Renal and neurologic effects of cadmium, lead, mercury, and arsenic in children: evidence of early effects and multiple interactions at environmental exposure levels.

Lead, cadmium, mercury, and arsenic are common environmental pollutants in industrialized countries, but their combined impact on children's health is little known. We studied their effects on two main targets, the renal and dopaminergic systems, in > 800 children during a cross-sectional European survey. Control and exposed children were recruited from those living around historical nonferrous smelters in France, the Czech Republic, and Poland.

Color discrimination impairment in workers exposed to mercury vapor.

Objective: To study color discrimination impairment in workers exposed to elemental mercury (Hg) vapor.

Subjects: Twenty-four male workers from a chloralkali plant exposed to Hg vapor, aged 42+/-9.8 years, duration of exposure 14.

EEG photic driving in workers exposed to mercury vapors.

Objective: To assess the potential of EEG photic driving (PD) as an indicator of an early neurotoxic effect of long-term, low-level exposure to mercury vapors.

Subjects And Methods: Twenty-four chloralkali workers exposed to mercury vapors; twenty-four age- and gender-matched control subjects. Level of exposure was determined by urinary mercury excreted both spontaneously and after administration of a chelating agent, sodium 2,3-dimercapto-1-propane sulfonate.

Effect of acrylate chemistry on human health.

Objectives: The prospective cohort study of 1992-1999 describes the effect of occupational exposure to chemical substances in the production of acrylic acid, acrylic acid esters and acrylate dispersions at the various workplaces of one chemical plant.

Methods: Exposure to selected chemicals (acrylonitrile, n-butanol, butyl acrylate, ethyl acrylate, methyl acrylate, methyl methacrylate, toluene, and styrene) was determined by personal passive dosimetry (GC/MS method). The annual examinations included general health, by guided interview, a general medical examination, hematological and biochemical examinations, examination of the parameters of serum immunity and selected tumor markers, and spirometry.

Biomonitoring of lead exposure in the Czech Republic.

The systematic and long-term efforts to protect the environment may be successful also in the country in the period of transition from centrally planned to free market economies. The basic requirement is to disseminate reliable information on the exposure levels and expected health effects. The need for high quality information underscores the importance of the quality assurance and quality control systems in the context of good laboratory as well as epidemiologic practices.

The Czech National Registry of Occupational Diseases. Ten years of existence.

The Czech National Registry of Occupational Diseases was founded in 1991 with the intention of restoring the information system on occupational diseases, which had collapsed in 1990, following deep societal changes brought about by the revolution in 1989. During the ten years of its existence, the Czech National Registry of Occupational Diseases proved to be a reliable information system providing valid data on occupational diseases. The completeness and quality of data stored in the Registry are being controlled by trained personnel.

Mobilization of mercury by DMPS in occupationally exposed workers and in model experiments on rats: evaluation of body burden.

The aim of the study was to evaluate the efficacy of DMPS (sodium-2,3-dimercapto-1-propane sulfonate) (Dimaval) administration for mobilizing mercury from the body in occupationally exposed people and experimental animals. Two doses of DMPS were administered at a 24-h interval to: (a) groups of people occupationally exposed to merkury--workers of the chloralkali industry (n = 43), and dentists (n = 12), (b) non-exposed individuals (n = 20), and (c) rats chronically exposed to mercury vapour at the concentration of 0.8 mg/m3 Hg degree (6 h/day, 5 days/week) for 15 weeks.

Neurological and electrophysiological examinations on three groups of workers with different levels of exposure to mercury vapors.

The authors performed neurological, visual evoked potentials (VEP) and electroneurography (ENG) examinations on three groups of workers with occupational exposure to mercury vapors (Hg(0)), and on a control group. The exposure of dental professionals (n = 36) was mild, that of chloralkali plant workers (n = 36) was intermediate, and that of workers from mercury works (n = 77) was very high. Symptoms and signs of micromercurialism were observed only in the group with the highest exposure to Hg(0).

Hazardous wastes in eastern and central Europe: technology and health effects.

Issues of hazardous waste management are major concerns in the countries of eastern and central Europe. A National Institute of Environmental Health Sciences-supported conference was held in Prague, Czech Republic, as a part of a continuing effort to provide information and promote discussion among the countries of eastern and central Europe on issues related to hazardous wastes. The focus was on incineration as a means of disposal of hazardous wastes, with discussions on both engineering methods for safe incineration, and possible human health effects from incineration by-products.

Biliary iron excretion in rats following treatment with analogs of pyridoxal isonicotinoyl hydrazone.

Iron overload is a major life-threatening complication of thalassemia major and other iron-loading anemias treated by regular blood transfusions. Although the clinical manifestations of iron overload may be prevented by desferrioxamine, the only iron-chelating drug in routine clinical use, this treatment requires subcutaneous infusion of desferrioxamine for 12 hours each day. New orally effective iron chelators are urgently needed, and pyridoxal isonicotinoyl hydrazone (PIH), which was first recognized as an effective iron chelator in vitro and subsequently in vivo, shows promise for the treatment of iron overload.

Biological monitoring of child lead exposure in the Czech Republic.

