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Estimated Change in Blood Lead Concentration in Control Populations 控制人群血铅浓度的估计变化
Pub Date : 2001-11-01 DOI: 10.1080/00039890109602904
N. Niemuth, Brandon J. Wood, B. Schultz
Abstract Investigators have conducted several studies to assess the effectiveness of lead hazard interventions in reducing children's blood lead levels. For practical and ethical reasons, many of these studies have not included control populations. It is, therefore, impossible for researchers to determine to what extent the reported decline in blood lead concentrations has resulted from intervention versus other factors. In the current retrospective analysis, the authors estimated the change in children's blood lead levels in control populations at 12-mo follow-up. The results suggest that an average 9% decline may be attributed to factors that are unrelated to intervention. Declines of approximately 25% have been reported following several lead-hazard interventions. For these studies, the results of the authors' analysis suggest that approximately 16% of the decline is attributed directly to the intervention.
研究者进行了几项研究,以评估铅危害干预措施在降低儿童血铅水平方面的有效性。出于实际和伦理原因,这些研究中的许多都没有纳入对照人群。因此,研究人员不可能确定所报道的血铅浓度下降在多大程度上是由干预与其他因素造成的。在当前的回顾性分析中,作者估计了12个月随访期间对照人群中儿童血铅水平的变化。结果表明,平均9%的下降可能归因于与干预无关的因素。据报道,在几次铅危害干预措施之后,死亡率下降了约25%。对于这些研究,作者的分析结果表明,大约16%的下降可直接归因于干预。
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引用次数: 3
Pulmonary Deposition of Particles in Welders: On-Site Measurements 焊工肺部颗粒沉积:现场测量
Pub Date : 2001-11-01 DOI: 10.1080/00039890109602900
Anne Frøsig, Hanne Bendixen, D. Sherson
Abstract The authors used integrating nephelometers to demonstrate the feasibility of measuring particulate matter with a diameter of 2.5 μm (PM2.5) in the breathing zone and PM2.5 mass deposition in the airways of 6 welders at their place of work. The authors also measured stationary PM2.5 measurements. The between-subject variation in deposition of PM2.5 mass was approximately 1/3 of the within-subject variation. Smokers had a significantly higher total respiratory system deposition than nonsmokers. The PM2.5 deposition for a given amount of exhaled air was dependent on PM2.5 concentration levels. The estimated total amount of PM2.5 deposited in the respiratory system of the subjects was approximately 1 mg/day.
摘要采用积分浊度计对6名焊工工作场所呼吸区直径为2.5 μm的颗粒物(PM2.5)和气道中PM2.5质量沉积进行了测量。作者还测量了PM2.5的静态测量值。PM2.5沉降质量的主体间变异约为主体内变异的1/3。吸烟者的呼吸系统总沉积明显高于不吸烟者。给定呼出量的空气中PM2.5的沉积取决于PM2.5的浓度水平。PM2.5沉积在受试者呼吸系统的估计总量约为1毫克/天。
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引用次数: 7
Biochemical, Neuropsychological, and Neurological Abnormalities Following 2,3,7,8-Tetrachlorodibenzo-p-Dioxin (TCDD) Exposure 2,3,7,8-四氯二苯并-对二恶英(TCDD)暴露后的生化、神经心理和神经异常
Pub Date : 2001-11-01 DOI: 10.1080/00039890109602897
D. Pelclova, Z. Fenclová, Z. Dlasková, P. Urban, E. Lukáš, B. Procházka, C. Rappe, J. Preiß, Anton Koč, J. Vejlupková
