Editorial Acesso aberto Revisado por pares

Health Risks from Lead-Based Ammunition in the Environment

2013; National Institute of Environmental Health Sciences; Volume: 121; Issue: 6 Linguagem: Inglês

10.1289/ehp.1306945

ISSN

1552-9924

Autores

David C. Bellinger, Joanna Burger, Tom J. Cade, Deborah A. Cory‐Slechta, Myra E. Finkelstein, Howard Hu, Michael J. Kosnett, Philip J. Landrigan, Bruce P. Lanphear, Mark A. Pokras, Patrick T. Redig, Bruce A. Rideout, Ellen K. Silbergeld, Robert O. Wright, Donald R. Smith,

Tópico(s)

Mercury impact and mitigation studies

Resumo

Vol. 121, No. 6 EditorialOpen AccessHealth Risks from Lead-Based Ammunition in the Environment David C. Bellinger, Joanna Burger, Tom J. Cade, Deborah A. Cory-Slechta, Myra Finkelstein, Howard Hu, Michael Kosnett, Philip J. Landrigan, Bruce Lanphear, Mark A. Pokras, Patrick T. Redig, Bruce A. Rideout, Ellen Silbergeld, Robert Wright, and Donald R. Smith David C. Bellinger Harvard Medical School, Harvard School of Public Health, Boston, Massachusetts , Joanna Burger Environmental and Occupational Health Sciences Institute, Rutgers University, Piscataway, New Jersey , Tom J. Cade Department of Ecology and Evolutionary Biology (Emeritus), Cornell University, Ithaca, New York , Deborah A. Cory-Slechta Department of Environmental Medicine, University of Rochester School of Medicine, Rochester, New York , Myra Finkelstein Department of Microbiology and Environmental Toxicology, University of California, Santa Cruz, Santa Cruz, California , Howard Hu Dalla Lana School of Public Health, University of Toronto, Toronto, Ontario, Canada , Michael Kosnett Division of Clinical Pharmacology & Toxicology, Department of Medicine, University of Colorado School of Medicine, Aurora, Colorado , Philip J. Landrigan Department of Preventive Medicine, Icahn School of Medicine at Mount Sinai, New York, New York , Bruce Lanphear Child & Family Research Institute, BC Children's Hospital, Simon Fraser University, Vancouver, British Columbia, Canada , Mark A. Pokras Wildlife Clinic, Department of Infectious Disease and Global Health, Cummings School of Veterinary Medicine, Tufts University, North Grafton, Massachusetts , Patrick T. Redig The Raptor Center, Veterinary Clinical Sciences, University of Minnesota, St. Paul, Minnesota , Bruce A. Rideout Wildlife Disease Laboratories, Institute for Conservation Research, San Diego Zoo Global, San Diego, California , Ellen Silbergeld Department of Environmental Health Sciences, Johns Hopkins Bloomberg School of Public Health, Baltimore, Maryland , Robert Wright Department of Preventive Medicine, Icahn School of Medicine at Mount Sinai, New York, New York , and Donald R. Smith Department of Microbiology and Environmental Toxicology, University of California, Santa Cruz, Santa Cruz, California, E-mail: [email protected] Published:1 June 2013https://doi.org/10.1289/ehp.1306945Cited by:33AboutSectionsPDF ToolsDownload CitationsTrack Citations ShareShare onFacebookTwitterLinked InReddit Lead is one of the most studied toxicants, and overwhelming scientific evidence demonstrates that lead is toxic to several physiological systems in vertebrates, including the nervous, renal, cardiovascular, reproductive, immune, and hematologic systems (Health Risks from Lead-Based Ammunition in the Environment—A Consensus Statement of Scientists 2013). Furthermore, there is no level of lead exposure in children known to be without adverse effects [Centers for Disease Control and Prevention (CDC) 2012a, 2012b].In light of this evidence, there is an urgent need to end a major source of lead for animals and humans: spent lead bullets and shotgun pellets. Notably, production of lead-based ammunition in the United States accounted for > 69,000 metric tons consumed in 2012; this is second only to the amount of lead used to manufacture storage batteries (U.S. Geological Survey 2013). However, there are few regulations regarding the release of lead into the environment through discharge of lead-based ammunition. For