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By H. Kinilakodi

In 2008, the authors developed a methodology for assessing underground coal mines for high risk for major-hazard events. It focused on major hazard-related violations of safety standards associated with high-risk conditions. Later using a sample of 103 mines with 2008 and 2009 data, injury measures and MSHA citation data were combined into a Safe Performance Index (SPI). The SPI was used to assess the relative safety-related risk of mines, including by mine-size category. In this paper, comparisons are made of SPI-associated, normalized safety performance measures across mine-size categories, with emphasis on small-mine safety performances as compared to large and medium-sized mines.

Jan 1, 2011

By A Litwinowicz, M Laxman, A Fourie, A L. Li

This paper presents a design approach and analytical methods that were used for assessing the potential of static liquefaction and developing the mitigation measures for a tailings dams. The rigour of the design and analysis approach represented leading practise in the industry to address static liquefaction, which contributed to a robust design with high confidence and certainty. The salient features of our approach to static liquefaction included geotechnical investigation and tailings characterisation, static liquefaction screening assessment, static liquefaction triggering analysis, limit equilibrium analyses and numerical modelling of static liquefaction using the NorSand model, which was amongst the first tailings dam projects involving numerical modelling of static liquefaction using these methods.

Jul 1, 2021

By Breaux B. Castleman

The ultimate test of a business strategy is whether it achieves the owner's objectives. Most shareholders are interested in growth and profits, and share values on stock exchanges are very often closely correlated with profit growth and profitability measured as return on equity (ROE). Strategic management, then, involves managing investments or resource allocations to optimize long-term growth and real return on equity, within reasonable limits of risk. Figure 1 shows a plot of the five year, weighted average ROE of a number of communications companies against their stock market valuations in 1983, measured as a ratio of market value to book value. The principal explanation of the differences in the relative valuations of the individual stocks is historical ROE, weighted toward the most recent years. Further analysis demonstrates the added importance of growth in explaining the differences in stock market to book ratios. [ ] Research conducted by Booz Allen and others in recent years suggests that the relationships between ROE and market to book multiples hold true in industry after industry. Furthermore, we have found that in assessing business strategies for companies in these industries, the analyses should focus on whether proposed strategies are likely to lead to consistent long-term growth in real ROE, without excessive leverage. Our research also reveals, however, that these approaches to strategy assessment are not consistently applicable in the natural resource extractive industries. Figure 2 shows a similar comparison of market to book values against five year average ROE for a group of nine mining companies in 1983. Market value of the shares shows little correlation with ROE. [ ] Analysis of the data for other extractive industries indicates a similar pattern; that is, low correlation between share values and

Jan 1, 1985

By L Lorenzen

In this paper, we developed and implemented a fuzzy logic expert system capable of evaluating the degree of sustainability within the context of gold mining operations. The newly introduced approach of evaluating sustainability in the gold mining industry has the merit of sufficiently handling diverse, sustainable, development-related qualitative and quantitative data owing to fuzzy logic technology capabilities in dealing with linguistic syntax. The economic, environmental and social indicator inputs were independently evaluated and then combined with the aid of fuzzy logic to provide an overall sustainability index on a scale of zero to one. A total of 66 independent indicators were identified and applied in our model. The novelty of this work lies in providing a coherent numerical and automated approach in evaluating sustainability in the context of gold mining operations. In addition, the model can aid policy- and decision-makers in arriving at consistent decisions regarding the degree of sustainability on various aspects of gold mining operations. The functionality of this model will be illustrated through several examples.

