Lead Screening Guideline

Size: px
Start display at page:

Download "Lead Screening Guideline"

Transcription

1 Lead Screening Guideline These clinical guidelines are designed to assist clinicians by providing an analytical framework for the evaluation and treatment of patients. They are not intended to replace a clinician s judgment or to establish a protocol for all patients with a particular condition. A guideline will rarely establish the only approach to a problem. GUIDELINE HISTORY and APPROVAL ACTION Guideline Reviewed and Approved Guideline Reviewed and Approved SEED GUIDELINE and/or MAIN INFORMATION & GROUP SOURCE(S) 1.Screening for Elevated Blood Lead Levels in Children and Pregnant Women. USPSTF US Department of Health and Human Services. Healthy people 2020: US Department of Health and Human Services; 2012 DATE ORGANIZATION 6/14 Geisinger Health Plan Clinical Guideline committee As Above 10/14 Geisinger Health plan Quality Improvement Committee Vice President, Chief Medical Officer Geisinger Health Plan Geisinger Health Plan Clinical Guidelines Page 1

2 OVERVIEW There are approximately 250,000 children across the country whose blood lead levels are 10 μg/dl or higher and an additional 200,000 children have blood lead levels between 5 μg/dl and 10 μg/dl. On average, children whose blood lead levels rise from 10 to 20 μg/dl lose two to three IQ points. Recent studies have demonstrated proportionately greater harm from low level lead exposure than from higher levels of lead. Lead damage is permanent and irreversible, said Dr. Block. Children with elevated lead levels are more likely to have behavior problems, attention deficit and reading disabilities, and fail to graduate from high school, in addition to experiencing a host of other impairments to their developing cardiovascular, immune and endocrine systems. Few options exist for treating high levels of lead exposure, as the treatments themselves have potentially dangerous side effects and may only prevent lead poisoning fatalities. No options exist for treating the cognitive and behavioral impacts of lead exposure or for treating lead exposure at low to moderate levels. The CDC s Advisory Committee on Childhood Lead Poisoning Prevention recommended the agency focus its resources on primary prevention of lead exposure, which AAP supports. RECOMMENDATIONS The Advisory Committee on Childhood Lead Poisoning Prevention (ACCLPP) recommends the following: 1. All children enrolled in Medicaid should be screened with a blood lead test at ages 12 and 24 months or at ages months if they have not previously been screened. If children are exposed to lead, their blood lead levels tend to increase during ages 0--2 years and peak at ages months. Therefore, screening is recommended at both ages 1 and 2 years to identify children who need medical management and environmental and public health case management. 2. Children identified with elevated blood lead levels require evaluation and referral for appropriate follow-up services. Children identified with elevated blood lead levels should be evaluated and treated in accordance with CDC guidelines for follow-up care, including care coordination and public health, medical, and environmental management. Many children with elevated BLLs will need follow-up services, including more frequent blood lead testing, environmental investigation, case management, and lead hazard control. Geisinger Health Plan Clinical Guidelines Page 2

3 CLINICAL EVALUATION Environmental History Exposure: Items to consider: age and condition of primary residence, evidence of chewed or peeling paint, length of time family been at current residence, Does the child live in or regularly visit a house that was built before 1950 (day care center, or the home of a babysitter or relative) Does the child live in or regularly visit a house built before 1978 with recent or ongoing renovations or remodeling (i.e., within the past six months) Homes containing vinyl mini-blinds made overseas and purchased before 1997 bare soil exposure in outdoor play areas, attempts to control dust and dirt. Relevant Behavioral Characteristics: Hand to mouth activity by the child (e.g., before meals, snacks), exhibition of pica. Exposures and Behaviors of Household Members: Occupations and hobbies of household members, painted or unusual items burned in household fireplaces Nutritional History: dietary history, including: Use of imported food in soldered cans, cosmetics, or folk remedies; food prepared or stored in imported pottery or metal vessels; candies imported from Mexico Physical Examination: neurologic examination psychosocial and language development Hand to mouth activity by the child TREATMENT Chelation therapy is recommended by the CDC for blood lead levels of 45 μg per dl (2.17 μmol per L) or greater. The CDC recommends consulting an expert such as a toxicologist before starting chelation therapy. A complete blood count; reticulocyte count; urinalysis; and testing of electrolytes, blood urea nitrogen, creatinine, and liver function should be performed and any iron deficiency should be identified. Abdominal radiography can identify any materials containing lead that remain in the gut. Geisinger Health Plan Clinical Guidelines Page 3

4 Children with levels higher than 70 μg per dl (3.38 μmol per L) should be hospitalized immediately for treatment under direct medical supervision. An environmental investigation to identify and remediate the source of the lead should be performed in collaboration with the local health department. Remediation measures include removing the child from the source of lead, correcting the source of lead by home renovation or cleaning, and avoiding any sources of lead such as contaminated soil or products. PREVENTION PRIMARY PREVENTION Primary prevention of lead poisoning in children includes strategies such as eliminating lead in gasoline and paint, which have had a positive effect in lowering blood lead levels in U.S. children. SECONDARY PREVENTION Because lead is ubiquitous in the environment, secondary prevention focuses on identifying asymptomatic children with high levels of lead in their blood. For children with elevated levels, once the source is identified, the lead hazard should be evaluated, treated, and monitored by a safe-lead authority (available services can be identified by the local health department). Follow-up is important to prevent the cycle of inadequately treated housing exposing additional children who subsequently live in the residence. Other measures of prevention that have been studied include: parental education, dust control, soil abatement. However, these interventions have not been validated to show that any of them lead to clinical, behavioral or cognitive improvement. Dust control, if done by cleaning professionals, may have the beneficial effect of lowering both environmental and blood lead levels. PREVENTION STRATEGIES Paint Dust Soil Drinking Water Folk Remedies Cosmetics (e.g. with kohl or surma) Identify and abate Wet mop (assuming abatement) Restrict play in area, plant ground cover, wash hands frequently Flush cold-water pipes by running water until it becomes as cold as it will get (a few seconds to 2 minutes or more; use cold water for cooking and drinking Geisinger Health Plan Clinical Guidelines Page 4

