Medical Surveillance of the Lead Exposed Worker: Current Guidelines

作者: Karen L. Hipkins , Barbara L. Materna , Michael J. Kosnett , James W. Rogge , James E. Cone

DOI: 10.1177/216507999804600705

关键词:

摘要: 1. The "lead standards" established by OSHA for general industry in 1978 and the construction 1993 require employers clinicians to follow very specific guidelines protecting lead exposed workers. Depending on level of exposure, medical surveillance may be legally required. 2. Lead affects multiple body systems can cause permanent damage. Low exposures that past were thought safe are now considered hazardous as new information emerges about toxicity lead. 3. poisoning, if undetected, often results misdiagnosis costly care. Adults many different workplace settings. All caring workers need informed health effects lead, employer physician responsibilities, worker rights. 4. Occupational environmental nurses help identify at risk prevent poisoning education early intervention through collaboration with workers, employer, company physician, other safety professionals.

参考文章(28)
J Rosenberg, S Royce, Chelation therapy in workers with lead exposure. Western Journal of Medicine. ,vol. 158, pp. 372- 375 ,(1993)
David C. Bellinger, Herbert L. Needleman, Karen M. Stiles, Low-level lead exposure, intelligence and academic achievement: a long-term follow-up study. Pediatrics. ,vol. 90, pp. 855- 861 ,(1992)
L Rudolph, D S Sharp, S Samuels, C Perkins, J Rosenberg, Environmental and biological monitoring for lead exposure in California workplaces. American Journal of Public Health. ,vol. 80, pp. 921- 925 ,(1990) , 10.2105/AJPH.80.8.921
W R Harlan, The relationship of blood lead levels to blood pressure in the U.S. population. Environmental Health Perspectives. ,vol. 78, pp. 9- 13 ,(1988) , 10.1289/EHP.88789
Paul J. Papanek, Carolyn E. Ward, Kathleen M. Gilbert, Stephen A. Frangos, Occupational lead exposure in Los Angeles County: an occupational risk surveillance strategy. American Journal of Industrial Medicine. ,vol. 21, pp. 199- 208 ,(1992) , 10.1002/AJIM.4700210209
Lisa M. Roch??, Barbara Gerwel, Rukmani Ramaprasad, Iris G. Udasin, Medical management of lead-exposed workers: results of physician interviews in New Jersey. Journal of Occupational and Environmental Medicine. ,vol. 37, pp. 139- 144 ,(1995) , 10.1097/00043764-199502000-00012
Michael J. Kosnett, Unanswered Questions in Metal Chelation Clinical Toxicology. ,vol. 30, pp. 529- 547 ,(1992) , 10.3109/15563659209017939
Henry G. Abadin, Beth F. Hibbs, Hana R. Pohl, Breast-Feeding Exposure of Infants To Cadmium, Lead, and Mercury: a Public Health Viewpoint Toxicology and Industrial Health. ,vol. 13, pp. 495- 517 ,(1997) , 10.1177/074823379701300403
H Hu, A Aro, A Rotnitzky, Bone lead measured by X-ray fluorescence: epidemiologic methods Environmental Health Perspectives. ,vol. 103, pp. 105- 110 ,(1995) , 10.1289/EHP.95103S1105