Blando James D, Lefkowitz Daniel K, Valiante David, Gerwel Barbara, Bresnitz Eddy
New Jersey Department of Health and Senior Services-Occupational Health Surveillance, Trenton, NJ 08625-0360, USA.
J Occup Environ Hyg. 2007 Aug;4(8):539-46. doi: 10.1080/15459620701426214.
In 2003, a chemical handling and use survey was mailed to New Jersey employers identified as currently using lead in their industrial processes. This survey was used to ascertain characteristics about lead use, handling, and protection of employees during manufacturing operations. The survey included a diverse group of current lead users with a total lead use range from less than 1 pound to more than 63 million pounds of lead per year. The survey allowed for a comprehensive characterization of hazards and protective measures associated with this metal, still commonly used in many products and industrial processes. Forty-five surveys were returned by companies that are listed in the New Jersey Adult Blood Lead Registry, which is part of the New Jersey Adult Blood Lead Epidemiology and Surveillance (ABLES) program. This program records and investigates cases of adults with greater than 25 mu g/dL of lead in their blood; most cases are related to occupational exposures. This survey found that greater than 25% of these surveyed companies with significant potential for lead exposure did not employ commonly used and basic industrial hygiene practices. In addition, the survey found that 24% of these companies had not conducted air sampling within the last 3 years. Air sampling is the primary trigger for compliance with the Occupational Safety and Health Administration (OSHA) general industry lead standard. Only 17% of the companies have ever been cited for a violation of the OSHA lead standard, and only 46% of these companies have ever had an OSHA inspection. State-based surveillance can be a useful tool for OSHA enforcement activities. Elevated blood lead values in adults should be considered as a trigger for required compliance with an OSHA general industry lead standard.
2003年,一份化学品处理与使用情况调查问卷被邮寄给了新泽西州那些被确定在工业生产过程中使用铅的雇主。该调查旨在确定在制造作业期间铅的使用、处理及员工防护方面的特征。调查涵盖了各类当前的铅使用者,每年铅的使用总量范围从不足1磅到超过6300万磅。该调查使得对与这种金属相关的危害及防护措施进行全面描述成为可能,铅在许多产品和工业过程中仍被广泛使用。新泽西州成人血铅登记处(它是新泽西州成人血铅流行病学与监测项目的一部分)列出的公司中有45份调查问卷被返还。该项目记录并调查血铅水平高于25μg/dL的成人病例;大多数病例与职业暴露有关。此次调查发现,这些被调查的有显著铅暴露风险的公司中,超过25%没有采用常用的基本工业卫生做法。此外,调查发现这些公司中有24%在过去3年内未进行空气采样。空气采样是触发遵守职业安全与健康管理局(OSHA)一般工业铅标准的主要因素。只有17%的公司曾被认定违反OSHA铅标准,且这些公司中只有46%曾接受过OSHA检查。基于州的监测对于OSHA的执法活动可能是一个有用的工具。成人血铅值升高应被视为触发必须遵守OSHA一般工业铅标准的因素。