

               8.1.2. Vitamin D
               8.1.3. Dihydrobiopterin reductase
               8.1.4. Nicotinamide adenine dinucleotide synthetase
               8.1.5. Nutritionally affected groups
         8.2. Haematopoietic system
               8.2.1. Anaemia
               8.2.2. Pyrimidine-5'-nucleotidase activity
               8.2.3. Erythropoietin production
         8.3. Nervous system
               8.3.1. Historical perspective
               8.3.2. Neurotoxic effects in adults
                       8.3.2.1    Central nervous system
                       8.3.2.2    Peripheral nervous system
                       8.3.2.3    Autonomic nervous system
               8.3.3. Neurotoxic effects in children
                       8.3.3.1    Historical perspective
               8.3.4. Population-based cross-sectional studies on
                       children
                       8.3.4.1    Tooth lead studies
                       8.3.4.2    Blood lead studies
                       8.3.4.3    Follow-up studies
                       8.3.4.4    Conclusions and limitations of
                                  cross-sectional studies
               8.3.5. Prospective epidemiological studies on children
                       8.3.5.1    Common elements
                       8.3.5.2    Study descriptions
                       8.3.5.3    Summary of differences between studies
                       8.3.5.4    Results of studies
                       8.3.5.5    Questions prospective studies have not
                                  answered
                       8.3.5.6    Attempting a consensus
               8.3.6. Task group overview and interpretation of
                       prospective studies on children
                       8.3.6.1    Rationale
                       8.3.6.2    The prospective studies
                       8.3.6.3    A quantitative assessment of the
                                  cross-sectional studies
                       8.3.6.4    Task group overview of cross-sectional
                                  studies
                       8.3.6.5    An interpretation of the overview of
                                  prospective and cross-sectional studies
               8.3.7. Hearing impairment in children
         8.4. Renal system
               8.4.1. Clinical studies
               8.4.2. Epidemiological studies
                       8.4.2.1    Occupational cohorts
                       8.4.2.2    General population
                       8.4.2.3    Cohort mortality studies
         8.5. Cardiovascular system
               8.5.1. Blood pressure

                       8.5.1.1    Studies on occupationally exposed
                                  cohorts
                       8.5.1.2    Studies in the general population
               8.5.2. Other cardiovascular effects
                       8.5.2.1    Occupational studies
                       8.5.2.2    Studies in the general population
               8.5.3. Summary
         8.6. Gastrointestinal effects
               8.6.1. Occupational exposure
               8.6.2. Exposure of children
         8.7. Liver
               8.7.1. Occupational exposure
               8.7.2. Exposure of children
         8.8. Reproduction
               8.8.1. Female populations
               8.8.2. Male populations
               8.8.3. Hormonal responses
               8.8.4. Postnatal growth and stature
         8.9. Effects on chromosomes
         8.10. Carcinogenicity
               8.10.1. Occupational exposure and renal cancer
               8.10.2. Conclusion
         8.11. Effects on thyroid function
               8.11.1. Occupational groups
               8.11.2. Effects in children
         8.12. Immune system
               8.12.1. Occupational exposure
               8.12.2. Children
         8.13. Effects on bone
         8.14. Biomarkers for lead effects

    9. EVALUATION OF HUMAN HEALTH RISKS

         9.1. Exposure assessment
               9.1.1. General population exposure
               9.1.2. Occupational exposures
         9.2. Critical issues related to exposure evaluation
               9.2.1. Sampling and analytical concerns
               9.2.2. Data presentation
         9.3. Relationship between exposure and dose
         9.4. Surrogate measures of dose
               9.4.1. Blood
               9.4.2. Urine
               9.4.3. Bone
               9.4.4. Tooth
               9.4.5. Hair
         9.5. Biochemical effects of lead
               9.5.1. Haem synthesis
                       9.5.1.1    Urinary coproporphyrin
                       9.5.1.2    Urinary aminolaevulinic acid in children

                       9.5.1.3    Urinary aminolaevulinic acid in adults
                       9.5.1.4    delta-Aminolaevulinic acid dehydratase
               9.5.2. Vitamin D metabolism
               9.5.3. Dihydrobiopterin reductase
               9.5.4. Haemopoietic system
                       9.5.4.1    Anaemia in adults
                       9.5.4.2    Anaemia in children
                       9.5.4.3    Erythrocyte pyrimidine-5'-nucleotidase
         9.6. Nervous system
               9.6.1. Adults
                       9.6.1.1    Central nervous system
                       9.6.1.2    Peripheral nervous system
                       9.6.1.3    Autonomic nervous system
               9.6.2. Children
                       9.6.2.1    Type of effect
                       9.6.2.2    Magnitude
                       9.6.2.3    Reversibility/persistence
                       9.6.2.4    Age-specific sensitivity
                       9.6.2.5    Interactions/subgroups
               9.6.3. Animal studies
         9.7. Renal system
         9.8. Liver
         9.9. Reproduction
               9.9.1. Female
               9.9.2. Male
         9.10. Blood pressure
         9.11. Carcinogenicity
         9.12. Immune system

    10. RECOMMENDATIONS FOR PROTECTION OF HUMAN HEALTH

         10.1. Public health measures
         10.2. Public health programmes
         10.3. Screening, monitoring and assessment procedures

    11. FURTHER RESEARCH

    12. PREVIOUS EVALUATIONS BY INTERNATIONAL BODIES

    REFERENCES

    RESUME

    RESUMEN
    

    NOTE TO READERS OF THE CRITERIA MONOGRAPHS

         Every effort has been made to present information in the criteria
    monographs as accurately as possible without unduly delaying their
    publication. In the interest of all users of the Environmental Health
    Criteria monographs, readers are requested to communicate any errors
    that may have occurred to the Director of the International Programme
    on Chemical Safety, World Health Organization, Geneva, Switzerland, in
    order that they may be included in corrigenda.



                               *   *   *



         A detailed data profile and a legal file can be obtained from the
    International Register of Potentially Toxic Chemicals, Case postale
    356, 1219 Châtelaine, Geneva, Switzerland (Telephone No. 9799111).



                               *   *   *



         This publication was made possible by grant number 5 U01
    ES02617-15 from the National Institute of Environmental Health
    Sciences, National Institutes of Health, USA, and by financial support
    from the European Commission.

    Environmental Health Criteria

    PREAMBLE

    Objectives

         In 1973 the WHO Environmental Health Criteria Programme was
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         The first Environmental Health Criteria (EHC) monograph, on
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         of the chemical
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    *    Environmental transport, distribution and transformation
    *    Environmental levels and human exposure

    *    Kinetics and metabolism in laboratory animals and humans
    *    Effects on laboratory mammals and  in vitro test systems
    *    Effects on humans
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    *    Conclusions and recommendations for protection of human health
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         JMPR

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    Procedures

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    FIGURE 1

         It is accepted that the following criteria should initiate the
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    WHO TASK GROUP ON ENVIRONMENTAL HEALTH CRITERIA FOR INORGANIC LEAD

     Members

    Professor S. Araki, Department of Public Health, Faculty of Medicine,
       University of Tokyo, Japan

    Dr P. Baghurst, Division of Human Nutrition, Commonwealth Scientific
       Industrial Research Organization, Adelaide, Australia

    Dr D. Bellinger, Neuroepidemiology Unit, Gardner House, Children's
       Hospital, Boston, Massachusetts, USA

    Dr I. Calder, Occupational and Environmental Health, South Australian
       Health Commission, Adelaide, South Australia, Australia

    Dr D.A. Cory-Slechta, Department of Environmental Medicine, 
       University of Rochester School of Medicine and Dentistry, 
       Rochester, New York, USA

    Dr K. Dietrich, Department of Environmental Health, Division of
       Biostatistics and Epidemiology, University of Cincinnati College
       of Medicine, Cincinnati, Ohio, USA

    Dr R.A. Goyer, Chapel Hill, North Carolina, USA  (Chairman)

    Dr M.R. Moore, University of Glasgow, Department of Medicine and
       Therapeutics, Western Infirmary, Glasgow, Scotland

    Dr C. Nam Ong, Department of Community, Occupational and Family
       Medicine, National University of Singapore, National University
       Hospital, Singapore

    Dr S.J. Pocock, Department of Epidemiology and Population Sciences,
       Medical Statistics Unit, University of London, London, England

    Dr M.B. Rabinowitz, Marine Biological Laboratory, Woods Hole,
       Massachusetts, USA

    Dr M. Smith, Thomas Coram Research Unit, London, England

    Dr G. Winneke, Medical Institute for Environmental Health,
       Heinrich-Heine University, Düsseldorf, Germany  (Vice-Chairman)

     Observers

    Dr C. Boreiko, Environmental Health, International Lead Zinc  Research
       Organization (ILZRO) Inc., Research Triangle Park, North
       Carolina, USA

    Dr N.H. Clark, Lead Industry Environment and Health Forum, Melbourne,
       Victoria, Australia

    Dr J.M. Davis, Environmental Criteria and Assessment Office, US
       Environmental Protection Agency, Research Triangle Park, North
       Carolina, USA

    Professor G. Duggin, Toxicology Unit, Royal Prince Alfred Hospital,
       Camperdown, Australia

    Dr G.R. Neville, Queensland Health Department, Brisbane, Australia

     Secretariat

    Dr G.C. Becking, International Programme on Chemical Safety, 
       Interregional Research Unit, World Health Organization, Research
       Triangle Park, North Carolina, USA  (Secretary)

    Dr K.R. Mahaffey, National Institute of Environmental Health 
       Sciences, Research Triangle Park, North Carolina, USAa

    Dr A.E. Robinson, Toronto, Ontario, Canada  (Rapporteur)

