Services for Medical Providers

The Douglas County Health Department's (DCHD) Childhood Lead Poisoning Prevention Program (CLPPP) provides the following services to medical providers in Douglas County:

• Medical Office or Clinic Inservice for Staff
• Screening guidelines
• Medicaid Screening Requirements
• Targeted Screening Guidelines (see below)
• Guidelines for testing in Iowa can be found at Iowa Statewide Plan for Childhood Blood Lead Testing with a flowchart on page 39 and questionnaire on page 38. Questions can be directed to the Iowa Department of Public Health Bureau of Lead at 1-800-972-2026 or Bureau of Lead Poisoning Prevention
• Lead Specimen Collection Techniques
• Samples of collection devices
• Staff Training
• Literature for patient education
• Case Management of all children through age six with blood lead levels > 10 ug/dL (all blood lead tests are reportable under NE statute - see below).
• General patient/family education
• Co-ordination of care and follow-up testing following CDC guidelines between patient, physician or other primary medical provider, and CLPPP.
• Family education including a home visit with assessment of possible exposure sources and exposure history. Referrals as needed for follow-up care or intervention (BLLs 15 ug/dL and above).
• Environmental assessment for lead-based paint with lead hazard reduction follow-up and enforcement (BLLs 15 ug/dL and above).
• Venous or capillary retesting (at home if needed) at no charge
• Treatment guidelines
• Retesting Schedules for children with previously elevated blood lead levels and notification to clinic when children are due for retesting
• Oral Chelation (Chemet) information
• Medical Staff Advisory contacts - call 444-7825 for names of physicians with experience treating children with elevated blood lead levels

• Managing Elevated Blood Lead Levels Among Young Children: Recommendations from the Advisory Committee on Childhood Lead Poisoning Prevention(CDC) March 2002
• Recommendations for Blood Lead Screening of Young Children Enrolled in Medicaid: Targeting a Group at High Risk
• Screening Young Children for Lead Poisoning: Guidance for State and Local Public Health Officials, Centers for Disease Control and Prevention (CDC, 1997)
• Preventing Lead Poisoning in Young Children - 4th revision of the statement on Preventing Lead Poisoning in Young Children by the Centers for Disease Control (CDC, 1991)