Evidence map›Paper›PMID 27173488›Full record

ArticleInternational journal of occupational and environmental health2016

The attributable annual health costs of U.S. occupational lead poisoning.

Ronnie Levin

Abstract read
In one paragraph

Article in International journal of occupational and environmental health, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

8 citing papers in PubMed.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

1 author.

Ronnie Levina Department of Environmental Health , Harvard School of Public Health , Boston , MA , USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundU.S. occupational lead standards have not changed for decades, while knowledge about lead's health effects has grown substantially.

objectiveThe objective of this analysis was twofold: to estimate the attributable annual societal costs of health damages associated with occupationally lead-exposed U.S. workers and, more broadly, to develop methods for a fuller valuation of health damages.

methodsI combined data voluntarily reported to NIOSH on the number of highly exposed workers with published literature on the health effects of lead in adults to estimate the potential health benefits of lowering the U.S. occupational limit. I developed simple algorithms for monetizing more fully both the direct medical and indirect (productivity) damages associated with those high lead exposures.

resultsI estimated direct medical costs of $141 million (2014US$) per year for 16 categories of health endpoints, and combined direct and indirect costs of over $392 million (2014US$) per year for the 10,000 or so U.S. workers with high occupational lead exposures.

conclusionsReducing allowable occupational lead limits produces annual societal benefits of almost $40,000 per highly exposed worker. Given underreporting of actual exposures and the omission of important health effects, this is likely a severe underestimate.

Indexed as

AnemiaCardiovascular DiseasesDepressionEye DiseasesFemaleHealth Care CostsHealth ExpendituresHumansKidney DiseasesLead PoisoningLung NeoplasmsMaleMusculoskeletal PainNervous System DiseasesOccupational DiseasesReproductive HealthCosts of illnessLead exposureOccupational attributable health costsOccupational exposures

Identifiers

PMID27173488
PMCPMC4984972

What OpenQuestion holds

Textmetadata
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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.