Invest in Children Lead Poisoning Prevention

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Invest in ChildrenLead Poisoning Prevention
CUYAHOGA COUNTY BOARD OF HEALTH
CLEVELAND DEPARTMENT OF PUBLIC HEALTH
Case Western Reserve University
Moms First
Help Me Grow
ENVIRONMENTAL HEALTH WATCH
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Invest in Children Lead Poisoning Prevention
Welcome !
You are the key to a successful program.
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Invest in Children Lead Poisoning Prevention

• LEAD'S DAMAGE
• Lead poisoning can damage a young child's
  developing brain, causing learning and behavioral
  disabilities.
• Lead poisoning is associated with poor school
  performance, lowered employability and delinquent
  behavior.
• The Centers for Disease Control has established
  10 micrograms of lead per deciliter of blood (10
  µg/dl) as a level of concern.

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Invest in Children Lead Poisoning Prevention

• LEAD'S DAMAGE
• Children between the ages of six months and three
  years are at the greatest risk.
• a high degree of exposure to lead in household
  dust because of normal hand-to-mouth activity.
• developing nervous system is at heightened
  vulnerability to lead toxicity.

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Invest in Children Lead Poisoning Prevention
                                                
                                                  
                                              
Created by Environmental Health Watch with Data
from the Cleveland Department of Public Health
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Invest in Children Lead Poisoning Prevention
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Invest in Children Lead Poisoning Prevention
Project Overview
Help Me Grow
Moms First
Home Visit
Referral
CCBH
CDPH
Unit Assessment
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Invest in Children Lead Poisoning Prevention
Project Overview Your part
Help Me Grow
Moms First
Home Visit
Referral
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Invest in Children Lead Poisoning Prevention
Project Goals

• Enroll 75 families through the direct referral of
  Moms First and Help Me Grow
• Assess the 75 homes for lead hazards
• Perform low level interventions based on the
  assessments
• Record outcomes

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Invest in Children Lead Poisoning Prevention
Your Role Is Essential

• Identify appropriate mothers for recruitment
• Make the referral to the City HD or the County HD
• Educate mothers about lead poisoning and ways to
  reduce exposure

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Invest in Children Lead Poisoning Prevention
Whats the Plan?

• One month after birth
• Home Visit
• If in high risk zip code
• Determine eligibility
• Privately owned home
• No plans to move in the next 2-3 months
• No EBL child in the home
• If eligible
• Fax Referral to CDPH or CCBH for home assessment

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Invest in Children Lead Poisoning Prevention
Whats the home assessment?

• Licensed Assessor
• Look for potential lead exposure avenues
• Dust
• Paint
• Soil
• Check for Disclosure Law
• Look for other environmental hazards
• Take samples
• If no potential lead exposure avenues, not
  recruited

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Invest in Children Lead Poisoning Prevention
What happens if exposure avenues are found?

• If eligible for other programs, assessor will
  refer (higher level of intervention)
• If not eligible for other programs, recruited for
  the ECI Project

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Invest in Children Lead Poisoning Prevention
Whats next?

• Limited repairs to control potential exposure
  avenues
• Average around 1,300 and up to 3,000
• The Health Department determines what repair work
  is to be completed
• Contractors complete the work in 1-2 days
• Occupants stay out of home during work, return in
  evening (daily stipend given)
• Health Department determines job is completed and
  home is safe to return

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Invest in Children Lead Poisoning Prevention
And then what?

• Home Education Visit
• Health Educator from Environmental Health Watch
  visits home within 30 days of the completion of
  the minor renovation
• Educate family on ways to reduce exposure to lead
  
• Demonstrates the use of a special vacuum cleaner
• Provide other lead safety materials

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Invest in Children Lead Poisoning Prevention
What happens after that?

• Follow up visits
• At 6 and 12 months after the first visit
• Ask about lead exposure control actions
• Reinforce lead exposure reduction ideas
• Take dust samples to measure for lead dust
• Obtain a blood sample from the child

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Invest in Children Lead Poisoning Prevention
Info- The faxes come to me!

• CDPH Residential Assessment Coordinator
• Jonathon Brandt
• jbrandt_at_city.cleveland.oh.us
• 216-664-4939
• Fax [phone]