                 

    a  Present address: US Environmental Protection Agency, Environmental
       Criteria and Assessment Office, Cincinnati, Ohio, USA

    ENVIRONMENTAL HEALTH CRITERIA FOR INORGANIC LEAD

         A WHO Task Group on Environmental Health Criteria for Inorganic
    Lead met in Brisbane, Australia, from 1 to 6 February 1993. The
    meeting was sponsored by a consortium of Australian Commonwealth and
    State Governments through a national Steering Committee chaired by
    Dr Keith Bentley, Director, Health and Environmental Policy,
    Department of Human Services and Health, Canberra. The meeting was
    hosted and organized by the Queensland Department of Health,
    Dr G.R. Neville being responsible for the arrangements. Dr G. Murphy,
    Director of Public Health, Queensland, welcomed the participants on
    behalf of the Organizers, and Dr T. Adams, Chief Commonwealth Medical
    Advisor and Dr G. Johns, Parliamentary Secretary to Federal Minister
    for Health, Housing and Community Services, welcomed the participants
    on behalf of the Commonwealth Government. Dr Johns stressed the
    importance attached to this IPCS meeting by the Commonwealth and State
    Governments of Australia. Dr G.C. Becking, IPCS, welcomed the
    participants on behalf of Dr M. Mercier, Director of the IPCS and the
    three cooperating organizations (UNEP/ILO/WHO). The Task Group
    reviewed and revised the draft criteria monograph, and made an
    evaluation of the risks to human health from exposure to inorganic
    lead.

         The Task Group draft was prepared by Dr A.E. Robinson, Toronto,
    Canada, using texts made available by Dr K.R. Mahaffeya (National
    Institute of Environmental Health Sciences, Research Triangle Park,
    North Carolina, USA) and Dr E. Silbergeld (University of Maryland
    School of Medicine, Baltimore, Maryland, USA), and the comments
    received from the IPCS contact points for environmental health
    criteria monographs. The draft was revised extensively by the Task
    Group taking into account the comments from the IPCS contact points.

         Dr G.C. Becking (IPCS Central Unit, Interregional Research Unit)
    and Dr P.G. Jenkins (IPCS Central Unit, Geneva) were responsible for
    the overall scientific content and technical editing, respectively, of
    this monograph.

         The efforts of all who helped in the preparation and finalization
    of this publication are gratefully acknowledged.

                 

    a  Present address: US Environmental Protection Agency, Environmental
       Criteria and Assessment Office, Cincinnati, Ohio, USA

    ABBREVIATIONS

    AAS     atomic absorption spectrometry
    AES     atomic emission spectroscopy
    ALA     delta-aminolaevulinic acid
    ALAD    delta-aminolaevulinic acid dehydratase
    ASV     anodic stripping voltametry
    EDTA    ethylenediaminetetraacetic acid
    FEP     free erythrocyte porphyrin
    GFAAS   graphite furnace atomic absorption spectrometry
    ICP     inductively coupled plasma
    IDMS    isotope dilution mass spectrometry
    MPb     mobilization yield of lead
    MSW     municipal solid waste
    PbB     blood lead
    PbT     tooth lead
    TML     tetramethyllead
    XRFS    X-ray fluorescence spectroscopy
    ZPP     zinc protoporphyrin

    PREFACE

         Although many countries have initiated programmes to lower the
    level of lead in the environment, human exposure to lead remains of
    concern to public health officials worldwide. For over 20 years the
    World Health Organization (WHO) and the International Programme on
    Chemical Safety (IPCS) have been concerned about the health and
    environmental effects of the levels of inorganic lead in the
    environment. The evaluation of human health risks arising from
    food-borne lead has been carried out by WHO on four occasions since
    1972. In addition, health-based guidance values for lead in water, air
    and the workplace have been developed by various Task Groups convened
    by WHO. Environmental Health Criteria 3: Lead, published in 1977,
    examined the effects of lead on human health and Environmental Health
    Criteria 85: Lead - Environmental Aspects was published in 1989.

         Since the publication of Environmental Health Criteria 3: Lead, a
    large body of knowledge has accumulated concerning the effects of lead
    on humans at low levels of exposure. Studies have emphasized the
    effects of inorganic lead on infants and children, a high-risk
    population. This monograph on inorganic lead reflects this research
    emphasis; a major part of the monograph deals with the neurotoxic
    effects of lead with emphasis on neurobehavioural development in
    children. Less detail is presented on the health effects of the higher
    levels of inorganic lead found in some workplaces, although such
    exposures are still considered to pose a risk to humans in many
    regions of the world.

         This monograph deals only with the human health effects of
    inorganic lead. No attempt has been made to evaluate the human health
    effects of organo-lead compounds, although it was recognized that such
    compounds when added to petrol (gasoline) are a major source of
    inorganic lead in the environment. In view of the toxicity of many
    organo-lead derivatives and the possible methylation of inorganic lead
    in the environment, the IPCS plans to evaluate the risk to humans from
    exposure to organo-lead compounds in a separate monograph.

         As with all IPCS criteria monographs, no attempt has been made to
    prepare an exhaustive bibliography of the extremely large amount of
    lead-related literature published since 1977. Rather, an effort has
    been made to review critically the studies on humans and experimental
    animals that are essential for the evaluation of risks to human health
    from exposure to all sources of inorganic lead.

    1.  SUMMARY

         This monograph focuses on the risks to human health associated
    with exposure to lead and inorganic lead compounds. Emphasis has been
    given to data which have become available since the publication of
    Environmental Health Criteria 3: Lead (IPCS, 1977). The environmental
    effects of lead are discussed in Environmental Health Criteria 85:
    Lead - Environmental Aspects (IPCS, 1989).

    1.1  Identity, physical and chemical properties, and analytical
         methods

         Lead is a soft, silvery grey metal, melting at 327.5°C. It is
    highly resistant to corrosion, but is soluble in nitric and hot
    sulfuric acids. The usual valence state in inorganic lead compounds is
    +2. Solubilities in water vary, lead sulfide and lead oxides being
    poorly soluble and the nitrate, chlorate and chloride salts are
    reasonably soluble in cold water. Lead also forms salts with such
    organic acids as lactic and acetic acids, and stable organic compounds
    such as tetraethyllead and tetramethyllead.

         The most commonly used methods for the analysis of low
    concentrations of lead in biological and environmental materials are
    flame, graphite furnace and inductively coupled plasma atomic
    absorption spectroscopy and anode stripping voltametry. Depending on
    sample pretreatment, extraction techniques and analytical
    instrumentation, detection limits of 0.12 µmoles lead/litre blood
    (2.49 µg/dl) can be achieved. However, reliable results are obtained
    only when specific procedures are followed to minimize the risk of
    contamination during sample collection, storage, processing and
    analysis.

    1.2  Sources of human exposure

         The level of lead in the earth's crust is about 20 mg/kg. Lead in
    the environment may derive from either natural or anthropogenic
    sources. Natural sources of atmospheric lead include geological
    weathering and volcanic emissions and have been estimated at
    19 000 tonnes/year, compared to an estimate of 126 000 tonnes/year
    emitted to the air from the mining, smelting and consumption of over 3
    million tonnes of lead per year.

         Atmospheric lead concentrations of 50 pg/m3 have been found in
    remote areas. Background levels of lead in soil range between 10 and
    70 mg/kg and a mean level near roadways of 138 mg/kg has been
    reported. Present levels of lead in water rarely exceed a few
    micrograms/litre; the natural concentration of lead in surface water
    has been estimated to be 0.02 µg/litre.

         Lead and its compounds may enter the environment at any point
    during mining, smelting, processing, use, recycling or disposal. Major
    uses are in batteries, cables, pigments, petrol (gasoline) additives,
    solder and steel products. Lead and lead compounds are also used in
    solder applied to water distribution pipes and to seams of cans used
    to store foods, in some traditional remedies, in bottle closures for
    alcoholic beverages and in ceramic glazes and crystal tableware. In
    countries where leaded petrol is still used, the major air emission is
    from mobile and stationary sources of petrol combustion (urban
    centres). Areas in the vicinity of lead mines and smelters are subject
    to high levels of air emissions.

         Airborne lead can be deposited on soil and water, thus reaching
    humans through the food chain and in drinking-water. Atmospheric lead
    is also a major source of lead in household dust.

    1.3  Environmental transport, distribution and transformation

         The transport and distribution of lead from fixed, mobile and
    natural sources are primarily via air. Most lead emissions are
    deposited near the source, although some particulate matter (< 2 µm
    in diameter) is transported over long distances and results in the
    contamination of remote sites such as arctic glaciers. Airborne lead
    can contribute to human exposures by the contamination of food, water
    and dust, as well as through direct inhalation. The removal of
    airborne lead is influenced by atmospheric conditions and particulate
    size. Large amounts of lead may be discharged to soil and water.
    However, such material tends to remain localized because of the poor
    solubility of lead compounds in water.

         Lead deposited in water, whether from air or through run-off from
    soils, partitions rapidly between sediment and aqueous phase,
    depending upon pH, salt content, and the presence of organic chelating
    agents. Above pH 5.4, hard water may contain about 30 µg lead/litre
    and soft water about 500 µg lead/litre. Very little lead deposited on
    soil is transported to surface or ground water except through erosion
    or geochemical weathering; it is normally quite tightly bound
    (chelated) to organic matter.

         Airborne lead can be transferred to biota directly or through
    uptake from soil. Animals can be exposed to lead directly through
    grazing and soil ingestion or by inhalation. There is little
    biomagnification of inorganic lead through the food chain.

