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12

Better understanding of exposure levels came with the

pioneering research of Clair Patterson in the 1960s who

showed that contemporary lead body burdens were then

600 times higher than in pre-industrial humans (Patterson

1965, Settle and Patterson 1980) and that nearly all modern

environments were widely contaminated with lead – at levels

which were far from ‘normal’.

Through the late 1960s and into the 1970s, medical studies

were starting to focus in detail on the effects of chronic

exposure to low levels of lead, especially on children, although

the TEL industry were quick to dismiss early research owing

to methodological deficiencies (Wilson 1983). However,

the meticulous investigation of Needleman

et al.

(1979) was

undertaken to the highest methodological standards, and

convincingly demonstrated significant statistical correlations

between lead exposure (as measured by dentine lead levels)

and a range of educational and psychological deficits in

schoolchildren. Multiple further studies followed confirming

and elaborating these findings of low-level effects on human

development (

e.g.

Rutter and Jones 1983, Needleman and

Gatsonis 1990).

In response to this growing medical evidence, ‘safe’ levels

of lead in the USA (as determined by the Centers for Disease

Control and Prevention (CDC)) were lowered progressively

from a concentration in whole blood of 60 μg/dl in 1960, to 40

μg/dl and then 30 μg/dl in the 1970s, to 25 μg/dl in the 1980s,

10 μg/dl in the early 1990s, and most recently to 5 μg/dl in

2012 (CDC 2012).

The main political driver to address the issue of TEL in

petrol in the USA came, not primarily from health impacts,

but from the need to install catalytic converters to comply

with the 1970 Clean Air Act. Since lead ‘poisons’ the

platinum catalyst, there was a need to eliminate it from

petrol. However, health impacts had also been recognised

and the Environmental Protection Agency (EPA) feared that

technological developments might develop non-platinum

catalytic converters in the future. Accordingly, EPA released

Regulations requiring the phased reduction of lead in petrol

on health grounds also. Industrial interests challenged these

all the way to the Supreme Court, where ultimately they

lost, strengthening the EPA’s regulatory position. Issues of

risk, cumulative exposure and proportionality of regulatory

responses were central to these cases (Needleman 2000,

Needleman and Gee 2013).

REGULATION OF LEAD IN PETROL IN THE UK

Both research and regulation addressing lead in petrol in the

UK lagged behind that in the USA and Japan (the first country

to regulate against TEL) and is described by Millstone (2013).

In essence, governmental policy development was strongly

influenced by industrial pressure and justified on the basis of

scientific uncertainty, despite growing research evidence fromUK

studies as well as the significant body of research from the USA.

In the UK, progress towards lead-free petrol started to develop

momentum with the launch in January 1981 of the pressure

group, the Campaign for Lead-free Air (CLEAR). This influentially

brought together a very wide range of social interests

including mothers groups, five political parties, trade unions,

environmental health officers, schools, environmentalists

and many others (including 60% of General Practitioners and

90% of the public both determined by polls (Wilson 1983)) to

lobby for the elimination of lead from petrol. From the outset,

CLEAR’s position was to argue from the basis of best science,

both presenting syntheses of that knowledge to the public (

e.g.

Wilson 1983) and bringing together key scientists to share new

data and information (Rutter and Jones 1983).

Althoughother national reviews (

e.g.

Jaworski 1978) had reached

quite different conclusions, up until then, UK Government

reviews had down-played the significance of the issue:

“Wehavenot beenable to come to clear conclusions concerning

the effects of small amounts of lead on the intelligence,

behaviour and performance of children.”

(Lawther 1980).

However, three years later, the substantial and independent

review of evidence by the Royal Commission on Environmental

Pollution came to quite different conclusions:

”We are not aware of any other toxin which is so widely

distributed in human and animal populations andwhich is also

so universally present at levels that exceed one tenth of that at

which clinical signs and symptoms occur.”

(RCEP 1983).

The Commission made 29 recommendations including the

need to urgently phase out lead in petrol, the need to change

European Directive 78/611/EEC (which set a minimum level of

lead in petrol), and the banning of lead shot and lead fishing

weights (below). Given the major pressure from civil society (as

documented byWilson 1983) the UK Government rapidly

David A. Stroud