Document Em0VELz7DX6ax1nmkOEYOqQrV

r?;'~ Baltimore City Health Department WEEKLY LETTER. TO THE MAYOR In his WEEKLY LETTER TO THE MAYOR dated 15 A Commissioner .of Health wrote: . Dear Mayor Schaefer: \i / ' The Lead Paint Poisoning Prevention Program has been refunded at $239, 200 for the current fiscal year by the federal government* This will enable the program to expand its screening activities from a minimum of 5,000 children per year to 18, 000. Further, screening v ill be offered at 32 child health clinic sites throughout the city--an increase of 20 sites over the previous year. We expect that 5% of the children will be found with elevated blood protoporphyrin levels. ;^ The current screening techniques are being converted to a new type of testing. This primary screening method measures protoporphyrin, a natural substance in the blood which increases in proportion ot the amount of lead in the body. It is less expensive and eliminates the need for venipunctures, a procedure frightening for children. The decision to convert has resulted from a cooperative endeavor between the City Health Department and the Kennedy Institute in evaluating the protoporphyrin method. Plans have been completed for an automated data retrieval system by the Bureau of Biostatistics. According to Dr. Susan Guarnieri, Director of . the Bureau of Children and Youth Services, this will increase the efficiency 3?. of the reporting system and permit the Health Department to begin to identify ^ populations which are most susceptible to lead poisoning. With this information, ;; the Bureau of Health Education and Information will be able to design its educational programs to specifically reach those populations at risk before lead poisoning occurs. Currently, the educational program is directed mostly at families whose children have elevated blood lead levels. The Maryland State Department of Health and Mental Hygiene Laboratories is cooperating with the City in analyzing the protoporphyrin tests. Children identified as having absorbed high levels of lead are followed and evaluated at the John F. Kennedy Institute or the University of Maryland Hospital. Sanitarians from the Health Department inspect the homes of these children and oversee the removal of the sources of lead whether it be in the paint, plaster or other places. Very truly yours. (Signed) John B. De Hoff, M. D., M. P. H. Commissioner of Health W N11999 LI A-T6H % BALTIMORE CITY HEALTH DEPARTMENT STATISTICAL REPORT FOR THE WEEK ENDING 13 August 1975 WK-32 BIRTHS Total recorded Residents only DEATHS Total recorded Residents only INFANT DEATHS Total recorded Residents only WEEKLY SUMMARY OF BIRTHS, DEATHS AND INFANT MORTALITY /' , : : Week Ending 13 August 1975 iWeek Ending 7 Au k u s t 1971 t o t al ' r WHITE NONWHITE | TOTAL . . WHITE - II U M B E P. . NONWH1TE 306 162 227 105 251 l6L 196 113 ll*l. 257 11B 122 19'u ... * 67 1i ' ' 87 226 1U2 83 191* 108 139 127 81* 86 . 10 5 62 58 1* 5 6 3 2 2 BIRTHS Total recorded Residents only 9,925 6,678 DEATHS. ^` ^ Total recorded 7,323 %% Residents only 6,052 INFANT DEATHS Total recorded Residents only 289 181* CUMULATIVE NUMBER FOR YEAR TO DATE 5,135 2,3k6 1*,790 10,355 1* ,332 6,926 5,558 2,51*8 1**697 3,51*2 2,626 2,510 7,71*16,1*12 5,ll*6 3,899 139 150 21*1) ll*8 52 132 126 1*5 1*,797 1*,378 2,595 2,513 96 81 BIRTHS DEATHS INFANT MORTALITY 11.9 10.8 27.6 RESIDENT RATES* FOR YEAR TO DATE 9.0 13.6 22.2 lU.l* 8.1* 30.5 12.1 11.2 18.2 9.1* ll*.l* 17.7 *8IRTH AND DEATH RATES PER 1,000 ROPULATIONi I MEANT MORTALITY RATE PER 1,000 tJVE SIRTHSi ALL RATES COMPUTED ON AN ANNUAL BASIS lL .6 8.1 18.5 LIA-76111 WEEKLY STATISTICAL REPORT WEEK ENDING 13 August 1975 REPORTED CASES OK NOTIFIABLE DISEASES, NONRESIDENTS EXCLUDED l>! SEASE Chi ckenpox........................................................... Di plithiria.......... ........................................................ Encephalitis. all forms................................... Gonococcal infections........................................ Hepatills. i nfec ti ous............... ........................ Hepatitis, serum............... ............ . ................... Lead polsoni ng. . ............................................ /. . Measles (rubeola)................. ........................ ... Meningococcal infections......../..... Meningitis, aseptic........................... ................ Meningitis, other forms.................................. Mumps................. ............................... ............................. Poliomyelitis, paralytic.......... :................... Rubella (German measles).......................... Salmonellosis............................................................ Shi gel losi s............................................... .. Streptococcal infections................................ Syphilis, primary and secondary.... *.. Tuberculosis, total.................. ;.............. Newly diagnosed cases...................... Previously diagnosed - retreated. Typhoid fever.......... ................................................. Whooping cough......................................................... Other notifiable diseases........................... CURRENT WTEK TOTAL " ` 7 RANGE vl ak ' CUMULIT 1 VT \i CASES H 1 GH LOft. 1975 ....0 0 0 30 00 00 69 0 2 577 2. 4 . 330 '9 k . 201 1 c 13,218 76 7h 0 1 0 18 0 00 0 1 0 . 12 1 6 -0 - 9 1 2 c.i v 39 1 10 1 131 0 C c 0 0 50 0 3 28 1 217 2 16 1; 7,*7i 2 15 1: 637 8 13 1 2U5 15 KA HA hk2 11 21 3 35^ it HA NA 88 1 00 1 0 10 2 18 NA HA 801 c/.n. - 1971 50 0 2 10,385 7* 29 1U 2 6 8 20 21 0 0 282 87 181 301 HA 266 . NA 0 0 851 NUMBER OF DEATHS BY CAUSE, NONRESIDENTS EXCLUDED CAUSE OF DEATH' Al {.; Causes. . .......................................... .. ................... Heart disease............................................. .. Cancer............................................................. ..................... Cerebrovascular disease............................... Diseases of the arteries and veins.... Cirrhosis of the liver............. ........................ Di abetes........... .... ................................ .. ....................... Influenza and pneumonia..................................... Bronchitis, emphysema and asthma............. Tuberculosis. ................................ . . ......................... Nephritis and nephrosis..................................... Certain diseases of early in Taney........... Congenital anomalies...................................... Six!ilen death in infancy............................... Ma t e rna 1 mo rLa 1 i l y............................................... .. Other diseases....................................................... Accidents, total..................................................... .. Motor vehicle................ .. Horne.......................................................................... Industrial................... ................................. Other................................ - ..................... - Homicide........................................ .................................... Suicide................................................................ .. Other external causes............. ............................. ' CURRENT WEEK TOTAL 7 year r ang e* DEATHS HIGH LOW 196 225 155 75 16 5 1 5 3 9 3 1 . '3 5 1 0 0 23 11 3 2 0 6 2 1 2 79 63 *9 30 19 9 13 1 11 2 9 .1 61 60 30 20 h1 30 NA HA 10 , NA NA 83 it 0 50 10 20 13 3 50 NA NA YEAR- TO f'ATL CUMULATIVE N/MHEP OF DEATf 1975 6,052 1971 6,itl2 2,238 1,263 ito8 20h 129 172 ll3 11 lh 39 Hit 31 19 0 785 179 15 71 5 58 178 55 37 2,h 90 1,265 15 9 185 218 185 166 56 20 i'7 75 29 13 0 7l2 190 60 5i 7 69 188 50 . - 3l 1968 197 Hh`*H AND tow FlUURrS SHOWN ARE DERIVED F ROM THE NUMBER OF CASES AND DEATHS '>" TH' rOMPARAHLF ftEfc'K Fu Tml PERIOD - 1* NA - Hot available . .