Hurtado Carlos Mauricio, Gutiérrez Myriam, Echeverry Jairo
Facultad de Medicina, Universidad Nacional de Colombia, Bogotá, D.C, Colombia.
Biomedica. 2008 Mar;28(1):116-25.
Lead is a harmless metal if not handled directly in the industrial process. Even thought lead has been eliminated from the gasoline in many countries, automobile battery recycling continues to be a potential source of exposure and intoxication for the workers and their families, particularly of low income. The current investigation was initiated after an index case of lead poisoning was reported from Soacha, Cundinamarca, in central Colombia.
Clinical investigation established lead levels and lead poison frequency in children with para-occupational lead exposure in the process of recycling automobile batteries.
This was designed as a descriptive study, with selection of subjects with high risk of possible lead exposure. Minors, mostly of school age were recruited based on referral by relatives, neighbors or acquaintances, all of whom were involved in para-occupational exposure. Thirty two children, less than 12 years old (majority school age), were included. General and specific examinations of the children were made, and blood samples were taken for lead and hematological determinations.
All subjects showed high levels of lead (2-9 times the maximum acceptable value) and, according to established criteria, two-thirds were rated as severely poisoned. The children with high levels of lead had tendency toward more specific hematological compromise and showing black gingival bordering (Burton border).
This study communicates to the sanitary authorities and government a clear sign of alarm in that measures must be taken to diminish the occupational or para-occupational lead exposure of children by way of the automobile battery recycling industry.
如果在工业过程中不直接接触,铅是一种无害金属。尽管许多国家已从汽油中去除了铅,但汽车电池回收仍然是工人及其家庭,特别是低收入家庭潜在的铅暴露和中毒源。本次调查是在哥伦比亚中部昆迪纳马卡省索阿查市报告了一例铅中毒病例后启动的。
通过临床调查确定在汽车电池回收过程中存在职业性铅暴露的儿童的铅水平和铅中毒频率。
本研究设计为描述性研究,选择可能有铅暴露高风险的受试者。主要招募学龄期未成年人,通过亲属、邻居或熟人转介,他们均参与了职业性铅暴露。纳入了32名12岁以下儿童(大多数为学龄期)。对儿童进行了全面和专项检查,并采集血样进行铅和血液学测定。
所有受试者的铅水平都很高(是最大可接受值的2至9倍),根据既定标准,三分之二的受试者被评为重度中毒。铅水平高的儿童更倾向于出现特定的血液学损害,并表现出牙龈边缘发黑(伯顿线)。
本研究向卫生当局和政府传达了一个明确的警示信号,即必须采取措施减少通过汽车电池回收行业对儿童造成的职业性或职业性铅暴露。