<?xml version="1.0" encoding="UTF-8"?><!DOCTYPE article  PUBLIC "-//NLM//DTD Journal Publishing DTD v3.0 20080202//EN" "http://dtd.nlm.nih.gov/publishing/3.0/journalpublishing3.dtd"><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" dtd-version="3.0" xml:lang="en" article-type="research article"><front><journal-meta><journal-id journal-id-type="publisher-id">GEP</journal-id><journal-title-group><journal-title>Journal of Geoscience and Environment Protection</journal-title></journal-title-group><issn pub-type="epub">2327-4336</issn><publisher><publisher-name>Scientific Research Publishing</publisher-name></publisher></journal-meta><article-meta><article-id pub-id-type="doi">10.4236/gep.2023.1110003</article-id><article-id pub-id-type="publisher-id">GEP-128291</article-id><article-categories><subj-group subj-group-type="heading"><subject>Articles</subject></subj-group><subj-group subj-group-type="Discipline-v2"><subject>Earth&amp;Environmental Sciences</subject></subj-group></article-categories><title-group><article-title>
 
 
  Relationships among Environmental Lead in Playground Soils and Dust and Blood Lead of Children in Muncie, Indiana, USA
 
</article-title></title-group><contrib-group><contrib contrib-type="author" xlink:type="simple"><name name-style="western"><surname>Abdulgadir</surname><given-names>Elnajdi</given-names></name><xref ref-type="aff" rid="aff1"><sup>1</sup></xref><xref ref-type="corresp" rid="cor1"><sup>*</sup></xref></contrib><contrib contrib-type="author" xlink:type="simple"><name name-style="western"><surname>Adam</surname><given-names>Berland</given-names></name><xref ref-type="aff" rid="aff1"><sup>1</sup></xref></contrib><contrib contrib-type="author" xlink:type="simple"><name name-style="western"><surname>Carolyn</surname><given-names>Dowling</given-names></name><xref ref-type="aff" rid="aff1"><sup>1</sup></xref></contrib><contrib contrib-type="author" xlink:type="simple"><name name-style="western"><surname>Jessi</surname><given-names>Haeft</given-names></name><xref ref-type="aff" rid="aff1"><sup>1</sup></xref></contrib></contrib-group><aff id="aff1"><addr-line>Department of Environment, Geology and Natural Resources, Ball State University, Muncie, IN, USA</addr-line></aff><pub-date pub-type="epub"><day>28</day><month>09</month><year>2023</year></pub-date><volume>11</volume><issue>10</issue><fpage>21</fpage><lpage>31</lpage><history><date date-type="received"><day>19,</day>	<month>September</month>	<year>2023</year></date><date date-type="rev-recd"><day>10,</day>	<month>October</month>	<year>2023</year>	</date><date date-type="accepted"><day>13,</day>	<month>October</month>	<year>2023</year></date></history><permissions><copyright-statement>&#169; Copyright  2014 by authors and Scientific Research Publishing Inc. </copyright-statement><copyright-year>2014</copyright-year><license><license-p>This work is licensed under the Creative Commons Attribution International License (CC BY). http://creativecommons.org/licenses/by/4.0/</license-p></license></permissions><abstract><p>
 
 
  The present study was designed to assess lead levels in playground soil and acc
  umulated dust on playground equipment and then correlate those environmental lead measurements with children’s blood lead in the surrounding 
  neighborhoods. Soil lead and surface dust were collected from 14 playgrounds in Muncie, Indiana, and blood lead levels were calculated for nearby children. Correlation analyses revealed a moderate positive association between dust Pb and soil Pb with a correlation coefficient r = 0.46 (
  p = 0.099). The relationship between settled dust on playground equipment and composite blood lead level also showed a medium positive correlation, indicated by r = 0.36 (
  p = 0.202). A positive correlation was also observed between soil Pb and composite blood lead values, as evidenced by r = 0.51 (
  p = 0.061). Furthermore, the assessment of spatial autocorrelation using Moran’s I index indicated no significant spatial clustering for the variables studied (dust Pb, soil Pb, and blood Pb). Correlation analysis showed a connection between lead levels in soil and dust, but no significant links were found between soil lead and blood lead and between dust lead and blood lead. These results suggest that environmental lead in parks has a limited impact on children’s blood lead levels nea
  rby. Spatial autocorrelation analysis also revealed no significant spatial patterns among variables—dust, soil, and blood lead. Given these findings, it 
  is recommended to seek expertise from qualified professionals and further 
  perform comprehensive testing and analysis to investigate potential lead sources in children’s blood. The outcomes of this study offer valuable insights into assessing playground environmental lead contamination, contributing to future research priorities in this area. Specifically, future studies could focus on collecting larger sample sizes and characterizing blood lead in children who frequently use playgrounds rather than those who live nearby but may or may not use the playgrounds.
