Document YrzyE6jOEzQXkxyKnG0Jby72V

t. ! l. J, ^L j i y >. fr. f if .............. i,'. w - I` I F,. r- i 1 f J- iT- t- a ill. ~i TiiMlr< fl LEAD INDUSTRIES ASSOCIATION, INC. *fl MAOIION AVINUI NSW TOHX IT.KT, February 27, 1962 IPAD gWOTI and Sa /e t t b u ix c t ST" Krm -------------- To Makers of the Lead Industrie# Association, Xno.t CSmBOOD IBAP POTBOTOC Xllneea oaueed I7 the Ingestion of lsad-base paint fro* Interior surfaces by wll children le still a grere problem and gives rlM to a great deal of publicit/ In the press. Xn order to help solve this serious parchlea our office maintains a policy of cooperation vlth Bealth Departments, Poison Control Centers, Fsdlstrlo croupe sad others. Ve urge our neater*. If the oooeslon should arise, to offer vhstever eupport cen he neneged for local effort* at control Hag the hasard. For Instance, one medber eonpany (ere financial support to a local health department. thleh eupport enabled that departaant to facilitate grvetly lte progrca of blood analysis. Po t your lnfornatlon ve art sending vlth this bulletin a copy of aa article vhlefa outlines the experience of the City of Iblladelphia. RUladelphla operate# one of our better Bealth Departments and la nablng a sincere logical effort at controlling this problem. DQPimd Knot Bo 6llU Son 0. Povler Director of Bealth and Safety V- * *' . - ' ' - ' X . :~~s rr"^r^J-J # i ` r i ; 1 f.rSv.V-** >;si? `->-V' :-- -.-. - - - Xv < - - -' ' - -. .. 1 '- I - LEAD fCISCKING IK miADEUHIA, 1955 - 1960 Beprinted froo th Archives of Envlrofloentsl Hlth, Noveeber, 1961, Vol. 3 (f p . 575-579). Copyright 1961 by the Aaerlcsn Kedlcsl Association published under the auspices of the Boerd of Trustees. Distributed 9y l ead iraccrsiis ASSOCIATIOH, C. 292 rsdison Avenue *!ew York 17, X.T. N 378.01 ]* * m m early diagnosis am) treatment, desirable u lhai may be (rum a ihrrapeutic point of view. A nanpcehenstve program of peeve*- lain undertaken at a community level five* Lead Poisoning mote promise of sucres* provided that it ia acnm|tanied by etademioligie measures foe evaluating acenm|dithnimt. Cootrrd lies not in Philadelphia, only in informed mrdscsl and public heahh pe-ofesamm but with other profraaiooa) grou)* and official agencies and in la formed 1955-1960 and determined crtixrn support. Childhood Wad poisoning differ* from ochre typrs of accidental poisoning la i children because both exposure and intoxica tion are chrome rather chan acute and be cause methods (or bods treatment and centred differ. Foe thrsr reasons, a separate program ,*t- for the cootred of Wad poisoning teas cstabbihed by the rhiUdriphia Department of )*ub)ic Health is 1950. In determining the nimui IKUUIK l h TlQNt,Uflt SX** mm nun. tm ealenl to a huh lead |aaioning exist* in this city it ns first found necessary to make the (mb:an a reportaUc disease. Moreover, incentive* were needed in order to obtain anythmg Uke cianpeUauaive reporting. nuist-anna Thne incentives took the fona of service* thdi the Department, together with co operating private agencies, could provide to Lend poisoning in children ku long ha nafniin] to be a HTMit dinks) and paid* health perdUem, n|nii% to large and old csties.14 ta ITnTadrlpdna ajpeoeimstefy 50 <s*n arc npMtd jndjr, and Im 10% to JKt of ducTtmed fslxntt Karr died n Ik liM J years (Table I). Many of dm oho Hmtt hase permanent dami(T to Ox emirs) nervous system and. all loo fre quently. mental mardalKn. TKr chelating ajmli have marked a tifnikant advance in therapy, and yet the community priddem remains much aa before. Coenred Ku not been accnmjdishrd. noe dor* it Mem to reel iHmd fee pdl rune Jute t. I*M. AiM by a gnat Im the W 1C Xettoee reporting hospitals and physicians: the fan vesdgalnai of cases, die roOcctiaa and analysts of housing, laboratory, and fiefd data, and assistance ia the removal of offend, iag pamfa To these general ends and toward an ufcimale objective of cootrid the Henry lli|pi Institute and the Thdadciphia Department of Health have developed a joint peigram of roftsuttatkm