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TABLE 22-2a
                             Summary of Lowest Observed Effect Levels for Key Lead-Induced Health Effects in Adults
          Lowest observed
          effect level (PbB)"  Heme synthesis and  Neurological   Effects on        Reproductive       Cardiovascular
              (/*g/dl)   hematological effects   effects          the kidney       function effects        effects
             100-120                       Encephalopathic signs  Chronic nephropathy
                                             and symptoms
               80       Frank anemia                )
               60                                   1                            Female reproductive
                                                    1                              effect s
               50       Reduced hemoglobin  Overt                                Altered testicular
                          production         subencephalopathic                    function
                                             neurological
                                             symptoms
                                                    \ I                                 , ,
               40       Increased urinary ALA  Peripheral nerve
                         and elevated        dysfunction (slowed
                          coproporphyrins    nerve conduction)
               30                                                                                    Elevated blood pressure
                                                                                                      (white males, aged
                                                                                                      40-59)
              25-30     Erythroeyte
                          protoporphyrin (EP)
                          elevation in males
              15-20     Erythroeyte
                         protoporphyrin (EP)
                          elevation in females
               <10      ALA-D inhibition                                                                     ?
          " PbB = blood lead concentrations.
          Source: U.S. Environmental Protection Agency, Air Quality Criteria for Lead, EPA-600-8-83/028aF, June 1986.
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