Document 6RpXY9mZq8qagw7m6zdxpD4M4

stNi by:Xerox Telecopier 7021 no- v-yi ; b:oaPi : 1 ** iwjw w.L.nw inuuom**ta a XL.vE.rr i kus I 21)287820130-* UUb HVN ai4y01 P A/7 Lead Industries Association, Inc. SMM^IwnAwnu* . Nm \bffc, N.Y 10017 TW. (lit) S7W7SQ * Fix (118) N4-7714 October 4,1001 TO: Smelter Blood Lead Sumy Central Committee FROM: JeffMiller^^ ' RE; Draft Bmeltbr Blood Survey Program Attached ii a draft program which outlines our cooperative program to organise and conduct blood lead lurveyi around primary and secondary smelters in the U.S, W would like to schedule a conference call for 10:30a.m. (BDT) on Wednesday, October 0 to discuss the content* and cur follow-up action. Please advise Karen, my secretary, if you are unable to participate or if you will be at a different location than your normal office. Thank you for yow assistance and consideration to this important matter. JTM/kb cc: J.A. De Paul R.J, Muth J.F, Smith 1 EH*'1 brwrd r*x irsnsmiltsi msme 7Sn ........ i "* L /A Gerry Dumas - RSR Jiff Millar HA Patrick Phillips * Missouri Physician Bob Putnam Putnam Env. Serve. Don Bobbins Asarco Qn Shippen - Penn. Physician Rob Stainwurtxel * ABR Dan Voraberg - Do* Run p 7^ vJY jz O J (T JU1 ! g i ' AOI VA 1 U 1 ts W U U X ^ { / U 4 I I U*~ /"8 i ? 3 ' "= ' <! a w ' w b--48 hter Al i&'WW S INAWW S W &U } f%W<S f ^umyzetstn put kvn 31r4.9c3/3f31 DRAFT A. (1QAL AND PURPOSE OF SURVEY Survey Objectives The objective of this survey is to establish m up-to-date cross sectional snapshot of blood lead levels of young children, pregnant mothers (as a surrogate for unborn children), women planning to become pregnant, and nuriirng mothers, living in communities around operating Primary and Secondary Lead Smelters within the United St&tee. This outlint will bt ussd to provide a uniform method of urveyfug the blood lead level of the target population. The results will be used by individual smelters and Communities to assess the lead status of the at-risk population and by the industry as a whole to provide a comprehensive picture of the actual impact of the smelting' industry today. v It is expected that the actual gampUng will occur in calendar year 1992. Smelters will not be asked to repeat surveys in communities if similar aumyi have been conducted within the last two years (1990 or 1991), However, the results from these previous surveys will be included in the overall reporting in order to present a comprehensive picture. EPA haslndut^d that it is not interested in such a blood lead surrey amll not participate. CDC has indicated that it Is supportive of suoh screening survey* being conducted and it will review and comment on the program, but will not participate in all aspects of the study. B. QQQJtPINATIQN/MANAftMMT QF TH&.B3LUDY 1. Central Committee DR6800 SENT BY'Xerox Telecopier 7021 !10- 7-91 ; 5:39PM ; ^ +** * ,"w *--- <&! i i%^ww ei 5PAUV5s>r% i r\w& I 2028792666- DOE RVN 31K49.d33/r3130rr5 Central Committee will oversee the development of the program, its administration, the hiring of the laboratories, the preparation of the report* and guidance to the local committee! with regard to public relatione and other matters. Members of the central committee; Dan Vomberg The Doe Bun Company Don Robbins ASARCO, Inc. Getty Duma RSR Corp. Rob Steinwurt**! ABB Jsff Miller LIA Bob Putnam Fublio Health Consultant Gene Shippen Physician Patrick Phillips Missouri Physician 2. Local Committee Each participating smelter will appoint a company representative to be a survey project manager and will organize a Local Committee that will implement the survey within that community. The Local Committee might include local and/or state health officials, smelter representatives, local political leaders, as well as community representatives if appropriate, This committee would be responsible for coordination of the sampling, informing and obtaining permission where appropriate of local officials and the public, individual and beat release of the surrey results, and coordination with the Central Committee. C. Gmm 1, Population Surveyed The survey would target fbur categories: 100% of the 0 - 72 month old children, expectant or nursing mothers, or women planning to become pregnant that live in the target area. In practice something less Ann 100% will be sampled 2 DRG800473 C i I i U I ' A 5 i V A I C I CWUpid I U4 I MU'" f " S? i f W ' *e y r f*l ? UUi W * VI Ikb'gr LLHU irNUUbINXtb ^ biUVW TRUST u & y / C4uyu yvu nvii w ifww i v v ?