143
CONSOLIDATED ANNUAL REPORT on State and Territorial Public Health Laboratories Fiscal Year 1991 ASTPHLD Association of State and Territorial Public Health Laboratory Directors

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Page 1: CONSOLIDATED ANNUAL REPORT - APHL Home ANNUAL REPORT on State ... this report understates the additional resources expended on public health ... Lab & TOTAl …

CONSOLIDATEDANNUALREPORT

on Stateand Territorial

Public Health Laboratories

Fiscal Year 1991

ASTPHLD

Association of State and TerritorialPublic Health Laboratory Directors

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CONSOLIDATEDANNUAL REPORT

on

State and TerritorialPublic Health Laboratories

Fiscal Year 1991

January 1994

Association of State and TerritorialPublic Health Laboratory Directors

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This publication is based on data voluntarily submitted to ASTPHLD by the nation’sstate and territorial public health laboratories. These data were processed, analyzed,and published by ASTPHLD Cooperative Agreement No. U60/CCU303019 with theCenters for Disease Control and Prevention. The content of this publication does notnecessarily reflect the views or policies of the Department of Health and HumanServices.

Association of State and Territorial Public Health Laboratory Directors1211 Connecticut Avenue, N.W., Suite 608

Washington, D.C. 20036

Telephone: (202) 822-5227FAX: (202 887-5098

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ASSOCIATION OFSTATE AND TERRITORIAL

PUBLIC HEALTH LABORATORY DIRECTORS

President

President-Elect

Past President

Secretary Treasurer

Elective Members

Executive Director

Board of Directors - 1993 to 1994

Roger Cadson, Ph.D.

David Carpenter, Ph.D.

Michael Kimberly, Dr.P.H.

Ron Carla, Dr.P.H.

Cad Blank, Dr.P.H.

Robert Martin, Dr.P.H.

Veronica Malmberg

Jerome R. Cordts, M.Ed.

Management and InformationSystems Committee - 1993 to 1994

Loris Hughes, Ph.D. , Chairman

Ron Cada, Dr. P.H.

Thomas Maxson, Dr. P.H.

Richard Steece, Ph.D.

Mahadeo P. Verma, Ph.D.

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INTRODUCTION

This, the twenty-seventh edition of the Consolidated Annual Report (CAR), providesquantitative information about laboratory personnel and services identified in 15 workloadareas. In addition to tabular displays, this year’s CAR also includes graphic displays.The information for the tables was provided by the Association of State and TerritorialPublic Health Laboratory Directors (ASTPHLD), consisting of the public healthlaboratories in each of the 50 states, the District of Columbia, Guam, Puerto Rico, andthe Virgin Islands.

The primary intent of the CAR is to aid Association members if planning, evaluating,budgeting and effecting legislative activity at the state level. Principal users of thisreporting system are Centers for Disease Control and Prevention, State and TerritorialHealth Officials and the Public Health Laboratory Directors.

Fifty-one of the 54 member laboratories provided data for this edition. The laboratoriesin New York, Guam and Puerto Rico did not report to the CAR for fiscal year 1991.National totals found in this edition, therefore, represent only 51 state and territorial publichealth laboratories.

The CAR deals with the personnel and workload activities of ASTPHLD. It omits thosepublic hea~th laboratory services provided by other state/territorial/focal agencies.Therefore, this report understates the additional resources expended on public healthlaboratory services in neady every state/territory having local health departments. Ifsome type of activity is not reporting in this CAR for a given Association member, it mayindicate that a state or territorial agency other than the public health laboratory performsthat service.

The basic unit of study in the Workload Reporting Section of the CAR is the laboratoryspecimen/sample. This is defined by ASTPHLD as any material received in thelaboratory for testing in a workload category or subcategory or a material which isdivided into aliquots for testing in multiple categories or subcategories and is countedas one specimen for each category or subcategory in the 15 workload areas. TheASTPHLD provides workload data in this report only for those procedures routinelyfollowed in their laboratories and excludes those procedures they are capable ofperforming but do not do on a routine basis.

The questionnaire for the FY 1991 CAR was composed of two sections: personnel andworkload reporting. The personnel section requested the type and number of budgetedpositions in five categories and defined these categories by turnover, vacancies andworkload area. All budgeted positions are defined in terms of full-time equivalent (FTE)or man-year equivalent because the standard work week differs among reportinglaboratories in terms of number of hours worked. The workload reporting sectionrequested specific data concerning routine laboratory procedures and the number ofspecimens/samples tested under each procedure.

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TABLE OFCONTENTS

TABLE Page

Introduction ................................................. i

SUMMARY

Figure 1: Number of State Public Health Laboratory Professional andTechnical Personnel, by Category -- 1991 ............................1

Figure 2: Number of State Public Health Laboratory Professional andTechnical Personnel, by Category -- 1991 ............................1

Figure 3: Number of state Public Health Laboratory Professional andTechnical Personnel, by Category -- 1987 to 1991 ......................2

Figure 4: Number of Budgeted Positions in State Public HealthLaboratories, by Category -- 1987-1991 ..............................3

Figure 5: Number of Filled Positions in State Public Health Laboratories,1991 ....................................................... 4

Figure 6: Total State Public Health Laboratory Specimens Tested, byCategory-- 1991 .............................................. 4

Figure 7: State Public Health Laboratory Specimens, by Category -- 1987to 1991 ..................................................... 5

Figure 8: 1987 to 1991 Testing Profile - State Public Health Laboratories ....6

Figure 9: Percentage Distribution of State Public Health LaboratoryProfessional and Technical Personnel and Specimens / Samples Tested bySelected Category, Fiscal Year 1991 ................................7

1 Number of specimens, by reporting category ..........................9

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LABORATORY DIAGNOSTIC WORKLOAD

2345678

9

Bacteriology

Bacteriology specimens ........................................13Nasopharyngeal specimens ......................................14Mycobacteria specimens .......................................19Enteric specimens ............................................ 20Gonococcus specimens ........................................21Anaerobic specimens ..........................................22Other bacteriology specimens ....................................23

Mycology

Mycology specimens ..........................................25

101112

Parasitology

Parasitology specimens ........................................26Intestinal specimens .......................................... 27Other parasitology specimens ....................................28

1314151617181920

Virology

Virology specimens ...........................................29Rabies specimens ............................................ 30Viral isolation specimens .......................................31Rickettsial identification specimens ...............................33HIV Identification specimens ....................................34Chlamydia specimens .........................................35Herpes simplex specimens ......................................36Other Virology specimens ......................................37

Immunology

212223

Figure 10: State Public Health Laboratory Immunology Specimens byCategory -- 1991 ............................................. 39

Immunology specimens ........................................41Syphilis specimens ............................................42Bacterial serology specimens ....................................43

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2425262728

Fungal serology specimens ...................................... 44Parasitic serology specimens .................................... 45Vfial and rickettsial serology specimens ............................46HIV :erology specimens ....................................... 47Other serology specimens ...................................... 48

Hematulegy / immunohematology

29 Hematology / Immunohematology specimens ........................49

Clinic~! Chemlstry

Figure 11: State Public Health Laboratory Clinical Chemistry Specimensby Category k 1991 ...........................................51

3O3132333435

Clinical chemistry specimens ....................................53Clinical chemistry specimens and types of lests .......................54Urinalysis specimens ..........................................56Newborn Screening ...........................................57Hemoglobinopathy specimens ...................................59Other clinical chemistry specimens ................................60

Pathology

36 Pathology specimens ..........................................61

Occupational Safety and Health

37 Biological Samples ........................................... 62

Toxicology

Figure 12: State Public Health Laboratory Toxicology Specimens,Category 1991 ............................................... 63

38394041

Biological samples ............................................ 64Blood samples .............................................. 65Urine Samples .............................................. 68O~her toxicology samples .......................................70

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LABORATORY ENVIRONMENTAL WORKLOAD

Environmental Microbiology

Figure 13: Stale Public Health Laboratory Environmental MicrobiologySpecimens, by Category -o 1991 ..................................73

4243444546

Environmental microbiology samples ..............................75Water Samples .............................................. 76Dairy Products Samples ........................................81Food and beverage samples .....................................82Other environmental microbiology samples ..........................83

