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ARIZONA CHILDHOOD LEAD POISONING

ARIZONA CHILDHOOD LEAD POISONING. OFFICE OF ENVIROMENTAL HEALTH Christine Cervantez Young 520-770-3124 cervanc@azdhs.gov. PREVENTION PROGRAM. Arizona Childhood Lead Poisoning Prevention Program. Operates within the Arizona Department of Health Services, Office of Environmental Health

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ARIZONA CHILDHOOD LEAD POISONING

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  1. ARIZONA CHILDHOODLEAD POISONING OFFICE OF ENVIROMENTAL HEALTH Christine Cervantez Young 520-770-3124 cervanc@azdhs.gov PREVENTION PROGRAM

  2. Arizona Childhood Lead Poisoning Prevention Program • Operates within the Arizona Department of Health Services, Office of Environmental Health • Primarily CDC funded • Maintains Lead Poisoning Registry • Provides case management and environmental investigations • Performs health education activities

  3. ADHS BLOOD LEAD REPORTING RULE • LABORATORIES REPORT ALL BLOOD LEAD TEST RESULTS • PHYSICIANS REQUIRED TO REPORT ELEVATED BLOOD LEAD LEVELS • CHILDREN >10 ug/dL • ADULTS >25 ug/dL

  4. TARGETED SCREENING PLAN • All children living in targeted ZIP codes should have a blood lead test at 12 and 24 months of age. Children aged 36 to 72 months should be tested if they have not been previously tested.

  5. TARGETED SCREENING PLAN • All Children covered by the Arizona Health Care Cost Containment System (AHCCCS) should be tested according to the Centers for Medicare and Medicaid Services (CMS) requirements, as follows: test all children at 12 and 24 months of age; test children at 36 to 72 months of age if they have not been previously tested.

  6. TARGETED SCREENING PLAN • For children not living in a targeted ZIP code area, health care providers should conduct an individual risk evaluation in order to determine whether those children are at increased risk of having an elevated blood lead level (BLL).

  7. CASE MANAGEMENT 10-19 ug/dL • Lead education materials mailed to parents • Reminder letters encouraging follow-up blood testing mailed to parents

  8. CASE MANAGEMENT Persistently 15-19 ug/dL • Lead education provided over the phone to parents • Encouraged to schedule environmental investigation • Reminder phone calls encouraging follow-up blood testing

  9. CASE MANAGEMENT >20 ug/dL • Lead education provided over the phone to parents • Encouraged to schedule an environmental investigation • Reminder phone calls encouraging follow-up blood testing • Physician and parents provided investigation results • Parents provided recommendations to reduce and prevent further lead exposure

  10. ENVIRONMENTAL INVESTIGATION • CONDUCTED FOR CASES >20 ug/dL& PERSISTENT >15 ug/dL • SAMPLING OF PAINT, SOIL, DUST, WATER & OTHER SOURCES • QUESTIONNAIRE TO IDENTIFY OTHER SOURCES • SPECIFIC INTERVENTIONS PROVIDED TO PARENTS BASED ON FINDINGS • REPORT FINDINGS TO PHYSICIAN

  11. LEAD EXPOSURES IDENTIFIEDIN CHILDHOOD LEAD POISONING CASES • LEAD-BASED PAINT • FOLK REMEDIES- AZARCON & GRETA • IMPORTED POTTERY • SOIL • DUST

  12. OTHER EXPOSURES IDENTIFIED IN CHILDHOOD LEAD POISONING CASES • IMPORTED CRAYONS & CHALK • IMPORTED TOYS & JEWLERY • PLASTIC/VINYL WINDOW BLINDS

  13. Healthy People 2010 ObjectiveEliminate Childhood Lead Poisoning • Arizona Elimination Plan Includes • Addressing Lead Paint & Housing • Addressing Lead Containing Home Remedies and Pottery Use • Addressing Blood Lead Screening

  14. HEALTH EDUCATION

  15. HEALTH EDUCATION

  16. PARTNERSHIPS • CITY OF PHOENX LEAD HAZARD CONTROL PROGRAM • HOUSING AUTHORIY OF COCHISE COUNTY LEAD HAZARD CONTROL PROGRAM • HEAD START & EARLY HEAD START IN SOUTHEASTERN ARIZONA • PROMOTORA GROUPS

  17. LEAD POISONING SURVEILLANCE Data Source: Arizona Lead Poisoning Registry

  18. LEAD POISONING SURVEILLANCE Data Source: Arizona Lead Poisoning Registry

  19. LEAD POISONING SURVEILLANCE Data Source: Arizona Lead Poisoning Registry

  20. LEAD POISONING SURVEILLANCE Data Source: Arizona Lead Poisoning Registry

  21. LEAD POISONING SURVEILLANCE Data Source: Arizona Lead Poisoning Registry

  22. LEAD POISONING SURVEILLANCE Data Source: Arizona Lead Poisoning Registry

  23. FOR MORE INFORMATION PLEASE CONTACT ARIZONA CHILDHOOD LEAD POISONING PREVENTION PROGRAM AT 520-770-3124 OR VISIT OUR WEBSITE AT http://www.azdhs.gov/phs/oeh/index.htm Thank You

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