Jan 1, 2007

By C. Guney Olgun, Fleur Loveridge, Tracy Brettmann, William Powrie

"Abstract Deep foundations are increasingly being used, not just to carry structural loads, but also to act as heat exchangers as part of a ground source heat pump system. Such foundations, often called energy piles, have the potential to make significant contributions towards meeting the heating and cooling demands of buildings, thus reducing the overall energy consumption and carbon dioxide emissions during their lifespan. To ensure that the available energy from these systems is maximized, it is important to determine the thermal conductivity of the surrounding soils, a key design input parameter. In situ thermal response tests are commonly used to carry out this task for small diameter borehole heat exchangers. However, there has been debate over the applicability of these tests to energy piles due to their larger diameter and the consequent increased influence of the pile thermal properties on the test outcome. This paper examines the results of three thermal response tests carried out on piles of different diameters and thermal properties installed at the same site in Texas. Transient analysis of the test results, combined with comparisons to laboratory testing of soil samples from the site, is used to given an indication of the applicability of the thermal response test over different timescales for the different piles. It is concluded that the test is most suited to smaller diameter piles constructed with lower thermal diffusivity materials. Recommendations are given for the conduction of pile thermal response tests and interpretation of test data.INTRODUCTIONAs issues of energy security and scarcity become more important, the use of ground source heat pumps to provide renewable and sustainable heating and cooling to buildings is set to increase. Traditionally such systems use special purpose ground heat exchangers to extract and/or inject heat from/into the ground. The heat exchangers comprise a series of plastic pipes cast into the ground and then connected to the heat pump via a series of header pipes. In the case of building space heating, the heat pump then steps up the temperature difference to deliver the extracted heat at a useable level. However, financial and carbon savings can result by utilizing the building foundations as heat exchangers as well as to carry the building structural loads.Piles, often termed “energy piles”, are the most common type of foundation heat exchanger, and their construction has been increasing in recent years (Amis et al, 2009). However, while energy piles have the potential to make significant contributions towards meeting building heating and cooling demands, there remains scope for improving their thermal efficiency through improved analysis approaches (e.g. Loveridge & Powrie, 2013). In fact the greater diameter of many energy piles means they have the potential to deliver increased short term thermal energy storage compared to more commonly installed borehole heat exchangers."

Jan 1, 2014

By Almer E. C. van der Stoel

"Abstract This paper deals with assessing the bearing capacity of existing wood pile foundations. With a wide range of restoration projects being performed in the Netherlands, on many locations deep excavations need to be constructed next to existing, many times listed buildings. The building are founded on piles that are often centuries old, so a close evaluation of the remaining bearing capacity, combined with and assessment of the influence of the excavation is in place.After giving an introduction on Dutch pile foundations, a methodology is described to assess the bearing capacity. Aspects as physical foundation investigation, determination of the current bearing capacity and a calculation of the bearing capacity in the new situation are discussed. The results of both analytical and Plaxis calculations are outlined, focussing on how to practically use this approach in renovation projects. Finally, cases studies of the successful application of this approach in major renovation projects in Amsterdam, such as the Conservatorium Hotel and the New Rijksmuseum are used to illustrate the successful application of this approach.A Short Dutch Pile Foundation History (based on Van der Stoel, 2001)The first houses built in Amsterdam, in the 12th century, were very light constructions of timber without foundations. Because of the soft peat layers found in Amsterdam, the houses there suffered from damage due to settlement. In the 13th century, castles and churches were increasingly built of bricks, which made it necessary to provide support for bigger loads. Under the wall of the construction a trench was dug, and this was filled on either side by alder fascines. Between the fascines small wood piles were driven (by hand) on which another series of fascines was put. On top of this construction, were placed oak slabs on which the bricks were then laid. From that moment on, a problem was caused by the decay of wood foundation elements in the humid soil. In 1503 a law was introduced forbidding building foundations on public streets without permission of the Building Inspection (to keep the fronts of the buildings in a straight line). In 1528 a law requiring permission from the local authorities for all building activities replaced this law. In this period developments started which led to the use of the type of foundation that can be considered the mother of the current “typical” Dutch pile foundation. The piles used in this period were shaft- bearing piles about 5 to 7 meters long. The mostly pine piles were driven between oak beams, which were placed on either sides of a trench, after which other oak beams were laid across at regular spaces: the so called “pile bent” pile foundation (Figure 1)."

