Register      Login
New South Wales Public Health Bulletin New South Wales Public Health Bulletin Society
Supporting public health practice in New South Wales
RESEARCH ARTICLE

Trends in notifiable blood lead levels in NSW, 1998–2008

Evan J. Freeman A B D , Siranda Torvaldsen B , Adam Capon C and Glenda L. Lawrence B
+ Author Affiliations
- Author Affiliations

A NSW Public Health Officer Training Program, NSW Ministry of Health

B School of Public Health and Community Medicine, The University of New South Wales

C Environmental Health Branch, Health Protection NSW

D Corresponding author. Email: efree@doh.health.nsw.gov.au

NSW Public Health Bulletin 23(12) 228-233 https://doi.org/10.1071/NB11033
Published: 15 March 2012

Abstract

Aim: In the absence of published statewide notification data, the aim of this study was to analyse trends in notifiable blood lead levels (hereafter referred to as lead poisoning) in NSW from 1998 to 2008, to help inform lead poisoning notification policy. Methods: NSW blood lead poisoning notification data for 1998–2008 were extracted from the Notifiable Diseases Database and analysed by age, gender and Area Health Service of residence. Results: There were 6000 lead poisoning notifications from 1998 to 2008, with an average annual notification rate of 11.8 per 100 000 population for 1998–2003. This rate declined to an average of 4.0 per 100 000 population in the period 2004–2008. Males accounted for 92% of notifications, and males aged 20–59 years had average notification rates between 20 and 27 per 100 000 population. Children aged 0–4 years had notification rates of 9.3 per 100 000 population in girls and 13.6 per 100 000 population in boys. Conclusion: Notification rates have fallen dramatically, however children aged 0–4 years and men are disproportionately represented in lead poisoning notifications.


References

[1]  Agency for Toxic Substances and Disease Registry (ATSDR). Toxicological Profile for Lead. U.S. Department of Health and Human Services: Agency for Toxic Substances and Disease Registry. October 2007. Available at: http://www.atsdr.cdc.gov/ToxProfiles/tp13.pdf (Cited 4 February 2013).

[2]  Lewis J, editor. Lead poisoning: a historical perspective. United States Environment Protection Agency; 1985. Available at: http://www.epa.gov/aboutepa/history/topics/perspect/lead.html (Cited 4 February 2013).

[3]  National Health and Medical Research Council. Information Paper. Blood lead levels for Australians. August 2009. Available at: http://www.nhmrc.gov.au/_files_nhmrc/publications/attachments/gp2-lead-info-paper.pdf (Cited 4 February 2013).

[4]  Health Protection Agency (HPA). Lead. Toxicological Overview. United Kingdom 2007. Available at: http://www.hpa.org.uk/webc/HPAwebFile/HPAweb_C/1194947332124 (Cited 5 February 2013).

[5]  Gracia RC, Snodgrass W. Lead toxicity and chelation therapy. Am J Health Syst Pharm 2007; 64 45–53.
Lead toxicity and chelation therapy.Crossref | GoogleScholarGoogle Scholar | 1:CAS:528:DC%2BD2sXht1aqurY%3D&md5=0655735442179340b05f2064e00292a4CAS |

[7]  Needleman HL, Gunnoe C, Leviton A. Deficits in psychologic and classroom performance of children with elevated dentine lead levels. N Engl J Med 1979; 300 689–95.
Deficits in psychologic and classroom performance of children with elevated dentine lead levels.Crossref | GoogleScholarGoogle Scholar | 1:STN:280:DyaE1M7hsVeltQ%3D%3D&md5=f52fe2b9de1065b43e9a12e07b92051eCAS |

[8]  Association of Occupational and Environmental Clinics (AOEC). Medical management guidelines for lead-exposed adults. Revised 24 April 2007. Available at: www.aoec.org/documents/positions/MMG_FINAL.pdf (Cited 2 February 2013).

[9]  Dietrich KN, Ware JH, Salganik M, Radcliffe J, Rogan WJ, Rhoads GG, et al. Effect of chelation therapy on the neuropsychological and behavioral development of lead-exposed children after school entry. Pediatrics 2004; 114 19–26.
Effect of chelation therapy on the neuropsychological and behavioral development of lead-exposed children after school entry.Crossref | GoogleScholarGoogle Scholar |

[6]  Goyer RA, Cherian MG, Jones MM, Reigart JR. Role of chelating agents for prevention, intervention, and treatment of exposures to toxic metals. Environ Health Perspect 1995; 103 1048–52.
Role of chelating agents for prevention, intervention, and treatment of exposures to toxic metals.Crossref | GoogleScholarGoogle Scholar | 1:STN:280:DyaK287ovVWlsg%3D%3D&md5=6c61323db29a574d3efbb2cd31616f5aCAS |

