Sources, blood concentrations, and approaches for reducing exposure to lead: A critical appraisal on lead poisoning
DOI:
https://doi.org/10.18006/2023.11(3).506.519Keywords:
Lead, Sources of exposure, Ayurvedic preparations, Workplace exposure, Lead poisoning, EDTA, AmeliorationAbstract
Lead, a non-essential metal, enters the body in various ways, making it a major public health issue. Painters and smelters report lead poisoning in children and staff. Mining and battery workers risk lead exposure. Traditional and cultural remedies may include dangerous quantities of lead, producing lead poisoning. These drugs must be properly understood and regulated to avoid toxicity. Lead poisoning symptoms vary by duration and severity. Lead first impairs cognition, development, and behaviour by damaging the neural system. Time degrades reproductive and haematological systems. Lead's quiet entry into the body makes it deadly. Acute lead nephropathy damages kidneys at 100mg/dL. Lead levels exceeding 150mg/dL may induce encephalopathy. Blood lead levels indicate lead poisoning severity. Lead levels over 10g/dL in children and 40g/dL in adults are hazardous. Lead toxicity affects various organs. Lead may induce hypertension and cardiovascular disease. It may also cause chronic kidney disease and renal failure. Lead exposure may impede fertility, cause miscarriages, and alter foetal development; hence the reproductive system is vulnerable. Symptoms and lead levels may be treated with different approaches. Lead chelation treatment is frequent. Other vitamins and medications may enhance organ function and treat lead poisoning. Lead poisoning prevention requires widespread awareness. Strict standards and education regarding lead-contaminated products and conventional remedies should reduce occupational lead exposure. Regular blood lead level monitoring, especially in youngsters and lead workers, may help detect and treat lead poisoning early. Lead poisoning has serious health consequences. Understanding lead exposure pathways, identifying symptoms, and preventing lead poisoning is essential to public health and organ system protection.
References
Abalansa, S., El Mahrad, B., Icely, J., & Newton, A. (2021). Electronic Waste, an Environmental Problem Exported to Developing Countries: The GOOD, the BAD and the UGLY. Sustainability, 13(9). https://doi.org/https://doi.org/10.3390/ su13095302 DOI: https://doi.org/10.3390/su13095302
Al-Naimi, M. S., Rasheed, H. A., Hussien, N. R., Al-Kuraishy, H. M., & Al-Gareeb, A. I. (2019). Nephrotoxicity: Role and significance of renal biomarkers in the early detection of acute renal injury. Journal of Advanced Pharmaceutical Technology & Research, 10(3), 95-99. https://doi.org/10.4103/japtr.JAPTR_336_18 DOI: https://doi.org/10.4103/japtr.JAPTR_336_18
Angrand, R. C., Collins, G., Landrigan, P. J., & Thomas, V. M. (2022). Relation of blood lead levels and lead in gasoline: an updated systematic review. Environmental Health, 21(1), 138. https://doi.org/10.1186/s12940-022-00936-x DOI: https://doi.org/10.1186/s12940-022-00936-x