 
</p></abstract><kwd-group><kwd>Heavy Metals</kwd><kwd> Public Health</kwd><kwd> Soil Contamination</kwd><kwd> Urban Parks</kwd><kwd> Health Risk Assessment</kwd></kwd-group></article-meta></front><body><sec id="s1"><title>1. Introduction</title><p>The problem of lead contamination in urban playgrounds and parks is becoming increasingly recognized as a significant public health concern (  Penteado  et al., 2021</p><p>In recent years, investigations have revealed links between lead concentrations in dust and elevated blood lead levels (BLLs) in children.  Taylor (2015)  focused on the hazardous metals in environmental dust associated with bulk mineral transport in public playgrounds, revealing consistent contamination. A similar study by  Peng et al. (2019)  showed that the risk of elevated BLLs was six times higher due to dust exposure than playground soil exposure in Beijing.</p><p>Further back, studies such as  Taylor et al. (2013)  detailed the risks associated with lead smelter emissions, revealing a high rate of childhood lead poisoning linked to playground dust exposure. The focus on playgrounds as a significant source of exposure was also underlined by  Gredilla et al. (2017) , emphasizing the ingestion of dust particles through hand-to-mouth activity by children in publicly accessible playgrounds.</p><p>Earlier works by  Bi et al. (2015) ,  Caravanos et al. (2006) ,  Papanikolaou et al. (2005)  and  S&#225;nchez-Nazario et al. (2011)  highlighted the dynamic nature of lead-contaminated dust in indoor and outdoor environments, suggesting a critical role in children’s Pb exposure. The significance of dust as a lead source was also emphasized by studies from the early 2000s and late 1990s, including those by  Charlesworth et al. (2011) ,  Ng et al. (2003)  and  Wong and Mak (1997) , respectively, which focused on urban dust and its inevitable contact with humans.</p><p>This evolving understanding of lead exposure builds on foundational research from the late 20th century, with scholars like  Duggan et al. (1985)  and  Duggan (1980)  revealing correlations between environmental Pb measurements and blood Pb in children in proximity to Pb smelting plants and earlier investigations by  Thornton et al. (1994)  and  Rice (1992)  detailing the heightened sensitivity of children to adverse health effects due to lead exposures.</p><p>Given the development of research in this field, this study aims to build upon these findings, focusing on the lead levels in playground soil and accumulated dust and their correlation to children’s blood lead levels in the parks’ vicinity, particularly in urban areas like Muncie, where there has been limited attention to Pb contamination. This study aims to 1) assess lead levels in playground soil and accumulated dust on playground equipment, 2) identify the correlation between environmental lead in soil and lead in dust, and 3) ascertain the relationship between environmental lead loadings and blood lead levels in children residing near parks. We hypothesize a tangible relationship between soil lead and dust lead, positing that lead-contaminated dust on playground equipment will result in elevated blood lead levels in children living near the parks.</p></sec><sec id="s2"><title>2. Materials and Methods</title><sec id="s2_1"><title>2.1. Data Collection and Preparation</title><p>The study collected data components from three sources: dust, soil, and blood. Dust samples were obtained from 14 public playgrounds in Muncie (40.19˚N, 85.39˚W) during the Summer of 2021 using the wipe sampling method (<xref ref-type="fig" rid="fig1">Figure 1</xref>). This method commonly measures dust lead loading and indicates lead dust contamination. Dust loading, expressed in grams per unit area (g/m<sup>2</sup> or g/ft<sup>2</sup>), represents the amount of dust on a surface. Multiplying the Pb concentration by the dust loading gives a Pb loading value, expressed in micrograms of Pb per unit area (μg/m<sup>2</sup> or μg/ft<sup>2</sup>).