Lead Paint Removal >> Lead Paint Exposure Registry In California

Legislation in 1986 created a statewide system for tracking lead poisoning cases in children and adults in California (California Health and Safety Code Section 124130). Laboratories are required to report electronically all blood lead levels (BLLs) for persons tested Lead Paint Exposure Registry In California in California to the California Department of Public Health (CDPH). 

Information on the person tested, their employer, the provider ordering the test, the analyzing laboratory, and the result are reported to CDPH. BLLs 10 µg/dL or greater must be reported within three (3) working days; BLLs less than 10 µg/dL must be reported within 30 calendar days. For the system to be effective, Lead Paint Exposure Registry In California information on the individual (birth date, home address, name and address of employer) must be obtained at the time the blood specimen is collected and must be reported to the analyzing laboratory (see Page 4). 

Medical providers ordering BLL tests and referring laboratories should ensure that complete information is gathered and Lead Paint Exposure Registry In California forwarded to the analyzing laboratory with the blood sample. OLPPP's Mandates The Occupational Lead Poisoning Prevention Program (OLPPP) was established by the 1991 Occupational Lead Poisoning Prevention Act (California Health and Safety Code §105185 - 105195). 

Mandated activities include the following: maintaining the Adult Blood Lead Registry; investigating reported cases of occupational lead poisoning to ensure that workers receive appropriate medical care, that workplace hazards are corrected, and Lead Paint Exposure Registry In California that household members at risk for "take-home" exposure are identified and referred to the local health department.

Investigating cases where children or family members of workers are poisoned by lead brought home from the workplace ("take-home" exposure); educating employers, employees and health professionals about prevention of occupational lead poisoning; Lead Paint Exposure Registry In California and making recommendations for the prevention of lead poisoning. 

Case Investigation and Management OLPPP investigates reports for adults aged 16 and Lead Paint Exposure Registry In California over who are occupationally exposed to lead and provides in-depth case management for workers with seriously elevated BLLs and take home exposures. 

Case management for children under 21 years and for non-occupationally exposed adults (to the extent resources allow) is done by the Childhood Lead Poisoning Prevention Branch (CLPPB) in CDPH and local health departments' Childhood Lead Poisoning Prevention (CLPP) Programs. Blood Lead Level Reports OLPPP requires complete patient, Lead Paint Exposure Registry In California employer, physician, sample and laboratory information. 

Missing information is obtained by contacting the laboratory, the medical provider or the employer. BLLs 40 µg/dL or greater are verified for occupational exposure and Lead Paint Exposure Registry In California immediately investigated by OLPPP. Reports for non-occupational adult cases are forwarded to CLPPB. 1) Workers with BLL of 50 µg/dL or greater 

The worker, employer, and physician are interviewed by phone using standardized questionnaires as outlined below: Worker OLPPP contacts the worker to address his or her concerns about the BLL report, ask about lead health effects, Lead Paint Exposure Registry In California to learn about the workplace and work practices, to educate about working safely with lead, and to identify household members and co-workers at risk. 

A packet of information is mailed to the worker's home. Names of any children under six years old or pregnant/nursing women in the household are forwarded to CLPPB for follow-up by the local health department. If the worker's BLL is less than 80 µg/dL and the test is not employer-sponsored, Lead Paint Exposure Registry In California consent is obtained from the worker to contact the employer. 

Worker and co-worker BLLs continue to be monitored via the Adult Blood Lead Registry. Employer OLPPP contacts the employer and conducts an initial interview. Some employers are selected for in-depth case management, Lead Paint Exposure Registry In California including an onsite visit from OLPPP staff. OLPPP provides a review of the company's lead safety measures, specific recommendations for improvement, and a timeline for completion of the recommendations. 

A company not selected for in-depth case management will either be referred to Cal/OSHA Compliance or given the opportunity to enlist the assistance of the Cal/OSHA Consultation service. Where the Cal/OSHA lead standards require Medical Removal Protection (MRP)*, OLPPP ensures that the worker is removed immediately from further lead exposure, Lead Paint Exposure Registry In California and that the worker receives proper follow-up medical care and full medical removal protection benefits. 

