In the first 11 full years of operation (January 1, 1986, through December
31, 1996) of an adult lead registry in New Jersey, 23,456 reports of occupa
tional lead toxicity (blood lead level greater than or equal to 1.21 mu mol
/L) in 4,011 workers, involving 496 workplace, were received. The majority
of the reports and workers were from the manufacturing and construction ind
ustries. Over the 11 years, the annual numbers of reports and workers decli
ned, although the annual numbers of involved workplaces remained stable, as
did the number of newly identified workers and workplaces. The decline occ
urred primarily in the manufacturing industry; the construction industry ex
perienced an increase in reports and reported workers. For all years combin
ed, 36% of reported workers had at least one blood lead level equal to or g
reater than 1.93 mu mol/L, although in the most recent years the percentage
dropped overall and in both the manufacturing and construction industries.