arizona childhood lead poisoning office of enviromental health christine cervantez young...

ARIZONA CHILDHOODLEAD POISONING

OFFICE OF ENVIROMENTAL HEALTH

Christine Cervantez Young

520-770-3124

[email protected]

PREVENTION PROGRAM


PREVENTION PROGRAM

Arizona Childhood Lead Poisoning Prevention

ProgramOperates within the Arizona Department of

Health Services, Office of Environmental Health

Primarily CDC fundedMaintains Lead Poisoning RegistryProvides case management and

environmental investigationsPerforms health education activities


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


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.



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.



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).


PREVENTION PROGRAM CASE MANAGEMENT

10-19 ug/dLLead education materials mailed to parentsReminder letters encouraging follow-up

blood testing mailed to parents


PREVENTION PROGRAM CASE MANAGEMENT

Persistently 15-19 ug/dLLead education provided over the phone to

parentsEncouraged to schedule environmental

investigationReminder phone calls encouraging follow-

up blood testing


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


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


PREVENTION PROGRAM

LEAD EXPOSURES IDENTIFIEDIN CHILDHOOD LEAD POISONING

CASESLEAD-BASED PAINTFOLK REMEDIES- AZARCON &

GRETAIMPORTED POTTERYSOILDUST


PREVENTION PROGRAM

OTHER EXPOSURES IDENTIFIED IN CHILDHOOD LEAD POISONING CASES

IMPORTED CRAYONS & CHALKIMPORTED TOYS & JEWLERYPLASTIC/VINYL WINDOW BLINDS


PREVENTION PROGRAM

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


PREVENTION PROGRAM

HEALTH EDUCATION


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


PREVENTION PROGRAM

LEAD POISONING SURVEILLANCE

175134

209 223 210

50 29 30 38 290

100

200

300

2000 2001 2002 2003 2004

Number of Lead Poisoned Childrenin Arizona 2000-2004

20 ug/dL or higher 10 - 19 ug/dL

Data Source: Arizona Lead Poisoning Registry


PREVENTION PROGRAM

LEAD POISONING SURVEILLANCERace/Ethnicity of Lead Poisoned Children

in Arizona 2004

69%

14%

9%3% 2% 3% Hispanic

White Non-Hispanic

African American

American Indian

Asian

Unknown



PREVENTION PROGRAM

LEAD POISONING SURVEILLANCEAges of Lead Poisoned Children

in Arizona 2004

8%

55%

29%

8%

0-11 months

12-35 months

36-72 months

>72 months



PREVENTION PROGRAM

LEAD POISONING SURVEILLANCEBlood Lead Levels of Lead Poisoned Children

in Arizona 2004

70%

18%

5% 7%

10-14 ug/dL

15-19 ug/dL

20-24 ug/dL

>25 ug/dL



PREVENTION PROGRAM



239

137

4418 15 25

0

50

100

150

200

250

StatewideMaricopa Pima Yuma Cochise OtherCountieswith <10

Cases

Number of Lead Poisoned Children by Countyin Arizona 2004


PREVENTION PROGRAM



42

225

42

163

43

239

63

261

78

239

0

50

100

150

200

250

300

2000 2001 2002 2003 2004

Number of Lead Poisoned Childrenin Arizona Border Counties by Year

Border Counties: Cochise, Pima, Santa Cruz, Yuma Statewide


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

arizona childhood lead poisoning office of enviromental health christine cervantez young...

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