Research ethics in pediatric environmental health: lessons from lead

Lead exposure induced transgenerational developmental neurotoxicity by altering genome methylation in Drosophila melanogaster

Heavy metal toxicity is a significant global health concern, with particular attention given to lead (Pb) exposure due to its adverse effects on cognitive development, especially in children exposed to low concentrations. While Pb neurotoxicity has been extensively studied, the analysis and molecular mechanisms underlying the transgenerational effects of Pb exposure-induced neurotoxicity remain poorly understood. In this study, we utilized Drosophila, a powerful developmental animal model, to investigate this phenomenon. Our findings demonstrated that Pb exposure during the developmental stage had a profound effect on the neurodevelopment of F0 fruit flies. Specifically, we observed a loss of correlation between the terminal motor area and muscle fiber area, along with an increased frequency of the β-lobe midline crossing phenotype in mushroom bodies. Western blot analysis indicated altered expression levels of synaptic vesicle proteins, with a decrease in Synapsin (SYN) and an increase in Bruchpilot (BRP) expression, suggesting changes in synaptic vesicle release sites. These findings were corroborated by electrophysiological data, showing an increase in the amplitude of evoked excitatory junctional potential (EJP) and an increase in the frequency of spontaneous excitatory junctional potential (mEJP) following Pb exposure. Importantly, our results further confirmed that the developmental neurotoxicity resulting from grandparental Pb exposure exhibited a transgenerational effect. The F3 offspring displayed neurodevelopmental defects, synaptic function abnormalities, and repetitive behavior despite lacking direct Pb exposure. Our MeDIP-seq analysis further revealed significant alterations in DNA methylation levels in several neurodevelopmental associated genes (eagle, happyhour, neuroglian, bazooka, and spinophilin) in the F3 offspring exposed to Pb. These findings suggest that DNA methylation modifications may underlie the inheritance of acquired phenotypic traits resulting from environmental Pb exposure.

Protective effects of Emblica officinalis polysaccharide against lead induced liver injury in mice model

Heavy metal contamination especially lead (Pb) causes a serious threat to global public health. In the current study, we explored the protective and regulating effects of Emblica officinalis polysaccharide (EOP) in the liver against Pb-induced toxicity. According to our findings, EOP decreased the Pb-induced pathological lesions of liver and overall weight index in mice (p < 0.05). Following treatment with EOP, the levels of biological biomarkers for liver hepatic function (i.e., ALT and AST) were significantly decreased (p < 0.01) in a dose-dependent manner, consisted with histopathological changes. The key proteins involved in hepatic oxidative stress and apoptosis, including Nrf2, HO-1, Bcl-2, and Bax were quantified, which indicated EOP as an effective approach in protecting against the liver injury. Moreover, EOP treatment ameliorated the negative changes of liver metabolic profile (i.e., metabolites concentrations and metabolic patterns). In conclusion, EOP could protect the liver against oxidative stress and apoptosis induced by Pb poisoning, associated with the efficacy of ameliorating the negative changes in liver metabolic profile. Hence, the current findings recommend EOP as an efficient way for alleviating liver injury in lead poisoning.

Comprehensive Urumqi screening for potentially toxic metals in soil-dust-plant total environment and evaluation of children's (0-6 years) risk-based blood lead levels prediction

