Relative exposure of children to lead from dust and drinking water.

The Blackpool, Wyre and Fylde Health Authority, in the North West of England, could be described as a "low-level lead exposure area." Primary sources of lead exposure are atmospheric fallout (both indoors and outdoors) and potable water consumption. Deciduous teeth were collected from children living in this area as were water samples and outdoor dust samples. Both total lead concentrations and 206Pb:207Pb ratios were determined for a defined subset of teeth. Significant differences in the total lead concentrations were found for teeth collected from children resident in different targeted areas (i.e., Blackpool, Fleetwood, and Garstang). No significant differences were found between the total lead concentrations or the 206Pb:207Pb ratios from dust and water samples in these areas. Examination of the 206Pb:207Pb ratios for dust, water, and teeth obtained from each area separately revealed differing patterns of exposure to lead. Determination of 206Pb:207Pb ratios, in addition to total lead concentrations, enabled the differences in sources of exposure to be identified in these communities. The authors conclude that isotopic analyses are an important aspect of community survey work, and these analyses can be helpful in accurately targeting intervention strategies aimed at reducing exposure to lead.