Context: Exposure to lead is a global health issue. Several studies have demonstrated the harmful and irreparable effects of this heavy metal on human. Workers in lead-related industries are more exposed to lead than other people are. Therefore, the present study was conducted to assess the mean blood lead level (BLL) in Iranian workers through meta-analysis technique. Evidence Acquisition: The present study was conducted based on PRISMA guidelines for systematic review and meta-analysis studies. We searched national and international online databases such as Magiran, SID, Medlib, Iranmedex, Scopus, Embase, Science Direct, PubMed, Web of Science, Cochrane, Online library Wiley, Springer, and Google Scholar using Mesh keywords up to 2017.
Results:In 31 studies including 2767 Iranian workers, the mean BLL was calculated to be 43.1 µg/dl (95% CI [Confidence Interval]: 35.19 -50.83). The lowest and highest BLL was observed in the west 28.34 µg/dl (95% CI: 17.31 -39.37) and center 46.32 µg/dl (95% CI: 36.73 -55.91) of Iran, respectively. Regarding job-specific BLL, the lowest level was observed in textile industry workers (12.3 µg/dl), whereas the highest level was observed in workers in lead-zinc mines (72.6µg/dl). Mean BLL in Markazi, Khorasan Razavi, Hamedan, and Tehran provinces was 96.4, 72.2, 57, and 50.7 µg/dl, respectively. The relashenship of mean BLL in Iranian workers with year of study (P = 0.469) and mean work experience (P = 0.157) was not significant. Conclusions: Due to high levels of lead in workers' blood, it is necessary to increase frequent screening and protective activities and perform scheduled clinical and paraclinical examinations in workers.