Kaufman J D, Burt J, Silverstein B
Safety and Health Assessment and Research for Prevention Division (SHARP), Washington State Department of Labor and Industries, Olympia 98504-4330.
Am J Ind Med. 1994 Nov;26(5):703-12. doi: 10.1002/ajim.4700260512.
The continued occurrence of occupational lead poisoning and overexposure in the United States represents a serious challenge to the occupational health community. We outline a proposed action strategy which integrates case-based surveillance, hazard surveillance, increased requirements for biological monitoring, and targeted educational activities, with a goal of eliminating occupational lead poisoning. The system provides a simple mechanism for monitoring compliance in lead-using employers, in order to identify employers for enforcement action. Lead poisoning should be viewed as an eradicable condition; successfully solving the persistent lead overexposure problem can serve as a model for approaching other occupational diseases.
在美国,职业性铅中毒和过度暴露情况持续出现,这对职业健康领域构成了严峻挑战。我们概述了一项拟议的行动战略,该战略整合了基于病例的监测、危害监测、对生物监测要求的提高以及有针对性的教育活动,目标是消除职业性铅中毒。该系统为监测铅使用雇主的合规情况提供了一个简单机制,以便确定需要采取执法行动的雇主。铅中毒应被视为一种可根除的病症;成功解决持续存在的铅过度暴露问题可为应对其他职业病提供范例。