- metadata:
- idinfo:
- citation:
- citeinfo:
- title: Secure IBIS-PH Blood Lead Level Query Module
- type: Hazard/Intervention
- descript:
- abstract:
This query contains the count of elevated blood lead level cases by zip code.
- Important
- Measures: 1. Count of elevated blood lead level cases by zip code.
- Derivation:
- Numerator: The number elevated of blood lead level tests reported by laboratories to the Utah Department of Health.
- Denominator: Denominators used to calculate rates among children represent the number of children tested and adults represent the number of persons in the Utah labor force population provided by the Utah Department of Workforce Services.
- Rates: NA
- MeasureUse: These data can be used to identify populations that are not being tested adequately and improve testing; allow for a better understanding of what the blood-lead surveillance data represent; allow for comparison across the state in order to target interventions; identify communities at risk; and identify children who should be tested for lead exposure by identifying high-risk communities.
- MeasureLimitations: This measure represents the percentage of elevated blood level tests among the total number of children tested and the number of adults in the workforce. Because not all children and adults who are exposed to lead are tested, the numerator may not adequately represent the total number of individuals with elevated blood lead in Utah. The denominator is limited because all members of the labor force may not be at risk for lead exposure, and some adults exposed to lead may not be members of the labor force.
- Unit: Patient with elevated blood lead.
- Display:
- Variables:
- A: Year
- B: Age Group
- C: Blood lead level
- D: Sex
- E: Zip code
- VariableDef:
- Year: Year: Year of diagnosis.
- Age: Age group: The age group of the individual at time of blood lead level measurement.
- BloodLeadLevel: Blood lead level: Level of lead in blood by microgram per deciliter (µg/dL)
- Sex: Sex: sex of individual with elevated blood lead level
- Zip: Zip code: The zip code where the individual with elevated blood lead resides at the time of measurement.
- VariableGroups:
- A: Year
- B: Age group
- C: Blood lead level
- D: Sex
- E: Zip code
- Charttypes:
- A: Vertical bar
- B: Horizontal bar
- C: Stacked vertical bar
- D: Area
- E: Stacked area
- F: Pie
- G: Line
- Geography:
- Scope:
Utah
- Boundary:
- West: -114.042925
- East: -109.041501
- North: 42.001718
- South: 36.997693
- GeogScale: Zip codes
- Time:
- Period: 1992-2007
- Scale: Single Years
- Updated: Annually
- Purpose: The Utah Blood Registry (UBLR) within the Utah Department of Health functions to identify residents of Utah with elevated blood lead levels. The UBLR provides risk assessment to help the individual limit and remove their risk of lead exposure. The UBLR serves as a resource for physicians, hospitals, local health departments, and researchers. The UBLR provides blood lead data to national agencies for generating national statistics and to state and local agencies for identifying high risk areas. The UBLR provides an educational and data resource for physicians, nurses, and other institutions to help protect Utah’s population.
- Use: These data can be used to identify populations that are not being tested adequately and improve testing; allow for a better understanding of what the blood-lead surveillance data represent; allow for comparison across the state in order to target interventions; identify communities at risk; and identify children who should be tested for lead exposure by identifying high-risk communities.
- DataSources: Blood lead data is provided to the Utah Department of Health, Utah Blood Lead Registry, from laboratories, hospitals, health clinics and physicians.
Utah Population Estimates Committee (UPEC) and the Governor’s Office of Planning and Budget (GOPB), 2008 Baseline Economic and Demographic Projections (Revised on 7-23-2008).
- DataLimitations: The Utah Blood Lead Registry receives data from healthcare providers and laboratories across the state of Utah that conduct both capillary and venous blood lead testing. The Utah Injury Reporting Rule was changed in 2017, enabling all blood lead tests, not just those ≥10µg/dL to be reported to the Blood Lead Registry. However, some health care offices that use a portable blood lead analyzer do not report their results. Therefore, the denominator is not a true measure of all persons in Utah receiving a blood lead test being reported.
- Standards: Data from laboratories are converted into a standardized format. The data are validated through a standardized process.
- ReportingProtocols:
- supplinf:
Under the Injury Reporting Rule R386-703, specific to the injury of an Elevated Blood Lead (≥ 5µg/dL), a reportable injury evaluated or treated at a hospital shall be reported by that hospital. Reportable injuries not evaluated at a hospital shall be reported by the involved physician, nurse, other health care practitioner, medical examiner, or laboratory administrator. Each case of injury shall be reported to the Utah Department of Health or to the local health department responsible for the geographic area where the injury occurred. The local health officer shall forward all original reports to the Utah Department of Health. The injury reporting rule changed from ≥ 10µg/dL to ≥ 5µg/dL in 2017.
Because the Utah Blood Lead Registry falls under the definition of a public health entity, the Injury Reporting Rule takes precedence over the recent legislation called HIPAA, the Health Insurance Portability and Accountability Act. For more information regarding public health, including blood lead reporting and HIPAA, please go to the Centers for Disease Control and Prevention website at: https://www.cdc.gov/nceh/lead/default.htm
- Integrity
- Additional: All population estimates and projections apply to July 1 of the selected year.
- Citation: Blood lead data provided by the Utah Department of Health is funded in part by a contract with the National Institute for Occupational Safety and Health and the Centers for Disease Control and Prevention, Preventive Block Grant Award.
