Ferri F, Candela S, Bedeschi E, Picciati A M, Davoli V, Rinaldi L, Riccò D
Servizio di Prevenzione e Sicurezza negli Ambienti di Lavoro (SPSAL), Azienda USL di Reggio Emilia.
Ann Ist Super Sanita. 1998;34(1):105-11.
In a survey carried out in 1981, Pb exposure of children living in two geographical areas of the district of Scandiano and attending the first year of primary school was studied. The two areas were different concerning both traffic and the presence of ceramic tile industries, thus suggesting a different exposure of children. The survey demonstrated blood lead levels (PbB) markedly higher than 10 micrograms/100 ml, a value recently identified by the Centers for Disease Control (CDC, Atlanta, USA) as the limit beyond which children's learning capacity may be damaged. It was evident that both the occupational exposure of parents and, to a lower extent, the residence in zones with higher levels of pollution influenced PbB levels. During the last ten years significant improvements have led to the reduction of atmospheric emissions and of occupational exposure of ceramic workers. A new survey has been carried out in 1995. We examined 147 children attending the first year of primary school, and living in two zones for which a different level of Pb exposure could be assumed. In both zones, a clear reduction of PbB was observed in comparison with data obtained in 1981. Mean and standard deviation for PbB in the two groups were 4.1 +/- 1.71 and 4.5 +/- 2.04 micrograms/100 ml, with median values of 3.7 and 4.0 micrograms/100 ml, respectively. Only two cases (1.4%) exceeded the limit values proposed by CDC. Although the mean PbB were much lower than those observed in 1981, higher PbB were found in children whose parents were occupationally exposed to Pb. Maternal exposure seems to be particularly important in determining PbB in children. In comparison with data from the international literature, our results are very close to those obtained for children living in Scandinavian countries, in Germany or in France and rather different from those obtained by other authors in Italy.
1981年进行了一项调查,研究了居住在斯坎迪亚诺区两个地理区域且就读小学一年级的儿童的铅暴露情况。这两个区域在交通和瓷砖行业的存在方面有所不同,因此表明儿童的暴露情况不同。调查显示血铅水平(PbB)明显高于10微克/100毫升,这一数值最近被美国亚特兰大疾病控制中心(CDC)确定为可能损害儿童学习能力的界限。显然,父母的职业暴露以及在较低程度上居住在污染水平较高的地区都会影响PbB水平。在过去十年中,显著的改善措施使得大气排放和陶瓷工人的职业暴露有所减少。1995年进行了一项新的调查。我们检查了147名就读小学一年级且居住在两个假定铅暴露水平不同区域的儿童。与1981年获得的数据相比,两个区域的PbB均明显降低。两组中PbB的平均值和标准差分别为4.1±1.71和4.5±2.04微克/100毫升,中位数分别为3.7和4.0微克/100毫升。只有两例(1.4%)超过了CDC提出的限值。尽管平均PbB远低于1981年观察到的水平,但在父母职业性接触铅的儿童中发现了较高的PbB。母亲的暴露在决定儿童的PbB方面似乎尤为重要。与国际文献数据相比,我们的结果与斯堪的纳维亚国家、德国或法国儿童的结果非常接近,与意大利其他作者获得的结果有很大不同。