Environmental contaminations by potentially toxic metals (PTMs) are associated with energy exploitation and present a significant problem in urban areas due to their impacts on human health. The PTMs status in Urumqi total environment inevitably impacted by extensive development of coal and oil industries has been lack of understanding comprehensively. A series of PTMs (As, Ba, Ce, Co, Cr, Cu, Ga, La, Mn, Ni, Pb, Rb, Sr, Th, U, V, Y, Zn, Zr) in the soil-dust-plant (foliage of Ulmus pumila L.) system of Urumqi (NW China) were screened by XRF and ICPMS. Multivariate statistics, risk models, GIS-based geostatistics, Positive Matrix Factorization (PMF) receptor modelling and blood lead levels of 0-6 aged children evaluated by IEUBK model are used to determine the priority pollutants, sources and health effects of the investigated elements. The spatial distribution of PTMs in soil-dust-plant system significantly coincides with coal combustion, traffic emission, and industrial activity. Although all PTM toxicants in soil, dust and tree foliage show some effects, the priority contaminants are observed for Cu, Pb and Zn as single element. The total carcinogenic and non-carcinogenic risks from PTMs are beyond the tolerance range of 0-6 year's old children, and the dust (TCR = 1.07E-04) PTMs pose approximatively equivalent carcinogenic risk to soil PTMs (TCT = 1.09E-04). The predicted BLLs (75-83 μ g·L^-1) of 1-2 years children are most strongly influenced by Pb in soil and dust, and therefore more attention should be focused on sources of Pb to support the primary health care of the toddlers in Urumqi.

Adult dragonflies are indicators of environmental metallic elements

Adult dragonflies (Insecta; Odonata) are aerial predatory arthropods that occur globally except in the polar regions. However, we know of no research on adult dragonflies as potential indicators of metallic elements in the environment or metallic element concentrations and relative contribution patterns between sites, species, size classes, habitat types, and relation to possible pollution sources. There is also no information available about adult dragonflies and their responses to toxic metals. However, metallic elements are toxic in elevated concentrations to all organisms. We predict that adult dragonflies would be suitable indicators of elemental concentrations. We analysed 105 adult male dragonflies from 21 sites in South Africa for 33 metallic elements including Hg, As, Pb, Cr, Cu, Cd, Ni, Se, Al, and Au. The results indicated that all species of dragonflies, regardless of body size, are suitable indicators. Furthermore, different aquatic habitat types did not affect the metallic element concentrations at the scale of this study. Dragonflies collected near wastewater treatment plants showed concentrations of certain elements such as Au higher than from elsewhere. Elements such as As and Pb were found at elevated concentrations (relative to the other sites) in dragonflies collected near mines. Dragonflies from sampling sites near potential pollution sources, but had seemingly isolated water sources, showed lower metallic element concentrations when compared with other sites. We conclude that adult dragonflies would be good indicators of environmental metallic elements.

Use of a Survey to Assess the Environmental Exposure and Family Perception to Lead in Children (<6 Years) in Four Valley Cities, Northwestern China

With the growth of industry, the extensive use of lead, and urban expansion in Northwestern Valley Cities (NVC) China, there is probable reason for presuming an increasing risk of lead exposure. However, little is known about the lead exposure of children less than 6 years old in NVC. As a first investigation, this study uses a survey to systematically determine the influences of various risk factors within the family environment, parents' background, children's behavior, mother's behavior during pregnancy, and parental perception about children's blood lead (CBL). A total of 596 families were recruited from the general population in Urumqi, Lanzhou, Xining and Yan'an. Parents, and their children (<6 years old), were asked about the environment and behaviors which could possibly relate with lead exposure. The results indicated that in the typical NVC of China, children's environment and behavior, parents' education level, and mother's pregnancy behavior, were associated with potential CBL. It was noted that not all parents in NVC China recognized the importance of children's lead exposure. Therefore, children's health care and medical screening campaigns need to be designed to improve family's fundamental knowledge of lead hazards, associated health effects, and prevention in the NVC of China.

In Vitro and In Vivo Evaluation of Lactobacillus delbrueckii subsp. bulgaricus KLDS1.0207 for the Alleviative Effect on Lead Toxicity

