Industrial growth has created the potential for environmental problems in M
exico, since attention to environmental controls and urban planning has lag
ged behind the pace of industrialization. The aim of this cross-sectional s
tudy was to assess lead exposure in children aged 6-9 yr attending 3 primar
y schools and living in the vicinity of the largest smelter complex in Mexi
co. One of the schools is located 650 m distant from a smelter complex that
includes a lead smelter (close school); the second is located 1750 m away
from the complex and at the side of a heavy traffic road (intermediate scho
ol) in Torreon, Coahuila. The third school is located in Gomez Palacio, Dur
ango, 8100 m away from the smelter complex and distant from heavy vehicular
traffic or industrial areas ( remote school). Lead was measured in air, so
il, dust, and well water. Lead in blood (PbB) was determined in 394 childre
n attending the above mentioned schools. Determinations were performed by a
tomic absorption spectrometry. Diet, socioeconomic status, hygienic habits,
and other variables were assessed by questionnaire. Median (range) PbB val
ues were 7.8 mug/dl (3.54-29.61) in the remote school, 21.8 mug/dl(8.37-52.
08) in the intermediate school and 27.6 mug/dl (7.37-58.53) in children att
ending the close school. The percentage of children with PbB >15 mug/dl was
6.8%, 84.9%, and 92.1% respectively. In this order, the geometric means (
range) of Pb concentrations in air were 2.5 mug/m(3) (1.1-7.5), 5.8 mug/m(3
) (4.3-8.5), and 6.1 mug/m(3) (1.6-14.9). The Pb concentrations in dust fro
m playgrounds areas in the intermediate and close school settings ranged fr
om 1457 to 4162.5 mg/kg. Pb concentrations in drinking water were less than
5 mug/L. Soil and dust ingestion and inhalation appear to be the main rout
es of exposure. Our results indicate that environmental contamination has r
esulted in an increased body burden of Pb, suggesting that children living
in the vicinity of the smelter complex are at high risk for adverse effects
of lead.