Awasthi, S., Awasthi, R., Pande, V. K., Srivastav, R., & Frumkin, H. (1996). Blood lead in pregnant women in the urban slums of Lucknow, India. Occupational and Environmental Medicine, 53(12), 836-840. https://doi.org/https://doi.org/10.1136%2Foem.53.12.836 DOI: https://doi.org/10.1136/oem.53.12.836
Cantor, A. G., Hendrickson, R., Blazina, I., Griffin, J., Grusing, S., & McDonagh, M. S. (2019). Screening for Elevated Blood Lead Levels in Childhood and Pregnancy: Updated Evidence Report and Systematic Review for the US Preventive Services Task Force. JAMA, 321(15), 1510-1526. https://doi.org/10.1001/jama.2019.1004 DOI: https://doi.org/10.1001/jama.2019.1004
Cedergreen, N., & Streibig, J. C. (2005). Can the choice of endpoint lead to contradictory results of mixture‐toxicity experiments? Environmental Toxicology and Chemistry: An International Journal, 24(7), 1676-1683. https://doi.org/https://doi.org/10.1897/04-362r.1 DOI: https://doi.org/10.1897/04-362R.1
Charkiewicz, A. E., & Backstrand, J. R. (2020). Lead Toxicity and Pollution in Poland. International Journal of Environmental Research and Public Health, 17(12). https://doi.org/10.3390/ ijerph17124385 DOI: https://doi.org/10.3390/ijerph17124385
Ciocan, C., Mansour, I., Beneduce, A., Corgiat Loia, R., Milanesio, N., Declementi, M., Godono, A., Garzaro, G., & Pira, E. (2021). Lead poisoning from Ayurvedic treatment: a further case. La Medicina del lavoro, 112(2), 162–167. https://doi.org/10.23749/mdl.v112i2.10576
D’souza, H. S., Dsouza, S. A., Menezes, G., & Venkatesh, T. (2011). Diagnosis, evaluation, and treatment of lead poisoning in general population. Indian Journal of Clinical Biochemistry, 26(2), 197-201. https://doi.org/https://doi.org/10.1007%2Fs12291-011-0122-6 DOI: https://doi.org/10.1007/s12291-011-0122-6
Dettwiler, M., Flynn, A. C., & Rigutto-Farebrother, J. (2023). Effects of Non-Essential "Toxic" Trace Elements on Pregnancy Outcomes: A Narrative Overview of Recent Literature Syntheses. International journal of environmental research and public health, 20(8), 5536. https://doi.org/10.3390/ijerph20085536 DOI: https://doi.org/10.3390/ijerph20085536
Dongre, N. N., Suryakar, A. N., Patil, A. J., Ambekar, J. G., & Rathi, D. B. (2011). Biochemical effects of lead exposure on systolic & diastolic blood pressure, heme biosynthesis and hematological parameters in automobile workers of north karnataka (India). Indian Journal of Clinical Biochemistry, 26(4), 400-406. https://doi.org/https://doi.org/10.1007/s12291-011-0159-6 DOI: https://doi.org/10.1007/s12291-011-0159-6
Dsouza, H. S., Menezes, G., & Thuppil, V. (2022). Ameliorative effects of nutritional minerals on lead-induced hematological alterations in male Wistar albino rats. Drug and chemical toxicology, 45(6), 2483–2487. https://doi.org/10.1080/ 01480545.2021.1958833 DOI: https://doi.org/10.1080/01480545.2021.1958833
Eastman, K. L., & Tortora, L. E. (2023). Lead Encephalopathy. In StatPearls. StatPearls Publishing, StatPearls Publishing LLC.
Egan, K. B., Tsai, R. J., & Chuke, S. O. (2019). Integrating Childhood and Adult Blood Lead Surveillance to Improve Identification and Intervention Efforts. Journal of Public Health Management and Practice, 25. https://doi.org/https://doi.org/ 10.1097/phh.0000000000000872 DOI: https://doi.org/10.1097/PHH.0000000000000872