    1.4  Environmental levels and human exposure

         In the general non-smoking adult population, the major exposure
    pathway is from food and water. Airborne lead may contribute
    significantly to exposure, depending upon such factors as use of

    tobacco, occupation, proximity to motorways, lead smelters, etc., and
    leisure activities (e.g., arts and crafts, firearm target practice).
    Food, air, water and dust/soil are the major potential exposure
    pathways for infants and young children. For infants up to 4 or 5
    months of age, air, milk, formulae and water are the significant
    sources of lead exposure.

         Levels of lead found in air, food, water and soil/dust vary
    widely throughout the world and depend upon the degree of industrial
    development, urbanization and lifestyle factors. Ambient air levels
    over 10 µg/m3 have been reported in urban areas near a smelter,
    whereas lead levels below 0.2 µg/m3 have been found in cities where
    leaded petrol is no longer used. Lead intake from air can, therefore,
    vary from less than 4 µg/day to more than 200 µg/day.

         Levels of lead in drinking-water sampled at the source are
    usually below 5 µg/litre. However, water taken from taps (faucets) in
    homes where lead is present in the plumbing can contain levels in
    excess of 100 µg/litre, particularly after the water has been standing
    in the pipes for some hours.

         The level of dietary exposure to lead depends upon many lifestyle
    factors, including foodstuffs consumed, processing technology, use of
    lead solder, lead levels in water, and use of lead-glazed ceramics.

         For infants and children, lead in dust and soil often constitutes
    a major exposure pathway. Lead levels in dust depend upon such factors
    as the age and condition of housing, the use of lead-based paints,
    lead in petrol and urban density. The intake of lead will be
    influenced by the age and behavioural characteristics of the child and
    bioavailability of lead in the source material.

         Inhalation is the dominant pathway for lead exposure of workers
    in industries producing, refining, using or disposing of lead and lead
    compounds. During an 8-h shift, workers can absorb as much as 400 µg
    lead, in addition to the 20-30 µg/day absorbed from food, water and
    ambient air; significant intake may occur from ingestion of large
    inhaled particulate material.

    1.5  Kinetics and metabolism in laboratory animals and humans

         Lead is absorbed in humans and animals following inhalation or
    ingestion; percutaneous absorption is minimal in humans. Depending
    upon chemical speciation, particle size, and solubility in body
    fluids, up to 50% of the inhaled lead compound may be absorbed. Some
    inhaled particulate matter (larger than 7 µm) is swallowed following
    mucociliary clearance from the respiratory tract. In experimental
    animals and humans, absorption of lead from the gastrointestinal tract
    is influenced by the physico-chemical nature of the ingested material,
    nutritional status, and type of diet consumed. In adult humans
    approximately 10% of the dietary lead is absorbed; the proportion is

    higher under fasting conditions. However, in infants and young
    children as much as 50% of dietary lead is absorbed, although
    absorption rates for lead from dusts/soils and paint chips can be
    lower depending upon the bioavailability. Diets that are deficient in
    calcium, phosphate, selenium or zinc may result in increased lead
    absorption. Iron and vitamin D also affect absorption of lead.

         Blood lead (PbB) levels are used as a measure of body burden and
    absorbed (internal) doses of lead. The relationship between blood lead
    and the concentration of lead in exposure sources is curvilinear.

         Once it has been absorbed, lead is not distributed homogeneously
    throughout the body. There is rapid uptake into blood and soft tissue,
    followed by a slower redistribution to bone. Bone accumulates lead
    over much of the human life span and may serve as an endogenous source
    of lead. The half-life for lead in blood and other soft tissues is
    about 28-36 days, but it is much longer in the various bone
    compartments. The percentage retention of lead in body stores is
    higher in children than adults. Transfer of lead to the human fetus
    occurs readily throughout gestation.

         Blood lead is the most commonly used measure of lead exposure.
    However, techniques are now available for measuring lead in teeth and
    bone, although the kinetics are not fully understood.

    1.6  Effects on laboratory animals and in vitro systems

         In all species of experimental animals studied, including
    non-human primates, lead has been shown to cause adverse effects in
    several organs and organ systems, including the haematopoietic,
    nervous, renal, cardiovascular, reproductive and immune systems. Lead
    also affects bone and has been shown to be carcinogenic in rats and
    mice.

         Despite kinetic differences between experimental animal species
    and humans, these studies provide strong biological support and
    plausibility for the findings in humans. Impaired learning/memory
    abilities have been reported in rats with PbB levels of
    0.72-0.96 µmoles/litre (15-20 µg/dl) and in non-human primates at PbB
    levels not exceeding 0.72 µmoles/litre (15 µg/dl). In addition, visual
    and auditory impairments have been reported in experimental animal
    studies.

         Renal toxicity in rats appears to occur at a PbB level in excess
    of 2.88 µmol/litre (60 µg/dl), a value similar to that reported to
    initiate renal effects in humans. Cardiovascular effects have been
    seen in rats after chronic low-level exposures resulting in PbB levels
    of 0.24-1.92 µmol/litre (5-40 µg/dl). Tumours have been shown to occur
    at dose levels below the maximum tolerated dose of 200 mg lead (as
    lead acetate) per litre of drinking-water. This is the maximum dose
    level not associated with other morphological or functional changes.

    1.7  Effects on humans

         In humans, lead can result in a wide range of biological effects
    depending upon the level and duration of exposure. Effects at the
    subcellular level, as well as effects on the overall functioning of
    the body, have been noted and range from inhibition of enzymes to the
    production of marked morphological changes and death. Such changes
    occur over a broad range of doses, the developing human generally
    being more sensitive than the adult.

         Lead has been shown to have effects on many biochemical
    processes; in particular, effects on haem synthesis have been studied
    extensively in both adults and children. Increased levels of serum
    erythrocyte protoporphyrin and increased urinary excretion of
    coproporphyrin and delta-aminolaevulinic acid are observed when PbB
    concentrations are elevated. Inhibition of the enzymes
    delta-aminolaevulinic acid dehydratase and dihydrobiopterin reductase
    are observed at lower levels.

         The effects of lead on the haemopoietic system result in
    decreased haemoglobin synthesis, and anaemia has been observed in
    children at PbB concentrations above 1.92 µmol/litre (40 µg/dl).

         For neurological, metabolic and behavioural reasons, children are
    more vulnerable to the effects of lead than adults. Both prospective
    and cross-sectional epidemiological studies have been conducted to
    assess the extent to which environmental lead exposure affects
    CNS-based psychological functions. Lead has been shown to be
    associated with impaired neurobehavioural functioning in children.

         Impairment of psychological and neurobehavioural functions has
    been found after long-term lead exposure of workers.
    Electrophysiological parameters have been shown to be useful
    indicators of subclinical lead effects in the CNS.

         Peripheral neuropathy has long been known to be caused by
    long-term high-level lead exposure at the workplace. Slowing of nerve
    conduction velocity has been found at lower levels. These effects have
    often been found to be reversible after cessation of exposure,
    depending on the age and duration of exposure.

         The effect of lead on the heart is indirect and occurs via the
    autonomic nervous system; it has no direct effect on the myocardium.
    The collective evidence from population studies in adults indicates
    very weak associations between PbB concentration and systolic or
    diastolic blood pressure. Given the difficulties of allowing for
    relevant confounding factors, a causal relationship cannot be
    established from these studies. There is no evidence to suggest that
    any association of PbB concentration with blood pressure is of major
    health importance.

         Lead is known to cause proximal renal tubular damage,
    characterized by generalized aminoaciduria, hypophosphataemia with
    relative hyperphosphaturia and glycosuria accompanied by nuclear
    inclusion bodies, mitochondrial changes and cytomegaly of the proximal
    tubular epithelial cells. Tubular effects are noted after relatively
    short-term exposures and are generally reversible, whereas sclerotic
    changes and interstitial fibrosis, resulting in decreased kidney
    function and possible renal failure, require chronic exposure to high
    lead levels. Increased risk from nephropathy was noted in workers with
    a PbB level of over 3.0 µmol/litre (about 60 µg/dl). Renal effects
    have recently been seen among the general population when more
    sensitive indicators of function were measured.

         The reproductive effects of lead in the male are limited to sperm
    morphology and count. In the female, some adverse pregnancy outcomes
    have been attributed to lead.

         Lead does not appear to have deleterious effects on skin, muscle
    or the immune system. Except in the case of the rat, lead does not
    appear to be related to the development of tumours.

    1.8  Evaluation of human health risks

         Lead adversely affects several organs and organ systems, with
    subcellular changes and neurodevelopmental effects appearing to be the
    most sensitive. An association between PbB level and hypertension
    (blood pressure) has been reported. Lead produces a cascade of effects
    on the haem body pool and affects haem synthesis. However, some of
    these effects are not considered adverse. Calcium homoeostasis is
    affected, thus interfering with other cellular processes.

    a)   The most substantial evidence from cross-sectional and
         prospective studies of populations with PbB levels generally
         below 1.2 µmol/litre (25 µg/dl) relates to decrements in
         intelligence quotient (IQ). It is important to note that such
         observational studies cannot provide definitive evidence of a
         causal relationship with lead exposure. However, the size of the
         apparent IQ effect, as assessed at 4 years and above, is a
         deficit between 0 and 5 points (on a scale with a standard
         deviation of 15) for each 0.48 µmol/litre (10 µg/dl) increment in
         PbB level, with a likely apparent effect size of between 1 and 3
         points. At PbB levels above 1.2 µmol/litre (25 µg/dl), the
         relationship between PbB and IQ may differ. Estimates of effect
         size are group averages and only apply to the individual child in
         a probabilistic manner.