Lead (Pb) is a toxic contaminating heavy metal that can cause a variety of hazardous effects to both humans and animals. In the present study, Lactobacillus delbrueckii subsp. bulgaricus KLDS1.0207 (L. bulgaricus KLDS1.0207), which has a remarkable Pb binding capacity and Pb tolerance, was selected for further study. It was observed that the thermodynamic and kinetic model of L. bulgaricus KLDS1.0207 Pb binding respectively fit with the Langmuir-Freundlich model and the pseudo second-order kinetic model. Scanning electron microscopy and energy dispersive spectroscopy analysis disclosed that the cell surfaces were covered with Pb and that carbon and oxygen elements were chiefly involved in Pb binding. Combined with Fourier transform infrared spectroscopy analysis, it was revealed that the carboxyl, phosphoryl, hydroxyl, amino and amide groups were the main functional groups involved in the Pb adsorption. The protective effects of L. bulgaricus KLDS1.0207 against acute Pb toxicity in mice was evaluated by prevention and therapy groups, the results in vivo showed that L. bulgaricus KLDS1.0207 treatment could reduce mortality rates, effectively increase Pb levels in the feces, alleviate tissue Pb enrichment, improve the antioxidant index in the liver and kidney, and relieve renal pathological damage. Our findings show that L. bulgaricus KLDS1.0207 can be used as a potential probiotic against acute Pb toxicity.

Neighborhood Deprivation during Early Childhood and Conduct Problems in Middle Childhood: Mediation by Aggressive Response Generation

The tremendous negative impact of conduct problems to the individual and society has provided the impetus for identifying risk factors, particularly in early childhood. Exposure to neighborhood deprivation in early childhood is a robust predictor of conduct problems in middle childhood. Efforts to identify and test mediating mechanisms by which neighborhood deprivation confers increased risk for behavioral problems have predominantly focused on peer relationships and community-level social processes. Less attention has been dedicated to potential cognitive mediators of this relationship, such as aggressive response generation, which refers to the tendency to generate aggressive solutions to ambiguous social stimuli with negative outcomes. In this study, we examined aggressive response generation, a salient component of social information processing, as a mediating process linking neighborhood deprivation to later conduct problems at age 10.5. Participants (N = 731; 50.5 % male) were drawn from a multisite randomized prevention trial that includes an ethnically diverse and low-income sample of male and female children and their primary caregivers followed prospectively from toddlerhood to middle childhood. Results indicated that aggressive response generation partially mediated the relationship between neighborhood deprivation and parent- and teacher-report of conduct problems, but not youth-report. Results suggest that the detrimental effects of neighborhood deprivation on youth adjustment may occur by altering the manner in which children process social information.

Lactobacillus plantarum CCFM8661 alleviates lead toxicity in mice

Lead causes a broad range of adverse effects in humans and animals. The objective was to evaluate the potency of lactobacilli to bind lead in vitro and the protective effects of a selected Lactobacillus plantarum CCFM8661 against lead-induced toxicity in mice. Nine strains of bacteria were used to investigate their binding abilities of lead in vitro, and L. plantarum CCFM8661 was selected for animal experiments because of its excellent lead binding capacity. Both living and dead L. plantarum CCFM8661 were used to treat 90 male Kunming mice during or after the exposure to 1 g/L lead acetate in drinking water. The results showed oral administration of both living and dead L. plantarum CCFM8661 offered a significant protective effect against lead toxicity by recovering blood δ-aminolevulinic acid dehydratase activity, decreasing the lead levels in blood and tissues, and preventing alterations in the levels of glutathione, glutathione peroxidase, malondialdehyde, superoxide dismutase, and reactive oxygen species caused by lead exposure. Moreover, L. plantarum CCFM8661 was more effective when administered consistently during the entire lead exposure, not after the exposure. Our results suggest that L. plantarum CCFM8661 has the potency to provide a dietary strategy against lead toxicity.

Collateral benefits and hidden hazards of soil arsenic during abatement assessment of residential lead hazards

Abatement of soil-lead hazards may also reduce human exposure to other soil toxins, thereby achieving significant collateral benefits that are not accounted for today. This proposition was tested with the specific case of soil-arsenic, where 1726 residential soil samples were collected and analyzed for lead and arsenic. The study found that these two toxins coexisted in most samples, but their concentrations were weakly correlated, reflecting the differing sources for each toxin. Collateral benefits of 9% would be achieved during abatement of the lead-contaminated soils having elevated arsenic concentrations. However, a hidden hazard of 16% was observed by overlooking elevated arsenic concentrations in soils having lead concentrations not requiring abatement. This study recommends that soil samples collected under HUD programs should be collected from areas of lead and arsenic deposition and tested for arsenic as well as lead, and that soil abatement decisions consider soil-arsenic as well as soil-lead guidelines.

