Wood A L
North Birmingham Health Authority, Birmingham Communicable Disease Unit.
J Public Health Med. 1996 Dec;18(4):432-6. doi: 10.1093/oxfordjournals.pubmed.a024541.
Previous soil surveys by Environmental Health Officers had found high soil cadmium (Cd) concentrations in gardens next to a battery factory in Worcestershire. This study was set up to determine whether this had resulted in high Cd levels in the blood and urine of local residents.
A sample of residents (n = 39) living next to the factory were matched by age and sex to employees of North Worcestershire Health Authority. A questionnaire was used to determine potential Cd exposure. The levels of Cd in blood, urine and garden soil were measured.
None of the members of the study group had a blood or urine Cd concentration above the levels estimated to cause harm. Only one member of the comparison group, but all members of the study group, had soil in their gardens with a Cd concentration above the recommended level. Adjusting for smoking status and other confounders by using logistic regressional analysis showed that being in the study group did not confer a greater risk of having an elevated blood or urine Cd concentration. The greatest influence on Cd concentrations was a current smoking habit.
No evidence was found to show that the high soil cadmium concentrations had adversely affected the health of local residents. Specific issues raised during the implementation of this study were the resource implications of assessing environmental exposure and the difficulties in recruiting the study group. Health Authorities and local government need to be fully aware of similar problems they might encounter before investigating a potential environmental health hazard.
环境卫生官员此前进行的土壤调查发现,伍斯特郡一家电池厂附近花园中的土壤镉(Cd)浓度很高。开展这项研究是为了确定这是否导致当地居民血液和尿液中的镉水平升高。
将居住在工厂附近的居民样本(n = 39)按年龄和性别与北伍斯特郡卫生局的员工进行匹配。使用问卷调查来确定潜在的镉暴露情况。测量血液、尿液和花园土壤中的镉水平。
研究组中没有成员的血液或尿液镉浓度高于估计会造成危害的水平。对照组中只有一名成员,但研究组的所有成员,其花园土壤中的镉浓度都高于推荐水平。通过逻辑回归分析对吸烟状况和其他混杂因素进行调整后发现,属于研究组并不会增加血液或尿液镉浓度升高的风险。对镉浓度影响最大的是当前的吸烟习惯。
没有证据表明土壤中高镉浓度对当地居民的健康产生了不利影响。在这项研究实施过程中出现的具体问题是评估环境暴露的资源影响以及招募研究组的困难。卫生当局和地方政府在调查潜在的环境卫生危害之前,需要充分意识到他们可能遇到的类似问题。