         Existing epidemiological studies do not provide definitive
         evidence of a threshold. Below the PbB range of 0.48-0.72 µmol/
         litre (10-15 µg/dl), the effects of confounding variables and
         limits in the precision in analytical and psychometric
         measurements increase the uncertainty attached to any estimate
         of effect. However, there is some evidence of an association
         below this range.

    b)   Animal studies provide support for a causal relationship between
         lead and nervous system effects, reporting deficits in cognitive
         functions at PbB levels as low as 0.53-0.72 µmol/litre
         (11-15 µg/dl) which can persist well beyond the termination of
         lead exposure.

    c)   Reduction in human peripheral nerve conduction velocity may occur
         with PbB levels as low as 1.44 µmol/litre (30 µg/dl). In
         addition, sensory motor function may be impaired with PbB levels
         as low as about 1.92 µmol/litre (40 µg/dl), and autonomic nervous
         system function (electrocardiographic R-R interval variability)
         may be affected at an average PbB level of approximately
         1.68 µmol/litre (35 µg/dl). The risk of lead nephropathy is
         increased in workers with PbB levels above 2.88 µmol/litre
         (60 µg/dl). However, recent studies using more sensitive
         indicators of renal function suggest renal effects at lower
         levels of lead exposure.

    d)   Lead exposure is associated with a small increase in blood
         pressure. The likely order of magnitude is that for any two-fold
         increase in PbB level (e.g., from 0.8 to 1.6 µmol/litre, i.e.
         16.6 to 33.3 µg/dl), there is a mean 1 mmHg increase in systolic
         blood pressure. The association with diastolic pressure is of a
         similar but smaller magnitude. However, there is doubt regarding
         whether these statistical associations are really due to an
         effect of lead exposure or are an artifact due to confounding
         factors.

    e)   Some but not all epidemiological studies show a dose dependent
         association of pre-term delivery and some indices of fetal growth
         and maturation at PbB levels of 0.72 µmol/litre (15 µg/dl) or
         more.

    f)   The evidence for carcinogenicity of lead and several inorganic
         lead compounds in humans is inadequate.

    g)   Effects of lead on a number of enzyme systems and biochemical
         parameters have been demonstrated. The PbB levels, above which
         effects are demonstrable with current techniques for the
         parameters that may have clinical significance, are all greater
         than 0.96 µmol/litre (20 µg/dl). Some effects on enzymes are
         demonstrable at lower PbB levels, but the clinical significance
         is uncertain.

    2.  IDENTITY, PHYSICAL AND CHEMICAL PROPERTIES, AND ANALYTICAL METHODS

    2.1  Physical and chemical properties of lead and its compounds

         Lead (atomic number, 82; relative atomic mass, 207.19; specific
    gravity, 11.34) is a bluish or silvery grey soft metal. The melting
    point is 327.5°C and the boiling point at atmospheric pressure 1740°C.
    It has four naturally occurring isotopes (208, 206, 207, and 204 in
    order of abundance), but the isotopic ratios for various mineral
    sources may differ. This property has been exploited in
    non-radioactive-tracer environmental and metabolic studies. The
    physical and chemical properties of elemental lead and some lead
    compounds are summarized in Table 1.

         Although lead has four electrons in its valence shell, only two
    ionize readily. The usual oxidation state of lead in inorganic
    compounds is therefore +2 rather than +4. The inorganic salts of lead,
    such as lead sulfide and the oxides of lead, are generally poorly
    soluble in water. However, the nitrate, chlorate and, to a much lesser
    degree, the chloride are water soluble. Some of the salts formed with
    organic acids, e.g., lead oxalate, are also insoluble, but the acetate
    is relatively soluble, as shown in Table 1.

         Under appropriate conditions of synthesis, stable compounds are
    formed in which lead is directly bound to a carbon atom. Industrially
    synthesized lead-carbon compounds include tetraethyllead and
    tetramethyllead, which are of importance as fuel additives and, hence,
    are sources of environmental lead. 

    2.2  Analytical procedures

         In recent years substantial advances have been made in developing
    methods for the quantification of metals at low concentrations. In
    order to provide improved quality assurance of such measurements,
    various reference materials in different matrices have been produced
    (Muramatsu & Parr, 1985). To ensure adequate quality control, the
    analyst should choose a reference material that matches as closely as
    possible the experimental samples to be analysed. Choices are based
    upon matrix type and concentration of the element of interest. A
    summary of data on 60 biological and 40 environmental (non-biological)
    reference materials has been compiled by Muramatsu & Parr (1985).

         With the increased interest in measuring lead in the low µg/kg
    and µg/m3 range in both environmental and biological samples, there
    is need for particular attention to analytical sensitivity and
    reliability. As lower concentrations are measured, problems of
    laboratory contamination become more significant and quality control
    and quality assurance programmes are important. Because of these
    concerns, all analytical results for lead should report the laboratory


        Table 1.  Physical and chemical data on lead and selected lead compoundsa
                                                                                                                                              
    Name              Synonym         Relative atomic/   Melting point       Boiling point   Solubility in cold   Soluble in
                      and formula     molecular mass     (°C)                   (°C)         water (g/litre)
                                                                                                                                              

    Lead              Pb                  207.19         327.502                1740         insoluble            HNO3; hot concentrated
                                                                                                                  H2SO4; hot water;
                                                                                                                  glycerine; alcohol (slightly)

    Lead salts

      acetate         Pb(C2H3O2)2         325.28         280                    -            443

      carbonate       cerrusite PbCO3     267.20         315 (decomposes)                    0.0011               acid; alkali; decomposes in
                                                                                                                  hot water

      chlorate        Pb(ClO3)2           374.09         230 (decomposes)                    very soluble         alcohol

      chloride        cotunite PbCl2      278.10         501                    950          919                  NH4 salts; slightly in dilute
                                                                                                                  HCl and in NH3; hot water
                                                                                                                  (33.4 g/litre)

      nitrate         Pb(NO3)2            331.20         470 (decomposes)                    376.5                alcohol; alkali, NH3; hot
                                                                                                                  water (1270 g/litre)

      orthophosphate  Pb3(PO4)2           811.51         1014                                0.00014              alkali; HNO3

      oxalate         PbC2O4              295.21         300 (decomposes)                    0.0016               HNO3

      dioxide         plattnerite PbO2    239.19         290 (decomposes)                    insoluble            dilute HCl; acetic acid
                                                                                                                  (slightly)

      monoxide        litharge PbO        223.19         888                                 0.017                dilute HNO3; acetic acid
                                                                                                                                              

    Table 1 (cont'd)
                                                                                                                                              
    Name              Synonym         Relative atomic/   Melting point       Boiling point   Solubility in cold   Soluble in
                      and formula     molecular mass     (°C)                   (°C)         water (g/litre)
                                                                                                                                              

      sulfate         anglesite PbSO4     303.25         1170                                0.0425               NH4 salts; concentrated
                                                                                                                  H2SO4 (slightly)

      sulfide         galena PbS          239.25         1114                                0.00086              acid
                                                                                                                                              

    a  Data from Weast (1985)
    

    performance for reference standards and for parallel blank
    measurements of sample contamination for the entire analytical
    process. Without these, the validity of the data should be questioned.

    2.2.1  Sampling procedures

         Particular attention should be paid to the cleanliness of
    equipment and glassware and the purity of the chemicals to prevent
    secondary contamination by lead.

         For the collection of samples, standard trace element methods are
    generally required (Behne, 1980) with adequate quality control
    procedures (Friberg, 1988; Jorhem & Slorach, 1988, Vahter & Friberg,
    1988). Quality control samples for blood, faeces, air filters and dust
    have been described (Lind et al., 1988).

    2.2.1.1  Sampling of environmental media

         In air sampling, both high-volume samplers and low-volume
    techniques have been used. It should be noted that the collection
    characteristics of high-volume samplers are strongly affected by
    particle size and the orientation of the sampler. For particles larger
    than 5 µm in diameter the high-volume sampler system is unlikely to
    collect representative samples (US EPA, 1986a). As in all sampling for
    suspended particulate matter, the accuracy of volume meters should be
    checked periodically. The size of the pores in filters for collecting
    lead-containing particles should be small, possibly less than 0.2 µm
    for glass-fibre filters (Lee & Goranson, 1972).

         Depending on the purpose of sampling, care should be taken to
    select the appropriate site for sampling devices and to achieve the
    best possible sampling conditions by:

    *    estimating the amount of particulate required for analysis before
         deciding on the sample volume and the sampling procedure;

    *    placing the sampling devices in the appropriate position (e.g.,
         in the breathing zone, level with inlet tubes of house
         ventilators, at window level in the case of a traffic-laden town
         street, at a reasonable distance from the highway in uninhabited
         zones, etc);

    *    taking the samples at appropriate rates and volumes (e.g., daily
         breathing volumes, daily ventilating capacities of installations)
         and for a sufficient time to make possible the estimation of the
         average concentration (e.g., during a work-shift, or a 24-h or
         longer period for general population exposure);

    *    taking into account the use of areas under study (cattle grazing,
         recreational zones, children's playgrounds, etc).

         In addition, whenever possible a procedure should be used that
    makes it possible to evaluate particle-size distribution and the
    physicochemical properties of the lead compounds involved, including
    the shape of the particles and the state of their aggregation.

         Lead may be found in water bound to particulate matter as soluble
    complexes or soluble compounds. Techniques for sampling water must
    take this into account. It is necessary to sample water without
    fractionation (filtration) when total lead levels are required.
    Because of the potential for metals from low ionic strength waters to
    be adsorbed onto the surfaces of some containers, samples should be
    acidified (US EPA, 1986a). Selection, cleaning, and conditioning of
    storage and sample containers deserve special attention (Moody, 1982).

