Variation de la plombemie en fonction de la contamination par le plomb de l'eau livree a la consommation: Variation of the blood lead level as a result of lead contamination of the subjects drinking water

The combination of the chemical aggressivity of water and lead piping, as is well known, can cause severe cases of lead poisoning in those who consume such water. After a great number of observations and epidemiological studies which have strongly incriminated this metal in a wide range of pathologic conditions, other materials have been gradually substituted for lead; however, the problem remains.In compliance with a European Directive to survey the risk of lead poisoning (Council Directive, 1977), a random sample of 321 residents was selected from the Vosgian Mountains of France. This region is noted for its high incidence of cases of lead poisoning: 150 reported during 8 months in 1983 (Barbier et al., 1983).During the course of a health evaluation, a blood sample was taken from each subject for lead analysis. At the same time, a sample of tap-water (after running for 5 s) was taken from each subject home. Both lead analyses (blood and water) were performed by electrothermal atomization-atomic absorption spectrophotometry. Because of the log-normality of the distributions of the blood lead levels and the concentrations of lead in the drinking water, a logarithmic transformation was performed so that the results are expressed as the geometric mean, which for the amount of lead in the drinking water of our sample was found to be 0.16 mg l^?1.Among the subjects of this study, 28% are served by water containing more than 0.10 mg l^?1 of lead (the standard for France) and 48% by water containing more than 0.05 mg l^?1 (the European and WHO standard). In concurrence with numerous authors, our study indicates that, among our subjects, the blood lead level is much higher in men than in women (geometric means 22.9 and 15.0 μg dl^?1 respectively); this difference is highly significant (t-test:P < 0.001). Table 1 summarizes the results, by sex, obtained in this region compared with those from a study (Huel, 1982) concerning an urban French population whose geometric mean blood lead levels were 15.9 μg dl^?1 for men and 11.4 μg dl^?1 for women. The irrespective of sex, is highly significant (P < 0.001). Table 2 shows the significance of the relation between these subjects, high blood lead levels and the concentration of lead in their drinking water, while Fig. 1 shows that for contamination levels up to 0.02 mg l^?1 of lead in water, the blood lead level remains relatively stable, while above this apparent “threshold” value, the blood lead level begins to increase finally reaching quite high values in response to high contamination levels, suggesting a direct translation of increases in the water above the 0.02 mg l^?1 level to increases in the blood.