other major categories of lead consumption, such as lead batteries and sheet lead/lead pipes, environmental discharge and disposal are regulated. Therefore, lead-based ammunition is likely the greatest largely unregulated source of lead that is knowingly discharged into the environment in the United States. In contrast, the release or distribution of other major sources of environmental lead contamination (e.g., leaded gasoline, lead-based paint, lead solder) have been substantially regulated and reduced since the mid-1970s (Health Risks from Lead-Based Ammunition in the Environment—A Consensus Statement of Scientists 2013).There is a national discussion—polarized at times—of the health risks posed to humans and wildlife from the discharge of lead-based ammunition. To inform this discussion, a group of 30 nationally and internationally recognized scientists with expertise regarding lead and environmental health recently collaborated to create an evidence-based consensus statement (Health Risks from Lead-Based Ammunition in the Environment—A Consensus Statement of Scientists 2013) supporting the reduction and eventual elimination of lead released to the environment through the discharge of lead-based ammunition.The discharge of lead bullets and shotgun pellets into the environment poses significant health risks to humans and wildlife. The best available scientific evidence demonstrates that the discharge of lead-based ammunition substantially increases environmental lead levels, especially in areas with higher shooting activity (U.S. Environmetal Protection Agency 2012) and that the discharge of lead-based ammunition poses risks of elevated lead exposure to gun users (National Research Council 2012). When lead-containing bullets are used to shoot wildlife, they can fragment into hundreds of small pieces, many of which are small enough to be easily ingested by scavenging animals or to be retained in meat prepared for human consumption (Hunt et al. 2009; Knott et al. 2010; Pauli and Burkirk 2007). Consequently, lead-based ammunition may be a significant source of lead exposure in humans that regularly ingest wild game (Hanning et al. 2003; Johansen et al. 2006; Levesque et al. 2003; Tsuji et al. 2008). In addition, lead pellets and fragments have been reported in gastrointestinal tracts of hunters who consume meat from animals shot with lead-based ammunition (Carey 1977; Reddy 1985).The use of lead pellets in shotgun shells for hunting waterfowl posed a serious threat to wetland birds, and secondarily to bald eagles, in the United States, leading to the U.S. Fish and Wildlife Service's 1991 nationwide regulations requiring use of nontoxic shotgun pellets for hunting waterfowl (Anderson 1992). However, lead poisoning from ingestion of spent lead-based ammunition fragments continues to pose a particularly serious health threat for scavenging species. These lead-containing fragments remain the principal source of lead exposure to endangered California condors and continue to prevent the successful recovery of these birds in the wild (Church et al. 2006; Finkelstein et al. 2012; Green et al. 2008; Parish et al. 2009; Rideout et al. 2012; Woods et al. 2007). Other wildlife species, such as golden eagles, bald eagles, ravens, turkey vultures, and pumas, are also exposed to the fragments of spent lead ammunition (Burco et al. 2012; Clark and Scheuhammer 2003; Craighead and Bedrosian 2008; Cruz-Martinez et al. 2012; Fisher et al. 2006; Kelly and Johnson 2011; Stauber et al. 2010; Wayland and Bollinger 1999).No rational deliberation about the use of lead-based ammunition can ignore the overwhelming evidence for the toxic effects of lead, or that the discharge of lead bullets and shot into the environment poses significant risks of lead exposure to humans and wildlife. Given the availability of non-lead ammunition for shooting and hunting (Thomas 2013), the use of lead-based ammunition that introduces lead into the environment can be reduced and eventually eliminated. This