relative importance of inhalation and ingestion as sources of uptake of 210pb from the environment
TRANSCRIPT
Relative importance of inhalation and ingestion as sources of
uptake of 210Pb from the environment.
Salmon P. L.1, Berkovsky V. I.
2 and Henshaw D. L.
3
1. Royal Veterinary College, VBS Bone unit, Royal College Street, London NW1 0TU;
Tel. 0171 468 5263
Fax. 0171 388 1027
2. Radiation Protection Institute, 53 Melnikova, Kiev 254050, Ukraine.
3. H. H. Wills Physics Laboratory, Bristol University, Tyndall Ave., Bristol BS8 1TL;
Running title:
Sources of human 210
Pb uptake
Salmon et al. 6/23/2015 Sources of human 210
Pb uptake
2
Relative importance of inhalation and ingestion as sources of
uptake of 210Pb from the environment.
Salmon P. L., Berkovsky V. I. and Henshaw D. L.
Abstract
Dietary intake of 210
Pb is generally higher than inhalation intake, but fractional uptake
to blood is higher from inhalation. In this study publications are reviewed in which
both inhalation and ingestion intake of 210
Pb are measured. Concentrations of 210
Pb in
bone are also given, where available. Up to date biokinetic information on Pb is used
to evaluate fractional uptake from inhalation and ingestion, including consideration of
the effect of aerosol particle size. Estimates are also given of 210
Pb uptake from
domestic radon, alcoholic beverages and smoking. The difficulty in obtaining precise
estimates of 210
Pb uptake is emphasised. On average, atmospheric inhalation, diet and
domestic radon contribute 12, 86 and 2 % of total 210
Pb uptake respectively. Alcoholic
beverages and cigarettes can add a further 75%. Average committed effective dose
from one year of 210
Pb intake to adults is 37 µSv, while committed dose equivalents to
organs range widely from 380 µSv for bone surfaces to 5 µSv for most soft tissue
reflecting heterogeneous tissue distribution of Pb.
Salmon et al. 6/23/2015 Sources of human 210
Pb uptake
3
Introduction
A number of authors have evaluated the sources of body burdens of 210
Pb in the
population (1, 2, 3, 4, 5, 6, 7, 8, 9, 10, 11)
. The two most significant intake routes are diet and
inhalation of 210
Pb, although some 210
Pb is formed by decay of 222
Rn and 226
Ra in the
body. In some of these publications the relative contributions of inhalation and
ingestion have been distorted by failure to account for the difference in fractional
systemic uptake between the two routes. This results in underestimation of the
significance of inhaled 210
Pb, due to the higher fractional systemic uptake from
inhalation than from ingestion in adults. In the present paper the difference between
210Pb intake (entrance into the body) and uptake (entrance into systemic blood
circulation) is stressed. The above mentioned studies will be briefly reviewed below.
Some of these studies included measurements of 210
Pb concentration in bone, which is
a representative index of cumulative 210
Pb uptake. Updated estimates of the
significance of routes of 210
Pb uptake, and resulting radiation doses from 210
Pb, will
then be derived for several countries, focusing on countries or locations where good
published measurements exist for both dietary and inhaled 210
Pb. Exceptional 210
Pb
intakes from sources such as radon in dwellings, certain foods, smoking and alcoholic
beverages will also be considered.
Review of published evaluations of human intake of 210
Pb from the environment.
Holtzman (1)
measured 210
Po, 210
Pb and 226
Ra in autopsy bone samples from 128
individuals in Illinois, USA, and estimated the magnitude of the main sources of
human intake of 210
Pb. The mean concentration of 210
Pb in wet bone was 1.5 Bq kg-1
,
and for 226
Ra 0.38 Bq kg-1
. A higher concentration of 210
Pb was found in trabecular
Salmon et al. 6/23/2015 Sources of human 210
Pb uptake
4
than cortical bone, 1.9 and 1.1 Bq kg-1
respectively, a trend also found by Fisenne (12)
which may reflect enhanced concentration of 210
Pb at bone surfaces (13, 14, 15)
, although
other studies have shown higher 210
Pb in cortical bone (e.g. 4, 16)
. Holtzman’s evaluation
of the environmental sources of 210
Pb in bone was: 226
Ra in bones - 2.6%; radon
(222
Rn) short-lived daughter inhalation - 2.6%; 222
Rn dissolved in the body - 4.5%;
diet - 43%; inhalation of 210
Pb - 47%. High concentration of 210
Pb found in water from
some sources, such as wells, could add a further 14%.
A comprehensive review of 210
Pb in the environment and in human tissues was
undertaken by Jaworowski (2)
. He concluded that 210
Pb associated with common lead
(0.81 ± 0.74 Bq g-1
), for instance in vehicle emissions, was insignificant as a source of
airborne 210
Pb compared to airborne radon. Natural production of 222
Rn and 210
Pb in
the atmosphere was estimated, and the study listed a large number of measurements of
airborne 210
Pb concentrations in many countries. Global production of 210
Pb from
exhalation of 222
Rn was estimated at 2.3 × 1016
Bq y-1
, the atmospheric content of
210Pb at 1.9 × 10
15 Bq and the mean residence time of
210Pb 29 days. The atmospheric
content of 210
Pb as measured in glacial ice samples was reported to have been
temporarily increased by 45-60 % during 1959-1963 due to 210
Pb formed by
atmospheric nuclear bomb detonations. A relatively rapid falloff in atmospheric 210
Pb
occurred subsequently, consistent with estimates of atmospheric residence times for
210Pb of 10-50 days.
210Pb is formed in thermonuclear detonations when stable Pb is
used in construction of the bomb, the reaction is 208
Pb (2n, gamma) 210
Pb. Some of
the Soviet bombs exploded in the Arctic during 1959-1962 contained large amounts
of lead, which reduces overall fission product yield. There were some very big
detonations in this test series including the world record of over 50 megatons
exploded on Novaya Zemlya. Measured activity concentrations of 210
Pb were
Salmon et al. 6/23/2015 Sources of human 210
Pb uptake
5
reviewed for water, food and the body organs of humans and animals. Jaworowski
estimated the relative magnitude of sources of 210
Pb uptake to blood: air 20%,
drinking water 1% and diet 79%. Human bone was found to contain 70% of the body
burden of 210
Pb at concentrations about an order of magnitude higher than soft tissues.
Taking an average concentration of 1.5 Bq kg-1
in bone, dose equivalent rate to bone
marrow (within 40 µm of bone surfaces) was calculated to be 70 µSv/y (taking Q for
alpha particles to be 20).
Dietary 210
Pb intake in residents of New York was assessed by Morse and Welford (3)
and found to be about 44 mBq day-1
. Airborne 210
Pb concentration was measured at
about 0.52 mBq m-3
. Uptake to blood was estimated to be equal for inhalation and diet
at about 3.7 mBq day-1
(assuming a daily breathed volume of 20 m3 in an adult).