Environmental Chemistry

Figure 14: Stale Public Heallh Laboratory Environmental ChemistrySamples, by Category -- 1991 ....................................85

4748495O5152535455

Environmental chemistry samples .................................87W~ter Samples .............................................. 88Solid and Hazardous waste samples ...............................90Food samples ............................................... 91Body fluid and tissue samples ...................................92Air Samples ................................................ 93Air pollution samples .........................................94Radiological analysis .~amples ....................................95Other environmental chemistry samples ............................96

Occupational Safety and Health

56 Environmental Samples ........................................97

Toxicology

57 Physical Samples ............................................. 98

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OTHER LABORATORY WORKLOADS

58596061626364

Laboratory Improvement Program (LIP)

Number of laboratories and LIP personnel .........................101Clinical laboratories ......................................... 102Public Health laboratories .....................................107Physicians’ office laboratories ...................................113Dairy and food laboratories ....................................118Water laboratories .......................................... 121Other LIP activities for all types of laboratories .....................127

65

Biologics, Reagents, and Media Production

Production of Biologics, reagents, and media for distribution ............128

666768

Research and Development

Basic research .............................................. 130Applied research ............................................ 131Technical Development .......................................132

LABORATORY PERSONNEL ANDSTAFFING PATI’ERNS

697071

Number of budgeted positions ..................................133Turnover ................................................. 135Staffing pattern of professional and technical personnel ................136

Notes and Definitions ...............................................139

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SUMMARY

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FIGURE 1

Number of State Public Health Laboratory Professionaland Technical Personnel, by Category -- 1991

P H Pathogenic Microbiology (Bacteriology,- :::::::::::::::::::::::::::patsitology, Mycology) .............................................................................................

Immun<dogy

P.H. Chemistry

FFIGURE 2

% Distribution of State Public Health LaboratoryProfessional and Technical Personnel, by Category - 1991

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¯ FIGURE 3

Number of State Public Health Laboratory Professional andTechnical Personnel, by Category -- 1987 to 1991

Other Professiona I /Technical

Biologic, Reagent, Media Production

Laboratory tmprovement Program

Toxicology

Environmental Chemistry

Environraental Microbiology

Public Health Chemistry

Immunology

P,H. Pathogenic Microbiology(Bacteriology, parasitology,

0 100 200 300 400 500 600 700 800 900 1000

~1987

r-119~s~11989

¯ 1990

[] 1991

Number of Employees

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FIGURE 4

1987

Number of Budgeted Positions in State Public HealthLaboratories, by Category -- 1987 to 1991

1988 Illlllllllllllllllllllll Illllllllllllllllllll IIIIIIIIIIIIIIllllllll IIIllllllllllllllllll I IIIIIIIIIIIIII!1111111 ~]

1989 IIIlillllll]llllllll IIIIIIIIIIIIIIIIIIII IIIIIIIIIIIIIIIIIIIII IIIIIIIIllllllllllll IIII1~111111111111111 )llllllllllllllllllll I!111111111111111!111

1990:

1991 II~l~ll~lllll~l~l~ll Illllll~llllll~l(ll(l! tl~l~lllll~l~lllllllI I~tlllll~llll~l~llllll I(l~llllllltllllllll IIIIllll(llll~lllllll lllllll!ltlllllllllll IIIIIfllllllllllllJ

0 500 1000 1500 2000 2500 3000 3500 4000 4500

B] Suppod Services

~ Professional and Technical

[] Management

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F FIGURE 5

Number of Filled Positions in State PublicHealth Laboratories, 1991

Maintenance Support Services1% 13%

Clerical13%

Professional andTechnical

65%

Management8%

FIGURE 6

Total State Public Health Laboratory SpecimensTested, by Category -- 1991

Specimens by Category

4

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F FIGURE 7

State Public Health Laboratory Specimensby Category -- 1987 to 1991

[] 1987

[] 1988[] 1989

rn199o

[] 1991

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FIGURE 8 "~

1987

1988

1989

1990

1991

Testing Profile for State Public Health Laboratories1987 - 1991

I~ Clinical Chemistry, Immunology, Hematology /Immunohematology, Other

[] Envimnrnental Chemistry/EnvironmentalMk:roblology

¯ M~:robiology (~actedology, M,fc~ogy,Parsitology, Virology)

Number of Specimens, in Thousands ((300)

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FIGURE 9

Percentage Distribution of State Public Health Laboratory Personneland Technical Personnel and Specimens / Samples Tested

by Selected Category, Fiscal Year 1991

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TABLE I: NUMBER OF SPECIMENS, BY REPORTING CATEGORY

TOTAL 40,781,72g

’~,~r~7

093

0

0182

0

5,424

0

217

00

0,73

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TABLE i: NUMBER OF SPECIMENS, BY REPORTING CATEGORY

wp~ir~

3 75

(121

lO

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TABLE I: NUMBER OF SPECIMENS, BY REPORTING CATEGORY

Lab&

TOTAlAVERAGE

NEW ENGLAND

o

000

o

507

SOUTH ATLANTIC

oo0ooo0

Ar~zofla

MOUNTAIN

0o0o

17rG7200

00

TERRITORIES

11

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TABLE i: NUMBER OF SPECIMENS, BY REPORTING CATEGORY

&

TOTAl 018 1.376.683

Toxicology

Wp~inil

MOUNTAJN

PACIFIC

TERRITORIES 0

o

oo0o

o0o

00

0ooooo00

12

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LABORATORY DIAGNOSTICWORKLOAD

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TABLE 2: BACTERIOLOGY SPECIMENS

&

wpe~i~

771377

45.0"r22,~42

G~IOCOCCU$

g,243214

557

39

278348

521

175187

43

008

o

04,274

31,330

00

12442701

8

0842

76230

5220

3,866 45 0 0 3,821 0 0

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TABLE 3: BACTERIOLOGY-Nasopharyngeal Specimens

Ke,~tucky

,~uarn

(~)

NEW ENGLAND

MIDDLE ATLANTIC

EAST NORTH CENTRAL

WEST NORTH CENTR.N.

SOUTH ATLANTIC

FA,~T SOUTH CENTRAL

WEST SOUTH CENTRAL

MOUNTAJN

PACIFIC

TERRITORIES

TOTAL 213,2874182

771377

152

0

¯ 1327

249

2O3

4500

14

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TABLE 3: BACTERIOLOGY - Nasopharyngeal Specimens - StreptococcusHemolytic, Group A

Beta

0

Other

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TABLE 3: BACTERIOLOGY - Nasopharyngeal Specimens Diptheria

&

TOTAL198

27002000

0240

0

50

530

35,224

0

00NA500

0NA

X X

X X X X

X

X

XXXX

X

XXX

X

X

X

X

XX

X

X

xxx

X

X

x

x

x

x

x

x

x

x

7232777

3

42

8O

NA2

520

X

XX

X

X

X

x

xXxx

xxXXXXxx

xXxx

XXXxXx

x

x

x

xX

x xx x xX x xX

X x x X

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TABLE 3: BACTERIOLOGY - Nasopharyngeal Specimens - Pertussis

WEST NORTH CENTRAL

SOUTH ATLANTIC

3,434

140

4.50100

616

Culture

Xx

XXX

x

xxxxx

X

XX

XX

xxxxx

x

xxxx

XXXXXXXX

xxxxx

FA

XXXXXX

xxxXx

xxxxxxx

xx

x

XXXX

XXXXXXXX

XXXXX

x

xXx

x

x

X

x

x

17

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TABLE 3: BACTERIOLOGY -Nasopharyngeal Specimens - Other

Lab

TOTAL

NEW ENGLAND

o0ooo0

EAST SOUTH CENTRAL

Tennessee

WEST SOUTH CENTRAL

Tex~$

wfo~i,~PACIFIC

TERRITORIES

00000

5005

430000

43

0161

NA

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TABLE 4: BACTERIOLOGY - Mycobacteria Specimens

Lab&

XXXX

x

x

X X 8 8 13 XX X 10 16X X 4 12 X

X X 5 14 XX X 10 10 15 XX X 4 8 X

X X 4 8 X

X X 7 12 XX X 9 g 12 XX X 13 13 15 X

4 4 10 X

3 7 X

WEST SOUTH CENTRAL 85,846Arkansas 15r787 X X

X

X

XXXX

875

10 10 23 X4 4 X X

5 8 X4 6 12 X X 4PLC

lto6 XMOUNTAJN 15,437

W},omin9 34O X X X 10

PACIF3C 104,553

Washington 5,27g X X 5

TERRITORIES 0

8

g

xX

19

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TABLE 5: BACTERIOLOGY - Enteric Specimens