</p><p>The dust samples were collected by sweeping the surfaces of playground equipment using surface wipes. The selected surfaces were exposed to the surroundings and not disturbed by playground users. Surface areas were marked with masking tape, and their dimensions were measured before sampling. Multiple points on the playground equipment were sampled, with at least five</p><p>subsamples combined to create one sample. Criterion Laboratories, Inc. analyzed the dust samples using Method CLI 442, adapted from EPA Method 3050 A and NIOSH 9100. Lead surface wipes were analyzed using Inductively Coupled Plasma-Atomic Emission Spectroscopy (ICP-AES).</p><p>For soil analysis, samples were obtained from accessible locations without hard standing or vegetation cover using a soil sampler probe. The probe was rinsed with deionized water before and after use. Five subsamples were collected from each site and combined to create a ~150 g aggregate soil sample for each playground. The soil samples were air-dried, sieved (2 mm), and homogenized. They were then sent to a Geochemical Testing lab in Pennsylvania. The samples were microwave digested following EPA 3050B, and the concentrations of Pb in the digestion solutions were quantified using EPA 6010D Inductively Coupled Plasma-Optical Emission Spectrometry (ICP-OES).</p><p>This study utilized blood data from the Regenstrief Institute in Indiana, covering a period from 2014 to 2018 for children aged 0 to 5. A total of 1060 blood samples were collected and analyzed. For children aged 6 to 17, the study utilized data from 1992 to 2017, consisting of 87 samples. The study adhered to the protocols outlined in BSU’s IRB Protocol #1181099-2 to ensure patient protection. The collected data included date, age, race, location, and blood test results.</p></sec><sec id="s2_2"><title>2.2. Inverse Distance Weighting (IDW)</title><p>This study implemented Geographic Information System (GIS) techniques to assess each site’s composite blood lead levels. The focus was to glean insights into the spatial variability of blood lead levels and discern patterns that may be relevant for public health interventions. Blood lead levels were interpolated using Inverse Distance Weighting (IDW) with a 10-meter output cell size. IDW was selected for its capacity to generate a smooth surface over the entire study area based on the known values from blood test sample points. It is particularly apt for this study as it assumes that the influence of blood lead levels decreases with distance, allowing for a nuanced interpolation between sample points.</p><p>We set the IDW power to 2 to emphasize the influence of nearer points more than the distant ones, reflecting the assumption that closer locations will have more similar blood lead levels due to the localized nature of lead contamination and its effects. To account for varying sample densities across the study area, a variable search radius was applied to incorporate the twelve nearest sample points. Subsequently, the interpolated value at each playground location was extracted to serve as that park’s composite blood lead level. This approach aligns cohesively with the study’s objective to effectively assess and portray the spatial distribution of blood lead levels, offering insights into potential areas of concern and aiding in developing targeted intervention strategies.</p></sec><sec id="s2_3"><title>2.3. Global Spatial Autocorrelation Analysis</title><p>Global spatial autocorrelation analysis was implemented using the Moran’s I index (  Griffith, 1987 ) to quantify the extent of spatial clustering in attribute variables across the study area. Moran’s I was calculated separately for soil Pb, dust Pb, and blood Pb. We used inverse distance weighting with no distance threshold to implement the analysis. This analysis indicates whether values at sample points exhibit a clustered vs random spatial pattern. Moran’s I value ranges from approximately 1 to −1. A positive index indicates spatial clustering of similar sample values, index values near zero indicate a random pattern and negative index values indicate spatial dispersion of similar sample values.</p></sec><sec id="s2_4"><title>2.4. Correlation Analysis</title><p>The data was analyzed statistically utilizing SPSS Statistics software (IBM, USA). This involved conducting Pearson product-moment correlation analysis and calculating the linear relationship between three variables, namely soil Pb, dust Pb, and blood Pb.