These authors drew attention to the greater fractional uptake to blood from inhaled
compared to ingested 210
Pb, and employed coefficients of 0.29 and 0.08 respectively.
Ladinskaya et al. (4)
made a thorough study of the environmental sources and human
biokinetics of 210
Po and 210
Pb, based on measurements in Rostov-on-Don, Russia. The
concentration of 210
Pb in air was 0.63 ± 0.17 mBq m-3
, and the residence time of 210
Pb
in air was calculated as 45 days, derived from the 210
Po/210
Pb ratio in air of 0.21. Daily
inhalation and dietary intake of 210
Pb were estimated at 13 and 230 mBq respectively,
but these values were not converted into daily uptake to blood, which would add
relatively greater weight to the inhalation route. Human bone contained 2.7 Bq kg-1
(wet weight), the highest concentration found in any study in this review. Dose
equivalent rates to tissues were calculated for 210
Po and were highest in bone, liver
and kidney at 420-1000 µSv/y; in bone all 210
Po is supported by 210
Pb (15)
. For both
Salmon et al. 6/23/2015 Sources of human 210
Pb uptake
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210Po and
210Pb the measured excretion was 14-15 times greater through faeces than
urine.
[Table 1]
A metabolic balance study of 210
Po and 210
Pb in humans at natural levels was
undertaken by Spencer et al. (5)
. Balance studies are costly but may be the best way of
obtaining precise biokinetic data (17)
. Twelve adult males aged 41-63 received a
strictly controlled diet for several weeks prior to the study period of 18-24 days in
which 210
Po and 210
Pb balances were measured. The daily values of intake and output
are shown in table 1. Considering the error and variation associated with the values in
table 1, the measured input and output of 210
Po and 210
Pb are essentially in balance.
The large intake of 210
Pb from smoking is striking, at about twice the magnitude of
210Pb inhalation from ambient air. It should be noted that the value for diet is intake
only, and fractional uptake from gut to blood is not quantified. Thus much of the diet
intake goes through the gut unaffected to leave the body in the faeces. By contrast the
value for inhalation is the systemic uptake value, taking account of fractional
deposition (estimated at 0.5). For this reason the high ratio of faecal to urinary output
- 5.5 - is not a reflection of systemic excretion. The same can be said of the faecal-to-
urinary ratio of 14-15 quoted by Ladinskaya et al. (4)
.
If we take a value of fractional gut uptake (f1) for Pb of 0.15 (17)
, we can then compare
systemic uptake from diet and inhalation, and also systemic excretion by urine and
faeces, using the data of Spencer et al. (5)
. Both uptake and excretion turn out to be
almost equally divided into the two respective routes. Dietary and inhalation uptake of
210Pb are found to be 7.6 and 8.6 mBq day
-1, and urinary and faecal excretion of
210Pb
are 9.3 and 8.6 mBq d-1
respectively. However these estimates need some caution
Salmon et al. 6/23/2015 Sources of human 210
Pb uptake
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since, as is discussed later, substantial uncertainty exists concerning the value of f1 for
Pb.
Watson (6)
published another literature review of measurements of intake of 210
Po and
210Pb in foodstuffs and tobacco smoke. Inhalation from air was not included and the
biokinetics of uptake from diet and inhalation were not considered. Estimates were
made of radiation doses resulting from 210
Pb in diet and in cigarette smoke, using
published dose conversion factors (18)
. At 21 locations in the USA, Europe and India
(most in the USA) published values of 210
Pb intake in the daily diet gave a mean of 96
±48 mBq/d (excluding water and beverages). Higher intake of 210
Pb in Japan and the
Arctic was attributed to a higher dietary proportion of fish and shellfish. Whole body
committed effective doses from one year of the quoted dietary intakes were 7-70 µSv
in Europe and USA, but reached maximum values of 140 and 250 µSv in Japan and
the Arctic. The estimated daily inhalation of 210
Pb with tobacco smoke was 34 ± 27
mBq, or 1.7 mBq / cigarette assuming a 20-a-day habit. The associated value of whole
body committed effective dose from 210
Pb arising from one year of smoking was in
the range 30-550 µSv.
The 210
Pb body burden in Japanese citizens was measured by Takizawa et al. (7)
and
this study included a brief review of measurements of 210
Pb inhalation and dietary
intake in Japan. The mean concentration of 210
Pb in sternum bone from 15 adults
(male and female) was 1.27 ± 0.54 Bq kg-1
. The ratio of 210
Po/210
Pb was 0.9 ± 0.1. A
mean concentration of 210
Pb in air in two Japanese prefectures was 0.63 mBq m-3
, and
mean dietary intake of 210
Pb taken from several publications including Kametami et
al. (19)
was 430 mBq/d.
Salmon et al. 6/23/2015 Sources of human 210
Pb uptake
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Bennett and Sandalls (8)
reviewed human intake of 210
Pb and 210
Po. This study focused
on dietary intake with inhalation receiving less attention, although intake from
smoking was evaluated. Table 2 shows summarised measurements from Bennett and
Sandalls’ review of daily dietary 210
Pb content in four categories: USA, West Europe,
Central-Eastern Europe and a category for countries with exceptionally high 210
Pb
dietary intakes. The latter included Finland (Arctic reindeer consumption), Japan and
Alaska (seafood consumption).
[Table 2]
The most recent and thorough comparison of 210
Pb systemic uptake by diet and
inhalation, for a specific locality, is the study by Carvalho (9)
based on the Portuguese
population. Numerous measurements of 210
Pb in dietary foodstuffs were made, which
for Portugal included a large fraction of seafood which increased significantly the
dietary content of 210
Pb. (High seafood intake increases the intake of 210
Po by a
greater factor). Dietary intake was combined with an f1 value of 0.08 in common with
earlier studies (e.g. 2, 20, 21, 22)
giving daily systemic uptake of 210
Pb of 38 mBq. A study
of airborne radionuclides around Lisbon by the same author (23)
included a measured
210Pb concentration of 0.18 mBq m
-3. Taking fractional inhalation uptake as 0.19 and
a daily breathed volume of 20 m3, daily
210Pb uptake was 0.69 mBq. Thus uptake
from food was more than 50 times higher than from inhalation. As this review will
discuss later, this ratio is exceptionally high compared to other countries, due to high
210Pb intake from food items including seafood and low
210Pb concentration of north-
eastern Atlantic air. Carvalho identified two other significant sources of 210
Pb uptake,
alcoholic beverages and tobacco smoke, which accounted for 9% and 6% of total
uptake respectively.
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Pb uptake
9
Linsalata (10)
reviewed the foodchain transfer to humans and animals of natural
radionuclides in the uranium and thorium series. 210
Po and 210
Pb were shown by
Linsalata to have particular significance to agriculture due to the higher measured
transfer from soil to plants of 210
Po and 210
Pb compared to Ra, Th and U. Particularly
efficient transfer of 210
Po and 210
Pb to forage and hay was found, due in part to weaker
affinity for soil sorption in these two nuclides compared to Ra, Th and U. Cattle have
been found to have concentrations of 210
Pb in bone 2-5 times higher than in human
bone (12)
. Plant based foods were estimated to contribute 70% of human dietary intake
of 210
Pb, and animal based foods the remaining 30%. The efficient transfer of 210
Po
and 210
Pb to plant tissue from soil, both by root absorption and by deposition on leaf
surfaces, in the case of tobacco results in substantial activity of both nuclides in
cigarette smoke (24)
.
