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Workers exposed to lead have high Alzheimer's risk

SAN DIEGO, May 04 (Reuters Health) - Workers exposed to lead have an increased risk of developing Alzheimer's disease in later years, according to research presented here at the American Academy of Neurology's 52nd annual meeting.

"People who have worked in jobs with high levels of lead exposure are up to three to four times more likely to develop Alzheimer's disease," said Dr. Amir Halim Soas, director of the Alzheimer's Project at Case Western University Medical School's department of neurology.

In the study, Dr. Elisabeth Koss and colleagues at Case Western compared the work histories of 185 Alzheimer's disease patients with 303 people without the memory-robbing disorder. The investigators found that those with the highest on-the-job lead exposure had up to four times the risk of Alzheimer's disease as those with the lowest exposure levels after taking into account education and other factors that can influence the disease. Overall, 14% of those with Alzheimer's had exposure to lead at work compared with 6% of people without the disease.

The researchers found no association between Alzheimer's disease and exposure to other potential toxins, such as aluminum, copper, iron, mercury, zinc and solvents.

Workers can be exposed to lead if they are smelting or casting lead, removing old lead-based paints, or involved in the manufacture of products such as lead-acid batteries, lead-glazed pottery, ammunition, lead pipe, cable shielding, electronic components or paint and ink. People who work with stained glass can also be exposed to high levels of lead.

Lead can be absorbed through the skin or inhaled as a dust, the most toxic route of exposure. According to Soas, the Case Western research is the first to confirm a definite association between occupational exposure and risk of Alzheimer's.

Laws passed in the 1970s resulted in the removal of lead from gasoline and paint. However, lead can still be found in the paint in older homes, as well as in contaminated soil or drinking water, Koss said.


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