         The preparation of soil and dust samples for lead analyses
    usually involves drying (at 100°C), homogenization by grinding, and
    sieving (Thornton & Webb 1975; Bolter et al., 1975). Brown & Black
    (1983) have discussed the issues related to quality assurance and
    quality control in the collection and analysis of soil samples. Most
    reports of lead in soil provide the total elemental abundance either
    by acid extraction or X-ray fluorescence. However, the leachable or
    bioavailable fraction is of special interest.

         For the study of the dietary intake of lead from food, two
    general methods have been utilized. The advantages and disadvantages
    of the "duplicate portions" technique and the equivalent composite
    technique ("market basket") have been reviewed by Pekkarinen (1970).
    Although the duplicate portions (duplicate diets) technique can define
    variability in consumption, it is expensive, and the sampling and
    analytical procedures involved are complicated and limit the number of
    individuals included in any study. With the equivalent composite
    technique, the economy and ease of collection must be considered in
    the light of the variability of results obtained due to uncertainties
    in knowledge of actual preparation techniques, including possible lead
    levels in water used for processing in individual homes.

         The quantity of lead likely to be leached from ceramic surfaces
    by different foods and beverages may be assessed using dilute acetic
    acid solutions (1 to 4%) at temperatures in the range 20 to 100°C for
    times ranging from 30 min to more than 24 h (Laurs, 1976; Merwin,
    1976).

         Colorimetric methods are suitable for screening inorganic
    materials such as pottery or paint for lead. Positive reactions
    require confirmation by established quantitative methods. Spot tests
    using dithizone, rhodizonate and iodide (Feigl et al., 1972) are
    available.

    2.2.1.2  Sampling of biological materials

         The main problem in the sampling of body fluids and tissues for
    lead analysis is potential secondary contamination with lead. The low
    general population blood lead (PbB) levels in many regions of the
    world are complicating screening efforts, requiring levels of
    analytical precision and sensitivity that can be achieved only through
    intensive QA/QC programmes. Issues related to such sampling have been
    examined in detail by US EPA (1986a).

         Special precautions are needed to ensure that all venous
    blood-collecting and blood-storage materials are as free from lead as
    possible (IPCS, 1977). All glass equipment involved in blood
    collection and storage should be made of lead-free silicate glass,
    rinsed first in mineral acid, then with copious amounts of
    glass-distilled or deionized water. Polypropylene syringes have been
    recommended (NAS-NRC, l972). Needles should be of stainless steel with
    polypropylene hubs. Blood is often drawn directly from the needle into
    vacuum tubes. It is wise to confirm periodically the absence of
    significant amounts of lead in the anticoagulant used in the blood
    container as well as monitoring the contamination level (blank) for
    the entire analytical process.

         New analytical techniques make it possible to determine lead
    concentrations in microlitre quantities of blood. The trend towards
    the procurement of micro-samples of blood by skin prick increases the
    chance of secondary contamination of the blood. Systematic
    investigation on the significance of this problem has been reported
    (Mitchell et al., 1974; Mahaffey et al., 1979; DeSilva & Donnan,
    1980). Mitchell et al. (l974) describe a procedure whereby sample
    contamination can be reduced by spraying collodion over the cleansed
    skin before lancing. The correlation between the concentration of lead
    in micro-samples and in macro-samples obtained by venepuncture was
    fairly good (r=0.92) over a wide range of PbB concentrations
    (0.48-4.41 µmol/litre or 10-92 µg/dl whole blood). Mahaffey et al.,
    (1979b) found that capillary blood levels in a comparison test were
    systematically higher than corresponding venous blood levels; similar
    elevations have been reported by DeSilva & Donnan (1980). Since about
    1980 the requirement for reliable and accurate micro procedures has
    resulted in the development of good protocols. Sinclair & Dohnt (1984)
    described a procedure which resulted in the ability to collect
    capillary samples with PbB levels only 3.3% higher than the presumably
    correct venous value. This procedure has been used in the Port Pirie
    Cohort Study (Baghurst et al., 1985, 1992) and for routine
    surveillance in the Port Pirie Lead Decontamination Program (Calder et
    al., 1990). Also, Lyngbye et al. (1990b) have shown that capillary
    sampling without lead contamination is possible. Routine validation by
    cross-comparison with venous blood samples should be undertaken on a
    regular basis.

         The same general precautions to avoid contamination must be taken
    in the collection of urine samples as in the collection of blood
    samples. Additionally, special care must be taken to prevent
    precipitation during storage.

    2.2.2  Analytical methods for lead

         A number of analytical methods exist for determination of lead in
    environmental and biological samples. These methods differ enormously
    in their costs (e.g., sophisticated equipment, an adequate
    infrastructure to maintain laboratory conditions and chemical
    supplies) and personnel requirements (e.g., availability of skilled
    personnel in adequate numbers for the work to be undertaken). Both
    accuracy and precision of any of the methods can be affected greatly
    by contamination of samples within the laboratory. It is important to
    utilize the principles of a "clean" laboratory described by Patterson
    & Settle (1976) and Everson & Patterson (1980).

         It is not the purpose of this section to provide an exhaustive
    description of the analytical methods that could be available to
    detect and quantify lead levels in environmental and biological
    samples. However, an attempt will be made to identify well-established
    methods in current use and to provide information on their application
    to assist in the interpretation of experimental and epidemiological
    studies.

    2.2.2.1  Analysis of lead in environmental samples

         The most common methods used for the analysis of lead in samples
    from air, water, dust, sediment, soil and foodstuffs are flame atomic
    absorption spectrometry (AAS), graphite furnace atomic absorption
    spectrometry (GFAAS), anodic stripping voltametry (ASV), inductively
    coupled plasma-atomic emission spectroscopy (ICP-AES), and X-ray
    fluorescence spectroscopy (XRFS). The reference method for the
    determination of the absolute amounts of lead is by isotope dilution
    mass spectrometry (IDMS) (Settle & Patterson, 1980; Grandjean & Olsen,
    1984; US EPA, 1986a), but due to equipment costs and required
    expertise, it is not widely used. Spectrophotometric methods, using
    diphenylthiocarbazone as the colorimetric reagent, were widely used in
    the past; they are less sensitive and are labour-intensive but are
    still appropriate. The advantages and disadvantages were described by
    Skogerboe et al. (1977).

         Gould et al. (1988) utilized a citric acid solution on filter
    paper to leach lead from glazed ceramic and/or enamelled metal-ware.
    When treated with a lead-sensitive chromogen, there is a reaction
    indicating the presence of lead on the paper. The minimal amount of
    lead required to produce an observable reaction was 0.25 µg/cm2; the
    maximum amount tested was 5 µg/cm2. A colorimetric test based on the
    use of sodium sulfide in solution is used to estimate lead in paint

    films. It is possible to determine lead concentrations greater than
    1 mg/cm2 of dried paint 90% of the time when the method is used by a
    trained chemical laboratory technician.

         Table 2 summarizes the utility of several representative methods
    for specific environmental media.

    2.2.2.2  Analysis of lead in biological materials

         Biological samples present special problems for the analyst
    because of the low lead concentrations and matrix effects. Most
    analytical techniques developed to detect and quantify lead can be
    adapted to the analysis of such biological materials as blood, urine,
    serum, cerebrospinal fluid, solid tissues, hair, teeth and bone.
    However, certain techniques are more often used for specific matrices.

         Currently, the most commonly used methods are AAS, GFAAS, ASV,
    and ICP-AES. Spectrophotometric methods were commonly used in the past
    and can be useful. Other specialized methods for lead analysis are
    XRFS, neutron activation analysis (NAA), inductively coupled
    plasma-mass spectrometry (ICP-MS), and IDMS. Table 3 summarizes the
    utility of several analytical procedures applied to various biological
    matrices. Included in this table are examples of the application of
    XRFS (Christoffersson et al., 1986; Wielopolski et al., 1986; Nilsson
    et al., 1991) for the determination  in situ of the body burden of
    lead.

    2.2.2.3  Analytical procedures for biomarkers of lead exposure and
             effect

         Using standard clinical laboratory techniques, analytical
    procedures have been developed: delta-aminolaevulinic acid (ALA);
    delta-aminolaevulinic acid dehydratase (ALAD); urinary coproporphyrin
    (CPU) and erythrocyte protoporphyrin (EP). All of these assays are
    well established and reliable (Grandjean & Olsen 1984; US EPA, 1986a).
    These biochemical parameters are influenced by physiological factors
    other than lead. They lack the specificity and sensitivity of PbB
    measurements as an index of either current lead exposures or body
    stores of lead.

    2.3  Conversion factors

         1 µg/dl = 0.048 µmol/litre
         1 µmol/litre = 20.7 µg/dl

         Using the above conversion factor, blood lead concentrations are
    given as µmol/litre with the equivalent µg/dl in brackets. Calculated
    figures have not been rounded and added precision is not to be
    inferred from the number of significant figures.


