2002-2003 Supplement to 2000-2001 Report
New York State Department of Health
EXECUTIVE SUMMARY
This report is a supplement to the previously released report entitled “Promoting Lead
Free Children in New York State: A Report of Lead Exposure Status among New York
Children, 2000-2001.” It summarizes data on childhood blood lead levels in New York
State (NYS), excluding New York City (NYC) for children under six years of age tested
in years 2002 and 2003. New York State has taken a leadership role in developing a
strategic approach for the elimination of childhood lead poisoning by 2010. The data
contained in this report demonstrate the continued progress in preventing and addressing
lead exposure in NYS children. The State Health Department and County Health
Departments, in collaboration with many partners, are working to continue the positive
trends described in this report to achieve elimination of childhood lead poisoning in NYS.
The report highlights three important findings:
(1) Annual screening rates have increased—NYS regulations require health care
providers to test all children for blood lead levels at or around age one, and again at or
around age two for monitoring and early detection. Excluding NYC, the proportion of
children in 2002-2003 who received at least one blood lead screen by age 24 months
increased by 2% compared to children tested in 2000-2001. On average, 66% of children
born in 2000-2001 (tested between 2000 and 2003) received at least one blood lead
screen by the age of 24 months, compared to 64% of children born in 1998-1999 (tested
between 1998 and 2001).
(2) The prevalence of children with elevated blood lead levels continued to drop
between years 2002 and 2003—Prevalence includes both current (newly identified)
cases and past (identified previously but ongoing) cases of children with an elevated
blood lead level (EBLL) in the population. Over the two-year period examined (20022003), the prevalence of children with EBLL of 10 micrograms per deciliter (µg/dL) or
greater decreased 10.5%, from 5,090 children in 2002 to 4,553 children in 2003. Trend
analysis data show that the prevalence rate of children in 2003 with blood lead levels of
1
10 µg/dL or greater had reduced by half compared to the prevalence rate just five years
ago in 1998 (5.3% in 1998 to 2.5% in 2003).
(3) The number and rate of new cases of children with elevated blood lead levels
(incidence) continued to drop dramatically between 2002 and 2003—The number of
children newly identified with blood lead levels of 10 µg/dL or higher decreased by an
additional 12%, from 3,175 children in year 2002 to 2,805 children in 2003. Trend
analysis data mirror that of prevalence, with a two-fold decrease in incidence between
1998 and 2003. The incidence rate of children in 2003 with blood lead levels of 10
µg/dL or greater was 1.6%, compared to 2.9% just five years ago in 1998.
2
INTRODUCTION
This report summarizes data on childhood blood lead levels in NYS, excluding NYC, for
children under six years tested in 2002 and 2003. 1 This report serves as a supplement to
the previous published report Promoting Lead Free Children in New York State: A
Report of Lead Exposure Status among New York Children 2000-2001, released in May
2004. 2 These data, obtained from local health departments and state district offices, are
intended to support national, state, and local efforts to plan and evaluate strategies to
eliminate childhood lead poisoning. NYS has taken a leadership role to eliminate
childhood lead poisoning by 2010.
The burden of childhood lead poisoning is substantial in NYS and the plans developed by
NYS Department of Health and NYC Department of Health and Mental Hygiene
represent key components of efforts to reach the national goal, as well as goals for the
state of New York. More information is available in the report Elimination of Childhood
Lead Poisoning in New York State by 2010 on the NYS DOH public web site at
http://www.nyhealth.gov/nysdoh/environ/lead/finalplantoc.htm. The data contained in
this report demonstrate the continued progress in addressing lead exposure in children in
NYS.
New York State has made significant gains in the prevention, early identification, and
prompt, effective management of childhood lead poisoning. The factors contributing to
childhood lead poisoning in NYS are complex and interrelated with other social,
economic, and legal issues. Lead paint in older housing and the contaminated lead dust
1
The New York City Department of Health and Mental Hygiene released its annual report in December
2004 that summarize the surveillance activities conducted by its Lead Poisoning Prevention Program. The
report is entitled “New York City Childhood Lead Poisoning Prevention Program; Annual Report 2003.”
The full report may be obtained by contacting the NYC Lead Poisoning Prevention Program's Education
Unit. Data contained in these NYC reports are consistent with the trends observed among upstate New
York children.
2
Figures presented in this supplemental report reflect more complete data submitted by counties and
therefore some data may not agree with what was previously released.
3
and soil it generates are the primary sources of lead in children’s environments. NYS has
the highest proportion of pre-1950 housing in the nation. The State Health Department is
working to continue the positive trends described in this report as well as to develop and
implement effective strategies outlined in the New York State Lead Elimination Plan that
will protect children from lead exposure.
LEAD TESTING AND RESULTS
SCREENING FOR BLOOD LEAD LEVELS
NYS regulations require health care providers to test all children for blood lead levels at
or around age one year and again at or around age two years for monitoring and early
detection during a period of a child’s greatest risk.
Lead screening means measuring the lead concentration in whole blood to identify
elevated blood lead levels. The purpose of screening for blood lead levels is to provide
for the early identification of children with elevated blood lead levels (EBLL) and, once
identified, coordinate intervention services.
Percentage of Children Screened Statewide
The number and percentage of children receiving their first screening tests for blood lead
levels prior to age two (or less than 24 months) by birth year cohort is illustrated in
Figure 1. The percentage of children who receive at least one lead screening test by age
24 months continues to increase.
The age that children received their first blood lead screening tests by birth year is shown
in Table 1. The percentage of children initially screened for EBLL was examined for the
following age groups: 0 to 15 months, 16 to 23 months, 24 to 35 months, and 36 to <72
months. Nearly 66% of children born in 2000-2001 (tested between 2000 and 2003)
received their first screening tests by age 24 months, compared to just under 65% of
children born in 1998-1999 (tested between 1998 and 2001). Trend data (Figure 1) show
4% more children born in 2001 were screened before 24 months than children born in
4
1996. This positive trend, seen in Table 1, primarily reflects an increase in screening
among children ages 0 to 15 months.
In 2003, 74% percent of children enrolled in Medicaid Managed Care plans were
screened for blood lead levels by 24 months of age. 3
Figure 1: Number* and Percent of Children First Screened for Elevated Blood Lead Levels
Before Age 24 months, by Birth Year Cohort:
New York State excluding New York City
Supplemental Report
92,500
100
91,582
88,759
88,146
87,500
80
85,864
85,210
82,500
66.1
66.6
64.8
62.2
62.6
60
61.7
77,500
40
72,500
Percent of Children Screened
Number of Children First Screened
88,124
20
1996
1997
1998
1999
2000
2001
Birth Cohort
Number of Children First Tested for Blood Lead Level
Screening Rate per 100 Children
*The trend in the number of children tested between birth years is reflective of the decline in the total
number of births. The percent decrease in births averaged 2% per year, except for 1998 which had a 0.2%
decrease in births from 1997.
IDENTIFICATION OF CHILDREN WITH ELEVATED BLOOD
LEAD LEVELS
Prevalence: Children with EBLL, New and Ongoing Cases
Prevalence data include the number of children with either newly or previously
confirmed EBLL who continue to have their blood lead levels monitored. This measure
reflects both current (newly identified) and past (identified previously and ongoing) cases
of children with EBL in the population. Nationally, prevalence is the most commonly
used measure of blood lead elevations.
3
http://www.health.state.ny.us/health_care/managed_care/reports/eqarr/2005/index.htm.
5
The measure is sometimes contrasted to measures of incidence, which assesses only the
occurrence of new cases. Prevalence rates typically are higher than incidence rates
because prevalence rates include all children with elevated levels, including those
identified in prior years that still receive follow-up tests.
During the two-year period for 2002-2003, the prevalence of children with EBLL of 10
micrograms per deciliter (µg/dL) or greater decreased 10.5%, from 5,090 children in
2002 to 4,553 children in 2003. The prevalence of children with EBLL of 20 micrograms
per deciliter (µg/dL) or greater declined 12% from 469 in 2002 to 413 in 2003. The
prevalence of children with EBLL of 10-19 µg/dL decreased by 10% from 4,621 children
in 2002 to 4,140 in 2003. New York’s prevalence rate also declined over the two-year
period examined. Between years 2002 and 2003, the prevalence rate of EBLLs of 10-19
µg/dL decreased from 2.4 per 100 children tested (2.4%) in 2002 to 2.3 per 100 children
tested (2.3%) in 2003. Prevalence rates of EBLL of 20 µg/dL or greater remained fairly
stable between 2002 and 2003 (Table 2).
Figure 2 shows a trend of overall decline in prevalence numbers and rates between 1998
and 2003. The prevalence rate for EBLLs greater than or equal to 10 µg/dL in 2003 was
2.5 per 100 children tested, a decrease of more than half since 1998 when it was 5.3.
6
Figure 2: Prevalence Numbers and Rates of Children Identified
with Elevated Blood Lead Levels > 10ug/dL
New York State excluding New York City
Supplemental Report
6
12000
10,554
5.3
5
4.4
8,296
4
8000
3.3
3
6,400
2.8
6000
2.6
5,496
2.5
5,090
2
Prevalence Rate
(per 100 children tested)
Number of Prevalent Children
10000
4,553
4000
1
2000
0
1998
1999
2000
2001
2002
2003
Year of Test
Number of Prevalent Children
Prevalence Rate >=10 µg/dL
Incidence: Children Newly Identified With EBLL
The number and rate of children under six years of age newly identified as a case in years
2002 and 2003 are provided in Table 3. Fewer new cases were identified in 2003 as
compared to 2002. The incidence of children with confirmed EBLL of 20 µg/dL or
higher decreased 4% from 440 in 2002 to 422 in 2003. The incidence of children
identified with elevated blood levels between 10 and 19 µg/dL decreased by 12.9% from
2,735 in 2002 to 2,383 in 2003.