MIllE ATLANTIC 8,072

xxxxxx

X

x

X

X

xxxxXx

xxxxxx

x

x

xx

xxx

xxxxx

Xx x

xx x

xxxxx

xxXxXxx

X XX XX X

XX XX XX X

SOUTH ATLANTIC 55,~3xxXxx

xxxX

x xX xX xx xX x

x xx Xx xX x

x

x xx xx xx xx x

x ,xx Xx xx X

xxxx

xxxx

xxxx

xxxx

xxxx

WEST SOUTH CENTRAL 10,815x

xx

XXxx

Xxxx

XXX

X X

Xxxx

XXXXXXXX

x Xx xx xx xX xx xx xx x

X Xx Xx XXXx XX XX X

PACIFIC 35,550XXXXX

Xxxxx

XXxxx

xx X

xxX

XxxXx

TERRITORIES

2O

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TABLE 6: BACTERIOLOGY - Gonococcus Specimens

NEW ENGLAND 112~8~7

x

TERRITORIES

Net

oR~¯

X

X

xxxxxXx

xxxx

xxxxx

xxxx

XxxxXx

xXxxxx

x

XXXX

x

x

x

x xx xx xx Xx xX xx x

xx xx xx x

x xx xx xx xx x

X XX XX XX X

x xx

x x

X x

X xx x

xx

x xx x

X xx xxX xx x

xxXXX

xxxxx

3,821 X X

21

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TABLE 7: BACTERIOLOGY - Anaerobic Specimens

WEST SOUTH CENTRAL g16

xXxxx

XxxXx

X XX

x x

xXxx xx

xX

xxx x

xx

x

x

xxXX

22

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TABLE 8: BACTERIOLOGY - Other Bacteriology Specimens

NEW ENGLAND 4,382

WEST SOUTH CENTRAL

TERRITORIES

78

71747138513

41145

27

23

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TABLE 8: BACTERIOLOGY - Other Bacteriology Specimens

&

NEW ENGLANDConnec6c~t

WEST NORTH CENTRAL

’ EAS~SOUTH CENTRAL

Kentuck~

WEST SOUTH CENTRAL

Louisiana

MOUNTAIN

Hawaii

TERRITORIES

24

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TABLE 9: MYCOLOGY SPECIMENS

NEW ENGLAND 4,57g

MIDDLE ATLANTIC 5

EAST NORTH CENTRAL g~473

WEST NORTH CENTRAL 3,985

SOUTH ATLANTIC 13,033

o

XXXXXX

xxxxx

xXxx

xx

x

xxxxxxx

xX

x

x

x

xxxXXX

xxx

xxxx X

x x x

xxxx

xx

X

xXxXx

x

x x

Xx

x

x

x

x xxxXX xX

XX x x

x

25

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TABLE i0: PARASITOLOGY SPECIMENS

TOTAL

NEW ENGLAND

MIDDLE ATLANTIC

EAST NORTH CENTRAL

WEST NORTH CENTRAL

SOUTH ATLANTIC

EAST SOUTH CENTRAL

PACIFIC

TERRITORIES

%~s~

26

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TABLE ii: PARASITOLOGY - Intestinal Specimens

NEW ENGLAND 111826XXXX

xxxxxx

Xxx

X IFA C~ospocidium

x

X

XXXXX

xxxxx

WEST NORTH CENTRALxxxxxXx

xxxXxx

XXX

XXXXXXX

X

XXXXXXX

xxxxxxx

EAST SO~JTH CENTRAL 16~339xxxx

XXXX

xx

WEST SOUTH CENTRAL g.833X

~

x

x

X

xx

xxXxxx

xxxXXxxx

XXXX : A-cP/~otos po~diu mX

PACIFIC 8teo4

w~in~ton 2701

xxxxx

XXXXX

xxxxx

xxx

27

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TABLE 12: PARASITOLOGY - Other Parasitology Specimens

28

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TABLE 13: VIROLOGY SPECIMENS

TOTAL

WEST NORTH CENTRAL

SOUTH ATLANTIC

31.052

14,6t0

2,028

2,230

02,3152,319

412162

2.761

000

2177043,5,81

037

45r968

27~6551.6220

2,730

o0ooooo

o0NA

lr0400

ooooooo0

1270000

0

00

000oo

6,218oo0

0o0000oo0

ooo0oo

00o0o00

o0oo

oooo

0ooo0

0000o

oooo0o0oo

0

ooo

110,21712r85~

2r028

2,028

29

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TABLE 14: VIROLOGY - Rabies Specimens

New Hamp~ire

SOUTH ATLANTIC

Ge~i=

EAST SOUTH CENTRAL

WEST SOUTH CENTRAL

TERRITORIES

77,337

281132277

62

456000

8055820

8,54533124288

XXXX

X XXX

X X

X X

XXX XXX

X

X XXXXX

X XXXXX XX XX

XX X

X XX XXX X

XXXX X

X XX X

X XX X

X XX XXXX X

(~her

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TABLE 15: VIROLOGY - Viral Isolation Specimens

Specimens

M1DOLE ATLANTIC 21827

WEST NORTH CENTRAL 10,~5~

MOUNTAJN

wpmin~

PACIFIC

2?,855

x xx xx xx xX

Other

!8~

x

0

2,370062

7,42g3,528

0

01r457

0

xxxxx

xxxx

xxxXxx

X

x

xxxx

x

x

x

x

x

xxxx

xxxxx

x xx xx xx x

x xx X

x x

X Xx xx xx Xx xx x

(~)

39 13

xxxx

x

x x

x x

6r082

x

x

x

x

xx

x

x

x X

x x

x x

3MV

TERRITORIES 0

xxxxX

XXxxx

XXXXX

x x

x

xx

xx

xxxxx x

31

Page 43: CONSOLIDATED ANNUAL REPORT - APHL Home ANNUAL REPORT on State ... this report understates the additional resources expended on public health ... Lab & TOTAl …

TABLE 15: VIROLOGY - Viral Isolation Specimens

Lab

TOTAL

NEW ENGLAND

TERRITORIES

xX

xx

x

x

xxx

x

x

x

X

x

x

xx

xx

xx

x

xx

x

x

XX

X

xx

x

CF

X

x

xx

x

xxx

x

x

xx

x

x

xx

xx

xxxx

xx

X

xxxxxx

x

XXxxx

x

x

xxxxxx

FA-O’5~er

XXXx

X

XXx

X

XXXXX

x

xx

xx

xxXxx

xx

x

x

xxxxx

EIA

32

Page 44: CONSOLIDATED ANNUAL REPORT - APHL Home ANNUAL REPORT on State ... this report understates the additional resources expended on public health ... Lab & TOTAl …

TABLE 16: VIROLOGY - Rickettsial Identification Specimens

N£W ENGLAND o

x x

x x

33

Page 45: CONSOLIDATED ANNUAL REPORT - APHL Home ANNUAL REPORT on State ... this report understates the additional resources expended on public health ... Lab & TOTAl …

TABLE 17: VIROLOGY - HIV Identification Specimens

Lab&

0000000

WEST NORTH CENTRAL

EAST SOUTH CENTRAL o

x

Page 46: CONSOLIDATED ANNUAL REPORT - APHL Home ANNUAL REPORT on State ... this report understates the additional resources expended on public health ... Lab & TOTAl …

TABLE 18: VIROLOGY - Chlamydia Specimens

Lab

NEW ENGLAND

WEST SOUTH CENTRAL

MOUNT~N

30,711

3,135

5,602

27,54~

62,628O00

6"2,628

000

6,665

NA

233%

xxx

X

x

xx

x

X

X

xx

XX x

xxx

3NAP~

35

Page 47: CONSOLIDATED ANNUAL REPORT - APHL Home ANNUAL REPORT on State ... this report understates the additional resources expended on public health ... Lab & TOTAl …