Jan 1, 2014

By M. du Plessis, D. F. Malan

"Crush pillars are designed to be in a crushed state whilst being formed at the mining face. The residual stress state of these failed pillars provides a local support function in mining stopes and is used in the majority of the intermediate depth South African platinum mines. On mines utilising crush pillars, the pillar dimensions are selected to achieve a width to height ratio of approximately two. This is not achieved in most cases as a result of practical mining problems and poor pillar-cutting discipline. Furthermore, pillar dimensions are seldom adjusted to compensate for the various factors governing crush pillar behaviour. The pillars should, however, be in a crushed state whilst being formed or whilst still in close proximity to the mining face to prevent potential damaging seismicity.An underground investigation was conducted into the behaviour of the crush pillars in a trial site on the Merensky Reef at Lonmin Plc. The aim of this investigation was to examine the mechanism of pillar crushing and the related rock mass behaviour. The underground test results and pillar behaviour are compared to a limit equilibrium model to investigate if the model provides a useful approximation of the behaviour of the crush pillars. This paper details some of the preliminary findings.INTRODUCTIONOn most mining operations, the design of crush pillars is based on trial and error. As the pillar strength is unknown, the pillar sizes are adjusted to obtain the correct behaviour. Crush pillar dimensions are generally selected to give a width to height ratio (w:h) of approximately 2:1, (Ryder and Jager, 2002). Several factors affect the behaviour of the crush pillars and in many cases satisfactory pillar crushing is not achieved. This results in a seismic hazard in many of the mines using crush pillars. If pillar crushing is not initiated whilst the pillar is being formed at the mining face, as the mining face advances and the pillars move to the back area of a stope, some pillars may burst while oversized pillars may punch into the footwall. If pillars are designed in such a way that they are fractured during cutting by the face abutment stresses so that the pillars will already have yielded and reached their residual strength, further compression of the pillars will be associated with an increase in load and stability will be ensured, (Ozbay and Roberts, 1988). The stiffness of the strata must therefore be greater than the post-peak stiffness of the pillar (Figure 1) or violent pillar failure and hanging wall instability will occur. The pillar design should be aimed at determining pillar dimensions for which the post-peak curve of the pillar is as flat as possible."

Jan 1, 2015

By G. Ofori-Sarpong, A. -S. Adam, R. K. Amankwah

"In the application of the BIOX® technology, high tailings grade (2-16 g/t) may be generated with a decrease in overall gold recovery, which sometimes make it economically unattractive. This paper investigated the causes of the high tailings grade by using samples from the Bogoso BIOX plant. Partial chemical analysis, diagnostic tests and cyanidation optimisation studies were conducted to invoke understanding into the high tailings grades. Diagnostic study on the tailings showed 48.34% of gold in carbonaceous matter, 17.12% in quartz, 13.40% as liberated gold, 11.51% imbedded in sulphides and the remaining 9.65% in carbonates. Optimum cyanidation recovery of 90.4% was established for the BIOX concentrate at 7 kg/t NaCN, 40-50 g/L activated carbon and residence time of 40 hours. The recovery was sensitive to carbon and cyanide concentrations but additional cyanide was not economical. High preg-robbing indices of 72.7% and 64.4% were recorded for the BIOX product and the flotation concentrate respectively. This confirms the inability of the BIOX process to deactivate carbonaceous matter, which remains a serious precursor for low overall gold recoveries and high CIL tailings. INTRODUCTION Gold ores may be broadly classified as refractory and non-refractory. Non-refractory ores are easy to treat but refractory materials require complicated flowsheets for metal extraction (Hausen and Bucknam, 1985; Schmitz et al, 2001; Marsden and House, 2006). As near surface non-refractory gold deposits are getting depleted, the increasing price of gold and increasing demand for gold, have encouraged many gold producing companies to treat refractory ores for gold recovery. The refractory behaviour of these ores may be due to the presence of sulphides, tellurides, cyanicides and/or carbonaceous matter. Refractory ores do not respond well to conventional cyanidation as the gold is either occluded by or in solid solution in sulphides, or is in association with cyanicides (Marsden and House, 2006). Further, carbonaceous matter preg-robs gold during leaching (Osseo-Asare et al, 1984; Hausen and Bucknam, 1985; Schmitz et al, 2001). The two major causes of refractoriness are the presence of sulphides and carbonaceous matter, and these render the ore double refractory (Nyavor and Egiebor, 1992). Oxidative pre-treatment processes such as high pressure leaching/oxidation; biological oxidation, ultra-fine grinding and roasting are required to render refractory ores amenable to conventional cyanidation (Marsden and House, 2006). Biological oxidation, however, has become the preferred pre-treatment route because it is more environmentally friendly and convenient even where only partial oxidation is required. Comparative tests have demonstrated that bioleaching can achieve the same or better results than roasting or pressure leaching in terms of gold recovery (Yannopoulos, 1991; Brierley, 1997). Further, biological treatment processes are more cost-effective, environmentally friendly and safer."