5 Old Ceramic or Pewter Cookware Imported Cosmetics, Toys, Crayons Contaminated Mineral Supplements Parental Occupations Hobbies Home Renovation Buying or Renting a New Home Remove work clothing at work; wash work clothes separately Proper use, storage, and ventilation Proper containment and ventilation Inquire about lead hazards BIBLIOGRAPHY US Department of Health and Human Services. Healthy people 2020: topics and objectives index. Washington, DC: US Department of Health and Human Services; Available at CDC. Preventing lead poisoning in young children. Atlanta, GA: US Department of Health and Human Services, CDC; Available at CDC Advisory Committee on Childhood Lead Poisoning Prevention. Low level lead exposure harms children: a renewed call for primary prevention. Atlanta, GA: US Department of Health and Human Services, CDC; Available at Centers for Disease Control and Prevention. Managing Elevated Blood Lead Levels Among Young Children: Recommendations from the Advisory Committee on Childhood Lead Poisoning Prevention. Atlanta, Ga.: CDC; March Binns HJ, Campbell C, Brown MJ. Interpreting and managing blood lead levels of less than 10 microg/dl in children and reducing childhood exposure to lead: recommendations of the Centers for Disease Control and Prevention Advisory Committee on Childhood Lead Poisoning Prevention. Pediatrics. 2007;120(5):e1285 e1298 Rogan WJ, Dietrich KN, Ware JH, et al., for the Treatment of Lead-Exposed Children Trial Group. The effect of chelation therapy with succimer on neuropsychological development in children exposed to lead. N Engl J Med. 2001;344(19): Yeoh B, Woolfenden S, Wheeler D, Alperstein G, Lanphear B. Household interventions for prevention of domestic lead exposure in children. Cochrane Database Syst Rev. 2008;(2):CD Lanphear BP, Howard C, Eberly S, et al. Primary prevention of childhood lead exposure: A randomized trial of dust control. Pediatrics. 1999;103(4 pt 1): Geisinger Health Plan Clinical Guidelines Page 5

6 Rhoads GG, Ettinger AS, Weisel CP, et al. The effect of dust lead control on blood lead in toddlers: a randomized trial. Pediatrics. 1999;103(3): MEASURES Percentage of children 2 years of age who received one or more capillary or venous blood tests for lead poisoning on or before their second birthday Geisinger Health Plan Clinical Guidelines Page 6

KEEP YOUR CHILD SAFE from lead poisoning

KEEP YOUR CHILD SAFE from lead poisoning KEEP YOUR CHILD SAFE from lead poisoning HOW LEAD POISONS your child Most children get poisoned in their homes. A small amount of lead dust can poison your child. Children under age 3 are at the greatest

More information

IOWA DEPARTMENT OF PUBLIC HEALTH CHILDHOOD LEAD POISONING RISK QUESTIONNAIRE

IOWA DEPARTMENT OF PUBLIC HEALTH CHILDHOOD LEAD POISONING RISK QUESTIONNAIRE IOWA DEPARTMENT OF PUBLIC HEALTH CHILDHOOD LEAD POISONING RISK QUESTIONNAIRE Name: Date of Birth: Date: Address: You may use this questionnaire to decide whether to use the high risk or low risk blood

More information

Lead Poisoning. Frequently Asked Questions. Maryland State Department of Education Division of Early Childhood Development Office of Child Care

Lead Poisoning. Frequently Asked Questions. Maryland State Department of Education Division of Early Childhood Development Office of Child Care Lead Poisoning Frequently Asked Questions Maryland State Department of Education Division of Early Childhood Development Office of Child Care Resource Guide 2012 FREQUENTLY ASKED QUESTIONS ON LEAD AND

More information

Your Child Had a Blood Lead Test what does it mean?

Your Child Had a Blood Lead Test what does it mean? Your Child Had a Blood Lead Test what does it mean? Lead enters the body when children: Put their hands or other items contaminated with lead dust in their mouths Eat peeling lead-based paint or dirt that

More information

Atlantic County Division of Public Health

Atlantic County Division of Public Health Q: Why is exposure to lead harmful to young children? A: Scientists have found that lead can disrupt the normal growth and development of a child's brain and central nervous system. If this exposure happens

More information

Understanding Lead Poisoning

Understanding Lead Poisoning Understanding Lead Poisoning A guide for parents of children with high lead levels FOR MORE INFORMATION, CONTACT: Childhood Lead Poisoning Prevention Program (CLPPP) Massachusetts Department of Public

More information

Lead Table of Contents

Lead Table of Contents Lead Table of Contents (ctrl+click on text to go directly to section) CLINICAL PROTOCOLS Lead Poisoning Prevention Screening Guide... 1 Verbal Risk Assessment for Lead Poisoning... 2 Blood Lead Testing...

More information

How to lower blood lead levels in children

How to lower blood lead levels in children intervention How to lower blood lead levels in children illinois department of public Health Damage caused by lead poisoning is permanent and non-reversible. However, spending time communicating with and

More information

Is Lead Poisoning Still a Problem?