</p></sec></sec><sec id="s3"><title>3. Results and Discussion</title><sec id="s3_1"><title>3.1. Lead Concentrations in Soil, Dust, and Blood</title><p><xref ref-type="table" rid="table1">Table 1</xref> summarizes the results of the lead analysis of soil and dust samples in the Muncie parks. Lead concentrations are between 19 and 205 mg/kg-dry of soil and between 1.78 and 7.36 μ/ft<sup>2</sup> of dust samples. The spatial distributions of dust, soil, and blood lead levels across Muncie are shown in Figures 2-4, respectively.</p><table-wrap id="table1" ><label><xref ref-type="table" rid="table1">Table 1</xref></label><caption><title> Summary of blood lead levels (BLLs), dust lead, and soil lead results</title></caption><table><tbody><thead><tr><th align="center" valign="middle" >No.</th><th align="center" valign="middle" >Park Names</th><th align="center" valign="middle" >Composite BLL (mg/dL)</th><th align="center" valign="middle" >Dust Pb (μ/ft<sup>2</sup>)</th><th align="center" valign="middle" >Soil Pb (mg/kg-dry)</th></tr></thead><tr><td align="center" valign="middle" >1</td><td align="center" valign="middle" >Rose Park</td><td align="center" valign="middle" >3.01</td><td align="center" valign="middle" >5.7</td><td align="center" valign="middle" >78.16</td></tr><tr><td align="center" valign="middle" >2</td><td align="center" valign="middle" >Tuhey Park</td><td align="center" valign="middle" >2.25</td><td align="center" valign="middle" >3.2</td><td align="center" valign="middle" >100.16</td></tr><tr><td align="center" valign="middle" >3</td><td align="center" valign="middle" >Thomas Park</td><td align="center" valign="middle" >2.82</td><td align="center" valign="middle" >7.3</td><td align="center" valign="middle" >61.5</td></tr><tr><td align="center" valign="middle" >4</td><td align="center" valign="middle" >Cowing Park</td><td align="center" valign="middle" >2.95</td><td align="center" valign="middle" >1.5</td><td align="center" valign="middle" >35.72</td></tr><tr><td align="center" valign="middle" >5</td><td align="center" valign="middle" >McCulloch Park</td><td align="center" valign="middle" >3.26</td><td align="center" valign="middle" >1.9</td><td align="center" valign="middle" >78.9</td></tr><tr><td align="center" valign="middle" >6</td><td align="center" valign="middle" >Washington Park</td><td align="center" valign="middle" >4.6</td><td align="center" valign="middle" >4.1</td><td align="center" valign="middle" >37.1</td></tr><tr><td align="center" valign="middle" >7</td><td align="center" valign="middle" >Chambers Park</td><td align="center" valign="middle" >1.78</td><td align="center" valign="middle" >2.1</td><td align="center" valign="middle" >19.6</td></tr><tr><td align="center" valign="middle" >8</td><td align="center" valign="middle" >Cooley Park</td><td align="center" valign="middle" >3.25</td><td align="center" valign="middle" >1.1</td><td align="center" valign="middle" >29.5</td></tr><tr><td align="center" valign="middle" >9</td><td align="center" valign="middle" >Heekin Park</td><td align="center" valign="middle" >7.36</td><td align="center" valign="middle" >2.8</td><td align="center" valign="middle" >77.7</td></tr><tr><td align="center" valign="middle" >10</td><td align="center" valign="middle" >Clif Walla Park</td><td align="center" valign="middle" >4.14</td><td align="center" valign="middle" >6.5</td><td align="center" valign="middle" >190.63</td></tr><tr><td align="center" valign="middle" >11</td><td align="center" valign="middle" >Westside Park</td><td align="center" valign="middle" >5</td><td align="center" valign="middle" >2.8</td><td align="center" valign="middle" >174.22</td></tr><tr><td align="center" valign="middle" >12</td><td align="center" valign="middle" >Aultshire Park</td><td align="center" valign="middle" >3.2</td><td align="center" valign="middle" >1.6</td><td align="center" valign="middle" >31.88</td></tr><tr><td align="center" valign="middle" >13</td><td align="center" valign="middle" >Jerry Me Park</td><td align="center" valign="middle" >4.44</td><td align="center" valign="middle" >3.3</td><td align="center" valign="middle" >36.4</td></tr><tr><td align="center" valign="middle" >14</td><td align="center" valign="middle" >GilbHis Park</td><td align="center" valign="middle" >2.28</td><td align="center" valign="middle" >4.8</td><td align="center" valign="middle" >205</td></tr></tbody></table></table-wrap></sec><sec