Urban soil-lead (Pb) footprint: retrospective comparison of public and private properties in New Orleans

Lead (Pb) is a toxin that after childhood exposure poses a lifetime of health risks. One route of exposure is soil-Pb as a result of 12 million metric tons of Pb residue in paint and gasoline sold in the US during the 20th Century. Pb accumulated in soil of the community is a good predictor for blood Pb of children living there. This retrospective study compares the soil-Pb on Housing Authority of New Orleans (HANO) properties with adjacent private residential (RES) properties within a 0.8 km (0.5 mile) radius. The sample subset (n = 951) is from two soil-Pb surveys (total n = 9,493) conducted between 1989 and 2000. The properties were in both the inner city (CORE) and outlying (OUTER) communities. The data were analyzed using multiresponse permutation procedures (MRPP). The soil-Pb results differ significantly (P-value < 0.001) on same-aged HANO properties at different locations; thus, year of construction does not give adequate explanation for the soil-Pb differences. HANO and RES soils are significantly more Pb contaminated in the CORE than in OUTER communities (P-value < 0.001). The CORE has many more years of traffic congestion than OUTER communities; therefore, the lead additives to gasoline, and not lead-based paint, best elucidate the differences of the soil-Pb footprint at HANO and RES properties in the CORE and OUTER communites. Currently HANO properties are being redeveloped with cleaner soil, but soil on RES properties in the CORE of New Orleans remains a large source of Pb (median = 707 mg/kg in this study) for human exposure, especially children.

Nonlinear association between soil lead and blood lead of children in metropolitan New Orleans, Louisiana: 2000-2005

Metropolitan New Orleans is unique because it has a universal blood lead (BL) screening dataset (n=55,551) from 2000-2005 spatially coupled with a soil lead (SL) dataset (n=5467) completed in 2000. We evaluated empirical associations between measurements of SL and BL exposure responses of children in New Orleans by stratifying the databases by Census Tracts and statistically analyzing them with permutation methods. A consistent curvilinear association occurred annually between SL and BL with robust significance (P-values<10(-23)). The mathematical model of the pooled BL datasets for 2000-2005 is: BL=2.038+0.172 x (SL)(0.5) (agreement (R) of 0.534, an r(2) of 0.528, and a P-value of 1.0 x 10(-211)) indicating that chance alone cannot explain the association. Below 100 mg/kg SL children's BL exposure response is steep (1.4 microg/dL per 100 mg/kg), while above 300 mg/kg SL the BL exposure response is gradual (0.32 microg/dL per 100 mg/kg). In 1995, the BL prevalence was 37%>or=10 microg/dL for the most vulnerable poor and predominantly African-American children. In the era of universal screening the prevalence of elevated BL is 11.8%>or=10 microg/dL for the general population of children. The SL map describes community variations of potential BL exposure. If health effects occur at BL>or=2 microg/dL, then 93.5% of the children in New Orleans are at risk. These results reinforce the proposal that prevention of childhood Pb exposure must include SL remediation as demonstrated by a New Orleans pilot project and a proactive Norwegian government program.

Chemical behavior of residential lead in urban yards in the United States

Long after federal regulations banned the use of lead-based paints and leaded gasoline, residential lead remains a persistent challenge. Soil lead is a significant contributor to this hazard and an improved understanding of physicochemical properties is likely to be useful for in situ abatement techniques such as phytoremediation and chemical stabilization. A laboratory characterization of high-lead soils collected from across the United States shows that the lead contaminants were concentrating in the silt and clay fractions, in the form of discrete particles of lead, as observed by scanning electron microscopy coupled with energy dispersive X-ray analysis. Soil lead varied widely in its solubility behavior as assessed by sequential and chelate extractions. Because site-specific factors (e.g., soil pH, texture, etc.) are believed to govern the solubility of the lead, understanding the variability in these characteristics at each site is necessary to optimize in situ remediation or abatement of these soils.

