Industrial Control of Personnel

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Abstract
The diagnosis of lead poisoning is a clinical diagnosis. The task of the doctor in industry is not only to prevent episodes of classical lead poisoning, but to prevent any damage to the health of the individual due to excessive absorption of lead over a lifetime of work in a lead industry, for instance: anaemia due to lead exposure, an excessive incidence of kidney disease, or cerobrovascular accidents. In addition to routine inspections required by law, a number of biological tests are useful signals that lead absorption may be excessive. Haemoglobin levels, punctate basophil counts, lead in urine and blood measurements and urinary coproporphyrin levels are discussed. None of these tests is in itself diagnostic of lead poisoning. Problems of interpretation are discussed. The doctor in charge of the health of lead workers should have up-to-date information on lead in air levels in working areas, and should co-operate closely with engineers and factory management in the control of these levels.

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