id="s3_2"><title>3.2. The Correlation Results</title><p>We calculated the correlation coefficient between soil lead, dust lead, and blood lead data for children ages 0 to 17 who live near the parks. The results revealed modest, positive correlations among dust, soil, and blood lead levels suggesting that the soil of the park and the settled dust on playground equipment may influence the blood lead levels of neighborhood children (<xref ref-type="table" rid="table2">Table 2</xref>). In detail, we observed a moderate, positive correlation between the variables dust Pb and soil Pb (r = 0.46, p = 0.099). There was a positive correlation coefficient between dust on playground equipment and composite blood lead level (r = 0.36). Still, the p-value (0.202) indicated this correlation was insignificant, presumably due to the small sample size. Furthermore, there is a positive correlation between the variables soil Pb and composite blood lead values with (r = 0.51, p = 0.061).</p></sec><sec id="s3_3"><title>3.3. Spatial Autocorrelation (Global Moran’s I) Results</title><p>The Moran’s I index of dust Pb, soil Pb, and blood lead were 0.12, −0.048, and 0.046, respectively. The corresponding p-values were 0.84, 0.15, and 0.35 indicating that none of the variables exhibit statistically significant spatial clustering. Therefore, we cannot conclude with certainty that there are significant spatial clustering or dispersion patterns in the distribution of these variables. It is unclear whether patterns would be observed if larger sample sizes could be obtained to increase statistical power.</p><table-wrap id="table2" ><label><xref ref-type="table" rid="table2">Table 2</xref></label><caption><title> Pearson correlation coefficients (r) between environmental lead measures and blood lead Levels</title></caption><table><tbody><thead><tr><th align="center" valign="middle" ></th><th align="center" valign="middle" ></th><th align="center" valign="middle" >Dust Pb</th><th align="center" valign="middle" >Soil Pb</th><th align="center" valign="middle" >Composite BLL value</th></tr></thead><tr><td align="center" valign="middle" >Dust Pb</td><td align="center" valign="middle" >Correlation</td><td align="center" valign="middle" >1</td><td align="center" valign="middle" >0.46</td><td align="center" valign="middle" >0.36</td></tr><tr><td align="center" valign="middle" ></td><td align="center" valign="middle" >p (2-tailed)</td><td align="center" valign="middle" ></td><td align="center" valign="middle" >0.099</td><td align="center" valign="middle" >0.202</td></tr><tr><td align="center" valign="middle" >Soil Pb</td><td align="center" valign="middle" >Correlation</td><td align="center" valign="middle" >0.46</td><td align="center" valign="middle" >1</td><td align="center" valign="middle" >0.51</td></tr><tr><td align="center" valign="middle" ></td><td align="center" valign="middle" >p (2-tailed)</td><td align="center" valign="middle" >0.099</td><td align="center" valign="middle" ></td><td align="center" valign="middle" >0.061</td></tr><tr><td align="center" valign="middle" >Composite BLL value</td><td align="center" valign="middle" >Correlation</td><td align="center" valign="middle" >0.36</td><td align="center" valign="middle" >0.51</td><td align="center" valign="middle" >1</td></tr><tr><td align="center" valign="middle" ></td><td align="center" valign="middle" >p (2-tailed)</td><td align="center" valign="middle" >0.202</td><td align="center" valign="middle" >0.061</td><td align="center" valign="middle" ></td></tr></tbody></table></table-wrap></sec><sec id="s3_4"><title>3.4. Discussion</title><p>In this study, there were associations between environmental lead and blood lead, but there was no clear evidence that Pb in playground dust or soil were contributors to blood levels for children living near the parks. This conclusion challenges the hypothesis that dust lead concentrations directly contribute to blood lead levels in children. There are several possible reasons why lead dust did not contribute significantly to blood lead levels in this study.</p><p>First, while public parks were sampled broadly across Muncie (<xref ref-type="fig" rid="fig1">Figure 1</xref>), relatively small sample sizes likely inhibited the ability to detect significant patterns in the data.