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COUNTY HEALTH DEPARTMENT INFORMATION

 

 

Lead Poisoning Disease Reporting and Guidelines

 

Lead Poisoning Disease Guidelines-Oregon-specific lead poisoning disease reporting and case management follow-up guidelines.

 

Lead Screening Protocols for Children

 

Lead Screening Protocols for Children (pdf) - Fact sheet summarizing Oregon's Lead Screening Plan.

 

Screening Questionnaire (pdf) - To be administered by clinic staff.

 

Screening questionnaire -To be completed by parents/guardians. Includes fact sheet: "Possible Sources of Lead".

 

Childhood Lead Poisoning Case Management

 

Case Management Checklist (pdf) - Easy step-by-step checklist for case management activities.

 

Oregon Case Management Flow Chart (pdf) - Flow chart for childhood case management.

 

Investigative Procedures (pdf) - Recommendations for conducting case management and on-site environmental investigations.

 

Environmental Questionnare (pdf)-Questionnaire used to identify possible source(s) and environmental sampling locations.

 

The following documents or templates are in Word format so that County Health Departments can modify as needed:

Environmental Investigations of Childhood Lead Poisoning Cases

 

Environmental Sampling Protocol (pdf) - Protocols for environmental sampling during on-site investigations.

 

Floor Plan Graph Paper (pdf) - For use during on-site investigations. Plot sampling locations and possible lead hazards.

 

Sending in Environmental Samples (pdf)- Directions for sending in environmental samples taken during on-site investigations of lead poisoning cases.

 

 

Medical Management of Childhood Lead Poisoning

 

Medical Information Form (pdf) - For children with elevated blood lead levels: county health departments contact the medical provider and have them complete this form. Copy of completed form needs to be sent to DHS along with all case management documentation.

 

Medical Evaluation and Recommendations (pdf) - For children with elevated blood lead levels (EBLLs). This document is intended to provide evidence-based guidance for medical providers caring for children with confirmed EBLLs.

 

Adult Lead Poisoning Case Management

 

Patient Questionnaire (pdf) - To be used by DHS, County Health Department and Clinic staff to help patients identify and control sources of lead exposure.

 

Medical Provider Questionnaire (pdf) - To be used by DHS and County Health Departments to determine possible lead sources.

 

Medical Management of Adult Lead Poisoning

 

Understanding Blood Lead Testing Results for Adult Exposure to Lead (pdf)- Information on types of blood lead testing and interpretation of test results. Intended for medical providers or county health department staff.

 

Recommended Adult Medical Evaluation for Lead Exposure (pdf)- Interview form used by medical provider to identify and care for elevated blood lead levels.

 

Medical Evaluation and Recommendations (pdf) - For adults with elevated blood lead levels (EBLLs). This document is intended to provide evidence-based guidance for medical providers caring for adults with confirmed EBLLs.

 

Health Effects of Lead Poisoning

 

Health Effects of Lead Poisoning (pdf) - Brief description of how lead is stored in the body and the health effects of lead exposure.

 

Lead Toxicology Profile - exit to Agency for Toxic Substances and Disease Registry (ATSDR) website. 

 

Sources of Lead Poisoning

 

Sources of Lead (pdf)- Brief description of the possible sources of lead exposure and miscellanous sources of lead fact sheet.

 

Possible Lead Containing Home Remedies and Cosmetics (pdf) - A table describing: Region of origin, remedy name, appearance, use, and miscellaneous details about lead containing products.

 

Oregon Adult Lead Poisoning Program: Five-Year Report (1996-2000) (pdf) - Findings for adult (18 and older) lead poisoning  (equal to or higher than 25 micrograms of lead per deciliter of blood) in Oregon for the five-year period from January 1996-December 2000.

 

 

Journal Articles and Newsletters

 

Interpreting and Managing Blood Lead Levels Below 10 ug/dL in Children and Reducing Childhood Exposures to Lead: Recommendations of CDC's Advisory Committee. (pdf) [MMWR 2007] .

 

Deaths Associated with Hypocalcemia from Chelation Therapy - exit to CDC website [MMWR 2006].

 

Death of a Child After Ingestion of a Metallic Charm - exit to CDC website [MMWR 2006].

 

Lead Exposure in Children: Prevention, Detection and Management (pdf) - [Committee on Environmental Health, American Academy of Pediatrics 2005].

 

Screening Children for Lead Poisoning (pdf) - [CD Summary issue, July 2004].

 

Lead Poisoning from Ingestion of a Toy Necklace - exit to CDC website [MMWR 2004].

 

Blood Lead Levels in Young Children  - exit to CDC website [MMWR December 2000].

 

Recommendations for Blood Lead Screening of Young Children Enrolled in Medicaid exit to CDC website [MMWR 2000].

 

Lead Poisoning Has Not Gone Away - [CD Summary issue, 2000].

 

Ceramic and Pottery Cookware: A Potential Source of Pb - [CD Summary issue, 1998].

 

Educational Materials

 

Adult Lead Exposure-What Does My Blood Lead Test Mean? (pdf) - Information on blood lead test results for adults who have elevated blood lead levels.

 

What Does My Child's Blood Lead Level Mean? (pdf) - Information on childhood blood lead test results and how to prevent exposure to lead.

 

Download and print our educational material order form (pdf) or see the Materials and Links Page

 
Page updated: February 26, 2008

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