Environmental lead toxicity and nutritional factors

Environmental lead toxicity is an old but persistent public health problem throughout the world and children are more susceptible to lead than adults because of their hand to mouth activity, increased respiratory rates and higher gastrointestinal absorption per unit body weight. In the last decade children's blood lead levels have fallen significantly in a number of countries. Despite this reduction, childhood lead toxicity continues to be a major public health problem for certain at-risk groups of children, and concern remains over the effects of lead on intellectual development. The currently approved clinical intervention method is to give chelating agents, which bind and removed lead from lead burdened tissues. Studies indicate, however, that there is a lack of safety and efficacy when conventional chelating agents are used. Several studies are underway to determine the beneficial effect of nutrients supplementation following exposure to lead. Data suggest that nutrients may play an important role in abating some toxic effects of lead. To explain the importance of using exogenous nutrients in treating environmental lead toxicity the following topics are addressed: (i) different sources of lead exposure/current blood lead levels and (ii) protective effects of nutrients supplementation (some essential elements and vitamins) in lead toxicity.

Potential lead on play surfaces: evaluation of the "PLOPS" sampler as a new tool for primary lead prevention

This New Orleans study tested the "potential lead on play surfaces" (PLOPS) sampler, as a tool for measuring the potential lead (Pb) surface loading per area (e.g., microg/ft2) of the soil. The PLOPS is a cylindrical vinyl envelope filled with 1 kg (2.2 lbs) water. A wet wipe, the same type as used for floor wipes, is clipped to the bottom of the cylindrical vinyl envelope and placed on the soil and turned one quarter of a turn and back to obtain a sample. PLOPS samples paired with one conventional soil lead (SL) sample (amount of Pb per mass) up to 2.5 cm (1 in) deep were collected from 25 properties and 67-69 field sites before and after covering them with clean Mississippi River alluvial soil from the Bonnet Carré Spillway (BCS). Permutation methods were used to evaluate results. The correlation was 0.85 between Plops 1 and 2 and the agreement was 0.79 (P-values0.0000001, i.e., extreme). The averages of PLOPS duplicates were used to correlate PLOPS and SL. The simplest mathematical expressions are in the forms y=a+bxc and x=d+eyf, where x is PLOPS and y is SL. The results were:y=-7.42+0.408x0.97 and x=-43.74+24.85y0.69. The agreements were 0.61 and 0.62, respectively (P-value0.0000001). According to the relationship, when the PLOPS measure 40 microg/ft2, the predicted SL is 7.2 mg/kg. Also, when SL measures 400 mg/kg, 1508 microg/ft2 is predicted for PLOPS; therefore, SL concentration underestimates the potential for Pb exposure from the soil surface. The PLOPS tool provides a measurement that is comparable with interior floor wipes because it measures the amount of Pb per area a child is likely to encounter while at play on the soil surface.

Hurricane Katrina's impact on New Orleans soils treated with low Lead Mississippi River alluvium