- v F.4/7 although it has been shown that participation above 90% is possible. The target area for Primary smelters if a 1.6 mile radius around the main staok. The target area for secondary smelters is a 1.0 mile radius around the main stack. These distances art suggested because they art typical atones of significant impact based cm ambient air modeling. These may be varied somewhat for specific geographic reasons, or if a study has already been completed in the area. The study area should not be expanded simply to include a larger population, as this will skew the results. Smelters without any population within the specified radius will simply be reported as such. Participation I* premised on At voluntary cooperation of the individual smelters and the communities in which they operate. 2. Control Populations Two or more control communities should be utilized to represent urban and rural controls in order to validate methods on imdmpaeted areas and to provide a 1mm frame of reference of current background blood lead levels. 3. Approach to Sampling Sampling may be conducted in one of two ways; either door to door sampling or by visits to a clinic within the sample area. Sampling should be done by a team, including a public health representative, a smelter representative, and a qualified phlebotomlst. (Street fair sampling is dismissed as unrepresentative, School sampling does not concentrate on the correct target agi group.) The months, days, times of sampling will be determined by the Local Committee. The procedures for the sampling will be developed by the Local Committee. Samples should be by venue puncture. A questionnaire should be administered at the time of the sampling (see sample Attachment I). 3 SENT BY:Xerox Telecopier 7021 !1Q- 7-91 ; 5:41PM ; + AW'W! I.UHV 41 1 F%iSC3 & SiLVS.^ ! RUS ! 2028792868-*' DOE RVN 31p49,33/3r1 38;# 7 1. Selection of Laboratory A central laboratory will be selected by the Central Committee with a eecond laboratory utilized to nan qualitycontrol on the first (10% of the total number of eamplei should be lent to the eecond lab.) The analytical method proposed should be part of the election process of the laboratories. It should be decided whether a specific method should be dictated. The analytical protocol will be a stand dm# document and At laboratories should participate in its development. 2, Quality Ammmnm Quality control should be part of the analytical protocol. The laboratory should provide sampling vessels, mailing systems and instructions to the participant* in the program to insure uniformity and assure quality. E. Results 1. Presentation of Nationwide Results Local Committee will provide results to the Central Committee for preparation and release of a single Nationwide Agglomerated Report, 2. Use and Release of Local Results Local release of sampling results will be controlled by the Local Committee. Individual results will not be released to the public. Individual privacy should be protected by confidentiality apeementi or representations with femili** of the cohort. 3. Follow-up . Any "elevated" blood lead result# will be referred for follow up to the local health department on the basis of CDC guidelines. 4 DRG800475 t*r t MW l vV f/\> it uV iI vV VwV^^ wA V!I < vV &. iI i[ vV ( Ii ? wW ' ** 4 rT m{?! US-1 so*# ;A lOikW LJLHW iHWJbIKitS & SILVER TRUST ^uzo/^odo*4 uvc rtvm a inmti} iaof# o F6/? F. GOflU 1, Hiilth Departments - Hiilth Departments should pay for their representatives on the Local Committees, and may donate phlebotoxnists, clerical help, office space, fUrniture, or equipment. Health Departments may alio be asked to donate ftmds for other local costs. 2, Smelter * Smelters should expect to pay all other costs, including sampling, lab work, labor, rents, advertising. 8. Central Committee Costs of the members will be borne by their respective organisations. 0. Local Qutlinh of the Program A. Smelter Activitiei 1. Identify a Survey Project Manager and additional smelter staff a needed. 2. Solicit the cooperation and assistance of the local, county and/or state health departments, community leaders, political, and school officials, etc. 3. Establish a Local Committee of company, medical, health and other community elements. B. Local Committee Activities . 1. Define the study area and control areas. 2. Select either the door to door sampling protocol or the clinic visit protocol. ' 3. Design the sampling campaign and think through the details. 4. Plan for the dissemination of the results.