In this study, the authors aimed to monitor blood lead levels (BLLs) of miners and ore processors participating in a pilot program to reduce lead poisoning and take-home exposures from artisanal small-scale gold mining. A medical surveillance program was established to assess exposures as new methods aimed at reducing lead exposures from ore were introduced in a community in Nigeria where children experienced substantial lead-related morbidity and mortality. Extensive outreach and education were offered to miners, and investments were made to adopt wet methods to reduce exposures during mining and processing. The authors conducted medical surveillance, including a physical exam and repeated blood lead testing, for 61 miners selected from among several hundred who participated in the safer mining pilot programme and consented to testing. Venous blood lead concentrations were analysed using the LeadCare II device at approximately 3-month intervals over a period of 19 months. Overall geometric mean (GM) BLLs decreased by 32% from 31.6 to 21.5?µg/dL during the 19-month project. Women had a somewhat lower reduction in GM BLLs (23%) compared with men (36%). There was a statistically significant reduction in log BLLs from baseline to the final test taken by each participant (p<0.001). The observed reductions in GM BLLs during the pilot intervention among this representative group of miners and ore processors demonstrated the effectiveness of the safer mining program in this community. Such measures are feasible, cost-effective and can greatly improve health outcomes in mining communities.
Authors: Gottesfeld P, Meltzer G, Costello S, Greig J, Thurtle N, Bil K, Mwangombe BJ, Nota MM.
; Full Source: Occupational& Environmental Medicine. 2019 Sep 5. pii: oemed-2019-105830. doi: 10.1136/oemed-2019-105830. [Epub ahead of print]