Pietrzak-Flis et al. (1997, reference 11) made detailed measurements of 210
Pb and
210Po content in dietary items of residents of several regions in Poland. The daily
intake of both nuclides at Nowe Miasto is shown in table 3. The largest sources of
210Pb were meat and flour. By contrast the highest
210Po contribution was from fish, in
which the ratio 210
Po/210
Pb was about 10. These trends reflect differences in the
chemical binding of Pb and Po to biological tissue. Annual effective dose equivalent
in adults from the measured intake of 210
Pb and 210
Po was 54 µSv. Table 3 gives a
general indication of the relative contributions of food types to dietary intake of 210
Pb
and 210
Po, but these contributions differ between countries due to differences in diet.
Measurements of concentrations of both nuclides in many food types are presented in
several references (2, 6, 8, 9, 10, 11)
.
[Table 3]
Salmon et al. 6/23/2015 Sources of human 210
Pb uptake
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[Table 4]
A summary of several previous estimates of the relative magnitude of sources of 210
Pb
uptake, from the studies reviewed above, is given in table 4. Since the earlier of the
above studies were published, more work has been done on measurement of fractional
systemic uptake of Pb from various forms of inhaled and ingested Pb. Physical and
chemical parameters of inhaled and ingested Pb cause wide variation in fractional
systemic uptake, and therefore it is impossible to derive precise general fractional
uptake factors. However, by applying currently available data on Pb biokinetics from
recent studies (e.g. 17, 25, 26, 27)
it is possible to obtain revised estimates of the relative
magnitude of inhalation and ingestion as uptake routes for 210
Pb. Estimates are given
here for several countries from which sufficient data has been published on airborne
and dietary 210
Pb to allow a comparison of intake routes. The relative intakes from
inhalation and ingestion differ between countries under the influence of factors such
as meteorology and diet.
Systemic uptake of Pb from inhalation and ingestion.
Two recent publications by the International Commission on Radiological Protection
(ICRP) summarise the experimental data to date on radionuclide fractional uptake
from ingestion and inhalation (26, 27)
. The data used by the ICRP for biokinetics of Pb
were summarised from extensive data provided in a model for Pb by Leggett (17)
.
These three papers are the principal sources of the biokinetic parameters for Pb in this
study, in which 210
Pb uptake will be calculated for adults only for simplicity.
Salmon et al. 6/23/2015 Sources of human 210
Pb uptake
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Fractional systemic Pb uptake from inhalation in relation to aerosol particle size
The uptake of Pb from airborne particles to the human bloodstream can be considered
as a process with several stages, such as fractional deposition of particles in the lung,
fractional clearance of particles from lung to the stomach, and uptake from lung-
deposited particles to blood. The ICRP 66 respiratory tract model (27)
embraces the
complex dynamics of particles in different parts of the respiratory tract by assigning
different parameters for fractional particle deposition in nine compartments, from the
extrathoracic region (the nasal and buccal cavities, compartments ET1 and ET2)
through the bronchiolar compartments to the alveoli. For each of these compartments,
fractional deposition is separately defined for 15 particle diameters (Aerodynamic
mean aerosol diameter, AMAD) from 0.0006 to 5 µm. Fractional parameters for
transfer of Pb from particles to lung to blood from ICRP 66 are shown in table 5 for
particles from 0.001 to 5 µm AMAD. The relevant value of fractional particle
deposition is the total value excluding ET1, the deposition in the anterior nasal
passage, since little uptake to blood occurs in this region. A small fraction of
particulate 210
Pb is cleared from lung to lymph nodes, about 0.7% for the lung and
0.05% for nasal passages and upper trachea (27)
. Within the respiratory tract model,
elements bound to aerosol particles are characterised as having fast, moderate or slow
transfer from particle to blood; in this respect Pb transfer to blood is fast.
[Table 5]
Chamberlain et al. (28)
made a thorough study of inhalation of car exhaust tagged with
203Pb; they showed that exposure of aerosols to strong sunlight significantly reduced
both lung clearance rate and systemic uptake of Pb, indicating the importance of
Salmon et al. 6/23/2015 Sources of human 210
Pb uptake
12
photo-chemical transformations in Pb-containing aerosols. The factor of sunlight will
not be considered in the present study owing to the difficulty in quantifying its effect.
Outdoor atmospheric 210
Pb is mostly particle-associated, showing a strong correlation
with concentration of atmospheric dust (29)
. The selection effect of faster removal from
the atmosphere of larger particles, by settling and rainfall washout, ensures that a
significant part of atmospheric 210
Pb is attached to the smallest aerosol particles. It is
clear from table 5 that particle size can affect Pb fractional uptake from the lung by a
factor of 2 or more. In the next section published data on the distribution of airborne
Pb between particle size fractions is examined, allowing a nominal distribution to be
assumed for the purpose of the quantitative estimates of fractional inhalation uptake in
this study.
The level of physical activity and age strongly affect inhaled volume, so some
estimate of patterns of daily activity at different ages is required in order to estimate
average daily inhaled volume. Table 6 shows the time spent at different activity
levels, from sleep to heavy exercise, at different ages, and breathing rates at each
activity level (27)
. For this study the mean value quoted for adults of 22 m3 day
-1 will
be adopted for calculations of intake, but the variation on the basis of physical activity
and age should be noted. A study by Layton (30)
produced lower daily inhaled volumes
ranging from 10-18 m2. Layton calculated inhaled volume on the basis of a
biochemical calculation of oxygen consumption, using data on diet and other energy
expenditure such as exercise. This study pointed to the biochemical energy link that
exists between inhalation and diet - the digestion of food requires energy which
necessitates oxygen inhalation. But in principle a direct measurement of inhaled
volume is preferable to an indirect calculation.
Salmon et al. 6/23/2015 Sources of human 210
Pb uptake
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[Table 6]
Distribution of airborne Pb between particle size fractions.
Horvath et al. (31)
used rotating cascade impactors to measure the distribution of
several contaminant elements in relation to size fractions of atmospheric aerosols, in
suburban and city centre air around Vienna. Lead and other elements were measured
by proton induced x-ray emission (PIXE). The proportion of atmospheric Pb by mass
found in three aerosol size fractions is shown in table 7. There was more Pb in the
1µm - 60 nm fraction near the city centre than at the suburban site, which could have
arisen from vehicle exhaust. The identical measured fraction of Pb at both locations
attached to particles less than 60 nm in diameter - 10% - probably reflects long
atmospheric lifetime and good mixing of these particles.
