Blood Lead Concentrations in Leather-Industry Workers Compared with Community Controls: A Cross-Sectional Study
DOI:
https://doi.org/10.54112/bcsrj.v6i6.1907Keywords:
Adult, Biomonitoring, Blood, Cross-Sectional Studies, Lead, Occupational Exposure, Pakistan, Tannery WorkersAbstract
Leather processing involves potential lead exposure, yet biomonitoring data from Pakistani workers are limited. Objective: To compare blood lead concentrations between leather-industry workers and community controls in Sialkot, Pakistan. Methods: This analytical cross-sectional study enrolled 80 adults, comprising 40 tannery workers and 40 controls without known occupational heavy-metal exposure. Venous whole blood samples were collected in heparinized tubes, digested with nitric acid/hydrogen peroxide, and analyzed for lead (Pb) concentrations using inductively coupled plasma–optical emission spectrometry with multi-point external calibration. The primary outcome was blood lead level (µg/dL). Group means were compared using two-sided statistical tests with significance set at α=0.05. Results: Tannery workers demonstrated significantly higher blood lead levels compared with controls (0.441 ± 0.8947 vs −0.0225 ± 0.0800 µg/dL; p=0.0016). Among workers, concentrations ranged from −0.01 to 4.05 µg/dL, with the highest level observed in the 40–50-year age group. Minor negative values reflected blank subtraction near the detection limit. Conclusion: Employment in the leather industry was associated with significantly elevated blood lead concentrations relative to community controls. These findings highlight the need for workplace exposure controls and routine biomonitoring to safeguard worker health in this sector.
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Han L., Wang X., Han R., Xu M., Zhao Y., Gao Q.et al.. Association between blood lead level and blood pressure: an occupational population-based study in Jiangsu province, China. Plos One 2018;13(7):e0200289. https://doi.org/10.1371/journal.pone.0200289
Hu Z., Chang J., Guo F., Deng H., Pan G., Li B.et al.. The effects of dimethylformamide exposure on liver and kidney function in the elderly population. Medicine 2020;99(27):e20749. https://doi.org/10.1097/md.0000000000020749
Koski L., Tshoni U., Olowoyo J., Kobyana A., Lion N., Mugivhisa L.et al.. Occupational lead exposure in gasoline station forecourt attendants and other occupations in relation to ALS (amyotrophic lateral sclerosis) risk. 2023. https://doi.org/10.1101/2023.05.27.23290632
Olowoyo J., Tshoni U., Kobyana A., Lion G., Mugivhisa L., Koski L.et al.. Blood lead concentrations in exposed forecourt attendants and taxi drivers in parts of South Africa. 2023. https://doi.org/10.1101/2023.05.14.23289954
Su C., Qu X., Gao Y., Zhou X., Yang X., & Zheng N.. Effects of heavy metal exposure from leather processing plants on serum oxidative stress and the milk fatty acid composition of dairy cows: a preliminary study. Animals 2022;12(15):1900. https://doi.org/10.3390/ani12151900
Hira A., Pacini H., Attafuah-Wadee K., Sikander M., Oruko R., & Dinan A. Mitigating tannery pollution in sub-Saharan Africa and South Asia. Journal of Developing Societies 2022;38(3):360-383. https://doi.org/10.1177/0169796x221104856
Rabbani G., Billah B., Giri A., Hossain S., Mahmud A., Banu B.et al.. Factors associated with health complaints among leather tannery workers in Bangladesh. Workplace Health & Safety 2020;69(1):22-31. https://doi.org/10.1177/2165079920936222
T. T. and Jegadeeswari S.. A study on the health issues of leather industry workers. E3s Web of Conferences 2024;491:01022. https://doi.org/10.1051/e3sconf/202449101022
Zhou X., Zheng N., Su C., Wang J., & Soyeurt H. Relationships between Pb, As, cr, and Cd in individual cows' milk and milk composition and heavy metal contents in water, silage, and soil. Environmental Pollution 2019;255:113322. https://doi.org/10.1016/j.envpol.2019.113322
Guth K., Bourgeois M., Johnson G., & Harbison R.. Evaluation of the effectiveness of hygenall<sup>©</sup> leadoff<sup>tm</sup> foaming soap in reducing lead on workers' hands and the uptake of lead on bridge painting projects. Occupational Diseases and Environmental Medicine 2020;08(04):123-134. https://doi.org/10.4236/odem.2020.84010
Yu C., Wei F., Yang W., Zhang Z., Mujaj B., Thijs L.et al.. Heart rate variability and peripheral nerve conduction velocity in relation to blood lead in newly hired lead workers. Occupational and Environmental Medicine 2019;76(6):382-388. https://doi.org/10.1136/oemed-2018-105379
Brown L., Lynch M., Belova A., Klein R., & Chiger A. Developing a health impact model for adult lead exposure and cardiovascular disease mortality. Environmental Health Perspectives 2020;128(9). https://doi.org/10.1289/ehp6552
Shvachiy L., Amaro-Leal Â., Machado A., Rocha I., Outeiro T., & Geraldes V. Gender-specific effects on the cardiorespiratory system and neurotoxicity of intermittent and permanent low-level lead exposures. Biomedicines 2024;12(4):711. https://doi.org/10.3390/biomedicines12040711
Alhaj A.. Occupational lead exposure among petrol station workers in Sana’a city, Yemen: awareness and self-reported symptoms. Zagazig University Medical Journal 2020;0(0):0-0. https://doi.org/10.21608/zumj.2020.20291.1633
Wang H., Huang P., Zhang R., Feng X., Tang Q., Liu S.et al.. Effect of lead exposure from electronic waste on haemoglobin synthesis in children. International Archives of Occupational and Environmental Health 2021;94(5):911-918. https://doi.org/10.1007/s00420-020-01619-1
Obeng-Gyasi E. Lead exposure and cardiovascular disease among young and middle-aged adults. Medical Sciences 2019;7(11):103. https://doi.org/10.3390/medsci7110103
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Copyright (c) 2025 Amina Tahir, Saima Ashraf, Urwa Tul Esha, Manahal Sughra, Abida Shehzadi, Sadia Ashraf

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