Abstract Presented herein are the results of follow-up examinations of 13 workers performed in 1996–30 yr following 2,3,7,8-tetrachlorodibenzo-p-dioxin (TCDD) intoxication in a herbicide production plant. In these workers, the current mean plasma level of 2,3,7,8-TCDD, measured by high-resolution gas chromatography/high-resolution mass spectrometry, was 256 pg/gm lipid (range = 14–760 pg/gm lipid). This mean value corresponded to an estimated concentration of approximately 5,000 pg/gm plasma fat that existed about 30 years ago. Such a mean plasma level indicates that this group was one of the most heavily exposed groups to 2,3,7,8-TCDD described in the literature. Patients with persistent chloracne had significantly higher plasma levels of 2,3,7,8-TCDD than persons without chloracne. A significant, positive correlation was found between plasma levels of 2,3,7,8-TCDD in 1996 and levels of cholesterol and plasma lipids that existed since 1974. During 1996, there was a significant positive correlation between 2,3,7,8-TCDD and levels of beta-lipoproteins, cholesterol, and triglycerides. Also in 1996, significant correlations were found between neuropsychological variables and plasma levels of 2,3,7,8-TCDD. Other significant correlations were observed between neuropsychological variables and (1) the highest levels of triglycerides (i.e., since the year 1989), (2) levels of triglycerides in 1996, (3) levels of cholesterol at the first examination (i.e., 1969–1970), (4) highest level of cholesterol since the year 1969, and (5) cholesterol levels in 1996. Such correlations are biologically plausible, and they provide evidence of impaired cognitive performance (i.e., memory first), with a concurrent increase of plasma lipid levels. Abnormal electromyography, electroencephalography, and visual evoked potentials were observed in 23%, 54%, and 31 %, respectively, of former workers. Abnormal electroencephalography findings occurred more frequently in workers who had 2,3,7,8-TCDD blood levels that exceeded 200 pg/gm plasma fat than in workers with 2,3,7,8-TCDD values lower than 200 pg/gm plasma fat (p < .025). Frequency of polyneuropathic EMG abnormalities decreased from 38% in the 1970s to 23% in 1996. Improvement of conduction velocity in the tibial nerve was statistically significant (p < .05).
摘要本文报告了1996-30年间某除草剂生产厂13名工人中毒后的随访检查结果。在这些工人中,目前通过高分辨率气相色谱/高分辨率质谱测定的2,3,7,8- tcdd的平均血浆水平为256 pg/gm脂质(范围= 14-760 pg/gm脂质)。这一平均值对应于大约30年前约5000 pg/gm的血浆脂肪估计浓度。这样的平均血浆水平表明,该组是文献中描述的2,3,7,8- tcdd暴露最严重的组之一。持久性氯痤疮患者血浆2,3,7,8- tcdd水平明显高于非氯痤疮患者。1996年血浆2,3,7,8- tcdd水平与1974年以来存在的胆固醇和血脂水平之间存在显著的正相关。1996年期间,2,3,7,8- tcdd与β -脂蛋白、胆固醇和甘油三酯水平之间存在显著的正相关。同样在1996年,神经心理学变量与血浆2,3,7,8- tcdd水平之间发现了显著的相关性。在神经心理学变量和(1)最高甘油三酯水平(即自1989年以来)、(2)1996年甘油三酯水平、(3)第一次检查时的胆固醇水平(即1969 - 1970年)、(4)自1969年以来最高胆固醇水平和(5)1996年的胆固醇水平之间观察到其他显著的相关性。这种相关性在生物学上是合理的,它们提供了认知能力受损(即记忆优先)的证据,同时血浆脂质水平升高。分别有23%、54%和31%的复工人员出现肌电、脑电图和视觉诱发电位异常。2,3,7,8- tcdd血药浓度超过200 pg/gm血浆脂肪的工人比2,3,7,8- tcdd血药浓度低于200 pg/gm血浆脂肪的工人更容易出现脑电图异常(p < 0.025)。多发性神经病变肌电图异常的频率从1970年代的38%下降到1996年的23%。胫神经传导速度的改善有统计学意义(p < 0.05)。