[Table 7]
The physical characteristics of aerosol particles in Los Angeles, USA, were studied by
Hinds (32)
. The author showed the distribution of particles according to volume,
surface area and number. The fraction of the smallest submicron particles increases
sharply over these three respective dimensions. Thus most particle volume is
accounted for by the diameter range 0.1 - 10 µm, most particle surface area is in the
range 0.05-0.5 µm, and particle numbers are dominated by the range 0.005-0.05 µm
diameter. Of the three parameters, surface area correlates most closely to the
distribution of particle-bound Pb. Table 7 shows that the distribution of particle
surface area and the distribution of Pb by mass are in approximate agreement.
If we assume that the distribution of airborne 210
Pb by aerosol diameter is
approximately the same as for stable Pb, then we can use the data of Horvath et al. (31)
Salmon et al. 6/23/2015 Sources of human 210
Pb uptake
14
and Hinds (32)
to specify a distribution of 210
Pb by activity into the particle diameters
(AMAD) which are considered in the lung model in ICRP 66, listed in table 5. We
will assume the following distribution by activity of airborne 210
Pb by particle
AMAD: 5 µ - 5%; 1 µm - 30%; 0.1 µm - 55%; 0.01 µm - 10%. When these fractions
are multiplied by the fractional inhalation uptake fractions from table 5 (last column,
total uptake) then a weighted mean fractional uptake fraction of 0.34 is obtained,
which will be employed in this study. We also assume that all airborne 210
Pb is
particle-associated (29)
.
Several studies have shown that the distribution of attached radon daughters by
particle size is broadly similar indoors to that reported by Horvath et al. (30)
for
outdoor Pb; again the daughter activity follows particle surface area (33, 34, 35)
.
One further factor must be considered in calculating inhalation uptake of 210
Pb.
Particles bearing 210
Pb deposit on surfaces more rapidly indoors than outdoors, and
this decreases the indoor concentration of 210
Pb compared to outdoor air. The
dynamics of particle deposition were described by Porstendorfer (36)
and will be
discussed below in the section on indoor radon. If the indoor rate of surface deposition
for attached 210
Pb, qa = 0.17 hr
-1 (36)
and the ventilation lifetime of indoor air is 2
hours, and for a house occupancy of 0.6, deposition in houses decreases total
inhalation uptake of 210
Pb by 15%.
Fractional systemic Pb uptake from ingestion
Several factors exert a strong influence on fractional uptake of Pb to blood from the
gastro-intestinal tract (GIT), including the concentration in the GIT of calcium,
phosphorus, zinc, iron and vitamin D, and fasting (17)
. Fractional uptake to the GIT is
Salmon et al. 6/23/2015 Sources of human 210
Pb uptake
15
given the parameter name f1 in ICRP publications (e.g. publication 67 (26)
). The
published values for fractional systemic uptake of Pb from the GIT vary even more
widely than the values for fractional uptake of inhaled Pb, and values of f1 between
0.01 and 0.8 have been measured (17)
. However, balance studies assess Pb uptake over
a period of time and smooth some of the variation caused by the above factors. The
average f1 value obtained by Leggett (17)
for Pb fractional uptake from balance studies
is 0.15 for adults, and this value will be used here. However to indicate the wide range
of measured values for f1 of Pb, minimum and maximum values of 0.03 and 0.5 will
be considered, corresponding roughly to the 95% confidence intervals of a log-normal
distribution.
In infants and children fractional uptake of Pb from the GIT is much higher than in
adults. The f1 for Pb decreases from 0.5 in the first year to the adult value of 0.08 by
age 10 in the model of O’Flaherty (25)
and from 0.45 at birth to the adult value of 0.15
by age 25 in Leggett’s model (17)
. The balance studies in children from which these
values are derived have also produced highly variable results, so that elevated f1 for
Pb in children cannot be quantified with confidence. The f1 value in early life has an
important bearing on the monitoring of 210
Pb in children’s teeth as a measure of
environmental uptake of 210
Pb (37, 38)
, since these are generally deciduous teeth taken
from children aged 10-13, and if f1 is significantly raised at this age compared to adult
f1, then inhalation uptake will be a correspondingly smaller fraction of total uptake.
Salmon et al. 6/23/2015 Sources of human 210
Pb uptake
16
Sources of additional or exceptional Pb-210 intakes
Radon in dwellings.
Inhaled radon (222
Rn) is also a source of 210
Pb in the body. Radon dissolved in body
tissues results in a component of 210
Pb uptake. Also, virtually all short-lived radon
daughters inhaled will decay into 210
Pb in the body. Following diffusion of radon from
soil and building materials into dwellings, the airborne short-lived daughters are
subject to complex processes involving diffusion and settlement onto particles and
surfaces. These processes have an important bearing on the amount of radon daughter
activity available for inhalation and uptake, and were comprehensively reviewed by
Porstendorfer (36)
. The two key processes which remove daughters from indoor air are
deposition on surfaces and removal by ventilation. These will be considered here
briefly in turn in order to calculate the concentration of radon daughters available for
inhalation, and the resultant 210
Pb deposition in the body, relative to radon
concentration for three different ventilation conditions characterised by air lifetimes
of 30 minutes, 2 hours and 20 hours.
Surface deposition q of daughters in a room can be defined as a fractional rate, h-1
, so
that q=vgSV-1
, where vg is the average deposition velocity, m h-1
, and S and V are the
room surface area m2 and volume m
3. Two deposition fractional rates need to be
considered, those for attached qa and unattached (free) daughters q
f. Deposition is
much faster for unattached daughters than attached: five recently published
measurements of qa and q
f in dwellings give mean values of 0.17 h
-1 and 33 h
-1
respectively (36)
. Radon daughters rapidly attach to particles, reducing the significance
of unattached deposition for all daughters except the short-lived 218
Po. The attachment
rate X for radon daughters has been measured at 20-50 h-1
in rooms with relatively
Salmon et al. 6/23/2015 Sources of human 210
Pb uptake
17
clean air, but X can increase to 1000 h-1
in rooms where additional aerosols are
produced by smoking or cooking (39)
. A value for X of 50 h-1
will be adopted here.
To estimate fractions of radon daughters removed by surface deposition, free and
attached, the half lives of the three important daughters must be considered, which are
for 218
Po 3.05 minutes, for 214
Pb 26.8 minutes and for 214
Bi 19.7 minutes.
Porstendorfer showed that the unattached fractions of these three daughters, for an
attachment rate X = 50 h-1
, are 0.21, 0.025 and 0.001 respectively. Knowing these
fractions we can calculate the removal of each daughter by free and attached surface
deposition, and also the removal of 210
Pb formed from 222
Rn.
In general the remaining fraction of a radon daughter (i) is given by:
i e ventilation deposition i
(1)
where is the radioactive lifetime.
