Levels and source apportionment of children's lead exposure: Could urinary lead be used to identify the levels and sources of children's lead pollution?

As a highly toxic heavy metal, the pollution and exposure risks of lead are of widespread concern for human health. However, the collection of blood samples for use as an indicator of lead pollution is not always feasible in most cohort or longitudinal studies, especially those involving children health. To evaluate the potential use of urinary lead as an indicator of exposure levels and source apportionment, accompanying with environmental media samples, lead concentrations and isotopic measurements (expressed as ²⁰⁷Pb/²⁰⁶Pb, ²⁰⁸Pb/²⁰⁶Pb and ²⁰⁴Pb/²⁰⁶Pb) were investigated and compared between blood and urine from children living in the vicinities of a typical coking plant and lead-acid battery factory. The results showed urinary lead might not be a preferable proxy for estimating blood lead levels. Fortunately, urinary lead isotopic measurements could be used as an alternative for identifying the sources of children's lead exposure, which coincided well with the blood lead isotope ratio analysis. - Highlights: • Pb isotopes of environmental media and children's blood and urine were analyzed. • Pb exposure and pollution source were studied in lead-acid battery and coking areas. • Pb isotope ratios in blood and urine were similar to those of food, water and PM. • Urine Pb level may not be used as a proxy for indicating the lead levels in blood. • Urine Pb isotope ratios is an alternative to identify source and exposure pathways. - Urinary lead is not a preferable proxy to estimate blood lead level, but urinary lead isotope ratios could be an alternative for identifying the sources of lead exposure in children