Jan 1, 2017

By P. Anciaux, T. Simpson

The competitiveness of the EU manufacturing industry has come to the forefront of EU politics. The systematic monitoring of developments and the review of the state of the competitiveness of economies and enterprises was identified as an essential component in this process. Work is currently being carried out within Enterprise and Industry Directorate-General in order to analyse the different factors that influence the competitiveness of the non-energy extractive industry. Such an assessment should help to identify policies and actions which could contribute to and enhance the competitiveness of the industry. Assessing the competitiveness and sustainability of the industry implies the need for reliable, consistent data. One important example of how this need is being addressed, is the development of sustainable development indicators (SDI) for the EU non-energy extractive industry. These seek to monitor the industry’s performance and provide a platform for openness and discussion. Work was started on the development of SDIs in 2000, and the first report was published in February 2004.

Jan 1, 2005

By Z. Hyder, M. Karmis

Underground or In-situ Coal Gasification (UCG or UICG), though not a new concept, is now attracting considerable global attention as a viable process to provide a "clean" and economic fuel from coal. Applying improved UICG technology to gasify deep, thin, and low-grade coal seams could vastly increase the amount of exploitable reserves. However, it is imperative that further development of this technology is based on integrating UCG practices and potential environmental impacts with accepted sustainability frameworks and processes. This paper evaluates the potential of UCG to conform to frameworks such as MMSD (Mining, Minerals and Sustainable Development), Natural Step and Green Engineering, in order to define its "sustainable" potential. The paper also discusses the potential contributions of UCG to sustainability during its design, operation, closure, and post-closure phases.

Jan 1, 2011

Uranium, the object of a quarter billion-dollar search in the US during 1977, is a ubiquitous element rarely found in economic concentrations. It originates in magmas as a large tetravalent ion, the size of which restricts it from the crystal lattices of many rockforming minerals. Instead, according to United States Mineral Resources (US Geological Survey Professional Paper 820) as the magma crystallizes, a portion of the uranium is deposited as an intergranular film on rock forming minerals, enters accessory minerals, or forms its own minerals. The remaining uranium becomes concentrated in magmatic differentiates, where it forms minerals in pegmatites and veins.

Jan 10, 1978

Incomplete liberation of mineral particles is one of the key factors limiting the performance of industrial flotation circuits. This work aims to quantify the relationship between different breakage modes and how these affect mineral liberation properties. A copper porphyry (bornite) ore sample was subjected to breakage using a piston-die compression unit and an impact mill. The particles produced as a result of each mode of breakage were then characterised using Mineral Liberation Analysis (MLA) to quantify the mineralogical and liberation properties of the progeny particles. The impact mill was found to produce bornite that was finer grained relative to the host particles. In con-trast, bornite discharged from the piston-die unit closely followed the size distribution of the host particles and was retained to a greater extent in the larger/intermediate size fractions. The results provide insight into what breakage methods are optimal for the purposes of downstream separation.

Jan 1, 2014

By G R. Hancock, M J. Saynor, J B. C Lowry, T J. Coulthard

Landform evolution models (LEMs) can assess the effectiveness of landform designs applied to a rehabilitated landform by predicting where erosion may occur. Here, we compare erosion predictions produced by the CAESAR-Lisflood LEM with field observations from the rehabilitated Pit 1 landform of the Ranger uranium mine, based in the Northern Territory, Australia (Figure 1). The ability to predict long-term erosion at a catchment scale is important, as the final rehabilitated Ranger landform is required to physically isolate buried tailings material for at least 10 000 years. CAESAR-Lisflood has been extensively tested and calibrated using data collected from erosion plots (0.09 ha) on the Ranger trial landform (TLF) for multiple years (Lowry et al, 2020; Saynor, Lowry and Boyden, 2019). However, until recently, it was impossible to compare model predictions with field observations for areas larger than the TLF erosion plots. We can now compare model predictions of Life of Mine Conference 2023 | Brisbane, Australia | 2–4 August 2023 116 gully development with field observations from the newly rehabilitated, 40 ha surface of Pit 1 over two contiguous one-year periods: 2020–2021 and 2021–2022. The aim of this study was to assess whether the CAESAR-Lisflood model can successfully predict gully erosion at a larger spatial scale.