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引用次数: 32
Low-Level Lead Exposure and Blood Lead Levels in Children: A Cross-Sectional Survey 儿童低水平铅暴露和血铅水平:一项横断面调查
Pub Date : 2001-11-01 DOI: 10.1080/00039890109602898
Aysha Habib Khan, Amanullah Khan, F. Ghani, M. Khurshid
Abstract The authors studied 53 girls (44.5%) and 66 (55.5%) boys in Karachi, Pakistan, to determine their blood lead levels. The association between blood lead levels/water lead levels and the possible risk factors and symptoms associated with lead toxicity was explored. The mean lead level for the entire group was 7.9 μg/dl (standard deviation = 4.5 μg/dl). Thirty (25.2%) of the children had lead levels that exceeded 10 μg/dl; 12 (10.0%) of these had lead levels that exceeded 15 μg/dl. Thirteen (20.9%) of the children under the age of 6 yr (n = 62) had lead levels greater than 10 μg/dl, and 6 (9.6%) had levels in excess of 15 μg/dl. The authors found no association (p > .05) between high lead levels in water and blood lead levels in children. Mean blood lead levels were highest in the group of children exposed to various risk factors for lead absorption (e.g., exposure to paint, remodeling, and renovation; use of lead utensils; pica). There was a significant association between a history of exposure to paint/renovation activities and a history of pica. High blood lead levels in the children in Karachi stress the urgency for actions that control lead pollution. Screening programs should be instituted by the state. Individuals must become aware of lead's toxicity, and they must avoid substances that contain lead.
作者研究了巴基斯坦卡拉奇53名女孩(44.5%)和66名男孩(55.5%)的血铅水平。探讨了血铅水平/水铅水平与铅中毒相关的可能危险因素和症状之间的关系。全组平均铅含量为7.9 μg/dl(标准差为4.5 μg/dl)。30名(25.2%)儿童的铅含量超过10 μg/dl;其中12例(10.0%)铅含量超过15 μg/dl。6岁以下儿童(n = 62)中有13人(20.9%)的铅含量大于10 μg/dl, 6人(9.6%)的铅含量超过15 μg/dl。作者没有发现儿童水中高铅水平和血铅水平之间的关联(p > 0.05)。平均血铅水平在暴露于各种铅吸收危险因素(例如,暴露于油漆、重塑和翻新;使用含铅器皿;异食癖)。有接触油漆/翻新活动的历史和异食癖的历史之间有显著的联系。筛查项目应该由国家制定。个人必须意识到铅的毒性,必须避免含有铅的物质。
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引用次数: 24
Consumption of Wine Stored in Leather Wine Bottles and Incidence of Gastric Cancer 皮酒瓶中葡萄酒的消费量与胃癌的发病率
Pub Date : 2001-11-01 DOI: 10.1080/00039890109602906
Gonzalo López-Abente, J. Sanz-Anquela, C. González
Abstract The authors conducted a survey among participants of a large-scale case-control study to evaluate a possible association between consumption of wine in leather bottles and incidence of gastric cancer. There were 59 cases and 53 controls in the study. The results suggest that some of the components of the complex mixture (i.e., tar) used in the proofing of leather wine bottles might dissolve in the wine and participate in the etiology of gastric cancer. Nevertheless, the results should be confirmed in an independent study.
