Evidence map›Paper›PMID 25670963›Full record

ArticleJournal of occupational medicine and toxicology (London, England)2015

Lead toxicity among traffic wardens: a high risk group exposed to atmospheric lead, is it still a cause for concern?

Benedict Samuel Sebastiampillai, Mitrakrishnan Rayno Navinan, Sahan Indeewara Talpe Guruge, Dilushi Rowena Wijayaratne, Buddini Samanthi Dissanayake, Dissanayake Mudiyanselage Sushrutha Vajira Dissanayake, Manisha Samithri Perera, Sulakshi Manurika Thelikorala, Hasith Dhanajaya Wijayasurendra, Don Lasitha Naveen Wickramaratne and 2 more

Open access · goldAbstract read
In one paragraph

Article in Journal of occupational medicine and toxicology (London, England), 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
0.2field-weighted citation impact, top 38% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed, 3 citations in OpenAlex.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

12 authors at 1 institution in 1 country.

Benedict Samuel SebastiampillaiFaculty of Medicine, University of Colombo, Colombo, Sri Lanka.
Mitrakrishnan Rayno NavinanFaculty of Medicine, University of Colombo, Colombo, Sri Lanka.
Sahan Indeewara Talpe GurugeFaculty of Medicine, University of Colombo, Colombo, Sri Lanka.
Dilushi Rowena WijayaratneFaculty of Medicine, University of Colombo, Colombo, Sri Lanka.
Buddini Samanthi DissanayakeFaculty of Medicine, University of Colombo, Colombo, Sri Lanka.
Dissanayake Mudiyanselage Sushrutha Vajira DissanayakeFaculty of Medicine, University of Colombo, Colombo, Sri Lanka.
Manisha Samithri PereraFaculty of Medicine, University of Colombo, Colombo, Sri Lanka.
Sulakshi Manurika ThelikoralaFaculty of Medicine, University of Colombo, Colombo, Sri Lanka.
Hasith Dhanajaya WijayasurendraFaculty of Medicine, University of Colombo, Colombo, Sri Lanka.
Don Lasitha Naveen WickramaratneFaculty of Medicine, University of Colombo, Colombo, Sri Lanka.
Carukshi ArambepolaDepartment of Community Medicine, Faculty of Medicine, University of Colombo, Colombo, Sri Lanka.
Ravindra FernandoDepartment of Forensic Medicine and Toxicology, Faculty of Medicine, University of Colombo, Colombo, Sri Lanka.
University of Colombo · LK

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundTraffic policemen are identified to be at a higher risk of exposure to air pollution and its contaminants such as lead. A study done prior to the introduction of unleaded petroleum in Sri Lanka revealed a mean blood lead level of 53.07 μg/dL, which was well above the Center for Disease Control defined acceptable safe levels. This study aimed to determine whether unleading of fuel has made an impact on the blood lead levels of traffic police working in an urban area with high traffic density.

methodA cross-sectional survey of 168 traffic police personnel working within Colombo city limits of Sri Lanka, a high traffic density area, was conducted. Blood lead levels of participants were measured using nitric acid, perchloric acid ashing method and atomic absorption spectrophotometry. An interviewer administered questionnaire was used for a targeted history and examination. RESULTS AND DISCUSSION: Mean age of the sample population was 37 years. Thirty eight percent had detectable levels of lead in blood and 24.4% of the study sample had blood lead levels above Centre for disease control defined safe limits. Sample mean was 4.82 μg/dL (95% CI 3.58-6.04), and this is a 91% overall reduction when compared to data prior to unleading. Neither symptoms nor signs of classic lead toxicity showed significant correlation with toxic lead levels.

conclusionLead poisoning though still present in the high risk traffic warden population shows a considerable reduction following unleading. The need to have a low threshold to suspect lead poisoning is highlighted by the non-specific nature of the symptoms and signs of lead poisoning and its lack of association even in those found to have elevated lead levels. Further studies are required to elucidate a cause for the prevalence of lead poisoning despite cessation of using lead as an additive in petroleum.

Indexed as

Lead toxicitySri LankaTraffic policeUnleading

Identifiers

PMID25670963
PMCPMC4323022
OpenAlexW2126484218

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.