Before Hurricane Katrina flooded 80% of New Orleans, 25 heavily Pb contaminated properties were treated with 15 cm of low Pb Mississippi River alluvium from the Bonnet Carré Spillway (BCS). Four phases of soil collection on the properties included pretreatment (phase 1) median surface soil Pb was 1051 mg/kg (range 5-19 627); after BCS cover (phase 2) the median soil Pb decreased to 6.3 mg/ kg (range 3-18); just before Katrina, a soil collection was partially completed (phase 3); and finally, a post-Katrina collection (phase 4) on all 25 properties. Twenty-three properties were flooded. The objective was to compare Pb changes of phases 2 and 3 pre-Katrina with the post-Katrina (phase 4) soil collection. The post-Katrina soil Pb (phase 4) (median of 16.3, range 5.5-1,155) increased significantly (P-value = 3.7 x 10(-10)) from the clean soil, phase 2 results. Matched soil samples collected in phase 3 before flooding and phase 4 after flooding showed that on initially vacant lots the amounts of Pb were not significantly different (P-value = 0.97); but, on properties with homes, the changes were significant (P-value = 0.03). After catastrophic flooding, the clean soil remained relatively undisturbed; the soil Pb changes were small with increases of median Pb of 12 and 6 mg/kg for vacant lots and properties with homes, respectively. Processes accounting for Pb increases include Pb-based paint abatement on one property, home construction on the vacant lots, and resuspension and deposition of Pb dust. As part of the post-Katrina recovery, the combined benefits of Pb-safe paint abatement or renovation and clean soil cover should outweigh the estimated annual cost of Pb poisoning of children returning to New Orleans.

An exploration of ethical issues in research in children's health and the environment

The consideration of ethical issues relating to pediatric environmental health is a recent phenomenon. Discussions of biomedical ethics, research on children, and environmental health research have a longer history. In the late 1990s, researchers at the Kennedy Krieger Institute in Baltimore, Maryland, undertook a study to compare the effectiveness of several methods of reducing lead risk in housing. In a preliminary finding in the case of Grimes v. Kennedy Krieger Institute, Inc., a Maryland court questioned the ethics of performing research on children when there is no prospect of direct benefit to those children and whether parents can consent to such research. This case dramatically raised the profile of ethical issues among the pediatric environmental health research community. To broaden the discussion of these issues and in response to the Kennedy-Krieger case, the Children's Environmental Health Network held a working meeting on 5 and 6 March 2004 to explore this topic. The articles in this mini-monograph were prepared by the authors as a result of the workshop and represent their opinions. This article is an introduction to the workshop and a summary of the articles to follow.

The politics of risk: a human rights paradigm for children's environmental health research

A human rights paradigm for environmental health research makes explicit the relationship between poor health and poverty, inequality, and social and political marginalization, and it aims at civic problem solving. In so doing, it incorporates support for community-based, participatory research and takes seriously the social responsibilities of researchers. For these reasons, a human rights approach may be better able than conventional bioethics to address the unique issues that arise in the context of pediatric environmental health research, particularly the place of environmental justice standards in research. At the same time, as illustrated by disagreements over the ethics of research into lead abatement methods, bringing a human rights paradigm to bear in the context of environmental health research requires resolving important tensions at its heart, particularly the inescapable tension between ethical ideals and political realities.

New Orleans soil lead (Pb) cleanup using Mississippi River alluvium: need, feasibility, and cost

In New Orleans, LA prior to hurricane Katrina 20-30% of inner-city children had elevated blood Pb levels > or =10 microg/ dL and 10 census tracts had a median surface soil level of Pb >1000 mg/kg (2.5 times the U.S. standard). This project tests the feasibility of transporting and grading contaminated properties (n = 25) with 15 cm (6 in.) of clean Mississippi River alluvium from the Bonnet Carré Spillway (BCS) (median soil Pb content 4.7 mg/kg; range 1.7-22.8). The initial median surface soil Pb was 1051 mg/kg (maximum 19 627). After 680 metric tons (750 tons) of clean soil cover was emplaced on 6424 m2 (69 153 ft2), the median surface soil Pb decreased to 6 mg/kg (range 3-18). Interior entrance wipe samples were collected at 10 homes before and after soil treatment and showed a decreasing trend of Pb (p value = 0.048) from a median of 52 microg/ft2 to a median of 36 microg/ft2 (25th and 75th percentiles are 22 and 142 microg/ft2 and 12 and 61 microg/ft2, respectively). Average direct costs for properties with homes were $3,377 ($1.95 per square foot), with a range of $1,910-7,020, vs $2,622 ($0.61 per square foot), with a range of $2,400-3,040 for vacant lots. Approximately 40% (86,000) of properties in New Orleans are in areas of >400 mg Pb/kg soil and estimated direct costs for treatment are between $225.5 and $290.4 million. Annual costs of Pb poisoning in New Orleans are estimated at approximately $76 million in health, education, and societal harm. Urban accumulation of Pb is an international problem; for example, the new Government of Norway established a policy precedence for an isolated soil cleanup program at daycare centers, school playgrounds, and parks to protect children. New Orleans requires a community-wide soil cleanup program because of the extent and quantity of accumulated soil Pb. The post-Katrina benefits of reducing soil Pb are expected to outweigh the foreseeable costs of Pb poisoning to children returning to New Orleans.

