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Document ID (ISN)53969
CIS number 90-915
ISSN - Serial title 0271-3586 - American Journal of Industrial Medicine
Year 1989
Convention or series no.
Author(s) Sharp G.B., Gosai K., Finklea J.F.
Title Medical appraisal during health hazard evaluations involving workers exposed to lead
Bibliographic information 1989, Vol.15, No.4, p.449-461. Illus. 18 ref.
Abstract To evaluate the medical aspects of the Health Hazard Evaluation (HHE) programme of the National Institute for Occupational Safety and Health (NIOSH), 170 lead-related HHE reports published through 1984 were examined. The percentages of HHEs conducting basic medical examination procedures justified by elevated environmental exposure to lead at worksites were as follows: blood or urine lead level testing, 57%; medical history taking, 55%; physical examinations, 23%; CBCs, 18%; and urinalysis, 7%. The HHE programme has primarily focused on whether or not environmental worksite hazards are present at the time of the evaluation and not on ascertaining whether there is evidence of adverse health effects attributable to past worksite exposures. More clearly defined HHE programme goals and a logic for deciding when and how medical examinations should be performed during HHEs need to be developed.
Descriptors (primary) USA; lead; hazard identification; programme evaluation; exposure evaluation
Descriptors (secondary) toxic effects; dangerous substances; medical examinations; health hazards; sampling and analysis; workplaces
Document type D - Periodical articles
Subject(s) Toxic and dangerous substances
Broad subject area(s) Chemical safety
Browse category(ies) Inorganic substances
Exposure evaluation
Lead and compounds