The standard radon equilibrium factor F is defined :
F 0105 0516 0 3791 2 3. . . (2)
where 1, 2, and 3 are remaining fractions of 218
Po, 214
Pb and 214
Bi respectively. F
values calculated from eqtns. 1 and 2 for ventilation times of 30 minutes, 2 hours and
20 hours are 0.18, 0.47 and 0.66 respectively. For the general estimates in this study a
ventilation time of two hours and the F value 0.47 will be assumed for dwellings.
(This is conservative for the UK where ventilation rates in housing are higher than in
other temperate countries.) Due to its long radioactive lifetime, 210
Pb formed from
Salmon et al. 6/23/2015 Sources of human 210
Pb uptake
18
indoor radon is completely removed by surface deposition and ventilation. Thus
airborne 210
Pb in houses originates from outdoor air, where the low surface deposition
allows the build up of 210
Pb activity from 222
Rn decay.
In addition to radon daughters taken up by inhalation and particle deposition in the
lung, there is a second component of 210
Pb uptake from indoor radon, resulting from
decay of the 222
Rn gas dissolved in the body (40)
. Assuming an adult body volume of
70 l and a radon distribution coefficient in the body of 0.9 (41, 42)
, the body will contain
the amount of radon present in 63 l of air. Unlike daughter uptake from particle
inhalation, uptake from dissolved radon is not affected by the daughter equilibrium
ratio in the air. In the body equilibrium is assumed for dissolved 222
Rn through to
214Bi, since Pb, Bi and Po all have retention half lives of a few weeks in soft tissue
(26).
In table 8 the systemic uptake of 210
Pb is given for dissolved radon and particle
inhalation, in relation to ventilation rate. In 30-minute air the two components are
similar in magnitude; as ventilation decreases particle inhalation becomes more
significant as a source of 210
Pb. Table 13 gives an assessment of the significance of
210Pb from radon compared to total
210Pb uptake.
[Table 8]
Foodstuffs
In most foodstuffs 210
Pb concentration is much less than 1 Bq kg-1
. Certain foods
contain significantly elevated 210
Pb concentrations; this is generally related to 210
Pb
root absorption into and deposition onto plant foliage or 210
Pb accumulation by
aquatic organisms. Regions with elevated natural radioactivity can give rise to
foodstuffs with high 210
Pb concentrations, such as areas of North Canada containing
Salmon et al. 6/23/2015 Sources of human 210
Pb uptake
19
rich uranium ore deposits. Recorded examples of foodstuffs with elevated 210
Pb
include Green Tea leaves: 31 Bq kg-1
(18)
, spinach: 3.3 Bq kg-1
(2)
, marine molluscs:
0.5-16 Bq kg-1
(9)
, sardines: 4.8 Bq kg-1
(18)
and the liver and kidneys of grazing
animals such as cattle: 3.7-13 Bq kg-1
(2)
and Arctic caribou: 57-158 Bq kg-1
(43)
, 300-
1500 Bq kg-1
(44)
. Diets in which any of these foodstuffs are predominant could result
in unusually high 210
Pb intake. Where seafood consumption is high, dietary intake of
210Pb (and to a greater extent
210Po) is significantly elevated. Inuit hunters of Northern
Canada who eat caribou meat including liver and kidneys in significant quantities, and
also reindeer herding people in Lapland and Siberia, are exposed to a highly elevated
intake of both 210
Po and 210
Pb (43, 45, 46)
. The largest intakes of 210
Po and 210
Pb are from
caribou liver and kidney consumption; caribou muscle contains the lowest 210
Po and
210Pb concentrations of all the body tissues, although more muscle is consumed than
offal. Radation doses from caribou consumption are discussed below in the section on
dosimetry.
Alcoholic beverages
Concentrations of 210
Pb (and 210
Po) in beverages such as wine and beer are such that
average beverage consumption is a significant source of 210
Pb. Carvalho (9)
measured
130 mBq kg-1
(wet) of 210
Pb in wine and beer, which with a mean daily consumption
of 0.35 l gave daily ingestion intake of 45 mBq, a contribution of 9% to total daily
systemic uptake of 210
Pb in Portugal. The content of 210
Pb in beverages in UK was
measured previously as 28 mBq kg-1
(47)
. Table 13 in section 2.5 gives an assessment
of the significance of 210
Pb in beverage consumption compared to total 210
Pb uptake.
Salmon et al. 6/23/2015 Sources of human 210
Pb uptake
20
Smoking
Smoking can be a significant source of 210
Pb intake, owing to appreciable activity of
210Pb in tobacco plants from root absorption and atmospheric deposition of
210Pb onto
the leaves. Inhalation intake of 210
Pb from smoking one cigarette has been quoted by
UNSCEAR (20)
as 1.7 mBq, so that smoking 20 a day gives a daily inhalation intake of
33 mBq of 210
Pb. A later review by Watson (6)
gave an average daily 210
Pb inhalation
from smoking of 34 mBq, in close agreement with the UNSCEAR estimate, although
measured values ranged from 4-77 mBq. Table 13 in section 2.5 gives an assessment
of the significance of smoking compared to total 210
Pb uptake.
Drinking water
Treated tap water is generally a negligible source of 210
Pb uptake; in the review by
Jaworowski (2)
systemic uptake from drinking water was 1% of uptake from food.
This value was derived from a mean measured 210
Pb concentration in tap water of 1.1
mBq l-1
. However, samples of untreated mineral water in France and Poland have
been found to contain 33-260 mBq l-1
of 210
Pb (2)
, and in Spain up to 1130 mBq l-1
(48)
,
so that someone drinking water predominantly from these sources would receive 210
Pb
uptake from water comparable to uptake from food.
Radium-226
Radium-226 is present in the skeleton at an average whole skeleton content of 0.85
Bq, less than a tenth that of 210
Pb (21)
. During the long retention of 226
Ra in bone some
210Pb will ingrow from it. We can calculate the approximate source of
210Pb this
represents to the body. During decay from 226
Ra to 210
Pb, 222
Rn is formed of which
about 70% leaves bone (21)
. The retention time of 226
Ra in bone is controlled by
Salmon et al. 6/23/2015 Sources of human 210
Pb uptake
21
remodelling, which occurs at rates of 3% and 26% per year for cortical and trabecular
bone, which respectively make up 80% and 20% of the skeleton (26)
. This results in
ingrowth ratios for 210
Pb/226
Ra of 0.38 and 0.06 respectively in cortical and trabecular
bone. Bone remodelling causes a flux of nuclides such as 226
Ra and 210
Pb from bone
to blood. From the above values, the daily input of 210
Pb to blood originating from
226Ra in bone is about 8 × 10
-6 Bq, or 0.02% of daily uptake to blood of
210Pb.
Radium-226 is thus an insignificant source of 210
Pb in the body. About 1% of skeletal
210Pb is derived from
226Ra.
For the purposes of the present study, exceptional sources of high 210
Pb intake will be
considered separately, and the values for systemic uptake of 210
Pb given will be those
considered representative of the general population taken from published
measurements in the literature. However these exceptional sources of 210
Pb intake,
particularly smoking and beverages, are important to large numbers of people.
