Correlation Between Lead Levels and Percentage of Basophilic Stippling in the Blood of Silver Men

  • Ratu Azzahra Universitas Muhammadiyah Purwokerto
  • Kurnia Ritma Dhanti Universitas Muhammadiyah Purwokerto
  • Asmiyenti Djaliasrin Djalil Universitas Muhammadiyah Purwokerto
  • Retno Sulistiyowati Universitas Muhammadiyah Purwokerto
Keywords: basophilic stippling, blood lead level, lead, silver men

Abstract

The phenomenon of silver men has become increasingly prevalent in recent years. The direct application of metallic paint to the body and the nature of their activities are major factors contributing to potential lead expsure. Elevated blood lead levels can disrupt hematopoiesis, leading to various blood abnormalities, including the presence of basophilic stippling. Basophilic stippling is a distinctive marker indicative of heavy metal toxicity, particularly lead poisoning. This study aims to examine the correlation between blood lead levels and the presence of basophilic stippling in the blood of silver men in Purbalingga Regency and Purwokerto Sub-district. This study employed an observational analytical design with a cross-sectional approach. The research sample consisted of blood specimens from 14 silver men, selected using accidental sampling. Blood samples (3 mL) were collected from the respondents arms into EDTA tubes. Blood lead levels were analyzed using Atomic Absorption Spectrophotometry (AAS), while basophilic stippling was examined through Giemsa-stained blood smears observed under a microscope. The collected data were analyzed using Pearsons correlation test. The Pearson correlation test yielded a p-value of 0.045 (p 0.05) and a correlation coefficient of 0.542, indicating a strong positive correlation. There is a strong correlation between blood lead levels andthe presence of basophilic stippling in silver men. An increase in blood lead levels is accompanied by the occurrence of basophilic stippling, highlighting the potential toxic effects of lead exposure in this population.

References

Chan, Nelson N P, and K P Chan. 2017. “Coarse Basophilic Stippling in Lead Poisoning.” Blood 129(24): 3270.

Diab, Hassan M et al. 2020. “Coexistence of Diverse Heavy Metal Pollution Magnitudes : Health Risk Assessment of Affected Cattle and Human Population in Some Rural Regions, Qena, Egypt.” Journal of Advanced Veterinary and Animal Research 7710(June): 345–59.

Ervianti, Tetti et al. 2021. “Enviroment Health Risk Analysis Exposure Timbal (Pb) In Pa’limbang - Limbang at Urip Sumoharjo Street Makassar City.” Jurnal Sanitasi dan Lingkungan 2(1): 128–38.

Ismawati, Yuyun et al. 2015. National Report: Lead In Household Enamel Paints. Bali, Indonesia: BaliFokus Foundation.

Kang, Wonyang et al. 2019. “A Case of Severe Lead Poisoning with Basophilic Stippling Teardrop Cell.” 34(50): 10–11.

Kano, Nagamasa et al. 2022. “Basophilic Stippling in Red Blood Cells in the Bone Marrow: Indication for Lead Poisoning Diagnosis.” Journal of International Medical Research 50(2): 1–6.

Kemenkes RI. 2002. Keputusan Menteri Kesehatan Republik Indonesia Nomor 1406/MENKES/SK/IX/2002. Indonesia.

Kustiningsih, Yayuk, Noni Fitriyanti Thomas, and Nurlailah. 2017. “Kadar Logam Timbal (Pb) Dalam Darah Penjual Klepon.” Medical Laboratory Technology Journal 3(2): 47–52.

Nasir, Muhammad. 2018. “Comparative Analysis Of Lead (Pb) And Iron (Fe) Levels In The Blood Of Open Space Parking Attendants With Closed Space.” Jurnal Media Analis Kesehatan 1(1): 69–77.

Novianti, Titta. 2015. “Correlation Analysis Of Urban Community Activity Of Motor Vehicle Users With The Number Of Red Blood Cells That Undergo Hemolysis.” Forum Ilmiah 12(2): 115–22.

Nuradi, Nuradi. 2018. “Analysis of Lead Content (Pb) in Water Kale Sold in the Traditional Market of Makassar.” Jurnal Media Analis Kesehatan 1(1): 39–46.

Prabandari, Anggraeni Sih, Ajeng Novita Sari, Fredericus Pramonodjati, and Tata Wulandari. 2024. “Kadar Timbal (Pb) Dalam Darah Sukarelawan Pengatur Lalu Lintas (Supeltas) Di Kota Surakarta Ditinjau Dari Usia, Lama Kerja Dan Kebiasaan Merokok.” Indonesian Journal on Medical Science 11(2).

