Thirty-six workers exposed to low or moderate levels of lead at low te
mperature refining processes were surveyed to examine the route of lea
d intake. Blood lead level (BPb), delta-aminolevulinic acid in urine,
lead in facial skin wipes (Face-Pb) and lead in fingernails (Nail-Pb)
were measured and their personal hygienic behavior was surveyed by a q
uestionnaire. BPb showed a significant correlation with Face-Pb and Na
il-Pb (r = 0.730 and r = 0.590, respectively). Multiple regression ana
lysis extracted the factors of smoking at the workplace, face-Pb and n
ail-Pb as significantly related to BPb level. Electron-microscopic obs
ervation revealed that the majority of dust particles collected from w
orker's faces were larger than respirable size. Lead ingestion from co
ntaminated face skin and fingers may contribute to elevations in the B
Pb level among workers. (C) 1997 Elsevier Science B.V.