Abstract
Lead is a heavy metal that occurs naturally in the Earth’s crust. Lead does not break down in the environment; if left undisturbed, lead is virtually immobile. However, once mined and transformed into man-made products dispersed throughout the environment, lead becomes highly toxic to humans. Lead is ubiquitous in older American homes in house paint and is common in certain industrial workplaces, due to its widespread use over the course of the past century.
The health effects of lead poisoning can be quite serious, and there are numerous regulations regarding its use. The Consumer Product Safety Commission bans the use of lead-based paint in residences. The Occupational Safety and Health Administration sets limits on permissible exposure to lead in the workplace. However, because lead-based paint inhibits the rusting and corrosion of iron and steel, lead continues to be used on bridges, railways, ships, lighthouses, and other steel structures. This is the case even though substitute lead-free coatings are available.
Lead is most commonly absorbed into the body by inhalation, in the form of lead-contaminated dust or mist, often generated from old lead-based paint that has begun to chip. A significant portion of inhaled or ingested lead is absorbed into the bloodstream. Once in the bloodstream, lead circulates through the body and is stored in various organs and body tissues. As exposure continues, the amount stored will increase and accumulate in the body, where it can slowly cause irreversible damage, first to individual cells, then to organs and whole body systems.
Lead is toxic to both male and female reproductive systems. Lead can lead to miscarriage and stillbirth in women exposed to lead. Children born to parents who were exposed to excess lead levels are more likely to have birth defects, mental retardation, or behavioral disorders and are more likely to die during the first year of childhood. Lead is much more harmful to children than adults because it can affect children’s brains and nervous systems, which are still developing. Children are more vulnerable to permanent damage; for example, learning disabilities, behavioral abnormalities, attention deficit problems, and insomnia.
Children are also at higher risk because they are more likely to unknowingly inhale or ingest lead. Exposure to lead in house dust tends to be highest for young children, due to their frequent and extensive contact with floors, carpets, window areas, and other surfaces where dust gathers, as well as their frequent hand-to-mouth activity. It is common for young children to put everything, including hands, pacifiers, toys, and other small objects, into their mouths.
Workers involved in iron work, demolition work, painting, lead-based paint abatement, plumbing, heating and air conditioning, and carpentry are also potentially at risk for high lead exposure.
There have been significant efforts over the past few decades to reduce lead exposure in the USA, but lead poisoning is still an important public health issue. To address potential lead poisoning, a risk evaluation of a building or home will determine the risk and extent of the lead hazard present. Once a lead risk is confirmed, the building should undergo abatement, the process of eliminating or mitigating the lead hazard. There are several approaches to abatement that can be taken.
This chapter will discuss the health effects of lead on children, women, workers, and their protection. It will then detail the types of abatement and how they can be implemented. The risk evaluation and the US federal and New York State rules and regulations on lead will also be discussed.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
Abbreviations
- ABLES:
-
New Jersey Adult Blood Lead Epidemiology and Surveillance System
- ACCLPP:
-
Advisory Committee on Childhood Lead Poisoning Prevention
- ACGIH:
-
American Conference of Government Industrial Hygienists
- ASTM:
-
American Society for Testing and Materials
- ATSDR:
-
Agency for Toxic Substances and Disease Registry
- BLL:
-
Blood lead level
- CDCP:
-
Centers for Disease Control and Prevention
- CPSC:
-
Consumer Product Safety Commission
- FDA:
-
Food and Drug Administration
- HEPA:
-
High-efficiency particulate air
- HUD:
-
US Department of Housing and Urban Development
- LBP:
-
Lead-based paint
- MCLG:
-
Maximum contaminant level goal
- MSDS:
-
Material safety data sheet
- NAAQS:
-
National Ambient Air Quality Standard
- NHANES:
-
National Health and Nutrition Examination Survey
