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Adult Blood Lead Epidemiology and Surveillance

JAMA. 1993;269(11):1373. doi:10.1001/jama.1993.03500110041017.
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MMWR. 1993;42:84-85 (1 table omitted) IN SEPTEMBER 1992, CDC's National Institute for Occupational Safety and Health (NIOSH) began quarterly reporting of adult elevated blood lead level (BLL) data from state-based surveillance programs. To support these efforts, NIOSH has established the Adult Blood Lead Epidemiology and Surveillance (ABLES) program.

In the previous report, 12 states* provided summary data on elevated BLLs (greater than or equal to 25 ug/dL of whole blood).1 In this report, five additional states (Colorado, Michigan, New Hampshire, South Carolina, and Utah) have contributed to the surveillance effort, bringing to 17 the total number of states participating in quarterly reporting (Table 1). Twenty-one states collect BLL information on adults, and five states are developing the capacity to do so.

NIOSH surveillance research recently identified excessive lead exposures in the construction industry among bridge workers,2,3 workers conducting home paint removal,4 and workers performing paint removal on


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