        Table 2.  Analytical methods for determining lead in environmental samplesa
                                                                                                                                               
    Sample type       Preparation method                             Analytical method          Sample detection   Percentage   Reference
                                                                                                limit              recovery
                                                                                                                                               

    Air               collect particulate matter on membrane         ASV with mercury-graphite  0.16 µg/m3         90-110       NIOSH (1977b)
     (particulate     filter; wet ash with HNO3/HClO4/H2SO4;         electrode (NIOSH method
     lead)            dissolve in acetate buffer                     P&CAM 191)

    Air               collect particulate matter on cellulose        ICP-AES (NIOSH method      0.34 µg/m3         95-105       NIOSH (1981)
     (particulate     acetate filter; wet ash with HNO3/HClO4        P&CAM 351)
     lead)

    Air               collect particulate matter on filter;          AAS                        0.1 µg/m3          93           Scott et al.
     (particulate     dry ash; extract with HNO3/HCl; dilute         AES                        0.15 µg/m3         102          (1976)
     lead)            with HNO3

    Air               sample on cellulose acetate filter;            AAS                        8 ng/litre         100-101      Nerin et al.
     (particulate     dissolve in HNO3 with heat; add HCl/H2O2                                                                  (1989)
     lead)            and react in hydride generator with sodium
                      borohydride to generate lead hydride

    Air               collect sample on filter; spike filter with    IDMS                       0.1 ng/m3          NR           Volkening et
     (particulate     206Pb; dissolve filter in NaOH; acidify;                                                                  al. (1988)
     lead)            separate lead by electrodeposition; dissolve
                      in acid

    Water             digest sample with acid; heat; dilute with     AAS                        1.0 ng/g           NR           Chau et al.
     (total lead)     water                                                                                                     (1979)

    Soil              dry sample and sieve for XRF; digest sieved    XRF                        NR                 65-98        Krueger &
                      sample with HNO3 and heat for AAS              AAS                        NR                 63-68        Duguay (1989)

    Soil              dry sample, dry ash; digest with acid          AAS                        2 µg/g             79-103       Beyer &
                      and dilute with water                                                                                     Cromartie (1987)
                                                                                                                                               

    Table 2 (cont'd)
                                                                                                                                               
    Sample type       Preparation method                             Analytical method          Sample detection   Percentage   Reference
                                                                                                limit              recovery
                                                                                                                                               

    Soil, waste,      digest sample with acid; dilute with water     AAS (EPA method 7420)      0.1 mg/litre       NR           US EPA (1986b)
     and ground       and filter                                     GFAAS (EPA method 7421)    1 µg/litre         NR
     water

    Soil, dust        digest sample with hot acid; dry; redissolve   AAS                        12 ng/g            > 80         Que Hee et al.
     and paint        in HNO3                                                                                                   (1985b)

    Sediment, fish,   digest sample with acid; heat; dilute with     AAS                        50 ng/g            NR           Chau et al.
     vegetation       water                                                                     (sediment)                      (1980)
     (total lead)                                                                               10 ng/g (fish      NR
                                                                                                and vegetation)

    Milk              add 50 µl (C2H5)4NOH in ethanol to 25 µl       GFAAS                      NR                 NR           Michaelson &
                      milk; heat and dilute with water to 125 µl                                                                Sauerhoff (1974)

    Evaporated        dry ash sample; dissolve in HNO3               ASV                        0.005 µg/g         99           Capar & Rigsby
     milk                                                                                                                       (1989)

    Agricultural      dry ash sample with H2SO4 and HNO3;            DPASV                      0.4 ng/g           85-106       Satzger et al.
     crops            dilute with water                                                                                         (1982)

    Grains, milk,     bomb digest sample with acid; heat or          GFAAS                      20 µg/g (bomb)     85-107       Ellen & Van
     mussels, fish    digest with acid and dry ash; dissolve                                    5 µg/g (dry ash)   75-107       Loon (1990)
                      in acid; dilute with water                     DPASV                      NR                 82-120
                                                                                                                                               

    Table 2 (cont'd)
                                                                                                                                               
    Sample type       Preparation method                             Analytical method          Sample detection   Percentage   Reference
                                                                                                limit              recovery
                                                                                                                                               

    Citrus leaves     chop or pulverize sample; digest with hot      ICP-AES                    10-50 µg/litre     75-82        Que Hee &
     and paint        acid; dry; redissolve in acid                                                                (citrus      Boyle (1988)
                                                                                                                   leaves)
                                                                                                                   89-96
                                                                                                                   (paint)

                                                                                                                                               

    a  AAS = atomic absorption; AES = atomic emissions spectroscopy; ASV = anode stripping voltametry; (C2H5)4NOH = tetraethylammonium
       hydroxide; DPASV = differential pulse anodic stripping voltametry; EPA = US Environmental Protection Agency; GFAAS = graphite furnace
       atomic absorption spectrometry; HCl = hydrochloric acid; HClO4 = perchloric acid; HNO3 = nitric acid; H2O2 = hydrogen peroxide;
       H2SO4 = sulfuric acid; ICP-AES = inductively coupled plasma/atomic emission spectroscopy; IDMS = isotope dilution mass spectrometry;
       NaOH = sodium hydroxide; NIOSH = National Institute for Occupational Safety and Health; NR = not reported; XRF = X-ray fluorescence

    Table 3.  Analytical methods for determining lead in biological materialsa
                                                                                                                                               
    Sample      Preparation method                           Analytical method            Sample detection         Percentage    Reference
    type                                                                                  limit                    recovery
                                                                                                                                               

    Blood       wet ash sample with acid mixtures;           ASV with mercury-graphite    0.192 µmol/litre         95-105        NIOSH (1977c)
                dissolve residue in dilute HClO4             electrode (NIOSH method      (4 µg/dl)
                                                             P&CAM 195)

    Blood       wet ash sample with HNO3; dissolve           GFAAS (NIOSH method          0.48 µmol/litre          NR            NIOSH (1977e)
                residue in dilute HNO3                       P&CAM 214)                   (10 µg/dl)

    Blood       dilute sample with Triton X-100(R); add      GFAAS                        0.011 µmol/litre         93-105        Aguilera de
                nitric acid and diammonium phosphate                                      (0.24 µg/dl)                           Benzo et al.
                                                                                                                                 (1989)

    Blood       dilute sample with ammonia solution          ICP-MS                       0.072 µmol/litre         96-111        Delves &
                containing Triton X-100(R); analyse                                       (1.5 µg/dl)                            Campbell
                                                                                                                                 (1988)

    Blood       dilute sample in 0.2% Triton X-100(R)        GFAAS                        approx. 0.072            97-150        Que Hee et
                and water; analyse                                                        µmol/litre (approx.                    al. (1985a)
                                                                                          1.5 µg/dl)

    Blood and   wet ash sample with HNO3, complex            Spectrophotometry            0.144 µmol/litre         97            NIOSH (1977a)
     urine      with dephenylthiocarbazone and               (NIOSH method                (3.0 µg/dl) (blood);
                extract with chloroform                      P&CAM 102)                   0.0576 µmol/litre        97
                                                                                          (12 µg/litre) (urine)

    Serum,      filter sample if needed; dilute with         ICP-AES                      0.048-0.240 µmol/litre   85 (serum)    Que Hee &
     blood and  acid or water                                                             (1.0-5.0 µg/dl)                        Boyle (1988)
     urine

    Urine       wet ash sample with acid mixture and         ASV with mercury-graphite    0.0192 µmol/litre        90-110        NIOSH (1977d)
                dissolve in dilute HClO4                     electrode (NIOSH method      (4 µg/litre)
                                                             P&CAM 200)
                                                                                                                                               

    Table 3 (cont'd)
                                                                                                                                               

    Sample      Preparation method                           Analytical method            Sample detection         Percentage    Reference
    type                                                                                  limit                    recovery
                                                                                                                                               

    Liver,      bomb digest sample with acid and heat,       GFAAS                        20 µg/g (bomb);          85-107        Ellen & Van
     kidney,    or digest with acid and dry ash; dissolve                                                          (bomb);       Loon (1990)
     muscle     in acid; dilute with water                                                5 µg/g (dry ashing)      75-107 (dry
                                                                                                                   ashing)

    Bone        direct partially polarized photons at        XRF                          20 µg/g                  NR            Christoffersson
                second phalanx of left forefinger                                                                                et al. (1986)
                (non-invasive technique)

    Bone        direct partially polarized photons at        XRF                          20 µg/g                  NR            Wielopolski
                anteromedial skin surface of mid-tibia                                                                           et al. (1986)
                (non-invasive technique)

    Teeth       clean and section tooth; digest with         ASV                          NR                       83-114        Rabinowitz
                HNO3; evaporate; redissolve in buffer                                                                            et al. (1989)
                solution

    Teeth       dry ash sample; crush; dry ash again;        AAS                          NR                       90-110        Steenhout &
                dissolve in HNO3                                                                                                 Pourtois
                                                                                                                                 (1981)
                                                                                                                                               

    a  AAS = atomic absorption spectrometry; ASV = anode stripping voltametry; GFAAS = graphite furnace atomic absorption spectrometry;
       HClO4 = perchloric acid; HNO3 = nitric acid; ICP-AES = inductively coupled plasma-atomic emission spectroscopy;
       ICP-MS = inductively coupled plasma-mass spectrometry; NIOSH = National Institute for Occupational Safety and Health;
       NR = not reported; XRF = X-ray fluorescence
    

    3.  SOURCES OF HUMAN AND ENVIRONMENTAL EXPOSURE

    3.1  Natural occurrence

         Because lead is relatively abundant in the earth's crust it is
    found naturally throughout the world. The major natural sources of
    lead are volcanic emissions, geochemical weathering, and emissions
    from sea spray. A small amount of radioisotopic lead (207Pb) is
    derived from the decay of radon gas released from geological sources.
    It has been estimated that the worldwide natural emission rates of
    lead are of the order of 19 000 tonnes/year (Nriagu & Pacyna, 1988),
    with volcanic sources accounting for 6400 tonnes/year (Nriagu, 1979).

         Owing to centuries of human exploitation of lead resources, it is
    difficult to determine the natural content of lead in most ecosystems.
    Data on environmental levels, uses, and sources of lead have been
    summarized in a recent review (OECD, 1993).