Revised estimates of systemic uptake of Pb-210 in various countries.
Measurements of 210
Pb in both air and diet are available for eight countries or
locations – Illinois (USA), all USA, Japan, UK, Germany, Poland, Russia and
Portugal. For six of these measurements of 210
Pb in human bone are also available.
210Pb in air
Atmospheric 210
Pb concentration will vary as weather systems bring air masses of
different origin over a given location. Continental air masses have higher 210
Pb
concentration than maritime air masses (9)
. Hötzl and Winkler (29)
measured 210
Pb in
air at Neuherberg in Germany at two week intervals during 1983 through 1985 (72
Salmon et al. 6/23/2015 Sources of human 210
Pb uptake
22
measurements) and obtained a measurement geometric SD of 1.5, indicating the scale
of the variation. Preiss et al. (49)
comprehensively surveyed 210
Pb measurements in air
from over 800 sites around the world. These authors showed that a small number of
factors could broadly account for the geographic pattern of airborne 210
Pb
concentration. Principally land surfaces release a significant flux of 210
Pb into the
atmosphere while from the sea or ice this flux is negligible. In the northern
hemisphere there is generally a prevailing westerly (west to east) wind especially at
temperate latitudes, and this causes asymmetry in the distribution of 210
Pb
concentration over the North American and Eurasian continents, with concentration
lowest at the eastern continental margin and increasing toward the western margin.
The highest ground flux of 210
Pb to the atmosphere was found in Japan: this was
attributed to rainfall in Japan washing down 210
Pb from eastward-moving air which
had become highly enriched in 210
Pb due to long residence over Eurasia (50)
. Although
Japan is an island its status in regard to airborne 210
Pb is similar to East Asia and the
eastern USA at the eastern continental margins, where the ground flux of 210
Pb is also
high.
[Table 9]
In general Preiss et al. (49)
found that airborne 210
Pb concentration varied with latitude
in proportion to the fraction of a latitude band occupied by land. A cycling of 210
Pb
was described in which ground flux of 210
Pb was increased in areas where rainfall
washed down higher amounts of 210
Pb from air to ground. The relation between
ground flux and airborne concentration of 210
Pb at different latitudes is shown in table
9.
Salmon et al. 6/23/2015 Sources of human 210
Pb uptake
23
210Pb in diet
It is difficult to obtain a very satisfactory mean value for 210
Pb in diet for any country
or location, due to variation in diet between individuals, although this variation is
somewhat reduced by the increasing prevalence of large supermarket chains as
peoples’ source of food. The systemic uptakes of 210
Pb from air and diet have been
calculated for eight locations from the published values of 210
Pb concentration in air
and diet, and are shown in table 10. It should be emphasised that 210
Pb uptake through
both routes varies substantially under the influence of a number of factors, and thus
the precision of the stated values is low. Possibly the largest source of uncertainty is
in the GIT fractional uptake factor f1; in table 10 three values are given for f1 which
approximately represent 5%, 50% and 95% levels of a log-normal distribution. Figure
1 shows the percent contribution of 210
Pb inhalation (from atmospheric air, excluding
smoking or domestic radon) to total uptake in the eight countries: this is shown to
vary quite widely, with an international mean of 16 ± 6%. The proportion of 210
Pb
uptake by inhalation is highest in the USA among the studied countries, due to high
continental levels of atmospheric 210
Pb, and a diet relatively low in 210
Pb. The
proportion of 210
Pb uptake from diet and air is discussed further below in relation to
table 12.
[Table 10]
210Pb in bone
Lead-210 is a bone-seeking element with an effective half-life in bone of about 15-18
years (51, 52)
. Several authors have demonstrated that bone Pb is a good indicator of
cumulative Pb uptake (16, 17, 25, 51, 52, 53)
. The concentration of 210
Pb in bone can
Salmon et al. 6/23/2015 Sources of human 210
Pb uptake
24
therefore be used as an integrated measure of systemic 210
Pb uptake. In table 11 the
central estimates of total 210
Pb uptake (f1 = 0.15) are compared to measurements of
210Pb concentration in bone in six of the eight locations. This allows a mean value to
be specified to characterise the concentration of 210
Pb in bone in relation to daily
systemic uptake of 210
Pb, assuming lifetime intake with constant concentration of
210Pb in food and air. The measurements in table 11 suggest that on average the
concentration of 210
Pb in bone in adults (Bq kg-1
wet) is related to the daily 210
Pb
systemic uptake (Bq d-1
) by the value 62 d kg-1
. This compares with values for
accumulation in bone measured for radium and uranium (54)
by Wrenn et al. (1985):
for 226
Ra, 30 d kg-1
, for 228
Ra, 12 d kg-1
and for 238
U, 143 d kg-1
.
[Table 11]
Relative uptake of 210
Pb from diet and air
Despite the uncertainties of the uptake estimates, table 12 attempts to find a rationale
behind the widely differing values for relative magnitude of 210
Pb uptake from
inhalation and diet for in the eight countries. Firstly, the two countries with the lowest
air 210
Pb concentration, UK and Portugal, are located on the eastern sea-board of the
Atlantic Ocean and receive a prevailing westerly wind from the Ocean, bringing
maritime air with low 210
Pb concentration. Germany, Poland, Russia and USA have
higher 210
Pb concentration in air consistent with continental land masses. Japan is an
island but has air 210
Pb similar to Germany and Russia, due to the prevailing westerly
wind bringing Eurasian continental air to Japan (49, 50)
. As regards diet, Portugal and
Japan receive the highest 210
Pb dietary intake, reflecting the high content of seafood
consumption in both countries. Of the remaining countries, Germany, Poland and
Russia representing central and eastern Europe would appear to have higher dietary
Salmon et al. 6/23/2015 Sources of human 210
Pb uptake
25
210Pb than the USA and UK. It is difficult to identify the cause of this difference in
dietary intake but it may be related to differences in consumption of cereal based
products, and possibly also seafood consumption.
[Table 12]
Table 13 shows the additional uptake of 210
Pb that occurs from high domestic radon
levels, smoking and alcoholic beverages. The significance of each of these additional
sources is expressed as an additional percent uptake compared to total 210
Pb uptake
excluding these three sources. Smoking and beverage consumption are estimated to be
potentially highly significant additional 210
Pb sources, but national mean levels of
domestic radon contribute a smaller 210
Pb uptake. In several countries a moderate to
heavy smoker (20 or more cigarettes per day) could approximately double his/her
210Pb uptake from smoking. Similarly, heavy beverage consumption in these countries
could double 210
Pb uptake. Although mean radon levels in dwellings are a small
additional source, radon concentrations in dwellings are sometimes many times higher
than the average concentrations; in south-west Britain for example radon
concentration is above 1000 Bq m-3
in many homes, 50 times the national average (55)
.
In such cases radon would become a significant source of 210
Pb uptake (although
radon itself would cause a vastly more significant radiation exposure in its own right).
