Document MMnNDem8MvnEBRyq5RJgdRnYM

66 mo r b id it y a n d mo r t a l it y w e e k l y r e po r t March 3.1978 Current Trends Surveillance of Childhood Lead Poisoning -- United States During the fourth quarter of fiscal year 1977, 60Child hood Lead Poisoning Prevention Programs reported screen ing 101,648 children for undue lead absorption. This figure brought the cumulative total of children screened during fiscal year 1977 to 380,496,* In the fourth quarter, 9,287 children were found to have undue lead absorption. This is a confirmed positive ratio (CPR) of 9.1 per 100 screened, 'Programs are cautioned no* to add quarterly figures published in the MMWR to obtain annua! numbers. The published figures reflect only that data received by the close of the report period. a substantial increase over the third quarter ratio of 6.6 per 100 screened. The annual CPR of 7-4, however, is less than that reported for fiscal year 1976 (8.6 per 100 screened). The ratio of children chelated remained approximately the same for both years (12.0 vs 11.8). The ratio of hazards reduced to hazards found during the fourth quarter remained the same as in the previous quarter but decreased for fiscal year 1977 as compared to fiscal year 1976. However, improvement was shown in the ratio (Continuedoil page 71) Lead Poisoning -- continued of hazards reduced per children identified with undue lead absorption, in fiscal year 1976, 51 hazards were reduced per 100 confirmed positive children; in fiscal year 1977, this ratio increased to 60 per 100. Reported by the Environmental Health Services Div, Bur of State Services, CDC. TABLE 1, Results of screening in childhood lead poisoning control projects -- United States, fourth quarter of fiscal year 1977 (July 1, 1977 - September 30. 1977) __________ . __________________________ NUMBER OF CHILDREN NUMBER OF DWELLINGS With Confirmed Undue Lead Absorption1 Requiring Pediatric Management Receiving Pediatric Management Inspected Found with Lead Class It TOTAL Chelation Therapy Augusta, Me. 8dston. Mass. Fail River, Mass. Lawrence, Mass. Lynn, Matt. Rhode Island Slate Waterbary, Conn. Worcester. Mass. REGION I TOTAL CUMULATIVE FY 77 Camden, N~J. Erie .Co. N.Y. Hoboken.NJ. Jersey City, N.J. Monroe Co. N.V. Newark, N.J. New York City Onondaga Co. M.Y. Paterson, NJ. Plainfield, NJ. Rensselaer, N.Y. Westchester, N.Y. REGION .11 TOTAL__ CUMULATIVE FY 77 Baltimore, Md, Chester, Pa. Delaware.state Norfolk, Va. Philadelphia, Pa. Richmond, Va. Washington, d .g . Wilkes-Barre, Pa. REGION HI TOTAL c u mu l a t iv e : f y 77 Augusta, Oa, Louisville, Ky. Memphis. Term. Mobile, Ala. South Carolina State Wilmington, NX, REGION IV TOTAL CUMULATIVE FY 77 Akron, Ohio Chicago, III. Cincinnati, Ohio Cleveland, Ohio Columbus, Ohio Detroit, Mich. Kenosha, Wise. Milwaukee, Wise. Peoria, lit. Racine. Wise. Rockford, tit. St. Paul, Minn. Toledo, Ohio