Is Lead Poisoning Still a Problem? Is Lead Poisoning Still a Problem? Lisa Menillo MD St. Francis Hospital and Medical Center Co-Director Hartford Regional Lead Treatment Center Assistant Professor Pediatrics University of Connecticut Medical

More information

*Elevated Blood Lead Level 10 µg/dl. Objectives. Why Is Lead Poisoning Still An Issue? Childhood Lead Poisoning Prevention Program

*Elevated Blood Lead Level 10 µg/dl. Objectives. Why Is Lead Poisoning Still An Issue? Childhood Lead Poisoning Prevention Program A Full Picture Of Lead Case Management Efforts In Los Angeles County Los Angeles County Department of Public Health Maternal, Child & Adolescent Health Programs Childhood Lead Poisoning Prevention Program

More information

MARYLAND DEPARTMENT OF THE ENVIRONMENT

MARYLAND DEPARTMENT OF THE ENVIRONMENT MARYLAND DEPARTMENT OF THE ENVIRONMENT Lead Poisoning Prevention Program Childhood Blood Lead Surveillance in Maryland Annual Report 2013 July, 2014 1 MARYLAND CHILDHOOD LEAD REGISTRY ANNUAL SURVEILLANCE

More information

Guidelines for Follow-up of Children with Elevated Blood Lead Levels for Local Health Department Lead Poisoning Prevention Programs

Guidelines for Follow-up of Children with Elevated Blood Lead Levels for Local Health Department Lead Poisoning Prevention Programs Guidelines for Follow-up of Children with Elevated Blood Lead Levels for Local Health Department Lead Poisoning Prevention Programs New York State Department of Health Lead Poisoning Prevention Program

More information

CDC Blood Lead Reference Value, Lead Exposure, and Primary Prevention. David E. Jacobs, PhD, CIH Research Director June 2012

CDC Blood Lead Reference Value, Lead Exposure, and Primary Prevention. David E. Jacobs, PhD, CIH Research Director June 2012 CDC Blood Lead Reference Value, Lead Exposure, and Primary Prevention David E. Jacobs, PhD, CIH Research Director June 2012 Outline New National Toxicology Program and other reviews of lead State of Childhood

More information

Glenview School District 34 - Lead in Drinking Water FAQ

Glenview School District 34 - Lead in Drinking Water FAQ Glenview School District 34 - Lead in Drinking Water FAQ Why did the district conduct testing? Following recent national news, Glenview District 34 engaged an environmental engineering firm to conduct

More information

Chapter 3. Medical Assessment and Interventions. Prepared by James R. Roberts, MD, MPH, and J. Routt Reigart, MD

Chapter 3. Medical Assessment and Interventions. Prepared by James R. Roberts, MD, MPH, and J. Routt Reigart, MD Prepared by James R. Roberts, MD, MPH, and J. Routt Reigart, MD Table 3.1. Summary of Recommendations for Children with Confirmed (Venous) Elevated Blood Lead Levels Blood Lead Level (µg/dl) 10-14 15-19

More information

Florida s Childhood Lead Poisoning Prevention Program. Lead Poisoning Screening & Case Management Field Guide

Florida s Childhood Lead Poisoning Prevention Program. Lead Poisoning Screening & Case Management Field Guide Florida s Childhood Lead Poisoning Prevention Program Lead Poisoning Screening & Case Management Field Guide Guidance for County Health Departments Serving Children and Families Affected by Lead Poisoning

More information

Department of the Environment. Annual Report 2011. Lead Poisoning Prevention Program

Department of the Environment. Annual Report 2011. Lead Poisoning Prevention Program Department of the Environment Childhood Blood Lead Surveillance in Maryland Annual Report 2011 Lead Poisoning Prevention Program MARYLAND DEPARTMENT OF THE ENVIRONMENT 1800 Washington Boulevard Baltimore,

More information

Wisconsin Childhood Lead Poisoning Prevention Program Blood Lead Testing and Lead Exposure Data

Wisconsin Childhood Lead Poisoning Prevention Program Blood Lead Testing and Lead Exposure Data Wisconsin Childhood Lead Poisoning Prevention Program Blood Lead Testing and Lead Exposure Data The burden of childhood lead exposure in Wisconsin changed dramatically in 2012 when the Centers f Disease

More information

PEDIATRIC LEAD EXPOSURE IN FLINT, MI: CONCERNS FROM THE MEDICAL COMMUNITY

PEDIATRIC LEAD EXPOSURE IN FLINT, MI: CONCERNS FROM THE MEDICAL COMMUNITY PEDIATRIC LEAD EXPOSURE IN FLINT, MI: CONCERNS FROM THE MEDICAL COMMUNITY THANK YOU S Introducing Makayla* 12 month old girl (DOB 8/15/2014) presented last week for her 1 year old check up. No concerns.

More information

Screening for Elevated Blood Lead Levels in Children and Pregnant Women

Screening for Elevated Blood Lead Levels in Children and Pregnant Women Recommendation Statement Screening for Elevated Blood Lead Levels in Children and Pregnant Women U.S. Preventive Services Task Force The U.S. Preventive Services Task Force (USPSTF) is redesigning its

More information

Preliminary Analysis of Blood Lead Levels in Saline County. and other Selected Areas in Kansas

Preliminary Analysis of Blood Lead Levels in Saline County. and other Selected Areas in Kansas Preliminary Analysis of Blood Lead Levels in Saline County and other Selected Areas in Kansas Background Lead is found throughout our environment. It is a naturally occurring bluish-gray metal found in

More information

Childhood Lead Poisoning

Childhood Lead Poisoning Childhood Lead Poisoning Daniel Hryhorczuk, MD, MPH Great Lakes Center for Children s Environmental Health Region V PEHSU Learning Objectives What is lead poisoning? What are the major sources of lead

More information

Bunker Hill Superfund Site 2014 Blood Lead Levels

Bunker Hill Superfund Site 2014 Blood Lead Levels Bunker Hill Superfund Site 2014 Blood Lead Levels Panhandle Health District Idaho Department of Environmental Quality United States Environmental Protection Agency 2014 Lead Health Intervention Program

More information

I know that your child s health is important to you and I want to share some important information on a serious health problem called lead poisoning.