TABLE 19: VIROLOGY - Herpes Simplex Specimens

&

TOTALAVERAGE

NEW ENGLAND

1.216 11g1,211 114

4,3762,2821,184417NA076417

0

o830

368oo

277

6.827

o

1,674

782

5160136o

38O

124o0

124o

xxxx

x

x

xx

xx

xxxx

xxxxXx

x

xx

xx

xxX

x

O~her

FA

Page 48: CONSOLIDATED ANNUAL REPORT - APHL Home ANNUAL REPORT on State ... this report understates the additional resources expended on public health ... Lab & TOTAl …

TABLE 20: VIROLOGY SPECIMENS - OTHER

WEST NORTH CENTRAL

SOUTH ATLANTICoo

o

0

oo

o0000

2,835000

Page 49: CONSOLIDATED ANNUAL REPORT - APHL Home ANNUAL REPORT on State ... this report understates the additional resources expended on public health ... Lab & TOTAl …

FIGURE 10

State Public Health Laboratory ImmunologySpecimens by Category -- 1991

Syphillis Serology39%

Viral and RickettsialSerology

12%Other4%

Bactedal, Fungal andParasitic Serology

1%

HIV Serology44%

39

Page 50: CONSOLIDATED ANNUAL REPORT - APHL Home ANNUAL REPORT on State ... this report understates the additional resources expended on public health ... Lab & TOTAl …

TABLE 21: IMMUNOLOGY SPECIMENS

Lab&

NEW ENGLAND

WEST NORTH CENTRAL

FAST SOLTTH CENTRAL

WEST SOUTH CENTRAL

wp’~i~

gO3,513

g79

51,242

2702’520

34223

510

lt574

$r402

0

4,5244~28,g551740042

lr33700

337

Parat~.c

3,402

00

318231

6,0932,375

0

5

0

0

0

00

337

27t,3735~388

0

HIV

4,08~,824 327,18081.616 2~0,449

148,452 062,9’5.4 037,~65 010.375 0

41

Page 51: CONSOLIDATED ANNUAL REPORT - APHL Home ANNUAL REPORT on State ... this report understates the additional resources expended on public health ... Lab & TOTAl …

TABLE 22: IMMUNOLOGY - Syphillis Serology Specimens

xXxxXx

x

X

x

x

x

FAST NORTH CENTRAL 234,4,~x xx x

xx

x

xxxxx

WEST NORTH CENTRAL I~,~

x

xx X

xx

X X

xxx

SO~TH ATLANTIC I r338.955

xxxxxx

XXXXXXXXX

xxxx

x

x

x

x

xxx

x

x

WEST SOUTH CENTRAL ~,763xxxx

X xX

XxxXX

X

PACIFIC 471

31.~ x x

xXxx

x x

x

42

Page 52: CONSOLIDATED ANNUAL REPORT - APHL Home ANNUAL REPORT on State ... this report understates the additional resources expended on public health ... Lab & TOTAl …

TABLE 23: IMMUNOLOGY - Bacterial Serology Specimens

TOTAL 51AVERAGE 1,250

NEW ENGLAND 11r347Coft~ut 5r170 X

x

WEST NORTH CENI~t~L 5,15~

x

XXXXXX

X

x x

x

~ ’~o8 x x

x

x

x

43

Page 53: CONSOLIDATED ANNUAL REPORT - APHL Home ANNUAL REPORT on State ... this report understates the additional resources expended on public health ... Lab & TOTAl …

TABLE 24: IMMUNOLOGY - Fungal serology Specimens

174 X00

2 X

xxx

xx

XXX

x

x

XX

x

x

xx

X

x

X

x

xx

x

x

xx

x

XX

xx

x

x

x

x

xx

x

10 X X X

Page 54: CONSOLIDATED ANNUAL REPORT - APHL Home ANNUAL REPORT on State ... this report understates the additional resources expended on public health ... Lab & TOTAl …

TABLE 25: IMMUNOLOGY - Parasitic Serology Specimens

NEW ENGLAND 3r402

WEST NORTH CENTRAL 2,~51

SOUTH A~ 12,~5~

45

Page 55: CONSOLIDATED ANNUAL REPORT - APHL Home ANNUAL REPORT on State ... this report understates the additional resources expended on public health ... Lab & TOTAl …

TABLE 26: IMMUNOLOGY - Viral and Rickettsial Serology Specimens

TOTA I~080,93~AVERAGE 221520

X

x

XXXXX

WEST NORTH CENTRAL 54,508~ 24?27 x X X

SOUTH ATLANTIC 2","i,373X

WEST SOUTH CENTRAL 270?67

x

TERRITORIES 0

46

Page 56: CONSOLIDATED ANNUAL REPORT - APHL Home ANNUAL REPORT on State ... this report understates the additional resources expended on public health ... Lab & TOTAl …

TABLE 27: IMMUNOLOGY - HIV Serology Specimens

xxxx

xxxxxxxXx

xxXxxX

Xxxx

xxxxxxxxx

xx

X

xxxx

xx

xxxXX

XxxX

Other

RIPA

47

Page 57: CONSOLIDATED ANNUAL REPORT - APHL Home ANNUAL REPORT on State ... this report understates the additional resources expended on public health ... Lab & TOTAl …

TABLE 28: IMMUNOLOGY - Other Serology Specimens

TOTAL

NEW ENGLAND

MIDOLE ATLANTIC

EAST NORTH CENTRAL

WEST NORTH CENTRAL

Kanrm$

SOUTH ATLANTIC

WEST SOOTH CENTRAL

w-p~PACIFIC

327,180~0.449

ooo0o0o

o0o

o

00ooo

o0o

2.824oo

o

0o0

Page 58: CONSOLIDATED ANNUAL REPORT - APHL Home ANNUAL REPORT on State ... this report understates the additional resources expended on public health ... Lab & TOTAl …

TABLE 29: HEMATOLOGY / IMMUNOHEMATOLOGY SPECIMENS

Lab&

TOTAL

WEST SC~]TH CENTRAL

MOUNTAIN

wF,~~PAC4FIC

TERRITORIES

Total

o

0

3r35.4

o0o0oo

00o

02,84o

ooooooo

oooo

oo

o

128,113157

9,984

434oo0o0oo

434

000000000

43400000

0

4g

Page 59: CONSOLIDATED ANNUAL REPORT - APHL Home ANNUAL REPORT on State ... this report understates the additional resources expended on public health ... Lab & TOTAl …

FIGURE 11

State Public Health Laboratory ChemistrySpecimens by Category- 1991

Clinical Chemistry Udnatys~s and Other5% 3%

Newbo~ Screening92%

51

Page 60: CONSOLIDATED ANNUAL REPORT - APHL Home ANNUAL REPORT on State ... this report understates the additional resources expended on public health ... Lab & TOTAl …

TABLE 30 : CLINICAL CHEMISTRY SPECIMENS

(I)

sOUl~ A’TLANT~

575.842

0

0

0

0000000

oooo0o

57r45~2.1672r162

053.127

3,325000000

3,3250

oooooo

(4)

oo0o0oo

o

oo0o0o

2.076000000

2,076

3,3203,320

000

oooo0

4160000

410000

0oo0oo

53

Page 61: CONSOLIDATED ANNUAL REPORT - APHL Home ANNUAL REPORT on State ... this report understates the additional resources expended on public health ... Lab & TOTAl …

TABLE 31: CLINICAL CHEMISTRY -Clinical )eclmens and )es of Tests

(2) (4) (5) (6) (7) {8) (g) (10) (11) (12) (13) (14) (15) (18) (17~

WEST SOUTH CENTRAL

PACIFIC

owo~W~h~,’~

54

Page 62: CONSOLIDATED ANNUAL REPORT - APHL Home ANNUAL REPORT on State ... this report understates the additional resources expended on public health ... Lab & TOTAl …

TABLE 31:

WEST NORTH CENTRAL

SOUTH ATLANTIC

CLINICAL CHEMISTRY -Clinical Chemistry Specimens and Types of Tests

X X X X X X X

x

x

x

x

x

x

x

x

x x

x

x

55

Page 63: CONSOLIDATED ANNUAL REPORT - APHL Home ANNUAL REPORT on State ... this report understates the additional resources expended on public health ... Lab & TOTAl …

