State and Local Childhood Lead Poisoning Prevention Program

州和地方儿童铅中毒预防计划

• 批准号: 7192056
• 负责人: PAUL HUNTER
• 金额: $ 116.42万
• 依托单位: MASSACHUSETTS STATE DEPT OF PUB HEALTH
• 依托单位国家: 美国
• 财政年份: 2006
• 资助国家: 美国
• 起止时间: 2006-07-01 至 2011-06-30
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/7192056
• 关键词: State; Local; Childhood; Lead; Poisoning

The Massachusetts Department of Public Health Childhood Lead Poisoning Prevention Program (MACLPPP) is seeking funding from the Centers for Disease Control and Prevention as a competitive grantee. Requested CDC funds will be used to enhance our extensive childhood lead poisoning prevention program which has been a part of the Massachusetts Department of Public Health for over twenty-five years. The program includes comprehensive case management teams consisting of a nurse case manager, environmental health inspector and family advocates. These components form a cohesive design which provides families with both medical and environmental intervention as called for by the Massachusetts's Lead Law, one of the strongest primary prevention statutes in the nation. CLPPPP staff, funded by CDC, is also responsible for health education, surveillance and epidemiology, data management, program management, fiscal and information technology support. The population, geographic and economic composition of Massachusetts results in a significant lead burden for children in our jurisdiction. The 1990 US Census indicates that Massachusetts has the second highest percent of pre-1950 housing units, or 46.8% of all housing, exceeded only by New York State, with 47.1%. CDC's own data indicates that there are 58, 454 children living in poverty in Massachusetts; 36,900 of whom live in homes built before 1950. In state fiscal year 2005 there were 3,187 Massachusetts children under the age of six who had lead levels of 10 ug/dL or greater. This is a rate of 1.4%, which is comparable to the national rate of 1.6% in the 1999-2002 NHANES survey. This data on screening and incidence considered in conjunction with our housing stock and our array of both urban and rural communities absolutely illustrates the need for continued CDC support for lead poisoning prevention in Massachusetts. Funding from CDC will ensure that MACLPPP continues comprehensive efforts to provide primary and secondary prevention services to children and their families throughout the commonwealth. The need for these resources will be increased as MACLPPP builds capacity and implements a system-based framework established in our strategic elimination plan to end childhood lead poisoning by 2010. As part of this plan, the Community Mobilization Network initiatives are underway with active programs in three of our highest risk communities. In 2006, MACLPPP plans to reconvene or Strategic Advisory Committee to share the accomplishments of these communities and explore implementation options of other key initiatives. In addition to our community mobilization efforts, MACLPPP has made strides towards building in-roads with Refugee and Immigrant Health Program (RIHP), including incorporating lead-related housing issues into a required questionnaire used to identify appropriate housing when placing refugee families. Massachusetts has afforded families with comprehensive case management services since 1982. Our case management system consists of a three-tiered approach addressing the medical, environmental, and social needs of a family. Furthermore, we continue to see significant progress in primary prevention and improvement of our housing through private sector inspections and remediation, which is due in large part to the strength of our statute and regulations. MACLPPP will use the first budget period to evaluate and formalize our policies and procedures to produce a finalized written case management plan. A critical element in the implementation of many of our major initiatives in Fiscal Year 2006 will be the utilization of the electronic case management system, referred to as the Kyran application. This application allows for the collection of multiple test results for an individual child over years. Furthermore the application allows for multiple children and their corresponding blood tests to be related to an individual address. Extensive work flows for the medical, home visiting, and environmental components have been developed which permits us to track the timeliness and effectiveness of our services. Our epidemiology component continues to track linkages with our data to Medicaid data. Moreover, MACLPPP is preparing to begin a data sharing project with Massachusetts's Women, infants and Children program. MACLPPP is looking forward to developing and enhancing our application allowing greater opportunities for extensive and in-depth program evaluation and surveillance capabilities. One of these new opportunities will involve working with geocoded environmental data to generate an environmental annual report, similar to the Massachusetts Needs Assessment on screening, which will present inspectional and remediation activities by city and town. Primary Prevention efforts continue to be one of MACLPPP's great strengths. MACLPPP is currently preparing a Request for Responses to competitively procure local community-based lead poisoning prevention health education contracts. The recipients of these Lead Health Education Trust Fund contracts will be required to organize and conduct 20 health education presentations annually, attend at least 8 health fairs or other local health events, distribute lead poisoning prevention health education materials throughout their region, and to plan and carry out local Lead Poisoning Prevention Week activities. In addition to our health education activities, environmental primary prevention efforts are still vigorous. As mentioned previously, Massachusetts has a well developed private sector responsible for a significant amount of inspections and remediation work in the state. MACLPPP environmental staff provides vital technical assistance to private lead inspectors, deleading contractors, and homeowners trained and authorized to do some limited deleading activities, in an effort to ensure these activities are done in a manner that protects the public's health and meets regulatory requirements. We continue to authorize owners to do specific deleading activities following regulatory guidelines similar to the federal lead safe work practices. To date we have authorized over 6000 owners and owner's agents to undertake low and moderate risk deleading activities on their homes. MACLPPP maintains on-going partnerships with sister agencies like Medicaid, Women Infants and Children program as well as local grantees, community mobilization networks and boards of heath. Through this work we hope to achieve a solid and sustainable framework of both primary and secondary prevention measures that protects children from lead poisoning, improves our housing stock and helps us move towards the elimination lead poisoning by 2010.