The incidence rate, or rate of newly identified cases of children with EBLL’s of 10 µg/dL
or greater, declined from 1.4 per 100 children screened in 2002 to 1.3 per 100 children
screened in 2003. Rates among children with confirmed EBLL of 20 µg/dL or greater
remained steady with 2 children being identified per 1,000 screened in years 2002 and
2003.
Figure 3 shows the trend in overall decline of incidence among children tested between
1998 and 2003. The incidence rate in 2003 (1.6%) is almost half of that observed just 5
years ago in 1998 (2.9%).
7
Figure 3: Number and Rates of Children Newly Identified
with Blood Lead Levels > 10ug/dL
New York State excluding New York City
Supplemental Report
3.5
6000
5,491
3
2.9
5000
4,547
2.5
3,682
2.0
3,348
3000
2
3,175
2,805
1.8
1.7
1.6
1.5
2000
1
1000
Incidence Rate
( per 100 children screened)
Number Newly Identified
2.5
4000
0.5
0
0
1998
1999
2000
2001
2002
2003
Year of Test
Number of Children Newly Identified
Incidence Rate > = 10 µg/dL
Environmental Management
Environmental management is part of the case coordination protocol for children with
EBLLs in order to identify and eliminate conditions conducive to lead poisoning and
prevent further exposure to residential lead paint hazards. NYS public health law and
regulations 4 require property owners to correct hazardous lead conditions when a child is
identified as having an EBLL of 20 µg/dL or higher.
The environmental assessment and lead hazard control efforts are conducted by
environmental health personnel in 36 local health departments, the NYC Department of
Health & Mental Hygiene, and the NYS Department of Health in nine district offices
which cover 21 upstate counties. An environmental assessment includes evaluation of all
dwellings (home, child care facility, etc.) where the lead-poisoned child spends more than
8 hours per week. The presence of lead hazards may be verified through on-site testing
including use of an X-ray fluorescence lead-in-paint analyzer (XRF), and/or laboratory
analysis of paint dust/chips or other material samples. After testing, officials prepare a
4
SUBPART 67-2 Lead Poisoning Control Environmental Assessment and Abatement (Statutory authority:
Public Health Law, Section 206(l)(n) and 1370-a)
8
detailed assessment report, and a notice and demand for corrective action. These
documents include sample locations, sample results, and dwelling diagrams to assist
property owners in correcting the identified hazards. When an owner of a dwelling fails
to comply with the written notice and demand, Public Health Law outlines procedures for
enforcement.
Tables 4 and 5 illustrate environmental case management activities for years 2002 and
2003, respectively. Consistent with the trends in decreased elevated blood lead levels, the
number of required assessments also has declined. Environmental assessment is required
for children with EBLLs at or above 20µg/dL. The majority of local health departments
provide some environmental management services for children with EBLLs in the range
of 15-19 µg/dL.
9
DEFINITIONS
Birth Cohort Screening Rate: Number of children born in a specified year who receive
screening tests in a given time and geographic area divided by the total number of
children in the birth cohort.
Birth Year Cohort: Number of children born in a given year in a specified jurisdiction.
Case: A child that has a confirmed elevated blood lead level of ten micrograms per
deciliter or greater (> 10 µg/dL).
Confirmatory Test: Elevated blood lead level test results are confirmed by a single
sample of blood taken directly from a vein (also called a “venous sample”) or by two
consecutive finger stick sample draws (also called “capillary samples”) taken within 12
weeks (84 days) of each other.
Elevated Blood Lead Level: Blood lead concentration of 10 micrograms per deciliter or
greater (>10 µg/dL).
Follow-up Test: All blood lead tests for a child (in a specified age range) subsequent to a
confirmed elevated blood lead level test in a given time and geographic area.
Incidence (new cases with elevated blood lead levels): The number of children who have
never been identified by the reporting jurisdiction as having previously confirmed
elevated blood lead levels (in a specified age range) who now have confirmed elevated
blood lead levels in the given time.
Incidence Rate (new case rate): The number of children identified for the first time with
confirmed elevated blood lead levels (in a specified age range and geographic area)
divided by the number of children that had screening tests in that given year. Only
children who did not previously have confirmed elevated blood lead levels are included.
10
Lead-Poisoned: A child is considered to be lead poisoned if a blood screening indicates a
blood lead level of 20 µg/dL or higher.
Prevalence (number of children with elevated blood lead levels): The number of unique
children with a test during the specified time period (in a specified age range and
geographic area) who have confirmed elevated blood levels.
Prevalence Rate: Number of unique children who have confirmed elevated blood lead
levels (in a specified age range and geographic area) with tests in a given time period
divided by the number of children tested in that year (includes children’s screening,
confirming, and follow-up tests) for blood lead.
Result: A quantifiable value from a blood lead test reported in micrograms of lead per
deciliter of blood (µg/dL).
Screening: All blood lead tests for children (in a specified age range) who have not had
previously confirmed elevated blood lead levels in a given geographic area and time.
When sequential test results are elevated but non-confirmed, then each test is considered
a screening test. (A child’s first elevated venous screening test is also considered a
confirmatory test).
Test: A blood lead draw (venous, capillary, or unknown sample type) on a child that
produces a blood lead result as determined by a certified laboratory or other approved
device.
Test Date: The date of the blood lead draw. When the date of the blood lead draw is not
available then the date of blood lead sample analysis is used or the date of blood lead
result report date received from the laboratory, if the analysis date is also not available.
11
Table 1: Percentage of Children Screened for Elevated Blood Lead by Age (in months) at Time of First (or Initial) Lead Test:
New York State excluding New York City
2002 - 2003 Supplemental Report
Birth
Cohort
Year
Number of
Births*
Percent
Screened
0 - <16
months
Percent
Screened
16 - <24
months
Percent
Screened
24 - <36
months
Percent
Screened
36 - <72
months
Total
Percent**
Screened
Statewide
(excluding
NYC)
Total
1996
1997
1998
1999
2000
2001
824,147
140,661
138,074
137,865
135,968
137,467
134,112
53.6
52.4
51.5
51.4
54.0
55.3
55.8
10.6
10.2
10.2
10.8
10.8
11.3
10.3
14.1
12.9
13.9
14.9
14.9
14.2
--
16.1
16.4
16.8
15.1
----
94.6
91.9
92.4
92.2
----
25,521
Albany
Total
1996
1997
1998
1999
2000
2001
19,712
3,307
3,276
3,470
3,134
3,301
3,224
51.2
51.2
49.0
47.8
48.8
57.5
53.0
10.6
8.6
10.1
10.1
12.3
12.4
10.3
14.8
12.9
13.5
15.1
20.0
16.7
--
10.4
14.5
17.6
15.1
----
87.0
87.2
90.2
88.1
----
637
Allegany
Total
1996
1997
1998
1999
2000
2001
3,319
581
560
548
561
543
526
39.0
41.1
27.3
32.3
42.1
43.1
48.3
11.4
10.0
10.5
11.9
13.5
11.4
11.2
9.5
6.7
8.2
11.7
11.4
12.9
--
12.4
15.7
20.0
20.4
----
72.3
73.5
66.1
76.3
----
394
Broome
Total
1996
1997
1998
1999
2000
2001
13,314
2,258
2,201
2,211
2,285
2,214
2,145
42.1
42.0
41.7
38.4
43.9
43.3
43.3
8.9
9.0
7.4
9.2
8.2
10.7
9.0
8.0
7.7
7.5
9.8
7.9
9.0
--
9.3
12.9
15.8
13.5
----
68.3
71.6
72.4
70.8
----
1
Cattaraugus
Total
1996
1997
1998
1999
2000
2001
6,222
1,109
1,046
1,064
990
1,020
993
51.8
47.0
49.9
54.7
49.8
57.6
52.0
9.0
9.8
8.2
6.9
9.2
10.6
9.4
12.0
12.4
13.9
11.8
17.0
10.0
--
13.2
18.1
20.2
19.4
----
86.0
87.3
92.2
92.8
----
149
Cayuga
Total
1996
1997
1998
1999
2000
2001
5,574
991
933
909
906
948
887
67.8
60.9
72.0
68.6
69.4
67.0
69.1
11.0
8.5
11.9
13.5
9.2
12.4
10.8
16.7
15.6
16.8
16.7
18.7
18.9
--
9.9
16.2
13.9
14.9
----
105.4
101.3
114.7
113.8
----
87
Chautauqua
Total
1996
1997
1998
1999
2000
2001
9,520
1,689
1,624
1,542
1,543
1,544
1,578
52.6
44.4
49.9
56.0
53.0
55.0
58.1
10.3
8.4
8.9
9.6
11.7
13.2
10.1
10.7
10.8
10.7
12.1
12.8
9.9
--
11.8
19.5
17.6
15.9
----
85.4
83.2
87.0
93.6
----
757
Chemung
Total
1996
1997
1998
1999
2000
2001
6,418
1,078
1,037
1,030
1,098
1,084
1,091
34.8
31.4
32.8
37.6
34.2
35.1
37.9
10.4
9.6
9.7
10.6
10.8
12.0
9.4
10.2
9.3
9.0
10.1
9.6
11.7
--
6.0
10.5
10.2
6.1
----
61.4
60.7
61.7
64.4
----
17
County
Records
with No
Birth Date
Provided
*Source: Vital Statistics of New York State.