TABLE 32: CLINICAL CHEMISTRY - Urinalysis Specimens

&

TOTALAVERAGE

NEW ENGLAND

EAST NORTH CENTRAL

SOUTH ATLANTtC

G~xp

EAST SOLrTH CENTRAL

WEST SOUTH CENTRAL

MOUNTAIN

w~i~

oooooo0

o

oooooo

2r076000000

2,076

3,3203,320

000

0000o

,=160000

416000

000000

XXXxx

xxXxx

x

56

Page 64: CONSOLIDATED ANNUAL REPORT - APHL Home ANNUAL REPORT on State ... this report understates the additional resources expended on public health ... Lab & TOTAl …

TABLE 33: CLINICAL CHEMISTRY - Newborn Screening

Lab

&

wp,~in~

375,808267,g6627,1321651124

PKU

xxxxxx

xxxxxxx

xxxx

x

XXX

xxx

xxxxxx

xxxx

xx

x

x

xx

X

x

x

X

MSUO

x

x

x

x

xx

37

XXX

xxxxxx

xxxxxXxx

xxxx

x

x

x

x

57

Page 65: CONSOLIDATED ANNUAL REPORT - APHL Home ANNUAL REPORT on State ... this report understates the additional resources expended on public health ... Lab & TOTAl …

TABLE 33: CLINICAL CHEMISTRY - Newborn Screening

w~

x

xx

x

x

x

xX

XXXXX

XXXXXXXX

XXXX

XXXX

x

58

Page 66: CONSOLIDATED ANNUAL REPORT - APHL Home ANNUAL REPORT on State ... this report understates the additional resources expended on public health ... Lab & TOTAl …

TABLE 34: CLINICAL CHEMISTRY - Hemoglobinopathy Specimens

MIDDLE ATLANTICNew ,,~e)"

EAST NORTH CENTRAL

WEST NORTH CENTRAL

SOUTH ATLANTa3

IEF

x

x

x xx

x

xXxx

xxx

27,132127757

41,37648.277

MOUNTAIN 165,688

o

x

x

xxxx

x

xxxx

x

x

x

x

x

X XXxX

xX X

X

xx

x

Xxxx

xxx

x x

x

x

5g

Page 67: CONSOLIDATED ANNUAL REPORT - APHL Home ANNUAL REPORT on State ... this report understates the additional resources expended on public health ... Lab & TOTAl …

TABLE 35: CLINICAL CHEMISTRY - Other Clinical Chemistry Specimens

&

TOTAL

0O0o

0

4g,057

0ooo0

WEST SOUTH CENTRAL

MOUNTAJN

wpmin~

0oo

30000

000

Page 68: CONSOLIDATED ANNUAL REPORT - APHL Home ANNUAL REPORT on State ... this report understates the additional resources expended on public health ... Lab & TOTAl …

TABLE 36: PATHOLOGY SPECIMENS

Lab&

TOTAL

NEW ENGLAND

MIDOLE ATLANTa3

WEST NORTH CENTRAL

,SOUTH ATLANTIC

EAST SOUTH CENTRAL

WEST SOUTH CENTRAL

0000

0000

000

00000

o

0ooooo0o

0o0o0

2.8021=3Ol

0ooo0oo

ooooooo0oo

oo00o

o00o0oo

0o

2~8440000

0000

000

o0oo40oo37

00ooo

Wp~r~

0o0o

0o0o

0o0oo

oooo

6(3800

000oo

0oo0

oo0oooo0o

0 0 o oo o 0 o0 o o oo o o 00 o 0 o0 0 o o

0 0 o o

o o o o

61

Page 69: CONSOLIDATED ANNUAL REPORT - APHL Home ANNUAL REPORT on State ... this report understates the additional resources expended on public health ... Lab & TOTAl …

TABLE 37: OCCUPATIONAL SAFETY AND HEALTH - Biological Samples

Lab&

Region

TOTAL

NEW ENGLAND

WEST NORTH CENTR&L

SOUTH ATLANTIC

EAST SOOTH CENTRAL

WEST SOUTH CENTRAL

MOUNTAJN

4.527

142106

lo6ooooooolooo

ooooo

o0ooo

0oo

oo

250o

o0oo00

0

0

62

Page 70: CONSOLIDATED ANNUAL REPORT - APHL Home ANNUAL REPORT on State ... this report understates the additional resources expended on public health ... Lab & TOTAl …

FIGURE 12

State Public Health Laboratory ToxicologySpecimens, by Category - 1991

Physical7%

Biological93%

63

Page 71: CONSOLIDATED ANNUAL REPORT - APHL Home ANNUAL REPORT on State ... this report understates the additional resources expended on public health ... Lab & TOTAl …

TABLE 38: BIOLOGICAL SAMPLES

Lab&

TOTA

Sou~ {:)a koG1

SOUTH ATLANTICOe4av~re

WEST SOUTH CENTRAL

MOUNTNN

wp,~i.~PACIFIC

TERRITORIES 0ooo

65

Page 72: CONSOLIDATED ANNUAL REPORT - APHL Home ANNUAL REPORT on State ... this report understates the additional resources expended on public health ... Lab & TOTAl …

TABLE 39A: TOXICOLOGY-Biological Samples-Blood-Forensic

Other

240

0 0 0 0 0

0 0 11247

o o 0

52 8,555

PACtFIC 2,2~5 0 0

5 78

0 0 0 0

TERRITORIES 0 0 0 0 0 0 0 0

Page 73: CONSOLIDATED ANNUAL REPORT - APHL Home ANNUAL REPORT on State ... this report understates the additional resources expended on public health ... Lab & TOTAl …

TABLE 39B: TOXICOLOGY-Biological Samples-Blood-Other

MfDOLE ATLANTK) 0 0 54~ 15rg7~ 0 O 0 11~54

EAST NORTH CENTRe. 1,502 0 4 103,348 1~ 0 0 41414

WEST NORTH CENTRAL 0 0 0 89 0 0

SOUTH ATLANTIC 0 0 11~819 107~235 0 0

WEST SOUTH CENTRAL 0 0 0 4~148 0 0

MOUNTAJN

110 72

0 0 0 635

635

0 O

0 O

TERR~TORSES 0 o 0 o o 0 0

o

Page 74: CONSOLIDATED ANNUAL REPORT - APHL Home ANNUAL REPORT on State ... this report understates the additional resources expended on public health ... Lab & TOTAl …

TABLE 40: TOXICOLOGY-Biological Samples-Urine-Forensic

o o

0 0 0 0

797 1 5~ 0 0 0 0 0

o o

0 o o o

0 0 0 0 0

0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0

Page 75: CONSOLIDATED ANNUAL REPORT - APHL Home ANNUAL REPORT on State ... this report understates the additional resources expended on public health ... Lab & TOTAl …

TABLE 40: TOXICOLOGY-Biological Samples-Urine-Other (Continued)

17 0

0 0 0 0 0 0

179 0 017g

0

0

0 0

0 0

69

Page 76: CONSOLIDATED ANNUAL REPORT - APHL Home ANNUAL REPORT on State ... this report understates the additional resources expended on public health ... Lab & TOTAl …

TABLE 41: TOXICOLOGY-Biological Samples-Other-Forensic

228 87

~2 0 11 0 0 0 0 0

o o

0 0 0 0 0 0 o 0

0 0 o o o o o o

0 o 0 0 0 0 0 o

0 o 0

0 0

0

0

o

0

0

0

0

0

o

0

7O

Page 77: CONSOLIDATED ANNUAL REPORT - APHL Home ANNUAL REPORT on State ... this report understates the additional resources expended on public health ... Lab & TOTAl …

TABLE 41: TOXICOLOGY-Biological Samples-Other-Other (continued)

L=b

NEW ENGlaND

M~DOUE ATL,~NTiC

EAST NORTH CENTRAL

0 o 0 0

0 o 0 o

WEST NORTH CENTRAL o o

SOUTH ATLANTIC

Ge~i=

EAST SOUTH CENTRAL

WEST SOUTH CENTRAL

0 0 0 0

0 0 0 0 0 0 0 0

o

o

o

0

o

o

o

o

0

0

71

Page 78: CONSOLIDATED ANNUAL REPORT - APHL Home ANNUAL REPORT on State ... this report understates the additional resources expended on public health ... Lab & TOTAl …