Aug 2, 2023

By D. Lusinga

Hydrocyclones are a common feature in almost all mining operations in the world, serving mainly as classifiers. Some of their advantages include low capital costs, low space requirements and their ability to reduce residence time in closed circuit grinding processes. Although an extensive body of literature exists for hydrocyclones, these devices are still inherently inefficient, and more research is currently being undertaken, particularly in the field of modelling. In the vast body of hydrocyclone literature published so far, there has been little or no effort devoted to analysing the effect of the cone force ratio on the performance of hydrocyclones. The cone force ratio is defined as the ratio of the spigot to the vortex finder diameter (Shah, 2005). In this study a total of 44 tests was carried out in a custom-built rig at the University of Cape Town. These tests were aimed at evaluating the effect of the cone force ratio on the performance of as mall diameter hydrocyclone. The cut size and water split were used as the criterion for evaluating the performance of the hydrocyclone. Results from the tests showed that the cut size decreased with an increase in the cone force ratio. The cut size also appeared to decrease as the calculated locus of zero vertical velocity (LZVV) shifted inwards. The water recovery to the underflow appeared to increase with an increase in the cone force ratio. The effect on the cut size of adjusting the cone force ratio was found to be higher for a coarser feed than it was for a finer feed.

Jan 1, 2009

By Circe Verba, Scott Montross, Jon Yang

This work is a first-order study to assess the suitability of an organic acid lixiviant to extract rare earth elements (REE) from coal preparation fines refuse sourced from a Pennsylvania mine with a total REE of ~ 300 ppm. The extraction of REE using an organic acid, in this case 0.1Mcitric acid and 0.5Mtrisodium citrate solution, is compared against 0.5M(NH4)2SO4, 1MHCl, 1.2MH2SO4, and 0.5Methylenediaminetetraacetic acid (EDTA). Ashing the coal waste material prior to leaching tests with the citrate solution nominally improved REE extraction. Buffered citrate solution recovered 7% of the total REE in the as-received Isabella Fines as compared to 11% in ashed samples, whereas (NH4)2SO4 extracted 5–6%, respectively. EDTA recovered up to 33%of the total REE, most likely due to the higher coordination chelate bond. Mineral acids, however, outperformed the organic acids on ashed material (16–52%REE recovery), suggesting that organic acids may not be a suitable competitive option for REE extraction from these types of feedstocks.

Jun 15, 2021

By K. V. Raj, R. Jacksha

Conveyor systems persist in being a source of injuries and fatalities in the mining industry. To reduce these incidents, better methods are needed to enhance the monitoring of probable hazards and improve situational awareness during the normal operation and maintenance of conveyor systems. To address these issues, researchers from the National Institute for Occupational Safety and Health (NIOSH) continue to investigate emerging technologies that show the potential to improve miner safety around conveyors. This paper presents a feasibility assessment by NIOSH researchers of a fully integrated, commercially available wireless Internet of Things (IoT) system to improve situational awareness around conveyor systems. Included are discussions of a full-scale laboratory test bed that was designed to simulate a working conveyor system as well as the challenges and successes of integrating the IoT system with the test bed.

Oct 6, 2020

By K. V. Raj, R. Jacksha

Conveyor systems persist in being a source of injuries and fatalities in the mining industry. To reduce these incidents, better methods are needed to enhance the monitoring of probable hazards and improve situational awareness during the normal operation and maintenance of conveyor systems. To address these issues, researchers from the U.S. National Institute for Occupational Safety and Health (NIOSH) continue to investigate emerging technologies that show the potential to improve miner safety around conveyors. This paper presents a feasibility assessment by NIOSH researchers of a fully integrated, commercially available wireless Internet of Things (IoT) system to improve situational awareness around conveyor systems.

