TAILIEUCHUNG - Agency for Toxic Substances and Disease Registry Case Studies in Environmental Medicine (CSEM) Lead Toxicity

While many studies have focused on estimating a relationship between pollution and health, they have largely neglected to consider that pollution exposure is endogenously determined if individuals make choices to maximize their well-being. People with high preferences for clean air may choose to live in areas with better air quality. People can respond to a wide range of readily available information on pollution levels by adjusting their exposure. Failing to appropriately account for such actions can yield misleading estimates of the causal effect of pollution on health. . | Agency for Toxic Substances and Disease Registry Case Studies in Environmental Medicine CSEM Lead Toxicity Course WB 1105 Original Date August 15 2010 Expiration Date August 15 2012 Table of Contents How to Use This Initial What is Lead .9 Where Is Lead Found . 11 How Are People Exposed to Lead . 16 Who Is at Risk of Lead Exposure . 18 What Are the . Standards for Lead Levels .22 What Is the Biologic Fate of Lead .27 What Are the Physiologic Effects of Lead Exposure .30 How Should Patients Exposed to Lead Be Evaluated .39 What Tests Can Assist with the Diagnosis of Lead Toxicity .45 How Should Patients Exposed to Lead be Treated and Managed .49 What Instructions Should Be Given to Patients .54 Where Can I Find More Information .56 Posttest Instructions. 58 Literature Cited .63 Appendix 1 Key to Acronyms Appendix 2. Patient Information Answers to Progress Check Environmental Alert Children of all races and ethnic origins are at risk of lead toxicity throughout the . Lead may cause irreversible neurological damage as well as renal disease cardiovascular effects and reproductive toxicity. Blood lead levels once considered safe are now considered hazardous with no known threshold. Lead poisoning is a wholly preventable disease. About This and Other Case Studies in Environmental Medicine This educational case study document is one in a series of self-instructional publications designed to increase the primary care provider s knowledge of hazardous substances in the environment and to promote the adoption of medical practices that aid in the evaluation and care of potentially exposed patients. The complete series of Case Studies in Environmental Medicine is located on the ATSDR Web site at http csem . In addition the downloadable PDF version of this educational series and other environmental medicine materials provides content in an electronic printable format especially for those who may .

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