Estévez-García, J. A., Farías, P., & Tamayo-Ortiz, M. (2022). A review of studies on blood lead concentrations of traditional Mexican potters. International Journal of Hygiene and Environmental Health, 240, 113903. https://doi.org/https://doi.org/ 10.1016/j.ijheh.2021.113903 DOI: https://doi.org/10.1016/j.ijheh.2021.113903
Fadrowski, J. J., Navas-Acien, A., Tellez-Plaza, M., Guallar, E., Weaver, V. M., & Furth, S. L. (2010). Blood Lead Level and Kidney Function in US Adolescents: The Third National Health and Nutrition Examination Survey. Archives of Internal Medicine, 170(1), 75-82. https://doi.org/10.1001/archinternmed.2009.417 DOI: https://doi.org/10.1001/archinternmed.2009.417
Fralick, M., Thomspson, A., & Mourad, O. (2016). Lead toxicity from glazed ceramic cookware. CMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne, 188(17-18), E521–E524. https://doi.org/10.1503/ cmaj.160182 DOI: https://doi.org/10.1503/cmaj.160182
Gajewska, K., Laskowska, M., Almeida, A., Pinto, E., Skórzyńska-Dziduszko, K., & Błażewicz, A. (2021). Lead Levels in Non-Occupationally Exposed Women with Preeclampsia. Molecules, 26(10), 3051. https://doi.org/https://doi.org/ 10.3390%2Fmolecules26103051 DOI: https://doi.org/10.3390/molecules26103051
Geraldine, M., & Venkatesh, T. (2007). Evaluation, diagnosis, and treatment of lead poisoning in a patient with occupational lead exposure: a case presentation. Journal of Occupational medicine and Toxicology, 2(1), 1-4. https://doi.org/https://doi.org/10.1186/ 1745-6673-2-7 DOI: https://doi.org/10.1186/1745-6673-2-7
Gerritsen, A., & Cleetus, B. (2023). Histories of Health and Materiality in the Indian Ocean World: Medicine, Material Culture and Trade, 1600-2000. Bloomsbury Publishing. DOI: https://doi.org/10.5040/9781350278271.0007
Ghanwat, G., Patil, A. J., Patil, J., Kshirsagar, M., Sontakke, A., & Ayachit, R. (2016). Effect of vitamin C supplementation on blood Lead level, oxidative stress and antioxidant status of battery manufacturing Workers of Western Maharashtra, India. Journal of clinical and diagnostic research: JCDR, 10(4), BC08. https://doi.org/https://doi.org/10.7860%2FJCDR%2F2016%2F15968.7528 DOI: https://doi.org/10.7860/JCDR/2016/15968.7528
Ghosh, P., Chakraborty, M., & Rao, M. (1952). A study of the occupational lead hazard in two electrical accumulator industries. The Indian medical gazette, 87(3), 114.
Goswami, K. (2013). Eye cosmetic 'surma': hidden threats of lead poisoning. Indian Journal of Clinical Biochemistry, 28(1), 71-73. https://doi.org/https://doi.org/10.1007%2Fs12291-012-0235-6 DOI: https://doi.org/10.1007/s12291-012-0235-6
Gwozdzinski, K., Pieniazek, A., & Gwozdzinski, L. (2021). Reactive Oxygen Species and Their Involvement in Red Blood Cell Damage in Chronic Kidney Disease. Oxid Med Cell Longev, 2021, 6639199. https://doi.org/10.1155/2021/6639199 DOI: https://doi.org/10.1155/2021/6639199
Halmo, L., & Nappe, T. M. (2023). Lead Toxicity. In StatPearls. StatPearls Publishing, StatPearls Publishing LLC.
