The relation between concentration of blood lead and ethnic background
in 779 children was examined with the analytical results from the tra
ce element service at the Medical Toxicology Unit (MTU), Guy's and St
Thomas's Hospital Trust for the period 1980-94. The ethnic identity wa
s determined with the first and the second names of the investigated s
ubjects. Of the patients of European origin (European) studied 72.8% v
only 50.6% of the children with origins in the Indian subcontinent (A
sian) had a concentration of blood lead < 100 mu g/l. The percentage o
f subgroups with concentrations above the upper acceptable limit of 20
0 mu g/l was significantly higher in Asian subjects (European 5% v Asi
an 26.5%), with the most pronounced difference in those with concentra
tions of blood lead of 500 mu g/l (European 0.8% v Asian 10.5%). This
study shows that a correlation exists between Asian ethnic background
and concentration of blood lead in children. Factors such as cultural
habits-for example, use of traditional remedies, cosmetics, diet-and s
ocioeconomic status, may have contributed to this result.