</p><p>Second, we observed relatively low lead levels in dust and soil. EPA has reduced the standard for lead in dust from 40 (μg/ft<sup>2</sup>) to 10 μg/ft<sup>2</sup> for floors and from 250 μg/ft<sup>2</sup> to 100 μg/ft<sup>2</sup> for windowsills (  EPA, 2021 ). The EPA’s reduction of the lead standard in dust has important implications. It reflects an increased awareness of the health risks associated with lead exposure, particularly for children. Lowering the acceptable levels aims to protect the public from developmental delays and other adverse effects. The revised standards also improve indoor environmental quality by minimizing lead hazards on floors and windowsills. Establishing stricter limits makes identifying and addressing areas with elevated lead levels easier, promoting safer living conditions and demonstrating a commitment to reducing lead exposure (  EPA, 2021 ).</p><p>Third, soil lead can contaminate a larger surface area compared to dust lead. As noted by  Laidlaw et al. (2012) , lead contamination in soil can extend beyond the immediate vicinity of the park or playground, spreading into surrounding areas. This broader contamination increases the likelihood of exposure to lead through multiple pathways, such as direct soil ingestion, inhalation of soil particles, or transfer of soil to hands and subsequent hand-to-mouth contact (  Laidlaw et al., 2012 ).</p><p>Although the lead levels in the dust and soil of playground parks may be relatively low, they still present a significant risk to children. This is because there is no safe level of lead in the environment where kids play and can be exposed to lead (  Vorvolakos  et al., 2016</p><p>Other environmental sources of lead could influence blood lead levels in children. Our study focused on outdoor dust and soil lead concentrations, but indoor dust lead concentrations could also significantly contribute to blood lead levels in children (  Lanphear  &amp; Roghmann, 1997). These could include lead-based paint in nearby buildings, lead-contaminated water from old plumbing systems, or consumer products that contain lead. Other environmental factors can impact the bioavailability and mobility of lead in dust and soil, such as soil characteristics, climate, weather conditions, and geographical location, which can, in turn, influence the potential for lead exposure in children.</p><p>However, we must know that the absence of a significant contribution of dust lead from park playgrounds to blood lead levels in children may not imply that these sources are completely safe. It is still important to regularly monitor and control possible lead exposure risks in playgrounds and other environments where children play to ensure their health and safety.</p></sec></sec><sec id="s4"><title>4. Conclusion</title><p>Lead was sampled in soil and dust from 14 parks in Muncie to understand whether environmental lead exposure is correlated with blood lead levels from children living near parks. Correlation analysis showed an association between the soil and dust lead concentrations, and we observed no statistical relationship between soil lead and blood lead or between dust lead and blood lead. The correlation results suggest that environmental lead in parks did not contribute significantly to blood lead levels for children living nearby. Also, based on the spatial autocorrelation analysis, none of the variables (dust Pb, soil Pb, and blood Pb) show statistically significant spatial clustering or dispersion patterns. While this study did not show clear connections between environmental lead and blood lead levels, local regulations and guidelines should be followed to minimize health risks. If there are concerns about lead exposure, consulting with qualified experts and conducting thorough testing and analysis is recommended for additional investigation to explore possible lead sources in children’s blood.</p></sec><sec id="s5"><title>Fund</title><p>This study received support from Ball State University’s Department of Environment, Geology, and Natural Resources and a Geology &amp; Health Scientific Division Student Research Grant from The Geological Society of America.</p></sec><sec id="s6"><title>Conflicts of Interest</title><p>The authors declare no conflicts of interest regarding the publication of this paper.