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Baltimore City Health Department WEEKLY LETTER. TO THE MAYOR
In his WEEKLY LETTER TO THE MAYOR dated 15 A
Commissioner .of Health wrote:
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Dear Mayor Schaefer:
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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.
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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
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