State and Community Based Childhood Lead Poisoning Prev & Surveil of Blood Lead

印第安纳州儿童铅中毒预防计划(ICLPPP)位于 印第安纳州社区和家庭健康服务委员会 健康(ISDH)。该计划始于20世纪80年代初，已获得美国疾病控制与预防中心 自1998-1999供资年度以来对控制和预防(CDC)的支持。 ICLPPP接受了疾控中心的挑战，希望在2010年前消除儿童铅中毒 利用整体方法消除印第安纳州S存在的相当大的铅危害问题。ICLPPP 会不会努力落实国家S淘汰计划。该计划允许持续评估 和中途更正，以确保实现计划目标。 印第安纳州已经确定，建立全面领先所需的关键组成部分 全州范围内的中毒预防计划包括：在地方一级制定强有力的法规； 解决存在铅危害的住房问题，包括要求清理；增加风险测试 儿童；向社区提供监测数据；支持服务网络 病例管理需要保护已经中毒的儿童。这项计划涵盖了农村， 整个印第安纳州的郊区和城市地区，但集中力量在被确定为 对数量最多的高危儿童构成最大的威胁。 通过对印第安纳州特有的Hoosier数据的评估，ICLPPP确定了具体的危害 根据风险因素确定目标区域。证明铅中毒风险最大的因素包括：1950年之前建造的住房，其中印第安纳州的患病率位居全国第11位；儿童人口、贫困和基于2004年人口普查数据的医疗补助；估计有520,805名6岁以下儿童生活在贫困中；48%的儿童在一年内的任何时间都参加了医疗补助；少数族裔人口(非洲裔美国人、西班牙裔和难民人口)；西班牙裔人口在过去十年中增加了117%；非洲裔美国人人口规模虽然没有增加，但与所有其他种族相比，非裔美国人人口确实显示出更大的EBLL增长；难民人口(631人)由39%的儿童组成。基于收集和分析的数据，ICLPPP铅中毒预防计划强调地理目标社区方法，以最大限度地减少印第安纳州的铅中毒。该社区方法计划包括以下组成部分： 用于预测具有潜在较高铅危害比率的地理区域的统计地图 和处于危险中的儿童，有针对性的环境调查和初级预防工作， 高危儿童的定向血液检测、医疗管理、实验室支持、病例 管理、开发住房数据库、维护儿童铅测试 数据库、公共和专业教育以及通过资源增强社区能力 发展和地方工作队小组。 通过分析地理和人口信息并针对风险最高的地区， ICLPPP审查了1950年前的住房、贫困儿童、医疗补助 符合条件的儿童，以及检测率。分析一致地指出，马里恩有八个县， 圣约瑟夫、艾伦、埃尔克哈特、特拉华、范德堡、维戈和莱克。包括这八个人 拨款中的县，覆盖了所有六岁以下儿童的42%，占所有儿童的47% 1950年前的住房，54%的医疗补助儿童和77%的少数族裔，以及 73%的EBL。如上所述，这8个县还包括93%的印第安纳州 难民。LLPPP确定了另外三个集中供资的目标领域 和努力。ICLPPP建议增加当地卫生部门，特拉华州，埃尔克哈特和 Vigo，为五个卫生部门的额外区域提供服务，这些部门接受直通 来自目前疾控中心赠款的资金。这些县的加入将确保54%的 将针对处于危险中的儿童进行一级预防和二级预防 活动。 印第安纳州-S初级预防方法包括共同努力解决地区的铅危害 以及风险最高的观众。识别住房中的铅危害并进行补救的能力 随着人们对危险的普遍存在和需要的认识的提高，这些危险正在增加 用于铅安全实践。S积极主动的教育、筛查和病例管理计划 面向不同和范围广泛的受众。通过这些计划，ICLPPP提供数据、主要 预防指导、主导安全实践信息、检测和医疗管理 对医疗保健提供者的建议、病例管理指导、专业培训 以及针对高危地区和受众的公共意识和教育。 ICLPPP在建设坚实的基础和全面的网络方面取得了重大进展 全州的战略合作伙伴。即使考虑到一个敬业的专业员工 ICLPPP在印第安纳州招募了抗击儿童铅中毒预防的人员，延长了 计划比预期的更深入。这些努力通过令人难以置信的 利益相关者同意消除印第安纳州儿童铅中毒吗？S。ICLPPP将继续 它与其战略伙伴合作，并将勤奋地振兴努力，以消除 儿童铅中毒。 印第安纳州既证明了对额外资金的需求，也证明了满足 2007年儿童铅中毒预防项目面临的挑战。人们的需求一直是 确定了愿景，实现了愿景，接受了挑战。通过持续的支持 通过资金和指导，印第安纳州将成功实现消除领先地位的目标 在2010年前投毒。

The Indiana Childhood Lead Poisoning Prevention Program (ICLPPP) is located within the Community and Family Health Services Commission of the Indiana State Department of Health (ISDH). This program began in the early 1980s and has received Centers for Disease Control and Prevention (CDC) support since the 1998-1999 funding year. ICLPPP accepted the CDC challenge to eliminate childhood lead poisoning by the year 2010 utilizing a holistic approach to eliminating Indiana?s considerable lead hazard issues. ICLPPP will work to implement the State?s elimination plan. The plan allows for continuous evaluation and mid-course corrections to ensure that program goals are achieved. Indiana has determined that the key components necessary to establish a comprehensive lead poisoning prevention program statewide include: development of strong codes at the local level; addressing housing with lead hazards including requiring clearance; increasing testing of at-risk children; providing surveillance data to communities; and supporting the network of services of case management needed to protect children already poisoned. This plan encompasses rural, suburban and urban areas throughout Indiana, but concentrating its efforts on areas identified as posing the greatest threat to the highest number of at-risk children. Through the evaluation of Hoosier data specific to Indiana, ICLPPP determined hazard specific target areas based on risk factors. Factors proving the greatest risk of lead poisoning include: housing built prior to 1950, of which Indiana ranks 11th in the nation for prevalence; child population, poverty, and Medicaid based on 2004 census data; estimated 520,805 child population under the age of 6 o 23% of these children living in poverty; 48% enrolled in Medicaid for any period of time within the year ; minority disparate population (African-American, Hispanic, and refugee populations); the Hispanic population has increase by 117% in