作者对一项大规模病例对照研究的参与者进行了调查,以评估皮革瓶葡萄酒消费与胃癌发病率之间的可能关联。研究中有59例病例和53例对照。结果表明,用于皮酒瓶打样的复合混合物(即焦油)的某些成分可能溶解在葡萄酒中,参与胃癌的病因。然而,这些结果应该在一项独立研究中得到证实。
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引用次数: 10
Addressing Environmental Health Concerns near Trecatti Landfill Site, United Kingdom 解决英国特雷卡蒂垃圾填埋场附近的环境卫生问题
Pub Date : 2001-11-01 DOI: 10.1080/00039890109602902
H. Fielder, S. Palmer, Celia Poon-king, Nigel Moss, G. Coleman
Abstract Residents near the Trecatti landfill site located in South Wales, United Kingdom, expressed concern about odors and health effects they attributed to site emissions. The authors compared routinely collected, population-based, health data from potentially exposed electoral wards (i.e., United Kingdom electoral tracts) with data from both wards nearby, matched for socioeconomic deprivation scores, and with wards where residents were likely to attend the same hospital. Mortality rates were higher for all causes and neoplastic diseases (but not respiratory disease) in the exposed wards, but there was no change in rates after the site opened. Hospital data revealed a transient increase in admissions for asthma during the 3 yr that preceded the peak in odor complaints. The birth prevalence of congenital malformations was raised in the exposed wards, but the authors could not exclude a possible artifact resulting from differences in reporting practices between hospitals. The absence of environmental monitoring in the community during the period of public concern was a significant weakness of this study.
英国南威尔士特雷卡蒂垃圾填埋场附近的居民表示,他们担心填埋场排放的气味和健康影响。作者将从潜在暴露的选举病房(即联合王国选区)常规收集的基于人口的健康数据与附近两个病房的数据进行了比较,这些数据与社会经济剥夺得分相匹配,并与居民可能在同一家医院就诊的病房进行了比较。在暴露的病房中,所有原因和肿瘤疾病(不包括呼吸系统疾病)的死亡率都较高,但在现场开放后,死亡率没有变化。医院数据显示,在气味投诉达到高峰之前的3年里,哮喘入院人数短暂增加。在暴露的病房中,先天性畸形的出生患病率有所提高,但作者不能排除医院之间报告实践差异可能造成的人为影响。在公众关注期间,社区缺乏环境监测是本研究的一个显著不足。
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引用次数: 14
Fallout from the Chernobyl Nuclear Disaster and Congenital Malformations in Europe 切尔诺贝利核灾难的放射性尘降物和欧洲的先天性畸形
Pub Date : 2001-11-01 DOI: 10.1080/00039890109602895
W. Hoffmann
Abstract Investigators estimate that the population exposure that resulted from the Chernobyl fallout is in the range of natural background radiation for most European countries. Given current radiobiologic knowledge, health effects—if any—would not be measurable with epidemiologic tools. In several independent reports, however, researchers have described isolated peaks in the prevalence of congenital malformations in the cohort conceived immediately after onset of the fallout. The consistency of the time pattern and the specific types of malformation raise concern about their significance. In this study, the author summarizes findings from Turkey, Belarus, Croatia, Finland, Germany, and other countries, and implications for radiation protection and public health issues are discussed.
研究人员估计,对大多数欧洲国家来说,切尔诺贝利放射性尘埃导致的人口暴露在自然本底辐射范围内。鉴于目前的放射生物学知识,健康影响——如果有的话——将无法用流行病学工具测量。然而,在几份独立的报告中,研究人员描述了在放射性尘埃开始后立即怀孕的队列中先天性畸形患病率的孤立高峰。时间模式的一致性和具体的畸形类型引起了人们对其意义的关注。在本研究中,作者总结了土耳其、白俄罗斯、克罗地亚、芬兰、德国和其他国家的研究结果,并讨论了对辐射防护和公共卫生问题的影响。
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引用次数: 36
Developmental Dental Defects in Children Who Reside by a River Polluted by Dioxins and Furans 居住在受二恶英和呋喃污染河流附近儿童的发育性牙齿缺陷
Pub Date : 2001-11-01 DOI: 10.1080/00039890109602901
P. Hölttä, H. Kiviranta, A. Leppäniemi, T. Vartiainen, P. Lukinmaa, S. Alaluusua
Abstract The authors determined that demarcated hypomineralizations of developing teeth are a biological indicator of an early dioxin exposure in a healthy population of children. In the current study, the authors examined the prevalences of the demarcated hypomineralization lesions of teeth in 2 Finnish towns by the Kymijoki River—a river that is severely contaminated by dioxins and furans. The 4,120 permanent first molars of 1,030 children were studied. The prevailing levels of dioxins and furans in human milk were measured. The prevalences of the defects in children in Kotka and Anjalankoski were 14.2% and 5.6%, respectively, and the corresponding dioxins and furans in human milk were 13.4 pg/gm fat and 10.9 pg/gm fat (International Toxic Equivalents). In Anjalankoski, the duration of total breast-feeding was associated with the prevalence of the defects. Compared with the figures reported earlier in Finland, neither the prevalence of dental lesions nor the levels of dioxins and furans in human milk were increased in riverside residents.
