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Air Quality Criteria for Lead Volume II of II - (NEPIS)(EPA) - US ...

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AX4-20<br />

Reference, Study<br />

Location, and<br />

Period Study Description<br />

Canada<br />

Brito et al. (2000)<br />

Canada<br />

1993-98<br />

Brito et al. (2002)<br />

Canada<br />

1994, 1999<br />

Aims were to: (i) investigate the<br />

long term human Pb metabolism by<br />

measuring the change <strong>of</strong> Pb<br />

concentration in the tibia and<br />

calcaneus between 1993 and 1998;<br />

and (ii) assess whether improved<br />

industrial hygiene was resulting in a<br />

slow accumulation <strong>of</strong> Pb in an<br />

exposed work<strong>for</strong>ce. 101 workers in a<br />

secondary lead smelter, 51 subjects<br />

had similar bone Pb measurements in<br />

1993. Most other subjects had been<br />

hired since 1993. Cumulative PbB<br />

index. Linear regressions.<br />

Evaluated endogenous release <strong>of</strong> Pb<br />

from bone to blood in 204 exposed<br />

subjects resuming their duties after a<br />

10-mo strike in a primary lead<br />

smelter in 1991. Bone Pb ( 109 Cd<br />

source) measured in the tibia and<br />

calcaneus in 1994 (Fleming et al.,<br />

1997) and 1999. A linear model<br />

used to predict the current PbB upon<br />

the level <strong>of</strong> lead in bone.<br />

327 subjects available on both<br />

occasions. Group H higher PbB and<br />

Group L lower PbB.<br />

Table AX4-6 (cont’d). Bone <strong>Lead</strong> Contribution to PbB<br />

<strong>Lead</strong> Measurement (SD or range)<br />

PbB in µg/dL, Bone Pb in µg/g Bone Mineral Findings, Interpretation<br />

Repeats (n = 51)<br />

1993: Tibia 39 (±19), calcaneus 64 (±36).<br />

1998: Tibia 33 (±18), calcaneus 65 (±38).<br />

Non-repeats (n = 50)<br />

1998: Tibia 15 (±16), calcaneus 13 (±18).<br />

Tibia Pb decreased significantly (p

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