I know that your child s health is important to you and I want to share some important information on a serious health problem called lead poisoning. Dear Parent/Guardian: I know that your child s health is important to you and I want to share some important information on a serious health problem called lead poisoning. Lead can be found in the soil,

More information

THE NEBRASKA BLOOD LEAD TESTING PLAN

THE NEBRASKA BLOOD LEAD TESTING PLAN THE NEBRASKA BLOOD LEAD TESTING PLAN Recommendations for Health Care Professionals Lead Poisoning in Nebraska Children are most vulnerable All children under age 6 are at risk due to: Hand-to-mouth activity

More information

CHAPTER 16: INVESTIGATION AND TREATMENT OF DWELLINGS HOUSING CHILDREN WITH ELEVATED BLOOD LEAD LEVELS

CHAPTER 16: INVESTIGATION AND TREATMENT OF DWELLINGS HOUSING CHILDREN WITH ELEVATED BLOOD LEAD LEVELS CHAPTER 16: INVESTIGATION AND TREATMENT OF DWELLINGS HOUSING CHILDREN WITH ELEVATED BLOOD LEAD LEVELS Step-by-Step Summary... 16 3 I. Introduction... 16 5 A. Information for Parents on the Meaning of Blood

More information

Prevalence of Lead Dust Hazards Study: A Report for the Community February 2001

Prevalence of Lead Dust Hazards Study: A Report for the Community February 2001 Multnomah County 2001 Prevalence of Lead Dust Hazards Study: A Report for the Community February 2001 Multnomah County Health Department Office of Planning and Development Program Design & Evaluation Services

More information

Lead and Drinking Water from Lead Service Lines (2013)

Lead and Drinking Water from Lead Service Lines (2013) Lead and Drinking Water from Lead Service Lines (2013) Guidance package for Water Utility Companies, Residents, Alberta Health Services, Healthcare Providers, and Laboratories Prepared by the Office of

More information

Lead Screening and Case Follow-up Guidelines for Local Health Departments

Lead Screening and Case Follow-up Guidelines for Local Health Departments State of Illinois Illinois Department of Public Health Lead Screening and Case Follow-up Guidelines for Local Health Departments March 2011 Table of Contents Definition of Terms... 1 Federal Standards

More information

What is it and who is affected? Where is it found?

What is it and who is affected? Where is it found? Lead Poisoning What is it and who is affected? Lead is a highly toxic substance, exposure to which can produce a wide range of adverse health effects. Both adults and children can suffer from the effects

More information

Blood Lead Level Testing

Blood Lead Level Testing Blood Lead Level Testing May 14, 2010 Dear Provider: Blood Lead Level (BLL) screening is a required component of a Health Check screen. Since 1989, Federal law has required that children enrolled in Medicaid

More information

State and Local Childhood Lead Poisoning Prevention Programs: The Impact of Federal Public Health Funding Cuts

State and Local Childhood Lead Poisoning Prevention Programs: The Impact of Federal Public Health Funding Cuts State and Local Childhood Lead Poisoning Prevention Programs: The Impact of Federal Public Health Funding Cuts Prepared by the National Center for Healthy Housing July 2013 Table of Contents Summary of

More information

Year 2014 Template Objectives for Childhood Lead Consolidated

Year 2014 Template Objectives for Childhood Lead Consolidated 1. A. Template Objective 1 By December 31, 2014, xx children at risk for lead poisoning who reside in (insert name of jurisdiction) will receive an age-appropriate blood lead test. B. A report to document

More information

Virginia Administrative Code

Virginia Administrative Code Virginia Administrative Code Database updated through August 29, 2011 Part I Definitions and General Information 12VAC5-120-10. Definitions. The following words and terms when used in this chapter shall

More information

Childhood Lead Poisoning Prevention Program Community Awareness Pilot

Childhood Lead Poisoning Prevention Program Community Awareness Pilot Childhood Lead Poisoning Prevention Program Community Awareness Pilot THE GOOD NEWS- Exposure to Lead is Preventable Lead Poisoning Is a REAL Problem; Did You Know? Lead is a highly toxic substance, and

More information

Blood Lead Levels Among Oregon American Indian and Alaska Native Children

Blood Lead Levels Among Oregon American Indian and Alaska Native Children Blood Lead Levels Among Oregon American Indian and Alaska Native Children Northwest Portland Area Indian Health Board Indian Leadership for Indian Health Prepared by: Megan Hoopes, Jenine Dankovchik, Erik

More information

POSSIBLE SOURCES OF LEAD EXPOSURE

POSSIBLE SOURCES OF LEAD EXPOSURE POSSIBLE SOURCES OF LEAD EXPOSURE Lead-based paint and lead contaminated dust are the most common sources of lead exposure for children. Paint Lead was added to house paint until 1978 when the Consumer

More information

Low Level Lead Exposure Harms Children: A Renewed Call for Primary Prevention

Low Level Lead Exposure Harms Children: A Renewed Call for Primary Prevention Low Level Lead Exposure Harms Children: A Renewed Call for Primary Prevention Report of the Advisory Committee on Childhood Lead Poisoning Prevention of the Centers for Disease Control and Prevention January,

More information

Issue Brief: Childhood Lead Exposure and Educational Outcomes

Issue Brief: Childhood Lead Exposure and Educational Outcomes Issue Brief: Childhood Lead Exposure and Educational Outcomes Lead exposure, even at low levels, has a significant negative impact on health and educational outcomes. This brief highlights recent research

More information

IMPORTANT INFORMATION ABOUT LEAD IN YOUR DRINKING WATER. This Notice is being sent to you by the, Water System ID# NJ.