By C. Vass, A. Noble

"The chemical treatment of mine-influenced waters is a longstanding environmental challenge for many coal operators, particularly in Central Appalachia. Mining conditions in this region present several unique obstacles to meeting NPDES effluent limits. Outlets are often located in remote areas with challenging terrain where conditions do not facilitate the implementation of large-scale commercial treatment systems. Furthermore, maintenance of these systems is often laborious, expensive, and time consuming. Many large mining complexes discharge water from numerous outlets, while using environmental technicians to assess the water quality and treatment regime multiple times per day. As an alternative solution, this paper describes the ongoing research and development of automated chemical treatment systems for mine water discharges. The current work explains the development of a bench-scale prototype that has been used to evaluate various monitoring, notification, and control strategies. Results from this testing are compared to present day practices to show the costs and benefits of implementing an automated treatment and monitoring program. INTRODUCTION Background The National Pollution Discharge Elimination System (NPDES), per Section 402 of the Clean Water Act, requires permitting of all point source discharges from coal mines. This program dictates that all water leaving a permitted boundary, whether it be process water or storm water, must leave through a monitored NPDES outlet. These permitted NPDES discharge points, also denoted outlets, outfalls or monitoring points, must meet a rigorous set of effluent limits to maintain compliance. Common effluent limits monitored by coal companies include but are not limited to iron, manganese, aluminum, total suspended solids (TSS), and pH. Raw mine water is often deficient in meeting these effluent limits, and as a result, various treatment processes are required to bring the water into compliance prior to environmental release. Depending on the mining and geologic conditions, water monitoring and treatment programs can constitute a significant operating cost for the mine operator. In Appalachia, acid mine drainage (AMD) constitutes one of the most significant and widespread water quality challenges that must be treated per NPDES guidelines. AMD is a general lowering of water pH that occurs when water and sulfide minerals interact within oxidizing conditions in coal and metal mining. Acid Rock Drainage (ARD) is a similar term that applies more generally to non-mining causes such as highway construction and other large-scale excavations. Today, mine influenced waters (MIW) is becoming more popular as the general term referring to all types of mining-induced water issues. AMD has been researched substantially over the last 30 years, with investigators studying various causal mechanisms and treatment strategies (e.g. Gazea, 1996; Ziemkiewicz, 1998; Skousen, 2000; Kleinmann, 2001; Johnson, 2003; Akcil, 2006; Kalin, 2006). This research has produced several pragmatic results, which provide numerous methods to predict, prevent, and treat AMD."

Jan 1, 2016

By D Moy, T Carter

This paper outlines the feasibility assessment conducted to explore the possibility of constructing two submarine water supply pipelines beneath the Ma Wan Channel in Hong Kong using either horizontal directional drilling or tunnelling. The Ma Wan Channel is a major shipping channel in the Northwest New Territories, which separates Ma Wan Island from the mainland. The challenges faced by the projectÆs designers included space limitations on either side of the channel, marine department restrictions on construction activity within the channel and selection of a suitable crossing alignment and profile given the channelÆs depth, irregular sea floor topography and complex geology. The existing geological information indicated the proposed alignment would cross granitic and volcanic formations, which would likely be faulted. The primary concerns with horizontal directional drilling were:the length, diameter and depth of the crossing were at the limit of precedent experience in rock; the lack of available space at both the entry and exit sites; and whether the technique would be flexible enough to cope with the anticipated range of ground conditions. The primary concerns for tunnelling were: the possibility of encountering large inflows of high pressure groundwater; andthe possibility of encountering disturbed ground within the fault zones which could flow if not properly treated. As a means to evaluate and mitigate these technical risks for both construction options, a directionally drilled pilot hole was used to investigate the ground conditions along the proposed pipeline alignment. The pilot hole results indicated that either directional drilling or a closed face TBM drive were technically feasible crossing options at a crossing depth of 80 m. The results also indicated that either an open face TBM or a drill blast drive would need to be constructed at much greater depth because of the presence of highly permeable, disturbed ground in mid-channel at this crossing elevation.

Jan 1, 1999

By C. Van Landingham, A. Bailey, R. A. Schoof

A residential metals abatement program has been underway in Butte for more than 20 years. More than 1,350 yard and attic cleanups were completed by the end of 2018; most triggered by lead. While the focus is on remediation of residential soil and house dust, the program also includes a blood lead monitoring program with identification and abatement of additional sources of exposure for children with elevated blood lead levels (BLLs). As specified in the remediation program, studies are being conducted every 5 years to assess BLL data collected from Butte children. The first two studies have evaluated over 6,000 BLLs from 2003 through 2017 and evaluated trends over this time period, by Butte neighborhood, and as compared to areas outside of Butte. These studies showed that rates of elevated BLLs (i.e., those above 5 µg/dL) in Butte children have declined dramatically since 2002 but have been declining much more slowly since 2011. Improved rates of confirmation testing are needed to verify the rates of elevated BLLs. While the RMAP likely has contributed to these declines in BLLs the magnitude of impact cannot be quantified.

Mar 2, 2022