马萨诸塞州公共卫生部儿童期铅中毒预防 计划（MACLPPP）正在寻求疾病控制中心的资金和 作为竞争受赠人的预防。请求的CDC资金将用于增强我们的 广泛的儿童铅中毒预防计划 马萨诸塞州公共卫生部已有25年以上。该程序 包括由护士案件经理组成的全面案件管理团队， 环境卫生检查员和家庭倡导者。这些组件形成一个凝聚力 设计为家庭提供医疗和环境干预的设计 由马萨诸塞州的主要法律要求，这是最强的主要预防措施之一 国家法规。由CDC资助的CLPPPP员工也负责健康 教育，监视和流行病学，数据管理，计划管理， 财政和信息技术支持。 马萨诸塞州的人口，地理和经济组成导致 我们管辖范围内儿童的重大潜在客户负担。 1990年的美国人口普查表明 马萨诸塞州拥有1950年以前的住房单位的第二高百分比，占46.8％ 所有住房仅超过纽约州，占47.1％。 CDC自己的数据指示 马萨诸塞州有58名和454名儿童生活在贫困中； 36,900人住在 1950年之前建造的房屋。在2005年州财政年度，有3,187个马萨诸塞州 六岁以下的儿童的铅水平为10 ug/dl或更高。这是 1.4％，与1999 - 2002年NHANES的全国税率1.6％相媲美 民意调查。有关筛查和与我们的住房结合考虑的筛查和发病率的数据 库存以及我们的城市和农村社区都完全说明了需求 为了持续支持CDC在马萨诸塞州预防铅中毒的支持。 CDC的资金将确保MACLPPP继续全面努力 向儿童及其家人提供初级和次级预防服务 在整个联邦。这些资源的需求将增加，因为 MACLPPP建立能力并实现我们在我们的中建立的基于系统的框架 战略淘汰计划，以结束2010年童年铅中毒。作为本计划的一部分， 社区动员网络计划正在进行中 我们最高风险社区的三个。 2006年，MACLPPP计划重新登陆或 战略咨询委员会分享这些社区的成就和 探索其他关键计划的实施选项。除了我们的社区 动员努力，麦克拉普（MacLPPP 和移民健康计划（RIHP），包括合并与铅相关的住房 陷入所需的问卷中，用于确定适当的住房 难民家庭。 自从马萨诸塞州为家庭提供全面案例管理服务的家庭 1982年。我们的案件管理系统包括一种三层方法，解决了该方法 家庭的医疗，环境和社会需求。此外，我们继续看到 通过初级预防和改善住房的重大进展 私营部门的检查和补救，这在很大程度上归功于我们的法规和法规的实力。 MACLPPP将使用第一个预算期来评估和 正式化我们制定最终书面案例管理的政策和程序 计划。 在财政年度实施我们许多主要举措的关键要素 2006年将是电子案例管理系统的利用，称为 Kyran应用。此应用程序允许收集多个测试结果 多年的个人孩子。此外，该应用程序允许多个孩子和 他们相应的血液检查与单个地址有关。广泛的工作 医疗，家庭访问和环境组件的流量已经 开发的，这使我们能够跟踪服务的及时性和有效性。我们的 流行病学组件继续跟踪与我们的数据与医疗补助数据的联系。 此外，MACLPPP正在准备与马萨诸塞州的数据共享项目 妇女，婴儿和儿童计划。 MacLPPP期待开发和 增强我们的应用程序，为广泛而深入的机会提供了更多的机会 程序评估和监视功能。这些新机会之一将 涉及使用地理编码的环境数据以生成环境年度 报告，类似于马萨诸塞州的筛查需求评估，这将是 城市和城镇的检查和补救活动。 主要的预防工作仍然是MACLPPP的巨大优势之一。 MACLPPP目前正在准备竞争性采购本地的响应请求 基于社区的铅中毒预防健康教育合同。收件人 这些主要健康教育信托基金基金合同将需要组织和 每年进行20次健康教育演讲，至少参加8场健康博览会或其他 当地健康事件，分发铅中毒预防健康教育材料 在整个地区，并计划和进行当地的铅中毒预防周 活动。除了我们的健康教育活动，环境初级预防 努力仍然有力。如前所述，马萨诸塞州有一个发达的 负责大量检查和补救工作的私营部门 国家。 MACLPPP环境人员为私人提供重要的技术援助 首席检查员，判处承包商和受过培训和授权做的房主 一些有限的优惠活动，以确保在 保护公众健康并符合监管要求的方式。我们继续 授权业主按照监管指南进行特定的征用活动 类似于联邦领导安全的工作实践。迄今为止，我们已授权超过6000 所有者和所有者代理人从事低和中等风险的活动 他们的家。 MACLPPP与Medicaid，妇女等姊妹机构保持着持续的合作伙伴关系 婴儿和儿童计划以及当地受赠人，社区动员 希思的网络和董事会。通过这项工作，我们希望实现扎实的 主要预防措施的可持续框架 铅中毒的孩子，改善我们的住房库存，并帮助我们朝着 消除铅中毒到2010年。