Transcript LEAD POISONING PREVENTION PROGRAM

ARIZONA CHILDHOOD
LEAD POISONING
PREVENTION PROGRAM
OFFICE OF ENVIROMENTAL HEALTH
Christine Cervantez Young
520-770-3124
[email protected]
ARIZONA CHILDHOOD
LEAD POISONING
PREVENTION PROGRAM
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
ARIZONA CHILDHOOD
LEAD POISONING
PREVENTION PROGRAM
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
ARIZONA CHILDHOOD
LEAD POISONING
PREVENTION PROGRAM
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.
ARIZONA CHILDHOOD
LEAD POISONING
PREVENTION PROGRAM
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.
ARIZONA CHILDHOOD
LEAD POISONING
PREVENTION PROGRAM
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).
ARIZONA CHILDHOOD
LEAD POISONING
PREVENTION PROGRAM
CASE MANAGEMENT
10-19 ug/dL
Lead education materials mailed to parents
Reminder letters encouraging follow-up
blood testing mailed to parents
ARIZONA CHILDHOOD
LEAD POISONING
PREVENTION PROGRAM
CASE MANAGEMENT
Persistently 15-19 ug/dL
Lead education provided over the phone to
parents
Encouraged to schedule environmental
investigation
Reminder phone calls encouraging followup blood testing
ARIZONA CHILDHOOD
LEAD POISONING
PREVENTION PROGRAM
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
ARIZONA CHILDHOOD
LEAD POISONING
PREVENTION PROGRAM
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
ARIZONA CHILDHOOD
LEAD POISONING
LEAD EXPOSURES IDENTIFIED
IN CHILDHOOD LEAD POISONING
CASES
PREVENTION PROGRAM
LEAD-BASED PAINT
FOLK REMEDIES- AZARCON & GRETA
IMPORTED POTTERY
SOIL
DUST
ARIZONA CHILDHOOD
LEAD POISONING
PREVENTION PROGRAM
OTHER EXPOSURES
IDENTIFIED IN CHILDHOOD
LEAD POISONING CASES
IMPORTED CRAYONS & CHALK
IMPORTED TOYS & JEWLERY
PLASTIC/VINYL WINDOW BLINDS
ARIZONA CHILDHOOD
LEAD POISONING
PREVENTION PROGRAM
Healthy People 2010 Objective
Eliminate Childhood Lead Poisoning
Arizona Elimination Plan Includes
– Addressing Lead Paint & Housing
– Addressing Lead Containing Home Remedies
and Pottery Use
– Addressing Blood Lead Screening
ARIZONA CHILDHOOD
LEAD POISONING
PREVENTION PROGRAM
HEALTH EDUCATION
ARIZONA CHILDHOOD
LEAD POISONING
PREVENTION PROGRAM
HEALTH EDUCATION
ARIZONA CHILDHOOD
LEAD POISONING
PREVENTION PROGRAM
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
ARIZONA CHILDHOOD
LEAD POISONING
PREVENTION PROGRAM
LEAD POISONING SURVEILLANCE
Data Source: Arizona Lead Poisoning Registry
ARIZONA CHILDHOOD
LEAD POISONING
PREVENTION PROGRAM
LEAD POISONING SURVEILLANCE
Race/Ethnicity of Lead Poisoned Children
in Arizona 2004
9%
Hispanic
3% 2% 3%
White Non-Hispanic
African American
14%
American Indian
Asian
Unknown
69%
Data Source: Arizona Lead Poisoning Registry
ARIZONA CHILDHOOD
LEAD POISONING
PREVENTION PROGRAM
LEAD POISONING SURVEILLANCE
Ages of Lead Poisoned Children
in Arizona 2004
8%
8%
0-11 months
29%
12-35 months
36-72 months
>72 months
55%
Data Source: Arizona Lead Poisoning Registry
ARIZONA CHILDHOOD
LEAD POISONING
PREVENTION PROGRAM
LEAD POISONING SURVEILLANCE
Blood Lead Levels of Lead Poisoned Children
in Arizona 2004
5%
7%
10-14 ug/dL
18%
15-19 ug/dL
20-24 ug/dL
>25 ug/dL
70%
Data Source: Arizona Lead Poisoning Registry
ARIZONA CHILDHOOD
LEAD POISONING
PREVENTION PROGRAM
LEAD POISONING SURVEILLANCE
Number of Lead Poisoned Children by County
in Arizona 2004
250
239
200
150
137
100
44
50
18
15
25
0
StatewideMaricopa
Data Source: Arizona Lead Poisoning Registry
Pima
Yuma
Cochise
Other
Counties
with <10
Cases
ARIZONA CHILDHOOD
LEAD POISONING
PREVENTION PROGRAM
LEAD POISONING SURVEILLANCE
Number of Lead Poisoned Children
in Arizona Border Counties by Year
300
250
261
239
225
200
239
163
150
100
50
42
42
43
2000
2001
2002
63
78
2003
2004
0
Border Counties: Cochise, Pima, Santa Cruz, Yuma
Data Source: Arizona Lead Poisoning Registry
Statewide
ARIZONA CHILDHOOD
LEAD POISONING
PREVENTION PROGRAM
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