Wayne Co, Mich. REGION V TOTAL CUMULATIVE FY 77 Arkansas State Houston, Texas New Orleans, La. REGION VI TOTAL CUMULATIVE FY 77 7,751 423 743 613 1,036 836 1.363 12,954 *1.872 373 802 92 90 `Hi W 321 30$ IM%1 3,57$ *738 891 1,243 2,636 1,590 2,958 466 14497 59412 666 1,220 1,248 521 930 .93 4,693 16.769 255 13,545 1.449 4,123 1,708 3.956 132 483 277 138 1,171 86 212 212 27,747 102,933 871 2,657 4,042 7,570 28,995 IS 698 63 73 46 166 74 87 1,222 3,545 65 111 13 26 !i? 142 44 I! 2.167 7,061 174 60 69 75 SIO 57 154 36 1,139 3475 27 73 73 38 69 5 289 976 . 49 1,083 141 195 71 474 2 144 11 10 173 2 21 53 2,4*4 5,657 47 156 334 557 1,559 12 543 49 45 >i 11 917 2,570 42 96 9 12 241 78 87$ 35 IS 13 37 1480 5417 99 43 41 40 321 42 116 31 735 2*589 23 52 51 19 97 4 206 .67* $57 105 132 58 283 2 89 9 7 119 1 11 33 MSI 4,366 21 127 205 353 1,010 3 155 14 28 10 46 17 iH 975 23 15 4 14 85 49 309 20 54 10 15 607 2,044 75 17 28 35 189 15 36 5 400 1*406 4 21 21 19 12 1 78 297 531 36 63 13 191 0 55 2 3 54 1 10 20 932 2,301 26 69 129 214 549 62 1,162 189 154 188 2?7 >JiS 12.567 206 217 24 34 ill 495 149 *11 4*317 14,834 .506 481 122 433 698 665 411 133 3,449 13,911 227 575 196 303 519 53 1,973 7415 70 3,214 949 695 204 666 7 615 15 69 592 -NR 37 115 7,149 22,671 199 116 334 639 2,872 2 59 3 A Al 477 4 14 <1 36 21 17 1 172 586 39 2 1 il 20 8 ,.i 410 1 21 5 1 9 4 41 143 331 8 3 21 19 0 27 4 0 25 NR 37 1,138 0 3 41 15 225 42 47 46 ill 69* 3474 40 41 1! 10 289 45 n 11 764 3,145 133 40 54 42 565 100 275 34 1,243 5473 36 129 85 .47 109 12 416 1,887 37 22,859 116 76 111 371 2 142 2190 530 NR 38 23,846 66480 23 304 928 12 218 27 42 42 .1?3?6 2,839 IS 1 18 58 56 *13 i? 300 1445 109 34 37 31 422 70 107 29 839 3400 16 112 75 31 107 9 351 37 3,764 96 44 26 363 2 100 20 1 49 O NR 36 4,539 15,106 20 32 33 41 206 25 38 59 si $11 2413 13 , 46 65 xn 63 19 if iMl 76 12 5 27 456 74 92 32 734 2,847 6 90 69 15 12 9 201 1487 28 1,392 107 36 44 *1 114 15 1 23 2 NR 26 147* 64*3 11 20 31 Davenport-Scott Co. Iowa Kansas Ctty-Wyandette Co. Kansas Kansas City. Mo. Omaha, Neb. Springfield, Mo. St. Louis, Mo. _ REGION Vtl TOTAL CUMULATIVE FY 77 1,045 985 989 444 4.891 9,324 28,455 79 33 27 49 2 1,238 l>24 4,075 48 23 18 37 2 764 8*2 2>1* 27 10 9 22 O 474 542 1,557 18 2.927 3,331 12,934 3 2 3 0 107 129 386 39 13 33 21 847 999 3420 41 13 12 30 8 494 598 2,373 12 6 5 ! m 1474 Alameda Co. Calif. Contra Costa .Calif. CUMULATIVE FY 77 399 260 1,356 2$ 15 6,561 25 .2 27 >3 14 O 10 24 206 11 2 30 ISO !S 31 143 735 2 0 3 *! 15 12 2 22 58 31 21 75 36* til U.S. TOTALS CUMULATIVE FV 77 101.648 3*0,496 1317 6.139 15>34 2I2IS *7,543 ISi *Ce Hand Classto III A IV defined in COC Statement, Increased Lead Absorption and Lead Poisoning In young Children, March 1975. NR--Net reported * --Estimated