Porter Kimberly A, Kirk Cassandra, Fearey Donna, Castrodale Louisa J, Verbrugge David, McLaughlin Joseph
Alaska Department of Health and Social Services, Division of Public Health, Section of Epidemiology, Anchorage, AK ; Current affiliation: Centers for Disease Control and Prevention, Global Immunization Division, Atlanta, GA.
Alaska Department of Health and Social Services, Division of Public Health, Section of Epidemiology, Anchorage, AK.
Public Health Rep. 2015 Sep-Oct;130(5):440-6. doi: 10.1177/003335491513000506.
In October 2010, an employee at Facility A in Alaska that performs fire assay analysis, an industrial technique that uses lead-containing flux to obtain metals from pulverized rocks, was reported to the Alaska Section of Epidemiology (SOE) with an elevated blood lead level (BLL) ≥10 micrograms per deciliter (μg/dL). The SOE initiated an investigation; investigators interviewed employees, offered blood lead screening to employees and their families, and observed a visit to the industrial facility by the Alaska Occupational Safety and Health Section (AKOSH). Among the 15 employees with known work responsibilities, 12 had an elevated BLL at least once from October 2010 through February 2011. Of these 12 employees, 10 reported working in the fire assay room. Four children of employees had BLLs ≥5 μg/dL. Employees working in Facility A's fire assay room were likely exposed to lead at work and could have brought lead home. AKOSH inspectors reported that they could not share their consultative report with SOE investigators because of the confidentiality requirements of a federal regulation, which hampered Alaska SOE investigators from fully characterizing the lead exposure standards.
2010年10月,阿拉斯加A工厂的一名员工向阿拉斯加流行病学部门(SOE)报告,其血铅水平(BLL)升高至≥10微克每分升(μg/dL)。该工厂从事火试金分析工作,这是一种工业技术,使用含铅助熔剂从粉碎的岩石中提取金属。SOE展开调查;调查人员与员工进行访谈,为员工及其家人提供血铅筛查,并观察了阿拉斯加职业安全与健康部门(AKOSH)对该工业设施的一次检查。在15名明确工作职责的员工中,从2010年10月至2011年2月,有12人至少有一次血铅水平升高。在这12名员工中,有10人报告曾在火试金分析室工作。员工的4名子女血铅水平≥5μg/dL。在A工厂火试金分析室工作的员工很可能在工作中接触到铅,并可能将铅带回家。AKOSH检查员报告称,由于联邦法规的保密要求,他们无法与SOE调查人员分享咨询报告,这阻碍了阿拉斯加SOE调查人员全面了解铅暴露标准。