作者确定发育中的牙齿的有界低矿化是健康儿童早期暴露于二恶英的生物学指标。在目前的研究中,作者调查了Kymijoki河(一条被二恶英和呋喃严重污染的河流)附近的2个芬兰城镇中划定的低矿化牙齿病变的患病率。研究了1030名儿童的4120颗恒牙第一磨牙。测量了人乳中二恶英和呋喃的普遍含量。Kotka和Anjalankoski的儿童缺陷患病率分别为14.2%和5.6%,母乳中相应的二恶英和呋喃含量分别为13.4 pg/gm脂肪和10.9 pg/gm脂肪(国际有毒当量)。在Anjalankoski,全母乳喂养的持续时间与缺陷的患病率有关。与芬兰早些时候报告的数据相比,河边居民的牙齿病变患病率和母乳中二恶英和呋喃的含量都没有增加。
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引用次数: 51
Exposure to Traffic Pollution: Comparison between Measurements and a Model 交通污染暴露:测量和模型的比较
Pub Date : 2001-11-01 DOI: 10.1080/00039890109602905
Fadela Alili, I. Momas, F. Callais, Y. Moullec, C. Sacre, M. Chiron, J. Flori
Abstract French researchers from the Building Scientific and Technical Center have produced a traffic-exposure index. To achieve this, they used an air pollution dispersion model that enabled them to calculate automobile pollutant concentrations in front of subjects' residences and places of work. Researchers used this model, which was tested at 27 Paris canyon street sites, and compared nitrogen oxides measurements obtained with passive samplers during a 6-wk period and calculations derived from the model. There was a highly significant correlation (r = .83) between the 2 series of values; their mean concentrations were not significantly different. The results suggested that the aforementioned model could be a useful epidemiological tool for the classification of city dwellers by present—or even cumulative—exposure to automobile air pollution.
来自建筑科学技术中心的法国研究人员制作了一个交通暴露指数。为了实现这一目标,他们使用了一个空气污染扩散模型,使他们能够计算受试者住所和工作场所前的汽车污染物浓度。研究人员使用了这个模型,在27个巴黎峡谷街道站点进行了测试,并将6周内被动采样器获得的氮氧化物测量值与模型得出的计算结果进行了比较。两组值之间存在高度显著相关(r = 0.83);它们的平均浓度无显著差异。结果表明,上述模型可以作为一种有用的流行病学工具,用于根据当前或累积暴露于汽车空气污染的城市居民进行分类。
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引用次数: 4
Assessment of Exposure to Polycyclic Aromatic Hydrocarbons in Police in Florence, Italy, through Personal Air Sampling and Biological Monitoring of the Urinary Metabolite 1-Hydroxypyrene 通过个人空气采样和尿液代谢物1-羟基芘的生物监测评估意大利佛罗伦萨警察对多环芳烃的暴露
Pub Date : 2001-11-01 DOI: 10.1080/00039890109602899
A. Perico, Marvela Gottardi, V. Boddi, P. Bavazzano, E. Lanciotti
Abstract In this study, the authors evaluated exposure to airborne polycyclic aromatic hydrocarbons (PAHs) in workers exposed to exhaust gas from cars, and they assessed the efficiency of urinary 1-hydroxypyrene as an indicator of exposure to pyrene and PAHs. The authors selected 2 groups of police who worked in 2 areas in the city of Florence: 1 group was highly exposed to high-density traffic emissions during the winter and summer of 1997, and the 2nd group experienced low exposure to traffic emissions during the same period. Ambient monitoring was achieved with personal