LEAD MANUAL - Missouri Department of Health and Senior ...



Missouri Department of

Health and Senior Services

LEAD POISONING PREVENTION MANUAL

Missouri Department of

Health and Senior Services

LEAD MANUAL

Richard Dunn, Director

Missouri Department of Health and Senior Services and Senior Services

Bryant McNally, Director

Division of Environmental Health and Communicable Disease Prevention

Scott Clardy, Administrator

Section for Environmental Public Health

Revised December 2004

The Missouri Department of Health and Senior Services is responsible for protecting and

promoting the health of Missourians by assessing health status and needs, developing policies and priorities, and assuring that the state is responding appropriately.

AN EQUAL OPPORTUNITY/AFFIRMATIVE ACTION EMPLOYER

Services provided on a nondiscriminatory basis

This lead manual was assembled by the Section for Environmental Public Health

Childhood Lead Poisoning Prevention staff to manage statewide lead poisoning prevention efforts.

Section for Environmental Public Health

Vision

Missouri public health agencies, through a universally recognized, comprehensive environmental health program, will eliminate negative human health effects to create a safe and healthy place to live.

Mission

We provide the citizens and guests of Missouri a safe and healthy environment through assessment, policy development, and intervention implementation to prevent unnecessary exposure to hazardous environmental conditions that cause illness, injury, and death.

Childhood Lead Poisoning Prevention Program

Mission

Assure the children of Missouri a safe and healthy environment through the detection, treatment, and primary prevention of lead exposures that may cause illness or death.

Missouri Department of Health and Senior Services

Lead Poisoning Prevention Manual

Table of Contents

1.0 Introduction

1. Purpose of the Lead Manual

2. Lead Poisoning

1.3 Exposure Sources

2.0 Missouri Lead Testing Plan/Procedures

1. Missouri Blood Lead Testing Statute

2. Regulations

3. Testing Areas Map

4. Lead Screening Guidelines and Risk Assessment Tool

5. Childhood Blood Lead Testing and Follow-Up Guidelines

6. Capillary Blood Sampling Procedure

7. Venous Blood Sampling Procedure

8. Laboratory Requirements and Reporting

9. Public Health Laboratories

3. Public Health System

3.1 Core Public Health Functions

2. Lead Surveillance

3. Local Public Health Agencies

4. Missouri Department of Health and Senior Services

5. Medicaid

6. Collaboration and Coordination for Children with an EBL

4.0 Public Health Nursing and Medical Management

4.1 Public Health Nursing Case Management

4.2 Periodicity Screening Guidelines for Medicaid Eligible Children/HCY

(Healthy Child and Youth) Screening Guide

3. Case Management Guidelines/Care Coordination Actions/Medicaid Guidelines for

Lead Case Management

4. MDHSS Nurse Care Manager Questionnaire

5. Anticipatory Guidance

6. Nutrition and Hygiene Measures for Preventing Lead Exposure/Absorption

7. Lead in Pregnancy

8. Parental Occupational Lead Hazards

9. Nursing Care Plans

10. Chelation Therapy

5.0 Environmental Management

5.1 Action Levels and Notification Referrals

5.2 Scheduling an EBL Risk Assessment

5.3 Conducting an EBL Risk Assessment

5.4 The Visual Assessment and Areas to Investigate

5.5 The EBL Risk Assessment Report

5.6 Reporting Assessment Results to the Occupant/Property Owner

5.7 Written Work Plan

5.8 Compliance and Re-Assessment Follow-Up

5.9 Non-Compliance Procedures and Letters

5.10 EBL Risk Assessment Procedure Summary

5.11 Environmental Sampling Methods and Procedures

5.12 EBL Risk Assessment Case Closure

5.13 Interim Control Methods and Procedures

5.14 Abatement Methods and Procedures

5.15 Post-Abatement Clearance Procedures

5.16 General Program Management

5.17 References

Lead Manual Forms

EBL Risk Assessment Report Part A1: Lead Hazard Identification

EBL Risk Assessment Report Part A2: Floor Plan

EBL Risk Assessment Report Part B: Lead Sampling Results

EBL Risk Assessment Report Part C1: Report of Lead in Dust and/or Water

EBL Risk Assessment Report Part C2: Report of Lead in Paint

EBL Risk Assessment Report Part C3: Report of Lead in Soil

EBL Risk Assessment Report Part C4: Report of Non-Paint Sources of Lead

Environmental Lead Analysis Request Form (Form #Lab.18)

HCY (Healthy Child and Youth) Lead Risk Assessment Guide

Lead Case Management Report

Lead Case Management Self Assessment Tool

Missouri Lead Poisoning Risk Assessment Tool

Nurse’s Lead Case Management Questionnaire

Nutritional Questionnaire

On Site Preliminary Lead Assessment Report

Private Water Supply Request Form - (Form # Lab.65)

Questionnaire for Lead Poisoning in Pregnant Women

XRF Quality Assurance/Instrument Performance Form

Appendices

A. Glossary

B. References

C. Lead Educational Materials

................
................

In order to avoid copyright disputes, this page is only a partial summary.

Google Online Preview   Download