seems to be a reasonable and equitable action to protect the health of humans and wildlife.The authors declare they have no actual or potential competing financial interests.ReferencesAnderson WL. 1992. Legislation and lawsuits in the United States and their effects on nontoxic shot regulations. In: Lead Poisoning in Waterfowl (Pain DJ, ed). IWRB Special Publication 16. Slimbridge, UK:International Waterfowl and Wetlands Research Bureau, 56–60. Google ScholarBurco J, Myers AM, Schuler K, Gillin C. 2012. Acute lead toxicosis via ingestion of spent ammunition in a free-ranging cougar (Puma concolor).J Wildl Dis 48(1):216-21922247395. Crossref, Medline, Google ScholarCarey LS. 1977. Lead shot appendicitis in northern native people.J Can Assoc Radiol 28:171-174893519. Medline, Google ScholarCDC (Centers for Disease Control and Prevention). 2012a. CDC Response to Advisory Committee on Childhood Lead Poisoning Prevention Recommendations in "Low Level Lead Exposure Harms Children: A Renewed Call of Primary Prevention." Available: http://www.cdc.gov/nceh/lead/ACCLPP/CDC_Response_Lead_Exposure_Recs.pdf [accessed 9 May 2013]. Google ScholarCDC (Centers for Disease Control and Prevention). 2012b. Low Level Lead Exposure Harms Children: A Renewed Call for Primary Prevention. Report of the Advisory Committee on Childhood Lead Poisoning Prevention of the Centers for Disease Control and Prevention. Available: http://www.cdc.gov/nceh/lead/ACCLPP/Final_Document_030712.pdf [accessed 9 May 2013]. Google ScholarChurch ME, Gwiazda R, Risebrough RW, Sorenson K, Chamberlain CP, Farry Set al.. 2006. Ammunition is the principal source of lead accumulated by California condors re-introduced to the wild.Environ Sci Technol 40:6143-615017051813. Crossref, Medline, Google ScholarClark AJ, Scheuhammer AM. 2003. Lead poisoning in upland-foraging birds of prey in Canada.Ecotoxicology 12:23-3012739854. Crossref, Medline, Google ScholarCraighead D, Bedrosian B. 2008. Blood lead levels of common ravens with access to big-game offal.J Wildl Manage 72(1):240-245. Crossref, Google ScholarCruz-Martinez L, Redig PT, Deen J. 2012. Lead from spent ammunition: a source of exposure and poisoning in bald eagles.Hum Wildl Interact 6(1):94-104. Google ScholarFinkelstein ME, Doak DF, George D, Burnett J, Brandt J, Church Met al.. 2012. Lead poisoning and the deceptive recovery of the critically endangered California condor.Proc Natl Acad Sci USA 109(28):11449-1145422733770. Crossref, Medline, Google ScholarFisher IJ, Pain DJ, Thomas VG. 2006. A review of lead poisoning from ammunition sources in terrestrial birds.Biol Conser 131(3):421-432. Crossref, Google ScholarGreen RE, Hunt WG, Parish CN, Newton I. 2008. Effectiveness of action to reduce exposure of free-ranging California condors in Arizona and Utah to lead from spent ammunition.PLoS ONE 3(12):e4022; doi:10.1371/journal.pone.0004022[Online 24 December 2008]19107211. Crossref, Medline, Google ScholarHanning RM, Sandhu R, MacMillan A, Moss L, Tsuji LJS, Nieboer E. 2003. Impact of blood lead levels of maternal and early infant feeding practices of First Nation Cree in the Mushkegowuk Territory of northern Ontario, Canada.J Environ Monit 5:241-24512729262. Crossref, Medline, Google ScholarHealth Risks from Lead-Based Ammunition in the Environment—A Consensus Statement of Scientists. 2013. Available: http://escholarship.org/uc/item/6dq3h64x [accessed 9 May 2013]. Google ScholarHunt WG, Watson RT, Oaks JL, Parish CN, Burnham KK, Tucker RLet al.. 2009. Lead bullet fragments in venison from rifle-killed deer: potential for human dietary exposure.PLoS ONE 4(4):e5330; doi:10.1371/journal.pone.0005330[Online 24 April 2009]19390698. Crossref, Medline, Google ScholarJohansen P, Pedersen HS, Asmund G, Riget F. 2006. Lead shot from hunting as a source of lead in human blood.Environ Pollut 142:93-9716280190. Crossref, Medline, Google ScholarKelly TR, Johnson CK. 2011. Lead exposure in free-flying turkey vultures is associated with big game hunting in California.PLoS ONE 