</p></sec></body><back><ref-list><title>References</title><ref id="scirp.128291-ref1"><label>1</label><mixed-citation publication-type="other" xlink:type="simple">Azar, B. (2021). An Analysis of Soil and Blood Lead Samples in Delaware County, East Central, Indiana. MS Thesis, Ball State University.</mixed-citation></ref><ref id="scirp.128291-ref2"><label>2</label><mixed-citation publication-type="other" xlink:type="simple">Bi, X., Li, Z., Sun, G., Liu, J., &amp; Han, Z. (2015). In Vitro Bioaccessibility of Lead in Surface Dust and Implications for Human Exposure: A Comparative Study between Industrial Area and Urban District. Journal of Hazardous Materials, 297, 191-197. https://doi.org/10.1016/j.jhazmat.2015.04.074</mixed-citation></ref><ref id="scirp.128291-ref3"><label>3</label><mixed-citation publication-type="other" xlink:type="simple">Caravanos, J., Weiss, A. L., &amp; Jaeger, R. J. (2006). An Exterior and Interior Leaded Dust Deposition Survey in New York City: Results of a 2-Year Study. Environmental Research, 100, 159-164. https://doi.org/10.1016/j.envres.2005.08.005</mixed-citation></ref><ref id="scirp.128291-ref4"><label>4</label><mixed-citation publication-type="other" xlink:type="simple">Charlesworth, S., De Miguel, E., &amp; Ordó&amp;#241;ez, A. (2011). A Review of the Distribution of Particulate Trace Elements in Urban Terrestrial Environments and Its Application to Considerations of Risk. Environmental Geochemistry and Health, 33, 103-123. https://doi.org/10.1007/s10653-010-9325-7</mixed-citation></ref><ref id="scirp.128291-ref5"><label>5</label><mixed-citation publication-type="other" xlink:type="simple">Duggan, M. (1980). Lead in Urban Dust: An Assessment. Water, Air, and Soil Pollution, 14, 309-321. https://doi.org/10.1007/BF00291844</mixed-citation></ref><ref id="scirp.128291-ref6"><label>6</label><mixed-citation publication-type="other" xlink:type="simple">Duggan, M., Inskip, M., Rundle, S., &amp; Moorcroft, J. (1985). Lead in Playground Dust and on the Hands of Schoolchildren. Science of the Total Environment, 44, 65-79. https://doi.org/10.1016/0048-9697(85)90051-8</mixed-citation></ref><ref id="scirp.128291-ref7"><label>7</label><mixed-citation publication-type="other" xlink:type="simple">EPA (2021). Hazard Standards and Clearance Levels for Lead in Paint, Dust and Soil. TSCA Sections 402 and 403, Volume 86 FR 983.</mixed-citation></ref><ref id="scirp.128291-ref8"><label>8</label><mixed-citation publication-type="other" xlink:type="simple">Gredilla, A., Fdez-Ortiz de Vallejuelo, S., Gomez-Nubla, L., Carrero, J. A., de Le&amp;#227;o, F. B., Madariaga, J. M., &amp; Silva, L. F. (2017). Are Children Playgrounds Safe Play Areas? Inorganic Analysis and Lead Isotope Ratios for Contamination Assessment in Recreational (Brazilian) Parks. Environmental Science and Pollution Research, 24, 24333-24345. https://doi.org/10.1007/s11356-017-9831-6</mixed-citation></ref><ref id="scirp.128291-ref9"><label>9</label><mixed-citation publication-type="other" xlink:type="simple">Griffith, D. (1987). Spatial Autocorrelation: A Primer. Association of American Geographers: Resource Publications in Geography.</mixed-citation></ref><ref id="scirp.128291-ref10"><label>10</label><mixed-citation publication-type="other" xlink:type="simple">Laidlaw, M. A. S., Zahran, S., Mielke, H. W., Taylor, M. P., &amp; Filippelli, G. M. (2012). Re-Suspension of Lead Contaminated Urban Soil as a Dominant Source of Atmospheric Lead in Birmingham, Chicago, Detroit and Pittsburgh, USA. Atmospheric Environment, 49, 302-310. https://doi.org/10.1016/j.atmosenv.2011.11.030</mixed-citation></ref><ref id="scirp.128291-ref11"><label>11</label><mixed-citation publication-type="other" xlink:type="simple">Lanphear, B. P., &amp; Roghmann, K. J. (1997). Pathways of Lead Exposure in Urban Children. Environmental Research, 74, 67-73. https://doi.org/10.1006/enrs.1997.3726</mixed-citation></ref><ref id="scirp.128291-ref12"><label>12</label><mixed-citation publication-type="other" xlink:type="simple">Ng, S. L., Chan, L. S., Lam, K. C., &amp; Chan, W. K. (2003). Heavy Metal Contents and Magnetic Properties of Playground Dust in Hong Kong. Environmental Monitoring and Assessment, 89, 221-232. https://doi.org/10.1023/A:1026103318778</mixed-citation></ref><ref