The area around the Pribram lead smelter has been recognized to be heavily contaminated by lead (Pb). In the early 1970s, several episodes of livestock lead intoxication were reported in this area; thereafter, several epidemiological and ecological studies focused on exposure of children. In contrast to earlier studies, the recent investigation (1992-1994) revealed significantly lower exposure to lead.

The occupational disease and injury compensatory system in the Czech Republic.

The article deals with methods of evaluation of occupational diseases and injuries in the Czech Republic (occupational injuries, occupational diseases and intoxications, other damage caused by work) and with the types of social and financial compensation of patients suffering from the above conditions.

Exposure to lead and human health in the Czech Republic.

The aim of presented review is to address the most relevant issues related to the health effects caused by the human exposure to lead, as they have been recognized in Czech Republic in the period of 1992-1994 within the framework of the National Integrated Programme on Environment and Health (NIPEH) approved in 1992 and supported by WHO-European Centre for Environment and Health (WHO-ECEH), Bilthoven, The Netherlands and by the Government of the Netherlands. Basic sources of environment exposure to lead are identified and the fate of lead in the individual compartments of the environment is discussed. Relevant methods used for the exposure evaluation are summarized and the highest-risk group of population is defined.

Screening of the gasoline lead load in school children in the Czech Republic.

The determination of erythrocyte zinc protoporphyrin (ZZP) was implemented as an indirect method for assessing lead levels in the blood in the follow-up of Czech children regarding the lead load due to automobile traffic. Simultaneously, basic indicators of the red blood picture were studied. A screening study was conducted with 2668 school-age children residing permanently in three different regions of our country.

Hazardous wastes in Eastern and Central Europe [meeting report].

The countries of Eastern and Central Europe have emerged from a political system which for decades has ignored protection of human health from hazardous wastes. While the economies of the countries in this region are stretched, awareness and concern about hazardous waste issues are a part of the new realities. At a recent conference sponsored in part by the National Institute of Environmental Health Sciences, representatives of seven countries in the region described the status of hazardous waste programs, issues of major concern, and steps being taken to protect human health.

In vivo and in vitro efficacy of a new carbodithioate for the mobilization of cadmium.

Female Wistar rats with chronic cadmium intoxication (oral exposure to low dosages of CdCl2 in drinking water over a period of 90 d) were used to examine the in vivo ability of a newly developed chelator, sodium N-(4-methylbenzyl)-4-O-(beta-D-galactopyranosyl)-D-glucamine-N- carbodithioate (MeBLDTC), singly and in combination with sodium 4-carboxy-amidopiperidine-N-carbodithioate (INADTC) as agents to induce the biliary and urinary excretion of cadmium. The combined administration of the two dithiocarbamates, which differ greatly in molecular weight and structural features, led to a synergistic increase in the biliary excretion of cadmium and an enhanced reduction of renal cadmium levels. The use of such a coadministration produced an increase in the biliary excretion of cadmium that was more than double that expected if the compounds acted in an additive fashion.

Chemical risk assessment and management in Czech and Slovak Republics.

For more than 40 years, former Czechoslovakia has made minimal efforts to protect the environment. As a result, newly formed republics suffer from some of the worst environmental pollution in Europe. In all stages of a complex process of improving chemical safety both countries are facing tremendous problems: lack of efficient and powerful legislative measures, inadequate and sometimes non-reliable data, shortage of sophisticated equipment, virtual absence of basic knowledge and, generally, persisting distrust between public and governmental institutions in health and environmental issues.

Distribution and excretion of cadmium and nickel after simultaneous exposure and the effect of N-benzyl-D-glucamine dithiocarbamate on their biliary and urinary excretion.

A rat model for combined exposure to cadmium and nickel is presented that involves the administration of drinking water containing these elements over a period of 90 d. Coadministration of these two ions in drinking water leads to brain levels of both elements that are significantly higher than results from the administration of equal doses of the metals individually. The enhanced biliary excretion of cadmium in rats given sodium N-benzyl-D-glucamine dithiocarbamate (BGDTC) is almost twice as great in those animals given cadmium and nickel as in those animals given cadmium only.

The study of exposure to cadmium in the general population. II. Morbidity studies.

An epidemiological study was performed to assess whether environmental pollution by cadmium as found in cadmium polluted areas of CSFR (Pribram and Frýdek-Mistek) is associated with changes in biological indicators of renal dysfunction in non-occupationally exposed population groups. Polluted areas were chosen on the basis of existing sources of Cd emission. The city of Prague was selected as a control area.

Dithiocarbamate analog N-(4-methoxybenzyl)-N-dithiocarboxy-D-glucamine reduces the retention of ingested cadmium in rats.

This study was performed to evaluate the effect of oral and intraperitoneal treatment with N-(4-methoxybenzyl)-D-glucamine dithiocarbamate monohydrate (MeOBDCG) after a single oral administration of 115mCd to 6-week-old rats. Oral treatment reduced the retention of 115mCd in the whole body, gut, liver and kidney by 5, 3, 4 and 3 times respectively, and intraperitoneal treatment reduced the retention by 7, 2.5, 16 and 4.