Clinical evaluation and management of lead-exposed construction workers


  • Stephen M. Levin MD,

    Corresponding author
    1. Department of Community and Preventive Medicine, Mount Sinai School of Medicine, New York, NY
    • Box 1057, Mt. Sinai School of Medicine, 1 Gustave L. Levy Pl., New York, NY, 10029
    Search for more papers by this author
  • Mark Goldberg PhD, CIH

    1. Hunter College School of Health Sciences, Program in Urban Public Health, Environmental and Occupational Health Sciences, City University of New York, New York, NY
    Search for more papers by this author


An estimated one million construction workers are currently occupationally exposed to lead. Until 1993, construction workers were not offered the protections of OSHA's 1978 standard for lead exposure in industrial activities. Preventing exposure to lead in the construction setting presents many challenges, given the rapidly and frequently changing work environment.

This article reviews the adverse effects of lead on human health and presents an approach to the diagnosis, management, and prevention of lead-related illness. The medical aspects of the 1993 OSHA standard for lead in construction are described. Am. J. Ind. Med. 37:23–43, 2000. © 2000 Wiley-Liss, Inc.