Lead poisoning and lead absorption : $b The symptoms, pathology and prevention, with special reference to their industrial origin, and an account of the principal processes involving risk — John Shaqi
Lead poisoning and lead absorption : $b The symptoms, pathology and prevention, with special reference to their industrial origin, and an account of the principal processes involving riskLegge, Thomas Morison, Sir
Science
Lead poisoning and lead absorption : $b The symptoms, pathology and prevention, with special reference to their industrial origin, and an account of the principal processes involving risk
Legge, Thomas Morison, Sir
Lead poisoning
The following case in the same factory illustrates a point already
mentioned--namely, the gradually acquired tolerance to poisoning, and
the unstable equilibrium existing. The individual was a man of twenty
years of age. He commenced work on August 2, 1905. Six weeks later he
was under treatment for seven weeks, for lead absorption, and had a
peculiarly deep blue line round his gums, and a diminished hæmoglobin
of 75 per cent. The symptoms disappeared with ordinary routine
treatment, and his work was shifted to a position in the factory where
he was exposed to the minimum amount of lead absorption, at which work
he continued during the rest of the time he remained in the factory.
He continued quite well until June, 1906, when he was again under
treatment for two weeks, with the same blue line and anæmia, and his
blood showed the presence of basophile granules. He was under treatment
again in January and February, 1909, for five weeks, had again a
deep blue line and basophile staining of his blood. On November 7,
1911, having had no anæmia and no blue line, he had a slight attack
of colic. During this period of work his blood had been examined on
eight occasions, and on each occasion it had shown basophile granules.
The attack of colic was an exceedingly mild one. There is no reason
to suppose that he had indulged in alcoholic excess, but there was
some reason to think that for about a month he had been subjected to
increased lung absorption. No other persons working in the same shift
at the same work developed poisoning during the whole of this period.
This case illustrates initial susceptibility, partial tolerance, and
ultimate breaking down of such partially established tolerance.
During the experimental inquiry on lead poisoning by one of us [K.
W. G.[3]], the question of the subminimal toxic dose and the minimal
toxic dose was under consideration. Animals subjected to inhalation
of lead dust invariably succumbed to the effects of the poison when
the dose given represented from 0·0001 to 0·0003 gramme per litre of
air inhaled, the period of inhalation being half an hour three times a
week. On the other hand, when the lead content of the air was as low as
0·00001 gramme per litre, the symptoms of poisoning were long delayed,
and in more than one instance, after an early diminution in weight,
recovery of the lost weight took place, and the animals, whilst showing
apparent symptoms of absorption, had no definite symptoms of paresis.
These observations tend to confirm such clinically observed facts as
are given in the case cited above, but they, of course, do not form
a criterion as to the amount of lead dust which may be regarded as
innocuous to man.
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