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
There are no reasons, therefore, for supposing that the immunity to
lead poisoning depends on the fixation and storing up of the poisonous
metal in a non-poisonous form in some special situation in the body,
and, further, the particular situation in the body richest in lead
in any given case of poisoning will depend rather on (1) the type of
compound causing the poisoning, and (2) the portal through which such
poisoning occurs.
The question of the detection of lead in the body is referred to in the
chapter dealing with Chemical Examination. It is as well to point out
in this connection that chemical investigation of the amount of lead
present in the organs of persons dying from lead poisoning should, if
possible, always be made where there is any doubt as to the diagnosis.
Certain observers--amongst them Gautier[8]--are of opinion that
traces of lead may be found in normal persons. Thus, in a rat (_Mus
decumanus_) Gautier found 2 milligrammes of lead in 60 grammes of
liver. He considers that in many persons at least 0·5 milligramme of
lead may be swallowed daily incorporated with the food, as a number of
foods are liable to contamination by lead. Tinned foods, particularly
those which are soldered up after the materials have been placed in the
tin, certain tinned fruits with acid juices, often contain small masses
of solder loose in the tins; in the case particularly of fruits the
natural acid may slowly dissolve the lead from the solder. The amount
of so-called “normal” lead, if it is to be found at all, must be very
small, and would certainly be much smaller in the case of a normal
person than in one who had been subject to definite lead poisoning.
Such experimental evidence as is forthcoming supports the clinical
observations that persons exposed to small doses of lead eventually
develop tolerance of the metal, so that they may ultimately withstand
many times the dose sufficient in the first instance to produce
poisoning.
Such circumstances are the natural factors in the prevention of
poisoning, and if due care be given to their significance, the surgeon
in charge of any lead works may by judicious treatment and alternation
of employment so assist and strengthen the natural defensive forces
that susceptibility may be diminished, and the degree of tolerance
increased to a very considerable extent. We do not imply that
efficiency in the exhaust ventilation can be in any way relaxed; all
we desire to emphasize is that certain natural defensive forces of
the body do undoubtedly exist by which susceptible persons ultimately
become less susceptible, and that by appropriate means these defensive
forces may be augmented.
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