IMPORTANT INFORMATION ABOUT LEAD IN YOUR DRINKING WATER. This Notice is being sent to you by the, Water System ID# NJ. Suggested Format: Transcribe this information to your letterhead and post where water is consumed IMPORTANT INFORMATION ABOUT LEAD IN YOUR DRINKING WATER This Notice is being sent to you by the, Water

More information

Testing Your Home for Lead in Paint, Dust, and Soil

Testing Your Home for Lead in Paint, Dust, and Soil United States Environmental Protection Agency Office of Prevention, Pesticides, and Toxic Substances 7101 Testing Your Home for Lead in Paint, Dust, and Soil EPA 747-K-98-001 October 1998 Preface About

More information

HAZARD ASSESSMENT QUESTIONNAIRE FOR INVESTIGATION OF CHILDREN WITH ELEVATED BLOOD LEAD LEVELS

HAZARD ASSESSMENT QUESTIONNAIRE FOR INVESTIGATION OF CHILDREN WITH ELEVATED BLOOD LEAD LEVELS New Jersey Department of Health Child and Adolescent Health Program PO Box 364 Trenton, NJ 08625-0364 HAZARD ASSESSMENT QUESTIONNAIRE FOR INVESTIGATION OF CHILDREN WITH ELEVATED BLOOD LEAD LEVELS Name(s)

More information

Priority for Childhood Lead Poisoning Environmental Assessment Referrals

Priority for Childhood Lead Poisoning Environmental Assessment Referrals West Virginia Office of Maternal, Child & Family Health Priority for Childhood Lead Poisoning Environmental Assessment Referrals Whenever a child receives a blood lead level by venous or two capillary

More information

Preventive Care Guideline for Asymptomatic Elderly Patients Age 65 and Over

Preventive Care Guideline for Asymptomatic Elderly Patients Age 65 and Over Preventive Care Guideline for Asymptomatic Elderly Patients Age 65 and Over 1. BMI - Documented in patients medical record on an annual basis up to age 74. Screen for obesity and offer counseling to encourage

More information

Model Safety Program

Model Safety Program Model Safety Program DATE: SUBJECT: Occupational Exposure to Lead REGULATORY STATUTE: OSHA 29 CFR 1910.1025 RESPONSIBILITY: The company is. He/she is solely responsible for all facets of this program and

More information

Are you living in an area with mine tailings? Arsenic and health

Are you living in an area with mine tailings? Arsenic and health Are you living in an area with mine tailings? Arsenic and health Did you know? Mine tailings from gold mining often contain high levels of arsenic. Arsenic in mine tailings may be harmful to health. Most

More information

Finding Lead in Your Home

Finding Lead in Your Home Finding Lead in Your Home Table of Contents Introduction.. 1 Lead in Paint...2 Lead in Soil.. 4 Lead on the Job.. 6 Lead in Water.. 8 Lead in Hobbies and Pastimes..10 Lead in Consumer Products: Common....12

More information

Systematic Review of Low Blood Lead Levels and Associations with Cognitive and Neuro-behavioral Outcomes in Children (Abridged Version)

Systematic Review of Low Blood Lead Levels and Associations with Cognitive and Neuro-behavioral Outcomes in Children (Abridged Version) Systematic Review of Low Blood Lead Levels and Associations with Cognitive and Neuro-behavioral Outcomes in Children (Abridged Version) It has been well established that high blood lead levels can result

More information

Prospective data from multiple studies in several

Prospective data from multiple studies in several Do Children With Falling Blood Lead Levels Have Improved Cognition? Xianchen Liu, MD, PhD*; Kim N. Dietrich, PhD ; Jerilynn Radcliffe, PhD ; N. Beth Ragan*; George G. Rhoads, MD ; and Walter J. Rogan,

More information

Sanitary Food Preparation & Safe Food Handling

Sanitary Food Preparation & Safe Food Handling 70 Feeding Infants 10 Sanitary Food Preparation & Safe Food Handling Babies are more susceptible to bacteria than older children, and unsanitary food conditions can cause serious infections. General cleanliness,

More information

Lead in Paint: U.S. Legal Framework Case Study

Lead in Paint: U.S. Legal Framework Case Study Lead in Paint: U.S. Legal Framework Case Study Erik Winchester U.S. Environmental Protection Agency Office of Chemical Safety and Pollution Prevention September 2014 Background In 1971, Former U.S. Surgeon

More information

Lead Management Program

Lead Management Program Lead Management Program Central Michigan University Updated: February 2011 SUMMARY: Lead may be a component of building material in many University buildings. This Guideline has been developed to inform

More information

Lead. General information

Lead. General information Lead General information Key Points Fire Reacts with hot concentrated acids May cause explosions on contact with hydrogen peroxide or sodium, potassium or magnesium and their salts In the event of a fire

More information

Toxic Matters. Protecting Our Families from Toxic Substances. To view this brochure online, go to: www.prhe.ucsf.edu/prhe/toxicmatters.

Toxic Matters. Protecting Our Families from Toxic Substances. To view this brochure online, go to: www.prhe.ucsf.edu/prhe/toxicmatters. Toxic Matters Protecting Our Families from Toxic Substances To view this brochure online, go to: www.prhe.ucsf.edu/prhe/toxicmatters.html A Publication of the University of California, San Francisco Program

More information

Information paper august 2009

Information paper august 2009 Information paper august 2009 An Information Paper for practitioners and policy makers Blood lead levels for Australians Introduction Lead is a heavy metal used extensively in the manufacture of storage

More information

Press release Media contact: Halo PR. Sept 20, 2015

Press release Media contact: Halo PR. Sept 20, 2015 Press release Media contact: Halo PR Dorothy Yung:9363 0084/ dorothy.yung@halo-pr.com.hk Michelle Tang:6779 1210/ michelle.tang@halo-pr.com.hk Sept 20, 2015 Children with blood lead level below benchmark

More information

Preventing and Screening for Childhood Lead Poisoning

Preventing and Screening for Childhood Lead Poisoning State of Illinois Department of Public Health Preventing and Screening for Childhood Lead Poisoning A Reference Guide for Physicians and Health Care Providers Guidelines for Illinois Physicians and Health

More information

Lead and you. Working safely with lead. When are you most at risk? How does lead get into your body?