**Children who change county of residence could be in screening data in multiple counties, but in birth cohort data in only one county; this could cause screening rates in some
counties to exceed 100%.
Table 1: Percentage of Children Screened for Elevated Blood Lead by Age (in months) at Time of First (or Initial) Lead Test:
New York State excluding New York City
2002 - 2003 Supplemental Report
Birth
Cohort
Year
Number of
Births*
Percent
Screened
0 - <16
months
Percent
Screened
16 - <24
months
Percent
Screened
24 - <36
months
Percent
Screened
36 - <72
months
Total
Percent**
Screened
Chenango
Total
1996
1997
1998
1999
2000
2001
3,518
621
609
595
535
574
584
56.8
54.8
53.4
58.0
58.1
59.9
57.0
8.7
9.3
10.2
6.9
7.5
10.3
7.7
11.2
8.5
13.0
9.7
16.1
10.6
--
11.1
16.4
15.9
18.2
----
87.8
89.1
92.4
92.8
----
29
Clinton
Total
1996
1997
1998
1999
2000
2001
4,758
891
795
731
838
781
722
64.0
57.8
52.5
59.1
72.4
75.2
67.5
12.5
10.9
11.6
14.5
13.4
13.3
11.6
10.1
7.4
13.3
14.5
10.7
8.3
--
10.3
14.6
15.7
19.4
----
97.0
90.7
93.1
107.5
----
217
Columbia
Total
1996
1997
1998
1999
2000
2001
3,784
670
664
598
596
661
595
48.1
50.1
41.3
47.2
48.8
52.2
49.1
8.6
9.0
8.9
8.4
8.1
8.6
8.7
9.2
8.4
7.7
10.5
12.4
8.3
--
9.4
13.1
12.7
14.2
----
75.3
80.6
70.5
80.3
----
84
Cortland
Total
1996
1997
1998
1999
2000
2001
3,436
583
562
602
572
564
553
66.5
62.4
64.9
58.1
66.3
71.1
77.2
9.5
10.5
8.0
11.3
10.1
8.5
8.7
11.1
9.6
13.9
13.0
11.0
11.7
--
10.5
13.9
17.1
15.4
----
97.7
96.4
103.9
97.8
----
45
Delaware
Total
1996
1997
1998
1999
2000
2001
2,731
454
491
456
458
461
411
55.3
60.1
56.2
55.5
51.1
54.9
54.0
9.9
10.4
11.6
9.9
9.2
10.8
7.3
11.2
7.9
11.2
11.2
11.4
14.5
--
10.7
11.5
15.5
16.7
----
87.1
89.9
94.5
93.2
----
8
Dutchess
Total
1996
1997
1998
1999
2000
2001
19,791
3,348
3,399
3,299
3,186
3,340
3,219
55.6
57.9
51.3
46.0
53.4
61.4
63.6
9.8
8.7
8.3
9.5
11.8
10.3
10.0
19.8
14.9
19.9
24.4
23.4
21.4
--
10.6
14.8
17.0
16.4
----
95.8
96.4
96.5
96.3
----
960
Erie
Total
1996
1997
1998
1999
2000
2001
68,452
12,031
11,635
11,566
11,171
11,237
10,812
65.9
66.4
65.5
63.9
62.8
68.3
68.6
9.6
9.2
9.0
9.3
10.2
10.3
9.5
10.1
9.0
10.2
11.0
12.6
10.3
--
5.8
8.1
8.9
8.2
----
91.4
92.7
93.6
92.4
----
3,415
Essex
Total
1996
1997
1998
1999
2000
2001
2,276
413
391
370
390
351
361
47.1
38.3
37.1
52.2
52.1
44.4
60.1
11.6
10.9
9.7
14.6
9.2
12.5
13.0
10.2
9.4
11.5
12.7
11.8
9.7
--
11.2
16.9
14.3
16.5
----
80.1
75.5
72.6
95.9
----
87
County
Records
with No
Birth Date
Provided
*Source: Vital Statistics of New York State.
**Children who change county of residence could be in screening data in multiple counties, but in birth cohort data in only one county; this could cause screening rates in some
counties to exceed 100%.
Table 1: Percentage of Children Screened for Elevated Blood Lead by Age (in months) at Time of First (or Initial) Lead Test:
New York State excluding New York City
2002 - 2003 Supplemental Report
Birth
Cohort
Year
Number of
Births*
Percent
Screened
0 - <16
months
Percent
Screened
16 - <24
months
Percent
Screened
24 - <36
months
Percent
Screened
36 - <72
months
Total
Percent**
Screened
Franklin
Total
1996
1997
1998
1999
2000
2001
2,818
510
465
488
444
467
444
32.9
46.9
29.9
30.7
37.2
25.3
25.9
7.6
10.0
9.9
7.6
4.3
7.3
6.1
6.4
6.9
11.6
6.8
5.9
4.5
--
12.8
16.7
12.3
16.4
----
59.7
80.4
63.7
61.5
----
85
Fulton
Total
1996
1997
1998
1999
2000
2001
3,695
641
626
616
581
607
624
53.7
50.5
53.4
54.4
49.2
54.7
59.9
12.0
11.4
11.2
11.5
14.3
12.4
11.7
12.5
10.8
11.0
14.9
12.9
15.5
--
12.5
17.8
19.6
20.3
----
90.8
90.5
95.2
101.1
----
135
Genesee
Total
1996
1997
1998
1999
2000
2001
4,328
753
755
696
738
686
700
39.9
38.8
38.3
39.4
37.8
39.7
46.0
9.6
10.1
9.0
9.5
11.4
9.3
8.0
10.3
10.0
9.8
10.9
12.3
12.1
--
9.9
14.3
15.8
15.1
----
69.6
73.2
72.8
74.9
----
571
Greene
Total
1996
1997
1998
1999
2000
2001
2,824
499
491
509
433
479
413
54.4
55.5
47.9
53.4
56.8
58.7
54.7
10.5
9.2
9.6
9.2
10.9
13.2
11.4
15.4
14.8
12.8
16.9
15.5
19.8
--
11.4
13.0
17.3
16.3
----
91.8
92.6
87.6
95.9
----
31
Hamilton
Total
1996
1997
1998
1999
2000
2001
258
43
45
36
33
48
53
34.9
33.0
18.0
11.0
48.0
52.1
43.4
17.8
9.0
9.0
39.0
39.0
16.7
6.3
17.1
5.0
18.0
28.0
12.0
22.9
--
25.0
44.0
6.7
25.0
----
94.8
91.0
51.7
103.0
----
0
Herkimer
Total
1996
1997
1998
1999
2000
2001
4,065
704
700
659
671
659
672
48.9
49.7
51.6
48.1
50.1
47.3
46.3
13.8
14.3
13.1
13.7
16.8
12.7
12.2
13.4
15.6
11.4
13.8
15.1
14.3
--
12.5
20.6
18.6
17.6
----
88.6
100.3
94.7
93.2
----
20
Jefferson
Total
1996
1997
1998
1999
2000
2001
10,390
1,793
1,734
1,719
1,757
1,655
1,732
58.2
58.1
54.6
52.3
61.9
60.3
62.2
11.3
11.5
11.2
13.0
10.3
11.3
10.8
13.2
10.0
12.4
14.4
14.5
15.6
--
8.7
12.4
13.0
12.6
----
91.4
92.1
91.2
92.3
----
11
Lewis
Total
1996
1997
1998
1999
2000
2001
2,058
369
336
341
333
336
343
49.1
45.8
60.7
51.0
45.6
53.3
38.5
9.7
11.7
8.3
9.1
11.4
7.7
9.6
13.2
8.1
13.1
15.0
15.9
12.8
--
9.0
14.6
10.4
10.6
----
81.0
80.2
92.6
85.6
----
275
County
Records
with No
Birth Date
Provided
*Source: Vital Statistics of New York State.
**Children who change county of residence could be in screening data in multiple counties, but in birth cohort data in only one county; this could cause screening rates in some
counties to exceed 100%.
Table 1: Percentage of Children Screened for Elevated Blood Lead by Age (in months) at Time of First (or Initial) Lead Test:
New York State excluding New York City
2002 - 2003 Supplemental Report
Birth
Cohort
Year
Number of
Births*
Percent
Screened
0 - <16
months
Percent
Screened
16 - <24
months
Percent
Screened
24 - <36
months
Percent
Screened
36 - <72
months
Total
Percent**
Screened
Livingston
Total
1996
1997
1998
1999
2000
2001
4,091
712
706
665
698
668
642
45.5
46.6
45.3
49.2
44.1
46.1
41.3
7.3
7.9
7.9
8.1
10.3
6.3
3.1
8.6
7.0
11.2
8.0
12.3
6.1
--
5.9
8.0
10.6
9.8
----
67.3
69.5
75.1
75.0
----
39
Madison
Total
1996
1997
1998
1999
2000
2001
4,860
858
826
861
764
787
764
57.3
53.4
50.8
55.4
60.3
62.6
62.0
9.1
10.0
8.1
8.1
11.4
7.2
9.7
13.5
12.2
13.2
15.9
13.9
14.1
--
7.2
13.4
10.3
8.5
----
87.0
89.0
82.4
87.9
----
19
Monroe
Total
1996
1997
1998
1999
2000
2001
56,617
9,669
9,622
9,653
9,225
9,493
8,955
62.8
64.9
61.8
63.2
62.3
61.0
63.5
7.7
7.7
7.8
7.6
7.6
7.7
7.9
6.7
7.0
7.7
7.5
6.7
6.6
--
4.0
5.9
6.1
5.3
----
81.2
85.6
83.4
83.6
----
687
Montgomery
Total
1996
1997
1998
1999
2000
2001
3,575
575
594
603
575
611
617
42.1
27.8
34.2
46.3
47.5
47.6
48.6
15.9
13.9
16.7
14.6
18.8
13.6
17.8
13.1
12.3
13.6
14.3
13.2
16.7
--
15.7
28.3
22.7
20.4
----
86.9
82.4
87.2
95.5
----
18
Nassau
Total
1996
1997
1998
1999
2000
2001
102,182
17,722
17,100
17,186
16,935
16,979
16,260
54.5
53.0
54.0
52.5
55.8
58.7
53.1
11.6
11.3
11.1
11.8
12.6
12.8
9.8
16.5
17.0
17.1
17.7
19.2
17.4
--
14.3
23.5
23.5
20.5
----
97.0
104.9
105.8
102.5
----
1,739
Niagara
Total
1996
1997
1998
1999
2000
2001
15,606
2,744
2,641
2,632
2,592
2,514
2,483
54.7
57.5
55.2
52.5
50.6
55.9
56.3
10.7
11.3
12.3
11.1
9.8
9.4
9.9
12.4
10.8
12.0
13.9
14.9
14.2
--
7.4
10.9
9.9
10.8
----
85.2
90.4
89.4
88.3
----
5
Oneida
Total
1996
1997
1998
1999
2000
2001
15,670
2,702
2,702
2,611
2,648
2,499
2,508
49.6
50.7
51.9
49.4
49.8
47.5
48.0
11.8
13.7
12.2
12.9
11.7
10.8
9.0
13.7
16.4
12.6
13.5
12.8
15.1
--
9.0
14.1
13.5
13.0
----
84.1
95.0
90.2
88.8
----
166
Onondaga
Total
1996
1997
1998
1999
2000
2001
36,053
6,283
5,972
5,965
6,043
6,015
5,775
67.4
65.8
69.5
67.9
65.9
66.7
68.9
11.6
11.4
11.3
11.4
11.2
12.4
12.1
9.7
10.0
8.9
10.1
11.0
10.6
--
7.6
11.1
10.8
11.5
----
96.3
98.3
100.5
100.8
----
16
County
Records
with No
Birth Date
Provided
*Source: Vital Statistics of New York State.
**Children who change county of residence could be in screening data in multiple counties, but in birth cohort data in only one county; this could cause screening rates in some
counties to exceed 100%.
Table 1: Percentage of Children Screened for Elevated Blood Lead by Age (in months) at Time of First (or Initial) Lead Test:
New York State excluding New York City
2002 - 2003 Supplemental Report
Birth
Cohort
Year
Number of
Births*
Percent
Screened
0 - <16
months
Percent
Screened
16 - <24
months
Percent
Screened
24 - <36
months
Percent
Screened
36 - <72
months
Total
Percent**
Screened
Ontario
Total
1996
1997
1998
1999
2000
2001
6,872
1,146
1,180
1,182
1,071
1,152
1,141
61.6
51.0
48.7
53.5
70.0
73.4
74.2
5.2
6.1
5.3
5.0
5.2
4.4
4.9
11.8
10.7
13.3
16.0
12.5
11.5
--
5.9
9.1
9.6
7.5
----
84.5
77.0
76.9
82.0
----
325
Orange
Total
1996
1997
1998
1999
2000
2001
29,224
4,893
4,869
4,766
4,850
4,910
4,936
40.9
40.7
36.2
36.2
41.9
41.4
49.0
11.4
8.8
9.5
12.6
11.3
13.0
13.5
13.1
9.0
12.1
14.4
15.6
17.0
--
12.8
16.9
20.7
20.5
----
78.3
75.4
78.4
83.7
----
207
Orleans
Total
1996
1997
1998
1999
2000
2001
3,153
526
550
551
530
531
465
54.1
50.2
55.3
51.0
57.4
58.2
52.5
13.1
11.6
11.5
13.4
16.8
11.5
13.8
13.2
14.6
12.5
16.2
11.3
14.9
--
12.3
21.7
18.0
14.9
----
92.7
98.1
97.3
95.5
----
183
Oswego
Total
1996
1997
1998
1999
2000
2001
8,811
1,509
1,445
1,473
1,485
1,477
1,422
59.9
60.8
64.1
64.2
59.3
54.7
56.5
10.9
10.9
10.9
9.9
10.8
11.4
11.7
11.6
11.1
9.6
10.2
12.4
15.7
--
10.1
16.0
14.7
14.3
----
92.6
98.7
99.4
98.5
----
160
Otsego
Total
1996
1997
1998
1999
2000
2001
3,375
549
586
568
576
573
523
72.2
75.4
72.2
68.1
71.5
72.6
73.6
9.1
11.7
9.7
9.3
7.5
8.0
8.4
13.1
13.5
13.7
15.1
13.9
15.2
--
9.6
14.2
13.5
15.8
----
104.0
114.8
109.0
108.5
----
8
Putnam
Total
1996
1997
1998
1999
2000
2001
7,308
1,282
1,227
1,231
1,177
1,192
1,199
56.1
49.1
52.4
45.7
60.6
63.1
66.7
10.3
10.8
8.8
9.3
9.1
11.4
12.2
22.7
20.7
22.0
26.3
24.5
24.3
--
11.4
13.3
18.6
17.4
----
100.5
93.9
101.8
98.8
----
445
Rensselaer
Total
1996
1997
1998
1999
2000
2001
10,658
1,945
1,784
1,768
1,742
1,706
1,713
57.8
54.0
56.9
54.5
51.8
58.1
72.1
11.0
10.0
8.7
9.0
11.0
13.4
14.4
16.1
12.2
13.7
15.7
19.5
21.7
--
14.3
20.6
19.8
18.9
----
99.2
96.8
99.1
98.1
----
367
Rockland
Total
1996
1997
1998
1999
2000
2001
26,679
4,239
4,341
4,435
4,500
4,563
4,601
46.5
42.7
42.2
42.1
48.0
44.1
59.4
13.4
11.2
13.8
14.7
10.8
15.5
14.1
17.8
18.2
18.5
19.1
17.8
21.2
--
12.6
20.2
20.1
19.2
----
90.3
92.4
94.6
95.1
----
1,419
County
Records
with No
Birth Date
Provided
*Source: Vital Statistics of New York State.
**Children who change county of residence could be in screening data in multiple counties, but in birth cohort data in only one county; this could cause screening rates in some
counties to exceed 100%.
Table 1: Percentage of Children Screened for Elevated Blood Lead by Age (in months) at Time of First (or Initial) Lead Test:
New York State excluding New York City
2002 - 2003 Supplemental Report
Birth
Cohort
Year
Number of
Births*
Percent
Screened
0 - <16
months
Percent
Screened
16 - <24
months
Percent
Screened
24 - <36
months
Percent
Screened
36 - <72
months
Total
Percent**
Screened
Saratoga
Total
1996
1997
1998
1999
2000
2001
14,773
2,523
2,405
2,526
2,404
2,499
2,416
47.4
50.1
44.1
46.1
49.9
45.6
48.7
6.3
7.1
6.9
6.0
5.8
6.0
6.0
9.9
9.8
9.8
11.6
9.3
10.5
--
5.7
8.7
9.0
8.3
----
69.3
75.8
69.9
72.0
----
783
Schenectady
Total
1996
1997
1998
1999
2000
2001
10,401
1,777
1,750
1,739
1,724
1,710
1,701
49.7
49.5
47.3
50.9
49.6
50.4
50.3
11.0
10.4
10.2
11.0
10.4
13.3
10.8
12.2
11.6
11.6
11.4
13.3
14.7
--
8.9
11.1
12.9
13.5
----
81.8
82.6
81.9
86.8
----
466
Schoharie
Total
1996
1997
1998
1999
2000
2001
1,949
364
341
317
307
321
299
40.6
42.9
39.3
42.0
39.4
38.3
41.8
13.0
13.7
10.9
13.9
12.1
14.3
13.4
10.7
8.2
10.3
9.8
12.4
15.6
--
12.2
15.1
19.1
16.7
----
76.5
79.9
79.5
82.3
----
4
Schuyler
Total
1996
1997
1998
1999
2000
2001
1,275
206
205
213
214
219
218
33.0
34.0
30.7
38.0
30.8
29.7
34.9
9.1
12.1
10.7
10.3
4.2
6.4
11.0
11.5
11.2
16.1
10.8
10.3
11.0
--
15.8
19.9
21.5
29.6
----
69.4
77.2
79.0
88.7
----
14
Seneca
Total
1996
1997
1998
1999
2000
2001
2,238
395
374
368
364
365
372
52.5
47.8
40.9
53.0
55.8
60.3
57.8
5.6
4.3
7.8
4.9
3.3
8.2
5.1
7.9
7.1
8.3
5.4
10.7
11.5
--
6.7
10.4
9.4
7.9
----
72.7
69.6
66.3
71.2
----
47
St. Lawrence
Total
1996
1997
1998
1999
2000
2001
7,242
1,242
1,181
1,202
1,152
1,225
1,240
41.3
50.2
39.0
38.8
40.8
36.7
42.2
8.4
6.0
8.2
7.9
8.3
8.9
10.8
7.3
6.7
9.0
8.6
6.8
8.1
--
11.4
13.5
18.6
16.0
----
68.4
76.5
74.8
71.2
----
152
Steuben
Total
1996
1997
1998
1999
2000
2001
7,039
1,136
1,186
1,183
1,176
1,183
1,175
39.3
23.9
22.2
39.0
48.4
53.1
49.1
8.2
5.2
8.8
10.2
8.1
10.3
6.7
11.0
8.9
10.8
10.8
13.8
11.9
--
14.6
28.0
25.0
21.2
----
73.2
65.9
66.7
81.2
----
20
Suffolk
Total
1996
1997
1998
1999
2000
2001
119,898
19,953
19,862
19,921
19,948
20,248
19,966
40.7
40.5
39.4
39.9
42.2
42.4
39.5
10.8
10.4
10.5
11.5
11.0
11.8
9.8
13.5
14.9
15.6
15.6
15.7
13.5
--
11.7
21.2
20.0
16.6
----
76.6
87.0
85.5
83.6
----
5,218
County
Records
with No
Birth Date
Provided
*Source: Vital Statistics of New York State.
**Children who change county of residence could be in screening data in multiple counties, but in birth cohort data in only one county; this could cause screening rates in some
counties to exceed 100%.
Table 1: Percentage of Children Screened for Elevated Blood Lead by Age (in months) at Time of First (or Initial) Lead Test:
New York State excluding New York City
2002 - 2003 Supplemental Report
Birth
Cohort
Year
Number of
Births*
Percent
Screened
0 - <16
months
Percent
Screened
16 - <24
months
Percent
Screened
24 - <36
months
Percent
Screened
36 - <72
months
Total
Percent**
Screened
Sullivan
Total
1996
1997
1998
1999
2000
2001
5,038
839
839
827
857
829
847
35.5
39.8
41.5
37.2
31.3
28.2
35.1
11.0
9.9
10.4
11.1
10.3
10.5
13.9
9.7
7.6
9.1
10.2
9.3
14.1
--
16.3
22.5
23.2
24.1
----
72.4
79.9
84.1
82.6
----
39
Tioga
Total
1996
1997
1998
1999
2000
2001
3,646
630
642
548
631
606
589
44.7
32.2
45.6
49.3
42.6
52.3
47.0
7.8
6.5
6.1
8.6
9.2
7.9
8.7
10.6
9.8
11.7
10.8
12.2
11.7
--
10.3
14.8
16.4
15.7
----
73.4
63.3
79.8
84.3
----
33
Tompkins
Total
1996
1997
1998
1999
2000
2001
5,128
851
857
829
897
828
866
68.2
63.1
64.2
63.2
72.8
72.7
72.9
10.5
12.0
9.1
9.0
11.9
8.3
12.2
18.4
18.2
21.2
23.5
17.7
17.4
--
7.7
10.8
12.1
13.3
----
104.8
104.1
106.7
109.0
----
115
Ulster
Total
1996
1997
1998
1999
2000
2001
11,115
1,976
1,922
1,849
1,758
1,798
1,812
49.1
47.1
47.6
46.3
47.3
51.3
55.4
9.9
9.4
8.4
9.7
10.4
10.5
11.3
14.7
12.1
13.3
14.6
18.9
16.5
--
8.7
10.5
12.8
13.9
----
82.5
79.1
82.1
84.6
----
89
Warren
Total
1996
1997
1998
1999
2000
2001
3,953
673
689
646
650
625
670
49.5
54.7
48.0
49.5
48.8
49.6
46.3
8.5
6.4
7.5
9.3
7.8
9.4
10.7
7.9
7.3
6.2
9.1
10.5
9.4
--
7.6
10.1
11.8
10.8
----
73.5
78.5
73.6
78.8
----
3
Washington
Total
1996
1997
1998
1999
2000
2001
3,758
695
610
582
641
612
618
52.4
46.8
50.3
53.3
54.6
52.3
57.9
9.2
8.5
8.0
9.6
10.3
9.8
9.1
8.1
5.2
10.3
10.1
10.1
7.8
--
10.9
14.2
18.5
18.2
----
80.6
74.7
87.2
91.2
----
53
Wayne
Total
1996
1997
1998
1999
2000
2001
7,263
1,217
1,261
1,273
1,245
1,168
1,099
43.2
42.2
38.3
40.1
42.4
43.8
53.5
10.0
9.2
8.7
11.7
11.2
9.7
9.3
12.1
11.2
14.0
13.0
13.3
12.0
--
10.4
15.1
18.0
12.8
----
75.7
77.7
79.1
77.6
----
57
Westchester
Total
1996
1997
1998
1999
2000
2001
76,877
12,696
12,655
12,829
12,598
13,300
12,799
63.9
59.6
58.7
58.9
68.9
67.5
69.4
12.9
13.1
13.3
13.7
12.5
12.7
11.8
19.2
19.8
21.9
23.8
19.0
18.2
--
14.6
24.4
25.0
19.9
----
110.5
116.9
118.9
116.4
----
4,591
County
Records
with No
Birth Date
Provided
*Source: Vital Statistics of New York State.
**Children who change county of residence could be in screening data in multiple counties, but in birth cohort data in only one county; this could cause screening rates in some
counties to exceed 100%.
Table 1: Percentage of Children Screened for Elevated Blood Lead by Age (in months) at Time of First (or Initial) Lead Test:
New York State excluding New York City
2002 - 2003 Supplemental Report
Birth
Cohort
Year
Number of
Births*
Percent
Screened
0 - <16
months
Percent
Screened
16 - <24
months
Percent
Screened
24 - <36
months
Percent
Screened
36 - <72
months
Total
Percent**
Screened
Wyoming
Total
1996
1997
1998
1999
2000
2001
2,660
471
443
462
422
428
434
40.3
39.9
36.6
31.6
33.4
43.5
57.4
10.6
10.4
10.6
8.9
11.1
11.7
10.8
11.0
8.7
10.6
11.5
13.0
15.4
--
10.3
13.4
16.9
14.7
----
72.1
72.4
74.7
66.7
----
8
Yates
Total
1996
1997
1998
1999
2000
2001
1,898
327
331
344
318
273
305
44.8
48.9
43.5
43.0
42.5
43.6
47.5
7.7
11.6
6.3
4.7
7.2
6.2
10.5
9.7
11.6
11.5
8.4
8.8
10.6
--
7.7
9.2
15.4
9.3
----
70.0
81.3
76.7
65.4
----
11
County
Records
with No
Birth Date
Provided
*Source: Vital Statistics of New York State.
**Children who change county of residence could be in screening data in multiple counties, but in birth cohort data in only one county; this could cause screening rates in some
counties to exceed 100%.
Table 2: Prevalence of Confirmed Elevated Blood Lead Levels, Among Children Tested Before Six Years of Age:
New York State excluding New York City
2002-2003 Supplemental Report
Number
Number
Identified
Identified
Prevalence
Prevalence
Overall
Rate/100 Tested
Rate/100 Tested
Rate/100 Tested
≥ 20 µg/dL
Number
Children
Tested
Year of Test
10-19 µg/dL
10-19 µg/dL
≥ 20 µg/dL
≥ 10 µg/dL
Statewide
(excluding NYC)
Total
2002
2003
8,761
4,621
4,140
882
469
413
378,240
195,147
183,093
2.32
2.37
2.26
0.23
0.24
0.22
2.55
2.61
2.48
Albany
Total
2002
2003
261
138
123
47
29
18
7,916
4,300
3,616
3.30
3.20
3.40
0.59
0.70
0.50
3.89
3.90
3.90
Allegany
Total
2002
2003
21
12
9
0
0
0
1,162
632
530
1.81
1.90
1.70
0.00
0.00
0.00
1.81
1.90
1.70
Broome
Total
2002
2003
102
51
51
10
4
6
4,121
2,142
1,979
2.48
2.40
2.60
0.24
0.20
0.30
2.72
2.60
2.90
Cattaraugus
Total
2002
2003
43
21
22
3
2
1
2,710
1,410
1,300
1.59
1.50
1.70
0.11
0.10
0.10
1.70
1.60
1.80
Cayuga
Total
2002
2003
36
23
13
9
3
6
2,926
1,543
1,383
1.23
1.50
0.90
0.31
0.20
0.40
1.54
1.70
1.40
Chautauqua
Total
2002
2003
111
57
54
7
3
4
5,265
2,613
2,652
2.11
2.20
2.00
0.13
0.10
0.20
2.24
2.30
2.20
Chemung
Total
2002
2003
84
32
52
6
4
2
2,346
1,123
1,223
3.58
2.90
4.30
0.26
0.40
0.20
3.84
3.20
4.40
Chenango
Total
2002
2003
40
23
17
4
1
3
1,463
789
674
2.73
2.90
2.50
0.27
0.10
0.40
3.01
3.00
3.00
Clinton
Total
2002
2003
33
17
16
0
0
0
2,081
1,052
1,029
1.59
1.60
1.60
0.00
0.00
0.00
1.59
1.60
1.60
Columbia
Total
2002
2003
59
24
35
7
1
6
1,422
690
732
4.15
3.50
4.80
0.49
0.10
0.80
4.64
3.60
5.60
Cortland
Total
2002
2003
38
19
19
3
3
0
2,022
964
1,058
1.88
2.00
1.80
0.15
0.30
0.00
2.03
2.30
1.80
Delaware
Total
2002
2003
40
17
23
4
1
3
1,163
535
628
3.44
3.20
3.70
0.34
0.20
0.50
3.78
3.40
4.10
Dutchess
Total
2002
2003
122
60
62
16
4
12
9,966
5,134
4,832
1.22
1.20
1.30
0.16
0.10
0.20
1.38
1.20
1.50
Erie
Total
2002
2003
1,662
929
733
168
99
69
34,652
18,169
16,483
4.80
5.10
4.40
0.48
0.50
0.40
5.28
5.70
4.90
Essex
Total
2002
2003
22
7
15
2
0
2
888
449
439
2.48
1.60
3.40
0.23
0.00
0.50
2.70
1.60
3.90
Franklin
Total
2002
2003
10
4
6
0
0
0
643
304
339
1.56
1.30
1.80
0.00
0.00
0.00
1.56
1.30
1.80
County
Table 2: Prevalence of Confirmed Elevated Blood Lead Levels, Among Children Tested Before Six Years of Age:
New York State excluding New York City
2002-2003 Supplemental Report
Number
Number
Identified
Identified
Prevalence
Prevalence
Overall
Rate/100 Tested
Rate/100 Tested
Rate/100 Tested
10-19 µg/dL
≥ 20 µg/dL
≥ 10 µg/dL
County
Year of Test
10-19 µg/dL
≥ 20 µg/dL
Number
Children
Tested
Fulton
Total
2002
2003
111
58
53
9
4
5
1,748
921
827
6.35
6.30
6.40
0.51
0.40
0.60
6.86
6.70
7.00
Genesee
Total
2002
2003
25
13
12
3
2
1
1,341
709
632
1.86
1.80
1.90
0.22
0.30
0.20
2.09
2.10
2.10
Greene
Total
2002
2003
51
22
29
0
0
0
1,317
644
673
3.87
3.40
4.30
0.00
0.00
0.00
3.87
3.40
4.30
Hamilton
Total
2002
2003
0
0
0
0
0
0
97
56
41
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
Herkimer
Total
2002
2003
56
34
22
4
2
2
1,849
917
932
3.03
3.70
2.40
0.22
0.20
0.20
3.24
3.90
2.60
Jefferson
Total
2002
2003
65
39
26
6
3
3
4,541
2,285
2,256
1.43
1.70
1.20
0.13
0.10
0.10
1.56
1.80
1.30
Lewis
Total
2002
2003
19
8
11
3
1
2
767
338
429
2.48
2.40
2.60
0.39
0.30
0.50
2.87
2.70
3.00
Livingston
Total
2002
2003
26
12
14
1
1
0
1,362
572
790
1.91
2.10
1.80
0.07
0.20
0.00
1.98
2.30
1.80
Madison
Total
2002
2003
35
14
21
1
1
0
2,067
1,047
1,020
1.69
1.30
2.10
0.05
0.10
0.00
1.74
1.40
2.10
Monroe
Total
2002
2003
1,481
766
715
177
105
72
27,615
13,721
13,894
5.36
5.60
5.10
0.64
0.80
0.50
6.00
6.30
5.70
Montgomery
Total
2002
2003
103
51
52
4
2
2
1,622
780
842
6.35
6.50
6.20
0.25
0.30
0.20
6.60
6.80
6.40
Nassau
Total
2002
2003
312
177
135
35
16
19
47,390
26,126
21,264
0.66
0.70
0.60
0.07
0.10
0.10
0.73
0.70
0.70
Niagara
Total
2002
2003
129
72
57
13
10
3
6,201
3,180
3,021
2.08
2.30
1.90
0.21
0.30
0.10
2.29
2.60
2.00
Oneida
Total
2002
2003
429
187
242
52
23
29
6,251
3,026
3,225
6.86
6.20
7.50
0.83
0.80
0.90
7.69
6.90
8.40
Onondaga
Total
2002
2003
822
465
357
46
23
23
20,600
10,076
10,524
3.99
4.60
3.40
0.22
0.20
0.20
4.21
4.80
3.60
Ontario
Total
2002
2003
52
26
26
4
2
2
3,049
1,587
1,462
1.71
1.60
1.80
0.13
0.10
0.10
1.84
1.80
1.90
Orange
Total
2002
2003
439
218
221
54
26
28
14,537
7,082
7,455
3.02
3.10
3.00
0.37
0.40
0.40
3.39
3.40
3.30
Table 2: Prevalence of Confirmed Elevated Blood Lead Levels, Among Children Tested Before Six Years of Age:
New York State excluding New York City
2002-2003 Supplemental Report
Number
Number
Identified
Identified
Prevalence
Prevalence
Overall
Rate/100 Tested
Rate/100 Tested
Rate/100 Tested
10-19 µg/dL
≥ 20 µg/dL
≥ 10 µg/dL
County
Year of Test
10-19 µg/dL
≥ 20 µg/dL
Number
Children
Tested
Orleans
Total
2002
2003
47
25
22
3
1
2
1,275
610
665
3.69
4.10
3.30
0.24
0.20
0.30
3.92
4.30
3.60
Oswego
Total
2002
2003
44
29
15
4
3
1
3,985
1,977
2,008
1.10
1.50
0.70
0.10
0.20
0.10
1.20
1.60
0.80
Otsego
Total
2002
2003
41
16
25
3
2
1
1,826
894
932
2.25
1.80
2.70
0.16
0.20
0.10
2.41
2.00
2.80
Putnam
Total
2002
2003
20
12
8
1
0
1
3,947
1,935
2,012
0.51
0.60
0.40
0.03
0.00
0.10
0.53
0.60
0.40
Rensselaer
Total
2002
2003
183
95
88
27
14
13
5,844
2,788
3,056
3.13
3.40
2.90
0.46
0.50
0.40
3.59
3.90
3.30
Rockland
Total
2002
2003
110
49
61
20
11
9
13,257
6,743
6,514
0.83
0.70
0.90
0.15
0.20
0.10
0.98
0.90
1.10
St. Lawrence
Total
2002
2003
36
25
11
1
0
1
2,460
1,229
1,231
1.46
2.00
0.90
0.04
0.00
0.10
1.50
2.00
1.00
Saratoga
Total
2002
2003
47
27
20
5
1
4
4,068
1,979
2,089
1.16
1.40
1.00
0.12
0.10
0.20
1.28
1.40
1.10
Schenectady
Total
2002
2003
116
68
48
11
7
4
4,053
1,986
2,067
2.86
3.40
2.30
0.27
0.40
0.20
3.13
3.80
2.50
Schoharie
Total
2002
2003
22
13
9
0
0
0
697
365
332
3.16
3.60
2.70
0.00
0.00
0.00
3.16
3.60
2.70
Schuyler
Total
2002
2003
11
6
5
0
0
0
448
220
228
2.46
2.70
2.20
0.00
0.00
0.00
2.46
2.70
2.20
Seneca
Total
2002
2003
19
6
13
1
1
0
776
383
393
2.45
1.60
3.30
0.13
0.30
0.00
2.58
1.80
3.30
Steuben
Total
2002
2003
57
30
27
2
2
0
3,070
1,575
1,495
1.86
1.90
1.80
0.07
0.10
0.00
1.92
2.00
1.80
Suffolk
Total
2002
2003
202
118
84
33
16
17
37,524
21,709
15,815
0.54
0.50
0.50
0.09
0.10
0.10
0.63
0.60
0.60
Sullivan
Total
2002
2003
37
18
19
4
0
4
1,760
824
936
2.10
2.20
2.00
0.23
0.00
0.40
2.33
2.20
2.50
Tioga
Total
2002
2003
28
13
15
4
2
2
1,264
619
645
2.22
2.10
2.30
0.32
0.30
0.30
2.53
2.40
2.60
Tompkins
Total
2002
2003
22
13
9
0
0
0
2,529
1,251
1,278
0.87
1.00
0.70
0.00
0.00
0.00
0.87
1.00
0.70
Table 2: Prevalence of Confirmed Elevated Blood Lead Levels, Among Children Tested Before Six Years of Age:
New York State excluding New York City
2002-2003 Supplemental Report
Number
Number
Identified
Identified
Prevalence
Prevalence
Overall
Rate/100 Tested
Rate/100 Tested
Rate/100 Tested
≥ 20 µg/dL
Number
Children
Tested
Year of Test
10-19 µg/dL
10-19 µg/dL
≥ 20 µg/dL
≥ 10 µg/dL
Ulster
Total
2002
2003
116
57
59
10
4
6
5,120
2,521
2,599
2.27
2.30
2.30
0.20
0.20
0.20
2.46
2.40
2.50
Warren
Total
2002
2003
33
18
15
1
1
0
1,250
632
618
2.64
2.80
2.40
0.08
0.20
0.00
2.72
3.00
2.40
Washington
Total
2002
2003
67
39
28
16
11
5
1,353
704
649
4.95
5.50
4.30
1.18
1.60
0.80
6.13
7.10
5.10
Wayne
Total
2002
2003
49
28
21
4
1
3
2,535
1,239
1,296
1.93
2.30
1.60
0.16
0.10
0.20
2.09
2.30
1.90
Westchester
Total
2002
2003
577
303
274
33
16
17
54,480
27,205
27,275
1.06
1.10
1.00
0.06
0.10
0.10
1.12
1.20
1.10
Wyoming
Total
2002
2003
14
6
8
0
0
0
1,015
546
469
1.38
1.10
1.70
0.00
0.00
0.00
1.38
1.10
1.70
Yates
Total
2002
2003
23
11
12
1
1
0
604
297
307
3.81
3.70
3.90
0.17
0.30
0.00
3.97
4.00
3.90
County
Table 3: Statewide and County Level New Case Rates 1 (Incidence):
New York State excluding New York City
2002-2003 Supplemental Report
County
1
Year of
Test
Number
Number
Newly
Newly
Identified Identified ≥
10-19 µg/dL 20 µg/dL
Number
of
Children
Screened
New Case
Rate/ 100
Screened
10-19 µg/dL
New Case
Rate/ 100
Screened
≥ 20 µg/dL
Overall
New Case
Rate/ 100
Screened
≥ 10 µg/dL
Statewide
(excluding NYC)
Total
2002
2003
5,117
2,735
2,383
862
440
422
368,196
189,991
178,205
1.39
1.44
1.34
0.23
0.23
0.24
1.62
1.67
1.57
Albany
Total
2002
2003
167
92
75
37
20
17
7,649
4,161
3,488
2.18
2.20
2.20
0.48
0.50
0.50
2.67
2.70
2.60
Allegany
Total
2002
2003
15
9
6
0
0
0
1,146
624
522
1.31
1.40
1.20
0.00
0.00
0.00
1.31
1.40
1.20
Broome
Total
2002
2003
68
34
34
8
3
5
4,023
2,096
1,927
1.69
1.60
1.80
0.20
0.10
0.30
1.89
1.80
2.00
Cattaraugus
Total
2002
2003
34
16
18
1
1
0
2,663
1,384
1,279
1.28
1.20
1.40
0.04
0.10
0.00
1.31
1.20
1.40
Cayuga
Total
2002
2003
20
15
5
10
3
7
2,869
1,513
1,356
0.70
1.00
0.40
0.35
0.20
0.50
1.05
1.20
0.90
Chautauqua
Total
2002
2003
73
37
36
7
2
5
5,111
2,525
2,586
1.43
1.50
1.40
0.14
0.10
0.20
1.57
1.50
1.60
Chemung
Total
2002
2003
53
21
32
6
4
2
2,231
1,067
1,164
2.38
2.00
2.80
0.27
0.40
0.20
2.64
2.30
2.90
Chenango
Total
2002
2003
24
14
10
7
4
3
1,423
771
652
1.69
1.80
1.50
0.49
0.50
0.50
2.18
2.30
2.00
Clinton
Total
2002
2003
19
9
10
2
2
0
2,042
1,032
1,010
0.93
0.90
1.00
0.10
0.20
0.00
1.03
1.10
1.00
Columbia
Total
2002
2003
43
17
26
7
0
7
1,365
657
708
3.15
2.60
3.70
0.51
0.00
1.00
3.66
2.60
4.70
Cortland
Total
2002
2003
26
13
13
3
2
1
1,975
944
1,031
1.32
1.40
1.30
0.15
0.20
0.10
1.47
1.60
1.40
Delaware
Total
2002
2003
29
12
17
4
1
3
1,126
518
608
2.58
2.30
2.80
0.36
0.20
0.50
2.93
2.50
3.30
Dutchess
Total
2002
2003
82
39
43
21
9
12
9,846
5,078
4,768
0.83
0.80
0.90
0.21
0.20
0.30
1.05
1.00
1.20
Erie
Total
2002
2003
862
492
370
104
54
50
32,669
17,097
15,572
2.64
2.90
2.40
0.32
0.30
0.30
2.96
3.20
2.70
Essex
Total
2002
2003
14
5
9
2
0
2
867
436
431
1.61
1.20
2.10
0.23
0.00
0.50
1.85
1.20
2.60
Children screened before age six with a newly confirmed elevated blood lead level at 10 µg/dL or greater.
Table 3: Statewide and County Level New Case Rates 1 (Incidence):
New York State excluding New York City
2002-2003 Supplemental Report
County
1
Year of
Test
Number
Number
Newly
Newly
Identified Identified ≥
10-19 µg/dL 20 µg/dL
Number
of
Children
Screened
New Case
Rate/ 100
Screened
10-19 µg/dL
New Case
Rate/ 100
Screened
≥ 20 µg/dL
Overall
New Case
Rate/ 100
Screened
≥ 10 µg/dL
Franklin
Total
2002
2003
5
2
3
1
1
0
633
300
333
0.79
0.70
0.90
0.16
0.30
0.00
0.95
1.00
0.90
Fulton
Total
2002
2003
78
41
37
12
7
5
1,676
890
786
4.65
4.60
4.70
0.72
0.80
0.60
5.37
5.40
5.30
Genesee
Total
2002
2003
16
9
7
4
2
2
1,313
693
620
1.22
1.30
1.10
0.30
0.30
0.30
1.52
1.60
1.50
Greene
Total
2002
2003
32
14
18
5
2
3
1,276
624
652
2.51
2.20
2.80
0.39
0.30
0.50
2.90
2.60
3.20
Hamilton
Total
2002
2003
1
0
1
0
0
0
97
56
41
1.03
0.00
2.40
0.00
0.00
0.00
1.03
0.00
2.40
Herkimer
Total
2002
2003
34
22
12
5
4
1
1,766
876
890
1.93
2.50
1.40
0.28
0.50
0.10
2.21
3.00
1.50
Jefferson
Total
2002
2003
36
24
12
6
1
5
4,429
2,223
2,206
0.81
1.10
0.50
0.14
0.00
0.20
0.95
1.10
0.80
Lewis
Total
2002
2003
13
7
6
3
0
3
752
333
419
1.73
2.10
1.40
0.40
0.00
0.70
2.13
2.10
2.20
Livingston
Total
2002
2003
20
8
12
2
2
0
1,338
562
776
1.49
1.40
1.60
0.15
0.40
0.00
1.64
1.80
1.60
Madison
Total
2002
2003
24
6
18
1
1
0
2,032
1,028
1,004
1.18
0.60
1.80
0.05
0.10
0.00
1.23
0.70
1.80
Monroe
Total
2002
2003
741
386
355
146
87
59
25,789
12,809
12,980
2.87
3.00
2.70
0.57
0.70
0.50
3.44
3.70
3.20
Montgomery
Total
2002
2003
60
29
31
10
3
7
1,523
734
789
3.94
4.00
3.90
0.66
0.40
0.90
4.60
4.40
4.80
Nassau
Total
2002
2003
203
124
79
46
19
27
47,002
25,929
21,073
0.43
0.50
0.40
0.10
0.10
0.10
0.53
0.60
0.50
Niagara
Total
2002
2003
74
48
26
18
12
6
6,012
3,092
2,920
1.23
1.60
0.90
0.30
0.40
0.20
1.53
1.90
1.10
Oneida
Total
2002
2003
245
105
140
48
19
29
5,880
2,848
3,032
4.17
3.70
4.60
0.82
0.70
1.00
4.98
4.40
5.60
Onondaga
Total
2002
2003
415
228
187
56
31
25
19,366
9,425
9,941
2.14
2.40
1.90
0.29
0.30
0.30
2.43
2.80
2.10
Children screened before age six with a newly confirmed elevated blood lead level at 10 µg/dL or greater.