OLPPP is not an enforcement or Lead Paint Exposure Registry In California regulatory agency. Physician Physicians who provide care for workers with BLLs 50 µg/dL or greater are contacted by OLPPP to review the case and to provide information and assistance. *Medical Removal Protection (MRP) is the temporary removal from lead work to protect the health of the worker. 

The Cal/OSHA lead standards require that an employer must remove a worker from his or her usual work with lead under two conditions: A) the worker has a seriously elevated blood lead level [BLL 50 µg/dL or greater under the Lead in Construction Standard; Lead Paint Exposure Registry In California single BLL 60 µg/dL or greater or average BLL 50 µg/dL or greater under the General Industry Lead Standard].

Whenever a physician determines a worker has symptoms associated with lead toxicity or Lead Paint Exposure Registry In California a medical condition that places him or her at increased health risk. The physician may allow the worker, if physically able, to work in an area or task where air lead levels are less than 30 µg/m3 . If such work is not available, the worker must receive full salary and benefits while off work. 

MRP is a medical decision. 2) Suspected or Confirmed Take-Home Exposure If a child and a worker in a household each have a BLL 10 µg/dL or greater and Lead Paint Exposure Registry In California a workplace source of lead has been identified, a take-home investigation is conducted. 

OLPPP interviews the identified worker and then the employer to review worker hygiene measures necessary to prevent carrying lead dust home and Lead Paint Exposure Registry In California may assess other improvements needed in the lead safety program. Every effort is made to protect the identity of the worker if there is concern about reprisal. 

The local health department evaluates the home situation, assists with blood lead testing for household members and Lead Paint Exposure Registry In California medical follow-up as needed, and educates the family about cleanup of lead contamination in the home and prevention measures. OLPPP informs the employer about the requirements of the Cal/OSHA lead standards and recommends BLL testing for all workers who may be exposed to lead. 

The workers are advised to have their children tested for lead and given resource Lead Paint Exposure Registry In California information. OLPPP makes specific recommendations to the employer for correcting identified workplace hazards including the practices that resulted in lead being carried home by the workers. 

Failure by the employer to adequately address OLPPP's recommendations or evidence of significant workplace lead safety hazards may result in a Lead Paint Exposure Registry In California referral to Cal/OSHA for enforcement action. 3) Workers with BLLs 10 to 49 µg/dL For adults with California addresses and BLLs 10 to 39 µg/dL, OLPPP sends a letter covering sources of lead exposure, health effects, "take-home” lead exposure, and employer responsibilities. 

Contact information for the county health department is given for assistance with blood lead testing for children in the home or other concerns. In addition, OLPPP sends workers with BLLs 40 to 49 µg/dL a letter and packet of information on lead poisoning and how to prevent it, lead hazards, take-home exposure, Lead Paint Exposure Registry In California employer responsibilities, and resources regarding worker legal rights. 

If the BLL was not done as part of an employer-sponsored medical program, OLPPP requests the worker's consent before sending a similar letter and packet of educational materials to the employer. Clinicians are sent a letter and packet of Lead Paint Exposure Registry In California information on a one-time basis. 4) Two BLLs 15 µg/dL or greater, or one BLL 20 µg/dL or greater, aged 16 to 21 years 

Case follow-up for elevated BLL associated with occupational exposure or Lead Paint Exposure Registry In California exposure of unknown origin is conducted by local health department CLPP Programs in collaboration with OLPPP. For more information, contact us: Occupational Lead Poisoning Prevention Program Occupational Health Branch 

California Department of Public Health 850 Marina Bay Parkway Building P, 3rd Floor Richmond, CA 94804 (866) 627-1587 (toll-free number for California callers) (510) 620-5743 (fax) This Lead Paint Exposure Registry In California protocol and other helpful information are available on our website: www.cdph.ca.gov/programs/ohb

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