and research with this rvjsel marking the first formal analytical Scrverafdithmrv* However, it is the Specific ptiTjoae of this paper to go beyond the statistical analysts of data gathered to dale a an attempt to begin to localise specific environmental hatards using the rhu^sl r{-<Vniikgic appeoach of Studying the tbvtriMff**i of ease* by "line, place, and The Henry f'Wyee huteatt and te Bryan--sS *t rJtU Health ssd rteveuire Wstrm. Usi- enier f l*mneytrmn Selntd ed MeAtwe, and he IWihl|iit Diiimal at NMe Health Cwneeii Health Serrlrea )4fHHi Result* An analysts of Wad poiseewng la ITtiladef|fna by month of occurrence of scute 1  ml laMIl'Xan HUiMaatMMH Hr I f l pfflWff Si!!!!;j! pr f!I! B B B * * S ' !jf[1 8 % 8 t * ii JiiS 8 I *MI *> V M l t a I ..................  h* ^ .< I t.t .tn rvi\0SISC-rniLAPirHI4 . .. r:*v'-Y'^ ,- <*-iit. y ' ahVacch thr Qp U bcrw iwj at (act (or mam tnrmch* |na4( and a max am durut( (he pmat mla.' A *prt op ( Fif 2) o( am amopd by trulmt of fwrntrtt ia IUaJd[*> mtcy> that rhr dmKin f aerar am ml ihr hnrnr vrnifwM of enhm nty fweiA i mmiurty mtV* of Kinni which wiB lr a wfit path to iaraatol rUrcti at nMn( The linear AerfiWnat ahcntil arr oM|al>Ur with (ht 4i4rtliai of hrtol) loW pattrtt ia >M Inan, on crlrctfd treet* aol ia tfnrihc anav Oo4ct- ( oaiM tr a fwnctnni of lencffeic kanaf llnwrvrt. (hr mrf all ptrirra m teach aa to rr that factor* ecSet than (hr fiMnlam of Wa4 aa alt pawo mar hr mwdrrd m wlmnl arm. |<at^ watrf <K|ffnl Ihrranh anomc cnnrfnrtt. or local- irrd |<flginH of (hr cmiioonru Thr facia warraal fwnhrr analywt of (hear Arnba- Irma Ur a(r. racr, and erhrue croaij**, U objrrtiar rvalorr of leaf <Uaa| (on Window #. cnlo, or ftmt (hr (reamer of |ainl ialrt). aol ly cm ironmcwtal factor* awch at iaqn.1 mihwarica and highway*-- for indaiatrial and atrtompUle cxhawtla are. aa it (mount cart rtarwhrrr ia (hit uttar of da* Aactirvex, ether potmcaJ acetres for thr nwuKa of lead iato the etntreawnewtThe intale of lead through the reafiratury tract it art luauara to he (he mi effective way for the metal to carter quickly iarto the human organttm la all nmti a campaign for control imth Le concentrated at aeUeted atreeta and dittriel* of the city. Ihmty amtdtne 4>aai|*ttoa of money, pcracracf. and client. Apart from thr diKributjon of eaaca ia tanr and their Ircaikat ia apace the third cptdcmvingic dxnrattna to le mutiarfy ex amined tmrolie* (he idcntiAcafkai of extra according to peron diarriUrtiont Age. aex. and race are the irat parameter* oataaOy examined, although *ex (Tali* 2) may to quickly ditoutaed here, for while there ia alight exteaa of rate* armrtf main, three ia no ttnkmg tendency foe lead potaonlnf la /** r< * ftf aisayxsw m AXCHfVtS OF tSl'fROSklLSTAL Ht ALTH Ta$u 2-L/W rn A'VUW, , 5r# Ittmld; hf+> hareof the drrxe Atur*dJ/ thU u bewex^y btouie the/ compote - k W r ditpraporiknaicJy hifh percentile of the mxSrati in the ~hifh nik" irttl. However, there it rettoo 1m to Hu;t th contnbu* 1 ttry inAomct of t vxrvcty of personal, i not], tod economic fxion which art u i diffwidl to define cp*dem*4oficxny tt it |<x Puerto K iexnt form tn tntrre*lmf CTiMp to k*4i at keperatd/ fruca the other* * istoltt Imj r*ihrr Ihw pH. Ilountf, the The iff of OKt ta thtf jpxmp Wudy of fir br (r tml rare mi; be mart rin{n with fnr exceptant from a par tod * frwirdcnc a half to 2 year* of afe, (he aft of point i`t(wt 3 Uv m at fra|4tac (orta due ri4 of kti) intoxication front iotaw-B <ti4nbeicn of 197 ca*o w (hUrn wxkf mUfwf. Certainly, if there * one nifrt of .,1 :3 4 Iran of apt Jurmp iSr 5 tuf pr-nod IV5 1^60 u t w |<4 br month of lif Tara, fwntljr J (nit of Aft unehtmcM mop --rti* jnrluip, the 2 pu-nUr. and ^ yrar <4i (Mm. Ow w DC* Mrt alirtSrr rt*K ) rrptart <Jifferrr* pwf* a ink, dillrrta* cwalau, or diflrrml Hup. lo Ijok. pu apart. Tbcw cbur>bul*>i |*nd to confirm thr wcpani oi Qatobn and Ilatiian iKaf if ibr iM iia'l ia a patlirnUr nanrarf br mty m* la Mr<tirXij wmJ lb* Miuaiaf urnmrf. \\h*r, (*( arr drUMtotot arrordinf to rat* or ithnk cTfJUP