Hou, S., Zheng, N., Tang, L., Ji, X., Li, Y., & Hua, X. (2019). Pollution characteristics, sources, and health risk assessment of human exposure to Cu, Zn, Cd and Pb pollution in urban street dust across China between 2009 and 2018. Environment International, 128, 430-437. https://doi.org/https://doi.org/10.1016/ j.envint.2019.04.046 DOI: https://doi.org/10.1016/j.envint.2019.04.046
Iqbal, M. S., Aslam, A. A., Iftikhar, R., Junaid, M., Imran, S. M., Nazir, M. S., Ali, Z., Zafar, M., Kanwal, A., & Othman, N. K. (2023). The potential of functionalized graphene-based composites for removing heavy metals and organic pollutants. Journal of Water Process Engineering, 53, 103809. https://doi.org/https://doi.org/10.1016/j.jwpe.2023.103809 DOI: https://doi.org/10.1016/j.jwpe.2023.103809
Jain, V., & Roy, K. (2022). Severe Lead Toxicity Due to Ayurvedic Medicine in a Child with Type 1 Diabetes Mellitus: Authors' Reply. Indian Journal of Pediatrics, 89(6), 634-634. https://doi.org/10.1007/s12098-022-04106-2 DOI: https://doi.org/10.1007/s12098-022-04106-2
Jarvis, P., Quy, K., Macadam, J., Edwards, M., & Smith, M. (2018). Intake of lead (Pb) from tap water of homes with leaded and low lead plumbing systems. The Science of the total environment, 644, 1346–1356. https://doi.org/10.1016/ j.scitotenv.2018.07.064 DOI: https://doi.org/10.1016/j.scitotenv.2018.07.064
Ji, J. S., Schwartz, J., Sparrow, D., Hu, H., & Weisskopf, M. G. (2014). Occupational determinants of cumulative lead exposure: Analysis of bone lead among men in the VA normative aging study. Journal of occupational and environmental medicine/American College of Occupational and Environmental Medicine, 56(4), 435. https://doi.org/https://doi.org/10.1097%2FJOM.0000000000000127 DOI: https://doi.org/10.1097/JOM.0000000000000127
Karri, S. K., Saper, R. B., & Kales, S. N. (2008). Lead encephalopathy due to traditional medicines. Current drug safety, 3(1), 54-59. https://doi.org/https://doi.org/10.2174/ 157488608783333907 DOI: https://doi.org/10.2174/157488608783333907
Keen, R., Deacon, A., Delves, H., Moreton, J., & Frost, P. (1994). Indian herbal remedies for diabetes as a cause of lead poisoning. Postgraduate medical journal, 70(820), 113-114. https://doi.org/https://doi.org/10.1136%2Fpgmj.70.820.113 DOI: https://doi.org/10.1136/pgmj.70.820.113
Kshirsagar, M., Patil, J., Patil, A., Ghanwat, G., Sontakke, A., & Ayachit, R. (2015). Biochemical effects of lead exposure and toxicity on battery manufacturing workers of Western Maharashtra (India): with respect to liver and kidney function tests. Al Ameen Journal of Medical Sciences, 8(2), 107-114. https://doi.org/https://doi.org/10.1515/jbcpp-2015-0030 DOI: https://doi.org/10.1515/jbcpp-2015-0030
Kumar, A., Kumar, A., M M S, C. P., Chaturvedi, A. K., Shabnam, A. A., Subrahmanyam, G., Mondal, R., Gupta, D. K., Malyan, S. K., S Kumar, S., A Khan, S., & Yadav, K. K. (2020). Lead Toxicity: Health Hazards, Influence on Food Chain, and Sustainable Remediation Approaches. International journal of environmental research and public health, 17(7), 2179. https://doi.org/10.3390/ijerph17072179 DOI: https://doi.org/10.3390/ijerph17072179
Kumar, K., & Singh, D. (2023). Toxicity and bioremediation of the lead: a critical review. International journal of environmental health research, 1–31. Advance online publication. https://doi.org/10.1080/09603123.2023.2165047 DOI: https://doi.org/10.1080/09603123.2023.2165047