Lead and you. Working safely with lead. When are you most at risk? How does lead get into your body? Working safely with lead Working with lead can affect your health. This leaflet tells you about: health problems that can occur if you absorb too much lead; what your employer should do to protect your

More information

STANDARD PRACTICE INSTRUCTION

STANDARD PRACTICE INSTRUCTION STANDARD PRACTICE INSTRUCTION DATE: June 7, 2011 SUBJECT: Occupational Exposure to Lead REGULATORY STATUTE: OSHA - 29 CFR 1910.1025 BASIS: Millions of American workers are at risk of developing cancer

More information

Lead Awareness Training. Environmental Health and Safety University of Tennessee Knoxville

Lead Awareness Training. Environmental Health and Safety University of Tennessee Knoxville Lead Awareness Training Environmental Health and Safety University of Tennessee Knoxville What is Lead? Lead is a bluish, gray heavy metal It is very pliable and malleable It is corrosion resistant It

More information

DATA SHEET LEAD: Effects on Adults & Children Monona Rossol, Health and Safety Officer for United Scenic Artists, Local USA 829 (IATSE)

DATA SHEET LEAD: Effects on Adults & Children Monona Rossol, Health and Safety Officer for United Scenic Artists, Local USA 829 (IATSE) DATA SHEET LEAD: Effects on Adults & Children Monona Rossol, Health and Safety Officer for United Scenic Artists, Local USA 829 (IATSE) 212/777-0062 or e-mail:actsnyc@cs.com 8 Monona Rossol, January 1,

More information

Clinical Practice Guidelines: Attention Deficit/Hyperactivity Disorder

Clinical Practice Guidelines: Attention Deficit/Hyperactivity Disorder Clinical Practice Guidelines: Attention Deficit/Hyperactivity Disorder AACAP Official Action: OUTLINE OF PRACTICE PARAMETERS FOR THE ASSESSMENT AND TREATMENT OF CHILDREN, ADOLESCENTS, AND ADULTS WITH ADHD

More information

LEAD ABSORPTION IN CHILDREN OF EMPLOYEES IN A LEAD-RELATED INDUSTRY

LEAD ABSORPTION IN CHILDREN OF EMPLOYEES IN A LEAD-RELATED INDUSTRY AMERICAN JOURNAL OF EPIDEMIOLOGY Vol 1, No 4 Copyright 82 by The Johns Hopkins University School of Hygiene and Public Health Printed in USA All rights reserved LEAD ABSORPTION IN CHILDREN OF EMPLOYEES

More information

Lead in Drinking Water An Investigation of Arizona Schools

Lead in Drinking Water An Investigation of Arizona Schools Lead in Drinking Water An Investigation of Arizona Schools ARIZONA DEPARTMENT OF HEALTH SERVICES Bureau of Epidemiology and Disease Control Services Office of Environmental Health 150 N. 18 th Avenue Phoenix,

More information

Annual Report on Elevated Blood Lead Levels for Children 0 72 Months Old as required by NEB. REV. STAT. 71-2518

Annual Report on Elevated Blood Lead Levels for Children 0 72 Months Old as required by NEB. REV. STAT. 71-2518 Annual Report on Elevated Blood Lead Levels for Children 0 72 Months Old as required by NEB. REV. STAT. 71-2518 Presented to Governor Pete Ricketts and the Health and Human Services Committee of the Legislature

More information

Staff shall ensure that airflow is not obstructed by the blocking of ventilators with posters, furniture, books, or other obstacles.

Staff shall ensure that airflow is not obstructed by the blocking of ventilators with posters, furniture, books, or other obstacles. 1 Environmental Safety AR 3514 The Superintendent may designate and train one or more employees to oversee and coordinate the district's environmental safety program(s). The responsibilities of the coordinator(s)

More information

Prevention Paradox. Why a Little Lead is Too Much

Prevention Paradox. Why a Little Lead is Too Much Prevention Paradox Why a Little Lead is Too Much Bruce Lanphear, MD, MPH Child & Family Research Institute, BC Children s Hospital Faculty of Health Sciences Simon Fraser University Binder S, Falk H. Strategic

More information

MARYLAND STATE DEPARTMENT OF EDUCATION Office of Child Care HEALTH INVENTORY

MARYLAND STATE DEPARTMENT OF EDUCATION Office of Child Care HEALTH INVENTORY Information and Instructions for Parents/Guardians REQUIRED INFORMATION MARYLAND STATE DEPARTMENT OF EDUCATION Office of Child Care HEALTH INVENTORY The following information is required prior to a child

More information

Pesticides Matter. Reduce your exposure to toxic pesticides and protect your health and the health of your family

Pesticides Matter. Reduce your exposure to toxic pesticides and protect your health and the health of your family Pesticides Matter Reduce your exposure to toxic pesticides and protect your health and the health of your family This organic farm grows food without the use of toxic pesticides. Pesticides are chemicals

More information

Annual Report on Elevated Blood Lead Levels for Children 0 72 Months Old as required by NEB. REV. STAT. 71-2518

Annual Report on Elevated Blood Lead Levels for Children 0 72 Months Old as required by NEB. REV. STAT. 71-2518 Annual Report on Elevated Blood Lead Levels for Children 0 72 Months Old as required by NEB. REV. STAT. 71-2518 Presented to Governor Dave Heineman and the Health and Human Services Committee of the Legislature

