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TABLE 22-2b
                               Summary of Lowest Observed Effect Levels for Key Lead-Induced Health Effects in Children

             Lowest observed
             effect level (PbB)"  Heme synthesis and    Neurological         Renal system             Gastrointestinal
                (^tg/dl)      hematological effects        effects             effects                    effects

                80-100                            Encephalopathic signs and  Chronic nephropathy  Colic, other overt
                                                    symptoms               (aminoaciduria, etc.)   gastrointestinal symptoms
                  70       Frank anemia                                                                     I
                  60                              Peripheral neuropathies                                   I

                  50                                         ? *
                  40       Reduced hemoglobin     Peripheral nerve dysfunction
                            synthesis               (slowed NCVs)^
                           Elevated coproporphyrin  CNS cognitive effects (1Q
                                                    deficits, etc.)
                           Increased urinary ALA C           |
                  30                                         ?            Vitamin D metabolism
                                                             1             interference
                  15       Erythrocyte protoporphyrin  Altered CNS
                            elevation               electrophysiological
                                                    response                        <
                  10       ALA-IT inhibition                                        ?
                                     1                       i
                           Py-5-N activity inhibition^       ?
                                     ?

            " PbB = blood lead concentrations.
            * Py-5-N = pyrimidine-5'-nucleotidase.
            ' ALA, ALA-D - aminolevulinie acid dehydrase
            d
              NCV = nerve conduction velocity
            Source: U.S. Environmental Protection Agency, Air Quality Criteria for Lead, EPA-600, EPA-600-8-83/028aF, June 1986,
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