    3.1.1  Rocks and soils

         The average concentration of lead in the earth's crust is between
    10 and 20 mg/kg (IPCS, 1989). The major geological sources of lead are
    in igneous and metamorphic rocks.

         The soil is the most important repository in terrestrial
    ecosystems for contaminants of anthropogenic origin (Nriagu & Pacyna,
    1988; Nriagu, 1989). The lead content of soils (which are for
    discussion purposes distinguished here from surface dusts) is greatly
    influenced by anthropogenic activities and by long- and short-range
    airborne transport of lead from various sources. Both dry and wet
    deposition are important routes of input.

         Lead in soil may be relatively insoluble (as a sulfate, carbonate
    or oxide), soluble, adsorbed onto clays, adsorbed and coprecipitated
    with sesquioxides, adsorbed onto colloidal organic matter, or
    complexed with organic moieties in soil (US EPA, 1986a; IPCS, 1989).
    Soil pH, content of humic and fulvic acids, and amount of organic
    matter influence the content and mobility of lead in soils. Since
    acidic conditions favour the solubilization and leaching of lead from
    the solid phase, acidic soils tend to have lower lead concentrations
    when analysed as dry soil. Humic and fulvic acids can also mobilize
    lead, and certain complex organic molecules can act as chelators of
    lead (IPCS, 1989).

         Background levels of lead in soil are in the range of 10-70 mg/kg
    (GEMS, 1985). Similar results have been found in studies of mobile
    source contamination near highways; soil taken at distances of
    50-100 m from highways (outside the range of immediate impact from
    traffic emissions) usually shows levels of lead below 40 mg/kg. In the
    1985, GEMS survey of selected countries, lead concentrations in
    topsoil from Malta were found to have a mean of 54 mg/kg in areas at

    least 5 m from roadways; less than one metre from roadways the mean
    concentration was 138 mg/kg. A 1977 report from Sweden found a mean of
    16 mg/kg in non-contaminated areas (GEMS, 1985).

    3.1.2  Sediments

         Sediments from freshwater and marine environments have been
    studied for lead content. This compartment provides a unique record of
    the history of changes in global lead fluxes (Patterson, 1983). Levels
    of lead in sediments dated before the onset of the industrial
    revolution in Western Europe show very low levels, less than 10% of
    current levels (Flegal et al., 1987). The average background level of
    lead in marine sediments off southern California was reported by
    Flegal et al. (1987) to be 1.3 mg/kg.

    3.1.3  Water

         Flegal et al. (1987) estimate that the natural concentration of
    lead in surface water is about 0.02 µg/litre. In general, lead is not
    found in ground or surface waters at concentrations above 10 µg/litre
    (IPCS, 1989).

         Data from oceans indicate very low levels of lead in sea-water
    samples not affected directly by significant sources of lead. Water
    samples taken from an area of the Pacific, where annual windborne-
    input fluxes of lead are estimated to be 3 mg/cm2, have lead
    concentrations of 3.5 ng/litre (0-100 m depth) and 0.9 ng/litre at
    depths greater than 2500 m. In contrast, water samples taken from the
    north Atlantic, where annual windborne-input fluxes of lead are
    170 mg/cm2, contain 34 ng lead/litre at the surface and 5 ng/litre
    in depths below 2500 m (Patterson, 1983). Settle & Patterson (1980)
    have estimated that prehistoric oceans contained 0.5 ng/litre lead.
    Flegal et al. (1987) have estimated that over 95% of the lead in
    off-shore surface waters is the result of windborne inputs. However,
    in coastal waters near Monterey (California, USA), higher
    concentrations of lead were found in sea water, sediments and
    organisms; these elevations were related to specific sources by
    systematic isotope analyses (Flegal et al., 1987).

    3.1.4  Air

         Anthropogenic inputs of lead from a range of sources have
    resulted in global dispersion of both inorganic and organic species of
    lead into the air, of which 80-90% is derived from alkyllead fuel
    additives (WHO, 1987). Nriagu & Pacyna (1988) estimated that a total
    of 330 000 tonnes of lead is discharged directly into the atmosphere
    each year. Estimations of pre-industrial levels of lead in air from
    natural origins (volcanic emissions, crustal weathering, radon decay
    and sea-spray releases) are in the range of 0.01-0.1 µg/m3 (US NRC,
    1980). The lowest level reported since 1975 is 0.076 ng/m3 measured
    at the South Pole (US EPA, 1986a).

    3.1.5  Plants

         Lead occurs naturally in plants and results from both deposition
    and uptake. There is a positive linear relationship between lead
    concentrations in plants and soil (Davies & Thornton, 1989). As with
    other environmental compartments, measurement of "background" levels
    of lead in plants is complicated by the general contamination of the
    globe from centuries of lead use, which has included direct
    application of lead-containing chemicals in agriculture (see below)
    and contamination of fertilizers with lead. Lead has been measured in
    superphosphate fertilizer at concentrations as high as 92 mg/kg (Lisk,
    1972). Sewage sludge, used as a source of nutrients in agriculture,
    may contain even higher levels of lead. The concentration of lead in
    sewage sludge is typically < 1000 mg/kg. Levels as high as 26 g/kg
    have been measured in the USA (Chaney et al., 1984). Soil receiving
    heavy sludge applications over long periods of time (years) contained
    425 mg lead/kg; the concentration in untreated soil was 47 mg/kg
    (Beckett, 1979).

    3.1.6  Environmental contamination from natural sources

         The contribution of natural sources of lead to human exposure is
    small. As a result of various breakdown processes, rocks yield lead
    which is transferred to the biosphere and the atmosphere, and,
    ultimately, back to the earth's crust in the form of sedimentary
    rocks. Soluble lead has for thousands of years entered the oceans with
    river discharges, and the rate has been estimated by Patterson (1965)
    to be around 17 000 tonnes/year. Sources contributing to airborne lead
    are silicate dusts, volcanic halogen aerosols, forest fires, sea salts
    aerosols, meteoric and meteorite residues, and lead derived from the
    decay of radon. While the lead content of most coals is relatively
    low, coal fly ash is enriched in lead (Hutton et al., 1988) and is a
    source of environmental contamination.

    3.2  Anthropogenic sources

         World lead consumption has steadily increased over the period
    1965-1990 and was about 5.6 × 106 tonnes in 1990 (OECD, 1993).

         Further review of the data summarized by OECD (1993) indicates a
    change in consumption patterns worldwide. Although the consumption of
    lead within the 24 countries of the OECD increased only slightly over
    the decade from 1980 to 1990, consumption within less developed
    economies (Africa and Asia) increased from 315 000 tonnes in 1970 to
    844 000 tonnes in 1990.

    3.2.1  Lead mining

         Lead occurs in a variety of minerals, the most important of which
    are galena (PbS), cerrusite (PbCO3) and anglesite (PbSO4). Galena
    is by far the most important source of primary lead. It occurs mostly

    in deposits associated with other minerals, particularly those
    containing zinc. Mixed lead and zinc ores account for about 70% of
    total primary lead supplies. Ores containing mainly lead account for
    about 20% and the remaining 10% is obtained as a by-product from other
    deposits, such as mixed copper-zinc deposits. The proportions of
    various metals may differ in the ores of different countries. Silver
    is the most important of the other metals frequently present in lead
    deposits, but copper may also be present in concentrations high enough
    to be commercially important. Other minor constituents of lead ores
    are gold, bismuth, antimony, arsenic, cadmium, tin, gallium, thallium,
    indium, germanium and tellurium.

         The major countries producing lead from mining activity during
    1987-1991 were the USA, Canada, Australia, Peru, the former USSR and
    Mexico, as shown in Table 4. Other countries producing lead from lead
    ores include China, the former Yugoslavia, Morocco, Spain, Sweden and
    Tunisia. In general, the level of world production of lead from mining
    activities has remained relatively constant at about 3.3 × 106
    tonnes between 1988 and 1991 (ILZSG, 1992); this represents roughly
    60% of the world demand for lead.


    Table 4.  Major countries producing lead from ore and ore
              concentratesa
                                                                         

    Country      1987        1988        1989        1990        1991
                                                                         

    Canada       423 200     366 600     276 100     241 300     278 100

    USA          318 300     395 700     419 300     495 200     483 300

    Ex-USSR      510 000     520 000     500 000     490 000       --

    Australia    489 200     462 000     495 000     570 000     579 000

    Mexico       177 200     178 100     163 000     174 100     158 800

    Peru         204 000     149 000     192 200     187 800     199 100
                                                                         

    a  From: World Bureau of Metal Statistics (1992)


    3.2.2  Smelting and refining

         Smelting and refining are classified as either primary or
    secondary, the former producing refined lead products from ores or
    concentrates (primary lead) and the latter producing lead by
    recovering it from lead-bearing scrap and waste materials (secondary
    lead). Secondary lead is derived from processing what is termed new

    scrap arising during manufacturing processes and recycled old scrap
    arising from waste materials containing lead. Most scrap is from old
    sources, of which the most important are lead plates from batteries,
    solder, common babbitt, soft lead, lead solders, cable coverings, type
    metals, dross and other lead-containing products. There has been an
    increasing contribution of secondary lead sources to the total
    worldwide production of lead, as shown in Table 5 (World Bureau of
    Metal Statistics, 1992). Secondary sources of lead supplied between 35
    and 40% of world production during the period from 1970 to 1990.