LABORATORY ENVIRONMENTALWORKLOAD

Page 79: CONSOLIDATED ANNUAL REPORT - APHL Home ANNUAL REPORT on State ... this report understates the additional resources expended on public health ... Lab & TOTAl …

FIGURE 13

State Public Health Laboratory EnvironmentalMicrobiology Specimens, by Category- 1991

Dairy prod~ts9% Food and Beverage

2%

Page 80: CONSOLIDATED ANNUAL REPORT - APHL Home ANNUAL REPORT on State ... this report understates the additional resources expended on public health ... Lab & TOTAl …

TABLE 42: ENVIRONMENTAL MICROBIOLOGY SAMPLES

Lab&

NEW ENGLAND

Nebraska

SOUTH ATLANTK~

WESTSOLITH CEt~rRAL

MOUNTAIN

Utah

PACIFIC

W~h~r,~o~

TERRITORIES

210,012

12,672

Wirer

t8,735

ooo0

160

0oo0oo

oo

o

00o

o

o0

15311o0

00

00

75

Page 81: CONSOLIDATED ANNUAL REPORT - APHL Home ANNUAL REPORT on State ... this report understates the additional resources expended on public health ... Lab & TOTAl …

TABLE 43: ENVIRONMENTAL MICROBIOLOGY-Water Samples

WEST NORTH CENTRAL

MOUNTNN

1,822,329

64,124

15,788

2.992

0

12r227

0

326

0

41970

451967

7T082

7r870541

’tOgo

221091

47,634

1 r685

93

oo

2 0

431 ~201lO~8go

0

154,245

1391109

87194447

74r88~7r7493r3~?

824824000

1,3704540000

495421

6~877

0

00

0

o

0

o

73057

04

o0

04574

ooo

75048o27

0oo

o 0 0 o

76

Page 82: CONSOLIDATED ANNUAL REPORT - APHL Home ANNUAL REPORT on State ... this report understates the additional resources expended on public health ... Lab & TOTAl …

TABLE 43B: ENVIRONMENTAL MICROBIOLOGY - Water Samples-Potable

TOTAL

NEW ENGLAND

WEST NORTH CENTRAL

SOUTH ATLANTIC

WEST SOUTH CENTRAL

04,752

21rlOO

000000o

000000

000000

o

25,8742,352

5.7320

2.68200

0o0ooo00

0o00o

PACIFIC

TERRITORIES 12.136

o0oo

000

0000

03,613

2,77g00

oooo

1400

000

14o0o

34500

3450o

77

Page 83: CONSOLIDATED ANNUAL REPORT - APHL Home ANNUAL REPORT on State ... this report understates the additional resources expended on public health ... Lab & TOTAl …

TABLE 43A: ENVIRONMENTAL MICROBIOLOGY-Water Samples-Non-Potable

TOTAt 74¢478

NEW ENGLANDCoeeec~cu~

Maine

EAST NORTH CENTRAL

WEST NORTH CENTRAL

SOUTH ATLANTIC

EAST SOUTH CENTRAL

Kentu~y

WEST SOUTH CENTRAL

w~(~

PACIFIC

TERRITO~tES "

00

31238

oox

0o0ooo

oo

133o0

o

0

o21,54g

ooo

o0ooooo

0o0ooo

o0o0o0o0

0ooNAoooooo

00o

0o0oo

o0o0oo0o0

o0oo0o

o0o00

oo

0ooo0o

0oo0o00o

oo000

0o000

5O5000o0oo0

o

0oo

78

Page 84: CONSOLIDATED ANNUAL REPORT - APHL Home ANNUAL REPORT on State ... this report understates the additional resources expended on public health ... Lab & TOTAl …

TABLE 43C: ENVIRONMENTAL MICROBIOLOGY-Water Samples-Sewage/Waste

TOTALAVERAG~

NEW ENGLANDConne~cul

MIDO~E ATLANDC

EAST NORTH CENTRAL

SOUTH All.AN’~C

5000O05

8248240000

0000

147

o0o0o0o00o

000

Mu~p~e Tube

00ooo

00oo0o

ooo0o

0

o

00ooo0

o0o0ooo0

0ooo0o000o

ooo0o

00ooooo

0o

o0o0oo

oo0ooo0o

o0o0ooo0oo

0000o

MOUNTAIN

klaho

wp~ing

Hawaii

TERRiTOrIES

o000

o0o

382

0o

5005o0

o

o0

68057704

0oo0

o0o

o00oo

00000o

ooo0

oo0o0oo00

00o000

7g

Page 85: CONSOLIDATED ANNUAL REPORT - APHL Home ANNUAL REPORT on State ... this report understates the additional resources expended on public health ... Lab & TOTAl …

TABLE 43D: ENVIRONMENTAL MICROBIOLOGY-Water Samples-Swimming Pool

MJDDLE

EAST NORTH

EAST SOUTH CENTRAL

17,121

0

6170

00

0

0

00000

750

0

000

o000

2,744

0o

o0

000o0

0o0o000

0o0oo0

00ooo00o

0o00oooo00

0o

0o

000oo

MOUNTAIN

PACIFIC

818oo

361oo5

450o

00

00

838000000

SO788

ooo0o

0oo

00oo00

0o

0oooo0o

4,403oo00

7010oo

ooo

000oo

o274o0

oo

0000o0

Page 86: CONSOLIDATED ANNUAL REPORT - APHL Home ANNUAL REPORT on State ... this report understates the additional resources expended on public health ... Lab & TOTAl …

TABLE 44: MICROBIOLOGY-Dairy Products Samples

xx

WEST SOUTH CENTRAL 46,557

MOUNTAJN 7,406

o

C~e~x~ o

TERRITORIES 53~

FP{~zen

x

x

x

X

81

Page 87: CONSOLIDATED ANNUAL REPORT - APHL Home ANNUAL REPORT on State ... this report understates the additional resources expended on public health ... Lab & TOTAl …

TABLE 45: ENVIRONMENTAL MICROBIOLOGY-Food and Beverage Samples

TOTN.

NEW ENGLAND355 x

xx

x

X

o

x

x

x

x

X

X

x

X70

0433

x

x

XxxxxXxX

x

x

xxxX

XXx

xx

x

X XX

xXX

X

X

X

XX

X

X

X

X

XMOUNTAIN 1~032

Wyo~iw ~7

PACIFIC 2~725

TERRITORIES 0

82

Page 88: CONSOLIDATED ANNUAL REPORT - APHL Home ANNUAL REPORT on State ... this report understates the additional resources expended on public health ... Lab & TOTAl …

TABLE 46: ENVIRONMENTAL MICROBIOLOGY -Other Environmental Microbiology Systems

WEST NORTH CENTRAL 1.275k~ra 1,275

SOLrTH ATLANTIC 45

EAST SOUTH CENTRAL 25

WEST SOUTH CENTRAL 151

~ o

Page 89: CONSOLIDATED ANNUAL REPORT - APHL Home ANNUAL REPORT on State ... this report understates the additional resources expended on public health ... Lab & TOTAl …

F FIGURE 14

State Public Health Laboratory EnvironmentalChemistry Samples, by Category-- 1991

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TABLE 47: ENVIRONMENTAL CHEMISTRY SAMPLES

o

o247

o11r875

40

0

0

056

9,~0 lg.~g~ 16,099 14,~ 10,2100 0 0 0 00 0 0 0 00 0 0 0 00 0 0 0 0

0 0 0 0 0

TERRITORIES o o

00

421

o

152o

87

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TABLE 48: ENVIRONMENTAL CHEMISTRY - Water Samples - Potable

TOTAL 445.61910,610

15,15752,071

x

x

xx

x

xxxxxx

x

x

xX

xx

xxxx

xxxx

I’)

X x

X x

X x

x X

X xX xX x

x xX xx xX xx xX xX x

X Xx

x x

X x

x XX x

xX xX xX x

X XXX xX X

x xX xx xX xX xX xX x

X Xx x

X x

x

x

Xx

xxx

x

x

xx

x

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TABLE 48: ENVIRONMENTAL CHEMISTRY-Water Samples-Ambient