- NIOSH:
-
National Institute for Occupational Safety and Health
- NLLAP:
-
National Lead Laboratory Accreditation Program
- NTP:
-
National Toxicology Program
- NYCRR:
-
New York Codes, Rules, and Regulations
- NYS:
-
New York State
- NYSDOH:
-
New York State Department of Health
- OSHA:
-
Occupational Safety and Health Administration
- PEL:
-
Permissible exposure limit
- PPE:
-
Personal protection equipment
- PPM:
-
Parts per million
- REL:
-
Recommended exposure limit
- TLV:
-
Threshold limit value
- TSCA:
-
Toxic Substances Control Act
- TWA:
-
Time-weighted average
- US EPA:
-
US Environmental Protection Agency
- μg/dL:
-
Microgram per deciliter
- μg/g:
-
Microgram per gram
- μg/L:
-
Microgram per liter
- μg/m3 :
-
Microgram per cubic meter
References
Needleman H (2014) History of lead poisoning in the World. http://www.org.au/history_of_lead_poisoning_in_the_world
ATSDR (1990) Toxicological profile for lead. U.S. Department of Health and Human Services, ATSDR Publication No. TP–88/17
CDCP (1991) Preventing lead poisoning in young children, US Department of Health and Human Services, Centers for Disease Control and Prevention, Atlanta
NIOSH (1978) Criteria for a recommended standard: occupational exposure to inorganic lead, Revised Criteria—1978. U.S. Department of Health, Education, and Welfare, Public Health Service, Center for Disease Control, National Institute for Occupational Safety and Health, DHEW (NIOSH) Publication No. 78–158
Mantere P, Hanninen H, Hernberg S, Luukkonen R (1984) A prospective follow-up study on psychological effects in workers exposed to low levels of lead. Scand J Work Environ Health 10:43–50
Hogstedt C, Hane M, Agrell A, Bodin L (1983) Neuropsychological test results and symptoms among workers with well-defined long-term exposure to lead. Br J Ind Med 40:99–105
Seppäläinen AM, Hernberg S, Vesanto R, Kock B (1983) Early neurotoxic effects of occupational lead exposure: a prospective study. Neurotoxicology 4(2):181–192
Goyer RA (1989) Mechanisms of lead and cadmium nephrotoxicity. Toxicol Lett 46:153–162
Rom W (1976) Effects of lead on the female and reproduction: a review. Mt Sinai J Med 43:542–552
Andrews KW, Savitz DA, Hertz-Picciotto I (1994) Prenatal lead exposure in relation to gestational age and birth weight: a review of epidemiologic studies. Am J Ind Med 26:13–32
Schwartz J (1994) Low-level lead exposure and children’s IQ: a meta analysis and search for a threshold. Environ Res 65:42–55
Zi-quiang C, Qi-ing C, Chin-chin P, Jia-yian Q (1985) Peripheral nerve conduction velocity in workers occupationally exposed to lead. Scand J Work Environ Health 11(4):26–28
Fisher-Fischbein J, Fischbein A, Melnick HD, Bardin W (1987) Correlation between biochemical indicators of lead exposure and semen quality in a lead-poisoned firearms instructor. JAMA 257(6):803–805
Lancranjan I, Popescu HI, Gavanescu O, Klepsch I, Serbanescu M (1975) Reproductive ability of workmen occupationally exposed to lead. Arch Environ Health 30:396–401
Alexander BH, Checkoway H, van Netten C, Muller CH, Ewers TG, Kaufman JD, Mueller BA, Vaughan TL, Faustman EM (1996) Semen quality of men employed at a lead smelter. Occup Environ Med 53:411–416
Braunstein GD, Dahlgren J, Loriaux DL (1978) Hypogonadism in chronically lead-poisoned men [Abstract]. Infertility 1(1):33–51
Ng TP, Goh HH, Ng YL, Ong HY, Ong CN, Chia KS, Chia SE, Jeyaratnam J (1991) Male endocrine functions in workers with moderate exposure to lead. Br J Ind Med 48:485–491
Dingwall–Fordyce I, Lane RE (1963) A follow-up study of lead workers. Br J Ind Med 20:313–315
Schwartz J (1991) Lead, blood pressure, and cardiovascular disease in men and women. Environ Health Perspect 91:71–75
Pocock SJ, Shaper AG, Ashby D, Delves HT, Clayton BE (1988) The relationship between blood lead, blood pressure, stroke, and heart attacks in middle-aged British men. Environ Health Perspect 78:23–30
Pirkle JL, Schwartz J, Landis JR, Harlan WR (1985) The relationship between blood lead levels and blood pressure and its cardiovascular risk implications. Am J Epidemiol 121(2):246–258
Hertz-Picciotto I, Croft J (1993) Review of the relation between blood lead and blood pressure. Epidemiol Rev 15(2):352
Schwartz J (1995) Lead, blood pressure and cardiovascular disease in men. Environ Health 50:51
Anttila A, Heikkilä P, Nykyri E, Kauppinen T, Hernberg S, Hemminki K (1995) Excess lung cancer among workers exposed to lead. Scand J Work Environ Health 21:460–469
