Description

Lead is a metal that is known to have long-term adverse health effects. Although lead exposure is considered to be very low today, no safe blood lead level has been identified. This is why public health authorities worldwide recommend reducing exposure to the lowest reasonably possible level, taking the context into account. To find out more, go to the Reducing exposure to lead page.

Lead exposure

When a person is exposed, the lead absorbed by the body is transported by blood to the bones and some organs, such as the brain and kidneys. Although some of the lead is excreted in urine and stool, a significant amount accumulates in bones and teeth over time. Lead concentrations can vary widely from person to person depending on a number of factors, such as smoking. With aging and decreasing bone mass, the lead that has been stored is released back into the bloodstream. It takes around 25 years for the body to excrete half the accumulated lead.

Nowadays, adverse effects from short-term (acute) lead exposure are very rare. Indeed, severe measures have been put in place in workplaces, for instance, where lead exposure could occur.

The symptoms observed with chronic lead exposure vary widely and are not specific. Lead exposure is not detected by the presence of symptoms, but during preventive workplace health screening.

Complications

Fetuses, infants and children are particularly vulnerable and sensitive to the neurological effects of lead, but the health risk is still low. The neurological effects of long-term lead exposure in children are:

  • A slight decrease in intellectual ability
  • Attention problems, such as attention deficit disorder
  • learning problems, such as difficulty reading (dyslexia)
  • Behavioural changes, such as decreased concentration, irritability and apathy, that is, indifference to emotion, motivation or passion

When to consult

If you think you have been exposed to high levels of lead during an activity or at work, share your concerns with your doctor.

Depending on the situation, the doctor may be able to do a blood test (blood lead test) to see if you have been exposed to excessive levels of lead and if certain measures need to be taken to quickly reduce your blood lead levels.

Treatment

If your blood lead levels are high, treatment to speed up the removal of lead from the body may be recommended. The type of treatment varies depending on your blood lead levels and your health condition. In all cases, potential sources of lead in the environment must be identified and removed in order to reduce your lead exposure.

Reportable disease

In Québec, lead exposure is a reportable disease of chemical origin. If your blood lead level is above the public health threshold, your doctor is required to report the situation to the public health authorities in your region in order to help identify the source(s) of exposure and make sure that other people around you are not exposed.

Transmission

There is no person-to-person transmission. Only a source of exposure in the environment, food or water can, over a long period of time, cause your blood lead levels to increase.

Protection and prevention

Trace amounts of lead can be found everywhere in our environment. Even if the main sources of contamination have been removed, such as lead in gasoline, paints and solder used in food cans, minimizing lead exposure is nonetheless recommended. To find out more about sources of exposure and the precautions to take, go to the Reducing exposure to lead page.

People at risk

Lead is harmful for everyone’s health, regardless of age. However, some population subgroups are particularly susceptible to the effects of exposure, even to low levels of lead in the environment, or are at higher risk of lead exposure:

  • Fetuses, infants and children
  • Pregnant women
  • People with significant bone mass loss (in particular, older adults)
  • People who use products that contain lead
  • People who eat game meat contaminated with lead ammunition
  • People who use or make their own lead ammunition
  • People who work in environments where lead is found, such as:
    • Smelters
    • Refineries
    • The recycling sector
    • Indoor and outdoor firing ranges
  • Families exposed to contaminated clothes and material brought into the home by a worker

Fetuses, infants and children

Fetuses, infants and children absorb more lead than adults. They are particularly vulnerable and sensitive to the effects of lead on their nervous system.

During pregnancy, there is a risk of exposure for the fetus. Indeed, lead in the mother’s body can easily cross the placental barrier.

Infants are exposed to low levels of lead in breast milk. Except in exceptional situations, the benefits of breastfeeding for infants outweigh the low risk of health effects. However, it is important to respect the mother’s choice of feeding method for her baby.

Preschool children are vulnerable because they play or crawl on the ground. Their main routes of exposure are soil and the ingestion of house dust, since they have the reflex to put in their mouth. everything that comes to their hand.

Pregnant women

During pregnancy, lead stored in bones is released, especially in the third trimester. This means that women’s blood lead levels may increase during pregnancy and affect the fetus. Increased lead exposure in pregnant women can lead to low birth weight and damage the baby’s brain, kidneys and nervous system.