id="scirp.128291-ref13"><label>13</label><mixed-citation publication-type="other" xlink:type="simple">Papanikolaou, N. C., Hatzidaki, E. G., Belivanis, S., Tzanakakis, G. N., &amp; Tsatsakis, A. M. (2005). Lead Toxicity Update. A Brief Review. Medical Science Monitor, 11, RA329-336. https://pubmed.ncbi.nlm.nih.gov/16192916/</mixed-citation></ref><ref id="scirp.128291-ref14"><label>14</label><mixed-citation publication-type="other" xlink:type="simple">Peng, T., O’Connor, D., Zhao, B., Jin, Y., Zhang, Y., Tian, L., Zheng, N., Li, X., &amp; Hou, D. (2019). Spatial Distribution of Lead Contamination in Soil and Equipment Dust at Children’s Playgrounds in Beijing, China. Environmental Pollution, 245, 363-370. https://doi.org/10.1016/j.envpol.2018.11.011</mixed-citation></ref><ref id="scirp.128291-ref15"><label>15</label><mixed-citation publication-type="other" xlink:type="simple">Penteado, J. O., de Lima Brum, R., Ramires, P. F., Garcia, E. M., dos Santos, M., &amp; da Silva Júnior, F. M. R. (2021). Health Risk Assessment in Urban Parks Soils Contaminated by Metals, Rio Grande City (Brazil) Case Study. Ecotoxicology and Environmental Safety, 208, 111737. https://doi.org/10.1016/j.ecoenv.2020.111737</mixed-citation></ref><ref id="scirp.128291-ref16"><label>16</label><mixed-citation publication-type="other" xlink:type="simple">Rhoads, G. G., Ettinger, A. S., Weisel, C. P., Buckley, T. J., Goldman, K. D., Adgate, J., &amp; Lioy, P. J. (1999). The Effect of Dust Lead Control on Blood Lead in Toddlers: A Randomized Trial. Pediatrics, 103, 551-555. https://doi.org/10.1542/peds.103.3.551</mixed-citation></ref><ref id="scirp.128291-ref17"><label>17</label><mixed-citation publication-type="other" xlink:type="simple">Rice, D. (1992). Behavioral Impairment Produced by Developmental Lead Exposure: Evidence from Primate Research. Human Lead Exposure, 138-152.</mixed-citation></ref><ref id="scirp.128291-ref18"><label>18</label><mixed-citation publication-type="other" xlink:type="simple">Sánchez-Nazario, E. E., Mansilla-Rivera, I., Derieux-Cortés, J.-C., Pérez, C. M., &amp; Rodrí- guez-Sierra, C. J. (2011). The Association of Lead-Contaminated House Dust and Blood Lead Levels of Children Living on a Former Landfill in Puerto Rico. Puerto Rico Health Sciences Journal, 22, 153-159. https://pubmed.ncbi.nlm.nih.gov/12866140/</mixed-citation></ref><ref id="scirp.128291-ref19"><label>19</label><mixed-citation publication-type="other" xlink:type="simple">Taylor, M. P. (2015). Atmospherically Deposited Trace Metals from Bulk Mineral Concentrate Port Operations. Science of the Total Environment, 515, 143-152. https://doi.org/10.1016/j.scitotenv.2015.02.010</mixed-citation></ref><ref id="scirp.128291-ref20"><label>20</label><mixed-citation publication-type="other" xlink:type="simple">Taylor, M. P., Camenzuli, D., Kristensen, L. J., Forbes, M., &amp; Zahran, S. (2013). Environmental Lead Exposure Risks Associated with Children’s Outdoor Playgrounds. Environmental Pollution, 178, 447-454. https://doi.org/10.1016/j.envpol.2013.03.054</mixed-citation></ref><ref id="scirp.128291-ref21"><label>21</label><mixed-citation publication-type="other" xlink:type="simple">Thornton, I., Watt, J. M., Davies, D. J. A., Hunt, A., Cotter-Howells, J., &amp; Johnson, D. L. (1994). Lead Contamination of UK Dusts and Soils and Implications for Childhood Exposure: An Overview of the Work of the Environmental Geochemistry Research Group, Imperial College, London, England 1981-1992. Environmental Geochemistry and Health, 16, 113-122. https://doi.org/10.1007/BF01747907</mixed-citation></ref><ref id="scirp.128291-ref22"><label>22</label><mixed-citation publication-type="other" xlink:type="simple">Vorvolakos, T., Arseniou, S., &amp; Samakouri, M. (2016). There Is No Safe Threshold for Lead Exposure: Α Literature Review. Psychiatriki, 27, 204-214. https://doi.org/10.22365/jpsych.2016.273.204</mixed-citation></ref><ref id="scirp.128291-ref23"><label>23</label><mixed-citation publication-type="other" xlink:type="simple">Wong, J., &amp; Mak, N. (1997). Heavy Metal Pollution in Children Playgrounds in Hong Kong and Its Health Implications. Environmental Technology, 18, 109-115. https://doi.org/10.1080/09593331808616518</mixed-citation></ref></ref-list></back></article>