Steenland K, Sevelan S, Landrigan P (1992) Mortality of lead smelter workers: an update. Am J Public Health 82(12):1641–1644
US EPA (2006) Air quality criteria for lead. Volume I of II. US Environmental Protection Agency. EPA/600/R-5/144aF
Davis JM, Elias RW, Grant LD (1993) Current issues in human lead exposure and regulation of lead. Neurotoxicology 14(2–3):1528
National Toxicology Program (2012) NTP monograph on health effects of low-level lead. National Institute of Environmental Health Sciences, National Toxicology Program, Research Triangle Park, Durham. http://ntp.niehs.nih.gov/go/36443
Bellinger D, Sloman J, Leviton A, Rabinowitz M, Needleman HL, Waternaux C (1991) Low-level lead exposure and children’s cognitive function in the preschool years. Pediatrics 87(2):219–227
Canfield RL, Henderson CR Jr, Cory-Slechta DA, Cox C, Jusko TA, Lanphear BP (2003) Intellectual impairment in children with blood lead concentrations below 10 microg per deciliter. N Engl J Med 348(16):1517–1526
Jusko TA, Henderson CR, Lanphear BP, Cory-Slechta DA, Parsons PJ, Canfield RL (2008) Blood lead concentrations < 10 microg/dL and child intelligence at 6 years of age. Environ Health Perspect 116(2):243–248
Lanphear BP, Dietrich K, Auinger P, Cox C (2000) Cognitive deficits associated with blood lead concentrations <10 microg/dL in US children and adolescents. Public Health Rep 115(6):521–529
Lanphear BP, Hornung R, Khoury J, Yolton K, Baghurst P, Bellinger DC, Canfield RL, Dietrich KN, Bornschein R, Greene T et al (2005) Low-level environmental lead exposure and children’s intellectual function: an international pooled analysis. Environ Health Perspect 113(7):894–899
Schnaas L, Rothenberg SJ, Flores MF, Martinez S, Hernandez C, Osorio E, Velasco SR, Perroni E (2006) Reduced intellectual development in children with prenatal lead exposure. Environ Health Perspect 114(5):791–797
Surkan PJ, Zhang A, Trachtenberg F, Daniel DB, McKinlay S, Bellinger DC (2007) Neuropsychological function in children with bloodLead levels <10 microg/dL. Neurotoxicology 28(6):1170–1177
CDCP (2005) Preventing lead poisoning in young children. U.S. Department of Health and Human Services, Centers for Disease Control and Prevention, Atlanta
Lanphear BP, Hornung R, Ho M, Howard CR, Eberly S, Knauf K (2002) Environmental lead exposure during early childhood. J Pediatr 140(1):40–47
Lanphear BP, Roghmann KJ (1997) Pathways of lead exposure in urban children. Environ Res 74(1):67–73
Rabinowitz M, Leviton A, Needleman H, Bellinger D, Waternaux C (1985) Environmental correlates of infant blood lead levels in Boston. Environ Res 38(1):96–107
Levin R, Brown MJ, Kashtock ME, Jacobs DE, Whelan EA, Rodman J, Schock MR, Padilla A, Sinks T (2008) Lead exposures in U.S. Children, 2008: implications for prevention. Environ Health Perspect 116(10):1285–1293
McElvaine MD, DeUngria EG, Matte TD, Copley CG, Binder S (1992) Prevalence of radiographic evidence of paint chip ingestion among children with moderate to severe lead poisoning, St Louis, Missouri, 1989 through 1990. Pediatrics 89(4 Pt 2):740–742
Lanphear BP, Matte TD, Rogers J, Clickner RP, Dietz B, Bornschein RL, Succop P, Mahaffey KR, Dixon S, Galke W et al (1998) The contribution of lead-contaminated house dust and residential soil to children’s blood lead levels. Environ Res 79(1):51–68
Ter Har G, Aronow R (1974) New information on lead in dirt and dust as related to the childhood lead problem. Environ Health Perspect 7:83–89. http://www.ncbi.nlm.nih.gov/pubmed/4831152
Linton RW, Natush DFS, Solomon RL, Evans CA (1980) Physicochemical characterization of lead in urban dusts: a microanalytical technique to lead tracing. Environ Sci Technol 14:159–164
Mielke HW, Reagan PL (1998) Soil is an important pathway of human lead exposure. Environ Health Perspect 106(Suppl 1):217–229
Edwards M, Triantafyllidou S, Best D (2009) Elevated blood lead in young children due to lead-contaminated drinking water: Washington, DC, 2001–2004. Environ Sci Tech 43(5):1618–1623
Miranda ML, Kim D, Hull AP, Paul CJ, Galeano MA (2007) Changes in blood lead levels associated with use of chloramines in water treatment systems. Environ Health Perspect 115(2):221–225
Ettinger AS, Tellez-Rojo MM, Amarasiriwardena C, Gonzalez-Cossio T, Peterson KE, Aro A, Hu H, Hernandez-Avila M (2004) Levels of lead in breast milk and their relation to maternal blood and bone lead levels at one month postpartum. Environ Health Perspect 112(8):926–931
Health Canada (2013) Final human health state of the science report on lead. Health Canada, Canada, 102 pages
