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Childhood lead poisoning risks and new initiatives for blood lead screenings

Childhood lead poisoning risks and new initiatives for blood lead screenings. Eric Frohmberg and Susan J. Lee Maine Environmental and Occupational Health Program. Eliminating childhood lead poisoning. Focused efforts. MaineCare status as a risk factor.

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Childhood lead poisoning risks and new initiatives for blood lead screenings

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  1. Childhood lead poisoning risks and new initiatives for blood lead screenings Eric Frohmberg and Susan J. Lee Maine Environmental and Occupational Health Program

  2. Eliminating childhood lead poisoning

  3. Focused efforts

  4. MaineCare status as a risk factor

  5. Trend of Cases of African Descent Lewiston Not African African

  6. High Blood Lead Levels often Chewers or Pickers

  7. Children are poisoned by dust from lead paint

  8. Children are poisoned by dust from lead paint

  9. Rental vs. Homeowner

  10. Renovations causing poisonings

  11. Next frequent category of exposures • Soil • Take Home Dust

  12. Upcoming • New Risk Groups • Oral behavior • New Mainers

  13. Feedback • Proposed changes via Medicaid • Drop requirement for MaineCare universal screening? • How are you currently screening? • Why are MC screening rates not 100%?

  14. Barriers to screenings and solutions • Knowledge of screening? • Loss from office to lab?

  15. In office blood lead screening law • Critical parts are data transfer and addressing barrier of losing patients • Rulemaking: AG review; public comment, review and approval.

  16. Rules • Use of portable testing device is a capillary screen. Confirmatory venous still needs to go to the state lab. • Must use IMMPACT to be approved • Results to us w/in 48 hours • Provide work flow and CLIA Waiver Certificate

  17. In office portable testing devices: Plus • Immediate results • Removes barrier of testing at other location • Families may be more motivated to get follow up venous • PCP follow up easier

  18. In office portable testing devices: Minus • Staff time cost: Testing, recording, reporting • Cost of machine – HETL will not provide supplies • Reimbursement Rates

  19. IMMPACT Lead Module • Reporting • Data and blood lead histories to users • Flag for follow up visits if needed • Name, Address when tested • Ordering Phys • Data fields: • Sample date • Venous or Cap • Results

  20. Questions? Thoughts? Comments? Eric Frohmberg Eric.frohmberg@maine.gov 287-8141 Susan Lee Susan.j.lee@maine.gov 287-8671 www.maine.gov/healthyhomes tracking.publichealth.maine.gov

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