Lead poisoning

[2] An estimated 800 million children have blood lead levels over 5 μg/dL in low- and middle-income nations, though comprehensive public health data remains inadequate.

[34] Poisoning by organic lead compounds has symptoms predominantly in the central nervous system, such as insomnia, delirium, cognitive deficits, tremor, hallucinations, and convulsions.

[39] At blood lead levels between 25 and 60 μg/dL, neuropsychiatric effects such as delayed reaction times, irritability, and difficulty concentrating, as well as slowed motor nerve conduction and headache can occur.

Absorption of large amounts of lead over a short time can cause shock (insufficient fluid in the circulatory system) due to loss of water from the gastrointestinal tract.

[67] Long-term exposure at levels lower than those that cause lead nephropathy have also been reported as nephrotoxic in patients from developed countries that had chronic kidney disease or were at risk because of hypertension or diabetes mellitus.

[42] Increased blood lead level in children has been correlated with decreases in intelligence, nonverbal reasoning, short-term memory, attention, reading and arithmetic ability, fine motor skills, emotional regulation, and social engagement.

[86][87] A 2007 paper by the same author claims to show a strong association between preschool blood lead and subsequent crime rate trends over several decades across nine countries.

[5] People can be exposed when working in facilities that produce a variety of lead-containing products; these include radiation shields, ammunition, certain surgical equipment, developing dental X-ray films prior to digital X-rays (each film packet had a lead liner to prevent the radiation from going through), fetal monitors, plumbing, circuit boards, jet engines, and ceramic glazes.

[97] Other occupations that present lead exposure risks include welding, manufacture of rubber, printing, zinc and copper smelting, processing of ore, combustion of solid waste, and production of paints and pigments.

[115] Following a 2019 report identifying adulterated turmeric as the main cause of lead poisoning in Bangladesh, the government began a rapid crackdown and public service campaign on it.

It is speculated that the painter Caravaggio and possibly Francisco Goya and Vincent Van Gogh had lead poisoning due to overexposure or carelessness when handling this colour.

[142] The US Congress authorized the EPA to dedicate funds to assist states and nonprofits with the costs of lead service line removal under Section 50105 of the Safe Drinking Water Act.

[145] Lead can be found in products such as kohl, an ancient cosmetic from the Middle East, South Asia, and parts of Africa that has many other names; and from some toys.

Ceramic glaze often contains lead, and dishes that have been improperly fired can leach the metal into food, potentially causing severe poisoning.

[157] In May 2015, Indian food safety regulators in the state of Uttar Pradesh found that samples of Maggi 2 Minute Noodles contained lead up to 17 times beyond permissible limits.

In a recent study conducted by the CDC,[169] a cohort from North Dakota was enrolled and asked to self-report historical consumption of game meat, and participation in other activities that could cause lead exposure.

One hypothesis from the police was that lead, with its high specific gravity, was used to increase the weight of street marijuana sold by the gram, thereby maximizing the dealers' profits.

[175] In 2022, around 40% of cannabis products sold at unlicensed storefronts in New York City were found to contain heavy metals (e.g., lead, nickel), pesticides, and bacteria.

[205] Other differential diagnoses in children include constipation, abdominal colic, iron deficiency, subdural hematoma, neoplasms of the central nervous system, emotional and behavior disorders, and intellectual disability.

[121] In October 2008, the US EPA reduced the allowable lead level by a factor of ten to 0.15 micrograms per cubic meter of air, giving states five years to comply with the standards.

[233] When lead-containing materials are present in the gastrointestinal tract (as evidenced by abdominal X-rays), whole bowel irrigation, cathartics, endoscopy, or even surgical removal may be used to eliminate it from the gut and prevent further exposure.

[195] The chelating agents used for treatment of lead poisoning are edetate disodium calcium (CaNa2EDTA), dimercaprol (BAL), which are injected, and succimer and d-penicillamine, which are administered orally.

Risk factors for elevated lead exposure include alcohol consumption and smoking (possibly because of contamination of tobacco leaves with lead-containing pesticides).

[85] Furthermore, the neurological effects of lead exposure have been shown to be exacerbated and long lasting in low income children in comparison to those of higher economic standing.

[271] Clair Patterson, the scientist who convinced governments to ban lead from gasoline, enthusiastically endorsed this idea, which nevertheless triggered a volley of publications aimed at refuting it.

