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Lead Aprons Are a Lead Exposure Hazard
Kevin M Burns1, Jamie M Shoag2, Sukhraj S Kahlon3
1Department of Radiology, Montefiore Medical Center/Albert Einstein College of Medicine, Bronx, New York.
Sixty-three percent of lead-containing shields tested had detectable surface lead dust. This finding highlights shields as a potential widespread source of lead exposure in healthcare settings.
Area of Science:
- Medical Physics
- Occupational Health
- Environmental Health
Background:
- Lead shielding is commonly used in healthcare to protect patients and staff from ionizing radiation.
- The potential for surface contamination of lead shields with lead dust has not been extensively studied.
Purpose of the Study:
- To investigate the presence and extent of lead dust on the external surfaces of lead-containing shields.
- To identify factors associated with lead dust contamination on these shields.
Main Methods:
- A descriptive study analyzed 172 lead shields using qualitative rapid on-site tests and quantitative dust wipe analysis via flame atomic absorption spectrometry (FAAS).
- Statistical analysis (chi-squared test) explored associations between lead dust presence and shield characteristics like age, type, thickness, storage, and appearance.
Main Results:
- Sixty-three percent of shields showed detectable surface lead by FAAS, with levels up to 998 μg/ft².
- Lead dust presence was significantly associated with poorer visual appearance, specific shield types (pediatric, full-body, thyroid), and storage methods (not on hangers).
Conclusions:
- A significant proportion of lead-containing shields are contaminated with surface lead dust.
- Visual appearance, shield type, and storage method are key factors influencing contamination.
- Lead-containing shields represent a newly identified, potentially widespread source of lead exposure in the healthcare industry.
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