6(4):e15350; doi:10.1371/journal.pone.0015350 [Online 6 April 2011]21494326. Crossref, Medline, Google ScholarKnott J, Gilbert J, Hoccom D, Green R. 2010. Implications for wildlife and humans of dietary exposure to lead from fragments of lead rifle bullets in deer shot in the UK.Sci Total Environ 409:95-9920937520. Crossref, Medline, Google ScholarLevesque B, Duchesne JF, Gariépy C, Rhainds M, Dumas P, Scheuhammer AMet al.. 2003. Monitoring of umbilical cord blood lead levels and sources assessment among the Inuit.Occup Environ Med 60:693-69512937194. Crossref, Medline, Google ScholarNational Research Council. 2012. Potential Health Risks to DOD Firing-Range Personnel from Recurrent Lead Exposure. Washington, DC:National Academies Press. Google ScholarParish CN, Hunt WG, Feltes E, Sieg R, Orr K. 2009. Lead exposure among a reintroduced population of California condors in northern Arizona and southern Utah. In: Ingestion of Lead from Spent Ammunition: Implications for Wildlife and Humans (Watson RT, Fuller M, Pokras M, Hunt WG, eds). Boise, ID:The Peregrine Fund, 259–264. Available: http://www.peregrinefund.org/subsites/conference-lead/PDF/0217%20Parish.pdf [accessed 9 May 2013]. Google ScholarPauli J, Burkirk S. 2007. Recreational shooting of prairie dogs: a portal for lead entering wildlife food chains.J Wildl Manage 71(1):103-108. Crossref, Google ScholarReddy ER. 1985. Retained lead shot in the appendix.J Can Assoc Radiol 36:47-483980552. Medline, Google ScholarRideout BA, Stalis I, Papendick R, Pessier A, Puschner B, Finkelstein MEet al.. 2012. Patterns of mortality in free-ranging California condors (Gymnogyps californianus).J Wildl Dis 48(1):95-11222247378. Crossref, Medline, Google ScholarStauber E, Finch N, Talcott PA, Gay JM. 2010. Lead poisoning of bald (Haliaeetus leucocephalus) and golden (Aquila chrysaetos) eagles in the U.S. inland Pacific northwest region—an 18-year retrospective study: 1991–2008.J Avian Med Surg 24(4):279-28721302758. Crossref, Medline, Google ScholarThomas VG. 2013. Lead-free hunting rifle ammunition: product availability, price, effectiveness, and role in global wildlife conservation.Ambio doi:10.1007/s13280-012-0361-7[Online 4 January 2013 ]. Google ScholarTsuji LJS, Wainman BC, Martin ID, Sutherland C, Weberd JP, Dumas Pet al.. 2008. The identification of lead ammunition as a source of lead exposure in First Nations: the use of lead isotope ratios.Sci Total Environ 393:291-29818272204. Crossref, Medline, Google ScholarU.S. Environmental Protection Agency. 2012. Integrated Science Assessment for Lead (Third External Review Draft). EPA/600/R-10/075C. Washington, DC:U.S. Environmental Protection Agency. Available: http://cfpub.epa.gov/ncea/isa/recordisplay.cfm?deid=242655 [accessed 9 May 2013]. Google ScholarU.S. Geological Survey. 2013. Mineral Industry Surveys: Lead in January 2013. Available: http://minerals.usgs.gov/minerals/pubs/commodity/lead/mis-201301-lead.pdf [accessed 9 May 2013]. Google ScholarWayland M, Bollinger T. 1999. Lead exposure and poisoning in bald eagles and golden eagles in the Canadian Prairie Provinces.Environ Poll 104(3):341-350. Crossref, Google ScholarWoods CP, Heinrich WR, Farry SC, Parish CN, Osborn SAH, Cade TJ. 2007. Survival and reproduction of California condors released in Arizona. In: California Condors in the 21st Century (Mee A, Hall LS, eds). Series in Ornithiology No. 2. Washington, DC, and Cambridge, MA:American Ornithologists Union and Nuttall Ornithological Club, 57–78. Available: http://www.peregrinefund.org/docs/pdf/research-library/2007/2007-Woods-condor-survival.pdf [accessed 9 May 2013]. Google ScholarFiguresReferencesRelatedDetailsCited by González-Morales M, Fernández-Pozo L and Rodríguez-González M (2022) Threats of metal mining on ecosystem services. Conservation proposals, Environmental Research, 10.1016/j.envres.2022.114036, 214, (114036), Online publication date: 1-Nov-2022. van den Heever L, Elburg M, Iaccheri L, Naidoo V, Ueckermann H, Bybee G, Smit-Robinson H, Whitecross M and McKechnie