    3.2.3  Environmental pollution from production of lead

         Mining operations and the smelting and refining of both primary
    and secondary lead are known to cause contamination of the nearby
    environment. The nature and extent of contamination depends on many
    factors, including the level of production, the effectiveness of
    emission controls, climate, topography and other local factors.
    Concentrations are usually highest within 3 km of the point source (US
    EPA, 1989). A report from China found that lead levels in ambient air,
    plants and soil increased proportionally with proximity to a large
    primary smelter; at 50 m from the source, the air lead level was
    60 µg/m3, the lead level in plants was 29.1 mg/kg, and soil lead
    level was 170 mg/kg (Wang, 1984). However, some earlier studies have
    shown air pollution and soil contamination as far as 10 km from
    smelters (Djuric et al., 1971; Kerin, 1973; Landrigan et al., 1975).


    Table 5.  Relative contribution of primary and secondary sources
              relative to world lead production (1987-1990)a
                                                                         

                        1987         1988          1989          1990
                                                                         

    Primary           422 100     3 414 200      3 286 500     3 324 500
    Secondary       2 045 600     2 103 900      2 272 900     2 254 800
                                                                         

    a  From: World Bureau of Metal Statistics (1992)


         The impacts of lead mining and smelting can persist for long
    periods of time. A study conducted in Wales, United Kingdom, in an
    area where lead mining began 2000 years ago and ended in the middle of
    the 20th century, found high concentrations of lead in soils (Davies
    et al., 1985). In Port Pirie, Australia, a community with one of the
    world's largest and oldest primary lead smelters, lead levels in soils
    were found to be grossly elevated, and the incidence of elevated blood
    lead levels in pregnant women and young children was also increased
    above that found in other communities in Australia (Wilson et al.,
    1986).

    3.3  Consumption and uses of lead and its compounds

         Lead has a combination of physical and chemical properties that
    have made it extremely useful industrially, i.e. high density, high
    opacity to gamma and X-ray energies, low sound conductance, a low
    melting point, exceptional malleability, high corrosion resistance,
    and stability. In 1990, 5.627 × 106 tonnes of lead were consumed
    worldwide (ILZSG, 1992). The twenty-four industrialized countries of
    the OECD consumed approximately 65% of this amount, with eastern
    Europe and the former USSR using 21%. Asia now utilizes about 9% of
    the world's lead production.

         The use patterns of refined lead vary from country to country.
    The situation in 1990 in Mexico is shown in Table 6, while end-use
    categories within OECD countries are summarized in Fig. 1, which
    indicates the changes between 1970 and 1990 (OECD, 1993).


    Table 6.  Principal uses of refined lead in Mexicoa
                                             

    Type of product      1988          1990
                         (%)           (%)
                                             

    Oxides               69.7          56.7
    Batteries             9.2          17.9
    Tetraethyllead        7.9          11.9b
    Cables                4.0           1.5
    Others                9.2          11.9
                                             

    a  ILZSG (1992)
    b  This does not reflect the introduction of lead-free petrol
       in 1990.

         From Fig. 1, it is evident that the largest use of lead within
    OECD countries is for battery production, whereas there has been a
    large drop in the demand for lead-containing gasoline additives.
    However, this pattern is not valid worldwide, e.g., concentrations in
    petrol range from zero in such countries as Japan and Thailand to
    1.12 g/litre in the Virgin Islands (Octel, 1991).

         In the past the use of lead in the chemical industry for the
    preparation of paints, pigments and coloured inks was widespread. Many
    countries have now restricted this use, and concentrations of lead
    greater than 0.06% (USA) and 0.5% (New Zealand) are not permitted in
    indoor paints (Albert & Badillo, 1991; OECD, 1993). In 1982, data from
    the United Kingdom (UK, 1982) indicated levels of lead between 2500
    and 3000 mg/kg in decorative glass paints and up to 448 g/kg in
    white-lead primer. Red-leadcontaining paints, still used widely to
    paint structural steel works, can contain up to 661 g lead/kg.

    FIGURE 1

         Other disperse uses of lead include lead solders (now banned in
    USA for use in drinking-water systems), ammunition (Novotny et al.,
    1987), foil on wine bottles (Wai et al., 1979) and cosmetics and
    folk-medicines (surma in Asia, Kohl in India, and Al Kohl in Saudi
    Arabia and Kuwait) (Fernando et al., 1981).

    3.4  Sources of environmental exposure

         As noted above, lead is a ubiquitous pollutant in the global
    ecosystem, as well as occurring naturally. Its uses have resulted in
    increases in soil, water and air lead levels to one to two orders of
    magnitude above those estimated to have prevailed prior to rapid
    industrialization in the 18th and 19th centuries (Patterson, 1983).
    Whereas in specific areas point sources may contribute significant
    amounts of lead to the environment, on a global scale, the combustion
    of alkyllead in petrol is the predominant source of increased lead in
    all compartments of the environment. This has been hypothesized based
    upon mass balance studies (Nriagu, 1979) and confirmed by the changes
    in environmental lead levels which have followed the significant
    reductions in worldwide use of alkyllead as a gasoline additive since
    the mid-1980s. For example, lead concentrations in Greenland snow
    decreased by a factor of 7.5 over a 20-year period from the late 1960s
    (Boutron et al., 1991).

         Nriagu & Pacyna (1988) have estimated the global emissions of
    lead to the atmosphere resulting from anthropogenic uses (Table 7).
    Current estimates (OECD, 1993) of emissions from mobile sources would
    be about 30% of the 1983 amounts. Similarly estimates of emissions of
    lead to soil in 1983 were made by Nriagu & Pacyna (1988) (Table 8).
    Since lead is never degraded, all lead which is shifted from
    geological sources by human technology eventually enters the
    environment through disposal, although this can be slowed by recycling
    and recovery.

         Municipal solid waste (MSW), solid waste, hazardous waste, sewage
    sludge, and industrial waste-water discharges all may contain lead at
    concentrations as high as 50 g/kg. Although few measurements of
    environmental lead concentrations in the vicinity of disposal sites
    have been conducted, analyses of fly and bottom ash from municipal
    incinerators show high concentrations (up to 50 g/kg) of lead (Wadge &
    Hutton, 1987), and land disposal sites which have received incinerator
    ash for a number of years show high levels of lead in soil (Hutton et
    al., 1988).

         Dusting and flaking of lead paint from surfaces can be a source
    of lead contamination in surface dust and soil near houses or
    buildings as well as contributing to the concentrations of lead in
    household dust. This process is a function of the type of paint and
    the age and state of repair of the structure. When lead paint is
    present on structures, both interior and exterior dusts have higher

    concentrations than otherwise would be expected (Thornton et al.,
    1985). Abatement of lead paint may be a major local source of
    environmental contamination, as shown by studies near school buildings
    in London (Rundle & Duggan, 1986). Removal of lead-based paints from
    bridges and water towers using improper techniques can also result in
    significant environmental contamination. Direct application of
    lead-contaminated sludge as fertilizers, and residues of lead arsenate
    from use in agriculture can lead to the contamination of soil, surface
    water and ground water. In local aquatic environments, pollution can
    result from leaching of lead from lead shot, shotgun cartridges and
    fishing weights (IPCS, 1989). Coal contains small amounts of lead,
    which can be concentrated in fly ash from coal combustion (Wadge &
    Hutton, 1987) or in stack emissions (Table 8).

        Table 7.  Estimated worldwide anthropogenic emissions of lead to
              the atmosphere (1983)a
                                                                               
    Source category                                  Emission rate (tonnes/year)
                                                                               

    Coal combustion
    - electric utilities                                          780-4650
    - industry and domestic                                       990-9900

    Oil combustion
    - electric utilities                                          230-1740
    - industry and domestic                                       720-2150

    Pyrometallurgical non-ferrous metal production
    - mining                                                     1700-3400
    - lead production                                        11 700-31 200
    - copper-nickel production                               11 000-22 100
    - zinc-cadmium production                                  5520-11 500

    Secondary non-ferrous metal production                         90-1440

    Steel and iron manufacturing                               1070-14 200

    Refuse incineration
    - municipal                                                  1400-2800
    - sewage sludge                                                240-300

    Phosphate fertilizers                                           60-270

    Cement production                                            20-14 200

    Wood combustion                                              1200-3000

    Mobile sourcesb                                                248 030

    Miscellaneous                                                3900-5100

    Total                                                  289 000-376 000

                                                          (median 332 000)

                                                                               

    a  Adapted from: Nriagu & Pacyna (1988), as in OECD (1993).
    b  Current estimates (OECD, 1993) for mobile source emissions
       would be about 30% of the 1983 amounts.

    Table 8.  Worldwide emissions of lead into soils (1983)
                                                                               
    Source category                                  Emission rate (tonnes/year)
                                                                               

    Agricultural and food wastes                               1500-27 000
    Animal wastes, manure                                      3200-20 000
    Logging and other wood wastes                                6600-8200
    Urban refuse                                             18 000-62 000
    Municipal sewage sludge                                      2800-9700
    Miscellaneous organic wastes, including excreta                20-1600
    Solid wastes, metal manufacturing                          4100-11 000
    Coal fly ash, bottom fly ash                            45 000-242 000
    Fertilizer                                                    420-2300
    Peat (agricultural and fuel use)                              450-2000
    Wastage of commercial products                         195 000-390 000
    Atmospheric fall-out                                   202 000-263 000
                                                                          

    Total yearly input to soils                          479 090-1 038 800

    Mine tailings                                          130 000-390 000

    Smelter slags and wastes                               194 000-390 000
                                                                          

    Total yearly discharge on land                       803 090-1 818 800
                                                                               

    a  From: Nriagu & Pacyna (1988), adapted from OECD (1993);
       many of these emissions remain localized due to the nature of
       the particulate matter
    
    4.  ENVIRONMENTAL TRANSPORT, DISTRIBUTION AND TRANSFORMATI