sampling of airborne PAHs during each workshift. Eight hydrocarbons were used as indicators of pollution caused by PAHs (e.g., pyrene, benzo[a]pyrene, benzo[a]anthracene, dibenzo[a,h]anthracene). Biological monitoring was performed through dosing of 1-hydroxypyrene (pyrene metabolite) in urine samples taken at the end of each workshift. The ambient monitoring revealed that PAH concentrations were influenced by both season of sampling and varying intensities of traffic in the different areas. The median concentration of benzo[a]pyrene in winter was twice as high in the high-density traffic area as in the low-density traffic area (i.e., 4.1 ng/m3 versus 1.8 ng/m3). In summer, the high-density traffic area experienced benzo[a]pyrene concentrations that were 6 times higher than in the low-density traffic area (i.e., 1.2 ng/m3 versus 0.2 ng/m3). Benzo[a]pyrene was also correlated highly (r s = .92, p < .0001) with the mixture of total PAHs analyzed, thus confirming its function as a good indicator of exposure to PAHs in an urban environment. Levels of urinary 1-hydroxypyrene appeared to be generally influenced by the intensity of traffic, especially during the winter (i.e., median value in winter was 199.2 ng/gm creatinine in the high-density traffic area and 120.5 ng/gm creatinine in the low-density traffic area). An analysis of the general data revealed that 1-hydroxypyrene was, to some degree, related to pyrene, benzo[a]pyrene, and airborne total PAHs, whereas analysis of separate data for the area and the season revealed an emergence of a closer correlation during the winter in the high-traffic area. Therefore, 1-hydroxypyrene can be considered a good biological indicator of exposure to airborne PAHs in the urban environment, especially in winter and in high-density traffic areas.
在这项研究中,作者评估了暴露于汽车尾气中的工人对空气中多环芳烃(PAHs)的暴露,并评估了尿中1-羟基芘的效率,作为芘和PAHs暴露的指标。作者选择了在佛罗伦萨市的两个地区工作的两组警察:一组在1997年冬季和夏季高度暴露于高密度的交通排放,第二组在同一时期经历了低暴露于交通排放。在每个轮班期间,通过个人采样进行空气中多环芳烃的环境监测。8种碳氢化合物被用作多环芳烃污染的指标(如芘、苯并[a]芘、苯并[a]蒽、二苯并[a,h]蒽)。通过在每个轮班结束时采集的尿液样本中给药1-羟基芘(芘代谢物)进行生物监测。环境监测结果表明,多环芳烃浓度受采样季节和不同区域交通强度的影响。冬季,高密度交通区域苯并[a]芘的中位数浓度是低密度交通区域的两倍(即4.1 ng/m3对1.8 ng/m3)。夏季,高密度交通区域的苯并[a]芘浓度是低密度交通区域的6倍(分别为1.2 ng/m3和0.2 ng/m3)。苯并[a]芘也与分析的总多环芳烃混合物高度相关(r s = 0.92, p < 0.0001),从而证实了其作为城市环境中多环芳烃暴露的良好指标的功能。尿1-羟基芘水平似乎普遍受到交通强度的影响,特别是在冬季(即,冬季高密度交通区域的中位数肌酐为199.2 ng/gm,低密度交通区域的中位数肌酐为120.5 ng/gm)。对一般数据的分析表明,1-羟基芘在某种程度上与芘、苯并[a]芘和空气中总多环芳烃有关,而对该地区和季节的单独数据的分析表明,在高交通量地区冬季出现了更密切的相关性。因此,1-羟基芘可以被认为是城市环境中空气中多环芳烃暴露的一个很好的生物学指标,特别是在冬季和高密度交通区域。
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引用次数: 36
期刊
Archives of Environmental Health: An International Journal
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