Kurutas E. B. (2016). The importance of antioxidants which play the role in cellular response against oxidative/nitrosative stress: current state. Nutrition journal, 15(1), 71. https://doi.org/10.1186/ s12937-016-0186-5 DOI: https://doi.org/10.1186/s12937-016-0186-5
Kuruvilla, A., Pillay, V., Venkatesh, T., Adhikari, P., Chakrapani, M., Clark, C., D'Souza, H., Menezes, G., Nayak, N., & Clark, R. (2004). Portable lead analyzer to locate source of lead. The Indian Journal of Pediatrics, 71(6), 495-499. https://doi.org/https://doi.org/10.1007/BF02724287 DOI: https://doi.org/10.1007/BF02724287
Kute, V. B., Shrimali, J. D., Balwani, M. R., Godhani, U. R., Vanikar, A. V., Shah, P. R., Gumber, M. R., Patel, H. V., & Trivedi, H. L. (2013). Lead nephropathy due to Sindoor in India. Renal failure, 35(6), 885-887. https://doi.org/https://doi.org/ 10.3109/0886022x.2013.801301 DOI: https://doi.org/10.3109/0886022X.2013.801301
Lakka, N., Pai, B., Mani, M. S., & Dsouza, H. S. (2023). Potential diagnostic biomarkers for lead-induced hepatotoxicity and the role of synthetic chelators and bioactive compounds. Toxicology research, 12(2), 178–188. https://doi.org/10.1093/toxres/tfad014 DOI: https://doi.org/10.1093/toxres/tfad014
Lelievre, B., Bruneau, C., Legeay, M., Parisot, J., & Cloquet, C. (2020). Identification of the origin of infantile saturnism based on lead isotopic and elemental ratios. Journal of Trace Elements in Medicine and Biology, 62, 126627. https://doi.org/https://doi.org/ 10.1016/j.jtemb.2020.126627 DOI: https://doi.org/10.1016/j.jtemb.2020.126627
Levin, R., Zilli Vieira, C. L., Rosenbaum, M. H., Bischoff, K., Mordarski, D. C., & Brown, M. J. (2021). The urban lead (Pb) burden in humans, animals and the natural environment. Environmental research, 193, 110377. https://doi.org/10.1016/j.envres.2020.110377 DOI: https://doi.org/10.1016/j.envres.2020.110377
Mabrouk, A. (2021). Thymoquinone Improves Lead-Induced Hematotoxicity in Rats. Pakistan Journal of Zoology, 1-9 https://doi.org/https://dx.doi.org/10.17582/journal.pjz/20191209171226 DOI: https://doi.org/10.17582/journal.pjz/20191209171226
Mani, M. S., Nayak, D. G., & Dsouza, H. S. (2020). Challenges in diagnosing lead poisoning: A review of occupationally and nonoccupationally exposed cases reported in India. Toxicology and Industrial Health, 36(5), 346-355. https://doi.org/https://doi.org/ 10.1177/0748233720928170 DOI: https://doi.org/10.1177/0748233720928170
Menezes, G., D'souza, H., & Venkatesh, T. (2003). Chronic lead poisoning in an adult battery worker. Occupational Medicine, 53(7), 476-478. https://doi.org/https://doi.org/10.1093/occmed/kqg091 DOI: https://doi.org/10.1093/occmed/kqg091
Mielke, H. W., & Egendorf, S. P. (2023). Getting the Lead Out: A Career-Long Perspective on Leaded Gasoline, Dust, Soil, and Proactive Pediatric Exposure Prevention. Medical Research Archives, 11(6), 1-17. https://doi.org/https://doi.org/10.18103/ mra.v11i5.3813 DOI: https://doi.org/10.18103/mra.v11i5.3813
Mitra, P., Sharma, S., Purohit, P., & Sharma, P. (2017). Clinical and molecular aspects of lead toxicity: An update. Critical reviews in clinical laboratory sciences, 54(7-8), 506–528. https://doi.org/10.1080/10408363.2017.1408562 DOI: https://doi.org/10.1080/10408363.2017.1408562