In 1984, John Scarborough, a pharmacologist and classicist, criticized the conclusions drawn by Nriagu's book as "so full of false evidence, miscitations, typographical errors, and a blatant flippancy regarding primary sources that the reader cannot trust the basic arguments.

[276] In 1656 the German physician Samuel Stockhausen recognized dust and fumes containing lead compounds as the cause of disease, called since ancient Roman times morbi metallici, that were known to afflict miners, smelter workers, potters, and others whose work exposed them to the metal.

[287][288] William James Furnival (1853–1928), research ceramist of City & Guilds London Institute, appeared before Parliament in 1901 and presented a decade's evidence to convince the nation's leaders to remove lead completely from the British ceramic industry.

[300][301] In 2002 Tommy Thompson, United States Secretary of Health and Human Services, appointed at least two persons with conflicts of interest to the CDC's Lead Advisory Committee.

[314] In an effort to protect this species, in areas designated as the California condor's range the use of projectiles containing lead has been banned to hunt deer, feral pigs, elk, pronghorn antelope, coyotes, ground squirrels, and other non-game wildlife.

Symptoms of lead poisoning
As lead safety standards become more stringent, fewer children in the US are found to have elevated lead levels.
Eight MRI views of a brain in black and white, with yellow, orange, and red areas overlaid in spots mainly toward the front.
The brains of adults who were exposed to lead as children show decreased volume, especially in the prefrontal cortex , on MRI . Areas of volume loss are shown in color over a template of a normal brain. [ 77 ]
An infographic explaining lead poisoning
A man in a hard hat with a clear face plate leans over a conveyor belt with a metal instrument. He is in a factory setting with heavy machinery in the background.
Battery recycling workers are at risk for lead exposure. [ 106 ] This worker ladles molten lead into billets in a lead-acid battery recovery facility.
a closeup of a red gasoline pump with a warning label that reads, "for use as a motor fuel only" (in larger writing) "contains lead" (in smaller writing) "(tetraethyl)"
A lead warning on a fuel pump. Tetraethyllead , which used to be added to automotive gasoline (and still is added to some aviation gasolines ), contributed to soil contamination .
Lead wheel weight eroding on road
Jacketed ammunition (left), bare lead (right)
Two chemical diagrams of tetra-ethyl lead, or (CH3CH2)4Pb. On the left one, carbon and hydrogen are labeled, on the right they are shown as lines only.
Tetraethyllead , still used as an additive in some fuels, can be absorbed through the skin. [ 37 ] [ unreliable medical source? ]
ALAD enzyme with lead bound ( PDB : 1QNV ​)
Two black-and-white photos; one shows dark, fairly regular rings on a lighter background, and the other shows irregular, smaller, and not as dark clusters.
Lead exposure damages cells in the hippocampus , a part of the brain involved in memory. Hippocampi of lead-exposed rats (bottom) show structural damage such as irregular nuclei (IN) and denaturation of myelin (DMS) compared to controls (top). [ 201 ]
dozens of pink circular bodies with white centers on a white background. Arrows point to three of the cells; two are speckled with dark purple dots, and the third has an irregular outer border
Basophilic stippling (arrows) of red blood cells in a 53-year-old who had elevated blood lead levels due to drinking repeatedly from glasses decorated with lead paint. [ 206 ]
A box of cigarette-like white cylinders on the left, in the middle a white cylinder with a pink tip, on the right a paper with four circles, two blank and two pink
Testing kits are commercially available for detecting lead. These swabs, when wiped on a surface, turn red in the presence of lead.
a chemical diagram of [CH2N(CH2CO2-)2]2 (shown in black) with the four O- tails binding a metal ion (shown in red).
EDTA, a chelating agent , binds a heavy metal, sequestering it.
an ancient Greek black-and-white woodcut print of a middle aged bearded man. His left hand rests on a book and in his right he holds a plant.
Dioscorides noted lead's effect on the mind in the first century AD.
a block with two dull, dark gray metal spouts coming from the top. The spouts are chipped and very old-looking.
Roman lead water pipes with taps
A large tan bird of prey with dark brown neck feathers and a bare red head sits on a dead cow in a desert with dead grass and scrub
Turkey vultures ( Cathartes aura , shown), and California condors can be poisoned when they eat carcasses of animals shot with lead pellets.