TOTAL

0

MOUNTAIN

pACIFIC 2~s7~

o

TERRITORIES o

x

xx

X

X

Xxx

x

x

xx

x

X

Xx

xXx

xx

x

Xx

x

x

xx

XX

xx

xX

X

xx

x

X

xXXx

XxxxXxx

xX

XXxx

x

X

x

xx

x

xx

8g

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TABLE 49: ENVIRONMENTAL CHEMISTRYSolid and Hazardous Water Samples

TOTAL

SOUTH ATLANTIC

TERRITORIES

4242

7r2gOoo

118o

5,95,49180

30Oo

421

0

0oo

0

0

x

x

X

x

xxxx

x

xx

x

xx

xxxX

x

x

XXXX

x

X

XX

X

XX

xXxX

x

XXXX

XX

X

Xx

X

X

XX

XXXX

x

X

X

X

xX

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TABLE 50: ENVIRONMENTAL CHEMISTRY - Food Samples

o

xx

x

xx

x

x

X

x

x

x

xx

x

x

x

X

xX

X

x

91

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TABLE 51: ENVIRONMENTAL CHEMISTRY - Body Fluid and Tissue Sample

TOTAL 13r5S5

1,5460000

0

0000

0

00

0

EAST SOUTH CENTRAL 0

MOUNTAIN 1,537

oPACIFIC 276

o

TERRITORIES o

14)

xX

x

Xx

92

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TABLE 52 : ENVIRONMENTAL CHEMISTRY - Air Samples

0ooo

0

o

o

X

X

X

xX

Xx

x

X

x

XXxxx

xx

x

x

x

x

X

X

XX

X

Tox~t

X

X

X

X

g3

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TABLE 53: ENVIRONMENTAL CHEMISTRY - Air Pollution Samples

T~

NEW ENGLAND 52~67647 x

5

F-A~T NORTH CENTRAL 1,037

WEST NORTH CENTRAL 5,052

EAST SCUTH CENTRAL Ir4~4

x

WEST SOUTH CENTRAL o

X

X

X

X X

X

X

x

TERRITORIES oGu~m’O

94

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TABLE 54: ENVIRONMENTAL CHEMISTRY - Radiological Analysis Samples

o

TERRITORIES 0

X X

x

X x x x

x x X x

x

xxxx

x

95

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TABLE 55: ENVIRONMENTAL CHEMISTRY -Other Environmental Chemistry Samples

TOTA~ 30,4~3

WEST NORTH CENTRAL 1114~

o

! H=~ 0~ 0

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TABLE 56: OCCUPATIONAL SAFETY AND HEALTHEnvironmental Samples "

TOTAL

NEW ENGLAND

~DDLE ATLANTIC

MO~NTNN

PACIFIC

Total

77377300

79135

04700

7£O0

3.4243,248

o77

0o

0

5150

0

lr3780

20O

762752

o

0oo0

o047o0

0

o o 00 0 0o o oo 0 o0 0 o0 o 0

0 o

0 o 0

g7

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TABLE 57: TOXICOLOGY - Physical Samples

TOTAL

W,,EST NORTH CE~

SOUTH ATLANTIC

FIo~da

FAST SO~I’H CENTRAL

Kent~ck).

WEST SOUTH CENTRAL

MOUNTAIN

PACIFIC

TERRITOf~IES

111

05

00

210

0

o

0

0ooo

g8

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TABLE 57A: TOXlCOLOGY-Physical Samples-Forensic

(~)

0 0 0 0 0 0 0 0 0 0 0~IDOLE ATLANTIC

15 0 7 4 0 0 0

WEST NORTH CENTRAL

G~Wi=

103

0 0 0 0 0 0 0 0 0 0 0

WESTSoU’rH CENTRAL

MOUNTAIN

Ne,~ada

0 0 0 0 0 0 0 0 0 0 0

12 0 0 ;0 12 0 0 0 0 0 3~

9 10

Utah 3 10Wpmi~

PACIFIC 0 0 0 0 77 0 0 0 0 0 0

99

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TABLE 57B: TOXICOLOGY-Physical Samples-Other

(4)

5f521

2 0 0 0 5 0 0 867 0 0 116

2727

67

Mar~nd

EAST SOUTH CENTRAL 0 0 0 0 68 0 0 3~ 0 0 0

2~2 0 41 ’20 0 0 522O2 41

2O 5

PACIFIC o o o

TERRn’C~IES 0 o o 0 o

o o

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OTHER LABORATORYWORKLOADS

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TABLE 58: LABORATORY IMPROVEMENT PROGRAM -Number of Laboratories and LIP Personnel

Lab&

TOTALAVERAGE

NEW ENGLANDC~e necl~cut

WEST NORTH CENTRAL

EAST SOUTH CENTRAL

Arka~,.a$

MOUNTNN

wpm~PACIFIC

TERRITORIES

3

1,372572

235NANANANA

167NANA

172NA

NA

NANA

NANANANANA

5NA

00

o

73

o52

NA

NANANA8

NANA2

154NA

1513NA

0

NANA3

85O

250

4r64~NA

4,64g

0NANANANANA

24NANANANANA24NA

NANANANA

NANANA

157

2,000NA

NANA

0NANANANA

5.427

NANANA

175

175

NANA

NA

NANANANA

NANANANA0

NANANANA20NA

NANA

255

NANA

NA

NA

4NANA42NA

Wate~

2237g7

127NA

NA24

NA

7875NANANANA

73

NANANA

NA

gNANANA

NANANANA

2727NANANA

NA

NA

101

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TABLE 59: LABORATORY IMPROVEMENT PROGRAM - Clinical Laboratories

TOTAL

WEST SOLr’rH CENTRAL NA 233

Wp~i~

TERRITORIES

0 1950 00 00 00 0o o

0 00 00 00 0o 00 00 00 73

0 0

o 0

618 048 00 0187 0385 0

335 712oo 00 00 71

0 0

0 050 0

0 0

oo00o

0000

o

0

oo00

102

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TABLE 59 : LABORATORY IMPROVEMENT PROGRAM - Clinical LaboratoriesActivity of LIP Staff

~7 T~

(io) (ll)TOTAL 17 14

x X

x X

MIDOLE A’rL6NTIC

K~

x X

x X

x Xx xx X

Xxxxx

x Xx x

x X

x X X X X X X

x X X x

x

x X

X

X

X

X

x

xx X

X x

X

x

X

x

x

103

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TABLE 59: LABORATORY IMPROVEMENT PROGRAM - clinical LaboratoriesActivity of LIP Staff

x

XX

x

X

X

X

x

x

X

X

x

x

x

x

x

X

comp~in~

104

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TABLE 59: LABORATORY IMPROVEMENT PROGRAM - Clinical LaboratoriesActivity of LIP Staff

&

TOTA

NEW ENGLANDCoenec~ut

MIDGE ATLANTIC

WEST NORTH CENTRAL

SOUTH AT1.ANT1C

EAST SOUTH CENTRAL

WEST SOUTH CENTRAL

PACIFIC

x

X

Washir~lon

TERRITORIES

105

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TABLE 59: LABORATORY IMPROVEMENT PROGRAM - clinical LaboratoriesActivity of LIP Staff

N~N ENGLAND

W~,~

x

x

x

x

x

x

x

x

X

X

X

XX

XX

x x

X x

X xx xX

X

X

X

Enfo~ernent

X

XX

X

X X ~ule De~lopmentX XX X

X

X X× × ,.r.pc,~

X XX X

X

X

106

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TABLE 60: LABORATORY IMPROVEMENT PROGRAM - Public Health Laboratories

5 05 00 00 00 00 00 0

oooooo0

2 0 1

18 00 00 09 09 00 0

505000

7 00 0

0 04 00 00 00 0

0 00 00 0

0 0

0 00 0

0 00 00 o0 oo 0

o

o0oo0

2

oo0o0

o

4022o

30 02 00 03 025 0

00000

o 0

0 o0 o3 0o 0

00oo00oo0

3 00 00 oo 03 00 o

o 0 o

107

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TABLE 60A: LABORATORY IMPROVEMENT PROGRAM-Public Health LaboratoriesActivity of LIP Staff

MIDO<.E A11.ANT~

~ A~

X X

X XX

X x.