Nedelescu, M., Stan, M., Ciobanu, A.-M., Bălălău, C., Filippini, T., & Baconi, D. (2022). Attention deficit among preschool and school-aged children living near former metal-processing plants in Romania. Environmental Research, 208, 112689. https://doi.org/https://doi.org/10.1016/j.envres.2022.112689 DOI: https://doi.org/10.1016/j.envres.2022.112689
Niu, C., Dong, M., & Niu, Y. (2023). Lead toxicity and potential therapeutic effect of plant-derived polyphenols. Phytomedicine, 114, 154789. https://doi.org/10.1016/j.phymed.2023.154789 DOI: https://doi.org/10.1016/j.phymed.2023.154789
Omeljaniuk, W. J., Socha, K., Soroczynska, J., Charkiewicz, A. E., Laudanski, T., Kulikowski, M., Kobylec, E., & Borawska, M. H. (2018). Cadmium and Lead in Women Who Miscarried. Clinical laboratory, 64(1), 59–67. https://doi.org/10.7754/ Clin.Lab.2017.170611 DOI: https://doi.org/10.7754/Clin.Lab.2017.170611
Palaniappan, K., Roy, A., Balakrishnan, K., Gopalakrishnan, L., Mukherjee, B., Hu, H., & Bellinger, D. C. (2011). Lead exposure and visual-motor abilities in children from Chennai, India. Neurotoxicology, 32(4), 465-470. https://doi.org/https://doi.org/ 10.1016/j.neuro.2011.03.011 DOI: https://doi.org/10.1016/j.neuro.2011.03.011
Quail, M. T. (2018). Retained bullet or bullet fragments: A potential source of elevated blood lead levels. Nursing, 48(10), 15. https://doi.org/10.1097/01.NURSE.0000545014.98790.6e DOI: https://doi.org/10.1097/01.NURSE.0000545014.98790.6e
Ramadan, M., Habib, A., Hazem, M., Amin, M., & Mohsen, A. (2023). Synergetic effects of hydrothermal treatment on the behavior of toxic sludge-modified geopolymer: Immobilization of cerium and lead, textural characteristics, and mechanical efficiency. Construction and Building Materials, 367, 130249. https://doi.org/https://doi.org/10.1016/j.conbuildmat.2022.130249 DOI: https://doi.org/10.1016/j.conbuildmat.2022.130249
Ramírez Ortega, D., González Esquivel, D. F., Blanco Ayala, T., Pineda, B., Gómez Manzo, S., Marcial Quino, J., Carrillo Mora, P., & Pérez de la Cruz, V. (2021). Cognitive impairment induced by lead exposure during lifespan: mechanisms of lead neurotoxicity. Toxics, 9(2), 23. https://doi.org/https://doi.org/10.3390/ toxics9020023 DOI: https://doi.org/10.3390/toxics9020023
Raut, T., Gholap, G., Shaikh, S., Mani, J., Sanghvi, D., & Bhatt, M. (2021). Acute Lead Encephalopathy Secondary to Ayurvedic Medication Use: Two Cases with Review of Literature [Case Report]. Neurology India, 69(5), 1417-1420. https://doi.org/10.4103/0028-3886.329591 DOI: https://doi.org/10.4103/0028-3886.310092
Raviraja, A., Babu, G. V., Sehgal, A., Saper, R. B., Jayawardene, I., Amarasiriwardena, C. J., & Venkatesh, T. (2010). Three cases of lead toxicity associated with consumption of ayurvedic medicines. Indian Journal of Clinical Biochemistry, 25(3), 326-329. https://doi.org/https://doi.org/10.3390/toxics9020023 DOI: https://doi.org/10.1007/s12291-010-0051-9
Roy, K., Sharma, R., Gupta, P., & Jain, V. (2022). Severe Lead Toxicity Due to Ayurvedic Medicine in a Child with Type 1 Diabetes Mellitus. Indian Journal of Pediatrics, 89(1), 89-90. https://doi.org/10.1007/s12098-021-03951-x DOI: https://doi.org/10.1007/s12098-021-03951-x
Sadiku, O. O., & Rodríguez-Seijo, A. (2022). Metabolic and genetic derangement: a review of mechanisms involved in arsenic and lead toxicity and genotoxicity. Arhiv za higijenu rada i toksikologiju, 73(4), 244-255. http://europepmc.org/abstract/MED/ 36607725 DOI: https://doi.org/10.2478/aiht-2022-73-3669
