Adult blood lead testing Louisiana, 2007.
Locklin-C; Lackovic-M; Katner-A; Soileau-S; White-LE; Dugas-D
La Morb Rep 2008 Jul-Aug; 19(4):1-3
In June 2006, changes in disease reporting requirements mandated that laboratories and physicians report all adult lead test results to the Office of Public Health's (OPH) Section of Environmental Epidemiology & Toxicology (SEET). Since that time, SEET has received laboratory reports from six reference laboratories and has developed a database and data parsing software to process and manage the large volume of laboratory data. This report summarizes the 5,611 adult blood lead tests SEET received from January to December, 2007. Discussion: This report represents the first time surveillance of adult blood lead levels among Louisiana residents has been conducted using laboratory data. Of the results reported, 170 (3.8%) are above the Healthy People 2010 goal of 25 ug/dL; five (0.11%) cases met the OSHA criteria for medical removal. Based on the experience of other states with adult lead surveillance programs, and observations in Louisiana, it is likely that the number of reported elevated lead tests is an underestimate of the actual number of Louisiana residents with elevated blood lead levels. Some businesses with workers at risk of exposure to lead might not provide blood lead testing and certain workers do not fall under the workplace medical monitoring requirements. In addition, non-occupationally exposed individuals may not be tested. SEET's surveillance system permits ongoing and timely identification of elevated results among tested individuals, as well as identification of their exposure sources. This information identifies jobs and situations where Louisiana residents may be at risk for exposure, which directs targeted education and other preventive measures. To improve the coverage of testing, SEET will conduct outreach to at-risk workers who may not be aware of lead poisoning hazards or the need for testing. Specific focus will be on individuals working in the construction industry in the Greater New Orleans area who are rebuilding from Hurricane Katrina. In addition to workers, SEET will target individuals who may be non-occupationally exposed through home renovation projects or hobbies such as casting ammunition, shooting firearms, or working with stained glass. SEET is also targeting education to health care providers to increase the lead testing of patients who may be at-risk based on their activities or occupations.
Surveillance-programs; Laboratories; Physicians; Lead-compounds; Lead-absorption; Blood-analysis; Blood-samples; Blood-tests; Men; Women; Medical-monitoring; Risk-factors; Construction-workers; Education
Cara Locklin, Louisiana Office of Public Health - Infectious Disease Epidemiology Section, P.O. Box 60630, New Orleans, LA 70160
Louisiana Morbidity Report
Louisiana State Office of Public Health