The Arizona Department of Health Services (ADHS) requests competing continuation funding? for the Arizona Childhood Lead Poisoning Prevention Program (Arizona CLPPP). In this? proposed cycle, the emphasis will be to carry on, expand and refine program activities and to? evaluate program impact.? The Arizona Department of Health Services, Office of Environmental Health, Children's? Environmental Health Program administers the Childhood Lead Poisoning Prevention Program? for the State of Arizona. The Lead Poisoning Prevention Program develops local lead poisoning? prevention programs, maintains the statewide registry including recording cases of children with? blood lead levels greater than or equal to 10 ug/dL, conducts educational outreach activities and? provides case follow-up including conducting environmental investigations, home visits, and? physician assistance.? The Arizona Lead Poisoning Elimination Plan will be a major focus in this grant cycle. We will? continue to implement the plan with evaluation of its effectives and to identify areas within the? plan that can be expanded or refined.? Arizona adopted a targeted childhood blood lead-screening plan as of January 1, 2003. The plan? identifies the high-risk zip codes in Arizona and specifically encourages health care providers to? screen all children in these high-risk zip codes. The plan encourages providers to screen children? not covered by Medicaid and not living in high-risk zip codes using clinical judgment that? includes a consideration of individual risk factors. In addition, a revised targeted childhood blood? lead-screening plan is currently in draft form. This plan drills down to the census tract level.? Maps are currently in development and the final version will be available in the spring of 2006.? We will review new data, evaluate screening progress and ensure that the plan continues to work? to suit Arizona's needs.? The programs surveillance system currently in use is the Systematic Tracking of Elevated Lead? Levels & Remediation (STELLAR) program. Data is provided to stakeholders when requested? with regards to Health Insurance Portability and Accountability Act (HIPAA) regulation? restrictions. Our plan is to add a lead surveillance system onto the Department's electronic? disease and surveillance program called the Medical Electronic Diseases Surveillance &? Intelligence System (MEDSIS) and to receive data electronically for 90% of the blood lead test? results over the next two years. This data will also be analyzed to indicate lead poisoning? prevalence and screening information. Staff will use this date to evaluate prevention strategies,? screening outreach and case intervention effectiveness.? Our primary prevention efforts will focus on reducing the number of children exposed to lead? paint and non-traditional sources by utilizing partnerships with HUD Grantees and utilizing our? media campaign addressing imported pottery and folk remedies.? The Arizona CLPPP has fostered a good working relationship with the state Medicaid program,? the Arizona Health Care Cost Containment System (AHCCCS). We will continue to focus on? screening outreach to AHCCCS physicians and health plans that are in high-risk areas as defined by the Arizona Targeted Screening Plan. We will continue to work with established partners and? identify new partners to aid in the elimination of childhood lead poisoning.? Program staffing includes: Don Herrington, Office Chief, Diane Eckles, Program Manager,? Cliristine Cervantez Young and Myrna Motta both Program Epidemiologists II. Currently Ms.? Nancy Bond is on contract as administrative support for the program. The Office Chief,? Program Manager, and Ms. Cervantez Young's Epidemiologist position are state funded. This? application will support staffing Ms. Motta's Epidemiology position and one half-time? administrative support position for the Childhood Lead Poisoning Prevention Program.
|Harville, J; Que Hee, S S (1989) Permeation of a 2,4-D isooctyl ester formulation through neoprene, nitrile, and Tyvek protection materials. Am Ind Hyg Assoc J 50:438-46|