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Public Health Reporting of Heavy Metals and Cholinesterase Laboratory Test Results and Non-suicidal, Non-medicinal Chemical Poisonings, and Injuries
Laboratory Reporting
Michigan conducts public health surveillance for heavy metals exposure and pesticide poisoning based on mandated clinical laboratory reporting of blood and urine test results. These surveillance systems use the reported results to identify exposure hazards and to implement interventions to reduce exposures in the public and in workers.
Arsenic, cadmium, mercury: Laboratory reporting rules went into effect on 9/23/2005 requiring laboratories to report all clinical test results for arsenic, cadmium, and mercury. Clinical tests are reported using the Heavy Metal Analysis Reporting Form.
Cholinesterase testing: The same laboratory reporting rules that mandate reporting of arsenic, cadmium, and mercury test results also mandate laboratory reporting of clinical test results for cholinesterase. These reports are used to identify individuals with exposure to cholinesterase-inhibiting pesticides. Clinical tests are reported using the Cholinesterase Analysis Reporting Form. The MDCH Pesticide Illness and Injury Surveillance webpage provides resources and annual reports with data on pesticide illness and injury.
Lead: Blood Lead Analysis Reporting has been mandated since 1992. Information is available about childhood lead poisoning surveillance and prevention services at MDCH. Adult Blood Lead Epidemiology and Surveillance reports provide data on the childhood and adult blood lead surveillance programs.
Health Care Provider and Institution Reporting
Chemical poisonings: Chemical Reporting Rules went into effect 9/18/2007 for reporting of non-suicidal, non-medicinal chemical poisonings. These rules make patient information, related to chemical illness, reportable when requested by local and state health departments. It does not mandate regular reporting of every chemical illness or exposure. The intent of the rule is to facilitate timely exchange of patient information from healthcare providers and health care facilities to public health practitioners during a public health investigation. A summary of the rules is also provided.
Injuries: Injury Reporting Rules went into effect 9/27/2010. These rules make patient information, related to injury, reportable when requested by local and state health departments. It does not mandate regular reporting of every injury. The intent of the rule is to facilitate timely exchange of patient information from healthcare providers and health care facilities to public health practitioners during a public health investigation. A summary of the rules is also provided.
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