1.  Children 6 years and younger are most at risk because their bodies are still developing  Children absorb more lead than adults  Young children have more hand-to-mouth activity than older children

2.  Newly arrived refugee children are twice as likely as U.S. children to have elevated BLLs  Some sub-populations of refugee children are 12-14.5 times more likely to have elevated BLLs  Data suggest that refugee children are also at risk for elevated BLLs in the U.S. Slide taken from: CDC Recommendations for Lead Poisoning Prevention in Newly Arrived Refugee Children Medical Provider Module

3.  Living in older homes  Compromised nutritional status  Lack of awareness about the dangers of lead  Cultural practices and traditional medicines

4.  Behavior & Learning Problems  Low Intelligence  Hearing Loss  Reduced Growth  Coma  Death

5. Wash hands Wash pacifiers and toys Wet-mop floors Wet-wipe surfaces

6. Remove dirty clothes after work

7. Do Not Drink Run Cold Water Drink or Cook Hot Tap Water for 1 Minute with Cold Water

9. Initial blood lead test  Within 90 days of arrival into the United States Repeat blood lead test  3 to 6 months after placed in permanent residence

11. If result of capillary screening test (ug/dL) is: Perform diagnostic test on venous blood within: 10-193 months 20-441 month-1 week 45-5948 hours 60-6924 hours >70Immediately as an emergency lab test

12.  Free Blood Lead Test: 1-800-328-3838  Refugee Nutrition - Heartland Alliance  Address: 1331 West Albion Avenue Chicago IL 60626  Phone: 773.751.4091  Hours: Monday-Friday 8:30 a.m.-5 p.m.

13.  Lead Safe Illinois: Campaign for Lead Safety http://leadsafeillinois.org/  CDC’s Lead Poisoning Prevention Program for Refugees http://www.cdc.gov/nceh/Lead/Publications/RefugeeToolKit/Refugee_Tool_Kit.htm  Occupational Safety and Health Administration’s Lead Safety Info http://www.osha.gov/SLTC/lead/  Office of Refugee Resettlement http://www.acf.hhs.gov/programs/orr/

14. Any Questions?

15. February 2009 PowerPoint by Ann Doan, Nicole Gliner, and Zhi Ping Kuang University of Illinois at Chicago Nursing Students