<?xml version='1.0' encoding='utf-8'?>
<chapter num="06" heading="Reporting of Heavy Metal Poisoning" title_num="26" subtitle_num="02">
  <regulation prefix="Regulation" num=".01" heading="Definitions.">
    <paragraph num="A.">
      <text>The following terms have the meanings indicated.</text>
    </paragraph>
    <paragraph num="B.">
      <text>Terms Defined.</text>
      <paragraph num="(1)">
        <text>“Department” means the Department of the Environment.</text>
      </paragraph>
      <paragraph num="(2)">
        <text>“Elevated levels of arsenic” means:</text>
        <paragraph num="(a)">
          <text>Blood arsenic levels equal to or greater than .07 micrograms per milliliter.</text>
        </paragraph>
        <paragraph num="(b)">
          <text>Urine arsenic levels equal to or greater than 100 micrograms per liter.</text>
        </paragraph>
      </paragraph>
      <paragraph num="(3)">
        <text>“Elevated levels of cadmium” means:</text>
        <paragraph num="(a)">
          <text>Blood cadmium levels equal to or greater than 10 micrograms per liter.</text>
        </paragraph>
        <paragraph num="(b)">
          <text>Urine cadmium levels equal to or greater than 20 micrograms per liter.</text>
        </paragraph>
      </paragraph>
      <paragraph num="(4)">
        <text>“Elevated levels of lead” means:</text>
        <paragraph num="(a)">
          <text>Blood lead levels equal to or greater than 25 micrograms per deciliter.</text>
        </paragraph>
        <paragraph num="(b)">
          <text>Urine lead levels equal to or greater than 80 micrograms per liter.</text>
        </paragraph>
      </paragraph>
      <paragraph num="(5)">
        <text>“Elevated levels of mercury” means:</text>
        <paragraph num="(a)">
          <text>Blood mercury levels equal to or greater than 3 micrograms per deciliter.</text>
        </paragraph>
        <paragraph num="(b)">
          <text>Urine mercury levels equal to or greater than 20 micrograms per liter.</text>
        </paragraph>
      </paragraph>
      <paragraph num="(6)">
        <text>“Laboratory” means a medical laboratory licensed by the State of Maryland that conducts tests for lead, mercury, arsenic, or cadmium levels in blood or urine.</text>
      </paragraph>
      <paragraph num="(7)">
        <text>“Local health department” means the health department of the Maryland subdivision where the patient resides.</text>
      </paragraph>
      <paragraph num="(8)">
        <text>“MOSH” means Maryland Occupational Safety and Health, Division of Labor and Industry, Maryland Department of Labor.</text>
      </paragraph>
    </paragraph>
  </regulation>
  <regulation prefix="Regulation" num=".02" heading="Reporting Procedure.">
    <paragraph num="A.">
      <text>Who Shall Report.</text>
      <paragraph num="(1)">
        <text>Reporting by Laboratories. The supervisor or director of a laboratory shall report to the Department the results of test showing elevated levels of lead, mercury, arsenic, or cadmium in blood or urine in Maryland residents 18 years and older.</text>
      </paragraph>
      <paragraph num="(2)">
        <text>Reporting by the Department.</text>
        <paragraph num="(a)">
          <text>The Department shall report test results of occupational cases to MOSH.</text>
        </paragraph>
        <paragraph num="(b)">
          <text>The Department shall report test results to the local health department of residence.</text>
        </paragraph>
      </paragraph>
    </paragraph>
    <paragraph num="B.">
      <text>Time and Method of Reporting.</text>
      <paragraph num="(1)">
        <text>The laboratories shall record all elevated levels of lead, mercury, arsenic, or cadmium in blood or urine on the forms provided by the Department and shall also record information as prescribed on the form.</text>
      </paragraph>
      <paragraph num="(2)">
        <text>The laboratories shall provide the Department with three copies of the reporting forms within 5 working days of completion of the test.</text>
      </paragraph>
    </paragraph>
  </regulation>
  <annotations>
    <annotation type="Authority">Environment Article, §§1-104(b), 1-405, and 6-701, Annotated Code of Maryland</annotation>
    <annotation type="History" subtype="Administrative History">Effective date: February 8, 1988 (15:3 Md. R. 303) (Chapter recodified from 10.10.08.00)</annotation>
  </annotations>
</chapter>