- EEPContact:
- Intro: Metadata created by:
- Name: Health Program Specialist
- Program: Environmental Epidemiology Program
- Department: Utah Department of Health
- Box: P.O. Box 142104
- City: Salt Lake City, UT 84114-2104
- Phone: 801-538-6191
- Email: eep@utah.gov
- Website: http://health.utah.gov/epi/enviroepi/
- Constraints:
- Access: Public Health Professionals may only access Utah Tracking Network data through Secure IBIS-PH or in any other way after submitting a complete application as contained in the document Third Party Application for Access to Secure IBIS-PH for Public Health Professionals. Similarly, researchers must submit a complete application as contained in the document Third Party Application for Access to Secure IBIS-PH for Research Projects. The SRB does not serve as an IRB. Applications requiring an IRB must submit for IRB approval separately. The applications can be submitted concurrently, but the SRB will not grant data access until they have received proof that the IRB has approved the research project. The SRB may conditionally approve access to Secure IBIS-PH pending IRB approval. The SRB ensures that the research proposal meets all of the data owner(s)’s requirements. More information can be found at: http://epht.health.utah.gov/epht-view/dataportal/SecureDatasetIntroduction.html
- Use: NO-USE: This data may not be used in any way to imply Office of Health Care Statistics (OHCS) or Utah Department of Health (UDOH) endorsement of any research objective, commercial or for-profit venture; to advertise or support a commercial product; or to direct or plan targeted advertising. This data may not be used to identify subjects of hospitalization, case information or the individual or organization who reported the case information. PUBLICATION: The data user will comply with OHCS rules for publication or presentation of this data or any results derived from this data. Publication approval of any manuscript or document must be accomplished prior to submission for publication. Data users will provide a copy of any publication draft or public presentation of this data or results derived from this data to the Utah Environmental Public Health Tracking Network (UEPHTN) which will coordinate UEPHTN and OHCS approval to publish or present. See contact information in this metadata. The OHCS requires 30 days to approve draft publications. The OHCS will provide a response in writing to the data user. RIGHT TO REFUSAL: The OHCS and/or the UEPHTN retain the right to refuse any publication or public presentation of the data or results derived from the data. ACKNOWLEDGEMENT: Use of this data requires acknowledgement of the OHCS and the UEPHTN in any publications or public presentations of the data or results derived from the data. Acknowledgement must be made that the research was supported by the OHCS with support from the Utah Department of Health. Acknowledgement must be made that the research was supported by the UEPHTN, which is partially funded by the Centers for Disease Control and Prevention. AUTHORSHIP: Authorship is required when the OHCS or the UEPHTN makes substantial contribution to the data. AUDITS: The OHCS and/or the UEPHTN retain the right to conduct on-site audits of the researcher with or without cause. Audits will be conducted after notification and during normal business hours by representatives of the OHCS or UEPHTN. The audit will observe research practices for protecting data. REPORTS: Data users must submit annual and final reports regarding the progress and/or completion of research projects to the OHCS. This will be done through the UEPHTN.
- Liability: DISCLAIMER OF LIABILITY, RELIABILITY, DAMAGES AND ENDORSEMENT. The Utah Public Health Tracking Network (UEPHTN) is maintained, managed and operated by the Environmental Epidemiology Program (EEP) within the Utah Department of Health (UDOH). In preparing this data, every effort has been made to offer the most current, correct, complete and clearly expressed information possible. Nevertheless, some errors in the data may exist. In particular, but without limiting anything here, the Utah Department of Health disclaims any responsibility for source data, compilation and typographical errors and accuracy of the information that may be contained in this data. These data does not represent the official legal version of source documents or data used to compile this data. The UDOH further reserves the right to make changes to this data at any time without notice. These data have been compiled by the staff of the EEP from a variety of source data, and are subject to change without notice. The UDOH makes no guarantees or representations whatsoever regarding the quality, content, condition, functionality, performance, completeness, accuracy, compilation, fitness or adequacy of the data. By using this data, you assume all risk associated with the acquisition, use, management, and disposition of this data in your information system, including any risks to your computers, software or data being damaged by any virus, software, or any other file which might be transmitted or activated during the data exchange of this data. The UDOH shall not be liable, without limitation, for any direct, indirect, special, incidental, compensatory, or consequential damages, or third-party claims, resulting from the use or misuse of the acquired data, even if the UDOH or its agency has been advised of the possibility of such potential damages or loss. Format compatibility is the user’s responsibility. Reference herein to any specific commercial products, processes, services, or standards by trade name, trademark, manufacture, URL, or otherwise, does not necessarily constitute or imply its endorsement, recommendation or favoring by the UDOH. The view and opinions of the metadata compiler expressed herein do not necessarily state or reflect those of the UDOH, or the data owners and shall not be used for advertising or product endorsement purposes. Use of this data with other data shall not terminate, void or otherwise contradict this statement of liability. The sale or resale of these data, or any portions thereof, is prohibited unless with the express written permission of the UDOH. If errors and/or otherwise inappropriate information are brought to our attention, a reasonable effort will be made to fix or remove them. Such concerns should be addressed to the EEP program manager (See Point of Contact contained in this metadata file).
- Publication:
