AOHC Encore 2022-328: Lead Surveillance at US Air Force Firearm Ranges

Video Transcription

Video Summary

The video discussed an occupational medicine surveillance program focused on lead exposure in firearms instructors at a military base. The presenters, Dr. Steven Hetrick and Dr. Steven Costellar, emphasized the need for such programs to comply with regulatory standards and to evaluate potential harm to workers. They highlighted the importance of implementing controls, such as substitution of lead ammunition with non-leaded alternatives, administrative controls like rules at the range, and personal protective equipment. The presenters discussed the challenges of monitoring and tracking blood lead levels in the instructors, who are exposed to lead through firing ranges. They shared data on blood lead levels and explained how they conducted worksite visits, administered health questionnaires, and conducted exposure assessments to understand the potential risks. They also described the steps involved in setting up an occupational surveillance program and provided insights into the importance of regular monitoring and evaluating the effectiveness of controls. The presenters concluded with a case study of an instructor who had an unexpected elevation in blood lead levels, despite working at a range that did not use leaded ammunition. They detailed their efforts to investigate the cause of the elevation, including assessing potential exposures at home and conducting medical evaluations. The presenters highlighted the need for ongoing monitoring and investigation to ensure the health and safety of workers. Credit for the presentation goes to Dr. Steven Hetrick and Dr. Steven Costellar.

Keywords

occupational medicine surveillance program

lead exposure

firearms instructors

regulatory standards

controls

lead ammunition

monitoring

worksite visits

health questionnaires

medical evaluations