A (2022) Identifying the origin of lead poisoning in white-backed vulture (Gyps africanus) chicks at an important South African breeding colony: a stable lead isotope approach, Environmental Science and Pollution Research, 10.1007/s11356-022-23209-z Totoni S, Fabisiak J, Beasley V, Arnemo J, Schulz J, Terry M and Peterson J (2022) Biting the Bullet: A Call for Action on Lead-Contaminated Meat in Food Banks, American Journal of Public Health, 10.2105/AJPH.2022.307069, 112:S7, (S651-S654), Online publication date: 1-Sep-2022. Glatz Brubakk K, Gjengedal E, Enger Ø and Sripada K (2022) Ammunition Waste Pollution and Preliminary Assessment of Risks to Child Health from Toxic Metals at the Greek Refugee Camp Mavrovouni, International Journal of Environmental Research and Public Health, 10.3390/ijerph191610086, 19:16, (10086) Chiverton L, Cromie R and Kock R (2022) European mammal exposure to lead from ammunition and fishing weight sources, Heliyon, 10.1016/j.heliyon.2022.e10014, 8:8, (e10014), Online publication date: 1-Aug-2022. Arnemo J, Fuchs B, Sonne C and Stokke S (2022) Hunting with Lead Ammunition: A One Health Perspective Arctic One Health, 10.1007/978-3-030-87853-5_21, (439-468), . Schulz J, Wilhelm Stanis S, Li C, Morgan M and Webb E (2021) Factors affecting staff support of a voluntary nonlead ammunition outreach program, Applied Environmental Education & Communication, 10.1080/1533015X.2021.1943062, (1-18) Fuchs B, Thiel A, Zedrosser A, Brown L, Hydeskov H, Rodushkin I, Evans A, Boesen A, Græsli A, Kindberg J and Arnemo J (2021) High concentrations of lead (Pb) in blood and milk of free-ranging brown bears (Ursus arctos) in Scandinavia, Environmental Pollution, 10.1016/j.envpol.2021.117595, (117595), Online publication date: 1-Jun-2021. Schulz J, Wilhelm Stanis S, Hall D and Webb E (2021) Until It's a regulation It's not my fight: Complexities of a voluntary nonlead hunting ammunition program, Journal of Environmental Management, 10.1016/j.jenvman.2020.111438, 277, (111438), Online publication date: 1-Jan-2021. Weber A, Bannon D, Abraham J, Seymour R, Passman P, Lilley P, Parks K, Braybrooke G, Cook N and Belden A (2020) Reduction in lead exposures with lead-free ammunition in an advanced urban assault course, Journal of Occupational and Environmental Hygiene, 10.1080/15459624.2020.1836375, (1-13) Glucs Z, Smith D, Tubbs C, Bakker V, Wolstenholme R, Dudus K, Burnett J, Clark M, Clark M and Finkelstein M (2020) Foraging behavior, contaminant exposure risk, and the stress response in wild California condors (Gymnogyps californianus), Environmental Research, 10.1016/j.envres.2020.109905, (109905), Online publication date: 1-Jul-2020. Cromie R, Newth J and Strong E (2019) Transitioning to non-toxic ammunition: Making change happen, Ambio, 10.1007/s13280-019-01204-y, 48:9, (1079-1096), Online publication date: 1-Sep-2019. Stokke S, Arnemo J and Brainerd S (2019) Unleaded hunting: Are copper bullets and lead-based bullets equally effective for killing big game?, Ambio, 10.1007/s13280-019-01171-4, 48:9, (1044-1055), Online publication date: 1-Sep-2019. Pain D, Dickie I, Green R, Kanstrup N and Cromie R (2019) Wildlife, human and environmental costs of using lead ammunition: An economic review and analysis, Ambio, 10.1007/s13280-019-01157-2, 48:9, (969-988), Online publication date: 1-Sep-2019. Thomas V, Kanstrup N and Fox A (2019) The transition to non-lead sporting ammunition and fishing weights: Review of progress and barriers to implementation, Ambio, 10.1007/s13280-018-1132-x, 48:9, (925-934), Online publication date: 1-Sep-2019. Schulz J, Wilhelm Stanis S, Webb E, Li C and Hall D (2019) Communication strategies for reducing lead poisoning in wildlife and human health risks, Wildlife Society Bulletin, 10.1002/wsb.955, 43:1, (131-140), Online publication date: 1-Mar-2019. Thomas V (2019) Rationale for the regulated transition to non-lead products in Canada: A policy discussion paper, Science of The Total Environment, 10.1016/j.scitotenv.2018.08.363, 649, (839-845), Online