A comparative health assessment of occupationally lead exposed individuals with blood lead levels range across upper acceptable limit

Context: Lead (Pb) smelting workers are exposed to high lead levels and its adverse health effects. Despite no biological role, regulatory bodies regard blood lead levels (BLL) ≤40 μg/dL as upper acceptable limit in occupationally lead exposed population. Objective: To explore the differences in gen...

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Main Authors: Kuldip Upadhyay, Ankit Viramgami, Rakesh Balachandar, Avinash Pagdhune, Somnath Sen, Kamalesh Sarkar
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2022-01-01
Series:Indian Journal of Community Medicine
Subjects:
Online Access:http://www.ijcm.org.in/article.asp?issn=0970-0218;year=2022;volume=47;issue=3;spage=343;epage=346;aulast=Upadhyay
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author Kuldip Upadhyay
Ankit Viramgami
Rakesh Balachandar
Avinash Pagdhune
Somnath Sen
Kamalesh Sarkar
author_facet Kuldip Upadhyay
Ankit Viramgami
Rakesh Balachandar
Avinash Pagdhune
Somnath Sen
Kamalesh Sarkar
author_sort Kuldip Upadhyay
collection DOAJ
description Context: Lead (Pb) smelting workers are exposed to high lead levels and its adverse health effects. Despite no biological role, regulatory bodies regard blood lead levels (BLL) ≤40 μg/dL as upper acceptable limit in occupationally lead exposed population. Objective: To explore the differences in general health status of individuals with BLL ≤40 μg/dL and >40 μg/dL. Methods: All workers (n = 803) of age >18 years employed in a Pb smelting plant were interviewed with a semi-structured questionnaire to obtain sociodemographics, occupational details, followed by detailed clinical examination. 5 ml of venous blood was collected and BLLs were determined as per standard NIOSH method using GF-AAS technic. A complete general health status was performed including hemoglobin and blood pressure (BP). Results: About 47.7% of the participants exhibited high BLL (>40 μg/dL), while the rest 52.3% were identified to have ≤40 μg/dL. Both groups were grossly similar in the majority of demographic and occupational parameters. Interestingly, both groups had substantially higher fraction of workers with elevated BP. Conclusions: Lead exposed workers with BLL ≤40 μg/dL are at equal risk of health hazards as those with BLL >40 μg/dL. There is a need to revisit the current guidelines on the BLL for workers to protect from the hazards of chronic lead exposure.
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spelling doaj.art-347c80c25b934d42921a829d70338ca42022-12-22T02:49:23ZengWolters Kluwer Medknow PublicationsIndian Journal of Community Medicine0970-02181998-35812022-01-0147334334610.4103/ijcm.ijcm_756_21A comparative health assessment of occupationally lead exposed individuals with blood lead levels range across upper acceptable limitKuldip UpadhyayAnkit ViramgamiRakesh BalachandarAvinash PagdhuneSomnath SenKamalesh SarkarContext: Lead (Pb) smelting workers are exposed to high lead levels and its adverse health effects. Despite no biological role, regulatory bodies regard blood lead levels (BLL) ≤40 μg/dL as upper acceptable limit in occupationally lead exposed population. Objective: To explore the differences in general health status of individuals with BLL ≤40 μg/dL and >40 μg/dL. Methods: All workers (n = 803) of age >18 years employed in a Pb smelting plant were interviewed with a semi-structured questionnaire to obtain sociodemographics, occupational details, followed by detailed clinical examination. 5 ml of venous blood was collected and BLLs were determined as per standard NIOSH method using GF-AAS technic. A complete general health status was performed including hemoglobin and blood pressure (BP). Results: About 47.7% of the participants exhibited high BLL (>40 μg/dL), while the rest 52.3% were identified to have ≤40 μg/dL. Both groups were grossly similar in the majority of demographic and occupational parameters. Interestingly, both groups had substantially higher fraction of workers with elevated BP. Conclusions: Lead exposed workers with BLL ≤40 μg/dL are at equal risk of health hazards as those with BLL >40 μg/dL. There is a need to revisit the current guidelines on the BLL for workers to protect from the hazards of chronic lead exposure.http://www.ijcm.org.in/article.asp?issn=0970-0218;year=2022;volume=47;issue=3;spage=343;epage=346;aulast=Upadhyayanaemiablood lead levelsblood pressureoccupational lead exposureupper acceptable limit
spellingShingle Kuldip Upadhyay
Ankit Viramgami
Rakesh Balachandar
Avinash Pagdhune
Somnath Sen
Kamalesh Sarkar
A comparative health assessment of occupationally lead exposed individuals with blood lead levels range across upper acceptable limit
Indian Journal of Community Medicine
anaemia
blood lead levels
blood pressure
occupational lead exposure
upper acceptable limit
title A comparative health assessment of occupationally lead exposed individuals with blood lead levels range across upper acceptable limit
title_full A comparative health assessment of occupationally lead exposed individuals with blood lead levels range across upper acceptable limit
title_fullStr A comparative health assessment of occupationally lead exposed individuals with blood lead levels range across upper acceptable limit
title_full_unstemmed A comparative health assessment of occupationally lead exposed individuals with blood lead levels range across upper acceptable limit
title_short A comparative health assessment of occupationally lead exposed individuals with blood lead levels range across upper acceptable limit
title_sort comparative health assessment of occupationally lead exposed individuals with blood lead levels range across upper acceptable limit
topic anaemia
blood lead levels
blood pressure
occupational lead exposure
upper acceptable limit
url http://www.ijcm.org.in/article.asp?issn=0970-0218;year=2022;volume=47;issue=3;spage=343;epage=346;aulast=Upadhyay
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