MICHIGAN ABLES (Adult Blood Lead Epidemiology and Surveillance) PROGRAM Blood lead levels of Michigan residents, including children, have been monitored by the state since 1992. From 1992 to 1995, laboratories performing analyses of blood lead levels, primarily of children, had been voluntarily submitting reports to the Michigan Department of Public Health and then beginning in 1996 to the Michigan Department of Community Health (MDCH). The MDCH promulgated regulations effective October 11, 1997 that require laboratories to submit reports of both children and adults to the MDCH for any blood testing for lead. Coincident with this, the Michigan Occupational Safety and Health Administration (MIOSHA) in the Michigan Department of Labor and Economic Growth (MDLEG) received federal funding in 1997 from the Centers for Disease Control and Prevention (CDC) to monitor adult blood lead levels, as part of the Adult Blood Lead Epidemiology and Surveillance (ABLES) Program. Currently, 37 states have established lead registries through the ABLES Program for surveillance of adult lead absorption, primarily based on reports of elevated blood lead levels (BLLs) from clinical laboratories. Annual Reports CDC/NIOSH ABLES