[Table 13]
Radiation doses resulting from uptake of environmental 210Pb.
Radiation doses from 210
Pb uptake were calculated using IDS™ (Internal Dosimetry
System: Dr V. Berkovsky, Radiation Protection Institute, 53 Melnikova, Kiev 253050,
Salmon et al. 6/23/2015 Sources of human 210
Pb uptake
26
Ukraine, [email protected].), a fully integrated programme for internal dosimetry
incorporating the latest ICRP biokinetic and dosimetric information. Table 14 lists the
total radiation doses to adults associated with the estimated levels of 210
Pb uptake in
the eight countries, giving values for ten organs and total effective dose. Doses are
expressed as committed dose equivalent and whole body effective dose to age 75 from
one year 210
Pb uptake at age 25. The largest dose is to bone surfaces, lying in the
range 100-800 µSv. Dose to bone surface has been revised downward with respect to
the current ICRP dosimetry, by a factor of 0.31, due to the recent finding of very low
210Po/
210Pb equilibrium ratio at bone surfaces
(14); this also somewhat reduces the dose
to red bone marrow. Doses to tissues with intermediate 210
Pb and 210
Po
concentrations, namely kidneys, spleen, red marrow and liver, were in the range 40-
500 µSv, and in other tissues, including radiosensitive organs such as thyroid, brain,
breast and gonad, doses are much lower, in the range 1-10 µSv. Total committed
effective dose for the eight countries was between 14-78 µSv, with a mean of 37 µSv.
Although the mean dose given for lung is quite low, a much larger dose - up to 1 mSv
or more - will be received by the lymph nodes from 210
Pb and 210
Po contained in dust
particles residing in the lymph nodes (56, 57)
.
The average doses given above can be substantially exceeded where exceptional
intake of 210
Pb occurs. An example is consumption of caribou or reindeer in Northern
environments. Litvier et al. (46)
measured 210
Po and 210
Pb concentrations in tissues of
reindeer in Northern Russia, and calculated mean annual dose equivalents to bone
endosteum of reindeer herders of 24 mSv, with individual dose equivalents reaching
54 mSv. On the basis of the 210
Pb dosimetry employed in this study these values
correspond to mean and maximum whole body effective dose equivalents of 0.74 and
1.67 mSv. These are consistent with doses calculated by Thomas (45)
in relation to
Salmon et al. 6/23/2015 Sources of human 210
Pb uptake
27
caribou consumption in Northern Canada: consumption of 250 g day-1
of caribou meat
resulted in annual dose equivalent of 0.13 and 0.28 mSv from 210
Pb and 210
Po
respectively. Yearly consumption of one caribou liver and ten kidneys gave additional
annual dose equivalents of 0.39 and 0.11 mSv from 210
Pb and 210
Po. Northern peoples
such as Inuit can consume significantly more liver and kidney than this in one year.
[Table 14]
Conclusions
Recent reviews of the literature concerning systemic uptake of Pb have been used to
obtain revised estimates of systemic uptake of 210
Pb from inhalation and diet, and
radiation doses to body organs from 210
Pb uptake. This study has indicated the
difficulty involved in obtaining precise values for fractional uptake of 210
Pb from
inhalation and diet, and the limitations of using published values of 210
Pb
concentration in air, diet and human bone. Therefore it is not possible to assess very
precisely the relative systemic uptake of 210
Pb from air and diet. However, it is not
possible to conclude that inhalation uptake is in general insignificant, or that dietary
uptake is always predominant. In some locations inhalation may be the largest source
of 210
Pb uptake. The importance of inhalation uptake of 210
Pb would be clarified by
studies employing personal air samplers, of the type carried out by Azar et al. (58)
for
airborne stable Pb. In figure 2 the relative magnitudes of 210
Pb uptakes from air
inhalation and diet, and from the additional sources of domestic radon, smoking and
beverages, are shown as averages from the eight countries. As an international
average, the contributions to 210
Pb uptake from atmospheric 210
Pb, domestic radon and
diet are 12%, 2% and 86% respectively. Smoking and beverages together add an extra
75% to the total uptake.
Salmon et al. 6/23/2015 Sources of human 210
Pb uptake
28
Dietary consumption of 210
Pb is mostly from cereal based foods, meat and vegetables.
By contrast 210
Po uptake is often dominated by consumption of fish and other aquatic
meats. High seafood consumption, particularly shellfish, can significantly increase
210Pb intake also. Some dietary items contain exceptional levels of
210Pb (and
210Po);
the example of caribou or reindeer consumption in Nothern environments was
discussed.
Fractional inhalation uptake of 210
Pb is sensitive to the size of aerosol particles to
which 210
Pb is adsorbed, and fractional uptake from particles of different size can
differ by a factor of more than two. Most airborne 210
Pb is particle-associated, and the
distribution of 210
Pb by activity between particle size fraction correlates with particle
surface area. Bright sunlight may decrease fractional inhalation uptake of 210
Pb.
Atmospheric concentration of 210
Pb is reduced where air is of maritime origin.
Smoking and alcoholic beverages are both shown to be highly significant sources of
additional 210
Pb uptake, which in some countries may more than double total 210
Pb
uptake, and may represent a larger proportion of natural internal radiation exposure
than has hitherto been recognised.
Acknowledgements
I would like to thank Dr Roger Clarke and Dr John Harrison of the National
Radiological Protection Board, UK, for first initiating the debate about significance of
inhalation versus diet for 210
Pb uptake.
Salmon et al. 6/23/2015 Sources of human 210
Pb uptake
29
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Catalonia (Spain). Environment International 22, (S1), S347-S354, (1996).
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concentration in surface air and fluxes at the air-surface and water-sediment
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and Neton, J. W. Long-term retention of 210
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Salmon et al. 6/23/2015 Sources of human 210
Pb uptake
37
Tables
Table 1. Intake and output balances for 210
Po and 210
Pb measured by Spencer et al. (5)
in twelve adult males.
210
Pb, mBq / day 210
Po, mBq / day
INTAKE
Ingestion:
Diet
Water
46.3 4.1
60.3 3.7
Inhalation:
Air
Cigarette smoke
3.0 5.6
0.48 13.3
Formed from 222
Rn and 226
Ra 0.89 -
Total 59.9 77.8
OUTPUT
Faeces 51.4 64.4
Urine 9.3 9.3
Total 60.7 73.7
BALANCE -0.8 +4.1
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Pb uptake
38
Table 2. Dietary intakes of 210
Pb for several countries summarised from the review by
Bennett and Sandalls (8)
.
Regions / categories Daily 210
Pb dietary intake, mBq
USA 44-58
West Europe (UK, France) 50-82
Central-Eastern Europe (Germany, Italy,
Russia) 110-230
Exceptional intake countries (Finland,
Japan, Alaska) 220-370
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Pb uptake
39
Table 3. Content of 210
Pb and 210
Po by percentage in daily diet of adult residents at
Nowe Miasto, Poland (11)
. These values approximately represent the European diet.
