State Childhood Lead Poisoning Prev & Childhood Blood Lead Surveillance Prog

国家儿童铅中毒预防

• 批准号: 7190758
• 负责人: PETER SIMON
• 金额: $ 100.89万
• 依托单位: RHODE ISLAND STATE DEPT OF 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/7190758
• 关键词: State; Childhood; Lead; Poisoning; Prev

PURPOSE: To implement the Plan to Eliminate Childhood Lead Poisoning in Rhode Island by decreasing the number of new cases of lead poisoning (> 10 ?g/dL) in children under six years of age in all RI communities without displacing children, decreasing screening rates or decreasing access to affordable housing. Statewide incidence rate for 2005 is 2.0%. SITE: The entire state of Rhode Island, which is a high-risk area composed of an aging housing stock with deteriorating paint. Approximately 70% of Rhode Island?s housing stock was built before 1978, with 30,000 of the state?s 300,000 pre-1978 housing units in urgent need of lead hazard reduction. JUSTIFICATION: Rhode Island has established a solid infrastructure to move forward with a healthy homes approach to the elimination of lead poisoning. In the past year, Rhode Island has developed a strong partnership with the Housing Resources Commission and has committed to coordinated activities that will further collaborative efforts between housing and health agencies in the state. Funding will allow the Program to maintain a strong case management, surveillance, public outreach, and enforcement system while expanding its housing-based primary prevention. APPLICANT: The applicant is the Rhode Island Department of Health, which has legal and program responsibility for lead control and prevention efforts in the State. There are no local health departments in the state. MAJOR PROGRAM ACTIVITIES: The RI CLPP Program is composed of staff from the Division of Family Health, the Division of Environmental Health, and the Health Laboratories. The RI CLPPP maintains significant partnerships and collaborative efforts with the Housing Resources Commission, the Rhode Island Attorney General?s Office, and the Department of Environmental Management. Key initiatives to be undertaken in the first year of funding include: 1. Supporting implementation of key strategic plans in the state of Rhode Island that will improve the health and housing of families in the state, including: the Comprehensive Strategic Plan for the Lead Hazard Mitigation Law, the Rhode Island Five-Year Strategic Housing Plan, Rhode Island?s Plan to End Homelessness, and the housing plans produced by local cities and towns under the 2004 Low and Moderate Income Act. The RI CLPPP will engage with stakeholders to ensure primary prevention efforts are undertaken in all rehab and development undertaken in the implementation of these plans. 2. Continue to utilize the Lead Elimination Surveillance System to identify high-risk neighborhoods and target interventions. In 2005 the RI CLPPP improved its surveillance to identify and ensure screening among all refugee children ages 6 months-16 years of age; 3. Working with the Housing Resources Commission to continue successful implementation of the preventative Lead Hazard Mitigation Law. Activities include working with cities and towns to improve code enforcement and minimum housing code standards, and working with the Attorney General to encourage a rapid response for cited hazardous properties. The RI CLPPP will also be working in this first year to lay the groundwork for our longer term prevention and sustainability strategies. Longer term goals for subsequent funding years include: 1. Successful development of a statewide housing database that will contain data on number of units, ownership type, and data collected from state home visiting agencies on environmental conditions within housing units; 2. Ensuring sustainability of lead poisoning prevention activities through partnerships with local and state agencies improving home environments for non-lead related issues, including asthma programs, weatherization programs, home visiting programs, and public housing authorities.

目的：通过减少新的铅中毒病例（> 10例），实施罗得岛消除儿童铅中毒计划。在所有扶轮社社区，6岁以下儿童的平均出生体重（g/dL），而不会使儿童流离失所，降低筛查率或减少获得负担得起的住房的机会。2005年全国发病率为2.0%。 地点：整个罗得岛州，这是一个高风险地区，由老化的房屋存量和不断恶化的油漆组成。罗得岛大约70%的土地？1978年以前，该州的住房存量为3万套。1978年以前的30万套住房迫切需要减少铅的危害。 理由：罗得岛已经建立了坚实的基础设施，以健康的家庭方法来消除铅中毒。在过去的一年里，罗得岛与住房资源委员会建立了强有力的伙伴关系，并致力于开展协调活动，促进该州住房和卫生机构之间的合作。资金将使该方案能够保持强有力的病例管理、监测， 公共宣传和执法系统，同时扩大以住房为基础的初级预防。 申请人：申请人是罗得岛卫生部，该部门对该州的铅控制和预防工作负有法律的责任和计划责任。该州没有地方卫生部门。 主要业务活动：扶轮社CLPP计划由家庭健康处、环境健康处和健康实验室的工作人员组成。国际扶轮CLPPP与住房资源委员会、罗得岛总检察长？办公室和环境管理部。在供资的第一年将采取的主要举措包括： 1. 支持在罗得岛州实施关键战略计划，改善该州家庭的健康和住房，包括：《铅危害缓解法综合战略计划》、《罗得岛五年战略住房计划》、《罗得岛？美国的《结束无家可归计划》，以及地方城镇根据2004年《低收入和中等收入法》制定的住房计划。扶轮社CLPPP将与利益攸关方接触，以确保在实施这些计划的所有康复和发展中开展初级预防工作。 2. 继续利用消除铅监测系统，以确定高风险社区和目标干预措施。2005年，国际难民保护和儿童保护方案改进了监测工作，以查明并确保对所有6个月至16岁的难民儿童进行筛查; 3. 与住房资源委员会合作，继续成功实施预防性的《减少铅危害法》。活动包括与城镇合作，改善法规的执行和最低住房法规标准，并与总检察长合作，鼓励对所列举的危险财产作出快速反应。 国际扶轮CLPPP也将在第一年工作，为我们长期的预防和可持续性战略奠定基础。随后供资年度的长期目标包括： 1. 成功开发全州范围的住房数据库，该数据库将包含关于单元数量、所有权类型的数据，以及从州家访机构收集的关于住房单元内环境条件的数据; 2. 通过与地方和州机构合作，确保铅中毒预防活动的可持续性，改善非铅相关问题的家庭环境，包括哮喘计划，风化计划，家访计划和公共住房当局。