Adult Blood Lead Epidemiology and Surveillance (ABLES)

For Everyone

Key points

  • This program monitors work-related lead exposure in the United States.
  • The lead exposure data are collected by the states and shared with NIOSH researchers.
  • Any state can participate - currently, 37 states contribute data.
  • Researchers use these data to see what jobs and industries have lead exposures that need to be addressed.
Female researcher assessing data using a computer.

Purpose

The ABLES program was created to reduce elevated blood lead levels (BLLs) among working adults 16 years and older.

Impact

Participating in ABLES helps health departments monitor workplace lead exposure trends occurring within their state.

The ABLES program also helps states find ways to prevent work-related lead exposure.

Any state health departments can choose to participate. If your state is interested, please contact us. Currently, 37 states collaborate with NIOSH as part of the ABLES program.

How the program works

Participating health departments collect blood lead data for their state and provide these data to NIOSH. NIOSH researchers then analyze the data to identify trends in adult workplace lead exposure. This information is used to guide interventions and prevent work-related lead exposures.

Each year, participating states submit:

  • All blood lead levels (BLLs)A
  • Workplace data
  • Demographic information

Instructions for submitting data

Learn about the variables and format you should provide when submitting data to the ABLES program.
ABLES Data Submission Details

Working together

State health departments are encouraged to collaborate to prevent work-related lead exposure.

There are opportunities to work with:

  • other state health departments,
  • Federal agencies, and
  • professional organizations.
ABLES Program State Health Dept Contacts
Contact information for ABLES program participants
Download
Download

Please note that these contacts can assist with work-related lead exposure questions only. If you have other public health-related questions, please contact CDC Info at 800-CDC-INFO (800-232-4636).

CSTE Annual Conference

NIOSH meets with participating states once a year to share ideas at the Annual Conference of the Council of State and Territorial Epidemiologists (CSTE).

Resources

Did you know?

You can assess the latest ABLES data using Worker Health Charts and our Tableau dashboards!

ABLES historical documents

Data into action. NIOSH blood lead surveillance program contributes to a decline in national prevalence rates.
Protecting Workers Exposed to Lead-Based Paint Hazards: A Report to Congress
Report to Congress on Workers’ Home Contamination Study Conducted Under The Workers’ Family Protection Act (29 U.S.C. 671a)

Highlighted ABLES summary reports

Elevated Blood Lead Levels Among Employed Adults — United States, 1994–2013
MMWR. Morbidity and Mortality Weekly Report / Vol. 63 / No. 55 / P. 59–65
Elevated Blood Lead Levels Among Employed Adults — United States, 1994–2012
Adult Blood Lead Epidemiology and Surveillance --- United States, 2008--2009
Adult Blood Lead Epidemiology and Surveillance --- United States, 2005--2007
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Content Source
National Institute for Occupational Safety and Health
About This Page
Published: May 15, 2024
Updated: October 28, 2026

This page was last updated on this date. Updates may include minor edits, image changes, or other modifications to page content.

Reviewed: April 22, 2024

The information on this page was last reviewed by subject matter experts to ensure accuracy.

  1. Most states report all BLLs, elevated or not, which is extremely useful.