When lead is ingested, much of it passes through the body unabsorbed, and is eliminated in the feces. The greater portion of the lead that is absorbed is caught by the liver and excreted, in part, in the bile. For this reason, larger amounts of lead are necessary to cause toxic effects by this route, and a longer period of exposure is usually necessary to produce symptoms. On the other hand, upon inhalation, absorption takes place easily from the respiratory tract and symptoms tend to develop more quickly. For industry, inhalation is much more important than is ingestion. For the general population, exposure to lead occurs from inhaled air, dust of various types, and food and water, with an approximate 50/50 division between inhalation and ingestion routes. Lead occurs in water in either dissolved or particulate form. At low pH, lead is more easily dissolved. Chemical treatment to soften water increases the solubility of lead. Adults absorb about 5–15% of ingested lead and retain less than 5%. Children absorb about 50% and retain about 30%.
Lead produces a brittleness of the red blood cells so that they hemolyze with but slight trauma; the hemoglobin is not affected. Due to their increased fragility, the red cells are destroyed more rapidly in the body than is normal, producing an anemia that is rarely severe. The loss of circulating red cells stimulates the production of new young cells, which, on entering the bloodstream, are acted upon by the circulating lead, with resultant coagulation of their basophilic material. These cells, after suitable staining, are recognized as “stippled cells.” There is no uniformity of opinion regarding the effect of lead on the white blood cells.
In addition to its effect on the red blood cells, lead produces a damaging effect on the organs or tissues with which it comes in contact. No specific or characteristic lesion is produced. Autopsies in deaths attributed to lead poisoning and experimental work on animals have shown pathological lesions of the kidneys, liver, male gonads, nervous system, blood vessels, and other tissues. None of these changes, however, has been found consistently. In cases of severe lead poisoning, the amount of lead found in the blood is frequently in excess of 0.07 mg per 100 cc of whole blood. The urinary lead excretion generally exceeds 0.1 mg per liter of urine.
Flammable in the form of dust when exposed to heat or flame. Moderately explosive in the form of dust when exposed to heat or flame. Mixtures of hydrogen peroxide + trioxane explode on contact with lead. Rubber gloves containing lead may ignite in nitric acid. Violent reaction on ignition with chlorine trifluoride, concentrated hydrogen peroxide, ammonium nitrate (below 200° with powdered lead), sodium acetylide (with powdered lead). Incompatible with NaN3, Zr, disodium acetylide, oxidants. Can react vigorously with oxidizing materials. A common air contaminant. When heated to decomposition it emits highly toxic fumes of Pb. See also LEAD COMPOUNDS.
Analytical Methods:
For occupational chemical analysis use OSHA: #ID-125G or NIOSH: Lead, 7082; Elements, 7300; Lead in Blood and Urine, 8003.
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