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

2. 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

3. 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 u g/dL

4. 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.

5. 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.

6. 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).

7. 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

8. 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 follow- up blood testing

9. 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

10. 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

11. ARIZONA CHILDHOOD LEAD POISONING PREVENTION PROGRAM LEAD EXPOSURES IDENTIFIED IN CHILDHOOD LEAD POISONING CASES LEAD-BASED PAINT FOLK REMEDIES- AZARCON & GRETA IMPORTED POTTERY SOIL DUST

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

13. 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

14. ARIZONA CHILDHOOD LEAD POISONING PREVENTION PROGRAM HEALTH EDUCATION

15. ARIZONA CHILDHOOD LEAD POISONING PREVENTION PROGRAM HEALTH EDUCATION

16. 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

17. ARIZONA CHILDHOOD LEAD POISONING PREVENTION PROGRAM LEAD POISONING SURVEILLANCE Data Source: Arizona Lead Poisoning Registry

18. ARIZONA CHILDHOOD LEAD POISONING PREVENTION PROGRAM LEAD POISONING SURVEILLANCE Data Source: Arizona Lead Poisoning Registry

19. ARIZONA CHILDHOOD LEAD POISONING PREVENTION PROGRAM LEAD POISONING SURVEILLANCE Data Source: Arizona Lead Poisoning Registry

20. ARIZONA CHILDHOOD LEAD POISONING PREVENTION PROGRAM LEAD POISONING SURVEILLANCE Data Source: Arizona Lead Poisoning Registry

21. ARIZONA CHILDHOOD LEAD POISONING PREVENTION PROGRAM LEAD POISONING SURVEILLANCE Data Source: Arizona Lead Poisoning Registry

22. ARIZONA CHILDHOOD LEAD POISONING PREVENTION PROGRAM LEAD POISONING SURVEILLANCE Data Source: Arizona Lead Poisoning Registry

23. 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