More information

Pesticides Matter. Reduce your exposure to toxic pesticides and protect your health and the health of your family

Pesticides Matter. Reduce your exposure to toxic pesticides and protect your health and the health of your family Pesticides Matter Reduce your exposure to toxic pesticides and protect your health and the health of your family Pesticides are chemicals intended to prevent, control or kill pests, but they can also harm

More information

Preventive Care Guideline for Asymptomatic Low Risk Adults Age 18 through 64

Preventive Care Guideline for Asymptomatic Low Risk Adults Age 18 through 64 Preventive Care Guideline for Asymptomatic Low Risk Adults Age 18 through 64 1. BMI - Documented in patients medical record on an annual basis. Screen for obesity and offer intensive counseling and behavioral

More information

HEALTHCARE FINANCING OF HEALTHY HOMES:

HEALTHCARE FINANCING OF HEALTHY HOMES: HEALTHCARE FINANCING OF HEALTHY HOMES: Findings from a 2014 Nationwide Survey of State Reimbursement Policies November 2014 Rebecca Morley, MSPP, and Amanda Reddy, MS, National Center for Healthy Housing

More information

How to Reduce Your Exposure to Chemicals at Home, Work, and Play

How to Reduce Your Exposure to Chemicals at Home, Work, and Play How to Reduce Your Exposure to Chemicals at Home, Work, and Play You come into contact with chemicals every day. This is called chemical exposure. Although some chemical exposures are safe, others are

More information

Department of Veterans Affairs VHA DIRECTIVE 7710. Washington, DC 20420 November 4, 2015

Department of Veterans Affairs VHA DIRECTIVE 7710. Washington, DC 20420 November 4, 2015 Department of Veterans Affairs VHA DIRECTIVE 7710 Veterans Health Administration Transmittal Sheet Washington, DC 20420 November 4, 2015 MANAGEMENT OF LEAD-BASED PAINT IN VHA HOUSING AND CHILD- OCCUPIED

More information

A Targeted Approach to Blood Lead Screening in Children, Washington State Expert Panel Recommendations

A Targeted Approach to Blood Lead Screening in Children, Washington State Expert Panel Recommendations A Targeted Approach to Blood Lead Screening in Children, Washington State 2015 Expert Panel Recommendations November 2015 DOH 334-383 November 2015 Contents Executive Summary... 4 Introduction... 5 Effects

More information

The regulations that impact outdoor space, surfacing, fall zones, equipment, entrapments, hazards and supervision are:

The regulations that impact outdoor space, surfacing, fall zones, equipment, entrapments, hazards and supervision are: Small Group, Large Group and School Age Child Care Licensing POLICY STATEMENT: Playground Safety 6.06 CMR 7.07(7); 7.07(16)(e); 7.07(13); 7.10(10) According to the U. S. Consumer Product Safety Commission

More information

Health Consultation. COLLEGE GROVE RESIDENTIAL LEAD CONTAMINATION (a/k/a COLLEGE GROVE BATTERY CHIP SITE) COLLEGE GROVE, WILLIAMSON COUNTY, TENNESSEE

Health Consultation. COLLEGE GROVE RESIDENTIAL LEAD CONTAMINATION (a/k/a COLLEGE GROVE BATTERY CHIP SITE) COLLEGE GROVE, WILLIAMSON COUNTY, TENNESSEE Health Consultation COLLEGE GROVE RESIDENTIAL LEAD CONTAMINATION (a/k/a COLLEGE GROVE BATTERY CHIP SITE) COLLEGE GROVE, WILLIAMSON COUNTY, TENNESSEE EPA FACILITY ID: TNSFN0406979 JANUARY 8, 2004 U.S. DEPARTMENT

More information

Protect Your Family From Lead In Your Home

Protect Your Family From Lead In Your Home Simple Steps To Protect Your Family From Lead Hazards If you think your home has high levels of lead: X Get your young children tested for lead, even if they seem healthy. X Wash children s hands, bottles,

More information

Coping with Your Child s Diagnosis. of Lead Poisoning

Coping with Your Child s Diagnosis. of Lead Poisoning Coping with Your Child s Diagnosis John Engler, Governor James K. Haveman, Jr., Director MDCH is an Equal Opportunity Employer, Services and Programs Provider. 10,000 printed at.53cents each with a total

More information

chapter 1 Chapter 2 chapter 3

chapter 1 Chapter 2 chapter 3 SUMMARY summary Theaimofthisthesiswastodescribethedevelopmentandevaluationofanindividual basedlifestyleinterventionamongworkersintheconstructionindustrywithanelevated risk of cardiovascular disease (CVD).

More information

Introduction to Licensed Family Child Care

Introduction to Licensed Family Child Care Introduction to Licensed Family Child Care TAFCCOnlineOrientation20061107 Commonly Used TERMS Application: A written request on forms provided by to become a licensed family child care provider. EEC Background

More information

Blood Lead Screening Guidelines For Pregnant & Breastfeeding Women in Minnesota

Blood Lead Screening Guidelines For Pregnant & Breastfeeding Women in Minnesota Blood Lead Screening Guidelines For Pregnant & Breastfeeding Women in Minnesota Issued August 2015 Environmental Health Division PO Box 64975 St. Paul, MN 55164-0975 651-201-4620 www.health.state.mn.us

More information

Carbon monoxide. General information

Carbon monoxide. General information Carbon monoxide General information Key Points Fire Flammable gas May react violently with other substances Use fine water spray with normal fire-fighting clothing and breathing apparatus Health Toxic

