Needleman H L
Department of Psychiatry, University of Pittsburgh School of Medicine, 3520 Fifth Avenue, Suite 310, Pittsburgh, Pennsylvania 15213, USA.
Environ Res. 2000 Sep;84(1):20-35. doi: 10.1006/enrs.2000.4069.
Tetraethyllead (TEL) was first fabricated for use in gasoline in 1923. Shortly after manufacture began, workers at all three plants began to become floridly psychotic and die. A moratorium on TEL production was put into place, but was lifted in 1926. Between 1926 and 1965, the prevailing consensus was that lead toxicity occurred only at high levels of exposure and that lead in the atmosphere was harmless. Most of the data on lead toxicity issued from a single source, the Kettering Laboratory in Cincinnati. In 1959, the first warnings of adverse health effects of lead at silent doses were raised by Clair Patterson, a geochemist. In hearings before the Senate Committee on Public Works, Senator Edward Muskie raised the question of adverse health effects from airborne lead. As new data accumulated on health effects of lead at lower doses, the movement to remove lead from gasoline gained momentum, and the Environmental Protection Agency examined the question. The removal of lead would take place over the next 25 years, and its accomplishment would require a severe change in the federal stance regarding its hazard. This article details the interaction of various forces, industrial, regulatory, judicial, public health, and public interest, that were engaged in this contest and estimates the value of this step.
四乙基铅(TEL)于1923年首次被制造出来用于汽油。生产开始后不久,三家工厂的工人都开始出现明显的精神错乱并死亡。TEL生产被暂停,但在1926年又恢复了。在1926年至1965年期间,普遍的共识是铅中毒仅在高暴露水平下才会发生,大气中的铅是无害的。关于铅毒性的大多数数据都来自辛辛那提的凯特林实验室这一个来源。1959年,地球化学家克莱尔·帕特森首次提出了低剂量铅对健康产生不良影响的警告。在参议院公共工程委员会的听证会上,参议员爱德华·马斯基提出了空气中铅对健康产生不良影响的问题。随着关于低剂量铅对健康影响的新数据不断积累,从汽油中去除铅的运动势头渐强,环境保护局对这个问题进行了审查。铅的去除将在接下来的25年里进行,而要实现这一目标,需要联邦政府在铅危害问题上的立场发生重大转变。本文详细介绍了参与这场较量的各种力量——工业、监管、司法、公共卫生和公共利益——之间的相互作用,并评估了这一步骤的价值。