Table 3: Statewide and County Level New Case Rates 1 (Incidence):
New York State excluding New York City
2002-2003 Supplemental Report
County
1
Year of
Test
Number
Number
Newly
Newly
Identified Identified ≥
10-19 µg/dL 20 µg/dL
Number
of
Children
Screened
New Case
Rate/ 100
Screened
10-19 µg/dL
New Case
Rate/ 100
Screened
≥ 20 µg/dL
Overall
New Case
Rate/ 100
Screened
≥ 10 µg/dL
Ontario
Total
2002
2003
35
15
20
9
7
2
3,008
1,565
1,443
1.16
1.00
1.40
0.30
0.50
0.10
1.46
1.40
1.50
Orange
Total
2002
2003
262
136
126
41
19
22
14,085
6,858
7,227
1.86
2.00
1.70
0.29
0.30
0.30
2.15
2.30
2.10
Orleans
Total
2002
2003
29
17
12
2
1
1
1,237
591
646
2.34
2.90
1.90
0.16
0.20
0.20
2.51
3.10
2.00
Oswego
Total
2002
2003
31
22
9
4
4
0
3,929
1,951
1,978
0.79
1.10
0.50
0.10
0.20
0.00
0.89
1.30
0.50
Otsego
Total
2002
2003
26
13
13
3
1
2
1,788
878
910
1.45
1.50
1.40
0.17
0.10
0.20
1.62
1.60
1.70
Putnam
Total
2002
2003
15
8
7
2
1
1
3,930
1,928
2,002
0.38
0.40
0.40
0.05
0.10
0.10
0.43
0.50
0.40
Rensselaer
Total
2002
2003
118
57
61
30
16
14
5,696
2,716
2,980
2.07
2.10
2.10
0.53
0.60
0.50
2.60
2.70
2.50
Rockland
Total
2002
2003
85
38
47
17
8
9
13,166
6,697
6,469
0.65
0.60
0.70
0.13
0.10
0.10
0.77
0.70
0.90
St. Lawrence
Total
2002
2003
25
19
6
2
1
1
2,417
1,206
1,211
1.03
1.60
0.50
0.08
0.10
0.10
1.12
1.70
0.60
Saratoga
Total
2002
2003
36
19
17
5
1
4
4,039
1,960
2,079
0.89
1.00
0.80
0.12
0.10
0.20
1.02
1.00
1.00
Schenectady
Total
2002
2003
79
47
32
10
7
3
3,960
1,935
2,025
1.99
2.40
1.60
0.25
0.40
0.20
2.25
2.80
1.70
Schoharie
Total
2002
2003
12
10
2
2
1
1
675
356
319
1.78
2.80
0.60
0.30
0.30
0.30
2.07
3.10
0.90
Schuyler
Total
2002
2003
6
2
4
2
2
0
436
213
223
1.38
0.90
1.80
0.46
0.90
0.00
1.83
1.90
1.80
Seneca
Total
2002
2003
14
6
8
2
1
1
768
380
388
1.82
1.60
2.10
0.26
0.30
0.30
2.08
1.80
2.30
Steuben
Total
2002
2003
42
22
20
3
2
1
3,014
1,545
1,469
1.39
1.40
1.40
0.10
0.10
0.10
1.49
1.60
1.40
Suffolk
Total
2002
2003
173
100
73
34
18
16
37,377
21,640
15,737
0.46
0.50
0.50
0.09
0.10
0.10
0.55
0.60
0.60
Children screened before age six with a newly confirmed elevated blood lead level at 10 µg/dL or greater.
Table 3: Statewide and County Level New Case Rates 1 (Incidence):
New York State excluding New York City
2002-2003 Supplemental Report
County
1
Year of
Test
Number
Number
Newly
Newly
Identified Identified ≥
10-19 µg/dL 20 µg/dL
Number
of
Children
Screened
New Case
Rate/ 100
Screened
10-19 µg/dL
New Case
Rate/ 100
Screened
≥ 20 µg/dL
Overall
New Case
Rate/ 100
Screened
≥ 10 µg/dL
Sullivan
Total
2002
2003
27
13
14
4
0
4
1,730
808
922
1.56
1.60
1.50
0.23
0.00
0.40
1.79
1.60
2.00
Tioga
Total
2002
2003
16
10
6
4
1
3
1,224
599
625
1.31
1.70
1.00
0.33
0.20
0.50
1.63
1.80
1.40
Tompkins
Total
2002
2003
19
13
6
0
0
0
2,518
1,247
1,271
0.75
1.00
0.50
0.00
0.00
0.00
0.75
1.00
0.50
Ulster
Total
2002
2003
70
40
30
16
7
9
5,009
2,468
2,541
1.40
1.60
1.20
0.32
0.30
0.40
1.72
1.90
1.50
Warren
Total
2002
2003
19
8
11
3
2
1
1,224
618
606
1.55
1.30
1.80
0.25
0.30
0.20
1.80
1.60
2.00
Washington
Total
2002
2003
36
24
12
17
10
7
1,284
668
616
2.80
3.60
2.00
1.32
1.50
1.10
4.13
5.10
3.10
Wayne
Total
2002
2003
34
21
13
7
4
3
2,494
1,220
1,274
1.36
1.70
1.00
0.28
0.30
0.20
1.64
2.10
1.30
Westchester
Total
2002
2003
358
186
172
57
28
29
53,718
26,795
26,923
0.67
0.70
0.60
0.11
0.10
0.10
0.77
0.80
0.80
Wyoming
Total
2002
2003
9
4
5
1
1
0
1,002
539
463
0.90
0.70
1.10
0.10
0.20
0.00
1.00
0.90
1.10
Yates
Total
2002
2003
16
7
9
3
1
2
579
285
294
2.76
2.50
3.10
0.52
0.40
0.70
3.28
2.80
3.70
Children screened before age six with a newly confirmed elevated blood lead level at 10 µg/dL or greater.
Table 4: Initial Environmental Assessment by Local Health Departments
New York State
Year 2002 Childhood Lead Poisoning Environmental Data
Local Health
Department
Number of
children
referred >20
ug/dl
Albany
Allegany
Broome
Cattaraugus
Cayuga
Chautauqua
Chemung
Chenango
Clinton
Columbia
Cortland
Dutchess
Erie
Genesee
Livingston
Madison
Monroe
Nassau
Niagara
Oneida
Onondaga
Orange
Orleans
Oswego
Putnam
Rensselaer
Rockland
Schenectady
Schoharie
Seneca
Suffolk
Tioga
Tompkins
Ulster
Westchester
Wyoming
NYC
Canton DO
Geneva DO
Hornell DO
Monticello DO
Oneonta DO
Saranac Lake DO
Glens Falls DO
Watertown DO
Herkimer DO
Totals
* estimated field visits
Number of
dwellings
investigated
Number of
dwellings
with lead
hazards
Number of
dwellings with
satisfied notice
and demands
Number of
dwellings
investigated
based on a child
with BLL
between 10
ug/dl and 19
ug/dl
Number of field
visits
25
0
5
1
2
5
2
2
1
4
3
9
122
2
1
0
137
30
12
53
56
93
2
5
0
16
5
29
0
0
14
1
0
8
86
1
520
1
12
4
2
4
1
11
2
16
40
0
6
2
2
14
2
1
5
11
4
11
197
2
1
0
183
35
12
70
224
101
2
6
0
14
7
33
0
1
18
1
0
9
97
1
1049
1
12
4
2
5
1
11
2
18
35
0
6
2
1
12
1
1
5
8
4
8
157
2
1
0
158
27
11
44
183
50
2
5
0
13
2
29
0
0
10
0
0
8
72
1
564
1
11
4
2
3
1
9
2
18
32
0
10
1
1
5
7
1
0
1
2
4
348
2
1
0
188
47
11
7
171
47
2
4
0
2
0
29
0
0
6
0
0
2
67
1
703
0
2
2
2
1
3
3
15
12
0
0
0
0
1
9
0
0
4
8
1
0
203
0
0
0
0
7
0
29
81
9
0
1
0
0
0
4
1
1
2
0
13
0
56
0
154
0
0
0
0
5
0
0
1
0
1140
0
88
4
5
25
24
2
6
27
8
63
3857
4
2
0
1446
246
38
99
2843
41
5
12
0
21
12
125
1
4
28
8
15
95
1,286
2
5,129
6
41
18
16
16
6
16
32
68
1,305
2,217
1,473
1,742
590
16,930
Table 5: Initial Environmental Assessment by Local Health Departments
New York State
Year 2003 Childhood Lead Poisoning Environmental Data
Albany
Allegany
Broome
Cattaraugus
Cayuga
19
0
6
1
10
55
0
1
2
14
50
0
1
2
7
44
0
6
1
5
Number of
dwellings
investigated based
on a child with
BLL between 10
ug/dl and 19 ug/dl
0
0
0
0
1
Chautauqua
Chemung
6
6
18
8
17
7
5
11
12
2
25
Chenango
2
1
1
1
0
1
Clinton
Columbia
Cortland
Dutchess
Erie
Genesee
Livingston
Madison
Monroe
Nassau
Niagara
Oneida
Onondaga
Orange
Orleans
Oswego
Putnam
Rensselaer
Rockland
0
4
2
19
73
2
0
0
105
39
6
48
95
89
3
1
0
11
15
16
12
3
30
124
2
0
0
162
51
6
62
344
111
3
1
0
11
19
5
8
2
23
101
2
0
0
138
31
5
38
257
42
3
1
0
11
8
0
0
3
12
269
2
0
0
154
17
5
7
218
40
3
2
0
2
3
3
10
1
0
201
0
0
1
12
11
0
2
170
3
0
0
0
0
26
6
24
14
82
3,699
4
0
1
1,505
148
18
64
3,439
152
5
4
0
26
Schenectady
Schoharie
Seneca
Suffolk
Tioga
Tompkins
Ulster
Westchester
Wyoming
NYC
Canton DO
Geneva DO
Hornell DO
Monticello DO
Oneonta DO
Saranac Lake DO
Glens Falls DO
Watertown DO
Herkimer DO
20
1
1
14
2
0
10
85
0
519
1
6
0
5
7
0
9
8
21
21
0
1
20
2
0
11
97
0
991
1
6
0
5
7
0
8
12
23
18
0
0
13
0
0
8
68
0
503
1
6
0
5
7
0
6
11
23
18
0
0
4
0
0
2
63
0
467
0
8
2
5
0
1
3
4
23
1
0
1
5
0
8
0
49
0
94
0
0
0
0
0
0
0
0
0
76
3
4
49
4
11
67
1,365
0
3,759
5
53
7
26
34
0
64
37
119
1,271
2,261
1,429
1,410
613
16,233
Local Health
Department
Totals
Number of
children
referred >20
ug/dl
* estimated field visits
Number of
dwellings
investigated
Number of
dwellings
with lead
hazards
Number of
dwellings with
satisfied notice
and demands
Number of field
visits
1,149
0
55
3
25
66
35