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MINI REVIEW article

Front. Public Health

Sec. Environmental Health and Exposome

Volume 13 - 2025 | doi: 10.3389/fpubh.2025.1578949

Principles of environmental medicine: an educational case study of lead poisoning in Beethoven

Provisionally accepted
Thomas  C ErrenThomas C ErrenFlorian  GlenewinkelFlorian GlenewinkelAndreas  PingerAndreas PingerPhilip  LewisPhilip Lewis*
  • University of Cologne, Cologne, Germany

The final, formatted version of the article will be published soon.

Background: Understanding the nature and consequences of widespread lead poisoning is critical to protecting people from harm.Educational case study: We review the historical example of hypothesized lead poisoning in the famous composer Beethoven as an educational vector to illustrate principles of environmental medicine. We discuss what would happen if a hypothetical present-day Mr. B with comparable health complaints, clinical symptoms, or test results were to visit a doctor today. Human biomonitoringwith population reference values and health-based guidance values -is discussed as an important diagnostic tool.This practical outlook on lead poisoning for readers with non-environmental medicine backgrounds contributes to an understanding of principles of environmental medicine.

Keywords: Lead Poisoning, environment, human biomonitoring, prevention, Education

Received: 18 Feb 2025; Accepted: 30 Jun 2025.

Copyright: © 2025 Erren, Glenewinkel, Pinger and Lewis. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) or licensor are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.

* Correspondence: Philip Lewis, University of Cologne, Cologne, Germany

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