成年人血铅水平升高-密苏里州，2013 年。

Elevated blood lead levels in adults-Missouri, 2013.

机构信息

National Institute for Occupational Safety and Health, Centers for Disease Control and Prevention, Atlanta, Georgia.

Missouri Department of Health & Senior Services, Jefferson City, Missouri.

出版信息

Am J Ind Med. 2019 Apr;62(4):347-351. doi: 10.1002/ajim.22954. Epub 2019 Feb 11.

DOI:10.1002/ajim.22954

PMID:30740761

Abstract

BACKGROUND

Over 90% of adults with elevated blood lead levels (BLLs) in the United States are exposed occupationally. Missouri historically has been among the states with the highest prevalence rates of elevated BLLs. We characterized cases of elevated BLLs among Missouri adults to target preventive interventions.

METHODS

We reviewed 2013 data on Missouri residents ≥16 years from the Missouri Adult Blood Lead Epidemiology and Surveillance system and analyzed characteristics of those with elevated BLLs. We used the contemporaneous CDC definition of elevated BLL as ≥10 μg/dL.

RESULTS

Of the 15 123 residents with a BLL in 2013 (median: 1.5 μg/dL, range: 0-151 μg/dL), 3145 (21%) had BLLs ≥10 μg/dL. Occupational exposures accounted for the majority of residents (n = 3099, 98%) with elevated BLLs, mostly in battery manufacturing (n = 1373, 44%) and lead mining (n = 821, 26%) industries.

CONCLUSIONS

Our findings highlight the need for focused interventions targeting battery manufacturing and lead mining, the high-risk industries, to further reduce overexposures to lead.

摘要

背景

在美国，超过 90%的血铅水平（BLL）升高的成年人是职业性暴露所致。密苏里州历来是血铅水平升高率最高的州之一。我们对密苏里州成年人血铅水平升高的病例进行了特征描述，以便针对预防干预措施进行目标定位。

方法

我们回顾了 2013 年密苏里州成年人血液铅流行病学和监测系统中≥16 岁的密苏里州居民的数据，并对血铅水平升高者的特征进行了分析。我们使用了当代 CDC 对血铅水平升高的定义，即≥10μg/dL。

结果

在 2013 年有 BLL 的 15123 名居民中（中位数：1.5μg/dL，范围：0-151μg/dL），有 3145 名（21%）的 BLL≥10μg/dL。职业暴露导致了大部分血铅水平升高的居民（n=3099，98%），主要来自电池制造（n=1373，44%）和铅矿开采（n=821，26%）行业。