Samarghandian, S., Shirazi, F. M., Saeedi, F., Roshanravan, B., Pourbagher-Shahri, A. M., Khorasani, E. Y., Farkhondeh, T., Aaseth, J. O., Abdollahi, M., & Mehrpour, O. (2021). A systematic review of clinical and laboratory findings of lead poisoning: lessons from case reports. Toxicology and applied pharmacology, 429, 115681. https://doi.org/10.1016/j.taap.2021.115681 DOI: https://doi.org/10.1016/j.taap.2021.115681
Sanders, T., Liu, Y., Buchner, V., & Tchounwou, P. B. (2009). Neurotoxic effects and biomarkers of lead exposure: a review. Reviews on environmental health, 24(1), 15–45. https://doi.org/10.1515/reveh.2009.24.1.15 DOI: https://doi.org/10.1515/REVEH.2009.24.1.15
Schenk, L., Wingfors, H., Skoog, B., Forsgard, N., Nyberg, C., & Taube, F. (2021). Exposures to lead during urban combat training. International Journal of Hygiene and Environmental Health, 235, 113773. https://doi.org/https://doi.org/10.1016/j.ijheh.2021.113773 DOI: https://doi.org/10.1016/j.ijheh.2021.113773
Shah, M. P., Shendell, D. G., Strickland, P. O., Bogden, J. D., Kemp, F. W., & Halperin, W. (2017). Lead Content of Sindoor, a Hindu Religious Powder and Cosmetic: New Jersey and India, 2014-2015. American journal of public health, 107(10), 1630–1632. https://doi.org/10.2105/AJPH.2017.303931 DOI: https://doi.org/10.2105/AJPH.2017.303931
Srinivasan, M., Amin, R., Thunga, G., Nagiri, S. K., & Kudru, C. U. (2016). Pharmacokinetic Potentiation of Mixed Organophosphate and Pyrethroid Poison Leading to Prolonged Delayed Neuropathy. Journal of Clinical and Diagnostic Research, 10(11), Fd01-fd02. https://doi.org/10.7860/jcdr/2016/22756.8773 DOI: https://doi.org/10.7860/JCDR/2016/22756.8773
Tandon, S., Chatterjee, M., Bhargava, A., Shukla, V., & Bihari, V. (2001). Lead poisoning in Indian silver refiners. Science of the total environment, 281(1-3), 177-182. https://doi.org/https://doi.org/10.1016/s0048-9697(01)00845-2 DOI: https://doi.org/10.1016/S0048-9697(01)00845-2
Varghese, T., Vijayakumar, S., Boban, N., R, S. S., L, V., Robin, D. T., & M, V. R. (2022). Severe Lead Toxicity Due to Ayurvedic Medicine in a Child with Type 1 Diabetes Mellitus:
Correspondence. Indian Journal of Pediatrics, 89(6), 633-633. https://doi.org/10.1007/s12098-022-04088-1 DOI: https://doi.org/10.1007/s12098-022-04088-1
Wani, A. L., Ara, A., & Usmani, J. A. (2015). Lead toxicity: a review. Interdiscip Toxicol, 8(2), 55-64. https://doi.org/10.1515/ intox-2015-0009 DOI: https://doi.org/10.1515/intox-2015-0009
Whitehead, L. S., & Buchanan, S. D. (2019). Childhood Lead Poisoning: A Perpetual Environmental Justice Issue? Journal of Public Health Management and Practice, 25. https://doi.org/10.1097/PHH.0000000000000891 DOI: https://doi.org/10.1097/PHH.0000000000000891
Widyantoro, A., Maziya, F., & Abidin, A. (2021). Exposure analysis of lead (Pb) and chromium (Cr) in workplace workshop PT. X. Gaceta Sanitaria, 35, S450-S454. https://doi.org/10.1016/ j.gaceta.2021.07.023 DOI: https://doi.org/10.1016/j.gaceta.2021.07.023
Yanamandra, U., Somasundaram, V., Bahl, R., & Pramanik, S. K. (2020). Lead poisoning secondary to unprescribed ayurvedic medicine intake. BMJ Case Reports, 13(10). https://doi.org/https://doi.org/10.1136/bcr-2020-238576 DOI: https://doi.org/10.1136/bcr-2020-238576
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2023 Journal of Experimental Biology and Agricultural Sciences
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.