Health and Human Services - Population Health and Community Services - Heavy Metal and Pesticide Analysis Reporting


Published: 1969

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DEPARTMENT OF COMMUNITY HEALTH

BUREAU OF EPIDEMIOLOGY

DIVISION OF ENVIRONMENTAL AND OCCUPATIONAL

EPIDEMIOLOGY

HEAVY METAL AND PESTICIDE ANALYSIS REPORTING

(By authority conferred on the director of the department of community health by

sections 5111 and 2226(d) of 1978 PA 368, section 8 of 1978 PA 312, and Executive

Reorganization Order Nos. 1996-1 and 1997-4, MCL 333.5111, 333.2226(d),

325.78, 330.3101, and 333.26324)

R 325.61 Definitions.

Rule 1. (1) As used in these rules:

(a) "Heavy metal analysis report form" means the form used to report the

required reportable information for blood and urine that has been analyzed for

arsenic, cadmium, or mercury.

(b) "Pesticide poisoning report form" means the form used to report the

required reportable information for blood that has been analyzed for

acetylcholinesterase or pseudocholinesterase.

(c) "Pesticide" means any substance or mixture of substances including inert

ingredients and adjuvants used to prevent, destroy, mitigate, or repel any pest.

Pesticides include, but are not limited to, insecticides, herbicides, fungicides,

rodenticides, repellents, fumigants, wood treatment products, and disinfectants.

(d) "Department" means the Michigan department of community health.

(e) "Physician/provider" means a person who is licensed under Article 15 of the

public health code MCL 333.16101 to 333.18838 who provides health care services

and who is authorized to request the analysis of blood and urine specimens.

History: 2005 AACS.

R 325.62 Reportable information.

Rule 2. (1) Reportable information is specifically related to blood and urine

samples submitted to clinical laboratories for analysis.

(2) Upon initiating a request for analysis of arsenic, cadmium, mercury,

acetylcholinesterase, or pseudocholinesterase, the physician/provider ordering

the analysis shall complete the client

information (section I) and the physician/provider information (section II) of a

heavy metal analysis report form or pesticide poisoning report form designated by the

department.Or, the physician/provider shall complete a similar form that ensures the

inclusion of the same required data and provide all of the following information:

(a) All of the following information with respect to the individual tested: Page 1

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(i) Name.

(ii) Sex, if available.

(iii) Race, if available.

(iv) Ethnic group, if available.

(v) Birthdate or age.

(vi) Address.

(vii) Telephone number.

(viii) If the individual is a minor, then the name of a parent or guardian.

(ix) If the individual is an adult, then the name and address of his or her employer,

if available.

(b) The date the sample was collected.

(3) The heavy metal analysis report form or pesticide poisoning analysis

report form, or a document with the same data, shall be submitted with the sample for

analysis to a clinical laboratory that performs the analysis.

(4) Upon receipt of the blood or urine sample for analysis, the clinical

laboratory shall complete the laboratory information (section III) and provide all of

the information required and/or submitted by the physician/provider along with all of

the following:

(a) The name, address, and phone number of the laboratory.

(b) The date of analysis.

(c) The results of the analysis. All values, normal and abnormal, shall be reported.

For arsenic, blood levels shall be reported in micrograms per milliliter (µg/ml) and

urine levels in micrograms per liter (µg/L).For cadmium, blood levels shall be

reported as micrograms per liter (µg/L) of whole blood and urine tests shall be reported

as micrograms per gram of creatinine (µg/gram creatinine) or micrograms per liter

(µg/L).Mercury shall be reported as nanograms per milliliter of blood (ng/ml) and

micrograms per liter (µg/L) of urine. Acetylcholinesterase shall be reported as units per

gram of hemoglobin (U/g hemoglobin), and the laboratory normal range shall be

included. Pseudocholinesterase levels shall be reported as units per liter (U/L) of

plasma, and the laboratory normal range shall be included. Alternate units will be

accepted for reporting purposes, as approved by the department.

History: 2005 AACS.

R 325.63 Reporting responsibilities.

Rule 3. (1) All clinical laboratories doing business in this state that analyze

blood or urine samples for arsenic, cadmium, mercury, acetylcholinesterase,

or pseudocholinesterase shall report all results to the department of community

health, bureau of epidemiology, division of occupational and environmental

epidemiology, 3423 N. Martin Luther King Jr. Blvd., Lansing, MI 48909. Reports

shall be made within 5 working days after test completion.

(2) Nothing in this rule shall be construed to relieve a laboratory from reporting

results of a blood or urine analysis for arsenic, cadmium, mercury,

acetylcholinesterase, or pseudocholinesterase to the physician or other health care

provider who ordered the test or to any other entity as required by state, federal, or local

statutes or regulations or in accordance with accepted standard of practice, except Page 2

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that reporting in compliance with this rule satisfies the reporting requirements of 1978

PA 368, MCL 333.1101.

History: 2005 AACS.