Food category 210
Pb 210
Po
% of dietary intake
Milk 13.3 8.1
Meat 19.2 12.7
Fish 1.2 33.8
Flour 30.1 17.6
Potatoes 14.4 10.2
Vegetables 15.7 12.5
Fruit 3.4 4.5
Water 2.6 0.6
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Pb uptake
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Table 4. A comparison of published estimates of relative magnitude of sources of
210Pb uptake from the environment to systemic circulation.
Percent of 210
Pb systemic uptake from each source
Author Location of
study
Food Water Air Smoking Alcoholic
beverages
Radon, 226
Ra
Holtzman
1963 (1)
Illinois,
USA 43 – 47 – – 10
Jaworowski
1969 (2)
World 79 1 20 – – –
Morse and
Welford
1970 (3)
New York,
USA 50 – 50 – – –
Spencer et
al. 1977 (5)
Illinois,
USA 44 – 18 33 – 5
Carvalho
1995 (9)
Lisbon,
Portugal 83 – 2 9 6 –
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Pb uptake
41
Table 5. Uptake of Pb from aerosol particles to lung and to blood, according to ICRP
66 (27)
. Pb is classed as having fast uptake to lung.
Aerosol mean
aerodynamic
diameter µm
Total
fractional
deposition
Total
fractional
deposition
excluding
ET1
Transfer
from lung
to blood
Transfer
from lung to
GI tract
Total uptake of
Pb air-blood
0.001 0.98 0.57 0.63 0.37 0.4
0.01 0.85 0.79 0.93 0.08 0.75
0.1 0.35 0.32 0.96 0.04 0.31
1 0.42 0.32 0.79 0.21 0.27
5 0.76 0.48 0.64 0.36 0.34
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Pb uptake
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Table 6. Average daily patterns of activity and breathing level, from the ICRP lung
model, publication 66 (27)
.
Age Sleep Resting, Sitting Light Exercise Heavy Exercise Total
m3/hr hr/d m3/hr hr/d m
3/hr hr/d m
3/hr hr/d m
3/d
3 mo 0.09 17 - - 0.19 7 - - 2.86
1 y 0.15 14 0.22 3.33 0.35 6.67 - - 5.17
5 y 0.24 12 0.32 4 0.57 8 - - 8.72
10 y 0.31 10 0.38 4.67 1.12 8.33 2.03 1 14.2
15 y 0.42 10 0.48 5.5 1.38 7 2.92 1 20.1
Adult 0.45 8 0.54 6 1.5 9.75 3 0.25 22.2
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Pb uptake
43
Table 7. The distribution by mass of atmospheric Pb into aerosol size fractions,
measured at a suburban and a city location in Vienna (31)
, and the distribution of
physical parameters of particles - volume, surface area and number, between aerosol
diameter fractions (32)
. Comparison of both sets of data suggests that the mass of
particle-attached Pb is proportional mostly to particle surface area, but also partly to
volume.
Aerosol
diameter
Percentage of atmospheric Pb
by mass in Vienna per particle
size fraction (Horvath et al.
1996)
Percentage distribution of particle
dimensions in urban atmospheric
aerosols, per diameter fraction
(Hinds 1982)
Suburb site City site Volume Surface
Area
Number
>1 µm 33 23 50 17 0
1µm - 60 nm 57 67 47 61 18
< 60 nm 10 10 3 22 82
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Pb uptake
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Table 8. Daily systemic uptakes of 210
Pb from radon inhalation in relation to
ventilation rate, normalised to a 222
Rn concentration of 1 Bq m-3
, showing the
components from dissolved radon and particle inhalation. This table assumes that a
person spends 60% of the day in their dwelling. Other assumptions concerning
inhalation such as particle size distribution are discussed in the text.
Daily uptake to blood of 210
Pb from 1 Bq/m3 222
Rn in indoor air
Lifetime of
indoor air
From dissolved Rn in
tissue (as %)
From inhaled short-lived
daughters on particles
(as %)
Total uptake of 210
Pb /day
30 min 3.22 E-06 (52%) 2.96 E-06 (48%) 6.18 E-06
2 hr 3.22 E-06 (27%) 8.58 E-06 (73%) 1.18 E-05
20 hr 3.22 E-06 (21%) 1.24 E-05 (79%) 1.56 E-05
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Pb uptake
45
Table 9. Mean ground flux of 210
Pb (measured over continents only) compared with
airborne concentration of 210
Pb at ground level in relation to latitude band, from Preiss
et al. (49)
Latitude band,
degrees
Mean 210
Pb ground flux
from land, Bq m-2
y-1
Mean ground level airborne
concentration of 210
Pb, mBq m-3
60-80 N 25 0.31
30-60 N 117 0.53
10-30 N 161 0.56
10-30 S 66 0.28
30-60 S 53 0.13
60-90 S 3.5 0.024
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Pb uptake
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Table 11. Total 210
Pb intake in the seven locations in relation to measured 210
Pb
concentration in human bone.
Location Total daily 210
Pb
systemic uptake, Bq
(f1=0.15).
Measured
concentration of 210
Pb in human bone,
Bq kg-1
wet.
Conc. 210
Pb in bone
per Bq daily 210
Pb
uptake, kg-1
Illinois, USA 0.014 1.5 107
All USA 0.018 1.2 67
Japan 0.068 1.3 19
UK 0.013 0.78 60
Germany 0.029 1.4 48
Poland 0.02 N/A N/A
Russia 0.038 2.7 71
Portugal 0.072 N/A N/A
International
mean ± SE 0.034 ± 0.008 1.5 ± 0.3 62 ± 12
Salmon et al. 6/23/2015 Sources of human 210
Pb uptake
47
Table 12. Percentage of total 210
Pb uptake in the population from inhalation as against
ingestion, for eight locations. The locations are divided into three categories with
respect to the concentration of 210
Pb in diet and two in regard to airborne 210
Pb.
Percentage of 210
Pb intake from inhalation; (the remainder
is from diet).
D i e t ca t ego r y
1. West European -
USA
2. Central-Eastern
European
3. High seafood
content
A ir ca t ego r y
1. Oceanic UK-4 Portugal-2
2. Continental Illinois-50,
USA-36
Germany-13,
Poland-10,
Russia-10
Japan-6*
*While Japan is an island, prevailing westerly wind brings predominantly Eurasian
continental air to Japan (49, 50)
.
Salmon et al. 6/23/2015 Sources of human 210
Pb uptake
48
Figures
0
20
40
60
80
100
120
Illin
ois
, U
SA
All
US
A
Ja
pa
n
UK
Ge
rma
ny
Po
land
Ru
ssia
Po
rtu
ga
l
Inte
rnatio
na
lm
ean
Pe
rce
nt P
b-2
10
upta
ke
fro
m in
ha
lation
Figure 1. The percentage of environmental uptake of Pb-210 from inhalation; the remainder is from diet. This excludes additional
uptake from radon, alcoholic beverages and smoking.