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Table 2 Estimated IQ and economic cost over a 15-year period in Flanders, Belgium: Comparison of IQ decrement and economic costs attributable to blood lead levels above 20 μg/L within the Flemish population of 15 year-olds between 2000 and 2014, and from 2015 to 2029

From: Intelligence gain and social cost savings attributable to environmental lead exposure reduction strategies since the year 2000 in Flanders, Belgium

Dose response relationship

Time span

Number of 15 year-olds in study period

Proportion population B-Pb > = 20 μg/L (%)

Number of 15 year-olds with B-Pb > = 20 μg/L

Average IQ-loss (points) per individual with B-Pb > = 20 μg/L

IQ-loss (points) attributable to B-Pb > = 20 μg/La

Cost attributable to B-Pb > = 20 μg/L (milj. EUR)a,d

Linear-log

FLEHSI (2000–2004)

340,355

56.62

192,717

1.67 (95% CI:1.03–2.3)

320,888 (95%CI: 198,859-442,931)

6246 (95%CI: 3873-8621)

FLEHSII (2005–2009)

364,704

22.79

83,129

0.66 (95% CI:0.41–0.91)

54,680 (95%CI: 33,878-75,475)

1064 (95%CI: 659–1469)

FLEHSIII (2010–2014)

347,761

2.50

8689

0.39 (95% CI:0.24–0.54)

3394 (95%CI: 2102-4684)

66 (95%CI: 41–91)

2000–2014

1,052,820

   

378,962 (95%CI: 234,840-523,091)

7376 (95%CI: 4571-10,181)

2015–2029

1,052,820c

2.50c

26305b

0.39 (95% CI:0.24–0.54)c

10,275 (95%CI: 6363–14,182)

200 (95%CI: 124–276)

Sensitivity analysis: Linear-interval

FLEHSI (2000–2004)

340,355

56.62

192,717

1.14 (95% CI:0.71–1.57)

219,260 (95%CI: 135,881-302,619)

4268 (95%CI: 2645-5890)

FLEHSII (2005–2009)

364,704

22.79

83,129

0.33 (95% CI:0.2–0.46)

27,495 (95%CI: 17,041-37,944)

535 (95%CI: 332–739)

FLEHSIII (2010–2014)

347,761

2.50

8689

0.18 (95% CI:0.11–0.25)

1569 (95%CI: 972–2164)

31 (95%CI: 19–42)

2000–2014

1,052,820

   

248,323 (95%CI: 153,893-342,726)

4833 (95%CI: 2995-6671)

2015–2029

1,052,820c

2.50c

26,305b

0.18 (95% CI:0.11–0.25)c

4750 (95%CI: 2942-6550)

92 (95%CI: 57–127)

  1. Abbreviations: B-Pb Blood lead level, CI Confidence Interval
  2. aTaking into account the fraction of the population having B-Pb ≥ 20 μg Pb/L
  3. bestimated based on percentage of adolescents exceeding 20 μg Pb/L in FLEHSIII (2.50%) and total number of 15 year-olds in the period 2000–2014 (1052820): 2.5% × 1,052,820 = 26,305
  4. cset equal to values FLEHSIII
  5. dBased on lifetime value of 1 IQ point, i.e. € 19,464 (euro 2018)