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Dear Louise,

I think you need an occupational hygiene opinion here. My own thoughts
are below:

What is the potential route of absorption of the lead paste?  You
mentioned an increased risk of ingestion - how is this likely to occur?
Is dermal absorption likely?  Are there any work processes that can
cause lead fume?
What are the existing control measures such as PPE, ventilation,
food/drink-free work zones etc?

What does the MSDS and the risk assessments say?


It may well be that there is limited evidence of risk of lead absorption
and that surveillance may not be necessary under the lead at work
regulations but on the other hand you may have a form of lead and work
processes that increase the risk of lead absorption which will mean
surveillance will be necessary under the supervision of an OHP.

Good luck 

Paul

Paul D'Arcy
Clinical Nurse Leader
Imperial Health at Work


-----Original Message-----
From: [log in to unmask] [mailto:[log in to unmask]] On
Behalf Of [log in to unmask]
Sent: 15 September 2009 09:10
To: [log in to unmask]
Subject: [OCC-HEALTH] Lead health surveillance

Dear list,

First day at a new job and a question has been asked regarding health
surveillance for people working with lead. They are changing their
process to using a pot and spatula to apply lead paste and it is felt
there may be an increased risk of ingestion. They already have
respiratory and skin health surveillance.

Does this need to be upped to some blood screening either as a base
line or a regular test? There is also a lady with a history of
miscarriages working in this department who will they think be
concerned, any thoughts on how she should be reassured?

I have no experience of this and would welcome your views! 

Mnay thanks

Louise





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