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Adult Blood Lead Epidemiology and Surveillance -- United States, Fourth Quarter, 1993

CDC's National Institute for Occupational Safety and Health (NIOSH) Adult Blood Lead Epidemiology and Surveillance (ABLES) program monitors elevated blood lead levels (BLLs) in adults. Blood lead data from laboratory reports are transmitted to state-based lead surveillance programs and are compiled by NIOSH for quarterly reporting (1). Data for 1993 from the 20 states currently reporting results to NIOSH are complete (Table_1). Efforts to expand the number of states participating in the surveillance system continue as states increase their capacity to monitor BLLs in both adults and children.

Reported by: NH Chowdhury, MBBS, Alabama Dept of Public Health. C Fowler, MS, Arizona Dept of Health Svcs. FJ Mycroft, PhD, Occupational Health Br, California Dept of Health Svcs. BC Jung, MPH, Connecticut Dept of Public Health and Addiction Svcs. M Lehnherr, Occupational Disease Registry, Div of Epidemiologic Studies, Illinois Dept of Public Health. R Gergely, Iowa Dept of Public Health. E Keyvan-Larijani, MD, Lead Poisoning Prevention Program, Maryland Dept of the Environment. R Rabin, MSPH, Div of Occupational Hygiene, Massachusetts Dept of Labor and Industries. A Carr, MBA, Bur of Child and Family Svcs, Michigan Dept of Public Health. D Solet, PhD, Div of Public Health Svcs, New Hampshire State Dept of Health and Human Svcs. B Gerwel, MD, Occupational Disease Prevention Project, New Jersey State Dept of Health. R Stone, PhD, New York State Dept of Health. M Barnett, MS, State Health Div, Oregon Dept of Human Resources. J Gostin, MS, Occupational Health Program, Div of Environmental Health, Pennsylvania Dept of Health. R Marino, MD, Div of Health Hazard Evaluations, South Carolina Dept of Health and Environmental Control. DM Perrotta, PhD, Environmental Epidemiologist, Texas Dept of Health. D Beaudoin, MD, Bur of Epidemiology, Utah Dept of Health. L Toof, Div of Epidemiology and Health Promotion, Vermont Dept of Health. J Kaufman, MD, Washington State Dept of Labor and Industries. D Higgins, Wisconsin Dept of Health and Social Svcs. Div of Surveillance, Hazard Evaluations, and Field Studies, National Institute for Occupational Safety and Health, CDC.

Reference

  1. CDC. Surveillance of elevated blood lead levels among adults -- United States, 1992. MMWR 1992;41:285-8.




Table_1
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TABLE 1. Reports of elevated blood lead levels (BLLs) in adults -- 20 states, * fourth
quarter, 1993
====================================================================================================
                     Fourth quarter, 1993
Reported BLL      --------------------------   Cumulative       Cumulative
  (ug/dL)         No. reports  No. persons +  reports, 1993 &  reports, 1992 @
------------------------------------------------------------------------------
 25-39               5,784        2,952           17,045           15,279
 40-49               2,026          904            5,189            4,288
 50-59                 420          230            1,208            1,089
  >=60                 172           95              583              585

Total                8,402        4,181           24,025           21,241
------------------------------------------------------------------------------
* Alabama, Arizona, California, Connecticut, Illinois, Iowa, Maryland, Massachusetts, Michigan,
  New Hampshire, New Jersey, New York, Oregon, Pennsylvania, South Carolina, Texas, Utah,
  Vermont, Washington, and Wisconsin.
+ Individual reports are based on the highest reported BLL for the person during the given
  quarter.
& Data for first quarter 1993 reported from 17 states (Alabama, Connecticut, Illinois, Iowa, Mary-
  land, Massachusetts, Michigan, New Hampshire, New Jersey, New York, Oregon, Pennsylvania,
  South Carolina, Texas, Utah, Vermont, and Wisconsin).
@ Cumulative totals for 1992 reflect annual data from 18 states (Alabama, California, Colorado,
  Connecticut, Illinois, Iowa, Maryland, Massachusetts, Michigan, New Hampshire, New Jersey,
  New York, Oregon, Pennsylvania, South Carolina, Texas, Utah, and Wisconsin).
====================================================================================================

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