Physician's Handbook on Childhood Lead Poisoning Prevention
New York State Department of Health
American Academy of Pediatrics District II
1997
Table of Contents
- Preface
- American Academy of Pediatrics District II and New York State Department of Health Task Force On Lead Poisoning Members & Chapter Contributions
- Chapter 1 Background Information
- Chapter 2 Environmental Sources of Lead
- Chapter 3 Risk Assessment and Anticipatory Guidance
- Chapter 4 Screening of Lead Poisoning
- Chapter 5 Medical Management of Children with Elevated Blood Lead Levels
- Chapter 6 Regional Lead Poisoning Prevention Resource Centers
- Chapter 7 Role of the Local Health Department
- Chapter 8 Role of the State Department of Health
- Chapter 9 Environmental Management
- Chapter 10 Lead Poisoning Prevention During Pregnancy
Appendices
- New York Lead Poisoning Prevention Act
- New York Lead Poisoning Regulations
- American Academy of Pediatrics Statement and CDC Screening Guidance
- Regional Lead Resource Center Telephone Contacts
- Occupational Health Clinic Telephone Contacts
- Teratogen Information Center Telephone Contacts
- Local Lead Poisoning Prevention Program Telephone Contacts
- Local Early Intervention Program Telephone Contacts
- State Health Department Telephone Contacts
- List of Public and Professional Educational Materials Available (PDF, 202KB, 3pg.)
- Risk Assessment Questions
Preface
In 1991, District II of the American Academy of Pediatrics and the Childhood Lead Poisoning Prevention Program of the New York State Department of Health convened a pediatric care providers' task force on lead poisoning. The task force members included representatives from all geographic areas of the state and from a variety of practice settings including academic medical centers, public health settings and private practice.
The goals of the task force are to provide a forum for pediatric care providers to share and develop ideas about management of lead poisoning; to provide up-to-date information to practicing pediatric care providers and other health care providers on management of lead poisoning; and to provide a mechanism for pediatric care providers to advise the Department of Health on policy development for lead poisoning prevention.
In a series of meetings over the last four years, the task force has assisted the state in development of legislation and regulations on lead poisoning prevention; helped to clarify the role and qualifications of regional resource centers; helped identify the need for additional laboratory capacity for blood lead testing; and assisted in defining the relationship of public health to individual health care providers in the prevention of lead poisoning in children.
This handbook is the product of a collaborative effort. We have tried to summarize current recommendations for prevention and management of lead poisoning in children in a way that is practical and accessible for pediatric care providers. In addition, the manual contains much information speciic to New York State.
We hope this handbook proves useful to New York's pediatric care providers. Please let us know how to improve it to meet your needs.
- Joseph Greensher, M.D., Chairman
AAP Task Force on Lead Poisoning
American Academy of Pediatrics
District II - Christopher A. Kus, M.D., M.P.H., Director
Bureau of Child and Adolescent Health
New York State Department of Health
American Academy of Pediatrics District II
and New York State Department of Health
Task Force on Lead Poisoning
| Member | AAP Affiliation |
|---|---|
| Harold Adel, M.D. | Chapter 3 |
| Sophie J. Balk, M.D. | Chapter 3 |
| Melinda Cameron, M.D. | Chapter 1 |
| Anne E. Dyson, M.D. | Chapter 1 |
| Andrew Goodman, M.D. | Chapter 3 |
| Abby J. Greenberg, M.D. | Chapter 2 |
| Joseph Greensher, M.D. Chairman-AAP Task Force |
Chapter 2 |
| Christopher A. Kus, M.D., M.P.H. | Chapter 1 |
| Howard C. Mofenson, M.D. | Chapter 2 |
| Mark Rapoport, M.D. | Chapter 3 |
| John F. Rosen, M.D. | Chapter 3 |
| Howard R. Sloan, M.D. | Chapter 3 |
| Michael Weitzman, M.D. | Chapter 1 |
| Lloyd N. Werk, M.D. | Chapter 2 |
We also would like to take this opportunity to thank Michael D. Cohen, M.D., former bureau director in the New York State Department of Health, member of the AAP Task Force and the Childhood Lead Poisoning Prevention Program staff for the development of this handbook.
The recommendations in this handbook do not indicate an exclusive course of treatment or procedure to be followed. Variations, taking into account individual circumstances, may be appropriate.