Landrigan P J, Straub W E
Am J Ind Med. 1985;8(3):233-9. doi: 10.1002/ajim.4700080308.
To evaluate occupational exposures to lead in shipfitters cutting and riveting lead-painted iron plates aboard an iron-hulled sailing vessel, we conducted an environmental and medical survey. Lead exposures in seven personal (breathing zone) air samples ranged from 108 to 500 micrograms/m3 (mean 257 micrograms/m3); all were above the Occupational Safety and Health Administration (OSHA) standard of 50 micrograms/m3. In two short-term air samples obtained while exhaust ventilation was temporarily disconnected, mean lead exposure rose to 547 micrograms/m3. Blood lead levels in ten shipfitters ranged from 25 to 53 micrograms/dl (mean, 37.8 micrograms/dl); levels in three of these workers exceeded the upper normal limit of 40 micrograms/dl. Blood lead levels in shipfitters were significantly higher than in other shipyard workers (mean 10.0 micrograms/dl; p less than 0.001). Smoking shipfitters (mean, 47 micrograms/dl) had significantly higher lead levels than nonsmokers (mean, 32 micrograms/dl; p = 0.03). Lead levels in shipfitters who wore respirators were not lower than in those who wore no protective gear (p = 0.68). Four shipfitters had erythrocyte protoporphyrin (EP) concentrations above the adult upper normal limit of 50 micrograms/dl. A close correlation was found between blood lead and EP levels (r = 0.70). Prevalence of lead-related symptoms was no higher in shipfitters than in other workers. No cases of symptomatic lead poisoning were noted. These data indicate that serious occupational exposure to lead can occur in a relatively small boatyard.
为评估在一艘铁壳帆船上从事切割和铆接涂有铅漆铁板工作的船舶装配工的职业铅暴露情况,我们开展了一项环境与医学调查。七个个人(呼吸区)空气样本中的铅暴露量在108至500微克/立方米之间(平均为257微克/立方米);均高于职业安全与健康管理局(OSHA)规定的50微克/立方米的标准。在排气通风暂时中断时采集的两个短期空气样本中,铅平均暴露量升至547微克/立方米。十名船舶装配工的血铅水平在25至53微克/分升之间(平均为37.8微克/分升);其中三名工人的血铅水平超过了40微克/分升的正常上限。船舶装配工的血铅水平显著高于其他船厂工人(平均为10.0微克/分升;p<0.001)。吸烟的船舶装配工(平均为47微克/分升)的血铅水平显著高于不吸烟者(平均为32微克/分升;p = 0.03)。佩戴呼吸器的船舶装配工的血铅水平并不低于未佩戴防护装备的工人(p = 0.68)。四名船舶装配工的红细胞原卟啉(EP)浓度高于成人50微克/分升的正常上限。血铅水平与EP水平之间存在密切相关性(r = 0.70)。船舶装配工中与铅相关症状的患病率并不高于其他工人。未发现有症状性铅中毒病例。这些数据表明,在一个相对较小的造船厂中可能发生严重的职业性铅暴露。