Centers for Disease Control and Prevention (2002) Managing elevated blood lead levels among young children: recommendations from the advisory committee on childhood lead poisoning prevention. CDC, Atlanta
Centers for Disease Control and Prevention (1997) Screening young children for lead poisoning: guidance for state and local public health officials. Centers for Disease Control and Prevention, National Center for Environmental Health, U.S. Department of Health and Human Services, Public Health Service, Atlanta
CDCP, Atlanta (2007) Interpreting and managing blood lead levels < 10 μg/dL in children and reducing childhood exposures to lead: recommendations of the centers for disease control and prevention advisory committee on childhood lead poisoning prevention. Recomm Rep 56:1–14
CDCP, Atlanta (2012) Low level lead exposure harms children: a renewed call of primary prevention. www.cdc.gov/
Bellinger DC (2005) Teratogen update: lead and pregnancy. Birth Defects Res A Clin Mol Teratol 73(6):409–420
Kosnett MJ, Wedeen RP, Rothenberg SJ, Hipkins KL, Materna BL, Schwartz BS et al (2007) Recommendations for medical management of adult lead exposure. Environ Health Perspect 115(3):463–471
Sanin LH, Gonzalez-Cossio T, Romieu I, Peterson KE, Ruiz S, Palazuelos E et al (2001) Effect of maternal lead burden on infant weight and weight gain at one month of age among breastfed infants. Pediatrics 107(5):1016–1023
Shukla R, Bornschein RL, Dietrich KN, Buncher CR, Berger OG, Hammond PB et al (1989) Fetal and infant lead exposure: effects on growth in stature. Pediatrics 84(4):604–612
Piactelli GM, Whelan EA, Sieber WK, Gerwel M (1997) Elevated lead contamination in homes of construction workers. Am Ind Hyg Assoc J 58:447–454
CDCP (2016) Adult Blood Lead Epidemiology and Surveillance (ABLES). Centers for Disease Control and Prevention, Atlanta. Jan. 26, 2016
NIOSH (1997) Hazards evaluation and technical assistance report: people working cooperatively. NIOSH report no. HETA-0818-2649
US EPA Model Worker Course (2004) US Environmental Protection Agency, Washington, DC
Grimmer AE (1979) Preservation Brief no. 6, “Dangers of Abrasive Cleaning to Historic Buildings.” National Park Service. Washington, DC. June 1979
Burning the Paint Off: The Dangers Associated with Torches, Heat Guns, and other Thermal Devices for Paint Removal (FYI 10). Updated July 2000. Ttp//www.dhr.virginia.gov/pdf/burningpaint1.pdf
HUD (2012) Guidelines for the evaluation and control of lead-based paint hazards in housing, 2nd edn. Office of Healthy Homes and Lead Hazards Control, Washington, DC
Case Studies in Environmental Medicine (CSEM) Lead Toxicity (2012) http://www.atsdr.cdc.gov/csem/lead/docs/lead.pdf
CPSC (2011) Ban of lead-containing paint and certain consumer products bearing lead-containing paint (16 CFR 1303). US Consumer Product Safety Commission, Washington, DC
US EPA (2008 amended 2011) Lead renovation, repair and painting program rules. US Environmental Protection Agency, Washington, DC
NYSDOH (2014) NYS regulations for lead poisoning prevention and control. NY State Department of Health, Albany
VDOH (2014) Childhood lead poisoning prevention. Virginia Department of Health, Richmond, www.virginia.gov
CDPH (2014) Childhood lead poisoning prevention branch. California Department of Public Health, Sacramento. www.cdph.ca.gov
Chuang HY, Schwartz J, Gonzales-Cossio T, Lugo MC, Palazuelos E, Aro A, Hu H, Hernandez-Avila M (2001) Interrelations of lead levels in bone, venous blood, and umbilical cord blood with exogenous lead exposure through maternal plasma lead in peripartum women. Environ Health Perspect 109(5):527–532
US EPA (2015) Evaluating and eliminating lead-based paint hazards. US Environmental Protection Agency, Washington, DC. Www2.epa.gov/lead
Author information
Authors and Affiliations
Corresponding author
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 2016 Springer International Publishing Switzerland
About this chapter
Cite this chapter
Loh, N., Loh, HP., Wang, L.K., Wang, MH.S. (2016). Health Effects and Control of Toxic Lead in the Environment. In: Wang, L., Wang, MH., Hung, YT., Shammas, N. (eds) Natural Resources and Control Processes. Handbook of Environmental Engineering, vol 17. Springer, Cham. https://doi.org/10.1007/978-3-319-26800-2_5
Download citation
DOI: https://doi.org/10.1007/978-3-319-26800-2_5
Published:
Publisher Name: Springer, Cham
Print ISBN: 978-3-319-26798-2
Online ISBN: 978-3-319-26800-2
eBook Packages: EngineeringEngineering (R0)