Changes of multiple metal accumulation (MMA) in New Orleans soil: preliminary evaluation of differences between survey I (1992) and survey II (2000)

Soil metal surveys were conducted in Baltimore, MD (1976-1979), Minnesota (1981-1988) and most recently, New Orleans, LA (1989-present). The unique characteristic of New Orleans is that it has two surveys; Survey I was completed in 1992 and Survey II was completed in 2000. This paper seeks to determine if there is a perceptible change in the amount of metals during less than a decade that separated these surveys. The Survey I collection was 4,026 samples stratified by 283 census tracts. All samples were collected in residential neighborhoods at least one block from a busy street. The Survey II collection was 5,467 samples stratified by 286 census tracts (plus City Park). The Survey II collection included busy streets as a category of samples. For comparison, the busy street category of 1,078 samples was excluded from Survey II for a total of 4,388 samples. The extraction methods of the two surveys used the same protocol for strength of acid (1 M HNO3), shaker-time (2 hours), and room temperature (approximately 22 degrees C). However, Survey II differed in amount of sample used in extraction. For Surveys I and II, 4.0g and 0.4g were used respectively. The same ICP-AES was used to measure 8 metals in both surveys. To evaluate the analytical results of the two methods, reference soi 1 samples (n=36) from the Wageningen Evaluating Programs for Analytical Laboratories, International Soil-analytical Exchange (WEPAL; ISE) were used. The relationship between the 4.0 and 0.4 g results were linear and the Survey I results were adjusted for sample:acid ratio. Further evaluation was done by creating interpolated Multiple Metal Accumulation (MMA) maps based on the median MMA for each census tract. A new map was created by dividing Survey II MMA by Survey I MMA. The ratio indicates increases of soil metals in the inner city and decreases of soil metals in the outlying areas of Metropolitan New Orleans. Comparing fresh parent alluvium from the Mississippi River with urban soil metal quantities demonstrates that the soils of New Orleans have undergone a massive accumulation of metals. The preliminary results provide ideas about methods needed to further evaluate the changes between these surveys.

Recent developments in low-level lead exposure and intellectual impairment in children

In the last decade children's blood lead levels have fallen significantly in a number of countries, and current mean levels in developed countries are in the region of 3 Mu g/dL. Despite this reduction, childhood lead poisoning continues to be a major public health problem for certain at-risk groups of children, and concerns remain over the effects of lead on intellectual development in infants and children. The evidence for lowered cognitive ability in children exposed to lead has come largely from prospective epidemiologic studies. The current World Health Organization/Centers for Disease Control and Prevention blood level of concern reflects this and stands at 10 Mu g/dL. However, a recent study on a cohort of children whose lifetime peak blood levels were consistently less than 10 Mu g/dL has extended the association of blood lead and intellectual impairment to lower levels of lead exposure and suggests there is no safety margin at existing exposures. Because of the importance of this finding, we reviewed this study in detail along with other recent developments in the field of low-level lead exposure and children's cognitive development. We conclude that these findings are important scientifically, and efforts should continue to reduce childhood exposure. However, from a public health perspective, exposure to lead should be seen within the many other risk factors impacting on normal childhood development, in particular the influence of the learning environment itself. Current lead exposure accounts for a very small amount of variance in cognitive ability (1-4%), whereas social and parenting factors account for 40% or more.