publication date: 1-Feb-2019. Baranowska-Bosiacka I, Korbecki J and Marchlewicz M (2019) Lead, Pb Mammals and Birds as Bioindicators of Trace Element Contaminations in Terrestrial Environments, 10.1007/978-3-030-00121-6_16, (563-592), . Katzner T, Stuber M, Slabe V, Anderson J, Cooper J, Rhea L and Millsap B (2017) Origins of lead in populations of raptors, Animal Conservation, 10.1111/acv.12379, 21:3, (232-240), Online publication date: 1-Jun-2018. Liberda E, Tsuji L, Martin I, Ayotte P, Robinson E, Dewailly E and Nieboer E (2018) Source identification of human exposure to lead in nine Cree Nations from Quebec, Canada ( Eeyou Istchee territory), Environmental Research, 10.1016/j.envres.2017.11.023, 161, (409-417), Online publication date: 1-Feb-2018. Hampton J, Laidlaw M, Buenz E and Arnemo J (2018) Heads in the sand: public health and ecological risks of lead-based bullets for wildlife shooting in Australia, Wildlife Research, 10.1071/WR17180, 45:4, (287), . Laidlaw M, Filippelli G, Mielke H, Gulson B and Ball A (2017) Lead exposure at firing ranges—a review, Environmental Health, 10.1186/s12940-017-0246-0, 16:1, Online publication date: 1-Dec-2017. Stokke S, Brainerd S and Arnemo J (2017) Metal deposition of copper and lead bullets in moose harvested in Fennoscandia, Wildlife Society Bulletin, 10.1002/wsb.731, 41:1, (98-106), Online publication date: 1-Mar-2017. Kanstrup N, Balsby T and Thomas V (2016) Efficacy of non-lead rifle ammunition for hunting in Denmark, European Journal of Wildlife Research, 10.1007/s10344-016-1006-0, 62:3, (333-340), Online publication date: 1-Jun-2016. Newth J, Rees E, Cromie R, McDonald R, Bearhop S, Pain D, Norton G, Deacon C and Hilton G (2016) Widespread exposure to lead affects the body condition of free-living whooper swans Cygnus cygnus wintering in Britain, Environmental Pollution, 10.1016/j.envpol.2015.11.007, 209, (60-67), Online publication date: 1-Feb-2016. Olsen • G, Crosta • L, Gartrell • B, Marsh • P and Stringfield C (2016) Conservation of avian species Current Therapy in Avian Medicine and Surgery, 10.1016/B978-1-4557-4671-2.00032-X, (719-748), . Johnson D, Deocampo D, El-Mayas H and Greipsson S (2015) Induced Phytoextraction of Lead Through Chemical Manipulation of Switchgrass and Corn; Role of Iron Supplement, International Journal of Phytoremediation, 10.1080/15226514.2015.1045134, 17:12, (1192-1203), Online publication date: 2-Dec-2015. Cook J, Sakr C, Redlich C and DeLoreto A (2015) Elevated Blood Lead Levels Related to the Use of Firearms, Journal of Occupational and Environmental Medicine, 10.1097/JOM.0000000000000553, 57:10, (e136-e138), Online publication date: 1-Oct-2015. Bergström U, Ekstrand-Hammarström B, Hägglund L and Wingfors H (2015) Comparing Acute Toxicity of Gunshot Particles, from Firing Conventional and Lead-Free Ammunition, in Pulmonary Epithelial Cell Cultures, Journal of Toxicology and Environmental Health, Part A, 10.1080/15287394.2015.1017682, 78:10, (645-661), Online publication date: 19-May-2015. Inyang M, Gao B, Zimmerman A, Zhou Y and Cao X (2014) Sorption and cosorption of lead and sulfapyridine on carbon nanotube-modified biochars, Environmental Science and Pollution Research, 10.1007/s11356-014-2740-z, 22:3, (1868-1876), Online publication date: 1-Feb-2015. Haig S, D'Elia J, Eagles-Smith C, Fair J, Gervais J, Herring G, Rivers J and Schulz J (2014) The persistent problem of lead poisoning in birds from ammunition and fishing tackle, The Condor, 10.1650/CONDOR-14-36.1, 116:3, (408-428), Online publication date: 1-Aug-2014. Gremse F, Krone O, Thamm M, Kiessling F, Tolba R, Rieger S, Gremse C and Johnson C (2014) Performance of Lead-Free versus Lead-Based Hunting Ammunition in Ballistic Soap, PLoS ONE, 10.1371/journal.pone.0102015, 9:7, (e102015) Nieboer E, Tsuji L, Martin I and Liberda E (2013) Human biomonitoring issues related to lead exposure, Environmental Science: Processes & Impacts, 10.1039/c3em00270e, 15:10, (1824), . 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