R 325.64 Electronic communications.

Rule 4. (1) A clinical laboratory may submit the data required in R 325.62

electronically to the department.

(2) For electronic reporting, upon mutual agreement between the reporting

laboratory and the department, the reporting shall utilize the data format

specifications provided by the department.

History: 2005 AACS.

R 325.65 Investigation and quality assurance.

Rule 5. (1) The department, upon receiving a report under R 325.63 may

investigate to determine the accuracy of the report, patient's source of exposure, and

adverse health effects resulting from the exposure.

(2) Requests for individual medical and epidemiologic information to validate

the completeness and accuracy of reporting are specifically authorized.

(3) The copies of the medical records shall not be recopied by the department

and shall be kept in a locked file cabinet when not in use.

(4) Reports may be released to other state, local, or federal agencies for those

agencies to administer and enforce provisions of laws or rules to protect individuals from

exposure to hazardous levels of arsenic, mercury, cadmium, or pesticides.

Confidential information may be released to another governmental agency only after

execution of a signed interagency agreement assuring that the other agency will abide

by the confidentiality requirements of R 325.66.

(5) Nothing in this rule shall be construed to relieve or preempt any other entities

from investigating hazards associated with these substances under state, federal, or

local statutes or regulations.

History: 2005 AACS.

R 325.66 Confidentiality of reports.

Rule 6. (1) Reports submitted to the department under R 325.63 are not public

records and are exempt from disclosure pursuant to the freedom of information act,

1976 PA 442, MCL 15.243, section 13(1)(d).

(2) The department shall maintain the confidentiality of all reports of all tests

submitted to the department and shall not release reports or any information that may

be used to directly link the information to a particular individual, unless the

department has received written consent from the individual, or from the individual's

parent or legal guardian, requesting the release of information.

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(3) Medical and epidemiological information that is released to a legislative

body shall not contain information that identifies a specific individual. Aggregate

epidemiological information concerning the public health that is released to the public

for informational purposes only shall not contain information that identifies a specific

individual.

History: 2005 AACS.

R 325.67 Heavy metal analysis report form.

Rule 7. The heavy metal analysis report form reads as follows:

MICHIGAN DEPARTMENT OF COMMUNITY HEALTH

HEAVY METAL ANALYSIS REPORT

DATA/INFORMATION REQUIRED BY ADMINISTRATIVE RULE R 325.62

I. CLIENT INFORMATION

Last name First name M.I.

Sex (M/F) Race (White/Black/Asian/Pacific Islander/American

Indian/Alaskan/mixed)

Ethnicity (Hispanic Y/N) Birth date or age Phone number

Street address City State/Zip Code/County

Name of parent or guardian if individual is a minor

Employer name (if adult)

Employer street address City State/Zip Code

II. PHYSICIAN/PROVIDER INFORMATION

( )

Provider last name First name Phone number

Provider street address City State/Zip Code

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III. LABORATORY INFORMATION

( )

Name of testing laboratory Phone number

Laboratory street address City State/Zip Code

Date sample taken Date sample analyzed

Results

Sample Arsenic Cadmium

Mercury

Blood µg/ml µg/L ng/ml

Urine µg/L µg/gram creatinine µg/L

OR

µg/L

MDCH - Bureau of Epidemiology, Division of Occupational and Environmental

Epidemiology 3423 N. M.L. King, Jr. Blvd., Lansing, MI 48909 o Fax Number (517)

335-9775 o Phone number (517) 335-8350

History: 2005 AACS.

R 325.68 Pesticide poisoning analysis report form.

Rule 8. The pesticide poisoning report form reads as follows:

MICHIGAN DEPARTMENT OF COMMUNITY HEALTH

PESTICIDE POISONING REPORT

DATA/INFORMATION REQUIRED BY ADMINISTRATIVE RULE R 325.62

I. CLIENT INFORMATION

Last name First name M.I.

Sex (M/F) Race (White/Black/Asian/Pacific Islander/American

Indian/Alaskan/mixed)

( )

Ethnicity (Hispanic Y/N) Birth date Phone number

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Street address City State/Zip Code/County

Name and address of parent or guardian if individual is a minor

Employer

Employer street address City State/Zip Code/County

II. PHYSICIAN/PROVIDER INFORMATION

( )

Provider last name First name Phone number

Name of medical facility of requesting physician/provider

Facility street address City State/Zip Code

III. LABORATORY INFORMATION

( )

Name of testing laboratory Phone number

Laboratory street address City State/Zip Code

Date sample taken Date sample analyzed

Results

Test Laboratory normal range

Acetylcholinesterase U/g hemoglobin - U/g hemoglobin

Pseudocholinesterase U/L - U/L

MDCH - Bureau of Epidemiology, Division of Occupational and Environmental

Epidemiology 3423 N. M.L. King, Jr. Blvd., Lansing, MI 48909 o Fax Number (517)

335-9775 o Phone number (517) 335-8350

History: 2005 AACS.

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