MOJNTAJN

Wp’n~n~

108

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TABLE 60A: LABORATORY IMPROVEMENT PROGRAM-Public Health LaboratoriesActivity of LIP Staff (continued)

WEST NORTH CENTRAL

WEST SOUTH CENTRAL

MOUNTAIN

PACIFIC

CeWom~l

TERRITORIES

x

X

x

x

x

x

x

X

X

X

x

109

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TABLE 60A: LABORATORY IMPROVEMENT PROGRAM-Public Health LaboratoriesActivity of LIP Staff (continued)

NEW ENGLAND

MIDO~E ATLANT1C

SOUTH ATLANDC

Ge~ia

EAST SOUTH CE~

WEST S~ CE~

110

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TABLE 60A: LABORATORY IMPROVEMENT PROGRAM-Public Health LaboratoriesActivity of LIP Staff (continued)

TOTAL

NEW ENGLANDX

X

X

X

XX

X

X

x

x

x

x

x

xx

x

x

XXxXX

x

XX

X

XX

x

X

x

x

xXxX

xX

Other

111

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TABLE 60B: LABORATORY IMPROVEMENT PROGRAMRegulation of State Public Health Laboratory

TOTAL 3~ 3~ 27 ~ 33 8 o 5NEW ENGLAND

MIDO~E ATLANTIC

Ge~, X

EAST SOUTH CENTRAL

WEST SOUTH CENTRAL

EPA

PACIFIC

x x x x

TERRITORIES

112

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TABLE 61: PHYSICIANS’ OFFICE LABORATORIES

Num~ b)" LIP

K~ntucky 2,000 0 0 0 o

WEST SO~TH CENTRAL 0 6 e o 0

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TABLE 61: LABORATORY IMPROVEMENT PROGRAMPhysicians’ office Laboratories - Activity of LIP Staff

TOTAL 14 8 10 7 1~ 13 12 13 1 0 0

MIDOLE ATLAHT~

SOUTH ATLANT~

w,to~i~

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TABLE 61: LABORATORY IMPROVEMENT PROGRAMPhysicians’ Office Laboratories - Activity of LIP Staff

wyomi~

x

x

X x

X

115

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TABLE 61: LABORATORY IMPROVEMENT PROGRAMPhysicians’ Office Laboratories - Activity of LIP Staff

TOTAL

MDO~

EAST NORTH CE~’RAL

WEST NORTH CENTRe.

MOUNT~N

Lice~ure/

Other

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TABLE 61: LABORATORY IMPROVEMENT PROGRAMPhysicians’ Office Laboratories - Activity of LIP Staff

TOTAL

WEST $OLITH CENTRAL

PACIFIC

TERRITORIES

117

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TABLE 62: LABORATORY IMPROVEMENT PROGRAMand Food Laboratories

Lab&

7 0 27

0 0 00 0 10 0 07 0 0

0 00 0

000000

0 0

0 3O0 170 0

0 0

o 0 00 0 oo o 0g 0 oNA NA NA0 0 30 0 0

ooo0o

oo0

oo

oo0o

o0

o0000

0000o0

o 340 oo 00 00 00 170 oo o0 140 3

0 00 oo 8

0 190 00 70 00 12

0 70 00 40 00 0

0 20 00 0

0 00 0

0 00 0

0 0

118

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TABLE 62A:

&

TOTAL

LABORATORY IMPROVEMENT PROGRAM-Dairy and Food LaboratoriesActivity of LIP Staff

NA

XXX

xX

X

X

x

x

NA NA

X X

XX

X

X

X

XX

XX

XX

X

X

X

X

X

119

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TABLE 62A: LABORATORY IMPROVEMENT PROGRAM-Dairy and Food LaboratoriesActivity of LIP Staff

&

TOTAL

WEST SOUTH CENTRAL

MOUNTAIN

Wpm*~PACIFIC

W~ingto~

TERR~’OR~E$

x

x

x

X

X

X

NAX

NA

x

x

x

120

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TABLE 63: LABORATORY IMPROVEMENT PROGRAM - Water Laboratories

J~

121

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TABLE 63: LABORATORY IMPROVEMENT PROGRAM-Water Laboratories

&

TOTAL

SOUTH ATLANTIC

EAST SOUTH CENTRAL

WEST SOUTH CENTRAL

MOUNTAIN

PACIFIC

ToLal

2272270oo0o

0o00

00ooo

43oo04300

ooo000oo

121000

55OO0

5o05oo

Micn)-

0 o

0 o

5 o

o 0

00

2oooo o

o

o ooooo

o o

o

oo

ooo

ooo oo

o

o oo

o

o

oo

o

o

122

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TABLE 63: LABORATORY IMPROVEMENT PROGRAM-Water Laboratories

&

TOTAL

3700

2500

0o00

32

973 375 273 325 og 4 2 3o

FIOr~a 453 93 147 213 0

123

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TABLE 63: LABORATORY IMPROVEMENT PROGRAM -Water Laboratories - Activity of LIP Staff

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TABLE 63: LABORATORY IMPROVEMENT PROGRAM -Water Laboratories - Activity of LIP Staff

Lab&

125

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TABLE 63: LABORATORY IMPROVEMENT PROGRAMWater Laboratories - Activity of LIP Staff

x

xNAX

NA

Xxxx

x xx x

126

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TABLE 64: LABORATORY IMPROVEMENT PROGRAMOther LIP Activities for all types of Laboratories

127

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TABLE 65: BIOLOGICS, REAGENTS, AND MEDIA -Production of Biologics,Reagents and Media for Distribution

(~)

TOTAL

3.19

0,5

30.25

4

0.25

100

1.2

0.5

Lab

X

X

Reager~,

X

x

x

x

X

x

xx

X

x

X

x

X

xx

xxx

128

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TABLE 65: BIOLOGICS, REAGENTS, AND MEDIA -Production of Biologics,Reagents and Media for Distribution

(I)

2

Lab

x

129

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TABLE 66: RESEARCH AND DEVELOPMENT-Basic Research

TOTAL

(5)

30,~O0x x

NA NA

X

X

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TABLE 67:

Lab&

TOTAL

No~lh D~koea

RESEARCH AND DEVELOPMENT - Applied Research

(6) ~

xx

x

x

x

131

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TABLE 68: RESEARCH AND DEVELOPMENT - Technical Research

&

TOTAL

XNA

NA

NA

o

NANA

NA

x

NA

NA

NA

132

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LABORATORY PERSONNELAND

STAFFING PATTERNS

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TABLE 69: NUMBER OF BUDGETED POSITIONS

133

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TABLE 69: NUMBER OF BUDGETED POSITIONS

SOUTH ATLANTa3

134

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TABLE 7 0 : TURNOVER

135

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TABLE 71: STAFFING PATTERN OF PROFESSIONAL AND TECHNICAL PERSONNEL

(4~0)

136

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TABLE 71: STAFFING PATTERN OF PROFESSIONAL AND TECHNICAL PERSONNEL

Lab

&

TOTA

~)

137

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NOTES AND DEFINITIONS

Every attempt has been made to ensure the accuracy of the raw data which are includedin this report. However, because of the various accounting practices employed, greatdiversity exists among Association laboratories. Therefore, the reader is advised toexercise great care in making comparative analyses without first consulting the laboratorydirector involved.

An "average", in a table, is the total divided by the number of participating laboratoriesreporting activity in a given category or subcategory.

SYMBOLS

The data display format conforms to that of previous CAR reports. The following matrixidentifies the symbols found in this edition

SYMBOL Meaning and Purpose

Blank or 0XNA

A report with no activity for that particular itemA positive responsethe laboratory reported that data were not available

THE FOLLOWING DEFINITIONS APPLY TO TABLES 1 THROUGH 61)

Workload

Workload is reported by the number of specimens / samples in each category orsubcategory. Workload includes procedures routinely followed in the laboratory. It doesnot include those procedures that the laboratory has the capability of performing butdoes not do on a routine basis. Routine tests are those tests performed as part of astandard operating procedure on a specimen or sample.

Specimen / Sample

Any material received in the laboratory for testing in a workload category or subcategoryor a material which is divided into aliquots for testing in multiple categories orsubcategories is counted as one specimen for each category or subcategory. Specimenscollected from the same site on the same patient (or same environmental source) at thesame time are to be counted as one specimen in each category or subcategory in which itis tested. The term "specimen" indicates an animal or human source, while "sample"indicates an environmental source.

139