Reporting Authority

Texas Childhood Lead Poisoning Prevention

Program

Diana L. Salzman, MPHAdult Lead Surveillance

Coordinator

Texas Childhood Lead Poisoning Prevention

Program

Diana L. Salzman, MPHAdult Lead Surveillance

Coordinator

Reporting Authority

Texas Health and Safety Code, Ch. 88 (June 2003) All blood lead levels (BLL) are reportable

to the Texas Department of State Health Services (DSHS) - Children

Texas Health and Safety Code, Ch. 84 (April 2003) – Adults All BLLs are reportable to DSHS

Reporting Authority

TX Administrative Code Title 25 Part 1

Allows for case management of children with elevated blood lead levels (EBLLs)

Texas Childhood Lead Poisoning Prevention Program

Department of State Health Services – Austin, Texas

Data surveillance component

Medical and environmental follow up component


Department of State Health Services – Austin, Texas Process over 450,000 blood lead reports

per year

Receive blood lead reports from over 17,000 healthcare providers and 70 laboratories per year


Department of State Health Services – Austin, Texas From 1996-2004 received 117,453 blood

lead reports with results ≥ 10 mcg/dL

Receive ~ 1400 cases per year ≥ 15 mcg/dL


Department of State Health Services – Austin, Texas Refer EBLLs to local health departments

(LHD) or public health regions (PHR) for follow up

Develop educational materials for public and health care professionals

Repository for blood lead reports and related information


Regional Health Departments – 11 PHR Regional Lead Contact – Case manager,

Texas Health Steps coordinator (Medicaid), environmental inspector

Triage children with EBLLS when no LHD exists in child’s jurisdiction

Refers to regional nurse, case manager or environmental inspector


Local Health Departments Tx CLPPP funds 6 LDHs – Bexar County,

Webb County, Travis County, El Paso County, City of Houston, City of Dallas

Follow up children with EBLLs in respective jurisdictions

Some LHDs have environmental inspectors Conduct environmental investigations for

EBLL children (home, school, or daycare)


Additional Partners

Federal Agencies Federal Drug Administration (FDA) Centers for Disease Control and

Prevention (CDC) Housing and Urban Development (HUD) Environmental Protection Agency (EPA)


DSHS Food and Drug Safety DSHS Office of Border Health DSHS Medicaid/Texas Health Steps DSHS Laboratories (public and private) DSHS Environmental Lead Program

Texas Childhood Lead Poisoning

Prevention Program Plans

Applying for CDC 5 year grant (FY 2006-2010)

Fund additional local health departments

Screening plan being reviewed for possible expansion


Data Approaches 97.5% of blood lead reports are received

electronically

87% of the blood lead reports received are for Medicaid enrolled children

Obtaining environmental inspection data


Testing Approaches

Medicaid/Texas Health Steps guidelines (12 and 24 months)

State plan recommends testing all children at 12 and 24 months


Mexico Related Issues Texas CLPPP coordinates directly with the

Office of Border Health for all issues related to Mexico. The Office of Border Health works closely with the Texas Secretary of State on health related issues

Questions?

Reporting Authority

Documents

Transcript of Reporting Authority