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TABLE OF CONTENTS Preface Table of Contents Summary Acknowledgments 1. Introduction Background on Lead Poisoning Elimination of Childhood Lead Poisoning Remains a National and State Public Health Priority Special Issues Related to Lead Poisoning in Pittsburgh and Allegheny County Study Purpose and Methodology About this Report 2. Existing Data on Childhood Blood Lead Screening, Reporting, and Surveillance in Allegheny County Descriptions of Existing Databases and the Information They Provide About Allegheny County Comparisons Between Allegheny County and Other Areas with Comparable Levels of Risk for Childhood Lead Poisoning Estimating the Extent of Lead Poisoning Among Children in Allegheny County Who Have Not Been Screened 3. Screening for Childhood Lead Poisoning in Allegheny County Screening Requirements and Recommendations Risk Assessment and Lead Screening Processes in Allegheny County Barriers to Lead Screening in Allegheny County and Potential Strategies for Overcoming Them 4. Reporting and Surveillance for Childhood Lead Poisoning in Allegheny County National and State Reporting Requirements for Blood Lead Screening Reporting and Surveillance Processes in Allegheny County Barriers to Reporting and Surveillance in Allegheny County and Potential Strategies for Overcoming Them 5. Conclusions and Recommendations Overall Recommendations Additional Recommendations for Improving Screening in Allegheny County Additional Recommendations for Improving Reporting and Surveillance in Allegheny County Tables 1.1 Summary of CDC Recommendations for Children with Confirmed (Venous) Elevated Blood Lead Levels 1.2 PA DOH Standards for Services To Be Provided to Families of Children with Elevated Blood Lead Levels 2.1 Data Characteristics of Existing Blood Lead Screening Databases 2.2 Quality of the Data in Existing Blood Lead Screening Databases 2.3 Comparison of Risk Factors for Lead Poisoning Across Allegheny, Erie, and Philadelphia Counties and Rhode Island 2.4 Comparison of Screening Rates Based on PA-NEDSS 2003 2.5 Comparison of Screening Rates Based on EPSDT 2000-2001 2.6 Comparison of Children with Elevated Blood Lead Levels Based on PA-NEDSS 2003 2.7 Estimates of Prevalence Rates for Childhood Lead Poisoning in Allegheny County and the Number of Children in Allegheny County with Blood Lead Levels of 10 _g/dL or Greater Who Have Not Been Screened Figures 3.1 Risk Assessment and Screening Processes for Children in Allegheny County 4.1 Blood Lead Level Reporting and Surveillance Processes in Allegheny County Appendices A. Numbers of Children in Allegheny County Under Age Five Living in Census Tracts Where Median-Year Housing Was Built Before 1950 (2000 U.S. Census Bureau) B. Advisory Group Members C. Comparison of Risk Factors for Lead Poisoning Across 12 Pennsylvania Counties and Rhode Island References
Library of Congress Subject Headings for this publication:
Lead poisoning in children -- Pennsylvania -- Allegheny County -- Prevention -- Statistics.
Medical screening -- Pennsylvania -- Allegheny County.
Lead Poisoning -- blood -- Pennsylvania.
Lead Poisoning -- epidemiology -- Pennsylvania.
Child -- Pennsylvania.
Infant -- Pennsylvania.
Mass Screening -- Pennsylvania.
Program Evaluation -- Pennsylvania.
Safety Management -- Pennsylvania.