of wk |al*iiH (T*U* 1), Nrf*i rarrilwir a dtij-rnpo*- W poiwninp alum which dm it tall* ruum for doul* it beatify Indnl (aim of the tjrje turd 2J S0 pin or ant ip. and rxfvnmr* in IHi* rnjr and in other old otiri TUu i tmiemimf m ri.i.r^i:. WIJW. *7 Xarr * (Aw Cmi Ik wv NW MO MW MB T** W M a .M M FJL rm m a 4> a a Ma n m M Im M ar m faf J.Af^r. **i 'r' V - w. ; i f' l t ? U AO roiSOSlSC-fHILADZUHlA m inch lUhimoce, Boston, and Chicago Hal Summary and Cooduaion established the harard. Knough Hat been accomplished by the 1 In Philadelphia a surrey of Waded paints reporting and investigation of cases of child' to 100 dwellings occurred by Puerto Ricans hood Wad poisoning to the Philadelphia vii conducted in J9SA. THii survey disdcwcd Department of Health (Hat reasonably cWar lHit KT't of the dwelling units otcupwd by indices of its rndrmicity and ejmWmioty are this c^t>Jp contained at Wait one room in emerging. Cases are of the order of 50 per wturH the Wad content of painted *urfaces annum, and deaths in 1959 alone about m aU*c the permiss.bie (1%) limit. doubled those of New Jersey's widely heralded nubreak of eastern equioe corrpha* Comment htis. These deaths are due to Wad eu* cephalitis, and. as with other forms of severe Moth of the kind of data reported here encephalitis, neurological sequelae are Ire* i% not nrw, such as the descrqaire tp4oni* qumtly devastating. rkfy of Wad poitoomf as a disease of However, despite progress, the identifica toddling infants wills a history of pica, the tion of specifa haaards in an Appreciable manifestations of which are mod frequently percentage of cases reported rack year discovered m the summer months. What is requires further study before effective new. we Wmt. is the attempt to understand prevent ion becomes an atumabW reality. and to ermtmf Wad putcoKC is Philadelphia I rad fant in old dwellmgs ** certainty a in the same way that cpadcmic infections nujor menace. Hut W<h Ht mapping and were stwdwd and controIWd w the (e field investigation of reported eases wgat -.1 through sustained cooperation and inseatiga* that other factors may be involved. ton t<r bsh |ensl< and official public health 7Wd K tscaSs, MO, 4n* CWfSrt Asa, Kinod and hoapsuls. TdermWiis, for ruddfU a l caample. has been a focal point of cooper* ainc rffoel an the part of the PVUdclfdta* otmuicts - L fttarifaw. K. D Ut IW fc QA* Minpoli, the Department of Health, and 4m wvA tuwd Mmsr* Lead m a fast the llmry Phipps Institute foe 50 jtsrt. f Mms Am. J UM Sd HJ477J0. = Tn the end of an improved control of (he I*t7. X UcKhuuk C t<: Lead Merisi la 03* community dime the miefraied appCcatian drew. Am J Dtt Odd ttt of difltod. Uhnrataey, and qwWfmdife J WasM, H ; Msitt, W >( t Rsrtuhad, urthdi it now briflf aimed at Wad poisoning by a cnSfilurd rqwiti^ of am, by spat* mifptt and location of the regions and Mb; Won, A. S, and SwA P )U Jr.i LraJ i'lAMhue trvjoi the Dwwf <4 fWorry Um, JAMA. MO.MU-M*. ttSX 4 Rjjsvort. 14, iri RU, M l: Leal N* hnu*es of point rick, by idem>heation of poptUtm* at greatest risk, and faulty through a series of rpdrmiolfic and srswart A CVwnl and Eaierieneatal Sewdf f th Farsors lidsnewf Ac Sisiostl laridrwr* la ChMmi. Am J. Da 044 At J4S*. ;**t 1 Hym. K K : Lead Prison*** Review ad Aa chemical studies being undertaken to drier* mme the veaweui. ptcrtfliKal, wcio> msMfwf, and other fartnr% at the buck of UrrsiWT and Iqut an 45 Cams , PVAitnn 2J: Jt^eeu. ivw A ttiyawt, It, asri Pdui, 14 I.: Laud hi- Wwf; Itfso liAcnciai At Siml !ti- obvened distributions ]q usher words, the drwe m OilWa Amt . J. Us OM At Mi, applscatwai vf qwkyiwikfic nelhdi to the >A4| 7 CWK J J, Jr, and Hacriwm. M t i problem of Wad prawning m IhiUdrljdiU is TW l.iiowf a4 QwlAm to List fdiatfki II; bring made in onWr to attemje control on H1H 11M a psUx health Wvef by {enmittr measures g DbA, L; Scam Asserts ad Awtrsha A rather than by relying on rtmicaJ efforts f*Aairw\ PwtalrWs MU A WiBuwaa. M hfwal (awaacAa ta Aa only, such iv mrly diagnosis and treatment, aaduc. fan## /id W k