[10]  Markowitz G, Rosner D. “Cater to the children”: the role of the lead industry in a public health tragedy, 1900–1955. Am J Public Health 2000; 90 36–46.
“Cater to the children”: the role of the lead industry in a public health tragedy, 1900–1955.Crossref | GoogleScholarGoogle Scholar | 1:STN:280:DC%2BD3c%2FpsFGquw%3D%3D&md5=678b1bc303117ecb5954efd4abae180bCAS |

[11]  Gulson B, Mizon K, Taylor A, Korsch M, Stauber J, Davis JM, et al. Changes in manganese and lead in the environment and young children associated with the introduction of methylcyclopentadienyl manganese tricarbonyl in gasoline – preliminary results. Environ Res 2006; 100 100–14.
Changes in manganese and lead in the environment and young children associated with the introduction of methylcyclopentadienyl manganese tricarbonyl in gasoline – preliminary results.Crossref | GoogleScholarGoogle Scholar | 1:CAS:528:DC%2BD2MXht12qtb3F&md5=89934d7e50886574b63a426b5ee02fc6CAS |

[12]  Australian Government. National phase out of leaded petrol. Available at: http://www.environment.gov.au/atmosphere/airquality/publications/qa.html (Cited 2 February 2013).

[13]  Taylor MP, Schniering CA, Lanphear BP, Jones AL. Lessons learned on lead poisoning in children: one-hundred years on from Turner’s declaration. J Paediatr Child Health 2011; 47 849–56.
Lessons learned on lead poisoning in children: one-hundred years on from Turner’s declaration.Crossref | GoogleScholarGoogle Scholar |

[14]  NSW Government. Public Health Amendment (Notifiable Lead Level) Regulation 2011 under the Public Health Act 1991. Available at: http://www.legislation.nsw.gov.au/sessionalview/sessional/sr/2011-672.pdf (Cited 4 February 2013).

[15]  Communicable Diseases Branch. Lead poisoning. Notifiable Diseases Manual. Sydney: NSW Department of Health; 2002.

[16]  Birdsey R. The Lead Reference Centre. N S W Public Health Bull 1997; 8 89–90.
The Lead Reference Centre.Crossref | GoogleScholarGoogle Scholar |

[17]  NSW Department of Environment and Heritage. Broken Hill Complex – regional history. Available at: http://www.environment.nsw.gov.au/bioregions/BrokenHillComplex-RegionalHistory.htm (Cited 4 February 2013).

[18]  Hunter New England Area Health Service. Environmental Health Centre Annual Report 2005–2006. Sydney: NSW Health; 2006.

[19]  Boreland F, Lesjak M, Lyle D. Evaluation of home lead remediation in an Australian mining community. Sci Total Environ 2009; 408 202–8.
Evaluation of home lead remediation in an Australian mining community.Crossref | GoogleScholarGoogle Scholar | 1:CAS:528:DC%2BD1MXhsVWqsbrN&md5=1b4a7129c0e776c0feabbe5f1d5a6415CAS |

[20]  Hunter New England Population Health. Community Information Paper. North Lake Macquarie Blood Lead Monitoring Service. Summary of Results (July 2005–June 2006). Available at: http://www.hnehealth.nsw.gov.au/__data/assets/pdf_file/0012/62022/EHCBloodLeadTesting2006.pdf (Cited 4 February 2013).

[21]  CBH Resources Limited. Company profile 2010. Available at: http://www.cbhresources.com.au/operations/endeavor-mine.htm (Cited 1 November 2011).

[22]  Landrigan PJ, Todd AC. Lead poisoning. West J Med 1994; 161 153–9.
| 1:STN:280:DyaK2M%2Fisl2nsQ%3D%3D&md5=0dbfb2191176c9a414d47c683ebaec6aCAS |

[23]  Kardamanidis K, Lyle D, Boreland F. Addressing decreasing blood lead screening rates in young children in Broken Hill, NSW. N S W Public Health Bull 2008; 19 180–2.
Addressing decreasing blood lead screening rates in young children in Broken Hill, NSW.Crossref | GoogleScholarGoogle Scholar |

[24]  Boreland F, Lesjak M, Lyle D. Managing environmental lead in Broken Hill: a public health success. N S W Public Health Bull 2008; 19 174–9.
Managing environmental lead in Broken Hill: a public health success.Crossref | GoogleScholarGoogle Scholar |

[25]  Population Health Division. The health of the people of New South Wales – Report of the Chief Health Officer, 2008. Sydney: NSW Department of Health; 2008.

[26]  Centers for Disease Control and Prevention. Low lead level exposure harms children: a renewed call for primary prevention – Report of the Advisory Committee on Childhood Lead Poisoning Prevention. 4 January 2012. Available at: http://www.cdc.gov/nceh/lead/ACCLPP/Final_Document_011212.pdf (Cited 4 February 2013).