Universidade de São Paulo, Faculdade de Saúde Pública, Departamento de Saúde Ambiental, São Paulo, SP, Brazil.
Rev Panam Salud Publica. 2009 Sep;26(3):266-75. doi: 10.1590/s1020-49892009000900011.
Lead-induced neurotoxicity acquired by low-level long-term exposure has special relevance for children. A plethora of recent reports has demonstrated a direct link between low-level lead exposure and deficits in the neurobehavioral-cognitive performance manifested from childhood through adolescence. In many studies, aggressiveness and delinquency have also been suggested as symptoms of lead poisoning. Several environmental, occupational and domestic sources of contaminant lead and consequent health risks are largely identified and understood, but the occurrences of lead poisoning remain numerous. There is an urgent need for public health policies to prevent lead poisoning so as to reduce individual and societal damages and losses. In this paper we describe unsuspected sources of contaminant lead, discuss the economic losses and urban violence possibly associated with lead contamination and review the molecular basis of lead-induced neurotoxicity, emphasizing its effects on the social behavior, delinquency and IQ of children and adolescents.
铅诱导的神经毒性是由低水平长期暴露引起的,对儿童具有特殊意义。大量最近的报告表明,低水平铅暴露与儿童期至青春期表现出的神经行为认知表现缺陷之间存在直接联系。在许多研究中,攻击性和犯罪行为也被认为是铅中毒的症状。已在很大程度上确定和了解了污染物铅的许多环境、职业和家庭来源以及相应的健康风险,但铅中毒的发生仍然很多。迫切需要制定公共卫生政策来预防铅中毒,以减少个人和社会的损害和损失。在本文中,我们描述了污染物铅的一些意想不到的来源,讨论了可能与铅污染相关的经济损失和城市暴力问题,并回顾了铅诱导的神经毒性的分子基础,强调了其对儿童和青少年社会行为、犯罪行为和智商的影响。