More information

IOWA DEPARTMENT OF PUBLIC HEALTH CHILDHOOD LEAD POISONING PREVENTION PROGRAM CASE MANAGEMENT PROTOCOLS. March 2015

IOWA DEPARTMENT OF PUBLIC HEALTH CHILDHOOD LEAD POISONING PREVENTION PROGRAM CASE MANAGEMENT PROTOCOLS. March 2015 1 IOWA DEPARTMENT OF PUBLIC HEALTH CHILDHOOD LEAD POISONING PREVENTION PROGRAM CASE MANAGEMENT PROTOCOLS March 2015 2 Childhood Lead Poisoning Prevention Program (CLPPP) County Board of Health Contracted

More information

Eliminating Childhood Lead Poisoning in New Hampshire

Eliminating Childhood Lead Poisoning in New Hampshire Eliminating Childhood Lead Poisoning in New Hampshire New Hampshire Department of Health and Human Services Division of Public Health Services Childhood Lead Poisoning Prevention Program 2004 Table of

More information

Lead Poisoning Prevention Program

Lead Poisoning Prevention Program Lead Poisoning Prevention Program Department of the Environment Notice of Tenants Rights INTRODUCTION This Notice of Tenants Rights explains your legal rights pursuant to the Maryland Reduction of Lead

More information

Mold Questions and Answers Questions and Answers on Stachybotrys chartarum and other molds

Mold Questions and Answers Questions and Answers on Stachybotrys chartarum and other molds Questions and Answers on Stachybotrys chartarum and other molds Questions and Answers 1. I heard about "toxic molds" that grow in homes and other buildings. Should I be concerned about a serious health

More information

FOLLOW-UP FORM PC1. Check here if Prenatal Discharge. Primary Caretaker 1. Date Job Ended (mm/dd/yy) / / $ Primary Caretaker 1 Education

FOLLOW-UP FORM PC1. Check here if Prenatal Discharge. Primary Caretaker 1. Date Job Ended (mm/dd/yy) / / $ Primary Caretaker 1 Education Primary Caretaker 1 s Identifier FOLLOW-UP FORM PC1 Date form completed PC1 Initials (2 let) Yr of Birth (2 num) Program Code Unique 6 Digit Identifier Follow up interval (Indicate target child s age)

More information

GAO. MEDICAID Elevated Blood Lead Levels in Children

GAO. MEDICAID Elevated Blood Lead Levels in Children GAO United States General Accounting Office Report to the Ranking Minority Member, Committee on Government Reform and Oversight, House of Representatives February 1998 MEDICAID Elevated Blood Lead Levels

More information

Environment, Health & Safety Services Policy

Environment, Health & Safety Services Policy 1.0 Purpose: The purpose of this document is to outline the management of lead containing materials at UB. The information presented in this document represents minimum safety requirements. 2.0 Scope:

More information

New York State s Childhood Lead Poisoning Primary Prevention Program: Year 8 Grantee Impact Summaries

New York State s Childhood Lead Poisoning Primary Prevention Program: Year 8 Grantee Impact Summaries New York State s Childhood Lead Poisoning Primary Prevention Program: Year 8 Grantee Impact Summaries April 1, 2014 March 31, 2015 Prepared by the National Center for Healthy Housing for the New York State

More information

PREVENTIVE HEALTHCARE GUIDELINES INTRODUCTION

PREVENTIVE HEALTHCARE GUIDELINES INTRODUCTION PREVENTIVE HEALTHCARE GUIDELINES INTRODUCTION Health Plan of Nevada and Sierra Health and Life suggest that health plan members get certain screening tests, exams and shots to stay healthy. This document

More information

TESTIMONY OF DANA BEST, MD, MPH, FAAP ON BEHALF OF THE AMERICAN ACADEMY OF PEDIATRICS

TESTIMONY OF DANA BEST, MD, MPH, FAAP ON BEHALF OF THE AMERICAN ACADEMY OF PEDIATRICS TESTIMONY OF DANA BEST, MD, MPH, FAAP ON BEHALF OF THE AMERICAN ACADEMY OF PEDIATRICS ENERGY AND COMMERCE SUBCOMMITTEE ON COMMERCE, TRADE, AND CONSUMER PROTECTION Protecting Children from Lead-Tainted

More information

Florida Department of Health Lead Poisoning Prevention and Healthy Homes Program. 2009 Annual Childhood Lead Poisoning Surveillance Report

Florida Department of Health Lead Poisoning Prevention and Healthy Homes Program. 2009 Annual Childhood Lead Poisoning Surveillance Report Florida Department of Health Lead Poisoning Prevention and Healthy Homes Program 2009 Annual Childhood Lead Poisoning Surveillance Report Published: October 2010 Contents Section Page Number Introduction...3

More information

Scale, scope, causes and potential response

Scale, scope, causes and potential response Scale, scope, causes and potential response Status of Malnutrition in Afghanistan Why Malnutrition Matters Determinants of Malnutrition What Can Be Done Recommendations for Afghanistan Very high rate

More information

Food Safety Is Top Priority

Food Safety Is Top Priority In this chapter, find answers to the following questions: Why is food safety a top priority?... (page 2) What is a foodborne illness and foodborne outbreak?... (page 2) Foodborne Illness... (page 2) Foodborne

More information

Oral Health Risk Assessment

Oral Health Risk Assessment Oral Health Risk Assessment Paula Duncan, MD Oral Health Initiative January 22, 2011 I have no relevant financial relationships with the manufacturers of any commercial products and/or provider of commercial

More information

Careers in Biomedical Technology. Objective 3 Environmental careers, resources, and hazards

Careers in Biomedical Technology. Objective 3 Environmental careers, resources, and hazards Careers in Biomedical Technology Objective 3 Environmental careers, resources, and hazards 1 Objective Content A. Nutritional Services B. Environmental Control C. Other Support Service Personnel D. Environmental

More information