Prasetya, Hieronymus Rayi. 2021. “Hubungan Timbal Darah Terhadap Kelainan Sel Darah Pada Anak Jalanan Di Kota Yogyakarta.” Meditory : The Journal of Medical Laboratory 9(1): 44–53.

Purwoko, Djoko, and Desi Enggar Prastiwi. 2019. “Pengaruh Lokasi Dan Waktu Pengukuran Sumber Bergerak (Kendaraan) Dengan Kandungan Timbal (Pb) Pada Udara Underpass Di Simpang Lima Mandai Kota Makassar.” Sulolipu: Media Komunikasi Sivitas Akademika dan Masyarakat 17(2): 39.

Putri Mayaserli, Dyna, Betti Rosita, and Ria Oktafilinda. 2023. “Relationship of Lead (Pb) Levels in Blood with Erythrocyte Cell Morphology in Active Smokers in Lubuk Buaya Padang City.” Journal of Research and Education Chemistry 5(2): 95.

Radindasyah, Muhammad Axel. 2023. “The Rise of Silver Man at the Intersection of Purwokerto City Traffic Lights.” Proceedings of International Conference on Legal Studies (ICOLAS) ISSN: 14: 94–101.

Rahmatullah, Widia et al. 2023. “The Differences Of EDTA And Heparin Anticoagulans On Hematocrit Value.” Jurnal Kesehatan Saintika Meditory 6(1): 331–41.

Rahmawati, Nurul Ni’ma Aziz, Nurhidayat, and Awalia Salzabila. 2022. “Identification Of Lead (Pb) In Water Spinach (Ipomoea Aquatica Forsk) In Palleko Sub-District North Polongbangkeng Takalar Regency.” Media Kesehatan Politeknik Kesehatan Makassar 17(2): 259–64. https://doi.org/10.32382/medkes.v17i2.

Rosidah, Umi, and Ichsan Hadi Pranoto. 2023. “Analysis of Blood Lead (Pb) Levels and MALONDIALDEHIDE (MDA) on Silver Man at Semarang City.” Jaringan Laboratorium Medis 05(02): 62–69.

Santosa, Budi et al. 2020. “Erythrocyte Index of Residents Exposed to Lead in Tambaklorok , Semarang , Indonesia.” Jurnal Teknologi Laboratorium 9(2): 151–58.

Shinta, Dewi Yudiana, and Dyna Putri Mayaserli. 2020. “The Relationship of Lead Levels and Hemoglobin Levels in the Blood of Active Smokers.” Prosiding Seminar Kesehatan Perintis 3(1): 134–38.

Stiawati, Titi, and Ima Maisaroh. 2023. “Fenomena Keberadaan Manusia Silver Di Persimpangan Lampu Merah Sempu Kota Serang.” Jurnal Review Pendidikan dan Pengajaran 6(4): 1442–48.

Syam, Syamsuddin, and Irnawati Irnawati. 2021. “Study Of The Heavy Metal Content Of Lead (Pb) Infruit Sold On The Roadside Syamsuddin.” Sulolipu 21(1): 119.

Thomas, Junith, Rohini Sebastian, C R Anil Kumar, and Aboobacker Mohamed Rafi. 2024. “Case of Lead Poisoning Secondary to Intake of Herbal Medicine for Diabetes Mellitus in a Tertiary Care Hospital in Kerala.” EDM Case Reports. https://doi.org/10.1530/EDM-23-0066.

Veena, Jayalaxmi Yadav, and Rameshbabu. 2019. “Red Blood Cell Inclusions, Interpretation and Uses in Day to Day Practice: An Institutional and Tertiary Care Hospital Based Study.” Indian Journal of Pathology: Research and Practice 8(1): 25–31.

Witkowska, Danuta, Joanna Słowik, and Karolina Chilicka. 2021. “Review Heavy Metals and Human Health: Possible Exposure Pathways and the Competition for Protein Binding Sites.” Molecules 26(19).

Zahro, Santika Fatimah, and Purwati. 2023. “Overview of Blood Lead Levels in Refueling Operator Workers on Veteran Street Surakarta Based on Health Complaints.” Indonesian Journal of Global Health Research 5(4): 659–64.

Zamani, Amir et al. 2022. “Case Report And the Oscar Goes to Peripheral Blood Film for the Detection of Lead Poisoning in a Complicated Toxic Patient : A Case Report with a Review of Laboratory Clues.” Hindawi 2022(1–6).

Published
2025-10-01
How to Cite
Azzahra, R., Dhanti, K. R., Djalil, A. D., & Sulistiyowati, R. (2025). Correlation Between Lead Levels and Percentage of Basophilic Stippling in the Blood of Silver Men. Indonesian Journal of Global Health Research, 7(5), 471-478. https://doi.org/10.37287/ijghr.v7i5.6818