the past decade; the African-American population while not increasing in size, does show the greater increase in EBLLs when compared to all other races; refugee population (631) consists of 39% children. Based on the data collected and analyzed, the ICLPPP lead poisoning prevention program emphasizes a geographical targeted community approach to produce the greatest reduction in lead poisoning in Indiana. This community approach plan includes the following components: statistical mapping to predict geographical areas having potentially higher rates of lead hazards and children at-risk, targeted environmental investigation and primary prevention efforts, targeted blood testing of at-risk children, medical management, laboratory support, case management, development of a housing database, maintenance of a childhood lead testing database, public and professional education, and community empowerment through resource development and local task force groups. By analyzing geographical and demographical information and targeting areas most at risk, ICLPPP examined the combination of pre-1950 housing, children living in poverty, Medicaid eligible children, and testing rate. The analysis consistently indicated eight counties, Marion, St. Joseph, Allen, Elkhart, Delaware, Vanderburgh, Vigo, and Lake. Including these eight counties in the grant, covers 42 percent of all children under six years old, 47 percent of all pre-1950 housing, 54 percent of all Medicaid children and 77 percent of all minorities, and 73% of EBLLs. As discussed above, these eight counties also contain 93 percent of Indiana refugees. ICLPPP has identified three additional target areas on which to concentrate funding and efforts. ICLPPP proposes adding the local health departments, Delaware, Elkhart, and Vigo, that service those additional areas to the five health departments, which receive passthrough funds from the current CDC grant. The addition of these counties will ensure that 54% of the children at risk will be targeted for primary prevention and secondary prevention activities. Indiana?s primary prevention approach includes concerted efforts to address lead hazards in areas and audiences at highest risk. Capacity to identify housing-based lead hazards and remediate those hazards is increasing with increased awareness of the prevalence of hazards and the need for lead safe practices. ICLPPP?s proactive education, screening, and case management plans address diverse and wide ranged audiences. Through these plans, ICLPPP provides data, primary prevention guidance, lead safe practices information, testing and medical management recommendations for healthcare providers, case management instruction, professional training and public awareness and education targeted to high-risk areas and audiences. ICLPPP has made significant progress in building a solid foundation and comprehensive network of strategic partners throughout the state. Even considering a dedicated professional staff ICLPPP has recruited to combat childhood lead poisoning prevention in Indiana extending the program further than expected. These efforts are multiplied through the incredible assemblage of stakeholders accepting to eliminate lead poisoning of Indiana?s children. ICLPPP will continue its collaboration with its strategic partners and will be diligent in revitalizing efforts to eliminate childhood lead poisoning. Indiana demonstrates both the need for additional funding and the capacity to meet the challenges facing childhood lead poisoning prevention programs in 2007. The needs have been identified, the vision is implemented, and the challenge accepted. Through the continued support of CDC, both through funding and guidance, Indiana will succeed in its goal to eliminate lead poisoning by 2010.